Estimates of the Legal Permanent Resident Population: 2009

Data.gov (United States)

Department of Homeland Security — This report presents estimates of the legal permanent resident (LPR) population living in the United States on January 1, 2009. The LPR population includes persons...

Estimates of the Legal Permanent Resident Population: 2011

Data.gov (United States)

Department of Homeland Security — This report presents estimates of the legal permanent resident (LPR) population living in the United States on January 1, 2011. The LPR population includes persons...

Estimates of the Legal Permanent Resident Population: 2012

Data.gov (United States)

Department of Homeland Security — This report presents estimates of the legal permanent resident (LPR) population living in the United States on January 1, 2012. The LPR population includes persons...

U.S. Legal Permanent Residents: Fiscal Year 2006

Data.gov (United States)

Department of Homeland Security — Every year, hundreds of thousands of persons become legal permanent residents (LPRs) or “green card” recipients of the United States. LPRs, as defined by immigration...

Communication received from the resident representative of Italy on behalf of the European Community. A communication dated 28 June 1996 from the Permanent Mission of Sweden

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a note verbale dated 28 June 1996 and received by the Director General of the IAEA from the Permanent Mission of Sweden on 28 June 1996 informing about the adoption, by the Government of Sweden, of the common policy declaration adopted on 20 November 1984 by the ministers for foreign affairs of the then ten members of the European Community which was transmitted to the Director General by the Resident Representative of Italy on behalf of the Community on 22 march 1985 (INFCIRC/322). The declaration deals with transfer of nuclear material, equipment and technology between the Member States of the European Union

Communication received from the resident representative of Italy on behalf of the European Community. A communication dated 17 June 1996 from the Permanent Mission of Austria

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a note verbale dated 17 June 1996 and received by the Director General of the IAEA from the Permanent Mission of Austria on 19 June 1996 informing about the adoption, by the Government of Austria, of the common policy declaration adopted on 20 November 1984 by the ministers for foreign affairs of the then ten members of the European Community which was transmitted to the Director General by the Resident Representative of Italy on behalf of the Community on 22 march 1985 (INFCIRC/322). The declaration deals with transfer of nuclear material, equipment and technology between the Member States of the European Union

Communication dated 2 February 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received a Note Verbale dated 2 February 2006 from the Permanent Mission of the Islamic Republic of Iran (Iran), attaching a letter to the Director General from the Resident Representative of Iran, conveying the text of a message to the Director General from Dr. Larijani, Secretary of the Supreme Security Council of Iran. The Note Verbale and, in accordance with the request of the Permanent Mission, its attachment are reproduced herein for the information of Member States

Permanent health education based on research with professionals of a multidisciplinary residency program: case study

Directory of Open Access Journals (Sweden)

Cristiane Trivisiol da Silva

Full Text Available This research aims to identify the perception of professional members of a multi-professional residency program on Permanent Health Education. It is a case study research using a qualitative approach, with sixteen members of a multi-professional residency program. The data were collected from January to May 2012, through semi-structured interviews, document analysis and systematic observation, and analyzed according to Thematic Content Analysis. Two categories were identified: Permanent Health Education establishing collective spaces of reflection of practices and Permanent Health Education that promotes integration between disciplines. The members of the multiprofessional residency team were found to be aware that permanent education permeates their training and enables reflection on their clinical practices and multidisciplinary action as producers of health actions.

8 CFR 214.15 - Certain spouses and children of lawful permanent residents.

Science.gov (United States)

2010-01-01

..., subsequent to filing, USCIS returns the petition to the applicant for any reason or makes a request for... status to that of lawful permanent residence; (iv) The V-1 spouse's divorce from the LPR becomes final...

Permanent resident

Directory of Open Access Journals (Sweden)

John F. Fisher

2016-05-01

Full Text Available The training of physicians in the past century was based primarily on responsibility and the chain-of-command. Those with the bulk of that responsibility in the fields of pediatrics and internal medicine were residents. Residents trained the medical students and supervised them carefully in caring for patients. Most attending physicians supervised their teams at arm's length, primarily serving as teachers of the finer points of diagnosis and treatment during set periods of the day or week with a perfunctory signature on write-ups or progress notes. Residents endeavored to protect the attending physician from being heavily involved unless they were unsure about a clinical problem. Before contacting the attending physician, a more senior resident would be called. Responsibility was the ultimate teacher. The introduction of diagnosis-related groups by the federal government dramatically changed the health care delivery system, placing greater emphasis on attending physician visibility in the medical record, ultimately resulting in more attending physician involvement in day-to-day care of patients in academic institutions. Without specified content in attending notes, hospital revenues would decline. Although always in charge technically, attending physicians increasingly have assumed the role once dominated by the resident. Using biographical experiences of more than 40 years, the author acknowledges and praises the educational role of responsibility in his own training and laments its declining role in today's students and house staff.

Estimates of the Lawful Permanent Resident Population in the United States: January 2013

Data.gov (United States)

Department of Homeland Security — This report presents estimates of the lawful permanent resident (LPR) population living in the United States on January 1, 2013. The LPR population includes persons...

Estimates of the Lawful Permanent Resident Population in the United States: January 2014

Data.gov (United States)

Department of Homeland Security — This report presents estimates of the lawful permanent resident (LPR) population living in the United States on January 1, 2014. The LPR population includes persons...

Child health insurance coverage: a survey among temporary and permanent residents in Shanghai.

Science.gov (United States)

Lu, Mingshan; Zhang, Jing; Ma, Jin; Li, Bing; Quan, Hude

2008-11-17

Under the current healthcare system in China, there is no government-sponsored health insurance program for children. Children from families who move from rural and interior regions to large urban centres without a valid residency permit might be at higher risk of being uninsured due to their low socioeconomic status. We conducted a survey in Shanghai to describe children's health insurance coverage according to their migration status. Between 2005 and 2006, we conducted an in-person health survey of the adult care-givers of children aged 7 and under, residing in five districts of Shanghai. We compared uninsurance rates between temporary and permanent child residents, and investigated factors associated with child health uninsurance. Even though cooperative insurance eligibility has been extended to temporary residents of Shanghai, the uninsurance rate was significantly higher among temporary (65.6%) than permanent child residents (21.1%, adjusted odds ratio (OR): 5.85, 95% confidence interval (95% CI): 4.62-7.41). For both groups, family income was associated with having child health insurance; children in lower income families were more likely to be uninsured (OR: 1.96, 95% CI: 1.40-2.96). Children must rely on their parents to make the insurance purchase decision, which is constrained by their income and the perceived benefits of the insurance program. Children from migrant families are at even higher risk for uninsurance due to their lower socioeconomic status. Government initiatives specifically targeting temporary residents and providing health insurance benefits for their children are urgently needed.

Communication dated 26 March 2008 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a Note Verbale dated 26 March 2008 from the Permanent Mission of the Islamic Republic of Iran (Iran), attaching a letter dated 25 March 2008 addressed to the Director General from the Resident Representative of Iran, forwarding the letter of the Foreign Minister of Iran H.E. Mr. Motaki to the Secretary General of the United Nations regarding the United Nations Security Council Resolutions on Iran's nuclear issues. The Note Verbale and, as requested therein, its attachment, are circulated herewith for the information of Member States

Students of migration: Indian overseas students and the question of permanent residency

NARCIS (Netherlands)

Baas, M.

2006-01-01

This article explores the motives of students from India who have enrolled in Australian universities as overseas students. It shows that their main objective is to obtain a permanent residence visa in Australia and that they tailor their choice of course and university with this end in mind. As a

Communication dated 6 March 2013 received from the Permanent Mission of the Islamic Republic of Iran to the Agency regarding the Report of the Director General on the Implementation of Safeguards in Iran

International Nuclear Information System (INIS)

2013-01-01

The Secretariat has received a communication dated 6 March 2013 from the Permanent Mission of the Islamic Republic of Iran to the Agency enclosing an explanatory note by the Permanent Mission dated 6 March 2013, on the report of the Director General on ''Implementation of the NPT Safeguards Agreement and relevant provisions of Security Council resolutions in the Islamic Republic of Iran'' contained in GOV/2013/6 (21 February 2013) and three letters from the Resident Representative of Iran addressed to the Director General. The communication and, as requested by the Permanent Mission, the explanatory note and the letters are circulated herewith for information.

Exploring the concurrent validity of the nationwide assessment of permanent nursing home residence in Denmark

DEFF Research Database (Denmark)

Bebe, Anna; Nielsen, Anni Brit Sternhagen; Willadsen, Tora Grauers

2017-01-01

Background: Many register studies make use of information about permanent nursing home residents. Statistics Denmark (StatD) identifies nursing home residents by two different indirect methods, one based on reports from the municipalities regarding home care in taken place in a nursing home...... Danish Region, we randomly selected one municipality reporting to Stat D (Method 1) and one not reporting where instead an algorithm created by StatD was used to discover nursing home residents (Method 2). Method 1 means that municipalities reported to Stat D whether home care has taken place......, and the other based on an algorithm created by StatD.The aim of the present study was to validate StatD’s nursing home register using dedicated administrative municipality records on individual nursing home residents as gold standard. Methods: In total, ten Danish municipalities were selected. Within each...

A comparison of health access between permanent residents, undocumented immigrants and refugee claimants in Toronto, Canada.

Science.gov (United States)

Campbell, Ruth M; Klei, A G; Hodges, Brian D; Fisman, David; Kitto, Simon

2014-02-01

Understanding the immigrant experience accessing healthcare is essential to improving their health. This qualitative study reports on experiences seeking healthcare for three groups of immigrants in Toronto, Canada: permanent residents, refugee claimants and undocumented immigrants. Undocumented immigrants who are on the Canadian Border Services Agency deportation list are understudied in Canada due to their precarious status. This study will examine the vulnerabilities of this particular subcategory of immigrant and contrast their experiences seeking healthcare with refugee claimants and permanent residents. Twenty-one semi-structured, one-on-one qualitative interviews were conducted with immigrants to identify barriers and facilitators to accessing healthcare. The open structure of the interviews enabled the participants to share their experiences seeking healthcare and other factors that were an integral part of their health. This study utilized a community-based participatory research framework. The study identifies seven sections of results. Among them, immigration status was the single most important factor affecting both an individual's ability to seek out healthcare and her experiences when trying to access healthcare. The healthcare seeking behaviour of undocumented immigrants was radically distinct from refugee claimants or immigrants with permanent resident status, with undocumented immigrants being at a greater disadvantage than permanent residents and refugee claimants. Language barriers are also noted as an impediment to healthcare access. An individual's immigration status further complicates their ability to establish relationships with family doctors, access prescriptions and medications and seek out emergency room care. Fear of authorities and the complications caused by the above factors can lead to the most disadvantaged to seek out informal or black market sources of healthcare. This study reaffirmed previous findings that fear of deportation

Cytogenetic abnormalities of the descendants of permanent residents of heavily contaminated East Kazakhstan.

Science.gov (United States)

Chaizhunusova, Nailya; Madiyeva, Madina; Tanaka, Kimio; Hoshi, Masaharu; Kawano, Noriyuki; Noso, Yoshihiro; Takeichi, Nobuo; Rakhypbekov, Tolebay; Urazalina, Nailya; Dovgal, Galina; Rymbaeva, Tamara; Tokanova, Sholpan; Beisengazina, Meruert; Kembayeva, Kulypash; Inoue, Ken

2017-11-01

More than 400 nuclear explosion tests were conducted at the Semipalatinsk Nuclear Test Site (SNTS) and significant radioactive substances were released. The long-term consequences of the activities at the SNTS and the appearance of any hereditary effects remain insufficiently studied about 25 years after the test site was closed. The population living in villages near the SNTS are considered to have been heavily exposed to external and internal radiation. This study aims to perform an assessment and comprehensive cytogenetic analysis of the inhabitants living near the SNTS, and their first-(F1) and second-(F2) generation children. Residents of the East Kazakhstan region living in the area covered by the former SNTS were included in the study. To evaluate the hereditary effects of nuclear testing, comprehensive chromosome analyses were performed in lymphocytes using conventional Giemsa and fluorescent in situ hybridization methods in 115 F1 and F2 descendants in the villages of Dolon and Sarzhal, which were heavily contaminated. The parents of the subjects had permanently lived in the villages. A higher number of stable-type chromosome aberrations such as translocations was found in these residents than in 80 residents of the control area, Kokpecty, which indicates the possibility that radiation had biological effects on the exposed subjects.

Falls in nursing home residents receiving pharmacotherapy for anemia

Directory of Open Access Journals (Sweden)

Reardon G

2012-10-01

Full Text Available Gregory Reardon,1 Naushira Pandya,2 Robert A Bailey31Informagenics, LLC and The Ohio State University College of Pharmacy, Columbus, OH, USA; 2Department of Geriatrics, Nova Southeastern University College of Osteopathic Medicine, Ft Lauderdale, FL, USA; 3Janssen Scientific Affairs, LLC, Horsham, PA, USAPurpose: Falls are common among nursing home residents and have potentially severe consequences, including fracture and other trauma. Recent evidence suggests anemia may be independently related to these falls. This study explores the relationship between the use of anemia-related pharmacotherapies and falls among nursing home residents.Methods: Forty nursing homes in the United States provided data for analysis. All incidents of falls over the 6-month post-index follow-up period were used to identify the outcomes of falls (≥1 fall and recurrent falls (>1 fall. Logistic regression was used to analyze the relationship between falls and recurrent falls with each of the anemia pharmacotherapies after adjusting for potential confounders.Results: A total of 632 residents were eligible for analysis. More than half (57% of residents were identified as anemic (hemoglobin < 12 g/dL females, or <13 g/dL males. Of anemic residents, 50% had been treated with one or more therapies (14% used vitamin B12, 10% folic acid, 38% iron, 0.3% darbepoetin alfa [DARB], and 1.3% epoetin alfa [EPO]. Rates of falls/recurrent falls were 33%/18% for those receiving vitamin B12, 40%/16% for folic acid, 27%/14% for iron, 38%/8% for DARB, 18%/2% for EPO, and 22%/11% for those receiving no therapy. In the adjusted models, use of EPO or DARB was associated with significantly lower odds of recurrent falls (odds ratio = 0.06; P = 0.001. Other significant covariates included psychoactive medication use, age 75–84 years, age 85+ years, worsened balance score, and chronic kidney disease (P < 0.05 for all.Conclusion: Only half of the anemic residents were found to be using anemia

Communication dated 10 March 1994 received from the Permanent Mission of the Federal Republic of Yugoslavia (Serbia and Montenegro)

International Nuclear Information System (INIS)

1994-01-01

The text of the aide memoire, dated 10 March 1994, of the Permanent Mission of the Federal Republic of Yugoslavia (Serbia and Montenegro) to the IAEA is being circulated for the information of all Member States at the request of the Alternate Resident Representative of the Federal Republic of Yugoslavia (Serbia and Montenegro)

Communication dated 8 August 2005 received from the Resident Representatives of France, Germany and the United Kingdom to the Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

2005-08-08

The Director General has received a communication from the Resident Representatives of France, Germany and the United Kingdom, dated 8 August 2005, attaching the text of a letter dated 5 August 2005 sent by the Ministers of Foreign Affairs of France, Germany and the United Kingdom, and the High Representative of the European Union, to the Secretary of the Supreme National Security Council of the Islamic Republic of Iran. The letter transmits proposals for a Framework for a Long-Term Agreement between the Islamic Republic of Iran and France, Germany and the United Kingdom, with the Support of the High Representative of the European Union. The communication from the Permanent Missions and, as requested therein, the text of the letter and its enclosure, are herewith attached for the information of all Member States.

Communication dated 8 August 2005 received from the Resident Representatives of France, Germany and the United Kingdom to the Agency

International Nuclear Information System (INIS)

2005-01-01

The Director General has received a communication from the Resident Representatives of France, Germany and the United Kingdom, dated 8 August 2005, attaching the text of a letter dated 5 August 2005 sent by the Ministers of Foreign Affairs of France, Germany and the United Kingdom, and the High Representative of the European Union, to the Secretary of the Supreme National Security Council of the Islamic Republic of Iran. The letter transmits proposals for a Framework for a Long-Term Agreement between the Islamic Republic of Iran and France, Germany and the United Kingdom, with the Support of the High Representative of the European Union. The communication from the Permanent Missions and, as requested therein, the text of the letter and its enclosure, are herewith attached for the information of all Member States

Communication received from the Resident Representatives of Argentina and Brazil

International Nuclear Information System (INIS)

1993-01-01

The document reproduces the communication received by the Director General from the Resident Representatives of Argentina and Brazil to the Agency to inform him about the official inauguration on 9 December 1992 of the headquarters of the Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials (ABACC) in Rio de Janeiro

Communication of 30 August 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-11

On 1 September 1995, the Director General received a communication dated 30 August 1995 from the Permanent Mission of Australia transmitting a Declaration of 17 August 1995 by South Pacific Environment Ministers concerning the resumption of nuclear testing by France. As requested by the Permanent Mission of Australia, the text of the Declaration is being circulated for the information of Member States of the Agency.

Communication of 30 August 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 1 September 1995, the Director General received a communication dated 30 August 1995 from the Permanent Mission of Australia transmitting a Declaration of 17 August 1995 by South Pacific Environment Ministers concerning the resumption of nuclear testing by France. As requested by the Permanent Mission of Australia, the text of the Declaration is being circulated for the information of Member States of the Agency

Communication of 26 June 1995 received from the Permanent Mission of Ecuador to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 27 June 1995, the Director General received a communication dated 26 June 1995 from the Permanent Mission of Ecuador transmitting a Statement of 22 June 1995 issued by the Rio Group concerning the resumption of nuclear testing by France. As requested by the Permanent Mission of Ecuador, the text of the Statement is being circulated for the information of Member States of the Agency

Communication of 31 October 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 2 November 1995, the Director General received a communication dated 31 October 1995 from the Permanent Mission of Australia transmitting a Statement of 28 October 1995 by the Prime Minister of Australia on ''The Third French Nuclear Test''. As requested by the Permanent Mission of Australia, the text of the Statement is being circulated for the information of Member States of the Agency

Communication of 20 October received from the Permanent Mission of France to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 23 October 1995, the Director General received a letter dated 20 October 1995 from the Permanent Mission of France transmitting a joint Statement of 20 October 1995 by France, the United Kingdom of Great Britain and Northern Ireland and the United States of America about their intention to sign the Protocols to the Treaty of Rarotonga. As requested by the Permanent Mission of France, the text of the Statement is being circulated for the information of Member States

CERN CERTIFICATE REQUIRED FOR AN APPLICATION FOR A FRENCH RESIDENCE PERMIT ISSUED BY A PREFECTURE

CERN Multimedia

Relations with the Host States Service

2001-01-01

All non-French nationals who reside in France for more than three consecutive months or who, in the case of intermittent periods of residence, are effectively present in France for more than three months in any six-month period must obtain a residence or stay permit (titre de séjour). If members of the CERN personnel and members of their families fulfil those conditions inter alia, they normally receive a legitimation document, which is valid as a residence or stay permit, from the French Ministry of Foreign Affairs (Carte spéciale FI or AT, Carte d'assimilé à un membre de mission diplomatique). However, members of the personnel with permanent resident status (résident permanent) are not, by virtue of that status, entitled to a legitimation document and must obtain a residence permit issued by a Prefecture. For the latter purpose, with the agreement of the Prefecture de l'Ain, CERN (i.e. the Personnel Records Office, Human Resources Division, office 33/1-...

Results of the 2004 Association of Residents in Radiation Oncology (ARRO) Survey

International Nuclear Information System (INIS)

Patel, Shilpen; Jagsi, Reshma; Wilson, John; Frank, Steven; Thakkar, Vipul V.; Hansen, Eric K.

2006-01-01

Purpose: The aim of this study was to document adequacy of training, career plans after residency, use of the in-service examination, and motivation for choice of radiation oncology as a specialty. Methods and Materials: In 2004, the Association of Residents in Radiation Oncology (ARRO) conducted a nationwide survey of all radiation oncology residents in the United States. Results: The survey was returned by 297 residents (response rate, 54%). Of the respondents, 29% were female and 71% male. The most popular career choice was joining an established private practice (38%), followed by a permanent academic career (29%). Residents for whom a permanent academic career was not their first choice were asked whether improvements in certain areas would have led them to be more likely to pursue an academic career. The most commonly chosen factors that would have had a strong or moderate influence included higher salary (81%), choice of geographic location (76%), faculty encouragement (68%), and less time commitment (68%). Of respondents in the first 3 years of training, 78% believed that they had received adequate training to proceed to the next level of training. Of those in their fourth year of training, 75% believed that they had received adequate training to enter practice. Conclusions: Multiple factors affect the educational environment of physicians in training. Data describing concerns unique to resident physicians in radiation oncology are limited. The current survey was designed to explore a variety of issues confronting radiation oncology residents. Training programs and the Residency Review Committee should consider these results when developing new policies to improve the educational experiences of residents in radiation oncology

Communication dated 24 January 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

Secretariat has received a Note Verbale dated 24 January 2006 from the Permanent Mission of the Islamic Republic of Iran, attaching material concerning aspects of the nuclear policy and programme of the Islamic Republic of Iran. The Note Verbale and, in accordance with the request of the Permanent Mission, its attachment, are reproduced herein for the information of Member States

Communication dated 20 July 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received a Note Verbale dated 20 July 2006 from the Permanent Mission of the Islamic Republic of Iran, attaching a statement by H.E. Dr. Larijani, Secretary of the Supreme National Security Council of Iran. The Note Verbale and, in accordance with the request of the Permanent Mission, its attachment are reproduced herein for the information of Member States

Communication of 7 September 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-15

On 8 September 1995, the Director General received a communication dated 7 September 1995 from the Permanent Mission of Australia transmitting two Statements by the Prime Minister of Australia, one issued in his capacity as Chairman of the South Pacific Forum, concerning the resumption of nuclear testing by France. As requested by the Permanent Mission of Australia, the texts of the Statements are being circulated for the information of Member States of the Agency.

Communication of 7 September 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 8 September 1995, the Director General received a communication dated 7 September 1995 from the Permanent Mission of Australia transmitting two Statements by the Prime Minister of Australia, one issued in his capacity as Chairman of the South Pacific Forum, concerning the resumption of nuclear testing by France. As requested by the Permanent Mission of Australia, the texts of the Statements are being circulated for the information of Member States of the Agency

Communication of 13 June 1995 received from the Permanent Mission of France to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 16 June, the Director General received a letter dated 13 June 1995 from the Permanent Mission of France transmitting the text of a Statement of the European Union on the occasion of Chile's becoming a party to the Treaty on the Non-Proliferation of Nuclear Weapons. As requested by the Permanent Mission of France, the text of the Statement is being circulated for the information of Member States of the Agency

Communication of 15 May 1995 received from the Permanent Mission of Peru to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

The Secretariat of the International Atomic Energy Agency has received the attached note verbale of 15 May 1995 from the Permanent Mission of Peru transmitting comments on statements made by the Director of the Atomic Energy Commission of the Republic of Ecuador, concerning possible diversion of Peruvian nuclear technology for non-peaceful purposes. As requested by the Permanent Mission of Peru, the text of the note verbale is circulated to the Member States

Communication dated 10 December 2012 received from the Permanent Mission of the Kingdom of Morocco to the Agency

International Nuclear Information System (INIS)

2013-01-01

The Secretariat has received a note verbale dated 10 December 2012 from the Permanent Mission of the Kingdom of Morocco to the Agency, enclosing a statement made by Morocco on behalf of the Arab Group, during the November 2012 session of the Board of Governors under the agenda item 'Any Other Business'. The aforementioned communication and, as requested by the Permanent Mission of the Kingdom of Morocco, the enclosed statement are herewith circulated for the information of Member States.

Communication received from the Permanent Mission of Spain on 12 March 2002 concerning adoption of the Euro by the Agency

International Nuclear Information System (INIS)

2002-01-01

On 12 March 2002 the Director General received a letter from the Permanent Representative of Spain, on behalf of the European Union, attaching a memorandum on the adoption of the Euro by the Agency. The letter from the Permanent Representative of Spain and, as requested, its attachment are herewith distributed for the information of Member States

Is there any change in the prevalence of intestinal and urinary parasitosis among "non-permanent resident" students in Tunisia ?

Science.gov (United States)

Trabelsi, Sonia; Bouchakoua, Myiram; Aouinet, Amira; Sellami, Amira; Khaled, Samira

2012-07-01

Intestinal parasitosis are cosmopolitan affections, often related to the fecal peril. However urinary bilharziosis is a disease eliminated in Tunisia. As part of monitoring the emergence and re-emergence of intestinal parasitosis and urinary bilharziasis, foreign students benefit from parasitological systematic monitoring stool and urine during their enrollment to the University. To study the prevalence of various intestinal parasitosis and urinary bilharziasis among non permanent resident students in Tunisia. A retrospective survey was carried at the Laboratory of Parasitology- Mycology of Charles Nicolle Hospital of Tunis during the inscription period of 6 university years 2005-2010. 328 students profited from a parasitological examination of stool and urine. 144 students (43.9%) harbored intestinal parasites. More than one parasite was detected in 69 students (47.9%). Intestinal protozoa were the majority of identified parasites (96.9%). 9.7% of identified parasites were pathogenic. Three cases (0.91%) of urinary bilharziasis were diagnosed. The prevalence of intestinal and urinary parasitism among the "non-permanent residents" students in Tunisia has not changed. This justifies a systematic parasitologic monitoring for students coming from areas of high endemicity of parasitosis in order to avoid the introduction of these.

Communication dated 26 September 2008, copied to the Agency by the Permanent Mission of India regarding the Middle East and South Asia area

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a copy of a communication dated 26 September 2008 from the Permanent Mission of India to the Permanent Mission of Kazakhstan regarding the Middle East and South Asia Area. As requested by the Resident Representative of India to the Agency, during the meeting of the Board of Governors on 6 October 2008, the communication is herewith circulated for information

Communication of 24 November 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 27 November 1995, the Director General received a communication dated 24 November 1995 from the Permanent Mission of Australia transmitting Statements of 22 November 1995 by the Prime Minister of Australia, by the Minister for Foreign Affairs of Australia and by the Secretary-General of the South Pacific Forum on ''The Fourth French Nuclear Test''. As requested by the Permanent Mission of Australia, the texts of the Statements are being circulated for the information of Member States of the Agency

Communication of 3 December 1996 received from the Permanent Mission of Belarus to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a press release received by the Secretariat on 4 December 1996 from the Permanent Mission of Belarus about the withdrawal of the last inter-continental ballistic missile from Belarus

Communication dated 6 November 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received a Note Verbale dated 6 November 2006 from the Permanent Mission of the Islamic Republic of Iran to the IAEA, enclosing 'the response of the Islamic Republic of Iran to the package on 6 June 2006', contained in United Nations document A/61/514-S/2006/806. The Note Verbale and, as requested by the Permanent Mission, its enclosure, are reproduced herein for the information of Member States

Communication dated 6 November 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

2006-11-08

The Secretariat has received a Note Verbale dated 6 November 2006 from the Permanent Mission of the Islamic Republic of Iran to the IAEA, enclosing 'the response of the Islamic Republic of Iran to the package on 6 June 2006', contained in United Nations document A/61/514-S/2006/806. The Note Verbale and, as requested by the Permanent Mission, its enclosure, are reproduced herein for the information of Member States.

Communication of 23 August 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-11

On 25 August 1995, the Director General received a communication dated 23 August 1995 from the Permanent Mission of Australia transmitting a Statement of 22 August 1995 by the Prime Minister of Australia made as Chairman of the South Pacific Forum concerning the second test of a nuclear weapon by China since the 1995 NPT Review and Extension Conference. As requested by the Permanent Mission of Australia, the text of the Statement is being circulated for the information of Member States of the Agency.

Communication of 23 August 1995 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 25 August 1995, the Director General received a communication dated 23 August 1995 from the Permanent Mission of Australia transmitting a Statement of 22 August 1995 by the Prime Minister of Australia made as Chairman of the South Pacific Forum concerning the second test of a nuclear weapon by China since the 1995 NPT Review and Extension Conference. As requested by the Permanent Mission of Australia, the text of the Statement is being circulated for the information of Member States of the Agency

Communication of 23 March 1995 received from the Permanent Mission of Ukraine to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

The Secretariat of the International Atomic Energy Agency has received a note verbale of 23 March 1995 from the Permanent Mission of Ukraine providing information on the nuclear export policies and practices of the Government of Ukraine

Communication dated 7 March 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received a Note Verbale dated 7 March 2006 from the Permanent Mission of the Islamic Republic of Iran (Iran), attaching a document entitled 'Complementary Information and Clarification on the report of the Director General to the Board of Governors on Implementation of Safeguards in the Islamic Republic of Iran (GOV/2006/15)'. The Note Verbale and, as requested by the Permanent Mission, its attachment, are reproduced herein for the information of Member States

Communication of 3 October 1995 received from the permanent mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 5 October 1995, the Director General received a communication dated 3 October 1995 from the Permanent Mission of Australia transmitting a Statement of 2 October 1995 by the Prime Minister of Australia on ''The Second French Nuclear Test''

Communication dated 18 June 2009 received from the Permanent Mission of the Islamic Republic of Iran to the Agency concerning statements made by the Islamic Republic of Iran in the Board of Governors

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a Note Verbale dated 18 June 2009 from the Permanent Mission of the Islamic Republic of Iran transmitting the text of the statement of the Resident Representative of the Islamic Republic of Iran delivered during the meeting of the Board of Governors on 17 June 2009 under agenda item 5(e) on the 'Implementation of the NPT Safeguards Agreement in the Islamic Republic of Iran (GOV/2009/35)' and a document entitled 'Response to remarks made by some delegates'. The Note Verbale and, as requested therein, its enclosures are circulated herewith for the information of all Member States

Communication of 4 January 1996 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

On 5 January 1996, the Director General received a communication dated 4 January 1996 from the Permanent Mission of Australia transmitting a Statement of 28 December 1995 by the Acting Prime Minister of Australia on ''The Fifth French Nuclear Test''

Communication of 1 October 1998 received from the Permanent Mission of Turkey to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1999-01-01

The document reproduces the text of a Note Verbale dated 1 October 1998 received by the Director General of the IAEA from the Permanent Mission of Turkey providing information about the nuclear export policies and practices of the Government of Turkey

Communication of 13 March 1996 received from the Permanent Mission of Ukraine to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a note verbale received by the Director general of the IAEA on 13 March 1996 from the Permanent Mission of Ukraine providing information on the nuclear export policies and practices of the Government of Ukraine

Communication of 2 June 1998 received from the Permanent Mission of Croatia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 2 June 1998 received at the IAEA from the Permanent Mission of Croatia to the IAEA, including a statement from the Ministry of Foreign Affairs of Croatia, regarding the tests of nuclear weapons conducted by Pakistan

Communication dated 10 December 2012 received from the Permanent Mission of the Kingdom of Morocco to the Agency (French Edition)

International Nuclear Information System (INIS)

2013-01-01

The Secretariat has received a note verbale dated 10 December 2012 from the Permanent Mission of the Kingdom of Morocco to the Agency, enclosing a statement made by Morocco on behalf of the Arab Group, during the November 2012 session of the Board of Governors under the agenda item 'Any Other Business'. The aforementioned communication and, as requested by the Permanent Mission of the Kingdom of Morocco, the enclosed statement are herewith circulated for the information of Member States.

Communication dated 10 December 2012 received from the Permanent Mission of the Kingdom of Morocco to the Agency (Spanish Edition)

International Nuclear Information System (INIS)

2012-01-01

The Secretariat has received a note verbale dated 10 December 2012 from the Permanent Mission of the Kingdom of Morocco to the Agency, enclosing a statement made by Morocco on behalf of the Arab Group, during the November 2012 session of the Board of Governors under the agenda item 'Any Other Business'. The aforementioned communication and, as requested by the Permanent Mission of the Kingdom of Morocco, the enclosed statement are herewith circulated for the information of Member States.

Communication dated 10 December 2012 received from the Permanent Mission of the Kingdom of Morocco to the Agency (Arabic Edition)

International Nuclear Information System (INIS)

2013-01-01

The Secretariat has received a note verbale dated 10 December 2012 from the Permanent Mission of the Kingdom of Morocco to the Agency, enclosing a statement made by Morocco on behalf of the Arab Group, during the November 2012 session of the Board of Governors under the agenda item 'Any Other Business'. The aforementioned communication and, as requested by the Permanent Mission of the Kingdom of Morocco, the enclosed statement are herewith circulated for the information of Member States.

Communication of 7 December 1999 received from the Permanent Mission of Iraq to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1999-01-01

The document reproduces the text of the communication of 7 December 1999 received by the IAEA from the Permanent Mission of Iraq to the IAEA, including an attachment referring to the Non-implementation of the IAEA Technical Assistance Programs to Iraq for the years 1999/2000

Communication of 25 June 2009 received from the Permanent Mission of the Czech Republic

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a Note Verbale dated 25 June 2009 from the Permanent Mission of the Czech Republic, transmitting the text of a working paper on forward-looking proposals of the European Union on all three pillars of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) as presented at the Preparatory Committee for the 2010 Review Conference of the Parties of the NPT on 6 May 2009 in New York. As requested in that communication, the abovementioned document is herewith circulated for the information of all Member States

Communication dated 13 November 2006 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received a Note Verbale dated 13 November 2006 from the Permanent Mission of the Islamic Republic of Iran. The Note Verbale and, as requested therein, its attachments, are herewith circulated for the information of Member States

Communication of 31 March 1995 received from the Permanent Mission of South Africa to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

The Secretariat of the International Atomic Energy Agency has received a note verbale of 31 March 1995 from the Permanent Mission of South Africa providing information on the nuclear export policies and practices of the Government of South Africa

Communication of 31 March 1995 received from the Permanent Mission of South Africa to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-04-12

The Secretariat of the International Atomic Energy Agency has received a note verbale of 31 March 1995 from the Permanent Mission of South Africa providing information on the nuclear export policies and practices of the Government of South Africa.

Communication of 4 July 1995 received from the permanent mission of Chile, Colombia, Ecuador and Peru to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 12 July 1995, the Director General received from the Permanent Missions of Chile, Colombia, Ecuador and Peru a Statement of 4 July 1995 by the Ministers of Foreign Affairs of the Member States of the Permanent South Pacific Commission in response to the announcement by the President of the Republic of France regarding the resumption of nuclear testing by France in the South Pacific. As requested by the Permanent Missions of Chile, Colombia, Ecuador and Peru, the text of the Statement is being circulated for the information of Member States of the Agency

Communication of 12 May 1998 received from the Permanent Mission of Japan to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 12 May 1998 received at the IAEA from the Permanent Mission of Japan to the IAEA including the comment of the Chief Cabinet Secretary of Japan regarding the test of a nuclear weapon conducted by India on 11 May 1998

Civil Surgeon Tuberculosis Evaluations for Foreign-Born Persons Seeking Permanent U.S. Residence.

Science.gov (United States)

Bemis, Kelley; Thornton, Andrew; Rodriguez-Lainz, Alfonso; Lowenthal, Phil; Escobedo, Miguel; Sosa, Lynn E; Tibbs, Andrew; Sharnprapai, Sharon; Moser, Kathleen S; Cochran, Jennifer; Lobato, Mark N

2016-04-01

Foreign-born persons in the United States seeking to adjust their status to permanent resident must undergo screening for tuberculosis (TB) disease. Screening is performed by civil surgeons (CS) following technical instructions by the Centers for Disease Control and Prevention. From 2011 to 2012, 1,369 practicing CS in California, Texas, and New England were surveyed to investigate adherence to the instructions. A descriptive analysis was conducted on 907 (66%) respondents. Of 907 respondents, 739 (83%) had read the instructions and 565 (63%) understood that a chest radiograph is required for status adjustors with TB symptoms; however, only 326 (36%) knew that a chest radiograph is required for immunosuppressed status adjustors. When suspecting TB disease, 105 (12%) would neither report nor refer status adjustors to the health department; 91 (10%) would neither start treatment nor refer for TB infection. Most CS followed aspects of the technical instructions; however, educational opportunities are warranted to ensure positive patient outcomes.

The Director-General receives the "150 Years of Romanian Diplomacy" Honorary Award from H.E. Mrs. Maria Ciobanu, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of Romania to the United Nations Office and other international organizations in Geneva.

CERN Multimedia

Samuel Morier-Genoud

2012-01-01

The Director-General receives the "150 Years of Romanian Diplomacy" Honorary Award from H.E. Mrs. Maria Ciobanu, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of Romania to the United Nations Office and other international organizations in Geneva.

Communication of 9 October 1995 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 11 October 1995, the Director General received a communication dated 9 October 1995 from the Permanent Mission of New Zealand transmitting a Statement of 2 October 1995 by the Prime Minister of New Zealand concerning the second nuclear test conducted by France

Communication of 2 June 1998 received from the Permanent Mission of the Philippines to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 2 June 1998 received at the IAEA from the Permanent Mission of the Philippines to the IAEA, including a statement by the President of the Philippines regarding the nuclear tests conducted by Pakistan

Communication of 22 May 1998 received from the Permanent Mission of the Philippines to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 22 May 1998 received at the IAEA from the Permanent Mission of the Philippines to the IAEA, including a statement by the Government of the Philippines regarding the nuclear tests conducted by India

Communication of 29 May 1998 received from the Permanent Mission of Japan to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 29 May 1998 received at the IAEA from the Permanent Mission of Japan to the IAEA, including the statements by the Chief Cabinet Secretary of the Government of Japan regarding the tests of nuclear weapons conducted by Pakistan on 28 May 1998

Communication of 2 June 1998 received from the Permanent Mission of Japan to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 2 June 1998 received at the IAEA from the Permanent Mission of Japan to the IAEA, including the statements by the Chief Cabinet Secretary of the Government of Japan regarding the underground nuclear tests conducted by Pakistan on 30 May 1998

Communication of 15 May 1998 received from the Permanent Mission of Japan to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 15 May 1998 received at the IAEA from the Permanent Mission of Japan to the IAEA, including the statements by the Chief Cabinet Secretary of the Government of Japan regarding the tests of nuclear weapons conducted by India on 13 May 1998

Communication of 13 May 1998 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 13 May 1998 received at the IAEA from the Permanent Mission of Australia to the IAEA, including the statement of 12 May by the Australian Prime Minister in connection with the test of a nuclear weapon conducted by India on 11 May 1998

Communication of 3 June 1998 received from the Permanent Mission of Belarus to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 3 June 1998 received at the IAEA from the Permanent Mission of Belarus to the IAEA, including a statement by the Ministry of Foreign Affairs of Belarus on the nuclear tests conducted by India and Pakistan nuclear tests conducted by India and Pakistan

Communication of 3 June 1998 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 3 June 1998 received at the IAEA from the Permanent Mission of New Zealand to the IAEA, including statements by the Prime Minister of New Zealand on the nuclear tests conducted by India and Pakistan

Communications dated 18 and 19 March 1994 received from the permanent mission of the Democratic People's Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-01-01

Texts of the following communications received from the Permanent Mission of the Democratic People's Republic of Korea, concerning IAEA safeguards inspections, are being circulated to all Member States of the Agency at the Request of the Permanent Mission of the Democratic People's Republic of Korea

Communication of 16 June 1997 received from the permanent mission of Cuba to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1997-01-01

The document reproduces the text of the communication and the attached circular letter dated 16 June 1997 received by the Director General of IAEA from the Permanent Mission of Cuba in connection with the most recent actions being set in motion in the Congress of the United States of America regarding the Cuban nuclear programme

Communication dated 13 January 2006 received from the Permanent Missions of France, Germany and the United Kingdom to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Chairman of the Board of Governors received on 16 January 2006 a communication dated 13 January 2006, copied to the Director General, from the Permanent Missions of France, Germany and the United Kingdom, enclosing a statement issued on the occasion of the meeting on 12 January 2006 in Berlin of the Foreign Ministers of France, Germany and the United Kingdom and the High Representative of the European Union. The communication from the Permanent Missions and, as requested therein, the text of the statement, are herewith attached for the information of all Member States

Communication dated 2 August 2005 received from the Permanent Missions of France, Germany and the United Kingdom to the Agency

International Nuclear Information System (INIS)

2005-01-01

The Director General received on 2 August 2005 a communication from the Permanent Missions of France, Germany and the United Kingdom, dated 2 August 2005, attaching the text of a letter sent by the Ministers of Foreign Affairs of France, Germany and the United Kingdom, and the High Representative of the European Union, to the Secretary of the Supreme National Security Council of the Islamic Republic of Iran. The communication from the Permanent Missions and, as requested therein, the text of the letter, are herewith attached for the information of all Member States

Communication received on 12 September 2006 from the Permanent Mission of Japan to the Agency concerning arrangements for the assurance of nuclear fuel supply

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received on 12 September 2006 a communication from the Permanent Mission of Japan attaching a document entitled 'Japan's Proposal: IAEA Standby Arrangements System for the Assurance of Nuclear Fuel Supply'. As requested by the Permanent Mission, the text of the attachment is herewith reproduced for the information of Member States

Communication received from the Permanent Mission of New Zealand regarding guidelines for the export of nuclear material, equipment and technology

International Nuclear Information System (INIS)

1995-01-01

The Director General has received a note verbale dated 22 December 1994 from the Permanent Mission of New Zealand to the International Atomic Energy Agency providing information on the nuclear export policies and practices of the Government of New Zealand

Communication dated 8 April 2014 received from the Permanent Mission of the Netherlands to the Agency regarding The Hague Nuclear Security Summit Communiqué

International Nuclear Information System (INIS)

2014-01-01

The Director General has received a communication dated 8 April 2014 from the Permanent Mission of the Netherlands to the Agency, enclosing the Communiqué of the Nuclear Security Summit 2014, which took place on 24-25 March 2014 in The Hague. The communication and, as requested by the Permanent Mission, the Communiqué are circulated herewith for information

Communication of 30 June 1995 received from the permanent mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 3 July 1995, the Director General received a communication dated 30 June 1995 transmitting a Statement of 23 June 1995 by the Prime Minister of Australia concerning the resumption of nuclear testing by France. As requested by the Permanent Mission of Australia, the text of the Statement is being circulated for the information of Member States of the Agency

Communication of 29 September 1998 received from the Permanent Mission of Qatar to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a Communication received at IAEA on 29 September 1998 from the Permanent Mission of Qatar to the IAEA in connection with the vote of the delegation of Qatar to the forty-second session of the Agency's General Conference regarding the agenda item 19 on the 'Implementation of United Nations Security Council resolution relating to Iraq'

Communication of 26 June 1998 received from the Permanent Mission of the United Kingdom to the International Atomic Energy agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the statement adopted by the Zangger Committee on the recent nuclear tests conducted by India and Pakistan, which was received on 26 June 1998 by the Director General of the IAEA from the Permanent Mission of the United Kingdom to the IAEA

Communication of 16 June 1998 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of the communication dated 16 June 1998 received at the IAEA from the Permanent Mission of New Zealand, forwarding a Joint Ministerial Declaration released by the Ministers of Foreign Affairs of Brazil, Egypt, Ireland, Mexico, New Zealand, Slovenia, South Africa and Sweden in connection with the nuclear disarmament

Communication of 16 June 1998 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-06-22

The document reproduces the text of the communication dated 16 June 1998 received at the IAEA from the Permanent Mission of New Zealand, forwarding a Joint Ministerial Declaration released by the Ministers of Foreign Affairs of Brazil, Egypt, Ireland, Mexico, New Zealand, Slovenia, South Africa and Sweden in connection with the nuclear disarmament

Efforts to reduce the disparity between permanent residents and temporary migrants: Stop TB experiences in Shanghai, China.

Science.gov (United States)

Lu, Hui; Chen, Jing; Wang, Wei; Wu, Laiwa; Shen, Xin; Yuan, Zhengan; Yan, Fei

2015-08-01

Eight of 17 districts of Shanghai have offered transportation and living allowances subsidies to patients with tuberculosis (TB) among the migrant population. The study aimed to assess the impact of the subsidising initiative on the treatment success rate (TSR) and identify the social determinants of treatment outcomes. The participants included 7072 residents and 5703 migrants who were registered in the TB Information Management System with smear-positive pulmonary TB from January 2006 to December 2010. The Cochran-Armitage test was employed to test the trends of TSR and logistic regressions to identify the factors associated with treatment outcome. Without subsidies, migrant TB cases had lower odds of successful treatment [OR = 0.20 (95% CI 0.18-0.23)] than resident cases. Subsidisation was associated with a 65% increased odds ratio of success [1.65 (1.40-1.95)] among migrant cases. The TSR has stabilised at 87% for both permanent residents and temporary migrants since 2009. Living in districts with a population density ≥20,000/km(2) was associated with a low odds ratio [0.42 (0.26-0.68)] among resident cases, whereas among migrant cases those living in districts out of central downtown had a higher odds ratio of treatment success [peripheral downtown: 1.73 (1.36-2.20), suburban: 1.69 (1.16-2.46)]. The TB cases in districts with 2.0-2.9 TB specialists/100 cases had a higher odds ratio [2.99 (1.91-4.69)] of successful treatment than cases from districts with fewer specialists. Besides free medical services, transport and living allowance subsidies to migrant patients with TB improved the treatment outcome significantly. © 2015 John Wiley & Sons Ltd.

22 CFR 42.22 - Returning resident aliens.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Returning resident aliens. 42.22 Section 42.22... Returning resident aliens. (a) Requirements for returning resident status. An alien shall be classifiable as... presented that: (1) The alien had the status of an alien lawfully admitted for permanent residence at the...

Communication dated 8 April 2014 received from the Permanent Mission of the Netherlands to the Agency regarding The Hague Nuclear Security Summit Communiqué

International Nuclear Information System (INIS)

2014-01-01

The Director General has received a communication dated 8 April 2014 from the Permanent Mission of the Netherlands to the Agency, enclosing the Communiqué of the Nuclear Security Summit 2014, which took place on 24-25 March 2014 in The Hague. The communication and, as requested by the Permanent Mission, the Communiqué are circulated herewith for information [es

The Impact of Including Immigrants without Permanent Residence Status in the Public Health Insurance System in the Czech Republic

Directory of Open Access Journals (Sweden)

Tepperová Jana

2016-03-01

Full Text Available Whether an individual can or cannot participate in the Czech public health insurance system depends on several characteristics, one of which is whether he/she has permanent residence status in the Czech Republic, and a second whether he/she is employed. This means that those without permanent residence status, including self-employed migrants from third countries, their dependent relatives, and the dependent relatives of third country employees in the Czech Republic, cannot participate in the public health insurance system. Some argue that such migrants should be included in the system, since commercial health insurance is disadvantageous and the contributions they would pay into the public health insurance system would increase the public health insurance agencies’ income. We estimate the value of the contributions to public health insurance that would be paid by third country self-employed and non-working immigrants, if they were insured based on data from 2011 to 2013, and compare this to the assumed costs of their medical care. To calculate the contributions for self-employed migrants we use data on the distribution of the tax base for self-employed persons from personal income tax returns. Our estimation results in an overall negative balance of 22 million CZK on the data for 2012 and 2013. In the current system this deficit would be covered by the state, which would pay contributions to the system for certain (state insured persons amounting to 97 million CZK; overall therefore the inclusion of these immigrants would result in a positive balance of 75 million CZK.

Communication dated 5 July 1994 received from the permanent mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-11-01

The Director General has received a note verbale dated 5 July 1994 from the Permanent Mission of New Zealand, providing information on the nuclear export policies and practices of the Government of New Zealand. In the light of the request expressed in the note verbale, the text of the note verbale is attached hereto

Management of Obstetric Perineal Tears: Do Obstetrics and Gynaecology Residents Receive Adequate Training? Results of an Anonymous Survey

Directory of Open Access Journals (Sweden)

A. Cornet

2012-01-01

Full Text Available Background/Aim. To evaluate the obstetrics and gynaecology residents' perspective of their training and experience in the management of perineal tears that occur during assisted vaginal delivery. We hypothesised that residents would perceive room for improvement in their knowledge of pelvic floor anatomy and the training received in tears repair. Design. Descriptive cross-sectional study. Population/Setting. Seventy-two major residents from all teaching hospitals in Catalonia. Methods. A questionnaire was designed to evaluate experience, perception of the training and supervision provided. Results. The questionnaire was sent to all residents (=72, receiving 46 responses (64%. The participants represented 15 out of the 16 teaching hospitals included in the study (94% of the hospitals represented. Approximately, 52% of residents were in their third year while 48% were in their fourth. The majority of them thought that their knowledge of pelvic floor anatomy was poor (62%, although 98% felt confident that they would know when an episiotomy was correctly indicated. The survey found that they lacked experience in the repair of major degree tears (70% had repaired fewer than ten, and most did not carry out followup procedures. Conclusion. The majority of them indicated that more training in this specific area is necessary (98%.

Communication dated 14 July 2006 received from the Resident Representative of France to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Director General has received a communication dated 14 July 2006 from the Resident Representative of France, on behalf of the Resident Representatives of China, France, Germany, the Russian Federation, the United Kingdom and the United States of America, and the Secretary-General and High Representative of the European Union attaching the text of the offer which was approved on 1 June 2006 at the ministerial meeting in Vienna and delivered to the Iranian authorities in Tehran on 6 June 2006 by Mr. Javier Solana. The communication and, as requested therein, the attached text, are herewith circulated for the information of Member States

Communication of 29 May 1998 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 29 May 1998 received at the IAEA from the Permanent Mission of the Russian Federation to the IAEA, including a statement from the Ministry of Foreign Affairs of Russia regarding the tests of nuclear devices conducted by Pakistan on 28 May 1998

[Intestinal parasitosis among non-permanent resident students in Tunisia: a review of 23 years of monitoring in the department of Parasitology-Mycology at the Rabta Hospital of Tunisia].

Science.gov (United States)

Dridi, Kalthoum; Fakhfakh, Najla; Belhadj, Sleh; Kaouech, Emira; Kallel, Kalthoum; Chaker, Emna

2015-07-01

In order to fight digestive parasitism in Tunisia, a national program of surveillance of non-permanent resident students in Tunisia has been found to detect these parasitosis in this target population. To determine the prevalence of intestinal parasitosis among non-permanent resident students in Tunisia, to identify the different parasitic species founded and to show the interest of this screening. During a period of 23 years (1990-2012), 7386 parasitological examinations of stools has been made among students essentially from or had visited tropical Africa, Maghreb and Middle-East, at the laboratory of Parasitology-Mycology at the Rabta Hospital of Tunis. The prevalence of intestinal parasitism found was 34.45% (i.e. 2545 infested students). Among the protozoa that have been isolated in the majority of cases (78.75%), amoebae were most frequently found (86.4%) represented mainly by Entamoeba coli and Endolimax nanus in respectively, 25.62 and 23.33% of parasites isolated; while Entamoeba histolytica/dispar, only pathogenic Amoeba was found in 8.05% of the total of parasites isolated. Regarding helminths, found in 21.25% of parasites isolated, Ankylostome was predominant (34.5%) represented by the species of Necator americanus. A single case of Ancylostom duodenale has been isolated. Among the identified parasite species, 38.7% were known parasitic pathogens for humans. These results note the interest of the control of the non-permanent resident students in Tunisia. The precocious tracking and treatment of affected subjects permits to avoid the introduction and the dissemination of parasites already rare and virulent strains in our country.

Communication of 25 June 1998 received from the Permanent Mission of India to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 25 June 1998 received by the Director General of the IAEA from the Permanent Mission of India to the IAEA regarding the Joint Ministerial Declaration released by the Ministers of Foreign Affairs of Brazil, Egypt, Ireland, Mexico, New Zealand, Slovenia, South Africa and Sweden (INFCIRC/565). The Press Statement issued by the Government of India on 23 June 1998 is attached

Communication of 25 June 1998 received from the Permanent Mission of India to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-06-30

The document reproduces the text of a communication dated 25 June 1998 received by the Director General of the IAEA from the Permanent Mission of India to the IAEA regarding the Joint Ministerial Declaration released by the Ministers of Foreign Affairs of Brazil, Egypt, Ireland, Mexico, New Zealand, Slovenia, South Africa and Sweden (INFCIRC/565). The Press Statement issued by the Government of India on 23 June 1998 is attached

Communication of 18 September 1995 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 18 September 1995, the Director General received a communication dated 18 September 1995 from the Permanent Mission of New Zealand transmitting: The text of a statement made by the Prime Minister of New Zealand on 17 August 1995 concerning by the nuclear test carried out by China; The text of a statement made by the Prime Minister of New Zealand on 6 September 1995 concerning the nuclear test carried out by France; the text of a resolution unanimously adopted by the New Zealand Parliament on 20 July 1995 concerning nuclear testing. As requested by the Permanent Mission of New Zealand, the texts of the statements and of the resolution are being circulated for the information of Member States of the Agency

Communication of 5 April 2000 received from the Permanent Mission of the Republic of Cyprus to the International Atomic Energy Agency

International Nuclear Information System (INIS)

2000-01-01

The document reproduces the text of the Note Verbale received on 5 April 2000 by the Secretariat of the IAEA from the Permanent Mission of the Republic of Cyprus providing information on the nuclear export policies and practices of the Government of the Republic of Cyprus

Psychiatry residents in a milieu participatory democracy: a resident's view.

Science.gov (United States)

Gersten, D

1978-11-01

Psychiatry residents respond with a variety of coping mechanisms to the lack of traditional structure in a milieu participatory democracy. To incorporate themselves into the system they must accept such democratic ideals as equality among staff and patients, group decision making, and free self-expression and give up some of their traditional ideas about staff and patient roles, treatment modalities, and the therapeutic environment. The author was a first-year resident in psychiatry on a university hospital inpatient therapeutic community; he discusses the conflicts between residents, who often adopt a "we-they" attitude, and the permanent staff, whose protectiveness of the ward community reflects their personal commitment to its ideals.

Communication dated 2 March 2007 from the Permanent Mission of the Islamic Republic of Iran to the Agency concerning the nuclear activities of Iran

International Nuclear Information System (INIS)

2007-01-01

The Secretariat has received a Note Verbale dated 2 March 2007 from the Permanent Mission of the Islamic Republic of Iran (Iran), attaching a letter dated 19 February 2007 addressed to the Director General from the Resident Representative of Iran concerning the nuclear activities of Iran. The Note Verbale and, as requested therein, its attachment, are circulated herewith

Communication of 22 May 1998 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of a communication dated 22 May 1998 received at the IAEA from the Permanent Mission of the Russian Federation to the IAEA, including a statement from the Ministry of Foreign Affairs of Russia and a communication for publication, regarding the tests of nuclear weapons conducted by India on 11 May 1998

Communication of 25 January 1996 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

On 26 January 1996, the Director General received a communication of 25 January 1996 from the Resident Representative of New Zealand transmitting a Statement by the Prime Minister of New Zealand concerning the ''Fifth French Nuclear Test'' in the South Pacific

The Prevalence of Injury in Permanent Residences of Duzce City

Directory of Open Access Journals (Sweden)

Atilla Senih Mayda

2008-04-01

Full Text Available AIM/BACKGROUND: Objective of this cross-sectional study is to determine the prevalence of injury and risk factors in permanent residences of Duzce. METHODS: The sample size of this study is calculated as 715 people when population of the region is 13565, injury prevalence is 20.9% taken from a study in Duzce, expected lowest frequency as 18% and in 95% confidence interval. Number of people could be reached was designed as 1170 when 300 house was visited as mean household was 3.9 people which was taken from a study carried out in this region. Data is collected in 15-30 April in the year 2006. Totally, reached sample is 767 people. Injury status, status after injury are dependant variables and age, gender, education status, profession, chronic illness, tobacco-alcohol consumption, marital status are independent variables. RESULTS: Distribution of the group as gender was male 352 (45.9%, female 415 (54. %1. Mean education year of male (4.5±1.5 year was higher than female (4.2±1.6 year (t= 2.97, p=0.03. Injury prevalence was 10.0% (n=767. Sort of injury was fall 31 people (40.2%, cut 11 (14. %3, burn 10 (13.0%. Place that injury take place was house 41 (55.4%, road 17 (23.0%, school 4 (5.4%. Lesions were; cut-wounded injury in 20 people (28.2%, rotten in 10 (14.1%, sprain in 8 (11.3%. Number of injured people was 77 and 28 (36.4% of them applied to hospital. CONCLUSION: Valid prevalance of injuries can be indicated by field studies as quarter of injured people applied to health departments. [TAF Prev Med Bull 2008; 7(2.000: 133-136

42 CFR 436.403 - State residence.

Science.gov (United States)

2010-10-01

...) Definition. For purposes of this section—Institution has the same meaning as Institution and Medical... intention to remain there permanently or for an indefinite period. (2) For any individual not residing in an... of residence is the State where the individual is— (i) Living with the intention to remain there...

Communication dated 4 November 2005 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2005-01-01

The Secretariat has received a Note Verbale dated 4 November 2005 from the Permanent Mission of the Islamic Republic of Iran, attaching a letter to the Director General and a further attachment concerning resolution GOV/2005/77 adopted by the Board of Governors on 24 September 2005. In accordance with the request contained in the letter, the Note Verbale and its attachments are reproduced herein for the information of Member States

Communication dated 28 September 2008 received from the Permanent Mission of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a Note Verbale dated 28 September 2008 from the Permanent Mission of the Islamic Republic of Iran, enclosing a document entitled 'Explanatory Comments by the Islamic Republic of Iran on the Report of the IAEA Director General to the September 2008 Board of Governors (GOV/2008/38)'. The Note Verbale and, as requested therein, its enclosure, are circulated herewith for the information of Member States

Communication received from the Permanent Mission of the Netherlands on behalf of the Member States of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2000-01-01

The document reproduces the text of the updated version of the paper entitled 'The Nuclear Suppliers Group: Its origins, role and activities' received by the Director General of IAEA on 4 April 2000, as attachment to a letter from the Permanent Mission of the Netherlands to the Agency on behalf of the Member States of the 'Nuclear Suppliers Group (NSG)'

Communication received on 10 May 1999 from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1999-01-01

The document reproduces the text of a communication received on 10 May 1999 from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency, with regard to the resolution adopted by the 42nd Agency General Conference, entitled 'The safety of radiation sources and the security of radioactive materials' (GC(42)/RES/12), in connection with the war in Yugoslavia

26 CFR 301.7701(b)-1 - Resident alien.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Resident alien. 301.7701(b)-1 Section 301.7701... ADMINISTRATION PROCEDURE AND ADMINISTRATION Definitions § 301.7701(b)-1 Resident alien. (a) Scope. Section 301.7701(b)-1(b) provides rules for determining whether an alien individual is a lawful permanent resident...

Communication of 20 March 1997 received from the Permanent Mission of the Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1997-01-01

The document reproduces the text of the resolution adopted by the National Assembly of the Republic of Korea on the subject of transfer of nuclear waste from Taiwan to the Democratic People's Republic of Korea. The document was received at the Secretariat on 21 March 1997 from the Permanent Mission of the Republic of Korea

Communication of 30 November 1995 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

On 18 December 1995, the Director General received a communication of 30 November 1995 from the Resident Representative of New Zealand transmitting a Statement of 22 November 1995 by the Acting Prime Minister of New Zealand about French nuclear testing in the South Pacific

Communication received on 25 April 1995 from the Resident Representative of Belarus to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

On 25 April 1995, the Director General received a letter from the Resident Representative of Belarus to the International Atomic Energy Agency submitting the official notification of the signing of Belarus of the Agreement between the Republic of Belarus and the Agency for the Application of Safeguards pursuant to the Treaty on the Non-Proliferation of Nuclear Weapons. At the request of the Resident Representative, the text of the attached notification is circulated for the information of Member States

Communication of 9 June 1996 received from the Permanent Mission of China to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the Statement of the Ministry of Foreign Affairs of the People's Republic of China made on 8 June 1996, received by the Director General of the IAEA on 10 June 1996 from the Resident Representative of China. The Statement refers to the nuclear test conducted by China on 8 June 1996

Communication of 27 March 1995 received from the Permanent Mission of the Republic of Cuba to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-05-05

The Director General of the International Atomic Energy Agency has received a letter of 27 March 1995 from the Permanent Mission of the Republic of Cuba informing the Agency that the Government of the Republic of Cuba signed the Treaty for the Prohibition of Nuclear Weapons in Latin America and the Caribbean (Tlatelolco Treaty) on 25 March 1995.

Communication of 27 March 1995 received from the Permanent Mission of the Republic of Cuba to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

The Director General of the International Atomic Energy Agency has received a letter of 27 March 1995 from the Permanent Mission of the Republic of Cuba informing the Agency that the Government of the Republic of Cuba signed the Treaty for the Prohibition of Nuclear Weapons in Latin America and the Caribbean (Tlatelolco Treaty) on 25 March 1995

Communication of 24 April 2000 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency

International Nuclear Information System (INIS)

2000-01-01

The document reproduces the text of the Communication of 24 April 2000 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency, including a statement by the Ministry of Foreign Affairs of the Russian Federation in connection with the ratification by the State Duma of the Federal Assembly of the Russian Federation of the Comprehensive Nuclear Test Ban Treaty

Communication of 29 July 1996 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a Press Release by the Minister for Foreign Affairs of Australia in respect of the latest test of a nuclear weapon conducted by China and its announcement of a nuclear testing moratorium. The document was received by the Director General of the IAEA on 30 July 1996 from the Resident Representative of Australia

Communication of 31 July 1996 received from the Permanent Mission of Japan to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a comment by the Chief Cabinet Secretary of Japan in respect of the latest test of a nuclear weapon conducted by china and its announcement of a nuclear testing moratorium. The document was received by the Director General of the IAEA on 1 August 1996 from the Resident Representative of Japan

Communication received from the Permanent Mission of Thailand regarding the Treaty on the Southeast Asia Nuclear Weapon-Free Zone (Treaty of Bangkok)

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-03-04

The document reproduces the text of the Note Verbale dated 25 September 1997 received by the Agency from the Permanent Mission of Thailand to the Agency concerning the Treaty on the Southeast Asia Nuclear Weapon-Free Zone (Treaty of Bangkok), and as attachment the text of the above mentioned Treaty

Communication received from the Permanent Mission of Thailand regarding the Treaty on the Southeast Asia Nuclear Weapon-Free Zone (Treaty of Bangkok)

International Nuclear Information System (INIS)

1998-01-01

The document reproduces the text of the Note Verbale dated 25 September 1997 received by the Agency from the Permanent Mission of Thailand to the Agency concerning the Treaty on the Southeast Asia Nuclear Weapon-Free Zone (Treaty of Bangkok), and as attachment the text of the above mentioned Treaty

Communication of 14 March 2000 received from the Permanent Mission of the United States of America to the International Atomic Energy Agency

International Nuclear Information System (INIS)

2000-01-01

The document reproduces the text of the communication of 14 March 2000 received from the Permanent Mission of the United States of America to the International Atomic Energy Agency including two statements of the President and the Secretary of State of the United States of America regarding the Nuclear Non-proliferation Treaty

Communications dated 27 and 28 May 1994 received from the Permanent Mission of the Democratic People's Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-01-01

The texts of the communications received from the Permanent Mission of the Democratic People's Republic of Korea are being circulated to all Member States of the Agency at the request of the Permanent Mission of the Democratic People's Republic of Korea: Document presented by the DPRK Delegation to the IAEA Delegation at their Working-Level Consultation on 27 may 1994 (Attachment 1); interview by a Spokesman of the Foreign Ministry of the Democratic People's Republic of Korea of 28 May 1994 (Attachment 2)

Communication of 17 April 2000 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency

International Nuclear Information System (INIS)

2000-01-01

The document reproduces the text of the Communication of 17 April 2000 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency, including a statement by the Acting President of the Russian Federation in connection with the ratification by the State Duma of the Federal Assembly of the Russian Federation of START-II Treaty and the package agreements on antimissile defence of 1997

The Spillover of US Immigration Policy on Citizens and Permanent Residents of Mexican Descent: How Internalizing ‘Illegality’ Impacts Public Health in the Borderlands

Directory of Open Access Journals (Sweden)

Samantha eSabo

2015-06-01

Full Text Available Background: The militarization of the U.S.-Mexico border region exacerbates the process of ‘Othering’ Latino immigrants—as illegal aliens. The internalization of ‘illegality’ can manifest as a sense of undeservingness of legal protection in the population and be detrimental on a biopsychological level. Objective: We explore the impacts of ‘illegality’ among a population of US citizen and permanent resident farmworkers of Mexican descent. We do so through the lens of immigration enforcement-related stress and the ability to file formal complaints of discrimination and mistreatment perpetrated by local immigration enforcement agents, including local police authorized to enforce immigration law. Methods: Drawing from cross-sectional data gathered through the National Institute of Occupation Safety and Health, Challenges to Farmworker Health at the US-Mexico Border study, a community-based participatory research project conducted at the Arizona-Sonora border, we compared Arizona resident farmworkers (N=349 to Mexico-based farmworkers (N=140 or Transnational farmworkers who cross the US-Mexico border daily or weekly to work in US agriculture. Results: Both samples of farmworkers experience significant levels of stress in anticipation of encounters with immigration officials. Fear was cited as the greatest factor preventing individuals from reporting immigration abuses. The groups varied slightly in the relative weight attributed to different types of fear. Conclusion: The militarization of the border has consequences for individuals who are not the target of immigration enforcement. These spillover effects cause harm to farmworkers in multiple ways. Multi institutional and community-centered systems for reporting immigration related victimization is required. Applied participatory research with affected communities can mitigate the public health effects of state-sponsored immigration discrimination and violence among US citizen and

Communication of 20 August 1996 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a statement made by the Prime Minister of New Zealand on 29 July 1996 concerning the latest test of a nuclear weapon conducted by China. The document was received by the Director General of the IAEA on 22 August 1996 from the Resident Representative of New Zealand

Communication of 28 June 1996 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the Statement made on 9 June 1996 by the Prime Minister of New Zealand in respect of the test of a nuclear weapon conducted by China on 8 June 1996. The document was received by the Director General of the IAEA on 3 July 1996 from the Resident Representative of New Zealand

Communication of 4 October 1995 received from the Permanent Mission of the Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

The Director General of the International Atomic Energy Agency has received a letter of 4 October 1995 from the Permanent Mission of the Republic of Korea providing information on the nuclear export policies and practices of the Government of the Republic of Korea. In the light of the request expressed in the letter, the text of the letter and its enclosure are attached hereto

Communication of 22 February 1999 received from the Permanent Mission of the Republic of Belarus to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1999-01-01

The Director General of the International Atomic Energy Agency has received a communication from the Permanent Mission of the Republic of Belarus concerning a Note of 28 January 1999 from the Ministry of Foreign Affairs of the Republic of Belarus which provides information about the nuclear export policies and practices of Belarus. In light of the wish expressed in the Note, its text is attached hereto

Communication of 4 October 1995 received from the Permanent Mission of the Republic of Korea to the International Atomic Energy Agency

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-10-19

The Director General of the International Atomic Energy Agency has received a letter of 4 October 1995 from the Permanent Mission of the Republic of Korea providing information on the nuclear export policies and practices of the Government of the Republic of Korea. In the light of the request expressed in the letter, the text of the letter and its enclosure are attached hereto.

Communication of 18 June 1996 received from the Permanent Mission of Belarus to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The following documents received on 18 June 1996 from the Resident Representative of Belarus are reproduced here: the 'Appeal to States Members of the United Nations on the tenth anniversary of the accident at the Chernobyl nuclear power plant' signed by the Secretary General of the United Nations and the 'Resolution of the European Parliament on the 10th anniversary of the Chernobyl accident'

Communication of 14 February 1996 received from the Permanent Mission of New Zealand to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

On 14 February 1996, the Director General received a communication of 9 February 1996 from the Resident Representative of New Zealand transmitting Statements made by the Prime Minister of New Zealand on 28 January 1996 about the sixth nuclear test by France and on 30 January 1996 after France announced the conclusion of nuclear testing in the South Pacific

Communication of 12 April 1996 received from the resident representative of Brazil to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a note verbale received by the Director general of the IAEA on 12 April 1996 from the Resident Representative of Brazil providing information on the nuclear export policies and practices of the Government of the Federative Republic of Brazil

Children without Permanent Parents: Research, Practice, and Policy

Science.gov (United States)

Bakermans-Kranenburg, Marian J.; Bos, Karen; Bunkers, Kelley McCreery; Dobrova-Krol, Natasha A.; Engle, Patrice L.; Fox, Nathan A.; Gamer, Gary N.; Goldman, Philip; Groark, Christina J.; Greenberg, Aaron; Grotevant, Harold D.; Groza, Victor K.; Gunnar, Megan R.; Johnson, Dana E.; Juffer, Femmie; Kreppner, Jana M.; Le Mare, Lucy; McCall, Robert B.; Muhamedrahimov, Rifkat J.; Nelson, Charles A., III; Palacios, Jesus; Sonuga-Barke, Edmund J. S.; Steele, Howard; Steele, Miriam; Tieman, Wendy; van IJzendoorn, Marinus H.; Verhulst, Frank C.; Vorria, Panayiota; Zeanah, Charles H.

2011-01-01

This monograph reviews literature pertaining to children without permanent parents. Chapters review (1) the development of children while institutional residents; (2) the development of postinstitutionalized children transitioned to family environments (i.e., adoption); the effects of institutionalization on (3) attachment behaviors, (4) physical…

Communication received from the Resident Representative of Australia to the Agency concerning the Asia-Pacific Safeguards Network

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a letter dated 16 September 2009 from the Resident Representative of Australia to the Agency attaching the text of the Statement of Principles of the Asia-Pacific Safeguards Network (APSN). The letter and, as requested therein, the Statement of Principles are herewith circulated for the information of Member States

Communication received from the Resident Representative of Australia to the Agency concerning the Asia-Pacific Safeguards Network

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a letter dated 16 September 2009 from the Resident Representative of Australia to the Agency attaching the text of the Statement of Principles of the Asia-Pacific Safeguards Network (APSN). The letter and, as requested therein, the Statement of Principles are herewith circulated for the information of Member States [fr

Communication received from the Resident Representative of Australia to the Agency concerning the Asia-Pacific Safeguards Network

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a letter dated 16 September 2009 from the Resident Representative of Australia to the Agency attaching the text of the Statement of Principles of the Asia-Pacific Safeguards Network (APSN). The letter and, as requested therein, the Statement of Principles are herewith circulated for the information of Member States [es

Communication of 7 June 1996 received from the Permanent Mission of Ukraine to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the Statement of the President of Ukraine made on 1 June 1996, received by the Director General of the IAEA on 11 June 1996 from the Resident Representative of Ukraine. The Statement refers to the completion on 1 June 1996 of removal of strategic nuclear weapons from the territory of Ukraine to the Russian Federation, with a view to subsequent destruction in the presence of observers from Ukraine

Communication of 13 June 1996 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the Statement of the Prime Minister of Australia made on 8 June 1996 and a Press Release issued by the Minister for Foreign Affairs of Australia at the same date in respect of the test of a nuclear weapon conducted by China on 8 June 1996. These documents were received by the Director General of the IAEA on 17 June 1996 from the Resident Representative of Australia

Communication of 7 February 1996 received from the Permanent Mission of Australia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

On 7 February 1996, the Director General received a communication of 6 February 1996 from the Resident Representative of Australia transmitting Statements made by the Prime Minister of Australia on 28 January 1996 about the sixth nuclear test by France at Fangataufa and on 30 January 1996 about the subsequent announcement of France's commitment to sign the South Pacific Nuclear Free Zone Treaty and a Comprehensive Test Ban Treaty in 1996

Communication dated 20 December 2006 received from the Resident Representative of the Islamic Republic of Iran to the Agency

International Nuclear Information System (INIS)

2006-01-01

The Director General has received a letter dated 20 December 2006 from the Resident Representative of the Islamic Republic of Iran. The letter and, as requested therein, its attachment, are herewith circulated for the information of Member States

Results of the 2003 Association of Residents in Radiation Oncology (ARRO) surveys of residents and chief residents in the United States

International Nuclear Information System (INIS)

Jagsi, Reshma; Buck, David A.; Singh, Anurag K.; Engleman, Mark; Thakkar, Vipul; Frank, Steven J.; Flynn, Daniel

2005-01-01

Purpose: To document demographic characteristics of current residents, career motivations and aspirations, and training program policies and resources. Methods: In 2003, the Association of Residents in Radiation Oncology (ARRO) conducted two nationwide surveys: one of all U.S. radiation oncology residents and one of chief residents. Results: The Chief Residents' Survey was completed by representatives from all 77 programs (response rate, 100%). The Residents' Survey was returned by 229 respondents (response rate, 44%). In each, 32% of respondents were female. The most popular career after residency was private practice (46%), followed by permanent academic practice (28%). Changes that would entice those choosing private practice to consider an academic career included more research experience as a resident (76%), higher likelihood of tenure (69%), lesser time commitment (66%), and higher salary (54%). Although the majority of respondents were satisfied with educational experience overall, a number of programs were reported to provide fewer resources than required. Conclusions: Median program resources and numbers of outliers are documented to allow residents and program directors to assess the relative adequacy of experience in their own programs. Policy-making bodies and individual programs should consider these results when developing interventions to improve educational experiences of residents and to increase retention of radiation oncologists in academic practice

Tourist Activity of Senior Citizens (60+ Residing in Urban and Rural Areas

Directory of Open Access Journals (Sweden)

Omelan Aneta

2016-12-01

Full Text Available The objective of this study was to analyze the influence of place of permanent residence (urban or rural on the tourist activity of senior citizens (60+ of different socioeconomic statuses. The study involved 380 senior citizens (305 female and 75 male aged 60 years and older who were permanent residents of the region of Warmia and Mazury, Poland. In this group, 244 subjects resided in urban areas and 136 participants were rural dwellers. The respondents were asked to complete a questionnaire regarding their socioeconomic status (place of permanent residence, age, gender, educational attainment, financial status, membership in senior organizations, marital status, and professional activity and tourist activity. A significance test of two structure coefficients (α=0.05 was applied. Factors such as gender, professional activity, and marital status were not related with the travel propensity of seniors from different groups (urban and rural, but were significant when rural residents were compared with urban dwellers. Seniors residing in urban areas of Warmia and Mazury, Poland, were significantly more likely to travel for leisure than those residing in rural areas. The tourist activity of seniors decreased significantly (p<0.05 with the age (60-74 years and financial status of rural residents. The travel propensity of elderly people increased significantly (p<0.05 with educational attainment and membership in senior organizations. The study revealed considerable differences in the socioeconomic status and social characteristics of seniors residing in rural and urban areas, and those variations significantly influenced their propensity for travel: urban residents traveled more frequently than rural residents. It can be concluded that place of residence was a crucial factor determining the tourist behavior of senior citizens, and urban dwellers were more likely to travel.

Parental immigration status is associated with children's health care utilization: findings from the 2003 new immigrant survey of US legal permanent residents.

Science.gov (United States)

Yun, Katherine; Fuentes-Afflick, Elena; Curry, Leslie A; Krumholz, Harlan M; Desai, Mayur M

2013-12-01

Our objective was to examine the association between parental immigration status and child health and health care utilization. Using data from a national sample of immigrant adults who had recently become legal permanent residents (LPR), children (n = 2,170) were categorized according to their parents' immigration status prior to LPR: legalized, mixed-status, refugee, temporary resident, or undocumented. Logistic regression with generalized estimating equations was used to compare child health and health care utilization by parental immigration status over the prior 12 months. Nearly all children in the sample were reported to be in good to excellent health. Children whose parents had been undocumented were least likely to have had an illness that was reported to have required medical attention (5.4 %). Children whose parents had been either undocumented or temporary residents were most likely to have a delayed preventive annual exam (18.2 and 18.7 %, respectively). Delayed dental care was most common among children whose parents had come to the US as refugees (29.1 %). Differences in the preventive annual exam remained significant after adjusting for socioeconomic characteristics. Parental immigration status before LPR was not associated with large differences in reported child health status. Parental immigration status before LPR was associated with the use of preventive annual exams and dental services. However, no group of children was consistently disadvantaged with respect to all measures.

Communications dated 2 and 6 June 1994 received from the Permanent Mission of the Democratic People's Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-01-01

The texts of two telex communications, dated 2 and 6 June 1994, which the International Atomic Energy Agency received from the General Department of Atomic Energy of the Democratic People's Republic of Korea are being circulated to all Member States of the Agency at the request of the Permanent Mission of the Democratic People's Republic of Korea. These texts were received by the Secretariat before the withdrawal of the Democratic People's Republic of Korea from the Agency

Communication dated 25 July 2008 received from the Permanent Mission of India concerning a document entitled 'Implementation of the India-United States Joint Statement of July 18, 2005: India's Separation Plan'

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a communication dated 25 July 2008 from the Permanent Mission of India to the Agency, attaching a document entitled 'Implementation of the India-United States Joint Statement of July 18, 2005: India's Separation Plan'. As requested by the Permanent Mission of India to the Agency, the communication and its attachment are herewith circulated for information

First-Year Residents Outperform Third-Year Residents after Simulation-Based Education in Critical Care Medicine

Science.gov (United States)

Singer, Benjamin D.; Corbridge, Thomas C.; Schroedl, Clara J.; Wilcox, Jane E.; Cohen, Elaine R.; McGaghie, William C.; Wayne, Diane B.

2012-01-01

Introduction Prior research shows that gaps exist in internal medicine residents’ critical care knowledge and skills. The purpose of this study was to compare the bedside critical care competency of first-year residents who received a simulation-based educational intervention plus clinical training to third-year residents who received clinical training alone. Methods During their first three months of residency, a group of first-year residents completed a simulation-based educational intervention. A group of traditionally-trained third-year residents who did not receive simulation-based training served as a comparison group. Both groups were evaluated using a 20-item clinical skills assessment at the bedside of a patient receiving mechanical ventilation at the end of their medical intensive care unit rotation. Scores on the skills assessment were compared between groups. Results Simulator-trained first-year residents (n=40) scored significantly higher compared to traditionally-trained third-year residents (n=27) on the bedside assessment, 91.3% (95% CI 88.2% to 94.3%) vs. 80.9% (95% CI 76.8% to 85.0%), P = simulation-based educational intervention demonstrated higher clinical competency than third-year residents who did not undergo simulation training. Critical care competency cannot be assumed after clinical ICU rotations; simulation-based curricula can help ensure residents are proficient to care for critically ill patients. PMID:23222546

Communication Received from the Permanent Mission of Pakistan to the International Atomic Energy Agency Concerning the Promulgation of the Pakistan Nuclear Regulatory Authority Ordinance 2001

International Nuclear Information System (INIS)

2001-01-01

The Director General has received a communication dated 30 January 2001 from the Permanent Mission of Pakistan forwarding a press release concerning the promulgation of the Pakistan Nuclear Regulatory Authority Ordinance 2001. As requested in that communication, the press release is attached hereto for the information of Member States

Resident Characteristics Report

Data.gov (United States)

Department of Housing and Urban Development — The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. The report...

Communication received from the permanent mission of the Argentine Republic regarding guidelines for the export of nuclear material, equipment and technology

International Nuclear Information System (INIS)

1994-11-01

On 11 May 1994, the Director General received a note verbale from the Permanent Mission of Argentina to the International Atomic Energy Agency relating to the export of nuclear material, equipment and technology. The purpose of this note verbale is to provide further information on the nuclear export policies and practices of the Government of the Argentine Republic. In the light of the wish expressed at the end of the note verbale, the text of the note verbale is annexed hereto

Communication received from the permanent mission of the Argentine Republic regarding guidelines for the export of nuclear material, equipment and technology

International Nuclear Information System (INIS)

1994-11-01

On 11 May 1994, the Director General received a note verbale from the Permanent Mission of Argentina to the International Atomic Energy Agency relating to the export of nuclear material, equipment and technology. The purpose of this note verbale is to provide further information on nuclear export policies and practices of the Government of the Argentine Republic. In the light of the wish expressed at the end of the note verbale, the text of the note verbale is annexed hereto

The M/G/1 queue with permanent customers

NARCIS (Netherlands)

Boxma, O.J.; Cohen, J.W.

1991-01-01

The authors examine an M/G/1 FCFS (first come, first served) queue with two types of customers: ordinary customers, who arrive according to a Poisson process, and permanent customers, who immediately return to the end of the queue after having received a service. The influence of the permanent

Single-frequency receivers as master permanent stations in GNSS networks: precision and accuracy of the positioning in mixed networks

Science.gov (United States)

Dabove, Paolo; Manzino, Ambrogio Maria

2015-04-01

The use of GPS/GNSS instruments is a common practice in the world at both a commercial and academic research level. Since last ten years, Continuous Operating Reference Stations (CORSs) networks were born in order to achieve the possibility to extend a precise positioning more than 15 km far from the master station. In this context, the Geomatics Research Group of DIATI at the Politecnico di Torino has carried out several experiments in order to evaluate the achievable precision obtainable with different GNSS receivers (geodetic and mass-market) and antennas if a CORSs network is considered. This work starts from the research above described, in particular focusing the attention on the usefulness of single frequency permanent stations in order to thicken the existing CORSs, especially for monitoring purposes. Two different types of CORSs network are available today in Italy: the first one is the so called "regional network" and the second one is the "national network", where the mean inter-station distances are about 25/30 and 50/70 km respectively. These distances are useful for many applications (e.g. mobile mapping) if geodetic instruments are considered but become less useful if mass-market instruments are used or if the inter-station distance between master and rover increases. In this context, some innovative GNSS networks were developed and tested, analyzing the performance of rover's positioning in terms of quality, accuracy and reliability both in real-time and post-processing approach. The use of single frequency GNSS receivers leads to have some limits, especially due to a limited baseline length, the possibility to obtain a correct fixing of the phase ambiguity for the network and to fix the phase ambiguity correctly also for the rover. These factors play a crucial role in order to reach a positioning with a good level of accuracy (as centimetric o better) in a short time and with an high reliability. The goal of this work is to investigate about the

Communication dated 10 September 2008 received from the Permanent Mission of Germany to the Agency regarding a 'Statement on Civil Nuclear Cooperation with India'

International Nuclear Information System (INIS)

2008-01-01

The Agency has received a communication dated 10 September 2008 from the Permanent Mission of Germany, forwarding a letter from the Chairman of the Nuclear Suppliers Group (NSG) to the Director General attached to which was a 'Statement on Civil Nuclear Cooperation with India' adopted by the NSG. As requested in the communication, the attachment is herewith circulated for information

Communication of 6 September 2004 received from the Permanent Mission of the Russian Federation concerning the recent tragic events in Beslan

International Nuclear Information System (INIS)

2004-01-01

The Director General has received a letter from the Resident Representative of the Russian Federation, attaching a statement by the President of the Russian Federation, President Vladimir Putin, concerning the recent tragic events in Beslan. In the light of the request expressed in the letter, the text of the letter and its attachment is attached hereto

Communication of 6 September 2004 received from the Permanent Mission of the Russian Federation concerning the recent tragic events in Beslan

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-09-13

The Director General has received a letter from the Resident Representative of the Russian Federation, attaching a statement by the President of the Russian Federation, President Vladimir Putin, concerning the recent tragic events in Beslan. In the light of the request expressed in the letter, the text of the letter and its attachment is attached hereto.

Communication dated 5 March 2014 received from the Permanent Mission of the Islamic Republic of Iran to the Agency regarding the Report of the Director General on the Implementation of Safeguards in Iran

International Nuclear Information System (INIS)

2014-01-01

The Secretariat has received a communication dated 5 March 2014 from the Permanent Mission of the Islamic Republic of Iran to the Agency, enclosing an explanatory note by the Permanent Mission on the report of the Director General on ''Implementation of the NPT Safeguards Agreement and Relevant Provisions of Security Council Resolutions in the Islamic Republic of Iran'' contained in document GOV/2014/10 (20 February 2014). The communication and, as requested by the Permanent Mission, the explanatory note are circulated herewith for information

Communication dated 5 March 2014 received from the Permanent Mission of the Islamic Republic of Iran to the Agency regarding the Report of the Director General on the Implementation of Safeguards in Iran

International Nuclear Information System (INIS)

2014-01-01

The Secretariat has received a communication dated 5 March 2014 from the Permanent Mission of the Islamic Republic of Iran to the Agency, enclosing an explanatory note by the Permanent Mission on the report of the Director General on ''Implementation of the NPT Safeguards Agreement and Relevant Provisions of Security Council Resolutions in the Islamic Republic of Iran'' contained in document GOV/2014/10 (20 February 2014). The communication and, as requested by the Permanent Mission, the explanatory note are circulated herewith for information [es

Personal Therapy in Psychiatry Residency Training: A National Survey of Canadian Psychiatry Residents.

Science.gov (United States)

Hadjipavlou, George; Halli, Priyanka; Hernandez, Carlos A Sierra; Ogrodniczuk, John S

2016-02-01

The authors collected nationally representative data on Canadian residents' experiences with and perspectives on personal psychotherapy in their psychiatric training. A 43-item questionnaire was distributed electronically to all current psychiatry residents in Canada (N = 839). Four hundred residents from every program across Canada returned the survey (response rate 47.7%). The prevalence of personal therapy at any time was 55.3%, with 42.8% receiving personal therapy during residency. Of residents who undertook personal psychotherapy, 59.3% engaged in weekly therapy, 74.1% received psychodynamic psychotherapy, and 81.5% participated in long-term therapy (>1 year). Personal growth, self-understanding, and professional development were the most common reasons for engaging in personal therapy; however, one-third of residents did so to alleviate symptoms of depression, anxiety, or other mental health concerns. Time was the most important factor impeding residents from personal therapy; only 8.8% found stigma to act as a barrier. The vast majority of residents rated their experience with personal therapy as having a positive or very positive impact on their personal life (84.8%) and overall development as psychiatrists (81.8%). For 64% of respondents, personal therapy had an important or very important role in psychiatry residency training. Residents who received personal therapy rated themselves as better able to understand what happens moment by moment during therapy sessions, detect and deal with patients' emotional reactions, and constructively use their personal reactions to patients. Interest in personal therapy remains strong among psychiatry trainees in Canada. Residents who engaged in psychotherapy endorsed greater confidence in psychotherapy and rated their psychotherapy skills more favorably than those who had never been in the patient role, supporting the view of personal therapy as an important adjunct to psychotherapy training during residency.

Communication received from the Permanent Mission of the Netherlands on behalf of the Member States of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2000-01-01

The Director General has received a letter dated 4 April 2000 from the Permanent Mission of the Netherlands to the Agency on behalf of Member States of the 'Nuclear Suppliers Group' (NSG). Attached to this letter is an updated version of a paper entitled 'The Nuclear Suppliers Group: Its Origins, Roles and Activities'. The original version of the paper was issued as INFCIRC/539 on 15 September 1997. In the light of the wish expressed at the end of the letter, the revised version of the paper, attached hereto, is being circulated to Member States of the IAEA as INFCIRC/539/Rev.1

Communication dated 3 June 1994 received from the Permanent Mission of the Democratic People's Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-01-01

The texts of an Interview by a Spokesman for the General Department of Atomic Energy of the Democratic People's Republic of Korea, dated 3 June 1994, and Relevant Information, are being circulated to all Member States of the Agency at the request of the Permanent Mission of the Democratic People's Republic of Korea. These texts were received by the Secretariat before the withdrawal of the Democratic People's Republic of Korea from the Agency

Communication dated 18 May 2009 received from the Permanent Mission of Kazakhstan to the Agency enclosing a position paper regarding the establishment of IAEA nuclear fuel banks

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 18 May 2009 from the Permanent Mission of Kazakhstan, transmitting a position paper of Kazakhstan regarding the establishment of IAEA nuclear fuel banks. As requested in that communication, the attached position paper is herewith circulated for the information of all Member States

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

International Nuclear Information System (INIS)

2008-01-01

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

Communication of 26 June 2000 received from the Permanent Mission of the Russian Federation concerning a statement on strategic stability by the Commonwealth of Independent States

International Nuclear Information System (INIS)

2000-07-01

The document reproduces the text of the letter dated 26 June 2000 received by the Director General of the IAEA from the Permanent Mission of the Russian Federation concerning a statement by the Heads of State of the Commonwealth of Independent States on the maintenance of strategic stability, as well as the text of the statement

Communications dated 18 March 2013 received from the Permanent Mission of the Islamic Republic of Iran to the Agency regarding the Report of the Director General on the Implementation of Safeguards in Iran

International Nuclear Information System (INIS)

2013-01-01

The Secretariat has received two communications dated 18 March 2013 from the Permanent Mission of the Islamic Republic of Iran to the Agency enclosing explanatory notes by the Permanent Mission dated September 2012 and November 2012 respectively, on the reports of the Director General on 'Implementation of the NPT Safeguards Agreement and relevant provisions of Security Council resolutions in the Islamic Republic of Iran' contained in GOV/2012/37 (30 August 2012) and GOV/2012/55 (16 November 2012). 2. The communications and, as requested by the Permanent Mission, the explanatory notes are circulated herewith for information.

Text of communication of 14 November 2000 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency concerning nuclear disarmament

International Nuclear Information System (INIS)

2000-01-01

The Director General has received a communication dated 14 November 2000 from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency concerning nuclear disarmament, attaching a statement by the President of the Russian Federation. The text of the communication and, as requested therein, the text of the President of the Russian Federation, are attached hereto for the information of Member States

Communications dated 15 and 22 March 1994 received from the permanent mission of South Africa to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-01-01

The Director General received notes verbales dated 15 and 22 March 1994 from the Permanent Mission of South Africa providing information on the nuclear export policies and practices of the Government of South Africa. These notes verbales contain, in their attachments, copies of the relevant legislation and other documentation pertaining to South Africa's policy to act in accordance with the provisions of INFCIRC/254/Rev.1/Part 1 and INFCIRC/254/Rev.1/Part 1/Mod.1 and INFCIRC/254/Rev.1/Part 2 as amended. The documents are available on request from the Secretariat of the IAEA

Partners of patients having a permanent colostomy should also receive attention from the healthcare team.

Science.gov (United States)

Silva, A L; Monteiro, P S; Sousa, J B; Vianna, A L; Oliveira, P G

2014-12-01

This study was carried out to determine how the partners of patients with a permanent colostomy perceive everyday life, particularly its sexual aspects. Data were collected prospectively from October 2011 to May 2012 using a three-part questionnaire to obtain demographic, social and sexual information. Both multiple-choice and yes/no questions were used. One hundred and eight questionnaires were given to 36 partners of patients with a permanent colostomy (the ostomy group) and to 72 partners of normal individuals matched for age, sex and social class. The sexual performance of the spouse was significantly better in the control group (P = 0.004), sexual performance of the partner was also better in the control group (P = 0.023) and reduced frequency of sexual activity was higher in the ostomy group (P = 0.042). There was, however, no significant difference in sexual interest between the two groups (P = 0.507). The study demonstrated that about half of the partners of patients with a permanent colostomy experienced dissatisfaction with their spouse's performance, with a reduction in sexual interest and frequency of intercourse compared with the control group. Healthcare professionals should pay more attention to the partner of patients having a permanent colostomy. © 2014 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.

Communication of 1 August 1996 received from the Permanent Mission of The People's Republic of China to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the Statement made on 29 July 1996 by the Government of the People's Republic of China about the latest test of a nuclear weapon conducted by china and its announcement of a nuclear testing moratorium. The document was received on 2 August 1996 by the Director General of the IAEA from the Resident Representative of the People's Republic of China

Communication received from the permanent mission of Australia on behalf of the Member States of the nuclear suppliers group

International Nuclear Information System (INIS)

1997-01-01

The document reproduces the text of a letter dated 13 August 1997 received by the Director General of the IAEA from the Permanent Mission of Australia to the Agency on behalf of the Member States of the 'Nuclear Suppliers Group (NSG)'. Attached to this letter was a paper entitled 'The Nuclear Suppliers Group: Its origins, role and activities'. The purpose of the letter and the attached paper was to provide detailed background to the origins of guidelines that govern the export of items exclusively for nuclear use and the export of nuclear related dual-use items and technologies. These guidelines were published by the Agency in documents INFCIRC/254/Rev.3/Part 1 and INFCIRC/254/Rev.2/Part 2/Mod.1

Communication dated 30 May 2014 received from the Permanent Mission of Uzbekistan to the Agency regarding the implementation of the initiative of the President of Uzbekistan on Establishing a Nuclear-Weapon-Free Zone in Central Asia

International Nuclear Information System (INIS)

2014-01-01

The Director General has received a note verbale dated 30 May 2014 from the Permanent Mission of Uzbekistan to the Agency regarding the implementation of the initiative of the President of Uzbekistan, HE Mr Islam Karimov, on Establishing a Nuclear-Weapon-Free Zone in Central Asia. The note verbale and its attachment are circulated herewith for information, as requested by the Permanent Mission

Evaluation of the Effects of Receiving Trauma-Informed Practices on Domestic Violence Shelter Residents.

Science.gov (United States)

Sullivan, Cris M; Goodman, Lisa A; Virden, Tyler; Strom, Jennifer; Ramirez, Rachel

2017-08-17

Domestic violence is a potentially traumatizing experience that has devastating psychological and physical consequences. In response, domestic violence shelter programs have focused increasing attention on helping adult and child survivors understand and heal from this trauma. What have come to be called trauma-informed practices include (a) reflecting an understanding of trauma and its many effects on health and behavior, (b) addressing both physical and psychological safety concerns, (c) using a culturally informed strengths-based approach, (d) helping to illuminate the nature and effects of abuse on survivors' everyday experience; and (e) providing opportunities for clients to regain control over their lives. Despite the proliferation of these practices, little is known about their effects on survivors. In response, the current study explored the extent to which trauma-informed practices, as experienced by shelter residents, related to changes in their levels of self-efficacy, safety-related empowerment, and depressive symptoms over the course of approximately 30 days in shelter. Fifty-seven shelter residents from 4 programs in Ohio completed surveys shortly after arriving in shelter and again before exit. Their perception of the degree to which they received trauma-informed services was associated with significant improvement in their self-efficacy and safety-related empowerment, but had no impact on depressive symptoms. Depressive symptoms decreased over time, regardless of receipt of trauma-informed practice. Implications for policy and practice are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Ontario Radiation Oncology Residents' Needs in the First Postgraduate Year-Residents' Perspective Survey

International Nuclear Information System (INIS)

Szumacher, Ewa; Warner, Eiran; Zhang Liying; Kane, Gabrielle; Ackerman, Ida; Nyhof-Young, Joyce; Agboola, Olusegun; Metz, Catherine de; Rodrigues, George; Voruganti, Sachi; Rappolt, Susan

2007-01-01

Purpose: To assess radiation oncology residents' needs and satisfaction in their first postgraduate year (PGY-1) in the province of Ontario. Methods and Materials: Of 62 radiation oncology residents, 58 who had completed their PGY-1 and were either enrolled or had graduated in 2006 were invited to participate in a 31-item survey. The questionnaire explored PGY-1 residents' needs and satisfaction in four domains: clinical workload, faculty/learning environment, stress level, and discrimination/harassment. The Fisher's exact and Wilcoxon nonparametric tests were used to determine relationships between covariate items and summary scores. Results: Of 58 eligible residents, 44 (75%) responded. Eighty-four percent of residents felt that their ward and call duties were appropriate. More than 50% of respondents indicated that they often felt isolated from their radiation oncology program. Only 77% agreed that they received adequate feedback, and 40% received sufficient counseling regarding career planning. More than 93% of respondents thought that faculty members had contributed significantly to their learning experience. Approximately 50% of residents experienced excessive stress and inadequate time for leisure or for reading the medical literature. Less than 10% of residents indicated that they had been harassed or experienced discrimination. Eighty-three percent agreed or strongly agreed that their PGY-1 experience had been outstanding. Conclusions: Most Ontario residents were satisfied with their PGY-1 training program. More counseling by radiation oncology faculty members should be offered to help residents with career planning. The residents might also benefit from more exposure to 'radiation oncology' and an introduction to stress management strategies

COMMENTS OF THE OCDE 2008MODEL CONVENTION ON ESTABLISHING THE TAX RESIDENCE

OpenAIRE

Lect. Mihail Antonescu Ph. D; Ligia Antonescu Ph. D

2010-01-01

In the fiscal field, the competition between countries develops as a growing phenomenon, and results in the permanent improvement of the legislation to attract the investments and implicitly, the incomes to be taxed. Most developed countries set the limits of their tax jurisdiction, by defining the concept of resident. In the Romanian legislation, there are transposed the provisions of the OECD Model Convention on defining the residence, both in terms of residence and period of actual presenc...

Communication dated 4 July 2008 received from the Permanent Mission of Mongolia to the Agency concerning implementation of the law of Mongolia on its nuclear-weapon-free status

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a Note Verbale dated 4 July 2008 from the Permanent Mission of Mongolia requesting that information pertaining to the law of Mongolia on its nuclear-weapon-free status be circulated as an information document. The Note Verbale and, as requested therein, the attachment thereto, are circulated herewith for the information of Member States

Communication of 28 February 1997 received from the resident representative of Brazil to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1997-01-01

The document reproduces the text of the 'Joint Declaration on the Transport of Radioactive Waste' of the Governments of the Republic of Argentina, the Federative Republic of Brazil, the Republic of Chile and the Eastern Republic of Uruguay, issued to the press on 17 January 1997. The document was received by the Director General of the IAEA on 4 March 1997 from the Resident Representative of the Federative Republic of Brazil on behalf of his Government and the Governments of the other three countries involved

Psychopathology and resident status - comparing asylum seekers, refugees, illegal migrants, labor migrants, and residents.

Science.gov (United States)

Heeren, Martina; Wittmann, Lutz; Ehlert, Ulrike; Schnyder, Ulrich; Maier, Thomas; Müller, Julia

2014-05-01

This study aimed to describe, compare, and predict mental health outcomes of different migrant groups and native residents in Switzerland. Asylum seekers (n=65); refugees holding permanent protection visas (n=34); illegal migrants (n=21); labor migrants (n=26); and residents (n=56) completed an assessment by questionnaire. Main outcome variables were symptoms of posttraumatic stress, anxiety and depression. It was tested whether resident status predicted psychopathology over and above the influence of control variables including social desirability, traumatic event types and post-migration resources. Asylum seekers (54.0%) and refugees (41.4%) fulfilled criteria of PTSD most frequently. Clinically relevant symptoms of anxiety and depression were most frequently reported by asylum seekers (84.6% and 63.1%, resp.) and illegal migrants (both 47.6%). Resident status contributed to psychopathology over and above the influence of control variables. Overall, asylum seekers, refugees, and illegal migrants showed high psychiatric morbidity. Differences in resident status appear to be specifically associated with mental health outcomes. This association persists even when controlling for social desirability, post-migration resources and traumatic events. This emphasizes the importance of current socio-political living conditions for mental health, even with respect to the psychopathological sequelae of past traumatic experiences. Copyright © 2014 Elsevier Inc. All rights reserved.

Peer observation and feedback of resident teaching.

Science.gov (United States)

Snydman, Laura; Chandler, Daniel; Rencic, Joseph; Sung, Yung-Chi

2013-02-01

Resident doctors (residents) play a significant role in the education of medical students. Morning work rounds provide an optimal venue to assess resident teaching. The purpose of this study was to assess the feasibility of peer observation of resident work rounds, to evaluate resident perceptions of peer observation and to evaluate resident perceptions of peer feedback.   Twenty-four internal medicine residents were simultaneously observed by an attending physician and a peer while teaching during work rounds (between August2008 and May 2009). At year-end, residents received a survey to characterise their attitudes towards peer observation and feedback. Twenty-one residents (87.5%) completed the survey. Half (52.4%) felt that participating in the peer observation study stimulated their interest in teaching during work rounds. Prior to participation in the study, fewer than half (42.9%) felt comfortable being observed by their peers, compared with 71.4 percent after participation (p=0.02). The proportion of residents who felt comfortable giving feedback to peers increased from 26.3 to 65.0percent (p=0.004), and the proportion of residents who felt comfortable receiving feedback from peers increased from 76.2 to 95.2 percent (p=0.02). Peer observation and feedback of resident teaching during work rounds is feasible and rewarding for the residents involved. Comfort with regards to being observed by peers, with receiving feedback from peers and with giving feedback to peers significantly increased after the study. Most residents reported changes in their teaching behaviour resulting from feedback. Residents felt that observing a peer teach on work rounds was one of the most useful activities to improve their own teaching on work rounds. © Blackwell Publishing Ltd 2013.

Communication of 27 October 2009 received from the Permanent Mission of the Arab Republic of Egypt on behalf of the Vienna Chapter of the Non-Aligned Movement

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a letter dated 27 October 2009 from the Permanent Mission of the Arab Republic of Egypt, on behalf of the Vienna Chapter of the Non-Aligned Movement, addressing issues relating to the work of the IAEA raised by Resolution 1887 adopted by the Security Council on 24 September 2009. As requested, the letter is circulated herewith for the information of Member States

8 CFR 1216.3 - Termination of conditional resident status.

Science.gov (United States)

2010-01-01

.... 1216.3 Section 1216.3 Aliens and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS CONDITIONAL BASIS OF LAWFUL PERMANENT RESIDENCE STATUS § 1216.3.... Prior to issuing the notice of termination, the director shall provide the alien with an opportunity to...

Communication dated 26 May 2009 received from the Permanent Mission of Austria to the Agency enclosing a working paper regarding Multilateralisation of the Nuclear Fuel Cycle

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 26 May 2009 from the Permanent Mission of Austria, transmitting a working paper entitled 'Multilateralisation of the Nuclear Fuel Cycle: Increasing Transparency and Sustainable Security'. The working paper is based on a food-for-thought paper previously submitted by Austria on 10 May 2007, and issued as INFCIRC/706. As requested in that communication, the working paper is herewith circulated for the information of all Member States

Hydraulic residence time and iron removal in a wetland receiving ferruginous mine water over a 4 year period from commissioning.

Science.gov (United States)

Kusin, F M; Jarvis, A P; Gandy, C J

2010-01-01

Analysis of residence time distribution (RTD) has been conducted for the UK Coal Authority's mine water treatment wetland at Lambley, Northumberland, to determine the hydraulic performance of the wetland over a period of approximately 4 years since site commissioning. The wetland RTD was evaluated in accordance with moment analysis and modelled based on a tanks-in-series (TIS) model to yield the hydraulic characteristics of system performance. Greater hydraulic performance was seen during the second site monitoring after 21 months of site operation i.e. longer hydraulic residence time to reflect overall system hydraulic efficiency, compared to wetland performance during its early operation. Further monitoring of residence time during the third year of wetland operation indicated a slight reduction in hydraulic residence time, thus a lower system hydraulic efficiency. In contrast, performance during the fourth year of wetland operation exhibited an improved overall system hydraulic efficiency, suggesting the influence of reed growth over the lifetime of such systems on hydraulic performance. Interestingly, the same pattern was found for iron (which is the primary pollutant of concern in ferruginous mine waters) removal efficiency of the wetland system from the second to fourth year of wetland operation. This may therefore, reflect the maturity of reeds for maintaining efficient flow distribution across the wetland to retain a longer residence time and significant fractions of water involved to enhance the extent of treatment received for iron attenuation. Further monitoring will be conducted to establish whether such performance is maintained, or whether efficiency decreases over time due to accumulation of dead plant material within the wetland cells.

Results of the 2005-2008 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States: Clinical Training and Resident Working Conditions

International Nuclear Information System (INIS)

Gondi, Vinai; Bernard, Johnny Ray; Jabbari, Siavash; Keam, Jennifer; Amorim Bernstein, Karen L. de; Dad, Luqman K.; Li, Linna; Poppe, Matthew M.; Strauss, Jonathan B.; Chollet, Casey T.

2011-01-01

Purpose: To document clinical training and resident working conditions reported by chief residents during their residency. Methods and Materials: During the academic years 2005 to 2006, 2006 to 2007, and 2007 to 2008, the Association of Residents in Radiation Oncology conducted a nationwide survey of all radiation oncology chief residents in the United States. Chi-square statistics were used to assess changes in clinical training and resident working conditions over time. Results: Surveys were completed by representatives from 55 programs (response rate, 71.4%) in 2005 to 2006, 60 programs (75.9%) in 2006 to 2007, and 74 programs (93.7%) in 2007 to 2008. Nearly all chief residents reported receiving adequate clinical experience in commonly treated disease sites, such as breast and genitourinary malignancies; and commonly performed procedures, such as three-dimensional conformal radiotherapy and intensity-modulated radiotherapy. Clinical experience in extracranial stereotactic radiotherapy increased over time (p < 0.001), whereas clinical experience in endovascular brachytherapy (p <0.001) decreased over time. The distribution of gynecologic and prostate brachytherapy cases remained stable, while clinical case load in breast brachytherapy increased (p = 0.006). A small but significant percentage of residents reported receiving inadequate clinical experience in pediatrics, seeing 10 or fewer pediatric cases during the course of residency. Procedures involving higher capital costs, such as particle beam therapy and intraoperative radiotherapy, and infrequent clinical use, such as head and neck brachytherapy, were limited to a minority of institutions. Most residency programs associated with at least one satellite facility have incorporated resident rotations into their clinical training, and the majority of residents at these programs find them valuable experiences. The majority of residents reported working 60 or fewer hours per week on required clinical duties

Income from immovable property - Preserving the situs and the permanent establishment principles

NARCIS (Netherlands)

Sanghavi, Dhruv

2016-01-01

It is accepted that tax treaties should allocate primary taxing rights over immovable property and income from immovable property to the situs state; the state in which a taxpayer has a permanent establishment (PE) should have priority over the state of its residence in so far as the taxation of

Communication dated 23 June 2009 received from the Permanent Mission of the United States of America with regard to Global Initiative to Combat Nuclear Terrorism Plenary Meeting

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 23 June 2009 from the Permanent Mission of the United States of America transmitting the 16 June 2009 message from President Barack Obama to the Global Initiative to Combat Nuclear Terrorism (GICNT) Plenary Meeting held in the Hague on 16-17 June 2009. As requested in that communication, the abovementioned message is herewith circulated for the information of all Member States

Communication of 19 June 1997 received from the resident representative of the People's Republic of China to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1997-07-01

The document reproduces the text of a letter dated 19 June 1997 received by the Director General of the IAEA from the Resident Representative of the People's Republic of China, regarding the continued participation of the Hong Kong Special Administrative Region of the People's Republic of China in the activities of the IAEA as from 1 July 1997

Suicidal Thoughts Among Medical Residents with Burnout

NARCIS (Netherlands)

van der Heijden, Frank; Dillingh, Gea; Bakker, Arnold; Prins, Jelle

2008-01-01

Objectives: Recent research showed that medical residents have a high risk for developing burnout. The present study investigates the prevalence of burnout and its relationship with suicidal thoughts among medical residents. Methods: All Dutch medical residents (n = 5126) received a self-report

The Permanently Shadowed Regions of Dwarf Planet Ceres

Science.gov (United States)

Schorghofer, Norbert; Mazarico, Erwan; Platz, Thomas; Preusker, Frank; Schroeder, Stefan E.; Raymond, Carol A.; Russell, Christopher T.

2016-01-01

Ceres has only a small spin axis tilt (4 deg), and craters near its rotational poles can experience permanent shadow and trap volatiles, as is the case on Mercury and on Earth's Moon. Topography derived from stereo imaging by the Dawn spacecraft is used to calculate direct solar irradiance that defines the extent of the permanently shadowed regions (PSRs). In the northern polar region, PSRs cover approximately 1800 sq km or 0.13% of the hemisphere, and most of the PSRs are cold enough to trap water ice over geological time periods. Based on modeling of the water exosphere, water molecules seasonally reside around the winter pole and ultimately an estimated 0.14% of molecules get trapped. Even for the lowest estimates of the amount of available water, this predicts accumulation rates in excess of loss rates, and hence, there should be fresh ice deposits in the cold traps.

Communication to the Director General of 24 April 1996 received from the resident representative of Saudi Arabia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a letter dated 24 April 1996 received by the Director General of the IAEA on 25 April 1996 from the Resident Representative of Saudi Arabia on behalf of Members of the Agency and Members of the Board of Governors from the Arab States, concerning the Israeli Dimona reactor

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

International Nuclear Information System (INIS)

2008-01-01

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

Communication dated 31 January 2014 received from the Permanent Mission of the Islamic Republic of Iran to the Agency concerning the text of the Joint Plan of Action

International Nuclear Information System (INIS)

2014-01-01

The Director General has received a communication dated 31 January 2014 from the Permanent Mission of the Islamic Republic of Iran to the Agency, concerning the text of the Joint Plan of Action agreed by the Islamic Republic of Iran and China, France, Germany, the Russian Federation, the United Kingdom and the United States of America on 24 November 2013. As requested, the communication is circulated herewith [es

Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases.

Science.gov (United States)

Gurley, Kiersten L; Grossman, Shamai A; Janes, Margaret; Yu-Moe, C Winnie; Song, Ellen; Tibbles, Carrie D; Shapiro, Nathan I; Rosen, Carlo L

2018-04-17

(permanent, grave disability or death) (p=0.05). Procedures involved were identified in 32% (36) of resident and 26% (188) of non-resident cases (p=0.17). The final diagnoses in resident cases were more often cardiac related 19% (21) vs 10% (71), pvs 3% (3), pvs 76% (p=0.24); communication 27% vs 30% (p=0.46); and documentation 20% vs 21% (p=0.95). Technical skills contributed to 20% (22) of resident versus 13% (96) of non-resident cases (p=0.07) but those procedures involving vascular access 2.7% (3) vs 0.1% (1) and spinal procedures 3.5% (4) vs 1.1% (8) were more prevalent in resident cases (p<0.05 for each). There are higher total incurred losses in non-resident cases. There are higher severity scores in resident cases. The overall case profiles, including allegation categories, final diagnoses and contributing factors between resident and non-resident cases are similar. Cases involving residents are more likely to involve certain technical skills, specifically vascular access and spinal procedures, which may have important implications regarding supervision. Clinical judgment, communication and documentation are the most prevalent contributing factors in all cases and should be targets for risk-reduction strategies. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

8 CFR 216.3 - Termination of conditional resident status.

Science.gov (United States)

2010-01-01

..., whichever is applicable, are true, or it becomes known to the government that an alien entrepreneur who was... applicable, are true, or that an alien entrepreneur who was admitted pursuant to section 203(b)(5) of the Act... immigration laws or an alien entrepreneur obtained permanent resident status through a commercial enterprise...

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

International Nuclear Information System (INIS)

2007-01-01

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

A basis of settlement: Economic foundations of permanent pioneer communities

Science.gov (United States)

Jones, Eric M.

1992-01-01

High transport costs will dominate the course of lunar development. During the earliest phases, when lunar facilities consist of a research and resource development complex with staff serving tours of a few months, transport costs will encourage local production of fuel, food, and building materials. Once these capabilities are in place and the number of personnel grows to a few hundred, staff rotation might well dominate transport budgets. At that point it would make economic sense to encourage some members of staff to become permanent residents. By analogy with early British settlement in Australia, a vigorous private sector economy could emerge if the lunar organization provided quasi-export earnings through its role as the community's major employer and as the major buyer of locally produced goods. By providing such a market for goods and services, the lunar organization would not only provide a means whereby permanent residents could support themselves, but could also accelerate the process of replacing imported goods with local manufacturers, thereby reducing the cost of operations. By analogy with recent Alaskan experience, if the resource development activity started making money from sales to orbital customers, export taxes and/or royalty payments could also provide means by which a lunar community could support itself.

Communication received from the Permanent Mission of Denmark to the Agency regarding Guidelines for the Export of Nuclear Material, Equipment and Technology

International Nuclear Information System (INIS)

2007-01-01

The Director General of the International Atomic Energy Agency has received Notes Verbales, dated 1 December 2005, from the Resident Representatives to the Agency of Argentina, Australia, Austria, Belarus, Belgium, Brazil, Bulgaria, Canada, China, Croatia, Czech Republic, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, New Zealand, Poland, Portugal, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, relating to the export of nuclear material, equipment and technology [es

Communication received from the Permanent Mission of Denmark to the Agency regarding Guidelines for the Export of Nuclear Material, Equipment and Technology

International Nuclear Information System (INIS)

2007-01-01

The Director General of the International Atomic Energy Agency has received Notes Verbales, dated 1 December 2005, from the Resident Representatives to the Agency of Argentina, Australia, Austria, Belarus, Belgium, Brazil, Bulgaria, Canada, China, Croatia, Czech Republic, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, New Zealand, Poland, Portugal, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, relating to the export of nuclear material, equipment and technology

Are All Competencies Equal in the Eyes of Residents? A Multicenter Study of Emergency Medicine Residents' Interest in Feedback.

Science.gov (United States)

Bentley, Suzanne; Hu, Kevin; Messman, Anne; Moadel, Tiffany; Khandelwal, Sorabh; Streich, Heather; Noelker, Joan

2017-01-01

Feedback, particularly real-time feedback, is critical to resident education. The emergency medicine (EM) milestones were developed in 2012 to enhance resident assessment, and many programs use them to provide focused resident feedback. The purpose of this study was to evaluate EM residents' level of interest in receiving real-time feedback on each of the 23 competencies/sub-competencies. This was a multicenter cross-sectional study of EM residents. We surveyed participants on their level of interest in receiving real-time on-shift feedback on each of the 23 competencies/sub-competencies. Anonymous paper or computerized surveys were distributed to residents at three four-year training programs and three three-year training programs with a total of 223 resident respondents. Residents rated their level of interest in each milestone on a six-point Likert-type response scale. We calculated average level of interest for each of the 23 sub-competencies, for all 223 respondents and separately by postgraduate year (PGY) levels of training. One-way analyses of variance were performed to determine if there were differences in ratings by level of training. The overall survey response rate across all institutions was 82%. Emergency stabilization had the highest mean rating (5.47/6), while technology had the lowest rating (3.24/6). However, we observed no differences between levels of training on any of the 23 competencies/sub-competencies. Residents seem to ascribe much more value in receiving feedback on domains involving high-risk, challenging procedural skills as compared to low-risk technical and communication skills. Further studies are necessary to determine whether residents' perceived importance of competencies/sub-competencies needs to be considered when developing an assessment or feedback program based on these 23 EM competencies/sub-competencies.

Communication of 29 April 1996 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency regarding guidelines for the export of nuclear material, equipment and technology

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-06-07

The document contains the text of a note verbale dated 29 April 1996 received by the Director General of IAEA from the Permanent Mission of the Russian Federation which provides information on the export policies and practices of the Government of the Russian Federation with respect to transfer of nuclear-related dual-use equipment, material and related technology.

Communication of 29 April 1996 received from the Permanent Mission of the Russian Federation to the International Atomic Energy Agency regarding guidelines for the export of nuclear material, equipment and technology

International Nuclear Information System (INIS)

1996-01-01

The document contains the text of a note verbale dated 29 April 1996 received by the Director General of IAEA from the Permanent Mission of the Russian Federation which provides information on the export policies and practices of the Government of the Russian Federation with respect to transfer of nuclear-related dual-use equipment, material and related technology

A neural substrate for object permanence in monkey inferotemporal cortex

OpenAIRE

Puneeth, NC; Arun, SP

2016-01-01

We take it for granted that objects continue to exist after being occluded. This knowledge ? known as object permanence ? is present even in childhood, but its neural basis is not fully understood. Here, we show that monkey inferior temporal (IT) neurons carry potential signals of object permanence even in animals that received no explicit behavioral training. We compared two conditions with identical visual stimulation: the same object emerged from behind an occluder as expected following it...

[Object permanence in children with neurological and psychomotor disorders].

Science.gov (United States)

Pisaturo, C; Frassoni, S; Borreani, A; Battaglia, F; Meruzzi, B

1995-06-01

The aim of this research was to investigate whether the development of object permanence is an available sign of the cognitive development in infants with psychomotor handicaps. Subjects consisted of 5 males, ranging in age from 12 to 33 months, with handicaps as a result of perinatal brain injury. Four were preterm infants. All of the children received psychomotor treatment. Their stage of object permanence was assessed using traditional (B-L) and non traditional test (U-H). (The children's performances on the U-H scales have an "Intrinsic validity"). Four children achieved the first stages of the development of object permanence. The acquisition of object permanence was delayed in comparison with the age-appropriated time, but it may be considered adequate in comparison with the "developmental age" (B-L). One children with severe mental and motor disorders solved no task, the findings suggest that the children with psychomotor handicaps may gain the concept of object permanence and that psychomotor treatment may assist them in the development of the concept. This performance is not age-dependent. So the acquisition of the concept of object permanence may be considered an accurate and sensitive tool for the follow-up of the sensorimotor development in the handicapped children.

Communication dated 16 July 2008 received from the Resident Representative of Japan to the Agency concerning an International Initiative on 3S-Based Nuclear Energy Infrastructure

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a communication dated 16 July 2008 from the Resident Representative of Japan attaching a document entitled 'International Initiative on 3S-based Nuclear Energy Infrastructure'. The communication, and as requested therein, its attachment, are circulated herewith for information

General Surgery Resident Satisfaction on Cardiothoracic Rotations.

Science.gov (United States)

Lussiez, Alisha; Bevins, Jack; Plaska, Andrew; Rosin, Vadim; Reddy, Rishindra M

2016-01-01

General surgery residents' exposure to cardiothoracic (CT) surgery rotations has decreased, which may affect resident satisfaction. We surveyed general surgery graduates to assess the relationships among rotation satisfaction, CT disease exposure, rotation length, mentorship, and mistreatment. A survey assessing CT curriculum, exposure, mentorship, and satisfaction was forwarded to general surgery graduates from 17 residency programs. A Wilcoxon rank-sum test was used to assess statistical significance of ordinal level data. Statistical significance was defined as p surgery residency programs who graduated between the years of 1999 to 2014. A total of 94 responses were completed and received. Receiving adequate exposure to CT procedures and disease management was significantly associated with higher satisfaction ratings for all procedures, particularly thoracotomy incisions (p Surgery. Published by Elsevier Inc. All rights reserved.

Bilateral diffuse lamellar keratitis triggered by permanent eyeliner tattoo treatment: A case report.

Science.gov (United States)

Lu, Cheng-Wei; Liu, Xiu-Fen; Zhou, Dan-Dan; Kong, Yu-Jiao; Qi, Xiao-Feng; Liu, Tao-Tao; Qu, Ting; Pan, Xiao-Tao; Liu, Cong; Hao, Ji-Long

2017-07-01

Diffuse lamellar keratitis (DLK) is a sterile inflammation of the cornea, which may occur after laser-assisted in situ keratomileusis (LASIK) surgery. Little is known about the association of DLK with permanent eyeliner tattoo. The present case report describes the case of a 37-year-old Chinese woman who developed severe foreign body sensation in both eyes 1 week after receiving bilateral permanent eyeliner tattoo treatment. The patient had received bilateral LASIK surgery 10 years previously. Slit-lamp biomicroscopy revealed diffused granular infiltrates precipitated around the edge of the corneal flaps in both eyes. After topical treatment, DLK persisted. Therefore, the patient underwent surgery to remove the corneal epithelium around the DLK lesion. There was no recurrence of the disease during the 3-month observation period. To our knowledge, this is the first case report describing a case of late-onset of DLK that was triggered by permanent eyeliner tattoo. Doctors should be aware of the diagnosis and treatment of this complication associated with the application of permanent eyeliner tattoo as the popularity of this cosmetic procedure increases.

Smoking Policy Change Within Permanent Supportive Housing.

Science.gov (United States)

Petersen, Anne Berit; Stewart, Holly C; Walters, Jon; Vijayaraghavan, Maya

2018-04-01

Smoke-free policies effectively reduce secondhand smoke (SHS) exposure among non-smokers, and reduce consumption, encourage quit attempts, and minimize relapse to smoking among smokers. Such policies are uncommon in permanent supportive housing (PSH) for formerly homeless individuals. In this study, we collaborated with a PSH provider in San Diego, California to assess a smoke-free policy that restricted indoor smoking. Between August and November 2015, residents completed a pre-policy questionnaire on attitudes toward smoke-free policies and exposure to secondhand smoke, and then 7-9 months after policy implementation residents were re-surveyed. At follow-up, there was a 59.7% reduction in indoor smoking. The proportion of residents who identified as current smokers reduced by 13% (95% CI: -38, 10.2). The proportion of residents who reported never smelling SHS indoors (apartment 24.2%, 95% CI: 4.2, 44.1; shared areas 17.2%, 95% CI: 1.7, 32.7); in outdoor areas next to the living unit (porches or patio 56.7%, 95% CI: 40.7, 72.8); and in other outdoor areas (parking lot 28.6%, 95% CI: 8.3, 48.9) was lower post-policy compared with pre-policy. Overall, resident support increased by 18.7%; however, the greatest increase in support occurred among current smokers (from 14.8 to 37.5%). Fewer current smokers reported that the policy would enable cessation at post-policy compared to pre-policy. Our findings demonstrate the feasibility of implementing smoke-free policies in PSH for formerly homeless adults. However, policy alone appears insufficient to trigger change in smoking behavior, highlighting the need for additional cessation resources to facilitate quitting.

Communication received from the Resident Representative of the Russian Federation to the IAEA on the establishment, structure and operation of the International Uranium Enrichment Centre

International Nuclear Information System (INIS)

2007-01-01

The Director General has received a communication dated 7 June 2007 from the Resident Representative of the Russian Federation, with an attachment entitled 'Establishment, Structure and Operation of the International Uranium Enrichment Centre'. As requested in that communication, the letter and its attachment are circulated for the information of Member States

Needs Assessment for Incoming PGY-1 Residents in Neurosurgical Residency.

Science.gov (United States)

Brandman, David M; Haji, Faizal A; Matte, Marie C; Clarke, David B

2015-01-01

Residents must develop a diverse range of skills in order to practice neurosurgery safely and effectively. The purpose of this study was to identify the foundational skills required for neurosurgical trainees as they transition from medical school to residency. Based on the CanMEDS competency framework, a web-based survey was distributed to all Canadian academic neurosurgical centers, targeting incoming and current PGY-1 neurosurgical residents as well as program directors. Using Likert scale and free-text responses, respondents rated the importance of various cognitive (e.g. management of raised intracranial pressure), technical (e.g. performing a lumbar puncture) and behavioral skills (e.g. obtaining informed consent) required for a PGY-1 neurosurgical resident. Of 52 individuals contacted, 38 responses were received. Of these, 10 were from program directors (71%), 11 from current PGY-1 residents (58%) and 17 from incoming PGY-1 residents (89%). Respondents emphasized operative skills such as proper sterile technique and patient positioning; clinical skills such as lesion localization and interpreting neuro-imaging; management skills for common scenarios such as raised intracranial pressure and status epilepticus; and technical skills such as lumbar puncture and external ventricular drain placement. Free text answers were concordant with the Likert scale results. We surveyed Canadian neurosurgical program directors and PGY-1 residents to identify areas perceived as foundational to neurosurgical residency education and training. This information is valuable for evaluating the appropriateness of a training program's goals and objectives, as well as for generating a national educational curriculum for incoming PGY-1 residents.

Communication Received from the Permanent Mission of Brazil regarding Certain Member States' Guidelines for the Export of Nuclear Material, Equipment and Technology

International Nuclear Information System (INIS)

2008-01-01

The Agency has received a Note Verbale from the Permanent Mission of Brazil, dated 22 March 2007, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Nuclear Suppliers Group, Ambassador Jose Artur Denot Medeiros, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belarus, Belgium, Brazil, Bulgaria, Canada, China, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, Republic of Korea, Latvia, Lithuania, Luxemburg, Malta, Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, providing further information on those Governments' Guidelines for Nuclear Transfers [es

Communication Received from the Permanent Mission of Brazil regarding Certain Member States' Guidelines for the Export of Nuclear Material, Equipment and Technology

International Nuclear Information System (INIS)

2007-01-01

The Agency has received a Note Verbale from the Permanent Mission of Brazil, dated 22 March 2007, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Nuclear Suppliers Group, Ambassador Jose Artur Denot Medeiros, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belarus, Belgium, Brazil, Bulgaria, Canada, China, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, Republic of Korea, Latvia, Lithuania, Luxemburg, Malta, Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, providing further information on those Governments' Guidelines for Nuclear Transfers

Conversations with Holocaust survivor residents.

Science.gov (United States)

Hirst, Sandra P; LeNavenec, Carole Lynne; Aldiabat, Khaldoun

2011-03-01

Traumatic events in one's younger years can have an impact on how an individual copes with later life. One traumatic experience for Jewish individuals was the Holocaust. Some of these people are moving into long-term care facilities. It was within this context that the research question emerged: What are Holocaust survivor residents' perceptions of a life lived as they move into a long-term care facility? For this qualitative study, Holocaust survivors were individually interviewed. Findings emphasize that nursing care needs to ensure that Holocaust survivor residents participate in activities, receive timely health care, and receive recognition of their life experiences. Copyright 2011, SLACK Incorporated.

Exploring the concurrent validity of the nationwide assessment of permanent nursing home residence in Denmark

DEFF Research Database (Denmark)

Bebe, Anna; Nielsen, Anni Brit Sternhagen; Willadsen, Tora Grauers

2017-01-01

, and the other based on an algorithm created by StatD. The aim of the present study was to validate StatD's nursing home register using dedicated administrative municipality records on individual nursing home residents as gold standard. METHODS: In total, ten Danish municipalities were selected. Within each...... in a nursing home or in a private home. Method 2 is based on an algorithm created by Stat D for the municipalities where Method 1 is not applicable. Our gold standard was the information from the local administrative system in all ten selected municipalities. Each municipality provided a list with all...... directly from the municipalities, which was used as our gold Standard 3821 individuals were identified as nursing home residents. The StatD register identified 6,141 individuals as residents. Additionally, 556 of the individuals identified by the municipalities were not identified in the StatD register...

[Knowledge of health care ethics in paediatric residents].

Science.gov (United States)

Hernández González, A; Rodríguez Núñez, A; Cambra Lasaosa, F J; Quintero Otero, S; Ramil Fraga, C; García Palacios, M V; Hernández Rastrollo, R; Ruiz Extremera, M A

2014-02-01

Bioethics has been recently incorporated in to the educational programs of both medical students and medical residents as part of their curriculum. However, its training based on clinical practice is not well structured. To evaluate the knowledge of bioethics in Spanish paediatric residents, and to analyse how this relates to the medical education during graduate and post-graduate training. A questionnaire with 20 multiple choice questions was designed to evaluate the knowledge in basic ethics with potential implications in clinical practice. We evaluated the education received during graduate and post-graduate training, and the main ethical conflicts faced. A total of 210 completed questionnaires were received from medical residents in paediatrics from 20 different Spanish hospitals, of whom 47 of these were first year residents (R1), 49 were second year residents (R2), 57 were third year residents (R3), and the remaining 57 were final year residents (R4). The mean number of correct answers was 16.8 out of 20. No differences were found between residents in different years of training, nor were there any differences between the group that had received specific training in bioethics versus those who had not. Residents were more likely to give wrong answers related with informed consent, the law on the freedom of the patient, principles of quality of life, the case analysis system, and the dimension of distributive justice. Limitation of therapeutic efforts was identified as the main ethical problem faced in clinical practice by Spanish residents in paediatrics. Most of the knowledge of bioethics is acquired during graduate training, and improved very little throughout the period of medical residence. Our results suggest that efforts are required in organising and structuring the education in bioethics during the training of residents in paediatrics. Copyright © 2012 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

The electronic residency application service application can predict accreditation council for graduate medical education competency-based surgical resident performance.

Science.gov (United States)

Tolan, Amy M; Kaji, Amy H; Quach, Chi; Hines, O Joe; de Virgilio, Christian

2010-01-01

Program directors often struggle to determine which factors in the Electronic Residency Application Service (ERAS) application are important in the residency selection process. With the establishment of the Accreditation Council for Graduate Medical Education (ACGME) competencies, it would be important to know whether information available in the ERAS application can predict subsequent competency-based performance of general surgery residents. This study is a retrospective correlation of data points found in the ERAS application with core competency-based clinical rotation evaluations. ACGME competency-based evaluations as well as technical skills assessment from all rotations during residency were collected. The overall competency score was defined as an average of all 6 competencies and technical skills. A total of77 residents from two (one university and one community based university-affiliate) general surgery residency programs were included in the analysis. Receiving honors for many of the third year clerkships and AOA membership were associated with a number of the individual competencies. USMLE scores were predictive only of Medical Knowledge (p = 0.004). Factors associated with higher overall competency were female gender (p = 0.02), AOA (p = 0.06), overall number of honors received (p = 0.04), and honors in Ob/Gyn (p = 0.03) and Pediatrics (p = 0.05). Multivariable analysis showed honors in Ob/Gyn, female gender, older age, and total number of honors to be predictive of a number of individual core competencies. USMLE scores were only predictive of Medical Knowledge. The ERAS application is useful for predicting subsequent competency based performance in surgical residents. Receiving honors in the surgery clerkship, which has traditionally carried weight when evaluating a potential surgery resident, may not be as strong a predictor of future success. Copyright © 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights

Communication dated 16 June 2008 received from the Permanent Mission of the Islamic Republic of Iran to the Agency concerning the text of the 'Islamic Republic of Iran's proposed package for constructive negotiation'

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a Note Verbale dated 16 June 2008 from the Permanent Mission of the Islamic Republic of Iran attaching the text of the 'Islamic Republic of Iran's proposed package for constructive negotiation'. The Note Verbale and, as requested therein, its attachment, are circulated herewith for the information of the Member States

Resident and attending physician perception of maladaptive response to stress in residents

Directory of Open Access Journals (Sweden)

Lee Ann Riesenberg

2014-11-01

Full Text Available Background: Residency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. Methods: A 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys. Results: Attending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p<0.0001; needed to seek professional counseling, p=0.0003; should be removed from the service, p=0.002; was not receiving adequate support from the attending physician, p=0.007; and was a risk to patient safety, p=0.02. Attending physicians were also less likely to agree that the resident was a good role model, p=0.001, and that the resident should be able to resolve these issues herself/himself, p<0.0001. Conclusion: Our data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. More innovative faculty and resident development workshops should be created to teach and encourage physicians to better observe and detect residents who are displaying maladaptive responses to stress.

Selection criteria of residents for residency programs in Kuwait.

Science.gov (United States)

Marwan, Yousef; Ayed, Adel

2013-01-19

In Kuwait, 21 residency training programs were offered in the year 2011; however, no data is available regarding the criteria of selecting residents for these programs. This study aims to provide information about the importance of these criteria. A self-administered questionnaire was used to collect data from members (e.g. chairmen, directors, assistants …etc.) of residency programs in Kuwait. A total of 108 members were invited to participate. They were asked to rate the importance level (scale from 1 to 5) of criteria that may affect the acceptance of an applicant to their residency programs. Average scores were calculated for each criterion. Of the 108 members invited to participate, only 12 (11.1%) declined to participate. Interview performance was ranked as the most important criteria for selecting residents (average score: 4.63/5.00), followed by grade point average (average score: 3.78/5.00) and honors during medical school (average score: 3.67/5.00). On the other hand, receiving disciplinary action during medical school and failure in a required clerkship were considered as the most concerning among other criteria used to reject applicants (average scores: 3.83/5.00 and 3.54/5.00 respectively). Minor differences regarding the importance level of each criterion were noted across different programs. This study provided general information about the criteria that are used to accept/reject applicants to residency programs in Kuwait. Future studies should be conducted to investigate each criterion individually, and to assess if these criteria are related to residents' success during their training.

Communication received from the Resident Representative of the Russian Federation to the Agency concerning a statement of the Collective Security Treaty Organisation

International Nuclear Information System (INIS)

2005-01-01

The Agency has received a communication dated 30 August 2005 from the Resident Representative of the Russian Federation, attaching a statement by the heads of State of Armenia, Belarus, Kazakhstan, Kyrgyzstan, the Russian Federation and Tajikistan adopted at the Moscow session of the Collective Security Council of the Collective Security Treaty Organization on 23 June 2005. The communication from the Russian Federation and, as requested therein, its attachment, are herewith circulated for the information of Member States

Communication of 10 June 2009 received from the Permanent Mission of the United Kingdom with regard to the International Nuclear Fuel Supply Conference: Securing safe access to peaceful power

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 10 June 2009 from the Permanent Mission of the United Kingdom of Great Britain and Northern Ireland, attaching a note from the United Kingdom and the final remarks of the Chairman of the International Nuclear Fuel Supply Conference: Securing safe access to peaceful power, held in London on 17 and 18 March 2009. As requested in that communication, the note and final remarks are herewith circulated for the information of Member States

Resident cross-cultural training, satisfaction, and preparedness.

Science.gov (United States)

Frintner, Mary Pat; Mendoza, Fernando S; Dreyer, Benard P; Cull, William L; Laraque, Danielle

2013-01-01

To describe the diversity of pediatric residents and examine relationships of cross-cultural training experiences with training satisfaction, perceived preparedness for providing culturally effective care, and attitudes surrounding care for underserved populations. A cross-sectional survey was conducted of a national random sample of graduating pediatric residents and an additional sample of minority residents. Using weighted analysis, we used multivariate regression to test for differences in satisfaction, preparedness, and attitudes between residents with more and less cross-cultural experiences during residency, controlling for residents' characteristics and experiences before training. The survey response rate was 57%. Eleven percent were Hispanic, 61% white, 21% Asian, 9% African American, 9% other racial/ethnic groups; 34% grew up in a bi- or multilingual family. Ninety-three percent of residents were satisfied with their residency training, 81% with the instruction they received on health and health care disparities, and 54% on global health issues. Ninety-six percent of residents felt they were prepared to care for patients from diverse backgrounds, but fewer felt prepared to care for families with beliefs at odds with Western medicine (49%) and families who receive alternative or complementary care (37%). Residents with more cross-cultural experiences during residency reported being better prepared than those with less experience to care for families with limited English proficiency (adjusted odds ratio [aOR] 2.11; 95% confidence interval [CI] 1.40-3.17), new immigrants (aOR 1.91; 95% CI 1.32-2.75), and with religious beliefs that might affect clinical care (aOR 1.62; 95% CI 1.13-2.32). Pediatric residents begin their training with diverse cross-cultural backgrounds and experiences. Residency experiences in cross-cultural care contribute to feelings of preparedness to care for diverse US children. Copyright © 2013 Academic Pediatric Association. Published

Communication of 30 September 1996 received from the resident representatives of Bosnia and Herzegovina, Croatia, the Former Yugoslav Republic of Macedonia, and Slovenia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a letter dated 29 august 1996 received on 4 September 1996 by the Director General of IAEA from the Resident Representatives of Bosnia and Herzegovina, Croatia, the Former Yugoslav Republic of Macedonia, and Slovenia regarding certain references to 'Yugoslavia' and 'the Federal Republic of Yugoslavia (Serbia and Montenegro)' in the Annual Report for 1995 in connection with Agency membership and participation in international treaties which was distributed in document GC(40)/INF/10. The text of the Director General's reply dated 17 September 1996 to that letter, and the text of a new letter dated 30 September 1996 received on 9 October 1996 by the Director General from the same Resident Representatives referring to the Director General's letter of 17 September are also included

Repaying in Kind: Examination of the Reciprocity Effect in Faculty and Resident Evaluations.

Science.gov (United States)

Gardner, Aimee K; Scott, Daniel J

Although the reciprocity hypothesis (that trainees have a tendency to modify evaluations based on the grades they receive from instructors) has been documented in other fields, very little work has examined this phenomenon in the surgical residency environment. The purpose of this study was to investigate the extent to which lenient-grading faculty receive higher evaluations from surgery residents. Evaluation data from 2 consecutive academic years were collected retrospectively at a large university-based General Surgery residency program. Monthly faculty evaluations of residents (15 items) and resident evaluations of faculty (8 items; 1 = never demonstrates, 10 = always demonstrates) were included. Correlation and regression analyses were conducted with SPSS version 22 (IBM; Chicago, IL). A total of 2274 faculty assessments and 1480 resident assessments were included in this study, representing 2 years of evaluations for 32 core faculty members responsible for completing all resident evaluations and 68 PGY1-5 general surgery residents. Faculty (63% men, 13.5 ± 9.8 years out of training) represented 5 different divisions (general surgery, surgical oncology, transplant, trauma critical care, and vascular) within the general surgery department. Faculty received an average of 71.1 ± 33.9 evaluations from residents over the course of 2 years. The average rating of faculty teaching by residents was 9.5 ± 0.4. Residents received an average of 21.8 ± 0.5 evaluations with average ratings of 4.2 ± 0.4. Correlation analyses indicated a positive relationship between the average rating received from residents and the number of years since faculty completed training (r = 0.44, p = 0.01). Additionally, a significant relationship emerged between ratings received from residents and ratings given to residents (r = 0.40, p = 0.04). Regression analyses indicated that when both variables (years since training, ratings given to residents) were included in the model, only ratings

Communication of 29 April 1996 received from the permanent mission of the Russian Federation to the International Atomic Energy Agency regarding guidelines for the export of nuclear material, equipment and technology

International Nuclear Information System (INIS)

1996-01-01

The Director General of the International Atomic Energy Agency has received a note verbale of 29 April 1996 from the Permanent Mission of the Russian Federation providing information on the export policies and practices of the Government of the Russian Federation with respect to nuclear transfers. In light of the request expressed in the note verbale, the text of the note verbale and its attachment is being circulated

Communication of 29 April 1996 received from the permanent mission of the Russian Federation to the International Atomic Energy Agency regarding guidelines for the export of nuclear material, equipment and technology

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-06-07

The Director General of the International Atomic Energy Agency has received a note verbale of 29 April 1996 from the Permanent Mission of the Russian Federation providing information on the export policies and practices of the Government of the Russian Federation with respect to nuclear transfers. In light of the request expressed in the note verbale, the text of the note verbale and its attachment is being circulated.

26 CFR 1.1034-1 - Sale or exchange of residence.

Science.gov (United States)

2010-04-01

... money so received, the fair market value of the property (other than money) so received. If, as part of... principal residence does not include personal property such as a piece of furniture, a radio, etc., which... exchange which is considered as a purchase under this section, the fair market value of the new residence...

Factors associated with physiotherapy provision in a population of elderly nursing home residents; a cross sectional study

Directory of Open Access Journals (Sweden)

Ribbe Miel W

2007-04-01

Full Text Available Abstract Background Although physiotherapy (PT plays an important role in improving activities of daily living (ADL functioning and discharge rates, it is unclear how many nursing home residents receive treatment. Furthermore, there is a lack of insight into the determinants that influence the decision for treatment. In this study, we investigated how many nursing home residents receive PT. In addition, we analysed the factors that contribute to the variation in the provision of PT both between nursing homes and between residents. Methods A random sample of 600 elderly residents was taken from a random sample of 15 nursing homes. Residents had to be admitted for rehabilitation or for long-term care. Data were collected through interviews with the nursing home physician and the physiotherapist. Multilevel analysis was used to define the variation in the provision of PT and the factors that are associated with the question whether a resident receives PT or not. Furthermore the amount of PT provided was analysed and the factors that are associated with this. Results On average 69% of the residents received PT. The percentage of patients receiving treatment differed significantly across nursing homes, and especially the number of physiotherapists available, explained this difference between nursing homes. Residents admitted to a somatic ward for rehabilitation, and male residents in general, were most likely to receive PT. Residents who were treated by a physiotherapist received on average 55 minutes (sd 41 treatment a week. Residents admitted for rehabilitation received more PT a week, as were residents with a status after a total hip replacement. Conclusion PT is most likely to be provided to residents on a somatic ward, recently admitted for rehabilitation to a nursing home, which has a relatively large number of physiotherapists. This suggests a potential under-use of PT for long-term residents with cognitive problems. It is recommended that

Factors associated with physiotherapy provision in a population of elderly nursing home residents; a cross sectional study.

Science.gov (United States)

Leemrijse, Chantal J; de Boer, Marike E; van den Ende, Cornelia H M; Ribbe, Miel W; Dekker, Joost

2007-04-04

Although physiotherapy (PT) plays an important role in improving activities of daily living (ADL functioning) and discharge rates, it is unclear how many nursing home residents receive treatment. Furthermore, there is a lack of insight into the determinants that influence the decision for treatment. In this study, we investigated how many nursing home residents receive PT. In addition, we analysed the factors that contribute to the variation in the provision of PT both between nursing homes and between residents. A random sample of 600 elderly residents was taken from a random sample of 15 nursing homes. Residents had to be admitted for rehabilitation or for long-term care. Data were collected through interviews with the nursing home physician and the physiotherapist. Multilevel analysis was used to define the variation in the provision of PT and the factors that are associated with the question whether a resident receives PT or not. Furthermore the amount of PT provided was analysed and the factors that are associated with this. On average 69% of the residents received PT. The percentage of patients receiving treatment differed significantly across nursing homes, and especially the number of physiotherapists available, explained this difference between nursing homes. Residents admitted to a somatic ward for rehabilitation, and male residents in general, were most likely to receive PT. Residents who were treated by a physiotherapist received on average 55 minutes (sd 41) treatment a week. Residents admitted for rehabilitation received more PT a week, as were residents with a status after a total hip replacement. PT is most likely to be provided to residents on a somatic ward, recently admitted for rehabilitation to a nursing home, which has a relatively large number of physiotherapists. This suggests a potential under-use of PT for long-term residents with cognitive problems. It is recommended that physiotherapists reconsider which residents may benefit from

Hobit and Blimp1 instruct a universal transcriptional program of tissue residency in lymphocytes

NARCIS (Netherlands)

Mackay, Laura K.; Minnich, Martina; Kragten, Natasja A. M.; Liao, Yang; Nota, Benjamin; Seillet, Cyril; Zaid, Ali; Man, Kevin; Preston, Simon; Freestone, David; Braun, Asolina; Wynne-Jones, Erica; Behr, Felix M.; Stark, Regina; Pellicci, Daniel G.; Godfrey, Dale I.; Belz, Gabrielle T.; Pellegrini, Marc; Gebhardt, Thomas; Busslinger, Meinrad; Shi, Wei; Carbone, Francis R.; van Lier, René A. W.; Kallies, Axel; van Gisbergen, Klaas P. J. M.

2016-01-01

Tissue-resident memory T (Trm) cells permanently localize to portals of pathogen entry, where they provide immediate protection against reinfection. To enforce tissue retention, Trm cells up-regulate CD69 and down-regulate molecules associated with tissue egress; however, a Trm-specific

Changes in medicine: residency

Directory of Open Access Journals (Sweden)

Robbins RA

2011-07-01

Full Text Available No abstract available. Article truncated at 150 words. The most important time in a physician’s educational development is residency, especially the first year. However, residency work and responsibility have come under the scrutiny of a host of agencies and bureaucracies, and therefore, is rapidly changing. Most important in the alphabet soup of regulatory agencies is the Accreditation Council for Graduate Medical Education (ACGME which accredits residencies and ultimately makes the governing rules.Resident work hours have received much attention and are clearly decreasing. However, the decline in work hours began in the 1970’s before the present political push to decrease work hours. The residency I entered in 1976 had every third night call during the first year resident’s 6-9 months on general medicine or wards. It had changed from every other night the year before. On wards, we normally were in the hospital for our 24 hours of call and followed this with a 10-12 hour day before …

Communication Received from the Permanent Mission of the United States of America to the International Atomic Energy Agency on Behalf of the Member States of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2012-01-01

The Secretariat has received a note verbale dated 12 October 2012 from the Permanent Mission of the United States of America to the IAEA, on behalf of the Participating Governments of the Nuclear Suppliers Group (NSG). Attached to this letter is an updated version of a paper entitled 'The Nuclear Suppliers Group: Its origins, role and activities.'The original version of this paper was issued as INFCIRC/539 on 15 September 1997: revisions were issued on 17 April 2000, 16 September 2003 and 5 November 2009 [es

Communication Received from the Permanent Mission of the United States of America to the International Atomic Energy Agency on Behalf of the Member States of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2012-01-01

The Secretariat has received a note verbale dated 12 October 2012 from the Permanent Mission of the United States of America to the IAEA, on behalf of the Participating Governments of the Nuclear Suppliers Group (NSG). Attached to this letter is an updated version of a paper entitled 'The Nuclear Suppliers Group: Its origins, role and activities.'The original version of this paper was issued as INFCIRC/539 on 15 September 1997: revisions were issued on 17 April 2000, 16 September 2003 and 5 November 2009

Effect of premature loss of deciduous canines and molars on malocclusion of the permanent dentition.

Science.gov (United States)

Miyamoto, W; Chung, C S; Yee, P K

1976-01-01

The effect of the premature loss of deciduous canines and first and second molars on malocclusion of the permanent dentition was studied in 255 schoolchildren 11 years of age or older at the most recent examination of the permanent dentition. Malocclusion was evaluated by scoring malalignment (major and minor) and measurement of crowding in the anterior teeth. Children who had a premature loss of one or more canines or molars had a higher frequency of receiving orthodontic treatment of one type or another for the permanent dentition. The likelihood of need of treatment increased with the number of prematurely lost teeth. Children who had lost one or more deciduous teeth through age 9 had a greater than threefold increase in the frequency of orthodontic treatment relative to the control. Of those who did not receive orthodontic treatment, there was no detectable relationship of the premature loss of canines with the malalignment of permanent teeth. However, there was a significant effect of the premature extraction of molars on malalignment especially major malalignment of permanent teeth. No differences were noted in their effects between the first and second deciduous molars. Crowding of the anterior teeth was directly affected by the premature loss of deciduous canines.

Depression and cognitive impairment among newly admitted nursing home residents in the USA.

Science.gov (United States)

Ulbricht, Christine M; Rothschild, Anthony J; Hunnicutt, Jacob N; Lapane, Kate L

2017-11-01

The objective of this study is to describe the prevalence of depression and cognitive impairment among newly admitted nursing home residents in the USA and to describe the treatment of depression by level of cognitive impairment. We identified 1,088,619 newly admitted older residents between 2011 and 2013 with an active diagnosis of depression documented on the Minimum Data Set 3.0. The prevalence of receiving psychiatric treatment was estimated by cognitive impairment status and depression symptoms. Binary logistic regression using generalized estimating equations provided adjusted odds ratios and 95% confidence intervals for the association between level of cognitive impairment and receipt of psychiatric treatment, adjusted for clustering of residents within nursing homes and resident characteristics. Twenty-six percent of newly admitted residents had depression; 47% of these residents also had cognitive impairment. Of those who had staff assessments of depression, anhedonia, impaired concentration, psychomotor disturbances, and irritability were more commonly experienced by residents with cognitive impairment than residents without cognitive impairment. Forty-eight percent of all residents with depression did not receive any psychiatric treatment. Approximately one-fifth of residents received a combination of treatment. Residents with severe cognitive impairment were less likely than those with intact cognition to receive psychiatric treatment (adjusted odds ratio = 0.95; 95% confidence interval: 0.93-0.98). Many newly admitted residents with an active diagnosis of depression are untreated, potentially missing an important window to improve symptoms. The extent of comorbid cognitive impairment and depression and lack of treatment suggest opportunities for improved quality of care in this increasingly important healthcare setting. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Mixed messages: residents' experiences learning cross-cultural care.

Science.gov (United States)

Park, Elyse R; Betancourt, Joseph R; Kim, Minah K; Maina, Angela W; Blumenthal, David; Weissman, Joel S

2005-09-01

An Institute of Medicine report issued in 2002 cited cross-cultural training as a mechanism to address racial and ethnic disparities in health care, but little is known about residents' training and capabilities to provide quality care to diverse populations. This article explores a select group of residents' perceptions of their preparedness to deliver quality care to diverse populations. Seven focus groups and ten individual interviews were conducted with 68 residents in locations nationwide. Qualitative analysis of focus-group and individual interview transcripts was performed to assess residents' perceptions of (1) preparedness to deliver care to diverse patients; (2) educational climate; and (3) training experiences. Most residents in this study noted the importance of cross-cultural care yet reported little formal training in this area. Residents wanted more formal training yet expressed concern that culture-specific training could lead to stereotyping. Most residents had developed ad hoc, informal skills to care for diverse patients. Although residents perceived institutional endorsement, they sensed it was a low priority due to lack of time and resources. Residents in this study reported receiving mixed messages about cross-cultural care. They were told it is important, yet they received little formal training and did not have time to treat diverse patients in a culturally sensitive manner. As a result, many developed coping behaviors rather than skills based on formally taught best practices. Training environments need to increase training to enhance residents' preparedness to deliver high-quality cross-cultural care if the medical profession is to achieve the goals set by the Institute of Medicine.

How Residents Learn From Patient Feedback: A Multi-Institutional Qualitative Study of Pediatrics Residents' Perspectives.

Science.gov (United States)

Bogetz, Alyssa L; Orlov, Nicola; Blankenburg, Rebecca; Bhavaraju, Vasudha; McQueen, Alisa; Rassbach, Caroline

2018-04-01

Residents may view feedback from patients and their families with greater skepticism than feedback from supervisors and peers. While discussing patient and family feedback with faculty may improve residents' acceptance of feedback and learning, specific strategies have not been identified. We explored pediatrics residents' perspectives of patient feedback and identified strategies that promote residents' reflection on and learning from feedback. In this multi-institutional, qualitative study conducted in June and July 2016, we conducted focus groups with a purposive sample of pediatrics residents after their participation in a randomized controlled trial in which they received written patient feedback and either discussed it with faculty or reviewed it independently. Focus group transcripts were audiorecorded, transcribed, and analyzed for themes using the constant comparative approach associated with grounded theory. Thirty-six of 92 (39%) residents participated in 7 focus groups. Four themes emerged: (1) residents valued patient feedback but felt it may lack the specificity they desire; (2) discussing feedback with a trusted faculty member was helpful for self-reflection; (3) residents identified 5 strategies faculty used to facilitate their openness to and acceptance of patient feedback (eg, help resident overcome emotional responses to feedback and situate feedback in the context of lifelong learning); and (4) residents' perceptions of feedback credibility improved when faculty observed patient encounters and solicited feedback on the resident's behalf prior to discussions. Discussing patient feedback with faculty provided important scaffolding to enhance residents' openness to and reflection on patient feedback.

Perception of physicians about medical education received during their Nephrology residency training in Peru.

Science.gov (United States)

Herrera-Añazco, Percy; Bonilla-Vargas, Luis; Hernandez, Adrian V; Silveira-Chau, Manuela

2015-01-01

In Peru there are different hospitals and university programs for training of specialists in nephrology. To assess the perception of physicians who attend such programs. We carried out a descriptive cross-sectional national-level study in physicians who were in the last two years of nephrology training during February 2012 and who had graduated from it in 2010 and 2011. A self-applied questionnaire was developed along with the Peruvian Society of Nephrology based on international standards. The questionnaire evaluated: mentoring, clinical training, procedures, external rotations, research and global perception. Forty doctors were surveyed nationwide. 82.5% had tutors, 22.5% of them said their support was poor. A 27.5% described their theoretical formation as deficient. The practical training was perceived as acceptable globally; however, improvements in training on peritoneal dialysis and reading kidney transplant biopsies are necessary. A 90% have national external rotations and 65% reported to have an international rotation. In the assessment of research, 77.5% thought this is deficient. In addition, 82.5% believed that residency should last four years. However, 60% reported that their residency training was good. There is a decrease in the positive perception of the aspects studied among residents regarding graduates. The overall perception of nephrology residency training was considered good; however, areas of tutoring, and academic and research activities on average were deficient.

Communication Received from the Permanent Mission of the Netherlands regarding Certain Member States' Guidelines for the Export of Nuclear Material, Equipment and Technology

International Nuclear Information System (INIS)

2011-12-01

The Agency has received a Note Verbale from the Permanent Mission of the Kingdom of the Netherlands, dated 12 July 2011, in which it requests that the Agency circulate to all Member States a letter of 12 July 2011 from the Chairman of the Nuclear Suppliers Group, Ambassador Piet de Klerk, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belarus, Belgium, Brazil, Bulgaria, Canada, China, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Kazakhstan, Republic of Korea, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, providing further information on those Governments' Guidelines for Nuclear Transfers [es

Communication Received from the Permanent Mission of the Netherlands regarding Certain Member States' Guidelines for the Export of Nuclear Material, Equipment and Technology

International Nuclear Information System (INIS)

2011-01-01

The Agency has received a Note Verbale from the Permanent Mission of the Kingdom of the Netherlands, dated 12 July 2011, in which it requests that the Agency circulate to all Member States a letter of 12 July 2011 from the Chairman of the Nuclear Suppliers Group, Ambassador Piet de Klerk, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belarus, Belgium, Brazil, Bulgaria, Canada, China, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Kazakhstan, Republic of Korea, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, providing further information on those Governments' Guidelines for Nuclear Transfers

The basic data for residents aged 16 years or older who received a comprehensive health check examinations in 2011-2012 as a part of the Fukushima Health Management Survey after the great East Japan earthquake.

Science.gov (United States)

Kawasaki, Yukihiko; Hosoya, Mitsuaki; Yasumura, Seiji; Ohira, Tetsuya; Satoh, Hiroaki; Suzuki, Hitoshi; Sakai, Akira; Ohtsuru, Akira; Takahashi, Atsushi; Ozasa, Kotaro; Kobashi, Gen; Kamiya, Kenji; Yamashita, Shunichi; Abe, Masafumi

2014-01-01

To assist in the long-term health management of residents and evaluate health impacts after the Tokyo Electric Power Company's Fukushima Daiichi Nuclear Power Plant accident in Fukushima Prefecture, the Fukushima prefectural government decided to conduct the Fukushima Health Management Survey. This report describes the results for residents aged 16 years or older who received the health check examinations and evaluates the data obtained from 2011 and 2012. The target group consisted of residents aged 16 years or older who had lived in the evacuation zone. The health check examinations were performed on receipt of an application for a health check examination from any of the residents. The examinations, including measurements of height, weight, abdominal circumference/body mass index (BMI), blood pressure, biochemical laboratory findings, and peripheral blood findings, were performed as required. 1) A total of 56,399 (30.9%) and 47,009 (25.4%) residents aged 16 years or older received health checks in 2011 and 2012, respectively. 2) In both years, a number of male and female residents in the 16-39 year age group were found to suffer obesity, hyperlipidemia, hyperuricemia, or liver dysfunction, and the prevalence of obesity and hyperlipidemia among residents increased with age. Furthermore, the proportion of residents with hypertension, glucose metabolic abnormalities or renal dysfunction was higher in those aged 40 years or older. 3) The frequencies of obesity, hypertension and hyperlipidemia among residents in 2012 were lower than those in 2011. However, the prevalence of liver dysfunction, hyperuricemia, glucose metabolic abnormalities and renal dysfunction among residents was higher in 2012 than in 2011. These results suggested the number of residents who had lived in the evacuation zone with obesity, hyperlipidemia, hyperuricemia, liver dysfunction, hypertension, glucose metabolic abnormalities, or renal dysfunction increased with age in all age groups

The permanent process

DEFF Research Database (Denmark)

Møller, Jesper; McCullagh, Peter

We extend the boson process first to a large class of Cox processes and second an even larger class of infinitely divisible point processes. Density and moment results are studied in detail. These results are obtained in closed form as weighted permanents, so the extension is called a permanent...... process. Temporal extensions and a particularly tractable case of the permanent process are also studied. Extensions of the ferminon process along similar lines, leading to so-called determinant processes, are discussed at the end. While the permanent process is attractive, the determinant process...

Training Pediatric Residents to Provide Smoking Cessation Counseling to Parents

Directory of Open Access Journals (Sweden)

Rebecca L. Collins

2005-01-01

Full Text Available The objective was to assess the effectiveness of a smoking cessation educational program on pediatric residents' counseling. Residents were randomly selected to receive the intervention. Residents who were trained were compared to untrained residents. Self-reported surveys and patient chart reviews were used. Measures included changes in self-reported knowledge, attitudes and behaviors of residents, and differences in chart documentation and caretaker-reported physician counseling behaviors. The intervention was multidimensional including a didactic presentation, a problem-solving session, clinic reminders, and provision of patient education materials. Results showed that residents who were trained were more likely to ask about tobacco use in their patients' households. They were also more likely to advise caretakers to cut down on or to quit smoking, to help set a quit date, and to follow up on the advice given at a subsequent visit. Trained residents were more likely to record a history of passive tobacco exposure in the medical record. These residents also reported improved confidence in their counseling skills and documented that they had done such counseling more often than did untrained residents. Caretakers of pediatric patients who smoke seen by intervention residents were more likely to report that they had received tobacco counseling. Following this intervention, pediatric residents significantly improved their behaviors, attitudes, and confidence in providing smoking cessation counseling to parents of their pediatric patients.

Communication dated 12 March 2009 received from the Permanent Missions of China, France, Germany, Russia, the United Kingdom and the United States of America regarding a joint statement on Iran's nuclear programme

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 12 March 2009 from the Permanent Missions of China, France, Germany, Russia, the United Kingdom and the United States of America, transmitting to the attention of all Member States of the IAEA a joint statement on Iran's nuclear programme, delivered at the March Board of Governors meeting. As requested in that communication, the attached statement is herewith circulated for the information of all Member States

Communication dated 5 September 2005 received from the Permanent Mission of the United Kingdom of Great Britain and Northern Ireland to the Agency concerning a letter from the Government of the United Kingdom to the Secretary General of the League of Arab States

International Nuclear Information System (INIS)

2005-01-01

The Secretariat has received a Note Verbale dated 5 September 2005 from the Permanent Mission of the United Kingdom, attaching a letter dated 31 August 2005 from the Minister of State at the Foreign and Commonwealth Office to the Secretary General of the League of Arab States. In the light of the request expressed by the Permanent Mission of the United Kingdom in that Note Verbale, the Note Verbale and the attached letter are hereby circulated for the information of all Member States

Assessing and counseling the obese patient: Improving resident obesity counseling competence.

Science.gov (United States)

Iyer, Shwetha; Jay, Melanie; Southern, William; Schlair, Sheira

To evaluate obesity counseling competence among residents in a primary care training program METHODS: We delivered a 3h obesity curriculum to 28 Primary Care residents and administered a pre-curriculum and post curriculum survey looking specifically at self-assessed obesity counseling competence. Nineteen residents completed both the pre curriculum survey and the post curriculum survey. The curriculum had a positive impact on residents' ability to ascertain patient's stage of change, use different methods to obtain diet history (including 24h recall, food record or food frequency questionnaire), respond to patient's questions regarding treatment options, assist patients in setting realistic goals for weight loss based on making permanent lifestyle changes, and use of motivational interviewing to change behavior. When looking at the 5As domains, there was a significant improvement in the domains of Assess, Advise, and Assist. The proportion of residents with a lower level of self-assessed obesity counseling competence reduced from 75% before the curriculum to 37.5% (p=0.04) after the curriculum. Our curriculum addressing weight loss counseling using the 5As model increased obesity counseling competence among residents in a primary care internal medicine residency program. Copyright © 2018 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

Money matters: a resident curriculum for financial management.

Science.gov (United States)

Mizell, Jason S; Berry, Katherine S; Kimbrough, Mary Katherine; Bentley, Frederick R; Clardy, James A; Turnage, Richard H

2014-12-01

A 2005 survey reported 87% of surgery program directors believed practice management training should occur during residency. However, only 8% of program directors believed residents received adequate training in practice management [1]. In addition to the gap in practice financial management knowledge, we recognized the need for training in personal finance among residents. A literature review and needs assessment led to the development of a novel curriculum for surgery residents combining principles of practice management and personal finance. An 18-h curriculum was administered over the 2012 academic year to 28 post graduate year 1-5 surgery residents and faculty. A self-assessment survey was given at the onset and conclusion of the curriculum [2]. Pre-tests and post-tests were given to objectively evaluate each twice monthly session's content. Self-perception of learning, interest, and acquired knowledge were analyzed using the Wilcoxon signed ranks test. Initial self-assessment data revealed high interest in practice management and personal finance principles but a deficiency in knowledge of and exposure to these topics. Throughout the curriculum, interest increased. Residents believed their knowledge of these topics increased after completing the curriculum, and objective data revealed various impacts on knowledge. Although surgery residents receive less exposure to these topics than residents in other specialties, their need to know is no less. We developed, implemented, and evaluated a curriculum that bridged this gap in surgery education. After the curriculum, residents reported an increase in interest, knowledge, and responsible behavior relating to personal and practice financial management. Copyright © 2014 Elsevier Inc. All rights reserved.

A neural substrate for object permanence in monkey inferotemporal cortex.

Science.gov (United States)

Puneeth, N C; Arun, S P

2016-08-03

We take it for granted that objects continue to exist after being occluded. This knowledge - known as object permanence - is present even in childhood, but its neural basis is not fully understood. Here, we show that monkey inferior temporal (IT) neurons carry potential signals of object permanence even in animals that received no explicit behavioral training. We compared two conditions with identical visual stimulation: the same object emerged from behind an occluder as expected following its occlusion, or unexpectedly after occlusion of a different object. Some neurons produced a larger (surprise) signal when the object emerged unexpectedly, whereas other neurons produced a larger (match) signal when the object reappeared as expected. Neurons carrying match signals also reinstated selective delay period activity just before the object emerged. Thus, signals related to object permanence are present in IT neurons and may arise through an interplay of memory and match computations.

[Development of RF coil of permanent magnet mini-magnetic resonance imager and mouse imaging experiments].

Science.gov (United States)

Hou, Shulian; Xie, Huantong; Chen, Wei; Wang, Guangxin; Zhao, Qiang; Li, Shiyu

2014-10-01

In the development of radio frequency (RF) coils for better quality of the mini-type permanent magnetic resonance imager for using in the small animal imaging, the solenoid RF coil has a special advantage for permanent magnetic system based on analyses of various types.of RF coils. However, it is not satisfied for imaging if the RF coils are directly used. By theoretical analyses of the magnetic field properties produced from the solenoid coil, the research direction was determined by careful studies to raise further the uniformity of the magnetic field coil, receiving coil sensitivity for signals and signal-to-noise ratio (SNR). The method had certain advantages and avoided some shortcomings of the other different coil types, such as, birdcage coil, saddle shaped coil and phased array coil by using the alloy materials (from our own patent). The RF coils were designed, developed and made for keeled applicable to permanent magnet-type magnetic resonance imager, multi-coil combination-type, single-channel overall RF receiving coil, and applied for a patent. Mounted on three instruments (25 mm aperture, with main magnetic field strength of 0.5 T or 1.5 T, and 50 mm aperture, with main magnetic field strength of 0.48 T), we performed experiments with mice, rats, and nude mice bearing tumors. The experimental results indicated that the RF receiving coil was fully applicable to the permanent magnet-type imaging system.

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

International Nuclear Information System (INIS)

2009-01-01

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

Leadership and business education in orthopaedic residency training programs.

Science.gov (United States)

Kiesau, Carter D; Heim, Kathryn A; Parekh, Selene G

2011-01-01

Leadership and business challenges have become increasingly present in the practice of medicine. Orthopaedic residency programs are at the forefront of educating and preparing orthopaedic surgeons. This study attempts to quantify the number of orthopaedic residency programs in the United States that include leadership or business topics in resident education program and to determine which topics are being taught and rate the importance of various leadership characteristics and business topics. A survey was sent to all orthopaedic department chairpersons and residency program directors in the United States via e-mail. The survey responses were collected using a survey collection website. The respondents rated the importance of leadership training for residents as somewhat important. The quality of character, integrity, and honesty received the highest average rating among 19 different qualities of good leaders in orthopaedics. The inclusion of business training in resident education was also rated as somewhat important. The topic of billing and coding received the highest average rating among 14 different orthopaedically relevant business topics. A variety of topics beyond the scope of clinical practice must be included in orthopaedic residency educational curricula. The decreased participation of newly trained orthopaedic surgeons in leadership positions and national and state orthopaedic organizations is concerning for the future of orthopaedic surgery. Increased inclusion of leadership and business training in resident education is important to better prepare trainees for the future.

37 CFR 1.412 - The United States Receiving Office.

Science.gov (United States)

2010-07-01

... Information § 1.412 The United States Receiving Office. (a) The United States Patent and Trademark Office is a Receiving Office only for applicants who are residents or nationals of the United States of America. (b) The... “United States Receiving Office” or by the abbreviation “RO/US.” (c) The major functions of the Receiving...

Communication received from the Resident Representative of the Russian Federation to the Agency transmitting the text of the Statement of the President of the Russian Federation on the Peaceful Use of Nuclear Energy

International Nuclear Information System (INIS)

2006-01-01

The Agency has received a communication dated 30 January 2006 from the Resident Representative of the Russian Federation, attaching a statement by the President of the Russian Federation on the peaceful use of nuclear energy delivered at the meeting of the Interstate Council of the Eurasian Economic Community on 25 January 2006. The communication from the Resident Representative and, as requested therein, its attachment, are herewith circulated for the information of Member States

Do immigrants from Turkey, Pakistan and Yugoslavia receive adequate medical treatment with beta-blockers and statins after acute myocardial infarction compared with Danish-born residents? A register-based follow-up study

DEFF Research Database (Denmark)

Hempler, Nana Folmann; Diderichsen, Finn; Larsen, Finn Breinholt

2010-01-01

We undertook a study investigating whether immigrants from Turkey, Pakistan and Yugoslavia received adequate medical treatment with beta-blockers and statins after acute myocardial infarction (AMI) when compared with Danish-born residents and explored whether associations between patient origin...

Racial differences in dementia care among nursing home residents.

Science.gov (United States)

Sengupta, Manisha; Decker, Sandra L; Harris-Kojetin, Lauren; Jones, Adrienne

2012-06-01

This article aims to describe potential racial differences in dementia care among nursing home residents with dementia. Using data from the 2004 National Nursing Home Survey (NNHS) in regression models, the authors examine whether non-Whites are less likely than Whites to receive special dementia care--defined as receiving special dementia care services or being in a dementia special care unit (SCU)--and whether this difference derives from differences in resident or facility characteristics. The authors find that non-Whites are 4.3 percentage points less likely than Whites to receive special dementia care. The fact that non-Whites are more likely to rely on Medicaid and less likely to pay out of pocket for nursing home care explains part but not all of the difference. Most of the difference is due to the fact that non-Whites reside in facilities that are less likely to have special dementia care services or dementia care units, particularly for-profit facilities and those in the South.

The Question of Decalage Between Object Permanence and Person Permanence

Science.gov (United States)

And Others; Jackson, Elaine

1978-01-01

Presents a study of decalage between object permanence and person permanence. Decalage was influenced by environmental as well as stimulus factors with infants tested between 6- and 81/4-months/of-age. (BD)

THE BASIC DATA FOR RESIDENTS AGED 15 YEARS OR YOUNGER WHO RECEIVED A COMPREHENSIVE HEALTH CHECK IN 2011-2012 AS A PART OF THE FUKUSHIMA HEALTH MANAGEMENT SURVEY AFTER THE GREAT EAST JAPAN EARTHQUAKE.

Science.gov (United States)

Kawasaki, Yukihiko; Hosoya, Mitsuaki; Yasumura, Seiji; Ohira, Tetsuya; Satoh, Hiroaki; Suzuki, Hitoshi; Sakai, Akira; Ohtsuru, Akira; Takahashi, Atsushi; Ozasa, Kotaro; Kobashi, Gen; Kamiya, Kenji; Yamashita, Shunichi; Abe, Masafumi

2015-01-01

To assist in the long-term health management of residents and evaluate the health impacts after the Tokyo Electric Power Company's Fukushima Daiichi Nuclear Power Plant accident in Fukushima Prefecture, the Fukushima prefectural government decided to implement the Fukushima Health Management Survey. This report describes the results for residents aged 15 years or younger who received health checks and evaluates the data obtained from 2011 and 2012. The target group consisted of residents aged 15 years or younger who had lived in the evacuation zone. The health checks were performed on receipt of an application from any of the residents. The checks, which included the measurements of height, weight, blood pressure, biochemical laboratory findings, and peripheral blood findings, were performed as required. 1) A total of 17,934 (64.5%) and 11,780 (43.5%) residents aged 15 years or younger received health checks in 2011 and 2012, respectively. 2) In both years, a number of male and female residents in the 7-15 year age group were found to suffer from obesity, hyperlipidemia, hyperuricemia, or liver dysfunction. Furthermore, pediatric aged 15 years or younger were commonly observed to suffer from hypertension or glucose metabolic abnormalities. 3) A comparison of data from 2012 and 2011 demonstrated that both males and females frequently showed increased body height and decreased body weight in 2012. The prevalence of hypertension, glucose metabolic abnormalities, or high γ-GTP values in males and females in the 7-15 year age group in 2012 was lower than that in 2011. However, the prevalence of hyperuricemia among residents in the 7-15 year age group was higher in 2012 than in 2011. These results suggested that some residents aged 15 years or under who had lived in the evacuation zone had developed obesity, hyperlipidemia, hyperuricemia, liver dysfunction, hypertension, or glucose metabolic abnormalities. Therefore, we think that it is necessary to continue the health

Essure Permanent Birth Control

Science.gov (United States)

... Prosthetics Essure Permanent Birth Control Essure Permanent Birth Control Share Tweet Linkedin Pin it More sharing options ... Print Essure is a a permanently implanted birth control device for women (female sterilization). Implantation of Essure ...

Communication from the Permanent Mission of Israel to the International Atomic Energy Agency regarding nuclear export controls

International Nuclear Information System (INIS)

2004-01-01

The Director General of the International Atomic Energy Agency has received a letter dated 13 July 2004 from the Permanent Mission of Israel providing information on Israel's nuclear export policies and practices. As requested by the Permanent Mission, the letter and document attached to it are reproduced herein for the information of Member States

Communication dated 12 August 2005 received from the Resident Representative of Yemen to the Agency concerning a letter from the Secretary General of the League of Arab States to the Director General

International Nuclear Information System (INIS)

2005-01-01

The Secretariat has received a letter dated 12 August 2005 from the Resident Representative of Yemen attaching a letter dated 8 August 2005 from Mr. Amre Moussa, Secretary General of the League of Arab States, to the Director General. In the light of the request expressed by the Resident Representative of Yemen in his letter of 12 August 2005, his letter and the letter of the Secretary General of the League of Arab States are attached for the information of all Member States

Communication received from the permanent mission of Austria regarding the provision of certain additional information on production, inventories and international transfers of nuclear material and on exports of certain relevant equipment and non-nuclear material

International Nuclear Information System (INIS)

1996-01-01

The Director General received a note verbale of 13 June 1996 from Permanent Mission of Austria regarding the provision of certain additional information on production, inventories and international transfers of nuclear material and on exports of certain relevant equipment and non-nuclear material. In the light of the request expressed at the end of the note verbale, the text of the note verbale is being circulated

Communication received from the permanent mission of Finland regarding the provision of certain additional information on production, inventories and international transfers of nuclear material and on exports of certain relevant equipment and non-nuclear material

International Nuclear Information System (INIS)

1996-01-01

The Director General received a note verbale of 8 February 1996 from Permanent Mission of Finland regarding the provision of certain additional information on production, inventories and international transfers of nuclear material and on exports of certain relevant equipment and non-nuclear material. In the light of the request expressed at the and of the note verbale, the text of the note verbale is being circulated

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

International Nuclear Information System (INIS)

2009-01-01

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

2003 survey of Canadian radiation oncology residents

International Nuclear Information System (INIS)

Yee, Don; Fairchild, Alysa; Keyes, Mira; Butler, Jim; Dundas, George

2005-01-01

Purpose: Radiation oncology's popularity as a career in Canada has surged in the past 5 years. Consequently, resident numbers in Canadian radiation oncology residencies are at all-time highs. This study aimed to survey Canadian radiation oncology residents about their opinions of their specialty and training experiences. Methods and Materials: Residents of Canadian radiation oncology residencies that enroll trainees through the Canadian Resident Matching Service were identified from a national database. Residents were mailed an anonymous survey. Results: Eight of 101 (7.9%) potential respondents were foreign funded. Fifty-two of 101 (51.5%) residents responded. A strong record of graduating its residents was the most important factor residents considered when choosing programs. Satisfaction with their program was expressed by 92.3% of respondents, and 94.3% expressed satisfaction with their specialty. Respondents planning to practice in Canada totaled 80.8%, and 76.9% plan to have academic careers. Respondents identified job availability and receiving adequate teaching from preceptors during residency as their most important concerns. Conclusions: Though most respondents are satisfied with their programs and specialty, job availability and adequate teaching are concerns. In the future, limited time and resources and the continued popularity of radiation oncology as a career will magnify the challenge of training competent radiation oncologists in Canada

The effects of impacted premaxillary supernumerary teeth on permanent incisors

Energy Technology Data Exchange (ETDEWEB)

Jung, Yun Hoa; Kim, Ji Yeon; Cho, Bong Hae [School of Dentistry, Pusan National University, Yangsan (Korea, Republic of)

2016-12-15

The aim of this study was to examine the radiographic features associated with impacted premaxillary supernumerary teeth, to determine the relationship between their characteristics and their effects on permanent incisors, and to investigate the types of orthodontic treatment that patients received after the extraction of impacted supernumerary teeth. The clinical records and radiographs of 193 patients whose impacted premaxillary supernumerary teeth were removed were retrospectively reviewed, and 241 impacted supernumerary teeth were examined. Cone-beam computed tomographic images and panoramic radiographs were examined to determine the number, location, sagittal position, orientation, and morphology of the supernumerary teeth. Their effects on permanent incisors and the orthodontic treatment received by patients after the extraction of the supernumeraries were also investigated. Supernumerary teeth were most frequently observed in the central incisor region, in the palatal position, in the inverted orientation, and were most commonly conical in shape. The most common complication was median diastema, followed by displacement and delayed eruption of the adjacent incisors. Ten (71.4%) of the 14 odontomas showed delayed eruption of the adjacent incisors. Displacement of the incisors was more frequently observed in association with supernumerary teeth with tuberculate or supplemental shapes. Orthodontic traction was most frequently performed after the removal of odontomas. In 32 cases (13.3%), permanent incisors erupted after the orthodontic creation of sufficient space. Median diastema was most common complication. The delayed eruption of incisors was common in supernumerary teeth with a vertical orientation and an odontoma shape.

The effects of impacted premaxillary supernumerary teeth on permanent incisors

International Nuclear Information System (INIS)

Jung, Yun Hoa; Kim, Ji Yeon; Cho, Bong Hae

2016-01-01

The aim of this study was to examine the radiographic features associated with impacted premaxillary supernumerary teeth, to determine the relationship between their characteristics and their effects on permanent incisors, and to investigate the types of orthodontic treatment that patients received after the extraction of impacted supernumerary teeth. The clinical records and radiographs of 193 patients whose impacted premaxillary supernumerary teeth were removed were retrospectively reviewed, and 241 impacted supernumerary teeth were examined. Cone-beam computed tomographic images and panoramic radiographs were examined to determine the number, location, sagittal position, orientation, and morphology of the supernumerary teeth. Their effects on permanent incisors and the orthodontic treatment received by patients after the extraction of the supernumeraries were also investigated. Supernumerary teeth were most frequently observed in the central incisor region, in the palatal position, in the inverted orientation, and were most commonly conical in shape. The most common complication was median diastema, followed by displacement and delayed eruption of the adjacent incisors. Ten (71.4%) of the 14 odontomas showed delayed eruption of the adjacent incisors. Displacement of the incisors was more frequently observed in association with supernumerary teeth with tuberculate or supplemental shapes. Orthodontic traction was most frequently performed after the removal of odontomas. In 32 cases (13.3%), permanent incisors erupted after the orthodontic creation of sufficient space. Median diastema was most common complication. The delayed eruption of incisors was common in supernumerary teeth with a vertical orientation and an odontoma shape

Permanences GAG-EPA

CERN Document Server

GAC-EPA

2015-01-01

Le GAC organise chaque mois des permanences avec entretiens individuels. La prochaine permanence se tiendra le : Mardi 5 mai de 13 h 30 à 16 h 00 Salle de réunion de l’Association du personnel Les permanences suivantes auront lieu les mardis 2 juin, 1er septembre, 6 octobre, 3 novembre et 1er décembre 2015. Les permanences du Groupement des Anciens sont ouvertes aux bénéficiaires de la Caisse de pensions (y compris les conjoints survivants) et à tous ceux qui approchent de la retraite. Nous invitons vivement ces derniers à s’associer à notre groupement en se procurant, auprès de l’Association du personnel, les documents nécessaires.

Communication received from the Resident Representative of Italy on behalf of the European Community

International Nuclear Information System (INIS)

1988-11-01

The document reproduces the text of a Note Verbale dated 20 October 1988 from the Permanent Mission of Spain stating that the Government of Spain has also adopted the common policy declaration adopted on 20 November 1984 by the Ministries for Foreign Affairs of the then ten Members of the European Community (INFCIRC/322) concerning the transfers of nuclear material, equipment and technology between the Member States of the Community

Where Do Patients With Cancer in Iowa Receive Radiation Therapy?

Science.gov (United States)

Ward, Marcia M.; Ullrich, Fred; Matthews, Kevin; Rushton, Gerard; Tracy, Roger; Goldstein, Michael A.; Bajorin, Dean F.; Kosty, Michael P.; Bruinooge, Suanna S.; Hanley, Amy; Jacobson, Geraldine M.; Lynch, Charles F.

2014-01-01

Purpose: Multiple studies have shown survival benefits in patients with cancer treated with radiation therapy, but access to treatment facilities has been found to limit its use. This study was undertaken to examine access issues in Iowa and determine a methodology for conducting a similar national analysis. Patients and Methods: All Iowa residents who received radiation therapy regardless of where they were diagnosed or treated were identified through the Iowa Cancer Registry (ICR). Radiation oncologists were identified through the Iowa Physician Information System (IPIS). Radiation facilities were identified through IPIS and classified using the Commission on Cancer accreditation standard. Results: Between 2004 and 2010, 113,885 invasive cancers in 106,603 patients, 28.5% of whom received radiation treatment, were entered in ICR. Mean and median travel times were 25.8 and 20.1 minutes, respectively, to the nearest facility but 42.4 and 29.1 minutes, respectively, to the patient's chosen treatment facility. Multivariable analysis predicting travel time showed significant relationships for disease site, age, residence location, and facility category. Residents of small and isolated rural towns traveled nearly 3× longer than urban residents to receive radiation therapy, as did patients using certain categories of facilities. Conclusion: Half of Iowa patients could reach their nearest facility in 20 minutes, but instead, they traveled 30 minutes on average to receive treatment. The findings identified certain groups of patients with cancer who chose more distant facilities. However, other groups of patients with cancer, namely those residing in rural areas, had less choice, and some had to travel considerably farther to radiation facilities than urban patients. PMID:24443730

Pain and pharmacologic pain management in long-stay nursing home residents.

Science.gov (United States)

Hunnicutt, Jacob N; Ulbricht, Christine M; Tjia, Jennifer; Lapane, Kate L

2017-06-01

Previous studies estimate that >40% of long-stay nursing home (NH) residents experience persistent pain, with 20% of residents in pain receiving no analgesics. Strengthened NH surveyor guidance and improved pain measures on the Minimum Data Set 3.0 were introduced in March 2009 and October 2010, respectively. This study aimed to provide estimates after the important initiatives of (1) prevalence and correlates of persistent pain; and (2) prevalence and correlates of untreated or undertreated persistent pain. We identified 1,387,405 long-stay residents in U.S. NHs between 2011 and 2012 with 2 Minimum Data Set assessments 90 days apart. Pain was categorized as persistent (pain on both assessments), intermittent (pain on either assessment), or none. Pharmacologic pain management was classified as untreated pain (no scheduled or as needed medications received) or potentially undertreated (no scheduled received). Modified Poisson models adjusting for resident clustering within NHs provided adjusted prevalence ratios (APRs) estimates and 95% confidence intervals (CIs). The prevalence of persistent and intermittent pain was 19.5% and 19.2%, respectively, but varied substantially by age, sex, race and ethnicity, cognitive impairment, and cancer. Of residents in persistent pain, 6.4% and 32.0% were untreated and undertreated, respectively. Racial and ethnic minorities (non-Hispanic blacks vs whites, APR = 1.19, 95% CI: 1.13-1.25) and severely cognitively impaired residents (severe vs no/mild APR = 1.51, 95% CI: 1.44-1.57) had an increased prevalence of untreated and undertreated pain. One in 5 NH residents has persistent pain. Although this estimate is greatly improved, many residents may be undertreated. The disturbing disparities in untreated and undertreated pain need to be addressed.

Psychotherapy Training: Residents' Perceptions and Experiences.

Science.gov (United States)

Kovach, Jessica G; Dubin, William R; Combs, Christopher J

2015-10-01

This survey examined actual training hours in psychotherapy modalities as reported by residents, residents' perceptions of training needs, and residents' perceptions of the importance of different aspects of psychotherapy training. A brief, voluntary, anonymous, Internet-based survey was developed. All 14 program directors for Accreditation Council for Graduate Medical Education accredited programs in Pennsylvania, New Jersey, and Delaware provided email addresses for current categorical residents. The survey inquired about hours of time spent in various aspects of training, value assigned to aspects of training, residents' involvement in their own psychotherapy, and overall resident wellness. The survey was e-mailed to 328 residents. Of the 328 residents contacted, 133 (40.5%) responded. Median reported number of PGY 3 and 4 performed versus perceived ideal hours of supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy did not differ. Answers for clinical time utilizing these modalities ranged from "none or less than 1 h" per month to 20+ h per month. PGY 3 and 4 residents reported a median of "none or less than 1 h" per month performed of interpersonal, dialectical behavior therapy, couples/family/group, and child therapies but preferred more time using these therapies. Residents in all years of training preferred more hours of didactic instruction for all psychotherapies and for medication management. Residents ranked teaching modalities in the following order of importance: supervision, hours of psychotherapy performed, personal psychotherapy, readings, and didactic instruction. Residents engaged in their own psychotherapy were significantly more likely to rank the experiential aspects of psychotherapy training (personal psychotherapy, supervision, and hours performed) higher than residents not in psychotherapy. Current psychotherapy training for psychiatry residents is highly variable, but overall, residents want more

Conceptual design for the Waste Receiving And Processing facility Module 2A

International Nuclear Information System (INIS)

1992-07-01

This Conceptual Design Report (CDR) for the Waste Receiving and Processing (WRAP) Module 2A facility. The mission of the WRAP Module 2A facility is to receive, process, package, certify, and ship for permanent burial at the Hanford site disposal facilities those contact handled (CH) low-level radioactive mixed wastes (LLMW) that: (1) are currently in retrievable storage at the Hanford Central Waste Complex (HCWC) awaiting a treatment capability to permit permanent disposal compliant with the Land Disposal Restrictions and; (2) are forecasted to be generated over the next 30 years. This volume provides the detailed cost estimate for the WRAP 2A facility. Included in this volume is the project construction schedule

Communication dated 19 January 2009 received from the Resident Representative of the Kingdom of Saudi Arabia on behalf of the Council of Ambassadors of Arab States Members of the Agency

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a communication dated 19 January 2009 from the Resident Representative of the Kingdom of Saudi Arabia in Vienna on behalf of the Council of Ambassadors of Arab States Members of the Agency. The communication, as requested therein, is circulated herewith for information of all Member States

Survey of emergency medicine resident debt status and financial planning preparedness.

Science.gov (United States)

Glaspy, Jeffrey N; Ma, O John; Steele, Mark T; Hall, Jacqueline

2005-01-01

Most resident physicians accrue significant financial debt throughout their medical and graduate medical education. The objective of this study was to analyze emergency medicine resident debt status, financial planning actions, and educational experiences for financial planning and debt management. A 22-item questionnaire was sent to all 123 Accreditation Council on Graduate Medical Education-accredited emergency medicine residency programs in July 2001. Two follow-up mailings were made to increase the response rate. The survey addressed four areas of resident debt and financial planning: 1) accrued debt, 2) moonlighting activity, 3) financial planning/debt management education, and 4) financial planning actions. Descriptive statistics were used to analyze the data. Survey responses were obtained from 67.4% (1,707/2,532) of emergency medicine residents in 89 of 123 (72.4%) residency programs. Nearly one half (768/1,707) of respondents have accrued more than 100,000 dollars of debt. Fifty-eight percent (990/1,707) of all residents reported that moonlighting would be necessary to meet their financial needs, and more than 33% (640/1,707) presently moonlight to supplement their income. Nearly one half (832/1,707) of residents actively invested money, of which online trading was the most common method (23.3%). Most residents reported that they received no debt management education during residency (82.1%) or medical school (63.7%). Furthermore, 79.1% (1,351/1,707) of residents reported that they received no financial planning lectures during residency, although 84.2% (1,438/1,707) reported that debt management and financial planning education should be available during residency. Most emergency medicine residency programs do not provide their residents with financial planning education. Most residents have accrued significant debt and believe that more financial planning and debt management education is needed during residency.

Canadian residents' perceived manager training needs.

Science.gov (United States)

Stergiopoulos, Vicky; Lieff, Susan; Razack, Saleem; Lee, A Curtis; Maniate, Jerry M; Hyde, Stacey; Taber, Sarah; Frank, Jason R

2010-01-01

Despite widespread endorsement for administrative training during residency, teaching and learning in this area remains intermittent and limited in most programmes. To inform the development of a Manager Train-the-Trainer program for faculty, the Royal College of Physicians and Surgeons of Canada undertook a survey of perceived Manager training needs among postgraduate trainees. A representative sample of Canadian specialty residents received a web-based questionnaire in 2009 assessing their perceived deficiencies in 13 Manager knowledge and 11 Manager skill domains, as determined by gap scores (GSs). GSs were defined as the difference between residents' perceived current and desired level of knowledge or skill in selected Manager domains. Residents' educational preferences for furthering their Manager knowledge and skills were also elicited. Among the 549 residents who were emailed the survey, 199 (36.2%) responded. Residents reported significant gaps in most knowledge and skills domains examined. Residents' preferred educational methods for learning Manager knowledge and skills included workshops, web-based formats and interactive small groups. The results of this national survey, highlighting significant perceived gaps in multiple Manager knowledge and skills domains, may inform the development of Manager curricula and faculty development activities to address deficiencies in training in this important area.

3-D analysis of eddy current in permanent magnet of interior permanent magnet motors

International Nuclear Information System (INIS)

Kawase, Yoshihiro; Yamaguchi, Tadashi; Fukanaga, Hiromu; Ito, Shokichi

2002-01-01

Interior permanent magnet motors are widely used in various fields. However, in high-speed operations, it is important to decrease the eddy current loss in the permanent magnet. In order to decrease the eddy current loss, we propose to divide the permanent magnet. In this paper, we clarified the effect of division of permanent magnet on the eddy current loss using the 3-D finite element method. (Author)

Comparison of torque capability of three-phase permanent magnet synchronous motors with different permanent magnet arrangement

International Nuclear Information System (INIS)

Stumberger, Bojan; Stumberger, Gorazd; Hadziselimovic, Miralem; Hamler, Anton; Gorican, Viktor; Jesenik, Marko; Trlep, Mladen

2007-01-01

The paper presents a comparison of torque capability of three-phase permanent magnet synchronous motors with different permanent magnet arrangement. Motors with the following permanent magnet topologies were accounted for in the comparison: the surface-mounted permanent magnet synchronous motor (SMPMSM), the interior permanent magnet synchronous motor (IPMSM), the permanent magnet-assisted synchronous reluctance motor (PMASRM) and the flux reversal permanent magnet motor (FRPMM). Finite element method analysis is employed to determine the performance of each motor. Calculated performance of four-pole IPMSM determined by finite element method calculation is confirmed with the measurements at nearly constant nominal output power in the range of speed 3000-10,000 rpm

Communication dated 2 April 2009 received from the Permanent Missions of the Russian Federation and the United States of America regarding a joint statement by Russian President Dmitry Medvedev and U.S. President Barack Obama

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 2 April 2009 from the Permanent Missions of the Russian Federation and the United States of America, transmitting to the attention of all Member States of the IAEA a joint statement by Russian President Dmitry Medvedev and U.S. President Barack Obama issued on 1 April 2009. As requested in that communication, the attached statement is herewith circulated for the information of all Member States

Communication received from the Permanent Mission of Sweden regarding the provision of certain additional information on production, inventories and international transfers of nuclear material and on exports of certain relevant equipment and non-nuclear material

International Nuclear Information System (INIS)

1996-01-01

The document reproduces the text of a note verbale dated 28 June 1996 received by the Director General of IAEA from the Permanent Mission of Sweden through which the Government of Sweden provides, on a voluntary basis, certain additional information on production, inventories and international transfers of nuclear material and on exports of certain relevant equipment and non-nuclear material, in order to assist the Agency in the discharge of its safeguards responsibilities

FRENCH RESIDENCE PERMITS FOR NATIONALS OF COUNTRIES WITHIN THE EUROPEAN ECONOMIC AREA

CERN Multimedia

Relations with the Host States Service; Tel. 72848

2002-01-01

All persons not of French nationality who reside in France for more than three months consecutively, or who, in the case of repeated visits, are effectively present in France for more than three months in any six-month period, must obtain a residence permit. With this in view, the French Ministry of Foreign Affairs issues members of the CERN personnel and their family members with a legitimation document equivalent to a residence permit (Carte spéciale FI or AT, Carte d'assimilé à un membre de mission diplomatique; hereafter: «MFA card»). However, a special procedure applies to persons with permanent resident status (c.f. announcement CERN/DSU-DO/RH/10306 published in March 2001 in CERN Weekly Bulletin No. 11/2001 and which can also be consulted on the Web pages of the Relations with the Host States Service). The Ministry of Foreign Affairs has informed CERN that henceforth, a member of the personnel's family members who wish to take up gainful employment i...

Permanent quadrupole magnets

International Nuclear Information System (INIS)

Bush, E.D. Jr.

1976-01-01

A family of quadrupole magnets using a soft iron return yoke and circular cross-section permanent magnet poles were fabricated to investigate the feasibility for use in ion or electron beam focusing applications in accelerators and transport lines. Magnetic field measurements yielded promising results. In fixed-field applications, permanent magnets with sufficient gradients would be a low cost substitute for conventional electromagnets, eliminating the need for power supplies, associated wiring, and cooling. Based on preliminary tests, it was seen that permanent quadrupole magnets can offer a low cost, reliable solution in applications requiring small, fixed-field focusing devices for use in ion or electron-beam transport systems. Permanent magnets do require special considerations in design, fabrication, handling, and service that are different than encountered in conventional quadrupole magnets. If these basic conditions are satisfied, the resulting beam-focusing device would be stable, maintenance free, with virtually an indefinite lifetime

Spoke permanent magnet machine with reduced torque ripple and method of manufacturing thereof

Science.gov (United States)

Reddy, Patel Bhageerath; EL-Refaie, Ayman Mohamed Fawzi; Huh, Kum-Kang; Alexander, James Pellegrino

2016-03-15

An internal permanent magnet machine includes a rotor assembly having a shaft comprising a plurality of protrusions extending radially outward from a main shaft body and being formed circumferentially about the main shaft body and along an axial length of the main shaft body. A plurality of stacks of laminations are arranged circumferentially about the shaft to receive the plurality of protrusions therein, with each stack of laminations including a plurality of lamination groups arranged axially along a length of the shaft and with permanent magnets being disposed between the stacks of laminations. Each of the laminations includes a shaft protrusion cut formed therein to receive a respective shaft protrusion and, for each of the stacks of laminations, the shaft protrusion cuts formed in the laminations of a respective lamination group are angularly offset from the shaft protrusion cuts formed in the laminations in an adjacent lamination group.

Permanent I-125 interstitial implant in the management of high grade CNS malignancies in children

International Nuclear Information System (INIS)

Vaishampayan, N.; Zamorano, L.; Aronin, P.; Gaspar, L.; Canady, A.; Lattin, P.; Ezzell, G.; Yakar, D.; Chungbin, S.; Fontanesi, J.

1996-01-01

Purpose/Objective: To evaluate the efficacy and complications associated with the use of permanent I-125 interstitial implants in children with high grade CNS malignancies. Materials and Methods: Between May of 1990 and September of 1994, fourteen children received permanent I-125 interstitial implant brachytherapy as initial therapy (n=8) or at time of recurrence (n=6). Histologies included Glioblastoma Multiforme (n=2), Anaplastic Astrocytoma (n=9) and others (n=3). Pre-implant surgical procedures included: Gross Total Resection (n=2), Subtotal Resection (n=8) or Biopsy alone (n=4). Six patients received pre-implant external beam irradiation (dose range 3,500-6500 cGy) and three patients received post-implant external beam irradiation (dose range 5,040-5,060 cGy). Implant dose range was 8,294-10,368 cGy over the lifetime of the implant (median 10,368 cGy). Results: At last follow-up (median 17.5 months; range 4-56 months), eight children were alive. Six out of the eight had no evidence of disease progression while the remaining had radiologic evidence of progression. Implant complications (n=2) included skin necrosis and bone flap infection. Conclusions: Based on this initial review, we continue to investigate the use of permanent I-125 interstitial brachytherapy in the treatment of high grade CNS malignancies in children and will discuss and compare these results with those of other 'Boost' series

Communication dated 26 November 2004 received from the Permanent Representatives of France, Germany, the Islamic Republic of Iran and the United Kingdom concerning the agreement signed in Paris on 15 November 2004

International Nuclear Information System (INIS)

2004-01-01

The Director General has received a letter dated 26 November 2004 from the Permanent Representatives of France, Germany, the Islamic Republic of Iran and the United Kingdom, attaching the text of the agreement signed by the Governments of France, Germany, the United Kingdom of Great Britain and Northern Ireland with the support of the High Representative of the European Union, and the Islamic Republic of Iran, in Paris on 15 November 2004. The letter and, as requested therein, the text of the agreement, is reproduced herewith for the information of Member States

Resident duty hours in Canada: a survey and national statement.

Science.gov (United States)

Masterson, Mark F; Shrichand, Pankaj; Maniate, Jerry M

2014-01-01

Physicians in general, and residents in particular, are adapting to duty schedules in which they have fewer continuous work hours; however, there are no Canadian guidelines on duty hours restrictions. To better inform resident duty hour policy in Canada, we set out to prepare a set of recommendations that would draw upon evidence reported in the literature and reflect the experiences of resident members of the Canadian Association of Internes and Residents (CAIR). A survey was prepared and distributed electronically to all resident members of CAIR. A total of 1796 eligible residents participated in the survey. Of those who responded, 38% (601) reported that they felt they could safely provide care for up to 16 continuous hours, and 20% (315) said that 12 continuous hours was the maximum period during which they could safely provide care (n=1592). Eighty-two percent (1316) reported their perception that the quality of care they had provided suffered because of the number of consecutive hours worked (n=1598). Only 52% (830) had received training in handover (n=1594); those who had received such training reported that it was commonly provided through informal modelling. On the basis of these data and the existing literature, CAIR recommends that resident duty hours be managed in a way that does not endanger the health of residents or patients; does not impair education; is flexible; and does not violate ethical or legal standards. Further, residents should be formally trained in handover skills and alternative duty hour models.

Gender Bias in Nurse Evaluations of Residents in Obstetrics and Gynecology.

Science.gov (United States)

Galvin, Shelley L; Parlier, Anna Beth; Martino, Ellen; Scott, Kacey Ryan; Buys, Elizabeth

2015-10-01

We examined the evaluations given by nurses to obstetrics and gynecology residents to estimate whether gender bias was evident. Women receive more negative feedback and evaluations than men-from both sexes. Some suggest that, to be successful in traditionally male roles such as surgeon, women must manifest a warmth-related (communal) rather than competence-related (agentic) demeanor. Compared with male residents, female residents experience more interpersonal difficulties and less help from female nurses. We examined feedback provided to residents by female nurses. We examined Professional Associate Questionnaires (2006-2014) using a mixed-methods design. We compared scores per training year by gender using Mann-Whitney and linear regression adjusting for resident and nurse cohorts. Using grounded theory analysis, we developed a coding system for blinded comments based on principles of effective feedback, medical learners' evaluation, and impression management. χ examined the proportions of negative and positive and communal and agentic comments between genders. We examined 2,202 evaluations: 397 (18%) for 10 men and 1,805 (82%) for 34 women. Twenty-three compliments (eg, "Great resident!") were excluded. Evaluations per training year varied: men n=77-134; women n=384-482. Postgraduate year (PGY)-1, PGY-2, and PGY-4 women had lower mean ratings (Pwomen received disproportionately fewer positive and more negative agentic comments than PGY-1 men (positive=17.3% compared with 40%, negative=17.3% compared with 3.3%, respectively; P=.041). Evidence of gender bias in evaluations emerged; albeit subtle, women received harsher feedback as lower-level residents than men. Training in effective evaluation and gender bias management is warranted.

A comparison of surgery and family medicine residents' perceptions of cross-cultural care training.

Science.gov (United States)

Chun, Maria B J; Jackson, David S; Lin, Susan Y; Park, Elyse R

2010-12-01

The need for physicians formally trained to deliver care to diverse patient populations has been widely advocated. Utilizing a validated tool, Weissman and Betancourt's Cross-Cultural Care Survey, the aim of this current study was to compare surgery and family medicine residents' perceptions of their preparedness and skillfulness to provide high quality cross-cultural care. Past research has documented differences between the two groups' reported impressions of importance and level of instruction received in cross-cultural care. Twenty surgery and 15 family medicine residents participated in the study. Significant differences were found between surgery and family medicine residents on most ratings of the amount of training they received in cross-cultural skills. Specifically, family medicine residents reported having received more training on: 1) determining how patients want to be addressed, 2) taking a social history, 3) assessing their understanding of the cause of illness, 4) negotiating their treatment plan, 5) assessing whether they are mistrustful of the health care system and÷or doctor, 6) identifying cultural customs, 7) identifying how patients make decisions within the family, and 8) delivering services through a medical interpreter. One unexpected finding was that surgery residents, who reported not receiving much formal cultural training, reported higher mean scores on perceived skillfulness (i.e. ability) than family medicine residents. The disconnect may be linked to the family medicine residents' training in cultural humility - more knowledge and understanding of cross-cultural care can paradoxically lead to perceptions of being less prepared or skillful in this area. Hawaii Medical Journal Copyright 2010.

Communication of 19 June 1997 received from the resident representative of the United Kingdom of Great Britain and Northern Ireland to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1997-07-01

The document reproduces the text of a letter dated 19 June 1997 received by the Director General of the IAEA from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland, referring to the Revised Supplementary Agreement Concerning the Provision of Technical Assistance by the International Atomic Energy Agency to the Government of the United Kingdom of Great Britain and Northern Ireland on behalf of the Government of Hong Kong done at Vienna on 4 February 1983

Communication of 1 October 2009 received from the Resident Representative of Hungary to the Agency on behalf of the Participating Governments of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a letter dated 1 October 2009 from the Resident Representative of Hungary to the Agency on behalf of the Participating Governments of the Nuclear Suppliers Group. Attached to this letter is an updated version of a paper entitled 'The Nuclear Suppliers Group: Its Origins, Role and Activities.' The original version of this paper was issued as INFCIRC/539 on 15 September 1997: revisions were issued on 17 April 2000, 16 September 2003 and 30 May 2005

Communication of 1 October 2009 received from the Resident Representative of Hungary to the Agency on behalf of the Participating Governments of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a letter dated 1 October 2009 from the Resident Representative of Hungary to the Agency on behalf of the Participating Governments of the Nuclear Suppliers Group. Attached to this letter is an updated version of a paper entitled 'The Nuclear Suppliers Group: Its Origins, Role and Activities.' The original version of this paper was issued as INFCIRC/539 on 15 September 1997: revisions were issued on 17 April 2000, 16 September 2003 and 30 May 2005 [es

Permanent Housing for Child Welfare-Involved Families: Impact on Child Maltreatment Overview.

Science.gov (United States)

Fowler, Patrick J; Schoeny, Michael

2017-09-01

A longitudinal randomized controlled trial tested whether access to permanent housing reduces child maltreatment among inadequately housed families under investigation for child abuse and neglect. The study followed homeless and child welfare-involved families randomly assigned to receive a referral for housing subsidies plus housing case management (n = 75, 196 children) or housing case management alone (n = 75, 186 children). Latent growth models examined change in caregiver-reported frequencies of psychological aggression, physical abuse, and neglect toward children at five time points across 2.5 years. Intent-to-treat analyses suggested treatment differences for minor assault and neglect that approached significance; families randomly assigned to permanent housing plus case management exhibited marginally greater declines compared to families referred for housing case management only. Caregiver psychological aggression remained high over time, regardless of treatment condition. No evidence indicated higher risk families benefitted more from permanent housing. Results show some promise of permanent housing and highlight the complex needs of homeless families under investigation for child maltreatment. Findings emphasize the importance of continued involvement from the child welfare system to connect families with important resources. © Society for Community Research and Action 2017.

Motherhood during residency training: challenges and strategies.

Science.gov (United States)

Walsh, Allyn; Gold, Michelle; Jensen, Phyllis; Jedrzkiewicz, Michelle

2005-07-01

To determine what factors enable or impede women in a Canadian family medicine residency program from combining motherhood with residency training. To determine how policies can support these women, given that in recent decades the number of female family medicine residents has increased. Qualitative study using in-person interviews. McMaster University Family Medicine Residency Program. Twenty-one of 27 family medicine residents taking maternity leave between 1994 and 1999. Semistructured interviews. The research team reviewed transcripts of audiotaped interviews for emerging themes; consensus was reached on content and meaning. NVIVO software was used for data analysis. Long hours, unpredictable work demands, guilt because absences from work increase workload for colleagues, and residents' high expectations of themselves cause pregnant residents severe stress. This stress continues upon return to work; finding adequate child care is an added stress. Residents report receiving less support from colleagues and supervisors upon return to work; they associate this with no longer being visibly pregnant. Physically demanding training rotations put additional strain on pregnant residents and those newly returned to work. Flexibility in scheduling rotations can help accommodate needs at home. Providing breaks, privacy, and refrigerators at work can help maintain breastfeeding. Allowing residents to remain involved in academic and clinical work during maternity leave helps maintain clinical skills, build new knowledge, and promote peer support. Pregnancy during residency training is common and becoming more common. Training programs can successfully enhance the experience of motherhood during residency by providing flexibility at work to facilitate a healthy balance among the competing demands of family, work, and student life.

[Part-time residency training in Israel].

Science.gov (United States)

Fishbain, Dana; Levi, Baruch; Borow, Malke; Ashkenazi, Shai; Lindner, Arie

2012-08-01

Full-time work has long been perceived as a cornerstone of medical residency, the consensus being that a resident must apply the bulk of his time and attention to his professional training. Demographic and cultural changes that have taken place over the last several years, specifically the rise in the number of female doctors and the importance of leisure time to the younger generation, have intensified the need to find new and innovative ways to deal with the plight of the resident population. One idea, already in effect in many Western countries, is the institution of part-time residency programs. The possibility of fulfilling residency requirements on a part-time basis is intended to assist medical residents in integrating their professional development with their personal and family life, without compromising the quality of their training. A number of research studies conducted over the last several years in countries that allow part-time residency, among them the United States, England and Switzerland, aimed to examine the quality of part-time training. The various studies evinced a high level of satisfaction from the program both by the residents themselves and their supervisors, and in many aspects those doing residency part-time received higher appraisals than their full-time colleagues. Some of the residents polled noted that they would have totally foregone the practice of medicine had there not been an option to complete residency part-time. In light of the experience throughout the world and the changing landscape in Israel, the Scientific Council of the Israeli Medical Association decided to examine the issue and its various aspects, and weighed all the considerations in favor and against part-time residency. Recently, the Scientific Council approved the launch of a pilot program to allow part-time residency in several fields that were carefully selected according to specific criteria. Once the Ministry of Health completes the LegisLation process, part

8 CFR 1208.15 - Definition of “firm resettlement.”

Science.gov (United States)

2010-01-01

... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Definition of âfirm resettlement.â 1208.15... § 1208.15 Definition of “firm resettlement.” An alien is considered to be firmly resettled if, prior to... received, an offer of permanent resident status, citizenship, or some other type of permanent resettlement...

Resident perceptions of the educational value of night float rotations.

Science.gov (United States)

Luks, Andrew M; Smith, C Scott; Robins, Lynne; Wipf, Joyce E

2010-07-01

Night float rotations are being increasingly used in the era of resident physician work-hour regulations, but their impact on resident education is not clear. Our objective was to clarify resident perceptions of the educational aspects of night float rotations. An anonymous survey of internal medicine residents at a university-based residency program was completed. Responses were received from 116 of 163 surveyed residents (71%). Residents attended less residents' report (0.10 +/- .43 vs. 2.70 + 0.93 sessions/week, peducational value of night float, sleep cycle adjustment issues, and impact on their personal lives, which correlated with resident evaluations from the regular program evaluation process. In free responses, residents commented that they liked the autonomy and opportunity to improve triage skills on these rotations and confirmed their negative opinions about the sleep-wake cycle and interference with personal lives. Internal medicine residents at a university-based program have negative opinions regarding the educational value of night float rotations. Further work is necessary to determine whether problems exist across programs and specialties.

Communication of 12 June 2009 received from the Permanent Missions of Germany and the Russian Federation with regard to a working paper 'Principles of fuel supply guarantees and the multilateralization of fuel cycle activities'

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a communication dated 12 June 2009 from the Permanent Missions of Germany and the Russian Federation, transmitting the text of the working paper 'Principles of fuel supply guarantees and the multilateralization of fuel cycle activities' submitted by Germany and the Russian Federation to the Preparatory Committee for the 2010 Review Conference of the Parties to the Treaty on the Non-Proliferation of Nuclear Weapons. As requested in that communication, the abovementioned paper is herewith circulated for the information of all Member States

Survey of community pharmacy residents' perceptions of transgender health management.

Science.gov (United States)

Leach, Caitlin; Layson-Wolf, Cherokee

2016-01-01

1) To measure the general perceptions and attitudes of community pharmacy residents toward transgender patients and health; 2) to identify gaps in didactic education regarding transgender health care among residents; and 3) to evaluate residents' level of support for pharmacists receiving education in transgender health care. This study was a cross-sectional survey delivered online. Community residency directors were e-mailed a cover letter and a 34-question online survey. The directors were asked to forward the survey to their residents for completion within 4 weeks. Responses were anonymous with no identifiers collected on the survey. Survey responses used a combination of open-response, multiple-choice, and Likert-scale questions aimed at gathering respondents' demographic information, perceptions of managing transgender patients and the need for receiving additional education in transgender health care. Overall, the results of the survey indicated that community pharmacy residents support integrating transgender health management into pharmacy education and recognize that the overwhelming barriers to care for these patients include discrimination and lack of provider knowledge. Significant findings include: 82.7% of community residents think that community pharmacists play an important role in providing care for transgender patients; 98.2% think that they have a responsibility to treat transgender patients; and 71.4% were not educated about transgender patient issues in pharmacy school. Only 36.2% of community residents felt confident in their ability to treat transgender patients. Community pharmacy residents list discrimination and lack of provider knowledge as the major barriers to care for transgender patients. Residents do not feel confident in their ability to treat and manage transgender patients. The majority of residents were not educated about transgender patient issues while in pharmacy school and think that community pharmacists need more education

Can a resident's publication record predict fellowship publications?

Science.gov (United States)

Prasad, Vinay; Rho, Jason; Selvaraj, Senthil; Cheung, Mike; Vandross, Andrae; Ho, Nancy

2014-01-01

Internal medicine fellowship programs have an incentive to select fellows who will ultimately publish. Whether an applicant's publication record predicts long term publishing remains unknown. Using records of fellowship bound internal medicine residents, we analyzed whether publications at time of fellowship application predict publications more than 3 years (2 years into fellowship) and up to 7 years after fellowship match. We calculate the sensitivity, specificity, positive and negative predictive values and likelihood ratios for every cutoff number of application publications, and plot a receiver operator characteristic curve of this test. Of 307 fellowship bound residents, 126 (41%) published at least one article 3 to 7 years after matching, and 181 (59%) of residents do not publish in this time period. The area under the receiver operator characteristic curve is 0.59. No cutoff value for application publications possessed adequate test characteristics. The number of publications an applicant has at time of fellowship application is a poor predictor of who publishes in the long term. These findings do not validate the practice of using application publications as a tool for selecting fellows.

Ambulatory Care Skills: Do Residents Feel Prepared?

Directory of Open Access Journals (Sweden)

Denise Bonds

2002-10-01

Full Text Available Objective: To determine resident comfort and skill in performing ambulatory care skills. Methods: Descriptive survey of common ambulatory care skills administered to internal medicine faculty and residents at one academic medical center. Respondents were asked to rate their ability to perform 12 physical exam skills and 6 procedures, and their comfort in performing 7 types of counseling, and obtaining 6 types of patient history (4 point Likert scale for each. Self-rated ability or comfort was compared by gender, status (year of residency, faculty, and future predicted frequency of use of the skill. Results: Residents reported high ability levels for physical exam skills common to both the ambulatory and hospital setting. Fewer felt able to perform musculoskeletal, neurologic or eye exams easily alone. Procedures generally received low ability ratings. Similarly, residents’ comfort in performing common outpatient counseling was also low. More residents reported feeling very comfortable in obtaining history from patients. We found little variation by gender, year of training, or predicted frequency of use. Conclusion: Self-reported ability and comfort for many common ambulatory care skills is low. Further evaluation of this finding in other training programs is warranted.

8 CFR 216.6 - Petition by entrepreneur to remove conditional basis of lawful permanent resident status.

Science.gov (United States)

2010-01-01

... investment requirement of the statute and continuously maintained his or her capital investment over the two... has, in good faith, substantially met the capital investment requirement of the statute and continuously maintained his or her capital investment over the two years of conditional residence. (iv) The...

Mobile technology in radiology resident education.

Science.gov (United States)

Korbage, Aiham C; Bedi, Harprit S

2012-06-01

The authors hypothesized that ownership of a mobile electronic device would result in more time spent learning radiology. Current trends in radiology residents' studying habits, their use of electronic and printed radiology learning resources, and how much of the funds allotted to them are being used toward printed vs electronic education tools were assessed in this study. A survey study was conducted among radiology residents across the United States from June 13 to July 5, 2011. Program directors listed in the Association of Program Directors in Radiology e-mail list server received an e-mail asking for residents to participate in an online survey. The questionnaire consisted of 12 questions and assessed the type of institution, the levels of training of the respondents, and book funds allocated to residents. It also assessed the residents' study habits, access to portable devices, and use of printed and electronic radiology resources. Radiology residents are adopters of new technologies, with 74% owning smart phones and 37% owning tablet devices. Respondents spend nearly an equal amount of time learning radiology from printed textbooks as they do from electronic resources. Eighty-one percent of respondents believe that they would spend more time learning radiology if provided with tablet devices. There is considerable use of online and electronic resources and mobile devices among the current generation of radiology residents. Benefits, such as more study time, may be obtained by radiology programs that incorporate tablet devices into the education of their residents. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Communication dated 29 June 2009 received from the Permanent Mission of Kazakhstan with regard to a press release to note a commemorative meeting of the 20th anniversary of shutting down of the Semipalatinsk nuclear testing site

International Nuclear Information System (INIS)

2009-01-01

The Secretariat has received a Note Verbale dated 29 June 2009 from the Permanent Mission of Kazakhstan, transmitting the text of a press release to note a commemorative meeting of the 20th anniversary of shutting down of the Semipalatinsk nuclear testing site, which was held in Semipalatinsk, Kazakhstan on 18 June 2009. As requested in that communication, the abovementioned press release is herewith circulated for the information of all Member States

Particle residence times in waters of the Yangtze and Amazon continental shelves

International Nuclear Information System (INIS)

McKee, B.A.; Nittrouer, C.A.; DeMaster, D.J.

1986-01-01

Water column and seabed samples were analyzed for naturally occurring Th-234 to determine particle residence times in Yangtze and Amazon continental-shelf waters. On the Yangtze shelf, the water column was vertically well-mixed and suspended-sediment concentrations decreased offshore (from 230 mg/l near the river mouth to 2 mg/l in mid-shelf waters). Particle residence times increased offshore and ranged from 3.2 hours (12 m water depth) to 7.3 days (60 m water depth). Particle residence times ranged from 3 to 30 times shorter than values predicted by settling of discrete (4-8 micron) particles, suggesting that particles were settling in aggregate form. On the Amazon shelf, a two-layer estuarine flow dominated shelf circulation. Suspended-sediment concentrations on the inner shelf (10-12 m water depth) were much greater in bottom waters (range: 100-880 mg/l) than in surface waters (range 5-60 mg/l) as a result of resuspension. Particle residence times ranged from 1.1 days in surface waters to 2.5 days in bottom waters. Particles probably underwent several cycles of resuspension before permanent removal from the water column

Preparedness of Entering Pediatric Dentistry Residents: Advanced Pediatric Program Directors' and First-Year Residents' Perspectives.

Science.gov (United States)

Rutkauskas, John; Seale, N Sue; Casamassimo, Paul; Rutkauskas, John S

2015-11-01

For children to receive needed oral health care, adequate training at both the predoctoral and postdoctoral levels of dental education is required, but previous studies have found inadequacies in predoctoral education that lead to general dentists' unwillingness to treat certain young populations. As another way of assessing predoctoral preparation, the aim of this study was to determine the perspectives of first-year residents and pediatric program directors about residents' preparedness to enter advanced education programs in pediatric dentistry. Surveys were sent to all 74 U.S. program directors and 360 first-year residents. The survey focused on procedures related to prevention, behavior management, restorative procedures, pulp therapy, sedation, and surgery, as well as treating patients funded by Medicaid and with special health care needs. Among the first-year residents, 173 surveys were returned for a 48% response rate; 61 directors returned surveys for an 82% response rate. Only half of the residents (55%) reported feeling adequately prepared for their first year in residency; less than half cited adequate preparation to place stainless steel crowns (SSCs) (42%) and perform pulpotomies (45%). Far fewer felt adequately prepared to provide treatment for children six months to three years of age, including examinations (29%), infant oral exams (27%), and children with severe caries (37%). The program directors were even less positive about the adequacy of residents' preparation. Only 17% deemed them adequately prepared to place SSCs and 13% to perform pulpotomies. Approximately half reported their first-year residents were inadequately prepared to treat very young children and children with severe caries (55% each). This study found that the perceived inadequacy of predoctoral education in pediatric dentistry was consistent at both the learner and educator levels, supporting previous studies identifying inadequacies in this area.

The Most Common Feedback Themes in Communication Skills Training in an Internal Medicine Residency Program: Lessons from the Resident Audio-Recording Project.

Science.gov (United States)

Han, Heeyoung; Papireddy, Muralidhar Reddy; Hingle, Susan T; Ferguson, Jacqueline Anne; Koschmann, Timothy; Sandstrom, Steve

2018-07-01

Individualized structured feedback is an integral part of a resident's learning in communication skills. However, it is not clear what feedback residents receive for their communication skills development in real patient care. We will identify the most common feedback topics given to residents regarding communication skills during Internal Medicine residency training. We analyzed Resident Audio-recording Project feedback data from 2008 to 2013 by using a content analysis approach. Using open coding and an iterative categorization process, we identified 15 emerging themes for both positive and negative feedback. The most recurrent feedback topics were Patient education, Thoroughness, Organization, Questioning strategy, and Management. The residents were guided to improve their communication skills regarding Patient education, Thoroughness, Management, and Holistic exploration of patient's problem. Thoroughness and Communication intelligibility were newly identified themes that were rarely discussed in existing frameworks. Assessment rubrics serve as a lens through which we assess the adequacy of the residents' communication skills. Rather than sticking to a specific rubric, we chose to let the rubric evolve through our experience.

Investigating the scope of resident patient care handoffs within neurosurgery.

Science.gov (United States)

Babu, Maya A; Nahed, Brian V; Heary, Robert F

2012-01-01

Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs. Survey results were analyzed using tabulations. 449 surveys were completed yielding a 56% response rate. 63% of neurosurgical residents surveyed had not received formal instruction in what constitutes an effective handoff; 24% believe there is high to moderate variability among their co-residents in terms of the quality of the handoff provided; 55% experience three or more interruptions during handoffs on average. 90% of neurosurgical residents surveyed say that handoff most often occurs in a quiet, private area and 56% report a high level of comfort for knowing the potential acute, critical issues affecting a patient when receiving a handoff. There needs to be more focused education devoted to learning effective patient-care handoffs in neurosurgical training programs. Increasingly, handing off a patient adequately and safely is becoming a required skill of residency.

Investigating the scope of resident patient care handoffs within neurosurgery.

Directory of Open Access Journals (Sweden)

Maya A Babu

Full Text Available INTRODUCTION: Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. METHODS: A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs. Survey results were analyzed using tabulations. RESULTS: 449 surveys were completed yielding a 56% response rate. 63% of neurosurgical residents surveyed had not received formal instruction in what constitutes an effective handoff; 24% believe there is high to moderate variability among their co-residents in terms of the quality of the handoff provided; 55% experience three or more interruptions during handoffs on average. 90% of neurosurgical residents surveyed say that handoff most often occurs in a quiet, private area and 56% report a high level of comfort for knowing the potential acute, critical issues affecting a patient when receiving a handoff. CONCLUSIONS: There needs to be more focused education devoted to learning effective patient-care handoffs in neurosurgical training programs. Increasingly, handing off a patient adequately and safely is becoming a required skill of residency.

8 CFR 1216.6 - Petition by entrepreneur to remove conditional basis of lawful permanent resident status.

Science.gov (United States)

2010-01-01

... investment requirement of the statute and continuously maintained his or her capital investment over the two..., substantially met the capital investment requirement of the statute and continuously maintained his or her capital investment over the two years of conditional residence. (iv) The alien created or can be expected...

Career goals and expectations of men and women pharmacy residents.

Science.gov (United States)

King, C M; Oliver, E J; Jeffrey, L P

1982-11-01

Personal and professional characteristics of men and women hospital pharmacy residents were studied to identify differences that could affect future hospital pharmacy practice. Residents in 111 ASHP-accredited pharmacy residency programs received a survey containing questions on demographic information, reasons for selecting a residency, areas of professional interest, postresidency career goals, responsibilities to home and family, and advantages and disadvantages associated with gender. Of 286 residents receiving questionnaires, 226 responded; the percentages of men and women responding corresponded to the ratio of men and women in hospital pharmacy residencies. While men and women expressed educational goals that were not significantly different, more men than women had earned or were in the process of earning advanced degrees. No significant differences were evident between men's and women's plans for marriage and children, but 73% of the women indicated that they would take time out from their practice to raise children, compared with only 9% of the men. The majority of residents did not think their gender affected them in their residency programs, but in professional interactions more men saw gender as an advantage and more women as a disadvantage. Significantly more than women aspired to be hospital pharmacy directors. The results suggest that men are obtaining advanced training closer to the time they graduate from pharmacy school and that in the future women competing for promotions may be older than men competing for comparable positions. Those planning pharmacy staffing should consider the needs of women, and men, who expect to take time out from their careers for family responsibilities and possibly seek part-time positions when they return to the work force.

Permanent magnets including undulators and wigglers

CERN Document Server

Bahrdt, J

2010-01-01

After a few historic remarks on magnetic materials we introduce the basic definitions related to permanent magnets. The magnetic properties of the most common materials are reviewed and the production processes are described. Measurement techniques for the characterization of macroscopic and microscopic properties of permanent magnets are presented. Field simulation techniques for permanent magnet devices are discussed. Today, permanent magnets are used in many fields. This article concentrates on the applications of permanent magnets in accelerators starting from dipoles and quadrupoles on to wigglers and undulators.

Communications received from certain Member States concerning their Policies regarding the Management of Plutonium

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a note verbale, dated 23 January 2007, from the Permanent Mission of Germany to the IAEA; notes verbales, dated 1 February 2007, from Permanent Missions of China, France, Japan, the Russian Federation, Switzerland and the United Kingdom of Great Britain and Northern Ireland to the IAEA; a note verbale, dated 7 February 2007, from the Permanent Mission of the United States of America to the IAEA; and a note verbale, dated 22 October 2008, from the Permanent Mission of Belgium to the IAEA, stating that in order to reflect recent developments with regard to the physical protection of nuclear material, their Governments will apply a revised version of paragraph 7 of the 'Guidelines for the Management of Plutonium' published in document INFCIRC/549 [es

Communication dated 29 May 2006 received from the Resident Representative of the Syrian Arab Republic to the Agency concerning a letter from the Secretary General of the League of Arab States to the Director General

International Nuclear Information System (INIS)

2006-01-01

The Secretariat has received a letter dated 29 May 2006 from the Resident Representative of the Syrian Arab Republic attaching a letter dated 28 May 2006 from Mr. Amre Moussa, Secretary General of the League of Arab States, to the Director General. In the light of the request expressed by the Resident Representative of the Syrian Arab Republic in his letter of 29 May 2006, his letter and the letter of the Secretary General of the League of Arab States are attached for the information of all Member States

Marxism as permanent revolution

NARCIS (Netherlands)

van Ree, E.

2013-01-01

This article argues that the 'permanent revolution' represented the dominant element in Karl Marx and Friedrich Engels' political discourse, and that it tended to overrule considerations encapsulated in 'historical materialism'. In Marx and Engels's understanding, permanent revolution did not

Simulation Activity in Otolaryngology Residencies.

Science.gov (United States)

Deutsch, Ellen S; Wiet, Gregory J; Seidman, Michael; Hussey, Heather M; Malekzadeh, Sonya; Fried, Marvin P

2015-08-01

Simulation has become a valuable tool in medical education, and several specialties accept or require simulation as a resource for resident training or assessment as well as for board certification or maintenance of certification. This study investigates current simulation resources and activities in US otolaryngology residency programs and examines interest in advancing simulation training and assessment within the specialty. Web-based survey. US otolaryngology residency training programs. An electronic web-based survey was disseminated to all US otolaryngology program directors to determine their respective institutional and departmental simulation resources, existing simulation activities, and interest in further simulation initiatives. Descriptive results are reported. Responses were received from 43 of 104 (43%) residency programs. Simulation capabilities and resources are available in most respondents' institutions (78.6% report onsite resources; 73.8% report availability of models, manikins, and devices). Most respondents (61%) report limited simulation activity within otolaryngology. Areas of simulation are broad, addressing technical and nontechnical skills related to clinical training (94%). Simulation is infrequently used for research, credentialing, or systems improvement. The majority of respondents (83.8%) expressed interest in participating in multicenter trials of simulation initiatives. Most respondents from otolaryngology residency programs have incorporated some simulation into their curriculum. Interest among program directors to participate in future multicenter trials appears high. Future research efforts in this area should aim to determine optimal simulators and simulation activities for training and assessment as well as how to best incorporate simulation into otolaryngology residency training programs. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

Effect of Performance Deficiencies on Graduation and Board Certification Rates: A 10-yr Multicenter Study of Anesthesiology Residents.

Science.gov (United States)

Turner, Judi A; Fitzsimons, Michael G; Pardo, Manuel C; Hawkins, Joy L; Huang, Yue Ming; Rudolph, Maria D D; Keyes, Mary A; Howard-Quijano, Kimberly J; Naim, Natale Z; Buckley, Jack C; Grogan, Tristan R; Steadman, Randolph H

2016-07-01

This multicenter, retrospective study was conducted to determine how resident performance deficiencies affect graduation and board certification. Primary documents pertaining to resident performance were examined over a 10-yr period at four academic anesthesiology residencies. Residents entering training between 2000 and 2009 were included, with follow-up through February 2016. Residents receiving actions by the programs' Clinical Competency Committee were categorized by the area of deficiency and compared to peers without deficiencies. A total of 865 residents were studied (range: 127 to 275 per program). Of these, 215 residents received a total of 405 actions from their respective Clinical Competency Committee. Among those who received an action compared to those who did not, the proportion graduating differed (93 vs. 99%, respectively, P graduating dropped to 55%. When more than three Accreditation Council for Graduate Medical Education Core Competencies were deficient, the proportion graduating also dropped significantly. Overall graduation and board certification rates were consistently high in residents with no, or isolated, deficiencies. Residents deficient in an Essential Attribute, or multiple competencies, are at high risk of not graduating or achieving board certification. More research is needed on the effectiveness and selective deployment of remediation efforts, particularly for high-risk groups.

Effect of Performance Deficiencies on Graduation and Board Certification Rates: A 10-Year Multicenter Study of Anesthesiology Residents

Science.gov (United States)

Turner, Judi A.; Fitzsimons, Michael G.; Pardo, Manuel C.; Hawkins, Joy L.; Huang, Yue Ming; Rudolph, Maria D. D.; Keyes, Mary A.; Howard-Quijano, Kimberly J.; Naim, Natale Z.; Buckley, Jack C.; Grogan, Tristan R.; Steadman, Randolph H.

2016-01-01

Background This multi-center, retrospective study was conducted to determine how resident performance deficiencies affect graduation and board certification. Methods Primary documents pertaining to resident performance were examined over a 10-year period at four academic anesthesiology residencies. Residents entering training between 2000 and 2009 were included, with follow-up through February 2016. Residents receiving actions by the programs’ Clinical Competency Committee were categorized by the area of deficiency and compared to peers without deficiencies. Results A total of 865 residents were studied (range: 127–275 per program). Of these, 215 residents received a total of 405 actions from their respective Clinical Competency Committee. Among those who received an action compared to those who did not, the proportion graduating differed (93% versus 99%, respectively, Pgraduating dropped to 55%. When more than three Accreditation Council for Graduate Medical Education core competencies were deficient, the proportion graduating also dropped significantly. Conclusions Overall graduation and board certification rates were consistently high in residents with no, or isolated, deficiencies. Residents deficient in an Essential Attribute, or multiple competencies, are at high risk of not graduating or achieving board certification. More research is needed on the effectiveness and selective deployment of remediation efforts, particularly for high-risk groups. PMID:27119434

General surgery residents' perception of robot-assisted procedures during surgical training.

Science.gov (United States)

Farivar, Behzad S; Flannagan, Molly; Leitman, I Michael

2015-01-01

With the continued expansion of robotically assisted procedures, general surgery residents continue to receive more exposure to this new technology as part of their training. There are currently no guidelines or standardized training requirements for robot-assisted procedures during general surgical residency. The aim of this study was to assess the effect of this new technology on general surgery training from the residents' perspective. An anonymous, national, web-based survey was conducted on residents enrolled in general surgery training in 2013. The survey was sent to 240 Accreditation Council for Graduate Medical Education-approved general surgery training programs. Overall, 64% of the responding residents were men and had an average age of 29 years. Half of the responses were from postgraduate year 1 (PGY1) and PGY2 residents, and the remainder was from the PGY3 level and above. Overall, 50% of the responses were from university training programs, 32% from university-affiliated programs, and 18% from community-based programs. More than 96% of residents noted the availability of the surgical robot system at their training institution. Overall, 63% of residents indicated that they had participated in robotic surgical cases. Most responded that they had assisted in 10 or fewer robotic cases with the most frequent activities being assisting with robotic trocar placement and docking and undocking the robot. Only 18% reported experience with operating the robotic console. More senior residents (PGY3 and above) were involved in robotic cases compared with junior residents (78% vs 48%, p robotic case. Approximately 64% of residents reported that formal training in robotic surgery was important in residency training and 46% of residents indicated that robotic-assisted cases interfered with resident learning. Only 11% felt that robotic-assisted cases would replace conventional laparoscopic surgery in the future. This study illustrates that although the most residents

Surgical resident learning styles: faculty and resident accuracy at identification of preferences and impact on ABSITE scores.

Science.gov (United States)

Kim, Roger H; Gilbert, Timothy; Ristig, Kyle; Chu, Quyen D

2013-09-01

As a consequence of surgical resident duty hour restrictions, there is a need for faculty to utilize novel teaching methods to convey information in a more efficient manner. The current paradigm of surgical training, which has not changed significantly since the time of Halsted, assumes that all residents assimilate information in a similar fashion. However, recent data has shown that learners have preferences for the ways in which they receive and process information. The VARK model categorizes learners as visual (V), aural (A), read/write (R), and kinesthetic (K). The VARK learning style preferences of surgical residents have not been previously evaluated. In this study, the preferred learning styles of general surgery residents were determined, along with faculty and resident perception of resident learning styles. In addition, we hypothesized that American Board of Surgery In-Training Exam (ABSITE) scores are associated with preference for a read/write (R) learning style. The Fleming VARK learning styles inventory was administered to all general surgery residents at a university hospital-based program. Responses on the inventory were scored to determine the preferred learning style for each resident. Faculty members were surveyed to determine their accuracy in identifying the preferred learning style of each resident. All residents were also surveyed to determine their accuracy in identifying their peers' VARK preferences. Resident ABSITE scores were examined for association with preferred learning styles. Twenty-nine residents completed the inventory. Most (18 of 29, 62%) had a multimodal preference, although more than a third (11 of 29, 38%) demonstrated a single-modality preference. Seventy-six percent of all residents (22 of 29) had some degree of kinesthetic (K) learning, while under 50% (14 of 29) were aural (A) learners. Although not significant, dominant (R) learners had the highest mean ABSITE scores. Faculty identified residents' learning styles

Family practice residents' maternity leave experiences and benefits.

Science.gov (United States)

Gjerdingen, D K; Chaloner, K M; Vanderscoff, J A

1995-09-01

A growing number of residents are having babies during residency training. While many businesses are working to improve maternity conditions and benefits for their employees, residency programs are often not prepared to accommodate pregnant residents. This study was conducted to examine the maternity leave experiences of women who delivered infants during their family practice residency training. Program directors from each of the 394 family practice residency programs listed in the 1993 Directory of Family Practice Residency Programs were asked to distribute surveys to female residents who gave birth during their residency training and had returned to work by the time of the study. Of 199 known eligible residents, 171 (86%) completed surveys; these women represented 127 programs located in 36 states and Puerto Rico. Only 56.8% of women were aware of their program having a written maternity leave policy. The average length of maternity leave was 8 weeks; 76% had leaves of 10 weeks or less. For many, the maternity leave was derived from more than one source, including vacation, sick time, or a mother-child elective. Nearly all (88.3%) the women breast-fed, and the mean duration of breast-feeding was more than 19 weeks. In general, participants believed that having a baby during residency was somewhat difficult. Problems frequently encountered by women after their return to work included sleep deprivation and tiredness, difficulty arranging for child care, guilt about child care, and breast-feeding. Factors that detracted most from the childbirth experience were too little sleep, problems arranging for child care, and lack of support from the partner, residency faculty, and other residents. Having a baby during residency is somewhat difficult for the average female resident. Factors that may ease this difficulty include getting adequate sleep and receiving support from one's partner, faculty, and other residents.

Generic Skills Development and Satisfaction with Groupwork among Business Students: Effect of Country of Permanent Residency

Science.gov (United States)

Teo, Stephen T. T.; Segal, Naomi; Morgan, Adam C.; Kandlbinder, Peter; Wang, Karen Y.; Hingorani, Anurag

2012-01-01

Purpose: The purpose of this study is to examine variables explaining students' positive and negative experiences of groupwork and connect country of residence with the perception of generic skills development and self-reported satisfaction with groupwork. It also aims to examine the effect of prior training in groups from the perspective of…

Communication dated 1 November 2006 received from the Permanent Mission of Cuba to the Agency regarding the statement by the Coordinating Bureau of the Non-Aligned Movement on the Nuclear Test Conducted by the Democratic People's Republic of Korea

International Nuclear Information System (INIS)

2006-01-01

The Agency has received a letter to the Director General dated 1 November 2006 from the Resident Representative of Cuba, H.E. Ms. Norma M. Goicochea Estenoz, in her capacity as the Chair of the Vienna Chapter of the Non-Aligned Movement, enclosing a copy of the 'Statement by the Coordinating Bureau of the Non-Aligned Movement on the Nuclear Test Conducted by the Democratic People's Republic of Korea'. The letter and, as requested by the Resident Representative, its enclosure, are reproduced herewith for the information of Member States

Communication dated 25 June 2008 received from the Resident Representative of the United Kingdom to the Agency concerning a letter and offer of 12 June 2008 delivered to the Islamic Republic of Iran

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a communication dated 25 June 2008 from the Resident Representative of the United Kingdom, on behalf of the Resident Representatives of China, France, Germany, the Russian Federation, the United Kingdom and the United States of America, and the Secretary General and High Representative of the European Union, attaching the text of a letter and offer of 12 June 2008 delivered to the authorities of the Islamic Republic of Iran by Mr. Javier Solana, together with a summary of remarks made by Mr. Solana on 14 June 2008. The communication and, as requested therein, its attachments, are herewith circulated for information

The influence of an audience response system on knowledge retention: an application to resident education.

Science.gov (United States)

Pradhan, Archana; Sparano, Dina; Ananth, Cande V

2005-11-01

The purpose of the study was to compare delivery methods of lecture material regarding contraceptive options by either traditional or interactive lecture style with the use of an audience response system with obstetrics and gynecology residents. A prospective, randomized controlled trial that included 17 obstetrics and gynecology residents was conducted. Group differences and comparison of pre/posttest scores to evaluate efficacy of lecture styles were performed with the Student t test. Each participant completed an evaluation to assess usefulness of the audience response system. Residents who received audience response system interactive lectures showed a 21% improvement between pretest and posttest scores; residents who received the standard lecture demonstrated a 2% improvement (P = .018). The evaluation survey showed that 82% of residents thought that the audience response system was a helpful learning aid. The results of this randomized controlled trial demonstrate the effectiveness of audience response system for knowledge retention, which suggests that it may be an efficient teaching tool for residency education.

Permanent quadrupole magnets

International Nuclear Information System (INIS)

Bush, E.D. Jr.

1976-01-01

A family of quadrupole magnets using a soft iron return yoke and circular cross-section permanent magnet poles were fabricated to investigate the feasibility for use in ion or electron beam focusing applications in accelerators and transport lines. Magnetic field measurements yielded promising results. In fixed-field applications, permanent magnets with sufficient gradients would be a low cost substitute for conventional electromagnets, eliminating the need for power supplies, associated wiring, and cooling. (author)

The characteristics of residents with unawareness of hepatitis C virus infection in community.

Directory of Open Access Journals (Sweden)

Pin-Nan Cheng

Full Text Available Control of hepatitis C virus infection (HCV is an increasingly important issue. Enhancing screening coverage is necessary to discover more HCV infected subjects in community. However, a substantial population is unaware of HCV infection that needs more attention.The aims of this study were to evaluate the status of HCV infected residents in remote villages, to compare characteristics between already known and unaware HCV infection subjects, and to analyze the disease insights.Screening intervention for liver diseases was conducted in remote villages of Tainan City of southern Taiwan from August 2014 to July 2016. Items of screening examinations included questionnaire, blood sampling for liver tests and viral hepatitis markers (hepatitis B surface antigen and anti-HCV antibody, abdominal sonography survey, and liver stiffness measurement by transient elastography. Quantitation of HCV RNA was measured for residents with positive anti-HCV antibody.A total of 194 (13.5% out of 1439 participants showed positive for anti-HCV antibody. HCV viremia was detected in 119 (61.3% residents. Previously unaware HCV infection by questionnaire record was present in 68 (35.1% of ant-HCV positive residents. By multivariate logistic analysis, unaware HCV infected residents exhibited significantly mild liver fibrosis (OR 0.876, 95% CI 0.782~0.981, p = 0.022, more prevalent of heart diseases (OR 6.082, 95% CI 1.963~18.839, p = 0.002, and less cluster of family history of liver diseases (OR 0.291, 95% CI 0.113~0.750, p = 0.011 when comparing with already known HCV infected residents. Among the 126 already know HCV infected residents, only 59 (46.8% received antiviral treatment or regular follow-up. No concept or no willing to receive medical care was observed in 44 (34.9% residents.In HCV endemic villages of Taiwan, residents with unaware HCV infection comprised about one third of HCV infected residents and exhibited obscure characteristics to identify. Less than half

Orthopaedic Resident Practice Management and Health Policy Education: Evaluation of Experience and Expectations.

Science.gov (United States)

Stautberg Iii, Eugene F; Romero, Jose; Bender, Sean; DeHart, Marc

2018-04-11

Introduction Practice management and health policy have generally not been considered integral to orthopaedic resident education. Our objective was to evaluate residents' current experience and knowledge, formal training, and desire for further education in practice management and health policy. Methods We developed a 29-question survey that was divided into three sections: practice management, initial employment opportunity, and health policy. Within each section, questions were directed at a resident's current experience and knowledge, formal training, and interest in further education. The survey was distributed at the end of the academic year through an Internet-based survey tool (www.surveymonkey.com) to orthopaedic residents representing multiple programs and all postgraduate years. Results The survey was distributed to 121 residents representing eight residency programs. Of those, 87 residents responded, resulting in a 72% response rate. All postgraduate years were represented. Regarding practice management, 66% had "no confidence" or "some confidence" in coding clinical encounters. When asked if practice models, finance management, and coding should be taught in residency, 95%, 93%, and 97% responded "yes," respectively. When evaluating first employment opportunities, the three most important factors were location, operating room block time, and call. Regarding health policy, 28% were "moderately familiar" or "very familiar" with the Physician Payments Sunshine Act, and 72% were "not familiar" or "somewhat familiar" with bundled payments for arthroplasty. Finally, when asked if yearly lectures in political activities would enhance resident education, 90% responded "yes." Discussion and conclusion Regarding practice management, the survey suggests that current orthopaedic residents are not familiar with basic topics, do not receive formal training, and want further education. The survey suggests that residents also receive minimal training in health policy

Communication of 10 January 2008 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 10 January 2008, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, concerning the export of nuclear material and of certain categories of equipment and other material [fr

Communication of 10 January 2008 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 10 January 2008, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, concerning the export of nuclear material and of certain categories of equipment and other material [es

Communication of 10 January 2008 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 10 January 2008, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, concerning the export of nuclear material and of certain categories of equipment and other material [ru

Efficacy of postoperative prophylactic antibiotics in reducing permanent pacemaker infections.

Science.gov (United States)

Lee, Wen-Huang; Huang, Ting-Chun; Lin, Li-Jen; Lee, Po-Tseng; Lin, Chih-Chan; Lee, Cheng-Han; Chao, Ting-Hsing; Li, Yi-Heng; Chen, Ju-Yi

2017-08-01

Despite limited evidence, postoperative prophylactic antibiotics are often used in the setting of permanent pacemaker implantation or replacement. The aim of this study is to investigate the efficacy of postoperative antibiotics. Postoperative prophylactic antibiotics may be not clinically useful. We recruited 367 consecutive patients undergoing permanent pacemaker implantation or generator replacement at a tertiary referral center. Baseline demographics, clinical characteristics, and procedure information were collected, and all patients received preoperative prophylactic antibiotics. Postoperative prophylactic antibiotics were administered at the discretion of the treating physician, and all patients were seen in follow-up every 3 to 6 months for an average follow-up period of 16 months. The primary endpoint was device-related infection. A total of 110 patients were treated with preoperative antibiotics only (group 1), whereas 257 patients received both preoperative and postoperative antibiotics (group 2). After a mean follow-up period of 16 months, 1 patient in group 1 (0.9%) and 4 patients in group 2 (1.5%) experienced a device-related infection. There was no significant difference in the rate of infection between the 2 groups (P = 0.624). In the univariate analysis, only the age (60 ± 11 vs 75 ± 12 years, P antibiotics had a similar rate of infection as those treated with preoperative antibiotics alone. Further studies are needed to confirm these preliminary findings. © 2017 Wiley Periodicals, Inc.

Communication dated 4 March from the Governor for the Russian Federation and the Resident Representatives of China, France, Germany, the United Kingdom and the United States of America concerning UN Security Council resolution 1803 (2008)

International Nuclear Information System (INIS)

2008-01-01

The Director General has received a letter dated 4 March 2008 from the Governor for the Russian Federation and the Resident Representatives of China, France, Germany, the United Kingdom and the United States of America, attaching the text of a statement agreed by the Foreign Ministers of China, France, Germany, Russia, the United Kingdom and the United States of America, with the support of the High Representative of the European Union and read by the Permanent Representative of the United Kingdom on the occasion of the adoption on 3 March 2008 of United Nations Security Council resolution 1803 (2008). The letter and, as requested therein, the attached text, are herewith circulated for the information of Member States

Communication dated 19 May 2011 received from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency regarding Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants

International Nuclear Information System (INIS)

2011-01-01

The Secretariat has received a letter dated 19 May 2011 from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency, attaching the Proposal for the Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants, as described in document GOV/2011/10. As requested by the Resident Representative, the letter and its attachment are circulated herewith for information of all Member States

Expectations of iPad use in an internal medicine residency program: is it worth the "hype"?

Science.gov (United States)

Luo, Nancy; Chapman, Christopher G; Patel, Bhakti K; Woodruff, James N; Arora, Vineet M

2013-05-08

While early reports highlight the benefits of tablet computing in hospitals, introducing any new technology can result in inflated expectations. The aim of the study is to compare anticipated expectations of Apple iPad use and perceptions after deployment among residents. 115 internal medicine residents received Apple iPads in October 2010. Residents completed matched surveys on anticipated usage and perceptions after distribution 1 month prior and 4 months after deployment. In total, 99% (114/115) of residents responded. Prior to deployment, most residents believed that the iPad would improve patient care and efficiency on the wards; however, fewer residents "strongly agreed" after deployment (34% vs 15% for patient care, PApple iOS product owners were also more likely to use the iPad in key areas. Overall, 84% of residents thought the iPad was a good investment for the residency program, and over half of residents (58%) reported that patients commented on the iPad in a positive way. While the use of tablets such as the iPad by residents is generally well received, high initial expectations highlight the danger of implementing new technologies. Education on the realistic expectations of iPad benefits may be warranted.

Perspective of ophthalmology residents in the United States about residency programs and competency in relation to the International Council of Ophthalmology guidelines.

Science.gov (United States)

Abdelfattah, Nizar Saleh; Radwan, Ahmed E; Sadda, Srinivas R

2016-09-01

To evaluate the perspective of ophthalmology residents in the US about their residency programs and compare the competency of residency programs to international competency levels set by the International Council of Ophthalmology (ICO). A cross-sectional web-based survey extracted from the ICO published competency standards was sent to program directors of ophthalmology residency programs in the US to forward it to current PGY-3, 4 residents, and residency graduates from 2011 to 2014. Eighty-seven responses were received, comprising 61 residents and 26 graduates. Most respondents were highly satisfied with their programs (93.6%). Clinic-based training was rated satisfactorily. Insufficient exposure to low-vision rehabilitation (38.5%), refraction and contact lenses prescription (38.5%), and vitreo-retinal surgeries (38.5%) was reported. Respondents were satisfied with their overall surgical experiences, with the vast majority (>83%) rating case volume, complexity, and variety as satisfactory or better. A significant group stated they had insufficient exposure to extra-capsular cataract extraction (26.3%), refractive surgery (19.7%), and orbital surgery (64.5%). All graduates surveyed passed their Ophthalmic Knowledge Assessment Program (OKAP) examinations, and 72% felt their residency programs adequately prepared them for the examinations. All respondents reported insufficient training in certain nonclinical areas, such as practice management, staffing, and administration skills. Ophthalmology residents in the US express high levels of satisfaction with their residency training programs. While most programs adequately address most ICO core objectives, certain curriculum modifications should be considered.

Communication of 28 February 1995 from the Permanent Mission of Croatia to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1995-01-01

The Director General has received a note verbale of 28 February 1995 from the Permanent Mission of Croatia to the International Atomic Energy Agency providing information on the nuclear export policies and practices of the Government of Croatia

Residents Living in Residential Care Facilities: United States, 2010

Science.gov (United States)

... analyses, the 12% of residents chair-ridden or bedridden were defined as receiving assistance in the transferring ... MD: National Center for Health Statistics. 2011. Mollica R, Sims-Kastelein K, O'Keeffe J. Residential care ...

The Relationship between Stress, Job Performance, and Burnout in College Student Resident Assistants.

Science.gov (United States)

Nowak, Kenneth M.; Hanson, Alan L.

1983-01-01

Examined the relationship of stress, personality characteristics, and cognitive hardiness to job performance, burnout, and physical illness in resident assistants (N=37). Results indicated cognitive hardiness acts as a buffer against burnout and physical illness. Resident assistants rating themselves as Type A received poorer job performance…

Peer-Assisted Analysis of Resident Feedback Improves Clinical Teaching: A Case Report.

Science.gov (United States)

Mai, Christine L; Baker, Keith

2017-07-01

Anesthesiologists play an important role in educating future clinicians. Yet few residency programs incorporate teaching skills into faculty development. Consequently, many anesthesiologists have limited training to supervise and educate residents. In turn, these attendings may receive negative feedback and poor evaluations from residents without a means to effectively improve. Peer-assisted teaching between faculty members may serve as a strategy to improve teaching skills. We report a case of peer-assisted analysis of resident feedback to identify specific areas of concern that were targeted for improvement. This approach resulted in improved teaching scores and feedback for the faculty member.

21 CFR 886.4445 - Permanent magnet.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Permanent magnet. 886.4445 Section 886.4445 Food... DEVICES OPHTHALMIC DEVICES Surgical Devices § 886.4445 Permanent magnet. (a) Identification. A permanent magnet is a nonelectric device that generates a magnetic field intended to find and remove metallic...

Effect of field notes on confidence and perceived competence: survey of faculty and residents.

Science.gov (United States)

Laughlin, Tom; Brennan, Amy; Brailovsky, Carlos

2012-06-01

To evaluate the effectiveness of field notes in assessing teachers' confidence and perceived competence, and the effect of field notes on residents' perceptions of their development of competence. A faculty and resident survey completed 5 years after field notes were introduced into the program. Five Dalhousie University family medicine sites--Fredericton, Moncton, and Saint John in New Brunswick, and Halifax and Sydney in Nova Scotia. First- and second-year family medicine residents (as of May 2009) and core family medicine faculty. Residents' outcome measures included beliefs about the effects of field notes on performance, learning, reflection, clinical skills development, and feedback received. Faculty outcome measures included beliefs about the effect of field notes on guiding feedback, teaching, and reflection on clinical practice. Forty of 88 residents (45.5%) participated. Fifteen of 50 faculty (30.0%) participated, which only permitted a discussion of trends for faculty. Residents believed field note-directed feedback reinforced their performance (81.1%), helped them learn (67.6%), helped them reflect on practice and learning (66.7%), and focused the feedback they received, making it more useful (62.2%) (P note-directed feedback helped with clinical skills development (P notes helped to provide more focused (86.7%) and effective feedback (78.6%), improved teaching (75.0%), and encouraged reflection on their own clinical practice (73.3%). Most surveyed residents believed field note use improved the feedback they received and helped them to develop competence through improved performance, learning, reflection, and clinical skills development. The trends from faculty information suggested faculty believed field notes were an effective teaching, feedback, and reflection tool.

Useful but Different: Resident Physician Perceptions of Interprofessional Feedback.

Science.gov (United States)

Vesel, Travis P; O'Brien, Bridget C; Henry, Duncan M; van Schaik, Sandrijn M

2016-01-01

Phenomenon: Based on recently formulated interprofessional core competencies, physicians are expected to incorporate feedback from other healthcare professionals. Based on social identity theory, physicians likely differentiate between feedback from members of their own profession and others. The current study examined residents' experiences with, and perceptions of, interprofessional feedback. In 2013, Anesthesia, Obstetrics-Gynecology, Pediatrics, and Psychiatry residents completed a survey including questions about frequency of feedback from different professionals and its perceived value (5-point scale). The authors performed an analysis of variance to examine interactions between residency program and profession of feedback provider. They conducted follow-up interviews with a subset of residents to explore reasons for residents' survey ratings. Fifty-two percent (131/254) of residents completed the survey, and 15 participated in interviews. Eighty percent of residents reported receiving written feedback from physicians, 26% from nurses, and less than 10% from other professions. There was a significant interaction between residency program and feedback provider profession, F(21, 847) = 3.82, p feedback provider profession, F(7, 847) = 73.7, p feedback from attending physicians higher than feedback from others, and anesthesia residents rated feedback from other professionals significantly lower than other residents. Ten major themes arose from qualitative data analysis, which revealed an overall positive attitude toward interprofessional feedback and clarified reasons behind residents' perceptions and identified barriers. Insights: Residents in our study reported limited exposure to interprofessional feedback and valued such feedback less than intraprofessional feedback. However, our data suggest opportunities exist for effective utilization of interprofessional feedback.

Prevalence and management of pain, by race and dementia among nursing home residents: United States, 2004.

Science.gov (United States)

Sengupta, Manisha; Bercovitz, Anita; Harris-Kojetin, Lauren D

2010-03-01

Data from the National Nursing Home Survey, 2004. About one-quarter of all nursing home residents reported or showed signs of pain. Nonwhite residents and residents with dementia were less likely to report or show signs of pain compared with white residents and residents without dementia. Nonwhite residents with dementia were least likely, and white residents without dementia were most likely to report or show signs of pain. Forty-four percent of nursing home residents with pain received neither standing orders for pain medication nor special services for pain management (i.e., appropriate pain management). Among residents with dementia and pain, nonwhite residents were more likely than white residents to lack appropriate pain management.

[Permanent education in health: a review].

Science.gov (United States)

Miccas, Fernanda Luppino; Batista, Sylvia Helena Souza da Silva

2014-02-01

To undertake a meta-synthesis of the literature on the main concepts and practices related to permanent education in health. A bibliographical search was conducted for original articles in the PubMed, Web of Science, LILACS, IBECS and SciELO databases, using the following search terms: "public health professional education", "permanent education", "continuing education", "permanent education health". Of the 590 articles identified, after applying inclusion and exclusion criteria, 48 were selected for further analysis, grouped according to the criteria of key elements, and then underwent meta-synthesis. The 48 original publications were classified according to four thematic units of key elements: 1) concepts, 2) strategies and difficulties, 3) public policies and 4) educational institutions. Three main conceptions of permanent education in health were found: problem-focused and team work, directly related to continuing education and education that takes place throughout life. The main strategies for executing permanent education in health are discussion, maintaining an open space for permanent education , and permanent education clusters. The most limiting factor is mainly related to directly or indirect management. Another highlight is the requirement for implementation and maintenance of public policies, and the availability of financial and human resources. The educational institutions need to combine education and service aiming to form critical-reflexive graduates. The coordination between health and education is based as much on the actions of health services as on management and educational institutions. Thus, it becomes a challenge to implement the teaching-learning processes that are supported by critical-reflexive actions. It is necessary to carry out proposals for permanent education in health involving the participation of health professionals, teachers and educational institutions. To undertake a meta-synthesis of the literature on the main concepts and

Predicting need for orthognathic surgery in early permanent dentition patients with unilateral cleft lip and palate using receiver operating characteristic analysis.

Science.gov (United States)

Yun-Chia Ku, Michelle; Lo, Lun-Jou; Chen, Min-Chi; Wen-Ching Ko, Ellen

2018-03-01

The purpose of this study was to predict the need for orthognathic surgery in patients with unilateral cleft lip and palate (UCLP) in the early permanent dentition. In this retrospective cohort study, we included 61 patients with complete UCLP (36 male, 25 female; mean age, 18.47 years; range, 16.92-26.17 years). The subjects were grouped into an orthognathic surgery group and a nonsurgery group at the time of growth completion. Lateral cephalograms obtained at the age of 11 years were analyzed to compare the 2 groups. The receiver operating characteristic analysis was applied to predict the probability of the need for orthognathic surgery in early adulthood by using the measurements obtained at the age of 11 years. SNB, ANB, SN, overbite, overjet, maxillary length, mandibular body length, and L1-MP were found to be significantly different between the 2 groups. For a person with a score of 2 in the 3-variable-based criteria, the sensitivity and specificity for determining the need for surgical treatment were 90.0% and 83.9%, respectively (ANB, ≤-0.45°; overjet, ≤-2.00 mm; maxillary length, ≤47.25 mm). Three cephalometric variables, the minimum number of discriminators required to obtain the optimum discriminant effectiveness, predicted the future need for orthognathic surgery with an accuracy of 86.9% in patients with UCLP. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Interest in Providing Multiple Sclerosis Care and Subspecializing in Multiple Sclerosis Among Neurology Residents

Science.gov (United States)

Teixeira-Poit, Stephanie; Kane, Heather L.; Frost, A. Corey; Keating, Michael; Olmsted, Murrey

2014-01-01

Background: Although detailed knowledge regarding treatment options for multiple sclerosis (MS) patients is largely limited to neurologists, shortages in the neurologist workforce, including MS subspecialists, are predicted. Thus, MS patients may have difficulties in gaining access to appropriate care. No systematic evaluation has yet been performed of the number of neurology residents planning to pursue MS subspecialization. This study identifies factors affecting interest in providing MS patient care or MS subspecialization among current neurology residents. Methods: We randomly selected half of all Accreditation Council of Graduate Medical Education–certified neurology residency programs in the continental United States to receive the neurology resident survey. Completed surveys were received from 218 residents. Results: Residents were significantly more likely to have increased interest in MS care when they participated in MS research, were interested in teaching, and indicated that the “ability to improve patient outcomes and quality of life” was a positive factor influencing their desire to provide MS patient care. Residents who were interested in providing MS care, interested in teaching, and indicated that “research opportunities” was a positive factor for providing MS patient care were significantly more likely to express interest in MS subspecialization. Conclusions: Increasing opportunities to interact with MS patients, learn about MS care, and participate in MS research may increase interest in MS care and subspecialization among neurology residents. Opportunities to educate residents regarding MS patient care may affect residents’ attitudes. PMID:24688352

Observer Variability and the Performance between Faculties and Residents: US Criteria for Benign and Malignant Thyroid Nodules

International Nuclear Information System (INIS)

Kim, Sung Hun; Park, Chang Suk; Jung, So Lyung

2010-01-01

To evaluate the interobserver variability and performance in the interpretation of ultrasonographic (US) findings of thyroid nodules. 72 malignant nodules and 61 benign nodules were enrolled as part of this study. Five faculty radiologists and four residents independently performed a retrospective analysis of the US images. The observers received one training session after the first interpretation and then performed a secondary interpretation. Agreement was analyzed by Cohen's kappa statistic. Degree of performance was analyzed using receiver operating characteristic (ROC) curves. Agreement between the faculties was fair-to-good for all criteria; however, between residents, agreement was poor-to-fair. The area under the ROC curves was 0.72, 0.62, and 0.60 for the faculties, senior residents, and junior residents, respectively. There was a significant difference in performance between the faculties and the residents (p < 0.05). There was a significant increase in the agreement for some criteria in the faculties and the senior residents after the training session, but no significant increase in the junior residents. Independent reporting of thyroid US performed by residents is undesirable. A continuous and specialized resident training is essential to enhance the degree of agreement and performance

Communication dated 19 May 2011 received from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency regarding Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants

International Nuclear Information System (INIS)

2011-01-01

The Secretariat has received a letter dated 19 May 2011 from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency, attaching the Proposal for the Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants, as described in document GOV/2011/10. As requested by the Resident Representative, the letter and its attachment are circulated herewith for information of all Member States [es

Periodic permanent magnet focused klystron

Science.gov (United States)

Ferguson, Patrick; Read, Michael; Ives, R Lawrence

2015-04-21

A periodic permanent magnet (PPM) klystron has beam transport structures and RF cavity structures, each of which has permanent magnets placed substantially equidistant from a beam tunnel formed about the central axis, and which are also outside the extent of a cooling chamber. The RF cavity sections also have permanent magnets which are placed substantially equidistant from the beam tunnel, but which include an RF cavity coupling to the beam tunnel for enhancement of RF carried by an electron beam in the beam tunnel.

Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars.

Science.gov (United States)

Jälevik, Birgitta; Möller, Marie

2007-09-01

The aim of this study was to evaluate spontaneous space closure, development of the permanent dentition, and need for orthodontic treatment after extraction of permanent first molars due to severe molar-incisor hypomineralization (MIH). Twenty-seven children aged 5.6-12.7 (median 8.2) years had one to four permanent first molars extracted due to severe MIH. Each case was followed up on individual indications 3.8-8.3 (median 5.7) years after extractions. The eruption of the permanent dentition, and space closure were documented by orthopantomograms, casts, photographs, and/or bitewings. Fifteen children were judged to have a favourable spontaneous development of their permanent dentition without any orthodontic intervention. Seven children were or should be subjected to orthodontic treatment for other reasons registered prior to the extraction. Five children were judged to have a treatment at least caused by the extractions, but three of them abstained because of no subjective treatment need. Extraction of permanent first molars severely affected by MIH is a good treatment alternative. Favourable spontaneous space reduction and development of the permanent dentition positioning can be expected without any intervention in the majority of cases extracted prior to the eruption of the second molar.

Modern permanent magnetic materials - preparation and properties

International Nuclear Information System (INIS)

Rodewald, W.

1989-01-01

First of all, the basic properties of the classical (steel, AlNiCo) permanent magnetic materials and the modern rare-earth (RE) permanent magnetic materials are compared. Since the properties of RE permanent magnets depend on the particular production process, the fundamentals of the main industrial processes (powder metallurgy, rapid-solidification technique) are described and the typical properties are explained. Furthermore the production processes in development such as mechanical alloying, melt spinning technique and extrusion upsetting are briefly outlined. For applying the permanent magnets, they have to be completely magnetized. The magnetization behaviour of the various RE permanent magnets is discussed by means of the internal demagnetization curve. Finally the various influences on the temperature stability of RE permanent magnets are compiled. (orig./MM) [de

Communications received from Member States regarding guidelines for the export of nuclear material, equipment and technology

International Nuclear Information System (INIS)

1994-04-01

The Director General has received notes verbales to the export of nuclear material, equipment and technology from the following Permanent Missions to the International Atomic Energy Agency: notes verbales dated 1 March 1994 from the Permanent Missions of Australia, Austria, Belgium, Bulgaria, Canada, the Czech Republic, Denmark, Finland, France, Germany, Hungary, Italy, Japan, the Netherlands, Poland, Portugal, Spain, Sweden, Switzerland, the United Kingdom of Great Britain and Northern Ireland, the United States of America; and a note verbale dated 12 March 1994 from the Permanent Mission of Romania. The purpose of these notes verbales is to provide further information on these Governments' nuclear export policies and practices

Communication Received from Canada Regarding its New Nuclear Export Policy

International Nuclear Information System (INIS)

1977-01-01

On 29 December 1976 the Director General received a letter dated 28 December from the Resident Representative of Canada to the Agency, informing him of a change in Canada's nuclear export policy and attaching a statement made in the Canadian House of Commons on this subject. In accordance with the request made by the Resident Representative of Canada the texts of his letter and of its attachment are reproduced below for the information of all Members.

Are 2 Years Enough? Exploring Technical Skills Acquisition Among General Surgery Residents in Brazil.

Science.gov (United States)

Santos, Elizabeth G; Salles, Gil F

2016-01-01

Phenomenon: Recent studies have shown that up to 40% of the General Surgery (GS) residents are not confident with their surgical skills. There is concern that residents are at risk of receiving inadequate training due to the low number of operations they perform. In Brazil, although all GS residents receive by law the Board Certification at the end of their programs, the assessment of their technical skills is not mandatory in Medical Residency programs' training. Consequently, our concern was that current GS medical residency format might be insufficient to create competent and autonomous general surgery residents after 2 years of regular training. Hence, the aim was to assess GS residents' surgical skills in their final months of training to evaluate the present format of GS residency programs in Brazil. Trained surgical faculty members directly observed 11 operations of varying difficulty performed by 2nd-year regular GS residents and by 4th-year residents in the optional Advanced Program in General Surgery. Participants were located at 3 university and 3 nonuniversity hospitals in Rio de Janeiro and Sao Paulo (Brazil's largest cities). Surgical skills were assessed using an internally developed observation checklist reviewed by subject matter experts. Sixty residents (46 regular 2nd-year trainees and 14 advanced 4th-year trainees) were assessed on performing 499 operations. Only 10 residents (17%), all advanced 4th-year residents, satisfactorily performed all operations and were considered eligible for the Board Certification. Even after excluding the 2 operations of greatest difficulty, only 24 regular 2nd-year residents (52%) satisfactorily performed the other 9 operations. Residents from hospitals with open Emergency Departments performed better than those from hospitals without Emergency Departments. Insights: The results of this pilot study suggest that residents with 2 years of training are not prepared for independent high-level surgical practice. The

Communication of 1 October 2009 received from the Resident Representative of Hungary to the Agency on behalf of the participating Governments of the Nuclear Suppliers Group

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a letter dated 1 October 2009 from the Resident Representative of Hungary to the Agency on behalf of the Participating Governments of the Nuclear Suppliers Group.1 Attached to this letter is an updated version of a paper entitled 'The Nuclear Suppliers Group: Its Origins, Role and Activities. The original version of this paper was issued as INFCIRC/539 on 15 September 1997: revisions were issued on 17 April 2000, 16 September 2003 and 30 May 2005. As requested in the letter, the revised version of the paper, attached hereto, is being circulated to Member States of the IAEA

Communication of 2 June 2009 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 2 June 2009, in which it requests that the Agency circulate to all Member States a letter of 28 May 2009 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, the Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, the Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom and the United States of America, concerning a number of corrections to the communication regarding the export of nuclear material and of certain categories of equipment and other material published in INFCIRC/209/Rev.2 [fr

Communication of 2 June 2009 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 2 June 2009, in which it requests that the Agency circulate to all Member States a letter of 28 May 2009 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, the Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, the Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom and the United States of America, concerning a number of corrections to the communication regarding the export of nuclear material and of certain categories of equipment and other material published in INFCIRC/209/Rev.2 [ru

Communication of 2 June 2009 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 2 June 2009, in which it requests that the Agency circulate to all Member States a letter of 28 May 2009 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, the Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, the Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom and the United States of America, concerning a number of corrections to the communication regarding the export of nuclear material and of certain categories of equipment and other material published in INFCIRC/209/Rev.2 [es

Resident Use of Text Messaging for Patient Care: Ease of Use or Breach of Privacy?

Science.gov (United States)

Prochaska, Micah T; Bird, Amber-Nicole; Chadaga, Amar; Arora, Vineet M

2015-11-26

Short message service (SMS) text messaging is an efficient form of communication and pervasive in health care, but may not securely protect patient information. It is unclear if resident providers are aware of the security concerns of SMS text messaging when communicating about patient care. We sought to compare residents' preferences for SMS text messaging compared with other forms of in-hospital communication when considering security versus ease of use. This study was a cross-sectional multi-institutional survey of internal medicine residents. Residents ranked different communication modalities based on efficiency, ease of use, and security using a Likert scale. Communication options included telephone, email, hospital paging, and SMS text messaging. Respondents also reported whether they had received confidential patient identifiers through any of these modalities. SMS text messaging was preferred by 71.7% (94/131) of respondents because of its efficiency and by 79.8% (103/129) of respondents because of its ease of use. For security, 82.5% (104/126) of respondents preferred the hospital paging system, whereas only 20.6% (26/126) of respondents preferred SMS text messaging for secure communication. In all, 70.9% (93/131) of respondents reported having received patient identifiers (first and/or last name), 81.7% (107/131) reported receiving patient initials, and 50.4% (66/131) reported receiving a patient's medical record number through SMS text messages. Residents prefer in-hospital communication through SMS text messaging because of its ease of use and efficiency. Despite security concerns, the majority of residents reported receiving confidential patient information through SMS text messaging. For providers, it is possible that the benefits of improved in-hospital communication with SMS text messaging and the presumed improvement in the coordination and delivery of patient care outweigh security concerns they may have. The tension between the security and

Topology optimized permanent magnet systems

DEFF Research Database (Denmark)

Bjørk, Rasmus; Bahl, Christian; Insinga, Andrea Roberto

2017-01-01

Topology optimization of permanent magnet systems consisting of permanent magnets, high permeability iron and air is presented. An implementation of topology optimization for magnetostatics is discussed and three examples are considered. The Halbach cylinder is topology optimized with iron...... and an increase of 15% in magnetic efficiency is shown. A topology optimized structure to concentrate a homogeneous field is shown to increase the magnitude of the field by 111%. Finally, a permanent magnet with alternating high and low field regions is topology optimized and a ΛcoolΛcool figure of merit of 0...

Communications received from certain Member States concerning their policies regarding the management of plutonium

International Nuclear Information System (INIS)

2009-01-01

The Director General has received a note verbale, dated 23 January 2007, from the Permanent Mission of Germany to the IAEA; notes verbales, dated 1 February 2007, from Permanent Missions of China, France, Japan, the Russian Federation, Switzerland and the United Kingdom of Great Britain and Northern Ireland to the IAEA; a note verbale, dated 7 February 2007, from the Permanent Mission of the United States of America to the IAEA; and a note verbale, dated 22 October 2008, from the Permanent Mission of Belgium to the IAEA, stating that in order to reflect recent developments with regard to the physical protection of nuclear material, their Governments will apply a revised version of paragraph 7 of the 'Guidelines for the Management of Plutonium' published in document INFCIRC/549. In light of the request expressed in the notes verbales, the texts of the notes verbales are enclosed for the information of all Member States

Education research: neurology training reassessed. The 2011 American Academy of Neurology Resident Survey results.

Science.gov (United States)

Johnson, Nicholas E; Maas, Matthew B; Coleman, Mary; Jozefowicz, Ralph; Engstrom, John

2012-10-23

To assess the strengths and weaknesses of neurology resident education using survey methodology. A 27-question survey was sent to all neurology residents completing residency training in the United States in 2011. Of eligible respondents, 49.8% of residents returned the survey. Most residents believed previously instituted duty hour restrictions had a positive impact on resident quality of life without impacting patient care. Most residents rated their faculty and clinical didactics favorably. However, many residents reported suboptimal preparation in basic neuroscience and practice management issues. Most residents (71%) noted that the Residency In-service Training Examination (RITE) assisted in self-study. A minority of residents (14%) reported that the RITE scores were used for reasons other than self-study. The vast majority (86%) of residents will enter fellowship training following residency and were satisfied with the fellowship offers they received. Graduating residents had largely favorable neurology training experiences. Several common deficiencies include education in basic neuroscience and clinical practice management. Importantly, prior changes to duty hours did not negatively affect the resident perception of neurology residency training.

Object permanence in lemurs.

Science.gov (United States)

Deppe, Anja M; Wright, Patricia C; Szelistowski, William A

2009-03-01

Object permanence, the ability to mentally represent objects that have disappeared from view, should be advantageous to animals in their interaction with the natural world. The objective of this study was to examine whether lemurs possess object permanence. Thirteen adult subjects representing four species of diurnal lemur (Eulemur fulvus rufus, Eulemur mongoz, Lemur catta and Hapalemur griseus) were presented with seven standard Piagetian visible and invisible object displacement tests, plus one single visible test where the subject had to wait predetermined times before allowed to search, and two invisible tests where each hiding place was made visually unique. In all visible tests lemurs were able to find an object that had been in clear view before being hidden. However, when lemurs were not allowed to search for up to 25-s, performance declined with increasing time-delay. Subjects did not outperform chance on any invisible displacements regardless of whether hiding places were visually uniform or unique, therefore the upper limit of object permanence observed was Stage 5b. Lemur species in this study eat stationary foods and are not subject to stalking predators, thus Stage 5 object permanence is probably sufficient to solve most problems encountered in the wild.

Vitamin D Status in Population of Bukovyna and Subcarpathia Depending on Residence above Sea Level

Directory of Open Access Journals (Sweden)

V.V. Povoroznyuk

2016-04-01

ding on the residence above sea level. Objective: to determine the level of vitamin D in the blood serum of people, who live in different regions of the Subcarpathia and Bukovyna, depending on the location of the settlement above sea le-vel. Material and methods. In the cross-sectional study, we have examined 353 individuals, aged 18 to 86 years, permanently residing in different parts of the Subcarpathia (Kolomyia, Kosiv, Verhovyna districts and Bukovyna (Vyzhny-tsia district. Results. Only in 28 cases (7.9 %, the content of 25(OHD in the blood serum was in the normal range, and in other cases (92.1 %, there was a deficiency and a lack of vitamin D. The severe form of vitamin D deficiency has been detected in 7 (1.9 % patients. When comparing the performance of 25(OHD in the areas of inspection, it was found that the level of vitamin D in the blood serum was significantly higher in residents of Verkhovyna and Kosiv districts (located higher than 450 meters above sea level as compared with residents of Vyzhnytsia and Kolomyia. Conclusion. The average level of vitamin D in the blood serum of the adult population depends on residence and increases with height above sea level.

A survey of current clinical practice of permanent prostate brachytherapy in the United States

International Nuclear Information System (INIS)

Prestidge, Bradley R.; Prete, James J.; Buchholz, Thomas A.; Friedland, Jay L.; Stock, Richard G.; Grimm, Peter D.; Bice, William S.

1998-01-01

Purpose: To help establish standards of care for transperineal interstitial permanent prostate brachytherapy (TIPPB) by obtaining data regarding current clinical practice among the most experienced TIPPB brachytherapists in the United States. Methods and Materials: The 70 brachytherapists who performed the greatest number of TIPPB cases in 1995 in the U.S. were surveyed. Each received a comprehensive four page questionnaire that included sections on training and experience, patient and isotope selection criteria, manpower, technique, and follow-up. Thirty-five (50%) surveys were ultimately returned after three mailings and follow-up phone calls. The cumulative experience of the 35 respondents represented approximately 45% of the total TIPPB volume in the U.S. for 1995. Respondents included 29 from the private sector and six from academic programs. Results: The median physician experience with TIPPB was reported as 4.9 years. Each performed an average of 73 TIPPB procedures in 1995 (range 40-300). This represented an increase in volume for most (74%) of the respondents. Sixty-three percent of the respondents attended a formal training course, 54% had TIPPB-specific residency training, and 31% had been proctored (16 had received two or more types of training experience). The most commonly reported selection criteria for implant alone was on Gleason score ≤7, PSA 125 I prescribed to 120 Gy (75%) or 103 Pd to 90 Gy (50%). Sixty percent reported using a Mick applicator, 46% prefer using preloaded needles, and (11%) use both techniques. Real-time imaging was usually performed with ultrasound (94%); most included fluoroscopy (60%). Definitions of PSA control varied widely. Conclusions: TIPPB clinical practice in the U.S. demonstrates similarities in technique, but differences in patient selection and definitions of biochemical control. It is, therefore, incumbent on those beginning TIPPB programs to carefully review the specific practice details of those institutions

Predictors of Final Specialty Choice by Internal Medicine Residents

Science.gov (United States)

Diehl, Andrew K; Kumar, Vineeta; Gateley, Ann; Appleby, Jane L; O'Keefe, Mary E

2006-01-01

BACKGROUND Sociodemographic factors and personality attributes predict career decisions in medical students. Determinants of internal medicine residents' specialty choices have received little attention. OBJECTIVE To identify factors that predict the clinical practice of residents following their training. DESIGN Prospective cohort study. PARTICIPANTS Two hundred and four categorical residents from 2 university-based residency programs. MEASUREMENTS Sociodemographic and personality inventories performed during residency, and actual careers 4 to 9 years later. RESULTS International medical school graduates (IMGs) were less likely to practice general medicine than U.S. graduates (33.3% vs 70.6%, Pinternal medicine was observed among those who perceived General Internists to have lower potential incomes (69.0% vs 53.3%, P = .08). There was a trend for generalists to have lower scores on scales measuring authoritarianism, negative orientation to psychological problems, and Machiavellianism (0.05medicine, with trends apparent for higher debt (P = .05) and greater comfort caring for patients with psychological problems (P = .07). CONCLUSION Recruitment of IMGs may not increase the supply of General Internists. Prospects of lower income, even in the face of large debt, may not discourage residents from becoming generalists. If increasing generalist manpower is a goal, residencies should consider weighing applicants' personal attributes during the selection process. PMID:16836624

Results of a Multisite Survey of U.S. Psychiatry Residents on Education in Professionalism and Ethics

Science.gov (United States)

Jain, Shaili; Dunn, Laura B.; Warner, Christopher H.; Roberts, Laura Weiss

2011-01-01

Objective: The authors assess the perspectives of psychiatry residents about the goals of receiving education in professionalism and ethics, how topics should be taught, and on what ethical principles the curriculum should be based. Method: A written survey was sent to psychiatry residents (N = 249) at seven U.S. residency programs in Spring 2005.…

Quality Improvement in Skilled Nursing Facilities for Residents With Alzheimer's Disease.

Science.gov (United States)

Farlow, Martin R; Borson, Soo; Connor, Stephen R; Grossberg, George T; Mittelman, Mary S

2016-03-01

This report describes a quality improvement continuing medical education activity designed to enhance the recognition and treatment of residents with Alzheimer's disease (AD) or other dementias in skilled-nursing facilities (SNFs). Charts were compared in 6 areas prior to and following (stages A and C) a live, faculty-led workshop (stage B). Four SNFs completed stages A (n = 67 residents) and B, and 3 SNFs completed stage C (n = 52 residents). All charts came from residents with AD or a diagnosis of dementia or dementia-like symptoms. The SNFs had >95% baseline performance in both the frequency of cognitive assessments and documented medication reviews. The percentage of residents who received a quality-of-life assessment and those who had a mental health care plan in place represent areas for improvement. As part of this activity, a toolkit was developed to help guide facilities and clinicians in instituting care improvements for residents with AD/dementia. © The Author(s) 2015.

Resident Preferences for Program Director Role in Wellness Management.

Science.gov (United States)

Kolarik, Russ C; O'Neal, Richard L; Ewing, Joseph A

2018-05-01

Burnout and depression are prevalent among resident physicians, though the supportive role of the program director (PD) is not well defined. To understand the residents' view of the residency program director's role in assessing and promoting resident wellness. A single institution survey of all house staff was conducted in 2017. Rates of burnout and depression were identified via the 2-item Maslach Burnout Inventory (MBI) and the Patient Health Questionaire-2 (PHQ-2), respectively. Residents then qualified their preferences for various assistance services and for the role of their program directors in assisting them. One-hundred sixty-one of 202 (79.7%) residents completed the survey. The rate of depression was 28%. Rates of emotional exhaustion and depersonalization (2-item MBI) were 44 and 62%, respectively. Only 4% of respondents had used the Employee Assistance Program (EAP) in the prior 12 months. Eighty-two percent of residents were in favor of PDs inquiring about wellness regardless of their job performance and only 1% of residents stated the PD should not inquire about wellness at all. Thirty-three percent of residents reported that they would be likely to contact EAP on their own if they felt unwell. Significantly more residents (62%) reported being more likely to contact EAP if recommended by their PD (33 vs 62%, p assistance were lack of time (65%), lack of knowledge of how to contact EAP (41%), and concerns about appearing weak (35%). Despite a high prevalence of burnout and depression, residents are unlikely to seek help on their own. Program directors have an important role in assessing and promoting the wellness of their residents. The majority of residents wants their PD to inquire about wellness and may be more likely to seek and receive help if recommended and facilitated by their PD.

Marxism as permanent revolution

OpenAIRE

van Ree, E.

2013-01-01

This article argues that the 'permanent revolution' represented the dominant element in Karl Marx and Friedrich Engels' political discourse, and that it tended to overrule considerations encapsulated in 'historical materialism'. In Marx and Engels's understanding, permanent revolution did not represent a historical shortcut under exceptional circumstances, but the course revolutions in the modern era would normally take. Marx and Engels traced back the pattern to the sixteenth century. It is ...

Communication received from South Africa

International Nuclear Information System (INIS)

1984-02-01

The document reproduces the press release with a statement by Dr. J.W.L. de Villiers, Executive Chairman of the Atomic Energy Corporation of South Africa Limited, issued on 31 January 1984 and included in the letter received by the Director General of the IAEA from the Resident Representative of South Africa to the Agency on 31 January 1984. This statement refers to the transfer of nuclear material equipment and technology by South Africa to other countries and the Non-Proliferation Treaty

Impact of rural residence and health system structure on quality of liver care.

Directory of Open Access Journals (Sweden)

Catherine Rongey

Full Text Available Specialist physician concentration in urban areas can affect access and quality of care for rural patients. As effective drug treatment for hepatitis C (HCV becomes increasingly available, the extent to which rural patients needing HCV specialists face access or quality deficits is unknown. We sought to determine the influence of rural residency on access to HCV specialists and quality of liver care.The study used a national cohort of 151,965 Veterans Health Administration (VHA patients with HCV starting in 2005 and followed to 2009. The VHA's constant national benefit structure reduces the impact of insurance as an explanation for observed disparities. Multivariate cox proportion regression models for each quality indicator were performed.Thirty percent of VHA patients with HCV reside in rural and highly rural areas. Compared to urban residents, highly rural (HR 0.70, CI 0.65-0.75 and rural (HR 0.96, CI 0.94-0.97 residents were significantly less likely to access HCV specialty care. The quality indicators were more mixed. While rural residents were less likely to receive HIV screening, there were no significant differences in hepatitis vaccinations, endoscopic variceal and hepatocellular carcinoma screening between the geographic subgroups. Of note, highly rural (HR 1.31, CI 1.14-1.50 and rural residents (HR 1.06, CI 1.02-1.10 were more likely to receive HCV therapy. Of those treated for HCV, a third received therapy from a non-specialist provider.Rural patients have less access to HCV specialists, but this does not necessarily translate to quality deficits. The VHA's efforts to improve specialty care access, rural patient behavior and decentralization of HCV therapy beyond specialty providers may explain this contradiction. Lessons learned within the VHA are critical for US healthcare systems restructuring into accountable care organizations that acquire features of integrated systems.

Evaluation of Social Media Use by Emergency Medicine Residents and Faculty.

Science.gov (United States)

Pearson, David; Bond, Michael C; Kegg, Jason; Pillow, Tyson; Hopson, Laura; Cooney, Robert; Garg, Manish; Khadpe, Jay; Runyon, Michael; Patterson, Leigh

2015-09-01

Clinicians and residency programs are increasing their use of social media (SM) websites for educational and promotional uses, yet little is known about the use of these sites by residents and faculty. The objective of the study is to assess patterns of SM use for personal and professional purposes among emergency medicine (EM) residents and faculty. In this multi-site study, an 18-question survey was sent by e-mail to the residents and faculty in 14 EM programs and to the Council of Emergency Medicine Residency Directors (CORD) listserv via the online tool SurveyMonkey™. We compiled descriptive statistics, including assessment with the chi-square test or Fisher's exact test. StatsDirect software (v 2.8.0, StatsDirect, Cheshire, UK) was used for all analyses. We received 1,314 responses: 63% of respondents were male, 40% were respondents completed residency more than 10 years ago. Residents used SM markedly more than faculty for social interactions with family and friends (83% vs 65% [psocial media. Awareness of these utilization patterns could benefit future educational endeavors.

Understanding nurses' decisions to treat pain in nursing home residents with dementia.

Science.gov (United States)

Gilmore-Bykovskyi, Andrea L; Bowers, Barbara J

2013-04-01

Nursing home (NH) residents with dementia continue to receive inadequate pain treatment. The purpose of this qualitative study was to examine how nurses make decisions to pharmacologically treat pain in NH residents with dementia. Using Grounded Dimensional Analysis, 15 in-depth interviews were conducted with 13 nurses from four skilled nursing facilities in Wisconsin. Nurses experienced varying levels of certainty regarding suspected pain in response to particular resident characteristics and whether pain was perceived as visible/obvious or nonvisible/not obvious. Nurses felt highly uncertain about pain in residents with dementia. Suspected pain in residents with dementia was nearly always conceptualized as a change in behavior to which nurses responded by trialing multiple interventions in attempts to return the resident to baseline, which despite current recommendations, did not include pain relief trials. Residents with dementia were described as being at greatest risk for experiencing underassessment, undertreatment, and delayed treatment for pain Copyright 2013, SLACK Incorporated.

A Comparison of Surgery and Family Medicine Residents' Perceptions of Cross-Cultural Care Training of Cross-Cultural Care Training

Science.gov (United States)

Jackson, David S; Lin, Susan Y; Park, Elyse R

2010-01-01

The need for physicians formally trained to deliver care to diverse patient populations has been widely advocated. Utilizing a validated tool, Weissman and Betancourt's Cross-Cultural Care Survey, the aim of this current study was to compare surgery and family medicine residents' perceptions of their preparedness and skillfulness to provide high quality cross-cultural care. Past research has documented differences between the two groups' reported impressions of importance and level of instruction received in cross-cultural care. Twenty surgery and 15 family medicine residents participated in the study. Significant differences were found between surgery and family medicine residents on most ratings of the amount of training they received in cross-cultural skills. Specifically, family medicine residents reported having received more training on: 1) determining how patients want to be addressed, 2) taking a social history, 3) assessing their understanding of the cause of illness, 4) negotiating their treatment plan, 5) assessing whether they are mistrustful of the health care system and/or doctor, 6) identifying cultural customs, 7) identifying how patients make decisions within the family, and 8) delivering services through a medical interpreter. One unexpected finding was that surgery residents, who reported not receiving much formal cultural training, reported higher mean scores on perceived skillfulness (i.e. ability) than family medicine residents. The disconnect may be linked to the family medicine residents' training in cultural humility — more knowledge and understanding of cross-cultural care can paradoxically lead to perceptions of being less prepared or skillful in this area. PMID:21225585

Canadian Eskimo permanent tooth emergence timing.

Science.gov (United States)

Mayhall, J T; Belier, P L; Mayhall, M F

1978-08-01

To identify the times of emergence of the permanent teeth of Canadian Eskimos (Inuit), 368 children and adolescents were examined. The presence or absence of all permanent teeth except the third molars was recorded and these data subjected to probit analysis. Female emergence times were advanced over males. Generally, the Inuit of both sexes showed statistically significant earlier emergence times than Montreal children, except for the incisors. The present results do not support hypotheses indicating that premature extraction of the deciduous teeth advances the emergence of their succedaneous counterparts. There is some indication the controls of deciduous tooth emergence continue to play some part in emergence of the permanent dentition, especially the first permanent teeth that emerge.

Gout treatment: survey of Brazilian rheumatology residents.

Science.gov (United States)

Amorim, Rodrigo Balbino Chaves; Vargas-Santos, Ana Beatriz; Pereira, Leticia Rocha; Coutinho, Evandro Silva Freire; da Rocha Castelar-Pinheiro, Geraldo

2017-05-01

To assess the current practices in gout management among Brazilian rheumatology residents. We performed a cross-sectional online survey among all the rheumatology residents and those rheumatologists who had just completed their training (post-residency (PR)) regarding their approach to gout management. Results were compared with the 2012 American College of Rheumatology (ACR) gout guidelines and with the responses of a previous survey with a representative sample of practicing Brazilian rheumatologists (RHE). We received 224 responses (83%) from 271 subjects. Among all respondents, the first-choice treatment for gout flares was the combination of a nonsteroidal anti-inflammatory drug + colchicine for otherwise healthy patients. A target serum urate 75%. Less than 70% reported starting allopurinol at low doses (≤100 mg/day) for patients with normal renal function and gout guidelines, especially among PR. However, some important aspects of gout management need improvement. These results will guide the development of a physician education program to improve the management of gout patients in Brazil.

13 CFR 120.900 - Sources of permanent financing.

Science.gov (United States)

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Sources of permanent financing... Development Company Loan Program (504) Permanent Financing § 120.900 Sources of permanent financing. Permanent financing for each Project must come from three sources: the Borrower's contribution, Third-Party Loans, and...

Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents

Directory of Open Access Journals (Sweden)

Daniel J. Kim

2014-05-01

Full Text Available Introduction: Starting in 2008, emergency ultrasound (EUS was introduced as a core competency to the Royal College of Physicians and Surgeons of Canada (Royal College emergency medicine (EM training standards. The Royal College accredits postgraduate EM specialty training in Canada through 5-year residency programs. The objective of this study is to describe both the current experience with and the perceptions of EUS by Canadian Royal College EM senior residents. Methods: This was a web-based survey conducted from January to March 2011 of all 39 Canadian Royal College postgraduate fifth-year (PGY-5 EM residents. Main outcome measures were characteristics of EUS training and perceptions of EUS. Results: Survey response rate was 95% (37/39. EUS was part of the formal residency curriculum for 86% of respondents (32/37. Residents most commonly received training in focused assessment with sonography for trauma, intrauterine pregnancy, abdominal aortic aneurysm, cardiac, and procedural guidance. Although the most commonly provided instructional material (86% [32/37] was an ultrasound course, 73% (27/37 of residents used educational resources outside of residency training to supplement their ultrasound knowledge. Most residents (95% [35/37] made clinical decisions and patient dispositions based on their EUS interpretation without a consultative study by radiology. Residents had very favorable perceptions and opinions of EUS. Conclusion: EUS training in Royal College EM programs was prevalent and perceived favorably by residents, but there was heterogeneity in resident training and practice of EUS. This suggests variability in both the level and quality of EUS training in Canadian Royal College EM residency programs.

A survey of resident physicians′ knowledge concerning transfusion medicine in Shiraz, Iran

Directory of Open Access Journals (Sweden)

Leila Kasraian

2014-01-01

Full Text Available Objective: The knowledge of physicians concerning blood transfusion has a significant impact on the optimal use of blood and blood products. The aim was to survey their knowledge regarding this area and identify whether additional training is required. Material and Methods: This cross-sectional study was conducted on all 1 st year resident physicians at Shiraz University of Medical Sciences, Iran in 2011. The questionnaire solicited information on demographic variables, knowledge regarding transfusion medicine, education and experience regarding blood transfusion. Results: The mean total knowledge score regarding transfusion medicine was 15.44 ± 3.3 (7-25 out of 29. Only about one-fourth (27.4% replied correctly to over 60% of questions. The mean score of knowledge was higher among residents who stated that they received special training regarding blood transfusion in their medical courses (P < 0.01. Seventy-five percent of residents believed that they had received insufficient education and 97.8% believed that they need additional training. Conclusion: The results reflect the uncertainties among resident physicians regarding blood transfusion. It has been suggested that a special transfusion medicine educational program should be added to the medical education curriculum.

Are Graduating Pediatric Residents Prepared to Engage in Obesity Prevention and Treatment?

Science.gov (United States)

Frintner, Mary Pat; Liebhart, Janice L; Lindros, Jeanne; Baker, Alison; Hassink, Sandra G

2016-01-01

Little information is available to gauge residents' perceived receipt of comprehensive training and preparedness to manage children with obesity in practice. A national, random sample of 1000 graduating pediatric residents were surveyed in 2013 on childhood overweight/obesity and preparedness to prevent and treat obesity. A composite training measure was created by summing the number of areas (10 possible) where training on overweight/obesity was received. Multivariable logistic regression explored relationships of resident and training characteristics to residents' belief that their own counseling on prevention and treatment of overweight/obesity is very effective (vs somewhat/slightly/not effective). Of 625 survey respondents (63% response), most (68-92%) reported receipt of training in each of 10 assessed areas on overweight/obesity prevention, assessment, and treatment. Most residents did not desire more training in the assessed areas; however, 54% wanted more training in motivational interviewing. About one-fourth believed that their own counseling on the prevention of overweight/obesity (26%) and treatment of obesity (22%) was very effective. Residents who rated their ability to use motivational interviewing as very good/excellent were more likely to rate their counseling on both the prevention and treatment of overweight/obesity as very effective (adjusted odds ratio [aOR] 4.33, 95% confidence interval [CI] 2.63-7.13; and aOR 4.69, 95% CI 2.72-8.07, respectively). Residents who received training in all 10 assessed areas were also more likely to rate their counseling on both prevention and treatment as very effective (aOR 2.58, 95% CI 1.61-4.14; aOR 2.41, 95% CI 1.46-3.97, respectively). Comprehensive training on overweight/obesity and inclusion of training in motivational interviewing may help residents feel better prepared to care for children with overweight/obesity. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights

Simulation-based education with mastery learning improves residents' lumbar puncture skills

Science.gov (United States)

Cohen, Elaine R.; Caprio, Timothy; McGaghie, William C.; Simuni, Tanya; Wayne, Diane B.

2012-01-01

Objective: To evaluate the effect of simulation-based mastery learning (SBML) on internal medicine residents' lumbar puncture (LP) skills, assess neurology residents' acquired LP skills from traditional clinical education, and compare the results of SBML to traditional clinical education. Methods: This study was a pretest-posttest design with a comparison group. Fifty-eight postgraduate year (PGY) 1 internal medicine residents received an SBML intervention in LP. Residents completed a baseline skill assessment (pretest) using a 21-item LP checklist. After a 3-hour session featuring deliberate practice and feedback, residents completed a posttest and were expected to meet or exceed a minimum passing score (MPS) set by an expert panel. Simulator-trained residents' pretest and posttest scores were compared to assess the impact of the intervention. Thirty-six PGY2, 3, and 4 neurology residents from 3 medical centers completed the same simulated LP assessment without SBML. SBML posttest scores were compared to neurology residents' baseline scores. Results: PGY1 internal medicine residents improved from a mean of 46.3% to 95.7% after SBML (p < 0.001) and all met the MPS at final posttest. The performance of traditionally trained neurology residents was significantly lower than simulator-trained residents (mean 65.4%, p < 0.001) and only 6% met the MPS. Conclusions: Residents who completed SBML showed significant improvement in LP procedural skills. Few neurology residents were competent to perform a simulated LP despite clinical experience with the procedure. PMID:22675080

[The Object Permanence Fallacy.] Commentary.

Science.gov (United States)

Bradley, Ben S.

1996-01-01

Suggests that Greenberg's challenge to the centrality of object permanence in developmental thinking reveals that developmentalists' theories about childhood speak about their own self-images. Notes that developmentalists have been guilty of not only the object permanence fallacy but also the genetic fallacy, or the mistaken belief that describing…

Hands-on Physics Education of Residents in Diagnostic Radiology.

Science.gov (United States)

Zhang, Jie; Hardy, Peter A; DiSantis, David J; Oates, M Elizabeth

2017-06-01

The American Board of Radiology Core Examination integrates assessment of physics knowledge into its overall testing of clinical radiology, with an emphasis on understanding image quality and artifacts, radiation dose, and patient safety for each modality or subspecialty organ system. Accordingly, achieving a holistic approach to physics education of radiology residents is a huge challenge. The traditional teaching of radiological physics-simply through didactic lectures-was not designed for such a holistic approach. Admittedly, time constraints and clinical demands can make incorporation of physics teaching into clinical practice problematic. We created and implemented a week-long, intensive physics rotation for fledgling radiology residents and evaluated its effectiveness. The dedicated physics rotation is held for 1 week during the first month of radiology residency. It comprises three components: introductory lectures, hands-on practical clinical physics operations, and observation of clinical image production. A brief introduction of the physics pertinent to each modality is given at the beginning of each session. Hands-on experimental demonstrations are emphasized, receiving the greatest allotment of time. The residents perform experiments such as measuring radiation dose, studying the relationship between patient dose and clinical practice (eg, fluoroscopy technique), investigating the influence of acquisition parameters (kV, mAs) on radiographs, and evaluating image quality using computed tomography, magnetic resonance imaging, ultrasound, and gamma camera/single-photon emission computed tomography/positron emission tomography phantoms. Quantitative assessment of the effectiveness of the rotation is based on an examination that tests the residents' grasp of basic medical physics concepts along with written course evaluations provided by each resident. The pre- and post-rotation tests show that after the physics rotation, the average correct score of 25

Communication dated 10 September 2008 received from the Permanent Mission of Egypt to the Agency concerning the High Level Policy Review Seminar of African Regional Cooperative Agreement for Research, Development and Training related to Nuclear Science and Technology (AFRA)

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a communication dated 10 September 2008 from the Permanent Mission of Egypt enclosing the documents of the High Level Policy Review Seminar of the African Regional Cooperative Agreement for Research, Development and Training related to Nuclear Science and Technology (AFRA) held in Aswan, Egypt on 28-29 November 2007. The communication, and as requested therein, the enclosures containing the Declaration of Aswan, the Aswan Action Plan and the Profile of the Regional Strategic Cooperative Framework (2008-2013) are circulated herewith for information

Topology optimized permanent magnet systems

Science.gov (United States)

Bjørk, R.; Bahl, C. R. H.; Insinga, A. R.

2017-09-01

Topology optimization of permanent magnet systems consisting of permanent magnets, high permeability iron and air is presented. An implementation of topology optimization for magnetostatics is discussed and three examples are considered. The Halbach cylinder is topology optimized with iron and an increase of 15% in magnetic efficiency is shown. A topology optimized structure to concentrate a homogeneous field is shown to increase the magnitude of the field by 111%. Finally, a permanent magnet with alternating high and low field regions is topology optimized and a Λcool figure of merit of 0.472 is reached, which is an increase of 100% compared to a previous optimized design.

Teaching Object Permanence: An Action Research Study

Science.gov (United States)

Bruce, Susan M.; Vargas, Claudia

2013-01-01

"Object permanence," also known as "object concept" in the field of visual impairment, is one of the most important early developmental milestones. The achievement of object permanence is associated with the onset of representational thought and language. Object permanence is important to orientation, including the recognition of landmarks.…

Resident physicians as human information systems: sources yet seekers.

Science.gov (United States)

Bass, Ellen J; DeVoge, Justin Michael; Waggoner-Fountain, Linda A; Borowitz, Stephen M

2013-01-01

To characterize question types that residents received on overnight shifts and what information sources were used to answer them. Across 30 overnight shifts, questions asked of on-call senior residents, question askers' roles, and residents' responses were documented. External sources were noted. 158 of 397 questions (39.8%) related to the plan of care, 53 (13.4%) to medical knowledge, 48 (12.1%) to taskwork knowledge, and 44 (11.1%) to the current condition of patients. For 351 (88.4%) questions residents provided specific, direct answers or visited the patient. For 16 of these, residents modeled or completed the task. For 216 questions, residents used previous knowledge or their own clinical judgment. Residents solicited external information sources for 118 questions and only a single source for 77 (65.3%) of them. For the 118, most questions concerned either the plan of care or the patient's current condition and were asked by interns and nurses (those with direct patient care responsibilities). Resident physicians serve as an information system and they often specifically answer the question using previous knowledge or their own clinical judgment, suggesting that askers are contacting an appropriately knowledgeable person. However, they do need to access patient information such as the plan of care. They also serve an educator role and answer many knowledge-related questions. As synchronous verbal communications continue to be important pathways for information flow, informaticians need to consider the relationship between such communications and workflow in the development of healthcare support tools.

External dose reconstruction in tooth enamel of Techa riverside residents

Energy Technology Data Exchange (ETDEWEB)

Shishkina, E.A.; Volchkova, A.Yu.; Krivoschapov, V.A.; Degteva, M.O. [Urals Research Center for Radiation Medicine, Chelyabinsk (Russian Federation); Timofeev, Y.S.; Zalyapin, V.I. [Southern Urals State University, Chelyabinsk (Russian Federation); Fattibene, P.; Della Monaca, S.; De Coste, V. [Istituto Superiore di Sanita e Istituto Nazionale di Fisica Nucleare, Rome (Italy); Wieser, A. [Helmholtz Zentrum Muenchen, German Research Centre for Environmental Health, Neuherberg (Germany); Ivanov, D.V. [M.N. Mikheev Institute of Metal Physics, Ural Division of the Russian Academy of Sciences, Ekaterinburg (Russian Federation); Ural Federal University, Yekaterinburg (Russian Federation); Anspaugh, L.R. [University of Utah, Salt Lake City, UT (United States)

2016-11-15

This study summarizes the 20-year efforts for dose reconstruction in tooth enamel of the Techa riverside residents exposed to ionizing radiation as a result of radionuclide releases into the river in 1949-1956. It represents the first combined analysis of all the data available on EPR dosimetry with teeth of permanent residents of the Techa riverside territory. Results of electron paramagnetic resonance (EPR) measurements of 302 teeth donated by 173 individuals living permanently in Techa riverside settlements over the period of 1950-1952 were analyzed. These people were residents of villages located at the free-flowing river stream or at the banks of stagnant reservoirs such as ponds or blind river forks. Cumulative absorbed doses measured using EPR are from several sources of exposure, viz., background radiation, internal exposure due to bone-seeking radionuclides ({sup 89}Sr, {sup 90}Sr/{sup 90}Y), internal exposure due to {sup 137}Cs/{sup 137m}Ba incorporated in soft tissues, and anthropogenic external exposure. The purpose of the present study was to evaluate the contribution of different sources of enamel exposure and to deduce external doses to be used for validation of the Techa River Dosimetry System (TRDS). Since various EPR methods were used, harmonization of these methods was critical. Overall, the mean cumulative background dose was found to be 63 ± 47 mGy; cumulative internal doses due to {sup 89}Sr and {sup 90}Sr/{sup 90}Y were within the range of 10-110 mGy; cumulative internal doses due to {sup 137}Cs/{sup 137m}Ba depend on the distance from the site of releases and varied from 1 mGy up to 90 mGy; mean external doses were maximum for settlements located at the banks of stagnant reservoirs (∝500 mGy); in contrast, external doses for settlements located along the free-flowing river stream did not exceed 160 mGy and decreased downstream with increasing distance from the site of release. External enamel doses calculated using the TRDS code and

Communication dated 9 June 2008 received from the Resident Representatives of Germany, the Netherlands and the United Kingdom to the Agency with regard to the Conference on Nuclear Fuel Supply: Challenges and Opportunities

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a communication dated 9 June 2008 from the Resident Representatives of Germany, the Netherlands and the United Kingdom, attaching the full report of Germany, the Netherlands and the United Kingdom on the Conference on Nuclear Fuel Supply: Challenges and Opportunities, held in Berlin on 17-18 April 2008. As requested in that communication, the report is herewith circulated for the information of Member States

Dealing with female sexuality: training, attitude, and practice of obstetrics and gynecology residents from a developing country.

Science.gov (United States)

Vieira, Teresa Cristina Souza Barroso; de Souza, Eduardo; da Silva, Ivaldo; Torloni, Maria Regina; Ribeiro, Meireluci Costa; Nakamura, Mary Uchiyama

2015-05-01

There is little research on how obstetrics and gynecology (Ob/Gyn) residents deal with female sexuality, especially during pregnancy. The aim of this study was to assess the training, attitude, and practice of Ob/Gyn residents about sexuality. A cross-sectional survey of Brazilian Ob/Gyn residents enrolling in an online sexology course was conducted. A questionnaire assessed their training in sexuality during medical school and residency and their attitude and practice on sexual issues during pregnancy. Training, attitude, and practice of Ob/Gyn residents regarding sexuality were the main outcome measures. A total of 197 residents, from 21 different programs, answered the online questionnaire. Mean age was 27.9 ± 2.2, most were female (87%), single (79%), and had graduated in the last 5 years (91%). Almost two-thirds (63%) stated that they did not receive any training at all and 28% reported having only up to 6 hours of training about sexuality in medical school. Approximately half of the respondents (49%) stated that they had received no formal training about sexuality during their residency up to that moment and 29% had received ≤6 hours of training. Over half (56%) never or rarely took a sexual history, 51% stated that they did not feel competent or confident to answer their pregnant patients' questions about sexuality, and 84% attributed their difficulties in dealing with sexual complaints to their lack of specific knowledge on the topic. The vast majority of Brazilian Ob/Gyn residents enrolling in a sexuality course had little previous formal training on this topic in medical school and during their residency programs. Most residents do not take sexual histories of pregnant patients, do not feel confident in answering questions about sexuality in pregnancy, and attribute these difficulties to lack of knowledge. These findings point to a clear need for additional training in sexuality among Brazilian Ob/Gyn residents. © 2015 International Society for

Canadian residents' perceptions of cross-cultural care training in graduate medical school.

Science.gov (United States)

Singh, Barinder; Banwell, Emma; Groll, Dianne

2017-12-01

The Royal College of Physicians and Surgeons of Canada specifies both respect for diversity as a requirement of professionalism and culturally sensitive provision of medical care. The purpose of the present study was to evaluate the perception of preparedness and attitudes of medical residents to deliver cross-cultural care. The Cross Cultural Care Survey was sent via e-mail to all Faculty of Medicine residents (approx. 450) in an academic health sciences centre. Comparisons were made between psychiatry residents, family medicine residents, and other residency groups with respect to training, preparedness, and skillfulness in delivering cross-cultural care. Seventy-three (16%) residents responded to the survey. Residents in psychiatry and family medicine reported significantly more training and formal evaluation regarding cross-cultural care than residents in other programs. However, there were no significant differences in self-reported preparedness and skillfulness. Residents in family medicine were more likely to report needing more practical experience working with diverse groups. Psychiatry residents were less likely to report inadequate cross-cultural training. While most residents reported feeling skillful and prepared to work with culturally diverse groups, they report receiving little additional instruction or formal evaluation on this topic, particularly in programs other than psychiatry and family medicine.

Intrusive luxation of 60 permanent incisors

DEFF Research Database (Denmark)

Tsilingaridis, Georgios; Malmgren, Barbro; Andreasen, Jens O

2012-01-01

  Intrusive luxation in the permanent dentition is an uncommon injury but it is considered one of the most severe types of dental trauma because of the risk for damage to the periodontal ligament, pulp and alveolar bone. Management of intrusive luxation in the permanent dentition is controversial....... The purpose of this study was to evaluate pulp survival and periodontal healing in intrusive luxated permanent teeth in relation to treatment alternatives, degree of intrusion and root development....

Frequency and determinants of residents' narrative feedback on the teaching performance of faculty: narratives in numbers

NARCIS (Netherlands)

van der Leeuw, Renée M.; Overeem, Karlijn; Arah, Onyebuchi A.; Heineman, Maas Jan; Lombarts, Kiki M. J. M. H.

2013-01-01

Physicians involved in residency training often receive feedback from residents on their teaching. Research shows that learners value narrative feedback, but knowledge of the frequency and determinants of narrative feedback in teaching performance evaluation is lacking. This study aims to

Implementation of an Integrated Orthopedic Curriculum to Increase Clinical and Procedural Competency amongst Pediatric Residents

Science.gov (United States)

2017-04-05

to Increase Clinical and Procedural Competency Amongst Pediatric Residents presented at/published to APPD Conference, Anaheim, CA, 5-8 April 2017 in...Increase Clinical and Procedural Competency amongst Pediatric Residents 7. FUNDING RECEIVED FOR THIS STUDY? 0 YES l8] t-’O FUNDING SOURCE 8. DO YOU NEED...and Procedural Competency amongst Pediatric Residents Sarah Nelin MD, Taneishia Jones, MD, Jason Beachler MD, Michelle Lawson MD, Bryan Lawson, MD

Permanent magnet materials and their application

International Nuclear Information System (INIS)

Campbell, P.

1994-01-01

Permanent magnets are of great industrial importance in industrial drives, consumer products, computers, and automobiles. Since 1970, new classes of magnet materials have been developed. This book reviews the older and newer materials and is presented as a comprehensive design text for permanent magnets and their applications. After an initial chapter on the fundamentals of magnetism, the author discusses magnetic physics considerations specific to permanent magnets and describes the fabrications and characteristics of commercial materials: alnico, samarium-cobalt, ferrite, and neodymium-iron-boron. Thermal stability, magnet design procedures, magnetic field analysis methods, and measurement methods are discussed in subsequent chapters, followed by a concluding chapter reviewing commercial and industrial products that use permanent magnets. The chapter on thermal properties of magnet materials is of particular interest, bringing together information not readily found elsewhere. The review of applications is also deserving of attention, specifically the sections on motors and actuators. Although particle accelerator applications are discussed, the use of permanent magnet sextuples in modern ECR ion sources is not mentioned

Program Director Perceptions of Surgical Resident Training and Patient Care under Flexible Duty Hour Requirements.

Science.gov (United States)

Saadat, Lily V; Dahlke, Allison R; Rajaram, Ravi; Kreutzer, Lindsey; Love, Remi; Odell, David D; Bilimoria, Karl Y; Yang, Anthony D

2016-06-01

The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial was a national, cluster-randomized, pragmatic, noninferiority trial of 117 general surgery programs, comparing standard ACGME resident duty hour requirements ("Standard Policy") to flexible, less-restrictive policies ("Flexible Policy"). Participating program directors (PDs) were surveyed to assess their perceptions of patient care, resident education, and resident well-being during the study period. A survey was sent to all PDs of the general surgery residency programs participating in the FIRST trial (N = 117 [100% response rate]) in June and July 2015. The survey compared PDs' perceptions of the duty hour requirements in their arm of the FIRST trial during the study period from July 1, 2014 to June 30, 2015. One hundred percent of PDs in the Flexible Policy arm indicated that residents used their additional flexibility in duty hours to complete operations they started or to stabilize a critically ill patient. Compared with the Standard Policy arm, PDs in the Flexible Policy arm perceived a more positive effect of duty hours on the safety of patient care (68.9% vs 0%; p care (98.3% vs 0%; p care (71.8%), continuity of care (94.0%), quality of resident education (83.8%), and resident well-being (55.6%) would be improved with a hypothetical permanent adoption of more flexible duty hours. Program directors involved in the FIRST trial perceived improvements in patient safety, continuity of care, and multiple aspects of resident education and well-being with flexible duty hours. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Media education in pediatric residencies: a national survey.

Science.gov (United States)

Christakis, Dimitri A; Frintner, Mary Pat; Mulligan, Deborah A; Fuld, Gilbert L; Olson, Lynn M

2013-01-01

Little is known about the current state of residency education with respect to counseling parents about media usage and whether trainees consider it to be adequate. A national survey of graduating pediatric residents was conducted in the United States to determine the amount of training they receive on traditional and new media, their perceptions of its quality, and their self-reported practices regarding talking to families about media usage. A 58% response rate was achieved with no evidence of response bias based on age or gender. Only 38% rated their residency program as "very good" or "excellent" in preparing them to provide anticipatory guidance on the effects of media on children and adolescents. In logistic regression analyses, controlling for demographic characteristics, more training on media issues was a significant predictor for usually/always advising families on traditional, passive media (adjusted odds ratio = 3.29; 95% confidence interval 2.26-4.81) and usually/always advising families on new, interactive media use (adjusted odds ratio = 3.96; 95% confidence interval 2.61-6.00) during well-child visits. The majority of residents believe their training on children in media is inadequate. Enhanced training on media is needed in US pediatric residencies. Copyright © 2013 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Resident fatigue in otolaryngology residents: a Web based survey.

Science.gov (United States)

Nida, Andrew M; Googe, Benjamin J; Lewis, Andrea F; May, Warren L

2016-01-01

Resident fatigue has become a point of emphasis in medical education and its effects on otolaryngology residents and their patients require further study. The purpose of our study was to evaluate the prevalence and nature of fatigue in otolaryngology residents, evaluate various quality of life measures, and investigate associations of increased fatigue with resident safety. Anonymous survey. Internet based. United States allopathic otolaryngology residents. None. The survey topics included demographics, residency structure, sleep habits and perceived stress. Responses were correlated with a concurrent Epworth Sleep Scale questionnaire to evaluate effects of fatigue on resident training and quality of life. 190 residents responded to the survey with 178 completing the Epworth Sleep Scale questionnaire. Results revealed a mean Epworth Sleep Scale score of 9.9±5.1 with a median of 10.0 indicating a significant number of otolaryngology residents are excessively sleepy. Statistically significant correlations between Epworth Sleep Scale and sex, region, hours of sleep, and work hours were found. Residents taking in-house call had significantly fewer hours of sleep compared to home call (p=0.01). Residents on "head and neck" (typically consisting of a large proportion of head and neck oncologic surgery) rotations tended to have higher Epworth Sleep Scale and had significantly fewer hours of sleep (p=.003) and greater work hours (potolaryngology residents are excessively sleepy. Our data suggest that the effects of fatigue play a role in resident well-being and resident safety. Copyright © 2016 Elsevier Inc. All rights reserved.

Assessment of indoor radiation dose received by the residents of natural high background radiation areas of coastal villages of Kanyakumari district, Tamil Nadu, India

International Nuclear Information System (INIS)

Deva Jayanthi, D.; Maniyan, C.G.; Perumal, S.

2011-01-01

Radiation exposure and effective dose received through two routes of exposure, viz. external and internal, via inhalation, by residents of 10 villages belonging to Natural High Background Radiation Areas (NHBRA) of coastal regions of Kanyakumari District and Tamil Nadu in India were studied. While the indoor gamma radiation levels were monitored using Thermo Luminescent Dosimeters (TLDs), the indoor radon and thoron gas concentrations were measured using twin chamber dosimeters employing Solid State Nuclear Track Detectors (SSNTDs, LR-115-II). The average total annual effective dose was estimated and found to be varying from 2.59 to 8.76 mSv. -- Highlights: → The effective dose received by the villages of Natural High Background Area (NHBRA) such as Enayam, Midalam and Mel Midalam is high when compared with other study areas. → The high dose indicates higher concentration of radioactive nuclides like Thorium and Uranium in the soil. → As radiation is harmful to human life, the external and internal doses can be reduced by removing the monazite content present in the soil by mineral separation. → Contribution from vegetables, fruits, fish and other non vegetarian items are also being examined. → These results along with other socio-economic factors can throw considerable light on the epidemiological impacts due to low levels of chronic exposure.

Assessment of indoor radiation dose received by the residents of natural high background radiation areas of coastal villages of Kanyakumari district, Tamil Nadu, India

Energy Technology Data Exchange (ETDEWEB)

Deva Jayanthi, D., E-mail: d.devajayanthi@gmail.co [Department of Physics, Women' s Christian College, Nagercoil 629001 (India); Maniyan, C.G. [Environmental Assessment Division, BARC, Mumbai 400085 (India); Perumal, S. [Department of Physics and Research Centre, S.T.Hindu College, Nagercoil 629002 (India)

2011-07-15

Radiation exposure and effective dose received through two routes of exposure, viz. external and internal, via inhalation, by residents of 10 villages belonging to Natural High Background Radiation Areas (NHBRA) of coastal regions of Kanyakumari District and Tamil Nadu in India were studied. While the indoor gamma radiation levels were monitored using Thermo Luminescent Dosimeters (TLDs), the indoor radon and thoron gas concentrations were measured using twin chamber dosimeters employing Solid State Nuclear Track Detectors (SSNTDs, LR-115-II). The average total annual effective dose was estimated and found to be varying from 2.59 to 8.76 mSv. -- Highlights: {yields} The effective dose received by the villages of Natural High Background Area (NHBRA) such as Enayam, Midalam and Mel Midalam is high when compared with other study areas. {yields} The high dose indicates higher concentration of radioactive nuclides like Thorium and Uranium in the soil. {yields} As radiation is harmful to human life, the external and internal doses can be reduced by removing the monazite content present in the soil by mineral separation. {yields} Contribution from vegetables, fruits, fish and other non vegetarian items are also being examined. {yields} These results along with other socio-economic factors can throw considerable light on the epidemiological impacts due to low levels of chronic exposure.

8 CFR 1216.4 - Joint petition to remove conditional basis of lawful permanent resident status for alien spouse.

Science.gov (United States)

2010-01-01

... the termination of the marriage through annulment, divorce, or the death of the petitioning spouse, or... concurrently with the parent, the death of the parent, or other reasons may file a separate Petition to Remove... residence. The alien shall be provided with written notification of the termination and the reasons therefor...

Survey of radiation doses received by atomic-bomb survivors residing in the United States

International Nuclear Information System (INIS)

Kerr, G.D.; Yamada, H.; Marks, S.

1976-01-01

A survey has been completed of 300 of an estimated 500 to 750 survivors of the atomic bombings in Hiroshima and Nagasaki who reside in the United States. Distributions with respect to age, sex, citizenship status, distance from the hypocenter at the time of bombing, and dose from immediate weapon radiation have been tabulated from the results and are presented for this group of 300 survivors. Also presented are survey results concerning exposures to residual radiation from fallout and neutron-induced radioactivity in the areas adjacent to the hypocenter

Residents' Ratings of Their Clinical Supervision and Their Self-Reported Medical Errors: Analysis of Data From 2009.

Science.gov (United States)

Baldwin, DeWitt C; Daugherty, Steven R; Ryan, Patrick M; Yaghmour, Nicholas A; Philibert, Ingrid

2018-04-01

Medical errors and patient safety are major concerns for the medical and medical education communities. Improving clinical supervision for residents is important in avoiding errors, yet little is known about how residents perceive the adequacy of their supervision and how this relates to medical errors and other education outcomes, such as learning and satisfaction. We analyzed data from a 2009 survey of residents in 4 large specialties regarding the adequacy and quality of supervision they receive as well as associations with self-reported data on medical errors and residents' perceptions of their learning environment. Residents' reports of working without adequate supervision were lower than data from a 1999 survey for all 4 specialties, and residents were least likely to rate "lack of supervision" as a problem. While few residents reported that they received inadequate supervision, problems with supervision were negatively correlated with sufficient time for clinical activities, overall ratings of the residency experience, and attending physicians as a source of learning. Problems with supervision were positively correlated with resident reports that they had made a significant medical error, had been belittled or humiliated, or had observed others falsifying medical records. Although working without supervision was not a pervasive problem in 2009, when it happened, it appeared to have negative consequences. The association between inadequate supervision and medical errors is of particular concern.

Expectations of iPad Use in an Internal Medicine Residency Program: Is It Worth the “Hype”?

Science.gov (United States)

Luo, Nancy; Chapman, Christopher G; Patel, Bhakti K; Woodruff, James N

2013-01-01

Background While early reports highlight the benefits of tablet computing in hospitals, introducing any new technology can result in inflated expectations. Objective The aim of the study is to compare anticipated expectations of Apple iPad use and perceptions after deployment among residents. Methods 115 internal medicine residents received Apple iPads in October 2010. Residents completed matched surveys on anticipated usage and perceptions after distribution 1 month prior and 4 months after deployment. Results In total, 99% (114/115) of residents responded. Prior to deployment, most residents believed that the iPad would improve patient care and efficiency on the wards; however, fewer residents “strongly agreed” after deployment (34% vs 15% for patient care, PiPad for placing orders post call and during admission (71% vs 44% post call, P=.01, and 16% vs 0% admission, P=.04). Previous Apple iOS product owners were also more likely to use the iPad in key areas. Overall, 84% of residents thought the iPad was a good investment for the residency program, and over half of residents (58%) reported that patients commented on the iPad in a positive way. Conclusions While the use of tablets such as the iPad by residents is generally well received, high initial expectations highlight the danger of implementing new technologies. Education on the realistic expectations of iPad benefits may be warranted. PMID:23656727

Cylindrical Hall Thrusters with Permanent Magnets

International Nuclear Information System (INIS)

Raitses, Yevgeny; Merino, Enrique; Fisch, Nathaniel J.

2010-01-01

The use of permanent magnets instead of electromagnet coils for low power Hall thrusters can offer a significant reduction of both the total electric power consumption and the thruster mass. Two permanent magnet versions of the miniaturized cylindrical Hall thruster (CHT) of different overall dimensions were operated in the power range of 50W-300 W. The discharge and plasma plume measurements revealed that the CHT thrusters with permanent magnets and electromagnet coils operate rather differently. In particular, the angular ion current density distribution from the permanent magnet thrusters has an unusual halo shape, with a majority of high energy ions flowing at large angles with respect to the thruster centerline. Differences in the magnetic field topology outside the thruster channel and in the vicinity of the channel exit are likely responsible for the differences in the plume characteristics measured for the CHTs with electromagnets and permanent magnets. It is shown that the presence of the reversing-direction or cusp-type magnetic field configuration inside the thruster channel without a strong axial magnetic field outside the thruster channel does not lead to the halo plasma plume from the CHT.

Macroscopic simulation of isotropic permanent magnets

International Nuclear Information System (INIS)

Bruckner, Florian; Abert, Claas; Vogler, Christoph; Heinrichs, Frank; Satz, Armin; Ausserlechner, Udo; Binder, Gernot; Koeck, Helmut; Suess, Dieter

2016-01-01

Accurate simulations of isotropic permanent magnets require to take the magnetization process into account and consider the anisotropic, nonlinear, and hysteretic material behaviour near the saturation configuration. An efficient method for the solution of the magnetostatic Maxwell equations including the description of isotropic permanent magnets is presented. The algorithm can easily be implemented on top of existing finite element methods and does not require a full characterization of the hysteresis of the magnetic material. Strayfield measurements of an isotropic permanent magnet and simulation results are in good agreement and highlight the importance of a proper description of the isotropic material. - Highlights: • Simulations of isotropic permanent magnets. • Accurate calculation of remanence magnetization and strayfield. • Comparison with strayfield measurements and anisotropic magnet simulations. • Efficient 3D FEM–BEM coupling for solution of Maxwell equations.

Reactor safety review of permanent changes

International Nuclear Information System (INIS)

Lam, K.F.

1997-01-01

Operational compliance engineers review all changes as part of a change control process. Each change, permanent or temporary, is required to undergo an intricate review process to ensure that the benefits associated with the change outweigh the risk. For permanent changes, it is necessary to ensure that the proposed design meets the nuclear safety requirements, conforms to the licensing requirements and complies with regulatory requirements. In addition, during installation of the permanent change and prior to in-service, a configuration management process is in place to align the change with operating and maintenance documents. (author)

Permanent multipole magnets with adjustable strength

International Nuclear Information System (INIS)

Halbach, K.

1983-01-01

Preceded by a short discussion of the motives for using permanent magnets in accelerators, a new type of permanent magnet for use in accelerators is presented. The basic design and most important properties of a quadrople will be described that uses both steel and permanent magnet material. The field gradient produced by this magnet can be adjusted without changing any other aspect of the field produced by this quadrupole. The generalization of this concept to produce other multipole fields, or combination of multipole fields, will also be presented

Nanocrystalline permanent magnets with enhanced properties

International Nuclear Information System (INIS)

Leonowicz, M.

2002-01-01

Parameters of permanent magnets result from the combination of intrinsic properties such as saturation magnetization, magnetic exchange, and magnetocrystalline energy, as well as microstructural parameters such as phase structure, grain size, and orientation. Reduction of grain size into nanocrystalline regime (∼ 50 nm) leads to the enhanced remanence which derives from ferromagnetic exchange coupling between highly refined grains. In this study the fundamental phenomena, quantities, and structure parameters, which define nanophase permanent magnets are presented and discussed. The theoretical considerations are confronted with experimental data for nanocrystalline Sm-Fe-N type permanent magnets. (author)

Permanent multipole magnets with adjustable strength

International Nuclear Information System (INIS)

Halbach, K.

1983-03-01

Preceded by a short discussion of the motives for using permanent magnets in accelerators, a new type of permanent magnet for use in accelerators is presented. The basic design and most important properties of a quadrupole will be described that uses both steel and permanent magnet material. The field gradient produced by this magnet can be adjusted without changing any other aspect of the field produced by this quadrupole. The generalization of this concept to produce other multipole fields, or combination of multipole fields, will also be presented

Primary care resident perceived preparedness to deliver cross-cultural care: an examination of training and specialty differences.

Science.gov (United States)

Greer, Joseph A; Park, Elyse R; Green, Alexander R; Betancourt, Joseph R; Weissman, Joel S

2007-08-01

Previous research has shown that resident physicians report differences in training across primary care specialties, although limited data exist on education in delivering cross-cultural care. The goals of this study were to identify factors that relate to primary care residents' perceived preparedness to provide cross-cultural care and to explore the extent to which these perceptions vary across primary care specialties. Cross-sectional, national mail survey of resident physicians in their last year of training. Eleven hundred fifty primary care residents specializing in family medicine (27%), internal medicine (23%), pediatrics (26%), and obstetrics/gynecology (OB/GYN) (24%). Male residents as well as those who reported having graduated from U.S. medical schools, access to role models, and a greater cross-cultural case mix during residency felt more prepared to deliver cross-cultural care. Adjusting for these demographic and clinical factors, family practice residents were significantly more likely to feel prepared to deliver cross-cultural care compared to internal medicine, pediatric, and OB/GYN residents. Yet, when the quantity of instruction residents reported receiving to deliver cross-cultural care was added as a predictor, specialty differences became nonsignificant, suggesting that training opportunities better account for the variability in perceived preparedness than specialty. Across primary care specialties, residents reported different perceptions of preparedness to deliver cross-cultural care. However, this variation was more strongly related to training factors, such as the amount of instruction physicians received to deliver such care, rather than specialty affiliation. These findings underscore the importance of formal education to enhance residents' preparedness to provide cross-cultural care.

Communications received from certain Member States regarding guidelines for the export of nuclear material, equipment or technology

International Nuclear Information System (INIS)

1988-11-01

The document reproduces the text of a Note Verbale dated 20 October 1988 received by the IAEA Director General from the Permanent Mission of Spain relating to the export of nuclear material, equipment or technology

Introduction to permanent magnets

International Nuclear Information System (INIS)

Zijlstra, H.

1985-01-01

Some general considerations concerning the application of permanent magnets are developed. The relevant magnet properties are discussed, with particular reference to Nd-Fe-B alloy. The author comes to the following conclusions; the air gap field B should be high, for high electrical efficiency; the magnet should face the air gap, for efficient use of the magnet material; the magnet material should therefore have a high remanence; and the new Nd-Fe-B magnet fits in nicely, having (potentially) the highest remanence ever reported in permanent magnets, combined with sufficient coercivity to sustain it

Communication dated 1 August 2008 received from the Permanent Mission of the Islamic Republic of Iran to the Agency concerning the text of the 'Statement on the Islamic Republic of Iran's Nuclear Issue' adopted by the XV Ministerial Conference of the Non-Aligned Movement

International Nuclear Information System (INIS)

2008-01-01

The Secretariat has received a Note Verbale dated 1 August 2008 from the Permanent Mission of the Islamic Republic of Iran, attaching the text of the 'Statement on the Islamic Republic of Iran's Nuclear Issue' adopted by the XV Ministerial Conference of the Non-Aligned Movement held in Tehran from 27 to 30 July 2008. The Note Verbale and, as requested therein, its attachment are circulated herewith for the information of Member States

Elevated hair cortisol concentrations in recently fled asylum seekers in comparison to permanently settled immigrants and non-immigrants.

Science.gov (United States)

Mewes, R; Reich, H; Skoluda, N; Seele, F; Nater, U M

2017-03-07

Recently fled asylum seekers generally live in stressful conditions. Their residency status is mostly insecure and, similar to other immigrants, they experience stress due to acculturation. Moreover, they often suffer from traumatization and posttraumatic stress disorder (PTSD). All of these factors can result in chronic maladaptive biological stress responses in terms of hyper- or hypocortisolism and, ultimately, illness. We believe the current study is the first to compare hair cortisol concentration (HCC) of recently fled asylum seekers with PTSD to those without PTSD, and to compare HCC of asylum seekers to HCC of permanently settled immigrants and non-immigrant individuals. HCC of the previous 2 months was compared between 24 asylum seekers without PTSD, 32 asylum seekers with PTSD, 24 permanently settled healthy Turkish immigrants and 28 non-immigrant healthy Germans as the reference group. Statistical comparisons were controlled for age, sex and body mass index. No significant difference in HCC was found between asylum seekers with and without PTSD. However, the asylum seekers showed a 42% higher HCC than the reference group. In contrast, the permanently settled immigrants exhibited a 23% lower HCC than the reference group. We found relative hypercortisolism in recently fled asylum seekers, but no difference between persons with and without PTSD. These findings add to the very few studies investigating HCC in groups with recent traumatization and unsafe living conditions. Contrary to the findings in asylum seekers, permanently settled immigrants showed relative hypocortisolism. Both hyper- and hypocortisolism may set the stage for the development of stress-related illnesses.

Elevated hair cortisol concentrations in recently fled asylum seekers in comparison to permanently settled immigrants and non-immigrants

Science.gov (United States)

Mewes, R; Reich, H; Skoluda, N; Seele, F; Nater, U M

2017-01-01

Recently fled asylum seekers generally live in stressful conditions. Their residency status is mostly insecure and, similar to other immigrants, they experience stress due to acculturation. Moreover, they often suffer from traumatization and posttraumatic stress disorder (PTSD). All of these factors can result in chronic maladaptive biological stress responses in terms of hyper- or hypocortisolism and, ultimately, illness. We believe the current study is the first to compare hair cortisol concentration (HCC) of recently fled asylum seekers with PTSD to those without PTSD, and to compare HCC of asylum seekers to HCC of permanently settled immigrants and non-immigrant individuals. HCC of the previous 2 months was compared between 24 asylum seekers without PTSD, 32 asylum seekers with PTSD, 24 permanently settled healthy Turkish immigrants and 28 non-immigrant healthy Germans as the reference group. Statistical comparisons were controlled for age, sex and body mass index. No significant difference in HCC was found between asylum seekers with and without PTSD. However, the asylum seekers showed a 42% higher HCC than the reference group. In contrast, the permanently settled immigrants exhibited a 23% lower HCC than the reference group. We found relative hypercortisolism in recently fled asylum seekers, but no difference between persons with and without PTSD. These findings add to the very few studies investigating HCC in groups with recent traumatization and unsafe living conditions. Contrary to the findings in asylum seekers, permanently settled immigrants showed relative hypocortisolism. Both hyper- and hypocortisolism may set the stage for the development of stress-related illnesses. PMID:28267148

Communications received from Members regarding the export of nuclear material and of certain categories of equipment and other material

International Nuclear Information System (INIS)

1994-04-01

The Director General has received a letter dated 7 October 1993 from the Permanent Mission of Bulgaria, letters dated 8 October 1993 from the Permanent Missions of Australia, Austria, Canada, the Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Japan, Luxembourg, the Netherlands, Norway, Portugal, the Russian Federation, Spain, Sweden, the United Kingdom of Great Britain and Northern Ireland, the United States of America, and a letter dated 11 October 1993 from the Permanent Mission of Poland to the International Atomic Energy Agency concerning the export of nuclear material and of certain categories of equipment and other material. Text of the letter is presented

8 CFR 211.1 - Visas.

Science.gov (United States)

2010-01-01

... University of Beirut, or resuming permanent residence in the United States. (b) Waivers. (1) A waiver of the... shall be on Form I-181, Memorandum of Creation of Record of Admission for Lawful Permanent Residence... United States for lawful permanent residence, or as a lawful permanent resident returning to an...

The Effect of Gender on Resident Autonomy in the Operating room.

Science.gov (United States)

Meyerson, Shari L; Sternbach, Joel M; Zwischenberger, Joseph B; Bender, Edward M

Discrimination against women training in medicine and surgery has been subjectively described for decades. This study objectively documents gender differences in the degree of autonomy given to thoracic surgery trainees in the operating room. Thoracic surgery residents and faculty underwent frame of reference training on the use of the 4-point Zwisch scale to measure operative autonomy. Residents and faculty then submitted evaluations of their perception of autonomy granted for individual operations as well as operative difficulty on a real-time basis using the "Zwisch Me!!" mobile application. Differences in autonomy given to male and female residents were elucidated using chi-square analysis and ordered logistic regression. Seven academic medical centers with thoracic surgery training programs. Volunteer thoracic surgery residents in both integrated and traditional training pathways and their affiliated cardiothoracic faculty. Residents (n = 33, female 18%) submitted a total of 596 evaluations to faculty (n = 48, female 12%). Faculty gave less autonomy to female residents with only 56 of 184 evaluations (30.3%) showing meaningful autonomy (passive help or supervision only) compared to 107 of 292 evaluations (36.7%) at those levels for male residents (p = 0.02). Resident perceptions of autonomy showed even more pronounced differences with female residents receiving only 38 of 197 evaluations (19.3%) with meaningful autonomy compared to 133 of 399 evaluations (33.3%) for male residents (p autonomy granted to residents. Evaluations of operative autonomy reveal a significant bias against female residents. Faculty education is needed to encourage allowing female residents more operative autonomy. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Impact of Residency Training Redesign on Residents' Clinical Knowledge.

Science.gov (United States)

Waller, Elaine; Eiff, M Patrice; Dexter, Eve; Rinaldo, Jason C B; Marino, Miguel; Garvin, Roger; Douglass, Alan B; Phillips, Robert; Green, Larry A; Carney, Patricia A

2017-10-01

The In-training Examination (ITE) is a frequently used method to evaluate family medicine residents' clinical knowledge. We compared family medicine ITE scores among residents who trained in the 14 programs that participated in the Preparing the Personal Physician for Practice (P4) Project to national averages over time, and according to educational innovations. The ITE scores of 802 consenting P4 residents who trained in 2007 through 2011 were obtained from the American Board of Family Medicine. The primary analysis involved comparing scores within each academic year (2007 through 2011), according to program year (PGY) for P4 residents to all residents nationally. A secondary analysis compared ITE scores among residents in programs that experimented with length of training and compared scores among residents in programs that offered individualized education options with those that did not. Release of ITE scores was consented to by 95.5% of residents for this study. Scores of P4 residents were higher compared to national scores in each year. For example, in 2011, the mean P4 score for PGY1 was 401.2, compared to the national average of 386. For PGY2, the mean P4 score was 443.1, compared to the national average of 427, and for PGY3, the mean P4 score was 477.0, compared to the national PGY3 score of 456. Scores of residents in programs that experimented with length of training were similar to those in programs that did not. Scores were also similar between residents in programs with and without individualized education options. Family medicine residency programs undergoing substantial educational changes, including experiments in length of training and individualized education, did not appear to experience a negative effect on resident's clinical knowledge, as measured by ITE scores. Further research is needed to study the effect of a wide range of residency training innovations on ITE scores over time.

Communication Received from the PermanentMission of Mexico to the International Atomic Energy Agency Regarding Guidelines for the Export of Nuclear Material, Equipment and Technology and the Guidelines for Transfers of Nuclear-related Dual-use Equipment, Materials, Software and Related Technology

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-06-19

The Director General has received a note verbale dated 15 June 2012 from the Permanent Mission of Mexico to the International Atomic Energy Agency providing information on the decision of the Government of Mexico to act in accordance with the 'Guidelines for the Export of Nuclear Material, Equipment and Technology', issued as document INFCIRC/254/Rev.10/Part 1, including its Annexes, and with the 'Guidelines for Transfers of Nuclear-Related Dual-Use Equipment, Material, Software and Related Technology', issued as document INFCIRC/254/Rev.8/Part 2.

Communication Received from the Permanent Mission of Mexico to the International Atomic Energy Agency Regarding Guidelines for the Export of Nuclear Material, Equipment and Technology and the Guidelines for Transfers of Nuclear-related Dual-use Equipment, Materials, Software and Related Technology

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-06-19

The Director General has received a note verbale dated 15 June 2012 from the Permanent Mission of Mexico to the International Atomic Energy Agency providing information on the decision of the Government of Mexico to act in accordance with the 'Guidelines for the Export of Nuclear Material, Equipment and Technology', issued as document INFCIRC/254/Rev.10/Part 1, including its Annexes, and with the 'Guidelines for Transfers of Nuclear-Related Dual-Use Equipment, Material, Software and Related Technology', issued as document INFCIRC/254/Rev.8/Part 2.

Communication Received from the Permanent Mission of Mexico to the International Atomic Energy Agency Regarding Guidelines for the Export of Nuclear Material, Equipment and Technology and the Guidelines for Transfers of Nuclear-related Dual-use Equipment, Materials, Software and Related Technology

International Nuclear Information System (INIS)

2012-01-01

The Director General has received a note verbale dated 15 June 2012 from the Permanent Mission of Mexico to the International Atomic Energy Agency providing information on the decision of the Government of Mexico to act in accordance with the 'Guidelines for the Export of Nuclear Material, Equipment and Technology', issued as document INFCIRC/254/Rev.10/Part 1, including its Annexes, and with the 'Guidelines for Transfers of Nuclear-Related Dual-Use Equipment, Material, Software and Related Technology', issued as document INFCIRC/254/Rev.8/Part 2

Communication Received from the PermanentMission of Mexico to the International Atomic Energy Agency Regarding Guidelines for the Export of Nuclear Material, Equipment and Technology and the Guidelines for Transfers of Nuclear-related Dual-use Equipment, Materials, Software and Related Technology

International Nuclear Information System (INIS)

2012-01-01

The Director General has received a note verbale dated 15 June 2012 from the Permanent Mission of Mexico to the International Atomic Energy Agency providing information on the decision of the Government of Mexico to act in accordance with the 'Guidelines for the Export of Nuclear Material, Equipment and Technology', issued as document INFCIRC/254/Rev.10/Part 1, including its Annexes, and with the 'Guidelines for Transfers of Nuclear-Related Dual-Use Equipment, Material, Software and Related Technology', issued as document INFCIRC/254/Rev.8/Part 2

Permanent education

International Nuclear Information System (INIS)

Gardien, S.; Kirsch, R.

1998-01-01

The permanent education of the IPN-Lyon inscribes itself completely in the priorities of the tri-annual plan of education of CNRS. These priorities contribute to evolution of research, evaluation of the professions, integration during the professional carriers of the personnel and form the frame for new management practice implementation

An Analysis of Publication Productivity During Residency for 1506 Neurosurgical Residents and 117 Residency Departments in North America.

Science.gov (United States)

Khan, Nickalus R; Saad, Hassan; Oravec, Chesney S; Norrdahl, Sebastian P; Fraser, Brittany; Wallace, David; Lillard, Jock C; Motiwala, Mustafa; Nguyen, Vincent N; Lee, Siang Liao; Jones, Anna V; Ajmera, Sonia; Kalakoti, Piyush; Dave, Pooja; Moore, Kenneth A; Akinduro, Olutomi; Nyenwe, Emmanuel; Vaughn, Brandy; Michael, L Madison; Klimo, Paul

2018-05-30

Bibliometrics is defined as the study of statistical and mathematical methods used to quantitatively analyze scientific literature. The application of bibliometrics in neurosurgery continues to evolve. To calculate a number of publication productivity measures for almost all neurosurgical residents and departments within North America. These measures were correlated with survey results on the educational environment within residency programs. During May to June 2017, data were collected from departmental websites and Scopus to compose a bibliometric database of neurosurgical residents and residency programs. Data related to authorship value and study content were collected on all articles published by residents. A survey of residency program research and educational environment was administered to program directors and coordinators; results were compared with resident academic productivity. The median number of publications in residency was 3; median h-index and Resident index were 1 and 0.17 during residency, respectively. There was a statistically significant difference in academic productivity among male neurosurgical residents compared with females. The majority of articles published were tier 1 clinical articles. Residency program research support was significantly associated with increased resident productivity (P productivity. This study represents the most comprehensive bibliometric assessment of neurosurgical resident academic productivity during training to date. New benchmarks for individual and department academic productivity are provided. A supportive research environment for neurosurgical residents is associated with increased academic productivity, but a scholarly activity requirement was, surprisingly, not shown to have a positive effect.

Transient or permanent fisheye views

DEFF Research Database (Denmark)

Jakobsen, Mikkel Rønne; Hornbæk, Kasper

2012-01-01

Transient use of information visualization may support specific tasks without permanently changing the user interface. Transient visualizations provide immediate and transient use of information visualization close to and in the context of the user’s focus of attention. Little is known, however......, about the benefits and limitations of transient visualizations. We describe an experiment that compares the usability of a fisheye view that participants could call up temporarily, a permanent fisheye view, and a linear view: all interfaces gave access to source code in the editor of a widespread...... programming environment. Fourteen participants performed varied tasks involving navigation and understanding of source code. Participants used the three interfaces for between four and six hours in all. Time and accuracy measures were inconclusive, but subjective data showed a preference for the permanent...

Precision Radiology Residency Training: Special Distinction Tracks for Noninterpretative Professional Development.

Science.gov (United States)

Snyder, Elizabeth; Solnes, Lilja; Horton, Karen M; Johnson, Pamela T

2018-06-01

The role of a radiologist has expanded beyond the tripartite mission of patient care, education, and research to include cross-specialty consultation for patient management, innovative solutions to improve health-care quality and safety, device design, and policy advocacy. As such, radiology residency programs should incorporate formalized training to prepare residents for these various professional roles. Since the 2015-2016 academic year, five training tracks focused on noninterpretative skills have been integrated into our residency training program: Clinician Educator, Quality Improvement, Entrepreneurship/Innovation, Health Policy Advocacy, and High-Value Care. Each track is longitudinal, with a set of requirements throughout the residents' training necessary to achieve certification at graduation. To date nine residents have participated in the programs, including two who received distinction in two separate tracks. Residents in each of the tracks have implemented successful initiatives related to the focus area. As such, these tracks enrich training by ensuring that residents make meaningful contributions to the department and institution during their training and disseminate successful initiatives through presentation at national meetings and publications. The duration of a radiology residency and resources available in an academic center provide opportunities for residency program directors to advance residents' skills in important noninterpretative components of radiology practice. Regardless of whether residents pursue academic medicine or private practice, these skills are necessary for graduates to become valuable members of a radiology practice and serve as national leaders in the field of radiology. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Permanent molars: Delayed development and eruption

Directory of Open Access Journals (Sweden)

Arathi R

2006-05-01

Full Text Available Delayed development and eruption of all the permanent molars is a rare phenomenon, which can cause disturbance in the developing occlusion. The eruption of permanent first and second molars is very important for the coordination of facial growth and for providing sufficient occlusal support for undisturbed mastication. In the case described, the first permanent molars were delayed in their development and were seen erupting at the age of nine and a half years. Severe disparity between the left and the right side of the dentition with respect to the rate of development of molars were also present.

Quality of life after permanent prostate implant

International Nuclear Information System (INIS)

Arterbery, V. Elayne; Frazier, Arthur; Dalmia, Praveen; Porter, Arthur

1997-01-01

Purpose: To report on the quality of life in patients who have received a permanent transperineal ultrasound guide prostate implant. There is increasing recognition that prostate cancer therapy impacts significantly on the patients ability to pursue relational, occupational and social interests. With the substantially expanded patient role in directing treatment for prostate cancer, the importance of examining quality of life outcomes in addition to survival has been underscored. Materials and Methods: 51 sequential patients with clinically localized prostate cancer who underwent permanent prostate implantation from September 1995 to October 1996 were evaluated. All patients were clinically staged as T1c or T2a and received implant with Iodine 125 or Palladium 103 as definitive treatment. Data was collected using the EORTC genitourinary group questionnaire and supplemental questions during an interview. Results: Urinary symptoms such as nocturia, frequency and dysuria were the most pronounced in the first two months after implant and then decreased in the majority of patients. The EORTC questionnaire was administered at 6 months and examined urinary quality, sexual quality and perception of symptoms. With regard to urinary quality, 17% had mild dysuria at 6 months and 40% noted that they urinated more frequently than pre implant. No patient had hematuria and 0 % were incontinent. 3% stated that they had occasional loss of minimal urine with severe urgency. Only 2% required intermittent self catheterization after implant secondary to obstructive symptoms. Over 90% were on an alpha blocker post implant for a minimum of 6 weeks. 0% reported psychological distress and 3% noted a disruption in social or family life. 15% experienced some fatigue and 10% noted a decreased functional status but only 1% a decreased role function. Additional questions addressed lifestyle and work issues. 100% would have an implant again as definitive treatment and 98% would recommend the

Menopause education: needs assessment of American obstetrics and gynecology residents.

Science.gov (United States)

Christianson, Mindy S; Ducie, Jennifer A; Altman, Kristiina; Khafagy, Ayatallah M; Shen, Wen

2013-11-01

This study aims to understand the current teaching of menopause medicine in American obstetrics and gynecology residency programs. A Web-based survey was e-mailed to all American obstetrics and gynecology residency directors, with a request that they forward it to their residents. Of 258 residency program directors contacted, 79 (30.6%) confirmed forwarding the survey. In all, 1,799 people received the survey, with 510 completions, for a response rate of 28.3%. Most residents reported that they had limited knowledge and needed to learn more about these aspects of menopause medicine: pathophysiology of menopause symptoms (67.1%), hormone therapy (68.1%), nonhormone therapy (79.0%), bone health (66.1%), cardiovascular disease (71.7%), and metabolic syndrome (69.5%). Among fourth-year residents who will be entering clinical practice soon, a large proportion also reported a need to learn more in these areas: pathophysiology of menopause symptoms (45.9%), hormone therapy (54.2%), nonhormone therapy (69.4%), bone health (54.2%), cardiovascular disease (64.3%), and metabolic syndrome (63.8%). When asked to rate the most preferred modalities for learning about menopause, the top choice was supervised clinics (53.2%), followed by case presentations (22.2%), formal lectures (21.3%), small groups (14.7%), Web-based learning (7.8%), and independent reading (5.2%). Only 20.8% of residents reported that their program had a formal menopause medicine learning curriculum, and 16.3% had a defined menopause clinic as part of their residency. It seems that some American residency programs do not fulfill the educational goals of their residents in menopause medicine. A curriculum would be beneficial for increasing knowledge and clinical experience on menopause issues.

Incorporating resident research into the dermatology residency program

Science.gov (United States)

Wagner, Richard F; Raimer, Sharon S; Kelly, Brent C

2013-01-01

Programmatic changes for the dermatology residency program at The University of Texas Medical Branch were first introduced in 2005, with the faculty goal incorporating formal dermatology research projects into the 3-year postgraduate training period. This curriculum initially developed as a recommendation for voluntary scholarly project activity by residents, but it evolved into a program requirement for all residents in 2009. Departmental support for this activity includes assignment of a faculty mentor with similar interest about the research topic, financial support from the department for needed supplies, materials, and statistical consultation with the Office of Biostatistics for study design and data analysis, a 2-week elective that provides protected time from clinical activities for the purpose of preparing research for publication and submission to a peer-reviewed medical journal, and a departmental award in recognition for the best resident scholarly project each year. Since the inception of this program, five classes have graduated a total of 16 residents. Ten residents submitted their research studies for peer review and published their scholarly projects in seven dermatology journals through the current academic year. These articles included three prospective investigations, three surveys, one article related to dermatology education, one retrospective chart review, one case series, and one article about dermatopathology. An additional article from a 2012 graduate about dermatology education has also been submitted to a journal. This new program for residents was adapted from our historically successful Dermatology Honors Research Program for medical students at The University of Texas Medical Branch. Our experience with this academic initiative to promote dermatology research by residents is outlined. It is recommended that additional residency programs should consider adopting similar research programs to enrich resident education. PMID:23901305

Incorporating resident research into the dermatology residency program.

Science.gov (United States)

Wagner, Richard F; Raimer, Sharon S; Kelly, Brent C

2013-01-01

Programmatic changes for the dermatology residency program at The University of Texas Medical Branch were first introduced in 2005, with the faculty goal incorporating formal dermatology research projects into the 3-year postgraduate training period. This curriculum initially developed as a recommendation for voluntary scholarly project activity by residents, but it evolved into a program requirement for all residents in 2009. Departmental support for this activity includes assignment of a faculty mentor with similar interest about the research topic, financial support from the department for needed supplies, materials, and statistical consultation with the Office of Biostatistics for study design and data analysis, a 2-week elective that provides protected time from clinical activities for the purpose of preparing research for publication and submission to a peer-reviewed medical journal, and a departmental award in recognition for the best resident scholarly project each year. Since the inception of this program, five classes have graduated a total of 16 residents. Ten residents submitted their research studies for peer review and published their scholarly projects in seven dermatology journals through the current academic year. These articles included three prospective investigations, three surveys, one article related to dermatology education, one retrospective chart review, one case series, and one article about dermatopathology. An additional article from a 2012 graduate about dermatology education has also been submitted to a journal. This new program for residents was adapted from our historically successful Dermatology Honors Research Program for medical students at The University of Texas Medical Branch. Our experience with this academic initiative to promote dermatology research by residents is outlined. It is recommended that additional residency programs should consider adopting similar research programs to enrich resident education.

Superconducting permanent magnets

International Nuclear Information System (INIS)

Wipf, S.L.; Laquer, H.L.

1989-01-01

The concept of superconducting permanent magnets with fields trapped in shells or cylinders of Type II superconductors is an old one. Unfortunately, the low values of 0.5 to 1T for the first flux jump field, which is independent of the actual current density, have frustrated its implementation with classical Type II superconductors. The fact that the flux jump fields for high temperature superconductors should be an order of magnitude larger at liquid nitrogen temperatures allows us to reconsider these options. Analysis of the hysteresis patterns, based on the critical state model, shows that, if the dimensions are chosen so that the sample is penetrated at a field B/sub p/, which is equal to or just less than the first flux jump field, B/sub fj/, a temporarily applied field of 2B/sub fj/ will trap 0.5 B/sub fj/. Thus for a 90 K superconductor with a B/sub fj/ of 6T, a permanent field of 3 T should be trapped, with an energy product of 1.8 MJ/m/sup 3/ (225 MG . Oe). This is five times as large as for the best permanent magnet materials. The authors discuss means to verify the analysis and the limitations imposed by the low critical current densities in presently available high temperature superconductors

As consequência das segundas residências no mercado de hospedagem em Tibau do Sul-RN

Directory of Open Access Journals (Sweden)

Maria Rita Oliveira Nunes

2016-06-01

Full Text Available O fenômeno das segundas residências é de abrangência mundial. No desenvolvimento de produtos como o turismo de sol e mar, as segundas habitações apresentam-se como uma forma de alojamento e investimento turístico. Compreender as repercussões desse fenômeno nas destinações e suas consequências é imperativo na gestão da atividade. O objetivo desse artigo é de verificar as características desse fenômeno e analisar em que medida as residências secundárias interferem na destinação de Tibau do Sul – RN, Brasil. O aumento do número de residências secundárias nessa destinação turística foi nocivo frente ao excesso de oferta de alojamentos a ocasionar uma competitividade desleal com a hotelaria, acrescido a isso a crise financeira mundial afetou o desenvolvimento dessa localidade e comprometeu a permanência competitiva desse destino no mercado turístico.

Communication dated 20 April 1994 received from the Permanent Mission of the Democratic People's Republic of Korea to the International Atomic Energy Agency

International Nuclear Information System (INIS)

1994-01-01

The text of a Memorandum of the Foreign Ministry of the Democratic People's Republic of Korea dated 20 April 1994 is being circulated to all Member States of the Agency at the request of the Permanent Mission of the Democratic People's Republic of Korea

Assessing pediatrics residents' mathematical skills for prescribing medication: a need for improved training.

Science.gov (United States)

Glover, Mark L; Sussmane, Jeffrey B

2002-10-01

To evaluate residents' skills in performing basic mathematical calculations used for prescribing medications to pediatric patients. In 2001, a test of ten questions on basic calculations was given to first-, second-, and third-year residents at Miami Children's Hospital in Florida. Four additional questions were included to obtain the residents' levels of training, specific pediatrics intensive care unit (PICU) experience, and whether or not they routinely double-checked doses and adjusted them for each patient's weight. The test was anonymous and calculators were permitted. The overall score and the score for each resident class were calculated. Twenty-one residents participated. The overall average test score and the mean test score of each resident class was less than 70%. Second-year residents had the highest mean test scores, although there was no significant difference between the classes of residents (p =.745) or relationship between the residents' PICU experiences and their exam scores (p =.766). There was no significant difference between residents' levels of training and whether they double-checked their calculations (p =.633) or considered each patient's weight relative to the dose prescribed (p =.869). Seven residents committed tenfold dosing errors, and one resident committed a 1,000-fold dosing error. Pediatrics residents need to receive additional education in performing the calculations needed to prescribe medications. In addition, residents should be required to demonstrate these necessary mathematical skills before they are allowed to prescribe medications.

Breastfeeding education and support services offered to pediatric residents in the US.

Science.gov (United States)

Osband, Yardaena B; Altman, Robin L; Patrick, Patricia A; Edwards, Karen S

2011-01-01

The American Academy of Pediatrics (AAP) encourages pediatricians to support the practice of breastfeeding and residency educators to develop formal curricula in breastfeeding education. Few studies, however, describe breastfeeding education or support services currently provided to pediatric residents in the United States. The goals of this study were to investigate breastfeeding training offered during 3-year pediatric residency programs and to describe residency programs' policies and services for residents who breastfeed. We conducted a cross-sectional study using a Web-based survey of pediatric program directors regarding breastfeeding education and support services for residents. Seventy percent of program directors (132 of 189) completed the survey, with 77.3% of respondents (n = 102) estimating the amount of breastfeeding education offered to their pediatric residents. Residents are provided with a median total of 9.0 hours of breastfeeding training over 3 years, primarily in continuity clinic and in lectures and rounds with attendings. At the programs' primary teaching hospitals, breastfeeding residents are provided breastfeeding rooms (67.0%), breast pumps (75.3%), and breast milk storage facilities (87.6%). Only 10 programs reported having an official policy to accommodate breastfeeding residents. Pediatric residents receive approximately 3 hours of breastfeeding training per year. In addition, there is less than universal implementation by residency programs of AAP recommendations for supporting breastfeeding in the workplace. Pediatric residency programs should find ways to improve and assess the quality of breastfeeding education and workplace support to better role model this advocacy standard. Copyright © 2011 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.