Self-propelled prospection methodology: first results obtained in the northeast basin (Uruguay)

International Nuclear Information System (INIS)

Goso, H; Spoturno, J; Peciozzi, F.

2008-01-01

This report refers about uranium prospection methodology in Uruguay and its first results obtained in the northeast basin.The preliminary radiometric researching is carried out four works phases: material preparation, radiometric, statistics analysis, anomalies revision

Overview of galactic results obtained by MAGIC

Energy Technology Data Exchange (ETDEWEB)

Zanin, Roberta

2013-06-15

MAGIC is a system of two atmospheric Cherenkov telescopes which explores the very-high-energy sky, from some tens of GeV up to tens of TeV. Located in the Canary island of La Palma, MAGIC has the lowest energy threshold among the instruments of its kind, well suited to study the still poorly explored energy band below 100 GeV. Although the space-borne gamma-ray telescope Fermi/LAT is sensitive up to 300 GeV, gamma-ray rates drop fast with increasing energy, so γ-ray collection areas larger than 10{sup 4}m{sup 2}, as those provided by grounds-based instruments, are crucial above a few GeV. The combination of MAGIC and Fermi/LAT observations have provided the first astrophysical spectra sampled in the inverse Compton peak region, resulting in a complete coverage from MeV up to TeV energies, as well as the discovery of a pulsed emission in the very-high-energy band. This paper focuses on the latest results on Galactic sources obtained by MAGIC which are highlighted by the detection of the pulsed gamma-ray emission from the Crab pulsar up to 400 GeV. In addition, we will present the morphological study on the W51 complex which allowed to pinpoint the location of the majority of the emission around the interaction point between the supernova remnant W51C and the star forming region W51B, but also to find a possible contribution from the associated pulsar wind nebula. Other important scientific achievements involve the Crab Nebula with an unprecedented spectrum covering three decades in energy starting from 50 GeV and a morphological study of the unidentified source HESS J1857+026 which supports the pulsar wind nebula scenario. Finally we will report on the searches of very-high-energy signals from gamma-ray binaries, mainly LS I 303+ and HESS J0632+057.

Determination of residual stresses in steel 20 comparison of the results obtained by the Barkhausen noise and X-ray diffraction

International Nuclear Information System (INIS)

Fernandez, L. M.; Herrera, V.; Suarez, J.C.; Merino, F.J.

1997-01-01

During a heat treatment (quenching, surface hardening, Thermochemical treatment) the metallic alloys undergo temperature variations and phase transformation. The resulting changes give rise to internal stresses in the piece. Phase transformation modifies the thermomechanical behavior of the material through the change of mechanical properties ( hardness, fatigue-behaviour, corrosion resistance, electric resistivity, etc.) The aim of this paper is residual stress measurements in specimens of steel-20 submitted to different heat treatment, by two non destructive methods: Barkhausen and X-ray diffraction. Brakhausen Effects utilizes the magnetic properties of ferromagnetic materials such as ferritic and perlitic steels and provides a practical tool for surface streets evaluation. X-ray streets analysis is based on the measurement of lattice strains in different directions of specimen The results obtained by two techniques are compared, avowing a good agreement

CIEMAT interlaboratories comparison of the results obtained in the proficiency test run by IAEA

International Nuclear Information System (INIS)

Gasco, C.; Anton, M. P.; Alvarez, A.; Navarro, N.; Meral, J.; Gonzalez, A.; Higueras Lafaja, E.

2000-01-01

This report contains the results obtained by two different laboratories from CIEMAT after participating in the Proficiency Test organised by IAEA (International Atomic Energy Agency) in 1999. This test involves the analysis of fly ashes containing natural radionuclides and different amounts of added transuranics. The extraction techniques, counting methods and results obtained are detailed. This type of test are used for the labs to achieve their accreditation and check the reliability of the procedures routinely employed. (Author) 4 refs

LEP and results obtained by DELPHI after four years of operation

International Nuclear Information System (INIS)

Blocki, J.

1993-10-01

We characterize the most important problems of modern elementary particles physics, for the solution of which the LEP (Large Electron Positron) accelerator was built. We present the characteristics of this accelerator. The structure and properties of the DELPHI detector are described with special emphasis on the contribution of Polish groups. The most important results obtained so far in the LEP accelerator are discussed. (author). 12 refs, 17 figs, 1 tab

Comparison of the results of radiation transport calculation obtained by means of different programs

International Nuclear Information System (INIS)

Gorbatkov, D.V.; Kruchkov, V.P.

1995-01-01

Verification of calculational results of radiation transport, obtained by the known, programs and constant libraries (MCNP+ENDF/B, ANISN+HILO, FLUKA92) by means of their comparison with the precision results calculations through ROZ-6N+Sadko program constant complex and with experimental data, is carried out. Satisfactory agreement is shown with the MCNP+ENDF/B package data for the energy range of E<14 MeV. Analysis of the results derivations, obtained trough the ANISN-HILO package for E<400 MeV and the FLUKA92 programs of E<200 GeV is carried out. 25 refs., 12 figs., 3 tabs

Determination of averaged axisymmetric flow surfaces according to results obtained by numerical simulation of flow in turbomachinery

Directory of Open Access Journals (Sweden)

Bogdanović-Jovanović Jasmina B.

2012-01-01

Full Text Available In the increasing need for energy saving worldwide, the designing process of turbomachinery, as an essential part of thermal and hydroenergy systems, goes in the direction of enlarging efficiency. Therefore, the optimization of turbomachinery designing strongly affects the energy efficiency of the entire system. In the designing process of turbomachinery blade profiling, the model of axisymmetric fluid flows is commonly used in technical practice, even though this model suits only the profile cascades with infinite number of infinitely thin blades. The actual flow in turbomachinery profile cascades is not axisymmetric, and it can be fictively derived into the axisymmetric flow by averaging flow parameters in the blade passages according to the circular coordinate. Using numerical simulations of flow in turbomachinery runners, its operating parameters can be preliminarily determined. Furthermore, using the numerically obtained flow parameters in the blade passages, averaged axisymmetric flow surfaces in blade profile cascades can also be determined. The method of determination of averaged flow parameters and averaged meridian streamlines is presented in this paper, using the integral continuity equation for averaged flow parameters. With thus obtained results, every designer can be able to compare the obtained averaged flow surfaces with axisymmetric flow surfaces, as well as the specific work of elementary stages, which are used in the procedure of blade designing. Numerical simulations of flow in an exemplary axial flow pump, used as a part of the thermal power plant cooling system, were performed using Ansys CFX. [Projekat Ministarstva nauke Republike Srbije, br. TR33040: Revitalization of existing and designing new micro and mini hydropower plants (from 100 kW to 1000 kW in the territory of South and Southeast Serbia

Analysis of results obtained with different cutting techniques and associated filtration systems for the dismantling of radioactive metallic components

International Nuclear Information System (INIS)

Bach, F.W.; Steiner, H.; Schreck, G.

1993-01-01

The present joint study performed by the Commissariat a l'energie atomique and the Universitaet Hannover and coordinated by the Commission of the European Communities was intended to analyse the results generated in a number of research contracts concerned with cutting tests in air and underwater, with consideration of the prevailing working conditions. The analysis has led to a large database, giving broadly-assessed information for the dismantling of radioactive components. The range of study was enlarged, where possible, to include recently obtained results outside the present research programme, consideration also being given to supplementary cutting tools and filtration systems not covered by the present programme. Data was concentrated in structured information packages on practical experience available for a series of cutting tools and filters. These were introduced into a computerized user-friendly databank, to be considered as a first-stage development, which should be continuously updated and possibly oriented in the future to an expert system

Obtaining patient test results from clinical laboratories: a survey of state law for pharmacists.

Science.gov (United States)

Witry, Matthew J; Doucette, William R

2009-01-01

To identify states with laws that restrict to whom clinical laboratories may release copies of laboratory test results and to describe how these laws may affect pharmacists' ability to obtain patient laboratory test results. Researchers examined state statutes and administrative codes for all 50 states and the District of Columbia at the University of Iowa Law Library between June and July 2007. Researchers also consulted with lawyers, state Clinical Laboratory Improvement Amendments officers, and law librarians. Laws relating to the study objective were analyzed. 34 jurisdictions do not restrict the release of laboratory test results, while 17 states have laws that restrict to whom clinical laboratories can send copies of test results. In these states, pharmacists will have to use alternative sources, such as physician offices, to obtain test results. Pharmacists must consider state law before requesting copies of laboratory test results from clinical laboratories. This may be an issue that state pharmacy associations can address to increase pharmacist access to important patient information.

Dentists’ practice patterns regarding caries prevention: results from a dental practice-based research network

Science.gov (United States)

Yokoyama, Yoko; Kakudate, Naoki; Sumida, Futoshi; Matsumoto, Yuki; Gilbert, Gregg H; Gordan, Valeria V

2013-01-01

Objective The purposes of this study were to (1) quantify dentists' practice patterns regarding caries prevention and (2) test the hypothesis that certain dentists' characteristics are associated with these practice patterns. Design The study used a cross-sectional study design consisting of a questionnaire survey. Participants The study queried dentists who worked in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan, which seeks to engage dentists in investigating research questions and sharing experiences and expertise (n=282). Measurement Dentists were asked about their practice patterns regarding caries preventive dentistry. Background data on patients, practice and dentist were also collected. Results 38% of dentists (n=72) provided individualised caries prevention to more than 50% of their patients. Overall, 10% of the time in daily practice was spent on caries preventive dentistry. Dentists who provided individualised caries prevention to more than 50% of their patients spent significantly more time on preventive care and less time on removable prosthetics treatment, compared to dentists who did not provide individualised caries prevention. Additionally, they provided oral hygiene instruction, patient education, fluoride recommendations, intraoral photographs taken and diet counselling to their patients significantly more often than dentists who did not provide individualised caries prevention. Multiple logistic regression analysis suggested that the percentage of patients interested in caries prevention and the percentage of patients who received hygiene instruction, were both associated with the percentage of patients who receive individualised caries prevention. Conclusions We identified substantial variation in dentists' practice patterns regarding preventive dentistry. Individualised caries prevention was significantly related to provision of other preventive services and to having a higher percentage

Obtaining subjects' consent to publish identifying personal information: current practices and identifying potential issues.

Science.gov (United States)

Yoshida, Akiko; Dowa, Yuri; Murakami, Hiromi; Kosugi, Shinji

2013-11-25

In studies publishing identifying personal information, obtaining consent is regarded as necessary, as it is impossible to ensure complete anonymity. However, current journal practices around specific points to consider when obtaining consent, the contents of consent forms and how consent forms are managed have not yet been fully examined. This study was conducted to identify potential issues surrounding consent to publish identifying personal information. Content analysis was carried out on instructions for authors and consent forms developed by academic journals in four fields (as classified by Journal Citation Reports): medicine general and internal, genetics and heredity, pediatrics, and psychiatry. An online questionnaire survey of editors working for journals that require the submission of consent forms was also conducted. Instructions for authors were reviewed for 491 academic journals (132 for medicine general and internal, 147 for genetics and heredity, 100 for pediatrics, and 112 for psychiatry). Approximately 40% (203: 74 for medicine general and internal, 31 for genetics and heredity, 58 for pediatrics, and 40 for psychiatry) stated that subject consent was necessary. The submission of consent forms was required by 30% (154) of the journals studied, and 10% (50) provided their own consent forms for authors to use. Two journals mentioned that the possible effects of publication on subjects should be considered. Many journal consent forms mentioned the difficulties in ensuring complete anonymity of subjects, but few addressed the study objective, the subjects' right to refuse consent and the withdrawal of consent. The main reason for requiring the submission of consent forms was to confirm that consent had been obtained. Approximately 40% of journals required subject consent to be obtained. However, differences were observed depending on the fields. Specific considerations were not always documented. There is a need to address issues around the study

Visualization of atomic distances at the 1MV electron microscope: first results obtained on the Grenoble 1MV microscope

International Nuclear Information System (INIS)

Bourret, A.

1975-01-01

Practical and theoretical conditions for obtaining high resolution lattice images are presented. The use of a high voltage electron microscope is particularly powerful to visualize distances smaller than 3A. A 2A resolution test on (200) gold planes has been carried out on the Grenoble 1MV microscope. It would be possible at this level to study the crystalline defects such as dislocations or grain boundaries [fr

Medical Simulation Practices 2010 Survey Results

Science.gov (United States)

McCrindle, Jeffrey J.

2011-01-01

Medical Simulation Centers are an essential component of our learning infrastructure to prepare doctors and nurses for their careers. Unlike the military and aerospace simulation industry, very little has been published regarding the best practices currently in use within medical simulation centers. This survey attempts to provide insight into the current simulation practices at medical schools, hospitals, university nursing programs and community college nursing programs. Students within the MBA program at Saint Joseph's University conducted a survey of medical simulation practices during the summer 2010 semester. A total of 115 institutions responded to the survey. The survey resus discuss overall effectiveness of current simulation centers as well as the tools and techniques used to conduct the simulation activity

WhatsApp is an effective tool for obtaining second opinion in oral pathology practice.

Science.gov (United States)

Sarode, Sachin C; Sarode, Gargi S; Anand, Rahul; Patil, Shankargouda; Unadkat, Hemant

2017-08-01

The aim of this study was to find out the efficacy of WhatsApp application for obtaining second opinion on histopathological diagnosis in oral pathology practice. A total of 247 cases comprising of 34 different oral pathologies were photomicrographed using smartphone cameras through compound microscopes and sent for second opinion diagnosis (SOD) to 20 different oral pathologists using WhatsApp. Of 4795 (97.06%) total second opinion received, correct SOD were received for 4710 (98.22%) cases. Hundred percent times correct SOD was received for lesions including adenomatoid odontogenic tumor, keratinizing cystic odontogenic tumor, odontome, and dentigerous cyst. Lesions such as myoepithelial carcinoma, osteosarcoma, fibrosarcoma, and intravascular papillary endothelial hyperplasia received less percentage of correct SOD (85.71-75.75%). Correct SOD was obtained for variants of ameloblastoma (99.01%), grading of epithelial dysplasia (87.54%), and squamous cell carcinoma (95.26%). A positive correlation was observed between correct SOD and age (P = 0.0143) and experience (P = 0.0189) of the pathologist. The time taken for giving second opinion by the pathologists ranged from 81.98 ± 32.89 to 90.72 ± 38.88 min. Smartphone camera is a handy and efficient tool in capturing photomicrographs from the compound microscope. Transfer of such photomicrograph via WhatsApp is an effective and convenient approach in procuring second opinion on histopathological diagnosis of oral pathologies. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Practical Calculational Scheme Implementing the Wilsonian RG Results for Nuclear Effective Field Theory Including Pions

International Nuclear Information System (INIS)

Kubo, H.; Harada, K.; Sakaeda, T.; Yamamoto, Y.

2013-01-01

On the basis of the Wilsonian renormalization group (WRG) analysis of nuclear effective field theory (NEFT) including pions, we propose a practical calculational scheme in which the short-distance part of one-pion exchange (S-OPE) is removed and represented as contact terms. The long-distance part of one-pion exchange (L-OPE) is treated as perturbation. The use of dimensional regularization (DR) for diagrams consisting only of contact interactions considerably simplifies the calculation of scattering amplitude and the renormalization group equations. NLO results for nucleon-nucleon elastic scattering in the S-waves are obtained and compared with experiments. A brief comment on NNLO calculations is given. (author)

In-vivo precision - a crucial factor in bone densitometry. First results from the clinical practice

International Nuclear Information System (INIS)

Slavchev, A.

2008-01-01

The good densitometric practice should include assessment of the measurement accuracy and precision as a warranty for the timely recognition and assessment of the disease and particularly important for the monitoring and assessment of its development as well as for the choice of the adequate therapy. First results from a large-scale study of the performance of DXA densitometers under operation throughout the country prove that one of the main characteristics - precision has prevalent importance for the clinical practice than the other one - accuracy, namely in diagnostics and therapy particularly the long term monitoring of the patients. The quality control especially in its part of radiation protection measurements exhibits high specificity concerning both operator and patient. The procedure of determining of the in-vivo precision error and the least significant change, respectively, and the screening as well are interconnected with a higher degree of radiation exposure for the operator staff. The in-vivo precision (errors) obtained from the clinical practice in the most of the osteoporosis centres is inferior to the values recommended by the ISCD and by this represent a warranty for a high degree of objectivity and reducing the subjective and stochastic factors in diagnostics and following-up of osteoporosis. (author)

Epidural analgesia practices for labour: results of a 2005 national survey in Ireland.

LENUS (Irish Health Repository)

Fanning, Rebecca A

2012-02-01

BACKGROUND AND OBJECTIVE: The last 25 years have seen changes in the management of epidural analgesia for labour, including the advent of low-dose epidural analgesia, the development of new local anaesthetic agents, various regimes for maintaining epidural analgesia and the practice of combined spinal-epidural analgesia. We conducted a survey of Irish obstetric anaesthetists to obtain information regarding the conduct and management of obstetric epidural analgesia in Ireland in 2005. The specific objective of this survey was to discover whether new developments in obstetric anaesthesia have been incorporated into clinical practice. METHODS: A postal survey was sent to all anaesthetists with a clinical commitment for obstetric anaesthesia in the sites approved for training by the College of Anaesthetists, Ireland. RESULTS: Fifty-three per cent of anaesthetists surveyed responded. The majority of anaesthetists (98%) use low-dose epidural analgesia for the maintenance of analgesia. Only 11% use it for test-dosing and 32% for the induction of analgesia. The combined spinal-epidural analgesia method is used by 49%, but two-thirds of those who use it perform fewer than five per month. Patient-controlled epidural analgesia was in use at only one site. CONCLUSION: It appears that Irish obstetric anaesthetists have adopted the low-dose epidural analgesia trend for the maintenance of labour analgesia. This practice is not as widespread, however, for test dosing, the induction of analgesia dose or in the administration of intermittent epidural boluses to maintain analgesia when higher concentrations are used. Since its introduction in 2000, levobupivacaine has become the most popular local anaesthetic agent.

Deep-sequencing protocols influence the results obtained in small-RNA sequencing.

Directory of Open Access Journals (Sweden)

Joern Toedling

Full Text Available Second-generation sequencing is a powerful method for identifying and quantifying small-RNA components of cells. However, little attention has been paid to the effects of the choice of sequencing platform and library preparation protocol on the results obtained. We present a thorough comparison of small-RNA sequencing libraries generated from the same embryonic stem cell lines, using different sequencing platforms, which represent the three major second-generation sequencing technologies, and protocols. We have analysed and compared the expression of microRNAs, as well as populations of small RNAs derived from repetitive elements. Despite the fact that different libraries display a good correlation between sequencing platforms, qualitative and quantitative variations in the results were found, depending on the protocol used. Thus, when comparing libraries from different biological samples, it is strongly recommended to use the same sequencing platform and protocol in order to ensure the biological relevance of the comparisons.

Adherence to best practice consensus guidelines for implant-based breast reconstruction: Results from the iBRA national practice questionnaire survey.

Science.gov (United States)

Mylvaganam, Senthurun; Conroy, Elizabeth J; Williamson, Paula R; Barnes, Nicola L P; Cutress, Ramsey I; Gardiner, Matthew D; Jain, Abhilash; Skillman, Joanna M; Thrush, Steven; Whisker, Lisa J; Blazeby, Jane M; Potter, Shelley; Holcombe, Christopher

2018-05-01

The 2008 National Mastectomy and Breast Reconstruction Audit demonstrated marked variation in the practice and outcomes of breast reconstruction in the UK. To standardise practice and improve outcomes for patients, the British professional associations developed best-practice guidelines with specific guidance for newer mesh-assisted implant-based techniques. We explored the degree of uptake of best-practice guidelines within units performing implant-based reconstruction (IBBR) as the first phase of the implant Breast Reconstruction Evaluation (iBRA) study. A questionnaire developed by the iBRA Steering Group was completed by trainee and consultant leads at breast and plastic surgical units across the UK. Simple summary statistics were calculated for each survey item to assess compliance with current best-practice guidelines. 81 units from 79 NHS Trusts completed the questionnaire. Marked variation was observed in adherence to guidelines, especially those relating to clinical governance and infection prevention strategies. Less than half (n = 28, 47%) of units obtained local clinical governance board approval prior to offering new mesh-based techniques and prospective audit of the clinical, cosmetic and patient-reported outcomes of surgery was infrequent. Most units screened for methicillin-resistant staphylococcus aureus prior to surgery but fewer than 1 in 3 screened for methicillin-sensitive strains. Laminar-flow theatres (recommended for IBBR) were not widely-available with less than 1 in 5 units having regular access. Peri-operative antibiotics were widely-used, but the type and duration were highly-variable. The iBRA national practice questionnaire has demonstrated variation in reported practice and adherence to IBBR guidelines. High-quality evidence is urgently required to inform best practice. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

School Nurses' Perceptions and Practices of Assisting Students in Obtaining Public Health Insurance

Science.gov (United States)

Rickard, Megan L.; Hendershot, Candace; Khubchandani, Jagdish; Price, James H.; Thompson, Amy

2010-01-01

Background: From January through June 2009, 6.1 million children were uninsured in the United States. On average, students with health insurance are healthier and as a result are more likely to be academically successful. Some schools help students obtain health insurance with the help of school nurses. Methods: This study assessed public school…

Summary of personal neutron dosemeter results obtained within the EVIDOS project

International Nuclear Information System (INIS)

Luszik-Bhadra, M.; Reginatto, M.; Schuhmacher, H.; Bolognese-Milsztajn, T.; Lacoste, V.; Boschung, M.; Fiechtner, A.; Coeck, M.; Vanhavere, F.; Curzio, G.; Errico d', F.; Kylloenen, J.-E.; Lindborg, L.; Bartlett, D.; Tanner, R.

2005-01-01

Full text: Within the EC project EVIDOS ('Evaluation of Individual Dosimetry in Mixed Neutron and Photon Radiation Fields'), different types of neutron personal dosemeters were irradiated in workplace fields in nuclear installations in Europe. Mostly electronic personal neutron dosemeters were tested, among them commercial devices (Thermo Electron EPD-N, Aloka PDM-313), devices from first industrial prototype series (Thermo Electron EPD-N2, Saphydose-n) and laboratory prototypes which were already in the stage of lightweight battery-operated instruments (PTB DOS-2002). In addition, dosemeters with (almost) immediate readout (BTI bubble detectors, Rados DIS-N) and passive dosemeters which needed no fielddependent calibration factors (PADC track detectors from PSI and NRPB) were used, as well as those TLD albedo dosemeters which are routinely used in the facilities visited. The results of measurements obtained within the EVIDOS project in workplace fields in nuclear installations in Europe, i.e. at Kruemmel (boiling water reactor, transport cask), at Mol (Venus research reactor, fuel facility Belgonucleaire) and at Ringhals (pressurized water reactor, transport cask) are presented and compared to reference values of personal dose equivalent H p (10) determined by means of Bonner spheres and novel directional spectrometers. In fields with strong back-scatter and moderation of neutrons, several dosemeters showed overreadings by more than a factor of two. In strongly directed fields with neutron dose equivalent peaked at about 1 MeV (MOX fuel), the same dosemeters showed under-readings of about a factor of two. These under- and over-readings in the workplace fields can be explained in terms of the dosemeter response functions for mono-energetic neutrons, which show over-responses in the thermal and intermediate neutron energy region and under-responses at about 1 MeV neutron energy. The dosemeter readings obtained in the workplace fields were checked for consistency by

How many replicate tests do I need?$-$ Variability of cookstove performance and emissions has implications for obtaining useful results

Energy Technology Data Exchange (ETDEWEB)

Wang, Yungang [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Sohn, Michael D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Gadgil, Ashok J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Wang, Yilun [ISO Innovative Analytics San Francisco, CA (United States); Lask, Kathleen M. [Univ. of California, Berkeley, CA (United States). College of Engineering Applied Science and Technology Program; Kirchstetter, Thomas W. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division

2013-02-01

Almost half of the world’s population still cooks on biomass cookstoves of poor efficiency and primitive design, such as three stone fires (TSF). Emissions from biomass cookstoves contribute to adverse health effects and climate change. A number of “improved cookstoves” with higher energy efficiency and lower emissions have been designed and promoted across the world. During the design development, and for selection of a stove for dissemination, the stove performance and emissions are commonly evaluated, communicated and compared using the arithmetic average of replicate tests made using a standardized laboratory-based test, commonly the water boiling test (WBT). However, published literature shows different WBT results reported from different laboratories for the same stove technology. Also, there is no agreement in the literature on how many replicate tests should be performed to ensure “significance” in the reported average performance. This matter has not received attention in the rapidly growing literature on stoves, and yet is crucial for estimating and communicating the performance of a stove, and for comparing the performance between stoves. We present results of statistical analyses using data from a number of replicate tests of performance and emission of the Berkeley-Darfur Stove (BDS) and the TSF under well-controlled laboratory conditions. We observed moderate variability in the test results for the TSF and BDS when measuring several characteristics. Here we focus on two as illustrative: time-to-boil and PM2.5 (particulate matter less than or equal to 2.5 micrometers in diameter) emissions. We demonstrate that interpretation of the results comparing these stoves could be misleading if only a small number of replicates had been conducted. We then describe a practical approach, useful to both stove testers and designers, to assess the number of replicates needed to obtain useful data. Caution should be exercised in attaching high credibility to

New dynamics information from experimental results obtained in d-Au collisions at RHIC-BNL energies

International Nuclear Information System (INIS)

Jipa, Alexandru

2004-01-01

During the last runs d-Au collisions at √s NN = 200 GeV have been investigated at RHIC-BNL using the BRAHMS Experiment. Some interesting experimental results on charged particle multiplicities, rapidity distributions, transverse momentum spectra, antiparticle to particle ratios, participant spectator evolution have been obtained. In this work the most interesting results are presented for different rapidity and collision centrality ranges. Taking into account the importance of the collision geometry and collision symmetry in the collision dynamics, comparisons with the similar experimental results obtained in Au-Au collisions have been done. New interesting results can be reported. The most significant are related to the evolution of the nuclear modification factor with rapidity and collision centrality. The high transverse momentum suppression and the behaviours in different rapidity and centrality ranges suggest strong initial state effects. These effects could be related to the gluonic structure of the colliding nuclei. Some insights on the Color Glass Condensate formation are possible. (author)

What results when firms implement practices: the differential relationship between specific practices, firm financial performance, customer service, and quality.

Science.gov (United States)

Gibson, Cristina B; Porath, Christine L; Benson, George S; Lawler, Edward E

2007-11-01

Previous research on organizational practices is replete with contradictory evidence regarding their effects. Here, the authors argue that these contradictory findings may have occurred because researchers have often examined complex practice combinations and have failed to investigate a broad variety of firm-level outcomes. Thus, past research may obscure important differential effects of specific practices on specific firm-level outcomes. Extending this research, the authors develop hypotheses about the effects of practices that (a) enable information sharing, (b) set boundaries, and (c) enable teams on 3 different firm-level outcomes: financial performance, customer service, and quality. Relationships are tested in a sample of observations from over 200 Fortune 1000 firms. Results indicate that information-sharing practices were positively related to financial performance 1 year following implementation of the practices, boundary-setting practices were positively related to firm-level customer service, and team-enabling practices were related to firm-level quality. No single set of practices predicted all 3 firm-level outcomes, indicating practice-specific effects. These findings help resolve the theoretical tension in the literature regarding the effects of organizational practices and offer guidance as to how to best target practices to increase specific work-related outcomes. Implications for theory, research, and practice are discussed. (c) 2007 APA

Strategies for obtaining unpublished drug trial data

DEFF Research Database (Denmark)

Wolfe, Nicole; Gøtzsche, Peter C.; Bero, Lisa Anne

2013-01-01

Authors of systematic reviews have difficulty obtaining unpublished data for their reviews. This project aimed to provide an in-depth description of the experiences of authors in searching for and gaining access to unpublished data for their systematic reviews, and to give guidance on best...... practices for identifying, obtaining and using unpublished data....

Practice and professional development plans (PPDPs: results of a feasibility study

Directory of Open Access Journals (Sweden)

Hocking Paul

2001-03-01

Full Text Available Abstract Background Dissatisfaction with uniprofessional education structures as a means of improving the quality of healthcare has led to proposals to develop ways of integrating professional learning and organisational development. Aims Test the feasibility of introducing practice and professional development plans using a centrally sponsored project in Wales. Design Qualitative observational study. Study sample All 541 practices in Wales were alerted to the project and invited to apply. A selection process was suggested to Health Authorities but not always efficiently conducted: 23 practices were selected and 18 participated in the process. Method Central funding was made available to health authorities. The project framework was designed by an educational department and conceptualised as the development of personal portfolios linked to one key organisation change in each practice, facilitated by external consultants who would typically hold workshops or other events. An independent researcher using non-participant observation techniques at workshops and practices undertook documentary analysis and fieldwork in four health authorities. Results Difficulties were encountered with the process of implementing the project: marketing and practice selection inconsistencies delayed the work and it was difficult to recruit practices into the project. The lack of experienced individuals to do the work and practitioner suspicion about perceived 'management' agendas were significant problems. After initial hesitancies most practices appreciated the value of developing wider ownership and commitment to proposed practice changes. Organisations found it difficult to support individual completion of the personal portfolio component of the plans. The ability to develop systems for clinical services was dependent on having already established a culture of effective teamwork in the organisation. Conclusions This work supports the view that organisational

Transfer Paths of Research Results to the Practice: Observations From the Receiving End

Science.gov (United States)

Findikakis, A. N.

2005-12-01

A non-scientific poll of fellow practicing professionals suggests that there is a range of opinions regarding the effectiveness of different ways of becoming acquainted with and using the results of academic research in their practice. Journal articles remain the dominant path for transferring research results to the profession, even though accessing them is becoming more difficult with time. Driven primarily by cost considerations personal and corporate subscriptions seem to be on the decline. Libraries are one of the first victims of cost cutting measures in the industry. Even though the availability of journal articles in electronic form facilitates their availability, their prices are prohibitive. This is especially true during when a professional is searching for a solution to a problem and may have to review several papers on the subject. One colleague suggested that the professional organizations and other publishers of research articles could learn from the experience of the music industry, by lowering the cost of downloading individual papers to something like a dollar per article, recovering thus their production costs through the increase in the volume of purchased articles. The posting on the internet of special reports and dissertations by research institutions is viewed as very useful by those working in practice. The distribution through the internet of reports by federal organizations conducting or sponsoring research, such as the U.S. Geological Survey and the U.S. Environmental Protection Agency is greatly appreciated by the practicing professionals. The use of leading researchers as consultants provides a direct path for bringing research results to the practice, but it is limited to a small number of cases where bringing in a consultant can be justified. Short courses are viewed as an effective way of familiarizing professionals with the latest research findings on specific subjects. The notes distributed in such courses are considered

Lambing results obtained with imported Ile de France rarn semen

African Journals Online (AJOL)

insemination was carried out either 54,5 h (fixed time single ... Table 1 Conception rate obtained using two batches of frozen lle de France ... Pregnant mare serum gonadotrophin (Fostim, 300 ... Effect of initial freezing temperature, addition.

Preliminary results obtained from a dense plasma focus

International Nuclear Information System (INIS)

Sinman, S.; Sinman, A.

1982-01-01

In this study, for the data processing in our Dense Plasma Focus (DPF) system, a multiparameters numerical hierarchy obtained from the fundamental equations based on the snowplows model and its conclusions have been developed. Evaluating the data along the transients of the total plasma current, the anode current and the focus voltage recorded by an oscilloscope, they have been possible to determine the time domain plasma parameters such as the shock thickness, the sheath temperature, velocity and electron density, the pressure at the focus phase and the plasma temperature. Besides, the dissipated energy through the focus notch or in other words, the plasma temperature has also been calculated by means of the numerical integration. In the text, a performance chart together with some other correlation curves for the optimization of the DPF systems are submitted and discussed. (author)

Near-Infrared Scintillation of Liquid Argon: Recent Results Obtained with the NIR Facility at Fermilab

Energy Technology Data Exchange (ETDEWEB)

Escobar, C. O. [Fermilab; Rubinov, P. [Fermilab; Tilly, E. [Sewanee U.

2018-03-19

After a short review of previous attempts to observe and measure the near-infrared scintillation in liquid argon, we present new results obtained with NIR, a dedicated cryostat at the Fermilab Proton Assembly Building (PAB). The new results give confidence that the near-infrared light can be used as the much needed light signal in large liquid argon time projection chambers.11 pages,

Results of Investigative Tests of Gas Turbine Engine Compressor Blades Obtained by Electrochemical Machining

Science.gov (United States)

Kozhina, T. D.; Kurochkin, A. V.

2016-04-01

The paper highlights results of the investigative tests of GTE compressor Ti-alloy blades obtained by the method of electrochemical machining with oscillating tool-electrodes, carried out in order to define the optimal parameters of the ECM process providing attainment of specified blade quality parameters given in the design documentation, while providing maximal performance. The new technological methods suggested based on the results of the tests; in particular application of vibrating tool-electrodes and employment of locating elements made of high-strength materials, significantly extend the capabilities of this method.

Results obtained on dileptons and prospects

International Nuclear Information System (INIS)

Roche, G.

1992-01-01

Experimental results (mostly from the DLS collaboration at LBL) and model calculations of dielectron production in pp/pd/pBe (1-5 GeV) and CaCa (1-2 GeV/A) are presented. Dileptons appear to be a suitable probe to approach in-medium properties of hadrons in nuclear matter. At the present time, the ρ/ω region looks the most promising. Oncoming programs are briefly presented, in particular the HADES project at GSI. 7 figs

Teaching interpersonal skills in family practice: results of a national survey.

Science.gov (United States)

Kahn, G; Cohen, B; Jason, H

1979-02-01

The increasing recognition of the importance of a well-developed set of interpersonal skills to the competent family physician has resulted in a rapid growth in the formal teaching of interpersonal skills within family practice residencies. Of the 168 programs responding to a national survey of family practice residencies, 88 percent indicated that they have formal programs in interpersonal skills. It is estimated that there are well over 500 family practice faculty members who have special responsibilities in teaching interpersonal skills. While most programs address the component skills of the interpersonal process (eg, demonstrating empathy, information gathering, information giving, and psychological intervention), it is of concern that only about half offer explicit training in patient education (53 percent), specific types of counseling (eg, family counseling, 55 percent), or some of the specific interpersonal skills important in team practice and practice management (eg, supervisory skills). One of the most striking findings was that 88 percent of the reporting programs use videotechnology, with 77 percent of these planning to increase their use. Although most programs evaluate their interpersonal skills training using both indirect and direct assessment methods, only 25 percent attempt to use patient outcome as a measure of teaching effectiveness.

The uncertainty analysis of model results a practical guide

CERN Document Server

Hofer, Eduard

2018-01-01

This book is a practical guide to the uncertainty analysis of computer model applications. Used in many areas, such as engineering, ecology and economics, computer models are subject to various uncertainties at the level of model formulations, parameter values and input data. Naturally, it would be advantageous to know the combined effect of these uncertainties on the model results as well as whether the state of knowledge should be improved in order to reduce the uncertainty of the results most effectively. The book supports decision-makers, model developers and users in their argumentation for an uncertainty analysis and assists them in the interpretation of the analysis results.

First results obtained from the Cello liquid argon end cap calorimeters

International Nuclear Information System (INIS)

Le Diberder, F.

1981-05-01

The Cello liquid argon calorimeter is presented in the first part of this thesis. The cryogenic system has to supply three cryostats filled with liquid argon: one cylindrical cryostat of 25 m 3 volume contains 2x8 separate modules; each of the two symmetric end cap cryostats contains two half cylindrical modules. Each module in the end cap part consists of 42 layers of lead strips interleaved with 43 full plates. The strips are alternatively vertical, horizontal and circular. In front of the lead calorimeter are 4 planes of copper foils glued on epoxy for dE/dx measurement. The electronics, signal processing and data acquisition system are described. In the second part, the performance and analysis of data measured by the end cap calorimeters are reported: study of Bhabha scattering e + e - → e + e - ; preliminary results obtained in two photon physics e + e - → e + e - γγ → e + e - X [fr

Practice and professional development plans (PPDPs): results of a feasibility study.

Science.gov (United States)

Elwyn, G; Carlisle, S; Hocking, P; Smail, S

2001-01-01

Dissatisfaction with uniprofessional education structures as a means of improving the quality of healthcare has led to proposals to develop ways of integrating professional learning and organisational development. Test the feasibility of introducing practice and professional development plans using a centrally sponsored project in Wales. Qualitative observational study. All 541 practices in Wales were alerted to the project and invited to apply. A selection process was suggested to Health Authorities but not always efficiently conducted: 23 practices were selected and 18 participated in the process. Central funding was made available to health authorities. The project framework was designed by an educational department and conceptualised as the development of personal portfolios linked to one key organisation change in each practice, facilitated by external consultants who would typically hold workshops or other events. An independent researcher using non-participant observation techniques at workshops and practices undertook documentary analysis and fieldwork in four health authorities. Difficulties were encountered with the process of implementing the project: marketing and practice selection inconsistencies delayed the work and it was difficult to recruit practices into the project. The lack of experienced individuals to do the work and practitioner suspicion about perceived 'management' agendas were significant problems. After initial hesitancies most practices appreciated the value of developing wider ownership and commitment to proposed practice changes. Organisations found it difficult to support individual completion of the personal portfolio component of the plans. The ability to develop systems for clinical services was dependent on having already established a culture of effective teamwork in the organisation. This work supports the view that organisational development has considerable potential for bringing about effective change, and individual

Radiochemical schemes of obtaining 89Sr and 90Y radionuclides

International Nuclear Information System (INIS)

Usarov, Z. O.

2010-03-01

Key words: strontium-89, yttrium-90, extraction and extraction-chromatographic purification of radionuclides, radiopharmaceuticals. Subjects of research: strontium-89 and yttrium-90 radionuclides and their chloride forms. Purpose of work is developing of radiochemical technologies on obtaining of 89 Sr and 90 Y on the WWR-SM reactor with high radionuclide purity. Methods of research: extraction and extraction-chromatographic methods of radionuclides separation, beta- and gamma-spectrometric methods of activity measuring. The results obtained and their novelty: Were determined the conformity to laws of Y and Sr distribution in two-phase systems TBP-HNO 3 , TBP-NH 4 NO 3 , TBP-HCI, HDEHP-NO 3 , HDEHP-NH 4 NO 3 and HDEHP-HCI. Were determined the conformity to laws of Y and Sr distribution in systems with craun ethers DB-18K-6 and DTBDB-18K-6 from water solutions of HNO 3 . Radiochemical technologies on obtaining of 89 Sr and 90 Y radionuclides including radiochemical process of yttrium target with using the systems TBP-HNO 3 and HDEHP/Teflone were developed. Practical value: the radiochemical technology of obtaining 89 Sr with high radionuclide purity was developed. The method of preparation a chloride compound of 89 SrCl 2 which is used as a drug form for preparation of 89 Sr- 'Metastron' was developed. The relatively simple method of on the way obtaining 90 Y in the reactor with high radionuclidic purity that is useful for follow using in medical practice was offered. Degree of embed and economic effectivity: the developed technologies have approbation in manufacturing conditions in Radiopreparat Enterprise of INP AS RU and were offered for receiving of domestic preparations against of import foreign analogues. The statement about using the invention by obtained patent is attached to dissertation. Field of application: the received results will be introduced in manufacture at Radiopreparat Enterprise of INP AS RU for receiving of domestic preparations

Practical Use of the Braking Attributes Measurements Results

Directory of Open Access Journals (Sweden)

Ondruš Ján

2017-01-01

Full Text Available This contribution deals with issues of braking the passenger car. The measurement of braking deceleration of the vehicle Kia Cee´d 1,6 16 V was carried out by an optical device Correvit system. The measurement was carried out on the airport of the village of Rosina located close to Zilina. 10 drivers of different age, praxis, and kilometers driven participated in the measurement. The measured process was the vehicle full braking with the service brake of the initial speed of approximately 50 km.h-1. Each of the drivers had 10 attempts. In the closure of this contribution the results of the performed measurements, their evaluation and comparison are presented. Practical result from the contribution is mainly the measurement set of braking deceleration of the respective vehicle during intensive braking.

Practical Results of Forecasting for the Natural Gas Market

OpenAIRE

Potocnik, Primoz; Govekar, Edvard

2010-01-01

Natural gas consumption forecasting is required to balance the supply and consumption of natural gas. Companies and natural gas distributors are motivated to forecast their consumption by the economic incentive model that dictates the cash flow rules corresponding to the forecasting accuracy. The rules are quite challenging but enable the company to gain positive cash flow by forecasting accurately their short-term natural gas consumption. In this chapter, some practical forecasting results f...

Preliminary observations and results obtained with the ultraviolet spectrometer and polarimeter

International Nuclear Information System (INIS)

Tandberg-Hanssen, E.; Athay, R.G.; Beckers, J.M.; Brandt, J.C.; Bruner, E.C.; Chapman, R.D.; Cheng, C.C.; Burman, J.G.; Henze, W.; Hyder, C.L.; Michalitsianos, A.G.; Shine, R.A.; Schoolman, S.A.; Woodgate, B.E.

1981-01-01

We present new observations with the Ultraviolet Spectrometer and Polarimeter (UVSP) of a number of manifestations of solar activity obtained during the first 3 months of Solar Maximum Mission operations

Innovation Management Practices, Strategic Adaptation, and Business Results: Evidence from the Electronics Industry

Directory of Open Access Journals (Sweden)

Alba Sánchez

2011-06-01

Full Text Available This research contributes to the understanding of how different practices of innovation management are related to mid- and long-term growth and profitability. Governments and regional development agencies invest relevant budgets to foster innovation in small and medium enterprises (SMEs and improve their innovation management practices to make them more competitive. Nevertheless, it is not clear what impact these practices have on a company's performance over a long period of time. We propose a model to audit and classify innovation practices and empirically test the impact of innovation practices on the firms’ long–term financial performance, using a broad sample of companies in the electronics sector. Our empirical results show that, within a regional context, companies that are similar in terms of size, position in the value chain, and ownership structure follow similar innovative practices. Furthermore, the use of a systematic approach for innovation leads to revenue growth but does not necessarily increase profit or productivity.

Antibiotic prescribing practices for catheter urine culture results.

Science.gov (United States)

Chiu, Jonathan; Thompson, G William; Austin, Thomas W; Hussain, Zafar; John, Michael; Bombassaro, Anne Marie; Connelly, Sarah E; Elsayed, Sameer

2013-01-01

The literature suggests that positive results of catheter urine cultures frequently lead to unnecessary antimicrobial prescribing, which therefore represents an important target for stewardship. To assess the appropriateness of antibiotic prescribing in response to the results of urine cultures from patients with indwelling urinary catheters. This retrospective study was conducted at a tertiary care centre and involved adults with indwelling urinary catheters from whom urine specimens were obtained for culture. Patients with positive or negative culture results were identified from microbiology laboratory reports. The medical records of consecutive patients were screened to select a sample of 80 inpatients (40 per group). Abstracted patient histories were independently evaluated by an expert panel of 3 infectious diseases consultants blinded to the decisions of prescribers and of fellow panelists. The primary end point was concordance of each patient's treatment decision (with respect to the indication) between the expert panel (based on majority agreement, i.e., at least 2 of the 3 expert panelists) and the prescriber. The secondary end points were unnecessary days of therapy and selected outcomes over a predefined period after urine was obtained for culture. A total of 591 charts were screened to generate the targeted number of patients. Baseline demographic characteristics were comparable for the 2 groups, except antibiotic exposure before urine collection was significantly more frequent for the group with negative culture results. The treatment decision was concordant in 40% (16/40) of the patients with a positive culture result and 85% (34/40) of those with a negative culture result (p < 0.001). The most common reason for discordance was administration of antibiotics when not indicated (23 of 24 patients with a positive result and 5 of 6 patients with a negative result), which accounted for 165 and 32 unnecessary days of therapy per 1000 inpatient

[The medical education and the extended general practice: results of a Brazilian experiment].

Science.gov (United States)

Hafner, Maria de Lourdes Marmorato Botta; Moraes, Magali Aparecida Alves de; Marvulo, Marilda Marques Luciano; Braccialli, Luzmarina Aparecida Doretto; Carvalho, Maria Helena Ribeiro de; Gomes, Romeu

2010-06-01

This is a qualitative study that is part of an evaluation research of a medicine course with the use of active teaching-learning methodologies based on the triangulation of methods. The aim is to evaluate the results related to the extended general practice concept. The sources of information used in the study include 17 semi-structured interviews with ex-prisoners and a situation that simulated the medical practice, of which seven ex-prisoners and a simulated patient participated. The analysis of the information and the production of the data were based on the method of interpretation of senses, according to the referential hermeneutic-dialectic system. The results point to aspects that justify the extended general practice, evidenced in two themes: the doctor-patient relationship and the patient approach. In conclusion, it is observed that the evaluated medical course brings together the education of the general, humanist, critical and reflexive doctor that may intervene in the different levels of health attention as well as in the individual and collective approach. It is also concluded that there are limits in operating an extended general practice in diverse health situations.

The effect of uncertainty of reactor parameters obtained using k0-NAA on result of analysis

International Nuclear Information System (INIS)

Sasajima, Fumio

2006-01-01

Neutron Activation Analysis using the k 0 method is a useful method allowing convenient and accurate simultaneous analysis of plural elements, eliminating the need for the use of comparative reference samples. As already well known, it is essential for the correct result of an analysis to obtain the α-factor and f-factor for a neutron spectrum in an irradiation field accurately when an attempt is made to use the k 0 method. For this reason, based on data obtained from the experiment conducted in the JRR-3 PN-3 system, how uncertainty of the measured values for α-factor and f-factor affects the result of an analysis was evaluated. The process of evaluation involved intentionally varying the values for reactor parameters followed by making an analysis of environmental reference samples (NIST SRM-1632c) using the k 0 method to examine the effect of these factors on the concentrations of 19 elements. The result of the evaluation revealed that the degree of the effect of uncertainty on the concentrations of 19 elements was at best approx. 1% under the condition of this experiment assuming that the factor α, a reactor parameter, had uncertainty of approx. 200%. (author)

Results obtained with the passive radiation detectors in the ICCHIBAN-4 experiment

International Nuclear Information System (INIS)

Bilski, P.; Horwacik, T.

2005-05-01

In frame of the InterComparison of Cosmic rays with Heavy Ions Beams at NIRS (ICCHIBAN) organized at the HIMAC accelerator in Chiba several types of the thermoluminescent detectors (TLD), as well as CR-39 track detectors, were exposed. Four different types of TLDs were used: MTS-7 ( 7 LiF:Mg,Ti), MTS-6 ( 6 LiF:Mg,Ti), MCP-7 ( 7 LiF:Mg,Cu,P) and MTT-7 ( 7 LiF:Mg,Ti with changed activator composition. All TLDs were manufactured at the Institute of Nuclear Physics (INP) in Cracow. The detectors were irradiated with various doses of He, C, Ne and Fe ions. Part of exposures were done in unknown conditions, to test measuring capabilities of the detectors. For analyses of these results, the method of obtaining information on ionisation density of an unknown radiation field, which is based on ratios of responses of different LiF detectors, was successfully used. (author)

Incorrect results in software engineering experiments: How to improve research practices

OpenAIRE

Jørgensen, Magne; Dybå, Tore; Liestøl, Knut; Sjøberg, Dag

2016-01-01

Context The trustworthiness of research results is a growing concern in many empirical disciplines. Aim The goals of this paper are to assess how much the trustworthiness of results reported in software engineering experiments is affected by researcher and publication bias, given typical statistical power and significance levels, and to suggest improved research practices. Method First, we conducted a small-scale survey to document the presence of researcher and publication biases in software...

Frequency of Yoga Practice Predicts Health: Results of a National Survey of Yoga Practitioners

Directory of Open Access Journals (Sweden)

Alyson Ross

2012-01-01

Full Text Available Background. Yoga shows promise as a therapeutic intervention, but relationships between yoga practice and health are underexplored. Purpose. To examine the relationship between yoga practice and health (subjective well-being, diet, BMI, smoking, alcohol/caffeine consumption, sleep, fatigue, social support, mindfulness, and physical activity. Methods. Cross-sectional, anonymous internet surveys distributed to 4307 randomly selected from 18,160 individuals at 15 US Iyengar yoga studios; 1045 (24.3% surveys completed. Results. Mean age 51.7 (± 11.7 years; 84.2% female. Frequency of home practice favorably predicted (P < .001: mindfulness, subjective well-being, BMI, fruit and vegetable consumption, vegetarian status, sleep, and fatigue. Each component of yoga practice (different categories of physical poses, breath work, meditation, philosophy study predicted at least 1 health outcome (P < .05. Conclusions. Home practice of yoga predicted health better than years of practice or class frequency. Different physical poses and yoga techniques may have unique health benefits.

Equitable Coloring of Graphs. Recent Theoretical Results and New Practical Algorithms

Directory of Open Access Journals (Sweden)

Furmańczyk Hanna

2016-09-01

Full Text Available In many applications in sequencing and scheduling it is desirable to have an underlaying graph as equitably colored as possible. In this paper we survey recent theoretical results concerning conditions for equitable colorability of some graphs and recent theoretical results concerning the complexity of equitable coloring problem. Next, since the general coloring problem is strongly NP-hard, we report on practical experiments with some efficient polynomial-time algorithms for approximate equitable coloring of general graphs.

Comparison of Leishmania typing results obtained from 16 European clinical laboratories in 2014

NARCIS (Netherlands)

van der Auwera, Gert; Bart, Aldert; Chicharro, Carmen; Cortes, Sofia; Davidsson, Leigh; Di Muccio, Trentina; Dujardin, Jean-Claude; Felger, Ingrid; Paglia, Maria Grazia; Grimm, Felix; Harms, Gundel; Jaffe, Charles L.; Manser, Monika; Ravel, Christophe; Robert-Gangneux, Florence; Roelfsema, Jeroen; Töz, Seray; Verweij, Jaco J.; Chiodini, Peter L.

2016-01-01

Leishmaniasis is endemic in southern Europe, and in other European countries cases are diagnosed in travellers who have visited affected areas both within the continent and beyond. Prompt and accurate diagnosis poses a challenge in clinical practice in Europe. Different methods exist for

Diagnostic and management practices for phenylketonuria in 19 countries of the South and Eastern European Region: survey results.

Science.gov (United States)

Giżewska, Maria; MacDonald, Anita; Bélanger-Quintana, Amaya; Burlina, Alberto; Cleary, Maureen; Coşkun, Turgay; Feillet, François; Muntau, Ania C; Trefz, Friedrich K; van Spronsen, Francjan J; Blau, Nenad

2016-02-01

To avoid potentially severe outcomes, phenylketonuria (PKU) must be detected as soon as possible after birth and managed with life-long treatment. A questionnaire-based survey was performed to document diagnosis and management practices for PKU in a region of Southern and Eastern Europe. Prevalence and management data were obtained from 37/59 (63 %) centres within 19/22 (86%) contacted countries (N = 8600 patients). The main results' analysis was based on completed questionnaires obtained from 31 centres (53%) within 15 countries (68%). A median of 10 % of patients per centre had been diagnosed after the newborn period. Metabolic dieticians and specialised adult PKU clinics were lacking in 36 and 84% of centres, respectively. In 26% of centres, treatment initiation was delayed until >15 days of life. Blood phenylalanine (Phe) thresholds to start treatment and upper Phe targets were inconsistent across centres. Ten percent of centres reported monitoring Phe every 2 weeks for pregnant women with PKU, which is insufficient to minimise risk of neonatal sequalae. Sapropterin dihydrochloride treatment was available in 48% of centres, with 24-h responsiveness tests most common (36%). Only one centre among the five countries lacking newborn screening provided a completed questionnaire. Targeted efforts by health care professionals and governments are needed to optimise diagnostic and management approaches for PKU in Southern and Eastern Europe. PKU must be detected early and optimally managed throughout life to avoid poor outcomes, yet newborn screening is not universal and diagnostic and management practices for PKU are known to vary widely between different centres and countries. Targeted efforts by health care professionals and governments are needed to optimise diagnostic and management approaches. PKU management practices are documented in 19 South and Eastern European countries indicating a heterogeneous situation across the region. Key areas for improvement

Evaluating rehabilitation methods - some practical results from Rum Jungle

International Nuclear Information System (INIS)

Ryan, P.

1987-01-01

Research and analysis of the following aspects of rehabilitation have been conducted at the Rum Jungle mine site over the past three years: drainage structure stability; rock batter stability; soil fauna; tree growth in compacted soils; rehabilitation costs. The results show that, for future rehabilitation projects adopting refined methods, attention to final construction detail and biospheric influences is most important. The mine site offers a unique opportunity to evaluate the success of a variety of rehabilitation methods to the benefit of the industry in Australia overseas. It is intended that practical, economic, research will continue for some considerable time

Brief review of topmost scientific results obtained in 2016 at the Joint Institute for Nuclear Research

International Nuclear Information System (INIS)

Kravchenko, E.I.; Sabaeva, E.V.

2017-01-01

This brief review presents the topmost scientific results obtained in 2016 at the Joint Institute for Nuclear Research in such fields as theoretical and experimental physics, radiation and radiobiological research, accelerators, information technology and computer physics. It also provides information about the publications by JINR staff members and activities carried out at the JINR University Centre in 2016. [ru

Results from a survey of national immunization programmes on home-based vaccination record practices in 2013

OpenAIRE

Young, Stacy L.; Gacic-Dobo, Marta; Brown, David W.

2015-01-01

Background Data on home-based records (HBRs) practices within national immunization programmes are non-existent, making it difficult to determine whether current efforts of immunization programmes related to basic recording of immunization services are appropriately focused. Methods During January 2014, WHO and the United Nations Children's Fund sent a one-page questionnaire to 195 countries to obtain information on HBRs including type of record used, number of records printed, whether record...

New high-definition thickness data obtained at tropical glaciers: preliminary results from Antisana volcano (Ecuador) using GPR prospection

Science.gov (United States)

Zapata, Camilo; Andrade, Daniel; Córdova, Jorge; Maisincho, Luis; Carvajal, Juan; Calispa, Marlon; Villacís, Marcos

2014-05-01

The study of tropical glaciers has been a significant contribution to the understanding of glacier dynamics and climate change. Much of the data and results have been obtained by analyzing plan-view images obtained by air- and space-borne sensors, as well as depth data obtained by diverse methodologies at selected points on the glacier surface. However, the measurement of glacier thicknesses has remained an elusive task in tropical glaciers, often located in rough terrains where the application of geophysical surveys (i.e. seismic surveys) requires logistics sometimes hardly justified by the amount of obtained data. In the case of Ecuador, however, where most glaciers have developed on active volcanoes and represent sources/reservoirs of fresh water, the precise knowledge of such information is fundamental for scientific research but also in order to better assess key aspects for the society. The relatively recent but fast development of the GPR technology has helped to obtain new highdefinition thickness data at Antisana volcano that will be used to: 1) better understand the dynamics and fate of tropical glaciers; 2) better estimate the amount of fresh water stored in the glaciers; 3) better assess the hazards associated with the sudden widespread melting of glaciers during volcanic eruptions. The measurements have been obtained at glaciers 12 and 15 of Antisana volcano, with the help of a commercial GPR equipped with a 25 MHz antenna. A total of 30 transects have been obtained, covering a distance of more than 3 km, from the glacier ablation zone, located at ~ 4600 masl, up to the level of 5200 masl. The preliminary results show a positive correlation between altitude and glacier thickness, with maximum and minimum calculated values reaching up to 80 m, and down to 15 m, respectively. The experience gained at Antisana volcano will be used to prepare a more widespread GPR survey in the glaciers of Cotopaxi volcano, whose implications in terms of volcanic hazards

Survey of sterile admixture practices in canadian hospital pharmacies: part 1. Methods and results.

Science.gov (United States)

Warner, Travis; Nishi, Cesilia; Checkowski, Ryan; Hall, Kevin W

2009-03-01

The 1996 Guidelines for Preparation of Sterile Products in Pharmacies of the Canadian Society of Hospital Pharmacists (CSHP) represent the current standard of practice for sterile compounding in Canada. However, these guidelines are practice recommendations, not enforceable standards. Previous surveys of sterile compounding practices have shown that actual practice deviates markedly from voluntary practice recommendations. In 2004, the United States Pharmacopeia (USP) published its "General Chapter Pharmaceutical Compounding-Sterile Preparations", which set a more rigorous and enforceable standard for sterile compounding in the United States. To assess sterile compounding practices in Canadian hospital pharmacies and to compare them with current CSHP recommendations and USP chapter standards. An online survey, based on previous studies of sterile compounding practices, the CSHP guidelines, and the chapter standards, was created and distributed to 193 Canadian hospital pharmacies. A total of 133 pharmacies completed at least part of the survey, for a response rate of 68.9%. All respondents reported the preparation of sterile products. Various degrees of deviation from the practice recommendations were noted for virtually all areas of the CSHP guidelines and the USP standards. Low levels of compliance were most notable in the areas of facilities and equipment, process validation, and product testing. Availability in the central pharmacy of a clean room facility meeting or exceeding the criteria of International Organization for Standardization (ISO) class 8 is a requirement of the chapter standards, but more than 40% of responding pharmacies reported that they did not have such a facility. Higher levels of compliance were noted for policies and procedures, garbing requirements, aseptic technique, and handling of hazardous products. Part 1 of this series reports the survey methods and results relating to policies, personnel, raw materials, storage and handling

Epidural analgesia practices for labour: results of a 2005 national survey in Ireland.

Science.gov (United States)

Fanning, Rebecca A; Briggs, Liam P; Carey, Michael F

2009-03-01

The last 25 years have seen changes in the management of epidural analgesia for labour, including the advent of low-dose epidural analgesia, the development of new local anaesthetic agents, various regimes for maintaining epidural analgesia and the practice of combined spinal-epidural analgesia. We conducted a survey of Irish obstetric anaesthetists to obtain information regarding the conduct and management of obstetric epidural analgesia in Ireland in 2005. The specific objective of this survey was to discover whether new developments in obstetric anaesthesia have been incorporated into clinical practice. A postal survey was sent to all anaesthetists with a clinical commitment for obstetric anaesthesia in the sites approved for training by the College of Anaesthetists, Ireland. Fifty-three per cent of anaesthetists surveyed responded. The majority of anaesthetists (98%) use low-dose epidural analgesia for the maintenance of analgesia. Only 11% use it for test-dosing and 32% for the induction of analgesia. The combined spinal-epidural analgesia method is used by 49%, but two-thirds of those who use it perform fewer than five per month. Patient-controlled epidural analgesia was in use at only one site. It appears that Irish obstetric anaesthetists have adopted the low-dose epidural analgesia trend for the maintenance of labour analgesia. This practice is not as widespread, however, for test dosing, the induction of analgesia dose or in the administration of intermittent epidural boluses to maintain analgesia when higher concentrations are used. Since its introduction in 2000, levobupivacaine has become the most popular local anaesthetic agent.

Environmental scan of anal cancer screening practices: worldwide survey results

International Nuclear Information System (INIS)

Patel, Jigisha; Salit, Irving E; Berry, Michael J; Pokomandy, Alexandra de; Nathan, Mayura; Fishman, Fred; Palefsky, Joel; Tinmouth, Jill

2014-01-01

Anal squamous cell carcinoma is rare in the general population but certain populations, such as persons with HIV, are at increased risk. High-risk populations can be screened for anal cancer using strategies similar to those used for cervical cancer. However, little is known about the use of such screening practices across jurisdictions. Data were collected using an online survey. Health care professionals currently providing anal cancer screening services were invited to complete the survey via email and/or fax. Information was collected on populations screened, services and treatments offered, and personnel. Over 300 invitations were sent; 82 providers from 80 clinics around the world completed the survey. Fourteen clinics have each examined more than 1000 patients. Over a third of clinics do not restrict access to screening; in the rest, eligibility is most commonly based on HIV status and abnormal anal cytology results. Fifty-three percent of clinics require abnormal anal cytology prior to performing high-resolution anoscopy (HRA) in asymptomatic patients. Almost all clinics offer both anal cytology and HRA. Internal high-grade anal intraepithelial neoplasia (AIN) is most often treated with infrared coagulation (61%), whereas external high-grade AIN is most commonly treated with imiquimod (49%). Most procedures are performed by physicians, followed by nurse practitioners. Our study is the first description of global anal cancer screening practices. Our findings may be used to inform practice and health policy in jurisdictions considering anal cancer screening

Cephalometry in orthodontic practice

International Nuclear Information System (INIS)

Theunissen, J.J.W.; Terlingen, P.J.A.M.

1980-01-01

Cephalometry is applied in orthodontic practice to: - obtain information on the growth of the skull - assist diagnosis of the relationship between the jaws and abnormalities in dentition - evaluate the results of treatment. The course of the diagnostic procedure with the aid of the Ricketts analysis and evaluation of the treatment results using five superimpositions is demonstrated by means of two examples. (Auth.)

2008 HIMSS Survey results: best practices in implementing nursing/interdisciplinary documentation systems.

Science.gov (United States)

Newbold, Susan K; Kimmel, Kathleen C; O'Steen, Randy; Morgan, Gina Sauls

2008-11-06

Health care organizations are increasingly using computer systems to support nursing care documentation; however, processes used to deploy such systems are widely varied. The purpose of this survey was to understand current practices related to implementation of computerized nursing and interdisciplinary documentation systems with the goal to establish best practice guidelines. In Spring 2007, members from the Healthcare Information Management and Systems Society Nursing Informatics Working Group interviewed a sample of 15 hospitals to solicit information regarding the following processes: leadership activities, clinical transformation processes, project management activities, implementation processes, evaluation metrics, terminology and other standards used, and methods used to facilitate end-user adoption. This poster will report the results of this survey. Implications for Nurses will be discussed. The results are valuable to nursing informatics professionals who plan to implement systems and to their nursing executives responsible for the systems that are implemented.

Brief review of topmost scientific results obtained in 2015 at the Joint Institute for Nuclear Research

International Nuclear Information System (INIS)

Sabaeva, E.V.; Krupko, E.I.

2016-01-01

This brief review presents the topmost scientific results obtained in 2015 at the Joint Institute for Nuclear Research in such fields as theoretical and experimental physics, radiation and radiobiological research, accelerators, information technology and computer physics. It also provides information about the publications by JINR staff members, awards given to JINR scientists, and activities carried out at the JINR University Centre in 2015. [ru

Brief review of topmost scientific results obtained in 2013 at the Joint Institute for Nuclear Research

International Nuclear Information System (INIS)

Sabaeva, E.V.; Kravchenko, E.I.

2014-01-01

This brief review presents the topmost scientific results obtained in 2013 at the Joint Institute for Nuclear Research in such areas as theoretical physics, experimental physics, radiation and radiobiological research, accelerators, information technology and computer physics. It also provides information on the number of publications by JINR staff members, awards given to JINR scientists, and activities carried out at the JINR University Centre in 2013.

Brief review of topmost scientific results obtained in 2014 at the Joint Institute for Nuclear Research

International Nuclear Information System (INIS)

Bulatova, V.V.; Sabaeva, E.V.

2015-01-01

This brief review presents the topmost scientific results obtained in 2014 at the Joint Institute for Nuclear Research in such fields as theoretical and experimental physics, radiation and radiobiological research, accelerators, information technology and computer physics. It also provides information about the publications by JINR staff members, patents for inventions, awards given to JINR scientists, and activities carried out at the JINR University Centre in 2014. [ru

Postgraduate Course 'Physics Aspects of Nuclear Medicine'. Theoretical and practical intensive version. Preliminary results

International Nuclear Information System (INIS)

Lopez Diaz, A.; Gonzalez, G.J.; Torres, A.L.; Fraxedas, M.R.

2007-01-01

Full text: Using national and international recommendations about human resource in Nuclear Medicine, a group of experts organized a National Course for the education and training of physicist who work in Cuban hospitals, adapted to national condition and practice of Nuclear Medicine. The program was approved for National Authorities in Nuclear Security and University Schools in Medicine. The program contains two intensive theoretic and practical courses, to be completed over a period of 15 days of full time engagement, complemented with 4 month full attachment to a Nuclear Medicine Service monitored by accredited expert. The theoretical/practical intensive courses have final evaluation: combining practical exercise and a final test. When all docent activities finish the students should clear a final theoretical/practical evaluation by an examination board comprising of at least three accredited experts. The theoretical/practical courses were attended by 19 physicists working in hospitals in Cuba. The contents of the first course included, Introduction to Nuclear Medicine, Principle of NM equipment, Quality assurance and quality control of NM equipment, Radiation Protection and Licence Topics of NM Services. The second course had the following topics: Acquisition and Processing methods in Nuclear Medicine, Nuclear Medicine Techniques and Clinical Dosimetry for radiopharmaceutical therapy. With 100 point of maximum score and 60 point minimum to pass, the final test of this first course comprised of 2 types of questions: 1 Multiple choice questions and 2. long essay type questions. The average scores obtained by the participants was 87.02 points/ students (range 65- 100 points). The students pass the test with very good degree of comprehension: 10-Excellent (90-100 points), 5- Very good (80-89 points), 2-Good (70-79 point) and 2- satisfactory standard (60-69 point). The students evaluated 'satisfactory' the quality of the course (in anonymous poll), reporting like

Management practices for health physicists

International Nuclear Information System (INIS)

Gibson, J.L.

1982-01-01

Th essence of management is obtaining results through the efforts of other people. The efforts obtained, or performance, are enhanced by those who practice management with certain understandings of the work, role and behavior of management, who have the will to manage, and who have requisite skill and aptitude. Discussion of managerial work, role, and behavior comprises the major part of the following paper. The paper concludes with the suggestion that ineffective management is not the result of lack of knowledge about managing, rather ineffective management is more often the result of a lack of will to manage

Pipeline inspection - failures selection and results obtained; Inspeccion interna de ductos - seleccion de fallas y resultados obtenidos

Energy Technology Data Exchange (ETDEWEB)

Motylicki, Juan Enrique [Oleoductos del Valle S.A. (OLDEVAL S.A.), (Argentina)

2003-07-01

The main objective of the pipelines maintenance is to assure the integrity of them in order to have a reliable operation and with an acceptable level of risk that minimizes the impact to people, to the environment and the business. The objective of this work is to expose the experiences obtained before by Oldelval and after the passages of the intelligent pig, carried out in the years 1999/2000. In the same one they will be described: How the flaws were selected to verify / to repair. Results obtained in digs. Laboratory studies to determine like they affect to the integrity of the pipeline, the different types of opposing plane defects. Conclusions. (author)

Enzymatic Browning: a practical class

Directory of Open Access Journals (Sweden)

Maria Teresa Pedrosa Silva Clerici

2014-10-01

Full Text Available This paper presents a practical class about the enzymes polyphenol oxidases, which have been shown to be responsible for the enzymatic browning of fruits and vegetables. Vegetables samples were submitted to enzymatic inactivation process with chemical reagents, as well as by bleaching methods of applying heat by conventional oven and microwave oven. Process efficiency was assessed qualitatively by both observing the guaiacol peroxidase activity and after the storage period under refrigeration or freezing. The practical results obtained in this class allow exploring multidisciplinary knowledge in food science, with practical applications in everyday life.

Method of forecasting pollutant transfer in an aquifer initial results obtained in a sandy medium (Barp site, Gironde)

International Nuclear Information System (INIS)

Madoz-Escande, C.; Peyrus, J.-C.

1979-01-01

Hydrogeological studies are undertaken in the context of the radiological safety of nuclear plants to forecast consequences of accidental releases of radioactive pollutants into an aquifer (transfer time, concentration at points of emergence). This quantitative forecast is obtained with the aid of a mathematical model with sequential emission. This requires a knowledge of the physical parameters of the aquifer and of the behavior of the pollutant in relation to the water-bearing medium. The physical parameters of a saturated porous medium are presented with the aid of radioactive tracer tests on a model and also in the field. The initial results obtained in a sandy medium are presented. In view of the difficulty of extrapolating to field conditions the conclusions of tests on models, it was necessary to set up a mobile laboratory with which in situ studies could be undertaken. The behavior of the pollutant in relation to the water-bearing medium is the subject of preliminary laboratory research on the laws of adsorption under different pH and temperature conditions. The numerical results obtained call for confirmation in the field. A description is given of a method which should enable the distribution coefficients to be evaluated in situ

Survey of sterile admixture practices in canadian hospital pharmacies: part 2. More results and discussion.

Science.gov (United States)

Warner, Travis; Nishi, Cesilia; Checkowski, Ryan; Hall, Kevin W

2009-05-01

The 1996 Guidelines for Preparation of Sterile Products in Pharmacies of the Canadian Society of Hospital Pharmacists (CSHP) represent the current standard of practice for sterile compounding in Canada. However, these guidelines are practice recommendations, not enforceable standards. Previous surveys of sterile compounding practices have shown that actual practice deviates markedly from voluntary practice recommendations. In 2004, the United States Pharmacopeia (USP) published its "General Chapter Pharmaceutical Compounding-Sterile Preparations", which set a more rigorous and enforceable standard for sterile compounding in the United States. To assess sterile compounding practices in Canadian hospital pharmacies and to compare them with current CSHP recommendations and USP chapter standards. An online survey, based on previous studies of sterile compounding practices, the CSHP guidelines, and the chapter standards, was created and distributed to 193 Canadian hospital pharmacies. A total of 133 pharmacies completed at least part of the survey, for a response rate of 68.9%. All respondents reported the preparation of sterile products. Various degrees of deviation from the practice recommendations were noted for virtually all areas of the CSHP guidelines and the USP standards. Low levels of compliance were most notable in the areas of facilities and equipment, process validation, and product testing. Availability in the central pharmacy of a clean room facility meeting or exceeding the criteria of International Organization for Standardization (ISO) class 8 is a requirement of the chapter standards, but more than 40% of responding pharmacies reported that they did not have such a facility. Higher levels of compliance were noted for policies and procedures, garbing requirements, aseptic technique, and handling of hazardous products. The survey methods for this study and results relating to policies, personnel, raw materials, storage and handling, facilities and

Treatment of complex PTSD: results of the ISTSS expert clinician survey on best practices.

Science.gov (United States)

Cloitre, Marylene; Courtois, Christine A; Charuvastra, Anthony; Carapezza, Richard; Stolbach, Bradley C; Green, Bonnie L

2011-12-01

This study provides a summary of the results of an expert opinion survey initiated by the International Society for Traumatic Stress Studies Complex Trauma Task Force regarding best practices for the treatment of complex posttraumatic stress disorder (PTSD). Ratings from a mail-in survey from 25 complex PTSD experts and 25 classic PTSD experts regarding the most appropriate treatment approaches and interventions for complex PTSD were examined for areas of consensus and disagreement. Experts agreed on several aspects of treatment, with 84% endorsing a phase-based or sequenced therapy as the most appropriate treatment approach with interventions tailored to specific symptom sets. First-line interventions matched to specific symptoms included emotion regulation strategies, narration of trauma memory, cognitive restructuring, anxiety and stress management, and interpersonal skills. Meditation and mindfulness interventions were frequently identified as an effective second-line approach for emotional, attentional, and behavioral (e.g., aggression) disturbances. Agreement was not obtained on either the expected course of improvement or on duration of treatment. The survey results provide a strong rationale for conducting research focusing on the relative merits of traditional trauma-focused therapies and sequenced multicomponent approaches applied to different patient populations with a range of symptom profiles. Sustained symptom monitoring during the course of treatment and during extended follow-up would advance knowledge about both the speed and durability of treatment effects. Copyright © 2011 International Society for Traumatic Stress Studies.

Obtaining and Using Images in the Clinical Setting

International Nuclear Information System (INIS)

Cendales, Ricardo

2009-01-01

Currently small electronic devices capable of producing high quality images are available. The massive use of these devices has become common in the clinical setting as medical images represent a useful tool to document relevant clinical conditions for patient diagnosis, treatment and follow-up. Besides, clinical images are beneficial for legal, scientific and academic purposes. The extended practice without proper ethical guidelines might represent a significant risk for the protection of patient rights and clinical practice. This document discusses risks and duties when obtaining medical images, and presents some arguments on institutional and professional responsibilities around the definition of policies regarding the protection of privacy and dignity of the patient.

Managing Appalachian hardwood stands using four regeneration practices--34 year results

Science.gov (United States)

H. Clay Smith; Gary W. Miller

1987-01-01

Adjacent Appalachian hardwood stands in West Virginia established on excellent growing sites were managed for a 34-year period using four regeneration practices. These practices included a commercial clearcut, 15.5-in diameter-limit, and two single-tree selection practices. An uncut area was maintained as a control. Stand development, growth response, and some stumpage...

Clarifying Definitions for the Massage Therapy Profession: the Results of the Best Practices Symposium†

Science.gov (United States)

Kennedy, Ann B.; Cambron, Jerrilyn A.; Sharpe, Patricia A.; Travillian, Ravensara S.; Saunders, Ruth P.

2016-01-01

Background Massage therapists are at times unclear about the definition of massage therapy, which creates challenges for the profession. It is important to investigate the current definitions and to consider the field as a whole in order to move toward clarity on what constitutes the constructs within the profession. Purpose To determine how a sample of experts understand and describe the field of massage therapy as a step toward clarifying definitions for massage and massage therapy, and framing the process of massage therapy practice. Setting A two-day symposium held in 2010 with the purpose of gathering knowledge to inform and aid in the creation of massage therapy best practice guidelines for stress and low back pain. Participants Thirty-two experts in the field of massage therapy from the United States, Europe, and Canada. Design Qualitative analysis of secondary cross-sectional data using a grounded theory approach. Results Three over-arching themes were identified: 1) What is massage?; 2) The multidimensional nature of massage therapy; and 3) The influencing factors on massage therapy practice. Discussion The data offered clarifying definitions for massage and massage therapy, as well as a framework for the context for massage therapy practice. These clarifications can serve as initial steps toward the ultimate goal of creating new theory for the field of massage therapy, which can then be applied in practice, education, research, and policy. Conclusions Foundational research into how experts in the profession understand and describe the field of massage therapy is limited. Understanding the potential differences between the terms massage and massage therapy could contribute to a transformation in the profession in the areas of education, practice, research, policy and/or regulation. Additionally, framing the context for massage therapy practice invites future discussions to further clarify practice issues. PMID:27648109

Obtaining antibiotics online from within the UK: a cross-sectional study

Science.gov (United States)

Boyd, Sara Elizabeth; Moore, Luke Stephen Prockter; Gilchrist, Mark; Costelloe, Ceire; Castro-Sánchez, Enrique; Franklin, Bryony Dean; Holmes, Alison Helen

2017-01-01

Background: Improved antibiotic stewardship (AS) and reduced prescribing in primary care, with a parallel increase in personal internet use, could lead citizens to obtain antibiotics from alternative sources online. Objectives: A cross-sectional analysis was performed to: (i) determine the quality and legality of online pharmacies selling antibiotics to the UK public; (ii) describe processes for obtaining antibiotics online from within the UK; and (iii) identify resulting AS and patient safety issues. Methods: Searches were conducted for ‘buy antibiotics online’ using Google and Yahoo. For each search engine, data from the first 10 web sites with unique URL addresses were reviewed. Analysis was conducted on evidence of appropriate pharmacy registration, prescription requirement, whether antibiotic choice was ‘prescriber-driven’ or ‘consumer-driven’, and whether specific information was required (allergies, comorbidities, pregnancy) or given (adverse effects) prior to purchase. Results: Twenty unique URL addresses were analysed in detail. Online pharmacies evidencing their location in the UK (n = 5; 25%) required a prescription before antibiotic purchase, and were appropriately registered. Online pharmacies unclear about the location they were operating from (n = 10; 50%) had variable prescription requirements, and no evidence of appropriate registration. Nine (45%) online pharmacies did not require a prescription prior to purchase. For 16 (80%) online pharmacies, decisions were initially consumer-driven for antibiotic choice, dose and quantity. Conclusions: Wide variation exists among online pharmacies in relation to antibiotic practices, highlighting considerable patient safety and AS issues. Improved education, legislation, regulation and new best practice stewardship guidelines are urgently needed for online antibiotic suppliers. PMID:28333179

Practical approach to a procedure for judging the results of analytical verification measurements

International Nuclear Information System (INIS)

Beyrich, W.; Spannagel, G.

1979-01-01

For practical safeguards a particularly transparent procedure is described to judge analytical differences between declared and verified values based on experimental data relevant to the actual status of the measurement technique concerned. Essentially it consists of two parts: Derivation of distribution curves for the occurrence of interlaboratory differences from the results of analytical intercomparison programmes; and judging of observed differences using criteria established on the basis of these probability curves. By courtesy of the Euratom Safeguards Directorate, Luxembourg, the applicability of this judging procedure has been checked in practical data verification for safeguarding; the experience gained was encouraging and implementation of the method is intended. Its reliability might be improved further by evaluation of additional experimental data. (author)

Environmental Practices. Motivations and Their Influence on the Level of Implementation

Directory of Open Access Journals (Sweden)

María de la Cruz del Río-Rama

2018-03-01

Full Text Available The objective of this research is to identify and analyze good environmental practices followed by the Thermal sector in Spain. It is also to analyze if the motivations that lead thermal establishments to implement environmental practices influence their level of implementation. The methodology used is the performance of a descriptive and regression analysis of the data obtained through a structured questionnaire. The target population consists of 112 health resorts, obtaining a sample size of 62 valid surveys, which implies a response rate of 55.36%. The results obtained have enabled the performance of an environmental diagnosis of the Thermal sector in Spain, identifying the strengths and weaknesses of Environmental Management, as well as corroborating that motivations affect the level of implementation of environmental practices.

The results obtained by INR-Pitesti to an international in-situ intercomparison exercise

International Nuclear Information System (INIS)

Dobrin, Relu; Dulama, Cristian; Toma, Alexandru

2008-01-01

Full text: The determination of soil contamination, dose rate measurements and in-situ gamma spectrometry are well established and widely used measurement procedures, especially after large scale nuclear incidents. To support decision makers and first responders with a more comprehensive and accurate overview immediately after a large scale nuclear or radiological emergency, as releases from a nuclear power plant or a terrorist attack with a dirty bomb, a fast and clear presentation of measurement data is indispensable. In 2007, the Austrian Research Centers GmbH - ARC (Seibersdorf) in cooperation with IAEA and the Austrian NBC Defense School organized an international measurement campaign, 'In-Situ Intercomparison Scenario' ISIS 2007, with the focus on In-Situ Gamma Spectrometry and Dose Rate Measurements in Emergency Situations. 56 teams from 25 countries, worldwide, took part to this exercise. The only Romanian team was 'CROWN'. The CROWN Laboratory is part of the Radiation Protection Laboratory of the Institute for Nuclear Research - Pitesti, certified for characterization of radioactive wastes and nuclear materials. The paper presents results obtained during different tasks of the exercise: 'Dose rate mapping'; 'Localization - Drive by'; 'Simulation of a contamination'; 'Identification Shielded; 'Identification/Quantification'; 'Buried sources; 'Environmental measurement'. (authors)

A systematic review of the use of dosage form manipulation to obtain required doses to inform use of manipulation in paediatric practice.

Science.gov (United States)

Richey, Roberta H; Hughes, Clare; Craig, Jean V; Shah, Utpal U; Ford, James L; Barker, Catrin E; Peak, Matthew; Nunn, Anthony J; Turner, Mark A

2017-02-25

This study sought to determine whether there is an evidence base for drug manipulation to obtain the required dose, a common feature of paediatric clinical practice. A systematic review of the data sources, PubMed, EMBASE, CINAHL, IPA and the Cochrane database of systematic reviews, was used. Studies that considered the dose accuracy of manipulated medicines of any dosage form, evidence of safety or harm, bioavailability, patient experience, tolerability, contamination and comparison of methods of manipulation were included. Case studies and letters were excluded. Fifty studies were eligible for inclusion, 49 of which involved tablets being cut, split, crushed or dispersed. The remaining one study involved the manipulation of suppositories of one drug. No eligible studies concerning manipulation of oral capsules or liquids, rectal enemas, nebuliser solutions, injections or transdermal patches were identified. Twenty four of the tablet studies considered dose accuracy using weight and/or drug content. In studies that considered weight using adapted pharmacopoeial specifications, the percentage of halved tablets meeting these specifications ranged from 30% to 100%. Eighteen studies investigated bioavailability, pharmacokinetics or clinical outcomes following manipulations which included nine delayed or modified release formulations. In each of these nine studies the entirety of the dosage form was administered. Only one of the 18 studies was identified where drugs were manipulated to obtain a proportion of the dosage form, and that proportion administered. The five studies that considered patient perception found that having to manipulate the tablets did not have a negative impact on adherence. Of the 49 studies only two studies reported investigating children. This review yielded limited evidence to support manipulation of medicines for children. The results cannot be extrapolated between dosage forms, methods of manipulation or between different brands of the same

The Effects of Quality Management Practices on Key Results: questionnaires sample for the industry of tourist accommodation in Spain

Directory of Open Access Journals (Sweden)

José Álvarez García

2014-12-01

Full Text Available In this research work, we examine the direct and indirect effects of quality management practices on key results and we identify the relationship between quality practices. To achieve the proposed objective, a structural model was used, taking into account the previous review of the literature, in order to identify the quality practices and causal relationships with the key results. The theoretical model and hypotheses are tested using data collected from a sample of 186 tourist accommodation companies certified with the “Q for Tourist Quality” standard in Spain, from a questionnaire based on quality practices identified in the literature and on the EFQM Model, taking some of the most relevant scales as a reference. The methodology used consists of the application of an Exploratory and Confirmatory Factorial Analysis to validate the scales (reliability, one-dimensionality and validity and define the number of items of each of the measuring instruments of the constructs proposed, to then estimate the causal model proposed, proceeding to test the hypotheses formulated by using the Structural Equation Model (SEM technique. The results achieved support the relationship between quality practices and the direct and positive impact of two of the practices, processes management and quality policy/planning, on the key results. It was also observed that the quality practices that most influence key results are quality policy/planning along with leadership, when considering the total effects (direct and indirect.

';Best' Practices for Aggregating Subset Results from Archived Datasets

Science.gov (United States)

Baskin, W. E.; Perez, J.

2013-12-01

In response to the exponential growth in science data analysis and visualization capabilities Data Centers have been developing new delivery mechanisms to package and deliver large volumes of aggregated subsets of archived data. New standards are evolving to help data providers and application programmers deal with growing needs of the science community. These standards evolve from the best practices gleaned from new products and capabilities. The NASA Atmospheric Sciences Data Center (ASDC) has developed and deployed production provider-specific search and subset web applications for the CALIPSO, CERES, TES, and MOPITT missions. This presentation explores several use cases that leverage aggregated subset results and examines the standards and formats ASDC developers applied to the delivered files as well as the implementation strategies for subsetting and processing the aggregated products. The following topics will be addressed: - Applications of NetCDF CF conventions to aggregated level 2 satellite subsets - Data-Provider-Specific format requirements vs. generalized standards - Organization of the file structure of aggregated NetCDF subset output - Global Attributes of individual subsetted files vs. aggregated results - Specific applications and framework used for subsetting and delivering derivative data files

Abnormal ovarian cancer screening test result: women's informational, psychological and practical needs.

Science.gov (United States)

Ryan, Patricia Y; Graves, Kristi D; Pavlik, Edward J; Andrykowski, Michael A

2007-01-01

Considerable effort has been devoted to the identification of cost-effective approaches to screening for ovarian cancer (OC). Transvaginal ultrasound (TVS) is one such screening approach. Approximately 5-7% of routine TVS screening tests yield abnormal results. Some women experience significant distress after receipt of an abnormal TVS screening test. Four focus groups provided in-depth, qualitative data regarding the informational, psychological, and practical needs of women after the receipt of an abnormal TVS result. Through question and content analytic procedures, we identified four themes: anticipation, emotional response, role of the screening technician, and impact of prior cancer experiences. Results provide initial guidance toward development of interventions to promote adaptive responses after receipt of an abnormal cancer screening test result.

Environmental management of the OSBAT 24'' oil pipeline: reached practical results; Gestao ambiental do Oleoduto OSBAT 24{sup :} resultados praticos alcancados

Energy Technology Data Exchange (ETDEWEB)

Serra, Ricardo N.; Garibaldi, Celia M.; Kagawa, Adriana; Serra, Maira B.; Oliveira, Flavio M. de; Perim, Leandro A. [LENC - Laboratorio de Engenharia e Consultoria Ltda., Cotia, SP (Brazil); Baptista, Sidney L. [PETROBRAS, Rio de Janeiro, RJ (Brazil)

2008-07-01

The main objective of this article is to present considerations about the practical results obtained over the implementation of specialized technical services for environmental monitoring and control of the work of maintenance of OSBAT 24'' pipeline, located in a stretch of about 32 km from the Aquatic Terminal of Sao Sebastiao - SP (TASSE) to the district Camburi. This area is characterized by intense environmental complexity by the presence of the Serra do Mar State Park, under enormous natural diversity of preserved Mata Atlantica forest, contrasting with a considerable pole of urban sprawl whose population growth rates (4.66% pa) and economic they are above the average for the Sao Paulo State. The presentation of results considers the practical implementation of the package of environmental management tools used and seek verification of the scope and quality of the following items: general Review of care as environmental registers occurred at different periods (eg monthly, bimonthly, half, etc.); survey of the nature of environmental registers; environmental registers recovered; cases of non-compliance and the main control measures implemented; evaluation of environmental performance; recommendations and learning. (author)

Experimental results obtained with the simulated cold moderator system. System characteristics and technical issues

CERN Document Server

Aso, T; Hino, R; Kaminaga, M; Kinoshita, H; Takahashi, T

2002-01-01

The Japan Atomic Energy Research Institute and the High Energy Accelerator Research Organization have been developing a Mega-Watt scale spallation target system. In the system, neutrons generated in a target are sorted out their energy to the proper values in liquid-hydrogen moderators. Then, the liquid-hydrogen is forced to circulate in order to suppress hydrogen temperature increase. In the operation of moderators, it is very important to establish a safety protection system against emergency shutdown of the accelerator or accidents of the cold moderator system. In order to obtain a technical data for design and safety review of the liquid-hydrogen system, we have fabricated an experimental apparatus simulated the cold moderator system using liquid nitrogen (max. 1.5 MPa, mini. 77 K) instead of liquid hydrogen. The experiments on a controllability of the system were carried out to investigate dynamic characteristics of the system. This report presents the experimental results and technical issues for the co...

Experimental Results Obtained with Air Liquide Cold Compression System CERN LHC and SNS Projects

CERN Document Server

Delcayre, F; Hamber, F; Hilbert, B; Monneret, E; Toia, J L

2006-01-01

Large scale collider facilities will make intensive use of superconducting magnets, operating below 2.0 K. This dictates high‐capacity refrigeration systems operating below 2.0 K. These systems, making use of cryogenic centrifugal compressors in a series arrangement with room temperature screw compressors will be coupled to a refrigerator, providing a certain power at 4.5 K. A first Air Liquide Cold Compression System (CCS) unit was built and delivered to CERN in 2001. Installed at the beginning of 2002, it was commissioned and tested successfully during year 2002. A series of four sets of identical CCS were then tested in 2004. Another set of four cryogenic centrifugal compressors (CCC) has been delivered to Thomas Jefferson National Accelerator Facility (JLAB) for the Spallation Neutron Source (SNS) in 2002. These compressors were tested and commissioned from December 2004 to July 2005. The experimental results obtained with these systems will be presented and discussed: the characteristics of the CCC wil...

The effect of quality management practices on operational and business results in the petroleum industry in Iran

Science.gov (United States)

Mellat Parast, Mahour

The trend toward globalization has challenged management thinking, organizational practices, and the ways companies interact with their customers and suppliers as well as with other segments of society. One such practice, Total Quality Management (TQM), has emerged as a management paradigm for enhancing organizational performance and profitability, to the extent that it has been regarded as "the second industrial revolution" (Kanji, 1990). Despite extensive research in quality management, little empirical research has been done on this in an international context, especially in the Middle East. This study attempts to investigate: (1) the relationship among quality management constructs based on the Malcolm Baldrige National Quality Award; and (2) the effect of quality management practices on operational and business results in the petroleum industry. A validated and reliable survey instrument was used for the study to collect data from 31 project managers/consultants in the petroleum industry in Iran. The results of the correlation analysis show that top management support is the major driver of quality management, which significantly correlates with other quality management practices. It was also found that customer orientation is not significantly correlated with external quality results (profitability). A regression analysis indicated top management support, employee training, and employee involvement as the three statistically significant variables in explaining the variability in internal quality results. Furthermore, it was found that internal quality results was statistically significant in explaining the variability of external quality results.

Measurement results obtained from air quality monitoring system

Energy Technology Data Exchange (ETDEWEB)

Turzanski, P.K.; Beres, R. [Provincial Inspection of Environmental Protection, Cracow (Poland)

1995-12-31

An automatic system of air pollution monitoring operates in Cracow since 1991. The organization, assembling and start-up of the network is a result of joint efforts of the US Environmental Protection Agency and the Cracow environmental protection service. At present the automatic monitoring network is operated by the Provincial Inspection of Environmental Protection. There are in total seven stationary stations situated in Cracow to measure air pollution. These stations are supported continuously by one semi-mobile (transportable) station. It allows to modify periodically the area under investigation and therefore the 3-dimensional picture of creation and distribution of air pollutants within Cracow area could be more intelligible.

Simulation of uranium and plutonium oxides compounds obtained in plasma

Science.gov (United States)

Novoselov, Ivan Yu.; Karengin, Alexander G.; Babaev, Renat G.

2018-03-01

The aim of this paper is to carry out thermodynamic simulation of mixed plutonium and uranium oxides compounds obtained after plasma treatment of plutonium and uranium nitrates and to determine optimal water-salt-organic mixture composition as well as conditions for their plasma treatment (temperature, air mass fraction). Authors conclude that it needs to complete the treatment of nitric solutions in form of water-salt-organic mixtures to guarantee energy saving obtainment of oxide compounds for mixed-oxide fuel and explain the choice of chemical composition of water-salt-organic mixture. It has been confirmed that temperature of 1200 °C is optimal to practice the process. Authors have demonstrated that condensed products after plasma treatment of water-salt-organic mixture contains targeted products (uranium and plutonium oxides) and gaseous products are environmental friendly. In conclusion basic operational modes for practicing the process are showed.

General Overview of Psychotherapeutic Practice in Poland. Results from a Nationwide Survey.

Science.gov (United States)

Suszek, Hubert; Grzesiuk, Lidia; Styła, Rafał; Krawczyk, Krzysztof

2017-09-01

A total of 1196 persons conducting psychotherapy in Poland fully completed a nationwide online survey (or, alternatively, a paper and pencil enquiry) concerning their education, training, experience, and clinical work (professional environment, patients treated). The results are described in detail and compared with findings of similar studies from other countries. Among the primary findings were: (1) psychotherapy in Poland is conducted mostly by women (80 %); (2) almost all participants have an MA degree (91 %), including 75.2 % having graduated in psychology; (3) the therapists are well trained (mean number of training hours is above 942) and established (average experience is about 9.8 years), however, more than half of the therapists have no type of certificate; (4) 54 % of respondents identify with the integrative or eclectic orientation and, simultaneously, for 48.6 % of the therapists the most important approach is either psychodynamic or psychoanalytic; (5) the most common form of therapy is individual psychotherapy in private practice; (6) the majority of the therapists treat adult patients with anxiety or personality disorders. In sum, the results show that psychotherapeutic practice is well established in Poland and many indices are similar to those found in Western countries.

Potential theory for stationary Schrödinger operators: a survey of results obtained with non-probabilistic methods

Directory of Open Access Journals (Sweden)

Marco Bramanti

1992-05-01

Full Text Available In this paper we deal with a uniformly elliptic operator of the kind: Lu  Au + Vu, where the principal part A is in divergence form, and V is a function assumed in a “Kato class”. This operator has been studied in different contexts, especially using probabilistic techniques. The aim of the present work is to give a unified and simplified presentation of the results obtained with non probabilistic methods for the operator L on a bounded Lipschitz domain. These results regard: continuity of the solutions of Lu=0; Harnack inequality; estimates on the Green's function and L-harmonic measure; boundary behavior of positive solutions of Lu=0, in particular a “Fatou's theorem”.

Embedding evidence-based practice among nursing undergraduates: Results from a pilot study.

Science.gov (United States)

André, Beate; Aune, Anne G; Brænd, Jorunn A

2016-05-01

Evidence-based practice is currently one of the most important developments in health care. Research in nursing science is rapidly growing; however, translating the knowledge based on this research into clinical practice is often hampered, and may be dependent on reflective skills. The aim of this study was to see how undergraduate nursing students in nursing should increase their skills and knowledge related to evidence-based practice through participation in clinical research projects. A qualitative approach was used in collecting and analyzing the data. Students participated in a pilot clinical research project and a received guidance related to their bachelor thesis. After the project was completed, all students filled in a questionnaire. The students' motivation to participate in this study was reported to be high, but they reported low knowledge related to evidence-based practice. All students reported that their attitude towards evidence-based practice changed in a positive direction during their participation in the project. Evidence-based practice influenced nursing practices by putting more focus on critical thinking, increasing pride and giving a sense of ownership in the clinical field. The curricula and the pedagogical perspectives in nursing education can influence the attitude towards evidence-based practice and skills among nursing bachelor students. Copyright © 2016 Elsevier Ltd. All rights reserved.

Stoichiometric hydroxyapatite obtained by precipitation and sol gel processes

Energy Technology Data Exchange (ETDEWEB)

Guzman V, C.; Pina B, C.; Munguia, N. [IIM-UNAM, A.P. 70-360, 04510 Mexico D.F. (Mexico)]. e-mail: caroguz@servidor.unam.mx

2005-07-01

Three methods for obtaining hydroxyapatite (HA) are described. HA is a very interesting ceramic because of its many medical applications. The first two precipitation methods start from calcium and phosphorous compounds, whereas the third method is a sol-gel process that uses alkoxides. The products were characterized and compared. The observed differences are important for practical applications. (Author)

Interleaved Practice with Multiple Representations: Analyses with Knowledge Tracing Based Techniques

Science.gov (United States)

Rau, Martina A.; Pardos, Zachary A.

2012-01-01

The goal of this paper is to use Knowledge Tracing to augment the results obtained from an experiment that investigated the effects of practice schedules using an intelligent tutoring system for fractions. Specifically, this experiment compared different practice schedules of multiple representations of fractions: representations were presented to…

Experimental Results Obtained with Air Liquide Cold Compression System: CERN LHC and SNS Projects

Science.gov (United States)

Delcayre, F.; Courty, J.-C.; Hamber, F.; Hilbert, B.; Monneret, E.; Toia, J.-L.

2006-04-01

Large scale collider facilities will make intensive use of superconducting magnets, operating below 2.0 K. This dictates high-capacity refrigeration systems operating below 2.0 K. These systems, making use of cryogenic centrifugal compressors in a series arrangement with room temperature screw compressors will be coupled to a refrigerator, providing a certain power at 4.5 K. A first Air Liquide Cold Compression System (CCS) unit was built and delivered to CERN in 2001. Installed at the beginning of 2002, it was commissioned and tested successfully during year 2002. A series of four sets of identical CCS were then tested in 2004. Another set of four cryogenic centrifugal compressors (CCC) has been delivered to Thomas Jefferson National Accelerator Facility (JLAB) for the Spallation Neutron Source (SNS) in 2002. These compressors were tested and commissioned from December 2004 to July 2005. The experimental results obtained with these systems will be presented and discussed: the characteristics of the CCC will be detailed. The principles of control for the CCC in series will be detailed.

Pregnancy does not affect HIV incidence test results obtained using the BED capture enzyme immunoassay or an antibody avidity assay.

Directory of Open Access Journals (Sweden)

Oliver Laeyendecker

2010-10-01

Full Text Available Accurate incidence estimates are needed for surveillance of the HIV epidemic. HIV surveillance occurs at maternal-child health clinics, but it is not known if pregnancy affects HIV incidence testing.We used the BED capture immunoassay (BED and an antibody avidity assay to test longitudinal samples from 51 HIV-infected Ugandan women infected with subtype A, C, D and intersubtype recombinant HIV who were enrolled in the HIVNET 012 trial (37 baseline samples collected near the time of delivery and 135 follow-up samples collected 3, 4 or 5 years later. Nineteen of 51 women were also pregnant at the time of one or more of the follow-up visits. The BED assay was performed according to the manufacturer's instructions. The avidity assay was performed using a Genetic Systems HIV-1/HIV-2 + O EIA using 0.1M diethylamine as the chaotropic agent.During the HIVNET 012 follow-up study, there was no difference in normalized optical density values (OD-n obtained with the BED assay or in the avidity test results (% when women were pregnant (n = 20 results compared to those obtained when women were not pregnant (n = 115; for BED: p = 0.9, generalized estimating equations model; for avidity: p = 0.7, Wilcoxon rank sum. In addition, BED and avidity results were almost exactly the same in longitudinal samples from the 18 women who were pregnant at only one study visit during the follow-up study (p = 0.6, paired t-test.These results from 51 Ugandan women suggest that any changes in the antibody response to HIV infection that occur during pregnancy are not sufficient to alter results obtained with the BED and avidity assays. Confirmation with larger studies and with other HIV subtypes is needed.

Report on the finally obtained results of the study of the basement technology for environmentally friendly type metal base material regenerative utilization; Kankyo chowagata kinzokukei sozai kaisei riyo kiban gijutsu no kenkyu saishu seika hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-07-01

For the purpose of contributing to the resource recycling and global environmental preservation, the R and D of metal base scrap regenerative utilization technology were conducted, and the report on the finally obtained results was summed up. As to the technology to remove impurities by the solid phase treatment, the Cu removal rate of more than 96% was made possible by the low temperature fracturing technology, and that of more than 90% by the hue difference discrimination separation system technology. From the results of the FS on the low temperature fracturing technology applied to car scraps, it was found out that the present price condition is not economically efficient in the present price condition, but a possibility of achieving the removal rate of 54% in the initial plan was obtained if applying the hue difference discrimination separation system to the pretreatment. Concerning the Sn removal, the Sn removal rate of more than 70% was obtained by the gaseous phase sulfuration method, and that of more than 50% was obtained in Sn removal/Cu removal/Zn removal by the oxidation reaction method. The targets were achieved. Relating to the treatment of impurities by melting (liquid phase), the Cu removal/Sn removal technology under reduced pressure was effective in vacuum melting furnace of 2-ton scale, but the needs for the development of large capacity plasma torch were recognized in that of 40-ton scale for practical use. (NEDO)

Paternity tests in Mexico: Results obtained in 3005 cases.

Science.gov (United States)

García-Aceves, M E; Romero Rentería, O; Díaz-Navarro, X X; Rangel-Villalobos, H

2018-04-01

National and international reports regarding the paternity testing activity scarcely include information from Mexico and other Latin American countries. Therefore, we report different results from the analysis of 3005 paternity cases analyzed during a period of five years in a Mexican paternity testing laboratory. Motherless tests were the most frequent (77.27%), followed by trio cases (20.70%); the remaining 2.04% included different cases of kinship reconstruction. The paternity exclusion rate was 29.58%, higher but into the range reported by the American Association of Blood Banks (average 24.12%). We detected 65 mutations, most of them involving one-step (93.8% and the remaining were two-step mutations (6.2%) thus, we were able to estimate the paternal mutation rate for 17 different STR loci: 0.0018 (95% CI 0.0005-0.0047). Five triallelic patterns and 12 suspected null alleles were detected during this period; however, re-amplification of these samples with a different Human Identification (HID) kit confirmed the homozygous genotypes, which suggests that most of these exclusions actually are one-step mutations. HID kits with ≥20 STRs detected more exclusions, diminishing the rate of inconclusive results with isolated exclusions (Powerplex 21 kit (20 STRs) and Powerplex Fusion kit (22 STRs) offered similar PI (p = 0.379) and average number of exclusions (PE) (p = 0.339) when a daughter was involved in motherless tests. In brief, besides to report forensic parameters from paternity tests in Mexico, results describe improvements to solve motherless paternity tests using HID kits with ≥20 STRs instead of one including 15 STRs. Copyright © 2018 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Obtaining Competitiveness Through Reverse Logistics: A Case Study in a Wood Industry

Directory of Open Access Journals (Sweden)

Patricia Guarnieri

2006-10-01

Full Text Available The reverse logistics make possible the return of residues to productive and/or business cycle. The present study has as objective to analyse the practices of a wood industry regarding to the residues and the ecological, lawful, and economic returns, obtained with the application of the reverse logistics concepts in the business environment. The technical procedure adopted was the case study. The data collection was made through the direct observation and interviews with the people in charge of the production and logistics sectors. The main results found were: the residues generated returns to the productive cycle obeying the environmental legislation, transforming itself in raw material again. The lawful revaluing of wood residues obtain competitiveness to company, because solve the residues destination problem providing the return for productive and business cycle, thus aggregating economic, lawful and ecological value to the wood residues.

Standardizing the practice of human reliability analysis

International Nuclear Information System (INIS)

Hallbert, B.P.

1993-01-01

The practice of human reliability analysis (HRA) within the nuclear industry varies greatly in terms of posited mechanisms that shape human performance, methods of characterizing and analytically modeling human behavior, and the techniques that are employed to estimate the frequency with which human error occurs. This variation has been a source of contention among HRA practitioners regarding the validity of results obtained from different HRA methods. It has also resulted in attempts to develop standard methods and procedures for conducting HRAs. For many of the same reasons, the practice of HRA has not been standardized or has been standardized only to the extent that individual analysts have developed heuristics and consistent approaches in their practice of HRA. From the standpoint of consumers and regulators, this has resulted in a lack of clear acceptance criteria for the assumptions, modeling, and quantification of human errors in probabilistic risk assessments

The Impact of Knowledge Management Practices on NPP Organizational Performance - Results of a Global Survey

International Nuclear Information System (INIS)

2013-06-01

The IAEA has been asked by Member States in the 2012 General Conference Resolutions to ''further increase the level of awareness of efforts in managing nuclear knowledge'' and to continue ''to further develop and disseminate guidance and methodologies for planning, designing, and implementing nuclear knowledge management programs''. The present report summarizes the results of empirical research on the relationship between KM practices in nuclear power plants, their impact on the quality of organizational knowledge processes and the resulting effects on the organizational effectiveness of nuclear power plants. It presents the basic findings of the ''IAEA Global Nuclear Power Plant Survey: Investigating the Link Between Knowledge Management Practices and Organizational Performance'', which was conducted in 2010. This benchmark survey of KM practices in nuclear power plants was developed using a standard research methodology. The survey was made available on a global basis to all nuclear power plant sites. Senior operations managers were asked to complete the survey with input, as required, from their plant management team. Data from individual survey responses were treated as confidential, and only aggregate findings were reported. A total of 124 station ''site organizations'' participated in the survey, representing a response rate of approximately 60%. The findings provide empirical evidence of the importance of KM practices in improving the organizational effectiveness of nuclear power plants. They provide information about the current state of the industry with respect to KM practices, illustrating the direct and tangible benefits of implementing such practices and justifying continued or further efforts to ensure that KM programmes and systems are strategically planned and implemented in operating nuclear power plants. The research provides insights into the mechanisms by which KM practices have an impact on organizational effectiveness and provides a basis for

Do clinical practice education groups result in sustained change in GP prescribing?

Science.gov (United States)

Richards, Dee; Toop, Les; Graham, Patrick

2003-04-01

Concern has been expressed at the poor uptake of evidence into clinical practice. This is despite the fact that continuing education is an embedded feature of quality assurance in general practice. There are a variety of clinical practice education methods available for dissemination of new evidence. Recent systematic reviews indicate that the effectiveness of these different strategies is extremely variable. Our aim was to determine whether a peer-led small group education pilot programme used to promote rational GP prescribing is an effective tool in changing practice when added to prescribing audit and feedback, academic detailing and educational bulletins, and to determine whether any effect seen decays over time. A retrospective analysis of a controlled trial of a small group education strategy with 24 month follow-up was carried out. The setting was an independent GPs association (IPA) of 230 GPs in the Christchurch New Zealand urban area. All intervention and control group GPs were already receiving prescribing audit and feedback, academic detailing and educational bulletins. The intervention group were the first 52 GPs to respond to an invitation to pilot the project. Two control groups were used, one group who joined the pilot later and a second group which included all other GPs in the IPA. The main outcome measures were targeted prescribing data for 12 months before and 24 months after each of four education sessions. An effect in the expected direction was seen in six of the eight key messages studied. This effect was statistically significant for five of the eight messages studied. The effect size varied between 7 and 40%. Where a positive effect was seen, the effect decayed with time but persisted to a significant level for 6-24 months of observation. The results support a positive effect of the education strategy on prescribing behaviour in the intervention group for most outcomes measured. The effect seen is statistically significant, sustained and

Comparison the efficiency of AFCF and clinoptilolit obtained through single Cs 137 contamination of pheasants

International Nuclear Information System (INIS)

Vicentijevic, M.; Mitrovic, R.; Vitorovic, G.

2009-01-01

In practice are show effect of comparison efficiency AFCF and clinoptilolite obtained trough single 137 Cs contamination of pheasants. As experimental animals we used pheasants from the species pheasant colchicus. The total number of 2 months old pheasants, was 20. The pheasants were divided into 4 groups with 5 birds each. Every animal was simultaneously given water solution of 137 Cs (750 Bq) and radioprotector AFCF and clinoptilolite in water solution and mixed in pheasant food in the form of pellet. The level of contamination was determined by gamma - spectrometry in light meat, dark meat, liver and gizzard. The results show that the best protection effect was obtained by using AFCF than use radioprotector clinoptilolite. (author) [sr

Education, training, and practice among nordic neuropsychologists. Results from a professional practices survey

DEFF Research Database (Denmark)

Norup, A; Egeland, Jens; Løvstad, Marianne

2017-01-01

disability were the most common conditions seen by neuropsychologists. A mean income of 53,277 Euros was found. Neuropsychologists expressed greater job satisfaction than income satisfaction. Significant differences were found between the Nordic countries. Finnish neuropsychologists were younger and worked......OBJECTIVE: To investigate sociodemographic characteristics, clinical and academic training, work setting and salary, clinical activities, and salary and job satisfaction among practicing neuropsychologists in four Nordic countries. METHODS: 890 neuropsychologists from Denmark, Finland, Norway...

Geriatric screening in first opinion practice – results from 45 dogs

Science.gov (United States)

Davies, M

2012-01-01

Objectives To evaluate and report the results of screening geriatric dogs in a first opinion practice. Methods A prospective health screen of dogs over nine-years-old involving history taking, physical examination and urinalysis. Results At least one previously unrecognised problem was identified in 80% of 45 dogs and 353 findings (mean 7·8 per dog) were recorded. Owners often failed to recognise and report serious signs of age-related disease. However, they most often reported increased sleeping (31%), loss of hearing (29%) or sight (20%), stiffness or lameness (22%) and “slowing down” (20%). Increased lens opacity (64%), increased thirst (58%), pain (24%), increased frequency of urination (24%), signs of osteoarthritis (24%) and dental disease (22%) were most frequently identified at the time of consultation. Potentially, life-threatening findings included respiratory distress, palpable abdominal masses and metastatic lung disease. Screening resulted in 29 further diagnostic procedures, including 10 dental procedures, seven medical treatments, two surgical procedures and euthanasia of two dogs. Clinical Significance Screening elderly dogs identified unrecognised and unreported health risk factors resulting in lifestyle modification and ongoing monitoring, as well as signs of age-related diseases resulting in diagnostic investigations, early diagnoses and surgical and medical interventions to improve quality of life. PMID:22835038

Interobserver agreement of the injury diagnoses obtained by postmortem computed tomography of traffic fatality victims and a comparison with autopsy results

DEFF Research Database (Denmark)

Leth, Peter Mygind; Struckmann, Henrik; Lauritsen, Jens

2013-01-01

The present study investigated the interobserver variation between a radiologist and a forensic pathologist in 994 injury diagnoses obtained by postmortem computed tomography (CT) of 67 traffic fatality victims, and the results were compared with diagnoses obtained by autopsy. The injuries were...... system, but the pathologist diagnosed more organ injuries. We recommend the use of a radiologist as a consultant for the evaluation of postmortem CT images. Training in radiology should be included in forensic medicine postgraduate training. CT was superior to autopsy in detecting abnormal air...

Organic farming practices result in compositional shifts in nematode communities that exceed crop-related changes

NARCIS (Netherlands)

Quist, Casper W.; Schrama, Maarten; de Haan, Janjo J.; Smant, Geert; Bakker, Jaap; van der Putten, Wim H.; Helder, Johannes

2016-01-01

Intensification of conventional agriculture has resulted in a decline of soil ecosystem functioning. Organic agriculture intends to manage soil biota in a manner that is more geared towards adequate cycling of nutrients with minimal losses. Ecological interpretation of agricultural practices-induced

Strategic planning for pain practice growth.

Science.gov (United States)

Van Horn, L M

2000-01-01

Strategy formation involves understanding the environment and strengths and weaknesses of a practice to develop a game plan to achieve goals. It starts with the creation of a mission statement that defines a long-term vision of what the practice seeks to be and the markets it seeks to serve. Once the mission of the practice is understood, the target markets and competition must be analyzed prior to defining the goals. Once a strategic plan is developed, communication with all employees is crucial. Everything that the practice does should be in support of the strategic plan and in pursuit of obtaining the goals contained within. Once created, the strategic plan is the foundation of the practice and should only be changed for compelling reasons such as a competitive threat, environmental changes, or trends in purchasing behavior. Reviewing the strategic plan once a year, making periodic reappraisals and fine-tuning adjustments as the environment changes is crucial. This helps ensure that the practice avoids complacency and affirms that it is in the right business and achieving the desired results.

Assessment of the French environment radiological status in 2009. Synthesis of the results obtained by the IRSN survey networks

International Nuclear Information System (INIS)

2009-01-01

After a brief recall of the IRSN's missions, this report describes why and how radioactivity is controlled in France. It presents the national network for environment radioactivity measurements, and indicates the objectives of this radiological survey. It comments the status and levels of the natural and artificial radioactivity in France, discusses the results of the territory general survey (atmosphere, inland, coast, regions), the results of fuel cycle related sites (nuclear sites, old mining sites, front end industries, electricity production plants, back end industries, waste storage sites), the results concerning the nuclear medicine radioactive releases, the results obtained during selective expertises, and discusses the assessment of the exposure of the French population to ionizing radiations. It finally indicates how those data are published

Surprising results: HIV testing and changes in contraceptive practices among young women in Malawi

Science.gov (United States)

Sennott, Christie; Yeatman, Sara

2015-01-01

This study uses eight waves of data from the population-based Tsogolo la Thanzi study (2009–2011) in rural Malawi to examine changes in young women’s contraceptive practices, including the use of condoms, non-barrier contraceptive methods, and abstinence, following positive and negative HIV tests. The analysis factors in women’s prior perceptions of their HIV status that may already be shaping their behaviour and separates surprise HIV test results from those that merely confirm what was already believed. Fixed effects logistic regression models show that HIV testing frequently affects the contraceptive practices of young Malawian women, particularly when the test yields an unexpected result. Specifically, women who are surprised to test HIV positive increase their condom use and are more likely to use condoms consistently. Following an HIV negative test (whether a surprise or expected), women increase their use of condoms and decrease their use of non-barrier contraceptives; the latter may be due to an increase in abstinence following a surprise negative result. Changes in condom use following HIV testing are robust to the inclusion of potential explanatory mechanisms including fertility preferences, relationship status, and the perception that a partner is HIV positive. The results demonstrate that both positive and negative tests can influence women’s sexual and reproductive behaviours, and emphasise the importance of conceptualizing of HIV testing as offering new information only insofar as results deviate from prior perceptions of HIV status. PMID:26160156

Chelate forms of biometalls. Theoretical aspects of obtaining and characteristics

Directory of Open Access Journals (Sweden)

A. Kapustyan

2017-04-01

Full Text Available The problem of microelements bioavailability is highlighted and the correct ways of its solution are substantiated as a result of generalization of theoretical aspects of obtaining of the biometals chelate forms. The characteristics of the main biogenic elements, their physiological significance, electrochemical properties are presented. The main examples of the participation of biometals in various biological processes are given. The properties and the structure peculiarities of biometals coordination complexes are considered in detail. It is shown that in obtaining of biometals chelate forms, there is the mutual selectivity and the affinity of biometals and ligands. The main factors of obtaining a hard metal complex are given. Potential bioligands for obtaining bioavailable forms of microelements are detailed. Among them there are amino acids, peptides, proteins, nucleic acids, carbohydrates. The possible character of complexation depending on the nature of the bioligand is indicated. Practical examples of preparation of biometals mixed ligand complexes are given. The expediency of using metabolic products and processing of lactic acid bacteria as promising components of mixed ligand chelate complexes is substantiated. These substances contain in their composition a mass of potential donor atoms that are capable to form covalent and coordination bonds with biomethalles, and also possess high biological and immunotropic activities. The use of this system in the biocoordination compounds of the "metals of life" can provide a synergistic effect of the components, significantly to expand the range of their physiological activity and to increase the degree of assimilation by the body.

Practices of Disciplinarity and Interdisciplinarity in Quebec Elementary Schools: Results of Twenty Years of Research

Directory of Open Access Journals (Sweden)

Yves Lenoir

2006-12-01

Full Text Available This article presents a synthesis of different research projects that have been carried out inthe province of Quebec, Canada over the past 20 years concerning the representations and practices ofelementary teachers regarding the relative importance given to subject matter and the use ofinterdisciplinarity in their teaching practice. The first section will explain the context of the Quebecschool system on a socio-historical and political level and review the emergence of the concept ofinterdisciplinarity in Quebec. The second section will present succinctly the different research projectsthat have been conducted since 1980 and the conceptual framework they were based on. The thirdsection will consider the main results of the various research projects from two angles: first, therepresentations and practices of the teachers regarding interdisciplinarity; secondly, the relativeimportance and role that the teachers give to interdisciplinarity. In the conclusion, we will highlightamong other things the central position teachers give to the role of socialization and their minimalconsideration for the teaching of disciplinary knowledge.

Standardization of a fluconazole bioassay and correlation of results with those obtained by high-pressure liquid chromatography.

Science.gov (United States)

Rex, J H; Hanson, L H; Amantea, M A; Stevens, D A; Bennett, J E

1991-01-01

An improved bioassay for fluconazole was developed. This assay is sensitive in the clinically relevant range (2 to 40 micrograms/ml) and analyzes plasma, serum, and cerebrospinal fluid specimens; bioassay results correlate with results obtained by high-pressure liquid chromatography (HPLC). Bioassay and HPLC analyses of spiked plasma, serum, and cerebrospinal fluid samples (run as unknowns) gave good agreement with expected values. Analysis of specimens from patients gave equivalent results by both HPLC and bioassay. HPLC had a lower within-run coefficient of variation (less than 2.5% for HPLC versus less than 11% for bioassay) and a lower between-run coefficient of variation (less than 5% versus less than 12% for bioassay) and was more sensitive (lower limit of detection, 0.1 micrograms/ml [versus 2 micrograms/ml for bioassay]). The bioassay is, however, sufficiently accurate and sensitive for clinical specimens, and its relative simplicity, low sample volume requirement, and low equipment cost should make it the technique of choice for analysis of routine clinical specimens. PMID:1854166

Edaphic macrofauna as biological indicator of the conservation/disturbance status of soil. Results obtained in Cuba

International Nuclear Information System (INIS)

Cabrera, Grisel

2012-01-01

In order to predict the degradation status of a soil, a group of variables comprising its physical, chemical and/or biological properties is used. Macrofauna, which includes soil invertebrates higher than 2 mm of diameter, is a biological component that can be used for such purpose. Its taxonomic richness as well as its density, biomass and functional composition change depending on the effect of diverse land uses and managements. This review reaffirms that the macrofauna characteristics and the results obtained, mainly in Cuba, about its variation in ecosystems with different anthropization levels, support the potential use of this fauna as biological indicator of the soil's conservation status. Future studies should consider a lower taxonomic level in the identification of macrofauna, and relate its taxonomic and functional composition to the climate and pedological factors. (author)

The pedagogical practices in inclusive context: strategies, actions and results

Directory of Open Access Journals (Sweden)

Marco Antonio Melo Franco

2016-10-01

Full Text Available This research seeks to go beyond the theoretical debate on the integration and inclusion of children with disability. It addresses pedagogical work in the classroom, with the disabled child, in this case, the child with cerebral palsy. This is a qualitative approach and action research that aims to understand the reality investigated and it intervene. Participates in the research a public school that has students with cerebral palsy. The classes were followed weekly during the school year, in order to understand and analyze the process of teaching and learning. In addition, we attempted to intervene and build new teaching practices with teachers. As a result we identified the adoption of pedagogical strategies that consider the individuality of the subjects and their participation in the school community. Strategies were adopted as written economy, reorganization of spaces, change in the form of participation, curriculum adaptation, and adaptation activities, among others.

Results and interpretation of groundwater data obtained from multiport-instrumented coreholes (GW-131 through GS-135), fiscal years 1990 and 1991

International Nuclear Information System (INIS)

Dreier, R.B.; Early, T.O.; King, H.L.

1993-01-01

With the increased emphasis by Department of Energy personnel on assessing the environmental impact of past waste disposal practices at all of its facilities, there has been an associated increase in characterization activities that focus on delineating site-specific groundwater flow regimes and contaminant migration pathways. At the Oak Ridge Y-12 Plant, the complex geologic and hydrologic relationships require a more detailed understanding of the three-dimensional properties of groundwater flow regimes than can be obtained by conventional monitoring activities. Thus, as part of groundwater characterization activities conducted by the Environmental Surveillance Section staff of the Y-12 Plant Environmental Management Department, five existing deep core holes were instrumented with multiport monitoring systems to provide greatly enhanced resolution of the hydraulic and hydrochemical properties of the groundwater system within Bear Creek Valley. With a multiport system, it is possible to measure hydraulic head and hydraulic conductivity and collect water samples from multiple levels within a single borehole. In this report, multiport data collected during fiscal years (FYs) 1990 and 1991 are summarized

[Psychosocial counselling in gynecological practices : Results from a nationwide, representative survey of gynecologists in Germany].

Science.gov (United States)

Metzner, Franka; Siefert, Sönke; Pawils, Silke

2017-02-01

Due to their high social acceptance gynecologists provide ideal conditions for approaching families. Psychosocial stress (PSS), e. g. in the context of partnership conflicts, poverty or social isolation can be identified and support can be initiated. The aim of the study was to capture attitudes and engagement of gynecologists dealing with patients with PSS in gynecological practices in Germany. Out of 3000 randomly selected gynecologists in private practices, 1034 (response rate: 35%) took part in a Germany-wide questionnaire study on gynecologists' sense of responsibility, procedures and barriers when dealing with women with PSS. Ninety-six percent of the surveyed gynecologists felt responsible for patients with PSS. On average, gynecologists assumed PSS in 23% of their patients. Most of the gynecologists counseled patients with PSS and referral into the regional help system often occurred. When asked about the German early intervention system, 74% responded that they could imagine their own practice participating in this system. A need for improvement was observed in networking and financing. Significant differences in screening and interventions were found mainly in terms of professional experience, old vs. new federal states as well as between single and joint practices. Surprisingly, openness and engagement for patients with PSS were found in gynecological practices. The majority of gynecologists already offered psychosocial interventions. It may be deduced from these results that gynecologists in practices would contribute to the psychosocial aid network if key basic conditions including the financing were fulfilled.

Results obtained by Trillo Nuclear Power Plant in 2001

International Nuclear Information System (INIS)

Solar, V.

2002-01-01

Unification of the Almaraz and Trillo plant managements was given a strong boost with unification of the central offices and management computer platforms (economic and technical) and with signature of an agreement with Madrid's trade unions providing for appropriate management of surpluses and the transfer of knowledge between people leaving the company and those taking their place. The operating results have been maintained at a high level although they were lower than last year, which was exceptional. The plant was on line for 7,979 hours, most of them at full load. (Author)

Physical Activity Practices, Policies and Environments in Washington State Child Care Settings: Results of a Statewide Survey.

Science.gov (United States)

Tandon, Pooja S; Walters, Kelly M; Igoe, Bridget M; Payne, Elizabeth C; Johnson, Donna B

2017-03-01

Objectives Child care is an important setting for the promotion of physical activity (PA) in early childhood. The purpose of this study was to examine the associations between specific PA environments and recommended practices in child care settings as well as the degree to which child care settings met recommended standards for total PA time. Methods In 2013, all programs licensed to care for children ages 2-5 in WA state were surveyed about their PA related practices. Logistic regression was used to determine odds of meeting best-practice standards for outdoor time and PA. Results The response rate was 45.8 % from centers (692/1511) and 32.1 % from homes (1281/3991). Few programs reported meeting best-practice standards for the amount of time children spend being physically active (centers: 12.1 %, homes: 20.1 %) and outdoor time (centers: 21.8 %, homes: 21.7 %). Programs where children go outside regardless of weather and those reporting more adult-led PA had higher odds of meeting best-practice standards for both PA and outdoor time. Meeting best-practice standards for outdoor time was the strongest predictor of meeting best-practice standards for total PA time [centers: OR 15.9 (9.3-27.2), homes: OR 5.2 (3.8-7.1)]. Conclusions for Practice There is considerable room for improvement in licensed child care settings in WA to meet best-practice standards for young children's outdoor and PA time. Initiatives that create policies and environments encouraging outdoor play and adult-led PA in child care have the potential to increase physical activity in substantial numbers of young children.

Report of test and research results on atomic energy obtained in national institutes in fiscal 1985

International Nuclear Information System (INIS)

1986-01-01

As for the test and research on the utilization of atomic energy in national institutes, the budget was appropriated for the first time in fiscal year 1956, and since then, the many valuable results of research have been obtained so far in the diversified fields of nuclear fusion, safety research, the irradiation of foods, medicine and others, thus the test and research accomplished the large role for promoting the utilization of atomic energy in Japan. In this report, the gists of the results of the test and research on the utilization of atomic energy carried out by national institutes in fiscal year 1985 are collected. No.1 of this report was published in 1960, and this is No.26. It is desired to increase the understanding about the recent trend and the results of the test and research on atomic energy utilization with this book. The researches on nuclear fusion, engineering safety and environmental radioactivity safety, the irradiation of foods, the countermeasures against cancer, fertilized soil, the quality improvement of brewing and farm products, the protection of farm products and the improvement of breeding, diagnosis and medical treatment, pharmaceuticals, environmental hygiene, the application to physiology and pathology, radiochemistry, radiation measurement, process analysis, nuclear reactor materials, nuclear powered ships, civil engineering, radioactivation analysis and injury prevention are reported. (Kako, I.)

The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice.

Science.gov (United States)

Grant, Suzanne; Checkland, Katherine; Bowie, Paul; Guthrie, Bruce

2017-04-27

The handling of laboratory, imaging and other test results in UK general practice is a high-volume organisational routine that is both complex and high risk. Previous research in this area has focused on errors and harm, but a complementary approach is to better understand how safety is achieved in everyday practice. This paper ethnographically examines the role of informal dimensions of test results handling routines in the achievement of safety in UK general practice and how these findings can best be developed for wider application by policymakers and practitioners. Non-participant observation was conducted of high-volume organisational routines across eight UK general practices with diverse organisational characteristics. Sixty-two semi-structured interviews were also conducted with the key practice staff alongside the analysis of relevant documents. While formal results handling routines were described similarly across the eight study practices, the everyday structure of how the routine should be enacted in practice was informally understood. Results handling safety took a range of local forms depending on how different aspects of safety were prioritised, with practices varying in terms of how they balanced thoroughness (i.e. ensuring the high-quality management of results by the most appropriate clinician) and efficiency (i.e. timely management of results) depending on a range of factors (e.g. practice history, team composition). Each approach adopted created its own potential risks, with demands for thoroughness reducing productivity and demands for efficiency reducing handling quality. Irrespective of the practice-level approach adopted, staff also regularly varied what they did for individual patients depending on the specific context (e.g. type of result, patient circumstances). General practices variably prioritised a legitimate range of results handling safety processes and outcomes, each with differing strengths and trade-offs. Future safety

Using Evidence Based Practice in LIS Education: Results of a Test of a Communities of Practice Model

Directory of Open Access Journals (Sweden)

Joyce Yukawa

2010-03-01

Full Text Available Objective ‐ This study investigated the use of a communities of practice (CoP model for blended learning in library and information science (LIS graduate courses. The purposes were to: (1 test the model’s efficacy in supporting student growth related to core LIS concepts, practices, professional identity, and leadership skills, and (2 develop methods for formative and summative assessment using the model.Methods ‐ Using design‐based research principles to guide the formative and summative assessments, pre‐, mid‐, and post‐course questionnaires were constructed to test the model and administered to students in three LIS courses taught by the author. Participation was voluntary and anonymous. A total of 34 students completed the three courses; response rate for the questionnaires ranged from 47% to 95%. The pre‐course questionnaire addressed attitudes toward technology and the use of technology for learning. The mid‐course questionnaire addressed strengths and weaknesses of the course and suggestions for improvement. The post‐course questionnaire addressed what students valued about their learning and any changes in attitude toward technology for learning. Data were analyzed on three levels. Micro‐level analysis addressed technological factors related to usability and participant skills and attitudes. Meso‐level analysis addressed social and pedagogical factors influencing community learning. Macro‐level analysis addressed CoP learning outcomes, namely, knowledge of core concepts and practices, and the development of professional identity and leadership skills.Results ‐ The students can be characterized as adult learners who were neither early nor late adopters of technology. At the micro‐level, responses indicate that the online tools met high standards of usability and effectively supported online communication and learning. Moreover, the increase in positive attitudes toward the use of technology for learning at

Results obtained during wall breaching research

CSIR Research Space (South Africa)

Hattingh, S

2008-11-01

Full Text Available To understand the physics of what is happening inside the wall directly after the detonation and the application of this knowledge in the improvement of the charge Measure the shock/stress waves in the masonry material and then in the wall as a whole... to maximise the effect of the charges on the walls and to broaden the knowledge of the physics of shock and stress waves. The thickness and characteristics of walls are not usually known in an operation. The effect of the charges on real buildings is still...

Radiological protection survey results about radiodiagnosis protection practices in Cuba

International Nuclear Information System (INIS)

Jova S, L.; Morales M, J.A.; Quevedo, J.R.; Medina, J.R.; Naranjo, A.M.; Fornet, O.M.

1996-01-01

In order to identify radiation protection current situation in national X-ray diagnostic practice , the State (cuban) Supervision System for Radiation and Nuclear Safety carried out in 1992 a survey which was planned for projection of future regulatory activities in this field. Survey covers the most important aspects related to radiation protection of occupationally exposed workers, patients and general population. Surveyed sample included a total of 52 X-ray units, sited in 7 dental clinics, 2 polyclinics and 13 hospitals, from 7 provinces of the country. Results showed that the organization of radiation protection in terms of personnel specially designated to carry out surveillance and control activities and level of documentation is deficient. Survey evidenced the general lack of safety and quality culture among technologists and radiologists which is mainly reflected in non regular application of basic patient protection measures (shielding, collimation, use of proper filtration among others) and non regular execution of basic quality inspection of employed radiographic systems. (authors). 4 refs., 1 fig

The BirthPlace collaborative practice model: results from the San Diego Birth Center Study.

Science.gov (United States)

Swartz; Jackson; Lang; Ecker; Ganiats; Dickinson; Nguyen

1998-07-01

birth center and $5,535 for the traditional care group. Final results based on the full study sample (full data available February 1998) details of payor costs such as provider, facility, NICU, and ancillary along with costs from the health care system perspective and patient satisfaction results will be presented.Conclusion: Current results suggest similar morbidity and mortality between the birth center program and traditional care groups, with less resource utilization translating to lower costs in the collaborative practice model. Results suggest that collaborative practice using a freestanding birth center as an adjunct to an integrated perinatal health care system may provide a quality, lower-cost alternative for the provision of perinatal services.

Aircraft and ground vehicle friction correlation test results obtained under winter runway conditions during joint FAA/NASA Runway Friction Program

Science.gov (United States)

Yager, Thomas J.; Vogler, William A.; Baldasare, Paul

1988-01-01

Aircraft and ground vehicle friction data collected during the Joint FAA/NASA Runway Friction Program under winter runway conditions are discussed and test results are summarized. The relationship between the different ground vehicle friction measurements obtained on compacted snow- and ice-covered conditions is defined together with the correlation to aircraft tire friction performance under similar runway conditions.

Results Obtained in Training Romanian Sport Horses for Jumping Competitions

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Flavia Luminiţa Bochiş

2012-10-01

Full Text Available A number of 29 equines, Romanian Sport Horse stallions, were taken as green horses, break into the saddle, andteach into basic training while later train as jumpers over three years. The obstacle courses results had been obtainedin our country, in Hungary and in Serbia. There were courses jumped in the national championship, somedemonstrations organized in Romania or in the two foreign countries, or periodically test pattern courses run on theown arena. The best results, respectively more than 50% obstacle courses with no fault points over 3 years, were runby five stallions, and the same percent for 2 seasons, was reached by nine stallions.

[Implementation of Study Results in Guidelines and Adherence to Guidelines in Clinical Practice].

Science.gov (United States)

Waldfahrer, F

2016-04-01

Guidelines were introduced in hospital and practice-based otorhinolaryngology in the 1990s, and have been undergoing further development ever since. There are currently 20 guidelines on file at the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. The Society has cooperated in a further 34 guidelines. The quality of the guidelines has been continually improved by concrete specifications put forward by the Association of the Scientific Medical Societies in Germany [Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V.]. Since increasing digitalisation has made access to scientific publications quicker and more simple, relevant study results can be incorporated in guidelines more easily today than in the analogue world. S2e and S3 guidelines must be based on a formal literature search with subsequent evaluation of the evidence. The consensus procedure for S2k guidelines is also regulated. However, the implementation of guidelines in routine medical practice must still be considered inadequate, and there is still a considerable need for improvement in adherence to these guidelines. © Georg Thieme Verlag KG Stuttgart · New York.

Biomaterials recycling: bioglasses obtained from reuse of hydroxyapatite (HA) bovine bone with term exceeded validity

International Nuclear Information System (INIS)

Silva, A.C.; Santos, S.C.; Braga, F.J.C.; Aparecida, A.H.

2012-01-01

The hydroxyapatite (HA) is a reference bioceramic for bone replacement and regeneration medical practice, becoming one of the most produced and researched bone graft material. Since it is a material for biomedical application, the manufacture and storage of this bioceramic must comply with severe conservation criteria, and its validity date is the lawful major factor for disposal. Materials with the exceeded expiration date are usually discarded and incinerated, resulting in ash, environmental contamination and energy expenditure. This study evaluates the possibility of reuse of bovine HA collected after its validity date as raw material to obtain bioglass, aiming to natural resources saving and environmental emissions mitigation. 45S5 similar compositions were obtained by melting the materials at 1500 ° C, followed by rapid cooling and annealing thermal treatment (500 ° C for 2h), analytical grade chemical reagents were used to set the final composition. The obtained materials were characterized by X-ray diffraction, infrared spectroscopy (FT-IR), and hydrolysis resistance techniques. The results of comparative chemical resistance (Hydrolytic) tests indicate the potential use of the materials developed for bone replacement applications. (author)

Core Practices for Teaching History: The Results of a Delphi Panel Survey

Science.gov (United States)

Fogo, Bradley

2014-01-01

Recent education literature and research has focused on identifying effective core teaching practices to inform and help shape teacher education and professional development. Although a rich literature on the teaching and learning of history has continued to develop over the past decade, core practice research has largely overlooked…

Simulation Experiments in Practice : Statistical Design and Regression Analysis

NARCIS (Netherlands)

Kleijnen, J.P.C.

2007-01-01

In practice, simulation analysts often change only one factor at a time, and use graphical analysis of the resulting Input/Output (I/O) data. Statistical theory proves that more information is obtained when applying Design Of Experiments (DOE) and linear regression analysis. Unfortunately, classic

Comprehensive Geriatric Assessment (CGA in general practice: Results from a pilot study in Vorarlberg, Austria

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Mann Eva

2004-05-01

Full Text Available Abstract Background Most comprehensive geriatric assessment (CGA programs refer to hospital-based settings. However the body of geriatric healthcare is provided by general practitioners in their office. Structured geriatric problem detection by means of assessment instruments is crucial for efficient geriatric care giving in the community. Methods We developed and pilot tested a German language geriatric assessment instrument adapted for general practice. Nine general practices in a rural region of Austria participated in this cross-sectional study and consecutively enrolled 115 persons aged over 75 years. The prevalence of specific geriatric problems was assessed, as well as the frequency of initiated procedures following positive and negative tests. Whether findings were new to the physician was studied exemplarily for the items visual and hearing impairment and depression. The acceptability was recorded by means of self-administered questionnaires. Results On average, each patient reported 6.4 of 14 possible geriatric problems and further consequences resulted in 43.7% (27.5% to 59.8% of each problem. The items with either the highest prevalence and/or the highest number of initiated actions by the GPs were osteoporosis risk, urinary incontinence, decreased hearing acuity, missing pneumococcal vaccination and fall risk. Visual impairment was newly detected in only 18% whereas hearing impairment and depression was new to the physician in 74.1% and 76.5%, respectively. A substantial number of interventions were initiated not only following positive tests (43.7% per item; 95% CI 27.5% to 59.8%, but also as a consequence of negative test results (11.3% per item; 95% CI 1.7% to 20.9%. The mean time expenditure to accomplish the assessment was 31 minutes (SD 10 min. Patients (89% and all physicians confirmed the CGA to provide new information in general on the patient's health status. All physicians judged the CGA to be feasible in everyday

Current Ketamine Practice: Results of the 2016 American Society of Pain Management Nursing Survey on Ketamine.

Science.gov (United States)

Klaess, Cynthia C; Jungquist, Carla R

2018-06-01

Ketamine is increasingly utilized for a variety of pain management challenges. Audience comments from a ketamine presentation at the 2015 American Society of Pain Management Nursing (ASPMN) Conference reflected wide variation in ketamine practices as well as barriers to use. The goal was to gain a greater understanding of ASPMN member practice patterns and barriers related to ketamine as adjunctive therapy for pain management. A questionnaire survey design was used. Respondents represented 35 states and 2 countries. The participants were 146 respondents from ASPMN membership (1,485 members). The survey was distributed by ASPMN on SurveyMonkey. Practice setting and ketamine administration practices were assessed with areas for comments. Results were reviewed using frequencies to describe responses and formatted into tables. Comments were individually reviewed and grouped into common themes. Administration of ketamine as an analgesic was reported by 63% of respondents. Continuous intravenous ketamine infusions were the most common route of administration (65%); however, wide variability in dosing and length of therapy was reported. A wide variety of practices and challenges related to ketamine utilization were noted. Numerous studies have indicated the analgesic benefits of ketamine in pain management. The lack of practice standardization has created challenges to its consistent use and outcome measurement. Additionally, the off-label use of ketamine for pain management creates its own unique challenges. However, given the current national climate with intense focus on pain management, interdisciplinary practitioners have an ideal opportunity to evaluate ketamine's use in a comprehensive approach to pain management. Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Development of practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer): Methods and results.

Science.gov (United States)

Reese, Christina; Weis, Joachim; Schmucker, Dieter; Mittag, Oskar

2017-10-01

The goal of this project was to develop evidence- and consensus-based practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer). First of all, we conducted a literature search and survey of all oncological rehabilitation centers in Germany (N = 145) to obtain a thorough perspective of the recent evidence, guidelines, the structural framework, and practice of psychological services in oncological rehabilitation. Next, an expert workshop was held with national experts from scientific departments, clinicians from rehabilitation centers, and patients. In this workshop, we drafted and agreed upon an initial version of the practice guidelines. Afterwards, the practice guidelines were sent to all head physicians and senior psychologists at oncological rehabilitation centers in Germany for approval (N = 280 questionnaires). In addition, key recommendations were discussed with a group of rehabilitation patients. Finally, the practice guidelines were revised by the expert panel and made available online to the public. The practice guidelines have been widely accepted by both the expert panel and the surveyed clinicians and patients. They include recommendations for psycho-oncological interventions that should be offered to all rehabilitation patients with breast, prostate, or colorectal cancer. They also comprise recommendations for specific problem areas concerning psychological functions, body functions, and environmental and personal factors. The practice guidelines provide detailed recommendations for high-quality psychosocial care in an oncological rehabilitation context. It is their aim to guide the multidisciplinary team, especially psychologists and physicians, in their daily practice. Copyright © 2016 John Wiley & Sons, Ltd.

Are formalised implementation activities associated with aspects of quality of care in general practice?

DEFF Research Database (Denmark)

Videbæk Le, Jette; Pedersen, Line Bjørnskov; Riisgaard, Helle

2017-01-01

questionnaire was distributed to GPs, and data on spirometry testing among first-time users of medication against obstructive lung diseases were obtained from national registers. Associations were investigated using multilevel mixed-effect logit models. Results GPs from 1,114 practices (58%) responded, and 33......-handed practices as in partnerships. Conclusion This study provides valuable knowledge for GPs who aim to organise their practice in a way that supports implementation and quality improvement most effectively. Also, results might be useful for managers of implementation strategies and quality improvement...

What Is Evidence-Based Practice? Research-to-Results Brief. Publication #2007-14

Science.gov (United States)

Metz, Allison J. R.; Espiritu, Rachele; Moore, Kristin A.

2007-01-01

This brief represents part 1 in a series on fostering the adoption of evidence-based practices in out-of-school time programs. The lag between discovering effective practices and using them "on the ground" can be unnecessarily long, sometimes taking 15 to 20 years! The purpose of this brief is to provide practitioners with a better understanding…

Analysis of results obtained from field tracing test under natural rain condition

International Nuclear Information System (INIS)

Mukai, M.; Kamiyama, H.; Tanaka, T.; Wang Zhiming; Zhao Yingjie; Li Zhengtang

1993-01-01

As one of the tests arranged by the cooperative research between CIRP and JAERI, field tracing tests using 3 H, 60 Co, 85 Sr and 134 Cs were conducted in pits at the CIRP's field test site located on a loess tableland under natural rain condition. Precipitation amount and evaporation rate were measured to study complicated spatial-temporal behavior of soil water movement under that condition. The evaporation rate was obtained through an analysis on the measured data by a combined method of heat balance and eddy correlation. Numerical model, that is based on piston flow assumption of soil water movement, was developed and applied to determine the behavior of the soil water movement in the pits. Using the determined water movement, 3 H migration was evaluated by numerical simulation. Change of 3 H distribution as a function of elapsed time as well explained by careful evaluation of the soil water movement that carried out before the analysis. (5 figs.)

[The pedagogical practice of nursing teachers and their knowledge].

Science.gov (United States)

Madeira, Maria Zélia de Araújo; Lima, Maria da Glória Soares Barbosa

2007-01-01

This article has as objectives investigate the faculty knowledge that embase the pedagogical practice of the nursing-professors, glimpsing to understand the meaning of this social practice in what it refers to the process to become a professional professor. The qualitative nature study, with methodological emphasis in verbal story, used as instruments of data collection semi-arranged interviews, and the data analysis starting from the content analysis. Among the results obtained from the analysis, it has proven that the faculty knowledge and the pedagogical practice positively incises for the consolidation of the process to become professional professor in the scope of the faculty in the nursing course at UFPI.

Has publication of the results of the ORACLE Children Study changed practice in the UK?

Science.gov (United States)

Kenyon, S; Pike, K; Jones, D; Brocklehurst, P; Marlow, N; Salt, A; Taylor, D

2010-10-01

  To investigate whether publication of the results of the ORACLE Children's Study, a 7-year follow-up of the ORACLE trial, changed practice with regard to the routine prescription of antibiotics to women with preterm rupture of membranes or spontaneous preterm labour (intact membranes).   A comparative questionnaire survey of clinical practice in November 2007 (before publication) and March 2009 (after publication).   Lead obstetricians for labour wards of all maternity units in the UK.   Self-administered questionnaires requested information about the routine prescription of antibiotics to women with either preterm rupture of membranes or spontaneous preterm labour (intact membranes).   Change in practice for prescription of antibiotics.   The response rate was 166/214 (78%) in 2007 and 158/209 (76%) in 2009. In total, 120 maternity units responded on both occasions. For women with preterm rupture of membranes, 162/214 (98%) in 2007 and 151/158 (96%) in 2009 maternity units reported that they prescribed antibiotics, with the majority using erythromycin (98%). For women with spontaneous preterm labour (intact membranes), 35/166 (21%) in 2007 and 25/158 (16%) in 2009 maternity units reported that they routinely prescribed antibiotics. The findings from units who responded on both occasions are similar.   There has been little change in the reported prescription of antibiotics to women with either preterm rupture of membranes or spontaneous preterm labour following publication of the ORACLE Children's Study. This suggests that current practice may require updated guidance.

Results of an online questionnaire to survey calf management practices on dairy cattle breeding farms in Austria and to estimate differences in disease incidences depending on farm structure and management practices.

Science.gov (United States)

Klein-Jöbstl, Daniela; Arnholdt, Tim; Sturmlechner, Franz; Iwersen, Michael; Drillich, Marc

2015-08-19

Calf disease may result in great economic losses. To implement prevention strategies it is important to gain information on management and to point out risk factors. The objective of this internet based survey was to describe calf management practices on registered dairy breeding farms in Austria and to estimate differences in calf disease incidences depending on farm structure and management practices. A total of 1287 questionnaires were finally analysed (response rate 12.2 %). Herd characteristics and regional distribution of farms indicated that this survey gives a good overview on calf management practices on registered dairy farms in Austria. The median number of cows per farm was 20 (interquartile range 13-30). Significant differences regarding farm characteristics and calf management between small and large farms (≤20 vs >20 cows) were present. Only 2.8 % of farmers tested first colostrum quality by use of a hydrometer. Storing frozen colostrum was more prevalent on large farms (80.8 vs 64.2 %). On 85.1 % of the farms, whole milk, including waste milk, was fed to the calves. Milk replacer and waste milk were more often used on large farms. In accordance with similar studies from other countries, calf diarrhoea was indicated as the most prevalent disease. Multivariable logistic regression analysis revealed that herd size was associated with calf diarrhoea and calf respiratory tract disease, with higher risk of disease on large farms. Furthermore, feeding waste milk to the calves was associated with increasing calf diarrhoea incidence on farm. In the final model with calf respiratory tract disease as outcome, respondents from organic farms reported less often a respiratory tract disease incidence of over 10 % compared with conventional farms [odds ratio (OR) 0.40, 95 % confidence interval (CI) 0.21-0.75] and farmers that housed calves individually or in groups after birth significantly reported more often to have an incidence of respiratory tract

Evaluation of jumbo squid (Dosidicus gigas byproduct hydrolysates obtained by acid-enzymatic hydrolysis and by autohydrolysis in practical diets for Pacific white shrimp (Litopenaeus vannamei

Directory of Open Access Journals (Sweden)

Mayra Lizett González-Félix

2014-09-01

Full Text Available The marine bioprocessing industry offers great potential to utilize byproducts for fish meal replacement in aquafeeds. Jumbo squid is an important fishery commodity in Mexico, but only the mantle is marketed. Head, fins, guts and tentacles are discarded in spite of being protein-rich byproducts. This study evaluated the use of two jumbo squid byproduct hydrolysates obtained by acid-enzymatic hydrolysis (AEH and by autohydrolysis (AH as ingredients in practical diets for shrimp. The hydrolysates were included at levels of 2.5 and 5.0% of the diet dry weight in four practical diets, including a control diet without hydrolysate. Shrimp growth and survival were not significantly affected by the dietary treatments. Postharvest quality of abdominal muscle was evaluated in terms of proximate composition and sensory evaluation. Significantly higher crude protein was observed in the muscle of shrimp fed the highest hydrolysate levels, AH 5% (204.8 g kg- 1 or AEH 5% (201.3 g kg- 1. Sensory analysis of cooked muscle showed significant differences for all variables evaluated: color, odor, flavor, and firmness. It was concluded that Jumbo squid byproducts can be successfully processed by autohydrolysis or acid-enzymatic hydrolysis, and that up to 5.0% of the hydrolysates can be incorporated into shrimp diets without affecting growth or survival.

The effect of scattering interference term on the practical width

International Nuclear Information System (INIS)

Martins do Amaral, C.; Martinez, A.S.

2001-01-01

The practical width Γ p has an important application in the characterization of the resonance type for the calculation of neutron average cross sections. Previous treatments ignore the interference term χζ,x for the Doppler broadening function in the practical width calculation. In the present paper, a rational approximation for the χζ,x function is derived, using a modified asymptotic Pade method. A new approximation for Γ p is obtained. The results which are presented here provide evidence that the practical width as a function of temperature varies considerably with the inclusion of the interference term χζ,x

The future of optometric practice? The results of a survey of optometrists and optometry students.

Science.gov (United States)

Silverman, Morton W; Woodruff, Chris; Hardigan, Patrick C

2004-10-01

There is an apparent increase in the number of private optometry practices that are closing due to a lack of interested buyers. We examined some of the factors that influence the market for optometry practices in a survey of practicing optometrists and third- and fourth-year optometry students. Optometrists in six states, and students at four schools and colleges of optometry, completed a mailed or faxed survey regarding attitudes toward optometric practice, including fair/reasonable compensation for a new optometrist, the value of optometric practices, and preferred mode of practice on graduation. Doctors and students differed significantly in the amount of money they reported as fair/reasonable compensation for a recently graduated optometrist joining a practice. Comparing students to doctors in specific categories of compensation, students chose a higher fair/reasonable compensation compared to doctors. Students were more likely than doctors to choose >$70,000 as fair/reasonable compensation, while doctors were more likely than students to choose $40,000 to $69,000. Doctors tended to overvalue their practices for the purpose of selling the practice when using percentage of gross income as a valuation method. Students' choices for mode of practice changed dramatically from their ideal when taking their current financial situation into consideration. Students were more likely to choose corporate practice as their preferred practice mode when considering their current financial situation than when not restricted. There are many factors that affect the value and marketability of an optometric practice. In order to sell a practice, the owner must consider the effects of the needs and desires of recently graduated optometrists.

Using Data to Improve Educational Practice

Directory of Open Access Journals (Sweden)

Matthijs Koopmans

2017-04-01

Full Text Available Review of the book “Action Research in the Classroom: Helping Teachers Assess and Improve their Work” by Sr. Mary Ann Jacobs and Bruce S. Cooper There are many ways in which research can contribute to the improvement of educational practice, and action research is one of them. Action research bridges the gap that typically separates research from practice by having practitioners conduct specific projects to address their own questions and improve their effectiveness based on the answers they obtain. One of the advantages of this type of research is that results are often immediately accessible and have actionable implications. Thus, action research is a good tool for making improvements to the field based on evidence.

Evaluation of instrumental parameters for obtaining acceptable analytical results of the Dosimetry Laboratory of Chemistry of the Regional Center of Nuclear Sciences, CNEN-NE, Recife, Brazil

International Nuclear Information System (INIS)

Souza, V.L.B.; Figueiredo, M.D.C.; Cunha, M.S.

2008-01-01

Instrumental parameters need to be evaluated for obtaining acceptable analytical results for a specific instrument. The performance of the UV-VIS spectrophotometer can be verified for wavelengths and absorbances with appropriate materials (solutions of different concentrations of K 2 CrO 4 , for example). The aim of this work was to demonstrate the results of the procedures to control the quality of the measurements carried out in the laboratory in the last four years. The samples were analyzed in the spectrophotometer and control graphics were obtained for K 2 CrO 4 and Fe 3+ absorbance values. The variation in the results obtained for the stability of the spectrophotometer and for the control of its calibration did not exceed 2%. (author)

"Mind the trap": mindfulness practice reduces cognitive rigidity.

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Jonathan Greenberg

Full Text Available Two experiments examined the relation between mindfulness practice and cognitive rigidity by using a variation of the Einstellung water jar task. Participants were required to use three hypothetical jars to obtain a specific amount of water. Initial problems were solvable by the same complex formula, but in later problems ("critical" or "trap" problems solving was possible by an additional much simpler formula. A rigidity score was compiled through perseverance of the complex formula. In Experiment 1, experienced mindfulness meditators received significantly lower rigidity scores than non-meditators who had registered for their first meditation retreat. Similar results were obtained in randomized controlled Experiment 2 comparing non-meditators who underwent an eight meeting mindfulness program with a waiting list group. The authors conclude that mindfulness meditation reduces cognitive rigidity via the tendency to be "blinded" by experience. Results are discussed in light of the benefits of mindfulness practice regarding a reduced tendency to overlook novel and adaptive ways of responding due to past experience, both in and out of the clinical setting.

Aero thermal test results obtained on the n. C 5 EL 4 Cluster in the atmospheric pressure cell

International Nuclear Information System (INIS)

Gasc, B.

1964-01-01

In the framework of thermal studies on the EL-4 cluster, the full-scale tests at atmospheric pressure are designed to permit measurement of local values of the wall temperature, of the velocity and of the temperature in the fluid. The experimental results, obtained with the help of an original measuring apparatus, make it possible to follow the changes in these values along the cluster and to predict in much detail the in-pile thermal behaviour. In particular it is shown that changes in the wall temperature along the cluster are greatly influenced by disruption of the flow caused by grids and supports. (author) [fr

Banking Accounting Practices “Humanist”

Directory of Open Access Journals (Sweden)

Nanang Shonhadji

2016-04-01

Full Text Available Humanism is a universal value that should be attached to all forms and operational activities of the bank because the bank’s main business is to provide service to humanity. The purpose of this study was to determine the humanist banking practice. The use of qualitative methods with a phenomenological approach that involve an account officer and marketing staff as key informants. In-depth interviews conducted to obtain comprehensive information. The results of the study informs that the banking practice in the lending and the funding activities were still oriented to material interests or to achieve maximum profit with unbalanced position. It caused the values of humanism in the form of truth and equitable negated by bank stakeholder. The results of this study also found that there are two forms of awareness is needed in the value of accountability in the process of funding and lending activities to customers humanistic were the awareness of responsibility to themselves and to God.

Partner-specific sexual practices among heterosexual men and women with multiple partners: results from the French national survey, ACSF. Analyse des Comportements Sexuel en France.

Science.gov (United States)

Messiah, A; Pelletier, A

1996-06-01

Heterosexual men and women with several partners are at risk of acquiring and transmitting sexually transmitted diseases and HIV. Risk depends on parameters such as the sexual practices themselves which may vary according to the type of partner (regular vs. casual). It is therefore important to describe the sexual practices and identify the correlations between the type of partner and these practices among heterosexuals with multiple partners. A subsample of all subjects having had at least two sexual partners during the previous year (n = 1644) was obtained from the ACSF survey (n = 20,055), the French national telephone survey on sexual behavior conducted between September 1991 and February 1992. Questions concerned in particular sexual practices of the last encounter as well as type of partner. Petting and vaginal penetration were almost systematic, mutual manual stimulation and orogenital sex were common, while self-masturbation and anal sex were infrequent. On average, a condom was seldom used. However, it was used more often when the partner was occasional. Nonpenetrative and oral practices were also more frequent with occasional partners. Women tended to report lower frequencies of practices and of condom use than men. A subset of heterosexuals with multiple partners engaged in safe sex. Practices tend to be partner-specific, with safer sex practices more likely to occur with occasional partners, although the magnitude of the difference is moderate.

Three common faults in current practice that influence the validity of data obtained from electronic air pollution instrumentation.

Science.gov (United States)

Dowd, G; Thomas, R S; Monkman, J L

1975-01-01

Instrumental development is now entering a more logical era, where the former artistic character of electronics is being replaced by cold technology. Because of this, one should be expect more reliability; however, there still exist many weak links in practical application. Digital readout systems and computer processing induce a false sense of security. In reality, it is the sample-measurement relationship that determines an instrument's credibility and not the number of digits on its meter. In describing three faulty practices that greatly influence an instrument's performance, it is hoped that measurement may be more closely related to the sample!

Three common faults in current practice that influence the validity of data obtained from electronic air pollution instrumentation

Energy Technology Data Exchange (ETDEWEB)

Dowd, G; Thomas, R S; Monkman, J L

1975-01-01

Instrumental development is now entering a more logical era, where the former artistic character of electronics is being replaced by cold technology. Because of this, one should expect more reliability; however, there still exist many weak links in practical application. Digital readout systems and computer processing induce a false sense of security. In reality, it is the sample-measurement relationship that determines an instrument's credibility and not the number of digits on its meter. In describing three faulty practices that greatly influence an instrument's performance, it is hoped that measurement may be more closely related to the sample.

Review of the experience obtained in the evaluation of vibrations and their effects on the structural integrity of heat exchangers

International Nuclear Information System (INIS)

Ghiselli, Alberto M.; Pastorini, Alberto; Kulichevsky Raul

2000-01-01

Flow induced vibrations may produce damage of shell-tube type heat exchangers, condensers and steam generators tubes. These vibrations could be produce by changes in the equipment operational condition or by a wrong evaluation during the design procedure. The typical results are tube damage by impact or fretting wear. This paper include a review of the flow-induced vibration mechanisms that affect shell-tube heat exchangers and some practical examples that show the results obtained evaluating this equipment. (author)

Supply chain practices, performance and organizational configuration in the Mexican avocado industry

OpenAIRE

Arana Coronado, J.J.

2010-01-01

Recent changes in agrifood supply chains, such as the need for quality improvement and control, enhanced information exchange, and increased customer responsiveness, have made the introduction of Supply Chain Practices (SCPs) essential. Adopting practices such as product standardization, supplier partnerships and IT driven information exchange have resulted in higher supply chain efficiency and economic performance. Producers, traders and processors are able to obtain better control over prod...

METHOD FOR CREATION OF SPHERICAL PANORAMAS FROM IMAGES OBTAINED BY OMNIDIRECTIONAL OPTOELECTRONIC SYSTEMS

Directory of Open Access Journals (Sweden)

V. P. Lazarenko

2016-01-01

Full Text Available Subject of Study. The key feature of spherical panoramas is the maximum possible angle of view (360 × 180 degrees. Omnidirectional optical-electronic systems are able to produce images that show most of this space, but these images are different from the canonical spherical panoramas. This paper proposes a method of converting the circular images obtained by omnidirectional optical systems, to canonical spherical panoramic images with the use ofcalibration procedure of omnidirectional optical-electronic system. Method. The process of spherical panoramas creation consists of three steps.The first step includesthe forming of virtual surface in the object space corresponding to a field of view of the spherical panorama. The surface is defined by the three-dimensional array of pixels.At the second step the coordinates of images of these points in the plane of the detectorare specified. At the third step pixel-by-pixel forming of the output imageisperformed from the original omnidirectional image with the use of coordinates obtained at the second step. Main Results. We have considered the geometric projectionmodel of spherical panoramas. The algorithm has been proposed calculating the three-dimensional array of pixels, characterizing the field of view of a spherical panorama and convenient for practical usage. The developed method is designed to work with omnidirectional optical-electronic systems both with catadioptric optical systems and with fisheye lens. Experimental results confirming the validity of this method are presented. The reprojection mean-square error was equal to 0.794 px. Practical Relevance. The proposed method can be applied in technologies of creating of virtual tours or panoramas of streets where spherical panoramic images are the standard for storing visual information. The method may also find its application in various fields of robotics, orientation and navigation of space vehicles and UAVs.

Image Guided Radiation Therapy (IGRT) Practice Patterns and IGRT's Impact on Workflow and Treatment Planning: Results From a National Survey of American Society for Radiation Oncology Members

Energy Technology Data Exchange (ETDEWEB)

Nabavizadeh, Nima, E-mail: nabaviza@ohsu.edu [Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon (United States); Elliott, David A. [Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon (United States); Chen, Yiyi [Division of Biostatistics, Department of Public Health and Preventative Medicine, Oregon Health & Science University, Portland, Oregon (United States); Kusano, Aaron S. [Department of Radiation Oncology, University of Washington, Seattle, Washington (United States); Mitin, Timur; Thomas, Charles R.; Holland, John M. [Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon (United States)

2016-03-15

Purpose: To survey image guided radiation therapy (IGRT) practice patterns, as well as IGRT's impact on clinical workflow and planning treatment volumes (PTVs). Methods and Materials: A sample of 5979 treatment site–specific surveys was e-mailed to the membership of the American Society for Radiation Oncology (ASTRO), with questions pertaining to IGRT modality/frequency, PTV expansions, method of image verification, and perceived utility/value of IGRT. On-line image verification was defined as images obtained and reviewed by the physician before treatment. Off-line image verification was defined as images obtained before treatment and then reviewed by the physician before the next treatment. Results: Of 601 evaluable responses, 95% reported IGRT capabilities other than portal imaging. The majority (92%) used volumetric imaging (cone-beam CT [CBCT] or megavoltage CT), with volumetric imaging being the most commonly used modality for all sites except breast. The majority of respondents obtained daily CBCTs for head and neck intensity modulated radiation therapy (IMRT), lung 3-dimensional conformal radiation therapy or IMRT, anus or pelvis IMRT, prostate IMRT, and prostatic fossa IMRT. For all sites, on-line image verification was most frequently performed during the first few fractions only. No association was seen between IGRT frequency or CBCT utilization and clinical treatment volume to PTV expansions. Of the 208 academic radiation oncologists who reported working with residents, only 41% reported trainee involvement in IGRT verification processes. Conclusion: Consensus guidelines, further evidence-based approaches for PTV margin selection, and greater resident involvement are needed for standardized use of IGRT practices.

Validity testing and neuropsychology practice in the VA healthcare system: results from recent practitioner survey (.).

Science.gov (United States)

Young, J Christopher; Roper, Brad L; Arentsen, Timothy J

2016-05-01

A survey of neuropsychologists in the Veterans Health Administration examined symptom/performance validity test (SPVT) practices and estimated base rates for patient response bias. Invitations were emailed to 387 psychologists employed within the Veterans Affairs (VA), identified as likely practicing neuropsychologists, resulting in 172 respondents (44.4% response rate). Practice areas varied, with 72% at least partially practicing in general neuropsychology clinics and 43% conducting VA disability exams. Mean estimated failure rates were 23.0% for clinical outpatient, 12.9% for inpatient, and 39.4% for disability exams. Failure rates were the highest for mTBI and PTSD referrals. Failure rates were positively correlated with the number of cases seen and frequency and number of SPVT use. Respondents disagreed regarding whether one (45%) or two (47%) failures are required to establish patient response bias, with those administering more measures employing the more stringent criterion. Frequency of the use of specific SPVTs is reported. Base rate estimates for SPVT failure in VA disability exams are comparable to those in other medicolegal settings. However, failure in routine clinical exams is much higher in the VA than in other settings, possibly reflecting the hybrid nature of the VA's role in both healthcare and disability determination. Generally speaking, VA neuropsychologists use SPVTs frequently and eschew pejorative terms to describe their failure. Practitioners who require only one SPVT failure to establish response bias may overclassify patients. Those who use few or no SPVTs may fail to identify response bias. Additional clinical and theoretical implications are discussed.

Phonon spectrum of YBCO obtained by specific heat inversion method for real data

CERN Document Server

Tao Wen; Dai Xian Xi; Dai Ji Xin; Evenson, W E

2003-01-01

In this paper, the phonon spectrum of YBCO is obtained from experimental specific heat data by an exact inversion formula with a parameter for eliminating divergences. The results can be compared to those of neutron inelastic scattering, which can only be carried out in a few laboratories. Some key points of specific heat-phonon spectrum inversion (SPI) theory and a method of asymptotic behaviour control are discussed. An improved unique existence theorem is presented, and a universal function set for numerical calculation of SPI is calculated with high accuracy, which makes the inversion method applicable and convenient in practice. This is the first time specific heat-phonon SPI has been realized for a concrete system.

Evaluation of the CDTN's cementation facility using the results obtained in two different sizes: laboratory and facility

International Nuclear Information System (INIS)

Haucz, Maria Judite A.; Calabria, Jaqueline A. Almeida; Tello, Cledola Cassia O.; Candido, Francisco Donizete; Seles, Sandro Rogerio Novaes

2011-01-01

At CDTN R and D activities generate low-level radioactive wastes, among them the aqueous liquid ones, which need special attention due to their volumes. The usual treatment for these wastes is the volume reduction process using chemicals in order to change the radionuclides of the waste to an insoluble form. The resultant sludge is incorporated into cement in 200-liter drums using an in-line batch mixing system (CDTN Cementation Facility). The process parameters and solidified product quality are evaluated at the Cementation Laboratory (LABCIM), where tests are carried out to determine the viscosity, set time and density of the paste. In addition of the visual examination, compressive strength test and density are also established in the solidified product. In the cementation facility some pastes are also prepared for the immobilization of non-compactable waste, such as dump, scrap metal, wood, and other ones. This paper aims to present the study comparing the results of tests done in the pastes and products prepared in LABCIM and the ones obtained in CDTN's cementation facility, in order to check the efficiency of the cementation system. (author)

Evaluation of the CDTN cementation facility using the results obtained in two different sizes: laboratory and facility

International Nuclear Information System (INIS)

Haucz, Maria Judite A.; Calabria, Jaqueline A. Almeida; Tello, Cledola Cassia O.; Candido, Francisco Donizete; Seles, Sandro Rogerio Novaes

2011-01-01

At CDTN R and D activities generate low-level radioactive wastes, among them the aqueous liquid ones, which need special attention due to their volumes. The usual treatment for these wastes is the volume reduction process using chemicals in order to change the radionuclides of the waste to an insoluble form. The resultant sludge is incorporated into cement in 200-liter drums using an in-line batch mixing system (CDTN Cementation Facility). The process parameters and solidified product quality are evaluated at the Cementation Laboratory (LABCIM), where tests are carried out to determine the viscosity, set time and density of the paste. In addition of the visual examination, compressive strength test and density are also established in the solidified product. In the cementation facility some pastes are also prepared for the immobilization of non-compactable waste, such as dump, scrap metal, wood, and other ones. This paper aims to present the study comparing the results of tests done in the pastes and products prepared in LABCIM and the ones obtained in CDTN's cementation facility, in order to check the efficiency of the cementation system. (author)

Post-graduated course 'Basic aspects of medical physics in nuclear medicine': theoretical/practical intensive version: preliminary results

International Nuclear Information System (INIS)

Lopez, Adlin; Gonzalez, Joaquin; Torres, Leonel; Fraxedas, Roberto; Varela, Consuelo; Freixas, Vivian.

2008-01-01

Full text: Using national and international recommendation about human resource in nuclear medicine, a group of experts organized a national course for the education and training of physicist who works in Cuban hospital, adapted to national condition and practice of nuclear medicine. The program was approved for National Authorities in Nuclear Security and University School in Medicine and content three intensive theoretic and practical courses (15 days of full time duration each), complemented with 4 months full time in Nuclear Medicine Service monitored by accredited expert and 2 months at distance with practical task. The theoretical/practical intensive courses have final evaluation: combining practical exercise and write final test. When all docent activities finish the students should pass a final evaluation by a testing board composed for (at least) three accredited experts. The first theoretical/practical course included 19 physicists who work in hospital, the second 17 and the third 16 students. With 100 point of maximum score and 60 point minimum to pass, the partial final tests included: true or false choice (with 10 aspects to verify, 1 point/correct answer) and questions to write developed answer. The average result was 83.02 points/ students (range 65-100 points). The students evaluated satisfactory the quality of different courses (in anonymous poll), reporting like very good; the quality of conferences, excellent; the usefulness of different charters, very good; the support bibliography, and recommended the repetition of this kind of education and training in order to warranty the human resource, in the same way and content, and included others item in the future. Conclusion: the theoretical/practice intensive courses of this post-graduated course were successful and satisfied the objective of education and training of medical physicist in nuclear medicine. (author)

First in-core measurement results obtained with the innovative mobile calorimeter CALMOS inside the OSIRIS material testing reactor

International Nuclear Information System (INIS)

Carcreff, Hubert; Salmon, Laurent; Courtaux, Cedric

2014-01-01

Nuclear heating rate inside an MTR has to be known in order to design and to run irradiation experiments which have to fulfill target temperature constraints. This measurement is usually carried out by calorimetry. An innovative calorimetric system, CALMOS, has been studied and built in 2011 for the 70 MWth OSIRIS reactor operated by CEA. Thanks to a new calorimetric probe, associated to a specific displacement system, it provides measurements along the fissile height and above the core. Development of the calorimetric probe required manufacturing and irradiation of mock-ups in the ex-core area, where nuclear heating rate does not exceed 2 W.g -1 . The calorimeter working mode, the different measurement procedures, main modeling and ex-core experimental results have been already presented in previous papers. In this paper, we present in-core results obtained from 2011 to 2013 with the final device. For the first time, this new experimental measurement system was operated in several experimental locations, with nominal in-core thermal hydraulic conditions, nominal neutron flux and nuclear heating rate up to 6 W.g -1 (in graphite). After a brief presentation of the displacement system specificities, first nuclear heating distributions are presented and discussed. The Finite Element model of the calorimeter was upgraded in order to match calculated temperatures with measured ones. This 'validated' model allowed to estimate a Kc factor which tends to correct small nonlinearities when heating rate is calculated from the 'calibration method'. A comparison is made between nuclear heating rates determined from 'calibration' and 'zero methods'. In addition, an evaluation of the global uncertainty associated to the measurements is detailed. Finally, a comparison is made with available measurements obtained from previous calorimeters. (authors)

First In-Core Measurement Results Obtained with the Innovative Mobile Calorimeter CALMOS inside the OSIRIS Material Testing Reactor

International Nuclear Information System (INIS)

Carcreff, Hubert; Salmon, Laurent; Courtaux, Cedric

2013-06-01

Nuclear heating rate inside an MTR has to be known in order to design and to run irradiation experiments which have to fulfill target temperature constraints. This measurement is usually carried out by calorimetry [1, 2]. An innovative calorimetric system, CALMOS, has been studied and built in 2011 for the 70 MWth OSIRIS reactor operated by CEA. Thanks to a new calorimetric probe, associated to a specific displacement system, it provides measurements along the fissile height and above the core. The development of the calorimetric probe required the manufacturing and the irradiation of mock-ups in the ex-core area, where nuclear heating rate does not exceed 2 W.g -1 . The calorimeter working mode, the different measurement procedures allowed with such a new probe and main modeling and experimental results have been already presented [3, 4]. In this paper, we present the first results obtained during several measurement campaigns carried out in 2012 and 2013 inside the OSIRIS core with the final device. For the first time, this new experimental measurement system was operated in nominal in-core thermo hydraulic conditions with nominal neutron and gamma fluxes (up to 6 W.g -1 ) in several experimental locations. After a brief presentation of the displacement system specificities, first nuclear heating distributions are presented and discussed. Experimental data were also used to upgrade the Finite Element model of the calorimeter in order to match measured temperatures with calculated ones. This model allowed to estimate a Kc correction factor which takes into account small nonlinearities when the heating rate is deduced from the calibration method. A comparison is made between nuclear heating rates determined from the probe calibration and from the zero method. In addition, an evaluation of the global uncertainty associated to the measurements is detailed. Finally, a global comparison is made with available measurements obtained from previous calorimeters. (authors)

Readiness of educational activity subjects for results-oriented cooperation in the inclusive educational practice of higher school

Directory of Open Access Journals (Sweden)

Vladimir Ts. Tsyrenov

2017-11-01

Full Text Available The relevance of the research is due to the necessity of integration of persons with health limitations and disabilities into the educational space of higher education institutions. With regard to this, the paper is aimed at finding out the extent of readiness of the educational activity subjects for results-oriented cooperation in inclusive educational practice of the higher school. The leading approach to studying this problem is the retrospective interdisciplinary analysis that allows an integrated consideration of the universities' readiness for full-fledged integration of people with health limitations and disabilities into the educational process. In the paper, the results of research into students' attitude toward the disabled and HL people and their readiness for results-oriented cooperation are presented, and the specific problems of psychological and social support rendering are described. The value references system of students with health limitations and disabilities has been found out, and grounds have been provided for having to include the subjects that form a tolerant attitude to special needs people into the student-training content. It has also been proven that qualified professional training has to be ensured for the academic teaching staff, infrastructure has to be provided, and an integrated program has to be developed that would allow personifying the academic process adjusted for the development particularities of students with health limitations. The materials of the paper are of practical importance for educational activity subjects involved into the higher-school inclusive educational practice.

Application and practice of EU FP5. Research results in the area key action water - pollution prevention: are results fit for use?

Energy Technology Data Exchange (ETDEWEB)

Bittens, M. [Univ. Tuebingen (Germany). Center for Applied Geoscience; Prokop, G. [Umweltbundesamt, Wien (Austria)

2003-07-01

Embedded in the EU-funded project 'Innovative Management of Groundwater Resources in Europe - Training and RTD Co-ordination (IMAGE-TRAIN)' a two-phase (identification and testing) evaluation process was performed on basis of delivered research results from scientific projects running in the FP5 Key Action 'Management and Quality of Water - Pollution Prevention'. The 'Application and Practice Report', APR, documents available methods, concepts, and applications, which are qualified for supporting and enhancing the implementation processes of European policies and regulations with regard to the management and quality of water. Additionally, the APR determines boundary conditions for the application of available deliverable as result of the testing phase and facilitates the selection of the best available techniques for accompanying European implementation processes in accordance with the sustainable solutions strategy of European Union's 6{sup th} Environmental Action Programme 'Our Future, or choice'. IMAGE-TRAIN has the ambition to improve cooperation and interaction between ongoing research projects in the field of soil and groundwater contamination and to communicate new technology achievements to young scientists by means of training courses. IMAGE-TRAIn is a three year project which started in September 2001 and operates at two levels. (1) Senior level: At this level cluster meetings for researchers of ongoing research projects are being organised with the objective to establish topic links between RTD projects, dealing with contaminated land and groundwater and to promote their practical application. Furthermore practical case studies with selected experts are being organised to perform short feasibility studies related to current groundwater or mine water problems. (2) Junior level: At this level Advanced Study Courses are organised with theobjective to quickly transfer existing and emerging knowledge to young

Microbiology specimens obtained at the time of surgical lung biopsy for interstitial lung disease: clinical yield and cost analysis.

Science.gov (United States)

Fibla, Juan J; Brunelli, Alessandro; Allen, Mark S; Wigle, Dennis; Shen, Robert; Nichols, Francis; Deschamps, Claude; Cassivi, Stephen D

2012-01-01

In efforts to obtain complete results, current practice in surgical lung biopsy (LB) for interstitial lung disease (ILD) recommends sending lung tissue samples for bacterial, mycobacterial, fungal, and viral cultures. This study assesses the value of this practice by evaluating the microbiology findings obtained from LB for ILD and their associated costs. A total of 296 consecutive patients (140 women, 156 men, median age=61 years) underwent LB for ILD from 2002 to 2009. All had lung tissue sent for microbiology examination. Microbiology results and resultant changes in patient management were analyzed retrospectively. A cost analysis was performed based upon nominal hospital charges adjusted on current inflation rates. Cost data included cultures, stains, smears, direct fluorescent antibody studies, and microbiologist consulting fees. As many as 25 patients (8.4%) underwent open LB and 271 (91.6%) underwent thoracoscopic LB. A total of 592 specimens were assessed (range 1-4 per patient). The most common pathologic diagnoses were idiopathic pulmonary fibrosis in 122 (41.2%), cryptogenic organizing pneumonia in 31 (10.5%), and respiratory bronchiolitis ILD in 16 (5.4%). Microbiology testing was negative in 174 patients (58.8%). A total of 118 of 122 (96.7%) positive results were clinically considered to be contaminants and resulted in no change in clinical management. The most common contaminants were Propionibacterium acnes (38 patients; 31%) and Penicillium fungus (16 patients; 13%). In only four patients (1.4%), the organism cultured (Nocardia one, Histoplasma one, and Aspergillus fumigatus two) resulted in a change in clinical management. The cost of microbiology studies per specimen was $984 (€709), with a total cost for the study cohort being $582,000 (€420,000). The yield and impact on clinical management of microbiology specimens from LB for ILD is very low. Its routine use in LB is questionable. We suggest it should be limited to those cases of ILD with

Pilot phase evaluation of the elective general practice class: results of student surveys of the first two years.

Science.gov (United States)

Samos, Franziska-Antonia; Heise, Marcus; Fuchs, Stephan; Mittmann, Susanne; Bauer, Alexander; Klement, Andreas

2017-01-01

Background: Primary health care in rural regions is currently undergoing a global crisis in respect of the next generation of practitioners. National and international recommendations advise placing greater emphasis upon practical skills and competences in medical studies. It is also in the interest of training the next generation to include mentoring and longitudinal integration of contact to teaching practices for general medicine in an early stage. Consequently, the General Practice Class (KAM) was introduced in Halle in 2011 as an elective with 20 individually mentored students per year, beginning with the first subject-related semester. We are now reporting on the results of the evaluation for the first two years. Method: A standardised online survey was carried out with all students who took part in the KAM in the two years 2011 and 2012 (N=38). For both years the survey was made at the end of the first summer semester on the basis of an adapted version of the Heidelberger Inventar zur Lehrevaluation (Heidelberg Inventory for the Evaluation of Teaching, HILVE-II) and the Berliner Evaluationsinstrument für selbsteingeschätzte, studentische Kompetenzen (Berlin Evaluation Instrument for the self-assessment of student competences, BEvaKomp) . Furthermore, each year the preference for the choice of specialty and location of a medical practice was queried. Predictors for the preference of the chosen specialty and the location of a medical practice were estimated by binary logistic regression analysis. Via univariate evaluations the number of students who reported an increase in knowledge in different areas of competence as a result of the KAM was counted. Correlations between the intention to remain in the KAM and the quality of teaching were evaluated on the basis of bivariate correlations. Results: 48% of the students agreed partly or fully that the KAM seminars enhanced their specialist competence. This individual acquiring of competence in the model project

Methods for obtaining a uniform volume concentration of implanted ions

International Nuclear Information System (INIS)

Reutov, V.F.

1995-01-01

Three simple practical methods of irradiations with high energy particles providing the conditions for obtaining a uniform volume concentration of the implanted ions in the massive samples are described in the present paper. Realization of the condition of two-sided irradiation of a plane sample during its rotation in the flux of the projectiles is the basis of the first method. The use of free air as a filter with varying absorbent ability due to movement of the irradiated sample along ion beam brought to the atmosphere is at the basis of the second method of uniform ion alloying. The third method for obtaining a uniform volume concentration of the implanted ions in a massive sample consists of irradiation of a sample through the absorbent filter in the shape of a foil curved according to the parabolic law moving along its surface. The first method is the most effective for obtaining a great number of the samples, for example, for mechanical tests, the second one - for irradiation in different gaseous media, and the third one - for obtaining high concentrations of the implanted ions under controlled (regulated) thermal and deformation conditions. 2 refs., 7 figs

An Evaluation of fertiliser Recommendations Obtained From Experimental Settings a Case of smallholder Maize Fertiliser Recommendations in Western Kenya

International Nuclear Information System (INIS)

Mugunieri, G.L.; Nyangito, H.O.; Mose, L.O.

1999-01-01

This study was undertaken to compare maize yield in Kisii and Trans-Nzoia Districts of Western Kenya. Separate yield response functions were established for experimental and farm data and used to undertake an economic analysis of fertiliser used on maize on smallholder farms. For Kisii District, the optimal values obtained in the field management practices between farmers and researchers. Further, based on the farm data results from this district, farmers on average use fertiliser optimally. Therefore as long as these farmers are constrained by their resources such that they can not improve on their management practices, using of Nzoia district, the experimental and farm data optimal levels were not significantly different. this was attributed to the fact that maize production in this region is commercial activity and the level of field management tend to approximate the level at the research station. Therefore farmers in this region can gain from increased use of fertilizers at there current levels of field management. The study concluded that fertiliser rates obtained from experimental data are not suitable for all regions in Kenya

Good practices in LIBS analysis: Review and advices

Energy Technology Data Exchange (ETDEWEB)

El Haddad, J.; Canioni, L.; Bousquet, B., E-mail: bruno.bousquet@u-bordeaux.fr

2014-11-01

This paper presents a review on the analytical results obtained by laser-induced breakdown spectroscopy (LIBS). In the first part, results on identification and classification of samples are presented including the risk of misclassification, and in the second part, results on concentration measurement based on calibration are accompanied with significant figures of merit including the concept of accuracy. Both univariate and multivariate approaches are discussed with special emphasis on the methodology, the way of presenting the results and the assessment of the methods. Finally, good practices are proposed for both classification and concentration measurement.

Good practices in LIBS analysis: Review and advices

International Nuclear Information System (INIS)

El Haddad, J.; Canioni, L.; Bousquet, B.

2014-01-01

This paper presents a review on the analytical results obtained by laser-induced breakdown spectroscopy (LIBS). In the first part, results on identification and classification of samples are presented including the risk of misclassification, and in the second part, results on concentration measurement based on calibration are accompanied with significant figures of merit including the concept of accuracy. Both univariate and multivariate approaches are discussed with special emphasis on the methodology, the way of presenting the results and the assessment of the methods. Finally, good practices are proposed for both classification and concentration measurement

Preliminary observations and results obtained with the ultraviolet spectrometer and polarimeter. [for Solar Maximum Mission

Science.gov (United States)

Tandberg-Hassen, E.; Cheng, C. C.; Athay, R. G.; Beckers, J. M.; Brandt, J. C.; Chapman, R. D.; Bruner, E. C.; Henze, W.; Hyder, C. L.; Gurman, J. B.

1981-01-01

New observation with the Ultraviolet Spectrometer and Polarimeter (UVSP) of a number of manifestations of solar activity obtained during the first three months of Solar Maximum Mission operations are presented. Attention is given to polarimetry in sunspots, oscillations above sunspots, density diagnostics of transition-zone plasmas in active regions, and the eruptive prominence - coronal transient link.

AC impedance behavior of a practical-size single-cell SOFC under DC current

Energy Technology Data Exchange (ETDEWEB)

Momma, Akihiko; Kaga, Yasuo; Takano, Kiyonami; Nozaki, Ken; Negishi, Akira; Kato, Ken; Kato, Tohru [Fuel Cell Group, Energy Electronics Institute, National Institute of Advanced Industrial Science and Technology, Umezono Tsukuba-shi, Ibaraki 305-8568 (Japan); Inagaki, Toru; Yoshida, Hiroyuki [Energy Use R and D Center, The Kansai Electric Power Company, Inc., 11-20 Nakoji, 3-Chome, Amagasaki, Hyogo 661-0974 (Japan); Hosoi, Kei; Hoshino, Koji; Akbay, Taner; Akikusa, Jun; Yamada, Masaharu; Chitose, Norihisa [Central Research Institute, Naka Research Center, Mitsubishi Materials Corp. 1002-14 Mukohyama, Naka-machi, Naka-gun, Ibaraki 311-0102 (Japan)

2004-10-29

AC impedance measurements were carried out using practical-size planar disc-type SOFC which employs lanthanum gallate as a solid electrolyte. The data were obtained under practical conditions of gas flow rate and DC current. Under these conditions, the gas conversion impedance (GCI), which originates from the change of the electromotive force (EMF) caused by the change in anodic gaseous concentrations along the flow direction, was observed in the low-frequency range of the data obtained. The overlapping impedance together with GCI on the low-frequency arc was also estimated. Experimentally obtained GCI was in good agreement with that calculated. It was concluded that GCI was predominant in the impedance data obtained under practical conditions. The shift of the high-frequency intercept in the complex impedance diagrams was shown to appear as a result of the change in the distribution of gaseous composition in the anode. The dependency of the low-frequency arc on temperature was also shown, and it was assumed that the overlapped impedance varies as the temperature changes. The validity of the impedance measurement, as a diagnostic means to evaluate the gas flow in SOFC stack, was suggested.

Daylighting practices of the architectural industry (baseline results of a national survey)

Energy Technology Data Exchange (ETDEWEB)

Hattrup, M.P.

1990-05-01

A national survey of over 300 commercial design architects was conducted to develop baseline information on their knowledge, perceptions, and use of daylighting in commercial building designs. Pacific Northwest Laboratory conducted the survey for the US Department of Energy's (DOE) Office of Building and Community Systems (BCS). In the survey daylighting was defined as the intentional use of natural light as a partial substitute for artificially generated light. The results suggested that architects need to be educated about the true benefits of daylighting and the impacts it can have on a building's energy performance. Educational programs that will increase the architects' understanding and awareness of modern daylighting technologies and practices should be developed by utilities, stage agencies, and the federal government. If more architects can be made aware of the true effectiveness and positive attributes of daylighting systems and technologies, daylighting may be used in more commercial buildings. The results of the survey show that the more familiar architects feel they are with daylighting, the more they use daylighting. 3 refs., 19 tabs.

Matching the results of a theoretical model with failure rates obtained from a population of non-nuclear pressure vessels

International Nuclear Information System (INIS)

Harrop, L.P.

1982-02-01

Failure rates for non-nuclear pressure vessel populations are often regarded as showing a decrease with time. Empirical evidence can be cited which supports this view. On the other hand theoretical predictions of PWR type reactor pressure vessel failure rates have shown an increasing failure rate with time. It is shown that these two situations are not necessarily incompatible. If adjustments are made to the input data of the theoretical model to treat a non-nuclear pressure vessel population, the model can produce a failure rate which decreases with time. These adjustments are explained and the results obtained are shown. (author)

Newborn cord care practices amongst mothers in Port Harcourt ...

African Journals Online (AJOL)

Information obtained included biodata, age and sex of last baby, social class, place of antenatal care and delivery, and cord care practices. Data were analysed using SPSS version 16.0. Results: Two hundred and ten mothers participated in the study. 71.9% were of high social class. Over 80% received antenatal care in ...

Good practices in collecting umbilical cord and placental blood

Directory of Open Access Journals (Sweden)

Lauren Auer Lopes

Full Text Available Abstract Objective: to identify the factors related to the quality of umbilical cord and placental blood specimens, and define best practices for their collection in a government bank of umbilical cord and placental blood. Method: this was a descriptive study, quantitative approach, performed at a government umbilical cord and placental blood bank, in two steps: 1 verification of the obstetric, neonatal and operational factors, using a specific tool for gathering data as non-participant observers; 2 definition of best practices by grouping non-conformities observed before, during and after blood collection. The data was analyzed using descriptive statistics and the following statistical software: Statistica(r and R(r. Results: while there was a correlation with obstetrical and neonatal factors, there was a larger correlation with operational factors, resulting in the need to adjust the professional practices of the nursing staff and obstetrical team involved in collecting this type of blood. Based on these non-conformities we defined best practices for nurses before, during and after blood collection. Conclusion: the best practices defined in this study are an important management tool for the work of nurses in obtaining blood specimens of high cell quality.

INTERDISCIPLINARITY IN PUBLIC SPACE PARTICIPATIVE PROJECTS: METHODS AND RESULTS IN PRACTICE AND TEACHING

Directory of Open Access Journals (Sweden)

Pedro Brandão

2015-06-01

• In the development of design practice and studio teaching methods We shall see in this paper how interdisciplinary approaches correspond to new and complex urban transformations, focusing on the importance of actors’ interaction processes, combining professional and non-professional knowledge and theory-practice relations. Therefore, we aim at a deepening in public space area of knowledge under the growing complexity of urban life. We see it as a base for further development of collaborative projects and their implications on community empowerment and urban governance at local level. Motivations of this line of work are persistent in several ongoing research projects, aiming to: - Understand public space as a cohesion factor both in urban life and urban form - Manage processes and strategies as elements of urban transformation, - Stimulate the understanding of actors’ roles in urban design practices. - Favoring the questioning of emerging aspects of urban space production… The paper presents and analyses processes, methods and results from civic participation projects developed in the neighbourhood of Barò de Viver (Barcelona and in the District of Marvila (Lisbon. In the first case, a long process initiated in 2004 and partially completed in 2011, neighbours developed the projects "Memory Wall" and Ciutat d'Asuncion Promenade as part of identity construction in public space, in collaboration  with a team of facilitators from CrPolis group. In the second case, different participatory processes dated from 2001 and 2003 have resulted in the implementation of a specific identity urban brand and communication system with an ongoing project of "maps" construction according to the neighbours perception and representation systems. We may conclude that processes of urban governance require more active participation of citizens in projects regarding the improvement of quality of life. At the same time, the implementation of these processes requires a clear

How often do surgeons obtain the critical view of safety during laparoscopic cholecystectomy?

Science.gov (United States)

Stefanidis, Dimitrios; Chintalapudi, Nikita; Anderson-Montoya, Brittany; Oommen, Bindhu; Tobben, Daniel; Pimentel, Manuel

2017-01-01

The reported incidence (0.16-1.5 %) of bile duct injury (BDI) during laparoscopic cholecystectomy (LC) is higher than during open cholecystectomy and has not decreased over time despite increasing experience with the procedure. The "critical view of safety" (CVS) technique may help to prevent BDI when certain criteria are met prior to division of any structures. This study aimed to evaluate the adherence of practicing surgeons to the CVS criteria during LC and the impact of a training intervention on CVS identification. LC procedures of general surgeons were video-recorded. De-identified recordings were reviewed by a blinded observer and rated on a 6-point scale using the previously published CVS criteria. A coaching program was conducted, and participating surgeons were re-assessed in the same manner. The observer assessed ten LC videos, each involving a different surgeon. The CVS was adequately achieved by two surgeons (20 %). The remaining eight surgeons (80 %) did not obtain adequate CVS prior to division of any structures, despite two surgeons dictating that they did; the mean score of this group was 1.75. After training, five participating surgeons (50 %) scored > 4, and the mean increased from 1.75 (baseline) to 3.75 (p < 0.05). The CVS criteria were not routinely used by the majority of participating surgeons. Further, one-fourth of those who claimed to obtain the CVS did so inadequately. All surgeons who participated in training showed improvement during their post-assessment. Our findings suggest that education of practicing surgeons in the application of the CVS during LC can result in increased implementation and quality of the CVS. Pending studies with larger samples, our findings may partly explain the sustained BDI incidence despite increased experience with LC. Our study also supports the value of direct observation of surgical practices and subsequent training for quality improvement.

Comparison of Leishmania typing results obtained from 16 European clinical laboratories in 2014.

Science.gov (United States)

Van der Auwera, Gert; Bart, Aldert; Chicharro, Carmen; Cortes, Sofia; Davidsson, Leigh; Di Muccio, Trentina; Dujardin, Jean-Claude; Felger, Ingrid; Paglia, Maria Grazia; Grimm, Felix; Harms, Gundel; Jaffe, Charles L; Manser, Monika; Ravel, Christophe; Robert-Gangneux, Florence; Roelfsema, Jeroen; Töz, Seray; Verweij, Jaco J; Chiodini, Peter L

2016-12-08

Leishmaniasis is endemic in southern Europe, and in other European countries cases are diagnosed in travellers who have visited affected areas both within the continent and beyond. Prompt and accurate diagnosis poses a challenge in clinical practice in Europe. Different methods exist for identification of the infecting Leishmania species. Sixteen clinical laboratories in 10 European countries, plus Israel and Turkey, conducted a study to assess their genotyping performance. DNA from 21 promastigote cultures of 13 species was analysed blindly by the routinely used typing method. Five different molecular targets were used, which were analysed with PCR-based methods. Different levels of identification were achieved, and either the Leishmania subgenus, species complex, or actual species were reported. The overall error rate of strains placed in the wrong complex or species was 8.5%. Various reasons for incorrect typing were identified. The study shows there is considerable room for improvement and standardisation of Leishmania typing. The use of well validated standard operating procedures is recommended, covering testing, interpretation, and reporting guidelines. Application of the internal transcribed spacer 1 of the rDNA array should be restricted to Old World samples, while the heat-shock protein 70 gene and the mini-exon can be applied globally. This article is copyright of The Authors, 2016.

Pilot phase evaluation of the elective general practice class: results of student surveys of the first two years

Directory of Open Access Journals (Sweden)

Samos, Franziska-Antonia

2017-02-01

Full Text Available Background: Primary health care in rural regions is currently undergoing a global crisis in respect of the next generation of practitioners. National and international recommendations advise placing greater emphasis upon practical skills and competences in medical studies. It is also in the interest of training the next generation to include mentoring and longitudinal integration of contact to teaching practices for general medicine in an early stage. Consequently, the (KAM was introduced in Halle in 2011 as an elective with 20 individually mentored students per year, beginning with the first subject-related semester. We are now reporting on the results of the evaluation for the first two years. Method: A standardised online survey was carried out with all students who took part in the KAM in the two years 2011 and 2012 (N=38. For both years the survey was made at the end of the first summer semester on the basis of an adapted version of the and the . Furthermore, each year the preference for the choice of specialty and location of a medical practice was queried. Predictors for the preference of the chosen specialty and the location of a medical practice were estimated by binary logistic regression analysis. Via univariate evaluations the number of students who reported an increase in knowledge in different areas of competence as a result of the KAM was counted. Correlations between the intention to remain in the KAM and the quality of teaching were evaluated on the basis of bivariate correlations. Results: 48% of the students agreed partly or fully that the KAM seminars enhanced their specialist competence. This individual acquiring of competence in the model project represented a significant predictor for the preferred choice of the area (OR 7.98; 95% CI [1.27-50.27], p=0.027. Students who assessed the commitment (r=0.504, support (r=0.526 and interaction management (r=0.529 of the mentors positively were more likely inclined to continue their

Radiological practices using dosimetric films and electronic dosimeters in F-18 production at cyclotron complex center at IEN/CNEN

International Nuclear Information System (INIS)

Santos, Osvaldir P. dos; Silva, J.C.P.; Silva, Luiz Carlos Reina P. da

2009-01-01

The aim of this work is to evaluate, guide and correct radiological practices based on dose rate values obtained from dosimetric films and electronic dosimeters used by technicians involved in Fluorine-18 production facilities at IEN/CNEN. Standard statistical methods have been used to analyze and to evaluate these results. The comparison between these results is the first step to orient decisions concerning radiological practices. Besides, radiometric routine surveys are under evaluation in order to improve radiological control in these facility areas. The electronic dosimeters provide the technicians immediate reading and this help them take protective action immediately. So the comparison between dosimetric film and electronic dosimeters data will provide information about how the recently employed electronic dosimeters are being used and what corrections in their practical use are necessary in order to achieve correct practices. In addition the results and observations obtained will be very important to implement possible changes in radiological routine practices in order to optimize them and keep occupationally exposed individuals radiological dose rates, as low as reasonably achievable, according to ALARA principle. (author)

Characterization of polarization-independent phase modulation method for practical plug and play quantum cryptography

International Nuclear Information System (INIS)

Kwon, Osung; Lee, Min-Soo; Woo, Min Ki; Park, Byung Kwon; Kim, Il Young; Kim, Yong-Su; Han, Sang-Wook; Moon, Sung

2015-01-01

We characterized a polarization-independent phase modulation method, called double phase modulation, for a practical plug and play quantum key distribution (QKD) system. Following investigation of theoretical backgrounds, we applied the method to the practical QKD system and characterized the performance through comparing single phase modulation (SPM) and double phase modulation. Consequently, we obtained repeatable and accurate phase modulation confirmed by high visibility single photon interference even for input signals with arbitrary polarization. Further, the results show that only 80% of the bias voltage required in the case of single phase modulation is needed to obtain the target amount of phase modulation. (paper)

Clarifying Definitions for the Massage Therapy Profession: the Results of the Best Practices Symposium.

Science.gov (United States)

Kennedy, Ann B; Cambron, Jerrilyn A; Sharpe, Patricia A; Travillian, Ravensara S; Saunders, Ruth P

2016-09-01

Massage therapists are at times unclear about the definition of massage therapy, which creates challenges for the profession. It is important to investigate the current definitions and to consider the field as a whole in order to move toward clarity on what constitutes the constructs within the profession. To determine how a sample of experts understand and describe the field of massage therapy as a step toward clarifying definitions for massage and massage therapy, and framing the process of massage therapy practice. A two-day symposium held in 2010 with the purpose of gathering knowledge to inform and aid in the creation of massage therapy best practice guidelines for stress and low back pain. Thirty-two experts in the field of massage therapy from the United States, Europe, and Canada. Qualitative analysis of secondary cross-sectional data using a grounded theory approach. Three over-arching themes were identified: 1) What is massage?; 2) The multidimensional nature of massage therapy; and 3) The influencing factors on massage therapy practice. The data offered clarifying definitions for massage and massage therapy, as well as a framework for the context for massage therapy practice. These clarifications can serve as initial steps toward the ultimate goal of creating new theory for the field of massage therapy, which can then be applied in practice, education, research, and policy. Foundational research into how experts in the profession understand and describe the field of massage therapy is limited. Understanding the potential differences between the terms massage and massage therapy could contribute to a transformation in the profession in the areas of education, practice, research, policy and/or regulation. Additionally, framing the context for massage therapy practice invites future discussions to further clarify practice issues.

Good practices and health policy analysis in European sports stadia: results from the 'Healthy Stadia' project.

Science.gov (United States)

Drygas, Wojciech; Ruszkowska, Joanna; Philpott, Matthew; Björkström, Olav; Parker, Mike; Ireland, Robin; Roncarolo, Federico; Tenconi, Maria

2013-06-01

Sport plays an important role within society and sports stadia provide significant settings for public health strategies. In addition to being places of mass gathering, stadia are often located in less affluent areas and are traditionally attended by 'harder to reach' communities. Unfortunately sports stadia and the clubs they host are rarely perceived as places that promote healthy lifestyles. Fast food, alcohol and tobacco are commonly advertized, served and consumed during sports games giving the spectators and TV fans contradictory messages concerning healthy choices. As part of a wider programme of work part-funded by the European Union, a study was therefore designed to explore current 'good practice' relating to positive health interventions in sports stadia across a number of European countries. Using a specially designed questionnaire, information about health policies and good practices relating to food offerings in stadia, physical activity promotion among local communities, tobacco policy, positive mental health initiatives, environmental sustainability practices and social responsibility policies were collected in 10 European countries (England and Northern Ireland, Finland, Georgia, Greece, Ireland, Italy, Latvia, Poland, Spain and Sweden) involving 88 stadia. The audit results show that stadia health policies differ considerably between specific countries and sports. Based on the literature analysed, the examples of good practices collected through the study, and the subsequent instigation of a European Healthy Stadia Network, it shows that there is considerable potential for stadia to become health promoting settings.

Remote sensing: best practice

Energy Technology Data Exchange (ETDEWEB)

Brown, Gareth [Sgurr Energy (Canada)

2011-07-01

This paper presents remote sensing best practice in the wind industry. Remote sensing is a technique whereby measurements are obtained from the interaction of laser or acoustic pulses with the atmosphere. There is a vast diversity of tools and techniques available and they offer wide scope for reducing project uncertainty and risk but best practice must take into account versatility and flexibility. It should focus on the outcome in terms of results and data. However, traceability of accuracy requires comparison with conventional instruments. The framework for the Boulder protocol is given. Overviews of the guidelines for IEA SODAR and IEA LIDAR are also mentioned. The important elements of IEC 61400-12-1, an international standard for wind turbines, are given. Bankability is defined based on the Boulder protocol and a pie chart is presented that illustrates the uncertainty area covered by remote sensing. In conclusion it can be said that remote sensing is changing perceptions about how wind energy assessments can be made.

Information literacy skills and training of licensed practical nurses in Alberta, Canada: results of a survey.

Science.gov (United States)

Wadson, Kelley; Phillips, Leah Adeline

2018-06-01

Although information literacy skills are recognized as important to the curriculum and professional outcomes of two-year nursing programs, there is a lack of research on the information literacy skills and support needed by graduates. To identify the information literacy skills and consequent training and support required of Licensed Practical Nurses (LPNs) in Alberta, Canada. An online survey using a random sample of new graduates (graduated within 5 years) from the registration database of the College of Practical Nurses of Alberta (CLPNA). There was a 43% response rate. Approximately 25-38% of LPNs felt they were only moderately or to a small extent prepared to use evidence effectively in their professional practice. LPNs use the internet and websites most frequently, in contrast to library resources that are used least frequently. Developing lifelong learning skills, using information collaboratively, and locating and retrieving information are areas where LPNs desire more effective or increased training. The results suggest there are significant gaps in the preparedness and ability of LPNs to access and apply research evidence effectively in the workplace. There are several areas in which the training provided by Librarians appears either misaligned or ineffective. © 2018 Health Libraries Group.

The use of human samples obtained during medicolegal autopsies in research: An introduction to current conditions and initiatives in Japan.

Science.gov (United States)

Tsujimura-Ito, Takako; Inoue, Yusuke; Muto, Kaori; Yoshida, Ken-Ichi

2017-04-01

Background Leftover samples obtained during autopsies are extremely important basic materials for forensic research. However, there are no established practices for research-related use of obtained samples. Objective This study discusses good practice for the secondary use of samples collected during medicolegal autopsies. Methods A questionnaire was posted to all 76 departments of forensic medicine performing medicolegal autopsies in Japan, and 48 responses were received (response rate: 63.2%). As a secondary analysis, we surveyed information provided on department websites. Results Ethical reviews conducted when samples were to be used for research varied greatly among departments, with 21 (43.8%) departments reporting 'fundamentally, all cases are subject to review', eight (16.7%) reporting 'only some are subject to review' and 17 (39.6%) reporting 'none are subject to review'. Information made available on websites indicated that 11 departments had a statement of some type to bereaved families about the potential research use of human samples obtained during autopsies. Nine of these included a notice stating that bereaved families may revoke their consent for use. Several departments used an opt-out system. Conclusion There is no common practice in the field of legal medicine on the ethical use for medical research of leftover samples from medicolegal autopsies. The trust of not only bereaved families but also society in general is required for the scientific validity and social benefits of medical studies using leftover samples from medicolegal autopsies through the use of opt-out consenting and offline and online dissemination and public-relations activities.

The actual role of general practice in the Dutch health-care system: results of the Second Dutch National Survey of General Practice.

OpenAIRE

Schellevis, F.G.; Westert, G.P.; Bakker, D.H. de

2005-01-01

A second Dutch National Survey of General Practice was carried out in 2001 with the aim of providing actual information about the role of general practice in the Dutch health-care system for researchers and policy makers. Data were collected on different levels (patients, general practitioners, practices) and included morbidity (self-report and presented to general practitioners), diagnostic and therapeutic interventions, doctor-patient communication, and background characteristics. Compared ...

Some mutants in maize obtained by irradiation with thermal neutrons

International Nuclear Information System (INIS)

Diaconu, P.

1993-01-01

Irradiation was carried out at the Bucharest Institute of Atomic Physics and the National Laboratory Brookhaven, USA. A description is given of 22 genic mutants affecting leaf color, plant size, and branching capacity. Characteristics related to pollen fertility and the vegetative period were affected in all the mutants. Improvement of pollen fertility was attempted over four generations without success. The maize mutants obtained by irradiation may be considered as being without practical significance. (author). 7 figs., 1 tab. 11 ref

Comparison between two sampling methods by results obtained using petrographic techniques, specially developed for minerals of the Itataia uranium phosphate deposit, Ceara, Brazil

International Nuclear Information System (INIS)

Salas, H.T.; Murta, R.L.L.

1985-01-01

The results of comparison of two sampling methods applied to a gallery of the uranium-phosphate ore body of Itataia-Ceara State, Brazil, along 235 metres of mineralized zone, are presented. The results were obtained through petrographic techniques especially developed and applied to both samplings. In the first one it was studied hand samples from a systematically sampling made at intervals of 2 metres. After that, the estimated mineralogical composition studies were carried out. Some petrogenetic observations were for the first time verified. The second sampling was made at intervals of 20 metres and 570 tons of ore extracted and distributed in sections and a sample representing each section was studied after crushing at -65. Their mineralogy were quantified and the degree of liberation of apatite calculated. Based on the mineralogical data obtained it was possible to represent both samplings and to make the comparison of the main mineralogical groups (phosphates, carbonates and silicates). In spite of utilizing different methods and methodology and the kind of mineralization, stockwork, being quite irregular, the results were satisfactory. (Author) [pt

Publication and non-publication of drug trial results: a 10-year cohort of trials in Norwegian general practice.

Science.gov (United States)

Brænd, Anja Maria; Straand, Jørund; Jakobsen, Rune Bruhn; Klovning, Atle

2016-04-11

Previously, we identified a 10-year cohort of protocols from applications to the Norwegian Medicines Agency 1998-2007, consisting of 196 drug trials in general practice. The aim of this study was to examine whether trial results were published and whether trial funding and conflicts of interest were reported. Cohort study of trials with systematic searches for published results. Clinical drug trials in Norwegian general practice. We performed systematic literature searches of MEDLINE, Embase and CENTRAL to identify publications originating from each trial using characteristics such as test drug, comparator and patient groups as search terms. When no publication was identified, we contacted trial sponsors for information regarding trial completion and reference to any publications. We determined the frequency of publication of trial results and trial characteristics associated with publication of results. Of the 196 trials, 5 were never started. Of the remaining 191 trials, 71% had results published in a journal, 11% had results publicly available elsewhere and 18% of trials had no results available. Publication was more common among trials with an active comparator drug (χ(2) test, p=0.040), with a larger number of patients (total sample size≥median, p=0.010) and with a longer trial period (duration≥median, p=0.025). Trial funding was reported in 85% of publications and increased over time, as did reporting of conflicts of interest among authors. Among the 134 main journal articles from the trials, 60% presented statistically significant results for the investigational drug, and the conclusion of the article was favourable towards the test drug in 78% of papers. We did not identify any journal publication of results for 29% of the general practice drug trials. Trials with an active comparator, larger and longer trials were more likely to be published. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a

LEP and results obtained by DELPHI after four years of operation; LEP i wyniki uzyskane przez DELPHI po czterech latach dzialania

Energy Technology Data Exchange (ETDEWEB)

Blocki, J. [Warsaw Univ. (Poland). Inst. Fizyki Doswiadczalnej; Brueckman de Renstrom, P.; Budziak, A. [Institute of Nuclear Physics, Cracow (Poland)] [and others

1993-10-01

We characterize the most important problems of modern elementary particles physics, for the solution of which the LEP (Large Electron Positron) accelerator was built. We present the characteristics of this accelerator. The structure and properties of the DELPHI detector are described with special emphasis on the contribution of Polish groups. The most important results obtained so far in the LEP accelerator are discussed. (author). 12 refs, 17 figs, 1 tab.

A critical incident study of general practice trainees in their basic general practice term.

Science.gov (United States)

Diamond, M R; Kamien, M; Sim, M G; Davis, J

1995-03-20

To obtain information on the experiences of general practice (GP) trainees during their first general practice (GP) attachment. Critical incident technique--a qualitative analysis of open-ended interviews about incidents which describe competent or poor professional practice. Thirty-nine Western Australian doctors from the Royal Australian College of General Practitioners' (RACGP) Family Medicine Program who were completing their first six months of general practice in 1992. Doctors reported 180 critical incidents, of which just over 50% involved problems (and sometimes successes) with: difficult patients; paediatrics; the doctor-patient relationship; counselling skills; obstetrics and gynaecology; relationships with other health professionals and practice staff; and cardiovascular disorders. The major skills associated with both positive and negative critical incidents were: the interpersonal skills of rapport and listening; the diagnostic skills of thorough clinical assessment and the appropriate use of investigations; and the management skills of knowing when and how to obtain help from supervisors, hospitals and specialists. Doctors reported high levels of anxiety over difficult management decisions and feelings of guilt over missed diagnoses and inadequate management. The initial GP term is a crucial transition period in the development of the future general practitioner. An analysis of commonly recurring positive and negative critical incidents can be used by the RACGP Training Program to accelerate the learning process of doctors in vocational training and has implications for the planning of undergraduate curricula.

Physicians’ engagement in dual practices and the effects on labor supply in public hospitals: results from a register-based study

Science.gov (United States)

2014-01-01

Background Physician dual practice, a combination of public and private practice, has attracted attention due to fear of reduced work supply and a lack of key personnel in the public system, increase in low priority treatments, and conflicts of interest for physicians who may be competing for their own patients when working for private suppliers. In this article, we analyze both choice of dual practice among hospital physicians and the dual practices’ effect on work supply in public hospitals. Methods The sample consisted of 12,399 Norwegian hospital physicians working in public hospitals between 2001 and 2009. We linked hospital registry data on salaries and hospital working hours with data from national income and other registries covering non-hospital income, including income from dual work, cohabiting status, childbirths and socioeconomic characteristics. Our dataset also included hospital variables describing i.e. workload. We estimated odds ratio for choosing dual practice and the effects of dual practice on public working hours using different versions of mixed models. Results The percentage of physicians engaged in dual practice fell from 35.1% for men and 17.6% for women in 2001 to 25.0% and 14.2%, respectively, in 2009. For both genders, financial debt and interest payments were positively correlated and having a newborn baby was negatively correlated with engaging in dual practice. Larger family size and being cohabitating increased the odds ratio of dual practice among men but reduced it for women. The most significant internal hospital factor for choosing dual practice was high wages for extended working hours, which significantly reduced the odds ratio for dual practice. The total working hours in public hospitals were similar for both those who did and did not engage in dual practice; however, dual practice reduced public working hours in some specialties. Conclusion Economic factors followed by family variables are significant elements influencing

Molecular engineering of polymer alloys: A final report of results obtained on CRADA No. 1078

Energy Technology Data Exchange (ETDEWEB)

Curro, J.G. [Sandia National Labs., Albuquerque, NM (United States); Schweizer, K.S. [Univ. of Illinois, Urbana, IL (United States). Dept. of Materials Science and Engineering; Honeycutt, J.D. [BIOSYM Technologies, San Diego, CA (United States)

1995-12-01

This report summarizes the technical progress made in the past three years on CRADA No. 1078, Molecular Engineering of Polymer Alloys. The thrust of this CRADA was to start with the basic ideas of PRISM theory and develop it to the point where it could be applied to modeling of polymer alloys. In this program, BIOSYM, Sandia and the University of Illinois worked jointly to develop the theoretical techniques and numerical formalisms necessary to implement the theoretical ideas into commercial software aimed at molecular engineering of polymer alloys. This CRADA focused on developing the techniques required to make the transition from theory to practice. These techniques were then used by BIOSYM to incorporate PRISM theory and other new developments into their commercial software.

Comparison of visual field test results obtained through Humphrey matrix frequency doubling technology perimetry versus standard automated perimetry in healthy children

Directory of Open Access Journals (Sweden)

Sibel Kocabeyoglu

2013-01-01

Full Text Available Aims : The aim of this study was to compare the visual field test results in healthy children obtained via the Humphrey matrix 24-2 threshold program and standard automated perimetry (SAP using the Swedish interactive threshold algorithm (SITA-Standard 24-2 test. Materials and Methods: This prospective study included 55 healthy children without ocular or systemic disorders who underwent both SAP and frequency doubling technology (FDT perimetry visual field testing. Visual field test reliability indices, test duration, global indices (mean deviation [MD], and pattern standard deviation [PSD] were compared between the 2 tests using the Wilcoxon signed-rank test and paired t-test. The performance of the Humphrey field analyzer (HFA 24-2 SITA-standard and frequency-doubling technology Matrix 24-2 tests between genders were compared with Mann-Whitney U-test. Results: Fifty-five healthy children with a mean age of 12.2 ± 1.9 years (range from 8 years to 16 years were included in this prospective study. The test durations of SAP and FDT were similar (5.2 ± 0.5 and 5.1 ± 0.2 min, respectively, P = 0.651. MD and the PSD values obtained via FDT Matrix were significantly higher than those obtained via SAP (P < 0.001, and fixation losses and false negative errors were significantly less with SAP (P < 0.05. A weak positive correlation between the two tests in terms of MD (r = 0.352, P = 0.008 and PSD (r = 0.329, P = 0.014 was observed. Conclusion: Children were able to complete both the visual test algorithms successfully within 6 min. However, SAP testing appears to be associated with less depression of the visual field indices of healthy children. FDT Matrix and SAP should not be used interchangeably in the follow-up of children.

The similia principle: results obtained in a cellular model system.

Science.gov (United States)

Wiegant, Fred; Van Wijk, Roeland

2010-01-01

This paper describes the results of a research program focused on the beneficial effect of low dose stress conditions that were applied according to the similia principle to cells previously disturbed by more severe stress conditions. In first instance, we discuss criteria for research on the similia principle at the cellular level. Then, the homologous ('isopathic') approach is reviewed, in which the initial (high dose) stress used to disturb cellular physiology and the subsequent (low dose) stress are identical. Beneficial effects of low dose stress are described in terms of increased cellular survival capacity and at the molecular level as an increase in the synthesis of heat shock proteins (hsps). Both phenomena reflect a stimulation of the endogenous cellular self-recovery capacity. Low dose stress conditions applied in a homologous approach stimulate the synthesis of hsps and enhance survival in comparison with stressed cells that were incubated in the absence of low dose stress conditions. Thirdly, the specificity of the low dose stress condition is described where the initial (high dose) stress is different in nature from the subsequently applied (low dose) stress; the heterologous or 'heteropathic' approach. The results support the similia principle at the cellular level and add to understanding of how low dose stress conditions influence the regulatory processes underlying self-recovery. In addition, the phenomenon of 'symptom aggravation' which is also observed at the cellular level, is discussed in the context of self-recovery. Finally, the difference in efficiency between the homologous and the heterologous approach is discussed; a perspective is indicated for further research; and the relationship between studies on the similia principle and the recently introduced concept of 'postconditioning hormesis' is emphasized. Copyright 2009 The Faculty of Homeopathy. Published by Elsevier Ltd. All rights reserved.

Does an in-house internist at a GP practice result in reduced referrals to hospital-based specialist care?

Science.gov (United States)

Quanjel, Tessa C C; Winkens, Anne; Spreeuwenberg, Marieke D; Struijs, Jeroen N; Winkens, Ron A G; Baan, Caroline A; Ruwaard, Dirk

2018-03-01

Consistent evidence on the effects of specialist services in the primary care setting is lacking. Therefore, this study evaluated the effects of an in-house internist at a GP practice on the number of referrals to specialist care in the hospital setting. Additionally, the involved GPs and internist were asked to share their experiences with the intervention. A retrospective interrupted times series study. Two multidisciplinary general practitioner (GP) practices. An internist provided in-house patient consultations in two GP practices and participated in the multidisciplinary meetings. The referral data extracted from the electronic medical record system of the GP practices, including all referral letters from the GPs to specialist care in the hospital setting. The number of referrals to internal medicine in the hospital setting. This study used an autoregressive integrated moving average model to estimate the effect of the intervention taking account of a time trend and autocorrelation among the observations, comparing the pre-intervention period with the intervention period. It was found that the referrals to internal medicine did not statistically significant decrease during the intervention period. This small explorative study did not find any clues to support that an in-house internist at a primary care setting results in a decrease of referrals to internal medicine in the hospital setting. Key Points An in-house internist at a primary care setting did not result in a significant decrease of referrals to specialist care in the hospital setting. The GPs and internist experience a learning-effect, i.e. an increase of knowledge about internal medicine issues.

Labour productivity and innovation performance: the importance of internal labour flexibility practices

NARCIS (Netherlands)

Preenen, P.T.Y.; Vergeer, R.; Kraan, K.O.; Dhondt, S.

2017-01-01

This article develops and examines the idea that internal labour flexibility practices are beneficial for labour productivity and innovation performance of companies. This is tested in two studies using unique company level datasets. In Study 1, results obtained from 377 independent companies

Experiments for obtaining field influence mass particles.

CERN Document Server

Yahalomi, E

2010-01-01

Analyzing time dilation experiments the existence of a universal field interacting with moving mass particles is obtained. It is found that mass particle changes its properties depend on its velocity relative to this universal scalar field and not on its velocity relative to the laboratory. High energy proton momentum, energy and mass were calculated obtaining new results. Experiments in high energy accelerators are suggested as additional proofs for the existence of this universal field. This universal field may explain some results of other high energy experiments.

Microblogging Practices of Scientists in E-Learning: A Qualitative Approach

Directory of Open Access Journals (Sweden)

Barbara Kieslinger

2011-12-01

Full Text Available Microblogging services, in particular Twitter, have experienced an explosive uptake in the last few years with a decelerated grown rate since 2010. Apart from celebrities, PR and news agencies, the bulk of user profiles stems form private individuals. Amongst them, individual scientists have started to make use of Twitter for professional purposes. This paper presents a qualitative approach of discovering microblogging practices and obtaining rich descriptions of few cases that give a deeper insight into how Twitter is used by scientists active in the field of e-Learning and how this practice shapes their social networks. The methodological approach is based on online ethnographic studies. Therefore Grabeeter, a tool for collecting all public tweets of a person in various formats, has been adapted in order to obtain the data appropriate for a qualitative analysis following a grounded theory approach. After an analysis of the current state-of-the-art we will outline the methodological approach for our qualitative analysis that focuses on discovering tacit aspects of microblogging practices such as value or purpose. Finally the results of the online ethnographic approach and individual cases will be discussed and compared to similar studies. This work presents the explorative phase of a detailed qualitative approach towards exploring microblogging practices of scientists.

Exploring implementation practices in results-based financing: the case of the verification in Benin.

Science.gov (United States)

Antony, Matthieu; Bertone, Maria Paola; Barthes, Olivier

2017-03-14

Results-based financing (RBF) has been introduced in many countries across Africa and a growing literature is building around the assessment of their impact. These studies are usually quantitative and often silent on the paths and processes through which results are achieved and on the wider health system effects of RBF. To address this gap, our study aims at exploring the implementation of an RBF pilot in Benin, focusing on the verification of results. The study is based on action research carried out by authors involved in the pilot as part of the agency supporting the RBF implementation in Benin. While our participant observation and operational collaboration with project's stakeholders informed the study, the analysis is mostly based on quantitative and qualitative secondary data, collected throughout the project's implementation and documentation processes. Data include project documents, reports and budgets, RBF data on service outputs and on the outcome of the verification, daily activity timesheets of the technical assistants in the districts, as well as focus groups with Community-based Organizations and informal interviews with technical assistants and district medical officers. Our analysis focuses on the actual practices of quantitative, qualitative and community verification. Results show that the verification processes are complex, costly and time-consuming, and in practice they end up differing from what designed originally. We explore the consequences of this on the operation of the scheme, on its potential to generate the envisaged change. We find, for example, that the time taken up by verification procedures limits the time available for data analysis and feedback to facility staff, thus limiting the potential to improve service delivery. Verification challenges also result in delays in bonus payment, which delink effort and reward. Additionally, the limited integration of the verification activities of district teams with their routine tasks

Review of the scientific results obtained at the research reactor-booster IBR-30 and the Program of investigations at the neutron source IREN

CERN Document Server

Furman, W

2002-01-01

Brief review of the main scientific results obtained at research reactor booster IBR-30 and its predecessor IBR and IBR-1 for the period 1960 - 2001 is presented. The thesis of the scientific program for the upgrade of IBR-30 resonance neutron source IREN are adduced

Ink dating using thermal desorption and gas chromatography / mass spectrometry: comparison of results obtained in two laboratories

OpenAIRE

Koenig, A.; Bügler, J.; Kirsch, D.; Köhler, F.; Weyermann, C.

2015-01-01

Recent ink dating methods focused mainly on changes in solvent amounts occurring over time. A promising method was developed at the Landeskriminalamt of Munich using thermal desorption (TD) followed by gas chromatography / mass spectrometry (GC/MS) analysis. Sequential extractions of the phenoxyethanol present in ballpoint pen ink entries were carried out at two different temperatures. This method is applied in forensic practice and is currently implemented in several laboratories participati...

Using Internet Search Engines to Obtain Medical Information: A Comparative Study

Science.gov (United States)

Wang, Liupu; Wang, Juexin; Wang, Michael; Li, Yong; Liang, Yanchun

2012-01-01

Background The Internet has become one of the most important means to obtain health and medical information. It is often the first step in checking for basic information about a disease and its treatment. The search results are often useful to general users. Various search engines such as Google, Yahoo!, Bing, and Ask.com can play an important role in obtaining medical information for both medical professionals and lay people. However, the usability and effectiveness of various search engines for medical information have not been comprehensively compared and evaluated. Objective To compare major Internet search engines in their usability of obtaining medical and health information. Methods We applied usability testing as a software engineering technique and a standard industry practice to compare the four major search engines (Google, Yahoo!, Bing, and Ask.com) in obtaining health and medical information. For this purpose, we searched the keyword breast cancer in Google, Yahoo!, Bing, and Ask.com and saved the results of the top 200 links from each search engine. We combined nonredundant links from the four search engines and gave them to volunteer users in an alphabetical order. The volunteer users evaluated the websites and scored each website from 0 to 10 (lowest to highest) based on the usefulness of the content relevant to breast cancer. A medical expert identified six well-known websites related to breast cancer in advance as standards. We also used five keywords associated with breast cancer defined in the latest release of Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT) and analyzed their occurrence in the websites. Results Each search engine provided rich information related to breast cancer in the search results. All six standard websites were among the top 30 in search results of all four search engines. Google had the best search validity (in terms of whether a website could be opened), followed by Bing, Ask.com, and Yahoo!. The search

Effect of changes in treatment practice on survival for cervical cancer: results from a population-based study in Manitoba, Canada

International Nuclear Information System (INIS)

Kang, Yoon-Jung; O’Connell, Dianne L.; Lotocki, Robert; Kliewer, Erich V.; Goldsbury, David E.; Demers, Alain A.; Canfell, Karen

2015-01-01

Results from clinical trials in the 1990s led to changes in the recommended treatment for the standard therapy for stage IIB-IVA cervical cancer from radiotherapy alone to chemo-radiotherapy. We conducted the first population-based study in Canada to investigate temporal treatment patterns for cervical cancer and long-term survival in relation to these changes in the treatment guidelines. Detailed information on stage and treatment for 1085 patients diagnosed with cervical cancer in 1984–2008 and identified from the population-based Manitoba Cancer Registry (MCR) in Canada was obtained from clinical chart review and the MCR. Factors associated with receiving guideline treatment were identified using logistic regression. All cause and cervical cancer specific survival were compared in patients who were and were not treated as recommended in the guidelines, using Cox proportional hazards models. The median follow-up time was 6.4 years (range: 0.05–26.5 years). The proportion of women who received guideline treatment was 79 % (95 % confidence interval [CI]: 76–81 %). However, the likelihood of being treated according to the guidelines over time was modified by age (p < 0.0001) and tumour stage at diagnosis (p = 0.002). Women who were treated according to the guidelines after the change in recommended clinical practice (1999–2008) had a significantly lower risk of death from all causes and from cervical cancer. This was driven by lower mortality rates in cases with stage IIB-IVA tumours (all causes of death: hazard ratio [HR] = 0.60, 95 % CI: 0.43–0.82, p = 0.002; cervical cancer related death: HR = 0.64, 95 % CI: 0.44–0.93, p = 0.02). The management of cervical cancer patients in Manitoba, Canada was in good agreement with treatment guidelines although reasons for departure from the guideline recommendations could not be examined further due to lack of data. Treatment of stage IIB-IVA cervical cancers with recommended concurrent chemo-radiotherapy, which

Practice Change in Community Pharmacy: A Case Study of Multiple Stakeholders' Perspectives

Directory of Open Access Journals (Sweden)

Shara Elrod

2012-01-01

Full Text Available Objective: To obtain a multi-stakeholder perspective of community pharmacy practice change. Design: Qualitative study. Setting: Community pharmacy in rural Mississippi. Participants: Fourteen key stakeholders of the patient care practice including pharmacists (n=4, support staff (n=2, collaborating providers (n=4, patients (n=3, and a payer (n=1. Intervention: Semi-structured interviews and participant-observation techniques were used. Main outcome measures: Description of the community pharmacy's practice and business model and identification of practice change facilitators. Results: Change facilitators for this practice included: a positive reputation in the community, forming solid relationships with providers, and convenience of patient services. Communication in and outside of the practice, adequate reimbursement, and resource allocation were identified as challenges. Conclusions: This case study is a multi-stakeholder examination of community pharmacy practice change and readers are provided with a real-world example of a community pharmacy's successful establishment of a patient care practice.   Type: Case Study

Medical and pharmacy students' perceptions of the grading and assessment practices.

Science.gov (United States)

Kasanda, C D; Mitonga, K H; Veii, K; Zimba, R F

2013-01-01

Many students at the University of Namibia have frequently complained about ineffective assessment practices used at the institution. On many occasions, these complaints have not been substantiated with evidence of any kind. The purpose of this study was to obtain some empirical evidence that would ascertain undergraduate students' perceptions of the University of Namibia's grading and assessment practices. Using a structured scaled questionnaire, data were obtained from a representative sample of the University's undergraduate students studying for Medical and Pharmacy degrees. The questionnaire items covered matters related to students' experiences of assessment practices, feedback on assessment tasks, reliability and validity of assessment tools used by lecturers, efficacy of processes of administering examinations, perceptions of irregular and unfair assessment practices, impact of assessment regimes on students' cost of studies, motivation, morale, rate of progression in studies and graduation, the degree of compliance with assessment ethics and on academic quality assurance. According to the data reported in this article, the majority of the respondents perceived that the Schools of Medicine and Pharmacy at the University of Namibia applied assessment practices that yielded reliable and valid results. This was the case because most lecturers in the two schools used appropriate assessment tools and provided their students with prompt and informative feedback on the results of assignments, tests and examinations. In addition, most respondents reported that whereas examination procedures used in the two schools were efficient and effective, lecturers graded examination scripts fairly. These and other results are discussed in the article to communicate the message that the assessment procedures used in the Schools of Medicine and Pharmacy at the University of Namibia would promote effective learning and understanding amongst students as they were of high quality.

MEDICAL AND PHARMACY STUDENTS’ PERCEPTIONS OF THE GRADING AND ASSESSMENT PRACTICES

Directory of Open Access Journals (Sweden)

Honoré eMITONGA KABWEBWE

2013-07-01

Full Text Available Many students at the University of Namibia have frequently complained about ineffective assessment practices used at the institution. On many occasions, these complaints have not been substantiated with evidence of any kind. The purpose of this study was to obtain some empirical evidence that would ascertain undergraduate students’ perceptions of the University of Namibia’s grading and assessment practices. Using a structured scaled questionnaire, data were obtained from a representative sample of the University’s undergraduate students studying for Medical and Pharmacy degrees. The questionnaire items covered matters related to students’ experiences of assessment practices, feedback on assessment tasks, reliability and validity of assessment tools used by lecturers, efficacy of processes of administering examinations, perceptions of irregular and unfair assessment practices, impact of assessment regimes on students’ cost of studies, motivation, morale, rate of progression in studies and graduation, the degree of compliance with assessment ethics and on academic quality assurance.According to the data reported in this article, the majority of the respondents perceived that the Schools of Medicine and Pharmacy at the University of Namibia applied assessment practices that yielded reliable and valid results. This was the case because most lecturers in the two schools used appropriate assessment tools and provided their students with prompt and informative feedback on the results of assignments, tests and examinations. In addition, most respondents reported that whereas examination procedures used in the two schools were efficient and effective, lecturers graded examination scripts fairly. These and other results are discussed in the article to communicate the message that the assessment procedures used in the Schools of Medicine and Pharmacy at the University of Namibia would promote effective learning and understanding amongst students

Ordering molecular genetic tests and reporting results: practices in laboratory and clinical settings.

Science.gov (United States)

Lubin, Ira M; Caggana, Michele; Constantin, Carolyn; Gross, Susan J; Lyon, Elaine; Pagon, Roberta A; Trotter, Tracy L; Wilson, Jean Amos; McGovern, Margaret M

2008-09-01

Previous studies have suggested that patient care may be compromised as a consequence of poor communication between clinicians and laboratory professionals in cases in which molecular genetic test results are reported. To understand better the contributing factors to such compromised care, we investigated both pre- and postanalytical processes using cystic fibrosis mutation analysis as our model. We found that although the majority of test requisition forms requested patient/family information that was necessary for the proper interpretation of test results, in many cases, these data were not provided by the individuals filling out the forms. We found instances in which result reports for simulated diagnostic testing described individuals as carriers where only a single mutation was found with no comment pertaining to a diagnosis of cystic fibrosis. Similarly, reports based on simulated scenarios for carrier testing were problematic when no mutations were identified, and the patient's race/ethnicity and family history were not discussed in reference to residual risk of disease. Remarkably, a pilot survey of obstetrician-gynecologists revealed that office staff, including secretaries, often helped order genetic tests and reported test results to patients, raising questions about what efforts are undertaken to ensure personnel competency. These findings are reviewed in light of what efforts should be taken to improve the quality of test-ordering and result-reporting practices.

Gonorrhoea and Syphilis Epidemiology in Flemish General Practice 2009–2013: Results from a Registry-based Retrospective Cohort Study Compared with Mandatory Notification

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Christoph Schweikardt

2016-09-01

Full Text Available Background: The number of newly diagnosed gonorrhoea and syphilis cases has increased in Flanders in recent years. Our aim was to investigate, to which extent these diagnoses were registered by general practitioners (GPs, and to examine opportunities and limits of the Intego database in this regard. Methods: Data from a retrospective cohort study based on the Flemish Intego general practice database was analyzed for the years 2009–2013. Case definitions were applied. Due to small case numbers obtained, cases were pooled and averaged over the observation period. Frequencies were compared with those calculated from figures of mandatory notification. Results: A total of 91 gonorrhoea and 23 syphilis cases were registered. The average Intego annual frequency of gonorrhoea cases obtained was 11.9 (95% Poisson confidence interval (CI 9.6; 14.7 per 100,000 population, and for syphilis 3.0 (CI 1.9; 4.5, respectively, while mandatory notification was calculated at 14.0 (CI: 13.6, 14.4 and 7.0 (CI: 6.7, 7.3, respectively. Conclusion: In spite of limitations such as small numbers and different case definitions, comparison with mandatory notification suggests that the GP was involved in the large majority of gonorrhoea cases, while the majority of new syphilis cases did not come to the knowledge of the GP.

Process for obtaining cobalt and lanthanum nickelate

International Nuclear Information System (INIS)

Tapcov, V.; Samusi, N.; Gulea, A.; Horosun, I.; Stasiuc, V.; Petrenco, P.

1999-01-01

The invention relates to the process for obtaining polycrystalline ceramics of cobalt and lanthanum nickelate with the perovskite structure from coordinative hetero metallic compounds. The obtained products can be utilized in the industry in the capacity of catalysts. Summary of the invention consists in obtaining polycrystalline ceramics LaCoO 3 and LaNiO 3 with the perovskite structure by pyrolysis of the parent compounds, namely, the coordinative hetero metallic compounds of the lanthanum cobalt or lanthanum nickel. The pyrolysis of the parent compound runs during one hour at 800 C. The technical result of the invention consists in lowering the temperature of the parent compound pyrolysis containing the precise ratio of metals necessary for ceramics obtaining

Homeopathic medical practice: Long-term results of a cohort study with 3981 patients

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Baur Roland

2005-11-01

Full Text Available Abstract Background On the range of diagnoses, course of treatment, and long-term outcome in patients who chose to receive homeopathic medical treatment very little is known. We investigated homeopathic practice in an industrialized country under everyday conditions. Methods In a prospective, multicentre cohort study with 103 primary care practices with additional specialisation in homeopathy in Germany and Switzerland, data from all patients (age >1 year consulting the physician for the first time were observed. The main outcome measures were: Patient and physician assessments (numeric rating scales from 0 to 10 and quality of life at baseline, and after 3, 12, and 24 months. Results A total of 3,981 patients were studied including 2,851 adults (29% men, mean age 42.5 ± 13.1 years; 71% women, 39.9 ± 12.4 years and 1,130 children (52% boys, 6.5 ± 3.9 years; 48% girls, 7.0 ± 4.3 years. Ninety-seven percent of all diagnoses were chronic with an average duration of 8.8 ± 8 years. The most frequent diagnoses were allergic rhinitis in men, headache in women, and atopic dermatitis in children. Disease severity decreased significantly (p Conclusion Disease severity and quality of life demonstrated marked and sustained improvements following homeopathic treatment period. Our findings indicate that homeopathic medical therapy may play a beneficial role in the long-term care of patients with chronic diseases.

49 CFR 385.321 - What failures of safety management practices disclosed by the safety audit will result in a...

Science.gov (United States)

2010-10-01

... disclosed by the safety audit will result in a notice to a new entrant that its USDOT new entrant... MOTOR CARRIER SAFETY REGULATIONS SAFETY FITNESS PROCEDURES New Entrant Safety Assurance Program § 385.321 What failures of safety management practices disclosed by the safety audit will result in a notice...

Improving access for patients – a practice manager questionnaire

Directory of Open Access Journals (Sweden)

Brown James S

2006-06-01

Full Text Available Abstract Background The administrative and professional consequences of access targets for general practices, as detailed in the new GMS contract, are unknown. This study researched the effect of implementing the access targets of the new GP contract on general practice appointment systems, and practice manager satisfaction in a UK primary health care setting. Methods A four-part postal questionnaire was administered. The questionnaire was modified from previously validated questionnaires and the findings compared with data obtained from the Western Health and Social Services Board (WHSSB in N Ireland. Practice managers from the 59 general practices in the WHSSB responded to the questionnaire. Results There was a 94.9% response rate. Practice managers were generally satisfied with the introduction of access targets for patients. Some 57.1% of responding practices, most in deprived areas (Odds ratio 3.13 -95% CI 1.01 – 9.80, p = 0.0256 had modified their appointment systems. Less booking flexibility was reported among group practices (p = 0.006, urban practices (p Conclusion The findings demonstrated the ability of general practices within the WHSSB to adjust to a demanding component of the new GP contract. Issues relating to the flexibility of patient appointment booking systems, receptionists' training and the development of the primary care nursing role were highlighted by the study.

12 CFR 208.83 - Prohibited practices.

Science.gov (United States)

2010-01-01

... STATE BANKING INSTITUTIONS IN THE FEDERAL RESERVE SYSTEM (REGULATION H) Consumer Protection in Sales of... practice that would lead a consumer to believe that an extension of credit, in violation of section 106(b... agreement by the consumer not to obtain, or a prohibition on the consumer from obtaining, an insurance...

12 CFR 14.30 - Prohibited practices.

Science.gov (United States)

2010-01-01

... and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY CONSUMER PROTECTION IN SALES OF... engage in any practice that would lead a consumer to believe that an extension of credit, in violation of...) An agreement by the consumer not to obtain, or a prohibition on the consumer from obtaining, an...

12 CFR 536.30 - Prohibited practices.

Science.gov (United States)

2010-01-01

... Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY CONSUMER PROTECTION IN SALES... in any practice that would lead a consumer to believe that an extension of credit, in violation of... agreement by the consumer not to obtain, or a prohibition on the consumer from obtaining, an insurance...

Radiation doses by therapeutical practices with iodine 131

International Nuclear Information System (INIS)

Di Trano, J.L.; Rojo, A.M.; Gomez Parada, I.M.; Grassi, E.; Gatica, N.; Kunst, J.J.; Gonzalez, M.

1998-01-01

The aim of this document is to estimate the doses to workers and public due to therapeutical practices with iodine 131. Environmental and personal doses by external irradiation were determined using thermoluminescent dosimeters (TLD). The environmental dosimetry resulted in an equivalent dose H * (10) of approximately 0,1 mSv. The calculated personal equivalent dose Hp (10) was of the order of 0,1 mSv. The exposition rate was measured, being the values obtained in the range of 0,20 and 0,35 mSv/h. (1m from the abdominal wall). Concentrations of iodine 131 were determinate in the air of the room, during the first day in the hospital. Values obtained were between 0,04 Bq/l and 0,20 Bq/l. Surface samples were taken in the service, obtaining levels of contamination in the range of 0,001 and 0,4 Bq/cm 2 . The surface samples obtained in the hospital room were about 0,15 Bq/cm 2 . Urine samples were collected resulting in an eliminated activity of iodine 131, during the first 24 hours, of about 60 % of the administered activity. Samples of sweat of different cutaneous regions were obtained, the maximum values of the activity measured reached 200 Bq/cm 2 . According to the obtained results it is important to elaborate guides to be given to patients as an instrument to reduce the external exposure and to avoid internal contamination. (author)

The actual role of general practice in the Dutch health-care system: results of the Second Dutch National Survey of General Practice.

NARCIS (Netherlands)

Schellevis, F.G.; Westert, G.P.; Bakker, D.H. de

2005-01-01

A second Dutch National Survey of General Practice was carried out in 2001 with the aim of providing actual information about the role of general practice in the Dutch health-care system for researchers and policy makers. Data were collected on different levels (patients, general practitioners,

Comparative analysis of the results obtained by computer code ASTEC V2 and RELAP 5.3.2 for small leak ID 80 for VVER 1000

International Nuclear Information System (INIS)

Atanasova, B.; Grudev, P.

2011-01-01

The purpose of this report is to present the results obtained by simulation and subsequent analysis of emergency mode for small leak with ID 80 for WWER 1000/B320 - Kozloduy NPP Units 5 and 6. Calculations were performed with the ASTEC v2 computer code used for calculation of severe accident, which was designed by French and German groups - IRSN and GRS. Integral RELAP5 computer code is used as a reference for comparison of results. The analyzes are focused on the processes occurring in reactor internals phase of emergency mode with significant core damage. The main thermohydraulic parameters, start of reactor core degradation and subsequent fuel relocalization till reactor vessel failure are evaluated in the analysis. RELAP5 computer code is used as a reference code to compare the results obtained till early core degradation that occurs after core stripping and excising of fuel temperature above 1200 0 C

Validity and Reliability of Scores Obtained on Multiple-Choice Questions: Why Functioning Distractors Matter

Science.gov (United States)

Ali, Syed Haris; Carr, Patrick A.; Ruit, Kenneth G.

2016-01-01

Plausible distractors are important for accurate measurement of knowledge via multiple-choice questions (MCQs). This study demonstrates the impact of higher distractor functioning on validity and reliability of scores obtained on MCQs. Freeresponse (FR) and MCQ versions of a neurohistology practice exam were given to four cohorts of Year 1 medical…

Using Internet search engines to obtain medical information: a comparative study.

Science.gov (United States)

Wang, Liupu; Wang, Juexin; Wang, Michael; Li, Yong; Liang, Yanchun; Xu, Dong

2012-05-16

The Internet has become one of the most important means to obtain health and medical information. It is often the first step in checking for basic information about a disease and its treatment. The search results are often useful to general users. Various search engines such as Google, Yahoo!, Bing, and Ask.com can play an important role in obtaining medical information for both medical professionals and lay people. However, the usability and effectiveness of various search engines for medical information have not been comprehensively compared and evaluated. To compare major Internet search engines in their usability of obtaining medical and health information. We applied usability testing as a software engineering technique and a standard industry practice to compare the four major search engines (Google, Yahoo!, Bing, and Ask.com) in obtaining health and medical information. For this purpose, we searched the keyword breast cancer in Google, Yahoo!, Bing, and Ask.com and saved the results of the top 200 links from each search engine. We combined nonredundant links from the four search engines and gave them to volunteer users in an alphabetical order. The volunteer users evaluated the websites and scored each website from 0 to 10 (lowest to highest) based on the usefulness of the content relevant to breast cancer. A medical expert identified six well-known websites related to breast cancer in advance as standards. We also used five keywords associated with breast cancer defined in the latest release of Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT) and analyzed their occurrence in the websites. Each search engine provided rich information related to breast cancer in the search results. All six standard websites were among the top 30 in search results of all four search engines. Google had the best search validity (in terms of whether a website could be opened), followed by Bing, Ask.com, and Yahoo!. The search results highly overlapped between the

Best Practice Life Expectancy

DEFF Research Database (Denmark)

Medford, Anthony

2017-01-01

been reported previously by various authors. Though remarkable, this is simply an empirical observation. Objective: We examine best-practice life expectancy more formally by using extreme value theory. Methods: Extreme value distributions are fit to the time series (1900 to 2012) of maximum life......Background: Whereas the rise in human life expectancy has been extensively studied, the evolution of maximum life expectancies, i.e., the rise in best-practice life expectancy in a group of populations, has not been examined to the same extent. The linear rise in best-practice life expectancy has...... expectancies at birth and age 65, for both sexes, using data from the Human Mortality Database and the United Nations. Conclusions: Generalized extreme value distributions offer a theoretically justified way to model best-practice life expectancies. Using this framework one can straightforwardly obtain...

Process Skill Assessment Instrument: Innovation to measure student’s learning result holistically

Science.gov (United States)

Azizah, K. N.; Ibrahim, M.; Widodo, W.

2018-01-01

Science process skills (SPS) are very important skills for students. However, the fact that SPS is not being main concern in the primary school learning is undeniable. This research aimed to develop a valid, practical, and effective assessment instrument to measure student’s SPS. Assessment instruments comprise of worksheet and test. This development research used one group pre-test post-test design. Data were obtained with validation, observation, and test method to investigate validity, practicality, and the effectivenss of the instruments. Results showed that the validity of assessment instruments is very valid, the reliability is categorized as reliable, student SPS activities have a high percentage, and there is significant improvement on student’s SPS score. It can be concluded that assessment instruments of SPS are valid, practical, and effective to be used to measure student’s SPS result.

Obtaining of ceramics biphasic dense and porous

International Nuclear Information System (INIS)

Pallone, E.M.J.A.; Rigo, E.C.S.; Fraga, A.F.

2010-01-01

Among the bioceramic hydroxyapatite (HAP) and beta-tricalcium phosphate (beta-TCP) are materials commonly used in biomedical field. Their combined properties result in a material with absorbable and at the same time with bioactive surface. Called biphasic ceramics such materials respond more quickly when exposed to physiological environment. In this work, powders of HAP/beta-TCP were obtained by chemical precipitation. After obtaining the post-phase was added at a ratio of 0, 15% and 30w% aqueous solutions of corn starch in order to obtain porous bodies. After mixing the resulting solutions were dried, resigned in tablet form and sintered at 1300 deg C. The initial powder was characterized by X-ray diffraction with Rietveld refinement to quantify the phases present. Bodies-of-evidence has been characterized by calculating the bulk density, X-ray diffraction (XRD), scanning electron microscopy and diametral compression. (author)

Profile and results of frail patient assessed by advanced practice nursing in an Emergency Department.

Science.gov (United States)

Solé-Casals, Montserrat; Chirveches-Pérez, Emilia; Puigoriol-Juvanteny, Emma; Nubó-Puntí, Núria; Chabrera-Sanz, Carolina; Subirana-Casacuberta, Mireia

2017-06-02

To describe the profile of patients evaluated by Nurse Care Management in an Emergency Department and identify the type of alternative healthcare resource assigned and report the results of clinical practice. Prospective follow-up, on admission to the Emergency Department in an acute hospital and on discharge from the alternative healthcare resource, of patients assessed by Nurse Care Management, from July to December 2015. The patient characteristics, social environment and results of clinical practice were studied. 190 patients were included of whom 13 were readmitted (6.8%). 122 (59.8%) cases from the Emergency Department were referred to to intermediate care facilities, 71 (34.8%) cases for domiciliary care, 10 (4.9%) cases were referred to an acute care hospital and 1 (0.5%) died. Patients referred to intermediate care were more complex, presented geriatric syndromes as their reason for admission and diagnosed with dementia, while those referred to home care presented more respiratory and cardiovascular illnesses (p <0.05). The mean Barthel Index and polypharmacy before emergency admission were higher than at the time of discharge from the alternative healthcare resource (p <0.05). Patients presenting with advanced age, complexity, comorbidity, are referred to intermediate care facilities or domiciliary care, they are admitted to acute care hospitasl and are readmitted less than other patients. After being discharged from the alternative resource, they lose functional capacity and present less polypharmacy. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

Practical applications of radiative wireless power transfer

NARCIS (Netherlands)

Pflug, H.; Visser, H.J.; Keyrouz, S.

2015-01-01

For practical use of radiative wireless power transfer (WPT), it is necessary to design a system which is able to supply circuits with a dynamic loading characteristic. In this paper we present a practical way to obtain efficiency and dc output power characteristics of a WPT system. An Avago

Preliminary Results from Duplex Procedure for Obtain of Fe Based Materials for Automotive Applications

Science.gov (United States)

Crăciun, R. C.; Stanciu, S.; Geantă, V.; Voiculescu, I.; Manole, V.; Gârneţ, I. A.; Alexandru, A.; Cimpoesu, N.; Săndulache, F.

2017-06-01

Abstract Iron based materials still represent a high percentage from metallic materials used in industry, in general, and in automotive industry, in particular. In this case we used a duplex process in order to obtain the FeMnSiAl experimental alloy for a more efficient use of various units. In the first stage iron, manganese, silicon and aluminum were melted and mixed together using arc melting technology and for the second stage the alloy was re-melt for homogeneity in an induction furnace. Chemical composition, after each melting step, was analyzed using EDS Bruker detector for various areas and microstructural characterization using SEM, VegaTescan LMH II with SE detector, equipment. This alloy is proposed as a metallic approach of mechanical dumpers used in automotive industry for low and medium impact contacts.

Parenting practices and their relevance to child behaviors in Canada and China.

Science.gov (United States)

Liu, Mowei; Guo, Feng

2010-04-01

Recent studies have revealed that parents in different cultures endorse different child-rearing practices. Studies in the West suggest that there is a cluster of behavioral characteristics in children that are linked with each type of parenting styles. Mixed results, however, were found in non-Western countries. This study examined (1) parenting practices in Canadian and Chinese mothers, and (2) the relevance between parenting practices and child behaviors in Canada and China. Forty Canadian children (average age = 5.40) and 39 Chinese children (average age = 4.84) and their mothers participated in the study. Information on maternal authoritative and authoritarian behaviors and children's behaviors, including coercive request, polite request, and assertiveness, was obtained from observations of mother-child interactions in a laboratory situation. The results indicated that Chinese mothers were less authoritative and more authoritarian than Canadian mothers. Both cross-cultural differences and similarities were found on the associations between maternal parenting practices and child behaviors.

Younger people with Type 2 diabetes have poorer self-care practices compared with older people: results from the Australian National Diabetes Audit.

Science.gov (United States)

Nanayakkara, N; Pease, A J; Ranasinha, S; Wischer, N; Andrikopoulos, S; de Courten, B; Zoungas, S

2018-05-05

This cross-sectional study compares the self-care practices of younger and older people with Type 2 diabetes. Data were analysed from the Australian National Diabetes Audit (ANDA) including 2552 adults with Type 2 diabetes from Australian Diabetes Centres. Pre-specified demographic and clinical variables were obtained. Self-care variables (physical activity, following dietary recommendations, medication adherence and monitoring blood glucose levels) were compared in people ≤ 64 and > 64 years of age. Mean age (± sd) of participants was 63 ± 13 years overall, 53 ± 9 years for the younger group and 73 ± 6 years for the older group. A greater proportion of younger people had HbA 1c levels > 53 mmol/mol (> 7.0%) (76% vs. 68%), reported difficulty following dietary recommendations (50% vs. 32%) and forgetting medications (37% vs. 22%) compared with older people (all P-values  64 years required insulin therapy (59% vs. 57%, P = 0.200). Younger age was associated with a twofold increase in the odds of not following the recommended self-care practices after adjustment for gender, smoking, insulin therapy, depression and allied health attendance (all P < 0.001). Despite shorter diabetes duration, younger age was associated with worse glycaemic control and poorer diabetes self-care practices among people with Type 2 diabetes. Targeted strategies are required to optimize diabetes self-care practices and thereby glycaemic control. © 2018 Diabetes UK.

Governance of professional nursing practice in a hospital setting: a mixed methods study

Directory of Open Access Journals (Sweden)

José Luís Guedes dos Santos

2015-12-01

Full Text Available Objective: to elaborate an interpretative model for the governance of professional nursing practice in a hospital setting. Method: a mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding. Results: based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills. Conclusion: it is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

Substance use and dietary practices among students attending alternative high schools: results from a pilot study

Directory of Open Access Journals (Sweden)

Hannan Peter J

2011-04-01

Full Text Available Abstract Background Substance use and poor dietary practices are prevalent among adolescents. The purpose of this study was to examine frequency of substance use and associations between cigarette, alcohol and marijuana use and selected dietary practices, such as sugar-sweetened beverages, high-fat foods, fruits and vegetables, and frequency of fast food restaurant use among alternative high school students. Associations between multi-substance use and the same dietary practices were also examined. Methods A convenience sample of adolescents (n = 145; 61% minority, 52% male attending six alternative high schools in the St Paul/Minneapolis metropolitan area completed baseline surveys. Students were participants in the Team COOL (Controlling Overweight and Obesity for Life pilot study, a group randomized obesity prevention pilot trial. Mixed model multivariate analyses procedures were used to assess associations of interest. Results Daily cigarette smoking was reported by 36% of students. Cigarette smoking was positively associated with consumption of regular soda (p = 0.019, high-fat foods (p = 0.037, and fast food restaurant use (p = 0.002. Alcohol (p = 0.005 and marijuana use (p = 0.035 were positively associated with high-fat food intake. With increasing numbers of substances, a positive trend was observed in high-fat food intake (p = 0.0003. There were no significant associations between substance use and fruit and vegetable intake. Conclusions Alternative high school students who use individual substances as well as multiple substances may be at high risk of unhealthful dietary practices. Comprehensive health interventions in alternative high schools have the potential of reducing health-compromising behaviors that are prevalent among this group of students. This study adds to the limited research examining substance use and diet among at-risk youth. Trial registration number ClinicalTrials.gov: NCT01315743

Most recent developments in combined radium and high voltage therapy of uterine tumours as shown by the results obtained at the municipal hospital Passau

International Nuclear Information System (INIS)

Moos, G.

1987-01-01

It was the aim of the study described here to review data on healing successes achieved in malignant changes of the uterus. The results obtained were analysed on the bais of tumour stage and, in particular, the radiation dose actually administered. It could be shown that the treatment results currently achieved at this clinic are in keeping with relevant patient data collected previously or by other centres. (orig./MG) [de

Fermentation Results and Chemical Composition of Agricultural Distillates Obtained from Rye and Barley Grains and the Corresponding Malts as a Source of Amylolytic Enzymes and Starch.

Science.gov (United States)

Balcerek, Maria; Pielech-Przybylska, Katarzyna; Dziekońska-Kubczak, Urszula; Patelski, Piotr; Strąk, Ewelina

2016-10-01

The objective of this study was to determine the efficiency of rye and barley starch hydrolysis in mashing processes using cereal malts as a source of amylolytic enzymes and starch, and to establish the volatile profile of the obtained agricultural distillates. In addition, the effects of the pretreatment method of unmalted cereal grains on the physicochemical composition of the prepared mashes, fermentation results, and the composition of the obtained distillates were investigated. The raw materials used were unmalted rye and barley grains, as well as the corresponding malts. All experiments were first performed on a semi-technical scale, and then verified under industrial conditions in a Polish distillery. The fermentable sugars present in sweet mashes mostly consisted of maltose, followed by glucose and maltotriose. Pressure-thermal treatment of unmalted cereals, and especially rye grains, resulted in higher ethanol content in mashes in comparison with samples subjected to pressureless liberation of starch. All agricultural distillates originating from mashes containing rye and barley grains and the corresponding malts were characterized by low concentrations of undesirable compounds, such as acetaldehyde and methanol. The distillates obtained under industrial conditions contained lower concentrations of higher alcohols (apart from 1-propanol) than those obtained on a semi-technical scale.

Fermentation Results and Chemical Composition of Agricultural Distillates Obtained from Rye and Barley Grains and the Corresponding Malts as a Source of Amylolytic Enzymes and Starch

Directory of Open Access Journals (Sweden)

Maria Balcerek

2016-10-01

Full Text Available The objective of this study was to determine the efficiency of rye and barley starch hydrolysis in mashing processes using cereal malts as a source of amylolytic enzymes and starch, and to establish the volatile profile of the obtained agricultural distillates. In addition, the effects of the pretreatment method of unmalted cereal grains on the physicochemical composition of the prepared mashes, fermentation results, and the composition of the obtained distillates were investigated. The raw materials used were unmalted rye and barley grains, as well as the corresponding malts. All experiments were first performed on a semi-technical scale, and then verified under industrial conditions in a Polish distillery. The fermentable sugars present in sweet mashes mostly consisted of maltose, followed by glucose and maltotriose. Pressure-thermal treatment of unmalted cereals, and especially rye grains, resulted in higher ethanol content in mashes in comparison with samples subjected to pressureless liberation of starch. All agricultural distillates originating from mashes containing rye and barley grains and the corresponding malts were characterized by low concentrations of undesirable compounds, such as acetaldehyde and methanol. The distillates obtained under industrial conditions contained lower concentrations of higher alcohols (apart from 1-propanol than those obtained on a semi-technical scale.

Perceived concern about the new strain of the influenza and obtaining the vaccine in China, Japan and South Korea.

Science.gov (United States)

Kamimura, Akiko; Armenta, Bianca A; Nourian, Maziar M; Wright, Lindsey; Rathi, Naveen; Chernenko, Alla

This study compares the factors, which influence individuals from the countries of China, Japan and South Korea to obtain any type of influenza vaccines and their perceived concerns about the new strain of the influenza - pandemic (H1N1) 2009. The data analyzed was from the East Asian Social Survey (EASS), Cross-National Survey Data Sets: Health and Society in East Asia, 2010 (ICPSR 34608) (N=7938). The results of this study suggest that individuals who are concerned about the new strain of influenza are more likely to have obtained influenza vaccine. In these countries, perceived concerns may be directly related to vaccine-related behaviors. The results of this study also indicate that there are variations within each country regarding as to why individuals do or do not obtain the influenza vaccine. Over all, this project provides new insights about the acquisition of the influenza vaccine within China, Japan and South Korea, which will be useful for medical practice within these countries and future research. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

A grounded-theory investigation of patient education in physical therapy practice.

Science.gov (United States)

Rindflesch, Aaron B

2009-04-01

Patient education is a critical component of physical therapy and is used frequently in practice. Research describing the practice of patient education in physical therapy is scarce, however. Qualitative research methods can be used to describe the practice of patient education in physical therapy and to identify supportive theory. This study describes the practice of patient education grounded in data obtained from nine physical therapists in three settings: outpatient, acute care, and inpatient rehabilitation. From the data common themes are reported. From the themes, supportive theory can be identified. Results show four primary themes regarding patient education in physical therapy. First, the physical therapists in this study were not able to easily differentiate patient education from primary interventions. Second, the purpose of patient education was to empower patients toward self-management and prevention. Third, therapists used a patient-centered approach to decide upon content. Finally, each therapist used function or demonstration to assess the outcome of patient education interventions. The results of this study can be used to inform current practitioners, for future research and to identify theoretical underpinnings to support the practice of patient education in physical therapy.

Application of The APA Practice Guidelines on Suicide to Clinical Practice.

Science.gov (United States)

Jacobs, Douglas G; Brewer, Margaret L

2006-06-01

This article presents charts from The American Psychiatric Association Practice Guideline for the Assessment and Treatment of Patients with Suicidal Behaviors, part of the Practice Guidelines for the Treatment of Psychiatric Disorders Compendium, and a summary of the assessment information in a format that can be used in routine clinical practice. Four steps in the assessment process are presented: the use of a thorough psychiatric examination to obtain information about the patient's current presentation, history, diagnosis, and to recognize suicide risk factors therein; the necessity of asking very specific questions about suicidal ideation, intent, plans, and attempts; the process of making an estimation of the patient's level of suicide risk is explained; and the use of modifiable risk and protective factors as the basis for treatment planning is demonstrated. Case reports are used to clarify use of each step in this process.

Design, operational experiences and beam results obtained with the SNS H- ion source and LEBT at Berkeley Lab

International Nuclear Information System (INIS)

Keller, R.; Thomae, R.; Stockli, M.; Welton, R.

2002-01-01

The ion source and Low-Energy Transport (LEBT) system that will provide H - ion beams to the Spallation Neutron Source (SNS)** Front End and the accelerator chain have been developed into a mature unit that fully satisfies the operational requirements through the commissioning and early operating phases of SNS. Compared to the early R and D version, many features of the ion source have been improved, and reliable operation at 6% duty factor has been achieved producing beam currents in the 35-mA range and above. LEBT operation proved that the purely electrostatic focusing principle is well suited to inject the ion beam into the RFQ accelerator, including the steering and pre-chopping functions. This paper will discuss the latest design features of the ion source and LEBT, give performance data for the integrated system, and report on commissioning results obtained with the SNS RFQ and Medium-Energy Beam Transport (MEBT) system. Prospects for further improvements will be outlined in concluding remarks

Knowledge, attitudes and practices of HIV-positive patients regarding disclosure of HIV results at Betesda Clinic in Namibia

Directory of Open Access Journals (Sweden)

Penelope Tom

2013-02-01

Full Text Available Background: This study examined the practices, knowledge, attitudes, and the reasons for disclosure and non-disclosure of HIV-positive patients with regard to the disclosure of HIV results at Betesda Clinic in Windhoek, Namibia.Objectives: The objectives of the study were to determine knowledge, attitudes, and practices of HIV-positive patients regarding the disclosure of HIV status at Betesda Clinic in Namibia, and to determine the reasons for disclosure and non-disclosure.Methods: This was a cross-sectional descriptive study and 263 HIV-positive patients were enrolled in the study.Results: Analyses revealed that knowledge on disclosure was good, with 68% who thought it was important. The majority (73% have disclosed and 60% disclosed within 1 week of receiving their results. The most common reasons for disclosure were that 32% needed help, 25% wanted his or her partner to go for testing, and 20% wanted to let relatives know. Reasons for non-disclosure were mainly the fear of gossip (79%. Seventy-three per cent had disclosed to their partners, and 23% had disclosed to more than one person. People’s reactions were supportive in 43%, whereas 29% understood, 9% accepted and 6% were angry. Upon disclosure 40% received help, 24% of partners were tested, 23% received psychological support and 5% were stigmatised. Disclosure was higher amongst the married and cohabitating.Conclusion: The attitude was positive with regard to knowledge of disclosure, with most participants thinking that disclosure was important and good. The attitudes and actual practices of disclosure were encouraging; however, people are disclosing only to trustedindividuals in the society and the fear of stigma is still present although the actual stigma was very low.

Type II diabetes and its therapy in clinical practice - results from the standardised non-interventional registry SIRTA.

Science.gov (United States)

Gallwitz, B; Kusterer, K; Hildemann, S; Fresenius, K

2014-12-01

Modern antidiabetic therapies should achieve low HbA1c values and avoid hypoglycaemic complications. The registry SIRTA included 1522 patients with type II diabetes mellitus (T2DM) from 306 German medical practices. Patients had an HbA1c > 6.5% under the maximum tolerated metformin dose. If required, they received combination therapy with other antidiabetics according to the guideline of the German Diabetes Society [Deutsche Diabetes Gesellschaft (DDG)] or usual medical practice. Patients were followed up for 6 months. The target criteria included the achievement of HbA1c target values and the emergence of severe hypoglycaemic episodes. Most patients (64.0%) were planned to achieve an HbA1c target < 6.5%, the standard target recommended by the 2009 DDG guideline valid throughout the registry. Primarily to reduce the individual risk for hypoglycaemia, 32.4% of patients had a less strict HbA1c-target of 6.5-7.0%. These targets were achieved by 31.3% and 44.3% of patients, respectively. Combination therapies increased from 45% to 56% over the 6 months registry. Four patients had severe hypoglycaemias (0.26%). The registry confirms results from other epidemiologic studies on the therapy of T2DM in everyday practice. The treatment strategies applied effectively reduced blood glucose and avoided severe hypoglycaemias. An early therapy of insufficiently controlled patients with T2DM is important, as lower baseline values facilitated achieving HbA1c targets. © 2014 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd.

Evaluation of quinua lines obtained trough mutagenesis and conventional methods

International Nuclear Information System (INIS)

De la Cruz, E.; Garcia, J. M; Gonzalez, J.; Brunner, I.; Rubluo, A.; Guadarrama, S

2001-01-01

Chenopodium quinoa is an ancient crop that due to its hardiness, nutritive value, and ability to strive under marginal conditions is considered as a crop for modern times, considering the current demands of highly nutritive products obtained through sustainable agricultural practices. The research on quinua began in Mexico in the early eighties, considering it as an alternative crop to peasants living in impoverished regions, characterised by marginal soils. Research institutions such as the Instituto de Investigacion Agricola del Estado de Mexico (ICAMEX), Colegio de Postgraduados and Universidad Autonoma Chapingo, began to evaluate varieties from South-America and eventually established a breeding programme on quinua. One goal of the quinua research programme in Mexico is the reduction of saponin content, so a mutation breeding approach was designed in the early nineties being the Instituto Nacional de Investigaciones Nucleares (ININ) involved. In the 1999-2000 period, field trials of low saponin putative mutants obtained through irradiation of Barandales variety were performed, including also elite lines supplied by the National Germplasm Bank (NGB) at Chapingo, Mexico. The results from this trials indicate that the low saponin content character in the putative mutants remains in the M5 generation. Also eleven early maturing lines were detected. Climatic conditions prevalent in that period exhibited the resistance of quinua to spring frosts, furthermore, the evaluation of advanced lines from the (NGB) showed high variability regarding to morphological, agronomic and seed quality characters which Hill allow us to advance in the search for superior quinua lines

Results obtained using the pellet charge exchange diagnostic on TFTR

International Nuclear Information System (INIS)

McChesney, J.M.; Fisher, R.K.; Parks, P.B.; Duong, H.H.; Mansfield, D.K.; Medley, S.S.; Roquemore, A.L.; Petrov, M.P.

1994-05-01

Experiments are underway on TFTR to measure the confined alpha particle distribution functions using small low-Z pellets injected into the plasma. Upon entering the plasma, the pellet ablates, forming a plasma ablation cloud, elongated in the magnetic field direction, that travels alongside the pellet. A small fraction of the fusion produced 3.5 MeV alpha particles incident on the cloud are converted to helium neutrals. By measuring the resultant helium neutrals escaping from the plasma by means of a mass and energy resolving charge exchange analyzer, the energy distribution of the alpha particles incident on the cloud can be inferred. Preliminary experiments to observe neutrals from the 100-1000 keV He tail produced during ICRF minority heating experiments were successful. However, no significant alpha particle signals have been observed during D-T operation on TFTR. The authors attribute this lack of signal to stochastic toroidal field ripple loss in the outer regions of the plasma. They are studying ways to improve the pellet penetration so that the pellet penetrates into the central regions of the plasma where ripple induced losses are small and the alpha population is high

Burden of diseases estimates associated to different red meat cooking practices

DEFF Research Database (Denmark)

Berjia, Firew Lemma; Poulsen, Morten; Nauta, Maarten

2014-01-01

. The aim of this study is to compare the burden of disease estimate attributed to red meat consumption processed using different cooking practices.The red meat cooking practices were categorized into three: (A) barbecuing/grilling; (B) frying/broiling and (C) roasting/baking. The associated endpoints......, affected population, intake and dose–response data are obtained by literature survey. The selected endpoints are four types of cancer: colorectal, prostate, breast and pancreatic. The burden of disease per cooking practice, endpoint, sex and age is estimated in the Danish population, using disability...... adjusted life years (DALY) as a common health metric.The results reveal that the consumption of barbecued red meat is associated with the highest disease burden, followed by fried red meat and roasted red meat.The method used to quantify the difference in disease burden of different cooking practices can...

Practical models to estimate horizontal irradiance in clear sky conditions: Preliminary results

Energy Technology Data Exchange (ETDEWEB)

Salazar, German A.; Hernandez, Alejandro L.; Saravia, Luis R. [Department of Physics, School of Exact Sciences, National University of Salta, Bolivia Avenue 5150, 4400 Salta Capital (Argentina); INENCO (Institute of Non Conventional Energy Research), Bolivia Avenue 5150, 4400 Salta Capital (Argentina)

2010-11-15

The Argentinean Northwest (ANW) is a high altitude region located alongside Los Andes Mountains. The ANW is also one of the most insolated regions in the world due to its altitude and particular climate. However, the characterization of the solar resource in the region is incomplete as there are no stations to measure solar radiation continuously and methodically. With irradiance data recently having been measured at three sites in the Salta Province, a study was carried out that resulted in a practical model to quickly and efficiently estimate the horizontal irradiance in high altitude sites in clear sky conditions. This model uses the altitude above sea level (A) as a variable and generates a representative clearness index as a result (k{sub t-R}) that is calculated for each site studied. This index k{sub t-R} is then used with the relative optical air mass and the extraterrestrial irradiance to estimate the instantaneous clearness index (k{sub t}). Subsequently, the index k{sub t-R} is corrected by introducing the atmospheric pressure in the definition of relative optical air mass proposed by Kasten. The results are satisfactory as errors in the irradiance estimations with respect to measured values do not exceed 5% for pressure corrected air masses AM{sub c} < 2. This model will be used in a feasibility study to locate sites for the installation of solar thermal power plants in the ANW. A prototype of a CLFR solar power plant is being built in the INENCO Campus, at the National University of Salta. (author)

Best-practice life expectancy: An extreme value approach

Directory of Open Access Journals (Sweden)

Anthony Medford

2017-03-01

Full Text Available Background: Whereas the rise in human life expectancy has been extensively studied, the evolution of maximum life expectancies, i.e., the rise in best-practice life expectancy in a group of populations, has not been examined to the same extent. The linear rise in best-practice life expectancy has been reported previously by various authors. Though remarkable, this is simply an empirical observation. Objective: We examine best-practice life expectancy more formally by using extreme value theory. Methods: Extreme value distributions are fit to the time series (1900 to 2012 of maximum life expectancies at birth and age 65, for both sexes, using data from the Human Mortality Database and the United Nations. Conclusions: Generalized extreme value distributions offer a theoretically justified way to model best-practice life expectancies. Using this framework one can straightforwardly obtain probability estimates of best-practice life expectancy levels or make projections about future maximum life expectancy. Comments: Our findings may be useful for policymakers and insurance/pension analysts who would like to obtain estimates and probabilities of future maximum life expectancies.

State Blood Alcohol Concentration (BAC) Testing and Reporting for Drivers Involved in Fatal Crashes : Current Practices, Results, and Strategies, 1997-2009

Science.gov (United States)

2012-08-01

This report documents current State blood alcohol concentration (BAC) testing and reporting practices and results for drivers involved in fatal crashes. It summarizes known BAC results by State for the years 1997 to 2009 for both fatally injured and ...

Results of a survey regarding irradiation of internal mammary chain in patients with breast cancer: practice is culture driven rather than evidence based.

Science.gov (United States)

Taghian, Alphonse; Jagsi, Reshma; Makris, Andreas; Goldberg, Saveli; Ceilley, Elizabeth; Grignon, Laurent; Powell, Simon

2004-11-01

To examine the self-reported practice patterns of radiation oncologists in North America and Europe regarding radiotherapy to the internal mammary lymph node chain (IMC) in breast cancer patients. A survey questionnaire was sent in 2001 to physician members of the American Society for Therapeutic Radiology and Oncology and European Society for Therapeutic Radiology and Oncology regarding their management of breast cancer. Respondents were asked whether they would treat the IMC in several clinical scenarios. A total of 435 responses were obtained from European and 702 responses from North American radiation oncologists. Respondents were increasingly likely to report IMC irradiation in scenarios with greater axillary involvement. Responses varied widely among different European regions, the United States, and Canada (p variation in attitudes regarding treatment of the IMC. The international patterns of variation mirror the divergent conclusions of studies conducted in the different regions, indicating that physicians may rely preferentially on evidence from local studies when making difficult treatment decisions. These variations in self-reported practice patterns indicate the need for greater data in this area, particularly from international cooperative trials. The cultural predispositions documented in this study are important to recognize, because they may continue to affect physician attitudes and practices, even as greater evidence accumulates.

Purification of alcohol obtained from molasses

Energy Technology Data Exchange (ETDEWEB)

Visnevskaya, G L; Egorov, A S; Sokol' skaya, E V

1960-01-01

A study of the composition of alcohol liquids on different plates of a fractionation column of indirect action during purification of alcohol obtained from normal and defective molasses, and from starch raw material, showed that there were two local strength minima in the lower part of the column and on the plates (adjacent and feed). Aldehydes behaved as a typical head impurity; a noticeable increase in their concentration occurred only on the highest plates in the fractionation column. In the zone of the column containing liquids of a strength of 86 to 94% alcohol by weight a sharply pronounced local maximum of ester accumulation were observed, provisionally designated as intermediate, whose presence is apparently one of the causes of the specific sharp taste of alcohol obtained from molasses. These esters hinder the obtaining of high-grade alcohols which are standard in respect to ester content and oxidizability test. Reduction with 0.05N KMnO/sub 4/ occurs most rapidly with alcohol liquids in the zone of ester accumulation; purification of alcohols obtained from grain and potato raw material resulted in no zones of ester accumulation in the column.

Meditation-related activations are modulated by the practices needed to obtain it and by the expertise: an ALE meta-analysis study

Science.gov (United States)

Tomasino, Barbara; Fregona, Sara; Skrap, Miran; Fabbro, Franco

2013-01-01

The brain network governing meditation has been studied using a variety of meditation practices and techniques practices eliciting different cognitive processes (e.g., silence, attention to own body, sense of joy, mantras, etc.). It is very possible that different practices of meditation are subserved by largely, if not entirely, disparate brain networks. This assumption was tested by conducting an activation likelihood estimation (ALE) meta-analysis of meditation neuroimaging studies, which assessed 150 activation foci from 24 experiments. Different ALE meta-analyses were carried out. One involved the subsets of studies involving meditation induced through exercising focused attention (FA). The network included clusters bilaterally in the medial gyrus, the left superior parietal lobe, the left insula and the right supramarginal gyrus (SMG). A second analysis addressed the studies involving meditation states induced by chanting or by repetition of words or phrases, known as “mantra.” This type of practice elicited a cluster of activity in the right SMG, the SMA bilaterally and the left postcentral gyrus. Furthermore, the last analyses addressed the effect of meditation experience (i.e., short- vs. long-term meditators). We found that frontal activation was present for short-term, as compared with long-term experience meditators, confirming that experts are better enabled to sustain attentional focus, rather recruiting the right SMG and concentrating on aspects involving disembodiment. PMID:23316154

Meditation related activations are modulated by the practices needed to obtain it and by the expertise:an ALE meta-analysis study

Directory of Open Access Journals (Sweden)

Barbara eTomasino

2013-01-01

Full Text Available The brain network governing meditation has been studied using a variety of meditation practices and techniques practices eliciting different cognitive processes (e.g., silence, attention to own body, sense of joy, mantras, etc.. It is very possible that different practices of meditation are subserved by largely, if not entirely, disparate brain networks. This assumption was tested by conducting an activation likelihood estimation (ALE meta-analysis of meditation neuroimaging studies, which assessed 150 activation foci from 24 experiments. Different ALE meta-analyses were carried out. One involved the subsets of studies involving meditation induced through exercising focused attention. The network included clusters bilaterally in the medial gyrus, the left superior parietal lobe, the left insula and the right supramarginal gyrus. A second analysis addressed the studies involving meditation states induced by chanting or by repetition of words or phrases, known as ‘mantra’. This type of practice elicited a cluster of activity in the right supramarginal gyrus, the SMA bilaterally and the left postcentral gyrus. Furthermore, the last analyses addressed the effect of meditation experience (i.e., short- vs. long-term meditators. We found that frontal activation was present for short-term, as compared with long-term experience meditators, confirming that experts are better enabled to sustain attentional focus, rather recruiting the right supramarginal gyrus and concentrating on aspects involving disembodiment.

Assessment of soil-structure interaction practice based on synthesized results from Lotung experiment - earthquake response

International Nuclear Information System (INIS)

Hadjian, A.H.; Tseng, W.S.; Tang, Y.K.; Tang, H.T.; Stepp, J.C.

1991-01-01

On the assumption that the foundation can be appropriately modeled, it would be difficult to distinguish between the computational capabilities of the SASSI, CLASSI and SUPERALUSH/CLASSI methods of SSI analysis. Given the appropriate model, all three methodologies would produce very similar valid results. However, both CLASSI (Bechtel) and Soil-Spring methods should be used cautiously within their known limitations. The use of FLUSH should be limited to essentially 2D problems. More than the computational methods, the differences in the seismic response results obtained are due to the modeling of the soil-structure system and the characterization of the input motions. A number of insights have been obtained with respect to the validity of SSI analysis methodologies for earthquake response. Among these are the following: vertical wave propagation assumption in performing SSI is adequate to describe the wave field; equivalent linear analysis of soil response for SSI analysis, such as performed by the SHAKE code, provides acceptable results; a significant but non-permanent degradation of soil modulus occurs during earthquakes; the development of soil stiffness degradation and damping curves as a function of strain, based on geophysical and laboratory tests, requires improvement to reduce variability and uncertainty; backfill stiffness plays an important role in determining impedance functions and possibly input motions; scattering of ground motion due to embedment is an important element in performing SSI analysis. (author)

Biomonitoring of heavy metal deposition in the south Ural region: some preliminary results obtained by nuclear and related techniques

International Nuclear Information System (INIS)

Frontas'eva, M.V.; Steinnes, E.; Lyapunov, S.M.; Cherchintsev, V.D.; Smirnov, L.I.

1999-01-01

The first results are reported from the analysis of feather mosses used to study heavy metal atmospheric deposition in the vicinity of Magnitogorsk, the center of the steel industry in Russia. Moss samples collected at sites 30 km to the north-west of the industry were analyzed by instrumental neutron activation analysis using epithermal neutrons (ENAA), Results for a total of 38 elements are reported, including Pb, Cd, and Cu determined by atomic absorption spectroscopy (AAS). The element concentrations in moss samples from this work are compared with relevant literature data for strongly polluted areas in Central and Northern Europe and background values from Norway obtained by the same biomonitoring technique. The concentrations of Sb in the examined area are the highest ever reported for mosses, and also levels of Fe, Cr, and V are found to be particularly high. A scanning electron microscope connected to an XRF analyzer (SEM-XRF) was used to examine the surface of the moss samples. Photographs of identified iron spherules along with other aerosol particles made at magnification of 3500 to 5000 times and corresponding XRF analyses verifying the nature of typical particles are presented

Obtaining zircaloy powder through hydriding

International Nuclear Information System (INIS)

Dupim, Ivaldete da Silva; Moreira, Joao M.L.

2009-01-01

Zirconium alloys are good options for the metal matrix in dispersion fuels for power reactors due to their low thermal neutron absorption cross-section, good corrosion resistance, good mechanical strength and high thermal conductivity. A necessary step for obtaining such fuels is producing Zr alloy powder for the metal matrix composite material. This article presents results from the Zircaloy-4 hydrogenation tests with the purpose to embrittle the alloy as a first step for comminuting. Several hydrogenation tests were performed and studied through thermogravimetric analysis. They included H 2 pressures of 25 and 50 kPa and temperatures ranging between from 20 to 670 deg C. X-ray diffraction analysis showed in the hydrogenated samples the predominant presence of ZrH 2 and some ZrO 2 . Some kinetics parameters for the Zircaloy-4 hydrogenation reaction were obtained: the time required to reach the equilibrium state at the dwell temperature was about 100 minutes; the hydrogenation rate during the heating process from 20 to 670 deg C was about 21 mg/h, and at constant temperature of 670 deg C, the hydride rate was about 1.15 mg/h. The hydrogenation rate is largest during the heating process and most of it occurs during this period. After hydrogenated, the samples could easily be comminuted indicating that this is a possible technology to obtain Zircaloy powder. The results show that only few minutes of hydrogenation are necessary to reach the hydride levels required for comminuting the Zircaloy. The final hydride stoichiometry was between 2.7 and 2.8 H for each Zr atom in the sample (author)

Practical synchronization on complex dynamical networks via optimal pinning control

Science.gov (United States)

Li, Kezan; Sun, Weigang; Small, Michael; Fu, Xinchu

2015-07-01

We consider practical synchronization on complex dynamical networks under linear feedback control designed by optimal control theory. The control goal is to minimize global synchronization error and control strength over a given finite time interval, and synchronization error at terminal time. By utilizing the Pontryagin's minimum principle, and based on a general complex dynamical network, we obtain an optimal system to achieve the control goal. The result is verified by performing some numerical simulations on Star networks, Watts-Strogatz networks, and Barabási-Albert networks. Moreover, by combining optimal control and traditional pinning control, we propose an optimal pinning control strategy which depends on the network's topological structure. Obtained results show that optimal pinning control is very effective for synchronization control in real applications.

Organoclays obtaining starting up of clays sodium

International Nuclear Information System (INIS)

Silva, M.M. da; Mota, M.F.; Oliveira, G.C. de; Rodrigues, M.G.F.

2012-01-01

Clays have several applications in many areas of fields of technology, however, modification of these materials using organic compounds can be performed to obtain further hydrophobic materials, for applications in the adsorption of organic pollutants. This study aimed to analyze the effects of modifying two clays using sodium quaternary ammonium surfactants through ion exchange reaction process, in obtaining organoclays. The samples with sodium and organoclays were characterized by the techniques of X-ray diffraction (XRD), Infrared Spectroscopy in the region (IV), Gravimetric and Differential Thermal Analysis (DTA / TG) and organic adsorption tests. The results show that the process of obtaining organoclay is efficient, and materials have the potential for future applications in removing organic contaminants. (author)

Geopolymer obtained from coal ash

International Nuclear Information System (INIS)

Conte, V.; Bissari, E.S.; Uggioni, E.; Bernardin, A.M.

2011-01-01

Geopolymers are three-dimensional alumino silicates that can be rapidly formed at low temperature from naturally occurring aluminosilicates with a structure similar to zeolites. In this work coal ash (Tractebel Energy) was used as source of aluminosilicate according a full factorial design in eight formulations with three factors (hydroxide type and concentration and temperature) and two-levels. The ash was dried and hydroxide was added according type and concentration. The geopolymer was poured into cylindrical molds, cured (14 days) and subjected to compression test. The coal ash from power plants belongs to the Si-Al system and thus can easily form geopolymers. The compression tests showed that it is possible to obtain samples with strength comparable to conventional Portland cement. As a result, temperature and molarity are the main factors affecting the compressive strength of the obtained geopolymer. (author)

Using computational modeling to compare X-ray tube Practical Peak Voltage for Dental Radiology

International Nuclear Information System (INIS)

Holanda Cassiano, Deisemar; Arruda Correa, Samanda Cristine; Monteiro de Souza, Edmilson; Silva, Ademir Xaxier da; Pereira Peixoto, José Guilherme; Tadeu Lopes, Ricardo

2014-01-01

The Practical Peak Voltage-PPV has been adopted to measure the voltage applied to an X-ray tube. The PPV was recommended by the IEC document and accepted and published in the TRS no. 457 code of practice. The PPV is defined and applied to all forms of waves and is related to the spectral distribution of X-rays and to the properties of the image. The calibration of X-rays tubes was performed using the MCNPX Monte Carlo code. An X-ray tube for Dental Radiology (operated from a single phase power supply) and an X-ray tube used as a reference (supplied from a constant potential power supply) were used in simulations across the energy range of interest of 40 kV to 100 kV. Results obtained indicated a linear relationship between the tubes involved. - Highlights: • Computational Model was developed to X-ray tube Practical Peak Voltage for Dental Radiology. • The calibration of X-rays tubes was performed using the MCNPX Monte Carlo code. • The energy range was 40–100 kV. • Results obtained indicated a linear relationship between the Dental Radiology and reference X-ray tubes

Radon in Estonian buildings. Establishment of a measurement system and obtained results

International Nuclear Information System (INIS)

Pahapill, L.; Rulkov, A.; Swedjemark, G.A.

1996-12-01

One purpose of this project was the establishment of a radon monitoring programme inside the state environmental monitoring programme. Another purpose was to investigate regions, expected to have high radon levels indoors. A new method for the long-term measurement of indoor radon was established and the staff for these measurements was trained. The results of the measurement can be used by Estonian decision-makers to work out rules and standards. There is no legislative act in the field of radiation in Estonian at this time. To summarize the results of the measurements we can say that indoor radon concentrations vary by region. The radon investigations must be continued to identify the risk areas and types of housing construction. The results of the state radon monitoring are provided to the municipalities, who advice the owners of planned new houses to select the right construction for the house. A new project will follow with an investigation of radon in randomly selected dwellings, training and equipment for radon measurement in soil, and general advice with regard to radon, as well as assistance in preparing information about radon. 7 refs, 5 figs

Survey of tritiated oil sources and handling practices

International Nuclear Information System (INIS)

Miller, J.M.

1994-08-01

Tritium interactions with oil sources (primarily associated with pumps) in tritium-handling facilities can lead to the incorporation of tritium in the oil and the production of tritiated hydrocarbons. This results in a source of radiological hazard and the need for special handling considerations during maintenance, decontamination, decommissioning and waste packaging and storage. The results of a general survey of tritiated-oil sources and their associated characteristics, handling practices, analysis techniques and waste treatment/storage methods are summarized here. Information was obtained from various tritium-handling laboratories, fusion devices, and CANDU plants. 38 refs., 1 fig

CODES AND PRACTICES OF IMPLEMENTATION OF CORPORATE GOVERNANCE IN ROMANIA AND RESULTS REPORTING

Directory of Open Access Journals (Sweden)

GROSU MARIA

2011-12-01

Full Text Available Corporate governance refers to the manner in which companies are directed and controlled. Business management was always guided by certain principles, but the current meaning of corporate governance concerns and the contribution that companies must have the overall development of modern society. Romania used quite late in adopting a code of good practice in corporate governance, being driven, in particular, the privatization process, but also the transfer of control and surveillance of political organizations by the Board of Directors (BD. Adoption of codes of corporate governance is necessary to harmonize internal business requirements of a functioning market economy. In addition, the CEE countries, the European Commission adopted an action plan announcing measures to modernize company law and enhance corporate governance. Romania takes steps in this direction by amending the Company Law, and other regulations, although the practice does not necessarily keep pace with the requirements. This study aims on the one hand, an analysis of the evolution of corporate governance codes adopted in Romania, but also an empirical research of the implementation of corporate governance principles of a representative sample of companies listed on the Bucharest Stock Exchange (BSE. Consider relevant research methodology, because the issuer of the Codes of CG in Romania is BSE listed companies requesting their voluntary implementation. Implementation results are summarized and interpreted at the expense of public reports of the companies studied. Most studies undertaken in this direction have been made on multinational companies which respects the rule of corporate governance codes of countries of origin. In addition, many studies also emphasize the fair treatment of stakeholders rather than on models of governance adopted (monist/dualist with implications for optimizing economic objectives but also social. Undertaken research attempts to highlight on the one

Crop residues quantification to obtain self-consumption compost in an organic garden

Science.gov (United States)

Lopez de Fuentes, Pilar; Lopez Merino, María; Remedios Alvir, María; Briz de Felipe, Teresa

2013-04-01

This research focuses on quantifying the crop residue left after the campaign fall/winter (2011) for the organic garden crops of Agricultural ETSI, located in practice fields, to get compost for self-generated residues arising from within their own fields. This compost is produced by mixing this material with an organic residues source animal. In this way the plant organic residues provided the nitrogen required for an appropriate C/N and the animal organic residues can provide the carbon amount required to achieve an optimal scenario. The garden has a surface area of 180 m2 which was cultured with different seasonal vegetables, different families and attending practices and species associations' rotations, proper of farming techniques. The organic material of animal origin referred to, is rest from sheep renew bed, sustained management support the precepts of organic farming and cottage belongs to practice fields too. At the end of crop cycle, we proceeded to the harvest and sorting of usable crop residues, which was considered as net crop residues. In each case, these residues were subjected to a cutting treatment by the action of a mincing machine and then weighed to estimate the amounts given by each crop. For the sheep bed residue 1m2 was collected after three months having renewed. It had been made by providing 84 kg of straw bales in July and introducing about 12 Kg each. The herd consisted of three females and one playe. Each one of them was feed 300g and 600 g of straw per day. Two alternating different pens were used to simulate a regime of semi-intensive housing. A balance on how much organic residue material was obtained at the end and how much was obtained in the compost process is discussed in terms of volume and nutrients content is discussed.

Scoliosis short-term rehabilitation (SSTR according to 'Best Practice' standards - are the results repeatable?

Directory of Open Access Journals (Sweden)

Borysov Maksym

2012-01-01

Full Text Available Abstract Claims have been made in a pilot study that a new form of short-term rehabilitation according to 'Best Practice' standards would change signs and symptoms of patients with scoliosis in the short-term. Aim of this study is to repeat the study published 2010 with a larger sample of patients using the same protocol. Both authors have undergone training in this special approach to scoliosis rehabilitation in 2010. Materials and methods 34 patients with Adolescent Idiopathic Scoliosis (AIS, 32 girls and 2 boys, average age 13.7 years and an average Cobb angle of 28.7 degrees (21-43 degrees underwent Scoliosis Short-Term Rehabilitation (SSTR of seven days. Two days with an intensity of 3 × 90 min sessions/day, and five days with an intensity of 2 × 60 min sessions/day. Angle of trunk rotation (ATR was measured before and after the time of treatment as well as the active correctability of the ATR after the programme as it has been done in the pilot investigation. Additionally to that, we also recorded the changes in Vital Capacity (VC before and after the programme. Results ATR was reduced significantly from 11,5 degrees to 8,4 degrees, the active correctability as measured with the Scoliometer (TM was also reduced significantly from the ATR after treatment 8,9 degrees to 6,5 degrees in the patients with thoracic curves. VC improved significantly (P Discussion The results achieved in the pilot investigation published previously are repeatable. The deformity of the trunk can be reduced significantly after SSTR. During the pilot study VC was not investigated. In our study VC improved significantly. Therefore, also shorter rehabilitation times with an appropriate programme seem to be able to change signs and symptoms of a patient with scoliosis. Like the out-patient Schroth programme as described in a study from Turkey, the SSTR provides benefits leading to an improvement of the condition. Conclusion Out-patient rehabilitation following the

Comparison of visual field test results obtained through Humphrey matrix frequency doubling technology perimetry versus standard automated perimetry in healthy children.

Science.gov (United States)

Kocabeyoglu, Sibel; Uzun, Salih; Mocan, Mehmet Cem; Bozkurt, Banu; Irkec, Murat; Orhan, Mehmet

2013-10-01

The aim of this study was to compare the visual field test results in healthy children obtained via the Humphrey matrix 24-2 threshold program and standard automated perimetry (SAP) using the Swedish interactive threshold algorithm (SITA)-Standard 24-2 test. This prospective study included 55 healthy children without ocular or systemic disorders who underwent both SAP and frequency doubling technology (FDT) perimetry visual field testing. Visual field test reliability indices, test duration, global indices (mean deviation [MD], and pattern standard deviation [PSD]) were compared between the 2 tests using the Wilcoxon signed-rank test and paired t-test. The performance of the Humphrey field analyzer (HFA) 24-2 SITA-standard and frequency-doubling technology Matrix 24-2 tests between genders were compared with Mann-Whitney U-test. Fifty-five healthy children with a mean age of 12.2 ± 1.9 years (range from 8 years to 16 years) were included in this prospective study. The test durations of SAP and FDT were similar (5.2 ± 0.5 and 5.1 ± 0.2 min, respectively, P = 0.651). MD and the PSD values obtained via FDT Matrix were significantly higher than those obtained via SAP (P tests in terms of MD (r = 0.352, P = 0.008) and PSD (r = 0.329, P = 0.014) was observed. Children were able to complete both the visual test algorithms successfully within 6 min. However, SAP testing appears to be associated with less depression of the visual field indices of healthy children. FDT Matrix and SAP should not be used interchangeably in the follow-up of children.

2009 survey results: surgeon practice patterns regarding arthroscopic surgery.

Science.gov (United States)

Redfern, John; Burks, Robert

2009-12-01

A survey was conducted to collect information on the surgical management and practice preferences of the audience members at a recent continuing medical education conference. Participants were polled on a variety of surgical topics, and their responses were recorded using a wireless audience response system. The answers were tabulated and are presented in this report. The majority of respondents preferred an arthroscopic repair for rotator cuff tears (52%) and shoulder instability (71%). Most (50%) perform single-row repair; 33% perform double-row repair. For simple knee arthroscopy, most use preoperative antibiotics (85%), no tourniquet (53%), and no chemical anticoagulation or only compression boots (69%). For cruciate ligament reconstruction, the majority preferred only a preoperative antibiotic (67%), no chemical anticoagulation or only compression boots (56%), and single-bundle reconstruction (88%) using a transtibial femoral tunnel (78%). Most (47%) prefer an all inside suture-based meniscus repair device.

The ion-exchange obtaining of high purity samarium oxide

International Nuclear Information System (INIS)

Brzyska, W.; Soltysiak, I.; Cygan, J.

1987-01-01

The use of lactic acid - EDTA mixture as an eluent for the obtaining of high purity samarium oxide was studied. The studies were carried out at room temperature on cation exchange resin Wofatit KPS X 8. The best results were obtained for lactic acid (0,26 mol/dm 3 ) - EDTA (0,013 mol/dm 3 ) mixture at pH 3,3. As the result of 57% samarium concentrate elution with column load 1:3 and flow rate 0,4 cm/min, over 99% pure samarium oxide with 73% yield has been obtained. The yield of spectrally pure Sm 2 O 3 exceeded 45%. (author)

Does Professional Development Change Teaching Practice? Results from a Three-Year Study.

Science.gov (United States)

Porter, Andrew C.; Garet, Michael S.; Desimone, Laura; Yoon, Kwang Suk; Birman, Beatrice F.

This report, the third in a series of reports from the longitudinal evaluation of the Eisenhower Professional Development Program, examines the effects of professional development on improving classroom teaching practice. The Eisenhower Professional Development Program, Title II of the Elementary and Secondary Education Act, is the federal…

Obtaining of polycrystalline silicon for semiconductor industry

International Nuclear Information System (INIS)

Mukashev, F.; Nauryzbaev, M.; Kolesnikov, B.; Ivanov, Y.

1996-01-01

The purpose of the project is to create pilot equipment and optimize the process of obtaining polycrystalline silicon on semi-industrial level. In the past several decades, the historical experience in the developing countries has shown that one of the most promising ways to improve the economy,of a country is to establish semiconductor industry. First of all, the results can help increase defense, national security and create industrial production. The silane method, which has been traditionally' used for obtaining technical and polycrystalline silicon, is to obtain and then to pyrolyzed mono-and poly silanes. Although the traditional methods of obtaining silicon hydrides have specific advantages, such as utilizing by-products, they also have clear shortcomings, i.e. either low output of the ultimate product ( through hydrolysis of Mg 2 Si) or high contents of by-products in it or high contents of dissolving vapors (through decomposing Mg 2 Si in non-water solutions)

Internal quality control: best practice.

Science.gov (United States)

Kinns, Helen; Pitkin, Sarah; Housley, David; Freedman, Danielle B

2013-12-01

There is a wide variation in laboratory practice with regard to implementation and review of internal quality control (IQC). A poor approach can lead to a spectrum of scenarios from validation of incorrect patient results to over investigation of falsely rejected analytical runs. This article will provide a practical approach for the routine clinical biochemistry laboratory to introduce an efficient quality control system that will optimise error detection and reduce the rate of false rejection. Each stage of the IQC system is considered, from selection of IQC material to selection of IQC rules, and finally the appropriate action to follow when a rejection signal has been obtained. The main objective of IQC is to ensure day-to-day consistency of an analytical process and thus help to determine whether patient results are reliable enough to be released. The required quality and assay performance varies between analytes as does the definition of a clinically significant error. Unfortunately many laboratories currently decide what is clinically significant at the troubleshooting stage. Assay-specific IQC systems will reduce the number of inappropriate sample-run rejections compared with the blanket use of one IQC rule. In practice, only three or four different IQC rules are required for the whole of the routine biochemistry repertoire as assays are assigned into groups based on performance. The tools to categorise performance and assign IQC rules based on that performance are presented. Although significant investment of time and education is required prior to implementation, laboratories have shown that such systems achieve considerable reductions in cost and labour.

Increasing knowledge of best practices for occupational therapists treating post-stroke unilateral spatial neglect: results of a knowledge-translation intervention study.

Science.gov (United States)

Petzold, Anita; Korner-Bitensky, Nicol; Salbach, Nancy M; Ahmed, Sara; Menon, Anita; Ogourtsova, Tatiana

2012-02-01

The aim of this study was to investigate: (i) the feasibility of delivering a multi-modal knowledge translation intervention specific to the management of acute post-stroke unilateral spatial neglect; and (ii) the impact of the knowledge translation intervention on occupational therapists' knowledge of evidence-based unilateral spatial neglect problem identification, assessment and treatment, and self-efficacy related to evidence-based practice implementation. A 3-period (pre-post) repeated measures design. Acute care occupational therapists treating patients with post-stroke unilateral spatial neglect were recruited from two major Canadian cities. Participants completed two pre-intervention assessments, took part in a day-long interactive multi-modal knowledge translation intervention and a subsequent 8-week follow-up, and completed a post-intervention assessment. Knowledge of evidence-based problem identification, assessment and treatment of unilateral spatial neglect, and self-efficacy to perform evidence-based practice activities were measured using standard scales. The intervention was tested on 20 occupational therapists. Results indicate a significant improvement in knowledge of best practice unilateral spatial neglect management (p knowledge translation intervention is feasible and can significantly improve occupational therapists' knowledge of unilateral spatial neglect best practices and self-efficacy. The findings should help advance best practices specific to the management of post-stroke unilateral spatial neglect as well as informing knowledge translation studies in other areas of practice.

Governance of professional nursing practice in a hospital setting: a mixed methods study.

Science.gov (United States)

dos Santos, José Luís Guedes; Erdmann, Alacoque Lorenzini

2015-01-01

To elaborate an interpretative model for the governance of professional nursing practice in a hospital setting. A mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding. Based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills. It is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

Project management practice and its effects on project success in Malaysian construction industry

Science.gov (United States)

Haron, N. A.; Devi, P.; Hassim, S.; Alias, A. H.; Tahir, M. M.; Harun, A. N.

2017-12-01

The rapid economic development has increased the demand for construction of infrastructure and facilities globally. Sustainable development and globalization are the new ‘Zeitgeist’ of the 21st century. In order to implement these projects successfully and to meet the functional aim of the projects within their lifetime, an efficient project management practice is needed. The aim of this study is to identify the critical success factors (CSFs) and the extent of use of project management practice which affects project success, especially during the implementation stage. Data were obtained from self-administered questionnaires with 232 respondents. A mixed method of data collection was adopted using semi-structured interview and questionnaire approach. The result of the analysis of data obtained showed that new and emerging criteria such as customer satisfaction, competency of the project team, and performance of subcontractors/suppliers are becoming measures of success in addition to the classic iron triangle’s view of time, cost and quality. An insight on the extent of use of different project management practice in the industry was also achieved from the study.

Substance use and dietary practices among students attending alternative high schools: results from a pilot study

OpenAIRE

Arcan, Chrisa; Kubik, Martha Y; Fulkerson, Jayne A; Hannan, Peter J; Story, Mary

2011-01-01

Abstract Background Substance use and poor dietary practices are prevalent among adolescents. The purpose of this study was to examine frequency of substance use and associations between cigarette, alcohol and marijuana use and selected dietary practices, such as sugar-sweetened beverages, high-fat foods, fruits and vegetables, and frequency of fast food restaurant use among alternative high school students. Associations between multi-substance use and the same dietary practices were also exa...

Studying Practices of Leading--Qualitative Shadowing in Early Childhood Research

Science.gov (United States)

Hognestad, Karin; Bøe, Marit

2016-01-01

This article considers qualitative shadowing as a fruitful method to investigate leadership practices. We propose that an approach to practice that takes into account the activities of "sayings, doings and relatings" offers a fresh perspective on how to obtain rich data on practices of leading. The value of this idea is illustrated from…

[Use of PubMed to improve evidence-based medicine in routine urological practice].

Science.gov (United States)

Rink, M; Kluth, L A; Shariat, S F; Chun, F K; Fisch, M; Dahm, P

2013-03-01

Applying evidence-based medicine in daily clinical practice is the basis of patient-centered medicine and knowledge of accurate literature acquisition skills is necessary for informed clinical decision-making. PubMed is an easy accessible, free bibliographic database comprising over 21 million citations from the medical field, life-science journals and online books. The article summarizes the effective use of PubMed in routine urological clinical practice based on a common case scenario. This article explains the simple use of PubMed to obtain the best search results with the highest evidence. Accurate knowledge about the use of PubMed in routine clinical practice can improve evidence-based medicine and also patient treatment.

Therapy by electromagnetic wave of millimeter energy range (EFH-therapy, MRT, IWT). Scientific and practical materials on the use of physical factors in clinical and health resort practice

International Nuclear Information System (INIS)

Samosyuk, I.Z.; Fisenko, L.I.; Kolesnik, K.Eh.; Chukhraev, N.V.; Shimkov, G.E.

1998-01-01

Problems of extremely high frequency (EHF) therapy, microwave resonance therapy (MRT) and information-wave therapy (IWT) are considered. Possibilities of electromagnetic waves in millimeter energy range use in clinical and health resort practice are systematized. Recommendations on their use in treatment of different diseases are given. The main principles of selection of zones for meridian correction with the help of electromagnetic waves in millimeter energy range are exposed. The results of EFH-therapy clinical use indicate the possibility of its application practically in all cases, since positive results were obtained in most cases. The recommendations are prepared with account of possibilities and parameters of the apparatus ''MIT-1'' for reflexotherapy which was designed and produced by the Medical Innovative Centre in Kiev

Clinical practice of image-guided spine radiosurgery - results from an international research consortium

Directory of Open Access Journals (Sweden)

Guckenberger Matthias

2011-12-01

Full Text Available Abstract Background Spinal radiosurgery is a quickly evolving technique in the radiotherapy and neurosurgical communities. However, the methods of spine radiosurgery have not been standardized. This article describes the results of a survey about the methods of spine radiosurgery at five international institutions. Methods All institutions are members of the Elekta Spine Radiosurgery Research Consortium and have a dedicated research and clinical focus on image-guided radiosurgery. The questionnaire consisted of 75 items covering all major steps of spine radiosurgery. Results Strong agreement in the methods of spine radiosurgery was observed. In particular, similarities were observed with safety and quality assurance playing an important role in the methods of all institutions, cooperation between neurosurgeons and radiation oncologists in case selection, dedicated imaging for target- and organ-at-risk delineation, application of proper safety margins for the target volume and organs-at-risk, conformal planning and precise image-guided treatment delivery, and close clinical and radiological follow-up. In contrast, three major areas of uncertainty and disagreement were identified: 1 Indications and contra-indications for spine radiosurgery; 2 treatment dose and fractionation and 3 tolerance dose of the spinal cord. Conclusions Results of this study reflect the current practice of spine radiosurgery in large academic centers. Despite close agreement was observed in many steps of spine radiosurgery, further research in form of retrospective and especially prospective studies is required to refine the details of spinal radiosurgery in terms of safety and efficacy.

Assessing health in an urban neighborhood: community process, data results and implications for practice.

Science.gov (United States)

Idali Torres, M

1998-06-01

This article examines the community process and data results of a health assessment conducted in an urban neighborhood of a middle-size city in Western Massachusetts. It describes the four-stage development process of the Health Assessment Project (HAP), a collaboration of the UMASS School of Public Health faculty and students, community based organizations and youth residents: (1) planning with a contemporary participatory approach, (2) implementing the data collection with traditional survey methodology, (3) tailoring the data analysis for a presentation at a community forum and report, and (4) incorporating the community's reaction to data results. In addition, it presents selected data results on health conditions of individual household members and perceived community health concerns and resources. Salient data results include high rates of chronic health conditions such as asthma and other respiratory problems among residents 0-18, back pain and other musculoskeletal among younger adults 19-54, and high blood pressure and other cardi-circulatory problems among older adults age 55 and older. The three most prevalent perceived community concerns are substance abuse, gangs and drug dealing. Identified community resources include sources of (1) providers of primary care, (2) health information as family/friends and Spanish media, (3) social activity such as churches and schools. Finally, this paper concludes by discussing implications for community health practice.

Implementing Home Health Standards in Clinical Practice.

Science.gov (United States)

Gorski, Lisa A

2016-02-01

In 1986, the American Nurses Association (ANA) published the first Standards of Home Health Practice. Revised in 1992 and expanded in 1999 to become Home Health Nursing: Scope and Standards of Practice, it was revised in 2008 and again in 2014. In the 2014 edition, there are 6 standards of home healthcare nursing practice and 10 standards of professional performance for home healthcare nursing. The focus of this article is to describe the home healthcare standards and to provide guidance for implementation in clinical practice. It is strongly encouraged that home healthcare administrators, educators, and staff obtain a copy of the standards and fully read this essential home healthcare resource.

Innovations in Pharmacy through Practice-Based Research

Directory of Open Access Journals (Sweden)

Jon C. Schommer

2010-06-01

Full Text Available The overall purpose of this article is to serve as an invitation for submissions to the 'Practice-Based Research' section of INNOVATIONS in pharmacy. To provide background about this section of the journal, this paper describes: (1 the concept of innovations that we will apply, (2 the practice-based research domain, and (3 the use of practice-based research networks for this area of inquiry. We propose that uncertainty surrounding an innovation often will result in the postponement of the decision regarding its adoption until further evidence can be obtained. Such evidence often is gathered through considering the advice and experiences of opinion leaders and members of social systems who have adopted the innovation. We invite authors to present ideas, arguments, and evidence for innovations in pharmacy that arise out of practice-based research. We propose that this journal will be an excellent communication vehicle for providing convincing arguments and sound evidence in favor of innovations. Discourse regarding new ideas in such a format can further develop the ideas, create a critical mass of evidence, and be used for convincing others that the innovation should be adopted. We welcome submissions to the INNOVATIONS in pharmacy, PRACTICE-BASED RESEARCH content area that: (1 provide convincing arguments and sound evidence in favor of innovations for pharmacy, (2 are based upon practice-based research from case studies of single patients on one end of the continuum to findings from large populations of patients on the other end of the continuum, and/or (3 introduce innovations for practice-based research networks. We encourage articles from all perspectives and from all methods of inquiry. Type: Invitation

Obtaining a citric tristeza virus p65 protein antibody and preliminary results of p65 in vivo expression

Directory of Open Access Journals (Sweden)

Yanneth Torres

2003-07-01

Full Text Available The citric tristeza virus (CTV belongs to the Closteroviridae family which indudes the only vegetal viruses possessing genes homologous to HSP70 thermal cellular shock proteins in their genome. Such is the case of the gene encoding for the CTV p65 protein which presents high homology with the HSP70 protein family. It has been shown recently that HSP70h viral proteins (such as CTV p65 are involved both in viral assembly, as a microtubule binding protein, and in cell-cell movement. Since CTV is the most deleterious citrus pathogen, understanding this protein's role in the pathogenesis process is important. Rabbits were immunised with four synthetic peptides (corresponding to CTV p65 thermal shock protein's carboxyl-terminal region to obtain polyclonal antibodies. All the peptides used were immunogenic, even though two of them showed greater response. Whilst none of the antibodies obtained reacted to non-infected plant extract, the p65 proteins was detected in extracts taken from citric plants infected with CTV Based on the antibody's reaction to two Colombian isolates having different serological characteristics, the p65 antibody's immunological behaviour appeared to be independent of the symptomatic severity of the CTV isolates. It was shown that the ORF encoded for the HSP70 homologue in CTV was expressed in vivo, even though the p65 antibody was only detected in concentrated protein extracts taken from infected plants, supporting reports from other studies that the concentration of this protein in plants infected with CTV is low. This is the first time that a polyclonal CTV antibody has been obtained in Colombia against p65 (a protein intervening in viral assembly and movement. Adapting a technique for obtaining p65 antibodies by using synthetic peptides as immunogens could be useful in the future for detecting or diagnosing p65 proteins present in different Colombian CTV isolates, especially in developing studies contributing towards greater

Standard practices for sampling uranium-Ore concentrate

CERN Document Server

American Society for Testing and Materials. Philadelphia

2010-01-01

1.1 These practices are intended to provide the nuclear industry with procedures for obtaining representative bulk samples from uranium-ore concentrates (UOC) (see Specification C967). 1.2 These practices also provide for obtaining a series of representative secondary samples from the original bulk sample for the determination of moisture and other test purposes, and for the preparation of pulverized analytical samples (see Test Methods C1022). 1.3 These practices consist of a number of alternative procedures for sampling and sample preparation which have been shown to be satisfactory through long experience in the nuclear industry. These procedures are described in the following order. Stage Procedure Section Primary Sampling One-stage falling stream 4 Two-stage falling stream 5 Auger 6 Secondary Sampling Straight-path (reciprocating) 7 Rotating (Vezin) 8, 9 Sample Preparation 10 Concurrent-drying 11-13 Natural moisture 14-16 Calcination 17, 18 Sample Packaging 19 Wax s...

Independent environmental audit at COPENE (Petrochemical Company of Northeast, Brazil): first results of a partnership

Energy Technology Data Exchange (ETDEWEB)

Abreu Pereira, Vera L. de [Companhia Petroquimica do Nordeste (COPENE), Camacari, BA (Brazil). Div. de Engenharia Ambiental

1994-12-31

This paper presents the first experiences and results in the implementation of a pioneer model in environmental monitoring of a Brazilian companies consortium, for wastewater and groundwater monitoring. Some practical results, such as the flow reduction in the organic wastewaters and organic load in the final effluents, were obtained in the very first year of activities. 4 refs., 8 figs.

Independent environmental audit at COPENE (Petrochemical Company of Northeast, Brazil): first results of a partnership

Energy Technology Data Exchange (ETDEWEB)

Abreu Pereira, Vera L. de [Companhia Petroquimica do Nordeste (COPENE), Camacari, BA (Brazil). Div. de Engenharia Ambiental

1993-12-31

This paper presents the first experiences and results in the implementation of a pioneer model in environmental monitoring of a Brazilian companies consortium, for wastewater and groundwater monitoring. Some practical results, such as the flow reduction in the organic wastewaters and organic load in the final effluents, were obtained in the very first year of activities. 4 refs., 8 figs.

Expense comparison of a telemedicine practice versus a traditional clinical practice.

Science.gov (United States)

Barker, Gail P; Krupinski, Elizabeth A; Schellenberg, Bonnie; Weinstein, Ronald S

2004-01-01

This paper compares the expenses of a telemedicine program to those of a traditional clinical practice using data from two fiscal years (FY) 1998/1999 and 2000/2001. As part of that evaluation, we compared expenses of the University of Arizona's clinical practice group, the University Physicians Incorporated (UPI), to those of the Arizona Telemedicine Program (ATP) practice. For this study, we used the reporting categories published in the year-end UPI financial statement. These categories included clinical services, administration, equipment depreciation, and overhead. Results showed that clinical service expenses and administrative expenses for FY 2000/2001 were higher in the traditional UPI practice, whereas equipment depreciation and overhead expenses are higher in the telemedicine practice. This differs somewhat from FY 1998/1999, where clinical expenses and overhead were higher in the UPI practice and administration and equipment depreciation were higher in the telemedicine practice. We will discuss the relevance of these results and the critical factors that contribute to these differences.

Practical long-distance quantum key distribution system using decoy levels

International Nuclear Information System (INIS)

Rosenberg, D; Peterson, C G; Harrington, J W; Rice, P R; Dallmann, N; Tyagi, K T; McCabe, K P; Hughes, R J; Nordholt, J E; Nam, S; Baek, B; Hadfield, R H

2009-01-01

Quantum key distribution (QKD) has the potential for widespread real-world applications, but no secure long-distance experiment has demonstrated the truly practical operation needed to move QKD from the laboratory to the real world due largely to limitations in synchronization and poor detector performance. Here, we report results obtained using a fully automated, robust QKD system based on the Bennett Brassard 1984 (BB84) protocol with low-noise superconducting nanowire single-photon detectors (SNSPDs) and decoy levels to produce a secret key with unconditional security over a record 140.6 km of optical fibre, an increase of more than a factor of five compared with the previous record for unconditionally secure key generation in a practical QKD system.

Simulation Experiments in Practice: Statistical Design and Regression Analysis

OpenAIRE

Kleijnen, J.P.C.

2007-01-01

In practice, simulation analysts often change only one factor at a time, and use graphical analysis of the resulting Input/Output (I/O) data. The goal of this article is to change these traditional, naïve methods of design and analysis, because statistical theory proves that more information is obtained when applying Design Of Experiments (DOE) and linear regression analysis. Unfortunately, classic DOE and regression analysis assume a single simulation response that is normally and independen...

32 CFR 776.11 - Outside part-time practice of law.

Science.gov (United States)

2010-07-01

... 32 National Defense 5 2010-07-01 2010-07-01 false Outside part-time practice of law. 776.11... ADVOCATE GENERAL General § 776.11 Outside part-time practice of law. A covered USG attorney's primary.... Covered USG attorneys who wish to engage in the part-time, outside practice of law must first obtain...

Ordering blood tests for patients with unexplained fatigue in general practice: what does it yield? Results of the VAMPIRE trial.

NARCIS (Netherlands)

Koch, H.; Bokhoven, M.A. van; Riet, G. ter; Alphen-Jager, J.T. van; Weijden, T.T. van der; Dinant, G.J.; Bindels, P.J.

2009-01-01

BACKGROUND: Unexplained fatigue is frequently encountered in general practice. Because of the low prior probability of underlying somatic pathology, the positive predictive value of abnormal (blood) test results is limited in such patients. AIM: The study objectives were to investigate the

Ordering blood tests for patients with unexplained fatigue in general practice: what does it yield? Results of the VAMPIRE trial

NARCIS (Netherlands)

Koch, Hèlen; van Bokhoven, Marloes A.; ter Riet, Gerben; van Alphen-Jager, Jm Tineke; van der Weijden, Trudy; Dinant, Geert-Jan; Bindels, Patrick Je

2009-01-01

Background Unexplained fatigue is frequently encountered in general practice. Because of the low prior probability of underlying somatic pathology, the positive predictive value of abnormal (blood) test results is limited in such patients. Aim The study objectives were to investigate the

Systematic processing of the external individual monitoring data obtained by photographic film and capacitor dosemeters

International Nuclear Information System (INIS)

Krueger, F.; Shtuk, D.

1983-01-01

Individual radiation load measurements have been carried out both with photographic film and capacitor type dosemeters (CD). Systematic statistics methods were applied for the obtained data processing. The CD data were shown to exceed those measured with the film dosemeters. Specific features of the CD application are revealed that should be taken into account in practice [ru

THE ASSERTIVENESS OF PEOPLE WHO PRACTICE KARATE

Directory of Open Access Journals (Sweden)

Szark-Eckardt Miroslawa

2012-04-01

Full Text Available Assertiveness is the ability to express your thoughts, beliefs and opinions without the feeling of internal tension, that is why it is a desired trait of character. One of the examples of sports disciplines in which assertiveness can play a desired role is karate. One of the aims of this paper was to answer the question, whether the act of doing karate influences the level of assertiveness among people who practice it and to compare the results with the level of assertiveness declared by people who do other sports. The method applied in this paper was the diagnostics survey, while the tool was the questionnaire form based on the Rathus Assertiveness Scale. 50 students who practice karate on regular basis and 50 students who do other sports participated in the research. It is undeniable that the level of assertiveness among people who practice karate is higher in comparison to people who do other sports. Karate doers, both men and women obtained better results compared to the second group of sportsmen/women. This regularity can be observed among men, but it is more perceptible among women. As the research presents, people who attend karate trainings at least three times a week are characterized by a higher level of assertiveness in comparison to those who attend the training once a week.

Burnout syndrome in the practice of oncology: results of a random survey of 1,000 oncologists.

Science.gov (United States)

Whippen, D A; Canellos, G P

1991-10-01

Burnout, the end result of stress, can occur in any profession. We set out to determine the extent of burnout among a representative group of American oncologists. A questionnaire with 12 specific points was designed and prepared by the authors. It was mailed to 1,000 randomly selected physician subscribers to the Journal of Clinical Oncology. Five hundred ninety-eight completed surveys (60%) were returned before the cut-off date and included in the analysis. Overall, 56% of the respondents reported experiencing burnout in their professional life. No significance was found between the incidence of burnout and specialty within oncology, year medical training ended, or practice location. Significance was found, however, between type of practice and the incidence of burnout; institution- or university-based oncologists reported a lower incidence of burnout (47%) versus all other types of practice (66% burnout rate for oncology plus internal medicine, 63% for private adult oncology only, 39% for pediatric oncologists [there were too few pediatric oncologists for this rate to be significant], and 64% for others; P = .0003). Frustration or a sense of failure was the most frequently chosen (56%) description of burnout, and insufficient personal and/or vacation time was the most frequent reason (57%) chosen to explain the existence of burnout. To alleviate burnout, the majority (69%) of respondents indicated the need for more vacation or personal time. Administering palliative or terminal care, reimbursement issues, and a heavy work load were identified as contributing factors to burnout. Given the high response to the questionnaire and a 56% incidence of burnout in the surveyed population, it is concluded that further research on this issue is required.

Do the results of respirable dust samples obtained from direct-on-filter X-ray diffraction, direct-on-filter infrared and indirect infrared (KBr pellet) methods correlate?

CSIR Research Space (South Africa)

Pretorius, C

2010-11-01

Full Text Available The objective of this study was to determine whether a correlation exists between the quartz results obtained from direct-on-filter X-ray Diffraction analysis, direct-on-filter Fourier-Transform Infrared analysis and indirect analysis (Potassium...

Consumer Shell Egg Consumption and Handling Practices: Results from a National Survey.

Science.gov (United States)

Kosa, Katherine M; Cates, Sheryl C; Bradley, Samantha; Godwin, Sandria; Chambers, Delores

2015-07-01

Numerous cases and outbreaks of Salmonella infection are attributable to shell eggs each year in the United States. Safe handling and consumption of shell eggs at home can help reduce foodborne illness attributable to shell eggs. A nationally representative Web survey of 1,504 U.S. adult grocery shoppers was conducted to describe consumer handling practices and consumption of shell eggs at home. Based on self-reported survey data, most respondents purchase shell eggs from a grocery store (89.5%), and these eggs were kept refrigerated (not at room temperature; 98.5%). As recommended, most consumers stored shell eggs in the refrigerator (99%) for no more than 3 to 5 weeks (97.6%). After cracking eggs, 48.1% of respondents washed their hands with soap and water. More than half of respondents who fry and/or poach eggs cooked them so that the whites and/or the yolks were still soft or runny, a potentially unsafe practice. Among respondents who owned a food thermometer (62.0%), only 5.2% used it to check the doneness of baked egg dishes when they prepared such a dish. Consumers generally followed two of the four core "Safe Food Families" food safety messages ("separate" and "chill") when handling shell eggs at home. To prevent Salmonella infection associated with shell eggs, consumers should improve their practices related to the messages "clean" (i.e., wash hands after cracking eggs) and "cook" (i.e., cook until yolks and whites are firm and use a food thermometer to check doneness of baked egg dishes) when preparing shell eggs at home. These findings will be used to inform the development of science-based consumer education materials that can help reduce foodborne illness from Salmonella infection.

Instructional Practices in Introductory Geoscience Courses: Results of a National Faculty Survey

Science.gov (United States)

MacDonald, R.; Manduca, C. A.; Mogk, D. W.; Tewksbury, B. J.

2004-12-01

The NAGT professional development program "On the Cutting Edge" recently surveyed 7000 geoscience faculty in the United States to develop a snapshot of current instructional practices in undergraduate geoscience courses, faculty strategies for learning new content and new teaching approaches, and faculty involvement in the geoscience education community. Over 2200 faculty responded to the survey which was conducted by the American Institute of Physics. Results for introductory courses (814 responses) indicate that lecture is the most common teaching strategy used in courses of all sizes. Many faculty incorporate some interactive activities in their courses. Most commonly, they use questioning, demonstrations, discussions, and in-class exercises. Less common, but not rare, are small group discussion or think-pair-share and classroom debates or role-playing. Activities involving problem solving, using quantitative skills, working with data and primarily literature, and structured collaboration are incorporated by many faculty in introductory courses, suggesting efforts to teach the process of science. Activities in which students address a problem of national or local interest, analyze their own data, or address problems of their own design are less common but not rare. Field experiences are common but not ubiquitous for students in introductory courses. A wide variety of assessment strategies are used in introductory courses of all sizes, including exams, quizzes, problem sets, papers, oral presentations, and portfolios. While papers are used for assessment more extensively in small classes, a significant number of faculty use papers in large classes (greater than 81 students). A majority of faculty use rubrics in grading. Faculty report that in the past two years, approximately one-third have made changes in the content of their introductory courses while just under half have changed the teaching methods they use. While faculty learn about both new content and

Results of practical application of questionnaire to determine the level of dentophobia and dynamics in the doctor— patient relationship

Directory of Open Access Journals (Sweden)

Savina Е.А.

2013-09-01

Full Text Available Objective: to develop a questionnaire for assessing the level of dentophobia and dynamics of the relationship in the «doctor-patient» in the course of treatment and to conduct its clinical trials. Material and Methods. 90 patients aged 26-56 years with chronic generalized periodontitis have been examined. The research has been conducted by Hospital Anxiety and depression (HADS questionnaire to determine the level of dentophobia; psychophysiological testing was carried out on the hardware-software complex (APC «NS-Psychotest» (LLC «Neurosoft», Russia, Ivanovo, 2007. Clinical examination included examination of the mouth and the index of assessment of hard tissue of teeth and peri-odontal tissue: a defining simplified oral hygiene index (UIG, sulcus bleeding index (IR, gingival index (PMA. The survey was carried out before the treatment and 3 months after the treatment. Statistical analysis was performed in the program Statistica. Using non-parametric methods (Wilcoxon test, criterion A2, Spearman correlation coefficient. Statistically significant differences with p < 0,05 were considered. Results. The development of the questionnaire was carried out in accordance with all generally accepted standards. The initial testing was performed easily by patients. During the clinical trials visible results of the proposed questionnaire were obtained that proved its sensitivity to the changes in dental and psychological status of the oral cavity. Conclusion. The practical application of the questionnaire determines the level of dentophobia during the first visit. The data of the questionnaire identify the differentiated deontological approach. It improves the relationship with the patient, reduces his level of dentophobia. The reduced dentophobia promotes compliance and psychologically comfortable communication in the doctor-patient system, which also contributes to the prevention of emotional burn out among dentists.

Surgical, antiseptic, and antibiotic practice in cataract surgery: Results from the European Observatory in 2013.

Science.gov (United States)

Behndig, Anders; Cochener-Lamard, Beatrice; Güell, José; Kodjikian, Laurent; Mencucci, Rita; Nuijts, Rudy; Pleyer, Uwe; Rosen, Paul; Szaflik, Jacek; Tassignon, Marie-Jose

2015-12-01

To report the results from the first iteration of the European Observatory of Cataract Surgery, which was initiated to track changes in surgical, antiseptic, and antibiotic practices in cataract surgery over the coming years. Practicing European cataract surgeons (n = 479). Internet-based declarative questionnaire or telephone questionnaire. The questionnaire comprised 37 questions divided into 8 categories as follows: screening, surgeon profile, surgical procedure used, product use before arrival at the operating room, techniques for mydriasis and anesthesia, product use during the surgery, product use after the patient leaves the operating room, and surgeon's attitude to guidelines. Cataract surgeons (n = 2700) were initially contacted, of whom 479 (17.7%) were included in the survey. The current baseline survey revealed considerable variation between countries in their implementation of infectious postoperative endophthalmitis (IPOE) prophylaxis. In some countries, adoption of intracameral cefuroxime is almost universal, whereas in others, the use of such prophylaxis is below one half. When intracameral cefuroxime is used, it is generally cefuroxime powder designed for parenteral use. A preparation specifically registered for intracameral use is now available, and this formulation is more commonly used in countries in which intracameral cefuroxime was most widely adopted. The baseline results from this ongoing survey suggest a considerable level of heterogeneity between European countries in IPOE prophylaxis. Further iterations of this survey will monitor whether a consensus begins to emerge. This work was supported by Laboratoires Théa, under the supervision of the expert group. Members of the expert group were remunerated by Laboratoires Théa. J.F. Stolz, MD, PhD, provided editorial assistance in manuscript preparation, for which he was remunerated by Laboratoires Théa. Anders Behndig, Rita Mencucci, and Jacek P. Szaflik report no relevant conflicts of

Predicting results of daily-practice cystoscopies.

Science.gov (United States)

García-Velandria, F; Sánchez-García, J F; Rodríguez-Toves, L A; Alvarez-Buitrago, L; Conde-Redondo, C; Rodríguez-Tesedo, V; Amón-Sesmero, J H; Cepeda-Delgado, M; Cobos-Carbó, A; Alonso-Fernández, D; Martínez-Sagarra, J M

2014-10-01

Our objective was to elaborate a predictive model of bladder cancer, in an unselected clinical population submitted to cystoscopy. We recruited consecutive patients that underwent cystoscopy due to suspicion of bladder cancer or surveillance of a previously diagnosed bladder cancer. Urine cytology and a BTA-stat® (BTA) test were carried out for all patients. To avoid an assessment bias, the BTA-tests, cytologies and cystoscopies were conducted in a blinded fashion. We used logistic regression to predict cystoscopy results from cytology, BTA-test and clinical variables. From August 2011 to July 2012, we recruited 244 patients and 237 were valid for analysis. Newly diagnosed and surveillance cases were 13% and 87% respectively. Cytology and BTA-test sensitivities were 57.9% (CI 95: 42.2-72.1) and 63.2% (CI 95: 47.3-76.6) with specificities of 84.4% (CI 95: 78.7-88.8) and 82.9% (CI 95: 77.1-87.5). The predictive model included the BTA-test, cytology, time since previous tumour, and treatment with mitomicin or BGC during the last three months. The model predictive accuracy (AUC) was .85 (.78-.92), and dropped to 0.79 when excluding the BTA-test (P=.026). For the surveillance of bladder cancer, a 10% threshold on the model predicted probabilities resulted in an overall negative predictive value of 95.7%, and 95.0% in low grade tumours. In a cost containment environment, our prediction model could be used to space out cystoscopies in patients with previous, low grade tumours, resulting in a more efficient use of resources in the healthcare system. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.

Medical and pharmacy students' perceptions of the grading and assessment practices

OpenAIRE

Kasanda, C. D.; Mitonga, K. H.; Veii, K.; Zimba, R. F.

2013-01-01

Many students at the University of Namibia have frequently complained about ineffective assessment practices used at the institution. On many occasions, these complaints have not been substantiated with evidence of any kind. The purpose of this study was to obtain some empirical evidence that would ascertain undergraduate students' perceptions of the University of Namibia's grading and assessment practices. Using a structured scaled questionnaire, data were obtained from a representative samp...

Negotiation best practices: what a healthcare professional needs to know today.

Science.gov (United States)

McGuigan, Patrick J

2015-01-01

This article reviews negotiation best practices while highlighting some of the factors that confound or enhance the ability to negotiate. Healthcare professionals will benefit by obtaining a set of practices that they can consistently apply to obtain more value from negotiation. In today's turbulent healthcare market, more relationships are governed by and through negotiated agreements, so it is imperative that healthcare professionals develop and sharpen their negotiating acumen.

Obtaining of inulin acetate

OpenAIRE

Khusenov, Arslonnazar; Rakhmanberdiev, Gappar; Rakhimov, Dilshod; Khalikov, Muzaffar

2014-01-01

In the article first obtained inulin ester inulin acetate, by etherification of inulin with acetic anhydride has been exposed. Obtained product has been studied using elementary analysis and IR spectroscopy.

Thermal degradation characteristics and products obtained after pyrolysis of specific polymers found in Waste Electrical and Electronic Equipment

Institute of Scientific and Technical Information of China (English)

Evangelia C.Vouvoudi; Aristea T.Rousi; Dimitris S.Achilias

2017-01-01

Modern societies strongly support the recycling practices over simple waste accumulation due to environmental harm caused.In the framework of sustainable recycling of plastics from WEEE,pyrolysis is proposed here as a means of obtaining secondary value-added products.The aim of this study was to investigate the thermal degradation and the products obtained after pyrolysis of specific polymers found in the plastic part of WEEE,using thermogravimetric analysis and a pyrolizer equipped with a GC/MS.Polymers studied include ABS,HIPS,PC and a blend having a composition similar to that appearing in WEEE.It was found that,PC shows greater heat endurance compared to the other polymers,whereas ABS depolymerizes in three-steps.The existence of several polymers in the blend results in synergistic effects which decrease the onset and final temperature of degradation.Moreover,the fragmentation occurred in the pyrolyzer,at certain temperatures,resulted in a great variety of compounds,depending on the polymer type,such as monomers,aromatic products,phenolic compounds and hydrocarbons.The main conclusion from this investigation is that pyrolysis could be an effective method for the sustainable recycling of the plastic part of WEEE resulting in a mixture of chemicals with varying composition but being excellent to be used as fuel retrieved from secondary recycling sources.

A Survey of Optometry Graduates to Determine Practice Patterns.

Science.gov (United States)

Bleimann, Robert L.; Smith, Lee W.

1984-01-01

A summary of a study of optometry graduates conducted by the Association of Schools and Colleges of Optometry (ASCO) is provided. The data covered aspects of recently graduated O.D.s' experience in obtaining a state license, becoming established in practice, and their practice characteristics. (Author/MLW)

Factors Associated with the Economic Sustainability of the Registered Dental Hygienist in Alternative Practice.

Science.gov (United States)

Coppola, Sara L; Furgeson, Danielle; Fontana, Margherita; Kinney, Janet S; Gwozdek, Anne E

2017-10-01

Purpose: The purpose of this study was to investigate key factors associated with the economic sustainability of the Registered Dental Hygienist in Alternative Practice (RDHAP). Methods: An invitation to participate in a 38-question electronic survey was sent via postal mail to 440 RDHAP licentiate addressees obtained through the Dental Hygiene Committee of California (DHCC). Legal restrictions did not allow for obtaining the RDHAP licentiate email addresses from the DHCC. The survey was disseminated via email to the 254 RDHAPs who were members of the California Dental Hygienists' Association. Additional invitations to participate were made via flyer distribution at an RDHAP symposium, and on RDHAP only social media sites. Results: The response rate was an estimated 16%. While 44% of the RDHAPs reported some employment in a traditional dental practice, given the opportunity, 61% of these respondents indicated that they would practice exclusively as an RDHAP. With regard to practice strategic planning and alliances, 31% felt that dentists lacked knowledge of the RDHAP, and 25% indicated dentists were resistant to this workforce model. Regarding RDHAP practice staffing patterns, 75% indicated not having any employees. When asked about business systems, 64% had solo, portable practices and 16% had standalone practices. Economic sustainability challenges included practice business/equipment expenses (29%), insurance/reimbursement issues (21%), patient flow (19%) and RDHAP visibility (14%). Conclusions: RDHAP practices face challenges including the need for strategic planning and intra- and inter-professional alliances, efficient and effective patient flow, optimal staffing patterns and effective business systems. Focus on enhancing RDHAP visibility within the dental and medical communities should be a priority. In addition, further research should explore RDHAPs aligning with community-based clinics, Federally Qualified Health Centers and Dental Support Organizations

Carbon and nitrogen determination in Zr by photon or proton activation analysis. Comparison between the results obtained by this method and other analytical techniques

International Nuclear Information System (INIS)

Petit, J.; Gosset, J.; Engelmann, C.

1977-01-01

Carbon and nitrogen are determined by the following nuclear reactions: 12 C(γ,n) 11 C and 14 N(p,α) 11 C. The performances of the method and the main interferences are considered. The process developed for the separation of carbon-11 from zirconium is described and its efficiency evaluated. The results obtained are compared with those given by different laboratories using various analytical techniques [fr

First results obtained by the Cluster STAFF experiment

Czech Academy of Sciences Publication Activity Database

Cornilleau-Wehrlin, N.; Chanteur, G.; Perraut, S.; Rezeau, L.; Robert, P.; Roux, A.; Villedary de, C.; Canu, P.; Maksimovic, M.; Conchy de, Y.; Hubert, D.; Lacombe, C.; Lefeuvre, F.; Parrot, M.; Pincon, J. L.; Decrau, P. M. E.; Harvey, C. C.; Louarn, Ph.; Santolík, Ondřej; Alleyne, H. St. C.; Roth, M.; Chust, T.; Contel Le, O.

2003-01-01

Roč. 21, - (2003), s. 437-456 ISSN 0992-7689 R&D Projects: GA ČR GA202/03/0832; GA MŠk ME 650 Institutional research plan: CEZ:AV0Z3042911 Keywords : magnetospheric physics * space plasma physics Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.031, year: 2003

Calibration results obtained with Liulin-4 type dosimeters

Czech Academy of Sciences Publication Activity Database

Dacheva, T.; Tomova, B.; Matviichuka, Y.; Dimitrova, P.; Lemaireb, J.; Gregoirec, G.; Cyamukunguc, M.; Schmitzc, H.; Fujitakad, K.; Uchihorid, Y.; Kitamurad, H.; Reitze, G.; Beaujeanf, R.; Petrovg, V.; Shurshakovg, V.; Benghing, V.; Spurný, František

2002-01-01

Roč. 30, č. 4 (2002), s. 917-925 ISSN 0273-1177 Institutional research plan: CEZ:AV0Z1048901 Keywords : CERN high-energy reference field * detector * dosimeter Subject RIV: BG - Nuclear, Atomic and Molecular Physics, Colliders Impact factor: 0.448, year: 2002

Emotion socialization practices in Italian and Hong Kong-Chinese mothers.

Science.gov (United States)

Fiorilli, Caterina; De Stasio, Simona; Di Chicchio, Carlo; Chan, Siu Mui

2015-01-01

Parents' emotion socialization practices are their ways of handling their children's emotional experiences in light of cultural expectations surrounding emotions. Such practices are thought to significantly affect children's social adjustment. We compared the parenting practices of Italian and Hong Kong Chinese samples in an ethnological validation study of the maternal responses to children's emotion scale (MRCES). Participants were 71 Italian mothers (M = 39.45) and 71 Hong Kong-Chinese mothers (M = 37.75) with children aged 6-9 years. The results confirmed the two-factor structure identified by the scale's authors, namely coaching/emotion-encouraging and emotion dismissing approaches, respectively. Each of the two factors displayed satisfactory internal consistency. The Chinese mothers obtained higher scores than the Italian mothers on both subscales. Our findings suggested that parents' emotion socialization practices for coping with children's emotions received different degrees of emphasis and were underpinned by different meaning in the Hong Kong and Italian cultural groups. These cultural differences are discussed in relation to their effect on children's socio-emotional development.

Occupational radioprotection program at Nuclear Engineering Institute -IEN: results obtained in 1991

International Nuclear Information System (INIS)

Fajardo, P.W.; Pastura, V.F.S.; Soares, M.L.; LeRoy, C.L.; Teixeira, M.V.; Santos, I.H.T.; Pujol Filho, S.V.

1992-01-01

The results of occupational radioprotection program at Nuclear Engineering Institute-IEN- in 1991 are presented. The personnel monitoring, the routine monitoring of limited areas, the operational monitoring during the operation and the cyclotron CV-28 maintenance, the radioisotope processing and Argonauta Reactor operation, the control of radioprotection equipment and the control of radiation sources are included. (C.G.C.)

Results from a CFD reference study into the modelling of heat and smoke transport by different CFD-practitioners

NARCIS (Netherlands)

Loomans, M.G.L.C.; Lemaire, A.D.; Plas, van der M.

2009-01-01

The paper describes results from a reference study that focuses on the application of the Computational Fluid Dynamics (CFD-) technique for heat and smoke transport in practice. Goal of the study is to obtain insight into the amount and causes of the spread of CFD-results when applied by different

The association between regular yoga and meditation practice and falls and injuries: Results of a national cross-sectional survey among Australian women.

Science.gov (United States)

Cramer, Holger; Sibbritt, David; Adams, Jon; Lauche, Romy

2016-02-01

Falls are the leading cause of injuries in women across all ages. While yoga has been shown to increase balance, it has also been associated with injuries due to falls during practice. This study aimed to analyse whether regular yoga or meditation practice is associated with the frequency of falls and fall-related injuries in upper middle-aged Australian women. Women aged 59-64 years from the Australian Longitudinal Study on Women's Health (ALSWH) were queried regarding falls and falls-related injuries; and whether they regularly practiced yoga or meditation. Associations of falls and falls-related injuries with yoga or meditation practice were analysed using chi-squared tests and multiple logistic regression modelling. Of 10,011 women, 4413 (44.1%) had slipped, tripped or stumbled, 2770 (27.7%) had fallen to the ground, 1398 (14.0%) had been injured as a result of falling, and 901 (9.0%) women had sought medical attention for a fall-related injury within the previous 12 months. Yoga or meditation was practiced regularly by 746 (7.5%) women. No associations of falls, fall-related injuries and treatment due to falls-related injury with yoga or meditation practice were found. No association between yoga or meditation practice and falls or fall-related injuries have been found. Further studies are warranted for conclusive judgement of benefits and safety of yoga and meditation in relation to balance, falls and fall-related injuries. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

A review of experimental results obtained in Au-Au collisions at the RHIC-BNL energies using BRAHMS experimental set-up

International Nuclear Information System (INIS)

Jipa, Alexandru

2003-01-01

Ultrarelativistic heavy ion collisions are useful tools to investigate highly excited dense nuclear matter. At sufficiently high temperature, nuclear matter is expected to undergo a phase transition to quark-gluon plasma. Therefore, new experiments have been proposed to investigate the behaviour of the highly excited dense nuclear matter. One of the experiments performed at the Relativistic Heavy Ion Collider from Brookhaven National Laboratory is the BRAHMS Experiment. In the three running years many experimental data have been obtained. These data permitted to establish significant experimental results on charged pion, charged kaon, proton and antiproton production in Au-Au collisions at 130 A GeV and 200 A GeV in CMS. The present work summarizes the main experimental results on charged particle multiplicities, rapidity distributions, momentum spectra, antiparticle to particle ratios and connects these results with some interesting physical quantities. Their dependencies on the available energies in the CMS in similar collisions are included. Interesting behaviours with the increase of this energy are reported. The most interesting are related to the behaviour of the antiproton to proton ratio on the collision centrality and on the available energy in the centre of mass system, the strangeness production, Coulomb repulsion and slope parameters of the momentum spectra. A few new steps in the knowledge of the behaviour of the highly excited and dense nuclear matter can be reported. (authors)

Preventive practices in the elderly and vulnerability to HIV

Directory of Open Access Journals (Sweden)

Valéria Peixoto Bezerra

Full Text Available Objective: To know the vulnerability of the elderly to the HIV infection in the context of preventive practices. Method: Exploratory qualitative study, lead from December 2012 to May 2013, with 37 nursing Coexistence Groups in João Pessoa - Paraiba. The Focus Group was elected as the research technique, and the empirical material obtained was subjected to a Content Analysis Technique, thematic modality. Results: The elderly recognize the importance of preventive practices, but they face difficulties in its use when their emotional relationships with their partners do not favor preventive behavior, resulting in vulnerability. The elderly showed the population groups most vulnerable to HIV and do not recognize themselves as such. Conclusion: The complexity of the various contexts experienced by the elderlies of this study indicate the need for more research that allows advances in the understanding of subjectivity imposed in relations that underlie the aging process and the experience of sexuality in this age group.

A POSSIBLE MODEL FOR ANALYSING THE PRACTICAL NEEDS OF STUDENTS IN ECONOMICS-PRACTEAM MODEL

Directory of Open Access Journals (Sweden)

Hatos Roxana

2011-07-01

Full Text Available Data presented in this paper are part of the activities of the PRACTeam project Practice of students in economics. Inter-regional partnership between universities and the labor market" project co-financed by European Social Fund Operational Programme Human Resources Development 2007-2013 -" Invest in people! "Contract no. POSDRU/90/2.1/S/64150. Identifying the needs of practice activity had as research tools: focus group and questionnaires. Research subjects were third-year students who have completed the practical work from all three partners: Oradea, Timisoara and Suceava. The results obtained in this research were the basis for discussions during the workshop PRACTeam between student representatives, tutors and practice coordinators. Based on the central elements and highlighted problems were developed materials for both tutors and students. The specific objectives of identifying needs for practical training were: to determine administrative and organizational elements deemed most appropriate for students in terms of practical training, identifying methods of communication between all stakeholders (students, coordinators and tutors of practice the most suitable in terms of training students, identifying the strengths and weaknesses in relation to the conduct of practical training Presentation integrates the results with emphasis on elements that can be improved, structured around the following areas: evaluation of the internship, access into the practice, conduct practical work (satisfaction with the relationship with the tutor, satisfaction with relationship with practice coordinator, student satisfaction with the activity, satisfaction with knowledge, skills acquired in satisfaction with the practice, satisfaction with communication with colleagues positive, negative aspects, students' views on improving practice activity.

Latest results of SEE measurements obtained by the STRURED demonstrator ASIC

Energy Technology Data Exchange (ETDEWEB)

Candelori, A. [INFN, Section of Padova, Via Marzolo 8, c.a.p. 35131, Padova (Italy); De Robertis, G. [INFN Section of Bari, Via Orabona 4, c.a.p. 70126, Bari (Italy); Gabrielli, A. [Physics Department, University of Bologna, Viale Berti Pichat 6/2, c.a.p. 40127, Bologna (Italy); Mattiazzo, S.; Pantano, D. [INFN, Section of Padova, Via Marzolo 8, c.a.p. 35131, Padova (Italy); Ranieri, A., E-mail: antonio.ranieri@ba.infn.i [INFN Section of Bari, Via Orabona 4, c.a.p. 70126, Bari (Italy); Tessaro, M. [INFN, Section of Padova, Via Marzolo 8, c.a.p. 35131, Padova (Italy)

2011-01-21

With the perspective to develop a radiation-tolerant circuit for High Energy Physics (HEP) applications, a test digital ASIC VLSI chip, called STRURED, has been designed and fabricated using a standard-cell library of commercial 130 nm CMOS technology by implementing three different radiation-tolerant architectures (Hamming, Triple Modular Redundancy and Triple Time Redundancy) in order to correct circuit malfunctions induced by the occurrence of Soft Errors (SEs). SEs are one of the main reasons of failures affecting electronic digital circuits operating in harsh radiation environments, such as in experiments performed at HEP colliders or in apparatus to be operated in space. In this paper we present and discuss the latest results of SE cross-section measurements performed using the STRURED digital device, exposed to high energy heavy ions at the SIRAD irradiation facility of the INFN National Laboratories of Legnaro (Padova, Italy). In particular the different behaviors of the input part and the core of the three radiation-tolerant architectures are analyzed in detail.

Results of an experimental campaign of monitoring of agricultural practice of field combustion of rice straw; Risultati di una campagna sperimentale di monitoraggio della pratica di combustione all`aperto della paglia di riso

Energy Technology Data Exchange (ETDEWEB)

Spezzano, P.; Cerea, E.; Massironi, L.; Nocente, M.; Olivetta, A. [ENEA, Centro Ricerche Saluggia, Vercelli (Italy). Dipt. Ambiente; Castellani, C. M.; De Zaiacomo, T. [ENEA, centro Ricerche ``Ezio Clementel``, Bologna (Italy). Dipt. Ambiente

1997-09-01

For the evaluation of environmental impact of agricultural practice of field combustion of rice straw following harvest an experimental campaign was performed in a field situated near Rive Vercellese (Vercelli, Italy) by burning the amount of rice straw in a 1.2 hectare piece of ground. Four sampling positions were operated, each one composed of a miniaturized impactor and a battery-powered pump, and an optical monitor was also used to measure aerosuspended aerosol concentration continuously. Experimental results show that after field combustion, resulting ash is depleted in cadmium, copper, lead and zinc while manganese and silica remaining almost quantitatively in the ash. Manganese and silica were the only components attributable to field combustion of rice straw in the atmospheric aerosol collected during this monitoring survey. Aerosuspended mass concentration values obtained by means of both optical measurements and gravimetric determinations are presented. Aerosol granulometric distribution, measured in the vicinity of the experimental field and the parameter values of the log-normal distribution obtained with experimental data are also indicated. Finally, a comparison is made between aerosol granulometric data and respirable fraction as defined by international standards.

Energy Conservation Program Evaluation : Practical Methods, Useful Results : Proceedings of the 1987 Conference.

Energy Technology Data Exchange (ETDEWEB)

Argonne National Laboratory; International Conference on Energy Conservation Program Evaluation (3rd : 1987 : Chicago, ILL.)

1987-01-01

The success of cutting-edge evaluation methodologies depends on our ability to merge, manage, and maintain huge amounts of data. Equally important is presenting results of the subsequent analysis in a meaningful way. These topics are addressed at this session. The considerable amounts of data that have been collected about energy conservation programs are rarely used by other researchers, either because they are not available in computerized form or, if they are, because of the difficulties of interpreting someone else's data, format inconsistencies, incompatibility of computers, lack of documentation, data entry errors, and obtaining data use agreements. Even census, RECS, and AHS data can be best used only by a researcher who is intimately familiar with them. Once the data have been accessed and analyzed, the results need to be put in a format that can be readily understood by others. This is a particularly difficult task when submetered data is the basis of the analysis. Stoops and Gilbride will demonstrate their methods of using off-the-shelf graphics software to illustrate complex hourly data from nonresidential buildings.

Screen-based reading practices – results of the Study on children and adolescents’ reading habits and attitudes

Directory of Open Access Journals (Sweden)

Zofia Zasacka

2017-11-01

Full Text Available This article focuses on how digital technologies are used in the reading practices of adolescents. The results presented here are drawn from a study of young people’s reading habits. One of its aims was to determine students’ online reading habits. Selected results are presented from the qualitative and quantitative stages of the study. The quantitative stage was conducted in November 2013 with 1721 students completing primary school and 1816 students from lower secondary school. The paper reviews its key findings about how students read books: offline or online, printed or on-screen, whether they look for information about books on the internet and whether they use the internet as a source of reading material.

Mathematical models for correction of images, obtained at radioisotope scan

International Nuclear Information System (INIS)

Glaz, A.; Lubans, A.

2002-01-01

The images, which obtained at radioisotope scintigraphy, contain distortions. Distortions appear as a result of absorption of radiation by patient's body's tissues. Two mathematical models for reducing of such distortions are proposed. Image obtained by only one gamma camera is used in the first mathematical model. Unfortunately, this model allows processing of the images only in case, when it can be assumed, that the investigated organ has a symmetric form. The images obtained by two gamma cameras are used in the second model. It gives possibility to assume that the investigated organ has non-symmetric form and to acquire more precise results. (authors)

WHY RESTAURANTS SHOULD GO GREEN? – MAIN ENVIRONMENTAL PRACTICES IN RESTAURANTS INDUSTRY

Directory of Open Access Journals (Sweden)

Stefan-Dragos CÎRSTEA

2015-11-01

Full Text Available Hospitality businesses influence the sustainability of their natural environment by consuming significant amounts of natural resources. Restaurant industry employs one in every three retail workers and consumes one-third of all retail electricity use and almost 30% of all meals were eaten away from home, last year. This study attempted to identify the most important benefits obtained from green practices implementation and which are the basic environmental practices that can be adopted by the organisations in order the improve their image and reduce their costs. Moreover, our research has been undertaken in parallel with worldwide existing trends in order to better understand the direction in which green restaurants are moving. This study results inventories the main environmental practices and actions that can be implemented in restaurants.

Vibrational properties of gold nanoparticles obtained by green synthesis

Science.gov (United States)

Alvarez, Ramón A. B.; Cortez-Valadez, M.; Bueno, L. Oscar Neira; Britto Hurtado, R.; Rocha-Rocha, O.; Delgado-Beleño, Y.; Martinez-Nuñez, C. E.; Serrano-Corrales, Luis Ivan; Arizpe-Chávez, H.; Flores-Acosta, M.

2016-10-01

This study reports the synthesis and characterization of gold nanoparticles through an ecological method to obtain nanostructures from the extract of the plant Opuntia ficus-indica. Colloidal nanoparticles show sizes that vary between 10-20 nm, and present various geometric morphologies. The samples were characterized through optical absorption, Raman Spectroscopy and Transmission Electron Microscopy (TEM). Additionally, low energy metallic clusters of Aun (n=2-20 atoms) were modeled by computational quantum chemistry. The theoretical results were obtained with Density Functional Theory (DFT). The predicted results of Au clusters show a tendency and are correlated with the experimental results concerning the optical absorption bands and Raman spectroscopy in gold nanoparticles.

Banking Accounting Practices “Humanist” (P.31-38

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Nanang Shonhadji

2017-02-01

Full Text Available Humanism is a universal value that should be attached to all forms and operational activities of the bank because the bank’s main business is to provide service to humanity. The purpose of this study was to determine the humanist banking practice. The use of qualitative methods with a phenomenological approach that involve an account officer and marketing staff as key informants. In-depth interviews conducted to obtain comprehensive information. The results of the study informs that the banking practice in the lending and the funding activities were still oriented to material interests or to achieve maximum profit with unbalanced position. It caused the values of humanism in the form of truth and equitable negated by bank stakeholder. The results of this study also found that there are two forms of awareness is needed in the value of accountability in the process of funding and lending activities to customers humanistic were the awareness of responsibility to themselves and to God. Keywords: Humanism, Bank accounting, Phenomenology,Qualitative

MANAGERIAL AND COST ACCOUNTING PRACTICES - A ROMANIAN OVERVIEW

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CARDOS ILDIKO REKA

2011-12-01

Full Text Available Research theme Globalization and technological changes generates complexity both in the business environment and the accounting systems. Under these conditions managerial accounting needs to learn new practices in order to become an active consultant of management. Objectives: The main objective of this paper is to present how managerial accounting changed over the years in Romania. We intend to present how the managerial accounting system is implemented within Romanian organizations, to report the level of adoption of traditional practices, tools and techniques, to identify to what extent contemporary managerial accounting practices are implemented and used, and finally to identify whether managerial accounting information is useful for business decisions. Prior works: Over the years researchers from all over the world were interested in managerial accounting changes and innovations, in managerial accounting practices, tools and techniques adopted by organizations. On international level the study made by Pavlatos and Paggios (2009 and on national level the study made by Jinga et al (2010 represents the starting point of our study. Both research team conducted a study on managerial accounting practices and the utility of managerial accounting information and found out that managerial accounting information is useful for managers in the decision making process but traditional practices, tools and techniques are used to 'produce' this type of information. Design/methodology : An empirical study was conducted in 2010 within Romanian accounting professionals. A questionnaire was sent to a number of 1871 professionals members of The Body of Expert and Licensed Accountants of Romania regarding managerial accounting practices, tools and techniques adopted and implemented. Data obtained was processed and analyzed with the help of descriptive statistics. Results/findings - Romanian professionals consider that managerial accounting information is useful

Fish intake, cooking practices, and risk of prostate cancer: results from a multi-ethnic case-control study.

Science.gov (United States)

Joshi, Amit D; John, Esther M; Koo, Jocelyn; Ingles, Sue A; Stern, Mariana C

2012-03-01

Studies conducted to assess the association between fish consumption and prostate cancer (PCA) risk are inconclusive. However, few studies have distinguished between fatty and lean fish, and no studies have considered the role of different cooking practices, which may lead to differential accumulation of chemical carcinogens. In this study, we investigated the association between fish intake and localized and advanced PCA taking into account fish types (lean vs. fatty) and cooking practices. We analyzed data for 1,096 controls, 717 localized and 1,140 advanced cases from the California Collaborative Prostate Cancer Study, a multiethnic, population-based case-control study. We used multivariate conditional logistic regression to estimate odds ratios using nutrient density converted variables of fried fish, tuna, dark fish and white fish consumption. We tested for effect modification by cooking methods (high- vs. low-temperature methods) and levels of doneness. We observed that high white fish intake was associated with increased risk of advanced PCA among men who cooked with high-temperature methods (pan-frying, oven-broiling and grilling) until fish was well done (p (trend) = 0.001). No associations were found among men who cooked fish at low temperature and/or just until done (white fish x cooking method p (interaction) = 0.040). Our results indicate that consideration of fish type (oily vs. lean), specific fish cooking practices and levels of doneness of cooked fish helps elucidate the association between fish intake and PCA risk and suggest that avoiding high-temperature cooking methods for white fish may lower PCA risk.

Acoustic emission results obtained from testing the ZB-1 intermediate scale pressure vessel

International Nuclear Information System (INIS)

Hutton, P.H.; Kurtz, R.J.; Pappas, R.A.; Dawson, J.F.; Dake, L.S.; Skorpik, J.R.

1985-09-01

Acoustic emission (AE) monitoring of flaw growth in an intermediate scale vessel during cyclic loading at 65 0 C and 288 0 C is described in this report. The report deals with background, methodology, and results. The work discussed is of major significance in a program supported by NRC to develop and demonstrate application of AE monitoring for continuous surveillance of reactor pressure boundaries to detect and evaluate growing flaws. Several areas of technical concern are addressed. Results support the feasibility of effective continuous monitoring

Preliminary Results Obtained from Flight Test of a Rocket Model Having the Tail Only of the Grumman XF10F Airplane Configuration, TED No. NACA DE 354

Science.gov (United States)

Gardner, William N.; Edmondson, James L.

1950-01-01

A flight test was made to determine the servoplane effectiveness and stability characteristics of the free-floating horizontal stabilizer to be used on the XF10F airplane. The results of this test indicate that servoplane effectiveness is practically constant through the speed range up to a Mach number of 1.15, and the stabilizer static stability is satisfactory. A loss of damping occurs over a narrow Mach number range near M = 1.0, resulting in dynamic instability of the stabilizer in this narrow range. Above M = 1.0 there is a gradual positive trim change of the stabilizer.

Solar heating by radiant floor: Experimental results and emission reduction obtained with a micro photovoltaic–heat pump system

International Nuclear Information System (INIS)

Izquierdo, M.; Agustín-Camacho, P. de

2015-01-01

Highlights: • This work presents a PVT multicrystalline solar heating system for buildings. • The PV DC electricity generated was converted to AC to drive an air–water heat pump. • Experimental results obtained from December 1, 2012 to April 30, 2013 are detailed. • An environmental study is also presented. - Abstract: An experimental research with a solar photovoltaic thermal (PVT) micro grid feeding a reversible air–water, 6 kW heating capacity heat pump, has been carried out from December 2012 to April 2013. Its purpose is to heat a laboratory that is used as a house prototype for the study of heating/cooling systems. It was built in accordance with the 2013 Spanish CTE, and has an area of 35 m 2 divided into two internal rooms: one of them housing the storage system, the solar controller, the inverter and the control system; the other one is occupied by three people. Its main thermal characteristics are: UA = 125 W/°C and a maximum thermal load about 6.0 kW at the initial time. The PVT field consists of 12 modules, with a total area of 15.7 m 2 and useful area of 14 m 2 . Each module is composed of 48 polycrystalline silicon cells of 243.4 cm 2 , which with a nominal efficiency 14% can generate a power of 180 W, being the total nominal power installed 2.16 kW. The PV system stores electricity in 250 Ah batteries from where is converted from DC to AC through a 3.0 kW inverter that feeds the heat pump. This works supplying 840 l/h of hot water at 35–45 °C to the radiant floor. The data storing system is recording variables such as solar radiation; temperatures; input power to batteries; heat produced; heat transferred by the radiant floor; heat pump’s COP; isolated ratio; and solar fraction. The objective of this work is to present and discuss the experimental results and the emission reduction of CO 2 obtained during the period from 01/12/2012 to 30/04/2013, including the detailed results of two representative days of Madrid’s climate: 28

Automation in dairy cattle milking: experimental results and considerations

Directory of Open Access Journals (Sweden)

Marisanna Speroni

2010-01-01

Full Text Available The results of two experimental programs financed to the Istituto Sperimentale per la Zootecnia are presented. The objective of the two Italian programs was the verify if automatic milking is a suitable practice for Italian dairy system. Results are summarised and compared to those obtained in other international projects. Results refer to animal behaviour, milk yield, milk quality an animal welfare. In a trial comparing cows milked with an automatic milking system and cows milked in a milking parlour, we observed that when the temperature and humidity are very high cows reduce their activity, have lower milking frequency and milk yield than in cold seasons. In comparison to milking parlour, automatic milking system did not increase milk yield which was affected significantly by season, stage of lactation, parity, season per treatment and parity per treatment. The causes of the negative results obtained by this group and by other international groups are discussed. We also presented the results obtained in four trials thereby four appetizers or flavourings were tested to improve efficiency of automatic milking system. Comparing the two milking systems, automatic milking determined a worsening of milk quality, but from these data is not possible to exclude the possibility to use automatic milking for Grana Padano and Parmigiano Reggiano-type cheeses. Animal welfare is not negatively influenced by automatic milking system, which has the potentiality to improve the control and care of cows.

Can Malin's gravitational-field equations be modified to obtain a viable theory of gravity to obtain a viable theory of gravity to obtain a viable theory of gravity

International Nuclear Information System (INIS)

Smalley, L.L.; Prestage, J.

1976-01-01

Malin's gravitational theory, which was recently shown by Lindblom and Nester to be incorrect, is modified by means of a recently proposed method for obtaining viable gravitational theories. The resulting self-consistent theory, which is in effect a Rastall-type modification of the Einstein theory, exhibits nonconservation of momentum, yet agrees with all experimental limits known to date within the PPN framework

Practical, Reliable Error Bars in Quantum Tomography

OpenAIRE

Faist, Philippe; Renner, Renato

2015-01-01

Precise characterization of quantum devices is usually achieved with quantum tomography. However, most methods which are currently widely used in experiments, such as maximum likelihood estimation, lack a well-justified error analysis. Promising recent methods based on confidence regions are difficult to apply in practice or yield error bars which are unnecessarily large. Here, we propose a practical yet robust method for obtaining error bars. We do so by introducing a novel representation of...

Supporting Faculty Efforts to Obtain Research Funding: Successful Practices and Lessons Learned

Science.gov (United States)

Reiser, Robert A.; Moore, Alison L.; Bradley, Terra W.; Walker, Reddick; Zhao, Weinan

2015-01-01

Faculty members face increasing pressure to secure external research funding, and as a result, there is a critical need for professional development in this area. This paper describes a series of tools and services that have been designed and implemented by a College of Education Office of Research at a southeastern university in order to help…

The optimization model of the logging machinery usage in forestry practice

Directory of Open Access Journals (Sweden)

Jitka Janová

2009-01-01

Full Text Available The decision support systems commonly used in industry and economy managerial practice for optimizing the processes are based on algoritmization of the typical decision problems. In Czech forestry business, there is a lack of developed decision support systems, which could be easily used in daily practice. This stems from the fact, that the application of optimization methods is less successful in forestry decision making than in industry or economy due to inherent complexity of the forestry decision problems. There is worldwide ongoing research on optimization models applicable in forestry decision making, but the results are not globally applicable and moreover the cost of possibly arising software tools are indispensable. Especially small and medium forestry companies in Czech Republic can not afford such additional costs, although the results of optimization could positively in­fluen­ce not only the business itself but also the impact of forestry business on the environment. Hence there is a need for user friendly optimization models for forestry decision making in the area of Czech Republic, which could be easily solved in commonly available software, and whose results would be both, realistic and easily applicable in the daily decision making.The aim of this paper is to develop the optimization model for the machinery use planning in Czech logging firm in such a way, that the results can be obtained using MS EXCEL. The goal is to identify the integer number of particular machines which should be outsourced for the next period, when the total cost minimization is required. The linear programming model is designed covering the typical restrictions on available machinery and total volume of trees to be cut and transported. The model offers additional result in the form of optimal employment of particular machines. The solution procedure is described in detail and the results obtained are discussed with respect to its applicability in

Prenatal cytogenetic diagnosis in Spain: analysis and evaluation of the results obtained from amniotic fluid samples during the last decade.

Science.gov (United States)

Mademont-Soler, Irene; Morales, Carme; Clusellas, Núria; Soler, Anna; Sánchez, Aurora

2011-08-01

Chromosome abnormalities are one of the main causes of congenital defects, and establishing their frequency according to the different clinical indications for invasive procedure during pregnancy is especially important for genetic counselling. We analyzed the results of 29,883 amniotic fluid samples referred to our laboratory for cytogenetic studies from 1998 to 2009, which constitutes the largest series of cytogenetic analysis performed on amniotic fluid samples in Spain. The number of samples received tended to increase from 1998 to 2005, but after 2005 it decreased substantially. Cytogenetic results were obtained in 99.5% of the samples, and the detected incidence of chromosome abnormalities was 2.9%. Of these, 48.1% consisted of classical autosomal aneuploidies, trisomy 21 being the most frequent one. The main clinical indications for amniocentesis were positive prenatal screening and advanced maternal age, but referral reasons with highest positive predictive values were, excluding parental chromosome rearrangement, increased nuchal translucency (9.2%) and ultrasound abnormalities (6.6%). In conclusion, performing the karyotype on amniotic fluid samples is a good method for the detection of chromosome abnormalities during pregnancy. The number of cytogenetic studies on amniotic fluid has now decreased, however, due to the implementation of first trimester prenatal screening for the detection of Down syndrome, which allows karyotyping on chorionic villus samples. Our results also show that both ultrasound abnormalities and increased nuchal translucency are excellent clinical indicators for fetal chromosome abnormality. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

How is brand experience designed in practice? : Results of a multiple-case study

NARCIS (Netherlands)

Bakker-Wu, S.; Calabretta, G.; Hultink, H.J.; Bohemia, E.; de Bont, C.; Svengren Holm, L.

2017-01-01

Brand experience is an important concept in marketing because it can affect brand loyalty, brand recall, and brand attitude. Brand experience design is therefore an important practice for companies to create favourable and meaningful experiences, through the design of various touchpoints that are in

Communicating Effectively to Obtain Supervision of Professional Practice

Science.gov (United States)

Fischetti, Barbara A.; Petry, Bradley; Munch, Jessica Kouvel

2012-01-01

School psychologists are expected by parents, students, and their profession to maintain their competency to ensure the appropriate delivery of psychological services. Supervision by a school psychologist is a prime method for maintaining skill levels and updating professional services. Unfortunately, many school districts do not understand the…

Decontamination in preparation for dismantlement - AREVA's chemical decontamination technologies, projects performed and results obtained in the period 2011-2016

International Nuclear Information System (INIS)

Topf, C.; Sempere Belda, L.

2017-01-01

As a consequence of the nuclear phase-out decreed by the German government, several nuclear power plants in the country have already ceased operation. The remaining ones will cease operation by 2022. This has turned Germany into one of the most active regions worldwide in the field of nuclear decommissioning, with new and emerging technologies being deployed on the field, and already preexisting technologies being put to the test, optimized and developed into full maturity. The chemistry services division of AREVA GmbH has already performed 5 Full System Decontaminations (FSD) in preparation for decommissioning in this period - three in PWRs and two in BWRs - along with other international projects of relevance for decommissioning operations. During a FSD, the complete primary circuit of a nuclear power plant including auxiliary systems is subject to a chemical treatment; designed to remove radioactive matter accumulated onto system surfaces during operation. Through the effective removal of this radioactive accumulations contact dose rates on the different components of the primary circuit can be consistently reduced by factors larger than 50. This results in much lower ambient dose rates and, hence, in very significant dose savings for subsequent decommissioning activities. Additionally, dismantlement operations of large components are considerably simplified and can be performed under conditions that wouldn't have been possible before. The project specific objectives and challenges, the technologies employed, and the results obtained are presented and commented here. (authors)

Advanced practice nursing in child maltreatment: practice characteristics.

Science.gov (United States)

Hornor, Gail; Herendeen, Pamela

2014-01-01

Child maltreatment is a problem of epidemic proportions in the United States. Pediatric nurse practitioners and other advanced practice nurses (APNs) have been caring for maltreated children for decades, yet to date no comprehensive assessment of their practice characteristics or their clinical and academic contributions to the field has been performed. The purpose of this study is to describe the practice characteristics of APNs who care for maltreated children. A descriptive design was used for this study. Child advocacy centers and children's hospitals were contacted to inquire about employment of child maltreatment APNs in their institution, and contact information for the lead APN was obtained. The Nurse Practitioner Survey was then sent to lead APNs by e-mail. The majority of APNs who work primarily in child maltreatment are pediatric nurse practitioners who work in child advocacy centers. They are providing care to children with physical and/or sexual abuse concerns; however, APNs provide care for children with all types of child maltreatment concerns. APNs play a vital role in the care of abused/neglected children. Their important contributions include not only clinical care but also the provision of clinical and didactic education to other professionals, parents, and the public. Research and publication are also essential to their role. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

An Examination of Growing Trends in Land Tenure and Conservation Practice Adoption: Results from a Farmer Survey in Iowa

Science.gov (United States)

Varble, Sarah; Secchi, Silvia; Druschke, Caroline Gottschalk

2016-02-01

Tenants and part-owners are farming an increasing number of acres in the United States, while full-owners are farming fewer acres. This shift in ownership is a potential cause for concern because some previous research indicated that tenant and part-owner farmers were less likely to adopt conservation practices than farmers who owned the land they farmed. If that trend persists, ownership changes would signal a national drop in conservation adoption. Here we examine this issue using a survey of agricultural operators in the Clear Creek watershed in Iowa, a state with intensive agricultural production. We compare adoption of conservation practices, and preferences for conservation information sources and communication channels, between farmers who rent some portion of the land they farm (tenants and part-owners) and farmers who own all of the land they farm (full-owners). We find that renters are more likely to practice conservation tillage than full-owners, though they are less likely to rotate crops. In addition, renters report using federal government employees (specifically, Natural Resource Conservation Service and Farm Service Agency) as their primary sources of conservation information, while full-owners most frequently rely on neighbors, friends, and County Extension. These findings are significant for conservation policy because, unlike some past research, they indicate that renters are not resistant to all types of conservation practices, echoing recent studies finding an increase in conservation adoption among non-full-owners. Our results emphasize the importance of government conservation communication and can inform outreach efforts by helping tailor effective, targeted conservation strategies for owners and renters.

Some practical results for calculating the elastic properties of cubic polycrystals with texture measured by neutron diffraction

International Nuclear Information System (INIS)

Lychagina, T.A.; Brokmeier, H.G.

1999-01-01

Complete text of publication follows. It is well known that the elastic properties of a polycrystalline material are strongly dependent on the one hand the single crystal elastic properties and on the other hand its crystallographic texture [1]. The calculation of these properties needs the quantitative texture given by the orientation distribution function (ODF), which represents texture mathematically. By a given set of experimental pole figures a number of programs are available to calculate the ODF, which might have an influence on the resulting properties. The aim of this work is to compare elastic properties of cubic materials calculated with ODFs obtained by different methods. The calculations were carried out on a cold rolled Al-6%Mg alloy sheet and on a copper rod. Experimental pole figures were obtained by means of neutron diffraction [2] and used for ODF calculation. The conformity between different results will be discussed. (author) [1] H.J. Bunge 1982, Texture Analysis in Material Science - Mathematical Methods, Butterworth, London.; [2] H.G. Brokmeier, U. Zink, R. Schnieber, B. Witassek, Material Science Forum (1998), 273-275, 277

Different percentages of false-positive results obtained using five methods for the calculation of reference change values based on simulated normal and ln-normal distributions of data

DEFF Research Database (Denmark)

Lund, Flemming; Petersen, Per Hyltoft; Fraser, Callum G

2016-01-01

a homeostatic set point that follows a normal (Gaussian) distribution. This set point (or baseline in steady-state) should be estimated from a set of previous samples, but, in practice, decisions based on reference change value are often based on only two consecutive results. The original reference change value......-positive results. The aim of this study was to investigate false-positive results using five different published methods for calculation of reference change value. METHODS: The five reference change value methods were examined using normally and ln-normally distributed simulated data. RESULTS: One method performed...... best in approaching the theoretical false-positive percentages on normally distributed data and another method performed best on ln-normally distributed data. The commonly used reference change value method based on two results (without use of estimated set point) performed worst both on normally...

Recommended practice for process sampling for partial pressure analysis

International Nuclear Information System (INIS)

Blessing, James E.; Ellefson, Robert E.; Raby, Bruce A.; Brucker, Gerardo A.; Waits, Robert K.

2007-01-01

This Recommended Practice describes and recommends various procedures and types of apparatus for obtaining representative samples of process gases from >10 -2 Pa (10 -4 Torr) for partial pressure analysis using a mass spectrometer. The document was prepared by a subcommittee of the Recommended Practices Committee of the American Vacuum Society. The subcommittee was comprised of vacuum users and manufacturers of mass spectrometer partial pressure analyzers who have practical experience in the sampling of process gas atmospheres

Adapting research instruction to support the scholarship of practice: practice-scholar partnerships.

Science.gov (United States)

Crist, Patricia A

2010-01-01

ABSTRACT Evidence-based practice (EBP) is crucial to the success of delivering quality occupational therapy services. The skill to engage in the scholarship of practice is central to being able to create evidence specific to one's everyday practice and leads to an emerging role within occupational therapy called the practice-scholar. The purpose of this retrospective study was to investigate the effectiveness of an instructional approach that engaged the scholarship of practice and the functions of a practice-scholar. Occupational therapy graduate students and practitioners collaborated to develop a practice-based study proposal during a traditional experimental research class. The objective was to apply research concepts contextualized within the natural practice context while developing the role of the practice-scholar in designing outcomes studies. As part of an entry-level research course, students (n == 39) and practitioners (n == 14) were grouped into learning teams and discussed two self-assessments to reflect on their self-efficacy perceptions of practice-scholarship research at the beginning and the end of a series of guided sessions to design a research proposal. Postcourse results show that students' perceptions of self-efficacy improved regarding their abilities to participate in practice-scholarship as a result of the learning partnerships. Anecdotal similarities were found for practitioners. As an instructional method, the learning partnership facilitated the development of foundational knowledge and skills related to becoming practice-scholars through increased self-efficacy in using proposal design. This educational approach proactively used the scholarship of practice research to bridge practice and education using a meaningful, partnership-based model for entry-level graduate students and occupational therapy practitioners.

Patient exposure in general dental practice in the Netherlands

International Nuclear Information System (INIS)

Velders, X.L.; Selling, H.A.

1988-01-01

To estimate the population risk due to dental radiography an investigation was started among 1200 dental practitioners. A questionnaire was set up to inventory commonly applied indications of X-ray examinations, the number of examinations and the organizational actions taken by the dentists to limit radiation doses to the patients. Information was gathered on the type of X-ray machines, the use of aiming devices, protective measurements for patients and dental staff, developing procedures and the type of films. A number of practical tests was applied to obtain a quantitative impression of patient doses in accordance with special circumstances. For the practical tests films and lithium fluoride TLD-100 chips (Harshaw) were used to determine the beam diameter, the exposure of the X-ray machine and the scatter at a set distance of the middle of the beam, developing circumstances as well as entrance and exist skin doses measured on the skin of a patient. The results of 544 dental practices will be discussed. Finally an estimation of the possible extent of reduction in patient exposure in the Netherlands will be made

Knowledge and Practice of Self-medication among Undergraduate Medical Students

Directory of Open Access Journals (Sweden)

Anishma Karmacharya

2018-05-01

Full Text Available Introduction: Self-medication is an important aspect of self-care. It is a common practice in society and medical students are no exception. The aim of this study was to explore the knowledge and practice of self-medication among students of a medical school in Western Nepal. Methods: A cross sectional study was conducted among basic science and clinical students after obtaining prior consent from those willing to participate. Respondents’ degree of agreement with a set of 25 statements was noted using Likert scale to assess their knowledge. The practice of self-medication was studied by asking about the use of selected groups of medicines during the past one-year period and noting the pattern of use. Results: Three hundred and thirty of the 356 students (92.6% participated in the study. Mean knowledge score was 93.2 (SD = 8.1. Self-medication was practiced by 83.3% (n = 275 of respondents. Knowledge about self-medication differed among respondents according to gender (p = 0.03 and nationality (p = 0.04 but not other variables. Practice of self-medication was associated with father’s profession (p = 0.03 and nationality of the respondents (p = 0.04. Conclusions: Students’ knowledge about self-medication was good and they commonly practiced self-medication. Pain-killers were the most commonly used drug.

School superintendents' perceptions of schools assisting students in obtaining public health insurance.

Science.gov (United States)

Rickard, Megan L; Price, James H; Telljohann, Susan K; Dake, Joseph A; Fink, Brian N

2011-12-01

Superintendents' perceptions regarding the effect of health insurance status on academics, the role schools should play in the process of obtaining health insurance, and the benefits/barriers to assisting students in enrolling in health insurance were surveyed. Superintendents' basic knowledge of health insurance, the link between health and learning, and specific school system practices for assisting students were also examined. A 4-page questionnaire was sent to a national random sample of public school superintendents using a 4-wave postal mailing. Only 19% of school districts assessed the health insurance status of students. School districts' assistance in helping enroll students in health insurance was assessed using Stages of Change theory; 36% of superintendents' school districts were in the action or maintenance stages. The schools most often made health insurance materials available to parents (53%). The perceived benefits identified by more than 80% of superintendents were to keep students healthier, reduce the number of students with untreated health problems, reduce school absenteeism, and improvement of students' attention/concentration during school. The 2 most common perceived barriers identified by at least 50% of superintendents were not having enough staff or financial resources. Most superintendents believed schools should play a role in helping students obtain health insurance, but the specific role was unclear. Three fourths of superintendents indicated overwhelmingly positive beliefs regarding the effects of health insurance status on students' health and academic outcomes. School personnel and public policy makers can use the results to support collaboration in getting students enrolled in health insurance. © 2011, American School Health Association.

Israeli nurse practice environment characteristics, retention, and job satisfaction.

Science.gov (United States)

Dekeyser Ganz, Freda; Toren, Orly

2014-02-24

There is an international nursing shortage. Improving the practice environment has been shown to be a successful strategy against this phenomenon, as the practice environment is associated with retention and job satisfaction. The Israeli nurse practice environment has not been measured. The purpose of this study was to measure practice environment characteristics, retention and job satisfaction and to evaluate the association between these variables. A demographic questionnaire, the Practice Environment Scale, and a Job Satisfaction Questionnaire were administered to Israeli acute and intensive care nurses working in 7 hospitals across the country. Retention was measured by intent to leave the organization and work experience. A convenience sample of registered nurses was obtained using a bi-phasic, stratified, cluster design. Data were collected based on the preferences of each unit, either distribution during various shifts or at staff meetings; or via staff mailboxes. Descriptive statistics were used to describe the sample and results of the questionnaires. Pearson Product Moment Correlations were used to determine significant associations among the variables. A multiple regression model was designed where the criterion variable was the practice environment. Analyses of variance determined differences between groups on nurse practice environment characteristics. 610 nurses reported moderate levels of practice environment characteristics, where the lowest scoring characteristic was 'appropriate staffing and resources'. Approximately 9% of the sample reported their intention to leave and the level of job satisfaction was high. A statistically significant, negative, weak correlation was found between intention to leave and practice environment characteristics, with a moderate correlation between job satisfaction and practice environment characteristics. 'Appropriate staffing and resources' was the only characteristic found to be statistically different based on

A review of the practices and results of the UTMB to South Pole teledermatology program over the past six years.

Science.gov (United States)

Sun, Angel; Lanier, Russell; Diven, Dayna

2010-01-15

There is no place on earth more remote and inaccessible than Antarctica. In 2002, Raytheon Polar Services Co. (RPS) awarded The University of Texas Medical Branch (UTMB) at Galveston the contract to provide specialty medical services via telemedicine to the approximately 3,500 National Science Foundation (NSF) researchers and support personnel who rotate through Antarctica in a given year. We present the practices and results of the UTMB to the South Pole teledermatology program over the past six years, from 2003 to 2008. Issues encountered include logistics of sending out biopsies for pathologic diagnosis, limited bandwidth, and satellite availability for data transmission. The UTMB to the South Pole teledermatology program demonstrates the clinical practicality of telemedicine in providing dermatologic care to remote populations in extreme climate conditions.

Implementation of parental feeding practices: does parenting style matter?

Science.gov (United States)

Kiefner-Burmeister, Allison; Hoffmann, Debra; Zbur, Samantha; Musher-Eizenman, Dara

2016-09-01

To combat childhood obesity, researchers have focused on parental feeding practices that promote child health. The current study investigated how parenting style relates to twelve parental feeding practices. Data on parenting style and parental feeding practices were obtained for a correlational study from users of Amazon's Mechanical Turk, an online survey system. USA. Mothers of children aged 7-11 years (n 193). Parenting style related differentially to eleven out of the twelve measured practices. Authoritative mothers displayed more feeding practices that promote child health and fewer practices that impede child health. Authoritarian and permissive mothers displayed more unhealthy practices than authoritative mothers, but differed from each other on the practices they employed. Parenting style may relate to more aspects of feeding than previously realized. The inclusion of numerous healthy feeding practices along with unhealthy practices in the current study provides suggestions for the application of healthy feeding behaviours. Instruction on feeding behaviours and parenting style should be a focus of future educational programmes.

Macromolecular crystallographic results obtained using a 2048x2048 CCD detector at CHESS

International Nuclear Information System (INIS)

Thiel, D.J.; Ealick, S.E.; Tate, M.W.; Gruner, S.M.; Eikenberry, E.F.

1996-01-01

We present results of macromolecular crystallographic experiments performed at the Cornell High Energy Synchrotron Source (CHESS) with a new CCD-based detector. This detector, installed in January 1995, complements a 1024x1024 CCD detector that has been in continuous operation at CHESS since December 1993. The new detector is based on a 4-port, 2048x2048 pixel CCD that is directly coupled to a Gd 2 O 2 S:Tb phosphor by a 3:1 tapered fiber optic. The active area of the phosphor is a square 82 mm on an edge. The readout time is 7 seconds. In the standard mode of operation, the pixel size at the active area is 41 μm on the edge leading to the capability of resolving approximately 200 orders of diffraction across the detector face. The detector also operates in a 1024x1024 mode in which the pixel size is electronically increased by a factor of 4 in area resulting in smaller data files and faster detector readout but at the expense of spatial resolution. Most of the data that has been collected by this detector has been collected in this mode. Dozens of data sets have been collected by many experimenters using this detector at CHESS during the four month period from its installation until the start of the six-month down period of the storage ring. The capabilities of the detector will be illustrated with results from various crystallographic measurements including experiments in which the recorded diffraction patterns extend in resolution as far as 1 A. The results demonstrate that this detector is capable of collecting data of quality at least equal to that of imaging plates but, in many circumstances, with much greater beamline efficiency. copyright 1996 American Institute of Physics

Critical assessment of pediatric neurosurgery patient/parent educational information obtained via the Internet.

Science.gov (United States)

Garcia, Michael; Daugherty, Christopher; Ben Khallouq, Bertha; Maugans, Todd

2018-05-01

OBJECTIVE The Internet is used frequently by patients and family members to acquire information about pediatric neurosurgical conditions. The sources, nature, accuracy, and usefulness of this information have not been examined recently. The authors analyzed the results from searches of 10 common pediatric neurosurgical terms using a novel scoring test to assess the value of the educational information obtained. METHODS Google and Bing searches were performed for 10 common pediatric neurosurgical topics (concussion, craniosynostosis, hydrocephalus, pediatric brain tumor, pediatric Chiari malformation, pediatric epilepsy surgery, pediatric neurosurgery, plagiocephaly, spina bifida, and tethered spinal cord). The first 10 "hits" obtained with each search engine were analyzed using the Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) test, which assigns a numerical score in each of 5 domains. Agreement between results was assessed for 1) concurrent searches with Google and Bing; 2) Google searches over time (6 months apart); 3) Google searches using mobile and PC platforms concurrently; and 4) searches using privacy settings. Readability was assessed with an online analytical tool. RESULTS Google and Bing searches yielded information with similar CRAAP scores (mean 72% and 75%, respectively), but with frequently differing results (58% concordance/matching results). There was a high level of agreement (72% concordance) over time for Google searches and also between searches using general and privacy settings (92% concordance). Government sources scored the best in both CRAAP score and readability. Hospitals and universities were the most prevalent sources, but these sources had the lowest CRAAP scores, due in part to an abundance of self-marketing. The CRAAP scores for mobile and desktop platforms did not differ significantly (p = 0.49). CONCLUSIONS Google and Bing searches yielded useful educational information, using either mobile or PC platforms. Most

PEDAGOGICAL PRACTICE WAY OF CONNECTING PEDAGOGICAL THEORY AND PRACTICE

Directory of Open Access Journals (Sweden)

Božo Obradović

2013-12-01

Full Text Available The issue of linking educational theory to educational practice (educational work with young people is highly topical and important issue for the science of pedagogy. One way of achieving this task is a pedagogical practice (PP students. In paper we deal with identifying, comparing, and analyzing the curricula of vocational (Curriculum for Preschool Teacher (2007 and academic (Curriculum for Educators (2007. Studies Teacher Training in Serbia, as well as educational disciplines and areas of pedagogical science derived from them. The results showed many similarities, but also differences when it comes to educational disciplines that are taught, the name of pedagogical practice, the number of classes to implement, ECTS (European Credit Transfer System, which affect the quality and coherence of educational theory and educational practice. In order to identify similarities and overcome weaknesses that accompany the pedagogical practice analysis, we came to know about the specifics of each of the six pedagogical practice. For each pedagogical practice defined specific goals and tasks arising from the curriculum, and in particular pedagogical disciplines taught at university. Each of these pedagogical practices is the ability to connect educational theory and educational practice and direct way to increase the quality of training and competence of future teachers for direct work with children.

Process for obtaining sintered conglomerates with a high density of rare earth oxides and actinides

International Nuclear Information System (INIS)

Pasto, A.E.

1974-01-01

The invention concerns a method to produce agglomerates of actinide and rare earth oxides possessing a cubic-monoclinic transformation in order to obtain high densities close to the theoretical density, and the articles produced by the method. The process is based on the use of a rare earth or actinide oxide, in particular Eu 2 O 3 , with a cubic-monoclinic phase transformation, the oxide being sintered by hot compression at a temperature 50 deg C to 100 deg C above the transformation temperature. The sintered agglomerates obtained can have a purity of at least 99.9% and a density of practically 100%. These agglomerates are suitable in particular for the formation of nuclear reactor control rods [fr

Practice financing strategies should match investors' objectives.

Science.gov (United States)

Messinger, S F; Stevenson, P B

1999-05-01

To successfully obtain capital financing, a group practice should develop a business plan that is tailored to the needs and objectives of the targeted investors. When evaluating possible funding sources, healthcare financial managers need to consider the group practice's growth objectives, geographic scope, intended use of the funding, and cash-flow potential and/or assets. Potential capital sources include internal funding; investments by healthcare organizations, health plans, private investors, and venture capitalists; borrowing from lenders; and public offerings.

Mandatory internal mobility in French hospitals: the results of imposed management practices.

Science.gov (United States)

van Schingen, Edith; Dariel, Odessa; Lefebvre, Hélène; Challier, Marie-Pierre; Rothan-Tondeur, Monique

2017-01-01

To describe the impact of a mandatory internal mobility policy on nurses working in French state-funded health establishments. Public hospitals in France rely on the internal mobility of nursing staff to respond to organisational needs, to reduce costs and to increase productivity. However, there is very little data on the impact of such management practices on the nurses themselves. A cross-sectional study, including 3077 nurses from 35 hospitals in the region of Paris, was conducted. Data were collected using a validated self-assessment questionnaire. Forty per cent of French nurses are required to work in different units. This mobility differs according to individual characteristics [age (P = 0.04), length of service (P = 0.017)] and type of environment [hospital (P < 0.0001), specialty (P < 0.0001)]. We can distinguish two types of approaches for implementing a mandatory staff nurse mobility policy. The first is an event that is regular, planned and lasts for several days. The second is an event that is irregular, short and organised the day before or the day of the change. Overall, while nurses are dissatisfied with all types of mandatory unit changes, this dissatisfaction is primarily a result of the irregular mobility events. This study demonstrates the importance of implementing a planned inter-unit mobility event and proposes recommendations for this type of implementation. © 2016 John Wiley & Sons Ltd.

The Impact of Applying Quality Management Practices on Patient Centeredness in Jordanian Public Hospitals: Results of Predictive Modeling.

Science.gov (United States)

Hijazi, Heba H; Harvey, Heather L; Alyahya, Mohammad S; Alshraideh, Hussam A; Al Abdi, Rabah M; Parahoo, Sanjai K

2018-01-01

Targeting the patient's needs and preferences has become an important contributor for improving care delivery, enhancing patient satisfaction, and achieving better clinical outcomes. This study aimed to examine the impact of applying quality management practices on patient centeredness within the context of health care accreditation and to explore the differences in the views of various health care workers regarding the attributes affecting patient-centered care. Our study followed a cross-sectional survey design wherein 4 Jordanian public hospitals were investigated several months after accreditation was obtained. Total 829 clinical/nonclinical hospital staff members consented for study participation. This sample was divided into 3 main occupational categories to represent the administrators, nurses, as well as doctors and other health professionals. Using a structural equation modeling, our results indicated that the predictors of patient-centered care for both administrators and those providing clinical care were participation in the accreditation process, leadership commitment to quality improvement, and measurement of quality improvement outcomes. In particular, perceiving the importance of the hospital's engagement in the accreditation process was shown to be relevant to the administrators (gamma = 0.96), nurses (gamma = 0.80), as well as to doctors and other health professionals (gamma = 0.71). However, the administrator staff (gamma = 0.31) was less likely to perceive the influence of measuring the quality improvement outcomes on the delivery of patient-centered care than nurses (gamma = 0.59) as well as doctors and other health care providers (gamma = 0.55). From the nurses' perspectives only, patient centeredness was found to be driven by building an institutional framework that supports quality assurance in hospital settings (gamma = 0.36). In conclusion, accreditation is a leading factor for delivering patient-centered care and should be on a hospital

[The contact-free control of the functional state: the experience of its practical use].

Science.gov (United States)

Frolov, M V

1992-01-01

Application of contactless control method does not create any psychological or physical discomfort for a man and allows to realize diagnostics continuously for a long time, evidently or secretly. These properties of the control determine its effective application in practice. In the paper the data are given of the studies of the functional state of a man-operator using the parameters of the eyelids movements contactlessly recorded in infra-red rays, and the results of diagnostics of patients with depression by the characteristics of their speech, recorded from the microphone. The above data are obtained in practice.

Reregistration of gynaecologists in South Africa - results of a 1-year ...

African Journals Online (AJOL)

Gynaecologists from both private and full-time academic practices. Participants. ... Intervention. Each participant had to obtain a minimum of 25 points and an additional subminimum in at least two of the following practice-related categories: audit, continuing medical education (CME), self-study and research or tuition.

The role of management practice and business environment in promoting firm innovativeness

Directory of Open Access Journals (Sweden)

Strugar-Jelača Maja

2016-01-01

Full Text Available The aim of this research is to identify the relationships between management practices and firm innovativeness on the one hand and business environment and firm innovativeness on the other. The research subject is the new management practices explored through two sides of the coin of management, like innovative management functions and roles, factors of dynamic business environment and organization innovation rate. The methodology that was used includes the application of statistical methods such as Spearman's correlation and MANOVA. Relying on data from 50 large organizations in Serbia, this study shows that, as well as some managerial roles, innovation-oriented planning, staffing leading and controlling stand in positive correlation to higher firm innovativeness. Furthermore, it explains differences in the degree of firm innovativeness depending on the nature of planning, staffing and leading. Given that firms usually operate in a dynamic business environment, empirical results regard changes in customer preferences, competition and technology as important contingency factors of firm innovativeness. The obtained results are useful for encouraging innovative ways of doing business which can be the base for developing a practical framework of new management practices which enhance firm innovativeness. However, empirical studies investigating the relative importance of innovative management practices are scarce, and therefore our study will attempt to fill the gap and open the way for further research into this area.

[The Results of Self-Assessment by Medical Organizations Their Correspondence to Proposals (Practical Recommendations) of the Roszdravnadzor Concerning Organization of Internal Control of Quality and Safety of Medical Activity].

Science.gov (United States)

Ivanov, I V; Shvabsky, O R; Minulin, I B

2017-11-01

The article presents the analysis of the results of internal audits (self-rating) in medical organizations implemented on the basis of Proposals (practical guidelines) of the Roszdravnadzor concerning organization of inner control of quality and safety of medical activities in medical organization (hospital). The self-rating was implemented by the medical organizations themselves according the common criteria of the Proposals as provided the following plan: planning of self-rating, collection and processing of data, application of self-rating, analysis of obtained results, preparation of report. The article uses the results of self-rating of medical organizations corresponding to following criteria: profile of activity-multi-field hospital-number of beds more than 350-state property. The self-rating was implemented according to 11 basic parts of the Proposals. The criteria were developed for every part. The evaluation lists developed on the basis of the given Proposals permitted to medical organizations to independently establish problems in their activities. Within the framework of implemented self-rating medical organizations mentioned the directions of activity related to personnel management, identification of personality of patient, support of epidemiological and surgical safety as having significant discrepancies with the Proposals and requiring implementation of improvement measures.

Practical realization of a microwave Bessel beam launcher

KAUST Repository

Manzhura, Oksana

2011-08-01

An experimental setup is realized to practically generate Bessel beams in the microwave regime. The setup, which consists of a series of circular loop antennas inserted coaxially inside a circular metallic waveguide, excites the waveguide\\'s transverse-electric modes such that their superposition forms a Bessel beam at the open-end of the waveguide. The excitation currents are calculated from the needed excitation coefficients of each guided mode, which, in turn, are calculated from the modal decomposition of the beam. The efficiency of the setup is evaluated and the obtained experimental results are compared to the theoretical estimates. © 2011 IEEE.

Assuring the Quality of Test Results in the Field of Nuclear Techniques and Ionizing Radiation. The Practical Implementation of Section 5.9 of the EN ISO/IEC 17025 Standard

Science.gov (United States)

Cucu, Daniela; Woods, Mike

2008-08-01

The paper aims to present a practical approach for testing laboratories to ensure the quality of their test results. It is based on the experience gained in assessing a large number of testing laboratories, discussing with management and staff, reviewing results obtained in national and international PTs and ILCs and exchanging information in the EA laboratory committee. According to EN ISO/IEC 17025, an accredited laboratory has to implement a programme to ensure the quality of its test results for each measurand. Pre-analytical, analytical and post-analytical measures shall be applied in a systematic manner. They shall include both quality control and quality assurance measures. When designing the quality assurance programme a laboratory should consider pre-analytical activities (like personnel training, selection and validation of test methods, qualifying equipment), analytical activities ranging from sampling, sample preparation, instrumental analysis and post-analytical activities (like decoding, calculation, use of statistical tests or packages, management of results). Designed on different levels (analyst, quality manager and technical manager), including a variety of measures, the programme shall ensure the validity and accuracy of test results, the adequacy of the management system, prove the laboratory's competence in performing tests under accreditation and last but not least show the comparability of test results. Laboratory management should establish performance targets and review periodically QC/QA results against them, implementing appropriate measures in case of non-compliance.

Assuring the Quality of Test Results in the Field of Nuclear Techniques and Ionizing Radiation. The Practical Implementation of Section 5.9 of the EN ISO/IEC 17025 Standard

International Nuclear Information System (INIS)

Cucu, Daniela; Woods, Mike

2008-01-01

The paper aims to present a practical approach for testing laboratories to ensure the quality of their test results. It is based on the experience gained in assessing a large number of testing laboratories, discussing with management and staff, reviewing results obtained in national and international PTs and ILCs and exchanging information in the EA laboratory committee.According to EN ISO/IEC 17025, an accredited laboratory has to implement a programme to ensure the quality of its test results for each measurand. Pre-analytical, analytical and post-analytical measures shall be applied in a systematic manner. They shall include both quality control and quality assurance measures.When designing the quality assurance programme a laboratory should consider pre-analytical activities (like personnel training, selection and validation of test methods, qualifying equipment), analytical activities ranging from sampling, sample preparation, instrumental analysis and post-analytical activities (like decoding, calculation, use of statistical tests or packages, management of results).Designed on different levels (analyst, quality manager and technical manager), including a variety of measures, the programme shall ensure the validity and accuracy of test results, the adequacy of the management system, prove the laboratory's competence in performing tests under accreditation and last but not least show the comparability of test results.Laboratory management should establish performance targets and review periodically QC/QA results against them, implementing appropriate measures in case of non-compliance

Practical aspects of the uncertainty and traceability of spectrochemical measurement results by electrothermal atomic absorption spectrometry

International Nuclear Information System (INIS)

Duta, S.; Robouch, P.; Barbu, L.; Taylor, P.

2007-01-01

The determination of trace elements concentration in water by electrothermal atomic absorption spectrometry (ETAAS) is a common and well established technique in many chemical testing laboratories. However, the evaluation of measurement uncertainty results is not systematically implemented. The paper presents an easy step-by-step example leading to the evaluation of the combined standard uncertainty of copper determination in water using ETAAS. The major contributors to the overall measurement uncertainty are identified due to amount of copper in water sample that mainly depends on the absorbance measurements, due to certified reference material and due to auto-sampler volume measurements. The practical aspects how the traceability of copper concentration in water can be established and demonstrated are also pointed out

Practical aspects of the uncertainty and traceability of spectrochemical measurement results by electrothermal atomic absorption spectrometry

Energy Technology Data Exchange (ETDEWEB)

Duta, S. [Institute for Reference Materials and Measurements, Joint Research Centre, European Commission, Retieseweg 111, B-2440 Geel (Belgium); National Institute of Metrology, 042122 Vitan Barzesti 11, sector 4 Bucharest (Romania)], E-mail: steluta.duta@inm.ro; Robouch, P. [Institute for Reference Materials and Measurements, Joint Research Centre, European Commission, Retieseweg 111, B-2440 Geel (Belgium)], E-mail: Piotr.Robouch@ec.europa.eu; Barbu, L. [Coca-Cola Entreprise, Analytical Department, Bucharest (Romania); Taylor, P. [Institute for Reference Materials and Measurements, Joint Research Centre, European Commission, Retieseweg 111, B-2440 Geel (Belgium)], E-mail: Philip.Taylor@ec.europa.eu

2007-04-15

The determination of trace elements concentration in water by electrothermal atomic absorption spectrometry (ETAAS) is a common and well established technique in many chemical testing laboratories. However, the evaluation of measurement uncertainty results is not systematically implemented. The paper presents an easy step-by-step example leading to the evaluation of the combined standard uncertainty of copper determination in water using ETAAS. The major contributors to the overall measurement uncertainty are identified due to amount of copper in water sample that mainly depends on the absorbance measurements, due to certified reference material and due to auto-sampler volume measurements. The practical aspects how the traceability of copper concentration in water can be established and demonstrated are also pointed out.

Public health: disconnections between policy, practice and research

Directory of Open Access Journals (Sweden)

Kok Gerjo

2010-12-01

Full Text Available Abstract Background Public health includes policy, practice and research but to sufficiently connect academic research, practice and public health policy appears to be difficult. Collaboration between policy, practice and research is imperative to obtaining more solid evidence in public health. However, the three domains do not easily work together because they emanate from three more or less independent 'niches'. Work cycles of each niche have the same successive steps: problem recognition, approach formulation, implementation, and evaluation, but are differently worked out. So far, the research has focused on agenda-setting which belongs to the first step, as expressed by Kingdon, and on the use of academic knowledge in policy makers' decision-making processes which belongs to the fourth step, as elaborated by Weiss. In addition, there are more steps in the policy-making process where exchange is needed. Method A qualitative descriptive research was conducted by literature search. We analyzed the four steps of the policy, practice and research work cycles. Next, we interpreted the main conflicting aspects as disconnections for each step. Results There are some conspicuous differences that strengthen the niche character of each domain and hamper integration and collaboration. Disconnections ranged from formulating priorities in problem statements to power roles, appraisal of evidence, work attitudes, work pace, transparency of goals, evaluation and continuation strategies and public accountability. Creating awareness of these disconnections may result in more compatibility between researchers, policy makers and practitioners. Conclusion We provide an analysis that can be used by public health services-related researchers, practitioners and policy makers to be aware of the risk for disconnections. A synthesis of the social, practical and scientific relevance of public health problems should be the starting point for a dialogue that seeks to

Chemotherapy drug handling in first opinion small animal veterinary practices in the United Kingdom: results of a questionnaire survey.

Science.gov (United States)

Edery, E G

2017-05-27

To investigate how first opinion small animal veterinary surgeons in the UK handled chemotherapeutic agents, a questionnaire was distributed at the 2014 British Small Animal Veterinary Association congress and by internet. Chemotherapy was regularly offered by 70.4 per cent of the respondents. Gold standards defined according to available guidelines for safe handling of antineoplastic drugs were poorly followed by general practitioners with only 2 per cent of respondents complying with all of them. Dedicated facilities for preparation and administration of cytotoxic drugs were variably available among participants. The level of training of staff indirectly involved in handling chemotherapy was appropriate in less than 50 per cent of practices. No association was found between demographic characteristics of the sampled population and the decision to perform chemotherapy. The results of this study raise concerns about the safety of the veterinary staff in first opinion practices involved in handling chemotherapy. British Veterinary Association.

Understanding practice patterns of glaucoma sub-specialists in India

Directory of Open Access Journals (Sweden)

Nikhil S. Choudhari

2017-10-01

Full Text Available AIM: To obtain information on the prevailing practice patterns of glaucoma specialists in India. METHODS: Glaucoma specialists attending the Annual Conference of the Glaucoma Society of India (GSI were surveyed. This survey, conducted in 2013, was based on an interactive audience response system. RESULTS: The information was obtained from 146 glaucoma specialists. Approximately half (n=83; 57% had ≥10y of experience in managing glaucoma and were in institutional practice (n=74, 51%. Goldmann applanation tonometry was preferred by 103 (72% specialists whilst n=25 (17.4% used non-contact tonometer. Indentation gonioscopy was favoured by two-thirds (n=90, 66% whereas stereoscopic optic disc examination and visual fields using Humphrey perimeter was performed by a majority of the specialists surveyed (n=115, 86% and n=114; 83% respectively. Nearly three quarter specialists (n=96; 72% preferred optical coherence tomography for imaging. The primary choice for treatment of angle closure disease and primary open angle glaucoma was laser (iridotomy, n=117; 93% and medical management (prostaglandin analogue, n=104; 78%, respectively. Approximately only a third of the specialists surveyed (n=37; 28% were performing both trabeculectomy and implantation of a glaucoma drainage device and about half (n=64; 47% were not operating on congenital glaucoma at all. CONCLUSION: This survey has found conformance with preferred practice patterns in several areas of diagnosis and management of glaucoma, but there was diversity in a few areas. The information is a significant step towards improvement of glaucoma care in India, including planning for future strategies.

Obtainment of tantalum oxide from national ores

International Nuclear Information System (INIS)

Pinatti, D.G.; Ribeiro, S.; Martins, A.H.

1988-01-01

The experimental results of tantalum oxides (Ta 2 O 5 ) obtainment from Brazilian ores of tantalite and columbite are described. This study is a part of the technologic and scientific research design of refractory metals (Ti, Zr, Hf, V, Nb, Ta, Cr, Mo and W) and correlate ceramics. (C.G.C.) [pt

Process optimization for obtaining nano cellulose from curaua fiber

International Nuclear Information System (INIS)

Lunz, Juliana do N.; Cordeiro, Suellem B.; Mota, Jose Carlos F.; Marques, Maria de Fatima V.

2011-01-01

This study focuses on the methodology for optimization to obtain nanocellulose from vegetal fibers. An experimental planning was carried out for the treatment of curaua fibers and parameters were estimated, having the concentration of H 2 SO 4 , hydrolysis time, reaction temperature and time of sonication applied as independent variables for further statistical analysis. According to the estimated parameters, the statistically significant effects were determined for the process of obtaining nanocellulose. According to the results obtained from the thermogravimetric analysis (TGA) it was observed that certain conditions led to cellulose with degradation temperatures near or even above that of untreated cellulose fibers. The crystallinity index (IC) obtained after fiber treatment (X-ray diffraction) were higher than that of the pure fiber. Treatments with high acid concentrations led to higher IC. (author)

[Practice patterns in Mexican allergologists about skin tests with allergens during 2005-2006].

Science.gov (United States)

Larenas Linnemann, Désirée; Fogelbach, Guillermo Arturo Guidos; Cruz, Alfredo Arias

2008-01-01

Immunotherapy has been practiced since over a hundred years. The exact composition of the immunotherapy concentrate, with which the patient is treated, depends partly on the results of the skin prick tests applied to the allergic patient. As such, the effectiveness of the immunotherapy depends heavily on the quality of the skin prick test. The detailed recommendations for the realization of the skin prick tests have evolved and changed over the years, leading to multiple variations in its application in Mexico. We tried to get a picture of the daily practice patterns of the members of CMICA and CoMPedIA concerning the application of skin prick tests. Aquestionnaire was sent in various occasions to all members of the Colegio Mexicano de Inmunologia Clinica y Alergia (CMICA) and of the Colegio Mexicano de Pediatras, Especialistas en Inmunologia y Alergia (CoMPedIA). The results are presented descriptively and by calculation of the frequency/percentages of intervals of replies, in the case of numerical responses. A response rate of 61 (17%) was obtained of the College members, showing consistency in some replies but a wide variation in others, for example in the time certain medication has to be suspended before the execution of the skin prick test. Comparing the replies obtained with recent recommendations in international publications, some discrepancy can be detected. In some aspects of the survey there is coincidence of the skin test practices among the participants; however, in other items there is an important variation.

Problems in practical radiation education

Energy Technology Data Exchange (ETDEWEB)

Turuoka, Moriaki [Hokkaido Sapporo Kaisei Senior High School, Sapporo, Hokkaido (Japan)

1999-09-01

Based on the results of questionnaire survey carried out in 1995 and 1997 and addressed to the same students in a senior high school, Japan, the author arrived at a conclusion that the students had the chance to get information on radiation from the mass media other than at school during two school year. At school they learn through a textbook and also complementary educational materials the teachers provide which will help understanding and improving the interests in radiations. In the practice, some important problems remain unsolved: the student's feeling toward radiations as risky, inadequate descriptions on radiations found in the textbook, and the difficulties in obtaining teaching materials for experiments. These problems must be resolved first of all for the solution of our future energy supply. (S. Ohno)

Warm magnetic measurements of MCBCs: comparison between the results obtained with the Quadrupole Industrial Magnetic Measurement and the Corrector Industrial Magnetic Measurement systems

CERN Document Server

Remondino, Vittorio; Catalan-Lasheras, N

2005-01-01

MCBCs modules are first magnetically measured at Tesla using a second-generation Corrector Industrial Magnetic Measurement (CIMM). After assembly into the SSS quadrupoles, measurements are repeated at CERN using the Quadrupole Industrial Magnetic Measurement (QIMM) system. In this note, we compare the measurements provided by the two systems. In all the 18 cases examined, the correlation found is excellent. The consistency of the results obtained indicates that both systems are effective, that modules are correctly measured by the firm personnel and that magnetic characteristics of the modules do not change during their assembly in cold masses.

Understanding AlN Obtaining Through Computational Thermodynamics Combined with Experimental Investigation

Science.gov (United States)

Florea, R. M.

2017-06-01

Basic material concept, technology and some results of studies on aluminum matrix composite with dispersive aluminum nitride reinforcement was shown. Studied composites were manufactured by „in situ” technique. Aluminum nitride (AlN) has attracted large interest recently, because of its high thermal conductivity, good dielectric properties, high flexural strength, thermal expansion coefficient matches that of Si and its non-toxic nature, as a suitable material for hybrid integrated circuit substrates. AlMg alloys are the best matrix for AlN obtaining. Al2O3-AlMg, AlN-Al2O3, and AlN-AlMg binary diagrams were thermodynamically modelled. The obtained Gibbs free energies of components, solution parameters and stoichiometric phases were used to build a thermodynamic database of AlN- Al2O3-AlMg system. Obtaining of AlN with Liquid-phase of AlMg as matrix has been studied and compared with the thermodynamic results. The secondary phase microstructure has a significant effect on the final thermal conductivity of the obtained AlN. Thermodynamic modelling of AlN-Al2O3-AlMg system provided an important basis for understanding the obtaining behavior and interpreting the experimental results.

Ion-containing reverse osmosis membranes obtained by radiation grafting method

International Nuclear Information System (INIS)

Hegazy, E.-S.A.; El-Assy, N.B.; Dessouki, A.M.; Shaker, M.M.

1989-01-01

Cationic membranes obtained by radiation grafting of aqueous acrylic acid onto low density polyethylene films followed by alkaline treatment to confer ionic character in the graft chains, were tested for reverse osmosis desalination of saline water. Selected physical properties of such membranes were investigated. The grafted membranes possess good mechanical and electrical properties. Water uptake for the alkali-treated membrane was much higher than that of the alkali-untreated one. The effect of operation time, degree of grafting, applied pressure and feed concentration on the water flux and salt rejection for the grafted membranes was investigated. Such cationic membranes showed good durability, thermal and chemical stability, acceptable water flux and salt rejection which may make them acceptable for practical use in reverse osmosis desalination of sea water. (author)

Implications of failure to achieve a result from prenatal maternal serum cell-free DNA testing: a historical cohort study.

Science.gov (United States)

Chan, N; Smet, M-E; Sandow, R; da Silva Costa, F; McLennan, A

2017-11-01

To investigate the pregnancy outcomes in a cohort of women who failed to obtain a result in non-invasive prenatal testing (NIPT). Historical cohort study. A multicentre private practice in Sydney, Australia. Women who failed to obtain a result from NIPT (n = 131). The maternal characteristics, antenatal investigations and pregnancy outcomes for these women were compared with those who obtained a result at the same practice and to the general Australian obstetric population. Antenatal investigations: pregnancy-associated plasma protein-A (PAPP-A), free β-human chorionic gonadotrophin (β-hCG), placental growth factor (PlGF), uterine artery pulsatility index (PI), mean arterial pressure (MAP). Pregnancy outcomes: chromosomal abnormality, pre-eclampsia, gestational diabetes, small-for-gestational-age (SGA), preterm delivery. Only 1.1% of NIPT samples failed to return a result. This cohort was significantly older and had significantly increased weight compared with the general Australian obstetric population. Pregnancy outcomes were available for 94% of the cohort. There were significantly higher rates of chromosomal aneuploidies (6.5% versus 0.2%, P < 0.0001), pre-eclampsia (11% versus 1.5%, P < 0.0001) and gestational diabetes (23% versus 7.5%, P < 0.0001) compared with the general obstetric population. Rates of preterm delivery and SGA were elevated but did not reach significance. Antenatal investigations demonstrated decreased PAPP-A MoM (0.75 versus 1.14, P < 0.0001), decreased free β-hCG (0.71 versus 1.01, P < 0.0001) and increased uterine artery PI (1.79 versus 1.65, P = 0.02). Women who fail to obtain a result from NIPT are at increased risk of adverse pregnancy outcomes, in particular chromosomal aneuploidy, gestational diabetes and pre-eclampsia. None received. Women who fail to obtain a result from cell-free DNA NIPT are at increased risk of adverse pregnancy outcomes. © 2017 Royal College of Obstetricians and Gynaecologists.

Agile practice guide

CERN Document Server

2017-01-01

Agile Practice Guide – First Edition has been developed as a resource to understand, evaluate, and use agile and hybrid agile approaches. This practice guide provides guidance on when, where, and how to apply agile approaches and provides practical tools for practitioners and organizations wanting to increase agility. This practice guide is aligned with other PMI standards, including A Guide to the Project Management Body of Knowledge (PMBOK® Guide) – Sixth Edition, and was developed as the result of collaboration between the Project Management Institute and the Agile Alliance.

Probing the Relationship Between Evidence-Based Practice Implementation Models and Critical Thinking in Applied Nursing Practice.

Science.gov (United States)

Canada, Amanda N

2016-04-01

HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must: 1. Read the article, "Probing the Relationship Between Evidence-Based Practice Implementation Models and Critical Thinking in Applied Nursing Practice," found on pages 161-168, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until March 31, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. • Describe the key components and characteristics related to evidence

An Optimal Estimation Method to Obtain Surface Layer Turbulent Fluxes from Profile Measurements

Science.gov (United States)

Kang, D.

2015-12-01

In the absence of direct turbulence measurements, the turbulence characteristics of the atmospheric surface layer are often derived from measurements of the surface layer mean properties based on Monin-Obukhov Similarity Theory (MOST). This approach requires two levels of the ensemble mean wind, temperature, and water vapor, from which the fluxes of momentum, sensible heat, and water vapor can be obtained. When only one measurement level is available, the roughness heights and the assumed properties of the corresponding variables at the respective roughness heights are used. In practice, the temporal mean with large number of samples are used in place of the ensemble mean. However, in many situations the samples of data are taken from multiple levels. It is thus desirable to derive the boundary layer flux properties using all measurements. In this study, we used an optimal estimation approach to derive surface layer properties based on all available measurements. This approach assumes that the samples are taken from a population whose ensemble mean profile follows the MOST. An optimized estimate is obtained when the results yield a minimum cost function defined as a weighted summation of all error variance at each sample altitude. The weights are based one sample data variance and the altitude of the measurements. This method was applied to measurements in the marine atmospheric surface layer from a small boat using radiosonde on a tethered balloon where temperature and relative humidity profiles in the lowest 50 m were made repeatedly in about 30 minutes. We will present the resultant fluxes and the derived MOST mean profiles using different sets of measurements. The advantage of this method over the 'traditional' methods will be illustrated. Some limitations of this optimization method will also be discussed. Its application to quantify the effects of marine surface layer environment on radar and communication signal propagation will be shown as well.

Influence of population and general practice characteristics on prescribing of minor tranquilisers in primary care

Directory of Open Access Journals (Sweden)

Wagner AC

2010-09-01

Full Text Available Prevalence of generalised anxiety disorders is widespread in Great Britain. Previous small-scale research has shown variations in minor tranquiliser prescribing, identifying several potential predictors of prescribing volume. Objective: This study aimed to investigate the relationship between general practice minor tranquiliser prescribing rates and practice population and general practice characteristics for all general practices in England.Methods: Multiple regression analysis of minor tranquiliser prescribing volumes during 2004/2005 for 8,291 English general practices with general practice and population variables obtained from the General Medical Services (GMS statistics, Quality and Outcomes Framework (QOF, 2001 Census and 2004 Index of Multiple Deprivation (IMD. Results: The highest rates of minor tranquiliser prescribing were in areas with the greatest local deprivation while general practices situated in areas with larger proportions of residents of black ethnic origin had lower rates of prescribing. Other predictors of increased prescribing were general practices with older general practitioners and general practices with older registered practice populations.Conclusion: Our findings show that there is wide variation of minor tranquilisers prescribing across England which has implications regarding access to treatment and inequity of service provision. Future research should determine the barriers to equitable prescribing amongst general practices serving larger populations of black ethnic origin.

Cotton nanofibers obtained by different acid conditions

International Nuclear Information System (INIS)

Teixeira, Eliangela de M.; Oliveira, Caue Ribeiro de; Mattoso, Luiz H.C.; Correa, Ana Carolina; Palladin, Priscila

2009-01-01

The thermal stability of cellulose nanofibers is related to their application and especially to polymer processing which temperatures of processing are around 200 deg C. In this work, nanofibers of commercial cotton were obtained by acid hydrolysis employing different acids: sulfuric, hydrochloric and a mixture (2:1; sulfuric acid: hydrochloric acid).The morphology of the nanofibers were characterized by transmission microscopy (TEM), crystallinity by x-ray diffraction (XRD) and thermal stability in air atmosphere by thermogravimetric analysis (TGA). The results indicated a very similar morphology and crystallinity among them. The main differences were relative to aggregation state e and thermal stability. The aggregation state of the suspensions decreases in the order HCl 2 SO 4 :HCl 2 SO 4- . The hydrolysis with a mix of HCl and H 2 SO 4 resulted in cellulose nanofibers with higher thermal stability than those hydrolyzed with H 2 SO 4 . The hydrolysis employed with a mixture of sulphuric and hydrochloric acids also showed a better dispersion than those suspensions of nanofibers obtained by hydrolysis with only HCl. (author)

Somatosensory evoked potentials in the assessment of peripheral neuropathies: Commented results of a survey among French-speaking practitioners and recommendations for practice.

Science.gov (United States)

Morizot-Koutlidis, R; André-Obadia, N; Antoine, J-C; Attarian, S; Ayache, S S; Azabou, E; Benaderette, S; Camdessanché, J-P; Cassereau, J; Convers, P; d'Anglejean, J; Delval, A; Durand, M-C; Etard, O; Fayet, G; Fournier, E; Franques, J; Gavaret, M; Guehl, D; Guerit, J-M; Krim, E; Kubis, N; Lacour, A; Lozeron, P; Mauguière, F; Merle, P-E; Mesrati, F; Mutschler, V; Nicolas, G; Nordine, T; Pautot, V; Péréon, Y; Petiot, P; Pouget, J; Praline, J; Salhi, H; Trébuchon, A; Tyvaert, L; Vial, C; Zola, J-M; Zyss, J; Lefaucheur, J-P

2015-05-01

Somatosensory evoked potentials (SSEPs) are increasingly performed for the assessment of peripheral neuropathies, but no practical guidelines have yet been established in this specific application. To determine the relevant indication criteria and optimal technical parameters for SSEP recording in peripheral neuropathy investigation. A survey was conducted among the French-speaking practitioners with experience of SSEP recording in the context of peripheral neuropathies. The results of the survey were analyzed and discussed to provide recommendations for practice. SSEPs appear to be a second-line test when electroneuromyographic investigation is not sufficiently conclusive, providing complementary and valuable information on central and proximal peripheral conduction in the somatosensory pathways. Guidelines for a standardized recording protocol, including the various parameters to be measured, are proposed. We hope that these proposals will help to recognize the value of this technique in peripheral neuropathy assessment in clinical practice. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Exploring Factors of Successful Tendering Practices using Qualitative Comparative Analysis (QCA): The Study of Organizational Repetitions

DEFF Research Database (Denmark)

Bekdik, Baris; Thuesen, Christian

2015-01-01

combinations of factors leading to particular results of tendering practices. Empirical material collected through data mining in previously completed project records (quantitative data) is supported by data obtained from project managers of a general contractor company (qualitative data) in order...... to holistically describe the combination of conditions resulting in particular tender results. As a result of the analysis, a solution set is found explaining the path leading to project contract winning; previous work experience between client and general contractor together with either previous work experience...... between architect and general contractor for design-bid-build projects or senior project responsible involvement from the contractors side in design-build projects. The analysis illustrates how QCA is a powerful strategy for exploring the complexity of project practices being able to bridge the divide...

Effects of electronic communication in general practice

NARCIS (Netherlands)

van der Kam, WJ; Moorman, PW; Koppejan-Mulder, MJ

2000-01-01

Objective: To obtain insight into the effects of electronic communication on GPs by studying those publications in literature describing the effects of structured electronic clinical communication in general practice. Methods: We retrieved all publications in the English language indexed in MEDLINE

Practical training on porcine hearts enhances students' knowledge of human cardiac anatomy.

Science.gov (United States)

Musumeci, Giuseppe; Loreto, Carla; Mazzone, Venera; Szychlinska, Marta Anna; Castrogiovanni, Paola; Castorina, Sergio

2014-05-01

Historically, cadavers have been used for the study of anatomy. Nowadays, the territorial and legal limitations of this approach have led to the introduction of alternative teaching methods such as the use of practical exercise consisting of dissection and observation of animal organs. The aim of this study was to evaluate the use of practical training on animal organs compared with the traditional method of anatomy teaching, based on the dissection of human cadavers. In this study, we seek to demonstrate the usefulness of practical exercise on animal organs. This practical training was held a week after the series of lectures, thus leaving time for the students to learn and understand the topics discussed. Immediately after the lecture, all of the students completed a preliminary test to assess the immediate effect of the lecture. Immediately before the practical exercise, both control and experimental groups completed a second test to assess the effectiveness of personal study. Immediately after practical training, a third test was completed by the experimental group and the control group (no practical activity on animal organs) to highlight the added value of hands-on practice in addition to the lecture. Data obtained from statistical analysis showed a panatomy learning between control and experimental groups. Thus, the results of this study emphasize the utility of practical training on animal organs in learning and understanding anatomy, considering the limitations of the use of cadavers. Copyright © 2014 Elsevier GmbH. All rights reserved.

Health Outcomes of Obtaining Housing Among Older Homeless Adults

Science.gov (United States)

Miao, Yinghui; Mitchell, Susan L.; Bharel, Monica; Patel, Mitkumar; Ard, Kevin L.; Grande, Laura J.; Blazey-Martin, Deborah; Floru, Daniella; Steinman, Michael A.

2015-01-01

Objectives. We determined the impact of obtaining housing on geriatric conditions and acute care utilization among older homeless adults. Methods. We conducted a 12-month prospective cohort study of 250 older homeless adults recruited from shelters in Boston, Massachusetts, between January and June 2010. We determined housing status at follow-up, determined number of emergency department visits and hospitalizations over 12 months, and examined 4 measures of geriatric conditions at baseline and 12 months. Using multivariable regression models, we evaluated the association between obtaining housing and our outcomes of interest. Results. At 12-month follow-up, 41% of participants had obtained housing. Compared with participants who remained homeless, those with housing had fewer depressive symptoms. Other measures of health status did not differ by housing status. Participants who obtained housing had a lower rate of acute care use, with an adjusted annualized rate of acute care visits of 2.5 per year among participants who obtained housing and 5.3 per year among participants who remained homeless. Conclusions. Older homeless adults who obtained housing experienced improved depressive symptoms and reduced acute care utilization compared with those who remained homeless. PMID:25973822

Patient safety in practical nurses' education: A cross-sectional survey of newly registered practical nurses in Canada.

Science.gov (United States)

VanDenKerkhof, Elizabeth; Sears, Nancy; Edge, Dana S; Tregunno, Deborah; Ginsburg, Liane

2017-04-01

Practical nurses have experienced an increasing scope of practice, including an expectation to care for complex patients and function on interdisciplinary teams. Little is known about the degree to which patient safety principles are addressed in practical nursing education. To examine self-reported patient safety competencies of practical nurses. A cross-sectional online survey (July 2014) and face-to-face interviews (June 2015). Ontario, Canada. Survey participants were practical nurses newly registered with the College of Nurses of Ontario between January 2012 and December 2013. Interview participants were faculty and students in a practical nursing program in Ontario. Survey respondents completed the Health Professional Education in Patient Safety Survey online. Self-reported competencies in various patient safety domains were compared between classroom and clinical settings. Faculty members were interviewed about educational preparation of practical nurses and students were interviewed to provide insight into interpretation of survey questions. The survey response rate was 28.4% (n=1104/3883). Mean domain scores indicated a high level of confidence in patient safety competence (Nurses of Ontario >2years and in those who obtained their education outside of Canada. Faculty believed their approach to teaching and learning instilled a deep understanding of the limits to practical nurse autonomous practice. Practical nurses were confident in what they learned about patient safety in their educational programs. The high degree of patient safety competence may be a true reflection of practical nurses understanding of, and comfort with, the limits of their knowledge and, ultimately, the limits of their individual autonomous practice. Further exploration as to whether the questionnaire requires additional modification for use with practical nurse populations is warranted. However, this study provides the first examination of practical nurses' perspectives and

Disability management practices in Ontario workplaces: employees' perceptions.

Science.gov (United States)

Westmorland, Muriel G; Williams, Renee M; Amick, Ben C; Shannon, Harry; Rasheed, Farah

2005-07-22

The purpose of this study was to obtain employees' perceptions about disability management (DM) at their workplaces. Data were obtained from focus group interviews and individual telephone interviews with 58 employees who had sustained a work-related injury or disability in Ontario, Canada. Participants also completed a 22-item Organizational Policies and Practices (OPP) Questionnaire that asked questions about workplace DM practices. Respondents emphasized the need for job accommodation, the importance of open and clear communication and the necessity of job retraining. The provision of ergonomic modifications to their worksites and the development of meaningful and specific DM policies and procedures were seen as key to a comprehensive workplace DM program. Education about health and safety also was identified as an important component of creating a supportive workplace environment. The OPP questionnaire showed good internal consistency (Cronbach's alpha=0.95) and discriminant validity. This study demonstrates the importance of workplaces communicating with their employees and respecting their opinions when establishing and carrying out DM policies and practices. The OPP Questionnaire is useful in determining how DM is managed in the workplace.

Decreased management of genital warts in young women in Australian general practice post introduction of national HPV vaccination program: results from a nationally representative cross-sectional general practice study.

Directory of Open Access Journals (Sweden)

Christopher Harrison

Full Text Available OBJECTIVES: Since the introduction of Australia's human papillomavirus vaccination program, the management rate of genital warts in sexual health clinics and private hospitals has decreased in women of vaccine-eligible age. However, most genital warts in Australia are managed in general practice. This study examines whether a similar decrease occurred in Australian general practice after the introduction of the program. METHODS: Analysis of a nationally representative cross-sectional database of Australian general practice activity (1,175,879 patient encounters with 11,780 general practitioners. Genital warts management rates were estimated for the periods before and after introduction of the program (Pre-program, July 2002-June 2006; Post-program, July 2008-June 2012. Control conditions included genital herpes and gardnerella/bacterial vaginosis in female patients and genital herpes and urethritis in male patients. Trends in management rates by year, pre-vaccine (July 2000-June 2007 and post-vaccine (July 2007-June 2012 were also calculated. RESULTS: Management rate of genital warts among women potentially covered by program (aged 15-27 years decreased by 61% from 4.33 per 1,000 encounters in the Pre-program period to 1.67 in the Post-program period. Trend analysis of the post-vaccine period showed, among women of vaccine eligible age, a significant year-on-year reduction in the rate of genital warts management (p<0.0001 and a significant increase in the management rate of control conditions per year (p<0.0001. For all other age-sex groups there was no significant change in the management rate of genital warts between the Pre- and Post-program periods. CONCLUSION: The large decrease in general practice management of genital warts in women of vaccine-eligible age highlights the success of the program in the wider community.

[Influence and correlation of attitude, availability and institutional support to research implementation in nursing practice – results from an exploratory, cross-sectional quantitative study].

Science.gov (United States)

Haslinger-Baumann, Elisabeth; Lang, Gert; Müller, Gerhard

2015-06-01

The concrete application of research findings in nursing practice is a multidimensional process. In Austria, there are currently no results available that explain the impact of and association with the implementation of research in hospitals. The aim of the study was to investigate influences and relationships of individual attitudes towards research utilization, availability of research results and institutional support of nurses in Austrian hospitals with respect to research application. In a non-experimental quantitative cross-sectional design a multi-centre study (n = 10) was performed in 2011. The sample comprises 178 certified nurses who were interviewed with a survey questionnaire. The multiple regression analysis shows that a positive attitude towards research use (β = 0.388, p research results (β = 0.470, p research results. The path analysis proves that course attendance in evidence-based nursing has a strong positive influence towards research application (β = 0.464; p research results into the daily nursing practice.

Change in ranking order of prescribing patterns by age and sex standardization of the practice population--audit may be misleading

DEFF Research Database (Denmark)

Olesen, Frede; Vedsted, Peter; Nielsen, Jørgen Nørskov

1996-01-01

on the age, sex, and numbers of patients per practice was also obtained. The direct standardization method was used to adjust practice populations for age and sex. SETTING: The town of Randers, Aarhus County, Denmark. SUBJECTS: 35 practices, 41 GPs. MAIN OUTCOME MEASURES: Ranking of the 35 practices......OBJECTIVE: To demonstrate whether standardization of practice populations by age and sex changes the internal prescription ranking order of a group of practices. DESIGN: Data on the prescribing of cardiovascular drugs in a group of practices were obtained from a county-based database. Information...

[Iron-deficiency anaemia in everyday gynaecological practice].

Science.gov (United States)

Lukanova, M; Popov, I

2004-01-01

Iron-deficiency anaemia /IDA/ is of utmost significance to clinical practice. Chronic haemorrhages from the genital tract are the major etiological factor for its appearance in 60-70% of the patients. Abnormal genital bleeding for the specialist in Obstetrics and gynaecology and IDA for the haematologist are frequently met problems in their everyday practice, which require detailed examination, good colaboration and synchronization between the work of both specialists. Diagnosing and etiological treatment of IDA of gynaecologic origin by mutual timely and adequate co-operation of gynaecologist and haematologist. Clinical survey based on the algorithm worked out. Its everyday application started in July-August 2001 and till today /30.04.2003/ 253 cases with IDA in the Department of Gynaecology are taken in. A record of proceedings was made for every patient and that helped the further diagnostic and therapeutic activity and respective data processing. The data and results obtained verify the achievement of final diagnostic specification of IDA, the role of the algorithm as a stepping-stone to its etiological treatment, complete and durable correction of iron deficiency.

Lactation curves and economic results of Saanen goats fed increasing dietary energy levels obtained by the addition of calcium salts of fatty acids

Directory of Open Access Journals (Sweden)

Rodrigo de Souza

2014-02-01

Full Text Available The objective of this study was to evaluate the use of calcium salts of fatty acids (CSFA to increase the dietary energy levels for Saanen goats and their effects on the lactation curve, dry matter intake, body weight, and economic results of the goats. Twenty multiparous goats, weighing an average of 63.5±10.3 kg, were randomly assigned to one of four treatment groups, each receiving one of the following dietary energy levels: a control diet consisting of 2.6 Mcal of metabolizable energy per kg of dry matter (Mcal ME/kg DM or a test diet supplemented with CSFA (Lactoplus® to obtain 2.7, 2.8, or 2.9 Mcal ME/kg DM. Goats were housed in individual stalls and were fed and milked twice daily. The animals were evaluated until 180 days in milk by measuring dry matter intake and milk yield. These measurements were used to calculate feed efficiencies and the cost-benefit ratio of diet and lactation curves using Wood's nonlinear model. Increasing dietary energy levels showed no effect on body weight. Supplementation with CSFA did not limit dry matter intake; however, it changed the shape of the lactation curve by promoting a late peak lactation with a longer duration. Milk yields at 180 days in milk had a quadratic increase with a maximum energy level at 2.85 Mcal ME/kg DM. Increasing the dietary energy level for Saanen goats using CSFA changes their lactation curves, with the best milk production achieved with a 2.85 Mcal ME/kg DM diet; however, the greatest economic results were obtained with a 2.7 Mcal ME/kg DM diet.

[Child protection: Pediatricians' knowledge and practices in Brittany].

Science.gov (United States)

Ayou, C; Gauducheau, E; Arrieta, A; Roussey, M; Marichal, M; Vabres, N; Balençon, M

2018-04-01

On 5 March 2007, the law concerning the child protection system was reformed. Since then, child protection services have been responsible for the management of child abuse and neglect. Reporting and asking for child protection is now easier for every physician by submitting a "preoccupying information" form. A study conducted in 2014 in the general practitioners (GP) in the Ille-et-Vilaine department showed that they were quite unfamiliar with the child protection updates and that they needed special training. We wished to study the knowledge and practices of the pediatricians in Brittany and compare these results to the previous study. An anonymous postal investigation was conducted between May and July 2014. The questionnaire was referred to the previous study so the results would be comparable. A total of 134 pediatricians (including 99 women) of the 316 pediatricians of Brittany answered our questionnaire regarding their activity and their knowledge about child abuse and neglect. These results were analyzed and compared to the data of GPs in Ille-et-Vilaine. Only 4.4 % of the pediatricians obtained more than 80 % correct answers and 12 % of the pediatricians obtained fewer than 50 % correct answers. Among the pediatricians, 41 % of them had not reported a single time since 2007. The pediatricians who obtained better results (Pprotection is a neglected subject, including by pediatricians. To fight against professional denial and isolation, a substantial effort is still needed concerning caregivers' training as well as pediatric care organization. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Improving the natural gas transporting based on the steady state simulation results

International Nuclear Information System (INIS)

Szoplik, Jolanta

2016-01-01

The work presents an example of practical application of gas flow modeling results in the network, that was obtained for the existing gas network and for real data about network load depending on the time of day and air temperature. The gas network load in network connections was estimated based on real data concerning gas consumption by customers and weather data in 2010, based on two-parametric model based on the number of degree-days of heating. The aim of this study was to elaborate a relationship between pressure and gas stream introduced into the gas network. It was demonstrated that practical application of elaborated relationship in gas reduction station allows for the automatic adjustment of gas pressure in the network to the volume of network load and maintenance of gas pressure in the whole network at possibly the lowest level. It was concluded based on the results obtained that such an approach allows to reduce the amount of gas supplied to the network by 0.4% of the annual network load. - Highlights: • Determination of the hourly nodal demand for gas by the consumers. • Analysis of the results of gas flow simulation in pipeline network. • Elaboration of the relationship between gas pressure and gas stream feeding the network. • Automatic gas pressure steering in the network depending on the network load. • Comparison of input gas pressure in the system without and with pressure steering.

An international effort towards developing standards for best practices in analysis, interpretation and reporting of clinical genome sequencing results in the CLARITY Challenge

DEFF Research Database (Denmark)

Brownstein, Catherine A; Beggs, Alan H; Homer, Nils

2014-01-01

and reporting. The CLARITY Challenge was designed to spur convergence in methods for diagnosing genetic disease starting from clinical case history and genome sequencing data. DNA samples were obtained from three families with heritable genetic disorders and genomic sequence data were donated by sequencing......Background : There is tremendous potential for genome sequencing to improve clinical diagnosis and care once it becomes routinely accessible, but this will require formalizing research methods into clinical best practices in the areas of sequence data generation, analysis, interpretation......, demonstrating a need for consistent fine-tuning of the generally accepted methods. There was greater diversity of the final clinical report content and in the patient consenting process, demonstrating that these areas require additional exploration and standardization. Conclusions : The CLARITY Challenge...

Knowledge, attitudes and practices of HIV-positive patients regarding disclosure of HIV results at Betesda Clinic in Namibia

Directory of Open Access Journals (Sweden)

Penelope Tom

2013-02-01

Objectives: The objectives of the study were to determine knowledge, attitudes, and practices of HIV-positive patients regarding the disclosure of HIV status at Betesda Clinic in Namibia, and to determine the reasons for disclosure and non-disclosure. Methods: This was a cross-sectional descriptive study and 263 HIV-positive patients were enrolled in the study. Results: Analyses revealed that knowledge on disclosure was good, with 68% who thought it was important. The majority (73% have disclosed and 60% disclosed within 1 week of receiving their results. The most common reasons for disclosure were that 32% needed help, 25% wanted his or her partner to go for testing, and 20% wanted to let relatives know. Reasons for non-disclosure were mainly the fear of gossip (79%. Seventy-three per cent had disclosed to their partners, and 23% had disclosed to more than one person. People’s reactions were supportive in 43%, whereas 29% understood, 9% accepted and 6% were angry. Upon disclosure 40% received help, 24% of partners were tested, 23% received psychological support and 5% were stigmatised. Disclosure was higher amongst the married and cohabitating. Conclusion: The attitude was positive with regard to knowledge of disclosure, with most participants thinking that disclosure was important and good. The attitudes and actual practices of disclosure were encouraging; however, people are disclosing only to trusted individuals in the society and the fear of stigma is still present although the actual stigma was very low.

Obtaining land cover changes information from multitemporal analysis of Landsat-TM images: results from a case study in West African dryland

Science.gov (United States)

Nutini, F.; Boschetti, M.; Brivio, P. A.; Antoninetti, M.

2012-04-01

The Sahelian belt of West Africa is a semiarid region characterized by wide climate variations, which can in turn affect the livelihood of local populations particularly in rangeland areas, as happens during the dramatic food crisis in the 70-80s caused by rainfall scarcity. The monitoring of natural resources and rainfed agricultural activities, with the aim to provide information to support Sahelian food security action, needs the production of detailed thematic maps as emphasized by several scientific papers. In this framework, a study was conducted to develop a method to exploit time series of remote sensed satellite data to 1) provide reliable land cover (LC) map at local scale in a dry region and 2) obtain a LC change (LCC) map that contribute to identify the plausible causes of local environmental instability. Satellite images used for this work consist in a time series of Landsat Thematic Mapper (TM) (path row 195-50) acquired in the 2000 (6 scenes) and 2007 (9 scenes) from February (Dry season) to September (end of wet season). The study investigates the different contribution provided by spectra information of a single Landsat TM image and by time series of derived NDVI. Different tests have been conducted with different combination of data set (spectral and temporal)in order to identify the best approach to obtain a LC map in five classes of interest: Shrubland, Cultivated Land, Water body, Herbaceous vegetation and Bare soil. The best classification approach is exposed and applied on two years in the last decade. The comparison between this two LC results in land cover change map, that displays the changes of vegetation patterns that have been characterized the area. The discussed results show a largely stable dryland region, but locally characterized by hot-spot of decreasing in natural vegetation inside the rangelands and an increasing of cultivations along fossil valleys where human activities are slightly intense. The discussion shows that this hot

Relative professional roles in antenatal care: results of a survey in Scottish rural general practice.

Science.gov (United States)

Farmer, Jane; Stimpson, Paul; Tucker, Janet

2003-11-01

There is evidence of variation and some ambiguity about self-perceived relative professional roles in antenatal care in the UK. There is little information about models of antenatal care provision in UK rural areas. In rural areas, in particular, women have limited choice in accessing health care professionals or alternative primary care delivery settings. In the light of a recent review of Scottish maternity services, it is important and timely to examine models of care and interprofessional working in antenatal care in rural areas. This study explores midwives' and GPs' perceptions about their relative professional roles in remote and rural general practice in Scotland. A questionnaire survey involving all 174 Scottish remote and rural general practices (using one definition of rurality) was conducted, followed by 20 interviews. At least one professional returned a completed questionnaire from 91% of rural practices. A number of areas of dissonance were noted between GPs' and midwives' perceptions of their roles in maternity care and, given the context of service provision, these may impact upon rural patients. Findings are relevant to wider debates on extending the primary care team and strengthening inter-disciplinary working, particularly in rural areas.

On the influence of infiltration of radioactive beds by flushing fluid on γ-ray logging results obtained from uranium deposit No. 387

International Nuclear Information System (INIS)

Ren Bingxiang; Zhang Yuechun; Ai Shuyi.

1985-01-01

A large number of field logging data obtained during the course of exploration on uranium deposit No. 387 show when the radioactive beds are encountered by drill holes and the drilling continues the γ-ray intensity decreases. It is considered that the escape of emanation does not considerably influence the logging results. Therefore, based upon the experiment of immerseing ores in fluid and geological and hydrogeological data of the deposit, the hypotheses that the γ-ray intensity in drill hole is closely related with the infiltration of flushing fluid is suggested. The ore bodies are strictly controlled by faults. Most of the uranium and thorium are absorbed by pelitic-carbonaceous cements or fill the porous spaces in structural breccia and cataclasite. They are easy to dissolve in water. Moreover, the ore-bearing structures are the unique water aquifers which is under pressure. As the level of flushing fluid is higher than the pressure head so it continuously pours into the ore-bearing beds, resulting in the infiltration of U and Ra. Consequently, the radioactivity detected is low

Characterization of Wastewaters obtained from Hatay Tanneries

Directory of Open Access Journals (Sweden)

Şana Sungur

2017-06-01

Full Text Available The leather tanning industry is one of the most significant pollutants in terms of both conventional and toxic parameters. On the other hand, leather industry has an important economic role both in Turkey and in the World. In this study, wastewater samples were taken from 15 different tanneries in the Hatay Region. Wastewaters obtained from liming process and chromium tanning process was analyzed. Sulfide, chromium (III, chromium (VI, oil and grease, total suspended solids (TSS, organic matters, biochemical oxygen demand (BOD, chemical oxygen demand (COD, pH and alkalinity were determined according to Turkish Standard Methods. The determined averages values belong to wastewaters obtained from liming process were as following: pH 11.71; COD 16821 mg L-1; BOD 4357 mg L-1; TSS 39023 mg L-1; oil and grease 364 mg L-1; S-2 concentration 802 mg L-1; alkalinity 2115 mg L-1. The determined averages values belong to wastewaters obtained from chromium tanning process were also as following: pH 4.23; COD 6740 mg L-1; BOD 377 mg L-1; Cr+3 concentrations 372 mg L-1; Cr+6 concentrations 127 mg L-1; TSS 14553 mg L-1; oil and grease 343 mg L-1. The results of all analyzes were higher than wastewater discharge standards. As a result, it’s necessary to use more effective treatments in order to reduce the negative impacts of leather tanning industry that affect environment, natural water resources and at last human health and welfare.

Green Logistic Practices: A Theoretical Approach of the Theme

Directory of Open Access Journals (Sweden)

Emanuele Engelage

2016-12-01

Full Text Available This study aims to identify the main practices of green logistic considered in national and international academic literature. Using standard techniques for selection of previous studies, this study firts presents the definition of green logistic term in order to differentiate it from other concepts commonly treated similarly, as circular economy, the green chain management (GSCM, the reverse logistics and the environmental certifications (ISO 14001, to obtain clarity about their delimitations, scopes and depth. The study also organizes a taxonomy that involves different functional areas of the company, giving direction to the sustainable conduct, resulting in nine components of green logistic that serve as subsidy for the classification of the identified practices. Based on this conceptual definition and taxonomy, lists 112 practices of green logistic, among which 85 are enterprise ambit, 24 governmental and 3 towards consumers. Regarding the quantity of identified practices and the number of citations, both in business sphere as well as in governmental, the most representative part is related to green  Among the most cited practices are the search by more efficient deliveries, using intermodal and multimodal transport that are less polluting and the programming and optimization of flows deliveries. The survey also revealed that although the concept of green logistics is consolidated in the literature, the majority of studies, especially the empirical, concentrates on some of its components, in particular transport and reverse logistic.

Current worldwide nuclear cardiology practices and radiation exposure: results from the 65 country IAEA Nuclear Cardiology Protocols Cross-Sectional Study (INCAPS)

Science.gov (United States)

Einstein, Andrew J.; Pascual, Thomas N. B.; Mercuri, Mathew; Karthikeyan, Ganesan; Vitola, João V.; Mahmarian, John J.; Better, Nathan; Bouyoucef, Salah E.; Hee-Seung Bom, Henry; Lele, Vikram; Magboo, V. Peter C.; Alexánderson, Erick; Allam, Adel H.; Al-Mallah, Mouaz H.; Flotats, Albert; Jerome, Scott; Kaufmann, Philipp A.; Luxenburg, Osnat; Shaw, Leslee J.; Underwood, S. Richard; Rehani, Madan M.; Kashyap, Ravi; Paez, Diana; Dondi, Maurizio

2015-01-01

Aims To characterize patient radiation doses from nuclear myocardial perfusion imaging (MPI) and the use of radiation-optimizing ‘best practices’ worldwide, and to evaluate the relationship between laboratory use of best practices and patient radiation dose. Methods and results We conducted an observational cross-sectional study of protocols used for all 7911 MPI studies performed in 308 nuclear cardiology laboratories in 65 countries for a single week in March–April 2013. Eight ‘best practices’ relating to radiation exposure were identified a priori by an expert committee, and a radiation-related quality index (QI) devised indicating the number of best practices used by a laboratory. Patient radiation effective dose (ED) ranged between 0.8 and 35.6 mSv (median 10.0 mSv). Average laboratory ED ranged from 2.2 to 24.4 mSv (median 10.4 mSv); only 91 (30%) laboratories achieved the median ED ≤ 9 mSv recommended by guidelines. Laboratory QIs ranged from 2 to 8 (median 5). Both ED and QI differed significantly between laboratories, countries, and world regions. The lowest median ED (8.0 mSv), in Europe, coincided with high best-practice adherence (mean laboratory QI 6.2). The highest doses (median 12.1 mSv) and low QI (4.9) occurred in Latin America. In hierarchical regression modelling, patients undergoing MPI at laboratories following more ‘best practices’ had lower EDs. Conclusion Marked worldwide variation exists in radiation safety practices pertaining to MPI, with targeted EDs currently achieved in a minority of laboratories. The significant relationship between best-practice implementation and lower doses indicates numerous opportunities to reduce radiation exposure from MPI globally. PMID:25898845

How common is multiple general practice attendance in Australia?

Science.gov (United States)

Wright, Michael; Hall, Jane; van Gool, Kees; Haas, Marion

2018-05-01

Australians can seek general practice care from multiple general practitioners (GPs) in multiple locations. This provides high levels of patient choice but may reduce continuity of care. The aim of this study was to estimate the prevalence of attendance at multiple general practices in Australia, and identify patient characteristics associated with multiple practice attendances. A cross-sectional survey of 2477 Australian adults was conducted online in July 2013. Respondents reported whether they had attended more than one general practice in the past year, and whether they had a usual general practice and GP. Demographic information, health service use and practice characteristics were also obtained from the survey. Over one-quarter of the sample reported attending more than one practice in the previous year. Multiple practice attendance is less common with increasing age, and less likely for survey respondents from regional Australia, compared with respondents from metropolitan areas. Multiple practice attenders are just as likely as single practice attenders to have a usual GP. A significant proportion of general practice care is delivered away from usual practices. This may have implications for health policy, in terms of continuity and quality of primary care.

Patterns of cultural consensus and intracultural diversity in Ghanaian complementary feeding practices.

Science.gov (United States)

Kalra, Nikhila; Pelto, Gretel; Tawiah, Charlotte; Zobrist, Stephanie; Milani, Peiman; Manu, Grace; Laar, Amos; Parker, Megan

2018-01-01

Designing effective interventions to improve infant and young child (IYC) feeding requires knowledge about determinants of current practices, including cultural factors. Current approaches to obtaining and using research on culture tend to assume cultural homogeneity within a population. The purpose of this study was to examine the extent of cultural consensus (homogeneity) in communities where interventions to improve IYC feeding practices are needed to address undernutrition during the period of complementary feeding. A second, related objective was to identify the nature of intracultural variation, if such variation was evident. Selected protocols from the Focused Ethnographic Study for Infant and Young Child Feeding Manual were administered to samples of key informants and caregivers in a peri-urban and a rural area in Brong-Ahafo, Ghana. Cultural domain analysis techniques (free listing, caregiver assessment of culturally significant dimensions, and food ratings on these dimensions), as well as open-ended questions with exploratory probing, were used to obtain data on beliefs and related practices. Results reveal generally high cultural consensus on the 5 dimensions that were assessed (healthiness, appeal, child acceptance, convenience, and modernity) for caregiver decisions and on their ratings of individual foods. However, thematic analysis of caregiver narratives indicates that the meanings and content of the constructs connoted by the dimensions differed widely among individual mothers. These findings suggest that research on cultural factors that affect IYC practices, particularly cultural beliefs, should consider the nature and extent of cultural consensus and intracultural diversity, rather than assuming cultural homogeneity. © 2017 John Wiley & Sons Ltd.

Recent Advances in Solid Catalysts Obtained by Metalloporphyrins Immobilization on Layered Anionic Exchangers: A Short Review and Some New Catalytic Results

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Shirley Nakagaki

2016-02-01

Full Text Available Layered materials are a very interesting class of compounds obtained by stacking of two-dimensional layers along the basal axis. A remarkable property of these materials is their capacity to interact with a variety of chemical species, irrespective of their charge (neutral, cationic or anionic. These species can be grafted onto the surface of the layered materials or intercalated between the layers, to expand or contract the interlayer distance. Metalloporphyrins, which are typically soluble oxidation catalysts, are examples of molecules that can interact with layered materials. This work presents a short review of the studies involving metalloporphyrin immobilization on two different anionic exchangers, Layered Double Hydroxides (LDHs and Layered Hydroxide Salts (LHSs, published over the past year. After immobilization of anionic porphyrins, the resulting solids behave as reusable catalysts for heterogeneous oxidation processes. Although a large number of publications involving metalloporphyrin immobilization on LDHs exist, only a few papers have dealt with LHSs as supports, so metalloporphyrins immobilized on LHSs represent a new and promising research field. This work also describes new results on an anionic manganese porphyrin (MnP immobilized on Mg/Al-LDH solids with different nominal Mg/Al molar ratios (2:1, 3:1 and 4:1 and intercalated with different anions (CO32− or NO3−. The influence of the support composition on the MnP immobilization rates and the catalytic performance of the resulting solid in cyclooctene oxidation reactions will be reported.

Recent Advances in Solid Catalysts Obtained by Metalloporphyrins Immobilization on Layered Anionic Exchangers: A Short Review and Some New Catalytic Results.

Science.gov (United States)

Nakagaki, Shirley; Mantovani, Karen Mary; Machado, Guilherme Sippel; Castro, Kelly Aparecida Dias de Freitas; Wypych, Fernando

2016-02-29

Layered materials are a very interesting class of compounds obtained by stacking of two-dimensional layers along the basal axis. A remarkable property of these materials is their capacity to interact with a variety of chemical species, irrespective of their charge (neutral, cationic or anionic). These species can be grafted onto the surface of the layered materials or intercalated between the layers, to expand or contract the interlayer distance. Metalloporphyrins, which are typically soluble oxidation catalysts, are examples of molecules that can interact with layered materials. This work presents a short review of the studies involving metalloporphyrin immobilization on two different anionic exchangers, Layered Double Hydroxides (LDHs) and Layered Hydroxide Salts (LHSs), published over the past year. After immobilization of anionic porphyrins, the resulting solids behave as reusable catalysts for heterogeneous oxidation processes. Although a large number of publications involving metalloporphyrin immobilization on LDHs exist, only a few papers have dealt with LHSs as supports, so metalloporphyrins immobilized on LHSs represent a new and promising research field. This work also describes new results on an anionic manganese porphyrin (MnP) immobilized on Mg/Al-LDH solids with different nominal Mg/Al molar ratios (2:1, 3:1 and 4:1) and intercalated with different anions (CO₃(2-) or NO₃(-)). The influence of the support composition on the MnP immobilization rates and the catalytic performance of the resulting solid in cyclooctene oxidation reactions will be reported.

Good practices in normal childbirth: reliability analysis of an instrument by Cronbach's Alpha.

Science.gov (United States)

Gottems, Leila Bernarda Donato; Carvalho, Elisabete Mesquita Peres De; Guilhem, Dirce; Pires, Maria Raquel Gomes Maia

2018-01-01

to analyze the internal consistency of the evaluation instrument of the adherence to the good practices of childbirth and birth care in the professionals, through Cronbach's Alpha Coefficient for each of the dimensions and for the total instrument. this is a descriptive and cross-sectional study performed in obstetric centers of eleven public hospitals in the Federal District, with a questionnaire applied to 261 professionals who worked in the delivery care. The study was attended by 261 professionals, 42.5% (111) nurses and 57.5% (150) physicians. The reliability evaluation of the instrument by the Cronbach Alfa resulted in 0.53, 0.78 and 0.76 for dimensions 1, 2 and 3, after debugging that resulted in the exclusion of 11 items. the instrument obtained Cronbach's alpha of 0.80. There is a need for improvement in the items of dimension 1 that refer to attitudes, knowledge, and practices of the organization of the network of care to gestation, childbirth, and birth. However, it can be applied in the way it is used to evaluate practices based on scientific evidence of childbirth care.

Obtainment, machining and wear of metal matrix composites processed by powder metallurgy

International Nuclear Information System (INIS)

Jesus, Edilson Rosa Barbosa de.

1998-01-01

The aim of this investigation was the obtainment of metal matrix composites (MMC) by the route of powder metallurgy, and the valuation of these materials with relation to their machining and wear characteristics. Firstly, were obtained pure commercial aluminium matrix composites materials, with 5, 10 and 15% volumetric fraction of silicon carbide particles. Was also obtained a material without reinforcement particles in order to verify by comparison, the influence of addition of reinforcement particles. The obtained materials were characterized physics (hydrostatic density), mechanics (hardness and tensile tests) and microstructurally (optical microscopy and scanning electron microscopy). The results showed a homogeneous distribution of reinforcement particles in the composite, and improvement in the mechanical properties, mainly tensile strength (UTS) in comparison to the unreinforced material. After, tests were made to verify the materials behavior during machining and to check the performance of several tool materials (cemented carbide, ceramics and polycrystalline diamond). In these tests, values of the cutting force were measured by instrumented tool-holders. Phenomena such as tool wear, built-up edge formation and mechanism of chip formation were also observed and evaluated. The results from the cemented carbide tool tests, were utilised for the machinability index determination of each material. These results were applied to the Taylor equation and the equation constants for each material and test conditions were determined. The results showed that the inclusion of silicon carbide particles made extremely difficult the machining of the composites, and only with diamond tool, satisfactory results were obtained. At last, wear tests were performed to verify the influence of the reinforcement particles in the characteristics of wear resistance of the materials. The results obtained were utilized in the wear coefficient determination for each material. The

Using Short-Term Enrichments and Metagenomics to Obtain Genomes from uncultured Activated Sludge Microorganisms

DEFF Research Database (Denmark)

Karst, Søren Michael; Nielsen, Per Halkjær; Albertsen, Mads

is that they depend on system-specific reference genomes in order to analyze the vast amounts of data (Albertsen et al., 2012). This limits the application of -omics to environments for which a comprehensive catalogue of reference genomes exists e.g. the human gut. Several strategies for obtaining microbial genomes...... exist today, but their ability to obtain complete genomes from complex microbial communities on a large scale is still inadequate (Lasken, 2012). In theory, conventional metagenomics should be able to recover genomes from complex communities, but in practice the approach is hampered by the presence...... of microdiversity. This leads to fragmented and chimeric de novo assemblies, which prevent the extraction of complete genomes. The new approach presented here involves reducing the impact of microdiversity and increasing genome extraction efficiency by what we term “metagenome triangulation”. The microdiversity...

Some Results on Sea Ice Rheology for the Seasonal Ice Zone, Obtained from the Deformation Field of Sea Ice Drift Pattern

Science.gov (United States)

Toyota, T.; Kimura, N.

2017-12-01

Sea ice rheology which relates sea ice stress to the large-scale deformation of the ice cover has been a big issue to numerical sea ice modelling. At present the treatment of internal stress within sea ice area is based mostly on the rheology formulated by Hibler (1979), where the whole sea ice area behaves like an isotropic and plastic matter under the ordinary stress with the yield curve given by an ellipse with an aspect ratio (e) of 2, irrespective of sea ice area and horizontal resolution of the model. However, this formulation was initially developed to reproduce the seasonal variation of the perennial ice in the Arctic Ocean. As for its applicability to the seasonal ice zones (SIZ), where various types of sea ice are present, it still needs validation from observational data. In this study, the validity of this rheology was examined for the Sea of Okhotsk ice, typical of the SIZ, based on the AMSR-derived ice drift pattern in comparison with the result obtained for the Beaufort Sea. To examine the dependence on a horizontal scale, the coastal radar data operated near the Hokkaido coast, Japan, were also used. Ice drift pattern was obtained by a maximum cross-correlation method with grid spacings of 37.5 km from the 89 GHz brightness temperature of AMSR-E for the entire Sea of Okhotsk and the Beaufort Sea and 1.3 km from the coastal radar for the near-shore Sea of Okhotsk. The validity of this rheology was investigated from a standpoint of work rate done by deformation field, following the theory of Rothrock (1975). In analysis, the relative rates of convergence were compared between theory and observation to check the shape of yield curve, and the strain ellipse at each grid cell was estimated to see the horizontal variation of deformation field. The result shows that the ellipse of e=1.7-2.0 as the yield curve represents the observed relative conversion rates well for all the ice areas. Since this result corresponds with the yield criterion by Tresca and

Pro NET Best Practices

CERN Document Server

Ritchie, Stephen D

2011-01-01

Pro .NET Best Practices is a practical reference to the best practices that you can apply to your .NET projects today. You will learn standards, techniques, and conventions that are sharply focused, realistic and helpful for achieving results, steering clear of unproven, idealistic, and impractical recommendations. Pro .NET Best Practices covers a broad range of practices and principles that development experts agree are the right ways to develop software, which includes continuous integration, automated testing, automated deployment, and code analysis. Whether the solution is from a free and

Occurrence of the macropore nucleation centers in silicon as result of ion implantation

CERN Document Server

Astrova, E V

2002-01-01

Instead of commonly used V-shaped pits the possibility of application of ion implantation for formation of the regular pattern of macropore nucleation centers has been studied. It is shown that selective radiative damage or local conductivity type conversion are sufficient for generation of macropore nucleation in certain regions and passivation in other ones. Results obtained can be of interest both for practical application and for explanation of pore origin in silicon

Practice transition in graduate medical education.

Science.gov (United States)

Shaffer, Robyn; Piro, Nancy; Katznelson, Laurence; Gephart, Melanie Hayden

2017-10-01

Debt repayment, professional negotiation and practice management skills are vital to a successful medical practice, yet are undervalued and seldom taught in graduate medical education. Medical residents need additional training to confidently transition to independent practice, requiring the development of novel curricula. Medical residents need additional training to confidently transition to independent practice METHODS: We developed a trial practice management curriculum to educate senior residents and fellows through voluntary workshops. Topics discussed in the workshops included debt repayment, billing compliance, medical malpractice, contract negotiations, and lifestyle and financial management. Resident self-confidence was assessed, and feedback was obtained through voluntary survey responses before and after attendance at a workshop, scored using a Likert scale. Twenty-five residents from 20 specialties attended a 1-day session incorporating all lectures; 53 residents from 17 specialties attended a re-designed quarterly session with one or two topics per session. Survey evaluations completed before and after the workshop demonstrated an improvement in residents' self-assessment of confidence in contract negotiations (p practice (p practice. One hundred per cent of respondents agreed that the presentation objectives were relevant to their needs as residents. Participant responses indicated a need for structured education in practice management for senior trainees. Senior residents and fellows will benefit most from curricula, but have high familial and professional demands on their schedules. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Determinants of practice patterns in pediatric UTI management.

Science.gov (United States)

Selekman, R E; Allen, I E; Copp, H L

2016-10-01

Urinary tract infection (UTI) affects 10% of girls and 3% of boys by age 16. Both the American Academy of Pediatrics and National Institute for Health and Clinical Excellence Guidelines recommend urine testing prior to initiation of antibiotic treatment and the use of local antibiograms to guide empiric antibiotic therapy. Urine culture results not only provide the opportunity to halt empiric therapy if there is no bacterial growth, but also allow for tailoring of broad-spectrum therapy. Additionally, the use of antiobiograms improves empiric antibiotic selection based on local resistance patterns. However, execution of guideline recommendations has proved challenging. Understanding barriers in implementation is critical to developing targeted interventions aimed to improve adherence to these guidelines. The present study sought to investigate practice patterns and factors that influence urine testing and antibiogram use in the setting of empiric antibiotic treatment of UTI in children to ultimately improve adherence to UTI management guidelines. A random, national sample of physicians caring for children was surveyed from the American Medical Association Masterfile. Participants were queried regarding practice type, length of time in practice, factors influencing urine testing, urine specimen collection method, and antibiogram utilization. Logistic regression was used to assess factors associated with use of urine testing, bagged specimens, and antibiograms. Of respondents who acknowledged contact by surveyors, 47% completed the survey (n = 366). Most respondents (84%) obtain urinalysis and culture prior to treatment for UTI. Physicians report they would more likely order testing if the specimen were easier to collect (46%) and if results were available immediately (48%) (Table). Urine collection by bag was more common in circumcised boys (>30%) compared with girls (20%) and uncircumcised boys (20%) (P = 0.02). The most common reasons for collection by bag

Microscopic or occult hematuria, when reflex testing is not good laboratory practice.

Science.gov (United States)

Froom, Paul; Barak, Mira

2010-01-01

Consensus opinion suggests that hematuria found by dipstick and not confirmed on microscopic examination (<2 erythrocytes per high power field) signifies a false-positive reagent strip test result. Standard practice is to repeat the dipstick test several days later and if still positive to confirm by microscopic examination. If discordant results are obtained, experts recommend reflex testing for urinary myoglobin and hemoglobin concentrations. The question is whether or not this approach represents good laboratory practice. These recommendations are not evidence based. We conclude that the reference range for red blood cells on the reagent strip should be increased to 25x10(6) cells/L for young men, and 50x10(6) cells/L for the rest of the adult population, ranges consistent with flow cytometry reports. Confirmation reflex testing using tests that have inferior sensitivity, precision and probably accuracy is not recommended.

The prevalence and characterization of self-medication for obtaining pain relief among undergraduate nursing students

OpenAIRE

Souza,Layz Alves Ferreira; Silva,Camila Damázio da; Ferraz,Gisely Carvalho; Sousa,Fátima Aparecida Emm Faleiros; Pereira,Lílian Varanda

2011-01-01

This study investigates the prevalence of self-medication among undergraduate nursing students seeking to relieve pain and characterizes the pain and relief obtained through the used medication. This epidemiological and cross-sectional study was carried out with 211 nursing students from a public university in Goiás, GO, Brazil. A numerical scale (0-10) measured pain intensity and relief. The prevalence of self-medication was 38.8%. The source and main determining factor of this practice were...

Developing a facilitation model to promote organisational development in primary care practices

Directory of Open Access Journals (Sweden)

Elwyn Glyn

2006-06-01

Full Text Available Abstract Background The relationship between effective organisation of general practices and health improvement is widely accepted. The Maturity Matrix is an instrument designed to assess organisational development in general practice settings and to stimulate quality improvement. It is undertaken by a practice team with the aid of a facilitator. There is a tradition in the primary care systems in many countries of using practice visitors to educate practice teams about how to improve. However the role of practice visitors as facilitators who enable teams to plan practice-led organisational development using quality improvement instruments is less well understood. The objectives of the study were to develop and explore a facilitation model to support practice teams in stimulating organisational development using a quality improvement instrument called the Maturity Matrix. A qualitative study based on transcript analysis was adopted. Method A model of facilitation was constructed based on a review of relevant literature. Audio tapes of Maturity Matrix assessment sessions with general practices were transcribed and facilitator skills were compared to the model. The sample consisted of two facilitators working with twelve general practices based in UK primary care. Results The facilitation model suggested that four areas describing eighteen skills were important. The four areas are structuring the session, obtaining consensus, handling group dynamics and enabling team learning. Facilitators effectively employed skills associated with the first three areas, but less able to consistently stimulate team learning. Conclusion This study suggests that facilitators need careful preparation for their role and practices need protected time in order to make best use of practice-led quality improvement instruments. The role of practice visitor as a facilitator is becoming important as the need to engender ownership of the quality improvement process by

Therapeutic songwriting in music therapy, Part II: Comparing the literature with practice across diverse clinical populations

DEFF Research Database (Denmark)

Baker, Felicity; Wigram, Tony; Stott, Dave

2009-01-01

  A growing body of literature on therapeutic songwriting with diverse clinical populations indicates that clinicians employ a wide range of approaches. The purpose of this research was to establish trends in the clinical practice of songwriting as implemented across a range of clinical populations....... Responses to a 21-question on-line survey were obtained from 419 professional music therapists practicing in 29 countries which focused on approaches to songwriting within their practice with a single clinical population. Results suggest that in general, the literature provides good representation for what...... is occurring in clinical practice. Generally, songs were composed with individual clients in single sessions, with lyrics created prior to the music. Clinicians had a significant role in creating the music with improvised and pre-determined musical structures being equally employed.  Chi-square or comparable...

Decomposing the interaction between retention interval and study/test practice: the role of retrievability.

Science.gov (United States)

Jang, Yoonhee; Wixted, John T; Pecher, Diane; Zeelenberg, René; Huber, David E

2012-01-01

Even without feedback, test practice enhances delayed performance compared to study practice, but the size of the effect is variable across studies. We investigated the benefit of testing, separating initially retrievable items from initially nonretrievable items. In two experiments, an initial test determined item retrievability. Retrievable or nonretrievable items were subsequently presented for repeated study or test practice. Collapsing across items, in Experiment 1, we obtained the typical cross-over interaction between retention interval and practice type. For retrievable items, however, the cross-over interaction was quantitatively different, with a small study benefit for an immediate test and a larger testing benefit after a delay. For nonretrievable items, there was a large study benefit for an immediate test, but one week later there was no difference between the study and test practice conditions. In Experiment 2, initially nonretrievable items were given additional study followed by either an immediate test or even more additional study, and one week later performance did not differ between the two conditions. These results indicate that the effect size of study/test practice is due to the relative contribution of retrievable and nonretrievable items.

Reporting results from whole-genome and whole-exome sequencing in clinical practice: a proposal for Canada?

Science.gov (United States)

Zawati, Ma'n H; Parry, David; Thorogood, Adrian; Nguyen, Minh Thu; Boycott, Kym M; Rosenblatt, David; Knoppers, Bartha Maria

2014-01-01

This article proposes recommendations for the use of whole-genome and whole-exome (WGS/WES) sequencing in clinical practice, endorsed by the board of directors of the Canadian College of Medical Geneticists. The publication of statements and recommendations by several international and national organisations on clinical WGS/WES has prompted a need for Canadian-specific guidance. A multi-disciplinary group consisting of lawyers, ethicists, genetic researchers, and clinical geneticists was assembled to review existing guidelines on WGS/WES and identify provisions relevant to the Canadian context. Definitions were provided to orient the recommendations and to minimize confusion with other recommendations. Recommendations include the following: WGS/WES should be used in a judicious and cost-efficient manner; WGS/WES should be used to answer a clinical question; and physicians need to explain to adult patients the nature of the results that could arise, so as to allow them to make informed choices over whether to take the test and which results they wish to receive. Recommendations are also provided for WGS/WES in the pediatric context, and for when results implicate patients' family members. These recommendations are only a proposal to be developed into comprehensive Canadian-based guidelines. They aim to promote discussion about the reporting of WGS/WES results, and to encourage the ethical implementation of these new technologies in the clinical setting.

Shared decision making for prostate cancer screening: the results of a combined analysis of two practice-based randomized controlled trials

Directory of Open Access Journals (Sweden)

Sheridan Stacey L

2012-11-01

Full Text Available Abstract Background Professional societies recommend shared decision making (SDM for prostate cancer screening, however, most efforts have promoted informed rather than shared decision making. The objective of this study is to 1 examine the effects of a prostate cancer screening intervention to promote SDM and 2 determine whether framing prostate information in the context of other clearly beneficial men’s health services affects decisions. Methods We conducted two separate randomized controlled trials of the same prostate cancer intervention (with or without additional information on more clearly beneficial men’s health services. For each trial, we enrolled a convenience sample of 2 internal medicine practices, and their interested physicians and male patients with no prior history of prostate cancer (for a total of 4 practices, 28 physicians, and 128 men across trials. Within each practice site, we randomized men to either 1 a video-based decision aid and researcher-led coaching session or 2 a highway safety video. Physicians at each site received a 1-hour educational session on prostate cancer and SDM. To assess intervention effects, we measured key components of SDM, intent to be screened, and actual screening. After finding that results did not vary by trial, we combined data across sites, adjusting for the random effects of both practice and physician. Results Compared to an attention control, our prostate cancer screening intervention increased men’s perceptions that screening is a decision (absolute difference +41%; 95% CI 25 to 57% and men’s knowledge about prostate cancer screening (absolute difference +34%; 95% CI 19% to 50%, but had no effect on men’s self-reported participation in shared decisions or their participation at their preferred level. Overall, the intervention decreased screening intent (absolute difference −34%; 95% CI −50% to −18% and actual screening rates (absolute difference −22%; 95% CI −38 to �

Practical implications for RPV irradiation surveillance under long term operation based on latest research results

International Nuclear Information System (INIS)

Hein, H.; Keim, E.; Barthelmes, J.; Schnabel, H.

2015-01-01

The international programs CARISMA, CARINA and LONGLIFE belong to the research programs which have been performed during the last 10 years to study the irradiation behavior of RPV steels under long term operation of more than 60 years. Some characteristic but different irradiated RPV steels used in Pressurized Water Reactors have been extensively investigated in each of those three programs. Whereas the CARISMA and CARINA programs were mainly focused on material testing to study the irradiation-induced change of material properties in terms of fracture toughness, the main objective of LONGLIFE was to investigate the change of microstructure with various analysis techniques and to understand the mechanisms behind. In this way it was possible to get a comprehensive material characterization in terms of macro-physical properties and micro-structural features for a number of RPV steels which have been studied at different irradiation levels up to 8*10 19 cm -2 (E > 1 MeV). The essential macro-physical and micro-structural results are summarized, in particular regarding the impact of copper and nickel, and the neutron flux on the irradiation behavior and with respect to possible late irradiation effects under long term operation. Moreover, the change of material properties is linked with embrittlement mechanisms such as formation of element specific precipitations, segregations, and matrix defects. Well-known trend curves are also applied to the measured T 41 and T 0 data in order to assess their appropriateness for long term operation. Based on the comprehensive available data base, practical implications for RPV irradiation surveillance programs under long term operation are highlighted with respect to issues like material specific application of reference temperature concepts, data scattering, prediction of high fluence behavior and how to cope with possible late irradiation effects. Finally, best practices for RPV irradiation surveillance programs are suggested from

Practice-based Research Network Research Good Practices (PRGPs): Summary of Recommendations.

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Dolor, Rowena J; Campbell-Voytal, Kimberly; Daly, Jeanette; Nagykaldi, Zsolt J; O'Beirne, Maeve; Sterling, Pamela; Fagnan, Lyle J; Levy, Barcey; Michaels, LeAnn; Louks, Hannah A; Smith, Paul; Aspy, Cheryl B; Patterson, V Beth; Kano, Miria; Sussman, Andrew L; Williams, Robert; Neale, Anne Victoria

2015-12-01

Practice-based research networks (PBRNs) conduct research in community settings, which poses quality control challenges to the integrity of research, such as study implementation and data collection. A foundation for improving research processes within PBRNs is needed to ensure research integrity. Network directors and coordinators from seven U.S.-based PBRNs worked with a professional team facilitator during semiannual in-person meetings and monthly conference calls to produce content for a compendium of recommended research practices specific to the context of PBRNs. Participants were assigned to contribute content congruent with their expertise. Feedback on the draft document was obtained from attendees at the preconference workshop at the annual PBRN meeting in 2013. A revised document was circulated to additional PBRN peers prior to finalization. The PBRN Research Good Practices (PRGPs) document is organized into four chapters: (1) Building PBRN Infrastructure; (2) Study Development and Implementation; (3) Data Management, and (4) Dissemination Policies. Each chapter contains an introduction, detailed procedures for each section, and example resources with information links. The PRGPs is a PBRN-specific resource to facilitate PBRN management and staff training, to promote adherence to study protocols, and to increase validity and generalizability of study findings. © 2015 Wiley Periodicals, Inc.

Acoustic Source Localization and Beamforming: Theory and Practice

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Chen Joe C

2003-01-01

Full Text Available We consider the theoretical and practical aspects of locating acoustic sources using an array of microphones. A maximum-likelihood (ML direct localization is obtained when the sound source is near the array, while in the far-field case, we demonstrate the localization via the cross bearing from several widely separated arrays. In the case of multiple sources, an alternating projection procedure is applied to determine the ML estimate of the DOAs from the observed data. The ML estimator is shown to be effective in locating sound sources of various types, for example, vehicle, music, and even white noise. From the theoretical Cramér-Rao bound analysis, we find that better source location estimates can be obtained for high-frequency signals than low-frequency signals. In addition, large range estimation error results when the source signal is unknown, but such unknown parameter does not have much impact on angle estimation. Much experimentally measured acoustic data was used to verify the proposed algorithms.

Management practices utilization in organizations – A comparison between catching-up and well-developed economies

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Vojko Potočan

2016-01-01

Full Text Available The main purpose of this paper is to examine the utilization of management practices in catching-up and well-developed economies. Within that framework, the paper examines the utilization of management practices in Slovenian and Croatian organizations, as both are considered the representatives of catching-up economies from Central and East Europe (CEE, while also comparing the utilization of management practices in the two selected economies to the global use of management practices. Evidences about management practices utilization reveal that in well-developed economies in the forefront are management practices aiming to support customer relationship management, strength customer relations and customer satisfaction, while in Slovenia and Croatia prevail practices that are oriented toward optimization of the business and its processes. Based on the research results and the situation in organizations, a possible future pattern of management practice utilization in organizations operating in catching up economies is outlined, with the aim to reduce the developmental lag and increase competitiveness of those organizations. The paper also provides several practical implications for future utilization of management practices in catching-up economies. The sample of catching up-countries includes 155 responses from employees in Slovenian organizations and 185 from Croatian ones. Data for samples from well-developed economies are obtained from a global survey of management practices.

Comparison of the identification results of Candida species obtained by BD Phoenix™ and Maldi-TOF (Bruker Microflex LT Biotyper 3.1).

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Marucco, Andrea P; Minervini, Patricia; Snitman, Gabriela V; Sorge, Adriana; Guelfand, Liliana I; Moral, Laura López

2018-02-05

In patients with invasive fungal infections, the accurate and rapid identification of the genus Candida is of utmost importance since antimycotic sensitivity is closely related to the species. The aim of the present study was to compare the identification results of species of the genus Candida obtained by BD Phoenix™ (Becton Dickinson [BD]) and Maldi-TOF MS (Bruker Microflex LT Biotyper 3.1). A total of 192 isolates from the strain collection belonging to the Mycology Network of the Autonomous City of Buenos Aires, Argentina, were analyzed. The observed concordance was 95%. Only 10 strains (5%) were not correctly identified by the BD Phoenix™ system. The average identification time with the Yeast ID panels was 8h 22min. The BD Phoenix™ system proved to be a simple, reliable and effective method for identifying the main species of the genus Candida. Copyright © 2017 Asociación Argentina de Microbiología. Publicado por Elsevier España, S.L.U. All rights reserved.

The Feasibility of Administering a Practical Clinical Examination in Podiatry at a College of Podiatric Medicine: Results of a Field Trial Under Simulated Part III Test Conditions.

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And Others; Valletta, Michael

1978-01-01

The results of a practical clinical examination in podiatric medicine administered to fourth-year students are presented. The examination could become the prototype of a Part III practical clinical examination under the auspices of the National Board of Podiatry Examiners. Its feasibility is established and problems and issues are discussed.…

Human rights violations in organ procurement practice in China.

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Paul, Norbert W; Caplan, Arthur; Shapiro, Michael E; Els, Charl; Allison, Kirk C; Li, Huige

2017-02-08

Over 90% of the organs transplanted in China before 2010 were procured from prisoners. Although Chinese officials announced in December 2014 that the country would completely cease using organs harvested from prisoners, no regulatory adjustments or changes in China's organ donation laws followed. As a result, the use of prisoner organs remains legal in China if consent is obtained. We have collected and analysed available evidence on human rights violations in the organ procurement practice in China. We demonstrate that the practice not only violates international ethics standards, it is also associated with a large scale neglect of fundamental human rights. This includes organ procurement without consent from prisoners or their families as well as procurement of organs from incompletely executed, still-living prisoners. The human rights critique of these practices will also address the specific situatedness of prisoners, often conditioned and traumatized by a cascade of human rights abuses in judicial structures. To end the unethical practice and the abuse associated with it, we suggest to inextricably bind the use of human organs procured in the Chinese transplant system to enacting Chinese legislation prohibiting the use of organs from executed prisoners and making explicit rules for law enforcement. Other than that, the international community must cease to abet the continuation of the present system by demanding an authoritative ban on the use of organs from executed Chinese prisoners.

Child-rearing practices of primary caregivers of children with sickle cell disease: the perspective of professionals and caregivers.

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Noll, R B; McKellop, J M; Vannatta, K; Kalinyak, K

1998-04-01

To obtain caregiver and medical professional opinions regarding the child-rearing practices of caregivers of children with sickle cell diseases (SCD). We obtained self-reports of parenting practices from 48 caregivers of children with SCD and 48 caregivers of matched classroom comparison peers using the Child-Rearing Practices Report (CRPR). CRPR ratings were also obtained from 12 experts in pediatric SCD regarding their predictions of how a parent of a child with SCD would respond. The experts predicted differences in protectiveness, discipline, and excessive worry. Objective interim and lifetime illness severity scores were obtained for the children with SCD. Caregivers showed similarity between the two groups, disagreement with the experts, and minimal relationship to illness severity. Experts who work with children with chronic illnesses such as SCD seem to have stereotyped ideas that do not correspond with parental reports of their child-rearing practices, suggesting the need for careful clinical evaluations.

Knowledge and Practice on Injection Safety among Primary Health Care Workers in Kaski District, Western Nepal

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Gyawali, Sudesh; Rathore, Devendra Singh; Shankar, P Ravi; Kc, Vikash Kumar; Jha, Nisha; Sharma, Damodar

2016-01-01

Background Unsafe injection practice can transmit various blood borne infections. The aim of this study was to assess the knowledge and practice of injection safety among injection providers, to obtain information about disposal of injectable devices, and to compare the knowledge and practices of urban and rural injection providers. Methods The study was conducted with injection providers working at primary health care facilities within Kaski district, Nepal. Ninety-six health care workers from 69 primary health care facilities were studied and 132 injection events observed. A semi-structured checklist was used for observing injection practice and a questionnaire for the survey. Respondents were interviewed to complete the questionnaire and obtain possible explanations for certain observed behaviors. Results All injection providers knew of at least one pathogen transmitted through use/re-use of unsterile syringes. Proportion of injection providers naming hepatitis/jaundice as one of the diseases transmitted by unsafe injection practice was significantly higher in urban (75.6%) than in rural (39.2%) area. However, compared to urban respondents (13.3%), a significantly higher proportion of rural respondents (37.3%) named Hepatitis B specifically as one of the diseases transmitted. Median (inter-quartile range) number of therapeutic injection and injectable vaccine administered per day by the injection providers were 2 (1) and 1 (1), respectively. Two handed recapping by injection providers was significantly higher in urban area (33.3%) than in rural areas (21.6%). Most providers were not aware of the post exposure prophylaxis guideline. Conclusion The knowledge of the injection providers about safe injection practice was acceptable. The use of safe injection practice by providers in urban and rural health care facilities was almost similar. The deficiencies noted in the practice must be addressed. PMID:27540325

Surgeons' preferences and practice patterns regarding intraoperative frozen section during partial nephrectomy.

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Sidana, Abhinav; Donovan, James F; Gaitonde, Krishnanath

2014-08-01

Intraoperative frozen section (FS) evaluation for tumor margin during partial nephrectomy (PN) is a matter of controversy in urologic oncology. We evaluated the preferences and practice patterns of urologists regarding intraoperative FS during PN. A 17-item questionnaire was designed to collect information on surgeons' preferences and practice patterns regarding FS during PN. The survey was sent to the members of the Society of Urologic Oncology and Endourological Society. A total of 197 responses were received. Overall, 69% and 58% of respondents chose to obtain FS (always or sometimes) during open PN (OPN) and laparoscopic PN (LPN), respectively. There was a strong correlation between the surgeons' preferences during OPN and LPN. Younger surgeons are less likely to obtain FS during OPN. For surgeons who did not routinely obtain FS, "confidence about complete resection" was the most common reason (79%), followed by "no change in management with positive margins" (35%). Most surgeons (75%) believed the margins to be negative, if surgical margin was free of tumor microscopically by a single cell layer. Older surgeons considered negative margins to be free of tumor microscopically by ≥5 mm. Overall, 54% and 42% of respondents would repeat FS for positive microscopic margins during OPN and LPN, respectively. Of the respondents, 95% would not recommend additional treatment for positive margins on final pathology. Despite recent literature pointing to low clinical utility of FS, most surgeons still obtain FS during PN. Older surgeons tend to obtain FS more often. Fellowship training and practice type do not appear to influence preferences and practice patterns in regard to FS. Copyright © 2014 Elsevier Inc. All rights reserved.

Obtaining of potassium dicyan-argentate

International Nuclear Information System (INIS)

Sattarova, M.A.; Solojenkin, P.M.

1997-01-01

This work is devoted to obtaining of potassium dicyan-argentate. By means of exchange reaction between silver nitrate and potassium cyanide the potassium dicyan-argentate was synthesized. The analysis of obtained samples was carried out by means of titration and potentiometry.

KNOWLEDGE AND PRACTICES ABOUT MENSTRUAL HYGIENE AMONG HIGHER SECONDARY SCHOOL GIRLS

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Pragya Verma

2013-09-01

Full Text Available Introduction: Issues related to menstruation and its practices are still foggy due to taboos and socio-cultural restrictions resulting in adolescent girls remaining uninformed of the technical facts and hygienic practices to keep good health that is why sometimes it results in to adverse health outcomes. Objectives: (i To find out the age of menarche.(ii To elicit the beliefs, perception and source of information regarding menstruation among adolescent girls. Materials and Methods: A descriptive cross sectional study was conducted among 120 adolescent girls of a higher secondary school situated in Varanasi District. Information was obtained with the help of a predesigned and pretested questionnaire in a local language. Results: About half of the girls (58.3% were aware about menstruation prior to attainment of menarche. The mean age of menarche was found to be 12.98yrs (+0.77.The most common menstrual pattern was 30/3 days. Mother was the first informant regarding menstruation in case of (41.66% of girls. Most of the girls (85.8% believed it as a physiological process. Regarding practices, only 61(50.8% girls informed about the use of sanitary pads during menstruation. Most of the girls 59 (49.16% used old plain cloth as menstrual absorbent. About (82.5% girls practiced different restrictions during menstruation. Conclusion: Menstrual hygiene is still a very important risk factor for reproductive tract infections and it is a vital component of the health education to the adolescent girls. Educational television programmes, trained school nurses/ health personnel, motivated school teachers, and knowledgeable parents can play a very important role in transmitting the critical messages of correct practices about menstrual hygiene to the adolescent girls of today.

Documenting Instructional Practices in Large Introductory STEM Lecture Courses

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Vu, Viet Quoc

STEM education reform in higher education is framed around the need to improve student learning outcomes, increase student retention, and increase the number of underrepresented minorities and female students in STEM fields, all of which would ultimately contribute to America's competitiveness and prosperity. To achieve these goals, education reformers call for an increase in the adoption of research-based "promising practices" in classrooms. Despite efforts to increase the adoption of more promising practices in classrooms, postsecondary instructors are still likely to lecture and use traditional teaching approaches. To shed light on this adoption dilemma, a mix-methods study was conducted. First, instructional practices in large introductory STEM courses were identified, followed by an analysis of factors that inhibit or contribute to the use of promising practices. Data were obtained from classroom observations (N = 259) of large gateway courses across STEM departments and from instructor interviews (N = 67). Results show that instructors are already aware of promising practices and that change strategies could move from focusing on the development and dissemination of promising practices to focusing on improving adoption rates. Teaching-track instructors such as lecturers with potential for security of employment (LPSOE) and lecturers with security of employment (LSOE) have adopted promising practices more than other instructors. Interview data show that LPSOEs are also effective at disseminating promising practices to their peers, but opinion leaders (influential faculty in a department) are necessary to promote adoption of promising practices by higher ranking instructors. However, hiring more LPSOEs or opinion leaders will not be enough to shift instructional practices. Variations in the adoption of promising practices by instructors and across departments show that any reform strategy needs to be systematic and take into consideration how information is

Using the Viking biology experimental results to obtain chemical information about Martian regolith

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Plumb, Robert C.

1992-01-01

Although initially formulated as biology experiments, most of the results produced by the Viking Labeled Release (LR), Gas Exchange (GEX), and Pyrolytic Release (PR) experiments have been reproduced by chemical means. The experiments do not need more study as 'biological' phenomena, but they do deserve much more careful consideration from a chemical viewpoint. They are the only 'wet-chemical' experiments that scientists have performed on another planet, but they have not found very general use as sources of scientific information. There is a large set of potentially useful chemical observations, e.g., the three resolvable and precisely measured kinetic components of the release of C-14-labeled gases, the thermal sensitivity and magnitudes of the oxidation reaction(s) of the LR experiments, the kinetics and magnitude of the O2 and CO2 release of the GEX experiments, the thermal sensitivity of the GEX results, the differences between the thermal sensitivity of the GEX and the thermal sensitivity of the LR responses, and the kinetics and magnitudes of the LR successive injection reabsorption effect. It should be possible to test many chemical aspects of hypothetical martian phenomena in experiments using the biology experimental configurations and derive much valuable information by comparisons with the Viking observations.

Practicality of Elementary Statistics Module Based on CTL Completed by Instructions on Using Software R