WorldWideScience

Sample records for previous studies dealing

  1. School Nurses' Experiences in Dealing with Bullying Situations among Students

    Science.gov (United States)

    Pigozi, Pamela Lamarca; Jones Bartoli, Alice

    2016-01-01

    School nurses have an important role in helping students to deal with bullying. However, most of the previously undertaken studies do not have nurses as the subjects, considering their experiences around this theme. This study used a qualitative approach through in-depth interviews with 12 school nurses (SNs). The thematic analysis was employed…

  2. Progress report on Green Deals 2012; Voortgangsrapportage Green Deals 2012

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-10-15

    In the Dutch governmental coalition agreement the Green Deal approach was announced in the autumn of 2010. The focus of the Green Deals is for people and companies to develop sustainable initiatives that contribute to economic growth. This progress report provides an overview of the deals that this bottom-up approach has yielded. The report also provides information on the progress of the deals and the interim results of the approach and the individual deals. Also attention is paid to how the 131 Green Deals score on innovation and entrepreneurship [Dutch] In het regeerakkoord van het kabinet is in het najaar van 2010 de Green Deal-aanpak aangekondigd. Centraal in de aanpak staat dat mensen en bedrijven zoveel mogelijk ruimte krijgen voor eigen duurzame initiatieven die bijdragen aan economische groei. Deze voortgangsrapportage geeft een overzicht van de deals die deze bottom-up aanpak heeft opgeleverd. De rapportage informeert bovendien over de voortgang van de deals en over de tussentijdse resultaten van zowel de aanpak als de afzonderlijke deals. Ook wordt gekeken hoe de 131 Green Deals scoren op innovatief vermogen en ondernemerschap.

  3. An inventory of the first round of Green Deals

    International Nuclear Information System (INIS)

    Wetzels, W.; Hekkenberg, M.; Daniels, B.W.; Ybema, J.R.

    2012-01-01

    By means of the Green Deal, the Dutch government aims to accelerate the sustainability of the economy by supporting initiatives in the field of energy, water, feedstocks and mobility. Businesses, organizations and authorities have submitted over 200 proposals, of which 59 have been selected and elaborated into Green Deals. A previous note has mapped the additional effects of the Green Deals on the share of renewable energy and the emission of non-ETS greenhouse gases. This note addressed questions such as: Which positive effects may occur?; Do the Green Deals lead to additional activities?; Can the results be scaled up?; Can the effects be measured?; Which effects can be observed for renewable energy and emissions in 2020? The note subsequently discusses in which ways the positive effects of the Green Deals could be enhanced. [nl

  4. Looking for a Link : Comparing Faculty Citations Pre and Post Big Deals

    OpenAIRE

    Taylor, Donald

    2007-01-01

    Big Deals expand an institution’s access to scholarly literature, with usage statistics showing that previously unavailable journals receive significant usage. To determine if faculty use these new e-journals in their research, the Simon Fraser University (SFU) Library analyzed SFU citation data to journals from selected Big Deals for two years prior to signing a major Big Deal (1993 and 1998) and for two consecutive years following the Big Deal (2004 and 2005). Pre Big Deal, the percentage o...

  5. Progress report on Green Deals 2013; Voortgangsrapportage Green Deals 2013

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-11-15

    In the Dutch governmental coalition agreement the Green Deal approach was announced in the autumn of 2010. The focus of the Green Deals is for people and companies to develop sustainable initiatives that contribute to economic growth. The Green Deal approach started with the theme energy, but has been extended with the themes biobased economy, climate, resources, buildings, food, mobility, water and biological diversity. This progress report provides an overview of the deals that this bottom-up approach has yielded. The report also provides information on the progress of the deals and the interim results of the approach and the individual deals. Also attention is paid to how the 146 Green Deals score on innovation and entrepreneurship [Dutch] In het regeerakkoord van het kabinet is in het najaar van 2010 de Green Deal-aanpak aangekondigd. Centraal in de aanpak staat dat mensen en bedrijven zoveel mogelijk ruimte krijgen voor eigen duurzame initiatieven die bijdragen aan economische groei. De aanpak is gestart vanuit het thema energie, maar beslaat inmiddels ook de thema's biobased economy, klimaat, grondstoffen, bouw, voedsel, mobiliteit, water en biodiversiteit. Deze voortgangsrapportage geeft een overzicht van de deals die deze bottom-up aanpak heeft opgeleverd. De rapportage informeert bovendien over de voortgang van de deals en over de tussentijdse resultaten van zowel de aanpak als de afzonderlijke deals. Ook wordt gekeken hoe de 146 Green Deals scoren op innovatief vermogen en ondernemerschap.

  6. Elevated risk of incarceration among street-involved youth who initiate drug dealing

    Directory of Open Access Journals (Sweden)

    Carly Hoy

    2016-11-01

    Full Text Available Abstract Background Street-involved youth are known to be an economically vulnerable population that commonly resorts to risky activities such as drug dealing to generate income. While incarceration is common among people who use illicit drugs and associated with increased economic vulnerability, interventions among this population remain inadequate. Although previous research has documented the role of incarceration in further entrenching youth in both the criminal justice system and street life, less is known whether recent incarceration predicts initiating drug dealing among vulnerable youth. This study examines the relationship between incarceration and drug dealing initiation among street-involved youth. Methods Between September 2005 and November 2014, data were collected through the At-Risk Youth Study, a cohort of street-involved youth who use illicit drugs, in Vancouver, Canada. An extended Cox model with time-dependent variables was used to examine the relationship between recent incarceration and initiation into drug dealing, controlling for relevant confounders. Results Among 1172 youth enrolled, only 194 (16.6% were drug dealing naïve at baseline and completed at least one additional study visit to facilitate the assessment of drug dealing initiation. Among this sample, 56 (29% subsequently initiated drug dealing. In final multivariable Cox regression analysis, recent incarceration was significantly associated with initiating drug dealing (adjusted hazard ratio = 2.31; 95% confidence interval (CI 1.21–4.42, after adjusting for potential confounders. Measures of recent incarceration lagged to the prior study follow-up were not found to predict initiation of drug dealing (hazard ratio = 1.50; 95% CI 0.66–3.42. Conclusions These findings suggest that among this study sample, incarceration does not appear to significantly propel youth to initiate drug dealing. However, the initiation of drug dealing among youth coincides

  7. The Public Health Responsibility Deal: brokering a deal for public health, but on whose terms?

    Science.gov (United States)

    Panjwani, Clare; Caraher, Martin

    2014-02-01

    Coalitions of multinational food and drink businesses have pledged to reformulate their products and to market them responsibly. Largely business-led and self-regulated, the integrity of these voluntary initiatives has been questioned. The Public Health Responsibility Deal in England is an example of a voluntary initiative that is government-led. Does this approach provide evidence that with public leadership there is potential for voluntary actions to deliver meaningful results for public health? The subject of the research is the calorie reduction initiative of the Responsibility Deal. Source material was obtained primarily through a series of UK Freedom of Information requests and comprises previously unpublished Department of Health documentation relating to relevant meetings held during 2011 and 2012. The Responsibility Deal approach to calorie reduction deliberately involves the food industry in the specification of the measures it is to implement (reformulation and portion control). Finding the common ground between private and public interests has resulted in the deflection of public health objectives and the preclusion of adequate monitoring and evaluation. The Responsibility Deal approach is fundamentally flawed in its expectation that industry will take voluntary actions that prioritise public health interests above its own. Being government-led counts for little in the absence of sanctions to drive compliance. Instead the initiative affords private interests the opportunity to influence in their favour the public health policies and strategies that affect their products. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  8. Consumers' multifaceted deal knowledge in a grocery retail setting

    DEFF Research Database (Denmark)

    Jensen, Birger Boutrup; Bech-Larsen, Tino

    2017-01-01

    of deal price status, typical deal price knowledge, and deal-spotting ability. Results show reasonably stable knowledge of typical deal prices, while knowledge of deal price status and deal-spotting ability improves significantly during grocery shopping. Surprisingly, consumers’ deal knowledge...... typical deal price knowledge. Furthermore, the findings suggest that consumers store internal reference deal prices. Retailers are therefore well advised to consider mixed depth and creative discount patterns to prevent ‘perfect’ perceptions of typical deal prices.......Despite its relevance to retailers, studies of consumers’ deal knowledge have been few. This study explores consumers’ deal knowledge before, during, and after the store visit applying a between-subjects field-study design with 1204 respondents. In particular, the authors investigate perception...

  9. Dealing with taste and smell alterations-A qualitative interview study of people treated for lung cancer.

    Directory of Open Access Journals (Sweden)

    Kerstin Belqaid

    Full Text Available Taste and smell alterations have been recognized as common symptoms in relation to various cancers. However, previous research suggests that patients do not receive sufficient support in managing taste and smell alterations. Therefore, the objective of this study is to investigate how persons with experience from lung cancer-related taste and smell alterations reason about resources and strategies offered and used to manage these symptoms. Data from semi-structured individual interviews with 13 women and four men were analyzed with qualitative content analysis. We used Kleinman's now classic medical anthropological model of local health care systems, consisting of the personal, professional, and folk sector, to interpret and understand how people respond to sickness experiences in their daily lives. By presenting the findings using this model, we demonstrate that most strategies for dealing with taste and smell alterations were undertaken in the personal sector, i.e. in participants' daily lives, on an individual level and in interaction with family, social networks and communities. Taste and smell alterations implied two overarching challenges: 1 adjusting to no longer being able to trust information provided by one's own senses of taste and/or smell, and 2 coming to terms with taste and smell alterations as a part of having lung cancer. Health care professionals' involvement was described as limited, but appeared to fulfil most participants' expectations. However, through provision of normalizing information, practical advice, and to some extent, emotional support, health care professionals had potential to influence strategies and resources used for dealing with taste and smell alterations. With this study, we further the understanding of how people deal with lung cancer-related taste and smell alterations and discuss the role of health care professionals for this process.

  10. Dealing with taste and smell alterations-A qualitative interview study of people treated for lung cancer.

    Science.gov (United States)

    Belqaid, Kerstin; Tishelman, Carol; Orrevall, Ylva; Månsson-Brahme, Eva; Bernhardson, Britt-Marie

    2018-01-01

    Taste and smell alterations have been recognized as common symptoms in relation to various cancers. However, previous research suggests that patients do not receive sufficient support in managing taste and smell alterations. Therefore, the objective of this study is to investigate how persons with experience from lung cancer-related taste and smell alterations reason about resources and strategies offered and used to manage these symptoms. Data from semi-structured individual interviews with 13 women and four men were analyzed with qualitative content analysis. We used Kleinman's now classic medical anthropological model of local health care systems, consisting of the personal, professional, and folk sector, to interpret and understand how people respond to sickness experiences in their daily lives. By presenting the findings using this model, we demonstrate that most strategies for dealing with taste and smell alterations were undertaken in the personal sector, i.e. in participants' daily lives, on an individual level and in interaction with family, social networks and communities. Taste and smell alterations implied two overarching challenges: 1) adjusting to no longer being able to trust information provided by one's own senses of taste and/or smell, and 2) coming to terms with taste and smell alterations as a part of having lung cancer. Health care professionals' involvement was described as limited, but appeared to fulfil most participants' expectations. However, through provision of normalizing information, practical advice, and to some extent, emotional support, health care professionals had potential to influence strategies and resources used for dealing with taste and smell alterations. With this study, we further the understanding of how people deal with lung cancer-related taste and smell alterations and discuss the role of health care professionals for this process.

  11. Creating flexible work arrangements through idiosyncratic deals.

    Science.gov (United States)

    Hornung, Severin; Rousseau, Denise M; Glaser, Jürgen

    2008-05-01

    A survey of 887 employees in a German government agency assessed the antecedents and consequences of idiosyncratic arrangements individual workers negotiated with their supervisors. Work arrangements promoting the individualization of employment conditions, such as part-time work and telecommuting, were positively related to the negotiation of idiosyncratic deals ("i-deals"). Worker personal initiative also had a positive effect on i-deal negotiation. Two types of i-deals were studied: flexibility in hours of work and developmental opportunities. Flexibility i-deals were negatively related and developmental i-deals positively related to work-family conflict and working unpaid overtime. Developmental i-deals were also positively related to increased performance expectations and affective organizational commitment, while flexibility i-deals were unrelated to either. PsycINFO Database Record (c) 2008 APA, all rights reserved.

  12. Dealing with fear - from the perspective of adolescent girls with cancer.

    Science.gov (United States)

    Anderzén-Carlsson, Agneta; Sörlie, Venke; Kihlgren, Annica

    2012-07-01

    Previously fears in adolescents with cancer has been identified in relation to medical procedures, death, altered appearance and as having an overall influence on life, but to our knowledge young people's perspectives on dealing with fear have not been previously investigated. To examine adolescents' perspectives on dealing with cancer related fear. Six girls participated in qualitative interviews focussing on their fear and and how they dealt with it. Data were analysed by means of qualitative content analysis. The results revealed two perspectives. First, the adolescents' own personal battle with fear. Second, they reported that they were not alone with their fear, as they shared it with significant others. An environment characterized by emotional presence helped them to deal with their fear, as well as prevented it from occurring. There is a need for staff and parents to be vigilant to the adolescents' need to feel cared for and allow them the opportunity to deal with their own fear, as at times they want to manage in their own way. Young patients have resources to cope with their fears and therefore should not be viewed as victims, but as young people with a great amount of competence, who benefit from a supportive environment. Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. Dealing with chemotherapy-related symptoms at home: a qualitative study in adult patients with cancer

    NARCIS (Netherlands)

    Coolbrandt, A.; Dierckx de Casterle, B.; Wildiers, H.; Aertgeerts, B.; Elst, E. Van der; Achterberg, T. van; Milisen, K.

    2016-01-01

    Given that chemotherapy treatments are done mostly in an outpatient setting, patients with cancer must deal with treatment-related symptoms mainly at home. Evidence suggests that they often feel left alone or unprepared to do so. This qualitative study explores how patients deal with

  14. Copyright Law in Australia--Fair Dealing for Research or Study Purposes.

    Science.gov (United States)

    Khan, Anwar (Andy); Hancock, Philip

    2001-01-01

    Explores several issues involving provisions of the Australian copyright law that allow for "fair dealing for the purpose of research and study" in the use of copyrighted materials. Discusses liability of libraries for improper oversight of illegal photocopying of books and other copyrighted materials. Reviews recent efforts to improve…

  15. Motivating employees to work beyond retirement: A multi-level study of the role of I-deals and unit climate

    NARCIS (Netherlands)

    Bal, P.M.; de Jong, S.; Jansen, P.G.W.; Bakker, A.B.

    2012-01-01

    The present study investigates what role I-deals (i.e. the idiosyncratic deals made between employees and their organization) play in the motivation of employees to continue working after retirement. We hypothesized two types of I-deals (i.e. development and flexibility I-deals) to be positively

  16. Coupons from Deal Sites as Gifts

    DEFF Research Database (Denmark)

    Pavlicek, Antonin; Sudzina, Frantisek

    2017-01-01

    There already exist studies on what influences use of deal sites. But there is a gap in literature when it comes to purchasing coupons from deal sites and then using them as gifts. The paper analyzes whether gender, age and personality traits influence such behavior. Big Five Inventory traits...

  17. The New Deal: A Global History

    NARCIS (Netherlands)

    Patel, Kiran Klaus

    2016-01-01

    The New Deal: A Global History provides a radically new interpretation of a pivotal period in US history. The first comprehensive study of the New Deal in a global context, the book compares American responses to the international crisis of capitalism and democracy during the 1930s to responses by

  18. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2008 Annual Review

    International Nuclear Information System (INIS)

    2009-01-01

    2008 was the year in which power deal values came down from their record-breaking highs of the two preceding years as the financial crisis and a number of market uncertainties had a negative impact on deal activity. Nonetheless, total deal numbers leapt by 24% as companies concentrated on smaller deals and took advantage of new opportunities that arose in the changed market conditions. Europe was least affected by the downturn in deal values and accounted for over half of all bidder and target power deal value. In contrast, power deals in Australia, which had previously been a main motor of growing M and A activity in the Asia Pacific region, virtually stalled as uncertainty over new carbon emission policies combined with the financial crisis to deter deal flow. In North America, like Europe, big deals were fewer but underlying deal activity was comparable with previous years. This report examines the rationale behind the overall trends and the key individual deals. We also highlight, in a series of deal dialogues throughout the report, some of the critical issues for companies engaging in deal activity within the sector, drawing on our global experience as an adviser to players in major deals throughout the sector in all key electricity and gas utilities markets. Looking to the future, the easing of the financial crisis will be key to deal flow but the near-term outlook looks less robust than the recent past, especially as debt markets will be further constrained by calls from the public financing required to support government bail-out programmes. Set against this, the underlying imperatives of consolidation, supply security and capitalisation remain in place and will create increasing pent-up deal demand. A lower energy price environment will change the metrics for more expensive cleaner power assets, placing an even higher importance on the outcome of global climate talks and the run-up to the December 2009 UN Climate Summit in Copenhagen

  19. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2008 Annual Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-01-15

    2008 was the year in which power deal values came down from their record-breaking highs of the two preceding years as the financial crisis and a number of market uncertainties had a negative impact on deal activity. Nonetheless, total deal numbers leapt by 24% as companies concentrated on smaller deals and took advantage of new opportunities that arose in the changed market conditions. Europe was least affected by the downturn in deal values and accounted for over half of all bidder and target power deal value. In contrast, power deals in Australia, which had previously been a main motor of growing M and A activity in the Asia Pacific region, virtually stalled as uncertainty over new carbon emission policies combined with the financial crisis to deter deal flow. In North America, like Europe, big deals were fewer but underlying deal activity was comparable with previous years. This report examines the rationale behind the overall trends and the key individual deals. We also highlight, in a series of deal dialogues throughout the report, some of the critical issues for companies engaging in deal activity within the sector, drawing on our global experience as an adviser to players in major deals throughout the sector in all key electricity and gas utilities markets. Looking to the future, the easing of the financial crisis will be key to deal flow but the near-term outlook looks less robust than the recent past, especially as debt markets will be further constrained by calls from the public financing required to support government bail-out programmes. Set against this, the underlying imperatives of consolidation, supply security and capitalisation remain in place and will create increasing pent-up deal demand. A lower energy price environment will change the metrics for more expensive cleaner power assets, placing an even higher importance on the outcome of global climate talks and the run-up to the December 2009 UN Climate Summit in Copenhagen.

  20. Teaching Prospect Theory with the "Deal or No Deal" Game Show

    Science.gov (United States)

    Baker, Ardith; Bittner, Teresa; Makrigeorgis, Christos; Johnson, Gloria; Haefner, Joseph

    2010-01-01

    Recent evidence indicates that decision makers are more sensitive to potential losses than gains. Loss aversion psychology has led behavioural economists to look beyond expected utility by developing "prospect theory." We demonstrate this theory using the "Deal or No Deal" game show.

  1. Ransomware: A Research and a Personal Case Study of Dealing with this Nasty Malware

    OpenAIRE

    Azad Ali

    2017-01-01

    Aim/Purpose : Share research finding about ransomware, depict the ransomware work in a format that commonly used by researchers and practitioners and illustrate personal case experience in dealing with ransomware. Background: Author was hit with Ransomware, suffered a lot from it, and did a lot of research about this topic. Author wants to share findings in his research and his experience in dealing with the aftermath of being hit with ransomware. Methodology: Case study. Applying th...

  2. Dealing with Coronary Artery Disease in Early Encountering: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Mohammad Mojalli

    2014-12-01

    Full Text Available Background: The prevalence of cardiovascular diseases is rising in industrial and developing countries. Coronary Artery Disease (CAD is the most common cardiovascular disease. Thus, understanding the signs and risk factors of CAD from the patients’ perspective and their ways of dealing with this disease is of vital importance. Objectives: This qualitative study aimed to explore the Iranian patients’ viewpoints about CAD and how they dealt with it in their first encounter. Patients and Methods: This study was a qualitative content analysis conducted on 18 patients with CAD. The data were collected through semi-structured interviews. Initially, purposeful sampling was performed followed by maximum variety. Sampling continued until data saturation. Then, all the interviews were recorded and transcribed verbatim. After all, the data were analyzed by constant comparative analysis using MAXQUDA2010 software. Results: The themes manifested in this study included “invasion of disease” with subthemes of “warning signs” and “risk factors” and “confrontation strategies” with subthemes of “seeking for information”, “follow-up”, and “control measures”. Conclusions:: The results of this study described the patients’ perceptions of CAD and how they dealt with this disorder in early encountering. Based on the results, physicians and nurses should focus on empowerment of patients by facilitating this process as well as by educating them with regards to dealing with CAD.

  3. External Audit Green Deal Approach. Final report; Externe Audit Green Deal Aanpak. Eindrapport

    Energy Technology Data Exchange (ETDEWEB)

    Van Mil, B.P.A.; Gooskens, B.J.F.; Van Schelven, R.M.; Stutje, A.

    2013-10-15

    External audit of the effectiveness of the Green Deals, based on the question how the Green Deal contributes to green growth. The central idea of this new tool is that the Dutch government facilitates initiatives of businesses, societal organisations, local governments and citizens by removing bottlenecks as much as possible [Dutch] Externe audit over (de effectiviteit van) de Green Deal aanpak, op basis van de volgende onderzoeksvraag: 'Hoe draagt de Green Deal aanpak bij aan het bevorderen van groene groei?' De centrale gedachte van dit nieuwe instrument is dat de overheid initiatieven van bedrijven, maatschappelijke organisaties, decentrale overheden en burgers faciliteert door het wegnemen van knelpunten.

  4. Screen dealing

    International Nuclear Information System (INIS)

    Barlow, J.W.

    1991-01-01

    The screen dealing system provides a facility whereby buyers and sellers of spot thermal coal can make bids and offers via the medium of the Reuters screen. A sale results when a market participant notifies his acceptance of a price to a central dealing desk. Use of the system is available to all genuine participants in the coal trade. This paper reports that it provides a focus for information and for the visible making of coal prices. For years screen trading has been used successfully to trade other commodities. At last coal is being traded electronically. It makes sense. It works. Users like it

  5. Exclusive Dealing and Entry

    OpenAIRE

    João Leão

    2008-01-01

    This paper examines the use of exclusive dealing agreements to prevent the entry of rival firms. An exclusive dealing agreement is a contract between a buyer and a seller where the buyer commits to buy a good exclusively from the seller. One main concern of the literature is to explain how an incumbent seller is able to persuade the buyers to sign an exclusive dealing agreement that deters the entry of a more efficient rival seller. We propose a new explanation when the buyers are downstream ...

  6. Dealing with Sports Injuries

    Science.gov (United States)

    ... Videos for Educators Search English Español Dealing With Sports Injuries KidsHealth / For Teens / Dealing With Sports Injuries ... a long way toward preventing injuries. Types of Sports Injuries Common reasons why teens get injured playing ...

  7. Defining Good Deals in Business Collectives

    Directory of Open Access Journals (Sweden)

    Michael Ayukawa

    2011-03-01

    Full Text Available In the context of a current project at Carleton University to create creating a deal-making platform, this article presents the results of a recent review of the literature to determine: What is a good deal? This is question is asked from the perspective of the stakeholders in the development of a software-based collaboration tool that is designed to help streamline deal development between members. The stakeholders include the creators, the users, and the investors. We answer this question by examining several streams in the literature, all centered on understanding deals and deal-making processes. These streams explore the concept of a win-win deal, how value may be seen differently, and the group processes involved in deal making. A key contribution from this review suggests that deal goodness can be separated based on a Me-We construct: the impact to each and every stakeholder of the deal and the impact to the entire collective (not just the deal stakeholders. This implies one can separate the platform management problem into actor-centric (Me and linkage-centric (We domains. This is consistent with the notion of players balancing their self interest with the other stakeholders in the deal (Me-We. This is also consistent with the prospect of managing ecosystem health based on player and network-based metrics.

  8. Dealing with data

    CERN Document Server

    Lyon, Arthur L

    1970-01-01

    Dealing with Data is an introductory course to problems and techniques dealing with data analysis, with emphasis on the physical and engineering sciences. The book starts with the basics of data analysis through non-statistical and non-mathematical assessments of error and uncertainty conditions. Experimental and maximum errors and the use of simple graphical methods are briefly described. Applying quick methods on data analysis such as frequency distributions, determination of standard errors, and applications of significance tests are explained. Special attention is given to the statistical

  9. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2007 Annual Review

    International Nuclear Information System (INIS)

    2007-01-01

    The year 2007 saw a continued remarkable expansion in the total number and value of deals in the power utilities sector (electricity and gas) worldwide. A 25% increase put the total power deal value of USD 372.5bn nearly nine times above the US$43bn recorded just four years earlier in 2003. Records continue to be set in the sector for the total number and value of deals and for the size of individual deals. There was little sign of the sector pausing for breath in 2007. There were fewer mega-deals, reflecting the complexity of getting really huge deals over the political and regulatory hurdles, but this was more than compensated by a rise in mid-size deal numbers. There was no clear evidence of a fall-off in deal activity in the second half of the year as the credit crisis broke. Indeed, 57% of all power sector deals, 441 of the total 768 deals, came in the second half. Strong deal momentum characterised all the major markets and, with the restructuring of the Russian electricity sector, 2007 marked the year when deals in the Russian Federation made a significant impact on the worldwide totals. Thus, for the first time, Power Deals 2007 includes a specific section on the Russian deals and we separate them out from the wider Asia Pacific totals where they featured in previous editions

  10. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2007 Annual Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-01-15

    The year 2007 saw a continued remarkable expansion in the total number and value of deals in the power utilities sector (electricity and gas) worldwide. A 25% increase put the total power deal value of USD 372.5bn nearly nine times above the US$43bn recorded just four years earlier in 2003. Records continue to be set in the sector for the total number and value of deals and for the size of individual deals. There was little sign of the sector pausing for breath in 2007. There were fewer mega-deals, reflecting the complexity of getting really huge deals over the political and regulatory hurdles, but this was more than compensated by a rise in mid-size deal numbers. There was no clear evidence of a fall-off in deal activity in the second half of the year as the credit crisis broke. Indeed, 57% of all power sector deals, 441 of the total 768 deals, came in the second half. Strong deal momentum characterised all the major markets and, with the restructuring of the Russian electricity sector, 2007 marked the year when deals in the Russian Federation made a significant impact on the worldwide totals. Thus, for the first time, Power Deals 2007 includes a specific section on the Russian deals and we separate them out from the wider Asia Pacific totals where they featured in previous editions.

  11. Dealing with chemotherapy-related symptoms at home: a qualitative study in adult patients with cancer.

    Science.gov (United States)

    Coolbrandt, A; Dierckx de Casterlé, B; Wildiers, H; Aertgeerts, B; Van der Elst, E; van Achterberg, T; Milisen, K

    2016-01-01

    Given that chemotherapy treatments are done mostly in an outpatient setting, patients with cancer must deal with treatment-related symptoms mainly at home. Evidence suggests that they often feel left alone or unprepared to do so. This qualitative study explores how patients deal with chemotherapy-related symptoms in their home, which factors and ideas influence their self-management and what role professional caregivers play. One-off, semi-structured interviews were held with 28 adult patients with cancer being treated with chemotherapy. Using a Grounded Theory approach, we cyclically collected and analysed data to come to a thorough understanding of the major conceptual themes and their interconnections. Dealing with chemotherapy-related symptoms involves a process of experiencing and learning how side effects unfold over time and how to deal with them. Patients express very personal symptom experiences and symptom-management styles, which are shaped by personal factors (e.g. coping with cancer and cancer treatment, perceived level of control) and environmental factors (e.g. professionals' attitude, information resources). Improving symptom self-management support requires active exploration of the personal symptom experience and symptom-management style. Professional care should be tailored to the patient's perspective and should address personal and environmental determinants of their behaviour. © 2015 John Wiley & Sons Ltd.

  12. Ransomware: A Research and a Personal Case Study of Dealing with this Nasty Malware

    Directory of Open Access Journals (Sweden)

    Azad Ali

    2017-04-01

    Full Text Available Aim/Purpose\t: Share research finding about ransomware, depict the ransomware work in a format that commonly used by researchers and practitioners and illustrate personal case experience in dealing with ransomware. Background: Author was hit with Ransomware, suffered a lot from it, and did a lot of research about this topic. Author wants to share findings in his research and his experience in dealing with the aftermath of being hit with ransomware. Methodology: Case study. Applying the literature review for a personal case study. Contribution: More knowledge and awareness about ransomware, how it attacks peoples’ computers, and how well informed users can be hit with this malware. Findings: Even advanced computer users can be hit and suffer from Ransomware attacks. Awareness is very helpful. In addition, this study drew in chart format what is termed “The Ransomware Process”, depicting in chart format the steps that ransomware hits users and collects ransom. Recommendations for Practitioners\t: Study reiterates other recommendations made for dealing with ransomware attacks but puts them in personal context for more effective awareness about this malware. Recommendation for Researchers: This study lays the foundation for additional research to find solutions to the ransomware problem. IT researchers are aware of chart representations to depict cycles (like SDLC. This paper puts the problem in similar representation to show the work of ransomware. Impact on Society: Society will be better informed about ransomware. Through combining research, illustrating personal experience, and graphically representing the work of ransomware, society at large will be better informed about the risk of this malware. Future Research: Research into solutions for this problem and how to apply them to personal cases.

  13. Extra-Training I-deals

    DEFF Research Database (Denmark)

    Elgoibar, Patricia; Lindholst, Morten

    2016-01-01

    illustrates the negotiation process between a team manager at TNK - a leading multinational software development company- and one of his team members. The employee is willing to negotiate an I-deal with the objective of attending a training course abroad. This case is a two-party employment deal-making......, and professionals; as well as in students from different cultural backgrounds. The feedback from the students shows a clear understanding of the information described in the test as well as a satisfactory learning experience in the concept of I-deals terms, understanding of the concept of BATNA in negotiation......, and the importance of taking into account the interests of the other party and parties when negotiating this type of agreements....

  14. Pre and Post Merger Valuation- A Study of Tata Corus Merger Deal

    OpenAIRE

    Sumeet Gupta

    2009-01-01

    Indian Economy being characterized as Global Economy leading to inorganic growth through Mergers, Acquisitions, Takeovers and Joint Ventures. Mergers would affect the company’s inflow and outflow of various variables like sales, expenses and cash position etc. It becomes imperative to evaluate the pre merger and post merger conditions of the firms so that successful deal can be carried out. The deal would also affect the shareholders wealth. The prediction of future forecasted sales and other...

  15. On the Tengiz petroleum deposit previous study

    International Nuclear Information System (INIS)

    Nysangaliev, A.N.; Kuspangaliev, T.K.

    1997-01-01

    Tengiz petroleum deposit previous study is described. Some consideration about structure of productive formation, specific characteristic properties of petroleum-bearing collectors are presented. Recommendation on their detail study and using of experience on exploration and development of petroleum deposit which have analogy on most important geological and industrial parameters are given. (author)

  16. How to Deal with Hemophilia

    Science.gov (United States)

    ... Educators Search English Español How to Deal With Hemophilia KidsHealth / For Kids / How to Deal With Hemophilia ... mild case of hemophilia. Why Do Kids Get Hemophilia? Hemophilia almost always affects boys. Why? Because the ...

  17. Dealing with Bullies (For Kids)

    Science.gov (United States)

    ... First Aid & Safety Doctors & Hospitals Videos Recipes for Kids Kids site Sitio para niños How the Body Works ... Search English Español Dealing With Bullies KidsHealth / For Kids / Dealing With Bullies What's in this article? Bullying ...

  18. Deal or No Deal: using games to improve student learning, retention and decision-making

    Science.gov (United States)

    Chow, Alan F.; Woodford, Kelly C.; Maes, Jeanne

    2011-03-01

    Student understanding and retention can be enhanced and improved by providing alternative learning activities and environments. Education theory recognizes the value of incorporating alternative activities (games, exercises and simulations) to stimulate student interest in the educational environment, enhance transfer of knowledge and improve learned retention with meaningful repetition. In this case study, we investigate using an online version of the television game show, 'Deal or No Deal', to enhance student understanding and retention by playing the game to learn expected value in an introductory statistics course, and to foster development of critical thinking skills necessary to succeed in the modern business environment. Enhancing the thinking process of problem solving using repetitive games should also improve a student's ability to follow non-mathematical problem-solving processes, which should improve the overall ability to process information and make logical decisions. Learning and retention are measured to evaluate the success of the students' performance.

  19. The material, moral, and affective worlds of dealing and crime among young men entrenched in an inner city drug scene.

    Science.gov (United States)

    Fast, Danya; Shoveller, Jean; Kerr, Thomas

    2017-06-01

    A large body of previous research has elucidated how involvement in drug dealing and crime among marginalized urban youth who use drugs is shaped by the imperatives of addiction and survival in the context of poverty. However, a growing body of research has examined how youth's involvement in these activities is shaped by more expansive desires and moralities. In this paper, we examine the material, moral, and affective worlds of loosely gang affiliated, street level dealing and crime among one group of young men in Vancouver, Canada. Drawing on longitudinal interviews with 44 young men from 2008 to 2016, and ethnographic fieldwork with a group of approximately 15 of those young men over the same time period, we argue that for these youth, dealing and crime were not solely about economic survival, or even the accrual of highly meaningful forms of "street capital" in the margins. Rather, as "regimes of living," dealing and crime also opened up new value systems, moral logics, and affects in relation to the tremendous risks, potential rewards, and crushing boredom of life in the margins. These activities were also understood as a way into deeply desired forms of social spatial belonging in the city, which had previously only been imagined. However, across time dealing and crime "embedded" young men in cycles of incarceration, destitution, addictions, and mental health crises that ultimately reinforced their exclusion-from legal employment, but also within the world of crime. The findings of this study underscore the importance of adopting a life course perspective in order to meaningfully address the harms associated with involvement in dealing and crime among youth in our setting. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Victimological aspect of a corruption deal

    Directory of Open Access Journals (Sweden)

    Anna A. Ivanova

    2015-12-01

    Full Text Available Objective to present the author39s concept of the victimological aspect of corruption crime. Methods dialectical method of cognition mainly the systemic approach analysis. Results the article discusses the concept of corruption deal as an unlawful act statutory offence bribery and subornation law abuse by the authorized entity. The illegal most common and manipulative types of corruption deals and their mechanisms are defined as well as the ways of their implementation which include mutually beneficial bilateral trade extortion and initiative active bribery. The diverse negative effects of corruption on the legal relationships are proved. The danger of the crime deal is shown as the factor of corrupt behavior and active means of formation of corruption networks which increases victimogenity of corruption acts doing harm not only to physical but also legal entities. In accordance with this the point of view supported and proved that it is necessary to expand the notion of victim of corruption offences to legal persons. The conclusion is made about the feasibility of a legal assessment of corruption deals as a qualifying feature of a criminal offense. Scientific novelty the article justifies the author39s position in relation to an assessment of corruption victimization of the deal victimological characteristic of a corrupt deals victim are given critical analysis of basic victimological concepts is made to identify the potential corrupt deals victims and ensure victim safety. Practical significance the idea is expressed of reorienting public consciousness views on corruption as a way of solving problems of changing tolerance to corruption due to which the legal subjects become victims of corrupt deals of amending the anticorruption policies towards more careful attention to the protection of the legal relations subjects against the corruption threat. nbsp

  1. Emotions & Relationships: Dealing with the Tough Stuff

    Science.gov (United States)

    Emotions & Relationships: Dealing with the Tough Stuff; emotional health; emotional health; emotional health article; emotional health articles; best way to deal with emotions; best ways to deal with relationships; how to build relationships; how to strengthen relationships

  2. Suboptimal investments and M&A deals in emerging capital markets

    Directory of Open Access Journals (Sweden)

    Cherkasova Victoria

    2016-01-01

    Full Text Available This paper focuses on the efficiency of target-company investment decisions before and after Merger & Acquisition deals. We study whether M&A deals help to solve the problem of suboptimal investment after the acquisition. Using a sample of 145 target companies from BRICS countries that were acquired during the period 2004-2014, we outline those that had over- or underinvested before the deal and show that more than half the companies managed to optimize the investment level after the deal. We determine the key factors that improve the inefficiency of investment decisions and demonstrate that the industry and country have an impact on the degree of suboptimal investment.

  3. Thirteen Secrets of the Deal

    Science.gov (United States)

    Schaffhauser, Dian

    2011-01-01

    Whether one is on Wall Street, in Congress, or working in an IT shop on campus, negotiating a good deal is hard work. As higher education enters its purchasing season, "Campus Technology" talks to deal makers who have "been there and done that." This article presents their tips for getting the most value from vendors the next time one buys…

  4. Ex-ante evaluation of Green Deals Energy; Ex-ante evaluatie van Green Deals Energie

    Energy Technology Data Exchange (ETDEWEB)

    Elzenga, H.; Kruitwagen, S.

    2012-06-15

    An overview is given of the results of a study of the bottlenecks experienced by initiators in the realization of green projects, the solutions for which the Dutch government has chosen, and the role that local authorities play in it. An important research question is to what extent it is likely that Green Deal projects will lead to imitation by others. The research has focused on four themes: Onshore wind energy, Energy production from co- fermentation of manure, Energy conservation of heat in the built environment, and Decentralised electricity generation with solar panels [Dutch] Een overzicht wordt gegeven van de resultaten van een onderzoek naar de knelpunten die initiatiefnemers ervaren bij de realisatie van groene projecten, de oplossingsrichtingen waarvoor de Rijksoverheid heeft gekozen, en de rol die decentrale overheden daarin spelen. Een belangrijke onderzoeksvraag is in hoeverre het aannemelijk is dat Green Deal-projecten zullen leiden tot navolging door anderen. Het onderzoek heeft zich toegespitst op vier thema's: Windenergie op land, Energieproductie uit (co)vergisting van mest, Energiebesparing op warmte in de gebouwde omgeving, en Decentrale elektriciteitsopwekking met zonnepanelen.

  5. Dealing with aggressive methadone patients in community pharmacy: a critical incident study.

    Science.gov (United States)

    Irwin, Amy; Laing, Christianne; Mearns, Kathryn

    2012-01-01

    Community pharmacists are an important link between methadone patients and the health service in the United Kingdom. However, many pharmacists feel ill prepared to deal with methadone patients, with aggressive behavior a particular concern. To assess the perceived impact of methadone patient aggression on pharmacy practice. Sixteen registered pharmacists with a minimum of 3 years' work experience were recruited from within 3 Scottish health boards. Critical incident interviews were conducted to assess pharmacist behavior during an interaction with an aggressive methadone patient. Factors considered by pharmacists to have a negative impact on an interaction with an aggressive methadone patient included intoxication of the patient, the presence of a new or an inexperienced pharmacist, and a restricted time frame for dispensing methadone. Positive factors when dealing with aggressive patients were authoritative behavior by the pharmacist, a separate dispensing area for methadone patients, or a solid counter and a positive relationship between pharmacist and patient. Aggression from methadone patients is a risk when dispensing methadone. However, action can be taken by the pharmacist to minimize the impact of that aggression on pharmacy practice. The provision of further training and support, particularly to inexperienced pharmacists, could further reduce the negative impact of patient aggression. The present study indicates that such training could be based on nontechnical skills to strengthen current leadership and teamwork behaviors. Copyright © 2012 Elsevier Inc. All rights reserved.

  6. 1985 : new energy deal

    International Nuclear Information System (INIS)

    Anon.

    2008-01-01

    The 540-mile Norman Wells pipeline was completed by Interprovincial Pipe Line in 1985, allowing 25,000 barrels per day of commercial crude deliveries from Esso Resources. A new energy deal was also announced by the federal energy minister, ending 11 years of administered oil prices. The new energy deal also marked the demise of the National Energy Program. The Western Accord deregulated oil prices and eliminated oil export charges. It also provided for the phasing out of the petroleum and gas revenue tax and frontier exploration grants under the Petroleum Incentive Program (PIP). However, grandfathering provisions in the energy deal extended the PIP until 1987. The agreement was viewed by industry as a measure for national economic recovery from the recession of the early 1980s. In 1985, the Newfoundland Accord provided a $300 million offshore development fund and co-management of resources. Safety regulations were also overhauled following the sinking of the Ocean Ranger. The first 100,000 barrel shipment of crude oil from the Bent Horn Field was sent to Montreal after nearly 2 decades of work in the Arctic. 1 tab., 1 fig

  7. 40 CFR 152.93 - Citation of a previously submitted valid study.

    Science.gov (United States)

    2010-07-01

    ... Data Submitters' Rights § 152.93 Citation of a previously submitted valid study. An applicant may demonstrate compliance for a data requirement by citing a valid study previously submitted to the Agency. The... the original data submitter, the applicant may cite the study only in accordance with paragraphs (b...

  8. Logic of Accounting: The Case of Reporting Previous Options in Norwegian Activation Encounters

    Science.gov (United States)

    Solberg, Janne

    2017-01-01

    The article deals with the enactment of client resistance in Norwegian vocational rehabilitation encounters. More specific, a practice here called "reporting previous options" is analyzed by using the resources of ethnomethodological conversation analysis (CA) in five instances as doing some sort of accounting. In response to the…

  9. Building deals on bedrock.

    Science.gov (United States)

    Harding, David; Rovit, Sam

    2004-09-01

    The headlines are filled with the sorry tales of companies like Vivendi and AOL Time Warner that tried to use mergers and acquisitions to grow big fast or transform fundamentally weak business models. But, drawing on extensive data and experience, the authors conclude that major deals make sense in only two circumstances: when they reinforce a company's existing basis of competition or when they help a company make the shift, as the industry's competitive base changes. In most stable industries, the authors contend, only one basis--superior cost position, brand power, consumer loyalty, real-asset advantage, or government protection--leads to industry leadership, and companies should do only those deals that bolster a strategy to capitalize on that competitive base. That's what Kellogg did when it acquired Keebler. Rather than bow to price pressures from lesser players, Kellogg sought to strengthen its existing basis of competition--its brand--through Keebler's innovative distribution system. A company coping with a changing industry should embark on a series of acquisitions (most likely coupled with divestitures) aimed at moving the firm to the new competitive basis. That's what Comcast did when changes in government regulations fundamentally altered the broadcast industry. In such cases, speed is essential, the investments required are huge, and half-measures can be worse than nothing at all. Still, the research shows, successful acquirers are not those that try to swallow a single, large, supposedly transformative deal but those that go to the M&A table often and take small bites. Deals can fuel growth--as long as they're anchored in the fundamental way money is made in your industry. Fail to understand that and no amount of integration planning will keep you and your shareholders from bearing the high cost of your mistakes.

  10. Dealing with dualities

    NARCIS (Netherlands)

    Dittrich, K.; Jaspers, F.P.H.; Valk, van der W.; Wynstra, J.Y.F.

    2006-01-01

    This paper introduces the topic of dealing with dualities, which is the theme of this special issue. We first give a short review of the notion of paradox and duality in management research. After this, we discuss the relevance of dualities for the IMP approach of analyzing industrial networks.

  11. Atlantic petroleum royalties : fair deal or raw deal

    International Nuclear Information System (INIS)

    Watkins, G.C.; Crowley, B.L.

    2001-01-01

    A study was conducted to address the controversy regarding the Newfoundland and Nova Scotia offshore royalty regimes and associated agreements. This study compared the regimes in Atlantic Canada with the best practices elsewhere and laid important groundwork for understanding the Atlantic offshore oil and gas industry. The main concern by the public is whether the distribution of returns from resource exploitation is fair. The report is divided into 6 sections which examine the nature of economic rent in the context of natural resources, and look at various instruments used to lay claim to it. A review of the resource rent royalty (RRR) instrument, dealing with a tax on net cash flow before outlining its approximation by the RRR was included along with a set of examples of such regimes in Australia, Canadian Frontier Lands, and the United Kingdom. An evaluation criteria was developed for the royalty regime and this criteria was applied to the current generic Nova Scotia and Newfoundland offshore petroleum tax regimes. It was concluded that there is room for improvement, but in general, the regimes stand up to rigorous experimentation and they provide a fair return to the provinces and citizens. The present regimes do not discourage further development of the industry. 17 refs., 1 tab., 2 figs

  12. German-Brazilian nuclear deal

    International Nuclear Information System (INIS)

    Krugmann, H.

    1981-01-01

    Examination of the arguments in favor of the nuclear deal with West Germany and the resulting program suggests that revisions of both are in order to make them more compatible with Brazil's national interests. The deficiencies of current policy appear to be too weighty and numerous to be ignored. Sooner or later the government will have to move toward adjusting its nuclear agreement with West Germany, if not for the reasons discussed here then for lack of capital. Current estimates of the nuclear package lie in the range of $25 to $30 billion, compared to an initial projection of about $5 billion. The deal has become so expensive that it would draw capital from the hydropower and alcohol programs essential for the short and medium-term energy needs of the country. Mr. Krugman feels the Brazilian government should hold off on further nuclear contracts. And it should thoroughly reassess what Brazil's nuclear energy and technology requirements are and how to meet them. There are indications that the reassessment process is already underway. As long as the German nuclear industry depends on the sale of technology to Brazil, the Brazilian government will have considerable bargaining power to enforce further changes in the deal. If this power is used wisely, the result could be cooperation between the two countries toward nuclear options that are consistent with Brazil's energy and development needs

  13. Dealing with multiliteracies in literacy pegagogy II

    DEFF Research Database (Denmark)

    Laursen, Helle; Lundqvist, ulla; Orluf, Birgit

    2010-01-01

    meaning from the information available to them in their social environment. In this paper, we discuss the relevance of a multiliteracies approach to literacy pedagogy and present some preliminary observations and considerations from our research study with special attention to the challenge......Dealing with multiliteracies in literacy pedagogy II Focus on multimodality Ulla Lundqvist, Birgit Orluf, Uffe Ladegaard & Helle Pia Laursen This paper is the second of two interconnected papers dealing with multiliteracies in literacy pedagogy. Ten years ago the Multiliteracies Project (Cope...... & Kalantzis, 2000) reflected on the changing semiotic landscape of literacy teaching and learning and asked the question how these changes could be taken into account in designing literacy pedagogies. The notion of Multiliteracies combined a focus on the multiplicity of representational modes (multimodal...

  14. Dealing with multiliteracies in literacy pedagogy I

    DEFF Research Database (Denmark)

    Laursen, Helle; Daugaard, Line Møller; Østergaard, Winnie

    2010-01-01

    meaning from the information available to them in their social environment. In this paper, we discuss the relevance of a multiliteracies approach to literacy pedagogy and present some preliminary observations and considerations from our research study with special attention to the challenge......Dealing with multiliteracies in literacy pedagogy I. Focus on multilingualism Line Møller Daugaard, Winnie Østergaard & Helle Pia Laursen This paper is the first of two interconnected papers dealing with multiliteracies in literacy pedagogy Ten years ago the Multiliteracies Project (Cope...... & Kalantzis, 2000) reflected on the changing semiotic landscape of literacy teaching and learning and asked the question how these changes could be taken into account in designing literacy pedagogies. The notion of Multiliteracies combined a focus on the multiplicity of representational modes (multimodal...

  15. Deal or No Deal? Decision Making under Risk in a Large-Stake TV Game Show and Related Experiments

    NARCIS (Netherlands)

    M.J. van den Assem (Martijn)

    2008-01-01

    textabstractThe central theme of this dissertation is the analysis of risky choice. The first two chapters analyze the choice behavior of contestants in a TV game show named “Deal or No Deal” (DOND). DOND provides a unique opportunity to study risk behavior, because it is characterized by very large

  16. Do Gender and Personality Traits Influence Frequency of Use of Deal Sites?

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2016-01-01

    Although deal sites cannot be considered a new technology anymore, there is still only a limited amount of quantitative research on the topic. The paper aims to expand the body of knowledge. The study investigates impact of gender and personality traits on frequency of use of deal sites. Big Five...... Inventory-10 is used to measure personality traits. Three models are tested. First, all respondents are taken into account, i.e. also ones not aware of deal sites. In the first model, only gender is significant. Second, only respondents aware of deal sites are taken into account. In the second model...

  17. Dealing with difficult deformations: Construction of a knowledge-based deformation atlas

    DEFF Research Database (Denmark)

    Thorup, Signe Strann; Darvann, T.A.; Hermann, N.V.

    2010-01-01

    from pre- to post-surgery using thin-plate spline warping. The registration results are convincing and represent a first move towards an automatic registration method for dealing with difficult deformations due to this type of surgery. New or breakthrough work to be presented: The method provides...... was needed. We have previously demonstrated that non-rigid registration using B-splines is able to provide automated determination of point correspondences in populations of infants without cleft lip. However, this type of registration fails when applied to the task of determining the complex deformation...

  18. Dealing with ADHD: What You Need to Know

    Science.gov (United States)

    ... Consumers Home For Consumers Consumer Updates Dealing with ADHD: What You Need to Know Share Tweet Linkedin ... symptoms of both inattention and hyperactivity-impulsivity) Diagnosing ADHD Studies show that the number of children being ...

  19. On dealing with the pollution costs in agriculture: A case study of paddy fields

    Energy Technology Data Exchange (ETDEWEB)

    Yaqubi, Morteza, E-mail: yaqubi@pgs.usb.ac.ir [Faculty of Management and Economics, Department of Agricultural Economics, University of Sistan and Baluchestan Zahedan (Iran, Islamic Republic of); Shahraki, Javad, E-mail: j.shahraki@eco.usb.ac.ir [Faculty of Management and Economics, Department of Agricultural Economics, University of Sistan and Baluchestan Zahedan (Iran, Islamic Republic of); Sabouhi Sabouni, Mahmood, E-mail: sabouhi@ferdowsi.um.ac.ir [Department of Agricultural Economics, Ferdowsi University of Mashhad, Azadi Square, Mashhad (Iran, Islamic Republic of)

    2016-06-15

    The main purpose of this study is to evaluate marginal abatement cost of the main agricultural pollutants. In this sense, we construct three indices including Net Global Warming Potential (NGWP) and Nitrogen Surplus (NS), simulated by a biogeochemistry model, and also an Environmental Impact Quotient (EQI) for paddy fields. Then, using a Data Envelopment Analysis (DEA) model, we evaluate environmental inefficiencies and shadow values of these indices. The results show that there is still room for improvement at no extra cost just through a better input management. Besides, enormous potential for pollution reduction in the region is feasible. Moreover, in paddy cultivation, marginal abatement cost of pesticides and herbicides are much bigger than nitrogen surplus and greenhouse gasses. In addition, in the status quo, the mitigation costs are irrelevant to production decisions. Finally, to deal with the private pollution costs, market-based instruments are proved to be better than command-and-control regulation. - Highlights: • To evaluate agricultural pollution costs, a combination of two DNDC and DEA models was introduced. • The shadow values of three main agricultural pollutants in paddy fields were evaluated. • In the study area, a high potential for pollution reduction is feasible. • The pollution cost of pesticides are much bigger than nitrogen surplus and greenhouse gases. • From the farmers' viewpoint, a positive shadow value of undesirable outputs also is feasible. • To deal with the pollution costs, market-based instruments are preferred to command-and-control regulation.

  20. On dealing with the pollution costs in agriculture: A case study of paddy fields

    International Nuclear Information System (INIS)

    Yaqubi, Morteza; Shahraki, Javad; Sabouhi Sabouni, Mahmood

    2016-01-01

    The main purpose of this study is to evaluate marginal abatement cost of the main agricultural pollutants. In this sense, we construct three indices including Net Global Warming Potential (NGWP) and Nitrogen Surplus (NS), simulated by a biogeochemistry model, and also an Environmental Impact Quotient (EQI) for paddy fields. Then, using a Data Envelopment Analysis (DEA) model, we evaluate environmental inefficiencies and shadow values of these indices. The results show that there is still room for improvement at no extra cost just through a better input management. Besides, enormous potential for pollution reduction in the region is feasible. Moreover, in paddy cultivation, marginal abatement cost of pesticides and herbicides are much bigger than nitrogen surplus and greenhouse gasses. In addition, in the status quo, the mitigation costs are irrelevant to production decisions. Finally, to deal with the private pollution costs, market-based instruments are proved to be better than command-and-control regulation. - Highlights: • To evaluate agricultural pollution costs, a combination of two DNDC and DEA models was introduced. • The shadow values of three main agricultural pollutants in paddy fields were evaluated. • In the study area, a high potential for pollution reduction is feasible. • The pollution cost of pesticides are much bigger than nitrogen surplus and greenhouse gases. • From the farmers' viewpoint, a positive shadow value of undesirable outputs also is feasible. • To deal with the pollution costs, market-based instruments are preferred to command-and-control regulation.

  1. PEG tubes: dealing with complications.

    Science.gov (United States)

    Malhi, Hardip; Thompson, Rosie

    A percutaneous endoscopic gastronomy tube can be used to deliver nutrition, hydration and medicines directly into the patient's stomach. Patients will require a tube if they are unable to swallow safely, putting them at risk of aspiration of food, drink and medicines into their lungs. It is vital that nurses are aware of the complications that may arise when caring for a patient with a PEG tube. It is equally important that nurses know how to deal with these complications or from where tc seek advice. This article provides a quick troubleshooting guide to help nurses deal with complications that can arise with PEG feeding.

  2. Dealing with Tight Couplings and Multiple Interactions in Complex Technological Systems

    DEFF Research Database (Denmark)

    Aanestad, M.; Jensen, Tina Blegind; Grisot, M.

    In this paper we discuss the challenges of dealing with interdependencies in complex assemblages of heterogeneous and interconnected information systems (IS), which we conceptualize as organizationwide information infrastructures. We draw on Perrow's studies of complex technological systems, where...... couplings between information systems, actors, and work practices in the hospital environment. The paper's main focus is on describing what it entails in practice to deal with these interdependencies during and after implementation. We emphasize the work of sorting out and dealing with various types...... interactions, mechanisms, and couplings are emphasized. We base our paper on an empirical case study from a Norwegian hospital, where a seemingly trivial project aimed at the introduction of scanners turned out to be more complex than expected. This we claim is partly due to the interdependencies and tight...

  3. DEAL annual report.

    Energy Technology Data Exchange (ETDEWEB)

    Misra, Shashank [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-11-01

    The digital electronics at the atomic limit (DEAL) project seeks to leverage Sandia's atomic-precision fabrication capability to realize the theorized orders-of-magnitude improvement in operating voltage for tunnel field effect transistors (TFETs) compared to CMOS. Not only are low-power digital circuits a critical element of many national security systems (e.g. satellites), TFETs can perform circuit functions inaccessible to CMOS (e.g. polymorphism).

  4. Dealing with Human Death: The Floating Perspective.

    Science.gov (United States)

    Kenyon, Gary M.

    1991-01-01

    Explores approach to dealing with human death. Describes floating perspective, based on insights from Choron and Jaspers, as suggesting it is possible to deal with human death by refraining from taking ultimate position on the problem. Position encourages openness to death. Examines role of anxiety and describes possible meaningful outcomes of…

  5. An investigation of consumers' exploratory tendencies as motivators of their responsive behaviour to deals

    Directory of Open Access Journals (Sweden)

    Surajit Ghosh Dastidar

    2016-06-01

    Full Text Available An understanding of the motivators of consumer deal redemption behaviour is expected to enable marketers to use deals more effectively. In this study, consumers' exploratory tendencies (CET have been assessed as potential motivators of proneness to eight types of deals, during the purchase of shampoo and refrigerator—two product categories. Consumers showed varying proneness to different types of deals depending on the type of exploratory tendency that they needed to satisfy and the type of good that was on sale. These findings can enable marketers to choose the most appropriate type of deal to achieve their sales target.

  6. A Small-Scale Study on Student Teachers' Perceptions of Classroom Management and Methods for Dealing with Misbehaviour

    Science.gov (United States)

    Atici, Meral

    2007-01-01

    The purpose of this study is to identify student teachers' perceptions of classroom management and methods for dealing with misbehaviour. In-depth interviews with nine student teachers at Cukurova University (CU) in Turkey have been conducted twice, prior to and at the end of their teaching practice. Instructional management, behaviour management,…

  7. DEALed : A tool suite for distributed real-time systems development

    NARCIS (Netherlands)

    Bolshakov, K.; Karpov, Y.; Sintotski, A.; Malyshkin, V.

    1999-01-01

    DEALed is a tool suite for development of distributed systems using DEAL language. DEAL is being developed at Eindhoven University of Technology as a part of DEDOS project. Area of application of the DEALed is the development of the distributed real- time safety-critical control systems.

  8. Dealing with Sexual Harassment.

    Science.gov (United States)

    Rowe, Mary P.

    1981-01-01

    Advice is presented for managers who encounter sexual harassment problems. Three recommendations are offered: complainants can be helped to help themselves, such conflicts can be resolved through procedures designed to deal with all kinds of complaints, and the issue of power differences should be confronted. (MLW)

  9. Urban Planning Dealing with Change and Infrastructure

    Directory of Open Access Journals (Sweden)

    Sonja Deppisch

    2015-07-01

    Full Text Available This paper deals with urban planning and change processes potentially impacting local infrastructure. The overarching theoretical frame is social-ecological resilience thinking and its potential application to as well as implications for urban land-use development. The paper draws its main attention on if this concept can be of use for urban planners dealing with change and urban infrastructure and if a readiness towards its application can be identified. This endeavor is informed by two explorative studies in Germany. One study gains its material from a scenario process with planning practitioners and further urban stakeholders of a medium-sized city. Main topic was how to deal with the challenges of climate change impacts in urban planning and development. The second explorative study reflects research results on the readiness to apply the resilience concept to urban planning dealing with change and local infrastructure in a small community. The scenario process showed that applying social-ecological resilience thinking to urban planning helps to critically reflect so far taken paths in local built infrastructure, to take on an integrated perspective and to develop new and innovative strategies for further land-use development. Nevertheless, such a process requires additional financial as well as human resources and translation exercises. Also, the given path dependency as well as financial constrains are hindering to perceive any leeway in infrastructure development at the political level, so that any real implementation at the moment seems to be out of sight, which is also caused by multi-level dependencies.  Normal 0 21 false false false DE X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normale Tabelle"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm

  10. Actual Problems of Civil Law Deals Signing in Internet

    Directory of Open Access Journals (Sweden)

    Makhinya E. A.

    2013-10-01

    Full Text Available The article deals with the problems connected with making deals in Internet. Here is analyzed the legal regulation of electronic transactions. The special attention is paid to the most characteristic peculiarities of making elec- tronic transactions such as identification of participants, transactional character of making electronic deals.

  11. Dealing with Dwindling Resources.

    Science.gov (United States)

    Martorana, S. V.

    Factors contributing to the struggle for survival faced by postsecondary institutions and ways to deal with dwindling resources, in particular by regionalism and regionalization, are considered. Among the contributing factors are the leveling off of the college-age population (18-21-year-olds), the declining status of advanced learning in American…

  12. Has evolution 'prepared' us to deal with death ...

    African Journals Online (AJOL)

    Has evolution 'prepared' us to deal with death? ... brain with its enlarged Broca's area suggests the possibility of a sophisticated communication system and an enhanced way of dealing with emotion. ... Some attention is given to this thesis.

  13. Does stigma predict a belief in dealing with depression alone?

    Science.gov (United States)

    Griffiths, Kathleen M; Crisp, Dimity A; Jorm, Anthony F; Christensen, Helen

    2011-08-01

    Community surveys indicate that many people with depressive disorders do not obtain professional help and that a preference for self-reliance is an important factor in this treatment gap. The current study sought to investigate whether stigmatising attitudes predict a belief in the helpfulness of dealing with depression without external assistance. Data were collected as part of a national household survey of 2000 Australian adults aged 18 years and above. Participants were presented with either a vignette depicting depression (n=1001) or a vignette depicting depression with suicidal ideation (n=999) and asked if it would be helpful or harmful to deal alone with the problem. Logistic regression analyses were conducted to determine if belief in dealing with depression alone was predicted by personal stigma, perceived stigma or sociodemographic characteristics. Higher levels of personal stigma independently predicted a belief in the helpfulness of dealing alone with both depression and depression with suicidal ideation. By contrast, lower levels of perceived stigma were associated with a belief in the helpfulness of dealing alone with depression without suicidal ideation. Personal stigma is associated with a belief in the helpfulness of self-reliance in coping with depression. Public health programs should consider the possibility that a belief in self-reliance is partly attributable to stigma. The findings also point to the potential importance of providing evidence-based self-help programs for those who believe in self-care. Copyright © 2011 Elsevier B.V. All rights reserved.

  14. Governance capabilities for dealing wisely with wicked problems

    NARCIS (Netherlands)

    Termeer, C.J.A.M.; Dewulf, A.; Breeman, G.E.; Stiller, S.J.

    2015-01-01

    This article explores an integrative approach for dealing with wicked problems. Wicked problems not only require alternative action strategies but also alternative ways of observing and enabling. Four governance capabilities are essential: (a) reflexivity, or the capability to deal with multiple

  15. The handbook of dealing with workplace bullying

    CERN Document Server

    2015-01-01

    The topic of workplace bullying and abuse gained considerable public and media attention during 2013 when the scandal of events at the BBC was unveiled following an enquiry led by Dinah Rose QC. The Handbook of Dealing with Workplace Bullying, edited by Dr Anne-Marie Quigg, presents the collective wisdom and knowledge of a number of lawyers, management experts and academics from around the world. The key themes include understanding the law in each country represented and the responsibilities of individuals as well as management teams and governors in organizations. New case studies are supplied by people working with and within HR teams who have professional experience of dealing with the issue, as well as practical suggestions that are of use to managers, to people accused of bullying and also to people who find they are targets of bullying. Dr Quigg summarizes the range and scope of the contributions by the individual contributors, commenting on the research findings and professional experience that inform...

  16. Dealing with a Health Condition

    Science.gov (United States)

    ... own troubles as Melissa, who has Crohn's disease , discovered. Some of Melissa's medications made her look puffy, ... Palsy Juvenile Idiopathic Arthritis (JIA) Dealing With Cancer HIV and AIDS View more About Us Contact Us ...

  17. Study of functional-performance deficits in athletes with previous ankle sprains

    Directory of Open Access Journals (Sweden)

    hamid Babaee

    2008-04-01

    Full Text Available Abstract Background: Despite the importance of functional-performance deficits in athletes with history of ankle sprain few, studies have been carried out in this area. The aim of this research was to study relationship between previous ankle sprains and functional-performance deficits in athletes. Materials and methods: The subjects were 40 professional athletes selected through random sampling among volunteer participants in soccer, basketball, volleyball and handball teams of Lorestan province. The subjects were divided into 2 groups: Injured group (athletes with previous ankle sprains and healthy group (athletes without previous ankle sprains. In this descriptive study we used Functional-performance tests (figure 8 hop test and side hop test to determine ankle deficits and limitations. They participated in figure 8 hop test including hopping in 8 shape course with the length of 5 meters and side hop test including 10 side hop repetitions in course with the length of 30 centimeters. Time were recorded via stopwatch. Results: After data gathering and assessing information distributions, Pearson correlation was used to assess relationships, and independent T test to assess differences between variables. Finally the results showed that there is a significant relationship between previous ankle sprains and functional-performance deficits in the athletes. Conclusion: The athletes who had previous ankle sprains indicated functional-performance deficits more than healthy athletes in completion of mentioned functional-performance tests. The functional-performance tests (figure 8 hop test and side hop test are sensitive and suitable to assess and detect functional-performance deficits in athletes. Therefore we can use the figure 8 hop and side hop tests for goals such as prevention, assessment and rehabilitation of ankle sprains without spending too much money and time.

  18. Dealing with School Violence: The Effect of School Violence Prevention Training on Teachers' Perceived Self-Efficacy in Dealing with Violent Events

    Science.gov (United States)

    Sela-Shayovitz, Revital

    2009-01-01

    This study deals with the relationship between school violence prevention training and teachers' perceived self-efficacy in handling violent events. Three indicators were used to examine teachers' self-efficacy: personal teaching efficacy (PTE), teachers' efficacy in the school as an organisation (TESO), and teachers' outcome efficacy (TOE). Data…

  19. Cancer treatment: dealing with pain

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000827.htm Cancer treatment - dealing with pain To use the sharing features ... test, can cause pain. Treatment. Many types of cancer treatments can cause pain, including chemotherapy , radiation , and surgery. ...

  20. Employee-oriented leadership and quality of working life: mediating roles of idiosyncratic deals.

    Science.gov (United States)

    Hornung, Severin; Glaser, Jürgen; Rousseau, Denise M; Angerer, Peter; Weigl, Matthias

    2011-02-01

    Leader consideration has long been suggested to be conducive to quality of working life experienced by employees. The present study links this classic leadership dimension with more recent research on idiosyncratic deals, referring to personalized conditions workers negotiate in their employment relationships. A two-wave survey study (N = 159/142) among German hospital physicians suggests that authorizing idiosyncratic deals is a manifestation of employee-oriented leader behavior. Consideration had consistent positive effects on idiosyncratic deals regarding both professional development and working time flexibility. These two types had differential effects on two indicators of the quality of working life. Development related positively to work engagement, flexibility related negatively to work-family conflict. Cross-lagged correlations supported the proposed direction of influence between consideration and idiosyncratic deals in a subsample of repeating responders (n=91). The relation between development and engagement appeared to be reciprocal. Longitudinal results for the association between flexibility and work-family conflict were inconclusive.

  1. Personality disorders in previously detained adolescent females: a prospective study

    NARCIS (Netherlands)

    Krabbendam, A.; Colins, O.F.; Doreleijers, T.A.H.; van der Molen, E.; Beekman, A.T.F.; Vermeiren, R.R.J.M.

    2015-01-01

    This longitudinal study investigated the predictive value of trauma and mental health problems for the development of antisocial personality disorder (ASPD) and borderline personality disorder (BPD) in previously detained women. The participants were 229 detained adolescent females who were assessed

  2. Experience of dealing with moral responsibility as a mother with cancer.

    Science.gov (United States)

    Elmberger, Eva; Bolund, Christina; Lützén, Kim

    2005-05-01

    This study explored how women with a diagnosis of cancer (lymphoma) deal with moral concerns related to their responsibility as parents. Ten women with cancer and who had children living at home were interviewed. The interviews were analysed according to the constant comparative method used in grounded theory. In order to provide a focus for the analysis, the ethics of care and the concept of mothering were used as sensitizing concepts. The core concept 'experience of dealing with moral responsibility of being a parent with cancer by redefining oneself as a mother was identified. The processes involved were: interrupted mothering; facing the life-threatening illness and children's reactions; striving to be a good mother; attempting to deal with moral responsibility; and coming to terms with being a mother.

  3. The Oregon Shootings: Dealing with the Ethical Issues.

    Science.gov (United States)

    Smith, Saylor; Godbold, Jim; Carter, Paul

    1999-01-01

    Presents three short articles dealing with ethical issues facing the Thornton High School (Oregon) newspaper staff as they dealt with the aftermath of an incident in which an armed student allegedly entered the school cafeteria and began shooting. Discusses how the local newspaper covered the tragedy, and policies on dealing with reporting of…

  4. Impact of frequency of use of deal sites on intention to use deal sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2016-01-01

    Deal sites are used as a marketing communication tool for some time now. But there is still only a limited number of papers investigating its adoption and use. The Technology Adoption Model posits that there is a link between the intention to use technology and the actual use of technology...

  5. Green Deal Sustainability of Solid Biomass. Report 1 - 2012; Green Deal Duurzaamheid Vaste Biomassa. Rapportage 1 - 2012

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-15

    In the title Green Deal, Dutch energy producers agreed late 2012 to report annually on the sustainability of the currently used solid biomass for energy production. This report provides insight over 2012 in the nature and origin of biomass, applied certification systems to demonstrate the sustainability, and the reduction of greenhouse gas emission [Dutch] In de titel Green Deal hebben Nederlandse energieproducenten eind 2012 afgesproken jaarlijks te rapporteren over de duurzaamheid van de gebuikte vaste biomassa voor de energieproductie. Deze rapportage over 2012 biedt inzicht in onder meer de aard en herkomst van de biomassa, gehanteerde certificeringssystemen om de duurzaamheid aan te tonen en de reductie in broeikasgasemissies.

  6. Do Gender and Personality Traits Influence Awareness of Deal Sites?

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2015-01-01

    Deal sites exist for a decade now but there are still some people who have not heard about them. The research pre-sented in the paper investigates if gender and personality traits influence awareness of deal sites. Big Five Inventory-10 is used to measure personality traits. The findings...... are that gender does not influence awareness, and neuroticism is the most significant personality trait influencing awareness of deal sites - the more neurotic the person is, the higher is the probability that he or she has never heard of deal sites....

  7. How Do Higher-Education Students Use Their Initial Understanding to Deal with Contextual Logic-Based Problems in Discrete Mathematics?

    Science.gov (United States)

    Lubis, Asrin; Nasution, Andrea Arifsyah

    2017-01-01

    Mathematical reasoning in logical context has now received much attention in the mathematics curriculum documents of many countries, including Indonesia. In Indonesia, students start formally learning about logic when they pursue to senior-high school. Before, they previously have many experiences to deal with logic, but the earlier assignments do…

  8. Dealing with requests for euthanasia: a qualitative study investigating the experience of general practitioners.

    Science.gov (United States)

    Georges, J-J; The, A M; Onwuteaka-Philipsen, B D; van der Wal, G

    2008-03-01

    Caring for terminally ill patients is a meaningful task, however the patient's suffering can be a considerable burden and cause of frustration. The aim of this study is to describe the experiences of general practitioners (GPs) in The Netherlands in dealing with a request for euthanasia from a terminally ill patient. The data, collected through in-depth interviews, were analysed according to the constant comparative method. Having to face a request for euthanasia when attempting to relieve a patient's suffering was described as a very demanding experience that GPs generally would like to avoid. Nearly half of the GPs (14/30) strive to avoid euthanasia or physician assisted suicide because it was against their own personal values or because it was emotional burdening to be confronted with this issue. They explained that by being directed on promoting a peaceful dying process, or the quality of end-of-life of a patient by caring and supporting the patient and the relatives it was mainly possible to shorten patient's suffering without "intentionally hastening a patient's death on his request". The other GPs (16/30) explained that as sometimes the suffering of a patient could not be lessened they were open to consider a patient's request for euthanasia or physician assisted suicide. They underlined the importance of a careful decision-making process, based on finding a balance between the necessity to shorten the patient's suffering through euthanasia and their personal values. Dealing with requests for euthanasia is very challenging for GPs, although they feel committed to alleviate a patient's suffering and to promote a peaceful death.

  9. Idiosyncratic Deals and Organizational Commitment

    Science.gov (United States)

    Ng, Thomas W. H.; Feldman, Daniel C.

    2010-01-01

    This article examines the relationship between idiosyncratic deals and organizational commitment. In particular, it examines how two individual differences which reflect self-worth (core self-evaluations and age) moderate that relationship. We predicted that employees with feelings of high self-worth will expect and will feel entitled to these…

  10. Cutting through Red Tape: Strategies for Dealing with Bureaucrats.

    Science.gov (United States)

    Neugebauer, Roger

    1994-01-01

    This article discusses the characteristics of bureaucratic organizations and bureaucrats, focusing on how these attributes affect day-care centers that must deal with bureaucracies. Outlined are several strategies for dealing with the types of bureaucrats that child care directors are likely to encounter. (MDM)

  11. Teens' Self-Efficacy to Deal with Dating Violence as Victim, Perpetrator or Bystander.

    Science.gov (United States)

    Van Camp, Tinneke; Hébert, Martine; Guidi, Elisa; Lavoie, Francine; Blais, Martin

    2014-09-01

    Multiple studies have demonstrated that adolescent dating violence is highly prevalent and associated with internalizing and externalizing problems. A number of prevention initiatives are being implemented in North-American high schools. Such initiatives do not only aim to raise awareness among potential victims and offenders but also among peer bystanders. Since teenagers mainly reach out to their peers when experiencing adversity, it is important to address adolescents' efficiency to deal with witnessing dating violence or with friends disclosing dating abuse, in addition to increasing ability to deal with experienced dating violence victimization or perpetration. The aim of this study is to explore adolescents' self-efficacy to deal with dating violence victimization and perpetration in their relationships and those of their peers. A paper-and-pencil questionnaire was completed by 259 14-18 years olds in Quebec, Canada. The data allows building insight into adolescents' confidence to reach out for help or to help others in a situation of dating violence victimization and perpetration. We also considered the impact of gender and dating victimization history. Results suggest that dating violence prevention can build on teens' self-efficacy to deal with dating violence and offer them tools to do so efficiently.

  12. Dealing with Resistance to Change

    Science.gov (United States)

    Williamson, Ronald; Blackburn, Barbara R.

    2010-01-01

    One of the biggest roadblocks to addressing instructional rigor in schools is the resistance to change that is displayed by teachers, students, parents, and other building and district leaders. Every person deals differently with change. Some are more accepting, others more resistant. No change is successful if the people being asked to change…

  13. Brain Aneurysm: Dealing with Emotional Distress

    Science.gov (United States)

    ... a great deal to do with initiation and motivation, and survivors with damage to this area may ... uncaring. The family of a survivor with poor motivation may become upset if they believe that the ...

  14. 25 CFR 700.513 - Business dealings on behalf of the government.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Business dealings on behalf of the government. 700.513... RELOCATION PROCEDURES Employee Responsibility and Conduct § 700.513 Business dealings on behalf of the... the Commission. Employees shall observe courtesy, consideration and promptness in dealing with clients...

  15. How would we deal with radiation related issues in high school educational programs?

    Energy Technology Data Exchange (ETDEWEB)

    Saeki, Kuniko [Attached High School of Akita Keizai Houka Univ., Akita (Japan)

    1999-09-01

    Current educational curriculum will be more improved and the materials in schools will be somewhat different by the year of 2002 when students have two days off in a week. It is a well known fact that recent Japanese people's level of understanding about Science and Technology is the second from the bottom among OECD nations and, as a matter of fact, few schools are dealing with scientific issues such as atomic energy or radiation. High school teachers need to survey what students know about atomic power and radiation, how deep they studied in previous schools and what kind of interest they have in conservation of world energy sources or environmental issues discussed today. Through questionnaires to 328 students, it became clear that they were most interesting to the effect of radiation or radioactivity on any kind of things in the environment, and that they want to know solutions for those problems such as greenhouse effect, ozone layers and Garbage disposal. (M. Suetake)

  16. How would we deal with radiation related issues in high school educational programs?

    International Nuclear Information System (INIS)

    Saeki, Kuniko

    1999-01-01

    Current educational curriculum will be more improved and the materials in schools will be somewhat different by the year of 2002 when students have two days off in a week. It is a well known fact that recent Japanese people's level of understanding about Science and Technology is the second from the bottom among OECD nations and, as a matter of fact, few schools are dealing with scientific issues such as atomic energy or radiation. High school teachers need to survey what students know about atomic power and radiation, how deep they studied in previous schools and what kind of interest they have in conservation of world energy sources or environmental issues discussed today. Through questionnaires to 328 students, it became clear that they were most interesting to the effect of radiation or radioactivity on any kind of things in the environment, and that they want to know solutions for those problems such as greenhouse effect, ozone layers and Garbage disposal. (M. Suetake)

  17. How to deal with public concerns and resistance

    International Nuclear Information System (INIS)

    Kach, V.D.

    1988-01-01

    First hand experience dealing with the public's perception of radiation, their reaction to a proposed installation of a Cobalt-60 industrial irradiator in their neighbourhood, and the tactics employed by nuclear critics have allowed the author to make some observations. Among these observations is the requirement for a public education program, discernment of the appropriate incentive to the community, and sufficient time to accomplish the education/information process and to deal with objections. (author)

  18. Matched cohort study of external cephalic version in women with previous cesarean delivery.

    Science.gov (United States)

    Keepanasseril, Anish; Anand, Keerthana; Soundara Raghavan, Subrahmanian

    2017-07-01

    To evaluate the efficacy and safety of external cephalic version (ECV) among women with previous cesarean delivery. A retrospective study was conducted using data for women with previous cesarean delivery and breech presentation who underwent ECV at or after 36 weeks of pregnancy during 2011-2016. For every case, two multiparous women without previous cesarean delivery who underwent ECV and were matched for age and pregnancy duration were included. Characteristics and outcomes were compared between groups. ECV was successful for 32 (84.2%) of 38 women with previous cesarean delivery and 62 (81.6%) in the control group (P=0.728). Multivariate regression analysis confirmed that previous cesarean was not associated with ECV success (odds ratio 1.89, 95% confidence interval 0.19-18.47; P=0.244). Successful vaginal delivery after successful ECV was reported for 19 (59.4%) women in the previous cesarean delivery group and 52 (83.9%) in the control group (P<0.001). No ECV-associated complications occurred in women with previous cesarean delivery. To avoid a repeat cesarean delivery, ECV can be offered to women with breech presentation and previous cesarean delivery who are otherwise eligible for a trial of labor. © 2017 International Federation of Gynecology and Obstetrics.

  19. [Dealing with uncertainty--the hypermodernity of general practice].

    Science.gov (United States)

    Barth, Niklas; Nassehi, Armin; Schneider, Antonius

    2014-01-01

    The general practitioner is fundamentally dealing with uncertainty. On the one hand, we want to demonstrate that uncertainty cannot simply be stipulated as a matter of fact. Instead, we will show that this uncertainty is a performative effect of the primary care setting. On the other hand, we want to point out that the general practitioner's ability to bear uncertainty is a genuinely hypermodern way of productively dealing with uncertainty. Copyright © 2013. Published by Elsevier GmbH.

  20. Injection drug users’ involvement in drug dealing in the downtown eastside of Vancouver: Social organization and systemic violence

    Science.gov (United States)

    Small, Will; Maher, Lisa; Lawlor, Jeff; Wood, Evan; Shannon, Kate; Kerr, Thomas

    2014-01-01

    Background Illicit drug markets are a key component of the risk environment surrounding injection drug use. However, relatively few studies have explored how injection drug users’ (IDUs) involvement in drug dealing shapes their experiences of drug market-related harm. This exploratory qualitative study aims to understand IDUs’ dealing activities and roles, as well as the perceived benefits and risks related to participation in illicit drug markets, including experiences of drug market violence. Methods Ten IDUs with extensive involvement in drug dealing activities were recruited from the Vancouver Injection Drug User Study (VIDUS) and participated in semi-structured qualitative interviews, which elicited discussion of experiences dealing drugs, perceived benefits and hazards related to dealing, and understandings of drug market violence. Results Participant's involvement in drug market activities included corporate sales, freelance or independent sales, and opportunistic sales termed “middling” as well as drug market-related hustles entailing selling bogus drugs and robbing dealers. Participants primarily dealt drugs to support their own illicit drug use, and we found that arrest and criminal justice involvement, hazards stemming from drug debts, and drug market-related violence were key risks related to dealing activities. Conclusion The challenges of managing personal consumption while selling drugs exacerbates the hazards associated with drug dealing. Efforts to address drug dealing among IDUs should consider both drug dependency and the material conditions that propel drug users towards dealing activities. Interventions should explore the potential of combining enhanced drug treatment programs with low threshold employment and alternative income generation opportunities. PMID:23664788

  1. Extending DTGolog to deal with POMDPs

    CSIR Research Space (South Africa)

    Rens, G

    2008-11-01

    Full Text Available For sophisticated robots, it may be best to accept and reason with noisy sensor data, instead of assuming complete observation and then dealing with the effects of making the assumption. We shall model uncertainties with a formalism called...

  2. Validation of Theory of Consumption Values Scales for Deal Sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2016-01-01

    Deal sites became a widely used artefact. But there is still only a limited number of papers investigating their adoption and use. Most of the research published on the topic is qualitative. It is typical for an early stage of investigation of any new artefact. The Theory of Consumption Values ex...... explains purchase behavior. The aim of this paper is to validate scales for the Theory of Consumption Values for deal sites. This should pave a way for quantitative investigation of motives for purchasing using deal sites....

  3. Meta-Analysis With Complex Research Designs: Dealing With Dependence From Multiple Measures and Multiple Group Comparisons

    Science.gov (United States)

    Scammacca, Nancy; Roberts, Greg; Stuebing, Karla K.

    2013-01-01

    Previous research has shown that treating dependent effect sizes as independent inflates the variance of the mean effect size and introduces bias by giving studies with more effect sizes more weight in the meta-analysis. This article summarizes the different approaches to handling dependence that have been advocated by methodologists, some of which are more feasible to implement with education research studies than others. A case study using effect sizes from a recent meta-analysis of reading interventions is presented to compare the results obtained from different approaches to dealing with dependence. Overall, mean effect sizes and variance estimates were found to be similar, but estimates of indexes of heterogeneity varied. Meta-analysts are advised to explore the effect of the method of handling dependence on the heterogeneity estimates before conducting moderator analyses and to choose the approach to dependence that is best suited to their research question and their data set. PMID:25309002

  4. Dealing with the difficult utility

    International Nuclear Information System (INIS)

    Keats, D.E.; Sundquist, M.J.; Cross, J.P.

    1991-01-01

    STS HydroPower, Ltd. (STS) is an independent hydroelectric power developer involved in the full scope of hydroelectric activities. This includes the permitting, design, financing, turbine design and manufacturing, site construction and operation of small to mid-sized hydroelectric sites across the United States. At the present time, STS owns and operates nine sites in four states with a combined capacity of 20 megawatts. In dealing with the implementation of these sites, STS has dealt with five different utilities. In addition, in pursuing additional development opportunities throughout the United States, STS has had contact with numerous other utilities. During this time it would be fair to conclude that each of these utilities has exhibited its own personality with respect to dealing with independent developers. To the credit of the utility industry, the majority of these utilities have been helpful and supportive of independent projects, but a small number of utilities have approached projects from an initial and continuing adversarial position. The purpose of this paper is to examine those options and procedures available to the developer when a utility is encountered with a negative predisposition

  5. Impact of UTAUT/UTAUT2 motives on intention to use deal sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2017-01-01

    existing theories. The unified theory of acceptance and use of technology (UTAUT) is an information systems theory that explains adoption and continued usage behavior. There already exists the second version of the theory. The aim of this research is to test if UTAUT and UTAUT2 motives influence intention...... to use deal sites. As it is a preliminary study, only four core UTAUT and core seven UTUAT2 (a superset of UTAUT) motives are investigated, not factors moderating the core motives. Data were collected in Denmark, and they are analyzed using multiple linear regression. Considering only UTAUT motives, only...... performance expectancy was found to significantly influence intention to use deal sites. Considering UTAUT2 motives, besides performance expectancy, also price value, and habit were found to significantly influence intention to use deal sites. The two additional factor increase R2 from .48 to .53....

  6. Missing Strands? Dealing with Hair Loss

    Science.gov (United States)

    ... 2017 Print this issue Missing Strands? Dealing with Hair Loss En español Send us your comments Hair loss is often associated with men and aging, but ... or their treatments, and many other things cause hair loss. The most common type of hair loss is ...

  7. Do Gender and Personality Traits Influence Use of Deal Sites?

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2015-01-01

    Deal sites became widespread, there are numerous both international and local players in the market. The research presented in the paper investigates if gender and personality traits influence use (versus non-use) of deal sites. Big Five Inventory-10 is used to measure personality traits...

  8. Do gender and personality traits influence use of deal sites?

    DEFF Research Database (Denmark)

    Sudzina, Frantisek; Pavlicek, Antonin

    2017-01-01

    There is a growing body of literature on impact of personality traits on technology adoption. But majority of these studies are never replicated and, therefore, it is hard to estimate how general are their findings. The focus of this paper is adoption of deal sites, and its aim to replicate...

  9. Comparison of statistical approaches dealing with time-dependent confounding in drug effectiveness studies.

    Science.gov (United States)

    Karim, Mohammad Ehsanul; Petkau, John; Gustafson, Paul; Platt, Robert W; Tremlett, Helen

    2018-06-01

    In longitudinal studies, if the time-dependent covariates are affected by the past treatment, time-dependent confounding may be present. For a time-to-event response, marginal structural Cox models are frequently used to deal with such confounding. To avoid some of the problems of fitting marginal structural Cox model, the sequential Cox approach has been suggested as an alternative. Although the estimation mechanisms are different, both approaches claim to estimate the causal effect of treatment by appropriately adjusting for time-dependent confounding. We carry out simulation studies to assess the suitability of the sequential Cox approach for analyzing time-to-event data in the presence of a time-dependent covariate that may or may not be a time-dependent confounder. Results from these simulations revealed that the sequential Cox approach is not as effective as marginal structural Cox model in addressing the time-dependent confounding. The sequential Cox approach was also found to be inadequate in the presence of a time-dependent covariate. We propose a modified version of the sequential Cox approach that correctly estimates the treatment effect in both of the above scenarios. All approaches are applied to investigate the impact of beta-interferon treatment in delaying disability progression in the British Columbia Multiple Sclerosis cohort (1995-2008).

  10. When Discounts Hurt Sales: The Case of Daily-Deal Markets

    NARCIS (Netherlands)

    Z. Cao (Zike); K.L. Hui (Kai-Lung); Xu, H.

    2017-01-01

    textabstractWe investigate whether the discounts offered by online daily deals help attract consumer purchases. By tracking the sales of 19,978 deals on Groupon.com and conducting a battery of identification and falsification tests, we find that deep discounts reduce sales. A one-percent increase in

  11. Dealing with local and international media - experience of Lithuania

    International Nuclear Information System (INIS)

    Bieliauskas, V.

    2000-01-01

    Public acceptance is one of most serious conditions for nuclear power introduction or successful operation of nuclear power plants. After restoring it's independence, Lithuania inherited large nuclear power plant RBMK type reactors widely known as Chernobyl type reactors. Several small case studies of dealing with the media on nuclear matters are presented and efforts to adopt an active attitude on different levels are described. (author)

  12. Strategies For Dealing With Problems Faced By Men Participating In ...

    African Journals Online (AJOL)

    The purpose of this study was to identify strategies for dealing with problems faced by men in Umkhanyakude using a participatory and inclusive approach. Men in Umkhanyakude were invited to a workshop in January 2004 to carefully think through the problems that they face, then to prioritize these problems using a ...

  13. Impact of personality traits and demographic factors on relationship to deal sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek; Pavlicek, Antonin

    2017-01-01

    There is an increasing body of research about deal sites. But there is still exists a gap when it comes to factors influencing potential or existing users of deal sites. The aim of this paper is to investigate impact of gender, city of origin, and personality traits on relationship to deal sites....... Big Five Inventory framework is used for personality traits. The research was conducted in the Czech Republic. With regards to the findings, city of origin has a significant effect, and openness to experience a borderline significant effect on the relationship to deal sites....

  14. Non-verbal communication barriers when dealing with Saudi sellers

    Directory of Open Access Journals (Sweden)

    Yosra Missaoui

    2015-12-01

    Full Text Available Communication has a major impact on how customers perceive sellers and their organizations. Especially, the non-verbal communication such as body language, appearance, facial expressions, gestures, proximity, posture, eye contact that can influence positively or negatively the first impression of customers and their experiences in stores. Salespeople in many countries, especially the developing ones, are just telling about their companies’ products because they are unaware of the real role of sellers and the importance of non-verbal communication. In Saudi Arabia, the seller profession has been exclusively for foreign labor until 2006. It is very recently that Saudi workforce enters to the retailing sector as sellers. The non-verbal communication of those sellers has never been evaluated from consumer’s point of view. Therefore, the aim of this paper is to explore the non-verbal communication barriers that customers are facing when dealing with Saudi sellers. After discussing the non-verbal communication skills that sellers must have in the light of the previous academic research and the depth interviews with seven focus groups of Saudi customers, this study found that the Saudi customers were not totally satisfied with the current non-verbal communication skills of Saudi sellers. Therefore, it is strongly recommended to develop the non-verbal communication skills of Saudi sellers by intensive trainings, to distinguish more the appearance of their sellers, especially the female ones, to focus on the time of intervention as well as the proximity to customers.

  15. Dealing with duplicate regulations and conflicting jurisdictions

    International Nuclear Information System (INIS)

    Aamodt, P.L.

    1991-01-01

    There are a number of situations where mixed wastes are regulated by dual regulations and regulators. This presentation attempts to show where such duplication exists and how it evolved historically through legislative actions. The presentation includes a discussion of strategies that have been used to deal with the problems that result from duplicate regulations and jurisdictional conflicts. The RCRA and AEA regulations are really more similar than dissimilar. There are significant issues that must be worked through with the regulators. It is most important to work with your regulators early in process. The following are suggestions for dealing with the regulators. (1) Know the regulations in advance of discussions. (2) Begin dialogue with the regulator(s) as early as possible and get to know the people you will be dealing with -- and let them know you. (3) Explain the technical/regulatory issues/problems that you face at your facility in sufficient detail that they are clearly understood, and work with the regulator(s) to reasonably address them in the language/requirements of the permit. (4) Always attempt to comply with the regulations first before going in with a variance request -- document your efforts, and be honest with your assessment of issues. (5) Don't be adversarial -- remember that the regulator has the same objectives as you do. 1 tab

  16. The development of a GIS for New Deal Archaeology

    Directory of Open Access Journals (Sweden)

    Bernard K. Means

    2011-05-01

    Full Text Available I have recently launched an effort to create a GIS of all New Deal-funded archaeological investigations conducted in the 48 states that comprised the USA during the Great Depression (Means 2011. This effort was inspired by the persistent notion that New Deal archaeology was largely limited to the southeastern United States, where the generally warmer climate was seen as conducive to the lengthy field seasons that ensured continuous work for the unemployed (Lyon 1996. The large mound sites that dotted the southeastern USA also ensured that there would be sufficient work for the large relief crews seen as ideal from the perspective of federal officials. While it may prove true that the majority of New Deal archaeology was conducted in the southeast, it is also demonstrably true that the various ‘Alphabet Soup’ work relief programs – notably the Civilian Conservation Corps (CCC and the Works Progress Administration/Work Projects Administration (WPA – supported archaeological investigations throughout the USA. In my preliminary efforts to create a GIS for New Deal archaeology, I have determined that at least 75 percent of the 48 states that comprised the USA during the Great Depression had some form of federally funded work relief survey or excavation.

  17. 4 Healthy Ways to Deal With Emotions

    Science.gov (United States)

    Emotions can be a healthy, normal response to difficult situations and people. But sometimes they can feel overwhelming, and we reach for other things – like cigarettes or “comfort foods” to deal.

  18. How does an invasive social wasp deal with changing contextual cues while foraging?

    Science.gov (United States)

    Lozada, M; D'Adamo, P

    2009-06-01

    In this study, we explore how an invasive social wasp, Vespula germanica (F.), deals with contextual changes while searching for a food source that is no longer available. Four experiments were conducted to evaluate the effect of different degrees of context modification on wasp behavior. Learning sessions consisted of a variable number of feeding trials during which an individual wasp fed from a landmark array made up of a feeder surrounded by four cylinders of the same color. The food and cylinders were subsequently removed from the training site, and this learned landmark array was modified in such a way that information relating to color and/or location of the resulting feeding arrays varied from that previously learned. The results indicate that the color most recently associated with food is prioritized over a formerly learned color, and this pattern is also maintained when wasps have learned the alternative color during a higher number of feeding experiences. This highlights the high plasticity with which V. germanica responds to unpredictable contextual changes while foraging.

  19. Satisfaction with sex life in sexually active heterosexual couples dealing with breast cancer: a nationwide longitudinal study.

    Science.gov (United States)

    Rottmann, Nina; Gilså Hansen, Dorte; dePont Christensen, René; Hagedoorn, Mariët; Frisch, Morten; Nicolaisen, Anne; Kroman, Niels; Flyger, Henrik; Johansen, Christoffer

    2017-02-01

    A breast cancer (BC) diagnosis can profoundly affect the sex life of patient and partner within a couple. The purpose of the present study is to examine whether individual and partner sexual functioning, affectionate behavior, emotional closeness and depressive symptoms are associated with change over time in satisfaction with sex life of sexually active heterosexual couples dealing with BC and to explore whether the associations differ between patients and partners after adjustment for basic sociodemographic characteristics, comorbidity and BC treatment. Women with BC and their male partners participated in a longitudinal study (Time 1, ≤4 months after surgery; Time 2, 5 months later). Participants completed items from the PROMIS ® Sexual Function and Satisfaction measure (version 1.0), two items measuring affectionate behavior, a single item measuring emotional closeness and the Center for Epidemiologic Studies-Depression Scale. Registers provided sociodemographic and medical information. Multilevel models were used, which take the interdependency of couples' scores into account. A total of 287 sexually active couples were included in the analyses. Less vaginal discomfort and more vaginal lubrication were associated with increases in patients' satisfaction with sex life. Patients' and partners' satisfaction increased with higher ratings of their own orgasm ability and of partners' timing of ejaculation. Patients' reports of affectionate behavior were positively associated with their partners' satisfaction, and vice versa for partners. Patients' satisfaction increased the more emotional closeness their partner experienced. Partners' depressive symptoms were negatively associated with their satisfaction. Sociodemographic factors and BC treatment were not significantly associated with change in satisfaction. Satisfaction with sex life in sexually active couples dealing with BC needs to be seen as a couple issue. Health professionals should take the partner into

  20. University Deals with Drug Companies Raise Concerns over Autonomy, Secrecy.

    Science.gov (United States)

    Nicklin, Julie L.

    1993-01-01

    The large, exclusive research deal the Scripps Research Institute (California) made with one drug company has drawn criticism for conflict of interest. Critics fear researchers will focus more on marketing than on pure science and will protect corporate interests. Much of the deal-making is with foreign companies, sending profits overseas. (MSE)

  1. Risky Business: Dealing with Your Teen's Behavior

    Science.gov (United States)

    ... Issues Subscribe September 2011 Print this issue Risky Business Dealing With Your Teen’s Behavior Send us your ... go it alone. You can find helpful resources online and in community and school programs (See our ...

  2. ECONOMICS NOBEL: Dealing With Biases and Discrete Choices.

    Science.gov (United States)

    Seife, C

    2000-10-20

    This year's Bank of Sweden Prize in Economic Sciences, given in honor of Alfred Nobel, goes to two researchers who gave the field of microeconomics--the study of individuals' economic behavior--new tools to help draw conclusions from imperfect data. James Heckman of the University of Chicago wins half of this year's prize for coming up with ways to deal with selection biases. Daniel McFadden of the University of California, Berkeley, tackled a different conundrum: how to quantify discrete choices rather than continuous ones.

  3. The new deal at the top.

    Science.gov (United States)

    Doz, Yves L; Kosonen, Mikko

    2007-06-01

    What makes a company strategically agile--able to alter its strategies and business models rapidly in response to major changes in its market space, and to do so repeatedly without major trauma? Three years of in-depth case research on a dozen large companies worldwide showed the authors that one key factor is a new leadership model at the top. Senior executives at agile companies assume collective rather than individual responsibility for results. They build interdependencies among units and divisions, motivating themselves to engage with one another, and carefully manage their dealings to promote collaboration that is frequent, intense, informal, open, and focused on shared issues and the long term. Challenges to conventional thinking are encouraged. This is the new deal, and it's not easy to strike, because it requires executives to act in ways that are far from comfortable. After all, the corporate ladder at most firms favors independent types with a deep need for power and autonomy. At executive meetings, disagreement is suppressed or expressed passive-aggressively, eroding any real sense of belonging to a team. Switching to the new deal almost always requires a huge shift in the company's culture, values, and norms of interaction. The authors describe three approaches to making the shift: Executives can be given formal responsibility not for a business unit but for different stages in the company's value chain. This worked well for SAP, which has a relatively focused business portfolio. When a company's portfolio is less uniform, like Nokia's, business and functional units can be organized to crisscross on a matrix. And when a company is widely diverse, like easyGroup, it can emphasize the learning opportunities that units with common business models may share.

  4. The American People and the New Deal

    Directory of Open Access Journals (Sweden)

    Michael Kazan

    2009-01-01

    Full Text Available Analysis of the Popular Front created by Franklin Roosevelt during the New Deal in which he was able to appeal to a broad spectrum of society across class, socioeconomic, religious, and political lines.

  5. How to deal with the annoying Hot Spots in FEA

    DEFF Research Database (Denmark)

    Svenninggaard, Jon

    2017-01-01

    How do we deal with the annoying ”Hot Spots” in our solid structure Finite Element Analysis (FEA) and how do we justify the stresses in those areas?......How do we deal with the annoying ”Hot Spots” in our solid structure Finite Element Analysis (FEA) and how do we justify the stresses in those areas?...

  6. Choosing the right M and A deal structure

    International Nuclear Information System (INIS)

    Love, A.G.

    1998-01-01

    The legal aspects of going into a merger and acquisition deal within the petroleum industry were reviewed for the benefit of non-lawyers. The types of acquisitions included are asset purchases and sale, a private share purchase and sale, a takeover bid, an amalgamation or a plan of arrangement. How to make the structure choice that is right in the circumstances was discussed. It was emphasized that choosing the right merger and acquisition deal structure depends on the objectives of the parties, the volume and quality of the information about the particular transaction, and proper analysis of alternative acquisition structures in the context of the objectives and information

  7. Pricing summer day options by good-deal bounds

    International Nuclear Information System (INIS)

    Kanamura, Takashi; Ohashi, Kazuhiko

    2009-01-01

    Despite the worldwide popularity of CDD- and HDD-type weather derivatives based on temperature, a different class of weather derivatives, so-called summer day options, is more popular in Japan; the payoffs are determined by the number of summer days (i.e., the days whose average temperature is above 25 C) during the contract period. In this paper, we price such summer day options by the good-deal bounds of Cochrane and Saa-Requejo [Cochrane, J.H., and J. Saa-Requejo, 2000, Beyond Arbitrage: Good-Deal Asset Price Bounds in Incomplete Markets, Journal of Political Economy 108, 79-119.], using temperature data for Tokyo. (author)

  8. "Dealing with Racial Conflicts in Schools."

    Science.gov (United States)

    Holman, Ben

    In dealing with racial tension and conflict, the principal is not limited to a wing and a prayer and benign neglect. The roots of conflict can be identified. Conflict can be planned for and utilized constructively. For 10 years, in approximately 2,000 instances, conciliators and mediators of the Community Relations Service have stood side-by-side…

  9. "It's Your Problem. Deal with It." Performers' Experiences of Psychological Challenges in Music.

    Science.gov (United States)

    Pecen, Ellis; Collins, David J; MacNamara, Áine

    2017-01-01

    Musicians need to deal with a range of challenges during their performance career and in response to these have reported a number of conditions that impact on their performance. Although social support from peers and teachers has been identified as part of the process of dealing with these challenges, little is understood about musicians' coping methods, beliefs and their attitudes toward support. Therefore, this study aimed to explore (a) performers' previous experiences of psychological challenges, (b) the types of support they used and, (c) how this might inform future support programs in learning environments. Fifteen interviews were conducted with pre-elite ( n = 5) transitioning elite ( n = 3) and established elite performers ( n = 7) in order to elicit data on psychological challenges, coping, beliefs and preferences for support. Inductive content analysis suggested that elite performers in this sample reported positive health habits, philosophical views of performance, health and life, positive anxiety reappraisal, and use of various psychological strategies, albeit without being explicitly aware of it. The need for various professional skills (e.g., communication, business, self-management, and organizational skills) was emphasized by all participants. Transition into conservatoire was marked by severe psychological challenges, disorders and trauma. Primary sources of support included friends, family and self-help literature. Professional help was predominantly sought for physical problems. The impact of teachers was paramount, yet securing good teachers was considered a matter of "luck." The most negative aspects recounted included abusive teachers, unsupportive environments, social comparison, competition, and disillusionment after entering the profession. Participants believed that talent could be developed and also valued wellbeing in relation to performance. Positive effects of late specialization on social development and professional skills were

  10. How Can I Deal with My Asthma?

    Science.gov (United States)

    ... they want — even endurance or cold-weather sports . Sports can boost your mood, and that's a great help for those times when you may feel frustrated about having asthma. Using a management plan to deal with asthma is good for ...

  11. The atomic deal with Brazil

    International Nuclear Information System (INIS)

    Mirow, K.R.

    1980-01-01

    The author deals with the German-Brazilian nuclear treaty using sources which are meanwhile official. A roaring trade - made in 1975 - had become a public nuisance in 1979. Grand plans of German and Brazilian politicians had changed into economic crisis, unemployment and uncompleted, dilapidating buildings. While even the new government adhered to the treaty, Brazilia had begun a national instigation campaign. This was, however, superseded by Brazil's high indebtedness, an economic crisis and social unrest so that it was impossible to realize the nuclear treaty. (HSCH) [de

  12. Societal and economic valuation of technology-transfer deals

    Science.gov (United States)

    Holmes, Joseph S., Jr.

    2009-09-01

    The industrial adoption of concepts such as open innovation brings new legitimacy to activities technology-transfer professionals have conducted for over 20 years. This movement highlights the need for an increased understanding of the valuation of intellectual property (IP) and technology-transfer deals. Valuation, though a centerpiece of corporate finance, is more challenging when applied to the inherent uncertainty surrounding innovation. Technology-transfer professionals are often overwhelmed by the complexity and data requirements of valuation techniques and skeptical of their applicability to and utility for technology transfer. The market longs for an approach which bridges the gap between valuation fundamentals and technology-transfer realities. This paper presents the foundations of a simple, flexible, precise/accurate, and useful framework for considering the valuation of technology-transfer deals. The approach is predicated on a 12-factor model—a 3×4 value matrix predicated on categories of economic, societal, and strategic value. Each of these three categories consists of three core subcategories followed by a fourth "other" category to facilitate inevitable special considerations. This 12-factor value matrix provides a framework for harvesting data during deals and for the application of best-of-breed valuation techniques which can be employed on a per-factor basis. Future work will include framework implementation within a database platform.

  13. A pilot study to test an intervention for dealing with verbal aggression.

    Science.gov (United States)

    McLaughlin, Sue; Bonner, Gwen; Mboche, Catherine; Fairlie, Trish

    Verbal aggression has been defined as communication with an intention to harm an individual through words, tone or manner, regardless of whether harm occurs. It includes verbal threat to harm, ridicule, openly hostile remarks, unjust persistent criticism, shouting or yelling insults, as well as more covert actions such as spreading hurtful rumours (Cox, 1987; Farrell et al, 2006). Receiving verbal aggression from a patient has been closely associated with psychological distress which may negatively affect work performance. A verbal aggression work book was developed to help nursing staff to deal with verbal aggression from patients in clinical practice. This was piloted over a six-week period with 18 nurses working on one acute psychiatric inpatient ward. Findings revealed that the intervention had some promising effects. However, much more attention needs to be paid to changing attitudes towards verbal aggression.

  14. Trade Credit, Future Earnings, and Stock Returns: A Self-Dealing Perspective

    Directory of Open Access Journals (Sweden)

    Jigao Zhu

    2009-12-01

    Full Text Available Chinese listed firms are characterized by a great magnitude of long-duration accounts receivable from controlling shareholders and their affiliates, and they often do not make bad debt allowances. On many occasions, these receivables are never collected. We find that firms with a great magnitude of accounts receivable demonstrate a low level of future profitability and low stock returns. It does not appear that the low earnings persistence of these firms is responsible for their poor future performance as predicted by the accrual anomaly, because the firms also report low concurrent earnings. In the context of the Chinese stock market, we interpret the results as being consistent with self-dealing through trade credit by controlling shareholders. This study contributes to the self-dealing literature by identifying a more subtle channel of expropriation of minority shareholders in China.

  15. Dealing with Difference: Building Culturally Responsive Classrooms

    Directory of Open Access Journals (Sweden)

    Nina Burridge

    2009-11-01

    Full Text Available Australia continues to develop as a multicultural society with levels of immigration increasing significantly over recent years as a result of government policies. More recently, the new period of financial turmoil, continuing threats from terrorism and environmental concerns, have all exacerbated the challenges of dealing with difference in our society. In response, schools continue to face the challenges of the impact of a range of different cultures, languages and religions among their student and school communities. How effectively schools deal with difference and how well they are supported in their endeavours to build culturally response classrooms is a perennial issue for both teachers and educators. A major challenge for teachers is to at a minimum, understand cultural differences as they manifest in their particular school settings and to draw on approaches that support student learning in culturally appropriate ways so to assist them to better realise their full potential. In this paper we will consider cultural diversity in the context of recent school policies, highlight a number of frameworks for addressing cultural diversity in the classroom, in particular the approaches by Kalantzis and Cope’s (1999 and Hickling-Hudson (2003. We also draw on the findings from a recent qualitative study of representations of cultural diversity in a number of Sydney metropolitan schools to discuss the need for more greater resource and policy support for progressive teaching approaches that support the development of a more tolerant and inclusive multicultural society. Key words: cultural diversity, schools, teacher education, classroom practice, social inclusion

  16. Dealing with hunger: Metabolic stress responses in tumors

    Directory of Open Access Journals (Sweden)

    Michael A Reid

    2013-01-01

    Full Text Available Increased nutrient uptake and usage is a hallmark of many human malignancies. During the course of tumorigenesis, cancer cells often outstrip their local nutrient supply leading to periods of nutrient deprivation. Interestingly, cancer cells often develop strategies to adapt and survive these challenging conditions. Accordingly, understanding these processes is critical for developing therapies that target cancer metabolism. Exciting new progress has been made in elucidating the mechanisms used by cancer cells under nutrient restricted conditions. In this review, we highlight recent studies that have brought insight into how cancer cells deal with low nutrient environments.

  17. Secondary market prices and Mexico's Brady Deal

    NARCIS (Netherlands)

    van Wijnbergen, S.J.G.; Claessens, C.A.M.F.

    1993-01-01

    Analyzes wether or not the use of official funds in debt reduction packages as in Mexico's 1989 Brady deal is tantamount to a creditor bailout. Review of events; option-pricing approach to sovereign debt valuation; market valuation of the Brady debt package; positive impact of Brady plan on debt

  18. A Questionnaire Study on the Attitudes and Previous Experience of Croatian Family Physicians toward their Preparedness for Disaster Management.

    Science.gov (United States)

    Pekez-Pavliško, Tanja; Račić, Maja; Jurišić, Dinka

    2018-04-01

    To explore family physicians' attitudes, previous experience and self-assessed preparedness to respond or to assist in mass casualty incidents in Croatia. The cross-sectional survey was carried out during January 2017. Study participants were recruited through a Facebook group that brings together family physicians from Croatia. They were asked to complete the questionnaire, which was distributed via google.docs. Knowledge and attitudes toward disaster preparedness were evaluated by 18 questions. Analysis of variance, Student t test and Kruskal-Wallis test t were used for statistical analysis. Risk awareness of disasters was high among respondents (M = 4.89, SD=0.450). Only 16.4 of respondents have participated in the management of disaster at the scene. The majority (73.8%) of physicians have not been participating in any educational activity dealing with disaster over the past two years. Family physicians believed they are not well prepared to participate in national (M = 3.02, SD=0.856) and local community emergency response system for disaster (M = 3.16, SD=1.119). Male physicians scored higher preparedness to participate in national emergency response system for disaster ( p =0.012), to carry out accepted triage principles used in the disaster situation ( p =0.003) and recognize differences in health assessments indicating potential exposure to specific agents ( p =0,001) compared to their female colleagues. Croatian primary healthcare system attracts many young physicians, who can be an important part of disaster and emergency management. However, the lack of experience despite a high motivation indicates a need for inclusion of disaster medicine training during undergraduate studies and annual educational activities.

  19. How Dutch orthoptists deal with noncompliance with occlusion therapy for amblyopia.

    Science.gov (United States)

    Tjiam, A M; Vukovic, E; Asjes-Tydeman, W L; Holtslag, G; Loudon, S E; Sinoo, M M; Simonsz, H J

    2010-12-01

    We previously found that compliance with occlusion therapy for amblyopia is poor, especially among children of non-native parents who spoke Dutch poorly and who were low educated. We investigated conception, awareness, attitude, and actions to deal with noncompliance among Dutch orthoptists. Orthoptists working in non-native, low socioeconomic status (SES) areas and a selection of orthoptists working elsewhere in the Netherlands were studied. They were observed in their practice, received a structured questionnaire, and underwent a semi-structured interview. Finally, a short survey was sent to all working orthoptists in the Netherlands. Nine orthoptists working in non-native, low-SES areas and 23 working elsewhere in the Netherlands participated. One hundred and fifty-one orthoptists returned the short survey. Major discrepancies existed in conception, awareness, and attitude. Opinions differed on what should be defined as noncompliance and on what causes noncompliance. Some orthoptists found noncompliance annoying, unpleasant, and hard to imagine, others were more understanding. Many pitied the noncompliant child. Almost all thought that the success of occlusion therapy lies both with the parents and the orthoptist, but one third thought that noncompliance was not solely their responsibility. Patients' compliance was estimated at 69.3% in non-native, low-SES areas (electronically, 52% had been measured), at 74.1% by the other 23 orthoptists, and at 73.8% in the short survey. Actions to improve compliance were diverse; some increased occlusion hours whereas others decreased them. In non-native, low-SES areas, 22% spoke Dutch moderately to none; the allotted time for a patient's first visit was 21'; the time spent on explaining to the parents was 2'30" and to the child 10". In practices of the other 23 orthoptists, 6% spoke Dutch moderately to none (P<0.0001), the time for a patient's first visit was 27'24" (P=0.47), and the periods spent explaining were 2'51" (P=0

  20. Helping Children Deal with the Nuclear Threat.

    Science.gov (United States)

    Schirmer, Peggy

    1982-01-01

    Suggests how elementary school teachers can address the topic of nuclear warfare with young children. Emphasizes that educating children for peace requires that parents and teachers (1) recognize and deal with the anxieties provoked by nuclear war and that (2) they provide role models by participating in the antinuclear movement. (GC)

  1. Ten Rules for Dealing with Negative Contributions in Social Media

    OpenAIRE

    Adriana Stránská; Václav Stříteský

    2015-01-01

    Social media is becoming a key part of business communication strategy. Despite all the advantages, social media also poses a threat to business reputation. Dissatisfied customers can reach a large audience and share their negative experiences with others. This paper deals with the impact of social media on the practice of public relations. The goal of the paper is to formulate a set of rules for dealing with negative contributions and generally with crisis communication in social media. It...

  2. Dealing with pupils digital everyday life

    Directory of Open Access Journals (Sweden)

    Carl F. Dons.

    2008-11-01

    Full Text Available The main aim of this article is to answer the following research question: How can we prepare student teachers to deal with pupils who have a wide range of day-to-day experiences of the digital world? This question arises out of the understanding that today's student-teacher training is inadequately equipped to realize the potential for learning found in the way that digital technology is now an integral part of the social and cultural practices of children and young people. Based on theory and practice from research and development activities in primary and lower secondary school, the article points out some perspectives connected to the technology culture of children and young people that may have importance for the professional training of student teachers. The article concludes by summarizing some findings from a research project in general teacher education, where it is argued that student teachers can be qualified to cope with the way children and young people use technology by teaching them to adopt solutions based on personal publishing. In many ways the article deals with classical issues in the education field; how the relations between cognition, learning, technology and fellow-citizenship raise practical issues connected to teaching and learning (Dewey, 1915; 1938; 1958.

  3. How many accelerograms to use and how to deal with scattering for transient non-linear seismic computations?

    International Nuclear Information System (INIS)

    Viallet, E.; Heinfling, G.

    2005-01-01

    Due to increased potentialities of computers, it is nowadays possible to perform dynamic non-linear computation of structures to evaluate their ultimate behavior under seismic loads using refined finite element models. Nevertheless, one key parameter for such complex computations is the input load (i.e. input time histories) which may lead to important discrepancies in the results and therefore difficulties to deal with for engineering purpose (variability, number of time histories to use...). In this situation, the number of accelerograms to be used and the way to deal with the results is to be carefully assessed. The objective of this study is to give some elements concerning (i) the number of accelerograms to be used for transient non-linear computations and (ii) the way to account for scattering of results. For this purpose, some simplified non-linear models are used. These models represent characteristic types of non-linearities such as : - Reinforce concrete (RC) structure model (with plastic non-linearity), - PWR core model (with impact non-linearity). For each type of non-linearity, different sets of accelerograms are used (artificial and natural ones). Each set is composed of a relatively high number of accelerograms in order to get proper trends. The results are expressed in term of average and standard deviation values of the characteristic parameters for each non-linearity (i.e. ductility drift for RC structure model and impact force for PWR core model). The results show that, a relatively large number of time histories may be necessary to get proper predictions of the average value of the characteristic non-linear parameter under consideration. In that situation, it should be difficult to deal with such a result for complex studies on reel structures. Nevertheless, it may be necessarily to perform transient non-linear seismic computations for design analyses but with a reduced number of calculations. For this purpose, the previous results are analyzed

  4. “Handle with care”: The mediating role of schedule i-deals in the relationship between supervisors' own caregiving responsibilities and employee outcomes

    NARCIS (Netherlands)

    Las Heras, M.; Heijden, B.I.J.M. van der; Jong, J. de; Rofcanin, Y.

    2017-01-01

    Drawing on theories of perspective-taking and i-deals, this study explores the impact of supervisors' own caregiving responsibilities for elders and parental status on subordinates' schedule i-deals. Moreover, we investigate the extent to which schedule i-deals mediate the relationship between

  5. Dealing with death: medical students' experiences with patient loss.

    Science.gov (United States)

    Pessagno, Regina; Foote, Carrie E; Aponte, Robert

    This article explores medical students' experiences and coping strategies when confronting patient loss in their 3rd and 4th years of their programs. Much of the literature on the impact of patient losses focuses on physicians. This article joins a handful of works aimed at how medical students experience and cope with patient loss. In-depth interviews with 20 medical students provided rich descriptions of their varying experiences coping with death. Consistent with previous work, students experience substantial emotional stress coping with patient deaths, though some were more difficult to bear than others, such as when the dying patient was a child or when treatment errors could have contributed to deaths. Common coping mechanisms included talking through their emotions, thrusting themselves into continuing their rounds, crying, participating in infant death rituals, and turning to religion. When deaths occurred, senior personnel who exhibited empathy toward the deceased and tolerance toward the students' emotional responses were lauded and made the process easier. Also emotionally daunting, in many instances, was dealing with the families of dying patients. Most of the students did not view death as a failure, contrary to much earlier literature, except in instances in which human error or decision making may have played a part in causing the death of a patient.

  6. Study of some physical aspects previous to design of an exponential experiment

    International Nuclear Information System (INIS)

    Caro, R.; Francisco, J. L. de

    1961-01-01

    This report presents the theoretical study of some physical aspects previous to the design of an exponential facility. The are: Fast and slow flux distribution in the multiplicative medium and in the thermal column, slowing down in the thermal column, geometrical distribution and minimum needed intensity of sources access channels and perturbations produced by possible variations in its position and intensity. (Author) 4 refs

  7. Individualisation of Lean Concept in Companies Dealing with Mass Production

    Science.gov (United States)

    Bednár, Roman

    2012-12-01

    The methods of lean manufacturing primarily designed for businesses dealing with serial production, are also used in other types of production. However the concept of lean production was not designed for these types of businesses, they are utilized only partially. Paper focuses on applying methods of lean concept in companies which are dealing with mass production and their options of exchange for other methods in the event of disagreement. Basis of the article is a list of lean methods with its description and its utilization in practice. The questionnaire was utilized to identify information from the practice. Based on this survey were identified the critical methods that are no longer appropriate for companies dealing with mass production. However, there are alternative methods of describing the problem. It is possible to say that companies are trying to get closer to their goal by modification of the basic concepts. And the concept of Lean Enterprise serves as a standard.

  8. Radon anomalies prior to earthquakes (1). Review of previous studies

    International Nuclear Information System (INIS)

    Ishikawa, Tetsuo; Tokonami, Shinji; Yasuoka, Yumi; Shinogi, Masaki; Nagahama, Hiroyuki; Omori, Yasutaka; Kawada, Yusuke

    2008-01-01

    The relationship between radon anomalies and earthquakes has been studied for more than 30 years. However, most of the studies dealt with radon in soil gas or in groundwater. Before the 1995 Hyogoken-Nanbu earthquake, an anomalous increase of atmospheric radon was observed at Kobe Pharmaceutical University. The increase was well fitted with a mathematical model related to earthquake fault dynamics. This paper reports the significance of this observation, reviewing previous studies on radon anomaly before earthquakes. Groundwater/soil radon measurements for earthquake prediction began in 1970's in Japan as well as foreign countries. One of the most famous studies in Japan is groundwater radon anomaly before the 1978 Izu-Oshima-kinkai earthquake. We have recognized the significance of radon in earthquake prediction research, but recently its limitation was also pointed out. Some researchers are looking for a better indicator for precursors; simultaneous measurements of radon and other gases are new trials in recent studies. Contrary to soil/groundwater radon, we have not paid much attention to atmospheric radon before earthquakes. However, it might be possible to detect precursors in atmospheric radon before a large earthquake. In the next issues, we will discuss the details of the anomalous atmospheric radon data observed before the Hyogoken-Nanbu earthquake. (author)

  9. Dyadic coping within couples dealing with breast cancer

    DEFF Research Database (Denmark)

    Rottmann, Nina; Hansen, Dorte Gilså; Larsen, Pia Veldt

    2015-01-01

    OBJECTIVE: The way couples deal with stressors is likely to influence their adjustment after breast cancer diagnosis. Based on the systemic-transactional model, this study examined whether the supportive, delegated and negative dyadic coping provided by patients and partners and their common dyadic...... coping as a couple were associated with change in relationship quality and depressive symptoms over time. METHOD: Women with breast cancer and their male partners (N = 538 couples) participated in a longitudinal study (Time 1, ≤4 months after surgery; Time 2, 5 months later). Dyadic coping was assessed...... was adversely associated with both patients' and partners' outcomes. The more patients rated the couple as engaging in common dyadic coping, the higher relationship quality and the fewer depressive symptoms both patients and partners experienced. Patients experienced more depressive symptoms the more delegated...

  10. Dealing with Y2K

    Science.gov (United States)

    Showstack, Randy

    In 17 months, the ball drops in New York's Times Square to usher in a new millennium and new year ending in the digits 00. However, internal clocks in computers around the world may recognize the date as 1900 rather than 2000 if governments and businesses drop the ball in dealing with a simple computer design flaw that has ballooned into a complex management issue of correcting billions of lines of computer code worldwide.In a speech at the National Academy of Sciences in Washington, D.C, in July, U.S. President Bill Clinton proposed new legislation to make it easier for the private sector to collaborate in solving this problem.

  11. The European Patent System: Dealing with emerging technologies.

    NARCIS (Netherlands)

    Kica, Evisa; Groenendijk, Nico

    2011-01-01

    In light of recent controversial patent decisions in biotechnology, this article argues that the current European patent examination and opposition procedures do not suffice to balance the patent system These procedures do not provide sufficient guidance for patent examiners to deal effectively with

  12. The relationship between violence and engagement in drug dealing and sex work among street-involved youth.

    Science.gov (United States)

    Hayashi, Kanna; Daly-Grafstein, Ben; Dong, Huiru; Wood, Evan; Kerr, Thomas; DeBeck, Kora

    2016-06-27

    Street-involved youth are highly vulnerable to violence. While involvement in income-generating activities within illicit drug scenes is recognized as shaping youths' vulnerability to violence, the relative contributions of different income-generating activities remain understudied. We sought to examine the independent effects of drug dealing and sex work on experiencing violence among street-involved youth. Data were derived from a prospective cohort of street-involved youth aged 14-26 who used drugs in Vancouver, British Columbia, between September 2005 and May 2014. Multivariable generalized estimating equations were used to examine the impact of involvement in drug dealing and sex work on experiencing violence. Among 1,152 participants, including 364 (31.6%) women, 740 (64.2%) reported having experienced violence at some point during the study period. In multivariable analysis, involvement in drug dealing but not sex work remained independently associated with experiencing violence among females (adjusted odds ratio [AOR]: 1.43; 95% confidence interval [CI]: 1.08-1.90) and males (AOR: 1.50; 95% CI: 1.25-1.80), while involvement in sex work only was not associated with violence among females (AOR: 1.15; 95% CI: 0.76-1.74) or males (AOR: 1.42; 95% CI: 0.81-2.48). Findings indicate that involvement in drug dealing is a major factor associated with experiencing violence among our sample. In addition to conventional interventions, such as addiction treatment, novel approaches are needed to reduce the risk of violence for drug-using youth who are actively engaged in drug dealing. The potential for low-threshold employment and decriminalization of drug use to mitigate violence warrants further study.

  13. Do gender and personality traits influence visits of and purchases at deal sites?

    DEFF Research Database (Denmark)

    Sudzina, Frantisek; Pavlicek, Antonin

    2017-01-01

    As deal sites became widespread, there are multiple international and local players in the Czech market. The research presented in the paper investigates if gender and personality traits influence frequency of visits of deal sites and the number of coupon purchases. Big Five Inventory-10 is used...... to measure personality traits. None of the factors influenced frequency of visits of deal sites. Only openness to experience seems to positively influence the number of coupon purchases, though the its significance is borderline....

  14. 26 CFR 53.4951-1 - Black lung trusts-taxes on self-dealing.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Black lung trusts-taxes on self-dealing. 53... (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) FOUNDATION AND SIMILAR EXCISE TAXES Black Lung Benefit Trust Excise Taxes § 53.4951-1 Black lung trusts—taxes on self-dealing. (a) In general. Section 4951...

  15. Dealing with Plagiarism in the Academic Community: Emotional Engagement and Moral Distress

    Science.gov (United States)

    Vehviläinen, Sanna; Löfström, Erika; Nevgi, Anne

    2018-01-01

    This article deals with the demands that plagiarism places on academic communities, and with the resources staff possess in dealing with these demands. It is suggested that plagiarism ought to be placed in the context of network of intertwining communities (scholarly, pedagogical and administrative), to which participants are engaged to a…

  16. The human fallibility of scientists : Dealing with error and bias in academic research

    NARCIS (Netherlands)

    Veldkamp, Coosje

    2017-01-01

    THE HUMAN FALLIBILITY OF SCIENTISTS Dealing with error and bias in academic research Recent studies have highlighted that not all published findings in the scientific lit¬erature are trustworthy, suggesting that currently implemented control mechanisms such as high standards for the reporting of

  17. “It's Your Problem. Deal with It.” Performers' Experiences of Psychological Challenges in Music

    Directory of Open Access Journals (Sweden)

    Ellis Pecen

    2018-01-01

    Full Text Available Musicians need to deal with a range of challenges during their performance career and in response to these have reported a number of conditions that impact on their performance. Although social support from peers and teachers has been identified as part of the process of dealing with these challenges, little is understood about musicians' coping methods, beliefs and their attitudes toward support. Therefore, this study aimed to explore (a performers' previous experiences of psychological challenges, (b the types of support they used and, (c how this might inform future support programs in learning environments. Fifteen interviews were conducted with pre-elite (n = 5 transitioning elite (n = 3 and established elite performers (n = 7 in order to elicit data on psychological challenges, coping, beliefs and preferences for support. Inductive content analysis suggested that elite performers in this sample reported positive health habits, philosophical views of performance, health and life, positive anxiety reappraisal, and use of various psychological strategies, albeit without being explicitly aware of it. The need for various professional skills (e.g., communication, business, self-management, and organizational skills was emphasized by all participants. Transition into conservatoire was marked by severe psychological challenges, disorders and trauma. Primary sources of support included friends, family and self-help literature. Professional help was predominantly sought for physical problems. The impact of teachers was paramount, yet securing good teachers was considered a matter of “luck.” The most negative aspects recounted included abusive teachers, unsupportive environments, social comparison, competition, and disillusionment after entering the profession. Participants believed that talent could be developed and also valued wellbeing in relation to performance. Positive effects of late specialization on social development and professional

  18. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors

    Directory of Open Access Journals (Sweden)

    Ali Harlak

    2010-01-01

    Full Text Available PURPOSE: Sacrococcygeal pilonidal disease is a source of one of the most common surgical problems among young adults. While male gender, obesity, occupations requiring sitting, deep natal clefts, excessive body hair, poor body hygiene and excessive sweating are described as the main risk factors for this disease, most of these need to be verified with a clinical trial. The present study aimed to evaluate the value and effect of these factors on pilonidal disease. METHOD: Previously proposed main risk factors were evaluated in a prospective case control study that included 587 patients with pilonidal disease and 2,780 healthy control patients. RESULTS: Stiffness of body hair, number of baths and time spent seated per day were the three most predictive risk factors. Adjusted odds ratios were 9.23, 6.33 and 4.03, respectively (p<0.001. With an adjusted odds ratio of 1.3 (p<.001, body mass index was another risk factor. Family history was not statistically different between the groups and there was no specific occupation associated with the disease. CONCLUSIONS: Hairy people who sit down for more than six hours a day and those who take a bath two or less times per week are at a 219-fold increased risk for sacrococcygeal pilonidal disease than those without these risk factors. For people with a great deal of hair, there is a greater need for them to clean their intergluteal sulcus. People who engage in work that requires sitting in a seat for long periods of time should choose more comfortable seats and should also try to stand whenever possible.

  19. The Great Depression and the New Deal on Long Island, New York.

    Science.gov (United States)

    Lupinskie-Huvane, Lorraine; Singer, Alan

    2001-01-01

    Presents information adapted from the introduction to "The Great Depression and the New Deal on Long Island: A Local History Curriculum Guide." Finds that even though people in Long Island, New York, were active participants in New Deal programs, there was still anti-Roosevelt opposition during the 1932 and 1936 presidential elections.…

  20. Semiparametric analysis to estimate the deal effect curve

    NARCIS (Netherlands)

    Van Heerde, HJ; Leeflang, PSH; Wittink, DR

    The marketing literature suggests several phenomena that may contribute to the nature of the relationship between sales and price discounts. These phenomena can produce complex nonlinearities and interactions in the deal effect curve that are best captured with a flexible approach. Because a fully

  1. Value-based HR practices, i-deals and clinical error control with CSR as a moderator.

    Science.gov (United States)

    Luu, Tuan; Rowley, Chris; Siengthai, Sununta; Thanh Thao, Vo

    2017-05-08

    Purpose Notwithstanding the rising magnitude of system factors in patient safety improvement, "human factors" such as idiosyncratic deals (i-deals) which also contribute to the adjustment of system deficiencies should not be neglected. The purpose of this paper is to investigate the role of value-based HR practices in catalyzing i-deals, which then influence clinical error control. The research further examines the moderating role of corporate social responsibility (CSR) on the effect of value-based HR practices on i-deals. Design/methodology/approach The data were collected from middle-level clinicians from hospitals in the Vietnam context. Findings The research results confirmed the effect chain from value-based HR practices through i-deals to clinical error control with CSR as a moderator. Originality/value The HRM literature is expanded through enlisting i-deals and clinical error control as the outcomes of HR practices.

  2. Summary of Previous Chamber or Controlled Anthrax Studies and Recommendations for Possible Additional Studies

    Energy Technology Data Exchange (ETDEWEB)

    Piepel, Gregory F.; Amidan, Brett G.; Morrow, Jayne B.

    2010-12-29

    This report and an associated Excel file(a) summarizes the investigations and results of previous chamber and controlled studies(b) to characterize the performance of methods for collecting, storing and/or transporting, extracting, and analyzing samples from surfaces contaminated by Bacillus anthracis (BA) or related simulants. This report and the Excel are the joint work of the Pacific Northwest National Laboratory (PNNL) and the National Institute of Standards and Technology (NIST) for the Department of Homeland Security, Science and Technology Directorate. The report was originally released as PNNL-SA-69338, Rev. 0 in November 2009 with limited distribution, but was subsequently cleared for release with unlimited distribution in this Rev. 1. Only minor changes were made to Rev. 0 to yield Rev. 1. A more substantial update (including summarizing data from other studies and more condensed summary tables of data) is underway

  3. An fMRI study of neuronal activation in schizophrenia patients with and without previous cannabis use

    Directory of Open Access Journals (Sweden)

    Else-Marie eLøberg

    2012-10-01

    Full Text Available Previous studies have mostly shown positive effects of cannabis use on cognition in patients with schizophrenia, which could reflect lower neurocognitive vulnerability. There are however no studies comparing whether such cognitive differences have neuronal correlates. Thus, the aim of the present study was to compare whether patients with previous cannabis use differ in brain activation from patients who has never used cannabis. The patients groups were compared on the ability to up-regulate an effort mode network during a cognitive task and down-regulate activation in the same network during a task-absent condition. Task-present and task-absent brain activation was measured by functional magnetic resonance neuroimaging (fMRI. Twenty-six patients with a DSM-IV and ICD-10 diagnosis of schizophrenia were grouped into a previous cannabis user group and a no-cannabis group. An auditory dichotic listening task with instructions of attention focus on either the right or left ear stimulus was used to tap verbal processing, attention and cognitive control, calculated as an aggregate score. When comparing the two groups, there were remaining activations in the task-present condition for the cannabis group, not seen in the no-cannabis group, while there was remaining activation in the task-absent condition for the no-cannabis group, not seen in the cannabis group. Thus, the patients with previous cannabis use showed increased activation in an effort mode network and decreased activation in the default mode network as compared to the no-cannabis group. It is concluded that the present study show some differences in brain activation to a cognitively challenging task between previous cannabis and no-cannabis schizophrenia patients.

  4. Shady Car Dealings and Taxing Work Practices

    DEFF Research Database (Denmark)

    Boll, Karen

    2014-01-01

    of the oligopticon and on Foucault’s notion of the panopticon. The analysis shows that tax inspectors produce oligoptic and panoptic visions when they account for taxpayers’ economic activities and that tax inspectors’ visions are received differently by the represented taxpayers. Some taxpayers fall out of sight......, whereas others are highly visible and are interrogated in detail. Using the concepts of the oligopticon and the panopticon to analyse the tax audit process is significant for interpretative tax and accounting studies, because this theoretical approach represents an original method of conceptualising......The empirical focus of this article is a ten-month ethnography of a tax audit process led by the Danish Tax and Customs Administration. The tax audit concerns a number of shady car dealings from which taxable income is not reported. This article focuses on the process whereby the tax administration...

  5. Global Green New Deal. Together we can do it; Global Green New Deal. Samen kunnen we het doen

    Energy Technology Data Exchange (ETDEWEB)

    Van Dieren, W. [Institute for Environment and System Analysis, Amsterdam (Netherlands)

    2009-12-15

    From 26-27 October 2009, the annual meeting of the Club of Rome, the 'Global Assembly'. This is an open conference where the most influential thinkers about sustainability work together with the participants on the Amsterdam Declaration. This Declaration is a final call to the negotiators at the UN Climate Conference (COP15) who are to lay the foundation for growth within the boundaries of what planet Earth can handle. The author comments on the annual meeting of the Club of Rome and explains why we are in need of a Global Green New Deal. [Dutch] Van 26-27 oktober 2009 vond in Amsterdam de jaarvergadering plaats van de Club van Rome, de 'Global Assembly'. Dit is een open conferentie waar de meest invloedrijke denkers over duurzaamheid samen met de deelnemers werken aan de Verklaring van Amsterdam. Deze Verklaring is een laatste oproep aan de onderhandelaars die op de VN-klimaatconferentie (COP15) in december in Kopenhagen het fundament moeten leggen voor groei binnen de grenzen van wat de planeet aarde kan dragen. De auteur geeft commentaar op de jaarvergadering van de Club of Rome, en legt uit waarom we een Global Green New Deal nodig hebben.

  6. Arrangements for dealing with emergencies at civil nuclear installations

    International Nuclear Information System (INIS)

    Turner, M.J.; Robinson, I.F.

    1989-01-01

    This paper covers arrangements for dealing with nuclear emergencies at sites licensed by the Health and Safety Executive/Nuclear Installations Inspectorate. Such arrangements are over and above the contingency plans required for radiation incidents as required by the Ionising Radiations Regulations. The statutory position of the NII is described and, although the NII is limited to regulating the activities of the operator, the functions of the other organisations that could be involved in dealing with an emergency are briefly covered in order to give as complete a picture as possible. The basis for emergency planning is given together with the consequences and countermeasures for mitigation of a nuclear emergency, including the use of ERLs. The requirements for emergency exercises are explained. (author)

  7. Dealing with interests, values and knowledge in managing risk

    International Nuclear Information System (INIS)

    2004-01-01

    Radioactive waste management is an area of public interest in which Stakeholder involvement has largely proven itself to be beneficial to all parties and processes concerned. With growing experience, sharing best practice can be useful at the international level. These workshop proceedings deal with the local partnership methodology employed in Belgium in order to develop an integrated proposal to the national Government to construct and operate a disposal facility for low-level radioactive waste that is adapted to local conditions. The partnerships are formed amongst representatives of local organisations in affected communities and representatives of the Belgian national radioactive waste management agency. Insights are provided into a unique - and so far very successful - governance approach to dealing with interests, values and knowledge in managing risk. (author)

  8. Dealing with big data: The case of Twitter

    NARCIS (Netherlands)

    Tjong Kim Sang, E.; van den Bosch, A.

    2013-01-01

    As data sets keep growing, computational linguists are experiencing more big data problems: challenging demands on storage and processing caused by very large data sets. An example of this is dealing with social media data: including metadata, the messages of the social media site Twitter in 2012

  9. Assessing methods for dealing with treatment switching in randomised controlled trials: a simulation study

    Directory of Open Access Journals (Sweden)

    Latimer Nicholas

    2011-01-01

    Full Text Available Abstract Background We investigate methods used to analyse the results of clinical trials with survival outcomes in which some patients switch from their allocated treatment to another trial treatment. These included simple methods which are commonly used in medical literature and may be subject to selection bias if patients switching are not typical of the population as a whole. Methods which attempt to adjust the estimated treatment effect, either through adjustment to the hazard ratio or via accelerated failure time models, were also considered. A simulation study was conducted to assess the performance of each method in a number of different scenarios. Results 16 different scenarios were identified which differed by the proportion of patients switching, underlying prognosis of switchers and the size of true treatment effect. 1000 datasets were simulated for each of these and all methods applied. Selection bias was observed in simple methods when the difference in survival between switchers and non-switchers were large. A number of methods, particularly the AFT method of Branson and Whitehead were found to give less biased estimates of the true treatment effect in these situations. Conclusions Simple methods are often not appropriate to deal with treatment switching. Alternative approaches such as the Branson & Whitehead method to adjust for switching should be considered.

  10. Dealing with scientific integrity issues: the Spanish experience.

    Science.gov (United States)

    Puigdomènech, Pere

    2014-02-01

    Integrity has been an important matter of concern for the scientific community as it affects the basis of its activities. Most countries having a significant scientific activity have dealt with this problem by different means, including drafting specific legal or soft law regulations and the appointment of stable or ad hoc committees that take care of these questions. This has also been the case in Spain. After the period of transition between dictatorship to a democratic regime, and, particularly, after the entrance in the European Union, scientific activity has increased in the country. As it could be expected, problems of misconduct have appeared and different institutions have been dealing with these matters. One of the best examples is that of Consejo Superior de Investigaciones Cientificas (CSIC), the largest institution devoted to scientific research belonging to the Spanish Government. The experience of the CSIC’s Ethics Committee in dealing with conflicts related to scientific practices is discussed here.

  11. Energy Security: From Deal Killers to Game Changers

    Science.gov (United States)

    Cooke, Charlie

    2010-03-01

    Five energy security ``deal killers" are identified: 1) Global warming and CO2 emissions from fossil fuel combustion; 2) Intermittent energy sources (wind, solar) and the presence and stability of the grid; 3) Penetration of plant defenses to produce transportation fuels from biomass; 4) Mimicking nature: artificial photosynthesis for solar energy to fuels; and 5) Spent fuel from nuclear power reactors. Transformational basic research is required to successfully change the ground rules, to transform these ``deal killers" into ``game changers." T hey are: 1) Offsetting carbon capture and storage costs through enhanced oil recovery and methane generation from high temperature geothermal saline aquifers; 2) Electrical energy storage, through batteries and super-capacitors; 3) Genetic modification of plant cell walls, and catalytic methods for transforming plant sugars into fuels; 4) Separation of solar-induced electrons from holes, and catalysis to produce fuels; and 5) Closing the nuclear fuel cycle. Basic research can revolutionize our approach to carbon-free energy by enhancing nature to achieve energy security.

  12. Laparoscopy After Previous Laparotomy

    Directory of Open Access Journals (Sweden)

    Zulfo Godinjak

    2006-11-01

    Full Text Available Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

  13. Delivering energy efficiency and carbon reduction schemes in England: Lessons from Green Deal Pioneer Places

    International Nuclear Information System (INIS)

    Marchand, Robert D.; Koh, S.C. Lenny; Morris, Jonathan C.

    2015-01-01

    Against a background of growing international and national carbon reduction legislation, the UK government introduced the “Green Deal” to deliver a significant increase in housing energy efficiency and reduction in carbon emissions. This paper reflects on one English local authority's experience delivering a programme intended to foster local interest in the Green Deal. Drawing on social surveys and pre and post Green Deal intervention interviews with five demonstrator homes (households that applied to receive a Green Deal package fully funded by the scheme, providing a test bed for the Green Deal recruitment and installation process), this paper shows that awareness and understanding of the Green Deal scheme is low. There is opposition to the cost of finance offered but a strong interest in improving household warmth and for funding improvements through payments added to the electricity bill. Demonstrator home residents perceived Green Deals had improved the warmth and quality of their home, but saving money was the primary motivator for their involvement, not increasing warmth. Whilst Green Deal has not delivered the level of success that was hoped, much can be learned from the scheme to improve future energy efficiency schemes that will be necessary to deliver emission reduction commitments. -- Highlights: •Resident awareness and understanding of the Green Deal is low. •Green Deal assessment costs and loan interest rates are biggest barriers to uptake. •Funding energy improvements via a charge on electricity bill welcomed by residents. •Saving money rather than increasing warmth main motivator for scheme involvement. •Insights from this work should be used to inform future emission reduction schemes

  14. Data from studies of previous radioactive waste disposal in Massachusetts Bay

    International Nuclear Information System (INIS)

    Curtis, W.R.; Mardis, H.M.

    1984-12-01

    This report presents the results of studies conducted in Massachusetts Bay during 1981 and 1982. Included are data from: (1) a side scan sonar survey of disposal areas in the Bay that was carried out by the National Oceanic and Atmospheric Administration (NOAA) for EPA; (2) Collections of sediment and biota by NOAA for radiochemical analysis by EPA; (3) collections of marketplace seafood samples by the Food and Drug Administration (FDA) for radioanalysis by both FDA and EPA; and (4) a radiological monitoring survey of LLW disposal areas by EPA to determine whether there should be any concern for public health resulting from previous LLW disposals in the Bay

  15. Iran’s geopolitics in Eurasia after the nuclear deal

    Directory of Open Access Journals (Sweden)

    Noemi Rocca

    2017-06-01

    Full Text Available Since the positive conclusion of the Iran nuclear deal, Iran is enhancing economic, military, energy and security ties with many countries, particularly with its Caucasus and Central Asian neighbours. Relations with Russia and China — which never stopped — are experiencing a new boom. Access to international financial markets — allowed by the progressive lifting of sanctions — coupled with the expected revenues from oil exports will modernise the Iranian industrial structure and make resources available for new infrastructure projects. This article approaches Iran’s geopolitics from a peculiar angle, that is through analysis of the offers Iran made in 2003 and 2005 to the United States and the European Union for solving the nuclear dispute. This article argues, firstly, that these proposals — focused not just on nuclear issues, but also on geopolitical matters — can shed light on how Iran shapes and conveys its geopolitical role in the Middle East and Central Asia; secondly, that such a role has been “legitimised” by global players like the United States, China, Russia, France, Germany, the United Kingdom and the European Union (i.e., the 5 + 1 countries which participated at the last round of the nuclear deal through the positive conclusion of the deal; and, finally, that Iran’s geopolitical role within the greater Eurasian space will increasingly assume more important dimensions.

  16. The New Deal. By Conkin, Paul K. New York: Thomas Y. Crowell Company, 1967 The New Deal. By Conkin, Paul K. New York: Thomas Y. Crowell Company, 1967

    Directory of Open Access Journals (Sweden)

    Donald Richardson

    2008-04-01

    Full Text Available Material Covered: Chapter 1 of Conkin's book is a study of Roosevelt's personality and of his political activities during the thirties. The book starts with a quite detailed description of Roosevelt's life as a child, student, husband, father, friend, governor, etc., trying to pinpoint especially those personality traits which would later affect his political career, his policies and the life of the country. The remaining three chapters of the book are dedicated to the analysis of Roosevelt's New Deal programs—their successes and failures, their influence on labor unions, on the political Left and on the Republican Party. Material Covered: Chapter 1 of Conkin's book is a study of Roosevelt's personality and of his political activities during the thirties. The book starts with a quite detailed description of Roosevelt's life as a child, student, husband, father, friend, governor, etc., trying to pinpoint especially those personality traits which would later affect his political career, his policies and the life of the country. The remaining three chapters of the book are dedicated to the analysis of Roosevelt's New Deal programs—their successes and failures, their influence on labor unions, on the political Left and on the Republican Party.

  17. Wisdom and narrative: Dealing with complexity and judgement in ...

    African Journals Online (AJOL)

    Wisdom and narrative: Dealing with complexity and judgement in translator education. ... This article explores wisdom as concept to guide translator education in institutions of higher education. It uses the work ... AJOL African Journals Online.

  18. 5 CFR 3201.105 - Prohibition on dealings with former employers, associates, and clients.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Prohibition on dealings with former employers, associates, and clients. 3201.105 Section 3201.105 Administrative Personnel FEDERAL DEPOSIT... INSURANCE CORPORATION § 3201.105 Prohibition on dealings with former employers, associates, and clients. (a...

  19. Speaking as one, but not speaking up : dealing with new moral taint in an occupational online community

    OpenAIRE

    Vaast, Emmanuelle; Levina, Natalia

    2015-01-01

    This paper builds a process theory of how participants in an online community deal with a new identity threat. Based upon the in-depth, interpretive case study of an online community of retail bankers, it develops a grounded theory that reveals that participants in an online community deal with new taint by protecting their occupation's identity but not by attempting to repair its external image. In the investigated community, reactions progressed from rejecting the taint to distancing from i...

  20. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2010 Annual Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-02-15

    The global power deal market is finally seeing an upward trend in momentum from the lows reached in 2009, with the total deal value in the non-renewable electricity and gas sectors up 19% year on year from USD 97.6bn to USD 116bn in 2010 - a year which also saw an end to the deal stalemate in the US with a renewed deal flow that looks set to continue this year. Compared to the heady mountain of power deals transacted between 2005-2008, deal values remain low but conditions are in place for a return at least to the foothills of these peaks, according to PwC's annual Power Deals review. Globalisation of the power sector is moving forward on a number of fronts with, for example, companies looking at gaining a larger presence in growth markets, acquisitions of global network asset portfolios with strong international interest in infrastructure assets and signs of greater Chinese involvement, not just from grid companies but also independent power producers.

  1. Factors influencing perceived effectiveness in dealing with self-harming patients in a sample of emergency department staff.

    Science.gov (United States)

    Egan, Rachel; Sarma, Kiran M; O'Neill, Meena

    2012-12-01

    Past self-harming behavior is one of the most significant predictors of future suicide. Each year in Ireland there are approximately 11,000 presentations of self-harm to emergency departments (EDs) across the country. This study examines predictors of perceived personal effectiveness in dealing with self-harming patients as reported by ED staff. The predictors are derived from past research and are influenced by Bandura's Social Cognitive Theory. One hundred twenty-five ED medical staff (28 doctors and 97 nurses) from five EDs in the West and South of Ireland completed a questionnaire. Predictor variables included in the design, and informed by past research, included knowledge of self-harm and suicidal behavior and confidence in dealing with incidents of self-harm. Standard multiple regression suggested a statistically significant model fit between the two predictors and the criterion variable, accounting for 24% of total variance. Knowledge and Confidence were significant contributors to perceived personal effectiveness in dealing with self-harming patients. Little is known regarding specific factors that influence perceived effectiveness in dealing with self-harming patients in the ED setting. These findings have implications for psycho-education and training content for staff. The findings suggest that increasing knowledge of self-harm and confidence in dealing with self-harming patients can lead to more positive perceived personal effectiveness in responding to clients' needs. Copyright © 2012 Elsevier Inc. All rights reserved.

  2. How students deal with inconsistencies in health knowledge.

    Science.gov (United States)

    Bientzle, Martina; Cress, Ulrike; Kimmerle, Joachim

    2013-07-01

    In their work, health care professionals have to deal daily with inconsistent health information and are confronted with differing therapeutic health concepts. Medical education should prepare students to handle these challenges adequately. The aim of this study was to contribute to a better understanding of how students deal with inconsistencies in health knowledge when they are presented with either a therapeutic concept they accept or one they reject. Seventy-six students of physiotherapy participated in this 2 × 2 experiment with health information (consistent versus inconsistent information) and therapeutic concept (congruent versus contradictory therapeutic concept) as between-group factors. The participants' task was to improve the quality of a text about the effectiveness of stretching; participants were randomly assigned to one of four texts. Knowledge acquisition and text modification were measured as dependent variables. Students acquired more knowledge when they worked with a text containing inconsistent information. Medical information that was presented in agreement with a student's therapeutic concept was also more readily acquired than the same information presented posing a contradictory therapeutic concept. Participants modified the contradictory text in order to adapt it to their own point of view. Disagreement resulted in a disregard or devaluation of the information itself, which in turn was detrimental to learning. It is a problem when prospective health care professionals turn a blind eye to discrepancies that do not fit their view of the world. It may be useful for educational purposes to include a knowledge conflict caused by a combination of conviction and inconsistent information to facilitate learning processes. © 2013 John Wiley & Sons Ltd.

  3. "Exclusive Dealing Contract and Inefficient Entry Threat"

    OpenAIRE

    Noriyuki Yanagawa; Ryoko Oki

    2008-01-01

    This paper examines the effects of exclusive dealing contracts in a simple model with manufacturers-distributors relations. We consider entrants in both manufacturing and distribution sectors. It is well-known that a potential entry threat is welfare increasing under homogenous price competition, even though the potential entrant is less productive. This paper reexamines this intuition by employing the above model. We show that the entry threat of a less-productive manufacturer is welfare dec...

  4. Indo-US nuclear deal: implications for the safety and sovereignty of India

    International Nuclear Information System (INIS)

    Ramesh, B.; D'Souza, Ashok Antony

    2012-01-01

    The public debate about the Indo-US nuclear deal has been characterised by a frighteningly narrow set of reference points. The space for a genuine and informed debate has been crushed between professions of its technical complexity, the assumption that a national interest will be served by the deal, and the charge that opposition to it is based upon a blind anti-Americanism. Consequently, the range of views offered has been extremely narrow, typically consisting of imputations and assertions rather than information. The importance of this paper, however, lies in striving to objectively assess the implications of the deal on the sovereignty and safety of Indian people in the larger context of Indo-US relations as well as the international context of human rights and peace building measures. (author)

  5. Therapeutic commitment for general nurses in dealing with mental ...

    African Journals Online (AJOL)

    sionals who care for people living with HIV/AIDS (PLWHA) and they are expected to deal with the mental ... such as depression and psychosis. Hence it is important ... nurse's therapeutic commitment, knowledge and skills in providing mental ...

  6. How the Courts Deal with Bullying in Schools

    Science.gov (United States)

    Diamantes, Thomas

    2010-01-01

    School officials have a difficult time dealing with cases of bullying. Often, it is one student's word against another. Also, many victims of bullying are reluctant to report instances for fear of retribution. As in sexual harassment cases, school officials need to be seen doing something about the problem. Courts view indifference to these…

  7. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2006 Annual Review

    International Nuclear Information System (INIS)

    2007-01-01

    2006 was another recordbreaking year in the electricity and gas utilities sector. Total deal values shot through the record level set in 2005 to reach a dizzying USD 298.8bn. This is nearly seven times the USD 43bn level of transactions recorded in the sector only three years earlier in 2003. The rise is all the more astonishing as it comes in a year when deal activity from corporate US utility players plummeted. The sharp downturn in North America came as companies took stock of aggressive regulatory stances from some state regulators during a US midterm election year that coincided with the ending of rate freezes and reaction to the repeal of the Public Utilities Holding Company Act. North American electricity deal values by bidder fell 64% to USD 20.7bn, not far above the USD 16.7bn level of 2003. The picture in Europe and the Asia Pacific region was very different. Both regions recorded record levels of power deal activities as utility companies continued to strive for super regional'' scale. Deal activity in Europe was given extra momentum by the countdown to the July 2007 implementation of full retail market liberalisation. This report examines the rationale behind the overall trends and the key individual deals. We also highlight, in a series of deal dialogues throughout the report, some of the critical issues for companies engaging in deal activity within the sector drawing on our global experience as an adviser to players in major deals throughout the sector in all key power and gas markets. Looking to the future, the regulatory environment will play a key role in determining the course of deal activity. Companies entering into big deals need to be ready more than ever for the long haul. However, the underpinning momentum in the sector remains strong and this is likely to create continued buoyancy in the period ahead

  8. Power Deals. Mergers and acquisitions activity within the global electricity and gas market. 2006 Annual Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-01-15

    2006 was another recordbreaking year in the electricity and gas utilities sector. Total deal values shot through the record level set in 2005 to reach a dizzying USD 298.8bn. This is nearly seven times the USD 43bn level of transactions recorded in the sector only three years earlier in 2003. The rise is all the more astonishing as it comes in a year when deal activity from corporate US utility players plummeted. The sharp downturn in North America came as companies took stock of aggressive regulatory stances from some state regulators during a US midterm election year that coincided with the ending of rate freezes and reaction to the repeal of the Public Utilities Holding Company Act. North American electricity deal values by bidder fell 64% to USD 20.7bn, not far above the USD 16.7bn level of 2003. The picture in Europe and the Asia Pacific region was very different. Both regions recorded record levels of power deal activities as utility companies continued to strive for super regional'' scale. Deal activity in Europe was given extra momentum by the countdown to the July 2007 implementation of full retail market liberalisation. This report examines the rationale behind the overall trends and the key individual deals. We also highlight, in a series of deal dialogues throughout the report, some of the critical issues for companies engaging in deal activity within the sector drawing on our global experience as an adviser to players in major deals throughout the sector in all key power and gas markets. Looking to the future, the regulatory environment will play a key role in determining the course of deal activity. Companies entering into big deals need to be ready more than ever for the long haul. However, the underpinning momentum in the sector remains strong and this is likely to create continued buoyancy in the period ahead.

  9. Towards a grand deal on subsidies and climate change

    International Nuclear Information System (INIS)

    Moor, Andre de

    2001-01-01

    Recent studies have identified public subsidies as a principal cause of unsustainable development. Worldwide, governments are spending up to $US950 billion a year on subsidies. Many of these public subsidies fail to serve their purpose and in fact, often turn out as policy failures as they further distort trade and cause environmental harm. The energy sector is among the most subsidized sectors in the world, receiving over $US240 billion per annum of public subsidies. This article highlights current energy subsidies and their implications. The article examines: (i) the global size and distribution of energy subsidies in industrialized and developing countries; (ii) the impact of these subsidies on the economy, equity and the environment ana their role as barriers for sustainable development; (iii) the political economy behind public subsidies and the various political and institutional barriers and lock-in mechanisms that cause subsidies to become entrenched in economic and public structures; and (iv) proposals for effective subsidy reform in energy policies, suggesting a global strategy to eliminate energy subsidies. OECD governments are in a position to take the lead, and the UN Framework Convention on Climate Change presents an excellent opportunity of striking a political grand deal and linking the reform of energy subsidies to a meaningful participation of developing countries to the Kyoto Protocol. Moreover, if sinks are to be included in the clean development mechanism (CDM), it is crucial to include the removal of forestry subsidies in the grand deal. (author)

  10. Notes on a Theatre Commons: Common Wealth's "The Deal versus the People" (2015)

    Science.gov (United States)

    Hughes, Jenny

    2017-01-01

    "The Deal Versus the People" was a theatrical response created by people in Bradford (UK) to the Transatlantic Trade and Investment Partnership (TTIP). A controversial trade deal between the European Union and United States being negotiated at the time of the production, TTIP threatened to deepen trade liberalisation, with potentially…

  11. Preoperative screening: value of previous tests.

    Science.gov (United States)

    Macpherson, D S; Snow, R; Lofgren, R P

    1990-12-15

    To determine the frequency of tests done in the year before elective surgery that might substitute for preoperative screening tests and to determine the frequency of test results that change from a normal value to a value likely to alter perioperative management. Retrospective cohort analysis of computerized laboratory data (complete blood count, sodium, potassium, and creatinine levels, prothrombin time, and partial thromboplastin time). Urban tertiary care Veterans Affairs Hospital. Consecutive sample of 1109 patients who had elective surgery in 1988. At admission, 7549 preoperative tests were done, 47% of which duplicated tests performed in the previous year. Of 3096 previous results that were normal as defined by hospital reference range and done closest to the time of but before admission (median interval, 2 months), 13 (0.4%; 95% CI, 0.2% to 0.7%), repeat values were outside a range considered acceptable for surgery. Most of the abnormalities were predictable from the patient's history, and most were not noted in the medical record. Of 461 previous tests that were abnormal, 78 (17%; CI, 13% to 20%) repeat values at admission were outside a range considered acceptable for surgery (P less than 0.001, frequency of clinically important abnormalities of patients with normal previous results with those with abnormal previous results). Physicians evaluating patients preoperatively could safely substitute the previous test results analyzed in this study for preoperative screening tests if the previous tests are normal and no obvious indication for retesting is present.

  12. Therapeutic commitment for general nurses in dealing with mental ...

    African Journals Online (AJOL)

    therapeutic commitment in dealing with mental health problems of PL-. WHA. However, therapeutic .... commitment, knowledge and skills in relation to age, gender, work experience, workplace or whether mental health lectures had been ... coefficients that a medium positive linear correlation exists between therapeutic ...

  13. Diversity and equity: dealing with biological and social differences

    Directory of Open Access Journals (Sweden)

    Friedhelm Nachreiner

    2004-12-01

    Full Text Available In the context of the design of working hours inequities in health associated with biological, psychological, social, and socioeconomic diversities can be observed. The paper first tries to set up a frame of reference for a discussion of this topic, relating to the Universal Declaration of Human Rights and some recent discussions on equity in health and then goes into some factors that produce inequities in health in the context of the design of working hours, dealing with sex or gender, age and job age, personality traits, marital status, social support, diversities in values, and socio-economic differences; the discussion deals with approaches on how to deal with these differences and inequities.No contexto do planejamento das horas de trabalho, observam-se iniqüidades na saúde associadas à diversidade biológica, psicológica, social e socioeconômica. Inicialmente, procura-se criar uma estrutura de referência para a discussão do assunto, relacionando-o à Declaração Universal dos Direitos Humanos e a discussões recentes sobre eqüidade em saúde. Em seguida, passa-se a alguns fatores que causam iniqüidades em saúde no contexto do planejamento das horas de trabalho, associados ao sexo ou gênero, idade e tempo de permanência no serviço, características de personalidade, estado civil, apoio social, diversidades de valores e diferenças socioeconômicas; a discussão estende-se sobre enfoques para lidar com estas diferenças e iniqüidades.

  14. Vulnerable Derivatives and Good Deal Bounds: A Structural Model

    DEFF Research Database (Denmark)

    Murgoci, Agatha

    2013-01-01

    We price vulnerable derivatives -- i.e. derivatives where the counterparty may default. These are basically the derivatives traded on the over-the-counter (OTC) markets. Default is modeled in a structural framework. The technique employed for pricing is good deal bounds (GDBs). The method imposes...

  15. Collective Innovation : A new approach for dealing with society induced challenges: A case study in the Dutch Bakery Sector

    NARCIS (Netherlands)

    De Graaf, R.; Van der Duin, P.M.

    2013-01-01

    Since many of today's problems are becoming ever more complex, the way we look for and manage innovations to solve these problems should also be innovated. We introduce the ‘Collective Innovation’ approach to deal with these kind of ‘wicked problems’ that require the input of many different parties.

  16. Is a Nuclear Deal with Iran Possible? An Analytical Framework for the Iran Nuclear Negotiations

    OpenAIRE

    Sebenius, James Kimble; Singh, Michael K.

    2012-01-01

    Varied diplomatic approaches by multiple negotiators over several years have failed to conclude a nuclear deal with Iran. Mutual hostility, misperception, and flawed diplomacy may be responsible. Yet, more fundamentally, no mutually acceptable deal may exist. To assess this possibility, a "negotiation analytic" framework conceptually disentangles two issues: 1) whether a feasible deal exists and 2) how to design the most promising process to achieve one. Focusing on whether a "zone of possibl...

  17. Examination of Relationship between Self-esteem, Life Satisfaction of Riot Policemen and Their Approach to Dealing with Stress

    OpenAIRE

    Ruhi YİĞİT

    2012-01-01

    Main objective of this study is to examinate of relationship between self-esteem, life satisfaction of riot police and their approach to dealing with stress. Research data has been obtained through using self-esteem scale and inventory of approach to dealing with stress. The first finding is that there is a positive and meaningful relationship between self-esteem of riot police and their life satisfaction. As the self-esteem increases, so the life satisfaction does. The second finding is that...

  18. How Communities Deal with Traumatic Memory: Lessons from Aceh ...

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

    This comparative research analyzes reparation processes underway in Aceh and Timor-Leste. It aims to foster a deeper understanding of how communities and individual victims of massive human rights abuses can deal with their traumatic past, while seeking justice on issues such as population displacement and political ...

  19. Competition between Free-Floating Plants Is Strongly Driven by Previously Experienced Phosphorus Concentrations in the Water Column.

    Science.gov (United States)

    Peeters, Edwin T H M; Neefjes, Rozemarijn E M; Zuidam, Bastiaan G van

    2016-01-01

    concentrations should be taken into account in future studies dealing with competition between plants.

  20. Ten Rules for Dealing with Negative Contributions in Social Media

    Directory of Open Access Journals (Sweden)

    Adriana Stránská

    2015-03-01

    Full Text Available Social media is becoming a key part of business communication strategy. Despite all the advantages, social media also poses a threat to business reputation. Dissatisfied customers can reach a large audience and share their negative experiences with others. This paper deals with the impact of social media on the practice of public relations. The goal of the paper is to formulate a set of rules for dealing with negative contributions and generally with crisis communication in social media. It is based on two surveys. Individual interviews with social media experts are the core part of the analysis. They are complemented by questioning of consumers to get deeper insight into complaining behavior via social media. The defined set of rules provides a useful tool for the social media crisis management.

  1. [Dealing with diagnostic uncertainty in general practice].

    Science.gov (United States)

    Wübken, Magdalena; Oswald, Jana; Schneider, Antonius

    2013-01-01

    In general, the prevalence of diseases is low in primary care. Therefore, the positive predictive value of diagnostic tests is lower than in hospitals where patients are highly selected. In addition, the patients present with milder forms of disease; and many diseases might hide behind the initial symptom(s). These facts lead to diagnostic uncertainty which is somewhat inherent to general practice. This narrative review discusses different sources of and reasons for uncertainty and strategies to deal with it in the context of the current literature. Fear of uncertainty correlates with higher diagnostic activities. The attitude towards uncertainty correlates with the choice of medical speciality by vocational trainees or medical students. An intolerance of uncertainty, which still increases as medicine is making steady progress, might partly explain the growing shortage of general practitioners. The bio-psycho-social context appears to be important to diagnostic decision-making. The effect of intuition and heuristics are investigated by cognitive psychologists. It is still unclear whether these aspects are prone to bias or useful, which might depend on the context of medical decisions. Good communication is of great importance to share uncertainty with the patients in a transparent way and to alleviate shared decision-making. Dealing with uncertainty should be seen as an important core component of general practice and needs to be investigated in more detail to improve the respective medical decisions. Copyright © 2013. Published by Elsevier GmbH.

  2. Firms’ Choice of Financiers in M&A Deals : The Value of Bank-Firm Relationships

    NARCIS (Netherlands)

    Pantjes, Rik; Tümer-Alkan, Günseli

    2017-01-01

    In this paper, we investigate the link between the financing of mergers and acquisitions deals and existing bank-firm relationships by using a unique dataset consisting of forty M&A deals in the Netherlands from 2004 to 2012. The dataset allows us to identify the existing relationship lender to the

  3. Dealing with uncertainties in the nanotech workplace practice: making the precautionary approach operational.

    Science.gov (United States)

    van Broekhuizen, Pieter

    2011-02-01

    If the risk management for the professional use of dispersive nanomaterials is hampered by a lack of reliable information, the reliable manager and the policy makers have to chose to make the precautionary principle operational for nanotech workplace. This study presents some tools that can be useful for the health & safety manager and for nanotech workers to deal with uncertainties in the nano-workplace.

  4. DEALS: a maintainable superconducting magnet system for tokamak fusion reactors

    International Nuclear Information System (INIS)

    Hseih, S.Y.; Danby, G.; Powell, J.R.

    1979-01-01

    The feasibility of demountable superconducting magnet systems has been examined in a design study of a DEALS [Demountable Externally Anchored Low Stress] TF magnet for an HFITR [High Field Ignition Test Reactor] Tokamak device. All parts of the system appear feasible, including the demountable superconducting joints. Measurements on small scale prototype joints indicate that movable pressure contact joints exhibit acceptable electrical, mechanical, and cryogenic performance. Such joints permit a relatively simple support structure and are readily demountable. Assembly and disassembly sequences are described whereby any failed portion of the magnet, or any part of the reactor inside the TF coils can be removed and replaced if necessary

  5. Estimating the effect of current, previous and never use of drugs in studies based on prescription registries

    DEFF Research Database (Denmark)

    Nielsen, Lars Hougaard; Løkkegaard, Ellen; Andreasen, Anne Helms

    2009-01-01

    of this misclassification for analysing the risk of breast cancer. MATERIALS AND METHODS: Prescription data were obtained from Danish Registry of Medicinal Products Statistics and we applied various methods to approximate treatment episodes. We analysed the duration of HT episodes to study the ability to identify......PURPOSE: Many studies which investigate the effect of drugs categorize the exposure variable into never, current, and previous use of the study drug. When prescription registries are used to make this categorization, the exposure variable possibly gets misclassified since the registries do...... not carry any information on the time of discontinuation of treatment.In this study, we investigated the amount of misclassification of exposure (never, current, previous use) to hormone therapy (HT) when the exposure variable was based on prescription data. Furthermore, we evaluated the significance...

  6. South African pension fund conversions: Dealing with environmental change

    Directory of Open Access Journals (Sweden)

    D. T. George

    2007-12-01

    Full Text Available Purpose: The purpose of this paper is to analyse South African pension fund conversions from defined benefit to defined contribution structures and to develop a model for dealing with environmental change. Design/Methodology/Approach: Qualitative research methodology was used. Industry experts were interviewed to obtain a macro view of the phenomenon and specific manifestations of the phenomenon were also considered in case studies.Feedback from semi-structured interviews was categorised into several emergent themes. Within-case and cross-case analyses were conducted. Findings: Results indicated that an environmental shock exerted a substantial influence on the course of events. Under these: • Various factors combined to drive organisational evolution (i.e. adaptation to the environment. • Adaptation speed was inappropriate and exceeded that which was required for sufficient thought. • Uncertainty and vacuum circumstances arose leading to consequences that require redress. • The relative power of the stakeholders changed and influenced the strategic outcome. • An imbalance in stakeholder interests arose and ethical factors became consequential. • Business acted to restore certainty for itself. Implications: This paper provides insight into organisational behaviour during periods of environmental shock. Environmental shock can be defined as "a condition that arises where business or societal rules are inadequate, or do not exist, to deal with unfolding events". An environmental shock has greater magnitude than a competitive shock, and can include several competitive shocks. Originality/Value: Analysis of pension fund conversions revealed organisational behaviour during periods of environmental shock and the emerging model can be applied in other instances of environmental shock, such as broad-based black economic empowerment (B-B BEE, land redistribution, sanctions and constitutional development.

  7. Appropriate Educational Means of Dealing with the Phenomenon of Smoking among Zarqa University Students

    Science.gov (United States)

    hatamleh, habes Moh'd; al Khaza'leh, Mohammed Salman

    2016-01-01

    The study aimed to identify the (appropriate educational means of dealing with the phenomenon of smoking among Zarqa University students), and to achieve this goal, the descriptive approach has been used, also used a questionnaire submitted to (800) students of the sample, and a couple of open questions has been submitted to 70 members of the…

  8. Preference to use aggregators rather than individual deal sites: Impact of Big Five Inventory personality traits

    DEFF Research Database (Denmark)

    Sudzina, Frantisek; Pavlicek, Antonin

    2017-01-01

    Deal sites are widely used for some time and there is a growing body of knowledge on them. There exists literature on infomediaries. But there is a gap when it comes to infomediaties focused on deal sites, i.e. aggregators of deal site offers. The research focused on impact of Big Five Inventory...... personality traits on whether respondents prefer visiting individual deal sites, or aggregators, or they do not have any preference and visit both. Gender was used as a control variable. With regards, to the results, conscientiousness agreeableness, and openness to experi-ence influence the preference. Higher...... the values of all three variables, more likely it is that a person prefers aggregators....

  9. The Iranian nuclear deal. Caught between centrifuge and separative working unit?

    Energy Technology Data Exchange (ETDEWEB)

    Ghoshal, Debalina

    2017-11-15

    In November 2013, a historic nuclear deal, the Joint Plan of Action (JPA) was struck between Iran and the P5+1 Countries, United States, Russia, China, Britain, France and Germany. Under this deal, Iran agreed to restrict its nuclear program that would close the doors for Iran to develop nuclear weapons. This indeed was historic as for over a decade, ever since the Iranian nuclear program attracted international attention and criticism, several arrangements were made to curtail the Iranian nuclear program, but none reached the desired success. In exchange for abiding by the JPA, Iran was promised partial relief of sanctions. The paper tracks the development and identifies the scope of Iran's centrifuge program.

  10. The nuclear deal with Iran: Le moment suprême?

    NARCIS (Netherlands)

    Blockmans, S.

    2015-01-01

    More than two years in the making, the agreement concluded by China, the EU, France, Germany, Russia, the UK and the US with Iran to prevent the ‘weaponisation’ of the latter’s nuclear programme is a big deal. But, cautions Steven Blockmans in this CEPS Commentary, it is not the silver bullet to the

  11. Dealing with Malfunction: Locus of Control in Web-Conferencing

    Science.gov (United States)

    Klebl, Michael

    2014-01-01

    This paper considers how students deal with malfunctions that occur during the use of web conferencing systems in learning arrangements. In a survey among participants in online courses that make use of a web-conferencing system (N = 129), the relationship between a preference for internal or external locus of control and the perception of…

  12. Child Soldiers: Are U.S. Military Members Prepared to Deal with the Threat?

    Science.gov (United States)

    2006-02-15

    killing child soldiers. Additional attention should also be invested into identifying interventions that would decrease the negative stigma of mental...AIR WAR COLLEGE AIR UNIVERSITY CHILD SOLDIERS: ARE U.S. MILITARY MEMBERS PREPARED TO DEAL WITH THE THREAT? by Judith Hughes, LtCol, USAF A...COVERED 00-00-2006 to 00-00-2006 4. TITLE AND SUBTITLE Child Soldiers: Are U.S. Military Members Prepared to Deal with the Threat? 5a. CONTRACT

  13. Risk Competence in Dealing With Alcohol and Other Drugs in Adolescence.

    Science.gov (United States)

    Nagy, Ede; Verres, Rolf; Grevenstein, Dennis

    2017-12-06

    Adolescence is a critical phase for the development substance use patterns. We propose that individual competence in dealing with psychoactive substances is crucial for the development of healthy substance use behavior and prevention of substance misuse or addiction. We present a new concept of health related skills in dealing with alcohol and other drugs in adolescence, its operationalization and validation. Our conception of risk competence (RICO) consists of the four major factors being Reflective, Informed, Self-Controlled and Life-Oriented, and their sub-facets. Based on a sample of N = 753 adolescents we used classical test theory as well as item response theory to create a new measure of RICO. Validity was investigated in a new sample of N = 229 with regard to substance use, risk perception, and measures of personality (Big Five, sense of coherence, general self-efficacy). RICO contains 7 scales with 28 items that measure independent aspects of risk competence. Cross-sectional criterion validity for most of the scales could be shown. Conclusions/Importance: The new RICO scales are a valid measure of different aspects of risk competence in dealing with psychoactive substances. The questionnaire can be used in general research settings, but may also be applied to assess the effects of interventions.

  14. Conquering complexity - Dealing with uncertainty and ambiguity in water management

    NARCIS (Netherlands)

    Hommes, Saskia

    2008-01-01

    Water management problems are embedded in a natural and social system that is characterized by complexity. Knowledge uncertainty and the existence of divergent actors’ perceptions contribute to this complexity. Consequently, dealing with water management issues is not just a knowledge uncertainty

  15. The Politics of Climate Change: Can a Deal be Done?

    OpenAIRE

    Tobin, Paul

    2015-01-01

    The Paris climate conference in December 2015 has been heralded as a crucial opportunity for achieving global agreement on climate change. Paul Tobin analyses the structure of these negotiations and identifies the key barriers to striking a deal on climate change.

  16. On the efficiency gains of emissions trading when climate deals are non-cooperative

    Energy Technology Data Exchange (ETDEWEB)

    Godal, Odd; Holtsmark, Bjart

    2011-07-15

    This paper studies, in a numerical environment, climate treaties with emissions trading when national quotas result from strategic individual choice. We find that the larger the number of parties to the deal, the smaller are the emissions reductions and the lower the welfare. If insisting on stability with respect to participation, climate treaties involve few parties and yield practically no emissions reductions. While these results contrast with some optimistic studies, our numerical example conforms established results if modelling the problem in the more traditional sense. (Author)

  17. Great deal achieved at Cape's nuclear island

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    Since the civil engineering contract commenced a great deal has been achieved at Escom's Koeberg nuclear power station north of Cape Town. About 50 percent of the civil work has now been done and the entire project remains on schedule for a January 1982 start-up on nuclear reactor unit number one and a January 1983 start-up on unit two. Final handover is scheduled for January 1984. Completion of the civil works is scheduled for December 1981. The construction of the Koeberg nuclear power station is discussed, as well as the contractors for the civil engineering work

  18. Dealing with Emotional Problems Using Rational-Emotive Cognitive Behaviour Therapy: A Client's Guide

    OpenAIRE

    Dryden, Windy

    2012-01-01

    Dealing with Emotional Problems offers clear, practical advice on how to deal with some of the most common emotional difficulties.\\ud \\ud Rational-Emotive Cognitive Behaviour Therapy (RECBT) is a technique that encourages a direct focus on emotional problems, helping you to understand the thoughts, beliefs and behaviours that cause you to maintain these problems. This understanding will enable you to overcome problems and lead a happier and more fulfilling life.\\ud \\ud The book begins by outl...

  19. The Capacity to Integrate and Deal with Environmental Issues in Local Transport Policy and Planning

    DEFF Research Database (Denmark)

    Hansen, Carsten Jahn

    2002-01-01

    The article identifies and discuss the capacity to integrate and deal with environmental issues in local transport policy-making and planning processes.......The article identifies and discuss the capacity to integrate and deal with environmental issues in local transport policy-making and planning processes....

  20. INTERNATIONAL LEGAL ASPECTS OF DEALING WITH THE CONTEMPORARY TERRORISM THREATS

    Directory of Open Access Journals (Sweden)

    Vesna Poposka

    2017-05-01

    Full Text Available Recent challenges in international security posed by two terrorist organizations, Al Qaeda and ISIS, have highlighted an urgent domestic and foreign policy challenge. Terrorism has been, for more than a decade, top headline in the world media, and the cost of terrorist activities is expressed in numerous human lives and enormous material damage. Yet to date, international organizations and governments have not been successful in the attempt to find a common definition or uniform approach. Up to now, the approaches towards terrorist activities differ from case to case. There is no single legal regime to deal with terrorist activities, and the legal regime is what gives the answer and the framework for the counter-terrorist activities of the security forces, in order to be able to deal with the threat. This paper will attempt to answer at least some of the dilemmas.

  1. Advertising and Regulation during the New Deal Era, 1933-1941.

    Science.gov (United States)

    Lanfranco, Leonard W.

    As the "New Deal" era of the "Great Depression" promised relief from the publicly perceived failures of business and industry, a corresponding attitude of consumerism arose, aimed at "Big Business's" accomplice, advertising. Across the nation, national and local consumer protection organizations arose, and nonconsumer…

  2. Double-dealing behavior potentially promotes cooperation in evolutionary prisoner's dilemma games

    Science.gov (United States)

    Dai, Qionglin; Li, Haihong; Cheng, Hongyan; Li, Yuting; Yang, Junzhong

    2010-11-01

    We investigate the effects of double-dealing behavior on cooperation in evolutionary games. Each individual in a population has two attributes: character and action. One's action may be consistent with one's character or not. We provide analytical results by a mean-field description of evolutionary prisoner's dilemma games (PDGs). Moreover, we give numerical results on different networks, ranging from square lattices to scale-free networks (SFNs). Two important conclusions have been drawn from the results on SFNs. Firstly, if only non-influential individuals (those with low degrees) have chances of becoming double-dealers, cooperation is certain to deteriorate. Secondly, when influential individuals (those with high degrees) adopt double-dealing behavior moderately, cooperation would be enhanced, which is in opposition to the traditional belief. These results help us to understand better the social phenomenon of the existence of double-dealers. In addition to the PDG, other types of games including the snowdrift game, the stag-hunt game and the harmony game have also been studied on our model. The results for these three games are also presented, which are consistent with the results for the PDG qualitatively. Furthermore, we consider our model under the co-evolution framework, in which the probability of an individual changing into a double-dealer and the individual strategy both could evolve during the evolutionary process.

  3. Impact of Theory of Consumption Values Motives on Intention to Use Deal Sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2016-01-01

    Deal sites became a widely used over the period of last several years. But there is still only a limited number of papers investigating their adoption and use from a customer perspective. Most of the research published on the topic is rather exploratory than using existing theories. The Theory of...... of Consumption Values is a marketing theory that explains purchase behavior. The aim of this paper is to test if the Theory of Consumption Values motives influence intention to use deal sites....

  4. Dealing with the Multidimensionality of Sustainability through the Use of Multiple Perspectives--A Theoretical Framework

    Science.gov (United States)

    Lönngren, Johanna; Svanström, Magdalena; Ingerman, Åke; Holmberg, John

    2016-01-01

    The concept of perspectives is important in discussions about the multidimensionality of sustainability problems and the need to consider many different aspects when dealing with them. This paper aims to facilitate discussions among both educators and researchers about didactical approaches to developing students' abilities to deal with the…

  5. China's capacity of hospitals to deal with infectious diseases in the context of climate change.

    Science.gov (United States)

    Tong, Michael Xiaoliang; Hansen, Alana; Hanson-Easey, Scott; Xiang, Jianjun; Cameron, Scott; Liu, Qiyong; Liu, Xiaobo; Sun, Yehuan; Weinstein, Philip; Han, Gil-Soo; Bi, Peng

    2018-06-01

    Infectious diseases are a major cause of morbidity and mortality in China. The capacity of hospitals to deal with the challenge from emerging and re-emerging infectious diseases due to climate change is of great importance to population health. This study aimed to explore the capacity of hospitals in China to deal with such challenges. A cross-sectional questionnaire survey was utilized to gauge information regarding capacity of hospitals to deal with infectious diseases in the context of climate change among 611 clinical professionals whose roles pertained to infectious disease diagnosis, treatment and management in Anhui Province of China. Descriptive analysis and logistic regression analysis were performed on the data. More than 90% of participants believed climate change would have an adverse influence on population health and infectious disease control in China. Most indicated that their hospitals were well prepared for emerging infectious diseases at present, and they considered that logistical support in hospitals (e.g. administrative and maintenance services) should be strengthened for future capacity building. The majority of participants suggested that effective prevention and control measures, more interdisciplinary collaborations, more funding in rural areas for health care, and improved access to facilities enabling online reporting of infectious diseases, were extremely important strategies in building capacity to curb the population health impact of emerging and re-emerging infectious diseases due to climate change in China. Clinical professionals recognized that climate change will likely increase the transmission of infectious diseases. Although rural health care and hospitals' logistical support need to be improved, most professionals believed their hospitals to be capable of dealing with emerging diseases. They thought that interdisciplinary and cross-regional collaborations, together with necessary resource support (e.g. improved facilities for

  6. The Fallacy of International Land Deals in Transforming the Rural ...

    African Journals Online (AJOL)

    The impact of international land deals on the rural populations has become a contested terrain among academics and in public discourse. While some people argue that foreign land investments can facilitate rural development by occasioning employment creation, increasing productivity and markets, as well as promoting ...

  7. Looking for Reasons behind Success in Dealing with Requirements Change

    NARCIS (Netherlands)

    de Wit, J.J.; Ponisio, Laura

    2008-01-01

    During development, requirements of software systems are subject to change. Unfortunately, managing changing requirements can take a lot of time and effort. Yet some companies show a better management of changes in requirements than others. Why? What is it that makes some projects deal with changing

  8. Dealing with at-risk populations in radiological/nuclear emergencies

    International Nuclear Information System (INIS)

    Wilkinson, D.

    2009-01-01

    In a mass casualty event, there will be at-risk populations that will require unique triage, treatment and consequence management to minimise immediate and long-term health effects. This statement is particularly true for radiological/nuclear (R/N) disasters where individuals exhibit a broad range of physiological responses to radiation exposure. For example, immunocompromised individuals will experience more detrimental radiation health effects; however, it is not always possible to definitively identify these individuals at the time of triage. Immediate and long-term consequence management for these individuals may require unique and potentially limited resources. Thus, at the time of an R/N event, it is crucial to assist community planners by: (a) rapidly identifying at-risk individuals who may have been exposed; (b) determining the dose and individual-specific health risks associated with radiation exposure; (c) identifying additional resources needed to deal with unique, population-specific requirements; and (d) developing treatment strategies in keeping with the rules of 'supply and demand'. A comprehensive approach to identifying issues relevant to the R/N emergency preparedness for dealing with at-risk populations will be discussed with the aim of defining future research objectives. (authors)

  9. Implant breast reconstruction after salvage mastectomy in previously irradiated patients.

    Science.gov (United States)

    Persichetti, Paolo; Cagli, Barbara; Simone, Pierfranco; Cogliandro, Annalisa; Fortunato, Lucio; Altomare, Vittorio; Trodella, Lucio

    2009-04-01

    The most common surgical approach in case of local tumor recurrence after quadrantectomy and radiotherapy is salvage mastectomy. Breast reconstruction is the subsequent phase of the treatment and the plastic surgeon has to operate on previously irradiated and manipulated tissues. The medical literature highlights that breast reconstruction with tissue expanders is not a pursuable option, considering previous radiotherapy a contraindication. The purpose of this retrospective study is to evaluate the influence of previous radiotherapy on 2-stage breast reconstruction (tissue expander/implant). Only patients with analogous timing of radiation therapy and the same demolitive and reconstructive procedures were recruited. The results of this study prove that, after salvage mastectomy in previously irradiated patients, implant reconstruction is still possible. Further comparative studies are, of course, advisable to draw any conclusion on the possibility to perform implant reconstruction in previously irradiated patients.

  10. Breach of duty: Power of shareholders to ratify directors fraudulent dealings

    Directory of Open Access Journals (Sweden)

    Anthony O. Nwafor

    2014-07-01

    Full Text Available Company directors owe duty of loyalty to the company which prohibits them from fraudulent dealings in the course of conducting the affairs of the company. Although the shareholders could, in the exercise of their voting powers, grant relieves to the directors from liabilities arising from a breach of duty that amounts to fraud, the extent and capacity in which the shareholders could exercise such powers is confounded by the elusive attempts by the courts in defining fraud. The paper argues that without a definite meaning ascribed to fraud, the power and capacity in which the shareholders could ratify a breach of duty arising from self-dealing and expropriation of corporate opportunities by directors cannot be predetermined, but that each case would be based on the peculiarities of its own facts.

  11. [Training health workers to deal with sexual abuse of children and adolescents in Fortaleza, Ceará State, Brazil].

    Science.gov (United States)

    Deslandes, Suely; Cavalcanti, Ludmila Fontenele; Vieira, Luiza Jane Eyre de Souza; Silva, Raimunda Magalhães da

    2015-02-01

    This study aimed to identify initiatives for training staff in the municipal healthcare system in Fortaleza, Ceará State, Brazil, to deal with cases of sexual abuse of children and adolescents. The reference for this exploratory study was the training program provided by the municipal government in 2010-2012 for administrators and health professionals in the public healthcare system in Fortaleza. At the time, the issue of sexual abuse was low in the system's training programs, despite recognition of its importance. Federal and State programs have provided input for such training programs in the various municipal health departments. The main strategy was to invest in training for health workers in primary care. Social workers were found to have insufficient training, aggravated by temporary work contracts and high staff turnover. The study suggests the need for training to deal with violence, particularly sexual abuse.

  12. Network Analyses in Systems Biology: New Strategies for Dealing with Biological Complexity

    DEFF Research Database (Denmark)

    Green, Sara; Serban, Maria; Scholl, Raphael

    2018-01-01

    of biological networks using tools from graph theory to the application of dynamical systems theory to understand the behavior of complex biological systems. We show how network approaches support and extend traditional mechanistic strategies but also offer novel strategies for dealing with biological...... strategies? When and how can network and mechanistic approaches interact in productive ways? In this paper we address these questions by focusing on how biological networks are represented and analyzed in a diverse class of case studies. Our examples span from the investigation of organizational properties...

  13. Localising welfare-to-work? Territorial flexibility and the New Deal for Young People

    OpenAIRE

    Corinne Nativel; Peter Sunley; Ron Martin

    2002-01-01

    The move towards workfare and active labour-market policies is often alleged to be closely associated with the decentralisation and localisation of welfare delivery and agencies. In the United Kingdom, the New Deal for the young unemployed was designed to introduce local flexibility and discretion in delivery to mainstream labour-market policy. We use case studies of five local areas to examine the extent to which the programme has actually been decentralised and benefited from 'local flexibi...

  14. Dealing with missing data in a multi-question depression scale: a comparison of imputation methods

    Directory of Open Access Journals (Sweden)

    Stuart Heather

    2006-12-01

    Full Text Available Abstract Background Missing data present a challenge to many research projects. The problem is often pronounced in studies utilizing self-report scales, and literature addressing different strategies for dealing with missing data in such circumstances is scarce. The objective of this study was to compare six different imputation techniques for dealing with missing data in the Zung Self-reported Depression scale (SDS. Methods 1580 participants from a surgical outcomes study completed the SDS. The SDS is a 20 question scale that respondents complete by circling a value of 1 to 4 for each question. The sum of the responses is calculated and respondents are classified as exhibiting depressive symptoms when their total score is over 40. Missing values were simulated by randomly selecting questions whose values were then deleted (a missing completely at random simulation. Additionally, a missing at random and missing not at random simulation were completed. Six imputation methods were then considered; 1 multiple imputation, 2 single regression, 3 individual mean, 4 overall mean, 5 participant's preceding response, and 6 random selection of a value from 1 to 4. For each method, the imputed mean SDS score and standard deviation were compared to the population statistics. The Spearman correlation coefficient, percent misclassified and the Kappa statistic were also calculated. Results When 10% of values are missing, all the imputation methods except random selection produce Kappa statistics greater than 0.80 indicating 'near perfect' agreement. MI produces the most valid imputed values with a high Kappa statistic (0.89, although both single regression and individual mean imputation also produced favorable results. As the percent of missing information increased to 30%, or when unbalanced missing data were introduced, MI maintained a high Kappa statistic. The individual mean and single regression method produced Kappas in the 'substantial agreement' range

  15. Ethical attitudes of Andalusian journalists to deal with especially sensitive issues

    Directory of Open Access Journals (Sweden)

    JC Suárez Villegas

    2013-04-01

    Full Text Available Introduction. This research article analyses the positions of Andalusian journalists in relation to especially sensitive issues. Methods. The study combines qualitative and quantitative techniques: in-depth interviews and a questionnaire-based survey, respectively. Results. The professional work of Andalusian journalists is based more on the predominant values of their communities than on the deontological codes of the profession, which are unknown by the vast majority. Conclusions. Journalists exhibit a liberal spirit, which is characteristic of a secular society, and believe that the freedom of expression should be respected when dealing with especially sensitive issues, which must be resolved according to the particular circumstances of each case.

  16. Methods Used to Deal with Peace Process Spoilers

    Directory of Open Access Journals (Sweden)

    MA. Bilbil Kastrati

    2014-06-01

    Full Text Available The conflicts of the past three decades have shown that the major problems which peace processes face are the spoilers. Spoilers are warring parties and their leaders who believe that peaceful settlement of disputes threatens their interests, power and their reputation; therefore, they use all means to undermine or completely spoil the process. Spoilers of peace processes can be inside or outside of the process and are characterized as limited, greedy or total spoilers. Their motives for spoiling can be different, such as: political, financial, ethnic, security, etc. Furthermore, it is important to emphasise that spoilers are not only rebels and insurgents, but can often be governments, diasporas, warlords, private military companies, etc. In order to counteract the spoilers, the international community has adopted and implemented three methods: inducement, socialization and coercion. Often all three methods are used to convince the spoilers to negotiate, accept and implement peace agreements. Hence, this paper will examine the methods used to deal with peace process spoilers through an assessment of the strategies employed, impact, success and failures. This paper will also argue that the success or failure of the peace process depends on the method(s used to deal with spoilers. If the right method is chosen, with a persistent engagement of the international community, the peace process will be successful; on the contrary, if they fail to do so, the consequences will be devastating.

  17. Competition between Free-Floating Plants Is Strongly Driven by Previously Experienced Phosphorus Concentrations in the Water Column.

    Directory of Open Access Journals (Sweden)

    Edwin T H M Peeters

    experienced phosphorus concentrations should be taken into account in future studies dealing with competition between plants.

  18. Competition between Free-Floating Plants Is Strongly Driven by Previously Experienced Phosphorus Concentrations in the Water Column

    Science.gov (United States)

    Peeters, Edwin T. H. M.; Neefjes, Rozemarijn E. M.; van Zuidam, Bastiaan G.

    2016-01-01

    concentrations should be taken into account in future studies dealing with competition between plants. PMID:27622519

  19. Dealing with female sexuality: training, attitude, and practice of obstetrics and gynecology residents from a developing country.

    Science.gov (United States)

    Vieira, Teresa Cristina Souza Barroso; de Souza, Eduardo; da Silva, Ivaldo; Torloni, Maria Regina; Ribeiro, Meireluci Costa; Nakamura, Mary Uchiyama

    2015-05-01

    There is little research on how obstetrics and gynecology (Ob/Gyn) residents deal with female sexuality, especially during pregnancy. The aim of this study was to assess the training, attitude, and practice of Ob/Gyn residents about sexuality. A cross-sectional survey of Brazilian Ob/Gyn residents enrolling in an online sexology course was conducted. A questionnaire assessed their training in sexuality during medical school and residency and their attitude and practice on sexual issues during pregnancy. Training, attitude, and practice of Ob/Gyn residents regarding sexuality were the main outcome measures. A total of 197 residents, from 21 different programs, answered the online questionnaire. Mean age was 27.9 ± 2.2, most were female (87%), single (79%), and had graduated in the last 5 years (91%). Almost two-thirds (63%) stated that they did not receive any training at all and 28% reported having only up to 6 hours of training about sexuality in medical school. Approximately half of the respondents (49%) stated that they had received no formal training about sexuality during their residency up to that moment and 29% had received ≤6 hours of training. Over half (56%) never or rarely took a sexual history, 51% stated that they did not feel competent or confident to answer their pregnant patients' questions about sexuality, and 84% attributed their difficulties in dealing with sexual complaints to their lack of specific knowledge on the topic. The vast majority of Brazilian Ob/Gyn residents enrolling in a sexuality course had little previous formal training on this topic in medical school and during their residency programs. Most residents do not take sexual histories of pregnant patients, do not feel confident in answering questions about sexuality in pregnancy, and attribute these difficulties to lack of knowledge. These findings point to a clear need for additional training in sexuality among Brazilian Ob/Gyn residents. © 2015 International Society for

  20. Case-control study for colorectal cancer genetic susceptibility in EPICOLON: previously identified variants and mucins

    Directory of Open Access Journals (Sweden)

    Moreno Victor

    2011-08-01

    Full Text Available Abstract Background Colorectal cancer (CRC is the second leading cause of cancer death in developed countries. Familial aggregation in CRC is also important outside syndromic forms and, in this case, a polygenic model with several common low-penetrance alleles contributing to CRC genetic predisposition could be hypothesized. Mucins and GALNTs (N-acetylgalactosaminyltransferase are interesting candidates for CRC genetic susceptibility and have not been previously evaluated. We present results for ten genetic variants linked to CRC risk in previous studies (previously identified category and 18 selected variants from the mucin gene family in a case-control association study from the Spanish EPICOLON consortium. Methods CRC cases and matched controls were from EPICOLON, a prospective, multicenter, nationwide Spanish initiative, comprised of two independent stages. Stage 1 corresponded to 515 CRC cases and 515 controls, whereas stage 2 consisted of 901 CRC cases and 909 controls. Also, an independent cohort of 549 CRC cases and 599 controls outside EPICOLON was available for additional replication. Genotyping was performed for ten previously identified SNPs in ADH1C, APC, CCDN1, IL6, IL8, IRS1, MTHFR, PPARG, VDR and ARL11, and 18 selected variants in the mucin gene family. Results None of the 28 SNPs analyzed in our study was found to be associated with CRC risk. Although four SNPs were significant with a P-value ADH1C (OR = 1.63, 95% CI = 1.06-2.50, P-value = 0.02, recessive, rs1800795 in IL6 (OR = 1.62, 95% CI = 1.10-2.37, P-value = 0.01, recessive, rs3803185 in ARL11 (OR = 1.58, 95% CI = 1.17-2.15, P-value = 0.007, codominant, and rs2102302 in GALNTL2 (OR = 1.20, 95% CI = 1.00-1.44, P-value = 0.04, log-additive 0, 1, 2 alleles], only rs3803185 achieved statistical significance in EPICOLON stage 2 (OR = 1.34, 95% CI = 1.06-1.69, P-value = 0.01, recessive. In the joint analysis for both stages, results were only significant for rs3803185 (OR = 1

  1. Case-control study for colorectal cancer genetic susceptibility in EPICOLON: previously identified variants and mucins

    International Nuclear Information System (INIS)

    Abulí, Anna; Morillas, Juan D; Rigau, Joaquim; Latorre, Mercedes; Fernández-Bañares, Fernando; Peña, Elena; Riestra, Sabino; Payá, Artemio; Jover, Rodrigo; Xicola, Rosa M; Llor, Xavier; Fernández-Rozadilla, Ceres; Carvajal-Carmona, Luis; Villanueva, Cristina M; Moreno, Victor; Piqué, Josep M; Carracedo, Angel; Castells, Antoni; Andreu, Montserrat; Ruiz-Ponte, Clara; Castellví-Bel, Sergi; Alonso-Espinaco, Virginia; Muñoz, Jenifer; Gonzalo, Victoria; Bessa, Xavier; González, Dolors; Clofent, Joan; Cubiella, Joaquin

    2011-01-01

    Colorectal cancer (CRC) is the second leading cause of cancer death in developed countries. Familial aggregation in CRC is also important outside syndromic forms and, in this case, a polygenic model with several common low-penetrance alleles contributing to CRC genetic predisposition could be hypothesized. Mucins and GALNTs (N-acetylgalactosaminyltransferase) are interesting candidates for CRC genetic susceptibility and have not been previously evaluated. We present results for ten genetic variants linked to CRC risk in previous studies (previously identified category) and 18 selected variants from the mucin gene family in a case-control association study from the Spanish EPICOLON consortium. CRC cases and matched controls were from EPICOLON, a prospective, multicenter, nationwide Spanish initiative, comprised of two independent stages. Stage 1 corresponded to 515 CRC cases and 515 controls, whereas stage 2 consisted of 901 CRC cases and 909 controls. Also, an independent cohort of 549 CRC cases and 599 controls outside EPICOLON was available for additional replication. Genotyping was performed for ten previously identified SNPs in ADH1C, APC, CCDN1, IL6, IL8, IRS1, MTHFR, PPARG, VDR and ARL11, and 18 selected variants in the mucin gene family. None of the 28 SNPs analyzed in our study was found to be associated with CRC risk. Although four SNPs were significant with a P-value < 0.05 in EPICOLON stage 1 [rs698 in ADH1C (OR = 1.63, 95% CI = 1.06-2.50, P-value = 0.02, recessive), rs1800795 in IL6 (OR = 1.62, 95% CI = 1.10-2.37, P-value = 0.01, recessive), rs3803185 in ARL11 (OR = 1.58, 95% CI = 1.17-2.15, P-value = 0.007, codominant), and rs2102302 in GALNTL2 (OR = 1.20, 95% CI = 1.00-1.44, P-value = 0.04, log-additive 0, 1, 2 alleles], only rs3803185 achieved statistical significance in EPICOLON stage 2 (OR = 1.34, 95% CI = 1.06-1.69, P-value = 0.01, recessive). In the joint analysis for both stages, results were only significant for rs3803185 (OR = 1.12, 95% CI = 1

  2. Vocational Studies, Lifelong Learning and Social Values: Investigating Education, Training and NVQs under the New Deal. Monitoring Change in Education [Series].

    Science.gov (United States)

    Hyland, Terry

    This book examines the New Labour policy on lifelong learning in Great Britain. Special attention is paid to developments surrounding the University for Industry and the New Deal initiatives and the issue of upgrading the British vocational education and training (VET) system to match those of Britain's European competitors. The following are…

  3. Validation of UTAUT and UTAUT2 scales for deal sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek

    2016-01-01

    , that is usual for an early stage of investigation of anything. The Unified Theory of Acceptance and Use of Technology explains adoption and continues usage motives. The aim of this paper is to validate scales for the first and the second version of the Unified Theory of Acceptance and Use of Technology for deal...

  4. From Pre-Revolutionary Study of Religion to Soviet Religious Studies: a Transformation of Scientific Method and Research Techniques and the Formation of the Soviet Way of Dealing with Religious Questions

    Directory of Open Access Journals (Sweden)

    Konstantin Antonov

    2013-12-01

    Full Text Available The author attempts a step by step analysis of the way religion was studied during the Soviet period. Discussing the way Soviet techniques differed from those of the Tsarist period, the author insists that any idea of a normal progression of ideas must be rejected and that instead we are dealing with a transformation of basic principles and a definitive break with the past. In the first part of his article, the author reviews the transformation of the way religion was dealt with from 1910 until the beginning of the 1930's with the aid of some key concepts put forth by Michel Foucault in his Archeology of Knowledge. Following the suggestions of Imre Lakatos regarding a research programs, the author describes the contributions of the main directives of religious thought during this period: the programs dealing with the spiritual-academic, religious-philosophical, and anthropological sectors. The author concludes by describing the main phases of development, the characteristic aspects, and the particularities of the Soviet approach to religion. The forgoing analysis permits the author to conclude that the Soviet approach to religion represents in no way a development but rather a complete break with pre-revolutionary ways of looking at religion and must be treated as a specific phenomenon. Neither can the Soviet approach, judging by its basic principles, be considered to have anything in common with a normal scientific method of studying religion as this term is generally accepted today. Rather, it was a system conditioned by external factors which clearly took precedence over internal ones to the detriment of any objective study of religion.

  5. Mining challenges to deal with the land, forestry and environmental aspects

    International Nuclear Information System (INIS)

    Simatupang, M.

    1996-01-01

    A summary is given of a report of the IMA Business Commission dealing with mining development planning in Indonesia as related to land matters, forestry and environmental aspects. A summary of land matter management of an open pit coal mine is included

  6. Piezosurgery in Bone Augmentation Procedures Previous to Dental Implant Surgery: A Review of the Literature

    Science.gov (United States)

    Magrin, Gabriel Leonardo; Sigua-Rodriguez, Eder Alberto; Goulart, Douglas Rangel; Asprino, Luciana

    2015-01-01

    The piezosurgery has been used with increasing frequency and applicability by health professionals, especially those who deal with dental implants. The concept of piezoelectricity has emerged in the nineteenth century, but it was applied in oral surgery from 1988 by Tomaso Vercellotti. It consists of an ultrasonic device able to cut mineralized bone tissue, without injuring the adjacent soft tissue. It also has several advantages when compared to conventional techniques with drills and saws, such as the production of a precise, clean and low bleed bone cut that shows positive biological results. In dental implants surgery, it has been used for maxillary sinus lifting, removal of bone blocks, distraction osteogenesis, lateralization of the inferior alveolar nerve, split crest of alveolar ridge and even for dental implants placement. The purpose of this paper is to discuss the use of piezosurgery in bone augmentation procedures used previously to dental implants placement. PMID:26966469

  7. The hidden practices and experiences of healthcare practitioners dealing with fuel poverty.

    Science.gov (United States)

    Mc Conalogue, D; Kierans, C; Moran, A

    2016-06-01

    Fuel poverty negatively impacts a population's health affecting life chances along the life course. Moreover, it represents a substantial inequality in the UK. Healthcare practitioners (HCPs) have a key role in identifying and supporting patients who are fuel poor. A qualitative inquiry with District Nurses and General Practitioners, to explore their understanding and experiences of dealing with patients living in fuel poverty. Participants recognize fuel poverty by observing material cues. They perceive their relationship with the patient as pivotal to recognizing the fuel poor. Practitioners' sense of responsibility for their patients' social concerns is determined by their knowledge about the link to health outcomes. The services that they sign-post to are motivated by their experience dealing with the service, or their patients' experiences of the service. Participants' reliance on temporary material cues resulted in few experiences of recognition of the fuel poor. HCPs' perceptions of patient pride and the lack of personal relationship between doctor and patient presented barriers to identifying fuel poor patients. A limitation of this study is the small sample size of nine participants. These came from two professional groups, which afforded more depth of exploration, but may limit applicability to other professionals. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. Methods of Optimisation of the Structure of the Dealing Bank with a Limited Base of Counter-Agents

    Directory of Open Access Journals (Sweden)

    Novak Sergіy M.

    2013-11-01

    Full Text Available The article considers methods of assessment of optimal parameters of the dealing bank service with a limited base of counter-agents. The methods are based on the mathematical model of micro-structure of the inter-bank currency market. The key parameters of the infrastructure of the dealing service within the framework of the model are: number of authorised traders, contingent of counter-agents, quotation policy, main parameters of the currency market – spread and volatility of quotations and the resulting indicators of efficiency of the dealing service – profit and probability of breakeven operation. The methods allow identification of optimal parameters of the infrastructure of the dealing bank service based on indicators of dynamics of currency risks and market environment of the bank. On the basis of the developed mathematical model the article develops methods of planning calculations of parameters of the infrastructure of the dealing bank service, which are required for ensuring a necessary level of efficiency with set parameters of the currency market. Application of the said methods gives a possibility to assess indicators of operation of the bank’s front office depending on its scale.

  9. How do primary health care professionals deal with pregnant women who are victims of domestic violence?

    Science.gov (United States)

    Salcedo-Barrientos, Dora Mariela; Miura, Paula Orchiucci; Macedo, Vanessa Dias; Egry, Emiko Yoshikawa

    2014-01-01

    Objectives to determine how Family Health Strategy professionals recognize and deal with domestic violence in pregnant women. Method qualitative study based on the Theory of Praxis Intervention in Collective Health Nursing (TIPESC). Fourteen professionals at a Basic Health Unit in the east side of Sao Paulo/Brazil were interviewed. Empirical data were categorized and discussed in thematic groups. For data analysis was used the technique of Discourse Analysis. Results we identified low number of reported cases of domestic violence; lack of education and training of health care professionals; failure in the identification and intervention process due to bias on their personal problems, moral attitudes and prejudice against these women. In addition, the study showed that their labor process was based entirely on the biological aspects of the women and to overcome this, they need of proper rapport between health care professionals and pregnant women to deal with of domestic violence. Conclusion professionals should develop skills to intervene in violence against pregnant women and also modify labor processes considering women in their totality and part of society. PMID:25029056

  10. Idiosyncratic deals and employee outcomes: the mediating roles of social exchange and self-enhancement and the moderating role of individualism.

    Science.gov (United States)

    Liu, Jun; Lee, Cynthia; Hui, Chun; Kwan, Ho Kwong; Wu, Long-Zeng

    2013-09-01

    The majority of studies on idiosyncratic employment arrangements ("i-deals") are based on social exchange theory. The authors suggest that self-enhancement theory, in addition to social exchange, can be used to explain the effects of i-deals. Using a multisource sample including 230 employees and 102 supervisors from 2 Chinese companies, the authors adopt a 3-wave lagged design to examine the mediating roles of social exchange and self-enhancement and the moderating role of individualism in the relationships between i-deals and employee outcomes, as indicated by proactive behaviors and affective commitment. The results of bootstrapping analyses confirm the mediating effects of social exchange and self-enhancement. In addition, employees with high levels of individualism are more receptive to self-enhancement effects; in contrast, employees with low levels of individualism are more receptive to social exchange effects. PsycINFO Database Record (c) 2013 APA, all rights reserved

  11. Leadership in project-based organizations: Dealing with complex and paradoxical demands

    NARCIS (Netherlands)

    Havermans, L.A.

    2014-01-01

    Despite the overwhelming amount of attention given by scientists and practitioners to leadership, most theories of leadership have been developed to explain the role of leadership in traditional line organizations, not to explain how leaders deal with complex and paradoxical demands in project-based

  12. Simulation Gaming as a Social Development Instrument : Dealing with Complex Problems

    NARCIS (Netherlands)

    Klievink, B.; Janssen, M.

    Improving public service delivery is a very complex domain and the complexity is difficult to grasp by stakeholders having various degree of knowledge and involvement. An emergent and promising method for dealing with complex problems is simulation gaming, which can be used to capitalize the

  13. Annual individual doses for personnel dealing with ionizing radiation sources

    International Nuclear Information System (INIS)

    Poplavskij, K.K.

    1982-01-01

    Data on annual individual doses for personnel of national economy enterprises, research institutes, high schools, medical establishments dealing with ionizing radiation sources are presented. It is shown that radiation dose for the personnel constitutes only shares of standards established by sanitary legislation. Numeral values of individual doses of the personnel are determined by the type, character and scope of using ionizing radiation sources

  14. Polychlorinated biphenyl exposure, diabetes and endogenous hormones: a cross-sectional study in men previously employed at a capacitor manufacturing plant.

    Science.gov (United States)

    Persky, Victoria; Piorkowski, Julie; Turyk, Mary; Freels, Sally; Chatterton, Robert; Dimos, John; Bradlow, H Leon; Chary, Lin Kaatz; Burse, Virlyn; Unterman, Terry; Sepkovic, Daniel W; McCann, Kenneth

    2012-08-29

    Studies have shown associations of diabetes and endogenous hormones with exposure to a wide variety of organochlorines. We have previously reported positive associations of polychlorinated biphenyls (PCBs) and inverse associations of selected steroid hormones with diabetes in postmenopausal women previously employed in a capacitor manufacturing plant. This paper examines associations of PCBs with diabetes and endogenous hormones in 63 men previously employed at the same plant who in 1996 underwent surveys of their exposure and medical history and collection of bloods and urine for measurements of PCBs, lipids, liver function, hematologic markers and endogenous hormones. PCB exposure was positively associated with diabetes and age and inversely associated with thyroid stimulating hormone and triiodothyronine-uptake. History of diabetes was significantly related to total PCBs and all PCB functional groupings, but not to quarters worked and job score, after control for potential confounders. None of the exposures were related to insulin resistance (HOMA-IR) in non-diabetic men. Associations of PCBs with specific endogenous hormones differ in some respects from previous findings in postmenopausal women employed at the capacitor plant. Results from this study, however, do confirm previous reports relating PCB exposure to diabetes and suggest that these associations are not mediated by measured endogenous hormones.

  15. Dealing with incidents of serious disciplinary problems amongst learners: A comparative study between South Africa and selected countries

    Directory of Open Access Journals (Sweden)

    Charl C. Wolhuter

    2013-11-01

    Full Text Available Teachers in South African schools battle with problems in learner discipline. Research indicates that teachers are at a loss as to handling these situations. The aim of this article is to survey incidents of serious learner misconduct in a representative selection of education systems abroad to extract any guidelines that might be applicable to South African schools. Eight education systems were surveyed: Brazil, England, Turkey, Singapore, Malaysia, China, Australia and New Zealand. The international systems surveyed in this article developed promising models, namely the National Safe Schools Framework (NSSF in Australia, the Response Early Intervention and Assessment Community Health (REACH programme in Singapore, the National Education Plan in the state of São Paolo, Brazil, and the two models in the category of positive disciplinary approaches in New Zealand, namely the Respectful Schools: Restorative Practices in Education and the New Zealand Minister of Education’s Positive Behaviour for [a] Learning Action Plan. A study of these international practices and underlying principles for dealing with discipline in pedagogical situations (Christian or secular could provide guidelines for South African teachers and education authorities.

  16. Communication difficulties and the experience of loneliness in patients with cancer dealing with fertility issues: a qualitative study.

    Science.gov (United States)

    Goossens, Joline; Delbaere, Ilse; Beeckman, Dimitri; Verhaeghe, Sofie; Van Hecke, Ann

    2015-01-01

    To explore communication difficulties and the experience of loneliness among patients with cancer dealing with fertility issues. Qualitative study based on grounded theory principles. One university hospital and two general hospitals in Flanders, Belgium. 21 female and 7 male patients with cancer with potential fertility problems as a result of treatment. Grounded theory approach using the constant comparison method; data collection (semistructured face-to-face interviews) and analysis occurred simultaneously. Loneliness was a central theme in the experience of potential fertility loss among patients with cancer. Feelings of loneliness resulted from communication difficulties between the patient and members of his or her social environment or healthcare professionals because of several underlying processes and influencing factors. Loneliness was a strong and common feeling among patients with cancer. Patients, members of their social environment, and healthcare professionals experienced difficulties in communicating about fertility in the context of cancer, leading to patients' feelings of loneliness. Healthcare professionals must be attentive to signs indicating loneliness regarding fertility concerns, and they should provide adequate information and appropriate guidance to support patients. Professionals need further training to improve knowledge and skills.

  17. A new web-based course: dealing with glaciers and permafrost hazards

    Science.gov (United States)

    Oswald, S.; Kaeaeb, A.; Haeberli, W.

    2003-04-01

    The intensive human use of high mountains intersects more and more with the hazard zones of such environments. Because of the complexity of such processes and impacts, dealing with such risks requires a broad education in many sub-domains of the earth sciences and the socio-economic field. Inter- and trans-disciplinary training and education of professionals is therefore essential. Thus the goal of the Swiss Virtual Campus project "Dealing with Natural Hazards" is to provide such a course program covering the basics of dealing with natural hazards, including technical, environmental and social aspects. In the field of natural hazards and risk management, education at the Swiss universities is mostly structured in narrow sectors. Using the advantages of the internet, the Virtual Campus provides teachers and students an interdisciplinary discussion platform on the integral approach and the handling with natural hazards. The course content is organised in 5 modules: 1 basic knowledge and tools, 2 hydrological / meteorological hazards, 3 geological hazards, 4 vulnerability of property and of socio-economic systems and 5 integral natural risk management. To ensure a national and international access the courses are designed in English and published on the internet. Within the scope of this project we are developing lessons in the subject area of natural hazards related to glaciers and permafrost. These are ice avalanches, glacier floods, glacier length variations and permafrost. The content is divided into chapters, which are consistent over the entire module: (1) processes: characterisation of the different processes, (2) triggering: initiating events, (3) data acquisition, mapping and monitoring: appropriate methods, (4) estimation models: application of the adequate model, (5) combinations and interactions: interrelation and impacts of different hazards, (6) long-term effects: global change effects, (7) integral hazard recognition and assessment: integral proceedings

  18. Dealing with downstream customers : an exploratory study

    NARCIS (Netherlands)

    Hillebrand, Bas; Biemans, Wim G.

    2011-01-01

    Purpose - In B2B markets, the demand for a supplier's products is derived from demand further down the supply chain. This complexity poses several challenges for B2B firms, especially when they are located near the beginning of a supply chain. This study aims to investigate to what extent firms near

  19. Moving towards Sustainability in Food Chains: Dealing with Costs and Benefits

    Directory of Open Access Journals (Sweden)

    Gerhard Schiefer

    2015-01-01

    Full Text Available Sustainability concerns are receiving increasingly attention by society and in turn, the food sector and consumers as the food sector’s final customers. Investments towards improvements in sustainability along the chain are usually not evenly distributed along the chain which affects the balance in the distribution of costs and returns. Transparency is a means for supporting an appropriate link between costs and returns. Various alternatives are being discussed. The chapter utilizes a case study approach for elaborating on the possibilities of regaining costs through price premiums, the communication of sustainability to consumers and the cooperation through horizontal and vertical networking alternatives that could support developments towards sustainability through gains in efficiency and concerted engagements in dealing with sustainability, costs and returns along the chain

  20. Being-child with asthma: assuming its particularities and dealing with restrictions

    Directory of Open Access Journals (Sweden)

    Karina Machado Siqueira

    2017-12-01

    Full Text Available The study aimed to comprehend how children with asthma and their families perceive themselves in their experience with the chronic disease and, how they develop their coping ways and care. We conducted a phenomenological study, with five families of children with moderate or severe asthma. Data collection occurred through interviews with the children and their families, during home visits, between September of 2013 and January of 2014. From the child’s perspective, the difficulty of dealing with fears, frustrations, and constraints related to the disease and treatment was apparent, especially at school. Family members emphasized the restrictions imposed in the child’s life and family environment, besides mentioning care attitudes demonstrating overprotection. Professionals involved in attention to childhood asthma need to value the child’s potentialities and the family autonomy in care actions, favoring the experience with the chronic disease and the empowerment for care.

  1. Panorama 2001 energy and petroleum, the new international deal

    International Nuclear Information System (INIS)

    Giannesini, J.F.

    2001-01-01

    This document analyses the main events of the petroleum and gas industries, in year 2000. A great importance is given to the petroleum price which governs the industry activity. A second part deals with the impacts of exploration-production investments. The environmental impacts of the hydrocarbons consumption is also discussed with the analysis of the carbon dioxide emission and the associated climatic change. The green book on the energy supplying safety is presented and discussed as the forecasting scenario concerning the energy policy. (A.L.B.)

  2. Leaders' strategies for dealing with own and their subordinates' stress in public human service organisations.

    Science.gov (United States)

    Skagert, Katrin; Dellve, Lotta; Eklöf, Mats; Pousette, Anders; Ahlborg, Gunnar

    2008-11-01

    Despite the acknowledged key role of leaders for psychosocial work environment, few studies focus on how leaders can decrease work-related stress. To gain deeper knowledge of leaders' perceptions and strategies for dealing with their own and their subordinates' stress in public human service organisations (HSO), qualitative interviews were made with leaders from hospitals and regional social insurance offices (n=21), and analysed in line with grounded theory method. The leaders handled subordinates' stress and perceived leadership demands by acting as shock absorber (core category) and used strategies characterised as leading in continuous change whilst maintaining trustworthiness. To cope with their own stress from perceived leadership demands, they tried to sustain their own integrity (core category) by either identifying with or distancing themselves from the leader role. The strategies for dealing with leaders' own and subordinates' exposures to stressors was pervaded by perceived leadership demands and are probably influencing each other. Supportive structures and improved communication about everyday dilemmas seem to be needed in order, not just to prevent stress reactions, but to improve the basic conditions for practicing leadership in HSO.

  3. Strategies for dealing with resistance to recommendations from accident investigations

    OpenAIRE

    Lundberg, Jonas; Rollenhagen, Carl; Hollnagel, Erik; Rankin, Amy

    2012-01-01

    Accident investigation reports usually lead to a set of recommendations for change. These recommendations are, however, sometimes resisted for reasons such as various aspects of ethics and power. When accident investigators are aware of this, they use several strategies to overcome the resistance. This paper describes strategies for dealing with four different types of resistance to change. The strategies were derived from qualitative analysis of 25 interviews with Swedish accident investigat...

  4. Common Elements for Success: What Makes the Deal Work at Contaminated Sites

    Science.gov (United States)

    This page contains the presentations from the Brown to Green: Make the Connection to Renewable Energy workshop held in Santa Fe, New Mexico, during December 10-11, 2008 regarding Common Elements for Success - What makes the Deal Work at Contaminated Sites.

  5. Dealing with security of supply issues in natural gas sales contracts

    International Nuclear Information System (INIS)

    Park, J. J.

    1999-01-01

    To avoid huge losses in a market where commodity prices can rise dramatically, gas marketers have developed a portfolio of contractual and non-contractual structures to avoid such losses. These structures had the effect of providing a sense of security that have proven to be false, or potentially false pending the outcome of decisions of appeal courts. This paper reviews these structures and examines some of the current issues. Non-contractual strategies employed by gas marketers include corporate warranty, dealing only with financially strong and reputable parties, limiting the dollar amount of exposure, and making short-term deals only. Contractual strategies include dedication of reserves (committing the gas produced from certain specified lands), requiring guarantee from corporate parent, letters of credit, or performance bonds. The concept of 'material adverse change' (MAC) a common method for dealing with the potential need for future security and its consequences, bankruptcies, receivership and set-off are explored and the manner in which the availability of set-off has changed following the recent Blue Range decision. In this decision the Court held that Enron's Master Agreement with Blue Range was not an 'eligible financial contract' because it contemplated the physical delivery of gas. Based on this decision it is possible to argue that set-off is no longer available for contracts intended for the physical delivery of natural gas. The collective consequence of these events and the recent spate of marketing failures require the gas marketing industry to review their forms of agreement and to reconsider their market exposure to any particular purchaser or supplier. The significant losses to companies that resulted from recent bankruptcies and insolvencies provide ample evidence that assuming a safe, closed position based on conventional gas marketing contracts is a risky proposition

  6. 'In-between' and other reasonable ways to deal with risk and uncertainty: A review article.

    Science.gov (United States)

    Zinn, Jens O

    2016-11-16

    How people deal with risk and uncertainty has fuelled public and academic debate in recent decades. Researchers have shown that common distinctions between rational and 'irrational' strategies underestimate the complexity of how people approach an uncertain future. I suggested in 2008 that strategies in-between do not follow standards of instrumental rationality nor they are 'irrational' but follow their own logic which works well under particular circumstances. Strategies such as trust, intuition and emotion are an important part of the mix when people deal with risk and uncertainty. In this article, I develop my original argument. It explores in-between strategies to deal with possible undesired outcomes of decisions. I examine 'non-rational strategies' and in particular the notions of active, passive and reflexive hope. Furthermore, I argue that my original typology should be seen as a triangular of reasonable strategies which work well under specific circumstances. Finally, I highlight a number of different ways in which these strategies combine.

  7. [Guidelines in Dutch mental health institutions for dealing with persons attempting suicide

    NARCIS (Netherlands)

    Verwey, B.; Waarde, J.A. van; Rooij, I.A.L.M. van; Gerritsen, G.; Zitman, F.G.

    2007-01-01

    BACKGROUND: Attempted suicide is a frequent occurrence, even in mental health institutions (mhis). The World Health Organization strongly supports the development and implementation of guidelines for dealing with cases of attempted suicide in mhis. aim To check on the existence, content and quality

  8. Subsequent pregnancy outcome after previous foetal death

    NARCIS (Netherlands)

    Nijkamp, J. W.; Korteweg, F. J.; Holm, J. P.; Timmer, A.; Erwich, J. J. H. M.; van Pampus, M. G.

    Objective: A history of foetal death is a risk factor for complications and foetal death in subsequent pregnancies as most previous risk factors remain present and an underlying cause of death may recur. The purpose of this study was to evaluate subsequent pregnancy outcome after foetal death and to

  9. Is Dealing with Climate Change a Corporation's Responsibility? A Social Contract Perspective.

    Science.gov (United States)

    Unsworth, Kerrie L; Russell, Sally V; Davis, Matthew C

    2016-01-01

    In this paper, we argue that individuals - as members of society - play an important role in the expectations of whether or not companies are responsible for addressing environmental issues, and whether or not governments should regulate them. From this perspective of corporate social responsibility as a social contract we report the results of a survey of 1066 individuals. The aim of the survey was to assess participants' belief in anthropogenic climate change, free-market ideology, and beliefs around who is responsible for dealing with climate change. Results showed that both climate change views and free market ideology have a strong effect on beliefs that companies are responsible for dealing with climate change and on support for regulatory policy to that end. Furthermore, we found that free market ideology is a barrier in the support of corporate regulatory policy. The implications of these findings for research, policy, and practice are discussed.

  10. The biomechanics of running in athletes with previous hamstring injury: A case-control study.

    Science.gov (United States)

    Daly, C; Persson, U McCarthy; Twycross-Lewis, R; Woledge, R C; Morrissey, D

    2016-04-01

    Hamstring injury is prevalent with persistently high reinjury rates. We aim to inform hamstring rehabilitation by exploring the electromyographic and kinematic characteristics of running in athletes with previous hamstring injury. Nine elite male Gaelic games athletes who had returned to sport after hamstring injury and eight closely matched controls sprinted while lower limb kinematics and muscle activity of the previously injured biceps femoris, bilateral gluteus maximus, lumbar erector spinae, rectus femoris, and external oblique were recorded. Intergroup comparisons of muscle activation ratios and kinematics were performed. Previously injured athletes demonstrated significantly reduced biceps femoris muscle activation ratios with respect to ipsilateral gluteus maximus (maximum difference -12.5%, P = 0.03), ipsilateral erector spinae (maximum difference -12.5%, P = 0.01), ipsilateral external oblique (maximum difference -23%, P = 0.01), and contralateral rectus femoris (maximum difference -22%, P = 0.02) in the late swing phase. We also detected sagittal asymmetry in hip flexion (maximum 8°, P = 0.01), pelvic tilt (maximum 4°, P = 0.02), and medial rotation of the knee (maximum 6°, P = 0.03) effectively putting the hamstrings in a lengthened position just before heel strike. Previous hamstring injury is associated with altered biceps femoris associated muscle activity and potentially injurious kinematics. These deficits should be considered and addressed during rehabilitation. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  11. Dexamethasone intravitreal implant in previously treated patients with diabetic macular edema : Subgroup analysis of the MEAD study

    OpenAIRE

    Augustin, A.J.; Kuppermann, B.D.; Lanzetta, P.; Loewenstein, A.; Li, X.; Cui, H.; Hashad, Y.; Whitcup, S.M.; Abujamra, S.; Acton, J.; Ali, F.; Antoszyk, A.; Awh, C.C.; Barak, A.; Bartz-Schmidt, K.U.

    2015-01-01

    Background Dexamethasone intravitreal implant 0.7?mg (DEX 0.7) was approved for treatment of diabetic macular edema (DME) after demonstration of its efficacy and safety in the MEAD registration trials. We performed subgroup analysis of MEAD study results to evaluate the efficacy and safety of DEX 0.7 treatment in patients with previously treated DME. Methods Three-year, randomized, sham-controlled phase 3 study in patients with DME, best-corrected visual acuity (BCVA) of 34?68 Early Treatment...

  12. Subsequent childbirth after a previous traumatic birth.

    Science.gov (United States)

    Beck, Cheryl Tatano; Watson, Sue

    2010-01-01

    Nine percent of new mothers in the United States who participated in the Listening to Mothers II Postpartum Survey screened positive for meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for posttraumatic stress disorder after childbirth. Women who have had a traumatic birth experience report fewer subsequent children and a longer length of time before their second baby. Childbirth-related posttraumatic stress disorder impacts couples' physical relationship, communication, conflict, emotions, and bonding with their children. The purpose of this study was to describe the meaning of women's experiences of a subsequent childbirth after a previous traumatic birth. Phenomenology was the research design used. An international sample of 35 women participated in this Internet study. Women were asked, "Please describe in as much detail as you can remember your subsequent pregnancy, labor, and delivery following your previous traumatic birth." Colaizzi's phenomenological data analysis approach was used to analyze the stories of the 35 women. Data analysis yielded four themes: (a) riding the turbulent wave of panic during pregnancy; (b) strategizing: attempts to reclaim their body and complete the journey to motherhood; (c) bringing reverence to the birthing process and empowering women; and (d) still elusive: the longed-for healing birth experience. Subsequent childbirth after a previous birth trauma has the potential to either heal or retraumatize women. During pregnancy, women need permission and encouragement to grieve their prior traumatic births to help remove the burden of their invisible pain.

  13. Challenging previous conceptions of vegetarianism and eating disorders.

    Science.gov (United States)

    Fisak, B; Peterson, R D; Tantleff-Dunn, S; Molnar, J M

    2006-12-01

    The purpose of this study was to replicate and expand upon previous research that has examined the potential association between vegetarianism and disordered eating. Limitations of previous research studies are addressed, including possible low reliability of measures of eating pathology within vegetarian samples, use of only a few dietary restraint measures, and a paucity of research examining potential differences in body image and food choice motives of vegetarians versus nonvegetarians. Two hundred and fifty-six college students completed a number of measures of eating pathology and body image, and a food choice motives questionnaire. Interestingly, no significant differences were found between vegetarians and nonvegetarians in measures of eating pathology or body image. However, significant differences in food choice motives were found. Implications for both researchers and clinicians are discussed.

  14. Dealing with symptoms and issues of hospitalized patients with cancer in indonesia: the role of families, nurses, and physicians

    NARCIS (Netherlands)

    Effendy, C.; Vissers, K.; Tejawinata, S.; Vernooij-Dassen, M.J.F.J.; Engels, Y.M.

    2015-01-01

    OBJECTIVE: Patients with cancer often face physical, psychological, social, spiritual, and emotional symptoms. Our aim was to study symptoms and issues of hospitalized patients with cancer in Indonesia, a country with strong family ties, and how family members, nurses, and physicians deal with them.

  15. The American Military Advisor: Dealing with Senior Foreign Officials in the Islamic World

    National Research Council Canada - National Science Library

    Metrinko, Michael J

    2008-01-01

    "The American Military Advisor: Dealing with Senior Foreign Officials in the Islamic World" is a comprehensive guide for American military officers assigned as advisors to regional officials in places very different from the United States...

  16. A previous hamstring injury affects kicking mechanics in soccer players.

    Science.gov (United States)

    Navandar, Archit; Veiga, Santiago; Torres, Gonzalo; Chorro, David; Navarro, Enrique

    2018-01-10

    Although the kicking skill is influenced by limb dominance and sex, how a previous hamstring injury affects kicking has not been studied in detail. Thus, the objective of this study was to evaluate the effect of sex and limb dominance on kicking in limbs with and without a previous hamstring injury. 45 professional players (males: n=19, previously injured players=4, age=21.16 ± 2.00 years; females: n=19, previously injured players=10, age=22.15 ± 4.50 years) performed 5 kicks each with their preferred and non-preferred limb at a target 7m away, which were recorded with a three-dimensional motion capture system. Kinematic and kinetic variables were extracted for the backswing, leg cocking, leg acceleration and follow through phases. A shorter backswing (20.20 ± 3.49% vs 25.64 ± 4.57%), and differences in knee flexion angle (58 ± 10o vs 72 ± 14o) and hip flexion velocity (8 ± 0rad/s vs 10 ± 2rad/s) were observed in previously injured, non-preferred limb kicks for females. A lower peak hip linear velocity (3.50 ± 0.84m/s vs 4.10 ± 0.45m/s) was observed in previously injured, preferred limb kicks of females. These differences occurred in the backswing and leg-cocking phases where the hamstring muscles were the most active. A variation in the functioning of the hamstring muscles and that of the gluteus maximus and iliopsoas in the case of a previous injury could account for the differences observed in the kicking pattern. Therefore, the effects of a previous hamstring injury must be considered while designing rehabilitation programs to re-educate kicking movement.

  17. Dealing With Deans and Academic Medical Center Leadership: Advice From Leaders.

    Science.gov (United States)

    Sanfilippo, Fred; Powell, Deborah; Folberg, Robert; Tykocinski, Mark

    2018-01-01

    The 2017 Association of Pathology Chairs Annual Meeting included a session for department chairs and other department leaders on "how to deal with deans and academic medical center leadership." The session was focused on discussing ways to foster positive relationships with university, medical school, and health system leaders, and productively address issues and opportunities with them. Presentations and a panel discussion were provided by 4 former pathology chairs who subsequently have served as medical deans and in other leadership positions including university provost, medical center CEO, and health system board chair. There was a strong consensus among the participants on how best to deal with superiors about problems, conflicts, and requests for additional resources and authority. The importance of teamwork and accountability in developing a constructive and collaborative relationship with leaders and peers was discussed in detail. Effectiveness in communication, negotiation, and departmental advocacy were highlighted as important skills. As limited resources and increased regulations have become growing problems for universities and health systems, internal stress and competition have increased. In this rapidly changing environment, advice on how chairs can interact most productively with institutional leaders is becoming increasingly important.

  18. How Do I Deal with Depression and Adjustment to My Spinal Cord Injury?

    Medline Plus

    Full Text Available ... with depression and adjustment to my SCI? How do I deal with depression and adjustment to my ... can I apply for Social Security benefits? How do I find a rehabilitation facility? How can I ...

  19. The Effect of Cognitive Behavioral Oriented Psycho Education Program on Dealing with Loneliness: An Online Psychological Counseling Approach

    Science.gov (United States)

    Tatlilioglu, Kasim

    2013-01-01

    Loneliness is a very common problem which incorporates many disorders. The inadequacy of services to treat this problem makes it necessary to develop new treatment methods. For this purpose, it was aimed to test the effect of online psychological counseling on dealing with loneliness problem in this research. The research includes the study with…

  20. Are we failing to prepare nursing and midwifery students to deal with domestic abuse? Findings from a qualitative study.

    Science.gov (United States)

    Bradbury-Jones, Caroline; Broadhurst, Karen

    2015-09-01

    To investigate student nurses' and midwives' knowledge, confidence and educational needs regarding recognition and responses to domestic abuse. Domestic abuse is a serious global problem and has greater, negative effects on long-term health than more obvious diseases, such as diabetes. Nurses and midwives are well-placed to recognize and respond to domestic abuse but many lack confidence in this area. There is firm evidence that training can increase the confidence of Registered Nurses and midwives in responding to domestic abuse. But the issue of undergraduate preparation is significantly under-investigated. A qualitative study. Nursing and midwifery students were recruited using purposive sampling. We facilitated eight focus groups with a total of 55 students (student midwives N = 32; student nurses n = 23). Data were collected between May-November 2014. Students in the study viewed the issue of domestic abuse as important and they possessed sound theoretical knowledge of its nature and consequences. However, they lacked confidence in recognizing and responding to abuse and were concerned about the implications of this for their future practice as registered practitioners. Interactive learning opportunities that engaged with service users and involved experts from practice were viewed as important educational requirements. Most students in the study felt insufficiently prepared to deal with the issue of domestic abuse. They perceived this as a cyclical state of disempowerment that would impact negatively on their practice and on their own ability to support nursing and midwifery students of the future. © 2015 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

  1. No discrimination against previous mates in a sexually cannibalistic spider

    Science.gov (United States)

    Fromhage, Lutz; Schneider, Jutta M.

    2005-09-01

    In several animal species, females discriminate against previous mates in subsequent mating decisions, increasing the potential for multiple paternity. In spiders, female choice may take the form of selective sexual cannibalism, which has been shown to bias paternity in favor of particular males. If cannibalistic attacks function to restrict a male's paternity, females may have little interest to remate with males having survived such an attack. We therefore studied the possibility of female discrimination against previous mates in sexually cannibalistic Argiope bruennichi, where females almost always attack their mate at the onset of copulation. We compared mating latency and copulation duration of males having experienced a previous copulation either with the same or with a different female, but found no evidence for discrimination against previous mates. However, males copulated significantly shorter when inserting into a used, compared to a previously unused, genital pore of the female.

  2. Abiraterone in metastatic prostate cancer without previous chemotherapy

    NARCIS (Netherlands)

    Ryan, Charles J.; Smith, Matthew R.; de Bono, Johann S.; Molina, Arturo; Logothetis, Christopher J.; de Souza, Paul; Fizazi, Karim; Mainwaring, Paul; Piulats, Josep M.; Ng, Siobhan; Carles, Joan; Mulders, Peter F. A.; Basch, Ethan; Small, Eric J.; Saad, Fred; Schrijvers, Dirk; van Poppel, Hendrik; Mukherjee, Som D.; Suttmann, Henrik; Gerritsen, Winald R.; Flaig, Thomas W.; George, Daniel J.; Yu, Evan Y.; Efstathiou, Eleni; Pantuck, Allan; Winquist, Eric; Higano, Celestia S.; Taplin, Mary-Ellen; Park, Youn; Kheoh, Thian; Griffin, Thomas; Scher, Howard I.; Rathkopf, Dana E.; Boyce, A.; Costello, A.; Davis, I.; Ganju, V.; Horvath, L.; Lynch, R.; Marx, G.; Parnis, F.; Shapiro, J.; Singhal, N.; Slancar, M.; van Hazel, G.; Wong, S.; Yip, D.; Carpentier, P.; Luyten, D.; de Reijke, T.

    2013-01-01

    Abiraterone acetate, an androgen biosynthesis inhibitor, improves overall survival in patients with metastatic castration-resistant prostate cancer after chemotherapy. We evaluated this agent in patients who had not received previous chemotherapy. In this double-blind study, we randomly assigned

  3. Secondary recurrent miscarriage is associated with previous male birth.

    LENUS (Irish Health Repository)

    Ooi, Poh Veh

    2012-01-31

    Secondary recurrent miscarriage (RM) is defined as three or more consecutive pregnancy losses after delivery of a viable infant. Previous reports suggest that a firstborn male child is associated with less favourable subsequent reproductive potential, possibly due to maternal immunisation against male-specific minor histocompatibility antigens. In a retrospective cohort study of 85 cases of secondary RM we aimed to determine if secondary RM was associated with (i) gender of previous child, maternal age, or duration of miscarriage history, and (ii) increased risk of pregnancy complications. Fifty-three women (62.0%; 53\\/85) gave birth to a male child prior to RM compared to 32 (38.0%; 32\\/85) who gave birth to a female child (p=0.002). The majority (91.7%; 78\\/85) had uncomplicated, term deliveries and normal birth weight neonates, with one quarter of the women previously delivered by Caesarean section. All had routine RM investigations and 19.0% (16\\/85) had an abnormal result. Fifty-seven women conceived again and 33.3% (19\\/57) miscarried, but there was no significant difference in failure rates between those with a previous male or female child (13\\/32 vs. 6\\/25, p=0.2). When patients with abnormal results were excluded, or when women with only one previous child were considered, there was still no difference in these rates. A previous male birth may be associated with an increased risk of secondary RM but numbers preclude concluding whether this increases recurrence risk. The suggested association with previous male birth provides a basis for further investigations at a molecular level.

  4. Secondary recurrent miscarriage is associated with previous male birth.

    LENUS (Irish Health Repository)

    Ooi, Poh Veh

    2011-01-01

    Secondary recurrent miscarriage (RM) is defined as three or more consecutive pregnancy losses after delivery of a viable infant. Previous reports suggest that a firstborn male child is associated with less favourable subsequent reproductive potential, possibly due to maternal immunisation against male-specific minor histocompatibility antigens. In a retrospective cohort study of 85 cases of secondary RM we aimed to determine if secondary RM was associated with (i) gender of previous child, maternal age, or duration of miscarriage history, and (ii) increased risk of pregnancy complications. Fifty-three women (62.0%; 53\\/85) gave birth to a male child prior to RM compared to 32 (38.0%; 32\\/85) who gave birth to a female child (p=0.002). The majority (91.7%; 78\\/85) had uncomplicated, term deliveries and normal birth weight neonates, with one quarter of the women previously delivered by Caesarean section. All had routine RM investigations and 19.0% (16\\/85) had an abnormal result. Fifty-seven women conceived again and 33.3% (19\\/57) miscarried, but there was no significant difference in failure rates between those with a previous male or female child (13\\/32 vs. 6\\/25, p=0.2). When patients with abnormal results were excluded, or when women with only one previous child were considered, there was still no difference in these rates. A previous male birth may be associated with an increased risk of secondary RM but numbers preclude concluding whether this increases recurrence risk. The suggested association with previous male birth provides a basis for further investigations at a molecular level.

  5. Dealing with Uncertainties in Initial Orbit Determination

    Science.gov (United States)

    Armellin, Roberto; Di Lizia, Pierluigi; Zanetti, Renato

    2015-01-01

    A method to deal with uncertainties in initial orbit determination (IOD) is presented. This is based on the use of Taylor differential algebra (DA) to nonlinearly map the observation uncertainties from the observation space to the state space. When a minimum set of observations is available DA is used to expand the solution of the IOD problem in Taylor series with respect to measurement errors. When more observations are available high order inversion tools are exploited to obtain full state pseudo-observations at a common epoch. The mean and covariance of these pseudo-observations are nonlinearly computed by evaluating the expectation of high order Taylor polynomials. Finally, a linear scheme is employed to update the current knowledge of the orbit. Angles-only observations are considered and simplified Keplerian dynamics adopted to ease the explanation. Three test cases of orbit determination of artificial satellites in different orbital regimes are presented to discuss the feature and performances of the proposed methodology.

  6. New website dealing with CERN-EU relations

    CERN Multimedia

    2005-01-01

    A new website dealing with CERN-EU relations (cern.ch/EU) is being brought into production. Thanks are due to several people for their contributions, and especially to the primary authors - Piotr Kurpiel, a Technical Student, and Miguel Marquina / IT. This site is designed to help people looking for information concerning interactions between Europe and particle physics in general, and the CERN programme in particular. FACILITIES AVAILABLE TO THE PUBLIC For members of the public, links are provided to several websites of general interest and there is also a search facility to help navigation among the main sources of information on EU programmes. FACILITIES ONLY AVAILABLE TO CERN USERS Entry to the CERN area of the site requires authentication via your NICE login name and password. In this area: You can look at information about present or past EU co-funded projects at CERN. For projects with their own websites you can click through to the site to obtain more detailed information. You can subscribe to ...

  7. How Do I Deal with Depression and Adjustment to My Spinal Cord Injury?

    Medline Plus

    Full Text Available ... to my SCI? How do I deal with depression and adjustment to my SCI? ☷ ▾ Page contents The ... the moment you are injured. Understanding adjustment and depression Adjustment to paralysis is a process of changing ...

  8. How Do I Deal with Depression and Adjustment to My Spinal Cord Injury?

    Medline Plus

    Full Text Available ... I deal with depression and adjustment to my SCI? ☷ ▾ Page contents The emotional impact of paralysis Understanding ... Americans living with some form of paralysis (stroke, SCI, MS, ALS, etc.) and many resources to help ...

  9. ‘In-between’ and other reasonable ways to deal with risk and uncertainty: A review article

    Science.gov (United States)

    Zinn, Jens O.

    2016-01-01

    How people deal with risk and uncertainty has fuelled public and academic debate in recent decades. Researchers have shown that common distinctions between rational and ‘irrational’ strategies underestimate the complexity of how people approach an uncertain future. I suggested in 2008 that strategies in-between do not follow standards of instrumental rationality nor they are ‘irrational’ but follow their own logic which works well under particular circumstances. Strategies such as trust, intuition and emotion are an important part of the mix when people deal with risk and uncertainty. In this article, I develop my original argument. It explores in-between strategies to deal with possible undesired outcomes of decisions. I examine ‘non-rational strategies’ and in particular the notions of active, passive and reflexive hope. Furthermore, I argue that my original typology should be seen as a triangular of reasonable strategies which work well under specific circumstances. Finally, I highlight a number of different ways in which these strategies combine. PMID:28392747

  10. A longitudinal study of plasma insulin and glucagon in women with previous gestational diabetes

    DEFF Research Database (Denmark)

    Damm, P; Kühl, C; Hornnes, P

    1995-01-01

    OBJECTIVE: To investigate whether plasma insulin or glucagon predicts later development of diabetes in women with gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS: The subjects studied were 91 women with diet-treated GDM and 33 healthy women. Plasma insulin and glucagon during a 50...... at follow-up (2 had insulin-dependent diabetes mellitus, 13 had non-insulin-dependent diabetes mellitus, and 12 had impaired glucose tolerance). Compared with the control subjects, women with previous GDM had relatively impaired insulin secretion (decreased insulinogenic index and delayed peak insulin...... for subsequent development of overt diabetes (logistic regression analysis). CONCLUSIONS: Women who develop GDM have a relative insulin secretion deficiency, the severity of which is predictive for later development of diabetes. Furthermore, our data indicate that their relatively reduced beta-cell function may...

  11. Renewables Deals. Mergers and acquisitions activity in renewable power and related clean technology. 2012 outlook and 2011 review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-01-15

    Renewables Deals is our annual analysis of deal activity in the renewable power and related clean technology sectors. We publish our outlook on the prospects for dealmaking in the year ahead. We also take a look at what's been happening in the last 12 months and in the different main markets around the world. This year for the first time, we open our report with our discussion of the outlook for the year ahead and identify some of the main themes we expect to be at work. Looking ahead, the sector is undergoing a growing maturity and consolidation phase. This evolution inclines us to believe that deal flow will remain significant in 2012. In part, though, this will depend on how the Eurozone crisis unfolds. We assume a continuation of a 'rolling uncertainty' scenario affecting the Eurozone and wider world sentiment. But, if there are significant adverse events that turn Eurozone 'rolling uncertainty' into deeper crisis, deal flow is likely to be dampened.

  12. Dealing with distrust and power dynamics: asymmetric relations among stakeholders in responsive evaluation

    NARCIS (Netherlands)

    Baur, V.E.; van Elteren, A.H.G.; Nierse, C.J.; Abma, T.A.

    2010-01-01

    Asymmetric relations among stakeholders create challenges in participatory evaluation processes. Power and conflict may hinder equal and genuine communication about the value of the practices evaluated. Guidelines to deal with these sociopolitical challenges are scarce and usually focus on the need

  13. DEALS magnet concept and its applcations to high density, high field tokamak systems

    International Nuclear Information System (INIS)

    Hsieh, S.Y.; Powell, J.; Lehner, J.; Bezler, P.; Laverick, C.; Finkelman, M.; Brown, T.; Bundy, J.

    1977-01-01

    The goal of the DEALS program is to develop a demountable TF magnet system concept that will reduce construction and life cycle costs, enhance the accessibility of components inside the coil system, and increase the chances for being able to use large high-field magnet systems in post TFTR reactor experiments. These experiments are projected to occur during the mid 1980's, with conceptual designs beginning in two or three years. A number of recent studies have highlighted the need for Tokamak fusion reactor systems with reasonable down time for maintenance and repair and realistic operating capacity factors, as well as the need for smaller, lower cost reactors. Two scoping studies were carried out of recent Tokamak system concepts incorporating conventionally wound coils to assess the possibilities of using demountable coils of rectangular section with an active support system and a third more intensive study using a passive support with slight movement of the joints. These studies are described briefly

  14. Learning to deal constructively with troubled conscience related to care providers' perceptions of deficient teamwork in residential care of older people--a participatory action research study.

    Science.gov (United States)

    Ericson-Lidman, Eva; Strandberg, Gunilla

    2015-06-01

    Conscience can be perceived as an asset that helps care providers to provide good care, but it can also be a burden that generates stress of conscience (stress related to a troubled conscience). Participatory action research (PAR) has been shown to be successful in supporting care providers in residential care of older people to learn to deal with their troubled conscience in challenging and demanding care situations. The aim of the study was to describe an intervention process to assist care providers in residential care of older people to constructively deal with their troubled conscience related to perceptions of deficient teamwork. The study design was grounded in PAR. Nine enrolled nurses (ENs), two nursing aids (NAs), one Registered Nurse (RN) and their manager participated in 12 PAR sessions. All sessions were tape-recorded, and a domain analysis of the transcriptions was performed. Findings show that a PAR-based intervention can support care providers to understand, handle and take measures against deficient teamwork. Using troubled conscience as a driving force can increase the opportunities to improve quality of care in residential care for older people. During the PAR process, participants raised their awareness of the need to view the team in a wider sense and that the manager and the Registered Nurse should also be members of the team to improve team outcome. To improve clinical practice, we suggest that teams in residential care of older people should be enabled to share and reflect on challenging situations that generate troubled conscience. However, as shown in this study, care providers might need support in order to facilitate and promote sharing and reflecting on what their conscience tells them. © 2014 Nordic College of Caring Science.

  15. A study about the interest and previous contact of high school students with Astronomy

    Science.gov (United States)

    Carvalho, C. L.; Zanitti, M. H. R.; Felicidade, B. L.; Gomes, A. D. T.; Dias, E. W.; Coelho, F. O.

    2016-04-01

    The currently problems in Astronomy teaching in Brazilian Basic Education contrast with the space, and the popularity that astronomical themes have in various media in the country. In this work, we present the results of a study about the interest, and previous contact of high school students from a public school in the city of "São João del-Rei"/MG with topics related to Astronomy. The study and the pedagogical intervention were carried out by students of the PIBID/CAPES/UFSJ. The intervention was performed through an oral exposition with the students' participation, followed by the use of the Stellarium program. The results suggest the majority of students surveyed are interested in Astronomy, and have had some contact with the area. However, some inconsistencies in their responses were identified and examined. The implications for research and for Astronomy Education are discussed. We also make some considerations about relationship between the lack of specific knowledge and the misinformation as one possible reason for the little interest of students in various areas of Science.

  16. ESD and the Current Crisis of Capitalism: Teaching beyond Green New Deals

    Science.gov (United States)

    Huckle, John

    2010-01-01

    In this article, the author argues for a more critical form of education for sustainable development (ESD) linked to global citizenship education. He does so by reference to the limitations of the "green new deals" being carried out as part of fiscal stimulus packages, the alternatives proposed by ecosocialists, and the partly conflicting and…

  17. Dealing with emotions when the ability to cry is hampered: emotion processing and regulation in patients with primary Sjogren's syndrome

    NARCIS (Netherlands)

    Leeuwen, N. van; Bossema, E.R.; Middendorp, H. van; Kruize, A.A.; Bootsma, H.; Bijlsma, J.W.J.; Geenen, R.

    2012-01-01

    OBJECTIVES: The hampered ability to cry in patients with Sjogren's syndrome may affect their ways of dealing with emotions. The aim of this study was to examine differences in emotion processing and regulation between people with and without Sjogren's syndrome and correlations of emotion processing

  18. Ifosfamide in previously untreated disseminated neuroblastoma. Results of Study 3A of the European Neuroblastoma Study Group.

    Science.gov (United States)

    Kellie, S J; De Kraker, J; Lilleyman, J S; Bowman, A; Pritchard, J

    1988-05-01

    A prospective study of the effectiveness of ifosfamide as a single agent in the management of previously untreated patients with Evans stage IV neuroblastoma was undertaken. Eighteen children aged more than 1 year were treated with ifosfamide (IFX) 3 g/m2 daily for 2 days immediately after diagnosis and 3 weeks later. Treatment was continued with combination chemotherapy using vincristine, cyclophosphamide, cisplatinum and etoposide (OPEC) or a variant. Mesna (2-mercaptoethane sulphonate) was given to all patients during IFX treatment to prevent urotoxicity. Eight of the 18 patients (44%) responded to IFX. Nine had greater than 66% reduction in baseline tumor volume. Of 15 evaluable patients with raised pre-treatment urinary catecholamine excretion, six (40%) achieved greater than 50% reduction in pretreatment levels. Two of 10 patients evaluable for bone marrow response had complete clearance. Toxicity was mild in all patients. Upon completing 'first line' therapy, only four patients (22%) achieved a good partial remission (GPR) or complete response (CR). Median survival was 11 months. There was a lower rate of attaining GPR and shortened median survival in patients receiving phase II IFX before OPEC or variant, compared to patients with similar pre-treatment characteristics treated with OPEC from diagnosis in an earlier study.

  19. Special Seminar: How to deal with the media: maximising opportunity and minimising threat

    CERN Document Server

    CERN. Geneva; Pillai, Nisha

    2007-01-01

    This session will cover how to work effectively with the media including print, radio and TV. You'll get an insight into how journalists and news rooms operate and what they would like from you. You'll learn to recognise both soft balls and traps - and develop the techniques for dealing with them. The challenges of explaining and positioning CERN to any media outlet whether local, national or international will be dealt with too. This interactive presentation, given by Jessica Pryce-Jones, Managing Director of the consultancy iOpener Ltd, and by Nisha Pillai, news anchor for BBC World, will be illustrated with various case studies.Tea and coffee will be served from 16:00

  20. Dealing with Phrase Level Co-Articulation (PLC) in speech recognition: a first approach

    NARCIS (Netherlands)

    Ordelman, Roeland J.F.; van Hessen, Adrianus J.; van Leeuwen, David A.; Robinson, Tony; Renals, Steve

    1999-01-01

    Whereas nowadays within-word co-articulation effects are usually sufficiently dealt with in automatic speech recognition, this is not always the case with phrase level co-articulation effects (PLC). This paper describes a first approach in dealing with phrase level co-articulation by applying these

  1. Reading on the World Wide Web: Dealing with conflicting information from multiple sources

    NARCIS (Netherlands)

    Van Strien, Johan; Brand-Gruwel, Saskia; Boshuizen, Els

    2011-01-01

    Van Strien, J. L. H., Brand-Gruwel, S., & Boshuizen, H. P. A. (2011, August). Reading on the World Wide Web: Dealing with conflicting information from multiple sources. Poster session presented at the biannual conference of the European Association for Research on Learning and Instruction, Exeter,

  2. Youth suicide: an insight into previous hospitalisation for injury and sociodemographic conditions from a nationwide cohort study.

    Science.gov (United States)

    Zambon, Francesco; Laflamme, Lucie; Spolaore, Paolo; Visentin, Cristiana; Hasselberg, Marie

    2011-06-01

    This study investigates the degree to which a previous hospitalisation for injury of any intent is a risk of subsequent youth suicide and whether this association is influenced by family socioeconomic status or economic stress. A nationwide register-based cohort study was conducted covering all Swedish subjects born between January 1977 and December 1991 (N=1,616,342, male/female ratio=1.05). The cohort subjects were followed-up from January 1998 to December 2003, when aged 7-26 years. Poisson regression and the likelihood ratio test (95% CI) were used to assess the age-adjusted effect of hospitalisation for injuries of various intent on youth suicide and its effect once adjusted for family sociodemographic and social circumstances. Each set of exposures was associated independently and significantly with suicide mortality. Being hospitalised for self-inflicted injuries or injuries of undetermined intent was associated with a risk of suicide 36 to 47 times, respectively, that of subjects never hospitalised in the period under study (95% CI 28.36 to 45.58 and 26.67 to 83.87 for self-inflicted injuries and for events of undetermined intent, respectively; overall psuicide (RR 3.08; 95% CI 2.26 to 4.19). These effects were solid and not substantially altered after adjustment for family demographic and socioeconomic circumstances. A strong association exists between previous hospitalisation for injury of any intent and youth suicide. The association is robust and unaltered by family socioeconomic circumstances.

  3. A Fuzzy Linguistic Methodology to Deal With Unbalanced Linguistic Term Sets

    OpenAIRE

    Herrera, F.; Herrera-Viedma, Enrique; Martinez, L.

    2008-01-01

    Many real problems dealing with qualitative aspects use linguistic approaches to assess such aspects. In most of these problems, a uniform and symmetrical distribution of the linguistic term sets for linguistic modeling is assumed. However, there exist problems whose assessments need to be represented by means of unbalanced linguistic term sets, i.e., using term sets that are not uniformly and symmetrically distributed. The use of linguistic variables implies processes of computing with words...

  4. Outcome of trial of scar in patients with previous caesarean section

    International Nuclear Information System (INIS)

    Khan, B.; Bashir, R.; Khan, W.

    2016-01-01

    Medical evidence indicates that 60-80% of women can achieve vaginal delivery after a previous lower segment caesarean section. Proper selection of patients for trial of scar and vigilant monitoring during labour will achieve successful maternal and perinatal outcome. The objective of our study is to establish the fact that vaginal delivery after one caesarean section has a high success rate in patients with previous one caesarean section for non-recurrent cause. Methods: The study was conducted in Ayub Teaching Abbottabad, Gynae-B Unit. All labouring patients, during the study period of five years, with previous one caesarean section and between 37 weeks to 41 weeks of gestation for a non-recurrent cause were included in the study. Data was recorded on special proforma designed for the purpose. Patients who had previous classical caesarean section, more than one caesarean section, and previous caesarean section with severe wound infection, transverse lie and placenta previa in present pregnancy were excluded. Foetal macrosomia (wt>4 kg) and severe IUGR with compromised blood flow on Doppler in present pregnancy were also not considered suitable for the study. Patients who had any absolute contraindication for vaginal delivery were also excluded. Results: There were 12505 deliveries during the study period. Total vaginal deliveries were 8790 and total caesarean sections were 3715. Caesarean section rate was 29.7%. Out of these 8790 patients, 764 patients were given a trial of scar and 535 patients delivered successfully vaginally (70%). Women who presented with spontaneous onset of labour were more likely to deliver vaginally (74.8%) as compared to induction group (27.1%). Conclusion: Trial of vaginal birth after caesarean (VBAC) in selected cases has great importance in the present era of the rising rate of primary caesarean section. (author)

  5. Sudden unexpected death in children with a previously diagnosed cardiovascular disorder

    NARCIS (Netherlands)

    Polderman, Florens N.; Cohen, Joeri; Blom, Nico A.; Delhaas, Tammo; Helbing, Wim A.; Lam, Jan; Sobotka-Plojhar, Marta A.; Temmerman, Arno M.; Sreeram, Narayanswani

    2004-01-01

    BACKGROUND: It is known that children with previously diagnosed heart defects die suddenly. The causes of death are often unknown. OBJECTIVE: The aim of the study was to identify all infants and children within the Netherlands with previously diagnosed heart disease who had a sudden unexpected death

  6. Sudden unexpected death in children with a previously diagnosed cardiovascular disorder

    NARCIS (Netherlands)

    Polderman, F.N.; Cohen, Joeri; Blom, N.A.; Delhaas, T.; Helbing, W.A.; Lam, J.; Sobotka-Plojhar, M.A.; Temmerman, Arno M.; Sreeram, N.

    2004-01-01

    Background: It is known that children with previously diagnosed heart defects die suddenly. The causes of death are often unknown. Objective: The aim of the study was to identify all infants and children within the Netherlands with previously diagnosed heart disease who had a sudden unexpected death

  7. Do Not ignore pulmonary hypertension any longer. It’s time to deal with it!

    Directory of Open Access Journals (Sweden)

    Ahmad Mirdamadi

    2011-08-01

    Full Text Available Pulmonary hypertension (PH is a condition that,not only by itself causes many problems for those suffering from it,but also, it can exacerbate and complicate many other disease. PH can be responsible of mortality in many patients.Tackling PH is not exclusively related to the field of cardiovascular diseases. Many other disease in other fields of medicine may interfere with PH. Pulmonary diseases ,renal,hepatic,collagen vascular disease,infectious and hematologic disease may be deal with PH. In patients’ suffering from aforementioned diseases, PH can exacerbate primary disorder and even cause mortality. Pregnant women afflicted with PH have 30%-50% mortality rate.(1 Newborns and children with pulmonary or cardiovascular disorder can be later afflicted by PH. PH drastically increases risk in surgeries and in anesthesia and can be the cause of mortalities.(2 or detoriated outcome of patients after surgery.(3According to the latest guidelines,(4 there are 5 categories of PH(table1: 1-Pulmonary arterial hypertension 2-Pulmonary venous hypertension(previously named pulmonary hypertension due to left heart disease 3-Pulmonaey hypertension associated with hypoxemic lung disease 4- Pulmonary hypertension caused by chronic thromboembolic disease 5-Pulmonary hypertension from conditions with uncertain mechanisms For a long time, the science of medicine had no remedy for PH and physicians could only stand by and watch PH patients die .After some time factors which complicate PH are known and it were shown that control of these factors are helpful. Patients are advised, for instance, to refrain from heavy exertion, to avoid pregnancy, and to be vaccinated against flu and pneumococcal infections. PH patients’ life expectancy has increased drastically as a result of this newly acquired knowledge.As PH was becoming better known, symptomatic cures came to patients’ help. Diuretic drugs were used to control edema and anticoagulants were used to put

  8. Are land deals driving 'water grabs'?

    Energy Technology Data Exchange (ETDEWEB)

    Skinner, Jamie; Cotula, Lorenzo

    2011-11-15

    Investors in land often look for land with a high growing potential, which means land with lots of rainfall or land that can be irrigated. In multimillion dollar investments involving irrigation, investors typically want to secure water rights as part of the deal. Motivated by potential revenues from water fees and the prospect of improved agricultural productivity, many African governments are signing away water rights for decades to large investors. But they are doing so with little regard for how this will impact the millions of other users — from fishermen to pastoralists — whose livelihoods depend on customary access to water. Water managers must seriously consider the extent to which water rights should be linked to land in this way before setting a long-term precedent that could compromise sustainable and equitable supply to all users in the future.

  9. Is Dealing with Climate Change a Corporation’s Responsibility? A Social Contract Perspective

    Science.gov (United States)

    Unsworth, Kerrie L.; Russell, Sally V.; Davis, Matthew C.

    2016-01-01

    In this paper, we argue that individuals – as members of society – play an important role in the expectations of whether or not companies are responsible for addressing environmental issues, and whether or not governments should regulate them. From this perspective of corporate social responsibility as a social contract we report the results of a survey of 1066 individuals. The aim of the survey was to assess participants’ belief in anthropogenic climate change, free-market ideology, and beliefs around who is responsible for dealing with climate change. Results showed that both climate change views and free market ideology have a strong effect on beliefs that companies are responsible for dealing with climate change and on support for regulatory policy to that end. Furthermore, we found that free market ideology is a barrier in the support of corporate regulatory policy. The implications of these findings for research, policy, and practice are discussed. PMID:27588009

  10. Shareholder preferences of Merger Deals and Industry Choices: A Case Study of UK Companies

    OpenAIRE

    Reimoo, Maleka

    2007-01-01

    Abstract Mergers and acquisitions have gained enormous popularity in the recent past. There have been five trends in the previous century alone. There is however, a conflict in the literature regarding the impacts of such financial activities. While some researchers support mergers due to the financial profits associated with them, others argue against them as not being very favourable for the shareholders of the companies. This research therefore aims at calculating any abnormal returns ...

  11. Labor's New Deal for Journalism--The Newspaper Guild in the 1930s

    Science.gov (United States)

    Scott, Dale Benjamin

    2009-01-01

    The Depression and the New Deal brought together a variety of conditions and social forces that set up a formative clash over the institution of professional journalism. At the heart of that fight was the rise of the American Newspaper Guild and its battle for control over the trusteeship of the freedom of the press. The experience in the news…

  12. Everolimus for Previously Treated Advanced Gastric Cancer: Results of the Randomized, Double-Blind, Phase III GRANITE-1 Study

    Science.gov (United States)

    Ohtsu, Atsushi; Ajani, Jaffer A.; Bai, Yu-Xian; Bang, Yung-Jue; Chung, Hyun-Cheol; Pan, Hong-Ming; Sahmoud, Tarek; Shen, Lin; Yeh, Kun-Huei; Chin, Keisho; Muro, Kei; Kim, Yeul Hong; Ferry, David; Tebbutt, Niall C.; Al-Batran, Salah-Eddin; Smith, Heind; Costantini, Chiara; Rizvi, Syed; Lebwohl, David; Van Cutsem, Eric

    2013-01-01

    Purpose The oral mammalian target of rapamycin inhibitor everolimus demonstrated promising efficacy in a phase II study of pretreated advanced gastric cancer. This international, double-blind, phase III study compared everolimus efficacy and safety with that of best supportive care (BSC) in previously treated advanced gastric cancer. Patients and Methods Patients with advanced gastric cancer that progressed after one or two lines of systemic chemotherapy were randomly assigned to everolimus 10 mg/d (assignment schedule: 2:1) or matching placebo, both given with BSC. Randomization was stratified by previous chemotherapy lines (one v two) and region (Asia v rest of the world [ROW]). Treatment continued until disease progression or intolerable toxicity. Primary end point was overall survival (OS). Secondary end points included progression-free survival (PFS), overall response rate, and safety. Results Six hundred fifty-six patients (median age, 62.0 years; 73.6% male) were enrolled. Median OS was 5.4 months with everolimus and 4.3 months with placebo (hazard ratio, 0.90; 95% CI, 0.75 to 1.08; P = .124). Median PFS was 1.7 months and 1.4 months in the everolimus and placebo arms, respectively (hazard ratio, 0.66; 95% CI, 0.56 to 0.78). Common grade 3/4 adverse events included anemia, decreased appetite, and fatigue. The safety profile was similar in patients enrolled in Asia versus ROW. Conclusion Compared with BSC, everolimus did not significantly improve overall survival for advanced gastric cancer that progressed after one or two lines of previous systemic chemotherapy. The safety profile observed for everolimus was consistent with that observed for everolimus in other cancers. PMID:24043745

  13. "Dulling the Edges": Young Men's Use of Alcohol to Deal With Grief Following the Death of a Male Friend

    Science.gov (United States)

    Creighton, Genevieve; Oliffe, John; Matthews, Jennifer; Saewyc, Elizabeth

    2016-01-01

    Background: The death of a male friend can be challenging for men because expressions of grief can be governed and restrained by dominant ideals of masculinity. It is common for young men to engage in health risk practices, such as alcohol overuse, to deal with feelings of sadness. Objective: This qualitative study investigated the ways that young…

  14. Response to health insurance by previously uninsured rural children.

    Science.gov (United States)

    Tilford, J M; Robbins, J M; Shema, S J; Farmer, F L

    1999-08-01

    To examine the healthcare utilization and costs of previously uninsured rural children. Four years of claims data from a school-based health insurance program located in the Mississippi Delta. All children who were not Medicaid-eligible or were uninsured, were eligible for limited benefits under the program. The 1987 National Medical Expenditure Survey (NMES) was used to compare utilization of services. The study represents a natural experiment in the provision of insurance benefits to a previously uninsured population. Premiums for the claims cost were set with little or no information on expected use of services. Claims from the insurer were used to form a panel data set. Mixed model logistic and linear regressions were estimated to determine the response to insurance for several categories of health services. The use of services increased over time and approached the level of utilization in the NMES. Conditional medical expenditures also increased over time. Actuarial estimates of claims cost greatly exceeded actual claims cost. The provision of a limited medical, dental, and optical benefit package cost approximately $20-$24 per member per month in claims paid. An important uncertainty in providing health insurance to previously uninsured populations is whether a pent-up demand exists for health services. Evidence of a pent-up demand for medical services was not supported in this study of rural school-age children. States considering partnerships with private insurers to implement the State Children's Health Insurance Program could lower premium costs by assembling basic data on previously uninsured children.

  15. The Role of the Islamic Education in Dealing with Psychological Effects of Social Media Networks among Students at Mu'tah University

    Science.gov (United States)

    Al-Marayeah, Abdullah Sulaiman; Albtoosh, Zeyad Abdalateef; Al-Nawasrah, Maha Ayed

    2017-01-01

    This study aimed to identify the role of the Islamic Education in dealing with the psychological effects of social media networks among students at Mu'tah University in Jordan. In order to obtain the required data, a questionnaire consists of 31 questions was used in this study. The questionnaire can be divided into three sections. The sample of…

  16. Comparison of approaches to deal with matrix effects in LC-MS/MS based determinations of mycotoxins in food and feed

    NARCIS (Netherlands)

    Fabregat-Cabello, N.; Zomer, P.; Sancho, J.V.; Roig-Navarro, A.F.; Mol, H.G.J.

    2016-01-01

    This study deals with one of the major concerns in mycotoxin determinations: The matrix effect related to LC-MS/ MS systems with electrospray ionization sources. To this end, in a first approach, the matrix effect has been evaluated in two ways: monitoring the signal of a compound (added to the

  17. On the EU approach for DEMO architecture exploration and dealing with uncertainties

    Energy Technology Data Exchange (ETDEWEB)

    Coleman, M., E-mail: matti.coleman@euro-fusion.org [EUROfusion Consortium, Boltzmannstraße 2, 85748 Garching (Germany); CCFE Fusion Association, Culham Science Centre, Abingdon, Oxfordshire OX14 3DB (United Kingdom); Maviglia, F.; Bachmann, C. [EUROfusion Consortium, Boltzmannstraße 2, 85748 Garching (Germany); Anthony, J. [CCFE Fusion Association, Culham Science Centre, Abingdon, Oxfordshire OX14 3DB (United Kingdom); Federici, G. [EUROfusion Consortium, Boltzmannstraße 2, 85748 Garching (Germany); Shannon, M. [EUROfusion Consortium, Boltzmannstraße 2, 85748 Garching (Germany); CCFE Fusion Association, Culham Science Centre, Abingdon, Oxfordshire OX14 3DB (United Kingdom); Wenninger, R. [EUROfusion Consortium, Boltzmannstraße 2, 85748 Garching (Germany); Max-Planck-Institut für Plasmaphysik, 85748 Garching (Germany)

    2016-11-01

    Highlights: • The issue of epistemic uncertainties in the DEMO design basis is described. • An approach to tackle uncertainty by investigating plant architectures is proposed. • The first wall heat load uncertainty is addressed following the proposed approach. - Abstract: One of the difficulties inherent in designing a future fusion reactor is dealing with uncertainty. As the major step between ITER and the commercial exploitation of nuclear fusion energy, DEMO will have to address many challenges – the natures of which are still not fully known. Unlike fission reactors, fusion reactors suffer from the intrinsic complexity of the tokamak (numerous interdependent system parameters) and from the dependence of plasma physics on scale – prohibiting design exploration founded on incremental progression and small-scale experimentation. For DEMO, this means that significant technical uncertainties will exist for some time to come, and a systems engineering design exploration approach must be developed to explore the reactor architecture when faced with these uncertainties. Important uncertainties in the context of fusion reactor design are discussed and a strategy for dealing with these is presented, treating the uncertainty in the first wall loads as an example.

  18. Satisfaction with sex life in sexually active heterosexual couples dealing with breast cancer

    DEFF Research Database (Denmark)

    Rottmann, Nina; Gilså Hansen, Dorte; dePont Christensen, René

    2017-01-01

    Background: A breast cancer (BC) diagnosis can profoundly affect the sex life of patient and partner within a couple. The purpose of the present study is to examine whether individual and partner sexual functioning, affectionate behavior, emotional closeness and depressive symptoms are associated...... with change over time in satisfaction with sex life of sexually active heterosexual couples dealing with BC and to explore whether the associations differ between patients and partners after adjustment for basic sociodemographic characteristics, comorbidity and BC treatment. Material and methods: Women...... vaginal discomfort and more vaginal lubrication were associated with increases in patients’ satisfaction with sex life. Patients’ and partners’ satisfaction increased with higher ratings of their own orgasm ability and of partners’ timing of ejaculation. Patients’ reports of affectionate behavior were...

  19. A comparative study of the models dealing with localized and semi-localized transitions in thermally stimulated luminescence

    International Nuclear Information System (INIS)

    Kumar, Munish; Kher, R K; Bhatt, B C; Sunta, C M

    2007-01-01

    Different models dealing with localized and semi-localized transitions, namely Chen-Halperin, Mandowski and the model based on the Braunlich-Scharmann (BS) approach are compared. It has been found that for recombination dominant situations (r > 1, the three models differ. This implies that for localized transitions under recombination dominant situations, the Chen-Halperin model is the best representative of the thermally stimulated luminescence (TSL) process. It has also been found that for the TSL glow curves arising from delocalized recombination in Mandowski's semi-localized transitions model, the double peak structure of the TSL glow curve is a function of the radiation dose as well as of the heating rate. Further, the double peak structure of the TSL glow curves arising from delocalized recombination disappears at low doses as well as at higher heating rates. It has also been found that the TSL glow curves arising from delocalized recombination in the semi-localized transitions model based on the BS approach do not exhibit double peak structure as observed in the Mandowski semi-localized transitions model

  20. International land deals, local people's livelihood, and environment nexus (How to create win-win land deals in Ethiopia?)

    Science.gov (United States)

    Teklemariam Gebremeskel, Dereje; Witlox, Frank; Azadi, Hossein; Haile, Mitiku; Nyssen, Jan

    2013-04-01

    Following the global raise in demand for food and biofuel production, transnational companies are acquiring large scale agricultural land in developing countries such as Ethiopia. Considering land as one of the factors to be outsourced for development, the government of Ethiopia is supplying millions of hectares of land to transnational companies in the form of longterm lease. Many of the companies which engage in large scale land acquisition are of Indian, Chinese, Ethiopian diaspora, German, Malaysian, Italian, British, Dutch, Turkish, and Saudi-Arabian origin. The boom in the acquisition of farm land in the country has sparked an all-rounded debate among civil society groups, international institutions, nongovernmental organizations and independent development experts. The common reflections concerning the land deals in Ethiopia and elsewhere contain much rhetoric and hype which lack analysis of the real situation "on the ground" giving different connotations such as 'land grabbing', 'agricultural outsourcing', 'neo-colonialism', 'agrarian colonialism', and 'land underdevelopment'. However, deforestation, soil degradation, marginalization of local indigenous communities, and minimally unfair gains from investment by the host country are among the real points of concern arising out of the long term land lease contracts. Scientific evidence is lacking concerning the pragmatic impacts of large scale agricultural land acquisitions by transnational companies upon the natural environment (forest and land), local peoples' livelihood, and the contacting parties (the host country and the companies). The major objective of this study is to investigate the impacts in the context of Ethiopia, orienting to reinvent win-win land use models which constitute sustainable land use, local peoples' livelihood and the company-host country interests. To achieve this overall objective, the study employs a number of methods and methodologies constituting both qualitative and

  1. Polluted online information? Surfing Italian websites dealing with the topic of waste and health

    International Nuclear Information System (INIS)

    Orizio, G; Gelatti, U; Locatelli, M K; Caimi, L

    2011-01-01

    In the field of health communication, a particularly critical issue is communication to the public of environmental risks, especially on topics for which there is still a high degree of scientific uncertainty regarding risk estimates. One such topic is undoubtedly the impact of waste on people's health. The aim of this study was to evaluate the presence and characteristics of Italian websites dealing with the topic of waste and health. The keywords 'waste' and 'health' were entered in 2010 in the three most commonly used search engines, and the first five pages were analysed. The selected websites were coded according to the content analysis method. For websites of interest we evaluated the 'page rank'. Out of the 150 occurrences analysed, the number of websites found to deal with this subject was only 19, four of which were of an institutional nature. The majority of websites gave a message of increased health risk associated with the three kinds of waste disposal tackled. As regards visibility, only one of the four institutional websites maintained its position on the first page of the three search engines. We found that institutional health websites have low visibility, despite extensive media coverage of waste and health issues in Italy as a result of the Naples case, which was debated globally. This indicates that public health institutions' web strategies are basically unable to meet people's health information requirements, which could strengthen rival health information providers.

  2. Polluted online information? Surfing Italian websites dealing with the topic of waste and health

    Science.gov (United States)

    Orizio, G.; Locatelli, M. K.; Caimi, L.; Gelatti, U.

    2011-10-01

    In the field of health communication, a particularly critical issue is communication to the public of environmental risks, especially on topics for which there is still a high degree of scientific uncertainty regarding risk estimates. One such topic is undoubtedly the impact of waste on people's health. The aim of this study was to evaluate the presence and characteristics of Italian websites dealing with the topic of waste and health. The keywords 'waste' and 'health' were entered in 2010 in the three most commonly used search engines, and the first five pages were analysed. The selected websites were coded according to the content analysis method. For websites of interest we evaluated the 'page rank'. Out of the 150 occurrences analysed, the number of websites found to deal with this subject was only 19, four of which were of an institutional nature. The majority of websites gave a message of increased health risk associated with the three kinds of waste disposal tackled. As regards visibility, only one of the four institutional websites maintained its position on the first page of the three search engines. We found that institutional health websites have low visibility, despite extensive media coverage of waste and health issues in Italy as a result of the Naples case, which was debated globally. This indicates that public health institutions' web strategies are basically unable to meet people's health information requirements, which could strengthen rival health information providers.

  3. Strategies for dealing with resistance to recommendations from accident investigations

    DEFF Research Database (Denmark)

    Lundberg, J.; Rollenhagen, C.; Hollnagel, E.

    2012-01-01

    Accident investigation reports usually lead to a set of recommendations for change. These recommendations are, however, sometimes resisted for reasons such as various aspects of ethics and power. When accident investigators are aware of this, they use several strategies to overcome the resistance....... This paper describes strategies for dealing with four different types of resistance to change. The strategies were derived from qualitative analysis of 25 interviews with Swedish accident investigators from seven application domains. The main contribution of the paper is a better understanding of effective...... strategies for achieving change associated with accident investigation. (C) 2011 Elsevier Ltd. All rights reserved....

  4. Strategies for dealing with resistance to recommendations from accident investigations.

    Science.gov (United States)

    Lundberg, Jonas; Rollenhagen, Carl; Hollnagel, Erik; Rankin, Amy

    2012-03-01

    Accident investigation reports usually lead to a set of recommendations for change. These recommendations are, however, sometimes resisted for reasons such as various aspects of ethics and power. When accident investigators are aware of this, they use several strategies to overcome the resistance. This paper describes strategies for dealing with four different types of resistance to change. The strategies were derived from qualitative analysis of 25 interviews with Swedish accident investigators from seven application domains. The main contribution of the paper is a better understanding of effective strategies for achieving change associated with accident investigation. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. An empirical evaluation of competency requirements for first-line managers to deal with resistance to change.

    OpenAIRE

    2007-01-01

    The point of departure of this study is that first-line managers play a pivotal role in the facilitation of change initiatives in organisations world-wide. Resistance to change is one of the primary reasons why change interventions fail or why success is not achieved in the change process. More specific, the inability of first-line managers to deal with resistance to change has been cited as a primary cause for change projects to fail. There is no evidence that any research has been conducted...

  6. The appeal of the green deal: Empirical evidence for the influence of energy efficiency policy on renovating homeowners

    International Nuclear Information System (INIS)

    Pettifor, H.; Wilson, C.; Chryssochoidis, G.

    2015-01-01

    The Green Deal is a major new energy policy designed to support the diffusion of energy efficiency measures in UK homes. This paper provides one of the first empirical examinations of the Green Deal′s success in influencing homeowners’ renovation decisions. Using a repeated measures design in which households were questioned before and after the Green Deal′s launch in January 2013, we assess the policy′s success in raising awareness of energy efficiency. In particular, we test the effectiveness of the Green Deal′s positioning to overcome barriers to renovation among homeowners already interested in or considering energy efficiency measures. Using the innovation decision process (Rogers, 2003) as a conceptual framing of the renovation decision process, we examine whether new information on energy efficiency provided by the Green Deal strengthened intentions and its antecedents. We find that (1) energy efficiency is of potential appeal to all renovators regardless of their attitudes about energy efficiency, (2) energy efficiency opportunities need to be identified in the early stages of renovation when homeowners are thinking about ways to improve their home, and (3) homeowners’ intentions towards energy efficiency are weakened by uncertainty about financial benefits, helping to explain the relatively slow uptake of the Green Deal to-date. - Highlights: • Examines the impact of a major new energy policy, the Green Deal, on intentions towards energy efficiency. • 502 households questioned four months prior to, and seven months after the launch. • Renovating itself is mechanism through which households engage with the Green Deal. • Strengthening beliefs in energy savings accelerates intentions to renovate energy efficiently

  7. Dealing with ambiguity: Israeli physician's attitudes and practices regarding pre-exercise certificates: a questionnaire study.

    Science.gov (United States)

    Hoffman, Robert D; Golan, Ron; Vinker, Shlomo

    2016-01-01

    It has become clear in recent years that a healthy lifestyle, including physical exercise is crucial for health maintenance. Nevertheless, most people do not exercise regularly. Physician intervention is beneficial in increasing patient exercise. In Israel, the 1994 "Sports Law" regarding exercising in a gymnasium requires a physician's written authorization, but does not direct the physicians what they should ascertain before issuing the certificate. This pre-exercise certificate has been widely discussed in Israel over the last year as the law is to be revised to enable using a modification of the PAR-Q+ (Physical Activity Readiness questionnaire) patient questionnaire as a screening tool. This will leave the requirement for a pre-exercise certificate for a less healthy population, yet without clear instructions to the primary care physician on criteria for ascertaining fitness. Our aim was to evaluate how primary care physicians deal with the ambiguity of defining health criteria for issuing exercise authorization/certificate. We used an anonymous ten-item attitude/knowledge multiple choice questionnaire with an additional 13 personal/education and employment questions. We assessed each potential predictor of physician attitude and knowledge in univariate models. 135 useable questionnaires were collected. Of these, 43.7 % of the doctors will provide the pre-exercise certificate to all their patients; 63 % were aware of their HMO/employers guidelines for issuing certificates; 62 % stated they complied with these guidelines, and 16 % stated they did not follow them. In addition, 70 % of the physicians reported regular exercise themselves, an average of 4.12 h/week. These physicians tended to provide the pre-exercise certificate to all patients unconditionally, as compared to physicians that did not exercise regularly. (46 % vs. 14.5 %, p exercise in the gym. There is a wide variation as to what physicians check before providing the certificate. The

  8. How to deal with petabytes of data: the LHC Grid project

    International Nuclear Information System (INIS)

    Britton, D; Lloyd, S L

    2014-01-01

    We review the Grid computing system developed by the international community to deal with the petabytes of data coming from the Large Hadron Collider at CERN in Geneva with particular emphasis on the ATLAS experiment and the UK Grid project, GridPP. Although these developments were started over a decade ago, this article explains their continued relevance as part of the ‘Big Data’ problem and how the Grid has been forerunner of today's cloud computing. (review article)

  9. Remembering the present: Dealing with the memories of terrorism in Europe

    Directory of Open Access Journals (Sweden)

    Ana Milošević

    2017-05-01

    Full Text Available Whilst the interest of memory scholars in political violence and more specifically in terrorism is not novel, there appears to be a certain urgency to reflect upon memories of terrorist violence in collective, European immaginarium. By questioning how to deal with these memories and how the process of remembrance of the victims of terrorism will pave its way into a European memory culture, this article analyses spontaneous memorialization of the victims of terrorist attacks in Brussels (2016.

  10. Banking at the crossroads: How to deal with marketability and complexity?

    Directory of Open Access Journals (Sweden)

    Arnoud W.A. Boot

    2011-07-01

    Building on this, the paper discusses the incentives of individual financial institutions. Issues addressed include: frictions between relationship banking and transaction activities that are more financial market focused, ownership structure issues, the impact of the cost of capital, the effectiveness of market discipline, and what configuration of the industry can be expected. We will argue that market forces might be at odds with financial stability. We will point at institutional and regulatory changes that might be needed to deal with the complexity of financial institutions.

  11. Surviving crack: a qualitative study of the strategies and tactics developed by Brazilian users to deal with the risks associated with the drug

    Directory of Open Access Journals (Sweden)

    Nappo Solange A

    2010-11-01

    Full Text Available Abstract Background Due to marginalization, trafficking violence, conflicts with the police and organic and social psychological problems associated with the drug, crack is one of the most devastating drugs currently in use. However, there is evidence that some users manage to stay alive and active while using crack cocaine for many years, despite the numerous adversities and risks involved with this behavior. In this context, the aim of the present study was to identify the strategies and tactics developed by crack users to deal with the risks associated with the culture of use by examining the survival strategies employed by long-term users. Method A qualitative research method was used involving semi-structured, in-depth interviews. Twenty-eight crack users fulfilling a pre-defined enrollment criterion were interviewed. This criterion was defined as the long-term use of crack (i.e., at least four years. The sample was selected using information provided by key informants and distributed across eight different supply chains. The interviews were literally transcribed and analyzed via content analysis techniques using NVivo-8 software. Results There was diversity in the sample with regard to economic and education levels. The average duration of crack use was 11.5 years. Respondents believed that the greatest risks of crack dependence were related to the drug's psychological effects (e.g., cravings and transient paranoid symptoms and those arising from its illegality (e.g., clashes with the police and trafficking. Protection strategies focused on the control of the psychological effects, primarily through the consumption of alcohol and marijuana. To address the illegality of the drug, strategies were developed to deal with dealers and the police; these strategies were considered crucial for survival. Conclusions The strategies developed by the respondents focused on trying to protect themselves. They proved generally effective, though they

  12. Russian joint ventures, upstream deals hit fast clip

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports that Russia is stepping up the pace of joint ventures and imports of petroleum technology and hardware. Among the latest action: Polar Lights, a 50-50 venture of Conoco Timan-Pechora Ltd. and Arkhangelskgeologia (AAG), started drilling in the first new-field oil-development project in Russia to include a US partner; The governments of Oman and the Kazakhstan republic signed an agreement covering oil and gas exploration, field development, and production in Kazakhstan; Phibro Energy Inc., Greenwich, Conn., last week reported the sale and delivery of the first full cargo of Russian crude oil produced and exported by a Russian-American joint venture; Era Aviation Inc., Anchorage, Alas., is sending two helicopters with crewmen to Russia to help assess the feasibility of oil and gas development off Sakhalin Island; In deals involving Canadian companies, SNC-Lavalin Inc., Montreal, received a contract for initial work on a $350 million (US) modernization of the Volvograd refinery in southern Russia

  13. Seismic as a negotiating tool in land deals

    International Nuclear Information System (INIS)

    Lefebvre, J.E.; Land, P.

    1999-01-01

    The use of seismic information as an important component in the technical evaluation of prospects was discussed. Such information is used to evaluate a play from a technical point of view. It is also only one of many pieces of information used by parties that own land and by those who want to exploit it. This paper focused on how this negotiating tool is used to make deals between an optionor and an optionee. Since their respective interests are not identical (from the optionor's point of view the shorter the period of time that the lands are tied up the better; the optionne's concern is the smallest possible financial commitment and the longest possible tie-up period for the lands) it is essential for both parties to do a lot of homework before submitting or accepting a proposal. The role of the seismic survey report in this complicated negotiation is the focus of this contribution, looking at the situation primarily from the vantage point of the optionnee

  14. Predictive factors for the development of diabetes in women with previous gestational diabetes mellitus

    DEFF Research Database (Denmark)

    Damm, P.; Kühl, C.; Bertelsen, Aksel

    1992-01-01

    OBJECTIVES: The purpose of this study was to determine the incidence of diabetes in women with previous dietary-treated gestational diabetes mellitus and to identify predictive factors for development of diabetes. STUDY DESIGN: Two to 11 years post partum, glucose tolerance was investigated in 241...... women with previous dietary-treated gestational diabetes mellitus and 57 women without previous gestational diabetes mellitus (control group). RESULTS: Diabetes developed in 42 (17.4%) women with previous gestational diabetes mellitus (3.7% insulin-dependent diabetes mellitus and 13.7% non...... of previous patients with gestational diabetes mellitus in whom plasma insulin was measured during an oral glucose tolerance test in late pregnancy a low insulin response at diagnosis was found to be an independent predictive factor for diabetes development. CONCLUSIONS: Women with previous dietary...

  15. Seed science in the 21st century: rights that scientist have to deal with

    NARCIS (Netherlands)

    Louwaars, N.P.

    2012-01-01

    Seed researchers, like anybody else working with materials containing genes, have to deal with a variety of rules. Their ‘freedom to operate’ does not only depend on intellectual property rights but also on various rights arising from biodiversity policies and possibly traditional knowledge. The

  16. Students leaving the STEM pipeline : an investigation of their attitudes and the influence of significant others on their study choice

    NARCIS (Netherlands)

    Korpershoek, Hanke; Kuyper, Hans; Bosker, Roel; van der Werf, Margaretha

    2013-01-01

    The main aim of the present study was to investigate why some students do not continue in science-oriented studies in higher education despite that their previous career in secondary education proved that they were interested and suitably qualified to do so. We introduced a new approach to deal with

  17. 49 CFR 173.23 - Previously authorized packaging.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Previously authorized packaging. 173.23 Section... REQUIREMENTS FOR SHIPMENTS AND PACKAGINGS Preparation of Hazardous Materials for Transportation § 173.23 Previously authorized packaging. (a) When the regulations specify a packaging with a specification marking...

  18. Section 3. General issues in management : The benefits of a pre-deal purchase price allocation for acquisition decisions: An exploratory analysis

    NARCIS (Netherlands)

    Zülch, Henning; Detzen, Dominic; Wünsch, Martin; Wulf, Torsten; Meißner, Philip

    2013-01-01

    This paper analyzes the benefits of a pre-deal purchasing price allocation (pre-deal PPA), which acquirers have come to integrate into an acquisition process to examine the effects of a potential acquisition on the acquirer's financial statements. The authors take a management perspective and

  19. The job satisfaction of principals of previously disadvantaged schools

    African Journals Online (AJOL)

    The aim of this study was to identify influences on the job satisfaction of previously disadvantaged ..... I am still riding the cloud … I hope it lasts. .... as a way of creating a climate and culture in schools where individuals are willing to explore.

  20. Assessing methods for dealing with treatment crossover in clinical trials: A follow-up simulation study

    OpenAIRE

    Latimer, N.R.; Abrams, K.R.; Lambert, P.C.; Crowther, M.J.; Morden, J.P.

    2014-01-01

    Background: Treatment switching commonly occurs in clinical trials of novel interventions, particularly in the advanced or metastatic cancer setting, which causes important problems for health technology assessment. Previous research has demonstrated which adjustment methods are suitable in specific scenarios, but scenarios considered have been limited. \\ud Objectives: We aimed to assess statistical approaches for adjusting survival estimates in the presence of treatment switching in order to...

  1. 22 CFR 40.91 - Certain aliens previously removed.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certain aliens previously removed. 40.91... IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Aliens Previously Removed § 40.91 Certain aliens previously removed. (a) 5-year bar. An alien who has been found inadmissible, whether as a result...

  2. Is email a reliable means of contacting authors of previously published papers? A study of the Emergency Medicine Journal for 2001.

    Science.gov (United States)

    O'Leary, F

    2003-07-01

    To determine whether it is possible to contact authors of previously published papers via email. A cross sectional study of the Emergency Medicine Journal for 2001. 118 articles were included in the study. The response rate from those with valid email addresses was 73%. There was no statistical difference between the type of email address used and the address being invalid (p=0.392) or between the type of article and the likelihood of a reply (p=0.197). More responses were obtained from work addresses when compared with Hotmail addresses (86% v 57%, p=0.02). Email is a valid means of contacting authors of previously published articles, particularly within the emergency medicine specialty. A work based email address may be a more valid means of contact than a Hotmail address.

  3. Does the patients′ educational level and previous counseling affect their medication knowledge?

    Directory of Open Access Journals (Sweden)

    Abdulmalik M Alkatheri

    2013-01-01

    Conclusions: The education level of the patient and previous counseling are positively linked to medication knowledge. Knowledge of the medications′ side effects proved to be the most difficult task for the participants in this study, requiring the highest level of education, and was improved by previous counseling.

  4. SONOGRAPHIC PREDICTION OF SCAR DEHISCENCE IN WOMEN WITH PREVIOUS CAESAREAN SECTION

    Directory of Open Access Journals (Sweden)

    Shubhada Suhas Jajoo

    2018-01-01

    Full Text Available BACKGROUND Caesarean section (Sectio Caesarea is a surgical method for the completion of delivery. After various historical modifications of operative techniques, modern approach consists in the transverse dissection of the anterior wall of the uterus. The rate of vaginal birth after caesarean section was significantly reduced from year to year and the rate of repeated caesarean section is increased during the past 10 years. Evaluation of scar thickness is done by ultrasound, but it is still debatable size of thick scar that would be guiding “cut-off value” for the completion of the delivery method. To better assess the risk of uterine rupture, some authors have proposed sonographic measurement of lower uterine segment thickness near term assuming that there is an inverse correlation between LUS thickness and the risk of uterine scar defect. Therefore, this assessment for the management of women with prior CS may increase safety during labour by selecting women with the lowest risk of uterine rupture. The aim of the study is to study the diagnostic accuracy of sonographic measurements of the Lower Uterine Segment (LUS thickness near term in predicting uterine scar defects in women with prior Caesarean Section (CS. We aim to ascertain the best cut-off values for predicting uterine rupture. MATERIALS AND METHODS 100 antenatal women with history of previous one LSCS who come to attend antenatal clinic will be assessed for scar thickness by transabdominal ultrasonography and its correlation with intraoperative findings. This prospective longitudinal study was conducted for 1 year after IEC approval with inclusion criteria previous one LSCS. Exclusion criteria- 1 Previous myomectomy scar; 2 Previous 2 LSCS; 3 Previous hysterotomy scar. RESULTS Our findings indicate that there is a strong association between degree of LUS thinning measured near term and the risk of uterine scar defect at birth. In our study, optimal cut-off value for predicting

  5. Cupriavidus pinatubonensis AEO106 deals with copper-induced oxidative stress before engaging in biodegradation of the herbicide 4-chloro-2-methylphenoxyacetic acid

    DEFF Research Database (Denmark)

    Svenningsen, Nanna Bygvraa; Damgaard, Mette; Rasmussen, Maria Katrine

    2017-01-01

    to Cu leads to accumulation of intracellular reactive oxygen species (ROS) in some bacteria, but it is not known how Cu-derived ROS and an ensuing oxidative stress affect the degradation of PA herbicides. Based on the previously proposed paradigm that bacteria deal with environmental stress before...... that it is involved in the oxidative stress response in C. pinatubonensis. The increased ROS accumulation and increased expression of the oxidative stress defense coincided with a delay in the catabolic performance, since both expression of the catabolic tfdA gene and MCPA mineralization were delayed compared...... increased accumulation of ROS measured by the oxidant sensing probe 2,7-dichlorodihydrofluorescein diacetate and flow cytometry, and resulted in upregulation of a gene encoding a protein belong to the Ohr/OsmC protein family. The ohr/osmC gene was also highly induced by H2O2 exposure suggesting...

  6. Can the Green Deal be fair too? Exploring new possibilities for alleviating fuel poverty

    International Nuclear Information System (INIS)

    Guertler, Pedro

    2012-01-01

    Energy efficiency and social programmes have failed to stem the dramatic increase in the number of fuel poor households in recent years. As the 2016 deadline for eradicating fuel poverty nears, energy efficiency and fuel poverty programmes are undergoing significant changes. The ambitions for Britain's Green Deal, the overhaul of supplier obligations alongside the winding down of Warm Front, and the introduction of an incentive for renewable heat combine to form a sea change in how energy efficiency and fuel poverty objectives are financed and delivered. Green Deal Finance (GDF) eliminates the up-front capital cost of energy efficiency measures to the household by linking repayments to energy savings and spreading them over many years. This paper asks whether and how GDF could be beneficial to fuel poor households. Using scenarios modelled on the English House Condition Survey, it explores the extent to which fuel poverty could be reduced, allowing for repayments incurred by GDF. It examines how much further fuel poverty could be alleviated were the capital cost subsidised or repayments supported, and concludes that a flexible design for GDF is necessary if it is to contribute to alleviating fuel poverty. - Highlights: ► The potential impact of Green Deal finance (GDF) on fuel poverty (FP) is explored. ► GDF based on actual energy use rather than notional need is better at reducing FP. ► Additional subsidy by energy companies improves the impact of GDF on FP. ► However, the resultant increases in energy bills would negate much of this effect. ► Government support for repayments could be fairer and go further.

  7. Negotiation processes in urban redevelopment projects: dealing with conflicts by balancing integrative and distributive approaches

    NARCIS (Netherlands)

    Baarveld, Marlijn; Smit, Marnix; Dewulf, Geert P.M.R.

    2015-01-01

    Dealing with conflict through dialogue receives considerable attention in current planning approaches. However, debate and negotiation are also inevitable features in the planning of urban redevelopment projects. Insight into the negotiation process contributes to current planning practice as

  8. Discovering the Full Potential of the 360 Deal: An Analysis of the Korean Pop Industry, Seven-Year Statute, and Talent Agencies Act of California

    OpenAIRE

    Tsai, Patricia

    2013-01-01

    The 360 deal has been an attractive option for music labels in the United States to gain traction in the faltering music industry, but potential legal obstacles may hinder the incentive to enter into the deals both for the label and for the artist. Labels entering into 360 deals may find themselves liable for violating the Seven-Year Statute or ...

  9. The job satisfaction of principals of previously disadvantaged schools

    African Journals Online (AJOL)

    The aim of this study was to identify influences on the job satisfaction of previously disadvantaged school principals in North-West Province. Evans's theory of job satisfaction, morale and motivation was useful as a conceptual framework. A mixedmethods explanatory research design was important in discovering issues with ...

  10. Doxorubicin and ifosfamide combination chemotherapy in previously treated acute leukemia in adults: a Southwest Oncology Group pilot study.

    Science.gov (United States)

    Ryan, D H; Bickers, J N; Vial, R H; Hussein, K; Bottomley, R; Hewlett, J S; Wilson, H E; Stuckey, W J

    1980-01-01

    The Southwest Oncology Group did a limited institutional pilot study of the combination of doxorubicin and ifosfamide in the treatment of previously treated adult patients with acute leukemia. Thirty-four patients received one or two courses of the combination. All patients had received prior chemotherapy and 32 had received prior anthracycline chemotherapy. Three patients died before their responses could be fully evaluated. Fourteen patients achieved complete remission (41%) and one patient achieved partial remission. The complete remission rate was 27% for patients with acute myeloblastic leukemia (myelomonoblastic leukemia, monoblastic leukemia, and erythroleukemia) and 89% for patients with acute lymphocytic and undifferentiated leukemia (ALL). Toxic effects included severe hematologic reactions in 33 of 34 patients, hematuria in six patients, altered sensorium in one patient, and congestive heart failure in one patient. The safety of the combination was established and toxic side effects of this therapy were tolerable. The 89% complete remission rate for previously treated patients with ALL suggests that the combination of doxorubicin and ifosfamide may be particularly effective in ALL.

  11. ATLANTIC DIP: simplifying the follow-up of women with previous gestational diabetes.

    LENUS (Irish Health Repository)

    Noctor, E

    2013-11-01

    Previous gestational diabetes (GDM) is associated with a significant lifetime risk of type 2 diabetes. In this study, we assessed the performance of HbA1c and fasting plasma glucose (FPG) measurements against that of 75 g oral glucose tolerance testing (OGTT) for the follow-up screening of women with previous GDM.

  12. Three approaches to deal with inconsistent decision tables - Comparison of decision tree complexity

    KAUST Repository

    Azad, Mohammad; Chikalov, Igor; Moshkov, Mikhail

    2013-01-01

    In inconsistent decision tables, there are groups of rows with equal values of conditional attributes and different decisions (values of the decision attribute). We study three approaches to deal with such tables. Instead of a group of equal rows, we consider one row given by values of conditional attributes and we attach to this row: (i) the set of all decisions for rows from the group (many-valued decision approach); (ii) the most common decision for rows from the group (most common decision approach); and (iii) the unique code of the set of all decisions for rows from the group (generalized decision approach). We present experimental results and compare the depth, average depth and number of nodes of decision trees constructed by a greedy algorithm in the framework of each of the three approaches. © 2013 Springer-Verlag.

  13. The Effectiveness of Brain-Based Teaching Approach in Dealing with the Problems of Students' Conceptual Understanding and Learning Motivation towards Physics

    Science.gov (United States)

    Saleh, Salmiza

    2012-01-01

    Teachers of science-based education in Malaysian secondary schools, especially those in the field of physics, often find their students facing huge difficulties in dealing with conceptual ideas in physics, resulting thus in a lack of interest towards the subject. The aim of this study was to assess the effectiveness of the Brain-Based Teaching…

  14. Probabilistic graphical models to deal with age estimation of living persons.

    Science.gov (United States)

    Sironi, Emanuele; Gallidabino, Matteo; Weyermann, Céline; Taroni, Franco

    2016-03-01

    Due to the rise of criminal, civil and administrative judicial situations involving people lacking valid identity documents, age estimation of living persons has become an important operational procedure for numerous forensic and medicolegal services worldwide. The chronological age of a given person is generally estimated from the observed degree of maturity of some selected physical attributes by means of statistical methods. However, their application in the forensic framework suffers from some conceptual and practical drawbacks, as recently claimed in the specialised literature. The aim of this paper is therefore to offer an alternative solution for overcoming these limits, by reiterating the utility of a probabilistic Bayesian approach for age estimation. This approach allows one to deal in a transparent way with the uncertainty surrounding the age estimation process and to produce all the relevant information in the form of posterior probability distribution about the chronological age of the person under investigation. Furthermore, this probability distribution can also be used for evaluating in a coherent way the possibility that the examined individual is younger or older than a given legal age threshold having a particular legal interest. The main novelty introduced by this work is the development of a probabilistic graphical model, i.e. a Bayesian network, for dealing with the problem at hand. The use of this kind of probabilistic tool can significantly facilitate the application of the proposed methodology: examples are presented based on data related to the ossification status of the medial clavicular epiphysis. The reliability and the advantages of this probabilistic tool are presented and discussed.

  15. A comparison of morbidity associated with placenta previa with and without previous caesarean sections

    International Nuclear Information System (INIS)

    Baqai, S.; Siraj, A.; Noor, N.

    2018-01-01

    To compare the morbidity associated with placenta previa with and without previous caesarean sections. Study Design: Retrospective comparative study. Place and Duration of Study: From March 2014 till March 2016 in the department of Obstetrics and Gynaecology at PNS Shifa hospital Karachi. Material and Methods: After the approval from hospital ethical committee, antenatal patients with singleton pregnancy of gestational age >32 weeks, in the age group of 20-40 years diagnosed to have placenta previa included in the study. All patients with twin pregnancy less than 20 years and more than 40 years of age were excluded. The records of all patients fulfilling the inclusion criteria were reviewed. Data had been collected for demographic and maternal variables, placenta previa, history of previous lower segment caesarean section (LSCS), complications associated with placenta previa and techniques used to control blood loss were recorded. Results: During the study period, 6879 patients were delivered in PNS Shifa, out of these, 2060 (29.9%) had caesarean section out of these, 47.3% patients had previous history of LSCS. Thirty three (1.6%) patients were diagnosed to have placenta previa and frequency of placenta previa was significantly higher in patients with previous history of LSCS than previous normal delivery of LSCS i.e. 22 vs. 11 (p=0.023). It was observed that the frequency of morbidly adherent placenta (MAP) and Intensive care unit (ICU) stay were significantly higher in patients with previous history of LSCS than previous history of normal delivery. Conclusion: Frequency of placenta previa was significantly higher in patients with history of LSCS. Also placenta previa remains a major risk factor for various maternal complications. (author)

  16. Petroleum and international relations: Saudi Arabia, victim of the new world energy deal?

    International Nuclear Information System (INIS)

    Maraval, M.

    2002-01-01

    The US-Saudi Arabia partnership is, on the aspect of international relations, the main victim of September 11, 2001 terror events. If it is excessive today to claim that the President Bush government wishes to weaken the Saudi state, the 2002 trends of the US foreign policy have deeply modify the world energy deal to the detriment of OPEC and its main producing country

  17. Insider dealing : [bakalaureusetöö] / Sander Zibo ; Tartu Ülikool, õigusteaduskond ; juhendaja: Andres Vutt

    Index Scriptorium Estoniae

    Zibo, Sander

    1997-01-01

    Käsitlus, insider dealingu reguleerimise pooltargumendid (firma kaitse, turukaitse, info kaitse) ja vastuargumendid (motivatsioon, turu efektiivsus, järelevalve), Euroopa Liidu insider dealing direktiiv, regulatsioon Eestis, võrdlus Soome ja Saksamaa vastava regulatsiooniga (sisekauplemise mõiste, siseinfo ja selle avalikustamine, siseinfot omavad isikud, keelatud tegevus, järelevalve, koostöö, sanktsioonid)

  18. Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer: a population-based study

    Science.gov (United States)

    Fischer, Alexander H.; Wang, Timothy S.; Yenokyan, Gayane; Kang, Sewon; Chien, Anna L.

    2016-01-01

    Background Individuals with previous nonmelanoma skin cancer (NMSC) are at increased risk for subsequent skin cancer, and should therefore limit UV exposure. Objective To determine whether individuals with previous NMSC engage in better sun protection than those with no skin cancer history. Methods We pooled self-reported data (2005 and 2010 National Health Interview Surveys) from US non-Hispanic white adults (758 with and 34,161 without previous NMSC). We calculated adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (95% CI), taking into account the complex survey design. Results Individuals with previous NMSC versus no history of NMSC had higher rates of frequent use of shade (44.3% versus 27.0%; aPOR=1.41; 1.16–1.71), long sleeves (20.5% versus 7.7%; aPOR=1.55; 1.21–1.98), a wide-brimmed hat (26.1% versus 10.5%; aPOR=1.52; 1.24–1.87), and sunscreen (53.7% versus 33.1%; aPOR=2.11; 95% CI=1.73–2.59), but did not have significantly lower odds of recent sunburn (29.7% versus 40.7%; aPOR=0.95; 0.77–1.17). Among subjects with previous NMSC, recent sunburn was inversely associated with age, sun avoidance, and shade but not sunscreen. Limitations Self-reported cross-sectional data and unavailable information quantifying regular sun exposure. Conclusion Physicians should emphasize sunburn prevention when counseling patients with previous NMSC, especially younger adults, focusing on shade and sun avoidance over sunscreen. PMID:27198078

  19. The Adriatic response to the bora forcing. A numerical study

    International Nuclear Information System (INIS)

    Rachev, N.

    2001-01-01

    This paper deals with the bora wind effect on the Adriatic Sea circulation as simulated by a 3-D numerical code (the DieCAST model). The main result of this forcing is the formation of intense upwelling along the eastern coast in agreement with previous theoretical studies and observations. Different numerical experiments are discussed for various boundary and initial conditions to evaluate their influence on both circulation and upwelling patterns

  20. International Regulations Dealing with Alternative Dispute Resolution for International Commercial Disputes

    Directory of Open Access Journals (Sweden)

    Angelica Rosu

    2009-06-01

    Full Text Available At present, no generally applied international ADR rules exist. However, manylegislative initiatives registered in time. The United Nations Commission on International TradeLaw adopted, thus, a Model Law on International Commercial Conciliation in 2002. The EuropeanUnion has also been active in the area of ADR presenting in May 2008 a Directive on CertainAspects of Mediation in Civil and Commercial Matters that represents its most important initiativesin this field. There are also various international conventions that deal with dispute resolution suchas the International Convention on the Settlement of Investment Disputes. The many legislativeinitiatives are useful, even necessary.

  1. Previous experiences and emotional baggage as barriers to lifestyle change - a qualitative study of Norwegian Healthy Life Centre participants.

    Science.gov (United States)

    Følling, Ingrid S; Solbjør, Marit; Helvik, Anne-S

    2015-06-23

    Changing lifestyle is challenging and difficult. The Norwegian Directorate of Health recommends that all municipalities establish Healthy Life Centres targeted to people with lifestyle issues. Little is known about the background, experiences and reflections of participants. More information is needed about participants to shape effective lifestyle interventions with lasting effect. This study explores how participants in a lifestyle intervention programme describe previous life experiences in relation to changing lifestyle. Semi-structured qualitative in-depth interviews were performed with 23 participants (16 women and 7 men) aged 18 - 70 years. The data were analysed using systematic text condensation searching for issues describing participants' responses, and looking for the essence, aiming to share the basis of life-world experiences as valid knowledge. Participants identified two main themes: being stuck in old habits, and being burdened with emotional baggage from their previous negative experiences. Participants expressed a wish to change their lifestyles, but were unable to act in accordance with the health knowledge they possessed. Previous experiences with lifestyle change kept them from initiating attempts without professional assistance. Participants also described being burdened by an emotional baggage with problems from childhood and/or with family, work and social life issues. Respondents said that they felt that emotional baggage was an important explanation for why they were stuck in old habits and that conversely, being stuck in old habits added load to their already emotional baggage and made it heavier. Behavioural change can be hard to perform as psychological distress from life baggage can influence the ability to change. The study participants' experience of being stuck in old habits and having substantial emotional baggage raises questions as to whether or not Healthy Life Centres are able to help participants who need to make a lifestyle

  2. Previous Fractures at Multiple Sites Increase the Risk for Subsequent Fractures: The Global Longitudinal Study of Osteoporosis in Women

    Science.gov (United States)

    Gehlbach, Stephen; Saag, Kenneth G.; Adachi, Jonathan D.; Hooven, Fred H.; Flahive, Julie; Boonen, Steven; Chapurlat, Roland D.; Compston, Juliet E.; Cooper, Cyrus; Díez-Perez, Adolfo; Greenspan, Susan L.; LaCroix, Andrea Z.; Netelenbos, J. Coen; Pfeilschifter, Johannes; Rossini, Maurizio; Roux, Christian; Sambrook, Philip N.; Silverman, Stuart; Siris, Ethel S.; Watts, Nelson B.; Lindsay, Robert

    2016-01-01

    Previous fractures of the hip, spine, or wrist are well-recognized predictors of future fracture, but the role of other fracture sites is less clear. We sought to assess the relationship between prior fracture at 10 skeletal locations and incident fracture. The Global Longitudinal Study of Osteoporosis in Women (GLOW) is an observational cohort study being conducted in 17 physician practices in 10 countries. Women ≥ 55 years answered questionnaires at baseline and at 1 and/or 2 years (fractures in previous year). Of 60,393 women enrolled, follow-up data were available for 51,762. Of these, 17.6%, 4.0%, and 1.6% had suffered 1, 2, or ≥3 fractures since age 45. During the first 2 years of follow-up, 3149 women suffered 3683 incident fractures. Compared with women with no prior fractures, women with 1, 2, or ≥ 3 prior fractures were 1.8-, 3.0-, and 4.8-fold more likely to have any incident fracture; those with ≥3 prior fractures were 9.1-fold more likely to sustain a new vertebral fracture. Nine of 10 prior fracture locations were associated with an incident fracture. The strongest predictors of incident spine and hip fractures were prior spine fracture (hazard ratio 7.3) and hip (hazard ratio 3.5). Prior rib fractures were associated with a 2.3-fold risk of subsequent vertebral fracture, previous upper leg fracture predicted a 2.2-fold increased risk of hip fracture; women with a history of ankle fracture were at 1.8-fold risk of future fracture of a weight-bearing bone. Our findings suggest that a broad range of prior fracture sites are associated with an increased risk of incident fractures, with important implications for clinical assessments and risk model development. PMID:22113888

  3. Forensic considerations when dealing with incinerated human dental remains.

    Science.gov (United States)

    Reesu, Gowri Vijay; Augustine, Jeyaseelan; Urs, Aadithya B

    2015-01-01

    Establishing the human dental identification process relies upon sufficient post-mortem data being recovered to allow for a meaningful comparison with ante-mortem records of the deceased person. Teeth are the most indestructible components of the human body and are structurally unique in their composition. They possess the highest resistance to most environmental effects like fire, desiccation, decomposition and prolonged immersion. In most natural as well as man-made disasters, teeth may provide the only means of positive identification of an otherwise unrecognizable body. It is imperative that dental evidence should not be destroyed through erroneous handling until appropriate radiographs, photographs, or impressions can be fabricated. Proper methods of physical stabilization of incinerated human dental remains should be followed. The maintenance of integrity of extremely fragile structures is crucial to the successful confirmation of identity. In such situations, the forensic dentist must stabilise these teeth before the fragile remains are transported to the mortuary to ensure preservation of possibly vital identification evidence. Thus, while dealing with any incinerated dental remains, a systematic approach must be followed through each stage of evaluation of incinerated dental remains to prevent the loss of potential dental evidence. This paper presents a composite review of various studies on incinerated human dental remains and discusses their impact on the process of human identification and suggests a step by step approach. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  4. Domestic UK retrofit challenge: Barriers, incentives and current performance leading into the Green Deal

    International Nuclear Information System (INIS)

    Dowson, Mark; Poole, Adam; Harrison, David; Susman, Gideon

    2012-01-01

    This paper reviews the thermal performance of the existing UK housing stock, the main fabric efficiency incentive schemes and the barriers to obtaining deep energy and CO 2 savings throughout the stock. The UK faces a major challenge to improve the thermal performance of its existing housing stock. Millions of dwellings possess ‘hard-to-treat’ solid walls and have glazing which is not cost effective to improve. A range of fabric efficiency incentive schemes exist, but many do not target the full range of private and social housing. From now on, the Green Deal will be the UK's key energy efficiency policy. However, the scheme is forecasted to have low consumer appeal and low incentives for investors. Moreover, calculated Green Deal loan repayments will be reliant upon estimated energy savings, yet it is claimed that retrofit measures may only be half as effective as anticipated due to a lack of monitoring, poor quality installation and the increased use of heating following refurbishment. Looking to Germany, there has been success through the Passivhaus standard, but the UK currently lacks appropriate skills and cost effective components to replicate this approach. In addition, the embodied energy in retrofit products and materials threatens to counter operational savings. - Highlights: ► CERT, CESP, Decent homes and Warm Front have not targeted the full extent of private and social homes. ► There is a risk that Green Deal will fail due to low consumer appeal and low incentives for investors. ► Up to half of the predicted energy savings from whole house retrofits may not be achieved in practice. ► Passivhaus is identified as best practice for retrofit, yet there is a lack of skills and components. ► Embodied energy in materials and components must be better understood to achieve life cycle savings.

  5. A Bibliography of Books Dealing With the Problems of Older Children (Grades 3-12).

    Science.gov (United States)

    Sacco, Margaret

    Books for children that deal with the real problems of children in grades 3 to 12 are listed in this bibliography. The books are concerned with many social problems such as racial inequality, poverty, adult hypocrisy, desertion, broken homes, drugs, alcohol, sex, mental illness, and death. The entries are listed alphabetically by author. Each…

  6. Activities Contributing a Great Deal to the Students' Interactive Skills in Foreign Language Classes

    Science.gov (United States)

    Asatryan, Susanna

    2016-01-01

    While teaching speaking it is desired to provide a rich environment in class for meaningful communication to take place. With this aim, various speaking activities can contribute a great deal to students in developing their interactive skills necessary for life. These activities make students active in the learning process and at the same time…

  7. Previous dropout from diabetic care as a predictor of patients' willingness to use mobile applications for self-management: A cross-sectional study.

    Science.gov (United States)

    Yamaguchi, Satoko; Waki, Kayo; Tomizawa, Nobuko; Waki, Hironori; Nannya, Yasuhito; Nangaku, Masaomi; Kadowaki, Takashi; Ohe, Kazuhiko

    2017-07-01

    Preventing dropout is crucial in managing diabetes. Accordingly, we investigated whether patients who had dropped out of diabetic care are suitable candidates for the use of mobile technologies - such as smartphone applications - to support self-management (mHealth), which might help prevent dropout. We carried out a cross-sectional study in Tokyo, Japan. Patients aged 20 years or older who were clinically diagnosed as diabetic and who regularly visited the outpatient unit at the University of Tokyo Hospital were recruited between August 2014 and March 2015. Data were collected through face-to-face structured interviews, physical measurements and medical records. Participants were asked whether they were willing to use mHealth after being shown DialBetics - an mHealth application for diabetics - as an example, and about their history of dropout and previous mHealth experience. Data were analyzed by multivariate logistic regression models. Of 307 patients with type 1 and type 2 diabetes, 34 (11.1%) had previously dropped out from diabetic care. Multivariate analysis identified previous mHealth experience as a negative predictor of dropout (odds ratio 0.211, P = 0.023). Of those 34 patients, 27 (79.4%) expressed willingness to use mHealth, a significantly higher percentage than for those who had never dropped out (51.5%, P = 0.002). After adjusting for confounders, history of dropout remained a strong predictor of willingness (odds ratio 3.870, P = 0.004). Patients who previously dropped out of diabetic care are suitable candidates for mHealth. Future studies must evaluate whether mHealth is effective for preventing repeated dropout and improving glycemic control among this population. © 2016 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

  8. On dealing with the past, transitional justice and archives

    Directory of Open Access Journals (Sweden)

    Syrri Despina

    2008-01-01

    Full Text Available This paper aims to explore initiatives in dealing with the past in South East Europe, particularly with regard to archives, and to reflect on discussions about the documentation of atrocities and sufferings and the shift from war to peace, ongoing in the Balkan countries affected by the 1991-1999 wars while the countries are still struggling to find the best way(s to deal with the past and its consequences. Transitional justice may be framed as opening up different approaches to create collective memories, to share and to transfer these through time-space. New technologies used in archiving are assumed to open new avenues to democratization and accountability, in communication and free circulation of information, and to create a much broader negotiating process, with significant opportunities for the preservation of memory(ies, documentation and contestation - a far more multi-sited, multi-scalar and multi-level board where novel alliances formations and mediations might arise. One particular case is that of the digitization and public accessibility of the tribunals’ archives, which are supposed to constitute an important legal and cultural heritage that belongs to the world community, as well as to the states and the citizens involved. The information contained in these archives is expected to be made available for new forms of use, such as scientific research and investigation by/for surviving rela­tives, while respecting different legal constraints. The archives would also serve the advancement of the international justice system by explaining the workings of the tribunals to the general public. Consequently the important question that arises is the ownership of these archives. The reciprocal "production" and "consumption" (shaping of the colonial narrative of history and identity entail that the former colonizers and colonized are a community of records, sharing a common archival heritage. Therefore, what in Western archival practice is

  9. Dealing with extreme response style in cross-cultural research: A restricted latent class factor approach

    NARCIS (Netherlands)

    Morren, M.H.; Gelissen, J.P.T.M.; Vermunt, J.K.

    2011-01-01

    Cross-cultural comparison of attitudes using rating scales may be seriously biased by response styles. This paper deals with statistical methods for detection of and correction for extreme response style (ERS), which is one of the well-documented response styles. After providing an overview of

  10. Title: Studies on drug switchability showed heterogeneity in methodological approaches: a scoping review.

    Science.gov (United States)

    Belleudi, Valeria; Trotta, Francesco; Vecchi, Simona; Amato, Laura; Addis, Antonio; Davoli, Marina

    2018-05-16

    Several drugs share the same therapeutic indication, including those undergoing patent expiration. Concerns on the interchangeability are frequent in clinical practice, challenging the evaluation of switchability through observational research. To conduct a scoping review of observational studies on drug switchability to identify methodological strategies adopted to deal with bias and confounding. We searched PubMed, EMBASE, and Web of Science (updated 1/31/2017) to identify studies evaluating switchability in terms of effectiveness/safety outcomes or compliance. Three reviewers independently screened studies extracting all characteristics. Strategies to address confounding, particularly, previous drug use and switching reasons were considered. All findings were summarized in descriptive analyses. Thirty-two studies, published in the last 10 years, met the inclusion criteria. Epilepsy, cardiovascular and rheumatology were the most frequently represented clinical areas. 75% of the studies reported data on effectiveness/safety outcomes. The most frequent study design was cohort (65.6%) followed by case-control (21.9%) and self-controlled (12.5%). Case-control and case-crossover studies showed homogeneous methodological strategies to deal with bias and confounding. Among cohort studies, the confounding associated with previous drug use was addressed introducing variables in multivariate model (47.3%) or selecting only adherent patients (14.3%). Around 30% of cohort studies did not report reasons for switching. In the remaining 70%, clinical parameters or previous occurrence of outcomes were measured to identify switching connected with lack of effectiveness or adverse events. This study represents a starting point for researchers and administrators who are approaching the investigation and assessment of issues related to interchangeability of drugs. Copyright © 2018. Published by Elsevier Inc.

  11. Trading guilds and business dealings in the mediaeval Dubrovnik

    Directory of Open Access Journals (Sweden)

    Blagojević Mirjana

    2014-01-01

    Full Text Available Trading guilds, regulated under the norms of the Dubrovnik Statute, were known under the names entega, collegantia and rogantia. The first one was an association of labour, capital and funds for carrying out business activities, the second one stood on the cross-road between the trading dealings and enterprising ventures, while the third one was, in actual fact, a form of intermediation. Some of their forms are recognised also in the legal systems of the other Adriatic communes, but the best developed regulating norms prevailed in Dubrovnik. It was there that the original forms of association, adopted from the Byzantine practice and law, found a fertile ground for further expansion. The most complex form of these associations, the entega, was not to be found after the 16th century, while collegantia gradually ascended into a limited partnership society, i.e. into the crediting business.

  12. Previous utilization of service does not improve timely booking in ...

    African Journals Online (AJOL)

    Previous utilization of service does not improve timely booking in antenatal care: Cross sectional study ... Journal Home > Vol 24, No 3 (2010) > ... Results: Past experience on antenatal care service utilization did not come out as a predictor for ...

  13. Impact of previously disadvantaged land-users on sustainable ...

    African Journals Online (AJOL)

    Impact of previously disadvantaged land-users on sustainable agricultural ... about previously disadvantaged land users involved in communal farming systems ... of input, capital, marketing, information and land use planning, with effect on ...

  14. An administrative data merging solution for dealing with missing data in a clinical registry: adaptation from ICD-9 to ICD-10

    Directory of Open Access Journals (Sweden)

    Galbraith P Diane

    2008-01-01

    Full Text Available Abstract Background We have previously described a method for dealing with missing data in a prospective cardiac registry initiative. The method involves merging registry data to corresponding ICD-9-CM administrative data to fill in missing data 'holes'. Here, we describe the process of translating our data merging solution to ICD-10, and then validating its performance. Methods A multi-step translation process was undertaken to produce an ICD-10 algorithm, and merging was then implemented to produce complete datasets for 1995–2001 based on the ICD-9-CM coding algorithm, and for 2002–2005 based on the ICD-10 algorithm. We used cardiac registry data for patients undergoing cardiac catheterization in fiscal years 1995–2005. The corresponding administrative data records were coded in ICD-9-CM for 1995–2001 and in ICD-10 for 2002–2005. The resulting datasets were then evaluated for their ability to predict death at one year. Results The prevalence of the individual clinical risk factors increased gradually across years. There was, however, no evidence of either an abrupt drop or rise in prevalence of any of the risk factors. The performance of the new data merging model was comparable to that of our previously reported methodology: c-statistic = 0.788 (95% CI 0.775, 0.802 for the ICD-10 model versus c-statistic = 0.784 (95% CI 0.780, 0.790 for the ICD-9-CM model. The two models also exhibited similar goodness-of-fit. Conclusion The ICD-10 implementation of our data merging method performs as well as the previously-validated ICD-9-CM method. Such methodological research is an essential prerequisite for research with administrative data now that most health systems are transitioning to ICD-10.

  15. Response to deep TMS in depressive patients with previous electroconvulsive treatment.

    Science.gov (United States)

    Rosenberg, Oded; Zangen, Abraham; Stryjer, Rafael; Kotler, Moshe; Dannon, Pinhas N

    2010-10-01

    The efficacy of transcranial magnetic stimulation (TMS) in the treatment of major depression has already been shown. Novel TMS coils allowing stimulation of deeper brain regions have recently been developed and studied. Our study is aimed at exploring the possible efficacy of deep TMS in patients with resistant depression, who previously underwent electroconvalsive therapy (ECT). Using Brainsway's deep TMS H1 coil, six patients who previously underwent ECT, were treated with 120% power of the motor threshold at a frequency of 20 Hz. Patients underwent five sessions per week, up to 4 weeks. Before the study, patients were evaluated using the Hamilton depression rating scale (HDRS, 24 items), the Hamilton anxiety scale, and the Beck depression inventory and were again evaluated after 5, 10, 15, and 20 daily treatments. Response to treatment was considered a reduction in the HDRS of at least 50%, and remission was considered a reduction of the HDRS-24 below 10 points. Two of six patients responded to the treatment with deep TMS, including one who achieved full remission. Our results suggest the possibility of a subpopulation of depressed patients who may benefit from deep TMS treatment, including patients who did not respond to ECT previously. However, the power of the study is small and similar larger samples are needed. Copyright © 2010 Elsevier Inc. All rights reserved.

  16. Influence of previous knowledge in Torrance tests of creative thinking

    OpenAIRE

    Aranguren, María; Consejo Nacional de Investigaciones Científicas y Técnicas CONICET

    2015-01-01

    The aim of this work is to analyze the influence of study field, expertise and recreational activities participation in Torrance Tests of Creative Thinking (TTCT, 1974) performance. Several hypotheses were postulated to explore the possible effects of previous knowledge in TTCT verbal and TTCT figural university students’ outcomes. Participants in this study included 418 students from five study fields: Psychology;Philosophy and Literature, Music; Engineering; and Journalism and Advertisin...

  17. Local Management Practices for Dealing with Change and Uncertainty: A Cross-scale Comparison of Cases in Sweden and Tanzania

    Directory of Open Access Journals (Sweden)

    Maria Tengö

    2004-12-01

    Full Text Available We investigated and compared management practices for dealing with uncertainty in agroecosystem dynamics in two cases of smallholder farming in different parts of the world: northeast Tanzania and east-central Sweden. Qualitative research methods were applied to map farmers' practices related to agroecosystem management. The practices are clustered according to a framework of ecosystem services relevant for agricultural production and discussed using a theoretical model of ecosystem dynamics. Almost half of the identified practices were found to be similar in both cases, with similar approaches for adjusting to and dealing with local variability and disturbance. Practices that embraced the ecological roles of wild as well as domesticated flora and fauna and the use of qualitative biological indicators are identified as tools that built insurance capital for change and enhanced the capacity to respond to changing agroecosystem dynamics. Diversification in time and space, as well as more specific practices for mitigating pest outbreaks and temporary droughts, can limit the effects of disturbance. In both Sweden and Tanzania, we identified social mechanisms for the protection of species that served important functions in the agroecosystem. We also found examples of how old practices served as a source of adaptations for dealing with new conditions and that new knowledge was adjusted to local conditions. The study shows that comparing management practices across scales and in different cultural settings can reveal insights into the capacity of farmers to adjust, respond to, and shape ecosystem dynamics. We emphasize the importance of continuous learning for developing the sustainable management of complex agroecosystems and securing agricultural production for the future.

  18. Determining root correspondence between previously and newly detected objects

    Science.gov (United States)

    Paglieroni, David W.; Beer, N Reginald

    2014-06-17

    A system that applies attribute and topology based change detection to networks of objects that were detected on previous scans of a structure, roadway, or area of interest. The attributes capture properties or characteristics of the previously detected objects, such as location, time of detection, size, elongation, orientation, etc. The topology of the network of previously detected objects is maintained in a constellation database that stores attributes of previously detected objects and implicitly captures the geometrical structure of the network. A change detection system detects change by comparing the attributes and topology of new objects detected on the latest scan to the constellation database of previously detected objects.

  19. How do NHS general hospitals in England deal with patients with alcohol-related problems? A questionnaire survey.

    Science.gov (United States)

    Owens, Lynn; Gilmore, Ian T; Pirmohamed, Munir

    2005-01-01

    Alcohol-related disease represents a major burden on hospitals. However, it is unclear whether hospitals have developed the necessary expertise and guidelines to deal with this burden. The aim of this survey was to determine what measures general hospital NHS Trusts in England had in place to deal with alcohol-related problems, including the employment of dedicated alcohol specialist nurses. Two postal surveys of all NHS general hospital Trusts in England, the first in 2000 (n = 138; 54% response rate) and the second in 2003 after the publication of the Royal College of Physicians (RCP) report on alcohol in secondary care (n = 164; 75% response rate). Between the two surveys, there was a significant increase (P = 0.005) in the number of dedicated alcohol nurses employed by general hospital trusts; however, the numbers remain low (n = 21). Additionally, the availability of prescribing guidelines for the management of alcohol withdrawal increased significantly (P = 0.0001). The survey indicates that most general hospitals do not have appropriate services in place to deal with such patients. Although there is a need and willingness to develop alcohol services in general hospitals, which is one of the key recommendations of the RCP report, the lack of funding is going to act as a major barrier.

  20. How to deal with benign hilar or interlobar lymphadenopathy during video-assisted thoracoscopic surgery lobectomy.

    Science.gov (United States)

    Yan, Shi; Lv, Chao; Wang, Xing; Wu, Nan

    2016-01-01

    Video-assisted thoracoscopic surgery (VATS) surgery has changed the way lobectomy procedure was performed over the past few decades. However, some difficulties impede the accomplishment of VATS lobectomy, which of them, benign lymphadenopathy may pose a threat to safety of surgery. We reported a case with enlarged hilar and interlobar lymph nodes. The video showed the instrumentation and techniques that we had adopted to deal with the complicated dilemma during the operation. Critical experience was also suggested in some hypothetical scenarios. AS techniques were further refined, successful VATS segmentectomy or lobectomy with challenging hilar or interlobar lymphadenopathy could be performed without uncontrolled bleeding or unexpected conversion. A VATS approach is acceptable in the management of benign hilar or interlobar lymphadenopathy. However, facile technique is necessary to deal with intraoperative dilemma. To those who are not sure about the practicability of the VATS procedure, planned conversion is still an effective method to ensure safety of the operation.

  1. Methods to study postprandial lipemia

    DEFF Research Database (Denmark)

    Ooi, Teik Chye; Nordestgaard, Børge G

    2011-01-01

    to the liver. In general, PPL occurs over 4-6 h in normal individuals, depending on the amount and type of fats consumed. The complexity of PPL changes is compounded by ingestion of food before the previous meal is fully processed. PPL testing is done to determine the impact of (a) exogenous factors...... such as the amount and type of food consumed, and (b) endogenous factors such as the metabolic/genetic status of the subjects, on PPL. To study PPL appropriately, different methods are used to suit the study goal. This paper provides an overview of the methodological aspects of PPL testing. It deals with markers...

  2. Treatment satisfaction with paliperidone extended-release tablets: open-label study in schizophrenia patients dissatisfied with previous antipsychotic medication

    Directory of Open Access Journals (Sweden)

    Yang FD

    2017-04-01

    Full Text Available Fu De Yang,1 Juan Li,1 Yun Long Tan,1 Wei Ye Liang,1 Rongzhen Zhang,1 Ning Wang,1 Wei Feng,1 Shangli Cai,2 Jian Min Zhuo,2 Li Li Zhang2 1Beijing Hui-Long-Guan Hospital, 2Department of Medical Affairs, Xian Janssen Pharmaceutical Ltd, Beijing, People’s Republic of China Objective: The aim of this study was to evaluate the changes in treatment satisfaction after switching to paliperidone extended-release (ER in Chinese schizophrenia patients dissatisfied with their previous antipsychotic treatment.Methods: In this 8-week, open-label, single-arm, multicenter, prospective study, 1,693 patients dissatisfied with previous antipsychotic medication were enrolled and switched to paliperidone ER tablets (3–12 mg/d based on clinical judgment. The primary efficacy end point was change in Medication Satisfaction Questionnaire (MSQ score from baseline to week 8. The secondary end points included percentage of patients with MSQ score ≥4, as well as changes in Clinical Global Improvement-Severity (CGI-S and Personal and Social Performance (PSP scores.Results: MSQ scores increased significantly from baseline (mean [standard deviation {SD}]: 2.48 [0.55] to week 8 (5.47 [0.89], P<0.0001; primary end point, full analysis set. The percentage of patients with MSQ score ≥4 was 95.9% at week 8, indicating that most of the patients were satisfied with their treatment. Significant (P<0.0001 improvements from baseline to week 8 were noted in CGI-S score (2.37 [1.20] and PSP score (25.5 [15.0]. A total of 174 (10.28% patients experienced adverse events (AEs. The most common (>10 patients events were extrapyramidal disorder (n=84, 4.96%, poor quality sleep (n=18, 1.06% and akathisia (n=13, 0.77%. The majority of AEs were mild to moderate in severity. No deaths occurred.Conclusion: Treatment satisfaction improved after switching to paliperidone ER from the previous antipsychotic in Chinese patients with schizophrenia. Keywords: atypical antipsychotics, open label

  3. Operational Aspects of Dealing with the Large BaBar Data Set

    Energy Technology Data Exchange (ETDEWEB)

    Trunov, Artem G

    2003-06-13

    To date, the BaBar experiment has stored over 0.7PB of data in an Objectivity/DB database. Approximately half this data-set comprises simulated data of which more than 70% has been produced at more than 20 collaborating institutes outside of SLAC. The operational aspects of managing such a large data set and providing access to the physicists in a timely manner is a challenging and complex problem. We describe the operational aspects of managing such a large distributed data-set as well as importing and exporting data from geographically spread BaBar collaborators. We also describe problems common to dealing with such large datasets.

  4. How to deal with cryptic species in Enchytraeidae, with recommendations on taxonomical descriptions

    Directory of Open Access Journals (Sweden)

    Schmelz, R. M.

    2017-11-01

    Full Text Available During the 12th International Symposium on Enchytraeidae, held in Tihany, Hungary (27–29 June 2016, the participants discussed cryptic species, i.e., species that are morphologically so similar that they are classified as the same species (Bickford et al. 2007, and how to deal with them taxonomically. Here we summarise the discussion together with a few additional comments, and we give recommendations for species descriptions in Enchytraeidae.

  5. Erlotinib-induced rash spares previously irradiated skin

    International Nuclear Information System (INIS)

    Lips, Irene M.; Vonk, Ernest J.A.; Koster, Mariska E.Y.; Houwing, Ronald H.

    2011-01-01

    Erlotinib is an epidermal growth factor receptor inhibitor prescribed to patients with locally advanced or metastasized non-small cell lung carcinoma after failure of at least one earlier chemotherapy treatment. Approximately 75% of the patients treated with erlotinib develop acneiform skin rashes. A patient treated with erlotinib 3 months after finishing concomitant treatment with chemotherapy and radiotherapy for non-small cell lung cancer is presented. Unexpectedly, the part of the skin that had been included in his previously radiotherapy field was completely spared from the erlotinib-induced acneiform skin rash. The exact mechanism of erlotinib-induced rash sparing in previously irradiated skin is unclear. The underlying mechanism of this phenomenon needs to be explored further, because the number of patients being treated with a combination of both therapeutic modalities is increasing. The therapeutic effect of erlotinib in the area of the previously irradiated lesion should be assessed. (orig.)

  6. A general method dealing with correlations in uncertainty propagation in fault trees

    International Nuclear Information System (INIS)

    Qin Zhang

    1989-01-01

    This paper deals with the correlations among the failure probabilities (frequencies) of not only the identical basic events but also other basic events in a fault tree. It presents a general and simple method to include these correlations in uncertainty propagation. Two examples illustrate this method and show that neglecting these correlations results in large underestimation of the top event failure probability (frequency). One is the failure of the primary pump in a chemical reactor cooling system, the other example is an accident to a road transport truck carrying toxic waste. (author)

  7. Living and Dealing with Limited Opportunities: Social Disadvantage and Coping Strategies in Rural Peripheries

    Czech Academy of Sciences Publication Activity Database

    Bernard, Josef; Decker, A.; Vojtíšková, Kateřina; Mikešová, Renáta

    2016-01-01

    Roč. 13, č. 2 (2016), s. 29-53 ISSN 1214-813X R&D Projects: GA ČR GA15-10602S Institutional support: RVO:68378025 Keywords : rural disadvantage * local opportunity structure * social exclusion Subject RIV: AO - Sociology, Demography http://socstudia.fss.muni.cz/sites/default/files/03_Living_and_Dealing_with_Limited_Opportunities_Bernard_Decker_Vojtiskova_Mikesova.pdf

  8. Eco Logic signs deal to destroy Japanese PCB stocks

    International Nuclear Information System (INIS)

    Anon.

    1997-01-01

    According to a recent announcement, Eco Logic of Rockwood, Ontario, has entered into a partnership with the Japanese companies Tokyo Boeki and Nippon Sharyo for the destruction of stockpiled PCB materials in Japan, using Eco Logic's non-incineration technology. The deal is reported to be worth about $50 million in revenues to Eco Logic, spread over the next few years. The agreement includes provisions for the Japanese companies to purchase, or manufacture under licence, a number of Eco Logic's gas phase chemical reduction processing units to serve the Japanese market. In exchange for exclusive rights to the Japanese market, Eco Logic will receive license fees and royalties of up to nine per cent for the use of its process. Eco Logic is currently building a demonstration unit under contract with the two Japanese companies. The Japanese PCB waste destruction market is estimated to be worth as much as $400 million. Incineration, the conventional form of disposal, is strongly opposed by local governments

  9. A protocol to prevent and deal with aggressive behavior against health workers.

    Science.gov (United States)

    Altemir, María; Arteaga, Alfonso

    Violence against health workers is a highly prevalent phenomenon with serious psychological and labour consequences among professionals. This paper aims, first, to find out the main studies undertaken to date to describe and analyse the phenomenon, as well as to present different initiatives and protocols of action carried out. The second objective is to offer a procedure of action both to prevent aggression and to intervene in the event of receiving an aggression at work. After a bibliographic search in PubMed, Scopus and SciELO databases, the impact of the aggressions suffered by health professionals, the contexts in which aggressions are more frequent, their main consequences and different strategies and protocols conducted in Spain are reviewed. Given that rigorous reviews supporting such procedures are lacking in scientific journals, different action guidelines for professionals to prevent and to deal with hostile behaviour based on available evidence are developed and proposed. Finally, an easily consultable and applicable action procedure for health workers attacked in the workplace is presented. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  10. [Current state of measures to deal with natural disasters at public universities].

    Science.gov (United States)

    Hirouchi, Tomoko; Tanka, Mamoru; Shimada, Ikuko; Yoshimoto, Yoshinobu; Sato, Atsushi

    2012-03-01

    The responsibility of a university after a large-scale, natural disaster is to secure the safety of students' and local residents' lives. The present study investigated the current state of measures at public universities to deal with natural disasters in coordination with the local community. A survey was administered at 77 public universities in Japan from March 25 to May 10, 2011. The survey included questions on the existence of local disaster evacuation sites, a disaster manual, disaster equipment storage, emergency drinking water, and food storage. A total of 51% of universities had designated local evacuation sites. Based on responses for the remaining questions, universities with and without the designated disaster response solutions accounted for 42% and 57%, respectively, for disaster manuals; 55% and 33%, respectively, for disaster equipment; 32% and 13%, respectively, for disaster drinking water storage; and 26% and 7%, respectively, for emergency food storage. A majority of public universities have not created disaster manuals, regardless of whether they have a local evacuation site. The survey results also indicated that most universities have no storage of disaster equipment or emergency supplies.

  11. Quantifying the influence of previously burned areas on suppression effectiveness and avoided exposure: A case study of the Las Conchas Fire

    Science.gov (United States)

    Matthew P. Thompson; Patrick Freeborn; Jon D. Rieck; Dave Calkin; Julie W. Gilbertson-Day; Mark A. Cochrane; Michael S. Hand

    2016-01-01

    We present a case study of the Las Conchas Fire (2011) to explore the role of previously burned areas (wildfires and prescribed fires) on suppression effectiveness and avoided exposure. Methodological innovations include characterisation of the joint dynamics of fire growth and suppression activities, development of a fire line effectiveness framework, and...

  12. Dissociation in decision bias mechanism between probabilistic information and previous decision

    Directory of Open Access Journals (Sweden)

    Yoshiyuki eKaneko

    2015-05-01

    Full Text Available Target detection performance is known to be influenced by events in the previous trials. It has not been clear, however, whether this bias effect is due to the previous sensory stimulus, motor response, or decision. Also it remains open whether or not the previous trial effect emerges via the same mechanism as the effect of knowledge about the target probability. In the present study, we asked normal human subjects to make a decision about the presence or absence of a visual target. We presented a pre-cue indicating the target probability before the stimulus, and also a decision-response mapping cue after the stimulus so as to tease apart the effect of decision from that of motor response. We found that the target detection performance was significantly affected by the probability cue in the current trial and also by the decision in the previous trial. While the information about the target probability modulated the decision criteria, the previous decision modulated the sensitivity to target-relevant sensory signals (d-prime. Using functional magnetic resonance imaging, we also found that activation in the left intraparietal sulcus was decreased when the probability cue indicated a high probability of the target. By contrast, activation in the right inferior frontal gyrus was increased when the subjects made a target-present decision in the previous trial, but this change was observed specifically when the target was present in the current trial. Activation in these regions was associated with individual-difference in the decision computation parameters. We argue that the previous decision biases the target detection performance by modulating the processing of target-selective information, and this mechanism is distinct from modulation of decision criteria due to expectation of a target.

  13. Dissociation in decision bias mechanism between probabilistic information and previous decision

    Science.gov (United States)

    Kaneko, Yoshiyuki; Sakai, Katsuyuki

    2015-01-01

    Target detection performance is known to be influenced by events in the previous trials. It has not been clear, however, whether this bias effect is due to the previous sensory stimulus, motor response, or decision. Also it remains open whether or not the previous trial effect emerges via the same mechanism as the effect of knowledge about the target probability. In the present study, we asked normal human subjects to make a decision about the presence or absence of a visual target. We presented a pre-cue indicating the target probability before the stimulus, and also a decision-response mapping cue after the stimulus so as to tease apart the effect of decision from that of motor response. We found that the target detection performance was significantly affected by the probability cue in the current trial and also by the decision in the previous trial. While the information about the target probability modulated the decision criteria, the previous decision modulated the sensitivity to target-relevant sensory signals (d-prime). Using functional magnetic resonance imaging (fMRI), we also found that activation in the left intraparietal sulcus (IPS) was decreased when the probability cue indicated a high probability of the target. By contrast, activation in the right inferior frontal gyrus (IFG) was increased when the subjects made a target-present decision in the previous trial, but this change was observed specifically when the target was present in the current trial. Activation in these regions was associated with individual-difference in the decision computation parameters. We argue that the previous decision biases the target detection performance by modulating the processing of target-selective information, and this mechanism is distinct from modulation of decision criteria due to expectation of a target. PMID:25999844

  14. Analyzing the Correlation between Dealing with Stress and Self-Esteem of the Participants Who Are 25 Years Old and Younger

    Directory of Open Access Journals (Sweden)

    Barbaros Serdar ERDOĞAN

    2015-03-01

    Full Text Available The aim of the study is to investigate the correlation between the attitudes of young people who do sports and their self-esteem. The research group included 83 men and 117 women ( age=21,49 + 1,659, as a total 200, who make exercises at least 1 year in special gym center in Antalya and Konya . Self-esteem scale developed by Arıcak (1999 and Dealing with Stress Scales developed by Özbay (1993 were used to reach the aim of the study. Meaningfulness was acquired as P<0,05 by using Kolmogorov-Smirnov test, t testand Pearson Correlation while commenting on the data. SPSS (Statistical package for social sciencesprogramme was used to evaluate the data. At the end of the research meaningful and direct correlation was acquired .01 (P<0,01 between sub dimensions active planning of dealing with stress and value of ego (r=497, self- confident (r=577, depressive emotion (r=531, self-sufficiency (r=572, succsess and productivity (r=476 As a general result different attitudes to cope with the stress were seen in the youth participants because of their gender’s characteristics and it was thought that the correlation between those attitudes and their self -esteem was at the medium and higher-up level.

  15. Dealing with sickness certification – a survey of problems and strategies among general practitioners and orthopaedic surgeons

    Directory of Open Access Journals (Sweden)

    Nilsson Gunnar

    2007-10-01

    Full Text Available Abstract Background In order to get sickness benefit a sick-listed person need a medical certificate issued by a physician; in Sweden after one week of self-certification. Physicians experience sick-listing tasks as problematic and conflicts may arise when patients regard themselves unable to work due to complaints that are hard to objectively verify for the physician. Most GPs and orthopaedic surgeons (OS deal regularly with sick-listing issues in their daily practice. The aim of this study was to explore perceived problems and coping strategies related to tasks of sickness certification among general practitioners (GP and orthopaedic surgeons (OS. Methods A cross-sectional study about sickness certification in two Swedish counties, with 673 participating GPs and 149 OSs, who answered a comprehensive questionnaire. Frequencies together with crude and adjusted (gender and working years Odds ratios were calculated. Results A majority of the GPs and OSs experienced problems in sickness certification every week. To assess the patient's work ability, to handle situations when they and the patient had different opinions about the need for sickness absence, and to issue prolongation certificates when the previous was issued by another physician were reported as problematic by a majority in both groups. Both GPs and OSs prolonged sickness certifications due to waiting times in health care or at Social Insurance Office (SIO. To handle experienced problems they used different strategies; OSs issued sickness certificates without personal appointment more often than the GPs, who on the other hand reported having contact with SIO more often than the OSs. A higher rate of GPs experienced support from management and had a common strategy for handling sickness certification at the clinic than the OSs. Conclusion Most GPs and OSs handled sickness certification weekly and reported a variety of problems in relation to this task, generally GPs to a higher extent

  16. Predictive effects of previous episodes on the risk of recurrence in depressive and bipolar disorders

    DEFF Research Database (Denmark)

    Kessing, Lars Vedel; Andersen, Per Kragh

    2005-01-01

    Findings from several studies have suggested that the risk of recurrence increases with the number of previous episodes in depressive and bipolar disorders. However, a comprehensive and critical review of the literature published during the past century shows that in several previous studies...

  17. Dealing with colon cancer: one woman's emotional journey.

    Science.gov (United States)

    Wilson, Candice T; Fletcher, Paula C

    2002-11-01

    Although death is inevitable, it continues to remain a taboo issue for society. A failure to discuss the unavoidable may represent a safeguard to avoid dealing with mortality and related fears. Many patients who are terminally ill spend their days feeling alone, misunderstood, and afraid. Kubler-Ross attempted to strip death of its negative connotations and to provide a venue for the terminally ill to have a voice. Using information from more than 200 clinical interviews, Kubler-Ross revealed a trend in emotions over time in most, but not all, of her patients, which enabled her to formulate a model of coping with death that included 5 interdependent emotional stages: denial, anger, bargaining, depression, and acceptance. This model has become the most widely accepted and popularized model on death and dying, often cited as the Five Stages of Grief." However, given the lack of research concerning Kubler-Ross's model, completing work in this area seems warranted. The purpose of this case study was to examine one individual's emotional journey after being diagnosed with terminal colon cancer. More specifically, the goals were twofold: (1) to provide the participant with a voice and to allow her story to be told by examining the major external events (ie,surgery, chemotherapy) occurring since the diagnosis that affected her emotional and physical well-being and (2) to determine whether the participant's emotional journey paralleled Kubler-Ross's model, to what extent, and whether new emotions or stages occurred. The participant, a 50-year-old female, was diagnosed with stage 4 Duke Stage D colon cancer. Qualitative information was collected in face-to-face interviews, newspaper articles about the participant, and e-mail correspondence (as form letters to a group of friends and supporters) and subsequently analyzed for trends. The overall results revealed clear existence of the 5 stages of grief as outlined in the Kubler-Ross model. Analyses also revealed that the

  18. ANALYZING THE CORRELATION BETWEEN DEALING WITH STRESS AND SELF-ESTEEM OF THE PARTICIPANT WHO ARE 25 YEARS OLD AND YOUNGER

    OpenAIRE

    Erdogan, B. S.; Sahın, A.; Aldemır, GY; Eravsar, H; Bıngol, E; Fılız, K; Şahan, H; Yıldız M

    2015-01-01

    The aim of the study is to investigate the correlation between the attitudes of young people who do sports and their self-esteem. The research group included 83 men and 117 women ( age=21,49 + 1,659), as a total 200, who make exercises at least 1 year in special gym center in Antalya and Konya . Self-esteem scale developed by Arıcak [2] and Dealing with Stress Scales developed by Özbay [20] were used to reach the aim of the study. Meaningfulness was acquired as P

  19. Automatic electromagnetic valve for previous vacuum

    International Nuclear Information System (INIS)

    Granados, C. E.; Martin, F.

    1959-01-01

    A valve which permits the maintenance of an installation vacuum when electric current fails is described. It also lets the air in the previous vacuum bomb to prevent the oil ascending in the vacuum tubes. (Author)

  20. Numerical simulation of the shot peening process under previous loading conditions

    International Nuclear Information System (INIS)

    Romero-Ángeles, B; Urriolagoitia-Sosa, G; Torres-San Miguel, C R; Molina-Ballinas, A; Benítez-García, H A; Vargas-Bustos, J A; Urriolagoitia-Calderón, G

    2015-01-01

    This research presents a numerical simulation of the shot peening process and determines the residual stress field induced into a component with a previous loading history. The importance of this analysis is based on the fact that mechanical elements under shot peening are also subjected to manufacturing processes, which convert raw material into finished product. However, material is not provided in a virgin state, it has a previous loading history caused by the manner it is fabricated. This condition could alter some beneficial aspects of the residual stress induced by shot peening and could accelerate the crack nucleation and propagation progression. Studies were performed in beams subjected to strain hardening in tension (5ε y ) before shot peening was applied. Latter results were then compared in a numerical assessment of an induced residual stress field by shot peening carried out in a component (beam) without any previous loading history. In this paper, it is clearly shown the detrimental or beneficial effect that previous loading history can bring to the mechanical component and how it can be controlled to improve the mechanical behavior of the material

  1. Does previous use affect litter box appeal in multi-cat households?

    Science.gov (United States)

    Ellis, J J; McGowan, R T S; Martin, F

    2017-08-01

    It is commonly assumed that cats actively avoid eliminated materials (especially in multi-cat homes), suggesting regular litter box cleaning as the best defense against out-of-box elimination. The relationship between previous use and litter box appeal to familiar subsequent users is currently unknown. The purpose of this study was to investigate the relationship between previous litter box use and the identity of the previous user, type of elimination, odor, and presence of physical/visual obstructions in a multi-cat household scenario. Cats preferred a clean litter box to a dirty one, but the identity of the previous user had no impact on preferences. While the presence of odor from urine and/or feces did not impact litter box preferences, the presence of odorless faux-urine and/or feces did - with the presence of faux-feces being preferred over faux-urine. Results suggest neither malodor nor chemical communication play a role in litter box preferences, and instead emphasize the importance of regular removal of physical/visual obstructions as the key factor in promoting proper litter box use. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  2. Dealing with uncertainties in impact studies of climate change on hydrometeorological series over Segura River Basin (Spain)

    Science.gov (United States)

    Garcia Galiano, S. G.; Garcia Cardenas, R.; Tetay Botia, C.; Giraldo Osorio, J.; Erena Arrabal, M.; Baille, A.

    2011-12-01

    The Segura River Basin (SRB) located in the South East of Spain, is affected by recurrent drought and water scarcity episodes. This basin presents the lowest percentage of renewable water resources of all the Spanish basins. Intensive reforestation has been carried out in the region, to halt desertification and erosion, which added to climate change and variability, do not allow the default assumption of stationarity in the water resources systems. Therefore, the study of effects in hydrometeorological series should be addressed by nonstationary probabilistic models that allow describing the time evolution of their probability distribution functions (PDFs). In the present work, the GAMLSS (Generalized Additive Models for Location, Scale and Shaper) approach is applied to identify of spatio-temporal trends in observed precipitation (P) and potential evapotranspiration (PET), at basin scale. Several previous studies have addressed the potential impacts of climate change in water supply systems, focusing on the sensitivity analysis of runoff to climate. Considering the use of a conceptual hydrological model with few parameters, the impacts on runoff and its trend from historical data, are assessed. The conclusions of this study represent a breakthrough in the development of methodologies to understand and anticipate the impacts on water resources systems, in the light of current and future climate conditions, considering hydroclimatic non-stationarity. These findings are expected to contribute to the management of conditions of water resources scarcity and droughts, such as the observed in the SRB, as support to decision-making process by stakeholders.

  3. HEART TRANSPLANTATION IN PATIENTS WITH PREVIOUS OPEN HEART SURGERY

    Directory of Open Access Journals (Sweden)

    R. Sh. Saitgareev

    2016-01-01

    Full Text Available Heart Transplantation (HTx to date remains the most effective and radical method of treatment of patients with end-stage heart failure. The defi cit of donor hearts is forcing to resort increasingly to the use of different longterm mechanical circulatory support systems, including as a «bridge» to the follow-up HTx. According to the ISHLT Registry the number of recipients underwent cardiopulmonary bypass surgery increased from 40% in the period from 2004 to 2008 to 49.6% for the period from 2009 to 2015. HTx performed in repeated patients, on the one hand, involves considerable technical diffi culties and high risks; on the other hand, there is often no alternative medical intervention to HTx, and if not dictated by absolute contradictions the denial of the surgery is equivalent to 100% mortality. This review summarizes the results of a number of published studies aimed at understanding the immediate and late results of HTx in patients, previously underwent open heart surgery. The effect of resternotomy during HTx and that of the specifi c features associated with its implementation in recipients previously operated on open heart, and its effects on the immediate and long-term survival were considered in this review. Results of studies analyzing the risk factors for perioperative complications in repeated recipients were also demonstrated. Separately, HTx risks after implantation of prolonged mechanical circulatory support systems were examined. The literature does not allow to clearly defi ning the impact factor of earlier performed open heart surgery on the course of perioperative period and on the prognosis of survival in recipients who underwent HTx. On the other hand, subject to the regular fl ow of HTx and the perioperative period the risks in this clinical situation are justifi ed as a long-term prognosis of recipients previously conducted open heart surgery and are comparable to those of patients who underwent primary HTx. Studies

  4. A hardware and software architecture to deal with multimodal and collaborative interactions in multiuser virtual reality environments

    Science.gov (United States)

    Martin, P.; Tseu, A.; Férey, N.; Touraine, D.; Bourdot, P.

    2014-02-01

    Most advanced immersive devices provide collaborative environment within several users have their distinct head-tracked stereoscopic point of view. Combining with common used interactive features such as voice and gesture recognition, 3D mouse, haptic feedback, and spatialized audio rendering, these environments should faithfully reproduce a real context. However, even if many studies have been carried out on multimodal systems, we are far to definitively solve the issue of multimodal fusion, which consists in merging multimodal events coming from users and devices, into interpretable commands performed by the application. Multimodality and collaboration was often studied separately, despite of the fact that these two aspects share interesting similarities. We discuss how we address this problem, thought the design and implementation of a supervisor that is able to deal with both multimodal fusion and collaborative aspects. The aim of this supervisor is to ensure the merge of user's input from virtual reality devices in order to control immersive multi-user applications. We deal with this problem according to a practical point of view, because the main requirements of this supervisor was defined according to a industrial task proposed by our automotive partner, that as to be performed with multimodal and collaborative interactions in a co-located multi-user environment. In this task, two co-located workers of a virtual assembly chain has to cooperate to insert a seat into the bodywork of a car, using haptic devices to feel collision and to manipulate objects, combining speech recognition and two hands gesture recognition as multimodal instructions. Besides the architectural aspect of this supervisor, we described how we ensure the modularity of our solution that could apply on different virtual reality platforms, interactive contexts and virtual contents. A virtual context observer included in this supervisor in was especially designed to be independent to the

  5. Large Spatial and Temporal Separations of Cause and Effect in Policy Making - Dealing with Non-linear Effects

    Science.gov (United States)

    McCaskill, John

    There can be large spatial and temporal separation of cause and effect in policy making. Determining the correct linkage between policy inputs and outcomes can be highly impractical in the complex environments faced by policy makers. In attempting to see and plan for the probable outcomes, standard linear models often overlook, ignore, or are unable to predict catastrophic events that only seem improbable due to the issue of multiple feedback loops. There are several issues with the makeup and behaviors of complex systems that explain the difficulty many mathematical models (factor analysis/structural equation modeling) have in dealing with non-linear effects in complex systems. This chapter highlights those problem issues and offers insights to the usefulness of ABM in dealing with non-linear effects in complex policy making environments.

  6. Family Ownership and the Entrenchment Effect on Intellectual Capital Utilization: A Study of High-Technology Companies in Indonesia Dealing with the ASEAN Economic Community (AEC

    Directory of Open Access Journals (Sweden)

    Bima Cinintya Pratama

    2017-08-01

    Full Text Available At the end of 2015, the Association of Southeast Asian Nations (ASEAN brought into being the ASEAN Economic Community (AEC. Due to the AEC, the firms in ASEAN should utilize their resources more effectively and efficiently, so that the firms can survive and grow despite strong competition in the AEC. Indonesia, as the country with the largest economy in the region, needs to address this issue so that companies in Indonesia can face the challenges resulting from the AEC. This study aimed to examine the positive relationship between the intellectual capital (IC and the financial performance of high-technology (high-tech companies that are listed on the Indonesia Stock Exchange, and also to examine whether the entrenchment effect of family ownership exists. This study was conducted from 2008 to 2014. The final sample used in this study consisted of 31 companies with a total of 144 observations. This study used a panel data regression model analysis. The results showed that, for a company, IC has a positive impact on financial performance. This result indicated that the efficient and effective use of their IC will help the firms to achieve higher financial performance, and will be useful for dealing with the AEC. There was no evidence that the entrenchment effect exists in the family ownership of high-tech companies in Indonesia and hampers the utilization of IC.

  7. Family Ownership and the Entrenchment Effect on Intellectual Capital Utilization: A Study of High-Technology Companies in Indonesia Dealing with the ASEAN Economic Community (AEC

    Directory of Open Access Journals (Sweden)

    Bima Cinintya Pratama

    2017-07-01

    Full Text Available At the end of 2015, the Association of Southeast Asian Nations (ASEAN brought into being the ASEAN Economic Community (AEC. Due to the AEC, the firms in ASEAN should utilize their resources more effectively and efficiently, so that the firms can survive and grow despite strong competition in the AEC. Indonesia, as the country with the largest economy in the region, needs to address this issue so that companies in Indonesia can face the challenges resulting from the AEC. This study aimed to examine the positive relationship between the intellectual capital (IC and the financial performance of high-technology (high-tech companies that are listed on the Indonesia Stock Exchange, and also to examine whether the entrenchment effect of family ownership exists. This study was conducted from 2008 to 2014. The final sample used in this study consisted of 31 companies with a total of 144 observations. This study used a panel data regression model analysis. The results showed that, for a company, IC has a positive impact on financial performance. This result indicated that the efficient and effective use of their IC will help the firms to achieve higher financial performance, and will be useful for dealing with the AEC. There was no evidence that the entrenchment effect exists in the family ownership of high-tech companies in Indonesia and hampers the utilization of IC.

  8. Customer Satisfaction with Goods and Services Purchased on Deal Sites

    DEFF Research Database (Denmark)

    Sudzina, Frantisek; Pavlicek, Antonin

    2017-01-01

    influence whether customers are more prone to purchase problematic goods and services on deal sites, i.e. to experience problems with purchased coupons. Methodology/Approach: The research was conducted in the Czech Republic using an on-line questionnaire. Respondents were university students. Data were...... and mistrust. All these statements were measured on a Likert scale. Additional independent variables are age, and gender. In the first model, the dependent variable is if and if so, what problem the respondent experienced with purchased goods or services, such as the company did not exist, it was not possible...... cases. In the second model, the dependent variable is the percentage (predefined intervals) of problematic purchases. Ordinal logistic regression was used to test the model. In the third model, the dependent variable is if the purchased goods or services were of lower quality. Binomial logistic...

  9. The prevalence of previous self-harm amongst self-poisoning patients in Sri Lanka

    DEFF Research Database (Denmark)

    Mohamed, Fahim; Perera, Aravinda; Wijayaweera, Kusal

    2011-01-01

    BACKGROUND: One of the most important components of suicide prevention strategies is to target people who repeat self-harm as they are a high risk group. However, there is some evidence that the incidence of repeat self-harm is lower in Asia than in the West. The objective of this study...... was to investigate the prevalence of previous self-harm among a consecutive series of self-harm patients presenting to hospitals in rural Sri Lanka. METHOD: Six hundred and ninety-eight self-poisoning patients presenting to medical wards at two hospitals in Sri Lanka were interviewed about their previous episodes...... of self-harm. RESULTS: Sixty-one (8.7%, 95% CI 6.7-11%) patients reported at least one previous episode of self-harm [37 (10.7%) male, 24 (6.8%) female]; only 19 (2.7%, 95% CI 1.6-4.2%) patients had made more than one previous attempt. CONCLUSION: The low prevalence of previous self-harm is consistent...

  10. Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer (NMSC): A population-based study.

    Science.gov (United States)

    Fischer, Alexander H; Wang, Timothy S; Yenokyan, Gayane; Kang, Sewon; Chien, Anna L

    2016-08-01

    Individuals with previous nonmelanoma skin cancer (NMSC) are at increased risk for subsequent skin cancer, and should therefore limit ultraviolet exposure. We sought to determine whether individuals with previous NMSC engage in better sun protection than those with no skin cancer history. We pooled self-reported data (2005 and 2010 National Health Interview Surveys) from US non-Hispanic white adults (758 with and 34,161 without previous NMSC). We calculated adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI), taking into account the complex survey design. Individuals with previous NMSC versus no history of NMSC had higher rates of frequent use of shade (44.3% vs 27.0%; aPOR 1.41; 95% CI 1.16-1.71), long sleeves (20.5% vs 7.7%; aPOR 1.55; 95% CI 1.21-1.98), a wide-brimmed hat (26.1% vs 10.5%; aPOR 1.52; 95% CI 1.24-1.87), and sunscreen (53.7% vs 33.1%; aPOR 2.11; 95% CI 1.73-2.59), but did not have significantly lower odds of recent sunburn (29.7% vs 40.7%; aPOR 0.95; 95% CI 0.77-1.17). Among those with previous NMSC, recent sunburn was inversely associated with age, sun avoidance, and shade but not sunscreen. Self-reported cross-sectional data and unavailable information quantifying regular sun exposure are limitations. Physicians should emphasize sunburn prevention when counseling patients with previous NMSC, especially younger adults, focusing on shade and sun avoidance over sunscreen. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  11. Effect of Previous Irradiation on Vascular Thrombosis of Microsurgical Anastomosis: A Preclinical Study in Rats

    Science.gov (United States)

    Gallardo-Calero, Irene; López-Fernández, Alba; Romagosa, Cleofe; Vergés, Ramona; Aguirre-Canyadell, Marius; Soldado, Francisco; Velez, Roberto

    2016-01-01

    Background: The objective of the present investigation was to compare the effect of neoadjuvant irradiation on the microvascular anastomosis in cervical bundle using an experimental model in rats. Methods: One hundred forty male Sprague–Dawley rats were allocated into 4 groups: group I, control, arterial microanastomosis; group II, control, venous microanastomosis; group III, arterial microanastomosis with previous irradiation (20 Gy); and group IV, venous microanastomosis with previous irradiation (20 Gy). Clinical parameters, technical values of anastomosis, patency, and histopathological parameters were evaluated. Results: Irradiated groups (III and IV) and vein anastomosis groups (II and IV) showed significantly increased technical difficulties. Group IV showed significantly reduced patency rates (7/35) when compared with the control group (0/35). Radiotherapy significantly decreased the patency rates of the vein (7/35) when compared with the artery (1/35). Groups III and IV showed significantly reduced number of endothelial cells and also showed the presence of intimal thickening and adventitial fibrosis as compared with the control group. Conclusion: Neoadjuvant radiotherapy reduces the viability of the venous anastomosis in a preclinical rat model with a significant increase in the incidence of vein thrombosis. PMID:27975009

  12. Studies on top-quark Monte Carlo modelling for Top2016

    CERN Document Server

    The ATLAS collaboration

    2016-01-01

    This note summarises recent studies on Monte Carlo simulation setups of top-quark pair production used by the ATLAS experiment and presents a new method to deal with interference effects for the $Wt$ single-top-quark production which is compared against previous techniques. The main focus for the top-quark pair production is on the improvement of the modelling of the Powheg generator interfaced to the Pythia8 and Herwig7 shower generators. The studies are done using unfolded data at centre-of-mass energies of 7, 8, and 13 TeV.

  13. Beyond upgrading typologies - In search of a better deal for honey value chains in Brazil.

    Directory of Open Access Journals (Sweden)

    Hugo S de Figueiredo Junior

    Full Text Available Selection of value chain strategies by development practitioners and value chain participants themselves has been restricted to preset types of upgrading. This paper argues for an extension of the range of strategy solutions to value chains. An empirical application identifies successful strategies for honey value chains in Brazil for 2015-2020. Strategy and performance indicators were selected using the value chain Structure-Conduct-Performance (SCP framework. Experts' opinion was elicited in a Delphi for business scenarios, and adaptive conjoint analysis was used to identify strategies for increasing production growth and local value-added. This study identifies important strategies beyond upgrading typologies, and finds that important strategies differ by performance goal and scenario. The value chain SCP allows searching for promising strategies towards performance-the "better deal"-in an integrated way.

  14. Beyond upgrading typologies - In search of a better deal for honey value chains in Brazil.

    Science.gov (United States)

    Figueiredo Junior, Hugo S de; Meuwissen, Miranda P M; van der Lans, Ivo A; Oude Lansink, Alfons G J M

    2017-01-01

    Selection of value chain strategies by development practitioners and value chain participants themselves has been restricted to preset types of upgrading. This paper argues for an extension of the range of strategy solutions to value chains. An empirical application identifies successful strategies for honey value chains in Brazil for 2015-2020. Strategy and performance indicators were selected using the value chain Structure-Conduct-Performance (SCP) framework. Experts' opinion was elicited in a Delphi for business scenarios, and adaptive conjoint analysis was used to identify strategies for increasing production growth and local value-added. This study identifies important strategies beyond upgrading typologies, and finds that important strategies differ by performance goal and scenario. The value chain SCP allows searching for promising strategies towards performance-the "better deal"-in an integrated way.

  15. A cross-sectional study of tuberculosis drug resistance among previously treated patients in a tertiary hospital in Accra, Ghana: public health implications of standardized regimens.

    Science.gov (United States)

    Forson, Audrey; Kwara, Awewura; Kudzawu, Samuel; Omari, Michael; Otu, Jacob; Gehre, Florian; de Jong, Bouke; Antonio, Martin

    2018-04-02

    Mycobacterium tuberculosis drug resistance is a major challenge to the use of standardized regimens for tuberculosis (TB) therapy, especially among previously treated patients. We aimed to investigate the frequency and pattern of drug resistance among previously treated patients with smear-positive pulmonary tuberculosis at the Korle-Bu Teaching Hospital Chest Clinic, Accra. This was a cross-sectional survey of mycobacterial isolates from previously treated patients referred to the Chest Clinic Laboratory between October 2010 and October 2013. The Bactec MGIT 960 system for mycobactrerial culture and drug sensitivity testing (DST) was used for sputum culture of AFB smear-positive patients with relapse, treatment failure, failure of smear conversion, or default. Descriptive statistics were used to summarize patient characteristics, and frequency and patterns of drug resistance. A total of 112 isolates were studied out of 155 from previously treated patients. Twenty contaminated (12.9%) and 23 non-viable isolates (14.8%) were excluded. Of the 112 studied isolates, 53 (47.3%) were pan-sensitive to all first-line drugs tested Any resistance (mono and poly resistance) to isoniazid was found in 44 isolates (39.3%) and any resistance to streptomycin in 43 (38.4%). Thirty-one (27.7%) were MDR-TB. Eleven (35.5%) out of 31 MDR-TB isolates were pre-XDR. MDR-TB isolates were more likely than non-MDR isolates to have streptomycin and ethambutol resistance. The main findings of this study were the high prevalence of MDR-TB and streptomycin resistance among previously treated TB patients, as well as a high prevalence of pre-XDR-TB among the MDR-TB patients, which suggest that first-line and second-line DST is essential to aid the design of effective regimens for these groups of patients in Ghana.

  16. Neural control hierarchy of the heart has not evolved to deal with myocardial ischemia.

    Science.gov (United States)

    Kember, G; Armour, J A; Zamir, M

    2013-08-01

    The consequences of myocardial ischemia are examined from the standpoint of the neural control system of the heart, a hierarchy of three neuronal centers residing in central command, intrathoracic ganglia, and intrinsic cardiac ganglia. The basis of the investigation is the premise that while this hierarchical control system has evolved to deal with "normal" physiological circumstances, its response in the event of myocardial ischemia is unpredictable because the singular circumstances of this event are as yet not part of its evolutionary repertoire. The results indicate that the harmonious relationship between the three levels of control breaks down, because of a conflict between the priorities that they have evolved to deal with. Essentially, while the main priority in central command is blood demand, the priority at the intrathoracic and cardiac levels is heart rate. As a result of this breakdown, heart rate becomes less predictable and therefore less reliable as a diagnostic guide as to the traumatic state of the heart, which it is commonly used as such following an ischemic event. On the basis of these results it is proposed that under the singular conditions of myocardial ischemia a determination of neural control indexes in addition to cardiovascular indexes has the potential of enhancing clinical outcome.

  17. The EU-Turkey Deal and the Safe Third Country Concept before the Greek Asylum Appeals Committees

    NARCIS (Netherlands)

    Gkliati, M.

    2017-01-01

    This article discusses the first case law issued on the EU-Turkey deal from April to June 2016, which authoritatively answers the question whether Turkey constitutes a safe third country for refugees. In 390 out of 393 decisions, the Greek Asylum Appeals Committees ruled that Safe Third Country

  18. Belief, Knowledge and Understanding: How to Deal with the Relations between Different Cultural Perspectives in Classrooms

    Science.gov (United States)

    Moreira-dos-Santos, Frederik; El-Hani, Charbel N.

    2017-01-01

    This article discusses how to deal with the relations between different cultural perspectives in classrooms, based on a proposal for considering understanding and knowledge as goals of science education, inspired by Dewey's naturalistic humanism. It thus combines educational and philosophical interests. In educational terms, our concerns relate to…

  19. The pathogenicity of genetic variants previously associated with left ventricular non-compaction

    DEFF Research Database (Denmark)

    Abbasi, Yeganeh; Jabbari, Javad; Jabbari, Reza

    2016-01-01

    BACKGROUND: Left ventricular non-compaction (LVNC) is a rare cardiomyopathy. Many genetic variants have been associated with LVNC. However, the number of the previous LVNC-associated variants that are common in the background population remains unknown. The aim of this study was to provide...... an updated list of previously reported LVNC-associated variants with biologic description and investigate the prevalence of LVNC variants in healthy general population to find false-positive LVNC-associated variants. METHODS AND RESULTS: The Human Gene Mutation Database and PubMed were systematically...... searched to identify all previously reported LVNC-associated variants. Thereafter, the Exome Sequencing Project (ESP) and the Exome Aggregation Consortium (ExAC), that both represent the background population, was searched for all variants. Four in silico prediction tools were assessed to determine...

  20. Reoperative sentinel lymph node biopsy after previous mastectomy.

    Science.gov (United States)

    Karam, Amer; Stempel, Michelle; Cody, Hiram S; Port, Elisa R

    2008-10-01

    Sentinel lymph node (SLN) biopsy is the standard of care for axillary staging in breast cancer, but many clinical scenarios questioning the validity of SLN biopsy remain. Here we describe our experience with reoperative-SLN (re-SLN) biopsy after previous mastectomy. Review of the SLN database from September 1996 to December 2007 yielded 20 procedures done in the setting of previous mastectomy. SLN biopsy was performed using radioisotope with or without blue dye injection superior to the mastectomy incision, in the skin flap in all patients. In 17 of 20 patients (85%), re-SLN biopsy was performed for local or regional recurrence after mastectomy. Re-SLN biopsy was successful in 13 of 20 patients (65%) after previous mastectomy. Of the 13 patients, 2 had positive re-SLN, and completion axillary dissection was performed, with 1 having additional positive nodes. In the 11 patients with negative re-SLN, 2 patients underwent completion axillary dissection demonstrating additional negative nodes. One patient with a negative re-SLN experienced chest wall recurrence combined with axillary recurrence 11 months after re-SLN biopsy. All others remained free of local or axillary recurrence. Re-SLN biopsy was unsuccessful in 7 of 20 patients (35%). In three of seven patients, axillary dissection was performed, yielding positive nodes in two of the three. The remaining four of seven patients all had previous modified radical mastectomy, so underwent no additional axillary surgery. In this small series, re-SLN was successful after previous mastectomy, and this procedure may play some role when axillary staging is warranted after mastectomy.

  1. RISK DECREASE PROBLEM WITH MAKING ERRORS IN ACTIVITY OF OPERATORS DEALING WITH AUTOMATIC CONTROL SYSTEMS OF GAS-DISTRIBUTION STATIONS

    Directory of Open Access Journals (Sweden)

    V. V. Egorov

    2011-01-01

    Full Text Available The paper contains an analysis of specific features pertaining to the activity of operators dealing with automatic control systems of gas-distribution stations. The professional operator’s activity is presented in the form of the developed data model. Possible conceptual approaches to the research are analyzed in the paper. The paper describes an author’s approach to studying a risk decrease problem in the activity of operators on the basis of the analytical research results. Technology for obtaining  research results is cited in the paper. 

  2. Review of the secret committees deal with old beliver’s schism in the reign of the Emperor Alexander I

    Directory of Open Access Journals (Sweden)

    Serebrjakova Julija

    2012-06-01

    Full Text Available The article discusses a history of secret committees deal with measures against old believer’s schism. The author studied archival documents possible to consider confessional politics of the Emperor Alexander I as a new stage of struggle with the old believer’s schism. The first secret committee was established by order of Emperor Alexander I in 1820. This committee was a unique phenomenon in the history of the secret committees of the 19th century and the first experience ofjoint efforts of Church and State against.

  3. 77 FR 70176 - Previous Participation Certification

    Science.gov (United States)

    2012-11-23

    ... participants' previous participation in government programs and ensure that the past record is acceptable prior... information is designed to be 100 percent automated and digital submission of all data and certifications is... government programs and ensure that the past record is acceptable prior to granting approval to participate...

  4. Dealing with control rod guide tube support pin cracking in French PWRs

    International Nuclear Information System (INIS)

    Guicherd, L.

    1984-01-01

    Cracking and failure of control rod guide tube support pins has been encountered at a number of PWRs around the world. To deal with the problem, the French embarked on an extremely ambitious backfitting programme, involving the installation of replacement pins at all their operating 900MWe units. This highly successful programme, which will be completed in 1985, has been carried out with very low occupational doses and, in the last two years, has required no extensions to annual refuelling outage periods at the plants concerned. The French approach has involved a number of innovations, which should be of considerable interest to other PWR owners worldwide. (author)

  5. Protecting facilities against terrorism and sabotage. Is Jamaica prepared to deal with this potential threat?

    International Nuclear Information System (INIS)

    Powell, E.D.

    2001-01-01

    Full text: Jamaica, a developing Caribbean country, is presently experiencing an economic recession. This has lead to the government having considerable difficulty in acquiring much needed financing, even financing that is necessary to protect the county's resources and facilities from terrorist and sabotage. Essential national facilities include our international airports, embassies and High Commission, hospitals, utility plants - electricity, water and telecommunications, oil-refineries, government ministries, parliamentary houses and educational facilities. These facilities are vulnerable to terrorist attacks and sabotages. Terrorist acts and acts of sabotage can come from internal as well as external sources, they can be commandeered from the air, land or sea. They can be politically, socio-economically or otherwise motivated. As a third world developing nation, Jamaica does not have the capability or the resources necessary to secure all its assets, the government must prioritize on such resource allocation. With its high level of debt servicing, dealing with recurrent and capital expenditure and addressing other social issues, some important issues will be placed on the back burner, dealing with terrorism and sabotage will fall in the category. One contributing factor is the fact that to date the incidents of terrorism and sabotage have been few to non-existent. This has encouraged the government to become somewhat complacent, subscribing to the belief that acts of terrorism and sabotage will never happen. This practice can be detrimental to the country, as one cannot underestimate the threat of terrorism and sabotage. With the steady increase in drug related incidents and with the deportation agreement the government has with some first world countries such as the USA and England, this threat is very realistic. Drug 'Lords'/'Dons' are known to promote terrorism and sabotage as revenge mechanism against governments for unfavorable decision handed down by the

  6. Combining MCDA and risk analysis: dealing with scaling issues in the multiplicative AHP

    DEFF Research Database (Denmark)

    Barfod, Michael Bruhn; van den Honert, Rob; Salling, Kim Bang

    the progression factor 2 is used for calculating scores of alternatives and √2 for calculation of criteria weights when transforming the verbal judgments stemming from pair wise comparisons. However, depending on the decision context, the decision-makers aversion towards risk, etc., it is most likely......This paper proposes a new decision support system (DSS) for applying risk analysis and stochastic simulation to the multiplicative AHP in order to deal with issues concerning the progression factors. The multiplicative AHP makes use of direct rating on a logarithmic scale, and for this purpose...

  7. Dealing with phraseology in business dictionaries: focus on dictionary functions – not phrases

    Directory of Open Access Journals (Sweden)

    Leroyer, Patrick

    2006-01-01

    Full Text Available The language of written business communication is characterised by the extensive use of phraseology, not only in terms of collocations and idiomatic expressions, but also of standard phrases in prototypical business genres. In any case, the phraseological information should be included in business dictionaries (in the following referred to as BDs in accordance with the planned dictionary functions. Hence, the selection and presentation of the phraseological information should be decided by the lexicographer on the basis of the user needs alone and not on the recommendations of the phraseological literature about lexicographical practice. In this paper, I will firstly explain why lexicography and phraseology, although closely associated in a large number of studies, are quite different disciplines, and how their shared interest for dictionary practice in general is based on radically different views. I will then discuss the dictionary functions of BDs and focus on a number of concepts featuring extensive phraseological solutions to show and argue that dealing with phraseology in BDs should always keep focus on dictionary functions.

  8. Effects of previous ovarian surgery for endometriosis on the outcome of assisted reproduction treatment.

    Science.gov (United States)

    Geber, Selmo; Ferreira, Daniela Parreiras; Spyer Prates, Luis Felipe Víctor; Sales, Liana; Sampaio, Marcos

    2002-01-01

    Endometriosis affects 2-50% of women at reproductive age. Surgery is an option for treatment, but there is no convincing evidence that it promotes a significant improvement in fertility. Also, the removal of ovarian endometrioma might lead to a reduction in the follicular reserve and response to stimulation. Therefore, the aim of this study was to evaluate the effect of previous ovarian surgery for endometriosis on the ovarian response in assisted reproduction treatment cycles and its pregnancy outcome. A total of 61 women, with primary infertility and previously having undergone ovarian surgery for endometriosis, who had received 74 IVF/intracytoplasmic sperm injection (ICSI) cycles, were studied (study group). A further 74 patients with primary infertility who underwent 77 IVF/ICSI cycles within#10; the same period of time, at the same clinic and without previous ovarian surgery or endometriosis were studied as a control group. Patients were matched for age and treatment performed. Patients 35 years with previous ovarian surgery needed more ampoules for ovulation induction (P = 0.017) and had fewer follicles and oocytes than women in the control group (P = 0.001). Duration of folliculogenesis was similar in both groups, as was fertilization rate. A total of 10 patients achieved pregnancy in the study group (34.5%) and 14 (48.3%) in the control group. Although a lower pregnancy rate was observed in patients who had undergone previous ovarian surgery, this difference was not statistically significant (P = 0.424). In conclusion, ovarian surgery for the treatment of endometriosis reduces the ovarian outcome in IVF/ICSI cycles in women >35 years old, and might also decrease pregnancy rates. Therefore, for infertile patients, non-surgical treatment might be a better option to avoid reduction of the ovarian response.

  9. New Advancements in the Study of the Uniform Electron Gas with Full Configuration Interaction Quantum Monte Carlo

    Science.gov (United States)

    Ruggeri, Michele; Luo, Hongjun; Alavi, Ali

    Full Configuration Interaction Quantum Monte Carlo (FCIQMC) is able to give remarkably accurate results in the study of atoms and molecules. The study of the uniform electron gas (UEG) on the other hand has proven to be much harder, particularly in the low density regime. The source of this difficulty comes from the strong interparticle correlations that arise at low density, and essentially forbid the study of the electron gas in proximity of Wigner crystallization. We extend a previous study on the three dimensional electron gas computing the energy of a fully polarized gas for N=27 electrons at high and medium density (rS = 0 . 5 to 5 . 0). We show that even when dealing with a polarized UEG the computational cost of the study of systems with rS > 5 . 0 is prohibitive; in order to deal with correlations and to extend the density range that to be studied we introduce a basis of localized states and an effective transcorrelated Hamiltonian.

  10. The long-term consequences of previous hyperthyroidism

    DEFF Research Database (Denmark)

    Hjelm Brandt Kristensen, Frans

    2015-01-01

    Thyroid hormones affect every cell in the human body, and the cardiovascular changes associated with increased levels of thyroid hormones are especially well described. As an example, short-term hyperthyroidism has positive chronotropic and inotropic effects on the heart, leading to a hyperdynamic...... with CVD, LD and DM both before and after the diagnosis of hyperthyroidism. Although the design used does not allow a stringent distinction between cause and effect, the findings indicate a possible direct association between hyperthyroidism and these morbidities, or vice versa....... vascular state. While it is biologically plausible that these changes may induce long-term consequences, the insight into morbidity as well as mortality in patients with previous hyperthyroidism is limited. The reasons for this are a combination of inadequately powered studies, varying definitions...

  11. Dealing with Cultural Differences in Public-Private R&D Projects: The Experience of the Australian Seafood Sector

    NARCIS (Netherlands)

    Dentoni, D.; English, F.

    2012-01-01

    This essay 1) discusses the current agribusiness managers’ human capital problem of dealing with cultural differences in public-private Research & Development (R&D) projects involving firms, government agencies and universities and 2) proposes a “learning by doing” process for managers to

  12. Association between previous splenectomy and gastric dilatation-volvulus in dogs: 453 cases (2004-2009).

    Science.gov (United States)

    Sartor, Angela J; Bentley, Adrienne M; Brown, Dorothy C

    2013-05-15

    To evaluate the association between previous splenectomy and gastric dilatation-volvulus (GDV) in dogs. Multi-institutional retrospective case-control study. Animals-151 dogs treated surgically for GDV and 302 control dogs with no history of GDV. Computerized records of dogs evaluated via exploratory laparotomy or abdominal ultrasonography were searched, and dogs with GDV and dogs without GDV (control dogs) were identified. Two control dogs were matched with respect to age, body weight, sex, neuter status, and breed to each dog with GDV. Data were collected on the presence or absence of the spleen for both dogs with GDV and control dogs. Conditional logistic regression analysis was used to investigate the association of previous splenectomy with GDV. 6 (4%) dogs in the GDV group and 3 (1%) dogs in the control group had a history of previous splenectomy. The odds of GDV in dogs with a history of previous splenectomy in this population of dogs were 5.3 times those of dogs without a history of previous splenectomy (95% confidence interval, 1.1 to 26.8). For the patients in the present study, there was an increased odds of GDV in dogs with a history of splenectomy. Prophylactic gastropexy may be considered in dogs undergoing a splenectomy, particularly if other risk factors for GDV are present.

  13. [Prevalence of previously diagnosed diabetes mellitus in Mexico.

    Science.gov (United States)

    Rojas-Martínez, Rosalba; Basto-Abreu, Ana; Aguilar-Salinas, Carlos A; Zárate-Rojas, Emiliano; Villalpando, Salvador; Barrientos-Gutiérrez, Tonatiuh

    2018-01-01

    To compare the prevalence of previously diagnosed diabetes in 2016 with previous national surveys and to describe treatment and its complications. Mexico's national surveys Ensa 2000, Ensanut 2006, 2012 and 2016 were used. For 2016, logistic regression models and measures of central tendency and dispersion were obtained. The prevalence of previously diagnosed diabetes in 2016 was 9.4%. The increase of 2.2% relative to 2012 was not significant and only observed in patients older than 60 years. While preventive measures have increased, the access to medical treatment and lifestyle has not changed. The treatment has been modified, with an increase in insulin and decrease in hypoglycaemic agents. Population aging, lack of screening actions and the increase in diabetes complications will lead to an increase on the burden of disease. Policy measures targeting primary and secondary prevention of diabetes are crucial.

  14. Analysis of previous perceptual and motor experience in breaststroke kick learning

    Directory of Open Access Journals (Sweden)

    Ried Bettina

    2015-12-01

    Full Text Available One of the variables that influence motor learning is the learner’s previous experience, which may provide perceptual and motor elements to be transferred to a novel motor skill. For swimming skills, several motor experiences may prove effective. Purpose. The aim was to analyse the influence of previous experience in playing in water, swimming lessons, and music or dance lessons on learning the breaststroke kick. Methods. The study involved 39 Physical Education students possessing basic swimming skills, but not the breaststroke, who performed 400 acquisition trials followed by 50 retention and 50 transfer trials, during which stroke index as well as rhythmic and spatial configuration indices were mapped, and answered a yes/no questionnaire regarding previous experience. Data were analysed by ANOVA (p = 0.05 and the effect size (Cohen’s d ≥0.8 indicating large effect size. Results. The whole sample improved their stroke index and spatial configuration index, but not their rhythmic configuration index. Although differences between groups were not significant, two types of experience showed large practical effects on learning: childhood water playing experience only showed major practically relevant positive effects, and no experience in any of the three fields hampered the learning process. Conclusions. The results point towards diverse impact of previous experience regarding rhythmic activities, swimming lessons, and especially with playing in water during childhood, on learning the breaststroke kick.

  15. Show what you know and deal with stress yourself: a qualitative interview study of medical interns’ perceptions of stress and gender

    Science.gov (United States)

    2014-01-01

    Background Medical students report high stress levels and in particular, the clinical phase is a demanding one. The field of medicine is still described as having a patriarchal culture which favors aspects like a physicians’ perceived certainty and rationalism. Also, the Effort-Recovery Model explains stress as coming from a discrepancy between job demands, job control, and perceived work potential. Gendered differences in stress are reported, but not much is known about medical interns’ perceptions of how gender plays in relation to stress. The aim of this study is to explore how medical interns experience and cope with stress, as well as how they reflect on the gendered aspects of stress. Methods In order to do this, we have performed a qualitative study. In 2010–2011, semi-structured qualitative interviews were conducted with seventeen medical interns across all three years of the Masters programme (6 male, 11 female) at a Dutch medical school. The interview guide is based on gender theory, the Effort-Recovery Model, and empirical literature. Transcribed interviews have been analyzed thematically. Results First, stress mainly evolves from having to prove one’s self and show off competencies and motivation (“Show What You Know…”). Second, interns seek own solutions for handling stress because it is not open for discussion (… “And Deal With Stress Yourself”). Patient encounters are a source of pride and satisfaction rather than a source of stress. But interns report having to present themselves as ‘professional and self-confident’, remaining silent about experiencing stress. Female students are perceived to have more stress and to study harder in order to live up to expectations. Conclusions The implicit message interns hear is to remain silent about insecurities and stress, and, in particular, female students might face disadvantages. Students who feel less able to manifest the ‘masculine protest’ may benefit from a culture that

  16. Show what you know and deal with stress yourself: a qualitative interview study of medical interns' perceptions of stress and gender.

    Science.gov (United States)

    Verdonk, Petra; Räntzsch, Viktoria; de Vries, Remko; Houkes, Inge

    2014-05-17

    Medical students report high stress levels and in particular, the clinical phase is a demanding one. The field of medicine is still described as having a patriarchal culture which favors aspects like a physicians' perceived certainty and rationalism. Also, the Effort-Recovery Model explains stress as coming from a discrepancy between job demands, job control, and perceived work potential. Gendered differences in stress are reported, but not much is known about medical interns' perceptions of how gender plays in relation to stress. The aim of this study is to explore how medical interns experience and cope with stress, as well as how they reflect on the gendered aspects of stress. In order to do this, we have performed a qualitative study. In 2010-2011, semi-structured qualitative interviews were conducted with seventeen medical interns across all three years of the Masters programme (6 male, 11 female) at a Dutch medical school. The interview guide is based on gender theory, the Effort-Recovery Model, and empirical literature. Transcribed interviews have been analyzed thematically. First, stress mainly evolves from having to prove one's self and show off competencies and motivation ("Show What You Know…"). Second, interns seek own solutions for handling stress because it is not open for discussion (… "And Deal With Stress Yourself"). Patient encounters are a source of pride and satisfaction rather than a source of stress. But interns report having to present themselves as 'professional and self-confident', remaining silent about experiencing stress. Female students are perceived to have more stress and to study harder in order to live up to expectations. The implicit message interns hear is to remain silent about insecurities and stress, and, in particular, female students might face disadvantages. Students who feel less able to manifest the 'masculine protest' may benefit from a culture that embraces more collaborative styles, such as having open conversation

  17. Previous Employment and Job Satisfaction Conditions: The Case of Regional Administration

    Science.gov (United States)

    Amalia, Myronaki; Nikolaos, Antonakas

    2009-08-01

    In the present work we study the different dimensions of satisfaction and the way of constitution of satisfaction of an important sample of the employees in the Regional administration of Crete and in their connection with the variable of the previous employment. We found statistically important differences for the components of satisfaction from the life, collaboration in and outside from the department, in the social satisfaction and the variable of the years in the service (labour group with satisfaction than the other previous employment groups. In the other hand the group with many years in the service presents bigger satisfaction than the other groups. Finally, is important to note that the sample present some interesting characteristics.

  18. International negotiations on climate change towards a new international deal?

    International Nuclear Information System (INIS)

    2009-11-01

    This document reports the work performed by the French 'Centre d'Analyse Strategique' until the first of November within the perspective of a new international agreement to struggle against climate change beyond 2012. The basic idea is that such an agreement will have a meaning only if it is signed and ratified by the both main greenhouse gas emitting countries, the United States and China. A first part of this report describes the context and the post-2012 negotiation perspectives, as well as the status of international cooperation in the field of climate change. The two following chapters present syntheses of the climate policies and negotiation postures of China and United States. Then, the authors give an overview of the strategic interests and postures of some other big countries like India, Brazil, Russia, Canada, OPEC countries, and so on. The last part deals with issues of rights of intellectual property applied to the elaboration of 'clean' technologies and to international technological transfers

  19. A Survey of Patients' Preoperative Need for Information About Postoperative Pain-Effect of Previous Surgery Experience.

    Science.gov (United States)

    Mavridou, Paraskevi; Manataki, Adamantia; Arnaoutoglou, Elena; Damigos, Dimitrios

    2017-10-01

    The aim of this study was to determine the kind of information patients need preoperatively about postoperative pain (POP) and whether this is affected by previous surgery experience. A descriptive study design using preoperative questionnaires. Questionnaires with fixed questions related to POP and its management were distributed preoperatively to consenting, consecutive surgical patients. Patients were divided into two groups: patients with previous surgery experience (group A) and patients without previous surgery experience (group B). Of the patients who participated in the study, 94.2% wanted information about POP and 77.8% of them believe that they will feel calmer if they get the information they need. The patients' biggest concern relates to pain management issues after discharge. Next, in order of preference is information about the analgesics that they need to take. The patients want to be informed primarily with a personal interview (59.4%). Previous surgery experience has no effect on patients' needs for information. Most of the patients want to be informed about the management of the POP after being discharged. It is remarkable that patients who had previous surgery experience need the same information with those who had no previous surgery. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  20. Training in Decision-Making Strategies: An Approach to Enhance Students' Competence to Deal with Socio-Scientific Issues

    Science.gov (United States)

    Gresch, Helge; Hasselhorn, Marcus; Bögeholz, Susanne

    2013-01-01

    Dealing with socio-scientific issues in science classes enables students to participate productively in controversial discussions concerning ethical topics, such as sustainable development. In this respect, well-structured decision-making processes are essential for elaborate reasoning. To foster decision-making competence, a computer-based…

  1. Dealing with disability; inquiries into a clinical craft

    NARCIS (Netherlands)

    Struhkamp, R.M.

    2004-01-01

    The tensions between clinical practice on the one hand and theoretical practices, their techniques and requirements on the other hand have been the main concerns of this book. In the previous chapters, I have demonstrated that outcome assessment, selfdetermined decision-making, treatment plans, and

  2. Knowledge and Attitude of Iranian Red Crescent Society Volunteers in Dealing with Bioterrorist attacks

    Directory of Open Access Journals (Sweden)

    Seyed Ali Bahreini Moghadam

    2016-01-01

    Full Text Available Introduction: Bioterrorism is a worldwide problem and has been the focus of attention during recent decades. There is no precise information on the knowledge, attitude, and preparedness of Iranian Red Crescent volunteers in dealing with bioterrorism. Therefore, the present study aimed to evaluate the above-mentioned parameters in Mahabad Red Crescent Society volunteers. Methods: In this prospective cross-sectional study, the knowledge of 120 volunteers was evaluated and rated as poor, moderate, and good. In addition, attitude of the volunteers and preparedness of Mahabad Red Crescent Society was rated as inappropriate and appropriate using a questionnaire. Results: The mean age of volunteers was 32.0 ± 8.2 years (62.5% male. 2 (1.7% volunteers had good knowledge while 94 (78.3% had no knowledge regarding bioterrorist attack management. Only 1 (0.8%  volunteer had appropriate attitude and 6 (5.0% stated their preparedness for being sent out to the crisis zone. 116 volunteers (96.7% indicated that Mahabad Red Crescent Society has an inappropriate level of preparedness to encounter bioterrorist attacks. Conclusion: The findings of the present study showed poor knowledge and inappropriate attitude of Mahabad Red Crescent Society volunteers in encountering probable bioterrorist attacks. Furthermore, the Red Crescent Society of this town had an inappropriate level of preparedness in the field of bioterrorism from the viewpoint of the studied volunteers.

  3. Study on actions for social acceptance of a nuclear power plant incident/accident

    International Nuclear Information System (INIS)

    Kotani, Fumio; Tsukada, Tetsuya; Hiramoto, Mitsuru; Nishimura, Naoyuki

    1998-01-01

    When an incident/accident has occurred, dealing technically with it in an appropriate way is essential for social acceptance. One of the most important actions that are expected from the plant representative is to provide, without delay, each of the concerned authorities and organizations with full information concerning the incident/accident, while necessary technical measures are being implemented. While the importance of socially dealing with the incident/accident is widely recognized, up to now there have been no attempts to study previous incidents/accidents cases from the social sciences viewpoint. Therefore, in the present study is a case study of the incident/accident that occurred in 1991 at the No.2 Unit of the Mihama Nuclear Plant of Kansai Power Co., Ltd.. The data used in the present study is based on intensive interview of the staff involved in this incident/accident. The purpose of the study was to shed light on the conditions necessary for maintaining and improving the skill of the plant representative when dealing with social response in case of an incident/accident. The results of the present study has led to a fuller recognition of the importance of the following factors: On the personal level: 1) recognition of personal accountability, 2) complete disclosure of information concerning the incident/accident. On the organizational level: 1) acceptance of different approaches and viewpoints, 2) promoting risk-taking behavior, 3) top management's vision and commitment to providing a social response. (author)

  4. Influence of previous experience on resistance training on reliability of one-repetition maximum test.

    Science.gov (United States)

    Ritti-Dias, Raphael Mendes; Avelar, Ademar; Salvador, Emanuel Péricles; Cyrino, Edilson Serpeloni

    2011-05-01

    The 1-repetition maximum test (1RM) has been widely used to assess maximal strength. However, to improve accuracy in assessing maximal strength, several sessions of the 1RM test are recommended. The aim of this study was to analyze the influence of previous resistance training experience on the reliability of 1RM test. Thirty men were assigned to the following 2 groups according to their previous resistance training experience: no previous resistance training experience (NOEXP) and more than 24 months of resistance training experience (EXP). All subjects performed the 1RM tests in bench press and squat in 4 sessions on distinct days. There was a significant session × group effect in bench press (F = 3.09; p reliability of the 1RM test is influenced by the subject's previous experience in resistance training. Subjects without experience in resistance training require more practice and familiarization and show greater increases in maximal strength between sessions than subjects with previous experience in resistance training.

  5. Sliding mode fault tolerant control dealing with modeling uncertainties and actuator faults.

    Science.gov (United States)

    Wang, Tao; Xie, Wenfang; Zhang, Youmin

    2012-05-01

    In this paper, two sliding mode control algorithms are developed for nonlinear systems with both modeling uncertainties and actuator faults. The first algorithm is developed under an assumption that the uncertainty bounds are known. Different design parameters are utilized to deal with modeling uncertainties and actuator faults, respectively. The second algorithm is an adaptive version of the first one, which is developed to accommodate uncertainties and faults without utilizing exact bounds information. The stability of the overall control systems is proved by using a Lyapunov function. The effectiveness of the developed algorithms have been verified on a nonlinear longitudinal model of Boeing 747-100/200. Copyright © 2012 ISA. Published by Elsevier Ltd. All rights reserved.

  6. Writing for Publication: An Analysis of 591 Articles in Five Journals Dealing with Information Technology in Education

    Science.gov (United States)

    Axtell, Kulwadee; Chaffin, Amy J.; Aberasturi, Suzanne; Paone, Tina; Maddux, Cleborne

    2007-01-01

    This article presents information about all articles published over three years in five different journals dealing with information technology in education. The researchers collected all 591 articles from these well-known journals. All articles were analyzed using a researcher-made matrix. Information gathered included descriptive information…

  7. Patterns of presentation of chronic ischemic heart disease with and without previous myocardial infarction

    International Nuclear Information System (INIS)

    Ahmad, R.; Rabbani, A.; Awan, Z.A.

    2009-01-01

    The prevalence of Ischemic Heart Disease (IHD) is on the rise, from increasing lifespan of population and availability of better medical facilities. We studied chronic IHD cases with and without previous myocardial infarction, in Hazara, NWFP, Pakistan to evaluate left ventricular (LV) dysfunction, wall motion abnormalities and complications of IHD. All patients presenting with history of chest pain in Medical 'C' Unit, Ayub Teaching Hospital, Abbottabad from June 2004 to May 2005 were included in the study. Patients with non-cardiac chest pain were excluded from the study. Cases with congenital and rheumatic heart disease, cardiomyopathies, unstable angina and acute MI were excluded. Patients with IHD with or without myocardial infarction (MI) were studied for left ventricular dysfunction (ejection fraction, left atrial size, E/A ratio), wall motion abnormalities and complications of IHD (Mitral regurgitation, Ventricular Septal Defect (VSD), LV aneurysm, LV clot). Clinical and echocardiographic evaluation was done in each case. Out of 183 cases of chronic IHD, 123 patients were without previous MI and 60 had had previous MI. Ejection fraction (EF) was 45%+-15 in the group without MI and 35+-11% in cases with MI. Left Atrium (LA) size was 35+-6 mm and 39+-4 mm in the two groups respectively. LV diastolic dysfunction was seen in 17% in the first and 24% in the second group respectively. Global hypokinesia was seen in 8% and 17% in the 2 groups respectively. Regional Wall Motion Abnormality (RWMA) was observed in 12% in patients without MI and in 58% cases with MI. Mitral regurgitation was seen in 10 and 20% in the 2 groups respectively LV clots, VSD, LV and aneurysm were seen in 8.4, 5, and 6.5% respectively, only in cases with previous MI. LV dysfunction, wall motion abnormalities and mitral regurgitation were more common in IHD cases with previous heart attack. (author)

  8. 75 FR 76056 - FEDERAL REGISTER CITATION OF PREVIOUS ANNOUNCEMENT:

    Science.gov (United States)

    2010-12-07

    ... SECURITIES AND EXCHANGE COMMISSION Sunshine Act Meeting FEDERAL REGISTER CITATION OF PREVIOUS ANNOUNCEMENT: STATUS: Closed meeting. PLACE: 100 F Street, NE., Washington, DC. DATE AND TIME OF PREVIOUSLY ANNOUNCED MEETING: Thursday, December 9, 2010 at 2 p.m. CHANGE IN THE MEETING: Time change. The closed...

  9. VBAC Scoring: Successful vaginal delivery in previous one caesarean section in induced labour

    International Nuclear Information System (INIS)

    Raja, J.F.; Bangash, K.T.; Mahmud, G.

    2013-01-01

    Objective: To develop a scoring system for the prediction of successful vaginal birth after caesarean section, following induction of labour with intra-vaginal E2 gel (Glandin). Methods: The cross-sectional study was conducted from January 2010 to August 2011, at the Pakistan Institute of Medical Sciences in Islamabad. Trial of labour in previous one caesarean section, undergoing induction with intra-vaginal E2 gel, was attempted in 100 women. They were scored according to six variables; maternal age; gestation; indications of previous caesarean; history of vaginal birth either before or after the previous caesarean; Bishop score and body mass index. Multivariate and univariate logistic regression analysis was used to develop the scoring system. Results: Of the total, 67 (67%) women delivered vaginally, while 33 (33%) ended in repeat caesarean delivery. Among the subjects, 55 (55%) women had no history of vaginal delivery either before or after previous caesarean section; 15 (15%) had history of vaginal births both before and after the previous caesarean; while 30 (30%) had vaginal delivery only after the previous caesarean section. Rates of successful vaginal birth after caesarean increased from 38% in women having a score of 0-3 to 58% in patients scoring 4-6. Among those having a score of 7-9 and 10-12, the success rates were 71% and 86% respectively. Conclusion: Increasing scores correlated with the increasing probability of vaginal birth after caesarean undergoing induction of labour. The admission VBAC scoring system is useful in counselling women with previous caesarean for the option of induction of labour or repeat caesarean delivery. (author)

  10. 28 CFR 10.5 - Incorporation of papers previously filed.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Incorporation of papers previously filed... CARRYING ON ACTIVITIES WITHIN THE UNITED STATES Registration Statement § 10.5 Incorporation of papers previously filed. Papers and documents already filed with the Attorney General pursuant to the said act and...

  11. Making a Difference: Library and Teaching Faculty Working Together to Develop Strategies in Dealing with Student Plagiarism

    Science.gov (United States)

    Sciammarella, Susan

    2009-01-01

    Student plagiarism is a problem affecting all colleges. Various strategies have been developed to deal with this situation. But, the collaborative efforts of subject faculty and librarians in creating a team approach towards plagiarism can produce positive results. Research shows that these relationships can provide structure to assignments…

  12. How Should Generation Enterprises Deal with Crisis?

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Since October 2008,China's social consumption of electricity had,for the first time,grown negatively compared to the same period of the previous year,and in November the negative growth range further expanded. The major pressure faced by the electricity industry has now turned from the contradiction between coal and electricity to electricity quantity. This is undoubtedly a true and new test to electricity enterprises which get used to high growth but are now suffering great losses. The reform of electricit...

  13. A Green New Deal. Joined-up policies to solve the triple crunch of the credit crisis, climate change and high oil prices

    International Nuclear Information System (INIS)

    2008-07-01

    Meeting since early 2007, the membership of the Green New Deal Group is drawn to reflect a wide range of expertise relating to the current financial, energy and environmental crises. This report is the first publication of the Group. The global economy is facing a 'triple crunch'. It is a combination of a credit-fuelled financial crisis, accelerating climate change and soaring energy prices underpinned by an encroaching peak in oil production. These three overlapping events threaten to develop into a perfect storm, the like of which has not been seen since the Great Depression. To help prevent this from happening the members of the Green New Deal Group are proposing a Green New Deal. In the first half of this report they examine the financial, economic and environmental landscapes that are the backdrop to this triple crisis. In the second half, they propose a series of policies that can be used to tackle the problems that are identified

  14. Impulsivity moderates the relationship between previous quit failure and cue-induced craving.

    Science.gov (United States)

    Erblich, Joel; Michalowski, Alexandra

    2015-12-01

    Poor inhibitory control has been shown to be an important predictor of relapse to a number of drugs, including nicotine. Indeed, smokers who exhibit higher levels of impulsivity are thought to have impaired regulation of urges to smoke, and previous research has suggested that impulsivity may moderate cue-induced cigarette cravings. To that end, we conducted a study to evaluate the interplay between failed smoking cessation, cue-induced craving, and impulsivity. Current smokers (n=151) rated their cigarette cravings before and after laboratory to exposure to smoking cues, and completed questionnaires assessing impulsivity and previous failed quit attempts. Findings indicated that shorter duration of previous failed quit attempts was related to higher cue-induced cigarette craving, especially among smokers with higher levels of impulsivity. Results underscore the importance of considering trait impulsivity as a factor in better understanding the management of cue-induced cravings. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Andragogical Approach to the Quality and Effectiveness of Vocational Adults Training (A Retrospective Study [In Bulgarian

    Directory of Open Access Journals (Sweden)

    C. Katansky

    2009-06-01

    Full Text Available The article describes the basic results of a study dealing with the problem of quality and effectiveness of vocational training of adults in Bulgaria. Why is it retrospective? Because the subject of study is previous author’s andragogical investigations on the vocational qualification system, adults learners, training process and principals. The author uses the andragogigal methodology and results in order to develop a new approach to the problem and original definitions of vocational training quality and effectiveness.

  16. Vitamin D deficiency in medical patients at a central hospital in Malawi: a comparison with TB patients from a previous study.

    Directory of Open Access Journals (Sweden)

    Yamikani Mastala

    Full Text Available OBJECTIVES: To determine the prevalence of vitamin D deficiency (VDD in adult medical, non-tuberculous (non-TB patients. To investigate associations with VDD. To compare the results with a similar study in TB patients at the same hospital. DESIGN: Cross-sectional sample. SETTING: Central hospital in Malawi. PARTICIPANTS: Adult non-TB patients (n = 157, inpatients and outpatients. OUTCOME MEASURES: The primary outcome was the prevalence of VDD. Potentially causal associations sought included nutritional status, in/outpatient status, HIV status, anti-retroviral therapy (ART and, by comparison with a previous study, a diagnosis of tuberculosis (TB. RESULTS: Hypovitaminosis D (≤75 nmol/L occurred in 47.8% (75/157 of patients, 16.6% (26/157 of whom had VDD (≤50 nmol/L. None had severe VDD (≤25 nmol/L. VDD was found in 22.8% (23/101 of in-patients and 5.4% (3/56 of out-patients. In univariable analysis in-patient status, ART use and low dietary vitamin D were significant predictors of VDD. VDD was less prevalent than in previously studied TB patients in the same hospital (68/161 = 42%. In multivariate analysis of the combined data set from both studies, having TB (OR 3.61, 95%CI 2.02-6.43 and being an in-patient (OR 2.70, 95%CI 1.46-5.01 were significant independent predictors of VDD. CONCLUSIONS: About half of adult medical patients without TB have suboptimal vitamin D status, which is more common in in-patients. VDD is much more common in TB patients than non-TB patients, even when other variables are controlled for, suggesting that vitamin D deficiency is associated with TB.

  17. How to prevent type 2 diabetes in women with previous gestational diabetes?

    DEFF Research Database (Denmark)

    Pedersen, Anne Louise Winkler; Terkildsen Maindal, Helle; Juul, Lise

    2017-01-01

    OBJECTIVES: Women with previous gestational diabetes (GDM) have a seven times higher risk of developing type 2 diabetes (T2DM) than women without. We aimed to review the evidence of effective behavioural interventions seeking to prevent T2DM in this high-risk group. METHODS: A systematic review...... of RCTs in several databases in March 2016. RESULTS: No specific intervention or intervention components were found superior. The pooled effect on diabetes incidence (four trials) was estimated to: -5.02 per 100 (95% CI: -9.24; -0.80). CONCLUSIONS: This study indicates that intervention is superior...... to no intervention in prevention of T2DM among women with previous GDM....

  18. Fish quality – linking previous infections to the quality of consumers’ fillet

    DEFF Research Database (Denmark)

    The quality of the fish meat is dependent upon a wide range of biological and non-biological factors. In the present study it has been established that previous infections by Vibrio anguillarum in rainbow trout (Oncorhynchus mykiss) influence the quality of the fish meat (fillet) at slaughter more...... than after the fish have recovered from the infection. The texture of the fillet analysed by sensory analysis showed changes, which could be explained by previous tissue damage caused by the infection. These changes indicated formation of scars in affected tissue during the processes of tissue repair......, which gave rise to a more fibrous, tougher and flaky texture of the fillets....

  19. Goleman-Boyatzis Model of Emotional Intelligence for Dealing with Problems in Project Management

    Directory of Open Access Journals (Sweden)

    Peter Vincent Livesey

    2017-03-01

    Full Text Available As projects grow in size and complexity the sizes of teams needed to manage them also increases. This places greater emphasis on the need for the project manager to develop people management skills, commonly called soft skills, of which emotional intelligence (EI has been recognised as an important component. The objective of this research was to investigate the relevance of the Goleman-Boyatzis model of EI in dealing with the problems in large projects identified via a literature review. To achieve this end, a Delphi study using project managers who had been involved in the management of projects in excess of $500 million was used. The responses from the Delphi panel were analysed and the results showed that the competencies contained in the Goleman-Boyatzis model had a relevance of 95% or greater to the problems presented to the panel. A ranking of the various competencies contained within the model was also developed, some competencies being found to be more important than others. By confirming the importance of emotional intelligence, as described by the model, this research adds to the understanding of the necessary skills needed by a project manager to successfully manage large projects.

  20. Effect of media composition, including gelling agents, on isolation of previously uncultured rumen bacteria.

    Science.gov (United States)

    Nyonyo, T; Shinkai, T; Tajima, A; Mitsumori, M

    2013-01-01

    The aim of this study was to develop novel anaerobic media using gellan gum for the isolation of previously uncultured rumen bacteria. Four anaerobic media, a basal liquid medium (BM) with agar (A-BM), a modified BM (MBM) with agar (A-MBM), an MBM with phytagel (P-MBM) and an MBM with gelrite (G-MBM) were used for the isolation of rumen bacteria and evaluated for the growth of previously uncultured rumen bacteria. Of the 214 isolates composed of 144 OTUs, 103 isolates (83 OTUs) were previously uncultured rumen bacteria. Most of the previously uncultured strains were obtained from A-MBM, G-MBM and P-MBM, but the predominant cultural members, isolated from each medium, differed. A-MBM and G-MBM showed significantly higher numbers of different OTUs derived from isolates than A-BM (P rumen bacteria were isolated from all media used, the ratio of previously uncultured bacteria to total isolates was increased in A-MBM, P-MBM and G-MBM. © 2012 The Society for Applied Microbiology.

  1. Dealing with aggressive behavior within the health care team: a leadership challenge.

    Science.gov (United States)

    Hynes, Patricia; Kissoon, Niranjan; Hamielec, Cindy M; Greene, Anne Marie; Simone, Carmine

    2006-06-01

    During an interdisciplinary Canadian leadership forum [ (click on the Conferences icon)], participants were challenged to develop an approach to a difficult leadership/management situation. In a scenario involving aggressive behavior among health care providers, participants identified that, before responding, an appropriate leader should collect additional information to identify the core problem(s) causing such behavior. Possibilities include stress; lack of clear roles, responsibilities, and standard operating procedures; and, finally, lack of training on important leadership/management skills. As a result of these core problems, several potential solutions are possible, all with potential obstacles to implementation. Additional education around communication and team interaction was felt to be a priority. In summary, clinical leaders probably have a great deal to gain from augmenting their leadership/management skills.

  2. Challenges dealing with depleted uranium in Germany - Reuse or disposal

    International Nuclear Information System (INIS)

    Moeller, Kai D.

    2007-01-01

    During enrichment large amounts of depleted Uranium are produced. In Germany every year 2.800 tons of depleted uranium are generated. In Germany depleted uranium is not classified as radioactive waste but a resource for further enrichment. Therefore since 1996 depleted Uranium is sent to ROSATOM in Russia. However it still has to be dealt with the second generation of depleted Uranium. To evaluate the alternative actions in case a solution has to be found in Germany, several studies have been initiated by the Federal Ministry of the Environment. The work that has been carried out evaluated various possibilities to deal with depleted uranium. The international studies on this field and the situation in Germany have been analyzed. In case no further enrichment is planned the depleted uranium has to be stored. In the enrichment process UF 6 is generated. It is an international consensus that for storage it should be converted to U 3 O 8 . The necessary technique is well established. If the depleted Uranium would have to be characterized as radioactive waste, a final disposal would become necessary. For the planned Konrad repository - a repository for non heat generating radioactive waste - the amount of Uranium is limited by the licensing authority. The existing license would not allow the final disposal of large amounts of depleted Uranium in the Konrad repository. The potential effect on the safety case has not been roughly analyzed. As a result it may be necessary to think about alternatives. Several possibilities for the use of depleted uranium in the industry have been identified. Studies indicate that the properties of Uranium would make it useful in some industrial fields. Nevertheless many practical and legal questions are open. One further option may be the use as shielding e.g. in casks for transport or disposal. Possible techniques for using depleted Uranium as shielding are the use of the metallic Uranium as well as the inclusion in concrete. Another

  3. Outcome of secondary high-grade glioma in children previously treated for a malignant condition: A study of the Canadian Pediatric Brain Tumour Consortium

    International Nuclear Information System (INIS)

    Carret, Anne-Sophie; Tabori, Uri; Crooks, Bruce; Hukin, Juliette; Odame, Isaac; Johnston, Donna L.; Keene, Daniel L.; Freeman, Carolyn; Bouffet, Eric

    2006-01-01

    Background and purpose: Reports of secondary high-grade glioma (HGG) in survivors of childhood cancer are scarce. The aim of this study was to review the pattern of diagnosis, the treatment, and outcome of secondary pediatric HGG. Patients and methods: We performed a multi-center retrospective study among the 17 paediatric institutions participating in the Canadian Pediatric Brain Tumour Consortium (CPBTC). Results: We report on 18 patients (14 males, 4 females) treated in childhood for a primary cancer, who subsequently developed a HGG as a second malignancy. All patients had previously received radiation therapy +/- chemotherapy for either acute lymphoblastic leukaemia (n = 9) or solid tumour (n = 9). All HGG occurred within the previous radiation fields. At the last follow-up, 17 patients have died and the median survival time is 9.75 months. Conclusion: Although aggressive treatment seems to provide sustained remissions in some patients, the optimal management is still to be defined. Further documentation of such cases is necessary in order to better understand the pathogenesis, the natural history and the prevention of these tumours

  4. Predicting fruit consumption: the role of habits, previous behavior and mediation effects

    NARCIS (Netherlands)

    de Vries, H.; Eggers, S.M.; Lechner, L.; van Osch, L.; van Stralen, M.M.

    2014-01-01

    Background: This study assessed the role of habits and previous behavior in predicting fruit consumption as well as their additional predictive contribution besides socio-demographic and motivational factors. In the literature, habits are proposed as a stable construct that needs to be controlled

  5. Barriers to postpartum screening for type 2 diabetes: a qualitative study of women with previous gestational diabetes.

    Science.gov (United States)

    Rafii, Forough; Rahimparvar, Seyedeh Fatemeh Vasegh; Mehrdad, Neda; Keramat, Afsaneh

    2017-01-01

    Risk of developing type 2 diabetes is increased in women with previous gestational diabetes mellitus (GDM). Postpartum glycemic screening is recommended in women with recent GDM. But this screening rate is low and the reasons are unclear. The aim of this study was to explore the experiences of Iranian women with recent GDM on barriers of postpartum screening for diabetes. This qualitative study was conducted in Tehran, Iran in 2016. Semi-structured interview was used for data collection. 22 women with recent GDM were interviewed. These women gave birth in Tehran hospitals at a minimum of 6 months before interview. The missed screening defined as not attending to laboratory for Fasting Blood Sugar and/or Oral Glucose Tolerance Test, 6 week to 6 month after their child birthing. The data was analyzed by content analysis method. Themes and sub-themes that illustrated the barriers to postpartum diabetes screening were: inadequate education (about developing diabetes in the future, implementation of the screening, and glucometer validity in diagnosis of diabetes), perceiving the screening as difficult (feeling comfortable with the glucometer, poor laboratory conditions, issues related to the baby/babies, and financial problems), improper attitudes toward the screening (unwilling to get diagnosed, not giving priority to oneself, having false beliefs) and procrastination (gap to intention and action, self-deception and self-regulation failure). Women with recent GDM reported several barriers for postpartum diabetes screening. This study help to develop the evidence-based interventions for improving this screening rate.

  6. Total hip arthroplasty after a previous pelvic osteotomy: A systematic review and meta-analysis.

    Science.gov (United States)

    Shigemura, T; Yamamoto, Y; Murata, Y; Sato, T; Tsuchiya, R; Wada, Y

    2018-06-01

    There are several reports regarding total hip arthroplasty (THA) after a previous pelvic osteotomy (PO). However, to our knowledge, until now there has been no formal systematic review and meta-analysis published to summarize the clinical results of THA after a previous PO. Therefore, we conducted a systematic review and meta-analysis of results of THA after a previous PO. We focus on these questions as follows: does a previous PO affect the results of subsequent THA, such as clinical outcomes, operative time, operative blood loss, and radiological parameters. Using PubMed, Web of Science, and Cochrane Library, we searched for relevant original papers. The pooling of data was performed using RevMan software (version 5.3, Cochrane Collaboration, Oxford, UK). A p-value50%, significant heterogeneity was assumed and a random-effects model was applied for the meta-analysis. A fixed-effects model was applied in the absence of significant heterogeneity. Eleven studies were included in this meta-analysis. The pooled results indicated that there was no significant difference in postoperative Merle D'Aubigne-Postel score (I 2 =0%, SMD=-0.15, 95% CI: -0.36 to 0.06, p=0.17), postoperative Harris hip score (I 2 =60%, SMD=-0.23, 95% CI: -0.50 to 0.05, p=0.10), operative time (I 2 =86%, SMD=0.37, 95% CI: -0.09 to 0.82, p=0.11), operative blood loss (I 2 =82%, SMD=0.23, 95% CI: -0.17 to 0.63, p=0.25), and cup abduction angle (I 2 =43%, SMD=-0.08, 95% CI: -0.25 to 0.09, p=0.38) between THA with and without a previous PO. However, cup anteversion angle of THA with a previous PO was significantly smaller than that of without a previous PO (I 2 =77%, SMD=-0.63, 95% CI: -1.13 to -0.13, p=0.01). Systematic review and meta-analysis of results of THA after a previous PO was performed. A previous PO did not affect the results of subsequent THA, except for cup anteversion. Because of the low quality evidence currently available, high-quality randomized controlled trials are required

  7. Negotiating the Transatlantic deal: focus on the EU’s domestic constraints

    Directory of Open Access Journals (Sweden)

    Alina ALEXOAEI

    2017-10-01

    Full Text Available The paper focuses on emphasising the role that internal constraints and domestic political events play in designing the strategic behaviour and position of the EU in the negotiation process of The Transatlantic Trade and Investment Partnership - TTIP. The paper pursues a three-pronged approach in order to: (1 identify and define the set of domestic constraints, (2 assess their influence on EU’s strategic position, and (3 suggest both available and desirable future courses of action to improve the negotiation outcome. The results should inform the approach towards the general structure of negotiations to be accomplished through a multi-level analysis: starting from a broad EU perspective on the deal, complemented by a disaggregated domestic level perspective that will emphasize EU members’ position and interests in the agreement, as well as an industry/sector-based implications of each item on the negotiations agenda.

  8. Exposure to Workplace Bullying: The Role of Coping Strategies in Dealing with Work Stressors

    Directory of Open Access Journals (Sweden)

    Whitney Van den Brande

    2017-01-01

    Full Text Available Studies investigating both work- and individual-related antecedents of workplace bullying are scarce. In reply, this study investigated the interaction between workload, job insecurity, role conflict, and role ambiguity (i.e., work-related antecedents, and problem- and emotion-focused coping strategies (i.e., individual-related antecedents in association with exposure to workplace bullying. Problem-focused coping strategies were hypothesised to decrease (i.e., buffer the associations between workload, job insecurity, role conflict, and role ambiguity and exposure to bullying, while emotion-focused coping strategies were hypothesised to increase (i.e., amplify these associations. Results for a heterogeneous sample (N = 3,105 did not provide evidence for problem-focused coping strategies as moderators. As expected, some emotion-focused coping strategies amplified the associations between work-related antecedents and bullying: employees using “focus on and venting of emotions” or “behavioural disengagement” in dealing with job insecurity, role conflict, or role ambiguity were more likely to be exposed to bullying. Similarly, “seeking social support for emotional reasons” and “mental disengagement” amplified the associations of role ambiguity and the associations of both role conflict and role ambiguity, respectively. To prevent bullying, organisations may train employees in tempering emotion-focused coping strategies, especially when experiencing job insecurity, role conflict, or role ambiguity.

  9. Exposure to Workplace Bullying: The Role of Coping Strategies in Dealing with Work Stressors

    Science.gov (United States)

    Baillien, Elfi; Vander Elst, Tinne; De Witte, Hans; Van den Broeck, Anja

    2017-01-01

    Studies investigating both work- and individual-related antecedents of workplace bullying are scarce. In reply, this study investigated the interaction between workload, job insecurity, role conflict, and role ambiguity (i.e., work-related antecedents), and problem- and emotion-focused coping strategies (i.e., individual-related antecedents) in association with exposure to workplace bullying. Problem-focused coping strategies were hypothesised to decrease (i.e., buffer) the associations between workload, job insecurity, role conflict, and role ambiguity and exposure to bullying, while emotion-focused coping strategies were hypothesised to increase (i.e., amplify) these associations. Results for a heterogeneous sample (N = 3,105) did not provide evidence for problem-focused coping strategies as moderators. As expected, some emotion-focused coping strategies amplified the associations between work-related antecedents and bullying: employees using “focus on and venting of emotions” or “behavioural disengagement” in dealing with job insecurity, role conflict, or role ambiguity were more likely to be exposed to bullying. Similarly, “seeking social support for emotional reasons” and “mental disengagement” amplified the associations of role ambiguity and the associations of both role conflict and role ambiguity, respectively. To prevent bullying, organisations may train employees in tempering emotion-focused coping strategies, especially when experiencing job insecurity, role conflict, or role ambiguity. PMID:29270424

  10. Personal prayer in patients dealing with chronic illness: a review of the research literature.

    Science.gov (United States)

    Jors, Karin; Büssing, Arndt; Hvidt, Niels Christian; Baumann, Klaus

    2015-01-01

    Background. Prayer is commonly used among patients for health purposes. Therefore, this review focused on three main questions: (1) why do people turn to prayer in times of illness?, (2) what are the main topics of their prayers?, and (3) how do they pray? Method. We undertook a systematic review of the literature by searching the databases PubMed, Medline, and PsycINFO. The following inclusion criteria were used: (1) participants in the study were patients dealing with an illness, (2) the study examined the use of private rather than intercessory prayer, and (3) the content and purpose of prayer rather than its effects were investigated. Results. 16 articles were included in the final review. Participants suffered from a variety of chronic diseases, mostly cancer. Five main categories for the reasons and topics of prayer were found: (1) disease-centered prayer, (2) assurance-centered prayer, (3) God-centered prayer, (4) others-centered prayer, and (5) lamentations. Among these, disease-centered prayer was most common. Conclusions. Although most patients with chronic diseases do pray for relief from their physical and mental suffering, the intention of their prayers is not only for healing. Rather, prayer can be a resource that allows patients to positively transform the experience of their illness.

  11. Personal Prayer in Patients Dealing with Chronic Illness: A Review of the Research Literature

    Directory of Open Access Journals (Sweden)

    Karin Jors

    2015-01-01

    Full Text Available Background. Prayer is commonly used among patients for health purposes. Therefore, this review focused on three main questions: (1 why do people turn to prayer in times of illness?, (2 what are the main topics of their prayers?, and (3 how do they pray? Method. We undertook a systematic review of the literature by searching the databases PubMed, Medline, and PsycINFO. The following inclusion criteria were used: (1 participants in the study were patients dealing with an illness, (2 the study examined the use of private rather than intercessory prayer, and (3 the content and purpose of prayer rather than its effects were investigated. Results. 16 articles were included in the final review. Participants suffered from a variety of chronic diseases, mostly cancer. Five main categories for the reasons and topics of prayer were found: (1 disease-centered prayer, (2 assurance-centered prayer, (3 God-centered prayer, (4 others-centered prayer, and (5 lamentations. Among these, disease-centered prayer was most common. Conclusions. Although most patients with chronic diseases do pray for relief from their physical and mental suffering, the intention of their prayers is not only for healing. Rather, prayer can be a resource that allows patients to positively transform the experience of their illness.

  12. The utilisation of the product life cycle concept in South African banks dealing with mortgage products and markets

    Directory of Open Access Journals (Sweden)

    F. J. Herbst

    2005-12-01

    Full Text Available The purpose of the study as demarcated in this article was to test the use of the product life cycle concept (PLC theory among marketing decision-makers and product decision-makers dealing with mortgage products and markets in the leading South African Banks. The main focus was to test the application and likelihood to use the PLC assumptions provided by Kotler (2003:340 on marketing characteristics, described marketing objectives and the proposed marketing strategies in the four PLC phases. A major finding was that the majority of these decision-makers in banks indicated a high likelihood of continuing to use the product life cycle concept. Another important conclusion of this study was that further empirical research is needed to develop product life cycle concept assumptions to be inclusive of the intangible nature linked to the marketing of services.

  13. Influence of previous administration of trans-phenylcyclopropylamine on radioprotective and hypothermic effects of serotonin

    International Nuclear Information System (INIS)

    Misustova, J.; Hosek, B.; Novak, L.; Kautska, J.

    1978-01-01

    The influence of a previous administration of trans-phenylcyclopropylamine (t-PCPA) on radioprotective and hypothermic effects of serotonin was studied in male mice of the H strain, which were given t-PCPA in the dose of 4 mg/kg intraperitoneally 2 or 7 hours before application of serotonin (40 mg/kg, i.p.). The time course of protection was studied for exposures to 800 and 900 R. The results have shown that a previous administration of t-PCPA does not alter the short-time protective effect of serotonin, but that it significantly prolongs the time course of protection. The administration of t-PCPA also affects the starting speed and the duration of the serotonin-induced hypothermic reaction. The established correlation between prolongation of the radioprotective and hypothermic effects of serotonin induced by previous application of t-PCPA supplements the results with the existence of mutual relationship between changes of the energetic exchange and radioresistance of the organism. (author)

  14. [Parathyroid cancer in a patient with previous history of hypernephroma: a clinical case].

    Science.gov (United States)

    Martín Navarro, J; Mendoza, E; Mateos, P; Cereceda, A; Coca, S

    2007-01-01

    We report the clinical case of a 55 year-old male patient, with a previous history of nephrectomy by hypernephroma sixteen years ago, first presenting hypercalcemia and rising of intact parathyroid hormone (iPTH) levels. A localization study revealed an intrathyroid nodule with cystic appearance. After undergoing a hemi-thyroidectomy, the patient is diagnosed with parathyroid carcinoma. This article analyzes previously published cases presenting parathyroidal pathologies associated with hypernephroma. A broader differential diagnosis--including the screening of parathyroidal pathologies should be considered in patients with hypercalcemia and hypernephroma.

  15. Immediacy Bias in Emotion Perception: Current Emotions Seem More Intense than Previous Emotions

    Science.gov (United States)

    Van Boven, Leaf; White, Katherine; Huber, Michaela

    2009-01-01

    People tend to perceive immediate emotions as more intense than previous emotions. This "immediacy bias" in emotion perception occurred for exposure to emotional but not neutral stimuli (Study 1), when emotional stimuli were separated by both shorter (2 s; Studies 1 and 2) and longer (20 min; Studies 3, 4, and 5) delays, and for emotional…

  16. Previously unknown species of Aspergillus.

    Science.gov (United States)

    Gautier, M; Normand, A-C; Ranque, S

    2016-08-01

    The use of multi-locus DNA sequence analysis has led to the description of previously unknown 'cryptic' Aspergillus species, whereas classical morphology-based identification of Aspergillus remains limited to the section or species-complex level. The current literature highlights two main features concerning these 'cryptic' Aspergillus species. First, the prevalence of such species in clinical samples is relatively high compared with emergent filamentous fungal taxa such as Mucorales, Scedosporium or Fusarium. Second, it is clearly important to identify these species in the clinical laboratory because of the high frequency of antifungal drug-resistant isolates of such Aspergillus species. Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) has recently been shown to enable the identification of filamentous fungi with an accuracy similar to that of DNA sequence-based methods. As MALDI-TOF MS is well suited to the routine clinical laboratory workflow, it facilitates the identification of these 'cryptic' Aspergillus species at the routine mycology bench. The rapid establishment of enhanced filamentous fungi identification facilities will lead to a better understanding of the epidemiology and clinical importance of these emerging Aspergillus species. Based on routine MALDI-TOF MS-based identification results, we provide original insights into the key interpretation issues of a positive Aspergillus culture from a clinical sample. Which ubiquitous species that are frequently isolated from air samples are rarely involved in human invasive disease? Can both the species and the type of biological sample indicate Aspergillus carriage, colonization or infection in a patient? Highly accurate routine filamentous fungi identification is central to enhance the understanding of these previously unknown Aspergillus species, with a vital impact on further improved patient care. Copyright © 2016 European Society of Clinical Microbiology and

  17. 22 CFR 40.93 - Aliens unlawfully present after previous immigration violation.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Aliens unlawfully present after previous... TO BOTH NONIMMIGRANTS AND IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Aliens Previously Removed § 40.93 Aliens unlawfully present after previous immigration violation. An alien described...

  18. Fire Risk Scoping Study: Investigation of nuclear power plant fire risk, including previously unaddressed issues

    International Nuclear Information System (INIS)

    Lambright, J.A.; Nowlen, S.P.; Nicolette, V.F.; Bohn, M.P.

    1989-01-01

    An investigation of nuclear power plant fire risk issues raised as a result of the USNRC sponsored Fire Protection Research Program at Sandia National Laboratories has been performed. The specific objectives of this study were (1) to review and requantify fire risk scenarios from four fire probabilistic risk assessments (PRAs) in light of updated data bases made available as a result of USNRC sponsored Fire Protection Research Program and updated computer fire modeling capabilities, (2) to identify potentially significant fire risk issues that have not been previously addressed in a fire risk context and to quantify the potential impact of those identified fire risk issues where possible, and (3) to review current fire regulations and plant implementation practices for relevance to the identified unaddressed fire risk issues. In performance of the fire risk scenario requantifications several important insights were gained. It was found that utilization of a more extensive operational experience base resulted in both fire occurrence frequencies and fire duration times (i.e., time required for fire suppression) increasing significantly over those assumed in the original works. Additionally, some thermal damage threshold limits assumed in the original works were identified as being nonconservative based on more recent experimental data. Finally, application of the COMPBRN III fire growth model resulted in calculation of considerably longer fire damage times than those calculated in the original works using COMPBRN I. 14 refs., 2 figs., 16 tabs

  19. Initial results of CyberKnife treatment for recurrent previously irradiated head and neck cancer

    International Nuclear Information System (INIS)

    Himei, Kengo; Katsui, Kuniaki; Yoshida, Atsushi

    2003-01-01

    The purpose of this study was to evaluate the efficacy of CyberKnife for recurrent previously irradiated head and neck cancer. Thirty-one patients with recurrent previously irradiated head and neck cancer were treated with a CyberKnife from July 1999 to March 2002 at Okayama Kyokuto Hospital were retrospectively studied. The accumulated dose was 28-80 Gy (median 60 Gy). The interval between CyberKnife treatment and previous radiotherapy was 0.4-429.5 months (median 16.3 months). Primary lesions were nasopharynx: 7, maxillary sinus: 6, tongue: 5, ethmoid sinus: 3, and others: 1. The pathology was squamous cell carcinoma: 25, adenoid cystic carcinoma: 4, and others: 2. Symptoms were pain: 8, and nasal bleeding: 2. The prescribed dose was 15.0-40.3 Gy (median 32.3 Gy) as for the marginal dose. The response rate (complete response (CR)+partial response (PR)) and local control rate (CR+PR+no change (NC)) was 74% and 94% respectively. Pain disappeared for 4 cases, relief was obtained for 4 cases and no change for 2 cases and nasal bleeding disappeared for 2 cases for an improvement of symptoms. An adverse effects were observed as mucositis in 5 cases and neck swelling in one case. Prognosis of recurrent previously irradiated head and neck cancer was estimated as poor. Our early experience shows that CyberKnife is expected to be feasible treatment for recurrent previously irradiated head and neck cancer, and for the reduction adverse effects and maintenance of useful quality of life (QOL) for patients. (author)

  20. Communicating and dealing with uncertainty in general practice: the association with neuroticism.

    Directory of Open Access Journals (Sweden)

    Antonius Schneider

    Full Text Available Diagnostic reasoning in primary care setting where presented problems and patients are mostly unselected appears as a complex process. The aim was to develop a questionnaire to describe how general practitioners (GPs deal with uncertainty to gain more insight into the decisional process. The association of personality traits with medical decision making was investigated additionally.Raw items were identified by literature research and focus group. Items were improved by interviewing ten GPs with thinking-aloud-method. A personal case vignette related to a complex and uncertainty situation was introduced. The final questionnaire was administered to 228 GPs in Germany. Factorial validity was calculated with explorative and confirmatory factor analysis. The results of the Communicating and Dealing with Uncertainty (CoDU-questionnaire were compared with the scales of the 'Physician Reaction to Uncertainty' (PRU questionnaire and with the personality traits which were determined with the Big Five Inventory (BFI-K.The items could be assigned to four scales with varying internal consistency, namely 'communicating uncertainty' (Cronbach alpha 0.79, 'diagnostic action' (0.60, 'intuition' (0.39 and 'extended social anamnesis' (0.69. Neuroticism was positively associated with all PRU scales 'anxiety due to uncertainty' (Pearson correlation 0.487, 'concerns about bad outcomes' (0.488, 'reluctance to disclose uncertainty to patients' (0.287, 'reluctance to disclose mistakes to physicians' (0.212 and negatively associated with the CoDU scale 'communicating uncertainty' (-0.242 (p<0.01 for all. 'Extraversion' (0.146; p<0.05, 'agreeableness' (0.145, p<0.05, 'conscientiousness' (0.168, p<0.05 and 'openness to experience' (0.186, p<0.01 were significantly positively associated with 'communicating uncertainty'. 'Extraversion' (0.162, 'consciousness' (0.158 and 'openness to experience' (0.155 were associated with 'extended social anamnesis' (p<0.05.The

  1. "Keep Telling until Someone Listens": Understanding Prevention Concepts in Children's Picture Books Dealing with Child Sexual Abuse

    Science.gov (United States)

    Lampert, Jo; Walsh, Kerryann

    2010-01-01

    Children's picture books dealing with the topic of child sexual abuse appeared in the 1980s with the aim of addressing the need for age-appropriate texts to teach sexual abuse prevention concepts and to provide support for young children who may be at risk of or have already experienced sexual abuse. Despite the apparent potential of children's…

  2. Underestimation of Severity of Previous Whiplash Injuries

    Science.gov (United States)

    Naqui, SZH; Lovell, SJ; Lovell, ME

    2008-01-01

    INTRODUCTION We noted a report that more significant symptoms may be expressed after second whiplash injuries by a suggested cumulative effect, including degeneration. We wondered if patients were underestimating the severity of their earlier injury. PATIENTS AND METHODS We studied recent medicolegal reports, to assess subjects with a second whiplash injury. They had been asked whether their earlier injury was worse, the same or lesser in severity. RESULTS From the study cohort, 101 patients (87%) felt that they had fully recovered from their first injury and 15 (13%) had not. Seventy-six subjects considered their first injury of lesser severity, 24 worse and 16 the same. Of the 24 that felt the violence of their first accident was worse, only 8 had worse symptoms, and 16 felt their symptoms were mainly the same or less than their symptoms from their second injury. Statistical analysis of the data revealed that the proportion of those claiming a difference who said the previous injury was lesser was 76% (95% CI 66–84%). The observed proportion with a lesser injury was considerably higher than the 50% anticipated. CONCLUSIONS We feel that subjects may underestimate the severity of an earlier injury and associated symptoms. Reasons for this may include secondary gain rather than any proposed cumulative effect. PMID:18201501

  3. Detection of previously undiagnosed cases of COPD in a high-risk population identified in general practice

    DEFF Research Database (Denmark)

    Løkke, Anders; Ulrik, Charlotte Suppli; Dahl, Ronald

    2012-01-01

    Background and Aim: Under-diagnosis of COPD is a widespread problem. This study aimed to identify previously undiagnosed cases of COPD in a high-risk population identified through general practice. Methods: Participating GPs (n = 241) recruited subjects with no previous diagnosis of lung disease,...

  4. Homicide and domestic violence. Are there different psychological profiles mediated by previous exerted on the victim?

    OpenAIRE

    Montserrat Yepes; Maria R. Vinas; Inmaculada Armadans; Miguel A. Soria

    2009-01-01

    A sample of 46 men was evaluated with the DAPP (Questionnaire of Domestic Aggressor Psychological Profile). All were inmates convicted for various degrees of violence against their wives in different prisons. The sample was divided into three groups: homicides without previous violence against their wives (H) (n=11), homicides with previous violence (VH) (n=9) and domestic batterers without previous homicide attempts against their partners (B) (n=26). The aim of the study was to analyze the p...

  5. Radioimmunoassay of h-TSH - methodological suggestions for dealing with medium to large numbers of samples

    International Nuclear Information System (INIS)

    Mahlstedt, J.

    1977-01-01

    The article deals with practical aspects of establishing a TSH-RIA for patients, with particular regard to predetermined quality criteria. Methodological suggestions are made for medium to large numbers of samples with the target of reducing monotonous precision working steps by means of simple aids. The quality criteria required are well met, while the test procedure is well adapted to the rhythm of work and may be carried out without loss of precision even with large numbers of samples. (orig.) [de

  6. 18 CFR 154.302 - Previously submitted material.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Previously submitted material. 154.302 Section 154.302 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... concurrently with the rate change filing. There must be furnished to the Director, Office of Energy Market...

  7. Reflections of distraction in memory: transfer of previous distraction improves recall in younger and older adults.

    Science.gov (United States)

    Thomas, Ruthann C; Hasher, Lynn

    2012-01-01

    Three studies explored whether younger and older adults' free recall performance can benefit from prior exposure to distraction that becomes relevant in a memory task. Participants initially read stories that included distracting text. Later, they studied a list of words for free recall, with half of the list consisting of previously distracting words. When the memory task was indirect in its use of distraction (Study 1), only older adults showed transfer, with better recall of previously distracting compared with new words, which increased their recall to match that of younger adults. However, younger adults showed transfer when cued about the relevance of previous distraction both before studying the words (Study 2) and before recalling the words (Study 3) in the memory test. Results suggest that both younger and older adults encode distraction, but younger adults require explicit cueing to use their knowledge of distraction. In contrast, older adults transfer knowledge of distraction in both explicitly cued and indirect memory tasks. Results are discussed in terms of age differences in inhibition and source-constrained retrieval.

  8. Healthcare payments under the budget deal: mostly good news for physicians

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2018-02-01

    Full Text Available No abstract available. Article truncated after 150 words. In the early morning hours last Friday (2/9/18 Congress passed and President Trump signed a massive budget agreement (1. The spending package will cost about $320 billion over 10 years, according to the Congressional Budget Office. Payments for healthcare substantially increase under the deal. Most praised the agreement. "Congress made the right choice this morning for patients and communities by voting to halt damaging cuts to hospitals that care for low-income working families and others who face financial challenges," said Dr. Bruce Siegel, CEO of America's Essential Hospitals, which represents the nation's safety-net facilities. Marc Goldwein of the Center for a Responsible Federal Budget called the healthcare provisions the one "beacon of light" in what otherwise is an exorbitantly costly budget bill. Goldwein praised its mix of structural reforms with "reasonable policy” and liked that the bill pays for the increased healthcare spending. The bill extends Medicare physician fee cuts ….

  9. A Flexible-Dose Study of Paliperidone ER in Patients With Nonacute Schizophrenia Previously Treated Unsuccessfully With Oral Olanzapine.

    Science.gov (United States)

    Kotler, Moshe; Dilbaz, Nesrin; Rosa, Fernanda; Paterakis, Periklis; Milanova, Vihra; Smulevich, Anatoly B; Lahaye, Marjolein; Schreiner, Andreas

    2016-01-01

    The goal of this study was to explore the tolerability, safety, and treatment response of switching from oral olanzapine to paliperidone extended release (ER). Adult patients with nonacute schizophrenia who had been treated unsuccessfully with oral olanzapine were switched to flexible doses of paliperidone ER (3 to 12 mg/d). The primary efficacy outcome was a ≥ 20% improvement in Positive and Negative Syndrome Scale (PANSS) total scores from baseline to endpoint for patients who switched medications because of lack of efficacy with olanzapine and noninferiority versus previous olanzapine treatment (mean endpoint change in PANSS total scores vs. baseline of ≤ 5 points) for patients who switched for reasons other than lack of efficacy. Safety and tolerability were assessed by monitoring adverse events, extrapyramidal symptoms, and weight change. Of 396 patients, 65.2% were men, mean age was 40.0 ± 12.0 years, and 75.5% had paranoid schizophrenia. Among the patients whose main reason for switching was lack of efficacy, an improvement in the PANSS total score of ≥ 20% occurred in 57.4% of patients. Noninferiority was confirmed for each subgroup of patients whose main reason for switching was something other than lack of efficacy. Paliperidone ER was generally well tolerated. Extrapyramidal symptoms as measured by total Extrapyramidal Symptom Rating Scale scores showed statistically significant and clinically relevant improvements at endpoint, the average weight decreased by 0.8 ± 5.2 kg at endpoint, and a clinically relevant weight gain of ≥ 7% occurred in 8.0% of patients. Paliperidone ER flexibly-dosed over 6 months was well tolerated and associated with a meaningful clinical response in patients with nonacute schizophrenia who had previously been unsuccessfully treated with oral olanzapine.

  10. Late preterm birth and previous cesarean section: a population-based cohort study.

    Science.gov (United States)

    Yasseen Iii, Abdool S; Bassil, Kate; Sprague, Ann; Urquia, Marcelo; Maguire, Jonathon L

    2018-02-21

    Late preterm birth (LPB) is increasingly common and associated with higher morbidity and mortality than term birth. Yet, little is known about the influence of previous cesarean section (PCS) and the occurrence of LPB in subsequent pregnancies. We aim to evaluate this association along with the potential mediation by cesarean sections in the current pregnancy. We use population-based birth registry data (2005-2012) to establish a cohort of live born singleton infants born between 34 and 41 gestational weeks to multiparous mothers. PCS was the primary exposure, LPB (34-36 weeks) was the primary outcome, and an unplanned or emergency cesarean section in the current pregnancy was the potential mediator. Associations were quantified using propensity weighted multivariable Poisson regression, and mediating associations were explored using the Baron-Kenny approach. The cohort included 481,531 births, 21,893 (4.5%) were LPB, and 119,983 (24.9%) were predated by at least one PCS. Among mothers with at least one PCS, 6307 (5.26%) were LPB. There was increased risk of LPB among women with at least one PCS (adjusted Relative Risk (aRR): 1.20 (95%CI [1.16, 1.23]). Unplanned or emergency cesarean section in the current pregnancy was identified as a strong mediator to this relationship (mediation ratio = 97%). PCS was associated with higher risk of LPB in subsequent pregnancies. This may be due to an increased risk of subsequent unplanned or emergency preterm cesarean sections. Efforts to minimize index cesarean sections may reduce the risk of LPB in subsequent pregnancies.

  11. Global Green New Deal. Policy Brief

    International Nuclear Information System (INIS)

    2009-03-01

    The 'Global Green New Deal' (GGND) presented here has three broad objectives. It should make a major contribution to reviving the world economy, saving and creating jobs, and protecting vulnerable groups. It should promote sustainable and inclusive growth and the achievement of the MDGs, especially ending extreme poverty by 2015. Also, it must reduce carbon dependency and ecosystem degradation. These are key risks along a path to a sustainable world economy. Our consultations and our commissioned research, summarized here in this Policy Brief, make a strong case for the active 'greening' of proposed fiscal stimulus packages. However, this must also be backed by necessary changes in international and domestic policy architectures, as the current framework is biased in favour of resurrecting an unsustainable 'brown economy'. Our proposals are therefore grouped under three categories - targeted stimulus spending in 2009-10, changes in domestic policies, and changes in international policy architecture. Furthermore, we recognize that many less developed countries do not have the resources of their own and will have to rely on foreign aid and support, both financial and non-financial. We propose that the fiscal stimulus (to be applied over 2009 and 2010) should prioritize energy efficient buildings and investments in sustainable transport and renewable energy. Developing countries should prioritize investment in agricultural productivity measures, freshwater management, and sanitation, as these have demonstrable and exceptional social returns. Domestic policy reforms are recommended to substantially reduce perverse subsidies (eg: fossil fuels) and instead to create positive incentives and appropriate taxes which will encourage a greener economy. Domestic reforms should also address some common issues in land use and urban policy. Integrated management of freshwater would also require some domestic policy changes, and this should be prioritized by developing countries

  12. Efficacy for Dealing With Terrorism Precautionary Behavior: Laying the Groundwork for Communication Effectiveness.

    Science.gov (United States)

    Wirtz, Philip W; Rohrbeck, Cynthia A

    2017-10-01

    In order to formulate effective communication and intervention strategies to respond to the widespread lack of preparedness for public health crises resulting from natural and human-made disasters, researchers have developed models describing the interrelationships between factors associated with emergency preparedness decisions. Empirical research has generally assumed that two key elements of most health behavior theories-self-efficacy and response efficacy-additively influence the decision to prepare, despite compelling theoretical rationale for an interactive relationship. The few studies that have investigated interactions in preparedness outcomes have not tested the Social Cognitive Theory prediction that non-zero levels of both efficacy types are required before individuals will engage in any preparedness behavior. Based on the responses of 3,101 participants in the National Survey of Disaster Experiences and Preparedness, this study tested additive, interactive, and conditional main effect hypotheses about the influence of self-efficacy and response efficacy for dealing with terrorism on preparedness due to terrorism six years after the September 11, 2001, terrorist attacks. A significant self-efficacy × response efficacy interaction effect on preparedness was found, in addition to a significant response efficacy effect when perceived self-efficacy was zero, contrary to the expectation from Social Cognitive Theory. These results offer insights into the cognitive processes underlying individuals' decisions to prepare for disasters such as terrorist attacks, and highlight the importance of considering more complex theory-based cognitive interaction models in designing effective communication strategies to facilitate individual emergency preparedness.

  13. Health information search to deal with the exploding amount of health information produced.

    Science.gov (United States)

    Müller, H; Hanbury, A; Al Shorbaji, N

    2012-01-01

    This focus theme deals with the various aspects of health information search that are necessary to cope with the challenges of an increasing amount and complexity of medical information currently produced. This editorial reviews the main challenges of health information search and summarizes the five papers of this focus theme. The five papers of the focus theme cover a large part of the current challenges in health information search such as coding standards, information extraction from complex data, user requirements analysis, multimedia data analysis and the access to big data. Several future challenges are identified such as the combination of visual and textual data for information search and the difficulty to scale when analyzing big data.

  14. Squeezing the middleman: ending underhanded dealing in the pharmacy benefit management industry through regulation.

    Science.gov (United States)

    Meador, Mark

    2011-01-01

    Pharmacy benefit management (PBM) companies are the middlemen of the pharmaceutical industry, designing plans for sponsors and insurers and pushing the products of manufacturers. Their unique position can often create conflicts of interest, which has been the basis of much litigation. This article reviews the structure of the PBM industry and analyzes concerns arising from its handling of prescription drug pricing, manufacturer rebates and discounts, and mail order pharmacies. After surveying several legislative proposals, it concludes with a comprehensive outline for legislation to eliminate underhanded dealing in the industry and lower the cost of prescription drugs.

  15. Predicting intraindividual changes in learning strategies: The effects of previous achievement

    OpenAIRE

    Buško, Vesna; Mujagić, Amela

    2013-01-01

    Socio-cognitive models of self-regulated learning (e.g., Pintrich, 2000) emphasize contextualized nature oflearning process, and within-person variation in learning processes, along with between-person variability in selfregulation.Previous studies about contextual nature of learning strategies have mostly focused on the effects ofdifferent contextual factors on interindividual differences in learning strategies utilization. However, less attentionwas given to the question about contextual ef...

  16. Left ventricular asynergy score as an indicator of previous myocardial infarction

    International Nuclear Information System (INIS)

    Backman, C.; Jacobsson, K.A.; Linderholm, H.; Osterman, G.

    1986-01-01

    Sixty-eight patients with coronary heart disease (CHD) i.e. a hisotry of angina of effort and/or previous 'possible infarction' were examined inter alia with ECG and cinecardioangiography. A system of scoring was designed which allowed a semiquantitative estimate of the left ventricular asynergy from cinecardioangiography - the left ventricular motion score (LVMS). The LVMS was associated with the presence of a previous myocardial infarction (MI), as indicated by the history and ECG findings. The ECG changes specific for a previous MI were associated with high LVMS values and unspecific or absent ECG changes with low LVMS values. Decision thresholds for ECG changes and asynergy in diagnosing a previous MI were evaluated by means of a ROC analysis. The accuracy of ECG in detecting a previous MI was slightly higher when asynergy indicated a 'true MI' than when autopsy result did so in a comparable group. Therefore the accuracy of asynergy (LVMS ≥ 1) in detecting a previous MI or myocardial fibrosis in patients with CHD should be at least comparable with that of autopsy (scar > 1 cm). (orig.)

  17. In experimental studies how can we deal with chunk productions by learners?

    OpenAIRE

    道本,祐子

    2018-01-01

    Pienmann (1998; 2011) has proposed an L2 developmental schedule known as his “Processability Theory” or PT. The theory has been assumed in many empirical studies using not only speaking tasks (production) but reception tasks. However, writing studies for PT have not yet been developed. In this study, Mihimoto’s two empirical studies (Michimoto, 2015a; 2015b) are used in order to examine PT through writing tasks and to establish a suitable method for designing writing tasks. Important technica...

  18. Clarification of the confusion concerning the crystal-field quantities vs the zero-field splitting quantities in magnetism studies: Part II-Survey of literature dealing with model studies of spin systems

    International Nuclear Information System (INIS)

    Rudowicz, C.

    2008-01-01

    For respective quantities, i.e., Hamiltonians, parameters, and energy level splittings, related to two physically distinct notions X and Y, various cases of confused terminology have been identified in literature. Referring to a quantity related actually to the notion Y using incorrectly the name of another well-defined notion X constitutes, what may be defined for short as, the type X=Y confusion. An ongoing survey of magnetism literature indicates that quantities related to zero-field splitting (ZFS) or equivalently fine structure (FS) are most often confused with those related to crystal-field (CF) or equivalently ligand field (LF). In this review the CF=ZFS confusion cases, i.e., labelling actual ZFS/FS quantities as purportedly 'CF/LF' ones, appearing in magnetism studies are surveyed and clarified. Part I covers the cases occurring in literature dealing with specific compounds. In this part model studies of spin systems are surveyed. The cases of terminology mixing up actual ZFS/FS quantities with purported CF/LF ones are identified and presented comprehensively in tabular form. To facilitate discussion, problems pertinent for the CF=ZFS confusion are categorized into several groups, including origin of the two notions, physical consequences, usage of specific numerical values, invoking real magnetic spin systems, and properties of spin S=1/2 systems. Physical implications of this confusion for interpretation of model results are also considered. Overall implications of incorrect terminology go beyond simple semantic issues and concern possible misinterpretation of data describing various physical properties of models studied. Such terminology contributes also to misleading keyword classifications of papers in journals and scientific databases. Other types of confusion identified in survey of magnetism literature will be discussed in separate reviews

  19. 31 CFR 560.534 - Importation into the United States of, and dealings in, certain foodstuffs and carpets authorized.

    Science.gov (United States)

    2010-07-01

    ... Policy § 560.534 Importation into the United States of, and dealings in, certain foodstuffs and carpets... under chapters 2-23 of the Harmonized Tariff Schedule of the United States; (2) Carpets and other... 9706.00.0060 of the Harmonized Tariff Schedule of the United States. (b) United States persons...

  20. The Public Health Responsibility Deal: making the workplace healthier?

    Science.gov (United States)

    Knai, Cécile; Scott, Courtney; D'Souza, Preethy; James, Lesley; Mehrotra, Anushka; Petticrew, Mark; Eastmure, Elizabeth; Durand, Mary Alison; Mays, Nicholas

    2017-06-01

    The Public Health Responsibility Deal (RD) in England is a public-private partnership which aims to improve public health by addressing issues such as health at work. This paper analyses the RD health at work pledges in terms of their likely effectiveness and added value. A review of evidence on the effectiveness of the RD 'health at work' pledges to improve health in the workplace; analysis of publically available data on signatory organizations' plans and progress towards achieving the pledges; and assessment of the likelihood that workplace activities pledged by signatories were brought about by participating in the RD. The 'health at work' pledges mostly consist of information sharing activities, and could be more effective if made part of integrated environmental change at the workplace. The evaluation of organizations' plans and progress suggests that very few actions (7%) were motivated by participation in the RD, with most organizations likely (57%) or probably (36%) already engaged in the activities they listed before joining the RD. The RD's 'health at work' pledges are likely to contribute little to improving workplace health as they stand but could contribute more if they were incorporated into broader, coherent workplace health strategies. © The Author 2016. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.