WorldWideScience

Sample records for providing order status

  1. Pharmacist provider status legislation: Projections and prospects.

    Science.gov (United States)

    Harper, Patrick C

    2015-01-01

    To compare legislation at the federal level that would recognize pharmacists as health care providers under Medicare Part B with similar state-level efforts in an attempt to identify the strengths and weaknesses of these options and forecast outcomes. The current primary care provider shortage poses a significant threat to public health in the United States. The effort to achieve federal provider status for pharmacists, currently in the form of identical bills introduced in January 2015 into the U.S. House of Representatives and the U.S. Senate as the Pharmacy and Medically Underserved Areas Enhancement Act (H.R. 592 and S. 314), would amend the Social Security Act to recognize pharmacists as health care providers in sections of Medicare Part B that specify coverage and reimbursement. This action has budgetary implications owing to the compensation that would accrue to pharmacists caring for Medicare beneficiaries. Passage of these bills into law could improve public health by sustainably increasing access to pharmacists' patient care services in medically underserved areas. In this article, the legislation's strengths and weaknesses are analyzed. The resulting information may be used to forecast the bills' fate as well as plan strategies to help support their success. Comparison of the bills with existing, state-level efforts is used as a framework for such policy analysis. While the current political climate benefits the bills in the U.S. Congress, established legislative precedents suggest that parts of H.R. 592/S. 314, specifically those regarding compensation mechanisms, may require negotiated amendment to improve their chances of success.

  2. Safe Implementation of Computerized Provider Order Entry for Adult Oncology.

    Science.gov (United States)

    Martin, D B; Kaemingk, D; Frieze, D; Hendrie, P; Payne, T H

    2015-01-01

    Oncology has lagged in CPOE adoption due to the narrow therapeutic index of chemotherapy drugs, individualized dosing based on weight and height, regimen complexity, and workflows that include hard stops where safety checks are performed and documented. We sought to establish CPOE for chemotherapy ordering and administration in an academic teaching institution using a commercially available CPOE system. A commercially available CPOE system was implemented throughout the hospital. A multidisciplinary team identified key safety gaps that required the development of a customized complex order display and a verification documentation workflow. Staff reported safety events were monitored for two years and compared to the year prior to go live. A workflow was enabled to capture real-time provider verification status during the time from ordering to the administration of chemotherapy. A customized display system was embedded in the EMR to provide a single screen view of the relevant parameters of chemotherapy doses including current and previous patient measurements of height and weight, dose adjustments, provider verifications, prior chemotherapy regimens, and a synopsis of the standard regimen for reference. Our system went live with 127 chemotherapy plans and has been expanded to 189. Staff reported safety events decreased following implementation, particularly in the area of prescribing and transcribing by the second year of use. We observed reduced staff reported safety events following implementation of CPOE for inpatient chemotherapy using an electronic verification workflow and an embedded custom clinical decision support page. This implementation demonstrates that CPOE can be safely used for inpatient chemotherapy, even in an extremely complex environment.

  3. Clinical nurse specialist leadership in computerized provider order entry design.

    Science.gov (United States)

    Roggow, Darla J; Solie, Carol J; Tracy, Mary Fran; Gjere, Niki

    2005-01-01

    The purpose of this clinical project was to design and implement a computerized provider order entry system. Well-designed clinical computer systems can advance best practice and quality decision making, leading to improvements in patient and organizational outcomes. An Orders Design Group composed of clinical nurse specialists (CNSs), staff nurses, and information management personnel was formed. CNSs used competencies in the system sphere to lead the integration of the needs of patients, nurses, and organizations into new technologies. CNSs facilitated implementation of a collaboratively designed interdisciplinary computerized order entry process. Evaluation of the design and implementation process demonstrated greater success with the order entry system under the leadership of CNSs than past initiatives where CNSs were not in leadership roles. CNS competencies in designing and implementing innovative system-level solutions are key to clinical information systems design.

  4. Birth order, sibship size, and status in modern Canada.

    Science.gov (United States)

    Davis, J N

    1997-09-01

    This paper investigates the possibility that birth order affects the degree to which individuals attain higher status. Humans give birth to a variable number of (usually) single offspring spaced one to many years apart, and continue to maintain contact with them for extended periods of time. The continued presence of older siblings, and arrival of younger ones, means that each child is reared in a different family environment. Research findings from the field of behavior genetics suggest that these differences have a significant impact on the development of individual differences between children in the same family. Although no two families are likely to be exactly the same, factors such as birth order remain constant across them, and may have similar influences. The present study examines the relationships between birth order, sibship size, and several variables thought to index future status attainment (status striving) in a random sample of Canadians. Firstborn children appear to be more status oriented than lastborns, and this effect is mediated by sibship size. While firstborn children are unaffected by the number of younger siblings they have, the status ambitions of youngest children decrease the more older siblings they have. Birth order effects on status attainment are not as strong as they are on status ambitions.

  5. The Impact of Order Source Misattribution on Computerized Provider Order Entry (CPOE) Performance Metrics.

    Science.gov (United States)

    Gellert, George A; Catzoela, Linda; Patel, Lajja; Bruner, Kylynn; Friedman, Felix; Ramirez, Ricardo; Saucedo, Lilliana; Webster, S Luke; Gillean, John A

    2017-01-01

    One strategy to foster adoption of computerized provider order entry (CPOE) by physicians is the monthly distribution of a list identifying the number and use rate percentage of orders entered electronically versus on paper by each physician in the facility. Physicians care about CPOE use rate reports because they support the patient safety and quality improvement objectives of CPOE implementation. Certain physician groups are also motivated because they participate in contracted financial and performance arrangements that include incentive payments or financial penalties for meeting (or failing to meet) a specified CPOE use rate target. Misattribution of order sources can hinder accurate measurement of individual physician CPOE use and can thereby undermine providers' confidence in their reported performance, as well as their motivation to utilize CPOE. Misattribution of order sources also has significant patient safety, quality, and medicolegal implications. This analysis sought to evaluate the magnitude and sources of misattribution among hospitalists with high CPOE use and, if misattribution was found, to formulate strategies to prevent and reduce its recurrence, thereby ensuring the integrity and credibility of individual and facility CPOE use rate reporting. A detailed manual order source review and validation of all orders issued by one hospitalist group at a midsize community hospital was conducted for a one-month study period. We found that a small but not dismissible percentage of orders issued by hospitalists-up to 4.18 percent (95 percent confidence interval, 3.84-4.56 percent) per month-were attributed inaccurately. Sources of misattribution by department or function were as follows: nursing, 42 percent; pharmacy, 38 percent; laboratory, 15 percent; unit clerk, 3 percent; and radiology, 2 percent. Order management and protocol were the most common correct order sources that were incorrectly attributed. Order source misattribution can negatively affect

  6. Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders.

    Science.gov (United States)

    Abraham, Joanna; Kannampallil, Thomas G; Jarman, Alan; Sharma, Shivy; Rash, Christine; Schiff, Gordon; Galanter, William

    2017-07-11

    Medication voiding is a computerised provider order entry (CPOE)-based discontinuation mechanism that allows clinicians to identify erroneous medication orders. We investigated the accuracy of voiding as an indicator of clinician identification and interception of a medication ordering error, and investigated reasons and root contributors for medication ordering errors. Using voided orders identified with a void alert, we conducted interviews with ordering and voiding clinicians, followed by patient chart reviews. A structured coding framework was used to qualitatively analyse the reasons for medication ordering errors. We also compared clinician-CPOE-selected (at time of voiding), clinician-reported (interview) and chart review-based reasons for voiding. We conducted follow-up interviews on 101 voided orders. The positive predictive value (PPV) of voided orders that were medication ordering errors was 93.1% (95% CI 88.1% to 98.1%, n=94). Using chart review-based reasons as the gold standard, we found that clinician-CPOE-selected reasons were less reflective (PPV=70.2%, 95% CI 61.0% to 79.4%) than clinician-reported (interview) (PPV=86.1%, 95%CI 78.2% to 94.1%) reasons for medication ordering errors. Duplicate (n=44) and improperly composed (n=41) ordering errors were common, often caused by predefined order sets and data entry issues. A striking finding was the use of intentional violations as a mechanism to notify and seek ordering assistance from pharmacy service. Nearly half of the medication ordering errors were voided by pharmacists. We demonstrated that voided orders effectively captured medication ordering errors. The mismatch between clinician-CPOE-selected and the chart review-based reasons for error emphasises the need for developing standardised operational descriptions for medication ordering errors. Such standardisation can help in accurately identifying, tracking, managing and sharing erroneous orders and their root contributors between healthcare

  7. An analysis of the usability of inpatient insulin ordering in three computerized provider order entry systems.

    Science.gov (United States)

    Neinstein, Aaron; Cucina, Russ

    2011-11-01

    Insulin is a highly scrutinized drug in hospitals since it is both frequently used and high risk. As the insulin ordering process makes a transition from pen and paper to computerized provider order entry (CPOE) systems, the effective design of these systems becomes critical. There are fundamental usability principles in the field of human-computer interaction design, which help make interfaces that are effective, efficient, and satisfying. To our knowledge, there has not been a study that specifically looks at how these principles have been applied in the design of insulin orders in a CPOE system. We analyzed the usability of inpatient insulin ordering in three widely deployed CPOE systems-two commercially marketed systems and the U.S. Department of Veterans Affairs VistA Computerized Patient Record System. We performed a usability analysis using aspects of three different methods. Our first goal was to note each instance where a usability principle was either upheld or not upheld. Our second goal was to discover ways in which CPOE designers could exploit usability principles to make insulin ordering safer and more intuitive in the future. Commonly encountered usability principles included constraints, obviousness/self-evidence, natural mapping, feedback, and affordance. The three systems varied in their adherence to these principles, and each system had varying strengths and weaknesses. Adherence to usability principles is important when building a CPOE system, yet designers observe them to varying degrees. A well-designed CPOE interface allows a clinician to focus more of his or her mental energy on clinical decisions rather than on deciphering the system itself. In the future, intelligent design of CPOE insulin orders can be used to help optimize and modernize management of hyperglycemia in the hospital. © 2011 Diabetes Technology Society.

  8. [The social status of women. For a new world order].

    Science.gov (United States)

    Gauffenic, A

    1985-01-01

    Curiosity about the place of women in development and solidarity with women's organizations in different economies prompt consideration of the individual and collective possibilities for women in public life and of the social status of women. Recent histories of Third World countries as reported in UN conferences held in Tunisia, Portugal, and New Delhi in 1982-83 and Western experience are the basis for identification of constraints in the development of women's movements and alternatives for participation of women in a new world order. Women have always contributed to the life and economic development of their countries, often in activities not recognized as economic, but they are excluded from processes of institutionalization and their presence is very rare at the highest levels of the social hierarchy. Women organized themselves and participated in the liberation movements of India, Malaysia, Libya, and Egypt, but were later relegated to their customary low status. Among the structural and ideological factors impeding access of women to political power and a true social status are cultural nationalism and religious ideology. Socialization is 1 of the processes by which members of a society acquire a common fund of knowledge, but norms produced by the dominant ideology, in this case male, pose a problem to dominated groups concerning the nature of their particularity. Such groups can strive for integration at the price of risking loss of identity, or they can contest the rules, situating themselves at the margin of the "laws" or rules. The essential question concerns the possibility of women rethinking the process and contents of socialization. A new system is required of perceptions, evaluations, and actions founded on new human values. In this perspective the women's movement would contribute to the realization of a new world order. Theories of equality, to comprehend reality in its entirety, must include equality while developing the concept of differences

  9. The status of occupational safety among health service providers in ...

    African Journals Online (AJOL)

    Occupational hazards exist wherever health care is practised. However, there is dearth of information on the status of occupational safety among hospital workers in Tanzania. This study was therefore carried to assess the current status of occupational health and safety (OHS) in Tanzanian hospitals and identify key areas ...

  10. Effectiveness of Provider Education Followed by Computerized Provider Order Entry Alerts in Reducing Inappropriate Red Blood Cell Transfusion

    Directory of Open Access Journals (Sweden)

    Vijay M. Patel

    2016-01-01

    Full Text Available To reduce the rate of inappropriate red blood cell transfusion, a provider education program, followed by alerts in the computerized provider order entry system (CPOE, was established to encourage AABB transfusion guidelines. Metrics were established for nonemergent inpatient transfusions. Service lines with high order volume were targeted with formal education regarding AABB 2012 transfusion guidelines. Transfusion orders were reviewed in real time with email communications sent to ordering providers falling outside of AABB recommendations. After 12 months of provider education, alerts were activated in CPOE. With provider education alone, the incidence of pretransfusion hemoglobin levels greater than 8 g/dL decreased from 16.64% to 6.36%, posttransfusion hemoglobin levels greater than 10 g/dL from 14.03% to 3.78%, and number of nonemergent two-unit red blood cell orders from 45.26% to 22.66%. Red blood cell utilization decreased by 13%. No additional significant reduction in nonemergent two-unit orders was observed with CPOE alerts. Provider education, an effective and low-cost method, should be considered as a first-line method for reducing inappropriate red blood cell transfusion rates in stable adult inpatients. Alerts in the computerized order entry system did not significantly lower the percentage of two-unit red blood cells orders but may help to maintain educational efforts.

  11. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents?

    Science.gov (United States)

    Mirarchi, Ferdinando L; Cammarata, Christopher; Zerkle, Samuel W; Cooney, Timothy E; Chenault, Jason; Basnak, David

    2015-03-01

    Physician Orders for Life-Sustaining Treatment (POLST) documents are medical orders intended to honor patient choice in the hospital and prehospital settings. We hypothesized that prehospital personnel will find these forms confusing. The aim of this study was to determine whether POLST documents accord consensus in determining code status and treatment decisions among emergency medical services providers on the basis of an Internet survey. Consensus in this context reflects content clarity. A statewide survey of Pennsylvania emergency medical technicians and paramedics was conducted from October 2013 to January 2014. Respondents supplied code status and treatment decisions for scenarios involving critically ill patients who present with POLST documents and then develop cardiac arrest. The gamut of combinations of resuscitations (do not resuscitate [DNR], cardiopulmonary resuscitation) and treatment (full, limited, comfort measures) was represented. Subgroup analysis was done using the Fisher exact test with a Bonferroni-corrected P = 0.017 as significant. We defined consensus as a supermajority of 95%. Response to the survey was 18.4% (1069/5800). For scenarios specifying DNR and full or limited treatment, most chose DNR (59%-84%) and 25% to 75% chose resuscitation. With DNR and comfort measures specified, approximately 85% selected DNR and withheld resuscitation. When cardiopulmonary resuscitation/full treatment was presented, 95% selected "full code" and resuscitation. Respondent age significantly affected response rates (P ≤ 0.004); prior POLST education had no impact. For most scenarios, responses failed to attain consensus, suggesting confusion in interpretation of the form. In the Pennsylvania prehospital setting, POLST documents can be confusing, presenting a risk to patient safety. Additional research, standardized education, training, and/or safeguards are required to facilitate patient choice and protect safety.

  12. Inappropriately ordered echocardiograms are related to socioeconomic status.

    Science.gov (United States)

    Silverman, Gabriel P; Vyse, Stuart; Silverman, David I

    2012-01-01

    Although the appropriateness of ordering tests is increasingly measured, the demographic characteristics of patients receiving inappropriate cardiac tests, such as echocardiograms, have seldom been studied. The authors hypothesized that particular patient characteristics might influence the frequency of inappropriate echocardiogram ordering. Demographics and appropriateness were examined in a consecutive series of 535 inpatients receiving echocardiograms at a metropolitan hospital; inappropriate tests were ordered in 9% of cases. Disabled patients received a significantly higher proportion of inappropriate echocardiograms compared to both retired and employed patients. Among patients receiving repeat echocardiograms, Medicaid patients were significantly more likely to receive inappropriately ordered echocardiograms than patients with either Medicare or private insurance. In conclusion, certain socioeconomic and demographic characteristics are associated with a higher incidence of inappropriate test ordering. Further research into the causal factors behind this association may be useful to reduce inappropriate test ordering.

  13. Child center closures: Does nonprofit status provide a comparative advantage?

    Science.gov (United States)

    Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E

    2013-03-01

    Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy.

  14. 77 FR 31153 - Providing an Order of Succession Within the Department of Agriculture

    Science.gov (United States)

    2012-05-24

    ... Order 13612 of May 21, 2012 Providing an Order of Succession Within the Department of Agriculture By the... Agriculture, in the order listed, shall act as and perform the functions and duties of the office of Secretary of Agriculture (Secretary) during any period in which both the Secretary and the Deputy Secretary of...

  15. Channeling consumers to preferred providers and the impact of status quo bias: does type of provider matter?

    Science.gov (United States)

    Boonen, Lieke H H M; Donkers, Bas; Schut, Frederik T

    2011-04-01

    To effectively bargain about the price and quality of health services, health insurers need to successfully channel their enrollees. Little is known about consumer sensitivity to different channeling incentives. In particular, the impact of status quo bias, which is expected to differ between different provider types, can play a large role in insurers' channeling ability. To examine consumer sensitivity to channeling strategies and to analyze the impact of status quo bias for different provider types. With a large-scale discrete choice experiment, we investigate the impact of channeling incentives on choices for pharmacies and general practitioners (GPs). Survey data were obtained among a representative Dutch household panel (n = 2,500). Negative financial incentives have a two to three times larger impact on provider choice than positive ones. Positive financial incentives have a relatively small impact on GP choice, while the impact of qualitative incentives is relatively large. Status quo bias has a large impact on provider choice, which is more prominent in the case of GPs than in the case of pharmacies. The large impact of the status quo bias makes channeling consumers away from their current providers a daunting task, particularly in the case of GPs. © Health Research and Educational Trust.

  16. 77 FR 31155 - Providing an Order of Succession Within the Department of Commerce

    Science.gov (United States)

    2012-05-24

    ... Order 13613 of May 21, 2012 Providing an Order of Succession Within the Department of Commerce By the..., and to the limitations set forth in the Act, the following officials of the Department of Commerce, in... Commerce (Secretary) during any period in which the Secretary has died, resigned, or otherwise become...

  17. 75 FR 27921 - Providing an Order of Succession Within the Department of Agriculture

    Science.gov (United States)

    2010-05-18

    ... 13542 of May 13, 2010 Providing an Order of Succession Within the Department of Agriculture By the... officials of the Department of Agriculture, in the order listed, shall act as and perform the functions and duties of the office of Secretary of Agriculture (Secretary) during any period in which both the...

  18. Facts you should know about ordering/referring providers for Medicare Part B items and services.

    Science.gov (United States)

    Schaum, Kathleen D

    2010-08-01

    To avoid Medicare Part B claim rejection, wound care providers and suppliers, who are qualified to bill Medicare Part B, should ensure that they are correctly and currently enrolled in the Internet-based PECOS. In addition, wound care providers, who are billing for Medicare Part B-covered items and services that were ordered or referred, need to ensure that the physicians and nonphysician practitioners from whom they accept orders and referrals have current Medicare enrollment records (ie, they have enrollment records that contain their NPIs in PECOS) and are of a type/specialty that is eligible to order or refer in the Medicare program.Wound care providers can verify this by checking the Internet-based Ordering Referring Report. If ordering/referring providers are not yet enrolled in PECOS, remind them that time is running out before the full implementation of the Medicare Part B claims edits on January 3, 2011! For a complete review of the ordering/referring edit process, visit http://www.cms.gov/MLNMattersArticles/downloads/SE1011.pdf.

  19. Experience in implementing inpatient clinical note capture via a provider order entry system.

    Science.gov (United States)

    Rosenbloom, S Trent; Grande, Jonathan; Geissbuhler, Antoine; Miller, Randolph A

    2004-01-01

    Care providers' adoption of computer-based health-related documentation ("note capture") tools has been limited, even though such tools have the potential to facilitate information gathering and to promote efficiency of clinical charting. The authors have developed and deployed a computerized note-capture tool that has been made available to end users through a care provider order entry (CPOE) system already in wide use at Vanderbilt. Overall note-capture tool usage between January 1, 1999, and December 31, 2001, increased substantially, both in the number of users and in their frequency of use. This case report is provided as an example of how an existing care provider order entry environment can facilitate clinical end-user adoption of a computer-assisted documentation tool-a concept that may seem counterintuitive to some.

  20. Emotional Aspects of Computer-based Provider Order Entry: A Qualitative Study

    OpenAIRE

    Sittig, Dean F; Krall, Michael; Kaalaas-Sittig, JoAnn; Ash, Joan S.

    2005-01-01

    Objectives: Computer-based provider order entry (CPOE) systems are implemented to increase both efficiency and accuracy in health care, but these systems often cause a myriad of emotions to arise. This qualitative research investigates the emotions surrounding CPOE implementation and use.

  1. The effect of automated alerts on provider ordering behavior in an outpatient setting.

    Directory of Open Access Journals (Sweden)

    2005-09-01

    Full Text Available BACKGROUND: Computerized order entry systems have the potential to prevent medication errors and decrease adverse drug events with the use of clinical-decision support systems presenting alerts to providers. Despite the large volume of medications prescribed in the outpatient setting, few studies have assessed the impact of automated alerts on medication errors related to drug-laboratory interactions in an outpatient primary-care setting. METHODS AND FINDINGS: A primary-care clinic in an integrated safety net institution was the setting for the study. In collaboration with commercial information technology vendors, rules were developed to address a set of drug-laboratory interactions. All patients seen in the clinic during the study period were eligible for the intervention. As providers ordered medications on a computer, an alert was displayed if a relevant drug-laboratory interaction existed. Comparisons were made between baseline and postintervention time periods. Provider ordering behavior was monitored focusing on the number of medication orders not completed and the number of rule-associated laboratory test orders initiated after alert display. Adverse drug events were assessed by doing a random sample of chart reviews using the Naranjo scoring scale. The rule processed 16,291 times during the study period on all possible medication orders: 7,017 during the pre-intervention period and 9,274 during the postintervention period. During the postintervention period, an alert was displayed for 11.8% (1,093 out of 9,274 of the times the rule processed, with 5.6% for only "missing laboratory values," 6.0% for only "abnormal laboratory values," and 0.2% for both types of alerts. Focusing on 18 high-volume and high-risk medications revealed a significant increase in the percentage of time the provider stopped the ordering process and did not complete the medication order when an alert for an abnormal rule-associated laboratory result was displayed

  2. The effect of automated alerts on provider ordering behavior in an outpatient setting.

    Directory of Open Access Journals (Sweden)

    Andrew W Steele

    2005-09-01

    Full Text Available Computerized order entry systems have the potential to prevent medication errors and decrease adverse drug events with the use of clinical-decision support systems presenting alerts to providers. Despite the large volume of medications prescribed in the outpatient setting, few studies have assessed the impact of automated alerts on medication errors related to drug-laboratory interactions in an outpatient primary-care setting.A primary-care clinic in an integrated safety net institution was the setting for the study. In collaboration with commercial information technology vendors, rules were developed to address a set of drug-laboratory interactions. All patients seen in the clinic during the study period were eligible for the intervention. As providers ordered medications on a computer, an alert was displayed if a relevant drug-laboratory interaction existed. Comparisons were made between baseline and postintervention time periods. Provider ordering behavior was monitored focusing on the number of medication orders not completed and the number of rule-associated laboratory test orders initiated after alert display. Adverse drug events were assessed by doing a random sample of chart reviews using the Naranjo scoring scale. The rule processed 16,291 times during the study period on all possible medication orders: 7,017 during the pre-intervention period and 9,274 during the postintervention period. During the postintervention period, an alert was displayed for 11.8% (1,093 out of 9,274 of the times the rule processed, with 5.6% for only "missing laboratory values," 6.0% for only "abnormal laboratory values," and 0.2% for both types of alerts. Focusing on 18 high-volume and high-risk medications revealed a significant increase in the percentage of time the provider stopped the ordering process and did not complete the medication order when an alert for an abnormal rule-associated laboratory result was displayed (5.6% vs. 10.9%, p = 0

  3. Provider order entry with integrated decision support: from academia to industry.

    Science.gov (United States)

    Giuse, D A

    2003-01-01

    To describe the evolution of a provider order entry system with integrated decision support, from a research prototype to full implementation at one academic center, and finally to a commercial product. Describe the institutional environment and planning process in which the system originated. Highlight the historical evolution of the provider entry system, and analyze its system architecture and functionality. Describe the requirements for successful design and deployment both within a single health care organization and as part of a commercial product line. Over a period of eight years the system evolved from a research prototype to a fully integrated order entry system in routine use on most inpatient units of a large academic medical center. Around 12,000 orders are entered every day into the computer system; 70% of those are entered directly by the responsible physician. The system embeds best-of-care practice guidelines, and is used to reduce resource utilization by limiting unnecessary testing and suggesting more effective or less costly therapeutic replacements. The system was recently acquired by a large HIS software vendor and is being rapidly implemented at numerous customer sites. Large-scale development or deployment of complex health information systems requires considerable organizational agreement and resources, as well as close attention to iterative system design that explicitly includes constant feedback from the user community. The transformation of such a system from a single-site success to a widely deployed product requires convergence of resources and needs.

  4. Computerized provider order entry systems - Research imperatives and organizational challenges facing pathology services.

    Science.gov (United States)

    Georgiou, Andrew; Westbrook, Johanna; Braithwaite, Jeffrey

    2010-07-13

    Information and communication technologies (ICT) are contributing to major changes taking place in pathology and within health services more generally. In this article, we draw on our research experience for over 7 years investigating the implementation and diffusion of computerized provider order entry (CPOE) systems to articulate some of the key informatics challenges confronting pathology laboratories. The implementation of these systems, with their improved information management and decision support structures, provides the potential for enhancing the role that pathology services play in patient care pathways. Beyond eliminating legibility problems, CPOE systems can also contribute to the efficiency and safety of healthcare, reducing the duplication of test orders and diminishing the risk of misidentification of patient samples and orders. However, despite the enthusiasm for CPOE systems, their diffusion across healthcare settings remains variable and is often beset by implementation problems. Information systems like CPOE may have the ability to integrate work, departments and organizations, but unfortunately, health professionals, departments and organizations do not always want to be integrated in ways that information systems allow. A persistent theme that emerges from the research evidence is that one size does not fit all, and system success or otherwise is reliant on the conditions and circumstances in which they are located. These conditions and circumstances are part of what is negotiated in the complex, messy and challenging area of ICT implementation. The solution is not likely to be simple and easy, but current evidence suggests that a combination of concerted efforts, better research designs, more sophisticated theories and hypotheses as well as more skilled, multidisciplinary research teams, tackling this area of study will bring substantial benefits, improving the effectiveness of pathology services, and, as a direct corollary, the quality of

  5. Prescription errors related to the use of computerized provider order-entry system for pediatric patients.

    Science.gov (United States)

    Alhanout, Kamel; Bun, Sok-Siya; Retornaz, Karine; Chiche, Laurent; Colombini, Nathalie

    2017-07-01

    To evaluate the nature and frequency of medication errors resulting from the use of a computerized provider order-entry (CPOE) system in a pediatric department. We conducted a retrospective study to examine errors related to computerized orders using the software Pharma® (Computer Engineering, France) in pediatric department between 31/05/2015 to 01/12/2015. These errors were signaled by pharmacists who examine CPOEs daily. A total of 302 pharmacist interventions (PharmInt) were carried out by clinical pharmacists during the study period. Of the 302 PharmInts, a total of 95 (31.5%) contained no data on the patient's bodyweight, which should have been provided by the prescriber (Table 1). After the PharmInt, information on bodyweight was then provided in 47 of these cases (15.6%). Incomplete information about administration frequency accounted for 19.9% of total PharmInts. Prescribing an excessive dose occurred in 17.6% of PharmInts, inappropriate modifications of prescription unit accounted for 9.9% of PharmInts, and incorrect dosage was prescribed in 8.3% of PharmInts. Of the 302 PharmInts, 255 concerned prescription errors and bodyweight missing not provided after PharmInt. Paracetamol, in its different forms (injectable, solid or liquid oral forms) accounted for 35.7% of total PharmInts. Noted errors for paracetamol included an incorrect dosage form, co-administration of two paracetamol-containing drugs, modification of the prescription unit, incorrect frequency of administrations, and absence of the patient's bodyweight. Inconsistent use of a contradicted or a non-used drug for pediatric patients was noted along with prescriptions for inadequate dosages. Our work revealed several error types in prescribing for pediatric patients, mainly absence of bodyweight, incorrect frequency of administration and excessive doses. Information on bodyweight is crucial in pediatric patients: our study highlights the need to make it mandatory to complete prescriptions via CPOE

  6. Emotional aspects of computer-based provider order entry: a qualitative study.

    Science.gov (United States)

    Sittig, Dean F; Krall, Michael; Kaalaas-Sittig, Joann; Ash, Joan S

    2005-01-01

    Computer-based provider order entry (CPOE) systems are implemented to increase both efficiency and accuracy in health care, but these systems often cause a myriad of emotions to arise. This qualitative research investigates the emotions surrounding CPOE implementation and use. We performed a secondary analysis of several previously collected qualitative data sets from interviews and observations of over 50 individuals. Three researchers worked in parallel to identify themes that expressed emotional responses to CPOE. We then reviewed and classified these quotes using a validated hierarchical taxonomy of semantically homogeneous terms associated with specific emotions. The implementation and use of CPOE systems provoked examples of positive, negative, and neutral emotions. Negative emotional responses were the most prevalent, by far, in all the observations. Designing and implementing CPOE systems is difficult. These systems and the implementation process itself often inspire intense emotions. If designers and implementers fail to recognize that various CPOE features and implementation strategies can increase clinicians' negative emotions, then the systems may fail to become a routine part of the clinical care delivery process. We might alleviate some of these problems by designing positive feedback mechanisms for both the systems and the organizations.

  7. 77 FR 25283 - Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and...

    Science.gov (United States)

    2012-04-27

    ... in osteopathy, dentistry, and podiatry, as required in order to become certified by the appropriate... doctors of medicine and osteopathy, optometry, podiatry, dental medicine, dental surgery, and chiropractic...

  8. Channeling Consumers to Preferred Providers and the Impact of Status Quo Bias: Does Type of Provider Matter?

    NARCIS (Netherlands)

    L.H.H.M. Boonen (Lieke); A.C.D. Donkers (Bas); F.T. Schut (Erik)

    2011-01-01

    textabstractContext. To effectively bargain about the price and quality of health services, health insurers need to successfully channel their enrollees. Little is known about consumer sensitivity to different channeling incentives. In particular, the impact of status quo bias, which is expected to

  9. Computerised Provider Order Entry Adoption Rates Favourably Impact Length of Stay

    Directory of Open Access Journals (Sweden)

    Richard Schreiber

    2016-04-01

    Full Text Available Background Research regarding return on investment for electronic health records (EHRs is sparse. Objective To extend previously established research and examine rigorously whether increasing the adoption of computer-based provider/prescriber order entry (CPOE leads to a decrease in length of stay (LOS, and to demonstrate that the two are inversely and bidirectionally proportional even while other efforts to decrease LOS are in place. Method The study assessed CPOE, LOS and case mix index (CMI data in a community hospital in the United States, using a mature and nearly fully deployed vendor product EHR. CPOE rates and LOS over 7 years were determined on a per-patient, per-visit and per-discipline basis and compared with concomitant CMI data. Results An inverse relationship of CPOE to LOS was correlated for 13 disciplines out of 19, and organisation wide for all disciplines combined during the first 5 years of study. During the subsequent 2 years, both CPOE and LOS plateaued, except in eight disciplines where CPOE rates at first declined and LOS concurrently rose slightly, and then returned to the baseline plateau levels. CMI increased during the entire period of evaluation. An inflection point at approximately 60% CPOE adoption predicted the greatest improvement in lowering of LOS. Conclusions Rising and falling rates of CPOE correlated with reductions and rises in LOS, respectively. CPOE appeared statistically to be an independent factor in affecting LOS, over and above other efforts to shorten LOS, thus contributing to lower costs and improved efficiency outcomes as measured by LOS, even as CMI rises.

  10. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers.

    Science.gov (United States)

    Papathanasiou, Ioanna V

    2015-02-01

    Burnout can create problems in every aspect of individual's' human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. The sample in this study consisted of 240 health care employees. The Greek version of Maslach's Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers' mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated with any SRSDA subscale. Burnout appears to implicate

  11. A report card on provider report cards: current status of the health care transparency movement.

    Science.gov (United States)

    Christianson, Jon B; Volmar, Karen M; Alexander, Jeffrey; Scanlon, Dennis P

    2010-11-01

    Public reporting of provider performance can assist consumers in their choice of providers and stimulate providers to improve quality. Reporting of quality measures is supported by advocates of health care reform across the political spectrum. To assess the availability, credibility and applicability of existing public reports of hospital and physician quality, with comparisons across geographic areas. Information pertaining to 263 public reports in 21 geographic areas was collected through reviews of websites and telephone and in-person interviews, and used to construct indicators of public reporting status. Interview data collected in 14 of these areas were used to assess recent changes in reporting and their implications. Interviewees included staff of state and local associations, health plan representatives and leaders of local health care alliances. There were more reports of hospital performance (161) than of physician performance (103) in the study areas. More reports included measures derived from claims data (mean, 7.2 hospital reports and 3.3 physician reports per area) than from medical records data. Typically, reports on physician performance contained measures of chronic illness treatment constructed at the medical group level, with diabetes measures the most common (mean number per non-health plan report, 2.3). Patient experience measures were available in more hospital reports (mean number of reports, 1.2) than physician reports (mean, 0.7). Despite the availability of national hospital reports and reports sponsored by national health plans, from a consumer standpoint the status of public reporting depended greatly on where one lived and health plan membership. Current public reports, and especially reports of physician quality of care, have significant limitations from both consumer and provider perspectives. The present approach to reporting is being challenged by the development of new information sources for consumers, and consumer and provider

  12. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers

    Science.gov (United States)

    Papathanasiou, Ioanna V.

    2015-01-01

    Introduction: Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. Aim: The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. Material and Methods: The sample in this study consisted of 240 health care employees. The Greek version of Maslach’s Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers’ mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. Results: The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated

  13. 16 CFR 1025.39 - Orders requiring witnesses to testify or provide other information and granting immunity.

    Science.gov (United States)

    2010-01-01

    ... provide other information and granting immunity. 1025.39 Section 1025.39 Commercial Practices CONSUMER... Process § 1025.39 Orders requiring witnesses to testify or provide other information and granting immunity... witness or deponent to testify or provide other information upon being granted immunity from prosecution...

  14. The new transnational payments law and global consumer trade : Online platforms as providers of private legal orders

    NARCIS (Netherlands)

    Janczuk, Agnieszka

    2015-01-01

    This article uses the example of one of the best-known global payment systems provided by an online platform, PayPal, to analyze the role of private legal orders in creating new markets beyond jurisdictional borders. It shows that a relatively uniform legal order reduces risks involved in

  15. THE STATUS OF INTERNATIONAL AGREEMENTS CONCLUDED BY THE EUROPEAN UNION IN THE EU LEGAL ORDER

    Directory of Open Access Journals (Sweden)

    Agoston Mohay

    2017-12-01

    Full Text Available The European Union is a member of the international community and is a party to numerous international agreements. The status of these international agreements in the EU legal order however is not made expressly clear by the Treaties. The most pertinent question that arises is whether secondary EU law may be reviewed in the light of international agreements in annulment procedures or preliminary ruling procedures before the Court of Justice of the EU. In its jurisprudence the Court of Justice has tied the possibility of review to the question of the direct effect of international treaties, but there are some issues of consistency in this regard. This problem is a part of the broader question of the relationship of international law and EU law, including the question whether this relationship is more akin to a monist or a dualist approach.

  16. 49 CFR 511.39 - Orders requiring witnesses to testify or provide other information and granting immunity.

    Science.gov (United States)

    2010-10-01

    ... other information and granting immunity. 511.39 Section 511.39 Transportation Other Regulations Relating... testify or provide other information and granting immunity. (a) A party who desires the issuance of an order requiring a witness to testify or provide other information upon being granted immunity from...

  17. 16 CFR 2.15 - Orders requiring witnesses to testify or provide other information and granting immunity.

    Science.gov (United States)

    2010-01-01

    ... provide other information and granting immunity. 2.15 Section 2.15 Commercial Practices FEDERAL TRADE... and granting immunity. (a) The Bureau Director, Deputy Directors, and Assistant Directors in the... issuance of an order requiring a witness to testify or provide other information granting immunity under...

  18. 16 CFR 3.39 - Orders requiring witnesses to testify or provide other information and granting immunity.

    Science.gov (United States)

    2010-01-01

    ... provide other information and granting immunity. 3.39 Section 3.39 Commercial Practices FEDERAL TRADE... granting immunity. (a) Where Commission complaint counsel desire the issuance of an order requiring a witness or deponent to testify or provide other information and granting immunity under 18 U.S.C. 6002...

  19. Soil fertility status and nutrients provided to spring barley (Hordeum distichon L. by pig slurry

    Directory of Open Access Journals (Sweden)

    Melisa Gómez-Garrido

    2014-03-01

    Full Text Available Nutrient recycling using pig slurry is a common agricultural practice to manage the ever-increasing amounts of wastes from the pig industry. This study was conducted in the southeast of Spain to quantify the enrichments in major (N, P, K, Mg and minor (Zn, Fe, Cu, and Mn nutrients in soils amended with D1-170 kg N ha-1 (European Union legislated dose or D2-340 kg N ha-1, and understand the influence of pig slurry on yield and nutrient uptake in two crop seasons of spring barley (Hordeum distichon L. Compared to control, D2 increased NO3--N by 11.4X to 109 mg kg-1, Olsen-P by 6.9X to 423 mg kg-1, exchange K (2.5X to 1.6 cmol+ kg-1, Mg (1.7X to 1.8 cmol+ kg-1, diethylene-triamine pentaacetic acid (DTPA-Zn (94X to 18.2 mg kg-1, and Fe (2X to 11.3 mg kg-1. Available NO3--N, Olsen-P, and DTPA-Zn have the best correlations with crop yield and nutrient uptake. These results indicate that the assessment of soil fertility status at 1-mo after pig slurry addition provides a good indicator for potential yield and uptake of barley. However, it is suggested that leachates should be monitored to effectively manage potential releases of nitrate and phosphate into the environment.

  20. Determining provider choice for the treatment of mental disorder: the role of health and mental health status.

    OpenAIRE

    Frank, R G; Kamlet, M S

    1989-01-01

    This article specifies and estimates a model of provider choice for mental health services. Three types of providers are identified: specialty mental health providers, general medical providers, and informal providers. Specific attention is paid to the role of health and mental health status in determining provider choice. The model is estimated using a multinomial logit approach applied to a sample of 2,800 respondents to the Baltimore Epidemiological Catchment Area Survey. The results are l...

  1. 78 FR 62930 - Order Providing Broker-Dealers a Temporary Exemption From the Requirements of Certain New...

    Science.gov (United States)

    2013-10-22

    ... COMMISSION Order Providing Broker-Dealers a Temporary Exemption From the Requirements of Certain New Amendments to the Financial Responsibility Rules for Broker-Dealers Under the Securities Exchange Act of 1934...'') voted to adopt amendments to the broker-dealer net capital rule (Rule 15c3-1),\\1\\ customer protection...

  2. Discordance of Patient-Reported and Clinician-Ordered Resuscitation Status in Patients Hospitalized With Acute Decompensated Heart Failure.

    Science.gov (United States)

    Young, Kathleen A; Wordingham, Sara E; Strand, Jacob J; Roger, Vėronique L; Dunlay, Shannon M

    2017-04-01

    Accurate documentation of preferences for cardiopulmonary resuscitation at hospital admission is critical to ensure that patients receive resuscitation or not in accordance with their wishes. We sought to identify and characterize inconsistencies in patient-reported and clinician-ordered resuscitation status in patients hospitalized with acute decompensated heart failure (ADHF). Southeastern Minnesota residents hospitalized with ADHF were prospectively enrolled into a study that included the administration of face-to-face questionnaires from January 2014 to February 2016. Patient-reported resuscitation status was assessed at enrollment using a validated question. Clinician-ordered resuscitation preferences at hospital admission were abstracted from the electronic medical record. Of the 400 patients administered the questionnaire; 213 (53.3%) stated their resuscitation preference as Full Code, 166 (41.5%) do-not-resuscitate (DNR), and 21 (5.3%) were unsure. In comparison, clinician-ordered resuscitation status was Full Code in 263 (65.8%) patients, DNR in 133 (33.3%), and not documented in four (1.0%). Patient-reported and clinician-ordered resuscitation status was discordant in 20% of patients, of whom 5.6% elected Full Code by questionnaire and had a DNR clinician order, and 14.4% elected DNR by questionnaire but had a Full Code clinician order. Differences in age, comorbidities, health literacy, marital status, completion of advance directives, hospital length of stay, and discharge destination in patients with discordant vs. concordant resuscitation preferences were observed. Patient-reported and clinician-ordered resuscitation preferences were discordant in 20% of patients hospitalized with ADHF. The underlying etiology of these inconsistencies may reflect factors such as patient indecisiveness or patient-clinician miscommunication and requires further exploration. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc

  3. The Association Between Immigration Status and Office-based Medical Provider Visits for Cancer Patients in the United States.

    Science.gov (United States)

    Wang, Yang; Wilson, Fernando A; Chen, Li-Wu

    2017-06-01

    We examined differences in cancer-related office-based provider visits associated with immigration status in the United States. Data from the 2007-2012 Medical Expenditure Panel Survey and National Health Interview Survey included adult patients diagnosed with cancer. Univariate analyses described distributions of cancer-related office-based provider visits received, expenditures, visit characteristics, as well as demographic, socioeconomic, and health covariates, across immigration groups. We measured the relationships of immigrant status to number of visits and associated expenditure within the past 12 months, adjusting for age, sex, educational attainment, race/ethnicity, self-reported health status, time since cancer diagnosis, cancer remission status, marital status, poverty status, insurance status, and usual source of care. We finally performed sensitivity analyses for regression results by using the propensity score matching method to adjust for potential selection bias. Noncitizens had about 2 fewer visits in a 12-month period in comparison to US-born citizens (4.0 vs. 5.9). Total expenditure per patient was higher for US-born citizens than immigrants (not statistically significant). Noncitizens (88.3%) were more likely than US-born citizens (76.6%) to be seen by a medical doctor during a visit. Multivariate regression results showed that noncitizens had 42% lower number of visiting medical providers at office-based settings for cancer care than US-born citizens, after adjusting for all the other covariates. There were no significant differences in expenditures across immigration groups. The propensity score matching results were largely consistent with those in multivariate-adjusted regressions. Results suggest targeted interventions are needed to reduce disparities in utilization between immigrants and US-born citizen cancer patients.

  4. Oocyte Donation Pregnancies- Non-Disclosure of Oocyte Recipient Status to Obstetric Care Providers and Perinatal Outcomes.

    LENUS (Irish Health Repository)

    2017-11-01

    Oocyte donation pregnancies- non-disclosure of oocyte recipient (OR) status to obstetric care providers and perinatal outcomes.Many studies report a higher rate of pregnancy-induced hypertension (PIH) and severe pre-eclampsia (PET) in OR pregnancies. The objective is to determine the rates of non-disclosure of OR pregnancy to obstetric care providers and also the rates of perinatal complications.

  5. Physicians' and Nurses' Opinions about the Impact of a Computerized Provider Order Entry System on Their Workflow.

    Science.gov (United States)

    Ayatollahi, Haleh; Roozbehi, Masoud; Haghani, Hamid

    2015-01-01

    In clinical practices, the use of information technology, especially computerized provider order entry (CPOE) systems, has been found to be an effective strategy to improve patient care. This study aimed to compare physicians' and nurses' views about the impact of CPOE on their workflow. This case study was conducted in 2012. The potential participants included all physicians (n = 28) and nurses (n = 145) who worked in a teaching hospital. Data were collected using a five-point Likert-scale questionnaire and were analyzed using SPSS version 18.0. The results showed a significant difference between physicians' and nurses' views about the impact of the system on interorganizational workflow (p = .001) and working relationships between physicians and nurses (p = .017). Interorganizational workflow and working relationships between care providers are important issues that require more attention. Before a CPOE system is designed, it is necessary to identify workflow patterns and hidden structures to avoid compromising quality of care and patient safety.

  6. Impact of computerised provider order entry system on nursing workflow, patient safety, and medication errors: perspectives from the front line.

    Science.gov (United States)

    Alsweed, Fatimah; Alshaikh, Anwar; Ahmed, Anwar; Yunus, Faisel; Househ, Mowafa

    2014-01-01

    There is a paucity of research on the impact of computerised provider order entry (CPOE) system on the front line staff. We assessed nurses perspectives of the impact of CPOE system implementation on their workflow, patient safety and medication errors in a Saudi Arabian hospital. We conducted a cross-sectional survey involving 112 nurses between April and May 2012. The workflow was easy to manage for nurses who rated CPOE training as of good quality (p = 0.001) and they found that CPOE helped in reducing medication errors (p = 0.001). The nurses who rated CPOE training as of good quality also stated that patient safety was better with CPOE implementation and its use (p workflow, patient safety and medication errors, and is critical in the success of CPOE use and its long-term adoption.

  7. DOE Order 5820.2A implementation status, progress and problems

    Energy Technology Data Exchange (ETDEWEB)

    Waldo, L.C. [Dept. of Energy, Washington, DC (United States). Waste Operations Div.; Shepard, M.D. [BDM Corp., Germantown, MD (United States); Wilhite, E.L. [Westinghouse Savannah River Co., Aiken, SC (United States). Savannah River Lab.

    1989-11-01

    The Department of Energy`s Order governing management of radioactive waste, DOE Order 5820.2A, was revised effective September 26, 1988. Chapter III of the Order contains prescriptive requirements for managing low-level waste. These requirements ensure that all DOE low-level radioactive and mixed waste will be managed in a systematic manner to achieve required performance., The Order defines performance objectives for low-level waste management to limit the dose received by the general public from waste operations, to protect groundwater resources, and to protect inadvertent intruders. For low-level waste disposal operations, the Order requires that a radiological performance assessment be prepared to demonstrate compliance with the performance objectives. The Order also requires that the radiological performance assessments be reviewed by a Peer Review Panel, established by the Order. This paper will summarize the requirements for radioactive waste management and discuss the degree of compliance achieved to date. The Department`s preliminary schedule and anticipated cost to achieve full compliance with the requirements will also be discussed.

  8. “Experiences with disclosure of HIV-positive status to the infected child”: Perspectives of healthcare providers in Dar es Salaam, Tanzania

    Directory of Open Access Journals (Sweden)

    Adellah Sariah

    2016-10-01

    Full Text Available Abstract Background The specific age to which an HIV infected child can be disclosed to is stipulated to begin between ages 4 and 6 years. It has also been documented that before disclosure of HIV positive status to the infected child. Health care providers should consider children’s cognitive-developmental ability. However, observation and situation analysis show that, health care providers still feel uncomfortable disclosing the HIV positive status to the infected child. The aim of the study was to explore healthcare providers’ experiences in disclosure of HIV-positive status to the infected child. Methods A qualitative study involving 20 health care providers who attend HIV-positive children was conducted in September, 2014 in Dar es Salaam, Tanzania. Participants were selected from ten HIV care and treatment clinics (CTC by purposive sampling. An interview guide, translated into participants’ national language (Kiswahili was used during in-depth interviews. Sampling followed the principle of data saturation. The interviews focused on perspectives of health-care providers regarding their experience with paediatric HIV disclosure. Data from in-depth interviews were transcribed into text; data analysis followed qualitative content analysis. Results The results show how complex the process of disclosure to children living with HIV can be to healthcare providers. Confusion was noted among healthcare providers about their role and responsibility in the process of disclosing to the HIV infected child. This was reported to be largely due to unclear guidelines and lack of standardized training in paediatric HIV disclosure. Furthermore, healthcare providers were concerned about parental hesitancy to disclose early to the child due to lack of disclosure skills and fear of stigma. In order to improve the disclosure process in HIV infected children, healthcare providers recommended further standardized training on paediatric HIV disclosure with

  9. IMPACT OF PRENATAL MATERNAL FACTORS AND BIRTH ORDER ON THE ANTHROPOMETRIC STATUS OF NEWBORNS IN IRAN.

    Science.gov (United States)

    Kheirouri, Sorayya; Alizadeh, Mohammad

    2017-03-01

    This cross-sectional study was carried out to capture possible maternal factors affecting newborns' anthropometric measurements. Data were collected from eight public health centres and referral university hospital records in Tabriz and Heriss districts, north-west Iran, for 807 mother-neonate pairs delivering live singleton births and their offspring during the two years up to August 2014. The incidence of low birth weight (LBW) was 5.1%. A close correlation was found between maternal anthropometry and birth order with neonatal anthropometric data. Birth order and maternal height and body mass index (BMI) positively affected neonates' birth size (weight, length and head circumference). The rate of LBW was significantly higher for older (≥35 years), taller (≥170 cm), underweight (BMIbirth neonates. The results indicate that maternal anthropometric indices, age, iron intake and birth order influence the risk of LBW in newborns.

  10. Proposing a Multi-Criteria Path Optimization Method in Order to Provide a Ubiquitous Pedestrian Wayfinding Service

    Science.gov (United States)

    Sahelgozin, M.; Sadeghi-Niaraki, A.; Dareshiri, S.

    2015-12-01

    A myriad of novel applications have emerged nowadays for different types of navigation systems. One of their most frequent applications is Wayfinding. Since there are significant differences between the nature of the pedestrian wayfinding problems and of those of the vehicles, navigation services which are designed for vehicles are not appropriate for pedestrian wayfinding purposes. In addition, diversity in environmental conditions of the users and in their preferences affects the process of pedestrian wayfinding with mobile devices. Therefore, a method is necessary that performs an intelligent pedestrian routing with regard to this diversity. This intelligence can be achieved by the help of a Ubiquitous service that is adapted to the Contexts. Such a service possesses both the Context-Awareness and the User-Awareness capabilities. These capabilities are the main features of the ubiquitous services that make them flexible in response to any user in any situation. In this paper, it is attempted to propose a multi-criteria path optimization method that provides a Ubiquitous Pedestrian Way Finding Service (UPWFS). The proposed method considers four criteria that are summarized in Length, Safety, Difficulty and Attraction of the path. A conceptual framework is proposed to show the influencing factors that have effects on the criteria. Then, a mathematical model is developed on which the proposed path optimization method is based. Finally, data of a local district in Tehran is chosen as the case study in order to evaluate performance of the proposed method in real situations. Results of the study shows that the proposed method was successful to understand effects of the contexts in the wayfinding procedure. This demonstrates efficiency of the proposed method in providing a ubiquitous pedestrian wayfinding service.

  11. The Status of Plain Language Legislation in the Fifty States and President Carter's Executive Order 12044.

    Science.gov (United States)

    Grogan, Lina

    A study was conducted to examine plain language legislation in the 50 states and to evaluate the progress made in simplifying government regulations as a result of President Carter's executive order mandating the use of clear language in regulations. In the first part of the study, laws and bills relating to plain language in consumer contracts…

  12. Polysynthesis in Hueyapan Nahuatl: The Status of Noun Phrases, Basic Word Order, and Other Concerns

    DEFF Research Database (Denmark)

    Pharao Hansen, Magnus

    2010-01-01

    no naturally occurring true quantifiers, suggesting that noun phrases in Hueyapan Nahuatl are adjuncts rather than actual arguments. These findings are contrasted with those of an earlier study by Jeffrey MacSwan, who concludes that Nahuatl syntax has relatively fixed subject-verb-object word order...

  13. Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.

    Science.gov (United States)

    Ranji, Sumant R; Rennke, Stephanie; Wachter, Robert M

    2014-09-01

    Adverse drug events (ADEs) are a major cause of morbidity in hospitalised and ambulatory patients. Computerised provider order entry (CPOE) combined with clinical decision support systems (CDSS) are being widely implemented with the goal of preventing ADEs, but the effectiveness of these systems remains unclear. We searched the specialised database Agency for Healthcare Research and Quality (AHRQ) Patient Safety Net to identify reviews of the effect of CPOE combined with CDSS on ADE rates in inpatient and outpatient settings. We included systematic and narrative reviews published since 2008 and controlled clinical trials published since 2012. We included five systematic reviews, one narrative review and two controlled trials. The existing literature consists mostly of studies of homegrown systems conducted in the inpatient setting. CPOE+CDSS was consistently reported to reduce prescribing errors, but does not appear to prevent clinical ADEs in either the inpatient or outpatient setting. Implementation of CPOE+CDSS profoundly changes staff workflow, and often leads to unintended consequences and new safety issues (such as alert fatigue) which limit the system's safety effects. CPOE+CDSS does not appear to reliably prevent clinical ADEs. Despite more widespread implementation over the past decade, it remains a work in progress. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. Providing nutrition supplements to institutionalized seniors with probable Alzheimer's disease is least beneficial to those with low body weight status.

    Science.gov (United States)

    Young, Karen W H; Greenwood, Carol E; van Reekum, Robert; Binns, Malcolm A

    2004-08-01

    To examine whether providing a midmorning nutrition supplement increases habitual energy intake in seniors with probable Alzheimer's disease (AD) and to investigate the effects of body weight status and cognitive and behavioral function on the response to the intervention. Randomized, crossover, nonblinded clinical trial. A fully accredited geriatric teaching facility affiliated with the University of Toronto's Medical School with a home for the aged. Thirty-four institutionalized seniors with probable AD who ate independently. Nutrition supplements were provided between breakfast and lunch for 21 consecutive days and compared with 21 consecutive days of habitual intake. Investigator-weighed food intake, body weight, cognitive function (Severe Impairment Battery and Global Deterioration Scale), behavioral disturbances (Neuropsychiatric Inventory-Nursing Home Version), and behavioral function (London Psychogeriatric Rating Scale). Relative to habitual intake, group mean analyses showed increased 24-hour energy, protein, and carbohydrate intake during the supplement phase, but five of 31 subjects who finished all study phases completely compensated for the energy provided by the supplement by reducing lunch intake, and 24-hour energy intake was enhanced in only 21 of 31 subjects. Compensation at lunch was more likely in subjects with lower body mass indices, increased aberrant motor behavior, poorer attention, and increased mental disorganization/confusion. Nutrition supplements were least likely to enhance habitual energy intake in subjects who would normally be targeted for nutrition intervention-those with low body weight status. Those likely to benefit include those with higher body mass indices, less aberrant motor problems, less mental disorganization, and increased attention.

  15. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory.

    Science.gov (United States)

    Rahimi, Bahlol; Timpka, Toomas; Vimarlund, Vivian; Uppugunduri, Srinivas; Svensson, Mikael

    2009-12-31

    Computerized provider order entry (CPOE) systems have been introduced to reduce medication errors, increase safety, improve work-flow efficiency, and increase medical service quality at the moment of prescription. Making the impact of CPOE systems more observable may facilitate their adoption by users. We set out to examine factors associated with the adoption of a CPOE system for inter-organizational and intra-organizational care. The diffusion of innovation theory was used to understand physicians' and nurses' attitudes and thoughts about implementation and use of the CPOE system. Two online survey questionnaires were distributed to all physicians and nurses using a CPOE system in county-wide healthcare organizations. The number of complete questionnaires analyzed was 134 from 200 nurses (67.0%) and 176 from 741 physicians (23.8%). Data were analyzed using descriptive-analytical statistical methods. More nurses (56.7%) than physicians (31.3%) stated that the CPOE system introduction had worked well in their clinical setting (P system not adapted to their specific professional practice (P = system (P = 0.041). We found that in particular the received relative advantages of the CPOE system were estimated to be significantly (P theory were not satisfied in the study setting. CPOE systems are introduced as a response to the present limitations in paper-based systems. In consequence, user expectations are often high on their relative advantages as well as on a low level of complexity. Building CPOE systems therefore requires designs that can provide rather important additional advantages, e.g. by preventing prescription errors and ultimately improving patient safety and safety of clinical work. The decision-making process leading to the implementation and use of CPOE systems in healthcare therefore has to be improved. As any change in health service settings usually faces resistance, we emphasize that CPOE system designers and healthcare decision-makers should

  16. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory

    Directory of Open Access Journals (Sweden)

    Timpka Toomas

    2009-12-01

    Full Text Available Abstract Background Computerized provider order entry (CPOE systems have been introduced to reduce medication errors, increase safety, improve work-flow efficiency, and increase medical service quality at the moment of prescription. Making the impact of CPOE systems more observable may facilitate their adoption by users. We set out to examine factors associated with the adoption of a CPOE system for inter-organizational and intra-organizational care. Methods The diffusion of innovation theory was used to understand physicians' and nurses' attitudes and thoughts about implementation and use of the CPOE system. Two online survey questionnaires were distributed to all physicians and nurses using a CPOE system in county-wide healthcare organizations. The number of complete questionnaires analyzed was 134 from 200 nurses (67.0% and 176 from 741 physicians (23.8%. Data were analyzed using descriptive-analytical statistical methods. Results More nurses (56.7% than physicians (31.3% stated that the CPOE system introduction had worked well in their clinical setting (P P = P = 0.041. We found that in particular the received relative advantages of the CPOE system were estimated to be significantly (P P Conclusions Qualifications for CPOE adoption as defined by three attributes of diffusion of innovation theory were not satisfied in the study setting. CPOE systems are introduced as a response to the present limitations in paper-based systems. In consequence, user expectations are often high on their relative advantages as well as on a low level of complexity. Building CPOE systems therefore requires designs that can provide rather important additional advantages, e.g. by preventing prescription errors and ultimately improving patient safety and safety of clinical work. The decision-making process leading to the implementation and use of CPOE systems in healthcare therefore has to be improved. As any change in health service settings usually faces resistance

  17. Tracking working status of HIV/AIDS-trained service providers by means of a training information monitoring system in Ethiopia

    Directory of Open Access Journals (Sweden)

    Nadew Mesrak

    2009-04-01

    Full Text Available Abstract Background The Federal Ministry of Health of Ethiopia is implementing an ambitious and rapid scale-up of health care services for the prevention, care and treatment of HIV/AIDS in public facilities. With support from the United States President's Emergency Plan for AIDS Relief, 38 830 service providers were trained, from early 2005 until December 2007, in HIV-related topics. Anecdotal evidence suggested high attrition rates of providers, but reliable quantitative data have been limited. Methods With that funding, Jhpiego supports a Training Information Monitoring System, which stores training information for all HIV/AIDS training events supported by the same funding source. Data forms were developed to capture information on providers' working status and were given to eight partners who collected data during routine site visits on individual providers about working status; if not working at the facility, date of and reason for leaving; and source of information. Results Data were collected on 1744 providers (59% males in 53 hospitals and 45 health centres in 10 regional and administrative states. The project found that 32.6% of the providers were no longer at the site, 57.6% are still working on HIV/AIDS services at the same facility where they were trained and 10.4% are at the facility, but not providing HIV/AIDS services. Of the providers not at the facility, the two largest groups were those who had left for further study (27.6% and those who had gone to another public facility (17.6%. Of all physicians trained, 49.2% had left the facility. Regional and cadre variation was found, for example Gambella had the highest percent of providers no longer at the site (53.7% while Harari had the highest percentage of providers still working on HIV/AIDS (71.6%. Conclusion Overall, the project found that the information in the Training Information Monitoring System can be used to track the working status of trained providers. Data generated from

  18. Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region.

    Science.gov (United States)

    Pergolotti, Mackenzi; Lavery, Jessica; Reeve, Bryce B; Dusetzina, Stacie B

    This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. . Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium.

  19. The Relationship Between Cancer Survivors' Socioeconomic Status and Reports of Follow-up Care Discussions with Providers.

    Science.gov (United States)

    DiMartino, Lisa D; Birken, Sarah A; Mayer, Deborah K

    2017-12-01

    Socioeconomically disadvantaged cancer survivors are less likely to have adequate follow-up care. In this study, we examined whether socioeconomically disadvantaged survivors are at risk for not having follow-up care discussions with providers, a critical determinant of access to follow-up care and desirable health outcomes. Using the 2011 Medical Expenditure Panel Survey and Experiences with Cancer Survivorship Supplement, we used a binary logit model with sample weights to examine associations between 1320 cancer survivors' socioeconomic status (SES) and reports of follow-up care discussions with providers, controlling for clinical and demographic characteristics. The multivariable model indicated survivors with incomes ≤200 % Federal Poverty Level (FPL) had a lower probability of reporting a follow-up care discussion than survivors with incomes >400 % FPL (p  0.05). Socioeconomically disadvantaged cancer survivors are at risk for not having follow-up care discussions with providers, particularly those who report lower income and education. The development of educational interventions targeting provider communication with socioeconomically disadvantaged cancer survivors, and survivors' understanding of the benefits of follow-up care discussions, may promote access to these services. Future research assessing mechanisms underlying relationships between survivors' SES indicators and reports of follow-up care discussions with providers is also warranted.

  20. Computerized Provider Order Entry and Health Care Quality on Hospital Level among Pediatric Patients during 2006-2009

    Science.gov (United States)

    Wang, Liya

    2016-01-01

    This study examined the association between Computerized Physician Order Entry (CPOE) application and healthcare quality in pediatric patients at hospital level. This was a retrospective study among 1,428 hospitals with pediatric setting in Healthcare Cost and Utilization Project (HCUP) Kid's Inpatient Database (KID) and Health Information and…

  1. 77 FR 24941 - Vantage Wind Energy LLC; Order Accepting Updated Market Power Analysis and Providing Direction on...

    Science.gov (United States)

    2012-04-26

    ... Energy Regulatory Commission Vantage Wind Energy LLC; Order Accepting Updated Market Power Analysis and... vertical market power.\\10\\ As discussed ] below, we find that Vantage Wind satisfies the Commission's... its power to its power purchasers. Vantage Wind further states that none of Polsky Energy, Invenergy...

  2. A New Application of Lipid Nanoemulsions as Coating Agent, Providing Zero-Order Hydrophilic Drug Release from Tablets

    Directory of Open Access Journals (Sweden)

    Nicolas Anton

    2012-01-01

    Full Text Available The objective of the present investigation was to evaluate potential of nanoemulsions as a coating material for the tablets. The nanoemulsion of size less than 100 nm was prepared using a simple and low-energy spontaneous emulsification method. Conventional tablets containing theophylline as a model hydrophilic drug were prepared. The theophylline tablets were coated with the nanoemulsion using a fluid bed coater. The effect of different levels of the nanoemulsion coating on the theophylline release was evaluated. The theophylline tablets containing different levels of the nanoemulsion coating could be successfully prepared. Interestingly, the coating of tablet with the nanoemulsion resulted in zero-order release of theophylline from the tablets. The noncoated theophylline tablets release the entire drug in less than 2 minutes, whereas nanoemulsion coating delayed the release of theophylline from tablets. This investigation establishes the proof of concept for the potential of nanoemulsions as a coating material for tablets.

  3. Assessment of status of patients receiving palliative home care and services provided in a rural area-kerala, India.

    Science.gov (United States)

    Thayyil, Jayakrishnan; Cherumanalil, Jeeja Mathummal

    2012-09-01

    For the first time in India, a Pain and Palliative Care policy to guide the community-based home care initiatives was declared by the Government of Kerala state. In Kerala, majority of the panchayats (local self-governments) are now conducting home-based palliative care as part of primary health care. National focus domain areas in palliative care research are structure and process, the physical aspects, and also the social aspects of care. The study was conducted to assess the patient's status and the services provided by palliative home care. The descriptive study was conducted at Mavoor panchayat-Kozhikode district of Kerala, India by collecting information from the case records, nurses diary notes of all enrolled patients. Collecting information from the case records, nurses diary notes of all enrolled patients. The data were entered using Microsoft excel for Windows XP and analyzed using SPSS 16.0 (Statistical Package for Social Sciences; SPSS Inc., Chicago, IL, USA). Totally, 104 patients were enrolled. Diagnosis wise major category was degenerative diseases. There were 27% persons suffering from cerebrovascular accidents, 15.3% with malignancies, 8.7% with coronary artery disease, 5.8% with complications of diabetes, and 8.7% were with fracture of bones. The major complaints were weakness (41.3%), tiredness (31.7%), and pain (27%). Twenty-five percent persons complained of urinary incontinence, 12.5% complained of ulcer, 10.6% of edema, and 9.6% of mental/emotional agony. The activity of daily living status was as follows. Twenty-five percent subjects were completely bed ridden. 5.8% were feeding through Ryles tube, 16.3% had urinary incontinence, 9.6% were having no bowel control. The service could address most of the medical, psychosocial, and supportive needs of the patients and reduce their pain and symptoms. The interface between institutional-based care and home care needs more exploration and prospective studies.

  4. Status of higher order mode beam position monitors in 3.9 GHz superconducting accelerating cavities at FLASH

    CERN Document Server

    Zhang, P; Jones, R M; Flisgen, T; Van Rienen, U; Shinton, I R R

    2013-01-01

    Higher order mode (HOM) beam position monitors (BPM) are being developed for the 3.9 GHz third harmonic superconducting accelerating cavities at FLASH. The transverse beam position in a cavity can be determined utilizing beam-excited HOMs based on dipole components. The existing couplers used for HOM suppression provide necessary signals. The diagnostics principle is similar to a cavity BPM, but requires no additional vacuum instruments on the linac. The challenges of HOM-BPM for 3.9 GHz cavities lie in the dense HOM spectrum arising from the coupling of the majority HOMs amongst the four cavities in the cryo-module ACC39. HOMs with particularly promising diagnostics features were evaluated using a spectrum analyzer and custom-built test electronics with various data analysis techniques, data reduction was focused on. After careful theoretical and experimental assessment of the HOM spectrum, multi-cavity modes in the region of 5 GHz were chosen to provide a global position over the complete module with superi...

  5. Data from Controlled Metabolic Ward Studies Provide Guidance for the Determination of Status Indicators and Dietary Requirements for Magnesium.

    Science.gov (United States)

    Nielsen, Forrest H; Johnson, Lu Ann K

    2017-05-01

    Determination of whether magnesium (Mg) is a nutrient of public health concern has been hindered by questionable Dietary Recommended Intakes (DRIs) and problematic status indicators that make Mg deficiency assessment formidable. Balance data obtained since 1997 indicate that the EAR and RDA for 70-kg healthy individuals are about 175 and 250 mg/day, respectively, and these DRIs decrease or increase based on body weight. These DRIs are less than those established for the USA and Canada. Urinary excretion data from tightly controlled metabolic unit balance studies indicate that urinary Mg excretion is 40 to 80 mg (1.65 to 3.29 mmol)/day when Mg intakes are 250 mg (10.28 mmol)/day. However, changing from low to high urinary excretion with an increase in dietary intake occurs within a few days and vice versa. Thus, urinary Mg as a stand-alone status indicator would be most useful for population studies and not useful for individual status assessment. Tightly controlled metabolic unit depletion/repletion experiments indicate that serum Mg concentrations decrease only after a prolonged depletion if an individual has good Mg reserves. These experiments also found that, although individuals had serum Mg concentrations approaching 0.85 mmol/L (2.06 mg/dL), they had physiological changes that respond to Mg supplementation. Thus, metabolic unit findings suggest that individuals with serum Mg concentrations >0.75 mmol/L (1.82 mg/L), or as high as 0.85 mmol/L (2.06 mg/dL), could have a deficit in Mg such that they respond to Mg supplementation, especially if they have a dietary intake history showing <250 mg (10.28 mmol)/day and a urinary excretion of <80 mg (3.29 mmol)/day.

  6. Provider Perspectives on Advance Care Planning Documentation in the Electronic Health Record: The Experience of Primary Care Providers and Specialists Using Advance Health-Care Directives and Physician Orders for Life-Sustaining Treatment.

    Science.gov (United States)

    Dillon, Ellis; Chuang, Judith; Gupta, Atul; Tapper, Sharon; Lai, Steve; Yu, Peter; Ritchie, Christine; Tai-Seale, Ming

    2017-12-01

    Advance care planning (ACP) is valued by patients and clinicians, yet documenting ACP in an accessible manner is problematic. In order to understand how providers incorporate electronic health record (EHR) ACP documentation into clinical practice, we interviewed providers in primary care and specialty departments about ACP practices (n = 13) and analyzed EHR data on 358 primary care providers (PCPs) and 79 specialists at a large multispecialty group practice. Structured interviews were conducted with 13 providers with high and low rates of ACP documentation in primary care, oncology, pulmonology, and cardiology departments. The EHR problem list data on Advance Health Care Directives (AHCDs) and Physician Orders for Life-Sustaining Treatment (POLST) were used to calculate ACP documentation rates. Examining seriously ill patients ≥65 years with no preexisting ACP documentation seen by providers during 2013 to 2014, 88.6% (AHCD) and 91.1% (POLST) of 79 specialists had zero ACP documentations. Of 358 PCPs, 29.1% (AHCD) and 62.3% (POLST) had zero ACP documentations. Interviewed PCPs often believed ACP documentation was beneficial and accessible, while specialists more often did not. Specialists expressed more confusion about documenting ACP, whereas PCPs reported standard clinic workflows. Problems with interoperability between outpatient and inpatient EHR systems and lack of consensus about who should document ACP were sources of variations in practices. Results suggest that providers desire standardized workflows for ACP discussion and documentation. New Medicare reimbursement for ACP and an increasing number of quality metrics for ACP are incentives for health-care systems to address barriers to ACP documentation.

  7. Evaluating the utility of provider-recorded clinical status in the medical records of HIV-positive adults in a limited-resource setting

    Science.gov (United States)

    Stonbraker, Samantha; Befus, Montina; Nadal, Leonel Lerebours; Halpern, Mina; Larson, Elaine

    2016-01-01

    Provider-reported summaries of clinical status may assist with clinical management of HIV in resource poor settings if they reflect underlying biological processes associated with HIV disease progression. However, their ability to do so is rarely evaluated. Therefore, we aimed to assess the relationship between a provider-recorded summary of clinical status and indicators of HIV progression. Data were abstracted from 201 randomly selected medical records at a large HIV clinic in the Dominican Republic. Multivariable logistic regressions were used to examine the relationship between provider-assigned clinical status and demographic (gender, age, nationality, education) and clinical factors (reported medication adherence, CD4 cell count, viral load). The mean age of patients was 41.2 (SD = ±10.9) years and most were female (n = 115, 57%). None of the examined characteristics were significantly associated with provider-recorded clinical status. Higher CD4 cell counts were more likely for females (OR = 2.2 CI: 1.12–4.31) and less likely for those with higher viral loads (OR = 0.33 CI: 0.15–0.72). Poorer adherence and lower CD4 cell counts were significantly associated with higher viral loads (OR = 4.46 CI: 1.11–20.29 and 6.84 CI: 1.47–37.23, respectively). Clinics using provider-reported summaries of clinical status should evaluate the performance of these assessments to ensure they are associated with biologic indicators of disease progression. PMID:27495146

  8. Effects of service provider attitudes and employment status on citizenship behaviors and customers' attitudes and loyalty behavior.

    Science.gov (United States)

    Payne, Stephanie C; Webber, Sheila Simsarian

    2006-03-01

    The relationship among job satisfaction, affective commitment, service-oriented organizational citizenship behaviors (OCBs), customer satisfaction, and customer loyalty were examined for a sample of 249 hairstylists and 1 of their corresponding customers. Employee satisfaction was positively related to service-oriented OCBs, customer satisfaction, and customer loyalty, whereas affective commitment was not related to these outcomes. The extent to which the predictor variables interacted with one another and the role of employment status on these relationships was also explored. High levels of job satisfaction or affective commitment resulted in more service-oriented OCBs for employees and self-employed workers, whereas high levels of both resulted in more service-oriented OCBs for owners.

  9. The preserved autonomic functions may provide the asymptomatic clinical status in heart failure despite advanced left ventricular systolic dysfunction.

    Science.gov (United States)

    Kocaman, Sinan Altan; Taçoy, Gülten; Ozdemir, Murat; Açıkgöz, Sadık Kadri; Cengel, Atiye

    2010-12-01

    Autonomic dysfunction is an important marker of prognosis in congestive heart failure (CHF) and may determine the symptoms and progression of CHF. The aim of our study was to investigate whether preserved autonomic function assessed by heart rate variability (HRV) analyses is related to absence of CHF symptoms despite prominently reduced systolic function. The study had a cross-sectional observational design. Fifty patients with left ventricular ejection fraction (EF) below 40% were enrolled. The patients were divided into two groups according to their CHF symptomatic status as Group 1 (NYHA functional class I, asymptomatic group) and Group 2 (NYHA functional class ≥ II, symptomatic group). Plasma C-reactive protein (CRP), N-terminal proB-type natriuretic peptide (NT-proBNP) levels, echocardiographic parameters and HRV indices were measured while the patients were clinically stable in each group. Possible factors associated with the development of CHF symptoms were assessed by using multiple regression analysis. Baseline clinical characteristics and left ventricular EF were similar in the two groups. Serum CRP (15 ± 21 vs 7 ± 18 mg/L, p=0.011) and NT-proBNP levels (1935 ± 1088 vs 1249 ± 1083 pg/mL, p=0.020) were significantly higher in symptomatic group. The HRV parameters (SDNN: 78 ± 57 vs 122 ± 42 ms, p=0.001; SDANN: 65 ± 55 vs 84 ± 38 ms, p=0.024; SDNNi: 36 ± 41 vs 70 ± 46 ms, p<0.001; triangular index [Ti]: 17 ± 12 vs 32 ± 14, p<0.001) were also significantly depressed in symptomatic group. When multiple regression analysis was performed, only HRV indices of autonomic function were significantly associated with the asymptomatic status (SDNN, OR: 1.016, 95%CI: 1.002-1.031, p=0.028; SDNNi, OR: 1.030, 95%CI: 1.008-1.052, p=0.006; TI, OR: 1.088, 95%CI: 1.019-1.161, p=0.011). Preserved autonomic functions were shown to be associated with absence of CHF symptoms independently of angiotensin converting enzyme inhibitor/angiotensin receptor blocker

  10. Status study of knowledge management in universities and to provide a suitable model (Case Study: Ferdowsi University of Mashhad)

    Science.gov (United States)

    Jahangir, Mustafa; Asadi, M. Mahdi

    2010-05-01

    During the past two decades to increase the volume of information and knowledge in organizations and the necessity of effective use of it in Organizational decisions is led to the emerging phenomenon of knowledge management. Knowledge management, including all the ways the organization manage their knowledge assets that include how collection, storage, transfer, deployment, update and create knowledge. Universities that type of knowledge based organizations are important sources of knowledge and therefore can be considered as strategic in universities and higher education centers of knowledge management will be more important. In this research The status of knowledge management in universities and a case study of Mashhad University are checked are the problems and challenges are identified and finally as for the features, requirements and conditions to implement a model for universities and deployment of knowledge management is presented in it.Therefore, basic research problem is: the status of knowledge management in universities and the case Mashhad University is how and which model for implementation and deployment of knowledge management is recommended? Importance and necessity of research topicare: Knowledge management experts in the emergence of knowledge management consider four major factors:1) passing the material tangible assets dominated era to the domination of capital in non-palpable, nonetheless organizations. 2) increase the extraordinary volume of information, the electronic storage and increased access to information 3) risk to the story of institutional knowledge due to retirement or exit from the crew 4) become more specialized activities in the organization 5) the emergence of knowledge based organizations and incidence of the most important capital is its knowledge. Knowledge management solutions focus on the entire system, including organization, human resources and technology in the take-the most important tools for solving problems and

  11. The Role of Health Care Provider Goals, Plans, and Physician Orders for Life-Sustaining Treatment (POLST) in Preparing for Conversations About End-of-Life Care.

    Science.gov (United States)

    Russell, Jessica

    2016-09-01

    The Physician Orders for Life-Sustaining Treatment (POLST) is a planning tool representative of an emerging paradigm aimed at facilitating elicitation of patient end-of-life care preferences. This study assessed the impact of the POLST document on provider goals and plans for conversations about end-of-life care treatment options. A 2 (POLST: experimental, control) × 3 (topic of possible patient misunderstanding: cardiopulmonary resuscitation, medical intervention, artificially administered nutrition) experimental design was used to assess goals, plan complexity, and strategies for plan alterations by medical professionals. Findings suggested that the POLST had little impact on plan complexity or reaction time with initial plans. However, preliminary evidence suggested that the utility of the POLST surfaced with provider responses to patient misunderstanding, in which differences in conditions were identified. Significant differences in goals reported as most important in driving conversational engagement emerged. Implications for findings are discussed.

  12. The Status of Home Intravenous Therapy Instruction Provided by U.S. Schools and Colleges of Pharmacy.

    Science.gov (United States)

    Monk, Mary R.; And Others

    1991-01-01

    A survey of 74 pharmacy schools found under half offered home intravenous (IV) therapy instruction. About 13 percent offered a course primarily devoted to home IV therapy; only two schools required it. Clinical departments were the primary providers, and various instructional resources were used. Additional home health care coursework is…

  13. Nondisclosure of Smoking Status to Health Care Providers among Current and Former Smokers in the United States

    Science.gov (United States)

    Curry, Laurel Erin; Richardson, Amanda; Xiao, Haijun; Niaura, Raymond S.

    2013-01-01

    An unintended consequence of tobacco control's success in marginalizing smoking is that smokers may conceal their smoking from those who are best positioned to help them quit: health care providers (HCPs). The purpose of this study was to identify the prevalence of, and factors related to, nondisclosure of smoking to HCPs. Data were obtained from…

  14. 42 CFR 413.65 - Requirements for a determination that a facility or an organization has provider-based status.

    Science.gov (United States)

    2010-10-01

    ... neonatal intensive care unit. (G) The facility or organization meets all other requirements for provider... criteria set forth in § 483.5 of this chapter). (E) Hospices. (F) Inpatient rehabilitation units that are... payment for coverage of physical, occupational, or speech therapy, as described in section 1833(g)(2) of...

  15. The influence of socioeconomic status on women's preferences for modern contraceptive providers in Nigeria: a multilevel choice modeling

    Directory of Open Access Journals (Sweden)

    Aremu O

    2013-12-01

    Full Text Available Olatunde Aremu School of Health, Sport, and Bioscience, Health Studies Field, University of East London, London, United Kingdom Background: Contraceptives are one of the most cost effective public health interventions. An understanding of the factors influencing users' preferences for contraceptives sources, in addition to their preferred methods of contraception, is an important factor in increasing contraceptive uptake. This study investigates the effect of women’s contextual and individual socioeconomic positions on their preference for contraceptive sources among current users in Nigeria. Methods: A multilevel modeling analysis was conducted using the most recent 2008 Nigerian Demographic and Health Surveys data of women aged between 15 and 49 years old. The analysis included 1,834 ever married women from 888 communities across the 36 states of the federation, including the Federal Capital Territory of Abuja. Three outcome variables, private, public, and informal provisions of contraceptive sources, were considered in the modeling. Results: There was variability in women's preferences for providers across communities. The result shows that change in variance accounted for about 31% and 19% in the odds of women's preferences for both private and public providers across communities. Younger age and being from the richest households are strongly associated with preference for both private and public providers. Living in rural areas and economically deprived neighborhoods were the community level determinants of women's preferences. Conclusion: This study documents the independent association of contextual socioeconomic characteristics and individual level socioeconomic factors with women's preferences for contraceptive commodity providers in Nigeria. Initiatives that seek to improve modern contraceptive uptake should jointly consider users’ preferences for sources of these commodities in addition to their preference for contraceptive type

  16. Sex differences in the effect of birth order and parents' educational status on stunting: a study on Bengalee preschool children from eastern India.

    Science.gov (United States)

    Biswas, Sadaruddin; Bose, Kaushik

    2010-08-01

    One of the greatest problems facing developing countries, including rural India, is undernutrition in terms of stunting among under 5-year-old children. However, there exists scanty information on the prevalence of stunting among preschool children in India and in particular in West Bengal. This study investigated prevalence of stunting and identified the predictor(s) of stunting among 1-5-year-old Bengalee rural preschool children of Integrated Child Development Services (ICDS) centres. This cross-sectional study was undertaken at different ICDS centres of Chapra Block, Nadia District, West Bengal, India. A total of 673 preschool children (323 boys and 350 girls), aged 1-5 years were selected from 30 randomly selected ICDS centres to study the impact of parents' educational status and child birth order on stunting. The overall (age and sex combined) rate of stunting was 39.2%. Child birth order (BO) (chi(2)=14.10, df=1, peducational status (FES) (chi(2)=21.11, peducational status (MES) (chi(2)=14.34, df=1, p>0.001) were significantly associated with the prevalence of stunting among girls. Logistic regression analyses revealed that both FES (Wald=19.97, por=3rd BO had significantly higher risk (OR=2.49, CI=1.54-4.03) of stunting than those with or=secondary level. Similarly, girls with MESor=secondary level. In conclusion our study revealed that BO as well as parents' educational status were strong predictors of stunting among girls but not boys. Sex discrimination could be a likely cause for this sex difference in the impact of BO and parents' educational status.

  17. Quantitative fluorescence kinetic analysis of NADH and FAD in human plasma using three- and four-way calibration methods capable of providing the second-order advantage

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Chao [School of Chemistry and Chemical Engineering, Guizhou University, Guiyang 550025 (China); Wu, Hai-Long, E-mail: hlwu@hnu.edu.cn [State Key Laboratory of Chemo/Biosensing and Chemometrics, College of Chemistry and Chemical Engineering, Hunan University, Changsha 410082 (China); Zhou, Chang; Xiang, Shou-Xia; Zhang, Xiao-Hua; Yu, Yong-Jie; Yu, Ru-Qin [State Key Laboratory of Chemo/Biosensing and Chemometrics, College of Chemistry and Chemical Engineering, Hunan University, Changsha 410082 (China)

    2016-03-03

    The metabolic coenzymes reduced nicotinamide adenine dinucleotide (NADH) and flavin adenine dinucleotide (FAD) are the primary electron donor and acceptor respectively, participate in almost all biological metabolic pathways. This study develops a novel method for the quantitative kinetic analysis of the degradation reaction of NADH and the formation reaction of FAD in human plasma containing an uncalibrated interferent, by using three-way calibration based on multi-way fluorescence technique. In the three-way analysis, by using the calibration set in a static manner, we directly predicted the concentrations of both analytes in the mixture at any time after the start of their reactions, even in the presence of an uncalibrated spectral interferent and a varying background interferent. The satisfactory quantitative results indicate that the proposed method allows one to directly monitor the concentration of each analyte in the mixture as the function of time in real-time and nondestructively, instead of determining the concentration after the analytical separation. Thereafter, we fitted the first-order rate law to their concentration data throughout their reactions. Additionally, a four-way calibration procedure is developed as an alternative for highly collinear systems. The results of the four-way analysis confirmed the results of the three-way analysis and revealed that both the degradation reaction of NADH and the formation reaction of FAD in human plasma fit the first-order rate law. The proposed methods could be expected to provide promising tools for simultaneous kinetic analysis of multiple reactions in complex systems in real-time and nondestructively. - Highlights: • A novel three-way calibration method for the quantitative kinetic analysis of NADH and FAD in human plasma is proposed. • The method can directly monitor the concentration of each analyte in the reaction in real-time and nondestructively. • The method has the second-order advantage. • A

  18. Using a computerized provider order entry system to meet the unique prescribing needs of children: description of an advanced dosing model

    Directory of Open Access Journals (Sweden)

    Schellenberger Patricia

    2011-02-01

    Full Text Available Abstract Background It is well known that the information requirements necessary to safely treat children with therapeutic medications cannot be met with the same approaches used in adults. Over a 1-year period, Duke University Hospital engaged in the challenging task of enhancing an established computerized provider order entry (CPOE system to address the unique medication dosing needs of pediatric patients. Methods An advanced dosing model (ADM was designed to interact with our existing CPOE application to provide decision support enabling complex pediatric dose calculations based on chronological age, gestational age, weight, care area in the hospital, indication, and level of renal impairment. Given that weight is a critical component of medication dosing that may change over time, alerting logic was added to guard against erroneous entry or outdated weight information. Results Pediatric CPOE was deployed in a staggered fashion across 6 care areas over a 14-month period. Safeguards to prevent miskeyed values became important in allowing providers the flexibility to override the ADM logic if desired. Methods to guard against over- and under-dosing were added. The modular nature of our model allows us to easily add new dosing scenarios for specialized populations as the pediatric population and formulary change over time. Conclusions The medical needs of pediatric patients vary greatly from those of adults, and the information systems that support those needs require tailored approaches to design and implementation. When a single CPOE system is used for both adults and pediatrics, safeguards such as redirection and suppression must be used to protect children from inappropriate adult medication dosing content. Unlike other pediatric dosing systems, our model provides active dosing assistance and dosing process management, not just static dosing advice.

  19. Usability evaluation of pharmacogenomics clinical decision support aids and clinical knowledge resources in a computerized provider order entry system: a mixed methods approach.

    Science.gov (United States)

    Devine, Emily Beth; Lee, Chia-Ju; Overby, Casey L; Abernethy, Neil; McCune, Jeannine; Smith, Joe W; Tarczy-Hornoch, Peter

    2014-07-01

    Pharmacogenomics (PGx) is positioned to have a widespread impact on the practice of medicine, yet physician acceptance is low. The presentation of context-specific PGx information, in the form of clinical decision support (CDS) alerts embedded in a computerized provider order entry (CPOE) system, can aid uptake. Usability evaluations can inform optimal design, which, in turn, can spur adoption. The study objectives were to: (1) evaluate an early prototype, commercial CPOE system with PGx-CDS alerts in a simulated environment, (2) identify potential improvements to the system user interface, and (3) understand the contexts under which PGx knowledge embedded in an electronic health record is useful to prescribers. Using a mixed methods approach, we presented seven cardiologists and three oncologists with five hypothetical clinical case scenarios. Each scenario featured a drug for which a gene encoding drug metabolizing enzyme required consideration of dosage adjustment. We used Morae(®) to capture comments and on-screen movements as participants prescribed each drug. In addition to PGx-CDS alerts, 'Infobutton(®)' and 'Evidence' icons provided participants with clinical knowledge resources to aid decision-making. Nine themes emerged. Five suggested minor improvements to the CPOE user interface; two suggested presenting PGx information through PGx-CDS alerts using an 'Infobutton' or 'Evidence' icon. The remaining themes were strong recommendations to provide succinct, relevant guidelines and dosing recommendations of phenotypic information from credible and trustworthy sources; any more information was overwhelming. Participants' median rating of PGx-CDS system usability was 2 on a Likert scale ranging from 1 (strongly agree) to 7 (strongly disagree). Usability evaluation results suggest that participants considered PGx information important for improving prescribing decisions; and that they would incorporate PGx-CDS when information is presented in relevant and

  20. Effects of a computerized provider order entry and a clinical decision support system to improve cefazolin use in surgical prophylaxis: a cost saving analysis

    Directory of Open Access Journals (Sweden)

    Okumura LM

    2016-09-01

    Full Text Available Background: Computerized Provider Order Entry (CPOE and Clinical Decision Support System (CDSS help practitioners to choose evidence-based decisions, regarding patients’ needs. Despite its use in developed countries, in Brazil, the impact of a CPOE/CDSS to improve cefazolin use in surgical prophylaxis was not assessed yet. Objective: We aimed to evaluate the impact of a CDSS to improve the use of prophylactic cefazolin and to assess the cost savings associated to inappropriate prescribing. Methods: This is a cross-sectional study that compared two different scenarios: one prior CPOE/CDSS versus after software implementation. We conducted twelve years of data analysis (3 years prior and 9 years after CDSS implementation, where main outcomes from this study included: cefazolin Defined Daily Doses/100 bed-days (DDD, crude costs and product of costs-DDD (cost-DDD/100 bed-days. We applied a Spearman rho non-parametric test to assess the reduction of cefazolin consumption through the years. Results: In twelve years, 84,383 vials of cefazolin were dispensed and represented 38.89 DDD/100 bed-days or USD 44,722.99. Surgical wards were the largest drug prescribers and comprised >95% of our studied sample. While in 2002, there were 6.31 DDD/100 bed-days, 9 years later there was a reduction to 2.15 (p<0.05. In a scenario without CDSS, the hospital would have consumed 75.72 DDD/100 bed-days, which is equivalent to USD 116 998.07. It is estimated that CDSS provided USD 50,433.39 of cost savings. Conclusion: The implementation of a CPOE/CDSS helped to improve prophylactic cefazolin use by reducing its consumption and estimated direct costs.

  1. [Population status of insects of Plecoptera order in Sierra Nevada National Park in Venezuela and its implications for conservation planning].

    Science.gov (United States)

    Gamboa, Maribet

    2010-12-01

    Longitudinal distribution of Plecoptera species were examined along the Sierra Nevada National Park in the Andean region of Merida State, Venezuela. PNSN is one of the largest protected areas and consists of two major sub-basins. Quantitative samples were collected in 7 river tributaries along the PNSN from February to May of 2009, and a total of 135 individuals and 4 species of the genus Anacroneuria were collected. Only three rivers (Nuestra Señora, La Picón y Corcovada) found the presence of stoneflies, the principal component analysis show that the characterization of habitat, current velocity, dissolved oxygen and the absence of human disturbance sources of influence in a suitable habitat for populations. Stoneflies are endangered or have become extinct throughout much of its range due to human activities. Conservation plans must be implemented urgently, in order to avoid recreational areas and/or economic in vicinity thereof.

  2. Evolutionary affinities of the order Perissodactyla and the phylogenetic status of the superordinal taxa Ungulata and Altungulata.

    Science.gov (United States)

    Graur, D; Gouy, M; Duret, L

    1997-04-01

    Contrary to morphological claims, molecular data indicate that the order Perissodactyla (e.g., horses, rhinoceroses, and tapirs) is neither part of the superordinal taxon Paenungulata (Sirenia, Proboscidea, and Hyracoidea) nor an immediate outgroup of the paenungulates. Rather, Perissodactyla is closer to Carnivora and Cetartiodactyla (Cetacea+Artiodactyla) than it is to the paenungulates. Therefore, two morphologically defined superordinal taxa, Altungulata (Proboscidea, Sirenia, Hyracoidea, and Perissodactyla) and Ungulata (Altungulata and Cetartiodactyla), are invalidated. Perissodactyla, Carnivora, and Cetartiodactyla are shown to constitute a rather tight trichotomy. However, a molecular analysis of 36 protein sequences with a total concatenated length of 7885 aligned amino acids indicates that Perissodactyla is closer to Cetartiodactyla than either taxa is to Carnivora. The relationships among Paenungulata, Primates, and the clade consisting of Perissodactyla, Carnivora, and Cetartiodactylaa could not be resolved on the basis of the available data.

  3. Sample Stacking Provides Three Orders of Magnitude Sensitivity Enhancement in SDS Capillary Gel Electrophoresis of Adeno-Associated Virus Capsid Proteins.

    Science.gov (United States)

    Zhang, Chao-Xuan; Meagher, Michael M

    2017-03-21

    Size-based protein analysis utilizing only 25 ng of total proteins has been realized by sodium dodecyl sulfate capillary gel electrophoresis (SDS CGE) with head-column field-amplified sample stacking as an online sample preconcentration technique. This method has been used as a replacement of SDS-PAGE for purity analysis of adeno-associated virus (AAV) therapeutic products of different serotypes and transgenes. A limit of detection of 0.2 ng/mL (3.3 pM) capsid proteins was achieved with convenient UV absorbance detection at 214 nm, equivalent to 20 pg of protein (330 attomole) loaded in the autosampler vial. For purity analysis, only 25 ng of total AAV capsid proteins (4.3 femtomole virus particles) were loaded to the autosampler vial. The sensitivity is comparable to silver-stained SDS-PAGE. The RSD of purity measurement was 0.0-0.8%, comparable to conventional SDS CGE utilizing 0.1-0.5 mg proteins. The new method provided 3 orders of magnitude sensitivity enhancement as compared to conventional SDS CGE. It shares all the advantages of conventional SDS CGE (labor-saving, easy automation, and convenient quantitation) and also the high sensitivity of silver stained SDS-PAGE. The sample stacking SDS CGE technique can be adopted for size-based analysis of other types of proteins. It is especially useful when protein quantity or concentration is not sufficient for regular SDS CGE or SDS-PAGE assay.

  4. Identification of a novel mycovirus isolated from Rhizoctonia solani (AG 2-2 IV) provides further information about genome plasticity within the order Tymovirales.

    Science.gov (United States)

    Bartholomäus, Anika; Wibberg, Daniel; Winkler, Anika; Pühler, Alfred; Schlüter, Andreas; Varrelmann, Mark

    2017-02-01

    The complete genome of a novel mycovirus, named Rhizoctonia solani flexivirus 1 (RsFV-1), which infects an avirulent strain of Rhizoctonia solani AG 2-2 IV, was sequenced and analyzed. Its RNA genome consists of 10,621 nucleotides, excluding the poly-A tail, and encodes a single protein of 3477 amino acids. The identification of conserved motifs of methyltransferase, helicase and RNA-dependent RNA polymerase revealed its relatedness to members of the alphavirus-like superfamily of positive-strand RNA viruses. Phylogenetic analysis of these fused domains suggested that this virus should be assigned to the order Tymovirales. The recently described Fusarium graminearum deltaflexivirus 1 was found to be its closest relative. However, the whole genome, as well as the encoded protein of RsFV-1, is larger than that of other known members of the order Tymovirales, and unlike all other viruses belonging to this order, its methyltransferase domain is not located at the N-terminus of the replicase. Although genome diversity, as a result of recombination and gene loss, is a well-documented trait in members of the order Tymovirales, no related virus with a comparable genome alteration has been reported before. For these reasons, RsFV-1 broadens our perception about genome plasticity and diversity within the order Tymovirales.

  5. Side-chain tunability of furan-containing low-band-gap polymers provides control of structural order in efficient solar cells

    KAUST Repository

    Yiu, Alan T.

    2012-02-01

    The solution-processability of conjugated polymers in organic solvents has classically been achieved by modulating the size and branching of alkyl substituents appended to the backbone. However, these substituents impact structural order and charge transport properties in thin-film devices. As a result, a trade-off must be found between material solubility and insulating alkyl content. It was recently shown that the substitution of furan for thiophene in the backbone of the polymer PDPP2FT significantly improves polymer solubility, allowing for the use of shorter branched side chains while maintaining high device efficiency. In this report, we use PDPP2FT to demonstrate that linear alkyl side chains can be used to promote thin-film nanostructural order. In particular, linear side chains are shown to shorten π-π stacking distances between backbones and increase the correlation lengths of both π-π stacking and lamellar spacing, leading to a substantial increase in the efficiency of bulk heterojunction solar cells. © 2011 American Chemical Society.

  6. P Status In Andisol And P Content In Arabica Coffee Seedling Leaves Due To The Application Of Phosphate Providing Microorganisms And Organic Matters In Bener Meriah District

    Directory of Open Access Journals (Sweden)

    Hifnalisa

    2017-09-01

    Full Text Available Bener Meriah district is one of the arabica coffee producing regions in Indonesia. Most of arabica coffee in Bener Meriah district grown on Andisol. Generally the availability of P in Andisol is very low. Phosphate providing microorganisms and organic matters can be used to increase Andisol P availability. The objective of this study was to examine the effect of the application of phosphate providing microorganisms and organic matters on P status in Andisol and P content in arabica coffee seedlings leaves in Bener Meriah district. The experiment used a randomized block design that consisted of two factors. Factor I was the application of phosphate providing microorganisms consisting of without microorganisms Glomus sp. Kurthia sp. Corynebacterium sp. and Listeria sp. Factor II was the application of organic matters consisting of T. diversifolia and coffee bean skins. The results of the study showed that Glomus sp. Kurthia sp. Corynebacterium sp. and Listeria sp. decreased soil P-retention by 2.38 5.12 7.48 9.17 respectively increased soil P-available by 24.85 36.03 52.79 77.33 respectively and increased P-content in the arabica coffee seedling leaves by 22.22 33.33 37.0372.27 respectively compared to without the application of microorganisms. The application of coffee bean skins resulted in lower soil P-retention higher soil P-available and P-content in arabica coffee seedling leaves than T. diversifolia. The application of Listeria sp.-coffee bean skins resulted in the lowest soil P-retention the highest soil P-available and P-content in arabica coffee seedlings leaves.

  7. The Integration of Speech Therapy Techniques with Those of Movement, Music, and Sensory Integrative Therapies in Order to Provide Communication Systems for Severely Emotionally Disturbed Children.

    Science.gov (United States)

    LeShay, Debra N.

    Project LINK at the Developmental Center for Autistic Children in Philadelphia provides therapy to emotionally disturbed children and training and consultation for teachers and mental health professionals. Each child is evaluated by treatment team members through repeated observations and informal assessments. The primary goal of treatment is the…

  8. How Should Long-Term Tunneled Central Venous Catheters Be Managed in Microbiology Laboratories in Order To Provide an Accurate Diagnosis of Colonization?

    Science.gov (United States)

    Martín-Rabadán, P.; Echenagusia, A.; Camúñez, F.; Rodríguez-Rosales, G.; Simó, G.; Echenagusia, M.

    2012-01-01

    Guidelines recommend the roll-plate technique for short-term central venous catheter (CVC) tip cultures. However, the issue of whether the roll-plate technique is better than the sonication method for long-term CVCs remains unresolved. In addition, no data are available for predicting the value of direct Gram staining in anticipating catheter colonization or catheter-related bloodstream infection (CRBSI) in these long-term CVCs. Our objectives were to compare the roll-plate technique and the sonication method and to define the validity values of Gram staining for the prediction of colonization and CRBSI in patients with long-term tunneled CVCs. During the study period, all tunneled CVCs removed at our institution were prospectively and routinely sent to the microbiology laboratory for Gram staining (first) and tip culture (the Maki technique and sonication, in a random order). We received 149 tunneled CVCs, 39 (26.2%) of which were colonized and 11 (7.4%) of which were associated with CRBSI. Overall, the roll-plate method detected 94.9% of the colonized catheters, whereas sonication detected only 43.6% (P bacteria in long-term tunneled CVCs. Gram staining of the tips of tunneled CVCs can anticipate a positive culture and rule out CRBSI. In our opinion, direct Gram staining should be incorporated into routine microbiological assessments of long-term catheter tips. PMID:22170928

  9. Genome-wide and Ordered-Subset linkage analyses provide support for autism loci on 17q and 19p with evidence of phenotypic and interlocus genetic correlates

    Directory of Open Access Journals (Sweden)

    Folstein Susan E

    2005-01-01

    Full Text Available Abstract Background Autism is a neurobehavioral spectrum of phenotypes characterized by deficits in the development of language and social relationships and patterns of repetitive, rigid and compulsive behaviors. Twin and family studies point to a significant genetic etiology, and several groups have performed genomic linkage screens to identify susceptibility loci. Methods We performed a genome-wide linkage screen in 158 combined Tufts, Vanderbilt and AGRE (Autism Genetics Research Exchange multiplex autism families using parametric and nonparametric methods with a categorical autism diagnosis to identify loci of main effect. Hypothesizing interdependence of genetic risk factors prompted us to perform exploratory studies applying the Ordered-Subset Analysis (OSA approach using LOD scores as the trait covariate for ranking families. We employed OSA to test for interlocus correlations between loci with LOD scores ≥1.5, and empirically determined significance of linkage in optimal OSA subsets using permutation testing. Exploring phenotypic correlates as the basis for linkage increases involved comparison of mean scores for quantitative trait-based subsets of autism between optimal subsets and the remaining families. Results A genome-wide screen for autism loci identified the best evidence for linkage to 17q11.2 and 19p13, with maximum multipoint heterogeneity LOD scores of 2.9 and 2.6, respectively. Suggestive linkage (LOD scores ≥1.5 at other loci included 3p, 6q, 7q, 12p, and 16p. OSA revealed positive correlations of linkage between the 19p locus and 17q, between 19p and 6q, and between 7q and 5p. While potential phenotypic correlates for these findings were not identified for the chromosome 7/5 combination, differences indicating more rapid achievement of "developmental milestones" was apparent in the chromosome 19 OSA-defined subsets for 17q and 6q. OSA was used to test the hypothesis that 19p linkage involved more rapid achievement of

  10. A technique for determining the optimum mix of logistics service providers of a make-to-order supply chain by formulating and solving a constrained nonlinear cost optimization problem

    OpenAIRE

    Mrityunjoy Roy; Ranjan Kumar Gupta; Tanmoy Dasgupta

    2013-01-01

    In this paper, a technique has been developed to determine the optimum mix of logistic service providers of a make-to-order (MTO) supply chain. A serial MTO supply chain with different stages/ processes has been considered. For each stage different logistic service providers with different mean processing lead times, but same lead time variances are available. A realistic assumption that for each stage, the logistic service provider who charges more for his service consumes less processing le...

  11. Whole-body cryostimulation (cryotherapy) provides benefits for fatigue and functional status in multiple sclerosis patients. A case-control study.

    Science.gov (United States)

    Miller, E; Kostka, J; Włodarczyk, T; Dugué, B

    2016-12-01

    To study the effects of whole-body cryostimulation (WBC) on fatigue and functional status in multiple sclerosis (MS) patients with different levels of fatigue. Two groups of 24 MS patients with fatigue were studied. At the beginning of the study, the first group presented a Fatigue Severity Scale (FSS) score between 38 and 42 (low-fatigue (LF) group), and the second group had an FSS score between 48 and 52 (high-fatigue (HF) group). Both groups were matched for age and sex. All patients were exposed to 10.3-min session of WBC (one exposure per day at -110°C or lower). Functional status was assessed before and after the series of WBC exposures using the Rivermead Motor Assessment (RMA), the Multiple Sclerosis Impact Scale (MSIS-29), and the Expanded Disability Status Scale (EDSS). The RMA was estimated in three sections: gross function (RMA1), leg and trunk (RMA2), and arm (RMA3). MSIS-29 consists of two subscales assessing the physical (MSIS-29-PHYS) and psychological (MSIS-29-PSYCH) status. In both groups, the WBC sessions induced a significant improvement in the functional status and in the feeling of fatigue. However, the changes observed in HF patients were significantly greater than those observed in LF patients, especially in the MSIS-29-PHYS, MSIS-29-PSYCH, RMA1, and RMA3. The changes observed in the EDSS, RMA2, and FSS were similar in both groups. WBC appears to be effective in improving functional status and the feeling of fatigue in patients with MS and especially in those who are the most fatigued. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Developing Students' Reflections on the Function and Status of Mathematical Modeling in Different Scientific Practices: History as a Provider of Cases

    Science.gov (United States)

    Kjeldsen, Tinne Hoff; Blomhøj, Morten

    2013-01-01

    Mathematical models and mathematical modeling play different roles in the different areas and problems in which they are used. The function and status of mathematical modeling and models in the different areas depend on the scientific practice as well as the underlying philosophical and theoretical position held by the modeler(s) and the…

  13. AGRIS: providing access to agricultural research data exploiting open data on the web [v1; ref status: indexed, http://f1000r.es/599

    Directory of Open Access Journals (Sweden)

    Fabrizio Celli

    2015-05-01

    Full Text Available AGRIS is the International System for Agricultural Science and Technology. It is supported by a large community of data providers, partners and users. AGRIS is a database that aggregates bibliographic data, and through this core data, related content across online information systems is retrieved by taking advantage of Semantic Web capabilities. AGRIS is a global public good and its vision is to be a responsive service to its user needs by facilitating contributions and feedback regarding the AGRIS core knowledgebase, AGRIS’s future and its continuous development. Periodic AGRIS e-consultations, partner meetings and user feedback are assimilated to the development of the AGRIS application and content coverage. This paper outlines the current AGRIS technical set-up, its network of partners, data providers and users as well as how AGRIS’s responsiveness to clients’ needs inspires the continuous technical development of the application. The paper concludes by providing a use case of how the AGRIS stakeholder input and the subsequent AGRIS e-consultation results influence the development of the AGRIS application, knowledgebase and service delivery.

  14. [Present Status of Displaying Pharmaceutical Products for Sale on Flea Market Applications for Smartphones and the Responses to Illicit Selling by Service Providers].

    Science.gov (United States)

    Kishimoto, Keiko; Takeuchi, Tomoe; Fukushima, Noriko

    2017-12-01

     In Japan, a pharmacy or drug store license is required for selling pharmaceutical products. However, civilians without a pharmacy or drug store license are displaying pharmaceutical products for sale on a flea market application, which is illegal dealing. This study discussed the modality for implementing countermeasures for the illicit selling of pharmaceutical products. We extracted pharmaceutical products displayed for sale on three flea market applications (Mercari, Rakuma, Fril) on one day. One hundred and eighty-one pharmaceutical products were displayed (49 on Mercari, 86 on Rakuma, and 46 on Fril). There were 6.1% (11/181) domestically prescribed drugs, 69.1% (125/181) domestic OTC drugs, 23.8% (43/181) foreign-made prescribed drugs, and 1.1% (2/181) foreign-made OTC drugs. The seller could display the product for sale without confirming whether it is prohibited. We alerted the service providers of this illicit selling at flea markets at three different instances. The pharmaceutical product displays were deleted by the service providers at a rate of 55.1% (27/49) for Mercari and 51.2% (44/86) for Rakuma. The average number of drugs that were displayed for sale by each seller was 1.4 and the average number of total products that were displayed for sale by each seller was 100. The seller could have unintentionally displayed the pharmaceutical products for sale, without the knowledge that it is illegal. The service providers of flea market applications should create mechanisms to alert the sellers that displaying pharmaceutical products for sale is an illicit act and regulate these violations.

  15. A technique for determining the optimum mix of logistics service providers of a make-to-order supply chain by formulating and solving a constrained nonlinear cost optimization problem

    Directory of Open Access Journals (Sweden)

    Mrityunjoy Roy

    2013-04-01

    Full Text Available In this paper, a technique has been developed to determine the optimum mix of logistic service providers of a make-to-order (MTO supply chain. A serial MTO supply chain with different stages/ processes has been considered. For each stage different logistic service providers with different mean processing lead times, but same lead time variances are available. A realistic assumption that for each stage, the logistic service provider who charges more for his service consumes less processing lead time and vice-versa has been made in our study. Thus for each stage, for each service provider, a combination of cost and mean processing lead time is available. Using these combinations, for each stage, a polynomial curve, expressing cost of that stage as a function of mean processing lead time is fit. Cumulating all such expressions of cost for the different stages along with incorporation of suitable constraints arising out of timely delivery, results in the formulation of a constrained nonlinear cost optimization problem. On solving the problem using mathematica, optimum processing lead time for each stage is obtained. Using these optimum processing lead times and by employing a simple technique the optimum logistic service provider mix of the supply chain along with the corresponding total cost of processing is determined. Finally to examine the effect of changes in different parameters on the optimum total processing cost of the supply chain, sensitivity analysis has been carried out graphically.

  16. Long-term care insurance and market for aged care in Japan: focusing on the status of care service providers by locality and organisational nature based on survey results.

    Science.gov (United States)

    Kubo, Makoto

    2014-09-01

    The purpose of this paper is to examine the status of care service providers by locality and organisational nature. Questionnaires were sent to 9505 home-based care service providers registered in the databases of 17 prefectures. The prefectures were selected according to population size. Numerous for-profit providers have newly entered the aged care service market and are operating selectively in Tokyo, a typical example of a metropolitan area. Furthermore, both for-profit and non-profit providers have suffered from a shortage of care workers and difficult management conditions, which tend to be more pronounced in Tokyo. The market under long-term care insurance was successful in terms of the volume of services, but most providers were sceptical as to whether competition in the market could facilitate quality care services. © 2013 The Author. Australasian Journal on Ageing © 2013 ACOTA.

  17. Frequently recorded sensor data may correctly provide health status of cows if data are handled carefully and errors are filtered away

    Directory of Open Access Journals (Sweden)

    Løvendahl, P.

    2016-01-01

    Full Text Available Description of the subject. The implementation of sensor based decision support in commercial dairy herds is highly dependent on having reliable systems. Problems with sensors give missing and noisy data hampering their use. Also, the presentation of results needs to be in a form which is simple and useful. These issues were addressed using a mastitis sensor and decision support as example. Objectives. This study aims at providing and evaluating a modular system applicable to the pipeline from sensor to decision support. Method. The case of mastitis was chosen as it is of economic importance and also affects welfare of cows, and because we have worked with a commercial sensor. The problems with sensors causing missing data and noise are described and a range of filtering and monitoring modules are shown to be important to make systems functional for herd management purposes. On top of this a solid method needs to be used to interpret and present data to end users, in terms of easy to read categories. Results. Filtering and pre-adjustments of raw data are important in making algorithms robust and reliable for daily use. Re-definition of traits is needed going from traditional few groups to continuous definitions, and then to new action oriented health classes. Also, for this case focusing on mastitis, assignment to "permanently sick" groups can be helpful in keeping focus on new acute cases. Conclusions. The combined use of filtering, fix-up routines and time series models leading into action oriented categories is needed to provide simple and robust decision support. The systems may be vastly improved by opening for transmission of data between user groups and to common databases – also with a few to use data in genetic selection.

  18. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis.

    Science.gov (United States)

    Prgomet, Mirela; Li, Ling; Niazkhani, Zahra; Georgiou, Andrew; Westbrook, Johanna I

    2017-03-01

    To conduct a systematic review and meta-analysis of the impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay (LOS), and mortality in intensive care units (ICUs). We searched for English-language literature published between January 2000 and January 2016 using Medline, Embase, and CINAHL. Titles and abstracts of 586 unique citations were screened. Studies were included if they: (1) reported results for an ICU population; (2) evaluated the impact of CPOE or the addition of CDSSs to an existing CPOE system; (3) reported quantitative data on medication errors, ICU LOS, hospital LOS, ICU mortality, and/or hospital mortality; and (4) used a randomized controlled trial or quasi-experimental study design. Twenty studies met our inclusion criteria. The transition from paper-based ordering to commercial CPOE systems in ICUs was associated with an 85% reduction in medication prescribing error rates and a 12% reduction in ICU mortality rates. Overall meta-analyses of LOS and hospital mortality did not demonstrate a significant change. Critical care settings, both adult and pediatric, involve unique complexities, making them vulnerable to medication errors and adverse patient outcomes. The currently limited evidence base requires research that has sufficient statistical power to identify the true effect of CPOE implementation. There is also a critical need to understand the nature of errors arising post-CPOE and how the addition of CDSSs can be used to provide greater benefit to delivering safe and effective patient care.

  19. U.S. Department of Energy FreedomCar & Vehicle Technologies Program CARB Executive Order Exemption Process for a Hydrogen-fueled Internal Combustion engine Vehicle -- Status Report

    Energy Technology Data Exchange (ETDEWEB)

    2008-04-01

    The CARB Executive Order Exemption Process for a Hydrogen-fueled Internal Combustion Engine Vehicle was undertaken to define the requirements to achieve a California Air Resource Board Executive Order for a hydrogenfueled vehicle retrofit kit. A 2005 to 2006 General Motors Company Sierra/Chevrolet Silverado 1500HD pickup was assumed to be the build-from vehicle for the retrofit kit. The emissions demonstration was determined not to pose a significant hurdle due to the non-hydrocarbon-based fuel and lean-burn operation. However, significant work was determined to be necessary for Onboard Diagnostics Level II compliance. Therefore, it is recommended that an Experimental Permit be obtained from the California Air Resource Board to license and operate the vehicles for the durability of the demonstration in support of preparing a fully compliant and certifiable package that can be submitted.

  20. THE CASE OF GOVERNMENT OF THE REPUBLIC OF ZIMBABWE v LOUIS KAREL FICK: A FIRST STEP TOWARDS DEVELOPING A DOCTRINE ON THE STATUS OF INTERNATIONAL JUDGEMENTS WITHIN THE DOMESTIC LEGAL ORDER

    Directory of Open Access Journals (Sweden)

    Erika de Wet

    2014-04-01

    Full Text Available The Fick case which was decided by the Constitutional Court on 27 June 2013 was the first time since its inception that the Constitutional Court was confronted with the status of a binding international decision within the domestic legal order. It concerned a binding decision by the (now suspended Southern African Development Community (SADC Tribunal against Zimbabwe, which was also enforceable in South Africa. A key issue before the Court was whether or not the South African statutory rules of civil procedure for the enforcement of foreign judgments also covered judgments of international courts and tribunals (as anticipated by Article 32(1 of the Protocol on the SADC Tribunal. As none of the relevant statutory legislation was applicable in this instance, the common law remained the only possible avenue through which the SADC Tribunal’s decision could be enforced in South Africa. At the time of the decision, the common law on the enforcement of civil judgments had developed only to a point where it provided for the execution of judgments made by domestic courts of a foreign state (ie decisions of other national courts. The Court was therefore confronted with whether or not an international decision in the form of a cost order of the SADC Tribunal amounted to a “foreign judgment” as recognized by the South African common law. The Court answered this question in the affirmative by relying on those clauses in the Constitution that committed South Africa to the rule of law, as well as its obligations under international law, and to an international-law friendly interpretation of domestic law. Although the decision is to be welcomed and applied the law correctly to the facts of the case, it does raise the issue of the wisdom of equating international judgments with foreign judgments on a more general scale. This relates to the fact that it is generally accepted in most jurisdictions that the recognition and enforcement of a

  1. TeleWound care – providing remote wound assessment and treatment in the home care setting: current status and future directions

    Directory of Open Access Journals (Sweden)

    Santamaria N

    2013-11-01

    Full Text Available Nick Santamaria,1 Suzanne Kapp2 1University of Melbourne and Melbourne Health, Royal Melbourne Hospital, Melbourne, VIC, Australia; 2Royal District Nursing Service Institute, Melbourne, VIC, Australia Abstract: The use of wound telemedicine systems in the home care environment has been expanding for the last decade. These systems can generally be grouped into two main types: store and forward systems and video conference type systems; additionally, there are also hybrid systems available that include elements of both. Evidence to date suggests that these systems provide significant benefits to patients, clinicians, and to the health care system generally. Reductions in resource use, visit substitution, costs, and high patient and clinician satisfaction have been reported; however, there is a lack of integration with existing health care technology and no clearly defined technical or clinical standards as yet. Similarly, the legalities associated with wound telemedicine and remote consultation remain unclear. As wound telemedicine systems continue to evolve and be deployed in different locations, there remains significant potential to harness their power to benefit patients being treated at home. Keywords: telemedicine, home care, e-health

  2. Supporting Emergency Medical Care Teams with an Integrated Status Display Providing Real-Time Access to Medical Best Practices, Workflow Tracking, and Patient Data.

    Science.gov (United States)

    Wu, PoLiang; Nam, Min-Young; Choi, Jeonghwan; Kirlik, Alex; Sha, Lui; Berlin, Richard B

    2017-10-17

    The work of a hospital's medical staff is safety critical and often occurs under severe time constraints. To provide timely and effective cognitive support to medical teams working in such contexts, guidelines in the form of best practice workflows for healthcare have been developed by medical organizations. However, the high cognitive load imposed in such stressful and rapidly changing environments poses significant challenges to the medical staff or team in adhering to these workflows. In collaboration with physicians and nurses from Carle Foundation Hospital, we first studied and modeled medical team's individual responsibilities and interactions in cardiac arrest resuscitation and decomposed their overall task into a set of distinct cognitive tasks that must be specifically supported to achieve successful human-centered system design. We then developed a medical Best Practice Guidance (BPG) system for reducing medical teams' cognitive load, thus fostering real-time adherence to best practices. We evaluated the resulting system with physicians and nurses using a professional patient simulator used for medical training and certification. The evaluation results point to a reduction of cognitive load and enhanced adherence to medical best practices.

  3. The State of Anesthetic Services in Korea: A National Survey of the Status of Anesthesia Provider in the 2011-2013 Period

    Science.gov (United States)

    2016-01-01

    Active involvement of anesthesiologists in perioperative management is important to ensure the patients' safety. This study aimed to investigate the state of anesthetic services in Korea by identifying anesthetic service providers. From the insurance claims data of National Health Insurance for 3 yr, the Korean state of anesthetic services was analyzed. The claims for anesthesia from the medical institutions which hire their own anesthesiologist or with an anesthesiologist invitation fee are assumed to be the anesthesia performed by anesthesiologists. The annual anesthetic data were similar during the study period. In 2013, total counts of 2,129,871 were composed with general anesthesia (55%), regional anesthesia (36%) and procedural sedation with intravenous anesthetics (9%). About 80% of total cases of general anesthesia were performed in general hospitals, while more than 60% of the regional anesthesia and sedation were performed in the clinics and hospitals under 100 beds. Non-anesthesiologists performed 273,006 cases of anesthesia (13% of total) including 36,008 of general anesthesia, 143,134 of regional anesthesia, and 93,864 of sedation, mainly in the clinics and hospitals under 100 beds. All procedural sedations in the institutions without direct employed anesthesiologist were performed by non-anesthesiologists. Significant numbers of anesthesia are performed by non-anesthesiologist in Korea. To promote anesthetic services that prioritize the safety of patients, the standard to qualify anesthetic service is required. Surgeons and patients need to enhance their perception of anesthesia, and the payment system should be revised in a way that advocates anesthesiologist-performed anesthetic services. PMID:26770049

  4. Characterization of M-laurdan, a versatile probe to explore order in lipid membranes [v1; ref status: indexed, http://f1000r.es/3yh

    Directory of Open Access Journals (Sweden)

    Serge Mazeres

    2014-07-01

    Full Text Available Microdomains corresponding to localized partition of lipids between ordered and less ordered environments are the subject of intensive investigations, because of their putative participation in modulating cellular responses. One popular approach in the field consists in labelling membranes with solvatochromic fluorescent probes such as laurdan and C-laurdan. In this report, we describe a high-yield procedure for the synthesis of laurdan, C-laurdan and two new fluorophores, called MoC-laurdan and M-laurdan, as well as their extensive photophysical characterization. We find that the latter probe, M-laurdan, is particularly suited to discriminate lipid phases independently of the chemical nature of the lipids, as measured by both fluorescence Generalized Polarization (GP and anisotropy in large unilamellar vesicles made of various lipid compositions. In addition, staining of live cells with M-laurdan shows a good stability over time without any apparent toxicity, as well as a wider distribution in the various cell compartments than the other probes.

  5. Characterization of M-laurdan, a versatile probe to explore order in lipid membranes [v2; ref status: indexed, http://f1000r.es/4on

    Directory of Open Access Journals (Sweden)

    Serge Mazeres

    2014-11-01

    Full Text Available Microdomains corresponding to localized partition of lipids between ordered and less ordered environments are the subject of intensive investigations, because of their putative participation in modulating cellular responses. One popular approach in the field consists in labelling membranes with solvatochromic fluorescent probes such as laurdan and C-laurdan. In this report, we describe a high-yield procedure for the synthesis of laurdan, C-laurdan and two new fluorophores, called MoC-laurdan and M-laurdan, as well as their extensive photophysical characterization. We find that the latter probe, M-laurdan, is particularly suited to discriminate lipid phases independently of the chemical nature of the lipids, as measured by both fluorescence Generalized Polarization (GP and anisotropy in large unilamellar vesicles made of various lipid compositions. In addition, staining of live cells with M-laurdan shows a good stability over time without any apparent toxicity, as well as a wider distribution in the various cell compartments than the other probes.

  6. Small-cell Carcinomas of the Urinary Bladder and Prostate: TERT Promoter Mutation Status Differentiates Sites of Malignancy and Provides Evidence of Common Clonality Between Small-cell Carcinoma of the Urinary Bladder and Urothelial Carcinoma.

    Science.gov (United States)

    Priemer, David S; Wang, Mingsheng; Zhang, Shaobo; Lopez-Beltran, Antonio; Kouba, Erik; Montironi, Rodolfo; Davidson, Darrell D; MacLennan, Gregory T; Wang, Lisha; Osunkoya, Adeboye O; Deng, Youping; Emerson, Robert E; Cheng, Liang

    2017-03-31

    Small-cell carcinoma (SCC) of the urinary bladder frequently appears alongside urothelial carcinoma, suggesting common clonality. TERT promoter mutations have been recently implicated in urothelial carcinogenesis. To investigate the degree to which TERT promoter mutations are involved in SCC of the urinary bladder, the linked tumorigenesis between urothelial carcinoma and SCC of the urinary bladder, and the molecular distinctions between SCC of the urinary bladder and of the prostate. We investigated TERT promoter mutations in 53 cases of SCC of the urinary bladder and in 26 cases of SCC of the prostate using laboratory-based studies of tissue samples and clinical data. We measured the frequency of TERT promoter mutations in SCCs of the urinary bladder and prostate, and concordance of the mutation status between concurrent urinary bladder SCC and urothelial carcinoma. TERT promoter mutations were detected in 29/53 (55%) cases of urinary bladder and 0/26 (0%) cases of prostate SCC. Of 25 cases with concurrent urinary bladder SCC and non-small-cell components, all cases harbored identical TERT promoter mutation status in both phenotypes. TERT promoter mutations are found in more than half of urinary bladder SCCs. Mutation status is also identical in urothelial carcinoma and SCC components of concomitant malignancies, providing evidence of a common clonality. TERT promoter mutation status can differentiate SCC of the urinary bladder from prostate SCC, suggesting potential diagnostic use. Small-cell carcinoma of the urinary bladder shares a common clonal origin with conventional urothelial carcinoma and may arise from a heterogeneous subclone. TERT promoter mutations may have utility as a differential biomarker for determining the primary site of a genitourinary small-cell carcinoma. Copyright © 2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  7. Quelles aides les formations hybrides en langues proposent-elles à l'apprenant pour favoriser son autonomie ? What kind of assistance do blended language learning courses provide to learners in order to foster their autonomy?

    Directory of Open Access Journals (Sweden)

    Elke Nissen

    2007-11-01

    Full Text Available L'apprenant qui suit une formation hybride en langues travaille partiellement à distance, ce qui lui demande une certaine autonomie. La question alors est de savoir si ces formations soutiennent l'apprenant dans le développement de son autonomie et si oui, comment. Les réponses des concepteurs de huit formations hybrides à un questionnaire auto-administré montrent que les nécessaires développement et soutien de l'autonomie sont toujours respectés ; ainsi, ces huit formations proposent des aides pour favoriser l'autonomie dans les domaines technique, méthodologique, social et, bien sûr, langagier. Développer ces autonomies semble donc être devenu un standard dans le cadre des formations observées. En revanche, les autonomies de type psycho-affectif, informationnel, cognitif et métacognitif ne sont pas prises en considération dans toutes les formations.When taking a blended learning course, a learner works partially at a distance, which requires some autonomy. The aim of this study is to find out whether blended learning courses sustain the development of learner autonomy and if they do so, how they do it. The statements that 8 course designers made in a questionnaire show that their courses always help the learners to become or to be autonomous. All 8 courses provide assistance (advice, information and activities in order to foster technical, methodological, social and, of course, language autonomy. Consequently, sustaining these four types of autonomy seems to have become a standard in blended learning courses. But, on the contrary, assistance for other types of autonomy is not systematically provided: only several of these courses help the learners to develop psycho affective, informational, cognitive and metacognive autonomy.

  8. Medicare Provider Data - Hospice Providers

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Hospice Utilization and Payment Public Use File provides information on services provided to Medicare beneficiaries by hospice providers. The Hospice PUF...

  9. Among a sample of Iranian students, adult attention deficit hyperactivity disorder is related to childhood ADHD, but not to age, gender, socioeconomic status, or birth order--an exploratory study.

    Science.gov (United States)

    Jahangard, Leila; Haghighi, Mohammad; Bajoghli, Hafez; Holsboer-Trachsler, Edith; Brand, Serge

    2013-10-01

    The aim of the present study was to explore the prevalence of adult attention deficit hyperactivity disorder (ADHD) in young adult Iranian students and to examine gender, birth order, socioeconomic status (SES), and history of ADHD as potential predictors of adult ADHD. A total of 387 young adult students (mean age: 19.6 years; 66.3% females) completed the Adult ADHD Self-Report Scale-V1.1 symptom checklist to assess current symptoms of ADHD and the Wender Utah Rating Scale to assess symptoms of ADHD in childhood and adolescence. Experts' ratings were based on Wender-Reimherr Interview. Self-rated and expert-rated prevalence rates were 16.5% and 13.4%, respectively. Past symptoms of ADHD were correlated with current symptoms. Childhood ADHD, current hyperactivity, and disorganization predicted current ADHD. Among a sample of Iranian students, the prevalence rates of ADHD were higher than estimated rates worldwide. Data also show child ADHD to be associated with adult ADHD; gender, age, birth order, and SES did not seem to influence current symptomatology.

  10. USCIS My Case Status

    Data.gov (United States)

    Department of Homeland Security — USCIS provide a way for the public who applied for U.S. citizenship to check the status of their application online. To view the status of a case, the application...

  11. Word Order

    DEFF Research Database (Denmark)

    Rijkhoff, Jan

    2015-01-01

    The way constituents are ordered in a linguistic expression is determined by general principles and language specific rules. This article is mostly concerned with general ordering principles and the three main linguistic categories that are relevant for constituent order research: formal......, functional and semantic categories. The general principles appear to be motivated by cognitive considerations, which are deemed to facilitate language processing and which can all be regarded as manifestations of iconicity: non-arbitrary relations between the form and the content of a linguistic expression....... Three major iconic ordering principles are the principles of Domain Integrity, Scope, and Head Proximity....

  12. Inventory order crossovers

    NARCIS (Netherlands)

    Riezebos, J.

    2006-01-01

    The control policies that are used in inventory management systems assume that orders arrive in the same sequence as they were ordered. Due to changes in supply chains and markets, this assumption is no longer valid. This paper aims at providing an improved understanding of the phenomenon of order

  13. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices. Final rule.

    Science.gov (United States)

    2017-08-14

    We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2018. Some of these changes implement certain statutory provisions contained in the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2013, the Improving Medicare Post-Acute Care Transformation Act of 2014, the Medicare Access and CHIP Reauthorization Act of 2015, the 21st Century Cures Act, and other legislation. We also are making changes relating to the provider-based status of Indian Health Service (IHS) and Tribal facilities and organizations and to the low-volume hospital payment adjustment for hospitals operated by the IHS or a Tribe. In addition, we are providing the market basket update that will apply to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2018. We are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2018. In addition, we are establishing new requirements or revising existing requirements for quality reporting by specific Medicare providers (acute care hospitals, PPS-exempt cancer hospitals, LTCHs, and inpatient psychiatric facilities). We also are establishing new requirements or revising existing requirements for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) participating in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. We are updating policies relating to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program. We also are making changes relating to transparency of accrediting organization survey

  14. Football Banning Orders, Proportionality and Public Order

    OpenAIRE

    Stott, Clifford; Pearson, Geoff

    2006-01-01

    This article provides a critical analysis of the UK legislation on football banning orders. The historical development of this legislation is outlined and concerns are raised about its impact upon civil liberties and human rights, particularly with respect to Section 14B of the Football (Disorder) Act 2000. The article then outlines a body of research on crowd psychology, public order policing and football ‘disorder’ that questions the determining role of the banning order in the reductio...

  15. Aperiodic order

    CERN Document Server

    Grimm, Uwe

    2017-01-01

    Quasicrystals are non-periodic solids that were discovered in 1982 by Dan Shechtman, Nobel Prize Laureate in Chemistry 2011. The mathematics that underlies this discovery or that proceeded from it, known as the theory of Aperiodic Order, is the subject of this comprehensive multi-volume series. This second volume begins to develop the theory in more depth. A collection of leading experts, among them Robert V. Moody, cover various aspects of crystallography, generalising appropriately from the classical case to the setting of aperiodically ordered structures. A strong focus is placed upon almost periodicity, a central concept of crystallography that captures the coherent repetition of local motifs or patterns, and its close links to Fourier analysis. The book opens with a foreword by Jeffrey C. Lagarias on the wider mathematical perspective and closes with an epilogue on the emergence of quasicrystals, written by Peter Kramer, one of the founders of the field.

  16. Desenvolvimento de um modelo de custeio híbrido para empresas prestadoras de serviço por encomenda = Development of a hybrid costing model for companies providers service order

    Directory of Open Access Journals (Sweden)

    Aline Willemann Kremer

    2012-03-01

    Full Text Available Com o aumento da participação das empresas prestadoras de serviço na economia brasileira, o uso de instrumentos gerenciais que auxiliem no processo de tomada de decisão se tornou um diferencial competitivo. Diante disto, o objetivo deste artigo é estruturar um modelo de custeio híbrido que permita conhecer os custos de uma empresa prestadora de serviços contábeis, combinando os aspectos do ABC e da UEP. Em termos metodológicos, esta pesquisa tem finalidade descritiva, com abordagem qualitativa e quantitativa, desenvolvida por meio de uma pesquisa ação. Os resultados demonstram que o custo do serviço base é de R$ 407,83 com capacidade mensal de produção de 14,94 UEPs. Com base nestas informações, os custos da prestação de serviços para os demais clientes também pode ser encontrado. O custo para o cliente X, por exemplo, no mês de maio de 2011, foi de R$ 365,63, sendo que neste mesmo período o honorário recebido por estes serviços foi de R$ 545,00, gerando um resultado para a Empresa XYZ de R$ 179,37. Por fim, conclui-se que o modelo estruturado permite que sejam mensurados os custos de todos os clientes, apenas alterando o tempo que passou por cada atividade. Além disso, a praticidade da UEP permite que, em períodos subsequentes, desde que não ocorram alterações significativas na estrutura produtiva, o valor gasto com cada cliente seja identificado de forma rápida e econômica. With the increased participation of companies providers services in the Brazilian economy, the use management tools that assist in the process of decision making has become a competitive advantage. Given this, the objective of this paper is to structure a hybrid costing model to ascertain the costs of company providers accounting services, combining the conceptual and methodological aspects of the ABC and UEP. In methodological terms, this research has descriptive purpose with qualitative and quantitative approach, developed through an action

  17. Service Level Status

    CERN Multimedia

    Lopienski, S

    2007-01-01

    Nowadays, IT departments provide, and people use, computing services of an increasingly heterogeneous nature. There is thus a growing need for a status display that groups these different services and reports status and availability in a uniform way. The Service Level Status (SLS) system addresses these needs by providing a web-based display that dynamically shows availability, basic information and statistics about various IT services, as well as the dependencies between them.

  18. Challenges to code status discussions for pediatric patients.

    Directory of Open Access Journals (Sweden)

    Katherine E Kruse

    Full Text Available In the context of serious or life-limiting illness, pediatric patients and their families are faced with difficult decisions surrounding appropriate resuscitation efforts in the event of a cardiopulmonary arrest. Code status orders are one way to inform end-of-life medical decision making. The objectives of this study are to evaluate the extent to which pediatric providers have knowledge of code status options and explore the association of provider role with (1 knowledge of code status options, (2 perception of timing of code status discussions, (3 perception of family receptivity to code status discussions, and (4 comfort carrying out code status discussions.Nurses, trainees (residents and fellows, and attending physicians from pediatric units where code status discussions typically occur completed a short survey questionnaire regarding their knowledge of code status options and perceptions surrounding code status discussions.Single center, quaternary care children's hospital.203 nurses, 31 trainees, and 29 attending physicians in 4 high-acuity pediatric units responded to the survey (N = 263, 90% response rate. Based on an objective knowledge measure, providers demonstrate poor understanding of available code status options, with only 22% of providers able to enumerate more than two of four available code status options. In contrast, provider groups self-report high levels of familiarity with available code status options, with attending physicians reporting significantly higher levels than nurses and trainees (p = 0.0125. Nurses and attending physicians show significantly different perception of code status discussion timing, with majority of nurses (63.4% perceiving discussions as occurring "too late" or "much too late" and majority of attending physicians (55.6% perceiving the timing as "about right" (p<0.0001. Attending physicians report significantly higher comfort having code status discussions with families than do nurses or trainees

  19. Heuristic status polling

    Science.gov (United States)

    Archer, Charles J [Rochester, MN; Blocksome, Michael A [Rochester, MN; Heidelberger, Philip [Cortlandt Manor, NY; Kumar, Sameer [White Plains, NY; Parker, Jeffrey J [Rochester, MN; Ratterman, Joseph D [Rochester, MN

    2011-06-07

    Methods, compute nodes, and computer program products are provided for heuristic status polling of a component in a computing system. Embodiments include receiving, by a polling module from a requesting application, a status request requesting status of a component; determining, by the polling module, whether an activity history for the component satisfies heuristic polling criteria; polling, by the polling module, the component for status if the activity history for the component satisfies the heuristic polling criteria; and not polling, by the polling module, the component for status if the activity history for the component does not satisfy the heuristic criteria.

  20. Providing Compassion through Flow

    Directory of Open Access Journals (Sweden)

    Lydia Royeen

    2015-07-01

    Full Text Available Meg Kral, MS, OTR/L, CLT, is the cover artist for the Summer 2015 issue of The Open Journal of Occupational Therapy. Her untitled piece of art is an oil painting and is a re-creation of a photograph taken while on vacation. Meg is currently supervisor of outpatient services at Rush University Medical Center. She is lymphedema certified and has a specific interest in breast cancer lymphedema. Art and occupational therapy serve similar purposes for Meg: both provide a sense of flow. She values the outcomes, whether it is a piece of art or improved functional status

  1. Order in Chaos

    DEFF Research Database (Denmark)

    Hansen, Bertel Teilfeldt; Olsen, Asmus Leth

    2014-01-01

    Ballot order effects are well documented in established democracies, but less so in fragile post-conflict settings. We test for the presence of ballot order effects in the 2010 parliamentary election in Afghanistan. Turning out for the 2010 election was a potentially life-threatening endeavor...... for the Afghan voter. The election provides a first look at ballot order effects in a high stakes, post-conflict setting. In this setting limited cognitive skills and information are more likely explanations of potential ballot order effects than mechanisms of lacking of effort or ambivalence of choice...

  2. Fractional-order devices

    CERN Document Server

    Biswas, Karabi; Caponetto, Riccardo; Mendes Lopes, António; Tenreiro Machado, José António

    2017-01-01

    This book focuses on two specific areas related to fractional order systems – the realization of physical devices characterized by non-integer order impedance, usually called fractional-order elements (FOEs); and the characterization of vegetable tissues via electrical impedance spectroscopy (EIS) – and provides readers with new tools for designing new types of integrated circuits. The majority of the book addresses FOEs. The interest in these topics is related to the need to produce “analogue” electronic devices characterized by non-integer order impedance, and to the characterization of natural phenomena, which are systems with memory or aftereffects and for which the fractional-order calculus tool is the ideal choice for analysis. FOEs represent the building blocks for designing and realizing analogue integrated electronic circuits, which the authors believe hold the potential for a wealth of mass-market applications. The freedom to choose either an integer- or non-integer-order analogue integrator...

  3. {sup 18}F-FDG PET/CT following chemoradiation of uterine cervix cancer provides powerful prognostic stratification independent of HPV status: a prospective cohort of 105 women with mature survival data

    Energy Technology Data Exchange (ETDEWEB)

    Siva, Shankar; Hicks, Rodney J.; Callahan, Jason [Peter MacCallum Cancer Centre, Division of Radiation Oncology and Cancer Imaging, East Melbourne, Victoria (Australia); University of Melbourne, Sir Peter MacCallum Department of Oncology, Parkville (Australia); Deb, Siddhartha [Peter MacCallum Cancer Centre, Department of Pathology, East Melbourne (Australia); Young, Richard J. [Peter MacCallum Cancer Centre, Molecular Therapeutics and Biomarkers Laboratory, East Melbourne (Australia); Bressel, Mathias [Peter MacCallum Cancer Centre, Department of Biostatistics and Clinical Trials, East Melbourne (Australia); Mileshkin, Linda [Peter MacCallum Cancer Centre, Department of Cancer Medicine, East Melbourne (Australia); Rischin, Danny [University of Melbourne, Sir Peter MacCallum Department of Oncology, Parkville (Australia); Peter MacCallum Cancer Centre, Department of Cancer Medicine, East Melbourne (Australia); Bernshaw, David; Narayan, Kailash [Peter MacCallum Cancer Centre, Division of Radiation Oncology and Cancer Imaging, East Melbourne, Victoria (Australia)

    2015-11-15

    To report 5-year outcomes of a prospective registry study investigating posttherapy FDG PET/CT in women with locally advanced cervical cancer. A secondary analysis assessing the prognostic significance of HPV infection was performed. Patients underwent definitive chemoradiation followed by a single FDG PET/CT scan for response assessment. A complete metabolic response (CMR) was defined as no evidence of FDG-avid disease. Patients were dichotomized according to HPV infection status into a 'higher-risk' group and a 'lower-risk' group, with the higher-risk group comprising those with alpha-7 strain HPV (subtypes 18, 39 and 45) and those who were HPV-negative and the lower-risk group comprising those with alpha-9 strain HPV (subtypes 16, 31, 33, 52 and 58) and those with mixed strains. Survival outcomes, patterns of failure and salvage therapy outcomes were investigated for their association with metabolic response and HPV status. In 105 patients the median prospective follow-up was 5.2 years. The 5-year cancer-specific, overall and progression-free survival rates in patients with a CMR were 97 %, 93 % and 86 %, respectively. In patients without a CMR, the corresponding 5-year survival rates were 36 %, 22 % and 0 % respectively (p < 0.01). PET response was associated with patterns of failure (p < 0.01), with the 5-year freedom from local, nodal and distant failure in patients with a CMR being 94 %, 90 % and 94 %, respectively. Of 16 patients who underwent salvage therapy, 12 had disease detected on the surveillance PET scan, and 8 achieved a post-salvage CMR of whom all were alive at a median of 4.9 years. DNA adequate for HPV analysis was extracted in 68 patients. The likelihood of a PET metabolic response was not influenced by HPV infection status, with 71 % and 75 % of higher-risk and lower-risk patients, respectively, achieving CMR (p = 0.83). Higher-risk patients had a poorer OS (HR 2.6, range 1.0 - 6.6, p = 0.05) in univariable analysis but

  4. Put order picking system

    Directory of Open Access Journals (Sweden)

    Đurđević Dragan D.

    2014-01-01

    Full Text Available Nowadays the warehouse is very important logistic component of the supply chain, where order-picking systems have important role. Due to the significant impact on logistics performance permanent goals are to increase efficiency and reduce the cost of these systems. To achieve these goals, there are different researches, and their success is determined by the achieved performances. Performances order picking process are dependent on the applied technology concepts of order-picking system, as well as the ways in which it is organized and managed. In addition to the standard conceptions (the man to good and good to the man is one of the newer, so-called. 'put' system - the inverse order-picking. The aim of this paper is to describe this concept, point out its core strengths and weaknesses and provide a basis that may be of importance in the development of warehouse technological solutions and application of this order-picking systems concept.

  5. Order of blood draw

    DEFF Research Database (Denmark)

    Cornes, Michael; van Dongen-Lases, Edmée; Grankvist, Kjell

    2017-01-01

    , CLSI) guidelines recommend that the order of draw of blood during phlebotomy should be blood culture/sterile tubes, then plain tubes/gel tubes, then tubes containing additives. This prevents contamination of sample tubes with additives from previous tubes that could cause erroneous results. There have...... Medicine Working Group for the Preanalytical Phase (EFLM WG-PRE) provides an overview and summary of the literature with regards to order of draw in venous blood collection. Given the evidence presented in this article, the EFLM WG-PRE herein concludes that a significant frequency of sample contamination...... does occur if order of draw is not followed during blood collection and when performing venipuncture under less than ideal circumstances, thus putting patient safety at risk. Moreover, given that order of draw is not difficult to follow and knowing that ideal phlebotomy conditions and protocols...

  6. Partially ordered models

    NARCIS (Netherlands)

    Fernandez, R.; Deveaux, V.

    2010-01-01

    We provide a formal definition and study the basic properties of partially ordered chains (POC). These systems were proposed to model textures in image processing and to represent independence relations between random variables in statistics (in the later case they are known as Bayesian networks).

  7. Higher-Order Hierarchies

    DEFF Research Database (Denmark)

    Ernst, Erik

    2003-01-01

    This paper introduces the notion of higher-order inheritance hierarchies. They are useful because they provide well-known benefits of object-orientation at the level of entire hierarchies-benefits which are not available with current approaches. Three facets must be adressed: First, it must...

  8. Liberia: Country Status Report.

    Science.gov (United States)

    Robson, Barbara

    A survey of the status of language usage in Liberia begins with an overview of the distribution of the 16 languages and dialects spoken natively there that are recognized by the government. These include, in order of number of native speakers: Kpelle, Bassa, Gio, Kru, Mano, Lorma, Krahn, Gola, Mandingo, Kissi, Vai, English, Gbandi, Mende, Belle,…

  9. Status epilepticus

    NARCIS (Netherlands)

    Hensiek, AE; Absalom, Anthony

    2006-01-01

    Status epilepticus is defined as epileptic activity that continues for more than 30 minutes as a single seizure or as recurrent seizures without inter-ictal return of consciousness. The seizure activity is usually classified as partial or generalized. Although status epilepticus is an uncommon

  10. Achieving professional status: Australian podiatrists' perceptions

    Directory of Open Access Journals (Sweden)

    Vernon Wesley

    2009-02-01

    Full Text Available Abstract Background This paper explores the notion of professional status from the perspective of a sample of Australian podiatrists; how it is experienced, what factors are felt to affect it, and how these are considered to influence professional standing within an evolving healthcare system. Underpinning sociological theory is deployed in order to inform and contextualise the study. Methods Data were drawn from a series of in-depth semi-structured interviews (n = 21 and focus groups (n = 9 with podiatrists from across four of Australia's eastern states (Queensland, New South Wales, Victoria and Australian Capital Territory, resulting in a total of 76 participants. Semi-structured interview schedules sought to explore podiatrist perspectives on a range of features related to professional status within podiatry in Australia. Results Central to the retention and enhancement of status was felt to be the development of specialist roles and the maintenance of control over key task domains. Key distinctions in private and public sector environments, and in rural and urban settings, were noted and found to reflect differing contexts for status development. Marketing was considered important to image enhancement, as was the cache attached to the status of the universities providing graduate education. Conclusion Perceived determinants of professional status broadly matched those identified in the wider sociological literature, most notably credentialism, client status, content and context of work (such as specialisation and an ideological basis for persuading audiences to acknowledge professional status. In an environment of demographic and workforce change, and the resultant policy demands for healthcare service re-design, enhanced opportunities for specialisation appear evident. Under the current model of professionalism, both role flexibility and uniqueness may prove important.

  11. Protective orders: questions and conundrums.

    Science.gov (United States)

    Logan, T K; Shannon, Lisa; Walker, Robert; Faragher, Teri Marie

    2006-07-01

    Current media portrayal of protective orders is often negative, focusing on weaknesses in how protective orders are obtained and enforced. This review of research findings on protective orders examines issues and suggests areas in need of future research to clarify and improve public policy. More specifically, this review has five main objectives: (a) to provide background information about partner violence and the need for protective orders; (b) to describe what protective orders are, how many women obtain them, and the advantages and disadvantages of obtaining protective orders; (c) to examine characteristics of women who seek protective orders; (d) to explore research on whether protective orders actually increase women's safety; and (e) to highlight opportunities and gaps in the practice and research literature regarding the use of protective orders for women with violent partners or ex-partners.

  12. Second-Order Algebraic Theories

    Science.gov (United States)

    Fiore, Marcelo; Mahmoud, Ola

    Fiore and Hur [10] recently introduced a conservative extension of universal algebra and equational logic from first to second order. Second-order universal algebra and second-order equational logic respectively provide a model theory and a formal deductive system for languages with variable binding and parameterised metavariables. This work completes the foundations of the subject from the viewpoint of categorical algebra. Specifically, the paper introduces the notion of second-order algebraic theory and develops its basic theory. Two categorical equivalences are established: at the syntactic level, that of second-order equational presentations and second-order algebraic theories; at the semantic level, that of second-order algebras and second-order functorial models. Our development includes a mathematical definition of syntactic translation between second-order equational presentations. This gives the first formalisation of notions such as encodings and transforms in the context of languages with variable binding.

  13. Stock Status

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data inform the public of the most recent stock status for all stocks (FSSI and non-FSSI) in the fishery management unit contained in a fishery managment plan....

  14. Fighting status inequalities

    DEFF Research Database (Denmark)

    Nielsen, Morten Ebbe Juul; Landes, Xavier

    2016-01-01

    as a theoretical foil for this as compared to a liberal notion of non-interference. The article concludes that there is a prima facie case for incorporating non-dominance into our thinking about public health, but that it needs to go hand in hand with a more traditional liberal ideal of non-interference.......Status inequalities seem to play a fairly big role in creating inequalities in health. This article assumes that there can be good reasons to fight status inequalities in order to reduce inequalities in health. It examines whether the neorepublican ideal of non-dominance does a better job...

  15. The status of occupational safety among health service providers in ...

    African Journals Online (AJOL)

    Bitten by patient. 3.4%. Contact with other body fluids. 1.7%. Slippery floor. 5.9%. Needle stick injury. 52.9%. Motor accidents. 1.9%. Contact with blood. 21.7% ... Table 3: Proportion of use of chemicals in hospitals. Name/Group. Percent of relative use. Name/Group. Percent of rela- tive use. Dettol. 17.7%. Hydrogen peroxide.

  16. Partially ordered algebraic systems

    CERN Document Server

    Fuchs, Laszlo

    2011-01-01

    Originally published in an important series of books on pure and applied mathematics, this monograph by a distinguished mathematician explores a high-level area in algebra. It constitutes the first systematic summary of research concerning partially ordered groups, semigroups, rings, and fields. The self-contained treatment features numerous problems, complete proofs, a detailed bibliography, and indexes. It presumes some knowledge of abstract algebra, providing necessary background and references where appropriate. This inexpensive edition of a hard-to-find systematic survey will fill a gap i

  17. Ordered sets and lattices

    CERN Document Server

    Drashkovicheva, Kh; Igoshin, V I; Katrinyak, T; Kolibiar, M

    1989-01-01

    This book is another publication in the recent surveys of ordered sets and lattices. The papers, which might be characterized as "reviews of reviews," are based on articles reviewed in the Referativnyibreve Zhurnal: Matematika from 1978 to 1982. For the sake of completeness, the authors also attempted to integrate information from other relevant articles from that period. The bibliography of each paper provides references to the reviews in RZhMat and Mathematical Reviews where one can seek more detailed information. Specifically excluded from consideration in this volume were such topics as al

  18. Fauna Europaea - Orthopteroid orders.

    Science.gov (United States)

    Heller, Klaus-Gerhard; Bohn, Horst; Haas, Fabian; Willemse, Fer; de Jong, Yde

    2016-01-01

    Fauna Europaea provides a public web-service with an index of scientific names (including important synonyms) of all extant European terrestrial and freshwater animals, their geographical distribution at the level of countries and major islands (west of the Urals and excluding the Caucasus region), and some additional information. The Fauna Europaea project comprises about 230,000 taxonomic names, including 130,000 accepted species and 14,000 accepted subspecies, which is much more than the originally projected number of 100,000 species. Fauna Europaea represents a huge effort by more than 400 contributing specialists throughout Europe and is a unique (standard) reference suitable for many users in science, government, industry, nature conservation and education. The "Orthopteroid orders" is one of the 58 Fauna Europaea major taxonomic groups. It contains series of mostly well-known insect orders: Embiodea (webspinners), Dermaptera (earwigs), Phasmatodea (walking sticks), Orthoptera s.s. (grasshoppers, crickets, bush-crickets) and Dictyoptera with the suborders Mantodea (mantids), Blattaria (cockroaches) and Isoptera (termites). For the Orthopteroid orders, data from 35 families containing 1,371 species are included in this paper.

  19. Compliance status

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report summarizes the activities conducted to ensure that the Hanford Site is in compliance with federal environmental protection statutes and related Washington State and local environmental protection regulations and the status of Hanford`s compliance with these requirements. Environmental permits required under the environmental protection regulations are discussed under the applicable statute.

  20. Status of the DIRAC Project

    Science.gov (United States)

    Casajus, A.; Ciba, K.; Fernandez, V.; Graciani, R.; Hamar, V.; Mendez, V.; Poss, S.; Sapunov, M.; Stagni, F.; Tsaregorodtsev, A.; Ubeda, M.

    2012-12-01

    The DIRAC Project was initiated to provide a data processing system for the LHCb Experiment at CERN. It provides all the necessary functionality and performance to satisfy the current and projected future requirements of the LHCb Computing Model. A considerable restructuring of the DIRAC software was undertaken in order to turn it into a general purpose framework for building distributed computing systems that can be used by various user communities in High Energy Physics and other scientific application domains. The CLIC and ILC-SID detector projects started to use DIRAC for their data production system. The Belle Collaboration at KEK, Japan, has adopted the Computing Model based on the DIRAC system for its second phase starting in 2015. The CTA Collaboration uses DIRAC for the data analysis tasks. A large number of other experiments are starting to use DIRAC or are evaluating this solution for their data processing tasks. DIRAC services are included as part of the production infrastructure of the GISELA Latin America grid. Similar services are provided for the users of the France-Grilles and IBERGrid National Grid Initiatives in France and Spain respectively. The new communities using DIRAC started to provide important contributions to its functionality. Among recent additions can be mentioned the support of the Amazon EC2 computing resources as well as other Cloud management systems; a versatile File Replica Catalog with File Metadata capabilities; support for running MPI jobs in the pilot based Workload Management System. Integration with existing application Web Portals, like WS-PGRADE, is demonstrated. In this paper we will describe the current status of the DIRAC Project, recent developments of its framework and functionality as well as the status of the rapidly evolving community of the DIRAC users.

  1. Order aggressiveness and order book dynamics

    DEFF Research Database (Denmark)

    Hall, Anthony D.; Hautsch, Nikolaus

    2006-01-01

    employing a six-dimensional autoregressive conditional intensity model. Using order book data from the Australian Stock Exchange, we find that market depth, the queued volume, the bid-ask spread, recent volatility, as well as recent changes in both the order flow and the price play an important role...

  2. Liquid crystalline order in polymers

    CERN Document Server

    Blumstein, Alexandre

    1978-01-01

    Liquid Crystalline Order in Polymers examines the topic of liquid crystalline order in systems containing rigid synthetic macromolecular chains. Each chapter of the book provides a review of one important area of the field. Chapter 1 discusses scattering in polymer systems with liquid crystalline order. It also introduces the field of liquid crystals. Chapter 2 treats the origin of liquid crystalline order in macromolecules by describing the in-depth study of conformation of such macromolecules in their unassociated state. The chapters that follow describe successively the liquid crystalli

  3. Impact of Provider Recommendation on Tdap Vaccination of Adolescents Aged 13-17 Years.

    Science.gov (United States)

    Lu, Peng-Jun; Yankey, David; Jeyarajah, Jenny; O'Halloran, Alissa; Meyer, Sarah A; Elam-Evans, Laurie D; Reagan-Steiner, Sarah

    2017-09-01

    Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination has been recommended for adolescents in the U.S. since 2006. Information on Tdap vaccination by provider recommendation is limited. The purpose of this study is to assess recent Tdap vaccination by provider recommendation status among adolescents aged 13-17 years. The 2013 National Immunization Survey-Teen data (N=18,948) were analyzed in 2016 to assess national and state-specific Tdap vaccination coverage disparities among adolescents by provider recommendation status, and other demographic and access to care variables. Multivariable logistic regression analysis and predictive marginal modeling evaluated associations between Tdap vaccination and provider recommendation status and other factors among adolescents aged 13-17 years. Overall, only 56.9% of adolescents aged 13-17 years received a provider recommendation for Tdap. Coverage was significantly higher among adolescents with a provider recommendation (88.6%) compared with those without a provider recommendation (80.5%) (precommendation, Hispanic ethnicity, having two to three physician contacts in the past 12 months, having one or two vaccination providers, and receiving vaccinations from more than one type of facility (precommendations were significantly associated with Tdap vaccination among adolescents aged 13-17 years. However, 43% of parents of adolescents did not receive a provider recommendation. Evidence-based strategies such as standing orders and provider reminders alone or health systems interventions in combination should be taken to improve provider recommendation and Tdap vaccination coverage. Published by Elsevier Inc.

  4. Ordered Rings and Fields

    Directory of Open Access Journals (Sweden)

    Schwarzweller Christoph

    2017-03-01

    Full Text Available We introduce ordered rings and fields following Artin-Schreier’s approach using positive cones. We show that such orderings coincide with total order relations and give examples of ordered (and non ordered rings and fields. In particular we show that polynomial rings can be ordered in (at least two different ways [8, 5, 4, 9]. This is the continuation of the development of algebraic hierarchy in Mizar [2, 3].

  5. Therapy Provider Phase Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Therapy Provider Phase Information dataset is a tool for providers to search by their National Provider Identifier (NPI) number to determine their phase for...

  6. Equity in Educational Land Grant Status Act of 1993. Hearing on S. 1345 To Provide Land-Grant Status for Tribally Controlled Community Colleges, Tribally Controlled Postsecondary Vocational Institutions, the Institute of American Indian and Alaska Native Culture and Arts Development, Southwest Indian Polytechnic Institute, and Haskell Indian Junior College, before the Committee on Indian Affairs. United States Senate, One Hundred Third Congress, First Session (November 18, 1993).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Indian Affairs.

    A Senate committee hearing received testimony on the Equity in Educational Land Grant Status Act, which would extend land-grant status and concomitant federal aid to 29 Indian tribal colleges and postsecondary institutions. Senators and representatives of the National Association of State Universities and Land Grant Colleges, Navajo Community…

  7. Order Theoretical Semantic Recommendation

    Energy Technology Data Exchange (ETDEWEB)

    Joslyn, Cliff A.; Hogan, Emilie A.; Paulson, Patrick R.; Peterson, Elena S.; Stephan, Eric G.; Thomas, Dennis G.

    2013-07-23

    Mathematical concepts of order and ordering relations play multiple roles in semantic technologies. Discrete totally ordered data characterize both input streams and top-k rank-ordered recommendations and query output, while temporal attributes establish numerical total orders, either over time points or in the more complex case of startend temporal intervals. But also of note are the fully partially ordered data, including both lattices and non-lattices, which actually dominate the semantic strcuture of ontological systems. Scalar semantic similarities over partially-ordered semantic data are traditionally used to return rank-ordered recommendations, but these require complementation with true metrics available over partially ordered sets. In this paper we report on our work in the foundations of partial order measurement in ontologies, with application to top-k semantic recommendation in workflows.

  8. [Research advances in indices and methods for nutritional status evaluation in patients with liver cirrhosis].

    Science.gov (United States)

    Li, H; Zhang, L

    2017-03-20

    In recent years, malnutrition in patients with liver cirrhosis has been taken more and more seriously in clinical physicians, and patients' nutritional status is closely associated with prognosis. At present, there are many methods for the evaluation of nutritional status in patients with liver cirrhosis, but there are still no unified standards. This article reviews the common evaluation indices and methods used in clinical practice in China and foreign countries, in order to provide a basis for accurately evaluating nutritional status and guiding nutritional therapy in patients with liver cirrhosis.

  9. TAXONOMY OF THE ORDER MONONEGAVIRALES: UPDATE 2016

    Science.gov (United States)

    Afonso, Claudio L.; Amarasinghe, Gaya K.; Bányai, Krisztián; Bào, Yīmíng; Basler, Christopher F.; Bavari, Sina; Bejerman, Nicolás; Blasdell, Kim R.; Briand, François-Xavier; Briese, Thomas; Bukreyev, Alexander; Calisher, Charles H.; Chandran, Kartik; Chéng, Jiāsēn; Clawson, Anna N.; Collins, Peter L.; Dietzgen, Ralf G.; Dolnik, Olga; Domier, Leslie L.; Dürrwald, Ralf; Dye, John M.; Easton, Andrew J.; Ebihara, Hideki; Farkas, Szilvia L.; Freitas-Astúa, Juliana; Formenty, Pierre; Fouchier, Ron A. M.; Fù, Yànpíng; Ghedin, Elodie; Goodin, Michael M.; Hewson, Roger; Horie, Masayuki; Hyndman, Timothy H.; Jiāng, Dàohóng; Kitajima, Elliot W.; Kobinger, Gary P.; Kondo, Hideki; Kurath, Gael; Lamb, Robert A.; Lenardon, Sergio; Leroy, Eric M.; Li, Ci-Xiu; Lin, Xian-Dan; Liú, Lìjiāng; Longdon, Ben; Marton, Szilvia; Maisner, Andrea; Mühlberger, Elke; Netesov, Sergey V.; Nowotny, Norbert; Patterson, Jean L.; Payne, Susan L.; Paweska, Janusz T.; Randall, Rick E.; Rima, Bertus K.; Rota, Paul; Rubbenstroth, Dennis; Schwemmle, Martin; Shi, Mang; Smither, Sophie J.; Stenglein, Mark D.; Stone, David M.; Takada, Ayato; Terregino, Calogero; Tesh, Robert B.; Tian, Jun-Hua; Tomonaga, Keizo; Tordo, Noël; Towner, Jonathan S.; Vasilakis, Nikos; Verbeek, Martin; Volchkov, Viktor E.; Wahl-Jensen, Victoria; Walsh, John A.; Walker, Peter J.; Wang, David; Wang, Lin-Fa; Wetzel, Thierry; Whitfield, Anna E.; Xiè, Jiǎtāo; Yuen, Kwok-Yung; Zhang, Yong-Zhen; Kuhn, Jens H.

    2016-01-01

    In 2016, the order Mononegavirales was emended through the addition of two new families (Mymonaviridae and Sunviridae), the elevation of the paramyxoviral subfamily Pneumovirinae to family status (Pneumoviridae), the addition of five free-floating genera (Anphevirus, Arlivirus, Chengtivirus, Crustavirus, and Wastrivirus), and several other changes at the genus and species levels. This article presents the updated taxonomy of the order Mononegavirales as now accepted by the International Committee on Taxonomy of Viruses (ICTV). PMID:27216929

  10. Taxonomy of the order Mononegavirales: update 2016

    Energy Technology Data Exchange (ETDEWEB)

    Afonso, Claudio L.; Amarasinghe, Gaya K.; Bányai, Krisztián; Bào, Yīmíng; Basler, Christopher F.; Bavari, Sina; Bejerman, Nicolás; Blasdell, Kim R.; Briand, François-Xavier; Briese, Thomas; Bukreyev, Alexander; Calisher, Charles H.; Chandran, Kartik; Chéng, Jiāsēn; Clawson, Anna N.; Collins, Peter L.; Dietzgen, Ralf G.; Dolnik, Olga; Domier, Leslie L.; Dürrwald, Ralf; Dye, John M.; Easton, Andrew J.; Ebihara, Hideki; Farkas, Szilvia L.; Freitas-Astúa, Juliana; Formenty, Pierre; Fouchier, Ron A. M.; Fù, Yànpíng; Ghedin, Elodie; Goodin, Michael M.; Hewson, Roger; Horie, Masayuki; Hyndman, Timothy H.; Jiāng, Dàohóng; Kitajima, Elliot W.; Kobinger, Gary P.; Kondo, Hideki; Kurath, Gael; Lamb, Robert A.; Lenardon, Sergio; Leroy, Eric M.; Li, Ci-Xiu; Lin, Xian-Dan; Liú, Lìjiāng; Longdon, Ben; Marton, Szilvia; Maisner, Andrea; Mühlberger, Elke; Netesov, Sergey V.; Nowotny, Norbert; Patterson, Jean L.; Payne, Susan L.; Paweska, Janusz T.; Randall, Rick E.; Rima, Bertus K.; Rota, Paul; Rubbenstroth, Dennis; Schwemmle, Martin; Shi, Mang; Smither, Sophie J.; Stenglein, Mark D.; Stone, David M.; Takada, Ayato; Terregino, Calogero; Tesh, Robert B.; Tian, Jun-Hua; Tomonaga, Keizo; Tordo, Noël; Towner, Jonathan S.; Vasilakis, Nikos; Verbeek, Martin; Volchkov, Viktor E.; Wahl-Jensen, Victoria; Walsh, John A.; Walker, Peter J.; Wang, David; Wang, Lin-Fa; Wetzel, Thierry; Whitfield, Anna E.; Xiè, Jiǎtāo; Yuen, Kwok-Yung; Zhang, Yong-Zhen; Kuhn, Jens H.

    2016-05-23

    In 2016, the order Mononegavirales was emended through the addition of two new families (Mymonaviridae and Sunviridae), the elevation of the paramyxoviral subfamily Pneumovirinae to family status (Pneumoviridae), the addition of five free-floating genera (Anphevirus, Arlivirus, Chengtivirus, Crustavirus, and Wastrivirus), and several other changes at the genus and species levels. This article presents the updated taxonomy of the order Mononegavirales as now accepted by the International Committee on Taxonomy of Viruses (ICTV).

  11. First-order inflation

    Energy Technology Data Exchange (ETDEWEB)

    Kolb, E.W. (Fermi National Accelerator Lab., Batavia, IL (USA) Chicago Univ., IL (USA). Enrico Fermi Inst.)

    1990-09-01

    In the original proposal, inflation occurred in the process of a strongly first-order phase transition. This model was soon demonstrated to be fatally flawed. Subsequent models for inflation involved phase transitions that were second-order, or perhaps weakly first-order; some even involved no phase transition at all. Recently the possibility of inflation during a strongly first-order phase transition has been revived. In this talk I will discuss some models for first-order inflation, and emphasize unique signatures that result in inflation is realized in a first-order transition. Before discussing first-order inflation, I will briefly review some of the history of inflation to demonstrate how first-order inflation differs from other models. 58 refs., 3 figs.

  12. SNV's modes of ordering

    NARCIS (Netherlands)

    Hummel, John; Duim, van der Rene

    2016-01-01

    This article adopts an aidnographic approach to examine how internal organizational modes of ordering have influenced tourism development practices of SNV Netherlands Development Organisation (SNV). Our research revealed six modes of ordering: administration, project management, enterprising,

  13. Preferred provider organizations.

    Science.gov (United States)

    Davy, J D

    1984-05-01

    The 1980s has marked the beginning of a new alternative health care delivery system: the preferred provider organization ( PPO ). This system has developed from the health maintenance organization model and is predominant in California and Colorado. A PPO is a group of providers, usually hospitals and doctors, who agree to provide health care to subscribers for a negotiated fee that is usually discounted. Preferred provider organizations are subject to peer review and strict use controls in exchange for a consistent volume of patients and speedy turnaround on claims payments. This article describes the factors leading to the development of PPOs and the implications for occupational therapy.

  14. Building Service Provider Capabilities

    DEFF Research Database (Denmark)

    Brandl, Kristin; Jaura, Manya; Ørberg Jensen, Peter D.

    In this paper we study whether and how the interaction between clients and the service providers contributes to the development of capabilities in service provider firms. In situations where such a contribution occurs, we analyze how different types of activities in the production process...

  15. Providing free autopoweroff plugs

    DEFF Research Database (Denmark)

    Jensen, Carsten Lynge; Hansen, Lars Gårn; Fjordbak, Troels

    2012-01-01

    Experimental evidence of the effect of providing households with cheap energy saving technology is sparse. We present results from a field experiment in which autopoweroff plugs were provided free of charge to randomly selected households. We use propensity score matching to find treatment effects...

  16. Comparing carbohydrate status during norway spruce seed development and somatic embryo formation

    NARCIS (Netherlands)

    Gösslová, M.; Svobodová, H.; Lipavská, H.; Albrechtová, J.; Vreugdenhil, D.

    2001-01-01

    The carbohydrate status of developing seeds of Picea abies was examined in order to provide a frame of reference for the evaluation of changes in carbohydrate content in maturing somatic embryos of the same species. Samples were taken at weekly intervals from 12 May 1998 (estimated time of

  17. Monitoring and assessment of conservation status of the Eurasian Otter (Lutra lutra) in Denmark

    DEFF Research Database (Denmark)

    Søgaard, Bjarne; Madsen, Aksel Bo; Elmeros, Morten

    initiated systematic monitoring of species in the Annex II and IV of the Directive – including the Eurasian Otter (Lutra lutra). The program focuses on monitoring distribution and range of the otter population in order to provide an assessment of its conservation status. The otter Lutra lutra suffered...

  18. HTGR accident initiation and progression analysis status report. Volume VIII. Responses to comments on AIPA status report

    Energy Technology Data Exchange (ETDEWEB)

    Raabe, P.H.

    1977-01-01

    The first seven volumes of the report series provide formal documentation of the status of the ERDA-sponsored Accident Initiation and Progression Analysis (AIPA) study as of the end of FY75. That portion of the report was given broad distribution to government agencies, industrial organizations, and academic institutions. Comments on the Status Report have been actively solicited from these and other organizations. The volume presented (the eighth in the AIPA Status Report) documents all of the formal written comments that have been received as of September 30, 1976, together with the responses to those comments. The comments as presented are direct quotations from the manuscripts as submitted by the reviewers; none have been paraphrased. The comments are presented in the same order as submitted by the reviewers and are generally addressed individually.

  19. Vitamin D Status: United States, 2001-2006

    Science.gov (United States)

    ... Order from the National Technical Information Service NCHS Vitamin D Status: United States, 2001–2006 Recommend on ... deficiency, inadequacy In 2001–2006, what was the vitamin D status of the U.S. population based on ...

  20. Suffix Ordering and Morphological Processing

    Science.gov (United States)

    Plag, Ingo; Baayen, Harald

    2009-01-01

    There is a long-standing debate about the principles constraining the combinatorial properties of suffixes. Hay 2002 and Hay & Plag 2004 proposed a model in which suffixes can be ordered along a hierarchy of processing complexity. We show that this model generalizes to a larger set of suffixes, and we provide independent evidence supporting the…

  1. Order Management - Today's focus

    DEFF Research Database (Denmark)

    Barfod, Ari

    1996-01-01

    Small and mid-range companies throughout the world have moved towards customer-specific production during the last few years, but often, the order flow has not changed to meet new demands. Customer orders pass through a laarge number of departments, such as sales, construction, pre-production, pu......Small and mid-range companies throughout the world have moved towards customer-specific production during the last few years, but often, the order flow has not changed to meet new demands. Customer orders pass through a laarge number of departments, such as sales, construction, pre...

  2. Recursive belief manipulation and second-order false-beliefs

    DEFF Research Database (Denmark)

    Braüner, Torben; Blackburn, Patrick Rowan; Polyanskaya, Irina

    2016-01-01

    The literature on first-order false-belief is extensive, but less is known about the second-order case. The ability to handle second-order false-beliefs correctly seems to mark a cognitively significant step, but what is its status? Is it an example of *complexity only* development, or does it in...

  3. 17 CFR 204.65 - Wage garnishment order.

    Science.gov (United States)

    2010-04-01

    ... withholding order, the Commission will send, by first class mail, a withholding order to the debtor's employer... order. This information includes the debtor's name, address, and social security number, as well as... certification will address matters such as information about the debtor's employment status and disposable pay...

  4. Robust resource loading for engineer-to-order manufacturing

    NARCIS (Netherlands)

    Wullink, Gerhard; Hans, Elias W.; van Harten, Aart

    2004-01-01

    Order acceptance decisions in Engineer-To-Order (ETO) environments are often based on incomplete or uncertain information about the order specifications and the status of the production system. To quote reliable due dates and manage the production system adequately, resource loading techniques that

  5. Cardiopulmonary resuscitation and do-not-resuscitate orders: a guide for clinicians.

    Science.gov (United States)

    Loertscher, Laura; Reed, Darcy A; Bannon, Michael P; Mueller, Paul S

    2010-01-01

    The do-not-resuscitate order, introduced nearly a half century ago, continues to raise questions and controversy among health care providers and patients. In today's society, the expectation and availability of medical interventions, including at the end of life, have rendered the do-not-resuscitate order particularly relevant. The do-not-resuscitate order is the only order that requires patient consent to prevent a medical procedure from being performed; therefore, informed code status discussions between physicians and patients are especially important. Epidemiologic studies have informed our understanding of resuscitation outcomes; however, patient, provider, and institutional characteristics account for great variability in the prevalence of do-not-resuscitate orders. Specific strategies can improve the quality of code status conversations and enhance end-of-life care planning. In this article, we review the history, epidemiology, and determinants of do-not-resuscitate orders, as well as frequently encountered questions and recommended strategies for discussing this important topic with patients. Copyright 2010. Published by Elsevier Inc.

  6. THE ENIGMATIC ORDER

    African Journals Online (AJOL)

    and SADF Champion. Shot. Medal. The continually evolving character of the Order is, to reiterate, rooted in the lack of a firm historical foundation. Thus, any discussion of the Order of the. Star of South Africa must first examine ... case of their religious ancestors, gener- ally had a patron saint and sought pa- pal confirmation.

  7. 49 CFR 1572.105 - Immigration status.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Immigration status. 1572.105 Section 1572.105... ASSESSMENTS Standards for Security Threat Assessments § 1572.105 Immigration status. (a) An individual... to an order of removal under the immigration laws of the United States is not eligible to apply for a...

  8. Provider of Services File

    Data.gov (United States)

    U.S. Department of Health & Human Services — The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it...

  9. The Provident Principal.

    Science.gov (United States)

    McCall, John R.

    This monograph offers leadership approaches for school principals. Discussion applies the business leadership theory of Warren Bennis and Burt Nanus to the role of the principal. Each of the booklet's three parts concludes with discussion questions. Part 1, "Visions and Values for the Provident Principal," demonstrates the importance of…

  10. What HERA may provide?

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Hannes [DESY, Hamburg (Germany); De Roeck, Albert [CERN, Genf (Switzerland); Bartles, Jochen [Univ. Hamburg (DE). Institut fuer Theoretische Physik II] (and others)

    2008-09-15

    More than 100 people participated in a discussion session at the DIS08 workshop on the topic What HERA may provide. A summary of the discussion with a structured outlook and list of desirable measurements and theory calculations is given. (orig.)

  11. care Providers in Ibadan

    African Journals Online (AJOL)

    Three hundred and eighty six respondents (77.7%) were aware of intermittent preventive treatment (IPT). Awareness ... Key Words: malaria in pregnancy, intermittent preventive treatment, malaria control, health care providers. Department of Obstetrics .... Auxiliary nurses do not have formal training prior to employment.

  12. [Health literacy and health status of Korean-Chinese elderly people living in Yanbian, China].

    Science.gov (United States)

    Li, Chun Yu; Lee, Ogcheol; Shin, Gi Soo; Li, Xian Wen

    2009-06-01

    This descriptive study was done to identify the relationship between health literacy and health status and to provide basic data for developing nursing interventions for Korean-Chinese elders living in Yanbian, China. For data collection, intentional sampling of 300 elders was used. The questionnaire was composed of 5 items based on "Ministry of Health, the People's Republic of China (2008)" to measure health literacy, 33 health status items from the "Korean Health Status Measure for Elderly People" developed by Shin (2002), revised for use in China, and 9 general characteristics. Data were analyzed using SPSS Win 13.0 program. Total level of health literacy was relatively high (68.7%). Elders had high scores for taking medicines according to doctor's instruction, but lower ones for full comprehension through communication with doctors. Health status was high for emotional, physical, and social function in that order. There were significant differences between general characteristics and health status for gender, age, marital status, education, family, smoking, and alcohol consumption in that order. Results of multiple regression analysis for factors influencing health status showed that self-report health level was the most influential, followed by health literacy, age, gender. Health literacy is the main factor affecting health promotion among minority elders indicating a need to develop health promotion programs for elders who have low health literacy.

  13. Internet Medline providers.

    Science.gov (United States)

    Vine, D L; Coady, T R

    1998-01-01

    Each database in this review has features that will appeal to some users. Each provides a credible interface to information available within the Medline database. The major differences are pricing and interface design. In this context, features that cost more and might seem trivial to the occasional searcher may actually save time and money when used by the professional. Internet Grateful Med is free, but Ms. Coady and I agree the availability of only three ANDable search fields is a major functional limitation. PubMed is also free but much more powerful. The command line interface that permits very sophisticated searches requires a commitment that casual users will find intimidating. Ms. Coady did not believe the feedback currently provided during a search was sufficient for sustained professional use. Paper Chase and Knowledge Finder are mature, modestly priced Medline search services. Paper Chase provides a menu-driven interface that is very easy to use, yet permits the user to search virtually all of Medline's data fields. Knowledge Finder emphasizes the use of natural language queries but fully supports more traditional search strategies. The impact of the tradeoff between fuzzy and Boolean strategies offered by Knowledge Finder is unclear and beyond the scope of this review. Additional software must be downloaded to use all of Knowledge Finders' features. Other providers required no software beyond the basic Internet browser, and this requirement prevented Ms. Coady from evaluating Knowledge Finder. Ovid and Silver Platter offer well-designed interfaces that simplify the construction of complex queries. These are clearly services designed for professional users. While pricing eliminates these for casual use, it should be emphasized that Medline citation access is only a portion of the service provided by these high-end vendors. Finally, we should comment that each of the vendors and government-sponsored services provided prompt and useful feedback to e

  14. Providing plastic zone extrusion

    Science.gov (United States)

    Manchiraju, Venkata Kiran; Feng, Zhili; David, Stan A.; Yu, Zhenzhen

    2017-04-11

    Plastic zone extrusion may be provided. First, a compressor may generate frictional heat in stock to place the stock in a plastic zone of the stock. Then, a conveyer may receive the stock in its plastic zone from the compressor and transport the stock in its plastic zone from the compressor. Next, a die may receive the stock in its plastic zone from the conveyer and extrude the stock to form a wire.

  15. Ordered groups and topology

    CERN Document Server

    Clay, Adam

    2016-01-01

    This book deals with the connections between topology and ordered groups. It begins with a self-contained introduction to orderable groups and from there explores the interactions between orderability and objects in low-dimensional topology, such as knot theory, braid groups, and 3-manifolds, as well as groups of homeomorphisms and other topological structures. The book also addresses recent applications of orderability in the studies of codimension-one foliations and Heegaard-Floer homology. The use of topological methods in proving algebraic results is another feature of the book. The book was written to serve both as a textbook for graduate students, containing many exercises, and as a reference for researchers in topology, algebra, and dynamical systems. A basic background in group theory and topology is the only prerequisite for the reader.

  16. Second order Standard Model

    Directory of Open Access Journals (Sweden)

    Johnny Espin

    2015-06-01

    Full Text Available It is known, though not commonly, that one can describe fermions using a second order in derivatives Lagrangian instead of the first order Dirac one. In this description the propagator is scalar, and the complexity is shifted to the vertex, which contains a derivative operator. In this paper we rewrite the Lagrangian of the fermionic sector of the Standard Model in such second order form. The new Lagrangian is extremely compact, and is obtained from the usual first order Lagrangian by integrating out all primed (or dotted 2-component spinors. It thus contains just half of the 2-component spinors that appear in the usual Lagrangian, which suggests a new perspective on unification. We sketch a natural in this framework SU(2×SU(4⊂SO(9 unified theory.

  17. Mathematics of aperiodic order

    CERN Document Server

    Lenz, Daniel; Savinien, Jean

    2015-01-01

    What is order that is not based on simple repetition, that is, periodicity? How must atoms be arranged in a material so that it diffracts like a quasicrystal? How can we describe aperiodically ordered systems mathematically? Originally triggered by the – later Nobel prize-winning – discovery of quasicrystals, the investigation of aperiodic order has since become a well-established and rapidly evolving field of mathematical research with close ties to a surprising variety of branches of mathematics and physics. This book offers an overview of the state of the art in the field of aperiodic order, presented in carefully selected authoritative surveys. It is intended for non-experts with a general background in mathematics, theoretical physics or computer science, and offers a highly accessible source of first-hand information for all those interested in this rich and exciting field. Topics covered include the mathematical theory of diffraction, the dynamical systems of tilings or Delone sets, their cohomolog...

  18. The Order of Preachers

    Directory of Open Access Journals (Sweden)

    Laura Fenelli

    2013-03-01

    Full Text Available This review article offers a brief introduction to the birth and development of the Order of Preachers during the Middle Ages along with a selective description of bibliographic sources and electronic resources.

  19. Orderly Sovereign Debt Restructuring

    OpenAIRE

    Canuto,Otaviano; Pinto, Brian; Prasad, Mona

    2014-01-01

    An orderly sovereign debt restructuring should place the debtor nation's public debt on a sustainable trajectory while minimizing procrastination and contagion. However, the experiences with the debt crisis of the 1980s, Russia 1998, Argentina 2001, and Greece 2010 indicate that orderly debt restructurings remain elusive, even with high-powered official intervention. When solvency problems are present, the chances of success increase if official money is lent at the risk-free rate, reflecting...

  20. 'Good Order and Police'

    DEFF Research Database (Denmark)

    Mührmann-Lund, Jørgen

    2016-01-01

    that ‘good order and police’ was in demand by the subjects and also adapted to local needs. Inspired by this research this article investigates the enforcement of police ordinances in the market towns of Aalborg and Sæby and the country district of Børglum-Jerslev. The results show that policing remained...... of governing, ‘police’ was both a way both to govern free burghers and preserve traditional order....

  1. Providing Contraception to Adolescents.

    Science.gov (United States)

    Raidoo, Shandhini; Kaneshiro, Bliss

    2015-12-01

    Adolescents have high rates of unintended pregnancy and face unique reproductive health challenges. Providing confidential contraceptive services to adolescents is important in reducing the rate of unintended pregnancy. Long-acting contraception such as the intrauterine device and contraceptive implant are recommended as first-line contraceptives for adolescents because they are highly effective with few side effects. The use of barrier methods to prevent sexually transmitted infections should be encouraged. Adolescents have limited knowledge of reproductive health and contraceptive options, and their sources of information are often unreliable. Access to contraception is available through a variety of resources that continue to expand. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Ysla S. Catalina & Providence

    OpenAIRE

    Diazgranados, Carlos Nicolás; Torres Carreño, Guillermo Andrés; Castell, Edmon; Moreno, Santiago; Ramirez, Natalia

    2010-01-01

    Esta Hoja de Mano pertenece a la exposición temporal "Ysla S. Catalina & Providence". Contiene un resumen histórico de las Islas de Santa Catalina y Providencia en los idiomas inglés y español y un mapa del siglo VI que lo hace más didáctico apoyado por figuras recortables. Esta muestra hace parte del proyecto IDA y VUELTA del Sistema de Patrimonio Cultural y Museos SPM que gestiona la descentralización del patrimonio cultural de la Universidad Nacional de Colombia a otras ciudades del pa...

  3. Birth Order and Psychopathology

    Directory of Open Access Journals (Sweden)

    Ajay Risal

    2012-01-01

    Full Text Available Context: Ordinal position the child holds within the sibling ranking of a family is related to intellectual functioning, personality, behavior, and development of psychopathology. Aim: To study the association between birth order and development of psychopathology in patients attending psychiatry services in a teaching hospital. Settings and Design: Hospital-based cross-sectional study. Materials and Methods: Retrospective file review of three groups of patients was carried out. Patient-related variables like age of onset, birth order, family type, and family history of mental illness were compared with psychiatry diagnosis (ICD-10 generated. Statistical Analysis: SPSS 13; descriptive statistics and one-way analysis of variance (ANOVA were used. Results: Mean age of onset of mental illness among the adult general psychiatry patients (group I, n = 527 was found to be 33.01 ± 15.073, while it was 11.68 ± 4.764 among the child cases (group II, n = 47 and 26.74 ± 7.529 among substance abuse cases (group III, n = 110. Among group I patients, commonest diagnosis was depression followed by anxiety and somatoform disorders irrespective of birth order. Dissociative disorders were most prevalent in the first born child (36.7% among group II patients. Among group III patients, alcohol dependence was maximum diagnosis in all birth orders. Conclusions: Depression and alcohol dependence was the commonest diagnosis in adult group irrespective of birth order.

  4. Birth order and psychopathology.

    Science.gov (United States)

    Risal, Ajay; Tharoor, Hema

    2012-07-01

    Ordinal position the child holds within the sibling ranking of a family is related to intellectual functioning, personality, behavior, and development of psychopathology. To study the association between birth order and development of psychopathology in patients attending psychiatry services in a teaching hospital. Hospital-based cross-sectional study. Retrospective file review of three groups of patients was carried out. Patient-related variables like age of onset, birth order, family type, and family history of mental illness were compared with psychiatry diagnosis (ICD-10) generated. SPSS 13; descriptive statistics and one-way analysis of variance (ANOVA) were used. Mean age of onset of mental illness among the adult general psychiatry patients (group I, n = 527) was found to be 33.01 ± 15.073, while it was 11.68 ± 4.764 among the child cases (group II, n = 47) and 26.74 ± 7.529 among substance abuse cases (group III, n = 110). Among group I patients, commonest diagnosis was depression followed by anxiety and somatoform disorders irrespective of birth order. Dissociative disorders were most prevalent in the first born child (36.7%) among group II patients. Among group III patients, alcohol dependence was maximum diagnosis in all birth orders. Depression and alcohol dependence was the commonest diagnosis in adult group irrespective of birth order.

  5. Taxonomic status and redescription of Magneuptychia nebulosa (Butler, 1867) (Lepidoptera, Nymphalidae, Satyrinae) with a lectotype designation

    Science.gov (United States)

    Nakahara, Shinichi; Marín, Mario Alejandro; Ríos-Málaver, Cristóbal

    2015-01-01

    Abstract A redescription of Magneuptychia nebulosa (Butler, 1867), a poorly known euptychiine butterfly, is given here, and accurate distributional data are provided for the first time. Taxonomic status of this taxon has been discussed by comparing its morphology against its possible congeners. In addition, lectotype designation for Magneuptychia nebulosa is provided in order to objectively establish the identity of this taxon and consequently stabilize the nomenclature. PMID:26019673

  6. Raising the issue of DNAR orders in vascular surgery patients.

    Science.gov (United States)

    McIntosh, Rachel; Webb, Hannah; Hartley, Matthew; Brooks, Marcus

    2016-01-01

    The Tracey Report has recently raised the status of Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) orders in the hospital setting.[1] Guidelines are in place both nationally and locally to provide advice to clinicians on when to discuss DNACPR, and the approach to be taken. There was concern that on a busy regional vascular surgery unit, discussion of resuscitation status was not regular practice. Consequently, some patients were at risk of being inappropriately resuscitated, particularly out of hours. The North Bristol Somerset and Gloucester DNAR decision tree[2] was the tool used to decide whether a patient should have a documented discussion and/or a DNACPR form completed. We correlated the outcome of the decision tree with the presence of a DNACPR form or documented resuscitation discussion. Baseline measurements from all vascular inpatients on the vascular surgery unit demonstrated that only 27% had a DNACPR form or documented discussion in concordance with the DNACPR Decision Tree outcome. The aim of this project was to increase the proportion of patients with concordance of the DNACPR decision tree outcome with documented discussion or DNACPR form. The following three simple interventions raised concordance from 27% to 64% of patients on the vascular surgery unit. 1. Including resuscitation status of each patient as a column in the doctors daily handover. 2. Posters in staff only areas to highlight the meaning of DNACPR and raise awareness of the DNACPR decision tree. 3. Educational meeting surrounding DNACPR with the vascular surgery consultants, led by a care of the elderly consultant . This project has highlighted how raising awareness around DNACPR increases discussion amongst the clinical team surrounding resuscitation status of a patient. Consequently, this enables discussion to be had with patient and their family.

  7. The CMS HF status

    CERN Document Server

    Rahmat, Rahmat

    2012-01-01

    The experiments at the Large Hadron Collider will have to deal with unprecedented radiation levels. The design of the CMS forward calorimetry detector (HF) is now finalized. The present design of CMS calls for the HF calorimeter to be based on quartz fiber technology. It consists of two modules, located symmetrically at about 11 meters from either side of interaction point. They cover the pseudorapidity range 3-5. The length along the beam is 1.65m or 10 nuclear interaction lenghts. Each calorimeter consists of a large steel block that serves as the absorber. Embedded quartz fibers in the steel absorber run parallel to the beam and constitute the active component of the detector. In order to optimize energy resolution for E and ET flows and forward jets, the calorimeter is effectively segmented longitudinally by using two different fiber lengths. The present status will be discussed.

  8. Nuclear order in copper

    DEFF Research Database (Denmark)

    Annila, A.J.; Clausen, K.N.; Lindgård, P-A.

    1990-01-01

    A new ordering vector k=(2π/a)(0, 2/3, 2/3) for fcc antiferromagnets has been found by neutron-diffraction experiments at nanokelvin temperatures in the nuclear-spin system of a 65Cu single crystal. The corresponding reflection together with the previously observed (100) Bragg peak show the prese......A new ordering vector k=(2π/a)(0, 2/3, 2/3) for fcc antiferromagnets has been found by neutron-diffraction experiments at nanokelvin temperatures in the nuclear-spin system of a 65Cu single crystal. The corresponding reflection together with the previously observed (100) Bragg peak show...

  9. What HERA May Provide?

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Hannes; /DESY; De Roeck, Albert; /CERN; Bartels, Jochen; /Hamburg U., Inst. Theor. Phys. II; Behnke, Olaf; Blumlein, Johannes; /DESY; Brodsky, Stanley; /SLAC /Durham U., IPPP; Cooper-Sarkar, Amanda; /Oxford U.; Deak, Michal; /DESY; Devenish, Robin; /Oxford U.; Diehl, Markus; /DESY; Gehrmann, Thomas; /Zurich U.; Grindhammer, Guenter; /Munich, Max Planck Inst.; Gustafson, Gosta; /CERN /Lund U., Dept. Theor. Phys.; Khoze, Valery; /Durham U., IPPP; Knutsson, Albert; /DESY; Klein, Max; /Liverpool U.; Krauss, Frank; /Durham U., IPPP; Kutak, Krzysztof; /DESY; Laenen, Eric; /NIKHEF, Amsterdam; Lonnblad, Leif; /Lund U., Dept. Theor. Phys.; Motyka, Leszek; /Hamburg U., Inst. Theor. Phys. II /Birmingham U. /Southern Methodist U. /DESY /Piemonte Orientale U., Novara /CERN /Paris, LPTHE /Hamburg U. /Penn State U.

    2011-11-10

    More than 100 people participated in a discussion session at the DIS08 workshop on the topic What HERA may provide. A summary of the discussion with a structured outlook and list of desirable measurements and theory calculations is given. The HERA accelerator and the HERA experiments H1, HERMES and ZEUS stopped running in the end of June 2007. This was after 15 years of very successful operation since the first collisions in 1992. A total luminosity of {approx} 500 pb{sup -1} has been accumulated by each of the collider experiments H1 and ZEUS. During the years the increasingly better understood and upgraded detectors and HERA accelerator have contributed significantly to this success. The physics program remains in full swing and plenty of new results were presented at DIS08 which are approaching the anticipated final precision, fulfilling and exceeding the physics plans and the previsions of the upgrade program. Most of the analyses presented at DIS08 were still based on the so called HERA I data sample, i.e. data taken until 2000, before the shutdown for the luminosity upgrade. This sample has an integrated luminosity of {approx} 100 pb{sup -1}, and the four times larger statistics sample from HERA II is still in the process of being analyzed.

  10. 8 CFR 209.1 - Adjustment of status of refugees.

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Adjustment of status of refugees. 209.1... STATUS OF REFUGEES AND ALIENS GRANTED ASYLUM § 209.1 Adjustment of status of refugees. The provisions of this section shall provide the sole and exclusive procedure for adjustment of status by a refugee...

  11. FEEDING PATTERN TOWARD THE INCREASING OF NUTRITIONAL STATUS IN CHILDREN AGED 1–3 YEARS

    Directory of Open Access Journals (Sweden)

    Toni Subarkah

    2017-02-01

    Full Text Available Introduction: The prevalence of nutritional status problems with underweight in Indonesia at the moments is (19,6%. Data showed that children with less nutritional status aged 1-3 years in Kalijudan, Surabaya are existed. Provide feeding pattern properly is one effort to improve the nutritional status by fulfilling the needs of the child nutrition. The purpose of this study was to explain the relationship of feeding pattern and nutritional status in children aged 1-3 years in the Kalijudan district, Surabaya. Methods: The research design used was cross-sectional study with dietary habit as the independent variable and nutritional status as dependent variable. The sample was taken from 154 mothers and children. Consecutive sampling was deployed. Data collection by questionnaires, and then data analysis using the Spearman’s Rho in level  of significance α≤0.05. Result and Analysis: There was strong relationship between feeding pattern and nutritional status (r=0.640. The result showed that inappropriate feeding patterns with nutritional status is very thin (44.4% a proper feeding patterns with normal nutritional status (89.7%.  Discussion and Conclussion: The efforts to improve nutritional status of children aged 1-3 years related to feeding patterns should be improved in order to achieve a normal nutritional status. Further research may explore on the feeding patterns based on dietary allowances. Keywords: feeding pattern, nutritional status, 1-3 years old children

  12. The 'final order' problem

    NARCIS (Netherlands)

    Teunter, RH; Haneveld, WKK

    1998-01-01

    When the service department of a company selling machines stops producing and supplying spare parts for certain machines, customers are offered an opportunity to place a so-called final order for these spare parts. We focus on one customer with one machine. The customer plans to use this machine up

  13. Land and World Order.

    Science.gov (United States)

    Mische, Patricia, Ed.; And Others

    1982-01-01

    The papers in this publication discuss the land and how what happens to the land affects us. The publication is one in a series of monographs that examine the linkages between local and global concerns and explore alternative world futures. Examples of topics discussed in the papers follow. The paper "Land and World Order" examines…

  14. Order of blood draw

    DEFF Research Database (Denmark)

    Cornes, Michael; van Dongen-Lases, Edmée; Grankvist, Kjell

    2017-01-01

    been a number of studies recently looking at whether order of draw remains a problem with modern phlebotomy techniques and materials, or it is an outdated practice followed simply because of historical reasons. In the following article, the European Federation of Clinical Chemistry and Laboratory...

  15. Orbital ordering and frustrations

    NARCIS (Netherlands)

    Khomskii, D.I.; Mostovoy, M.V.

    2003-01-01

    Orbital ordering occurs in many transition metal compounds with Jahn–Teller ions (Cu2+, Mn3+, low-spin Ni3+, Ti3+ etc). It plays an important role in these materials. At the same time, exchange interactions in orbitally degenerate systems are inherently frustrated, even in materials with simple

  16. Birth Order Debate Resolved?

    Science.gov (United States)

    Zajonc, R. B.

    2001-01-01

    Critiques Rodgers et al.'s June 2000 research on the relation between birth order and intelligence, which suggests that it is a methodological illusion. Explains how the intellectual environment and the teaching function (whereby older children tutor younger ones) contribute to the growth of intellectual maturity, the first negatively and the…

  17. The Birth Order Puzzle.

    Science.gov (United States)

    Zajonc, R. B.; And Others

    1979-01-01

    Discusses the controversy of the relationship between birth order and intellectual performance through a detailed evaluation of the confluence model which assumes that the rate of intellectual growth is a function of the intellectual environment within the family and associated with the special circumstances of last children. (CM)

  18. Determining Reduced Order Models for Optimal Stochastic Reduced Order Models

    Energy Technology Data Exchange (ETDEWEB)

    Bonney, Matthew S. [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Brake, Matthew R.W. [Sandia National Lab. (SNL-CA), Livermore, CA (United States)

    2015-08-01

    The use of parameterized reduced order models(PROMs) within the stochastic reduced order model (SROM) framework is a logical progression for both methods. In this report, five different parameterized reduced order models are selected and critiqued against the other models along with truth model for the example of the Brake-Reuss beam. The models are: a Taylor series using finite difference, a proper orthogonal decomposition of the the output, a Craig-Bampton representation of the model, a method that uses Hyper-Dual numbers to determine the sensitivities, and a Meta-Model method that uses the Hyper-Dual results and constructs a polynomial curve to better represent the output data. The methods are compared against a parameter sweep and a distribution propagation where the first four statistical moments are used as a comparison. Each method produces very accurate results with the Craig-Bampton reduction having the least accurate results. The models are also compared based on time requirements for the evaluation of each model where the Meta- Model requires the least amount of time for computation by a significant amount. Each of the five models provided accurate results in a reasonable time frame. The determination of which model to use is dependent on the availability of the high-fidelity model and how many evaluations can be performed. Analysis of the output distribution is examined by using a large Monte-Carlo simulation along with a reduced simulation using Latin Hypercube and the stochastic reduced order model sampling technique. Both techniques produced accurate results. The stochastic reduced order modeling technique produced less error when compared to an exhaustive sampling for the majority of methods.

  19. Order patterns and chaos

    Energy Technology Data Exchange (ETDEWEB)

    Amigo, Jose M. [Centro de Investigacion Operativa, Universidad Miguel Hernandez, E-03202 Elche (Spain)]. E-mail: jm.amigo@umh.es; Kocarev, Ljupco [Institute for Nonlinear Science, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0402 (United States); Szczepanski, Janusz [Institute for Fundamental Technological Research, Polish Academy of Sciences, Swietokrzyska 21, PL-00-049 Warsaw (Poland)

    2006-06-19

    Chaotic maps can mimic random behavior in a quite impressive way. In particular, those possessing a generating partition can produce any symbolic sequence by properly choosing the initial state. We study in this Letter the ability of chaotic maps to generate order patterns and come to the conclusion that their performance in this respect falls short of expectations. This result reveals some basic limitation of a deterministic dynamic as compared to a random one. This being the case, we propose a non-statistical test based on 'forbidden' order patterns to discriminate chaotic from truly random time series with, in principle, arbitrarily high probability. Some relations with discrete chaos and chaotic cryptography are also discussed.

  20. Reduced Order Podolsky Model

    Science.gov (United States)

    Thibes, Ronaldo

    2017-02-01

    We perform the canonical and path integral quantizations of a lower-order derivatives model describing Podolsky's generalized electrodynamics. The physical content of the model shows an auxiliary massive vector field coupled to the usual electromagnetic field. The equivalence with Podolsky's original model is studied at classical and quantum levels. Concerning the dynamical time evolution, we obtain a theory with two first-class and two second-class constraints in phase space. We calculate explicitly the corresponding Dirac brackets involving both vector fields. We use the Senjanovic procedure to implement the second-class constraints and the Batalin-Fradkin-Vilkovisky path integral quantization scheme to deal with the symmetries generated by the first-class constraints. The physical interpretation of the results turns out to be simpler due to the reduced derivatives order permeating the equations of motion, Dirac brackets and effective action.

  1. Biomarkers of Selenium Status

    Directory of Open Access Journals (Sweden)

    Gerald F. Combs, Jr.

    2015-03-01

    Full Text Available The essential trace element, selenium (Se, has multiple biological activities, which depend on the level of Se intake. Relatively low Se intakes determine the expression of selenoenzymes in which it serves as an essential constituent. Higher intakes have been shown to have anti-tumorigenic potential; and very high Se intakes can produce adverse effects. This hierarchy of biological activities calls for biomarkers informative at different levels of Se exposure. Some Se-biomarkers, such as the selenoproteins and particularly GPX3 and SEPP1, provide information about function directly and are of value in identifying nutritional Se deficiency and tracking responses of deficient individuals to Se-treatment. They are useful under conditions of Se intake within the range of regulated selenoprotein expression, e.g., for humans <55 μg/day and for animals <20 μg/kg diet. Other Se-biomarkers provide information indirectly through inferences based on Se levels of foods, tissues, urine or feces. They can indicate the likelihood of deficiency or adverse effects, but they do not provide direct evidence of either condition. Their value is in providing information about Se status over a wide range of Se intake, particularly from food forms. There is need for additional Se biomarkers particularly for assessing Se status in non-deficient individuals for whom the prospects of cancer risk reduction and adverse effects risk are the primary health considerations. This would include determining whether supranutritional intakes of Se may be required for maximal selenoprotein expression in immune surveillance cells. It would also include developing methods to determine low molecular weight Se-metabolites, i.e., selenoamino acids and methylated Se-metabolites, which to date have not been detectable in biological specimens. Recent analytical advances using tandem liquid chromatography-mass spectrometry suggest prospects for detecting these metabolites.

  2. Ordered Mesoporous Nanomaterials

    Directory of Open Access Journals (Sweden)

    Eva Pellicer

    2014-12-01

    Full Text Available The Special Issue of Nanomaterials “Ordered Mesoporous Nanomaterials” covers novel synthetic aspects of mesoporous materials and explores their use in diverse areas like drug delivery, photocatalysis, filtration or electrocatalysis. The range of materials tackled includes metals and alloys, aluminosilicates, silica, alumina and transition metal oxides. The variety of materials, synthetic approaches and applications examined is vivid proof of the interest that mesoporous materials spark among researchers world-wide.[...

  3. Model Validation Status Review

    Energy Technology Data Exchange (ETDEWEB)

    E.L. Hardin

    2001-11-28

    The primary objective for the Model Validation Status Review was to perform a one-time evaluation of model validation associated with the analysis/model reports (AMRs) containing model input to total-system performance assessment (TSPA) for the Yucca Mountain site recommendation (SR). This review was performed in response to Corrective Action Request BSC-01-C-01 (Clark 2001, Krisha 2001) pursuant to Quality Assurance review findings of an adverse trend in model validation deficiency. The review findings in this report provide the following information which defines the extent of model validation deficiency and the corrective action needed: (1) AMRs that contain or support models are identified, and conversely, for each model the supporting documentation is identified. (2) The use for each model is determined based on whether the output is used directly for TSPA-SR, or for screening (exclusion) of features, events, and processes (FEPs), and the nature of the model output. (3) Two approaches are used to evaluate the extent to which the validation for each model is compliant with AP-3.10Q (Analyses and Models). The approaches differ in regard to whether model validation is achieved within individual AMRs as originally intended, or whether model validation could be readily achieved by incorporating information from other sources. (4) Recommendations are presented for changes to the AMRs, and additional model development activities or data collection, that will remedy model validation review findings, in support of licensing activities. The Model Validation Status Review emphasized those AMRs that support TSPA-SR (CRWMS M&O 2000bl and 2000bm). A series of workshops and teleconferences was held to discuss and integrate the review findings. The review encompassed 125 AMRs (Table 1) plus certain other supporting documents and data needed to assess model validity. The AMRs were grouped in 21 model areas representing the modeling of processes affecting the natural and

  4. Health Care Provider Initiative Strategic Plan

    Science.gov (United States)

    National Environmental Education & Training Foundation, 2012

    2012-01-01

    This document lays out the strategy for achieving the goals and objectives of NEETF's "Health Care Provider Initiative." The goal of NEETF's "Health Care Provider Initiative" is to incorporate environmental health into health professionals' education and practice in order to improve health care and public health, with a special emphasis on…

  5. Protein domain organisation: adding order

    Directory of Open Access Journals (Sweden)

    Kummerfeld Sarah K

    2009-01-01

    degree of clustering and more domain pairs in forward and reverse orientation in different proteins relative to random graphs with identical degree distributions. While these features were statistically over-represented, they are still fairly rare. Looking in detail at the proteins involved, we found strong functional relationships within each cluster. In addition, the domains tended to be involved in protein-protein interaction and are able to function as independent structural units. A particularly striking example was the human Jak-STAT signalling pathway which makes use of a set of domains in a range of orders and orientations to provide nuanced signaling functionality. This illustrated the importance of functional and structural constraints (or lack thereof on domain organisation.

  6. The order of the QCD transition with two light flavors

    Energy Technology Data Exchange (ETDEWEB)

    Bonati, Claudio; Cossu, Guido [Dipartimento di Fisica dell' Universita and INFN, Pisa, largo Pontecorvo 3, I-56127, Pisa (Italy); D' Elia, Massimo [Dipartimento di Fisica dell' Universita and INFN, Genova, via Dodecaneso 33, I-16146, Genova (Italy); Di Giacomo, Adriano [Dipartimento di Fisica dell' Universita and INFN, Pisa, largo Pontecorvo 3, I-56127, Pisa (Italy); Pica, Claudio [Physics Department, Brookhaven National Laboratory, Upton, NY 11973-5000 (United States)

    2009-04-01

    We report on the status of our analysis on the order of the finite temperature transition in QCD with two light flavors. Our new simulations on larger lattices give preliminary evidence of the first order nature of the transition also at small non-zero quark masses.

  7. Toward third order ghost imaging with thermal light

    OpenAIRE

    Brida, G.; Degiovanni, I. P.; Fornaro, G. A.; Genovese, M.; Meda, A.

    2010-01-01

    Recently it has been suggested that an enhancement in the visibility of ghost images obtained with thermal light can be achieved exploiting higher order correlations [3]. This paper reports on the status of an higher order ghost imaging experiment carried on at INRIM labs exploiting a pseudo-thermal source and a CCD camera.

  8. Brief Report: Asperger's Syndrome and Sibling Birth Order

    Science.gov (United States)

    Schmidt, Karmen; Zimmerman, Andrew; Bauman, Margaret; Ferrone, Christine; Venter, Jacob; Spybrook, Jessaca; Henry, Charles

    2013-01-01

    Prior investigations suggest that birth order position may be associated with the risk for developing a pervasive developmental disorder. This retrospective chart review examined the birth order status of 29 psychiatrically-referred patients with Asperger's Syndrome (AS). Eighty-six percent of the subjects were first born. The finding was…

  9. The Medicina Station Status Report

    Science.gov (United States)

    Orfei, Alessandro; Orlati, Andrea; Maccaferri, Giuseppe

    2013-01-01

    General information about the Medicina Radio Astronomy Station, the 32-m antenna status, and the staff in charge of the VLBI observations is provided. In 2012, the data from geodetic VLBI observations were acquired using the Mark 5A recording system with good results. Updates of the hardware were performed and are briefly described.

  10. The choice of a health care provider in Eritrea.

    Science.gov (United States)

    Habtom, GebreMichael Kibreab; Ruys, Pieter

    2007-01-01

    The purpose of the study was to assess the factors that affect patients' choice of health care service providers and to analyse the effect of each factor, and to examine the policy implications for future health care provision in Eritrea. The data for this study was collected in a 10-month period from January to October 2003. A total of 1657 households were included in the study. Our findings reveals that education, perceived quality, distance, user fees, severity of illness, socio-economic status and place of residence are statistically significant in the choice of a health care provider. Our study further shows that illness recognition is much lower for poor and less educated individuals. When an illness is recognized by the individual or household, a typical observation is that health care is less likely to be sought when the individual or household is poor and lives far from the facilities, and then only in case of a serious illness. Information on the choice of health care service providers is crucial for planning, organizing and evaluation of health services. The people's perception of disease/illness, their concept of health and the basis for their choice in health care has to be considered in order to respond with appropriate services and information, education and communication programs.

  11. Gender Orders Unbound?

    DEFF Research Database (Denmark)

    During the last thirty years, the modernisation of gender relations has been dynamic and comprehensive, shaped by the conflicting forces of globalisation as well as women's movements around the world. As the patterns of segregation and discrimination of the classical industrial gender order erode......, new complexities and contentions in gender relations emerge at various sites such as politics, work and families. The main aim of the book is to trace formal as well as informal gender contracts as they emerge in everyday life and also in new norms and regulations set by state and enterprises. Core...... issues are the chances and the barriers for equality and new forms of gender reciprocity and solidarity....

  12. Ordering, materiality and multiplicity

    DEFF Research Database (Denmark)

    van der Duim, René; Ren, Carina Bregnholm; Jóhannesson, Gunnar Thór

    2013-01-01

    , followed by a discussion of how newer approaches within post-ANT urge us to face the ontological politics, which we engage in when performing tourism research. In conclusion we argue that ANT enables a radical new way at looking at tourism, tourism destinations and objects and investigations......In this article we discuss how ANT has been translated into tourism research and show how it has impacted the field by presenting three concepts integral to the ANT approach: ordering, materiality and multiplicity. We first introduce ANT and draw attention to current ANT studies in tourism...... into the ontological condition of tourism....

  13. Classifying Normal and Abnormal Status Based on Video Recordings of Epileptic Patients

    Directory of Open Access Journals (Sweden)

    Jing Li

    2014-01-01

    Full Text Available Based on video recordings of the movement of the patients with epilepsy, this paper proposed a human action recognition scheme to detect distinct motion patterns and to distinguish the normal status from the abnormal status of epileptic patients. The scheme first extracts local features and holistic features, which are complementary to each other. Afterwards, a support vector machine is applied to classification. Based on the experimental results, this scheme obtains a satisfactory classification result and provides a fundamental analysis towards the human-robot interaction with socially assistive robots in caring the patients with epilepsy (or other patients with brain disorders in order to protect them from injury.

  14. Health and Socio-Economic Status: Factors impacting care and treatment in ovarian cancer patients

    DEFF Research Database (Denmark)

    Seibæk, L.; Petersen, L. K.; Blaakaer, J.

    2011-01-01

    To provide knowledge about health status, socio-economic status and use of public health care in women undergoing ovarian cancer surgery, in order to improve their care during the perioperative period. Method: An epidemiological methodology was applied. The material consisted of data from...... the Registry of Health and Social Conditions and the Danish Gynaecological Cancer Database on women diagnosed in 2007; this material underwent descriptive statistical analysis. Results: Data from 666 women were suitable for analysis. The majority were older, with moderate to severe systemic illness...

  15. Mechanisms Engineering Test Loop - Phase 1 Status Report

    Energy Technology Data Exchange (ETDEWEB)

    Kultgen, D. [Argonne National Lab. (ANL), Argonne, IL (United States); Grandy, C. [Argonne National Lab. (ANL), Argonne, IL (United States); Hvasta, M. [Argonne National Lab. (ANL), Argonne, IL (United States); Lisowski, D. [Argonne National Lab. (ANL), Argonne, IL (United States); Toter, W. [Argonne National Lab. (ANL), Argonne, IL (United States); Borowski, A. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-09-01

    This report documents the current status of the Mechanisms Engineering Test Loop (METL) as of the end of FY2016. Currently, METL is in Phase I of its design and construction. Once operational, the METL facility will test small to intermediate-scale components and systems in order to develop advanced liquid metal technologies. Testing different components in METL is essential for the future of advanced fast reactors as it will provide invaluable performance data and reduce the risk of failures during plant operation.

  16. Death before life: The legal status of cadaveric foetuses

    DEFF Research Database (Denmark)

    Herrmann, Janne Rothmar

    2011-01-01

    to the Municipality of Odense regarding the establishment of a separate anonymous lawn for aborted foetuses at the town’s principal cemetery in order to provide parents with a free and optional alternative to the current procedure.The aim of this article is to analyse death before life in Danish law and to offer some......The issue of how to dispose of aborted foetuses is a sensitive ethical and legal issue which relates directly to the legal status of the foetus. An illustrative example of this issue’s practical legal relevance is the Danish Council of Ethics’ recommendation of March 3, 2011, in reply...

  17. Neutrino mass and mixing – status

    Indian Academy of Sciences (India)

    Abstract. The status of neutrino oscillations from global data are summarized. An update on the three-flavour picture and recent developments are discussed with regard to the measurement of the mixing angle θ13. Global data currently provide an indication at 3σ that θ13 is non-zero. Furthermore, the status of sterile ...

  18. Relationship between Peer Status and Health Behaviors.

    Science.gov (United States)

    Terre, Lisa; And Others

    1992-01-01

    Investigated relative influence of background characteristics (age, gender, race, socioeconomic status, family type) and peer status on health-related behaviors (physical activity, eating habits, smoking, alcohol use, stress-related behaviors) in 589 junior high school students. Peer popularity provided no significant increment in prediction of…

  19. Legal Status of Diplomats: Duties, Restrictions, Prohibitions

    Directory of Open Access Journals (Sweden)

    Tigran Antonovich Zanko

    2014-01-01

    Full Text Available This article provides analysis of such elements of the legal status of diplomats as obligations, prohibitions, restrictions and responsibility. Elements of the legal status are evaluated through the lens of comparative research and include the experience of diplomatic service legal regulation in the former Soviet Union countries as well as in other foreign countries.

  20. Capitated contracting of integrated health provider organizations.

    Science.gov (United States)

    Bazzoli, G J; Dynan, L; Burns, L R

    This paper examines global capitation of integrated health provider organizations that link physicians and hospitals, such as physician-hospital organizations and management service organizations. These organizations have proliferated in recent years, but their contracting activity has not been studied. We develop a conceptual model to understand the capitated contracting bargaining process. Exploratory multivariate analysis suggests that global capitation of these organizations is more common in markets with high health maintenance organization (HMO) market share, greater numbers of HMOs, and fewer physician group practices. Additionally, health provider organizations with more complex case mix, nonprofit status, more affiliated physicians, health system affiliations, and diversity in physician organizational arrangements are more likely to have global capitation. Finally, state regulation of provider contracting with self-insured employers appears to have spillover effects on health plan risk contracting with health providers.

  1. Higher Order Mode Fibers

    DEFF Research Database (Denmark)

    Israelsen, Stine Møller

    This PhD thesis considers higher order modes (HOMs) in optical fibers. That includes their excitation and characteristics. Within the last decades, HOMs have been applied both for space multiplexing in optical communications, group velocity dispersion management and sensing among others....... The research presented in this thesis falls in three parts. In the first part, a first time demonstration of the break of the azimuthal symmetry of the Bessel-like LP0X modes is presented. This effect, known as the bowtie effect, causes the mode to have an azimuthal dependence as well as a quasi......-radial polarization as opposed to the linear polarization of the LP0X modes. The effect is investigated numerically in a double cladding fiber with an outer aircladding using a full vectorial modesolver. Experimentally, the bowtie modes are excited using a long period grating and their free space characteristics...

  2. School Bullying and Social and Moral Orders

    Science.gov (United States)

    Horton, Paul

    2011-01-01

    This article provides a theoretical consideration of the ways in which school bullying relates to social and moral orders and the relations of power that are central to the upholding of such orders. Moving away from the focus on individual aggressive intentionality that has hitherto dominated school bullying research, the article argues that…

  3. Revising Child Support Orders: The Wisconsin Experience.

    Science.gov (United States)

    Kost, Kathleen A.; And Others

    1996-01-01

    Provides an overview of the Wisconsin child support system. Explores policy and program implications of the child support revision process and makes recommendations for improving revision. Advocates expressing child support orders as a percentage of the noncustodial parents' income to keep the orders updated automatically and replace the need for…

  4. Order without design

    Directory of Open Access Journals (Sweden)

    Kurakin Alexei

    2010-04-01

    Full Text Available Abstract Experimental reality in molecular and cell biology, as revealed by advanced research technologies and methods, is manifestly inconsistent with the design perspective on the cell, thus creating an apparent paradox: where do order and reproducibility in living systems come from if not from design? I suggest that the very idea of biological design (whether evolutionary or intelligent is a misconception rooted in the time-honored and thus understandably precious error of interpreting living systems/organizations in terms of classical mechanics and equilibrium thermodynamics. This error, introduced by the founders and perpetuated due to institutionalization of science, is responsible for the majority of inconsistencies, contradictions, and absurdities plaguing modern sciences, including one of the most startling paradoxes - although almost everyone agrees that any living organization is an open nonequilibrium system of continuous energy/matter flow, almost everyone interprets and models living systems/organizations in terms of classical mechanics, equilibrium thermodynamics, and engineering, i.e., in terms and concepts that are fundamentally incompatible with the physics of life. The reinterpretation of biomolecules, cells, organisms, ecosystems, and societies in terms of open nonequilibrium organizations of energy/matter flow suggests that, in the domain of life, order and reproducibility do not come from design. Instead, they are natural and inevitable outcomes of self-organizing activities of evolutionary successful, and thus persistent, organizations co-evolving on multiple spatiotemporal scales as biomolecules, cells, organisms, ecosystems, and societies. The process of self-organization on all scales is driven by economic competition, obeys empirical laws of nonequilibrium thermodynamics, and is facilitated and, thus, accelerated by memories of living experience persisting in the form of evolutionary successful living organizations and

  5. Order without design.

    Science.gov (United States)

    Kurakin, Alexei

    2010-04-14

    Experimental reality in molecular and cell biology, as revealed by advanced research technologies and methods, is manifestly inconsistent with the design perspective on the cell, thus creating an apparent paradox: where do order and reproducibility in living systems come from if not from design? I suggest that the very idea of biological design (whether evolutionary or intelligent) is a misconception rooted in the time-honored and thus understandably precious error of interpreting living systems/organizations in terms of classical mechanics and equilibrium thermodynamics. This error, introduced by the founders and perpetuated due to institutionalization of science, is responsible for the majority of inconsistencies, contradictions, and absurdities plaguing modern sciences, including one of the most startling paradoxes - although almost everyone agrees that any living organization is an open nonequilibrium system of continuous energy/matter flow, almost everyone interprets and models living systems/organizations in terms of classical mechanics, equilibrium thermodynamics, and engineering, i.e., in terms and concepts that are fundamentally incompatible with the physics of life. The reinterpretation of biomolecules, cells, organisms, ecosystems, and societies in terms of open nonequilibrium organizations of energy/matter flow suggests that, in the domain of life, order and reproducibility do not come from design. Instead, they are natural and inevitable outcomes of self-organizing activities of evolutionary successful, and thus persistent, organizations co-evolving on multiple spatiotemporal scales as biomolecules, cells, organisms, ecosystems, and societies. The process of self-organization on all scales is driven by economic competition, obeys empirical laws of nonequilibrium thermodynamics, and is facilitated and, thus, accelerated by memories of living experience persisting in the form of evolutionary successful living organizations and their constituents.

  6. Fauna Europaea - Orthopteroid orders

    NARCIS (Netherlands)

    Heller, K.-G.; Bohn, H.; Haas, F.; Willemse, F.; de Jong, Y.

    2016-01-01

    Fauna Europaea provides a public web-service with an index of scientific names (including important synonyms) of all extant European terrestrial and freshwater animals, their geographical distribution at the level of countries and major islands (west of the Urals and excluding the Caucasus region),

  7. PEASANT ANGER AND VIOLENCE IN THE WRITINGS OF ORDERIC VITALIS

    Directory of Open Access Journals (Sweden)

    Kate McGrath

    2014-12-01

    Full Text Available This paper examines the representation of peasant anger in the writings of Orderic Vitalis. In his texts, Orderic often associates peasant anger with divine vengeance and just violence. Peasants are propelled to act because there are no other agents to help restore order; faced with the unrestrained violence of bad lords, Orderic describes peasants using their anger to ensure justice. Moreover, the low status of peasants ensures an appropriately ignoble death for such lords. Understanding the customary norms around peasant anger reflected in Orderic's work, then, is an important part of understanding medieval models of honourable violence.

  8. Transnational Normative Orders

    DEFF Research Database (Denmark)

    Kjaer, Poul F.

    2013-01-01

    legal framework. Second, constitutionalization implies a coupling between an internal reconstruction of an external constitutional subject within the constitutional object, and the register of legal rights, establishing a framework for exchanges between the constitutional object and the wider world...... as represented by the constitutional subject. Third, constitutionalism denotes the institutionalization of a double function, in the form of a principle-based and legally fortified striving toward universal inclusion, providing a sense of direction in time through an articulated form of constitutional...

  9. Transnational Normative Orders

    DEFF Research Database (Denmark)

    Kjær, Poul F.

    2017-01-01

    legal framework. Second, constitutionalization implies a coupling between an internal reconstruction of an external constitutional subject within the constitutional object, and the register of legal rights, establishing a framework for exchanges between the constitutional object and the wider world...... as represented by the constitutional subject. Third, constitutionalism denotes the institutionalization of a double function, in the form of a principle-based and legally fortified striving toward universal inclusion, providing a sense of direction in time through an articulated form of constitutional...

  10. Decoupling social status and status certainty effects on health in macaques: a network approach

    Directory of Open Access Journals (Sweden)

    Jessica J. Vandeleest

    2016-09-01

    Full Text Available Background Although a wealth of literature points to the importance of social factors on health, a detailed understanding of the complex interplay between social and biological systems is lacking. Social status is one aspect of social life that is made up of multiple structural (humans: income, education; animals: mating system, dominance rank and relational components (perceived social status, dominance interactions. In a nonhuman primate model we use novel network techniques to decouple two components of social status, dominance rank (a commonly used measure of social status in animal models and dominance certainty (the relative certainty vs. ambiguity of an individual’s status, allowing for a more complex examination of how social status impacts health. Methods Behavioral observations were conducted on three outdoor captive groups of rhesus macaques (N = 252 subjects. Subjects’ general physical health (diarrhea was assessed twice weekly, and blood was drawn once to assess biomarkers of inflammation (interleukin-6 (IL-6, tumor necrosis factor-alpha (TNF-α, and C-reactive protein (CRP. Results Dominance rank alone did not fully account for the complex way that social status exerted its effect on health. Instead, dominance certainty modified the impact of rank on biomarkers of inflammation. Specifically, high-ranked animals with more ambiguous status relationships had higher levels of inflammation than low-ranked animals, whereas little effect of rank was seen for animals with more certain status relationships. The impact of status on physical health was more straightforward: individuals with more ambiguous status relationships had more frequent diarrhea; there was marginal evidence that high-ranked animals had less frequent diarrhea. Discussion Social status has a complex and multi-faceted impact on individual health. Our work suggests an important role of uncertainty in one’s social status in status-health research. This work also

  11. A status analysis of current digital marketing: a case study of Kauneusstudio FAB

    OpenAIRE

    Tran, Trong

    2015-01-01

    The subject of this thesis is a small company's current digital marketing status. This study was con-ducted in order for the owners of the beauty and hair salon Kauneusstudio FAB to improve their understanding of their customers’ behavior online and the significance of each digital channel they are using in the present marketing strategy. The goal of this study is to provide information for the company to recognize the strengths and the development points of the current digital marketing stra...

  12. Status of an automatic Beam Steering for the CLIC Test Facility 3

    CERN Document Server

    Adli, E; Dabrowski, A; Schulte, D; Shaker, SH; Skowronski, P; Tecker, F; Tomás, R

    2008-01-01

    An automatic beam steering application for CTF 3 is being designed in order to automatize operation of the machine, as well as providing a test-bed for advanced steering algorithms for CLIC. Beam-based correction including dispersion free steering have been investigated. An approach based on a PLACET on-line model has been tested. This paper gives an overview of the current status and the achieved results of the CTF3 automatic steering.

  13. Lynx Mission concept status

    Science.gov (United States)

    Gaskin, Jessica A.; Allured, Ryan; Bandler, Simon R.; Basso, Stefano; Bautz, Marshall W.; Baysinger, Michael F.; Biskach, Michael P.; Boswell, Tyrone M.; Capizzo, Peter D.; Chan, Kai-Wing; Civitani, Marta M.; Cohen, Lester M.; Cotroneo, Vincenzo; Davis, Jacqueline M.; DeRoo, Casey T.; DiPirro, Michael J.; Dominguez, Alexandra; Fabisinski, Leo L.; Falcone, Abraham D.; Figueroa-Feliciano, Enectali; Garcia, Jay C.; Gelmis, Karen E.; Heilmann, Ralf K.; Hopkins, Randall C.; Jackson, Thomas; Kilaru, Kiranmayee; Kraft, Ralph P.; Liu, Tianning; McClelland, Ryan S.; McEntaffer, Randy L.; McCarley, Kevin S.; Mulqueen, John A.; Özel, Feryal; Pareschi, Giovanni; Reid, Paul B.; Riveros, Raul E.; Rodriguez, Mitchell A.; Rowe, Justin W.; Saha, Timo T.; Schattenburg, Mark L.; Schnell, Andrew R.; Schwartz, Daniel A.; Solly, Peter M.; Suggs, Robert M.; Sutherlin, Steven G.; Swartz, Douglas A.; Trolier-McKinstry, Susan; Tutt, James H.; Vikhlinin, Alexey; Walker, Julian; Yoon, Wonsik; Zhang, William W.

    2017-09-01

    Lynx is a concept under study for prioritization in the 2020 Astrophysics Decadal Survey. Providing orders of magnitude increase in sensitivity over Chandra, Lynx will examine the first black holes and their galaxies, map the large-scale structure and galactic halos, and shed new light on the environments of young stars and their planetary systems. In order to meet the Lynx science goals, the telescope consists of a high-angular resolution optical assembly complemented by an instrument suite that may include a High Definition X-ray Imager, X-ray Microcalorimeter and an X-ray Grating Spectrometer. The telescope is integrated onto the spacecraft to form a comprehensive observatory concept. Progress on the formulation of the Lynx telescope and observatory configuration is reported in this paper.

  14. Ordering structured populations in multiplayer cooperation games

    Science.gov (United States)

    Peña, Jorge; Wu, Bin; Traulsen, Arne

    2016-01-01

    Spatial structure greatly affects the evolution of cooperation. While in two-player games the condition for cooperation to evolve depends on a single structure coefficient, in multiplayer games the condition might depend on several structure coefficients, making it difficult to compare different population structures. We propose a solution to this issue by introducing two simple ways of ordering population structures: the containment order and the volume order. If population structure is greater than population structure in the containment or the volume order, then can be considered a stronger promoter of cooperation. We provide conditions for establishing the containment order, give general results on the volume order, and illustrate our theory by comparing different models of spatial games and associated update rules. Our results hold for a large class of population structures and can be easily applied to specific cases once the structure coefficients have been calculated or estimated. PMID:26819335

  15. Ordering structured populations in multiplayer cooperation games.

    Science.gov (United States)

    Peña, Jorge; Wu, Bin; Traulsen, Arne

    2016-01-01

    Spatial structure greatly affects the evolution of cooperation. While in two-player games the condition for cooperation to evolve depends on a single structure coefficient, in multiplayer games the condition might depend on several structure coefficients, making it difficult to compare different population structures. We propose a solution to this issue by introducing two simple ways of ordering population structures: the containment order and the volume order. If population structure S1 is greater than population structure S1 in the containment or the volume order, then S1 can be considered a stronger promoter of cooperation. We provide conditions for establishing the containment order, give general results on the volume order, and illustrate our theory by comparing different models of spatial games and associated update rules. Our results hold for a large class of population structures and can be easily applied to specific cases once the structure coefficients have been calculated or estimated. © 2016 The Authors.

  16. The effect of automated alerts on provider ordering behavior in an outpatient setting

    National Research Council Canada - National Science Library

    Steele, Andrew W; Eisert, Sheri; Witter, Joel; Lyons, Pat; Jones, Michael A; Gabow, Patricia; Ortiz, Eduardo

    2005-01-01

    .... Despite the large volume of medications prescribed in the outpatient setting, few studies have assessed the impact of automated alerts on medication errors related to drug-laboratory interactions...

  17. 75 FR 24437 - Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and...

    Science.gov (United States)

    2010-05-05

    ... (CMS), HHS. ACTION: Interim final rule with comment period. SUMMARY: This interim final rule with comment period implements several provisions set forth in the Patient Protection and Affordable Care Act... applications to enroll in the Medicare and Medicaid programs and on all claims for payment submitted under the...

  18. 75 FR 10163 - Providing an Order of Succession Within the Department of Defense

    Science.gov (United States)

    2010-03-05

    ... of Defense for Personnel and Readiness; (9) Under Secretary of Defense for Intelligence; (10) Deputy... for Personnel and Readiness; (15) Principal Deputy Under Secretary of Defense for Intelligence; (16... Biological Defense Programs, the Director of Operational Test and Evaluation, the Director of Operational...

  19. Increasing the appropriateness of outpatient imaging: effects of a barrier to ordering low-yield examinations.

    Science.gov (United States)

    Vartanians, Vartan M; Sistrom, Christopher L; Weilburg, Jeffrey B; Rosenthal, Daniel I; Thrall, James H

    2010-06-01

    To determine the effect of a computerized radiology order entry system rule that prevented nonclinician support staff from completing orders for outpatient computed tomographic, magnetic resonance imaging, and nuclear medicine examinations that received initial low-yield decision support scores in the order entry system. This retrospective HIPAA-compliant study was approved by the institutional review board; the requirement for informed consent was waived. The control group consisted of 42737 consecutive orders for examinations in which decision support was provided that were placed from April to December 2006. The study group consisted of 76238 consecutive orders that were placed from April to December 2007. During the latter time period, a new rule in the order entry system was implemented: Examinations that had low-yield decision support scores could not be scheduled when the orders were placed by nonclinician support staff. To schedule the blocked examinations, the responsible clinician was required to personally log in to complete the process. System event logs and records of outpatient imaging procedures were extracted, counted, and analyzed to determine which ordering sessions resulted in examinations being scheduled and performed and which sessions resulted in modified or cancelled examinations. Results were correlated with user status and decision support scores. The Cochran-Mantel-Haenszel technique was used to control for the status of the order initiator and to allow testing for significance of the effect of the intervention on the "fate" of ordering events. After the intervention, the proportion of total examination requests initiated by clinicians directly logging in almost doubled: from 11,243 (26.31%) of 4,737 to 41,450 (54.37%) of 76238 examinations (P < .001). The fraction of low-yield (decision support score, 1-3) examinations requested through the order entry system that were later scheduled and performed decreased from 2106 (5.43%) of 38,801 to

  20. Renewables 2012. Global Status Report

    Energy Technology Data Exchange (ETDEWEB)

    Sawin, J.L. (ed.) [and others

    2012-08-15

    Renewable energy markets and policy frameworks have evolved rapidly in recent years. This report provides a comprehensive and timely overview of renewable energy market, industry, investment, and policy developments worldwide. It relies on the most recent data available, provided by a network of more than 400 contributors and researchers from around the world, all of which is brought together by a multi-disciplinary authoring team. The report covers recent developments, current status, and key trends; by design, it does not provide analysis or forecast the future.

  1. Character order processing in Chinese reading.

    Science.gov (United States)

    Gu, Junjuan; Li, Xingshan; Liversedge, Simon P

    2015-02-01

    We explored how character order information is encoded in isolated word processing or Chinese sentence reading in 2 experiments using a masked priming paradigm and a gaze-contingent display-change paradigm. The results showed that response latencies in the lexical decision task and reading times on the target word region were longer in the unrelated condition (the prime or the preview was unrelated with the target word) than the transposed-character condition (the prime or the preview was a transposition of the 2 characters of the target word), which were respectively longer than in the identity condition (the prime or preview was identical to the target word). These results show that character order is encoded at an early stage of processing in Chinese reading, but character position encoding was not strict. We also found that character order encoding was similar for single-morpheme and multiple-morpheme words, suggesting that morphemic status does not affect character order encoding. The current results represent an early contribution to our understanding of character order encoding during Chinese reading.

  2. Fauna Europaea – Orthopteroid orders

    Science.gov (United States)

    Bohn, Horst; Haas, Fabian; Willemse, Fer

    2016-01-01

    Abstract Fauna Europaea provides a public web-service with an index of scientific names (including important synonyms) of all extant European terrestrial and freshwater animals, their geographical distribution at the level of countries and major islands (west of the Urals and excluding the Caucasus region), and some additional information. The Fauna Europaea project comprises about 230,000 taxonomic names, including 130,000 accepted species and 14,000 accepted subspecies, which is much more than the originally projected number of 100,000 species. Fauna Europaea represents a huge effort by more than 400 contributing specialists throughout Europe and is a unique (standard) reference suitable for many users in science, government, industry, nature conservation and education. The “Orthopteroid orders“ is one of the 58 Fauna Europaea major taxonomic groups. It contains series of mostly well-known insect orders: Embiodea (webspinners), Dermaptera (earwigs), Phasmatodea (walking sticks), Orthoptera s.s. (grasshoppers, crickets, bush-crickets) and Dictyoptera with the suborders Mantodea (mantids), Blattaria (cockroaches) and Isoptera (termites). For the Orthopteroid orders, data from 35 families containing 1,371 species are included in this paper. PMID:27660531

  3. Sentinel-2 mission status

    Science.gov (United States)

    Hoersch, Bianca

    2017-04-01

    The SENTINEL-2 mission is the European Multispectral Imaging Mission for the Copernicus joint initiative of the European Commission (EC) and the European Space Agency (ESA). The SENTINEL-2 mission includes 13-spectral band multispectral optical imager with different resolution (down to 10 m) and a swath width of 290km. It provides very short revisit times and rapid product delivery. The mission is composed of a constellation of two satellite units, SENTINEL-2A and SENTINEL-2B, sharing the same orbital plane and featuring a short repeat cycle of 5 days at the equator optimized to mitigate the impact of clouds for science and applications. SENTINEL-2 enables exploitation for a variety of land and coastal applications such as agriculture, forestry, land cover and land cover change, urban mapping, emergency, as well as inland water, ice, glaciers and also coastal zone and closed seas applications. Following the launch of the Sentinel-2A in June 2015 and successful operations and data delivery since December 2015, the Sentinel-2B satellite is set for launch in March 2017. The full operation capacity is foreseen after the in-orbit commissioning phase of the Sentinel-2B unit in early summer 2017. The objective of the talk is to provide information about the mission status, and the way to achieve full operational capacity with 2 satellites.

  4. Order acceptance with reinforcement learning

    NARCIS (Netherlands)

    Mainegra Hing, M.; van Harten, Aart; Schuur, Peter

    2001-01-01

    Order Acceptance (OA) is one of the main functions in a business control framework. Basically, OA involves for each order a 0/1 (i.e., reject/accept) decision. Always accepting an order when capacity is available could unable the system to accept more convenient orders in the future. Another

  5. Block variable order step size method for solving higher order orbital problems

    Science.gov (United States)

    Rasedee, Ahmad Fadly Nurullah; Ijam, Hazizah Mohd; Sathar, Mohammad Hasan Abdul; Ishak, Norizarina; Nazri, Muhamad Azrin; Kamarudin, Nur Shuhada; Ramli, Nur Ainna

    2017-11-01

    Previous numerical methods for solving systems of higher order ordinary differential equations (ODEs) directly require calculating the integration coefficients at every step. This research provides a block multi step method for solving orbital problems with periodic solutions in the form of higher order ODEs directly. The advantage of the proposed method is, it requires calculating the integration coefficients only once at the beginning of the integration is presented. The derived formulae is then validated by running simulations with known higher order orbital equations. To provide further efficiency, a relationship between integration coefficients of various order is obtained.

  6. CALIPSO Mission Status Update: Payload Status

    Science.gov (United States)

    Verhappen, Ron; Borchardt, Robert; MacDonnell, David; Cisewski, Mike

    2007-01-01

    The CALIPSO mission payload status update is presented. The contents include: 1) Wide Field Camera Overview; 2) WFC Temperatures; 3) WFC Voltages; 4) Imaging Infrared Radiometer (IIR) Health; 5) IIR Voltages; 6) Payload Control (PLC) Voltages; 7) PLC Temperatures; 8) Low Voltage Power Supply (LVPS) (CALOPS0025N); 9) PLC Radiation Effects; 10) SDS Status (CALOPS0020N); 11) CALIOP LIDAR; 12) Laser Energy Trends; 13) Laser Energy Zoom; 14) Laser Management Approach; 15) Green / Red Ratio; 16) Pedestal @ SHG Temperature Trends; 17) LOM Heater Duty Cycle Trends; 18) LOM Pressure Trends; 19) Boresight Trend; 20) 1064 Dark Noise Trend; 21) 532 SNR Trend; 22) Spike Trends; 23) LIDAR Highlights; 24) Backup Laser Status; and 25) Future Plans.

  7. SEEDS Moving Group Status Update

    Science.gov (United States)

    McElwain, Michael

    2011-01-01

    I will summarize the current status of the SEEDS Moving Group category and describe the importance of this sub-sample for the entire SEEDS survey. This presentation will include analysis of the sensitivity for the Moving Groups with general a comparison to other the other sub-categories. I will discuss the future impact of the Subaru SCExAO system for these targets and the advantage of using a specialized integral field spectrograph. Finally, I will present the impact of a pupil grid mask in order to produce fiducial spots in the focal plane that can be used for both photometry and astrometry.

  8. DDE-NBSR Status Report of Conceptual Design Activities

    Energy Technology Data Exchange (ETDEWEB)

    N.E. Woolstenhulme; R.B. Nielson; B.P. Durtschi; C.R. Glass; G.A. Roth; D.T. Clark

    2012-09-01

    The Design Demonstration Experiment for the National Bureau of Standard Reactor (DDE-NBSR) is intended to facilitate Low Enriched Uranium (LEU) conversion of the NBSR by demonstrating the performance and fabrication of the LEU fuel element design through an irradiation test in the Advanced Test Reactor center flux trap. At the time this report was prepared the resources for furthering DDE design work were expected to be postponed. As such, the conceptual design effort to date is summarized herein in order to provide the status of key objectives, notable results, and provisions for future design work. These demonstrate that the DDE-NBSR design effort is well on the path to producing a suitable irradiation experiment, but also exhibits several challenges for which timely resolution is recommend in order to facilitate success of the irradiation campaign and ultimate conversion of the NBSR.

  9. DDE-MURR Status Report of Conceptual Design Activities

    Energy Technology Data Exchange (ETDEWEB)

    N.E. Woolstenhulme; R.B. Nielson; M.H. Sprenger; G.K. Housley

    2012-09-01

    The Design Demonstration Experiment for the University of Missouri Research Reactor (DDE-MURR) is intended to facilitate Low Enriched Uranium (LEU) conversion of the MURR by demonstrating the performance and fabrication of the LEU fuel element design through an irradiation test in a 200mm channel at the Belgium Reactor 2. At the time this report was prepared the resources for furthering DDE design work were expected to be postponed. As such, the conceptual design effort to date is summarized herein in order to provide the status of key objectives, notable results, and provisions for future design work. These demonstrate that the DDE-MURR design effort is well on the path to producing a suitable irradiation experiment, but also exhibits several challenges for which timely resolution is recommend in order to facilitate success of the irradiation campaign and ultimate conversion of the MURR.

  10. DDE-MITR Status Report of Conceptual Design Activities

    Energy Technology Data Exchange (ETDEWEB)

    N.E. Woolstenhulme; R.B. Nielson; J.D. Wiest; J.W. Nielsen; G.A. Roth; S.D. Snow

    2012-09-01

    The Design Demonstration Experiment for the Massachusetts Institute of Technology Reactor (DDE-MITR) is intended to facilitate Low Enriched Uranium (LEU) conversion of the MITR by demonstrating the performance and fabrication of the LEU fuel element design through an irradiation test in the Advanced Test Reactor center flux trap. At the time this report was prepared the resources for furthering DDE design work were expected to be postponed. As such, the conceptual design effort to date is summarized herein in order to provide the status of key objectives, notable results, and provisions for future design work. These demonstrate that the DDE-MITR design effort is well on the path to producing a suitable irradiation experiment, but also exhibits several challenges for which timely resolution is recommend in order to facilitate success of the irradiation campaign and ultimate conversion of the MITR.

  11. Status of the PIENU experiment

    Science.gov (United States)

    Numao, T.; Aguilar-Arevalo, A.; Aoki, M.; Blecher, M.; Britton, D. I.; Bryman, D. A.; vom Bruch, D.; Chen, S.; Comfort, J.; Cuen-Rochin, S.; Doria, L.; Gumplinger, P.; Hussein, A.; Igarashi, Y.; Ito, S.; Kettell, S.; Kurchaninov, L.; Littenberg, L.; Malbrunot, C.; Mischke, R.; Protopopescu, D.; Sher, A.; Sullivan, T.; Vavilov, D.

    2014-11-01

    The branching ratio, Re/μ = Γ(π → eν + eνγ)/Γ(π → μν + μνγ), provides a sensitive test of muon-electron universality in weak interactions. The status of the PIENU experiment at TRIUMF, which aims to improve the precision of the Re/μ measurement by a factor of > 5, is presented.

  12. On orderability of topological groups

    Directory of Open Access Journals (Sweden)

    G. Rangan

    1985-01-01

    can be induced by a total order compatible with the group structure is given and such groups are called ordered or orderable topological groups. A separable totally disconnected ordered topological group is proved to be non-archimedean metrizable while the converse is shown to be false by means of an example. A necessary and sufficient condition for a no-totally disconnected locally compact abelian group to be orderable is also given.

  13. SIS - Status Determination

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Status Determination dataset within the Species Information System (SIS) contains information related to overfishing, overfished, and approaching overfished...

  14. Renewables 2013. Global Status Report

    Energy Technology Data Exchange (ETDEWEB)

    Sawin, J.L. (ed.) [and others

    2013-07-01

    Renewable energy markets, industries, and policy frameworks have evolved rapidly in recent years. The Renewables Global Status Report provides a comprehensive and timely overview of renewable energy market, industry, investment, and policy developments worldwide. It relies on the most recent data available, provided by many contributors and researchers from around the world, all of which is brought together by a multi-disciplinary authoring team. The report covers recent developments, current status, and key trends; by design, it does not provide analysis or forecasts. This latest Renewables Global Status Report saw: a shift in investment patterns that led to a global decrease in clean energy investment; continuing growth in installed capacity due to significant technology cost reductions and increased investment in developing countries; renewables progressively supplementing established electricity systems, demonstrating that the implementation of suitable policies can enable the successful integration of higher shares of variable renewables; and the emergence of integrated policy approaches that link energy efficiency measures with the implementation of renewable energy technologies.

  15. Conservation status of North American freshwater crayfish (Decapoda: Cambaridae) from the southern United States

    Science.gov (United States)

    Loughman, Zachary J.; Welsh, Stuart A.; Fetzner, James W.; Thoma, Roger F.

    2015-01-01

    A list is provided of all crayfishes (family Cambaridae) in the southern United States, which includes common names, global conservation status, an alternative review of the conservation status based on the IUCN red list criteria, and state distribution. This list includes 357 native crayfishes, of which 12 (3.4%) are critically endangered, 37 (10.4%) are endangered, 126 (35.3%) are vulnerable, 181 (50.7%) are lower risk, and 1 (0.3%) is not evaluated. The leading factors causing imperilment are restricted ranges caused by anthropogenic impacts from changes in land use, contaminants, invasion by non-indigenous species, and habitat fragmentation. In order to conserve and manage diversity of native crayfish, consistency is needed in determining conservation status and more complete distribution and life history information are needed for about 60% of species.

  16. Do-not-resuscitate status and observational comparative effectiveness research in patients with septic shock*.

    Science.gov (United States)

    Bradford, Mark A; Lindenauer, Peter K; Wiener, Renda Soylemez; Walkey, Allan J

    2014-09-01

    To assess the importance of including do-not-resuscitate status in critical care observational comparative effectiveness research. Retrospective analysis. All California hospitals participating in the 2007 California State Inpatient Database, which provides do-not-resuscitate status within the first 24 hours of admission. Septic shock present at admission. None. We investigated the association of early do-not-resuscitate status with in-hospital mortality among patients with septic shock. We also examined the strength of confounding of do-not-resuscitate status on the association between activated protein C therapy and mortality, an association with conflicting results between observational and randomized studies. We identified 24,408 patients with septic shock; 19.6% had a do-not-resuscitate order. Compared with patients without a do-not-resuscitate order, those with a do-not-resuscitate order were significantly more likely to be older (75 ± 14 vs 67 ± 16 yr) and white (62% vs 53%), with more acute organ failures (1.44 ± 1.15 vs 1.38 ± 1.15), but fewer inpatient interventions (1.0 ± 1.0 vs 1.4 ± 1.1). Adding do-not-resuscitate status to a model with 47 covariates improved mortality discrimination (c-statistic, 0.73-0.76; p observational and randomized studies of activated protein C. Inclusion of early do-not-resuscitate status into more administrative databases may improve observational comparative effectiveness methodology.

  17. 8 CFR 1209.1 - Adjustment of status of refugees.

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Adjustment of status of refugees. 1209.1... IMMIGRATION REGULATIONS ADJUSTMENT OF STATUS OF REFUGEES AND ALIENS GRANTED ASYLUM § 1209.1 Adjustment of status of refugees. The provisions of this section shall provide the sole and exclusive procedure for...

  18. Querying Data Providing Web Services

    OpenAIRE

    Sabesan, Manivasakan

    2010-01-01

    Web services are often used for search computing where data is retrieved from servers providing information of different kinds. Such data providing web services return a set of objects for a given set of parameters without any side effects. There is need to enable general and scalable search capabilities of data from data providing web services, which is the topic of this Thesis. The Web Service MEDiator (WSMED) system automatically provides relational views of any data providing web service ...

  19. [Do androids need a legal status?].

    Science.gov (United States)

    Bioy, Xavier

    2013-12-01

    The existence of the subject of law is not an automatic allocation when the will and the autonomy are awarded, but a tool conferred by the legal system in order to protect the humanity (based on the presupposition of a consciousness that the human being remains to be the only one to have and to suppose at the others). He cannot involve thus of reducing the question of the status of the android to the simple recognition of an intelligence, besides artificial, but of denying the reasoning by analogy any real impact for the existence of a legal status. If specific status there would be, it will be only because the human being will have decided on it for his own legally protected interest. The status of the android will be metonymical, by inclusion in that of the human person, or will not be.

  20. Order-sorted Algebraic Specifications with Higher-order Functions

    DEFF Research Database (Denmark)

    Haxthausen, Anne Elisabeth

    1995-01-01

    This paper gives a proposal for how order-sorted algebraic specification languages can be extended with higher-order functions. The approach taken is a generalisation to the order-sorted case of an approach given by Mller, Tarlecki and Wirsing for the many-sorted case. The main idea in the proposal...

  1. Order Quantity Distributions in Make-to-Order Manufacturing

    DEFF Research Database (Denmark)

    Eriksen, Poul Svante; Nielsen, Peter

    2011-01-01

    This paper presents both an analytical and a numerical investigation into the order quantities received by a company in the form of customer orders. A discussion of assumptions regarding the behavior of demand in the form of customer orders from various perspectives within manufacturing planning...

  2. Cacao biotechnology: current status and future prospects.

    Science.gov (United States)

    Wickramasuriya, Anushka M; Dunwell, Jim M

    2017-10-06

    Theobroma cacao-The Food of the Gods, provides the raw material for the multibillion dollar chocolate industry and is also the main source of income for about 6 million smallholders around the world. Additionally, cocoa beans have a number of other nonfood uses in the pharmaceutical and cosmetic industries. Specifically, the potential health benefits of cocoa have received increasing attention as it is rich in polyphenols, particularly flavonoids. At present, the demand for cocoa and cocoa-based products in Asia is growing particularly rapidly and chocolate manufacturers are increasing investment in this region. However, in many Asian countries, cocoa production is hampered due to many reasons including technological, political and socio-economic issues. This review provides an overview of the present status of global cocoa production and recent advances in biotechnological applications for cacao improvement, with special emphasis on genetics/genomics, in vitro embryogenesis and genetic transformation. In addition, in order to obtain an insight into the latest innovations in the commercial sector, a survey was conducted on granted patents relating to T. cacao biotechnology. © 2017 The Authors. Plant Biotechnology Journal published by Society for Experimental Biology and The Association of Applied Biologists and John Wiley & Sons Ltd.

  3. Signature Size: A Key to Status Awareness

    Science.gov (United States)

    Zweigenhaft, Richard L.

    1970-01-01

    Hypothesizing that signature size is related to status, signatures of undergraduates, blue collar workers, and professors were compared and found to be ranked in the above order. Further, case studies of professors revealed a 50 percent increase in size of signature from several months prior to attainment of the Ph. D. to four years afterward. (DB)

  4. Empirical tests of status consumption : evidence from women's cosmetics

    OpenAIRE

    Chao, A; Schor, J.B.

    1996-01-01

    Nearly all applied work in consumer demand assumes the absence of status consumption. The validity of this assumption has not been supported through empirical inquiry which confirms the unimportance of status motivations in consumer behavior. However, it is feasible to conduct tests which differentiate between status-motivated behavior and consumer purchasing in which no status motivations are present. This paper provides such a test, which is based on the fact that social visibility is ordin...

  5. King's theory of goal attainment: exploring functional status.

    Science.gov (United States)

    Caceres, Billy A

    2015-04-01

    Imogene King's Theory of Goal Attainment provides a schema for nurses interested in functional status. However, the lack of a uniform definition for functional status has hindered development of a concise understanding of this phenomenon. Functional status is particularly important to nurses who are concerned with the safety and wellbeing of clients. With healthcare's increased focus on client-family-centered care it is important to develop innovative approaches for evaluating functional status that incorporate the client-family perspective. King's focus on mutual decision-making is an underutilized resource that can provide great insight into the study and understanding of functional status. © The Author(s) 2015.

  6. NQR investigation on multipolar ordering systems

    Energy Technology Data Exchange (ETDEWEB)

    Mito, T. [Department of Physics, Faculty of Science, Kobe University, Nada, Kobe 657-8501 (Japan)], E-mail: mito@kobe-u.ac.jp; Tomisawa, S.; Masaki, S.; Takemura, M.; Wada, S.; Harima, H. [Department of Physics, Faculty of Science, Kobe University, Nada, Kobe 657-8501 (Japan); Kato, Y.; Kosaka, M. [Department of Physics, Saitama University, Saitama 338-8570 (Japan); Kikuchi, D.; Sato, H. [Department of Physics, Tokyo Metropolitan University, Hachioji, Tokyo 192-0397 (Japan); Sugawara, H. [Department of Mathematical and Natural Sciences, Faculty of the Integrated Arts and Sciences, University of Tokushima, Tokushima 770-8502 (Japan); Takeda, N. [Department of Materials Science and Technology, Faculty of Engineering, Niigata University, Niigata 950-2181 (Japan); Zheng, G.-Q. [Department of Physics, Okayama University, Okayama 700-8530 (Japan)

    2008-04-01

    We have carried out nuclear quadrupolar resonance (NQR) measurements on SmRu{sub 4}P{sub 12} and YbAl{sub 3}C{sub 3}, both of which have attracted much interest in terms of multipolar ordering. Although no structural anomalies have been detected by diffraction experiments so far, the NQR resonance frequencies {nu}{sub Q}'s of both compounds show marked anomalies just below each phase transition temperature, which probably probes the order parameters. The results provide important information to shed light on the ordered structures in the low temperature phases of these compounds.

  7. Variable ordering structures in vector optimization

    CERN Document Server

    Eichfelder, Gabriele

    2014-01-01

    This book provides an introduction to vector optimization with variable ordering structures, i.e., to optimization problems with a vector-valued objective function where the elements in the objective space are compared based on a variable ordering structure: instead of a partial ordering defined by a convex cone, we see a whole family of convex cones, one attached to each element of the objective space. The book starts by presenting several applications that have recently sparked new interest in these optimization problems, and goes on to discuss fundamentals and important results on a wide ra

  8. Nucleation of Ordered Phases in Block Copolymers

    Science.gov (United States)

    Cheng, Xiuyuan; Lin, Ling; E, Weinan; Zhang, Pingwen; Shi, An-Chang

    2010-04-01

    Nucleation of various ordered phases in block copolymers is studied by examining the free-energy landscape within the self-consistent field theory. The minimum energy path (MEP) connecting two ordered phases is computed using a recently developed string method. The shape, size, and free-energy barrier of critical nuclei are obtained from the MEP, providing information about the emergence of a stable ordered phase from a metastable phase. In particular, structural evolution of embryonic gyroid nucleus is predicted to follow two possible MEPs, revealing an interesting transition pathway with an intermediate perforated layered structure.

  9. Morocco: Country Status Report.

    Science.gov (United States)

    McFerren, Margaret

    A survey of the status of language usage in Morocco begins with an overview of the distribution and usage of Arabic, the official language, the Berber dialects, and French, an unofficial second language. The continuing high status and widespread use of French despite arabization efforts is discussed. A matrix follows that rates these languages and…

  10. Status of APEmille

    Energy Technology Data Exchange (ETDEWEB)

    Bartoloni, A.; Boucaud, P.; Cabibbo, N.; Calvayrac, F.; Della Morte, M.; De Pietri, R.; De Riso, P.; Di Carlo, F.; Di Renzo, F.; Errico, W.; Frezzotti, R.; Giorgino, T.; Heitger, J.; Lonardo, A.; Loukianov, M.; Magazzu, G.; Micheli, J.; Morenas, V.; Paschedag, N.; Pene, O.; Petronzio, R.; Pleiter, D.; Rapuano, F.; Rolf, J.; Rossetti, D.; Sartori, L.; Simma, H.; Schifano, F.; Torelli, M.; Tripiccione, R.; Vicini, P.; Wegner, P

    2002-03-01

    This paper presents the status of the APEmille project, which is essentially completed, as far as machine development and construction is concerned. Several large installations of APEmille are in use for physics production runs leading to many new results presented at this conference. This paper briefly summarizes the APEmille architecture, reviews the status of the installations and presents some performance figures for physics codes.

  11. Renewables 2005. Global status report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This report provides an overview of the status of renewable energy worldwide in 2005. It covers markets, investments, industries, policies, and rural (off-grid) renewable energy in developing countries. By design, the report does not provide analysis, recommendations, or conclusions. An extensive research and review process over several months involving more than 100 researchers and contributors has kept inaccuracies to a minimum. REN21 sees this report as the beginning of an active exchange of views and information. This report reveals some surprising facts about renewable energy, many reflecting strong growth trends and increasing significance relative to conventional energy. (au)

  12. Conceptualizing and Assessing Higher-Order Thinking in Reading

    Science.gov (United States)

    Afflerbach, Peter; Cho, Byeong-Young; Kim, Jong-Yun

    2015-01-01

    Students engage in higher-order thinking as they read complex texts and perform complex reading-related tasks. However, the most consequential assessments, high-stakes tests, are currently limited in providing information about students' higher-order thinking. In this article, we describe higher-order thinking in relation to reading. We provide a…

  13. Choosing a primary care provider

    Science.gov (United States)

    ... Supplements Videos & Tools Español You Are Here: Home → Medical Encyclopedia → Choosing a primary care provider URL of this page: //medlineplus.gov/ency/article/001939.htm Choosing a primary care provider To ...

  14. Types of health care providers

    Science.gov (United States)

    ... Supplements Videos & Tools Español You Are Here: Home → Medical Encyclopedia → Types of health care providers URL of this page: //medlineplus.gov/ency/article/001933.htm Types of health care providers To ...

  15. Nutritional status in children and adolescents with leukemia: An emphasis on clinical outcomes in low and middle income countries.

    Science.gov (United States)

    Barr, Ronald D; Mosby, Terezie T

    2016-05-01

    The purpose of this narrative review is to examine the information available on the nutritional status of children with leukemia in low and middle income countries (LMICs), where the great majority of them live and malnutrition is prevalent, in order to identify best practices and remaining deficits in knowledge. Literature relevant to measurement of nutritional status and the impact of nutritional status on important clinical outcomes in this population, and others of relevance, was reviewed. Arm anthropometry provides more accurate information on nutritional status than measures based on body weight in children with cancer. Both over- and under-nutrition are important determinants of tolerance of chemotherapy, compliance with treatment, relapse of disease, and survival. These relationships are subject to change with nutritional intervention. There are valuable roles for educational tools and 'ready-to-use-therapeutic-foods'. Assessment of nutritional status is mandatory in this population and accomplishable at various levels of sophistication according to available resources. Recognition of the fundamental role of nutritional status in affecting outcomes in children with leukemia is expanding, but knowledge gaps remain. An apparently counter-intuitive strategy of caloric restriction may be worthy of exploration. There is a particular need to establish normative data, including measures of body composition, in children in LMICs. Developing adaptive clinical practice guidelines for the measurement of nutritional status and for nutritional interventions, incorporating assessment of health-related quality of life, are evident priorities in the care of children with leukemia in LMICs.

  16. Emotion recognition from EEG using higher order crossings.

    Science.gov (United States)

    Petrantonakis, Panagiotis C; Hadjileontiadis, Leontios J

    2010-03-01

    Electroencephalogram (EEG)-based emotion recognition is a relatively new field in the affective computing area with challenging issues regarding the induction of the emotional states and the extraction of the features in order to achieve optimum classification performance. In this paper, a novel emotion evocation and EEG-based feature extraction technique is presented. In particular, the mirror neuron system concept was adapted to efficiently foster emotion induction by the process of imitation. In addition, higher order crossings (HOC) analysis was employed for the feature extraction scheme and a robust classification method, namely HOC-emotion classifier (HOC-EC), was implemented testing four different classifiers [quadratic discriminant analysis (QDA), k-nearest neighbor, Mahalanobis distance, and support vector machines (SVMs)], in order to accomplish efficient emotion recognition. Through a series of facial expression image projection, EEG data have been collected by 16 healthy subjects using only 3 EEG channels, namely Fp1, Fp2, and a bipolar channel of F3 and F4 positions according to 10-20 system. Two scenarios were examined using EEG data from a single-channel and from combined-channels, respectively. Compared with other feature extraction methods, HOC-EC appears to outperform them, achieving a 62.3% (using QDA) and 83.33% (using SVM) classification accuracy for the single-channel and combined-channel cases, respectively, differentiating among the six basic emotions, i.e., happiness, surprise, anger, fear, disgust, and sadness. As the emotion class-set reduces its dimension, the HOC-EC converges toward maximum classification rate (100% for five or less emotions), justifying the efficiency of the proposed approach. This could facilitate the integration of HOC-EC in human machine interfaces, such as pervasive healthcare systems, enhancing their affective character and providing information about the user's emotional status (e.g., identifying user's emotion

  17. Carbon Footprint and Order Quantity in Logistics

    Directory of Open Access Journals (Sweden)

    Tian Zhiyong

    2014-05-01

    Full Text Available Purpose: Even without economic factors and government regulations, the pressure and motivation of corporation to reduce emission are still increasing. This is because the key factors for corporation to reduce emissions have become corporate social responsibility and identification of low-carbon value by consumer and society from economic trade-off and government regulations. So, the purpose of this paper is to provide quantity methods for the logistics organizations with wish of voluntary reduction and social responsibility.Design/methodology/approach: Being difference from the traditional research that takes economic value as object, this paper takes carbon footprint as object directly, order quantity as decision variable. By referring to the traditional economic order quantity model, the paper creates logistics carbon footprint model which takes transport and inventory into account. Then it solves the model by calculating the values of order quantity, carbon footprint and revenue using the method of optimization.Findings and Originality/value: By solving and comparing the two models of economic order quantity model and carbon footprint model, it gets some results, such as carbon optimization order quantity, the effects order quantity deviating from economic order quantity or carbon order quantity having on economic or carbon footprint values, which can give some meaningful insight for corporation to search out reduction opportunities by operations adjustment.Originality/value: The study takes carbon footprint as object directly and creates the corresponding quantity model. By comparing with the traditional economic order quantity model, the paper provides quantity methods and obtains some meaningful insights for the logistics organizations with wish of voluntary reduction and social responsibility to reduce emissions by operations adjustment.

  18. Providing for the Future: Providers' Views on Apprenticeship Reform

    Science.gov (United States)

    McCrone, Tami; Sims, David; Gladding, Cath

    2016-01-01

    Apprenticeships are currently undergoing reform in England. Funding mechanisms and the content of Apprenticeship programmes are being restructured. NFER and the Association of Employment and Learning Providers (AELP) have carried out a joint research project to inform future policy and practice with evidence on how providers of Apprenticeships are…

  19. Ordered delinquency: the "effects" of birth order on delinquency.

    Science.gov (United States)

    Cundiff, Patrick R

    2013-08-01

    Juvenile delinquency has long been associated with birth order in popular culture. While images of the middle child acting out for attention or the rebellious youngest child readily spring to mind, little research has attempted to explain why. Drawing from Adlerian birth order theory and Sulloway's born-to-rebel hypothesis, I examine the relationship between birth order and a variety of delinquent outcomes during adolescence. Following some recent research on birth order and intelligence, I use new methods that allow for the examination of between-individual and within-family differences to better address the potential spurious relationship. My findings suggest that contrary to popular belief, the relationship between birth order and delinquency is spurious. Specifically, I find that birth order effects on delinquency are spurious and largely products of the analytic methods used in previous tests of the relationship. The implications of this finding are discussed.

  20. SYSTEM ORGANIZATION OF MATERIAL PROVIDING OF BUILDING

    Directory of Open Access Journals (Sweden)

    A. V. Rаdkеvich

    2014-04-01

    Full Text Available Purpose. Development of scientific-methodical bases to the design of rational management of material streams in the field of building providing taking into account intersystem connections with the enterprises of building industry. Methodology. The analysis of last few years of functioning of building industry in Ukraine allows distinguishing a number of problems that negatively influence the steady development of building, as the component of the state economics system. Therefore the research of existent organization methods of the system of building objects providing with material resources is extremely necessary. In connection with this the article justifies the use of method of hierarchies analysis (Saati method for finding the optimal task solution of fixing the enterprises of building industry after building objects. Findings. Results give an opportunity to guidance of building organization to estimate and choose advantageous suppliers - enterprises of building industry, to conduct their rating, estimation taking into account basic descriptions, such as: quality, price, reliability of deliveries, specialization, financial status etc. Originality. On the basis of Saati method the methodologies of organization are improved, planning and managements of the reliable system of providing of building necessary material resources that meet the technological requirements of implementation of building and installation works. Practical value. Contribution to the decisions of many intricate organizational problems that are accompanied by the problems of development of building, provided due to organization of the reliable system of purchase of material resources.

  1. Evaluating spectral indices for winter wheat health status monitoring ...

    African Journals Online (AJOL)

    vegetation index relationships for winter wheat in order to determine indices that are sensitive to changes in the wheat health status. The indices were derived from Landsat 8 scenes over the wheat growing area across Bloemfontein, South Africa.

  2. Status of the apeNEXT project

    CERN Document Server

    Ammendola, R.; Boucaud, Philippe; Cabibbo, N.; Di Carlo, F.; De Pietri, R.; Di Renzo, F.; Errico, W.; Fucci, A.; Guagnelli, M.; Kaldass, H.; Lonardo, A.; de Luca, S.; Micheli, J.; Morenas, V.; Pene, O.; Petronzio, R.; Palombi, F.; Pleiter, D.; Paschedag, N.; Rapuano, F.; De Riso, P.; Rossetti, D.; Salamon, A.; Salina, G.; Sartori, L.; Schifano, F.; Simma, H.; Tripiccione, R.; Vicini, P.; Boucaud, Ph.; 10.1016/S0920-5632(03)01755-9

    2003-01-01

    We present the current status of the apeNEXT project. Aim of this project is the development of the next generation of APE machines which will provide multi-teraflop computing power. Like previous machines, apeNEXT is based on a custom designed processor, which is specifically optimized for simulating QCD. We discuss the machine design, report on benchmarks, and give an overview on the status of the software development.

  3. Status of the apeNEXT project

    Energy Technology Data Exchange (ETDEWEB)

    Ammendola, R.; Bodin, F.; Boucaud, Ph.; Cabibbo, N.; Di Carlo, F.; De Pietri, R.; Di Renzo, F.; Errico, W.; Fucci, A.; Guagnelli, M.; Kaldass, H.; Lonardo, A.; Lucad, S. de; Micheli, J.; Morenas, V.; Pene, O.; Petronzio, R.; Palombi, F.; Pleiter, D.; Paschedag, N.; Rapuano, F.; De Riso, P.; Salamon, A.; Salina, G.; Sartori, L.; Schifano, F.; Simma, H.; Tripiccione, R.; Vicini, P

    2003-05-01

    We present the current status of the apeNEXT project. Aim of this project is the development of the next generation of APE machines which will provide multi-teraflop computing power. Like previous machines, apeNEXT is based on a custom designed processor, which is specifically optimized for simulating QCD. We discuss the machine design, report on benchmarks, and give an overview on the status of the software development.

  4. 76 FR 69094 - Christmas Tree Promotion, Research, and Information Order

    Science.gov (United States)

    2011-11-08

    ... Order will provide for the development and financing of a coordinated program of research, promotion... funds in the first three years of startup of the Order for administration, maintenance and functioning...

  5. Adolescent Weight Status

    DEFF Research Database (Denmark)

    Hjort Kjelldgaard, Heidi; Holstein, Bjørn Evald; Due, Pernille

    2017-01-01

    -aged Children study 2010. The study population (n = 4,922) included students in the fifth, seventh, and ninth grade from a representative sample of Danish schools. Multinomial logistic regression analyses were used to study the associations between weight status and social relations, supported by a conceptual...... framework for the study of social relations. RESULTS: Among girls, overweight/obese weight status was associated with spending less time with friends after school compared to normal-weight status (0 days/week: odds ratio: 6.25, 95% confidence interval: 2.18-17.95, 1 day/week: 2.81, 1.02-7.77, 2 days/week: 3...

  6. A National Study of Primary Care Provided by Osteopathic Physicians.

    Science.gov (United States)

    Licciardone, John C

    2015-12-01

    The establishment of a single accreditation system for graduate medical education in the United States suggests a convergence of osteopathic and allopathic medicine. To compare the characteristics of medical care provided by osteopathic and allopathic physicians. Five-year data from the National Ambulatory Medical Care Survey were used to study patient visits for primary care, including those for low back pain, neck pain, upper respiratory infection, hypertension, and diabetes mellitus. Patient status, primary reason for the visit, chronicity of the presenting problem, injury status, medication orders, physician referrals, source of payment, and time spent with the physician were used to compare osteopathic and allopathic patient visits. A total of 134,369 patient visits were surveyed, representing a population (SE) of 4.57 billion (220.2 million) patient visits. Osteopathic physicians provided 335.6 (29.9) million patient visits (7.3%), including 217.1 (20.9) million visits for primary care (9.7%). The 5 sentinel symptoms and medical diagnoses accounted for 233.0 (12.4) million primary care visits (10.4%). The mean age of patients seen during primary care visits provided by osteopathic physicians was 46.0 years (95% CI, 44.1-47.9 years) vs 39.9 years (95% CI, 38.8-41.0 years) during visits provided by allopathic physicians (POsteopathic patient visits were less likely to involve preventive care (OR, 0.55; 95% CI, 0.44-0.68) and more likely to include care for injuries (OR, 1.60; 95% CI, 1.43-1.78). Osteopathic physicians spent slightly less time with patients during visits (mean, 16.4 minutes; 95% CI, 15.7-17.2 minutes) than allopathic physicians (mean, 18.2 minutes; 95% CI, 17.2-19.3 minutes). The most distinctive aspect of osteopathic medical care involved management of low back pain. Therein, osteopathic physicians were less likely to order medication (OR, 0.33; 95% CI, 0.15-0.75) or to refer patients to another physician (OR, 0.47; 95% CI, 0.23-0.94), despite

  7. Prehospital Providers' Perceptions on Providing Patient and Family Centered Care.

    Science.gov (United States)

    Ayub, Emily M; Sampayo, Esther M; Shah, Manish I; Doughty, Cara B

    2017-01-01

    A gap exists in understanding a provider's approach to delivering care that is mutually beneficial to patients, families, and other providers in the prehospital setting. The purpose of this study was to identify attitudes, beliefs, and perceived barriers to providing patient and family centered care (PFCC) in the prehospital setting and to describe potential solutions for improving PFCC during critical pediatric events. We conducted a qualitative, cross-sectional study of a purposive sample of Emergency Medical Technicians (EMTs) and paramedics from an urban, municipal, fire-based EMS system, who participated in the Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPS) course. Two coders reviewed transcriptions of audio recordings from participants' first simulation scenario debriefings and performed constant comparison analysis to identify unifying themes. Themes were verified through member checking with two focus groups of prehospital providers. A total of 122 EMTs and paramedics participated in 16 audiotaped debriefing sessions and two focus groups. Four overarching themes emerged regarding the experience of PFCC by prehospital providers: (1) Perceived barriers included the prehospital environment, limited manpower, multi-tasking medical care, and concern for interference with patient care; (2) Providing emotional support comprised of empathetically comforting caregivers, maintaining a calm demeanor, and empowering families to feel involved; (3) Effective communication strategies consisted of designating a family point person, narration of actions, preempting the next steps, speaking in lay terms, summarizing during downtime, and conveying a positive first impression; (4) Tactics to overcome PFCC barriers were maintaining a line of sight, removing and returning a caregiver to and from the scene, and providing situational awareness. Based on debriefings from simulated scenarios, some prehospital providers identified the provision of

  8. STATUS GIZI DAN STATUS KESEHATAN SUKU BADUY

    Directory of Open Access Journals (Sweden)

    Faisal Anwar

    2012-03-01

    Full Text Available 800x600 Normal 0 false false false IN X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";} The objectives of the study were: (1 To analyze the socio-economic and demographic characteristics of Baduy people; (2 To analyze the health status and nutritional status of Baduy people and its influential factors. This research is an explorative and descriptive study on the socio-cultural aspects of food system. The data were collected through a direct interview and discussion with respondents as well as a direct observation at the location of respondents. A sample size of 338 households was drawn from the population. To obtain the data on the cultural aspects, history and  socio aspect of food, in-depth interviews was conducted with 19 key persons. The study was last for 12 months. In Outer Baduy, the factors significantly related to nutritional status are age, number of household size, income, nutritional knowledge, and wife’s ability to read. In Moslem Baduy, only age and income are related to the nutritional status of children. In Moslem Baduy and the Outer Baduy, the correlation between age and W/A or W/H is similar: namely, the higher the age, the lower would the Z-score for the W/A or W/H. The income is significantly correlated to the child nutritional status according to Z-score for W/A with a high correlation coefficient, that is, 0.61. This means that the higher the income, the higher would be the Z-score value for the W/A.  The distribution of adults according to BMI classification in Outer Baduy it shows that 12.7% husbands and 17.6% wives are thin (wasted, while the

  9. ATM in Europe: analysis of current status

    DEFF Research Database (Denmark)

    1999-01-01

    This deliverable provides an overview of the current status of the European market for ATM services. The offer of ATM services by principal operators in Belgium, Denmark, Finland, France, Germany, Greece, Italy, Norway, Portugal, Spain, Sweden and United Kingdom is described. In addition, a number...... of international providers of ATM in Europe are presented....

  10. Rapid ordering of block copolymer thin films.

    Science.gov (United States)

    Majewski, Pawel W; Yager, Kevin G

    2016-10-12

    Block-copolymers self-assemble into diverse morphologies, where nanoscale order can be finely tuned via block architecture and processing conditions. However, the ultimate usage of these materials in real-world applications may be hampered by the extremely long thermal annealing times-hours or days-required to achieve good order. Here, we provide an overview of the fundamentals of block-copolymer self-assembly kinetics, and review the techniques that have been demonstrated to influence, and enhance, these ordering kinetics. We discuss the inherent tradeoffs between oven annealing, solvent annealing, microwave annealing, zone annealing, and other directed self-assembly methods; including an assessment of spatial and temporal characteristics. We also review both real-space and reciprocal-space analysis techniques for quantifying order in these systems.

  11. Heavy quark threshold dynamics in higher order

    Energy Technology Data Exchange (ETDEWEB)

    Piclum, J.H.

    2007-05-15

    In this work we discuss an important building block for the next-to-next-to-next-to leading order corrections to the pair production of top quarks at threshold. Specifically, we explain the calculation of the third order strong corrections to the matching coefficient of the vector current in non-relativistic Quantum Chromodynamics and provide the result for the fermionic part, containing at least one loop of massless quarks. As a byproduct, we obtain the matching coefficients of the axial-vector, pseudo-scalar and scalar current at the same order. Furthermore, we calculate the three-loop corrections to the quark renormalisation constants in the on-shell scheme in the framework of dimensional regularisation and dimensional reduction. Finally, we compute the third order strong corrections to the chromomagnetic interaction in Heavy Quark Effective Theory. The calculational methods are discussed in detail and results for the master integrals are given. (orig.)

  12. Analysis of inter-provider conflicts among healthcare providers

    OpenAIRE

    Stecker, Mona; Epstein, Nancy; Mark M Stecker; Ausman, James I.; Harrigan, Noyes

    2013-01-01

    Background: Patient safety is a top priority of healthcare organizations. The Joint Commission (TJC) is now requiring that healthcare organizations promulgate polices to investigate and resolve disruptive behavior among employees. Methods: Our aims in this investigation utilizing the Provider Conflict Questionnaire (PCQ: Appendix A) included; determining what conflicts exist among a large sample of healthcare providers, how to assess the extent and frequency of disruptive behaviors, and what ...

  13. NAIP Status Maps Gallery

    Data.gov (United States)

    Farm Service Agency, Department of Agriculture — NAIP Status Maps Gallery. These maps illustrate what aerial imagery collection is planned, whats been collected, when it is available and how it is available. These...

  14. Micronutrient status in phenylketonuria

    NARCIS (Netherlands)

    Robert, M.; Rocha, J. C.; van Rijn, M.; Ahring, K.; Belanger-Quintana, A.; MacDonald, A.; Dokoupil, K.; Ozel, H. Gokmen; Lammardo, A. M.; Goyens, P.; Feillet, F.

    2013-01-01

    Patients with phenylketonuria (PKU) encompass an 'at risk' group for micronutrient imbalances. Optimal nutrient status is challenging particularly when a substantial proportion of nutrient intake is from non-natural sources. In PKU patients following dietary treatment supplementation with

  15. PRESENT STATUS IN INDIA

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. PRESENT STATUS IN INDIA. FIXED LINES – 36 MILLION. MOBILE CONNECTIONS – 14 MILLION. TELEDENSITY APPROXIMATELY 5. INTERNET CONNECTIONS – 5 MILLION. INTERNET USERS NEARLY – 25 MILLION.

  16. Deadline Compliance Status Reports

    Data.gov (United States)

    Department of Housing and Urban Development — These monthly Deadline Compliance Status Reports assist Participating Jurisdictions and HUD Field Offices in monitoring compliance with the 2-year commitment and...

  17. Waltzing between Order and Ordering - a Social Practice Perspective

    DEFF Research Database (Denmark)

    Sørensen, Brian Vejrum; Boer, Harry

    2007-01-01

    and produce strategic outcomes. This paper aims to understand these social systems dynamics, which it treats as a mutually shaping interplay between order and ordering. The paper illustrates this interplay though two case studies concerning two small and medium sized companies' efforts to enable strategic...

  18. Ordering within Moral Orders to Manage Classroom Trouble

    Science.gov (United States)

    Doherty, Catherine; McGregor, Rowena; Shield, Paul

    2016-01-01

    This paper demonstrates how classroom trouble warranting teacher intervention can stem from transgressions in different layers of the complex moral order regulating classroom interactions. The paper builds from Durkheim's treatment of schooling as the institution responsible for the inculcation of a shared moral order, Bernstein's distinction…

  19. The Order Specification Decoupling Line

    DEFF Research Database (Denmark)

    Hansen, Benjamin Loer; Hvam, Lars

    2004-01-01

    This paper discusses the important issue in build-to-order production of separating innovative long term engineering processes from day-to-day variant specification processes, i.e. the processes creating specifications such as bill-of-materials, drawings, text descriptions, routings etc. The paper...... proposes and discusses the term Order Specification Decoupling Line (OSDL), which is to be used to explain the separation of industrial specifications into some information created prior to order acquisition and some information created during order acquisition and order fulfillment. For instance one may...... find some welding specifications or product descriptions which are standard for every order, while there may be other specifications, such as bill-of-materials and drawings, which are customized. Through a use of this concept it becomes possible to discuss different levels of OSDL and different variant...

  20. Complete Normal Ordering 1: Foundations

    CERN Document Server

    Ellis, John; Skliros, Dimitri P.

    2016-01-01

    We introduce a new prescription for quantising scalar field theories perturbatively around a true minimum of the full quantum effective action, which is to `complete normal order' the bare action of interest. When the true vacuum of the theory is located at zero field value, the key property of this prescription is the automatic cancellation, to any finite order in perturbation theory, of all tadpole and, more generally, all `cephalopod' Feynman diagrams. The latter are connected diagrams that can be disconnected into two pieces by cutting one internal vertex, with either one or both pieces free from external lines. In addition, this procedure of `complete normal ordering' (which is an extension of the standard field theory definition of normal ordering) reduces by a substantial factor the number of Feynman diagrams to be calculated at any given loop order. We illustrate explicitly the complete normal ordering procedure and the cancellation of cephalopod diagrams in scalar field theories with non-derivative i...

  1. Babesiosis for Health Care Providers

    Centers for Disease Control (CDC) Podcasts

    2012-04-25

    This podcast will educate health care providers on diagnosing babesiosis and providing patients at risk with tick bite prevention messages.  Created: 4/25/2012 by Center for Global Health, Division of Parasitic Diseases and Malaria.   Date Released: 4/25/2012.

  2. COMPASS Status Report 2012

    CERN Document Server

    Bressan, A

    2012-01-01

    The report reviews the activities and the achievements of the Collaboration during the last year. Covered items are the results and ongoing analysis for the data collected in the previous years, the production status for the last year run and the preparation and start-up of the 2012 run. Hardware topics such as the status of the superconducting target magnet after the failures in 2011 and ECAL0 and CAMERA construction for the 2012 DVCS run are also covered.

  3. Experimental demonstration of fractional-order oscillators of orders 2.6 and 2.7

    KAUST Repository

    Elwakil, A.S.

    2017-02-07

    The purpose of this work is to provide an experimental demonstration for the development of sinusoidal oscillations in a fractional-order Hartley-like oscillator. Solid-state fractional-order electric double-layer capacitors were first fabricated using graphene-percolated P(VDF-TrFE-CFE) composite structure, and then characterized by using electrochemical impedance spectroscopy. The devices exhibit the fractional orders of 0.6 and 0.74 respectively (using the model Zc=Rs+1/(jω)αCα), with the corresponding pseudocapacitances of approximately 93nFsec−0.4 and 1.5nFsec−0.26 over the frequency range 200kHz–6MHz (Rs < 15Ω). Then, we verified using these fractional-order devices integrated in a Hartley-like circuit that the fractional-order oscillatory behaviors are of orders 2.6 and 2.74.

  4. Oxygen/hydrogen technology test bed status update

    Science.gov (United States)

    Richards, J. S.

    1988-01-01

    An overview is provided of the Hydrogen/Oxygen Technology Test Bed program. The status of the program, the program direction, plans for testing, and plans for technology implementation within the program are delineated. Test Bed goals and objectives are defined and the current status of the Test Bed engine is provided. A test facility status and a summary of the test facility capabilities are given.

  5. Ordering variable for parton showers

    Energy Technology Data Exchange (ETDEWEB)

    Nagy, Zoltán [DESY,Notkestrasse 85, 22607 Hamburg (Germany); Soper, Davison E. [Institute of Theoretical Science, University of Oregon,Eugene, OR 97403-5203 (United States)

    2014-06-30

    The parton splittings in a parton shower are ordered according to an ordering variable, for example the transverse momentum of the daughter partons relative to the direction of the mother, the virtuality of the splitting, or the angle between the daughter partons. We analyze the choice of the ordering variable and conclude that one particular choice has the advantage of factoring softer splittings from harder splittings graph by graph in a physical gauge.

  6. Ordering variable for parton showers

    Energy Technology Data Exchange (ETDEWEB)

    Nagy, Zoltan [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Soper, Davison E. [Oregon Univ., Eugene, OR (United States). Inst. of Theoretical Science

    2014-01-15

    The parton splittings in a parton shower are ordered according to an ordering variable, for example the transverse momentum of the daughter partons relative to the direction of the mother, the virtuality of the splitting, or the angle between the daughter partons. We analyze the choice of the ordering variable and conclude that one particular choice has the advantage of factoring softer splittings from harder splittings graph by graph in a physical gauge.

  7. Efficient nonrigid registration using ranked order statistics

    DEFF Research Database (Denmark)

    Tennakoon, Ruwan B.; Bab-Hadiashar, Alireza; de Bruijne, Marleen

    2013-01-01

    of research. In this paper we propose a fast and accurate non-rigid registration method for intra-modality volumetric images. Our approach exploits the information provided by an order statistics based segmentation method, to find the important regions for registration and use an appropriate sampling scheme...

  8. Improving Order Lead Time: A Case Study

    Science.gov (United States)

    Villarreal, Bernardo; Salido, Lucy

    2009-01-01

    A fundamental challenge of globally competing companies is to increase their level of customer satisfaction, by devising and implementing strategies aimed at providing better price, quality, and service. This paper describes the efforts of a Mexican company to achieve this goal, and in particular, with the need to decrease order lead time…

  9. Higher-Order Components for Grid Programming

    CERN Document Server

    Dünnweber, Jan

    2009-01-01

    Higher-Order Components were developed within the CoreGRID European Network of Excellence and have become an optional extension of the popular Globus middleware. This book provides the reader with hands-on experience, describing a collection of example applications from various fields of science and engineering, including biology and physics.

  10. Neutrino masses and ordering via multimessenger astronomy

    DEFF Research Database (Denmark)

    Langæble, Kasper; Meroni, Aurora; Sannino, Francesco

    2016-01-01

    We define the theoretical framework and deduce the conditions under which multi-messenger astronomy can provide useful information about neutrino masses and their ordering. The framework uses time differences between the arrival of neutrinos and the other light messenger, i.e. the graviton, emitted...

  11. Old Order Amish Philosophy of Education.

    Science.gov (United States)

    Ediger, Marlow

    2005-01-01

    The Old Order Amish in the societal arena provides a philosophy of education which is unique and worthy of study.They tend to have a minimal of problems when making comparisons with other sub cultures in society. Drug abuse, pregnancy among unwed mothers, crime, alcoholism, thievery, and other forms of anti-social behavior appear to be at a very…

  12. Safety system status monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, J.R.; Morgenstern, M.H.; Rideout, T.H.; Cowley, P.J.

    1984-03-01

    The Pacific Northwest Laboratory has studied the safety aspects of monitoring the preoperational status of safety systems in nuclear power plants. The goals of the study were to assess for the NRC the effectiveness of current monitoring systems and procedures, to develop near-term guidelines for reducing human errors associated with monitoring safety system status, and to recommend a regulatory position on this issue. A review of safety system status monitoring practices indicated that current systems and procedures do not adequately aid control room operators in monitoring safety system status. This is true even of some systems and procedures installed to meet existing regulatory guidelines (Regulatory Guide 1.47). In consequence, this report suggests acceptance criteria for meeting the functional requirements of an adequate system for monitoring safety system status. Also suggested are near-term guidelines that could reduce the likelihood of human errors in specific, high-priority status monitoring tasks. It is recommended that (1) Regulatory Guide 1.47 be revised to address these acceptance criteria, and (2) the revised Regulatory Guide 1.47 be applied to all plants, including those built since the issuance of the original Regulatory Guide.

  13. Status-Based Identity.

    Science.gov (United States)

    Destin, Mesmin; Rheinschmidt-Same, Michelle; Richeson, Jennifer A

    2017-03-01

    Psychological research on socioeconomic status (SES) has grown significantly over the past decade. In this article, we build upon and integrate existing approaches to direct greater attention toward investigating the subjective meaning and value that people attach to understanding their own SES as an identity. We use the term status-based identity to organize relevant research and examine how people understand and make meaning of their SES from moment to moment in real time. Drawing from multiple areas of research on identity, we suggest that even temporary shifts in how people construe their status-based identities predict changes in thought, affect, motivation, and behavior. This novel focus is positioned to examine the psychological effects of status transitions (e.g., upward or downward mobility). Further, in initial empirical work, we introduce a new measure to assess uncertainty regarding one's SES (i.e., status-based identity uncertainty) and offer evidence that greater uncertainty regarding one's status-based identity is associated with lower individual well-being. In sum, we argue that insight from the literature on identity will both expand and serve to organize the burgeoning literature on the psychology of SES and, in so doing, reveal promising new directions for research.

  14. Executive Orders-Barack Obama

    Data.gov (United States)

    National Archives and Records Administration — Executive orders are official documents, numbered consecutively, through which the President of the United States manages the operations of the Federal Government....

  15. Child health and social status.

    Science.gov (United States)

    Egbuonu, L; Starfield

    1982-05-01

    Available evidence regarding the relationship between socioeconomic status and health in childhood has been summarized. Only studies that used income, education, or occupation as measures of socioeconomic status and provided data obtained subsequent to legislation facilitating access to care have been cited. Data are presented on the prevalence and severity of illness (mortality, acute conditions as a group, chronic conditions as a group, and hospitalization), sequelae of prematurity, and specific common health problems and their sequelae. These specific health problems are lead poisoning, vision problems, otitis media and hearing loss, cytomegalic inclusion disease, asthma, psychosocial and psychosomatic problems, and iron deficiency anemia. All of the above (with the possible exception of asthma) are more prevalent among poor children than among nonpoor children. Even more striking is the evidence for consistently greater severity of problems or likelihood of sequelae among poor children. Although causality cannot be inferred from these data, the findings suggest a need for more basic research on the social correlates of disease, on the effect of social progress on disease prevalence and severity, and on the effect of medical care in overcoming the disadvantage associated with low socioeconomic status.

  16. The Status of Interactivity in Computer Art: Formal Apories

    Directory of Open Access Journals (Sweden)

    João Castro Pinto

    2011-12-01

    Full Text Available Contemporary art, particularly that which is produced by computer technologies capable of receiving data input via interactive devices (sensors and controllers, constitutes an emerging expressive medium of interdisciplinary nature, which implies the need for a critical look at its constitution and artistic functions. To consider interactive art as a form of artistic expression that files under the present categorization, implies the acceptance of the participation of the spectator in the production of the work of art, supposedly at the time of its origin / or during its creation. When we examine the significance of the formal status of interactivity, assuming as a theoretical starting point the referred premises and reducing it to a phenomenological point of view of artistic creation, we quickly fall into difficulties of conceptual definitions and structural apories [1]. The fundamental aim of this research is to formally define the status of interactive art, by perpetrating a phenomenological examination on the creative process of this specific art, establishing crucial distinctions in order to develop a hermeneutics in favor of creation of new perspectives and aesthetic frameworks. What is interactive creation? Is interactivity, from the computing artistic creativity point of view, the exponentiation of the concept of the open work of art (ECO 2009? Does interactive art correspond to an a priori projective and unachievable meta-art? What is the status of the artist and of the spectator in relation to an interactive work of art? What ontic and factical conditions are postulated as necessary in order to determine an artistic product as co-created? What apories do we find along the progres- sive process of reaching to a clarifying conceptual definition?This brief investigation will seek to contribute to the study of this issue, intending ultimately, and above all, to expose pertinent lines of inquiry rather than to provide definite scientific and

  17. Warehouse order-picking process. Order-picker routing problem

    Directory of Open Access Journals (Sweden)

    E. V. Korobkov

    2015-01-01

    Full Text Available This article continues “Warehouse order-picking process” cycle and describes order-picker routing sub-problem of a warehouse order-picking process. It draws analogies between the orderpickers’ routing problem and traveling salesman’s problem, shows differences between the standard problem statement of a traveling salesman and routing problem of warehouse orderpickers, and gives the particular Steiner’s problem statement of a traveling salesman.Warehouse layout with a typical order is represented by a graph, with some its vertices corresponding to mandatory order-picker’s visits and some other ones being noncompulsory. The paper describes an optimal Ratliff-Rosenthal algorithm to solve order-picker’s routing problem for the single-block warehouses, i.e. warehouses with only two crossing aisles, defines seven equivalent classes of partial routing sub-graphs and five transitions used to have an optimal routing sub-graph of a order-picker. An extension of optimal Ratliff-Rosenthal order-picker routing algorithm for multi-block warehouses is presented and also reasons for using the routing heuristics instead of exact optimal algorithms are given. The paper offers algorithmic description of the following seven routing heuristics: S-shaped, return, midpoint, largest gap, aisle-by-aisle, composite, and combined as well as modification of combined heuristics. The comparison of orderpicker routing heuristics for one- and two-block warehouses is to be described in the next article of the “Warehouse order-picking process” cycle.

  18. Coordination of primary care providers.

    Science.gov (United States)

    Hettler, D L; McAlister, W H

    1988-02-01

    Surveys were sent to family physicians in Illinois to determine knowledge and attitude concerning optometry. The respondents were knowledgeable in certain aspects of optometry. However, many need to become more aware of the optometrist as a health care provider.

  19. Medicare Referring Provider DMEPOS PUF

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset, which is part of CMSs Medicare Provider Utilization and Payment Data, details information on Durable Medical Equipment, Prosthetics, Orthotics and...

  20. Seeing Your Health Care Provider

    Science.gov (United States)

    ... Reduce Font Size 100% Increase Font Size Positive Spin Basics Federal Response Digital Tools Events Blog Home ... that may assist you. Be on time. Most healthcare providers have full appointment schedules—if you are ...

  1. EAMJ Provider April 10.indd

    African Journals Online (AJOL)

    2010-04-04

    Apr 4, 2010 ... with breast cancer is known to result in more adverse outcomes (1). ... Objective: To determine the extent and nature of provider delay in breast cancer management at .... and calls for a review of booking procedures. Also.

  2. TERRAIN, PROVIDENCE COUNTY, RHODE ISLAND

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Providence AOI consists of the costal portion of the county, and meshes up seamlessly with the Kent county AOI directly south. Ground Control is collected...

  3. Lodging Update: Providence, Rhode Island

    Directory of Open Access Journals (Sweden)

    Ragel Roginsky

    2013-04-01

    Full Text Available Each quarter, Pinnacle Advisory Group prepares an analysis of the New England lodging industry, which provides a regional summary and then focuses in depth on a particular market. These reviews look at recent and proposed supply changes, factors affecting demand and growth rates, and the effects of interactions between such supply and demand trends. In this issue, the authors spotlight the lodging market in Providence, Rhode Island.

  4. Order-constrained linear optimization.

    Science.gov (United States)

    Tidwell, Joe W; Dougherty, Michael R; Chrabaszcz, Jeffrey S; Thomas, Rick P

    2017-11-01

    Despite the fact that data and theories in the social, behavioural, and health sciences are often represented on an ordinal scale, there has been relatively little emphasis on modelling ordinal properties. The most common analytic framework used in psychological science is the general linear model, whose variants include ANOVA, MANOVA, and ordinary linear regression. While these methods are designed to provide the best fit to the metric properties of the data, they are not designed to maximally model ordinal properties. In this paper, we develop an order-constrained linear least-squares (OCLO) optimization algorithm that maximizes the linear least-squares fit to the data conditional on maximizing the ordinal fit based on Kendall's τ. The algorithm builds on the maximum rank correlation estimator (Han, 1987, Journal of Econometrics, 35, 303) and the general monotone model (Dougherty & Thomas, 2012, Psychological Review, 119, 321). Analyses of simulated data indicate that when modelling data that adhere to the assumptions of ordinary least squares, OCLO shows minimal bias, little increase in variance, and almost no loss in out-of-sample predictive accuracy. In contrast, under conditions in which data include a small number of extreme scores (fat-tailed distributions), OCLO shows less bias and variance, and substantially better out-of-sample predictive accuracy, even when the outliers are removed. We show that the advantages of OCLO over ordinary least squares in predicting new observations hold across a variety of scenarios in which researchers must decide to retain or eliminate extreme scores when fitting data. © 2017 The British Psychological Society.

  5. Magnetic Ordering in Gold Nanoclusters

    Energy Technology Data Exchange (ETDEWEB)

    Agrachev, Mikhail; Antonello, Sabrina; Dainese, Tiziano; Ruzzi, Marco; Zoleo, Alfonso; Aprà, Edoardo; Govind, Niranjan; Fortunelli, Alessandro; Sementa, Luca; Maran, Flavio

    2017-06-12

    Several research groups have observed magnetism in monolayer-protected gold-cluster samples, but the results were often contradictory and thus a clear understanding of this phenomenon is still missing. We used Au25(SCH2CH2Ph)180, which is a paramagnetic cluster that can be prepared with atomic precision and whose structure is known precisely. Previous magnetometry studies only detected paramagnetism. We used samples representing a range of crystallographic orders and studied their magnetic behaviors by electron paramagnetic resonance (EPR). As a film, Au25(SCH2CH2Ph)180 displays paramagnetic behavior but, at low temperature, ferromagnetic interactions are detectable. One or few single crystals undergo physical reorientation with the applied field and display ferromagnetism, as detected through hysteresis experiments. A large collection of microcrystals is magnetic even at room temperature and shows distinct paramagnetic, superparamagnetic, and ferromagnetic behaviors. Simulation of the EPR spectra shows that both spin-orbit coupling and crystal distortion are important to determine the observed magnetic behaviors. DFT calculations carried out on single cluster and periodic models predict values of spin6orbit coupling and crystal6splitting effects in agreement with the EPR derived quantities. Magnetism in gold nanoclusters is thus demonstrated to be the outcome of a very delicate balance of factors. To obtain reproducible results, the samples must be (i) controlled for composition and thus be monodispersed with atomic precision, (ii) of known charge state, and (iii) well defined also in terms of crystallinity and experimental conditions. This study highlights the efficacy of EPR spectroscopy to provide a molecular understanding of these phenomena

  6. Algorithms over partially ordered sets

    DEFF Research Database (Denmark)

    Baer, Robert M.; Østerby, Ole

    1969-01-01

    We here study some problems concerned with the computational analysis of finite partially ordered sets. We begin (in § 1) by showing that the matrix representation of a binary relationR may always be taken in triangular form ifR is a partial ordering. We consider (in § 2) the chain structure...

  7. Orderings for conjugate gradient preconditionings

    Science.gov (United States)

    Ortega, James M.

    1991-01-01

    The effect of orderings on the rate of convergence of the conjugate gradient method with SSOR or incomplete Cholesky preconditioning is examined. Some results also are presented that help to explain why red/black ordering gives an inferior rate of convergence.

  8. Order and disorder in matter

    CERN Document Server

    Careri, Giorgio

    1984-01-01

    Order and Disorder in Matter offers a comprehensive and up-to-date view of structures and processes in matter, in terms of the evolving concepts of order and disorder. Particular emphasis is given to the recent evolution of these concepts and their relationship to the more complex systems in nature.

  9. Chaos and order in education

    African Journals Online (AJOL)

    Erna Kinsey

    source of order" (Brown & Moffett, 1999:21); "complex systems ... contain both order and chaos" (Badenhorst, 1995:13). These state- ments are commonly presented as supported by the assured findings of the physical sciences and mathematics, and commonly linked, in particular, to "chaos theory". Whilst such descriptions ...

  10. Nutritional Status in Self-Neglecting Elderly

    Science.gov (United States)

    Oliver, S. Mathews; Kelly, P. A.; Pickens, S.; Burnett, J.; Dyer, C. B.; Smith, S. M.

    2006-01-01

    Elder self-neglect is the most common, and most compelling form of elder mistreatment. Individuals who cannot provide the basic needs for themselves may develop social, functional, and physical deficits. The CREST project has the goal of systematically characterizing these individuals, and the objective of the study reported here is to characterize aspects of their nutritional status. Self-neglect (SN) subjects referred from Adult Protective Services were recruited and consented. Control (CN) subjects were matched for age, gender, race, and socio-economic status when possible. Reported here are data on 47 SN subjects (age 77 +/- 7, mean +/- SD; body weight 76 kg +/- 26) and 40 CN subjects (77 +/- 7, 79 kg +/- 20). Blood samples were analyzed for indices of nutritional status. SN subjects had higher serum concentrations of homocysteine (p elderly population is at risk with respect to several markers of nutritional status.

  11. Characterizing Vineyard Water Status Variability in a Premium Winegrape Vineyard

    Science.gov (United States)

    Smart, David; Carvahlo, Angela

    2017-04-01

    One of the biggest challenges in viticulture and winemaking is managing and optimizing yield and quality across vineyard blocks that show high spatial variability. Studies have shown that zonal management of vine water status can contribute significantly to improving overall fruit quality and improving uniformity. Vine water status is a major parameter for vine management because it affects both wine quality and yield. In order to optimize vineyard management and harvesting practices, it is necessary to characterize vineyard variability in terms of water status. Establishing a targeted irrigation program first requires spatially characterizing the variability in vine water status of a vineyard. In California, due to the low or no rainfall during the active growing season, the majority of vineyards implement some type of irrigation management program. As water supplies continue to decrease as a consequence of persistent drought, establishing efficient and targeted water use programs is of growing importance in California. The aim of this work was to characterize the spatial variability of plant-water relations across a non-uniform 4 ha block in Napa Valley with the primary objective of establishing vineyard irrigation management zones. The study plot was divided into three sections, designated the North, Middle and South sections, each at about 1.3 hectares. Stem (Ψstem) and midday (Ψl) leaf water potential and predawn (ΨPD) water potential were measured at 36 locations within the block at 14 (Ψl), 10 (ΨPD) and 2 (Ψstem) points in time throughout the growing season. Of the three techniques utilized to evaluate water status, ΨPD and Ψstem were the most sensitive indicators of water stress conditions. An integrated overview of water use efficiency over the growing season was assessed by measuring the leaf carbon isotope ratio of δ13C. Fully mature leaves were sampled from 280 vines and results show, similarly to ΨPD and Ψstem, that the North section (-28

  12. The status of a breastfeeding woman in labour law

    Directory of Open Access Journals (Sweden)

    Rabovanović Dragana

    2016-01-01

    Full Text Available The legal status of an employed woman who is breastfeeding is regulated by the special Occupational Safety and Health Act. This Act implies a number of specific measures developed to ensure that breastfeeding women and their children, as a particularly vulnerable group, are provided with a fuller support and protection. Thus, a breastfeeding woman is guaranteed the right to take one or more daily breaks to breastfeed her child, or the right to work shorter working hours on the daily basis, provided that she returns to work within a period of one year from the birth of her child. Moreover, a breastfeeding woman shall not be obliged to perform work which has been assessed as significantly risky to her health or to the health of her child. However, a complete occupational safety and health protection of a breastfeeding woman also implies protection from discrimination on the grounds of family responsibilities, as well as creating work environment where every employee can effectively exercise the right to fair working conditions, taking into consideration the risk of discrimination that the breastfeeding woman is exposed to and the difficulties she faces while exercising certain employment rights. This paper analyses the status of employed breastfeeding women in labour legislation in order to discuss and underscore the legal protection goals and to indicate the risks which endanger their dignity and wellbeing.

  13. Selection-endogenous ordered probit and dynamic ordered probit models

    OpenAIRE

    Alfonso Miranda; Massimiliano Bratti

    2009-01-01

    In this presentation we define two qualitatitive response models: 1) Selection Endogenous Dummy Ordered Probit model (SED-OP); 2) a Selection Endogenous Dummy Dynamic Selection Ordered Probit model (SED- DOP). The SED-OP model is a three-equation model constituted of an endogenous dummy equation, a selection equation, and a main equation which has an ordinal response form. The main feature of the model is that the endogenous dummy enters both the selection equation and the main equation. The ...

  14. Ecosystem services provided by waterbirds.

    Science.gov (United States)

    Green, Andy J; Elmberg, Johan

    2014-02-01

    Ecosystem services are ecosystem processes that directly or indirectly benefit human well-being. There has been much recent literature identifying different services and the communities and species that provide them. This is a vital first step towards management and maintenance of these services. In this review, we specifically address the waterbirds, which play key functional roles in many aquatic ecosystems, including as predators, herbivores and vectors of seeds, invertebrates and nutrients, although these roles have often been overlooked. Waterbirds can maintain the diversity of other organisms, control pests, be effective bioindicators of ecological conditions, and act as sentinels of potential disease outbreaks. They also provide important provisioning (meat, feathers, eggs, etc.) and cultural services to both indigenous and westernized societies. We identify key gaps in the understanding of ecosystem services provided by waterbirds and areas for future research required to clarify their functional role in ecosystems and the services they provide. We consider how the economic value of these services could be calculated, giving some examples. Such valuation will provide powerful arguments for waterbird conservation. © 2013 The Authors. Biological Reviews © 2013 Cambridge Philosophical Society.

  15. Ancillary Services Provided from DER

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, J.B.

    2005-12-21

    Distributed energy resources (DER) are quickly making their way to industry primarily as backup generation. They are effective at starting and then producing full-load power within a few seconds. The distribution system is aging and transmission system development has not kept up with the growth in load and generation. The nation's transmission system is stressed with heavy power flows over long distances, and many areas are experiencing problems in providing the power quality needed to satisfy customers. Thus, a new market for DER is beginning to emerge. DER can alleviate the burden on the distribution system by providing ancillary services while providing a cost adjustment for the DER owner. This report describes 10 types of ancillary services that distributed generation (DG) can provide to the distribution system. Of these 10 services the feasibility, control strategy, effectiveness, and cost benefits are all analyzed as in the context of a future utility-power market. In this market, services will be provided at a local level that will benefit the customer, the distribution utility, and the transmission company.

  16. The Medicare Electronic Health Record Incentive Program: provider performance on core and menu measures.

    Science.gov (United States)

    Wright, Adam; Feblowitz, Joshua; Samal, Lipika; McCoy, Allison B; Sittig, Dean F

    2014-02-01

    To measure performance by eligible health care providers on CMS's meaningful use measures. Medicare Electronic Health Record Incentive Program Eligible Professionals Public Use File (PUF), which contains data on meaningful use attestations by 237,267 eligible providers through May 31, 2013. Cross-sectional analysis of the 15 core and 10 menu measures pertaining to use of EHR functions reported in the PUF. Providers in the dataset performed strongly on all core measures, with the most frequent response for each of the 15 measures being 90-100 percent compliance, even when the threshold for a particular measure was lower (e.g., 30 percent). PCPs had higher scores than specialists for computerized order entry, maintaining an active medication list, and documenting vital signs, while specialists had higher scores for maintaining a problem list, recording patient demographics and smoking status, and for providing patients with an after-visit summary. In fact, 90.2 percent of eligible providers claimed at least one exclusion, and half claimed two or more. Providers are successfully attesting to CMS's requirements, and often exceeding the thresholds required by CMS; however, some troubling patterns in exclusions are present. CMS should raise program requirements in future years. © Health Research and Educational Trust.

  17. Refractory status epilepticus

    Directory of Open Access Journals (Sweden)

    Sanjay P Singh

    2014-01-01

    Full Text Available Refractory status epilepticus is a potentially life-threatening medical emergency. It requires early diagnosis and treatment. There is a lack of consensus upon its semantic definition of whether it is status epilepticus that continues despite treatment with benzodiazepine and one antiepileptic medication (AED, i.e., Lorazepam + phenytoin. Others regard refractory status epilepticus as failure of benzodiazepine and 2 antiepileptic medications, i.e., Lorazepam + phenytoin + phenobarb. Up to 30% patients in SE fail to respond to two antiepileptic drugs (AEDs and 15% continue to have seizure activity despite use of three drugs. Mechanisms that have made the treatment even more challenging are GABA-R that is internalized during status epilepticus and upregulation of multidrug transporter proteins. All patients of refractory status epilepticus require continuous EEG monitoring. There are three main agents used in the treatment of RSE. These include pentobarbital or thiopental, midazolam and propofol. RSE was shown to result in mortality in 35% cases, 39.13% of patients were left with severe neurological deficits, while another 13% had mild neurological deficits.

  18. Enstore with Chimera namespace provider

    Energy Technology Data Exchange (ETDEWEB)

    Litvintsev, Dmitry [Fermilab; Moibenko, Alexander [Fermilab; Oleynik, Gene [Fermilab; Zalokar, Michael [Fermilab

    2012-01-01

    Enstore is a mass storage system developed by Fermilab that provides distributed access and management of data stored on tapes. It uses a namespace service, PNFS, developed by DESY to provide a filesystem-like view of the stored data. PNFS is a legacy product and is being replaced by a new implementation, called Chimera, which is also developed by DESY. Chimera offers multiple advantages over PNFS in terms of performance and functionality. The Enstore client component, encp, has been modified to work with Chimera, as well as with any other namespace provider. We performed high load end-to-end acceptance test of Enstore with the Chimera namespace. This paper describes the modifications to Enstore, the test procedure and the results of the acceptance testing.

  19. Partial order infinitary term rewriting

    DEFF Research Database (Denmark)

    Bahr, Patrick

    2014-01-01

    with the partial order model restricted to total terms. Hence, partial order convergence constitutes a conservative extension of metric convergence, which additionally offers a fine-grained distinction between different levels of divergence. In the second part, we focus our investigation on strong convergence...... of orthogonal systems. The main result is that the gap between the metric model and the partial order model can be bridged by extending the term rewriting system by additional rules. These extensions are the well-known Böhm extensions. Based on this result, we are able to establish that -- contrary...

  20. Ferroelectric Fractional-Order Capacitors

    KAUST Repository

    Agambayev, Agamyrat

    2017-07-25

    Poly(vinylidene fluoride)-based polymers and their blends are used to fabricate electrostatic fractional-order capacitors. This simple but effective method allows us to precisely tune the constant phase angle of the resulting fractional-order capacitor by changing the blend composition. Additionally, we have derived an empirical relation between the ratio of the blend constituents and the constant phase angle to facilitate the design of a fractional order capacitor with a desired constant phase angle. The structural composition of the fabricated blends is investigated using Fourier transform infrared spectroscopy and X-ray diffraction techniques.

  1. Order Theory in Environmental Sciences

    DEFF Research Database (Denmark)

    Sørensen, P. B.; Brüggemann, R.; Lerche, D. B.

    This is the proceeding from the fifth workshop in Order Theory in Environ-mental Science. In this workshop series the concept of Partial Order Theory is development in relation to application and the use is tested based on specific problems. The Partial Order Theory will have a potential use...... in cases where more than one criterion is included in a prioritisation problem both in relation to decision support and in relation to data-mining and interpretation. Espe-cially the problems where a high degree of complexity results in considerable uncertainty are good candidates for application...

  2. Oral health status among 12 and 15 year old children from ...

    African Journals Online (AJOL)

    Background: The assessment of oral health status of children in government and private schools provide data on the oral health status of children from different socio‑economic background. Aim: The aim of the following study is to assess and to compare the oral hygiene status, gingival status and caries experience between ...

  3. Providing Southern Perspectives on CSR

    DEFF Research Database (Denmark)

    Jeppesen, Søren; Kothuis, Bas

    The article seeks to contribute to the SMEs and CSR literature in developing countries by providing; a) a ‘Southern’ SME perspective, which includes the voices of managers and workers, b) a perspective of CSR, which opens up to informal CSR practices that SMEs undertake, and c) an analysis...

  4. Wind Turbine Providing Grid Support

    DEFF Research Database (Denmark)

    2011-01-01

    A variable speed wind turbine is arranged to provide additional electrical power to counteract non-periodic disturbances in an electrical grid. A controller monitors events indicating a need to increase the electrical output power from the wind turbine to the electrical grid. The controller...

  5. Narratives of Ghanaian abortion providers

    African Journals Online (AJOL)

    AJRH Managing Editor

    Michigan, Department of Women's Studies, Ann Arbor, MI, USA; 7University of Michigan, Department of Obstetrics and. Gynaecology, Ann Arbor, MI USA ..... personal spending habits of physicians who were known to provide abortion – a new ..... characterized by safe space for speaking can improve physician's resilience to ...

  6. Twitter for travel medicine providers.

    Science.gov (United States)

    Mills, Deborah J; Kohl, Sarah E

    2016-03-01

    Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Twitter platform. Twitter use among our travellers, as well as by physicians and health providers, is growing exponentially. There is a rapidly expanding body of published literature on this information tool. This review provides a brief overview of the ways Twitter is being used by health practitioners, the advantages that are peculiar to Twitter as a platform of social media, and how the interested practitioner can get started. Some key points about the dark side of Twitter are highlighted, as well as the potential benefits of using Twitter as a way to disseminate accurate medical information to the public. This article will help readers develop an increased understanding of Twitter as a tool for extracting useful facts and insights from the ever increasing volume of health information. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  7. 16 CFR 3.45 - In camera orders.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false In camera orders. 3.45 Section 3.45... PRACTICE FOR ADJUDICATIVE PROCEEDINGS Hearings § 3.45 In camera orders. (a) Definition. Except as hereinafter provided, material made subject to an in camera order will be kept confidential and not placed on...

  8. 39 CFR 3001.31a - In camera orders.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false In camera orders. 3001.31a Section 3001.31a Postal... Applicability § 3001.31a In camera orders. (a) Definition. Except as hereinafter provided, documents and testimony made subject to in camera orders are not made a part of the public record, but are kept...

  9. First-Order Twistor Lifts

    Directory of Open Access Journals (Sweden)

    Simões BrunoAscenso

    2010-01-01

    Full Text Available The use of twistor methods in the study of Jacobi fields has proved quite fruitful, leading to a series of results. L. Lemaire and J. C. Wood proved several properties of Jacobi fields along harmonic maps from the two-sphere to the complex projective plane and to the three- and four-dimensional spheres, by carefully relating the infinitesimal deformations of the harmonic maps to those of the holomorphic data describing them. In order to advance this programme, we prove a series of relations between infinitesimal properties of the map and those of its twistor lift. Namely, we prove that isotropy and harmonicity to first order of the map correspond to holomorphicity to first order of its lift into the twistor space, relatively to the standard almost complex structures and . This is done by obtaining first-order analogues of classical twistorial constructions.

  10. Proposed Closing Order : St. Vincent

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The attached letter directed to Secretary Morton from the Florida Chapter of The Nature Conservancy recommends the establishment of a Secretarial closing order on...

  11. Streams with Strahler Stream Order

    Data.gov (United States)

    Minnesota Department of Natural Resources — Stream segments with Strahler stream order values assigned. As of 01/08/08 the linework is from the DNR24K stream coverages and will not match the updated...

  12. First-Order Twistor Lifts

    Directory of Open Access Journals (Sweden)

    Bruno Ascenso Simões

    2010-01-01

    Full Text Available The use of twistor methods in the study of Jacobi fields has proved quite fruitful, leading to a series of results. L. Lemaire and J. C. Wood proved several properties of Jacobi fields along harmonic maps from the two-sphere to the complex projective plane and to the three- and four-dimensional spheres, by carefully relating the infinitesimal deformations of the harmonic maps to those of the holomorphic data describing them. In order to advance this programme, we prove a series of relations between infinitesimal properties of the map and those of its twistor lift. Namely, we prove that isotropy and harmonicity to first order of the map correspond to holomorphicity to first order of its lift into the twistor space, relatively to the standard almost complex structures J1 and J2. This is done by obtaining first-order analogues of classical twistorial constructions.

  13. Job Orders (Ordres de mission)

    CERN Document Server

    Organisation & Procedures, FI Department, Tel. 73905

    2005-01-01

    Please note that individual job orders and continuous job orders (valid for one calendar year, i.e. from 1st January to 31st December) must henceforth be completed via EDH and approved by the Department Leader concerned (or the person appointed by him via EDHAdmin). Once approved, the form must be printed and kept for the duration of the mission by the driver to whom the job order is issued. You will find the icon for this document on the EDH Desktop, as well as on-line help on how to use it. In emergencies, paper copies of individual job orders (SCEM 54.50.20.168.5) may be issued outside normal working hours by the Fire Brigade (Meyrin Site, Building 65). Organisation & Procedures, FI Department, Tel. 73905 Relations with the Host States Service, Tel. 72848

  14. Inference Procedures for Ordering Theory

    Science.gov (United States)

    Baker, Frank B.; Hubert, Lawrence J.

    1977-01-01

    Given a set of dichotomously scored items, ordering theory attempts to identify a hierarchy among those items. A graphic representation is presented for an empirically obtained hierarchy and a testing procedure to evaluate hypothesized hierarchical relationships. (Author/JKS)

  15. New Service Status Board

    CERN Multimedia

    2013-01-01

    On Monday 14 October, the Service Status Board for GS and IT will change. The new Status Board will be integrated with the CERN Service Portal and with the CERN Service Catalogue.   As of today, the SSB will display “Service Incidents”, “Planned Interventions” and “Service Changes”. References valid from 14 October: CERN SSB at https://cern.ch/ssb Computing SSB (previously IT SSB) at https://cern.ch/itssb   Nicole Cremel, IT and GS Service Management Support

  16. FRIB Cryogenic Plant Status

    Energy Technology Data Exchange (ETDEWEB)

    Dixon, Kelly D. [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Ganni, Venkatarao [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Knudsen, Peter N. [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Casagranda, Fabio [Michigan State Univ., East Lansing, MI (United States)

    2015-12-01

    After practical changes were approved to the initial conceptual design of the cryogenic system for MSU FRIB and an agreement was made with JLab in 2012 to lead the design effort of the cryogenic plant, many activities are in place leading toward a cool-down of the linacs prior to 2018. This is mostly due to using similar equipment used at CHLII for the 12 GeV upgrade at JLab and an aggressive schedule maintained by the MSU Conventional Facilities department. Reported here is an updated status of the cryogenic plant, including the equipment procurement status, plant layout, facility equipment and project schedule.

  17. Robust Synchronization of Incommensurate Fractional-Order Chaotic Systems via Second-Order Sliding Mode Technique

    Directory of Open Access Journals (Sweden)

    Hua Chen

    2013-01-01

    Full Text Available A second-order sliding mode (SOSM controller is proposed to synchronize a class of incommensurate fractional-order chaotic systems with model uncertainties and external disturbances. Based on the chattering free SOSM control scheme, it can be rigorously proved that the dynamics of the synchronization error is globally asymptotically stable by using the Lyapunov stability theorem. Finally, numerical examples are provided to illustrate the effectiveness of the proposed controller design approach.

  18. Topological Order in Silicon Photonics

    Science.gov (United States)

    2017-02-07

    AFRL-AFOSR-VA-TR-2017-0037 Topological orders in Silicon photonics Mohammad Hafezi MARYLAND UNIV COLLEGE PARK 3112 LEE BLDG COLLEGE PARK, MD 20742...15 SEP 2016 4. TITLE AND SUBTITLE Topological Order in Silicon Photonics 5a. CONTRACT NUMBER 5b. GRANT NUMBER FA-9550-14-1-0267 5c. PROGRAM...DISTRIBUTION/AVAILABILITY STATEMENT DISTRIBUTION A: Distribution approved for public release. 13. SUPPLEMENTARY NOTES 14. ABSTRACT Topological features

  19. Risk attitudes and birth order.

    Science.gov (United States)

    Krause, Philipp; Heindl, Johannes; Jung, Andreas; Langguth, Berthold; Hajak, Göran; Sand, Philipp G

    2014-07-01

    Risk attitudes play important roles in health behavior and everyday decision making. It is unclear, however, whether these attitudes can be predicted from birth order. We investigated 200 mostly male volunteers from two distinct settings. After correcting for multiple comparisons, for the number of siblings and for confounding by gender, ordinal position predicted perception of health-related risks among participants in extreme sports (p birth order on risk attitudes. © The Author(s) 2013.

  20. Constitutional orders in multinational firms

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer; Morgan, Glenn

    Multinationals are faced with the problem of how to coordinate different actors and stop `fiefdoms' emerging that inhibits the achievement of transnational cooperation? We identify this as a problem of `constitutional ordering' in the firm. Drawing on Varieties of Capitalism approaches, we explore...... how multinationals from different contexts seek to create constitutional orders. We argue that the models which exist appear to be destructive of coordination. We explore the implications for MNCs....

  1. Providing traceability for neuroimaging analyses.

    Science.gov (United States)

    McClatchey, Richard; Branson, Andrew; Anjum, Ashiq; Bloodsworth, Peter; Habib, Irfan; Munir, Kamran; Shamdasani, Jetendr; Soomro, Kamran

    2013-09-01

    With the increasingly digital nature of biomedical data and as the complexity of analyses in medical research increases, the need for accurate information capture, traceability and accessibility has become crucial to medical researchers in the pursuance of their research goals. Grid- or Cloud-based technologies, often based on so-called Service Oriented Architectures (SOA), are increasingly being seen as viable solutions for managing distributed data and algorithms in the bio-medical domain. For neuroscientific analyses, especially those centred on complex image analysis, traceability of processes and datasets is essential but up to now this has not been captured in a manner that facilitates collaborative study. Few examples exist, of deployed medical systems based on Grids that provide the traceability of research data needed to facilitate complex analyses and none have been evaluated in practice. Over the past decade, we have been working with mammographers, paediatricians and neuroscientists in three generations of projects to provide the data management and provenance services now required for 21st century medical research. This paper outlines the finding of a requirements study and a resulting system architecture for the production of services to support neuroscientific studies of biomarkers for Alzheimer's disease. The paper proposes a software infrastructure and services that provide the foundation for such support. It introduces the use of the CRISTAL software to provide provenance management as one of a number of services delivered on a SOA, deployed to manage neuroimaging projects that have been studying biomarkers for Alzheimer's disease. In the neuGRID and N4U projects a Provenance Service has been delivered that captures and reconstructs the workflow information needed to facilitate researchers in conducting neuroimaging analyses. The software enables neuroscientists to track the evolution of workflows and datasets. It also tracks the outcomes of

  2. The Information Content of Undisclosed Limit Orders Around Broker Anonymity

    Directory of Open Access Journals (Sweden)

    Andrew Lepone

    2011-03-01

    Full Text Available This paper examines the impact of the submission of undisclosed limit ordersand their short‐term information content compared to similar disclosed orders.We also examine whether the abolishment of broker identifiers from tradingscreens on the Australian Securities Exchange affects the short‐term informationcontent of various order types. Results indicate that aggressively submittedundisclosed orders, compared to similar disclosed‐limit orders, lead tosignificantly higher short‐term price movements. The removal of brokeridentifiers does not provide consistent evidence of any changes in the short‐terminformation content of large dollar volume orders. This suggests that disclosedorders provide more information to the market than do broker identifiers.

  3. Predicting inpatient clinical order patterns with probabilistic topic models vs conventional order sets.

    Science.gov (United States)

    Chen, Jonathan H; Goldstein, Mary K; Asch, Steven M; Mackey, Lester; Altman, Russ B

    2017-05-01

    Build probabilistic topic model representations of hospital admissions processes and compare the ability of such models to predict clinical order patterns as compared to preconstructed order sets. The authors evaluated the first 24 hours of structured electronic health record data for > 10 K inpatients. Drawing an analogy between structured items (e.g., clinical orders) to words in a text document, the authors performed latent Dirichlet allocation probabilistic topic modeling. These topic models use initial clinical information to predict clinical orders for a separate validation set of > 4 K patients. The authors evaluated these topic model-based predictions vs existing human-authored order sets by area under the receiver operating characteristic curve, precision, and recall for subsequent clinical orders. Existing order sets predict clinical orders used within 24 hours with area under the receiver operating characteristic curve 0.81, precision 16%, and recall 35%. This can be improved to 0.90, 24%, and 47% ( P  topic models to summarize clinical data into up to 32 topics. Many of these latent topics yield natural clinical interpretations (e.g., "critical care," "pneumonia," "neurologic evaluation"). Existing order sets tend to provide nonspecific, process-oriented aid, with usability limitations impairing more precise, patient-focused support. Algorithmic summarization has the potential to breach this usability barrier by automatically inferring patient context, but with potential tradeoffs in interpretability. Probabilistic topic modeling provides an automated approach to detect thematic trends in patient care and generate decision support content. A potential use case finds related clinical orders for decision support.

  4. Sequence Classification Using Third-Order Moments

    DEFF Research Database (Denmark)

    Troelsgaard, Rasmus; Hansen, Lars Kai

    2017-01-01

    . The proposed method provides lower computational complexity at classification time than the usual likelihood-based methods. In order to demonstrate the properties of the proposed method, we perform classification of both simulated data and empirical data from a human activity recognition study.......Model-based classification of sequence data using a set of hidden Markov models is a well-known technique. The involved score function, which is often based on the class-conditional likelihood, can, however, be computationally demanding, especially for long data sequences. Inspired by recent...... theoretical advances in spectral learning of hidden Markov models, we propose a score function based on third-order moments. In particular, we propose to use the Kullback-Leibler divergence between theoretical and empirical third-order moments for classification of sequence data with discrete observations...

  5. Analisis Perbandingan Perhitungan Re-Order Point

    Directory of Open Access Journals (Sweden)

    Haryadi Sarjono

    2014-05-01

    Full Text Available The purpose of this study was to compare the Re-Order point (ROP between the ongoing policy of the company to the theoretical calculation according to the method of Economic Order Quantity (EOQ in manufacturing company. The research methodology that is used in this research is the method of quantitative analysis. It is a scientific approach to managerial decision making in which the source data is the primary data obtained directly from resource persons to provide the necessary data. The data is taken from the data the raw materials the company from 2007 to 2012. The results of this study state that the re-order point calculations specific to the year 2012 only, according to the company policy is 34,508 Kg, while according to the calculation method of EOQ is 91 925 Kg. This difference is due to the calculation of safety stock and the use of time while waiting.

  6. Preparing to provide MTM services.

    Science.gov (United States)

    Glenn, Zandra M; Mahdavian, Soheyla L; Woodard, Todd J

    2015-02-01

    Medication Therapy Management (MTM) has been a way for pharmacist to enhance their position as an integral member of the health care team as the need for improved clinical and economic outcomes in relation to the US health care system became apparent. MTM Certificate training programs are provided by numerous organizations. Collaboration Practice Agreements (CPA) are gaining significance as the role of the pharmacist is expanding in the care of patients as part of a multidisciplinary health care team. One major hurdle that many pharmacists are faced with is receiving reimbursement for the services provided. The Medicare Modernization Act of 2003 recognized that pharmacists play an important role in the management of patient care and that pharmacists bring an expertise and knowledge that will help to identify and resolve patient medication therapy problems. © The Author(s) 2014.

  7. The Large Hadron Collider Present Status and Prospects

    CERN Document Server

    Evans, Lyndon R

    2001-01-01

    The Large Hadron Collider (LHC), due to be commissioned in 2005, will provide particle physics with the first laboratory tool to access the energy frontier above 1 TeV. In order to achieve this , protons must be accelerated and stored at 7 TeV, colliding with an unprecedented luminosity of 1034 cm-2 s-1. The 8.3 Tesla guide field is obtained using conventional NbTi technology cooled to below the lambda point of helium. Considerable modification of the infrastructure around the existing LEP tunnel is needed to house the LHC machine and detectors. The project is advancing according to schedule with most of the major hardware systems including cryogenics and magnets under construction. A brief status report is given and future prospects are discussed.

  8. Support Net for Frontline Providers

    Science.gov (United States)

    2016-03-01

    With a multidisciplinary team that included an external evaluator (Dr. Robert Durham), and an extended research team (Drs. Alan Peterson and Bret...21.7%) indicated being single. The sample of providers included 13 clinical psychologists (21.7%), 17 counselors or psychotherapists (28.3%), three...a sample of service members from Iraq and Afghanistan. Military Medicine, 172, 359–363. Figley, C. R. (2002). Compassion fatigue: Psychotherapists

  9. Use of Cognitive Simulation During Anesthesiology Resident Applicant Interviews to Assess Higher-Order Thinking.

    Science.gov (United States)

    Kulig, Alan W; Blanchard, Rebecca D

    2016-07-01

    It is difficult to assess applicants' higher-order cognitive thinking skills during conventional resident interviews. Application metrics currently employed are useful indicators of academic and personal success in targeted areas, yet value of this information in predicting future clinical performance is limited. We developed an assessment tool to evaluate higher-order cognitive function in real time during anesthesiology resident applicant interviews. During the 2014-2015 residency interview season, we integrated simulation training into applicant interviews to evaluate higher-order cognitive skills. Our 5-minute simulation emphasized the Team STEPPS 2-Challenge Rule and explored candidates' critical thinking, analytical decision making, and response to stress. Participating applicants were evaluated using an outcomes-based checklist targeting desired responses. We also sent applicants a post-National Resident Matching Program survey to assess their perceptions of the simulation's value and educational utility. A total of 90 applicants (75% of all applicants) participated in the simulation, which taught residents about important patient safety concepts and provided the program with real time information about their critical thinking ability. All applicants were confident or very confident that they would both speak up and know what to say if they encountered a patient safety breach as a result of participating in this exercise. Simulation performance affected desirability status for 35% of participating applicants, where 23% of applicants ranked higher, and 12% ranked lower compared to baseline application status. Cognitive simulation training was useful in assessing resident applicant higher-order thinking skills and in helping stratify candidates in conjunction with standard application metrics.

  10. How do we classify functional status?

    Science.gov (United States)

    Meyboom-de Jong, B M; Smith, R J

    1992-02-01

    The original question "How do we classify functional status?" is rephrased as "How do we order or arrange the limitations of function of primary care patients in classes?". After a review of the functions to be considered, the concept of functional status is presented using empirical data from the research project "Morbidity and Functional Status of the Elderly." The group studied consisted of 5,502 patients older than age 65 and 25 general practitioners in 12 practices. Functional status was assessed using five COOP charts: physical status, psychological status, daily activities, social status, and change. Morbidity was registered using the International Classification of Primary Care (ICPC). At the beginning and end of the study, 30% of the elderly patients assessed their physical functions as seriously limited, whereas 6% to 8% reported psychological problems and limitations in daily activities or social contacts. During the encounters, more serious limitations were recorded: 35% of encounters involved serious physical limitations; 18% involved serious limitations in activities of daily living, and 11% involved constant psychological problems or limitations in social contact. Women reported more physical limitations than men. Older patients reported more physical limitations than younger ones, and people living in nursing homes reported more limitations than patients living independently. From the disease-specific health profiles, we concluded that the greatest limitation of all aspects of function was scored during encounters for cerebrovascular disease, dementia, and cancer of the lung, stomach, intestine, and breast. Hypertension, "no disease," and "common cold" elicited the lowest functional limitations.(ABSTRACT TRUNCATED AT 250 WORDS)

  11. Nutritional status, gender and marital status in patients with chronic obstructive pulmonary disease.

    Science.gov (United States)

    Odencrants, Sigrid; Bjuström, Tomas; Wiklund, Nils; Blomberg, Karin

    2013-10-01

    To describe and compare nutritional status, pulmonary function, gender and marital status in patients with chronic obstructive pulmonary disease. Chronic obstructive pulmonary disease is a chronic illness that can lead to poor nutritional status due to an increased energy requirements related to laboured breathing. Inadequate nutritional intake has often been described in this patient group. Nutritional support for patients with chronic obstructive pulmonary disease who suffer from nutritional problems is essential, both for their sense of well-being and for their survival with chronic obstructive pulmonary disease. The study design was descriptive and comparative. Quantitative data collection was carried out among 81 patients with chronic obstructive pulmonary disease (47 women and 34 men) with an average age of 65 years (SD 3·5). The Mini Nutritional Assessment was used to assess nutritional status. Participants who lived alone had worse nutritional status than those who did not live alone, and female participants had worse nutritional status than their male counterparts. No significant correlation was found between pulmonary function and nutritional status. This study contributes knowledge of a potential correlation between nutritional status, gender and marital status in patients with chronic obstructive pulmonary disease. Women with chronic obstructive pulmonary disease may be at an increased risk of malnutrition. Despite the previous results showing malnutrition and underweight to be common, the present study found that many of the participants were overweight, which may reflect a global health trend regardless of disease. Early identification of patients at risk of malnutrition is important. Registered nurses should be aware that patients with chronic obstructive pulmonary disease who are female or who live alone may be at an increased risk of nutritional problems. Patients with chronic obstructive pulmonary disease must be offered information and support

  12. Status of the MIND simulation and analysis

    Science.gov (United States)

    Cervera Villanueva, A.; Laing, A.; Lindroos, L.; Martín-Albo, J.; Soler, F. J. P.

    2010-03-01

    A realistic simulation of the Neutrino Factory detectors is required in order to fully understand the sensitivity of such a facility to the remaining parameters and degeneracies of the neutrino mixing matrix. Here described is the status of a modular software framework being developed to accommodate such a study. The results of initial studies of the reconstruction software and expected efficiency curves in the context of the golden channel are given.

  13. Primordial Inflation Polarization Explorer: Status and Plans

    Science.gov (United States)

    Kogut, Alan

    2009-01-01

    The Primordial Inflation Polarization Explorer is a balloon-borne instrument to measure the polarization of the cosmic microwave background in order to detect the characteristic signature of gravity waves created during an inflationary epoch in the early universe. PIPER combines cold /I.G K\\ optics, 5120 bolometric detectors, and rapid polarization modulation using VPM grids to achieve both high sensitivity and excellent control of systematic errors. I will discuss the current status and plans for the PIPER instrument.

  14. n status confessionis

    African Journals Online (AJOL)

    Both the World Alliance of Reformed Churches (WARC) and the — then — Re- formed Ecumenical Synod (RES) eventually declared a status confessionis against the theological and moral justification of apartheid. In this process the Afrikaans Re- formed Churches came under serious fire. The questions arising from this ...

  15. Status, Numbers and Influence

    Science.gov (United States)

    Melamed, David; Savage, Scott V.

    2013-01-01

    We develop a theoretical model of social influence in n-person groups. We argue that disagreement between group members introduces uncertainty into the social situation, and this uncertainty motivates people to use status characteristics to evaluate the merits of a particular opinion. Our model takes the numerical distribution of opinions and the…

  16. Status and the brain.

    Directory of Open Access Journals (Sweden)

    Amanda V Utevsky

    2014-09-01

    Full Text Available Social hierarchy is a fact of life for many animals. Navigating social hierarchy requires understanding one's own status relative to others and behaving accordingly, while achieving higher status may call upon cunning and strategic thinking. The neural mechanisms mediating social status have become increasingly well understood in invertebrates and model organisms like fish and mice but until recently have remained more opaque in humans and other primates. In a new study in this issue, Noonan and colleagues explore the neural correlates of social rank in macaques. Using both structural and functional brain imaging, they found neural changes associated with individual monkeys' social status, including alterations in the amygdala, hypothalamus, and brainstem--areas previously implicated in dominance-related behavior in other vertebrates. A separate but related network in the temporal and prefrontal cortex appears to mediate more cognitive aspects of strategic social behavior. These findings begin to delineate the neural circuits that enable us to navigate our own social worlds. A major remaining challenge is identifying how these networks contribute functionally to our social lives, which may open new avenues for developing innovative treatments for social disorders.

  17. Experimental status of physics

    Indian Academy of Sciences (India)

    In a short period of time, we will have a large amount of results from -factories including ones on CP violation. In this talk, we briefly review the current experimental status of -physics. After a quick description of -facilities, we divide this vast field into two categories: (1) weak interaction and QCD, (2) unitarity triangle and ...

  18. Angola: Country Status Report.

    Science.gov (United States)

    Bruhn, Thea C.

    A survey of the status of language usage in Angola begins with an overview of the usage and distribution of Portuguese as the official language, and the four most significant native languages and dialects spoken there: Umbundu, Kimbundu, Kikongo, and Lunda-Chokwe. The introduction of Spanish through Cuban trainers, teachers, and military advisors…

  19. Status of numerical relativity

    Indian Academy of Sciences (India)

    Numerical relativity; gravitational waves; black hole; neutron star. ... and stellar collapse, emphasizing the well-developed current status of such implementations that enable simulations for several astrophysical phenomena. Some of our latest results for simulation of binary neutron star mergers are briefly presented.

  20. A mixed logit model of health care provider choice: analysis of NSS data for rural India.

    Science.gov (United States)

    Borah, Bijan J

    2006-09-01

    In order to address the persistent problems of access to and delivery of health care in rural India, a better understanding of the individual provider choice decision is required. This paper is an attempt in this direction as it investigates the determinants of outpatient health care provider choice in rural India in the mixed multinomial logit (MMNL) framework. This is the first application of the mixed logit to the modeling of health care utilization. We also use the multiple imputation technique to impute the missing prices of providers that an individual did not visit when she was ill. Using data from National Sample Survey Organization of India, we find the following: price and distance to a health facility play significant roles in health care provider choice decision; when health status is poor, distance plays a less significant role in an adult's provider choice decision; price elasticity of demand for outpatient care varies with income, with low-income groups being more price-sensitive than high-income ones. Furthermore, outpatient care for children is more price-elastic than that for adults, which reflects the socio-economic structure of a typical household in rural India where an adult's health is more important than that of a child for the household's economic sustenance. Copyright 2006 John Wiley & Sons, Ltd.

  1. Beyond fourth-order texture discrimination: generation of extreme-order and statistically-balanced textures.

    Science.gov (United States)

    Tyler, Christopher W

    2004-01-01

    Julesz introduced the concept of statistically defined textures and their perceptual discrimination. Julesz showed that discrimination was possible with statistics equated to third-order, specifying fourth-order textures. Klein and Tyler offered a variety of paradigms suggesting that fourth order might be the limit on human texture processing. To go beyond this limit, new texture paradigms are now introduced to avoid contamination by luminance extrema, to control local and long-range texture properties, and to provide textures without global statistical structure. Local luminance contamination is avoided by novel orientation plaids, in which higher-order rules govern the orientation of local elements rather than their coloring. These textures allow evaluation of texture discrimination up to thirty-second order by cortical pattern elements. Long-range processing is studied by random strip rotation and by interlacing of independent textures. Each substantially degrades the visibility of the fourth-order textures, revealing that the fourth-order information is conveyed largely by local rather than long-range perturbations from random statistics. Finally, textures equated at all orders can be defined in terms of their global statistics, but may nevertheless readily be discriminated in human vision. The discrimination on the basis of local perturbations implies that human vision assesses textures through a local sampling window, and is largely insensitive to longer-range statistical properties.

  2. Metaheuristics for the Order Batching Problem in Manual Order Picking Systems

    Directory of Open Access Journals (Sweden)

    Sebastian Henn

    2010-05-01

    Full Text Available In manual order picking systems, order pickers walk or drive through a distribution warehouse in order to collect items which are requested by (internal or external customers. In order to perform these operations efficiently, it is usually required that customer orders are combined into (more substantial picking orders of limited size. The Order Batching Problem considered in this paper deals with the question of how a given set of customer orders should be combined such that the total length of all tours is minimized which are necessary to collect all items. The authors introduce two metaheuristic approaches for the solution of this problem: the first one is based on Iterated Local Search; the second on Ant Colony Optimization. In a series of extensive numerical experiments, the newly developed approaches are benchmarked against classic solution methods. It is demonstrated that the proposed methods are not only superior to existing methods but provide solutions which may allow distribution warehouses to be operated significantly more efficiently.

  3. Multi-Centered First Order Formalism

    CERN Document Server

    Ferrara, Sergio; Shcherbakov, Andrey; Yeranyan, Armen

    2013-01-01

    We propose a first order formalism for multi-centered black holes with flat tree-dimensional base-space, within the stu model of N=2, D=4 ungauged Maxwell-Einstein supergravity. This provides a unified description of first order flows of this universal sector of all models with a symmetric scalar manifold which can be obtained by dimensional reduction from five dimensions. We develop a D=3 Cartesian formalism which suitably extends the definition of central and matter charges, as well as of black hole effective potential and first order "fake" superpotential, in order to deal with not necessarily axisimmetric solutions, and thus with multi-centered and/or (under-)rotating extremal black holes. We derive general first order flow equations for composite non-BPS and almost BPS classes, and we analyze some of their solutions, retrieving various single-centered (static or under-rotating) and multi-centered known systems. As in the t^3 model, the almost BPS class turns out to split into two general branches, and th...

  4. Multi-centered first order formalism

    Science.gov (United States)

    Ferrara, Sergio; Marrani, Alessio; Shcherbakov, Andrey; Yeranyan, Armen

    2013-05-01

    We propose a first order formalism for multi-centered black holes with flat three-dimensional base-space, within the stu model of N = 2, D = 4 ungauged MaxwellEinstein supergravity. This provides a unified description of first order flows of this universal sector of all models with a symmetric scalar manifold which can be obtained by dimensional reduction from five dimensions. We develop a D = 3 Cartesian formalism which suitably extends the definition of central and matter charges, as well as of black hole effective potential and first order "fake" superpotential, in order to deal with not necessarily axisimmetric solutions, and thus with multi-centered and/or (under-)rotating extremal black holes. We derive general first order flow equations for composite non-BPS and almost BPS classes, and we analyze some of their solutions, retrieving various single-centered (static or under-rotating) and multi-centered known systems. As in the t 3 model, the almost BPS class turns out to split into two general branches, and the well known almost BPS system is shown to be a particular solution of the second branch.

  5. Dynamic Question Ordering in Online Surveys

    Directory of Open Access Journals (Sweden)

    Early Kirstin

    2017-09-01

    Full Text Available Online surveys have the potential to support adaptive questions, where later questions depend on earlier responses. Past work has taken a rule-based approach, uniformly across all respondents. We envision a richer interpretation of adaptive questions, which we call Dynamic Question Ordering (DQO, where question order is personalized. Such an approach could increase engagement, and therefore response rate, as well as imputation quality. We present a DQO framework to improve survey completion and imputation. In the general survey-taking setting, we want to maximize survey completion, and so we focus on ordering questions to engage the respondent and collect hopefully all information, or at least the information that most characterizes the respondent, for accurate imputations. In another scenario, our goal is to provide a personalized prediction. Since it is possible to give reasonable predictions with only a subset of questions, we are not concerned with motivating users to answer all questions. Instead, we want to order questions to get information that reduces prediction uncertainty, while not being too burdensome. We illustrate this framework with two case studies, for the prediction and survey-taking settings. We also discuss DQO for national surveys and consider connections between our statistics-based question-ordering approach and cognitive survey methodology.

  6. Mind, Matter and the Implicate Order The Implicate Order Revisited

    CERN Document Server

    Pylkkänen, Paavo T I

    2007-01-01

    Proposes that Bohm's alternative interpretation of quantum theory resolves the paradoxes such as Schrodinger's cat, and the EPR paradox. This work uses Bohm's concepts of "implicate order", "active information" and "soma-significance" as tools to tackle several well-known problems in the philosophy of mind.

  7. Competition for Order Flow and smart Order Routing Systems

    NARCIS (Netherlands)

    Foucault, T; Menkveld, A.J.

    2008-01-01

    We study the rivalry between Euronext and the London Stock Exchange (LSE) in the Dutch stock market to test hypotheses about the effect of market fragmentation. As predicted by our theory, the consolidated limit order book is deeper after entry of the LSE. Moreover, cross-sectionally, we find that a

  8. Providing Southern Perspectives on CSR

    OpenAIRE

    Jeppesen, Søren; Kothuis, Bas

    2014-01-01

    The article seeks to contribute to the SMEs and CSR literature in developing countries by providing; a) a ‘Southern’ SME perspective, which includes the voices of managers and workers, b) a perspective of CSR, which opens up to informal CSR practices that SMEs undertake, and c) an analysis of the key institutional issues affecting the CSR practices of SMEs. It presents perceptions of CSR practices among 21 SMEs in the garment industry in South Africa, based on 40 interviews with managers and ...

  9. Anion order in perovskite oxynitrides.

    Science.gov (United States)

    Yang, Minghui; Oró-Solé, Judith; Rodgers, Jennifer A; Jorge, Ana Belén; Fuertes, Amparo; Attfield, J Paul

    2011-01-01

    Transition-metal oxynitrides with perovskite-type structures are an emerging class of materials with optical, photocatalytic, dielectric and magnetoresistive properties that may be sensitive to oxide-nitride order, but the anion-ordering principles were unclear. Here we report an investigation of the representative compounds SrMO(2)N (M = Nb, Ta) using neutron and electron diffraction. This revealed a robust 1O/2(O(0.5)N(0.5)) partial anion order (up to at least 750 °C in the apparently cubic high-temperature phases) that directs the rotations of MO(4)N(2) octahedra in the room-temperature superstructure. The anion distribution is consistent with local cis-ordering of the two nitrides in each octahedron driven by covalency, which results in disordered zigzag M-N chains in planes within the perovskite lattice. Local structures for the full range of oxynitride perovskites are predicted and a future challenge is to tune properties by controlling the order and dimensionality of the anion chains and networks.

  10. Nuclear magnetic ordering in silver

    Energy Technology Data Exchange (ETDEWEB)

    Lefmann, K.

    1995-12-01

    Nuclear antiferromagnetic ordering has been observed by neutron diffraction in a single crystal of {sup 109}Ag. The critical temperature is found to 700 pK, and the critical field is 100 {mu}T. From the paramagnetic phase a second order phase transition leads into a type-I 1-k structure with long range order. The experiments have taken place at the Hahn-Meitner Institut in Berlin in collaboration with the low Temperature Laboratory in Helsinki, the Niels Bohr Institute in Copenhagen, and Risoe National Laboratory, Roskilde. The present report is a Ph.D. thesis which has been successfully defended at the Niels Bohr Institute. Besides the results of the nuclear ordering experiments the thesis contains a description of the theoretical background for nuclear magnetism and a review of earlier nuclear ordering experiments as well as theoretical work. The principles for studying polarized nuclei with use of polarized and unpolarized neutrons are presented, as well as the results of such experiments. (au) 11 tabs., 59 ills., 143 refs.

  11. Automatic code generator for higher order integrators

    Science.gov (United States)

    Mushtaq, Asif; Olaussen, Kåre

    2014-05-01

    Some explicit algorithms for higher order symplectic integration of a large class of Hamilton's equations have recently been discussed by Mushtaq et al. Here we present a Python program for automatic numerical implementation of these algorithms for a given Hamiltonian, both for double precision and multiprecision computations. We provide examples of how to use this program, and illustrate behavior of both the code generator and the generated solver module(s).

  12. Status of Chronic Oxidation Studies of Graphite

    Energy Technology Data Exchange (ETDEWEB)

    Contescu, Cristian I. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Mee, Robert W. [Univ. of Tennessee, Knoxville, TN (United States)

    2016-05-01

    Graphite will undergo extremely slow, but continuous oxidation by traces of moisture that will be present, albeit at very low levels, in the helium coolant of HTGR. This chronic oxidation may cause degradation of mechanical strength and thermal properties of graphite components if a porous oxidation layer penetrates deep enough in the bulk of graphite components during the lifetime of the reactor. The current research on graphite chronic oxidation is motivated by the acute need to understand the behavior of each graphite grade during prolonged exposure to high temperature chemical attack by moisture. The goal is to provide the elements needed to develop predictive models for long-time oxidation behavior of graphite components in the cooling helium of HTGR. The tasks derived from this goal are: (1) Oxidation rate measurements in order to determine and validate a comprehensive kinetic model suitable for prediction of intrinsic oxidation rates as a function of temperature and oxidant gas composition; (2) Characterization of effective diffusivity of water vapor in the graphite pore system in order to account for the in-pore transport of moisture; and (3) Development and validation of a predictive model for the penetration depth of the oxidized layer, in order to assess the risk of oxidation caused damage of particular graphite grades after prolonged exposure to the environment of helium coolant in HTGR. The most important and most time consuming of these tasks is the measurement of oxidation rates in accelerated oxidation tests (but still under kinetic control) and the development of a reliable kinetic model. This report summarizes the status of chronic oxidation studies on graphite, and then focuses on model development activities, progress of kinetic measurements, validation of results, and improvement of the kinetic models. Analysis of current and past results obtained with three grades of showed that the classical Langmuir-Hinshelwood model cannot reproduce all

  13. Higher-Order Program Generation

    DEFF Research Database (Denmark)

    Rhiger, Morten

    This dissertation addresses the challenges of embedding programming languages, specializing generic programs to specific parameters, and generating specialized instances of programs directly as executable code. Our main tools are higher-order programming techniques and automatic program generation...... infrastructure of higher-order functions, types, and modules. Furthermore, it has been observed that embedded programs can be restricted to those having simple types using a technique called ``phantom types''. We prove, using an idealized higher-order language, that such an embedding is sound (i.e., when all...... to the disproportion between general programs that can be executed in several contexts and their specialized counterparts that can be executed efficiently. However, stand-alone partial evaluation is usually too costly when a program must be specialized at run time. We introduce a collection of byte-code combinators...

  14. Army Hearing Program Status Report Quarter 3 Fiscal Year 2017

    Science.gov (United States)

    2017-09-14

    U.S. Army Publ ic Heal th Center Army Hearing Program Status Report Q3 FY17 Clinical Public Health and Epidemiology Directorate Army...Hearing Division General Medical: 500A September 2017 Approved for public release; distribution unlimited Army Hearing Program Status Report... Program Status Report (AHPSR) is a component of the Public Health Management System and provides a means for the installation Hearing Program Managers

  15. Workplace status: The development and validation of a scale.

    Science.gov (United States)

    Djurdjevic, Emilija; Stoverink, Adam C; Klotz, Anthony C; Koopman, Joel; da Motta Veiga, Serge P; Yam, Kai Chi; Chiang, Jack Ting-Ju

    2017-07-01

    Research suggests that employee status, and various status proxies, relate to a number of meaningful outcomes in the workplace. The advancement of the study of status in organizational settings has, however, been stymied by the lack of a validated workplace status measure. The purpose of this manuscript, therefore, is to develop and validate a measure of workplace status based on a theoretically grounded definition of status in organizations. Subject-matter experts were used to examine the content validity of the measure. Then, 2 separate samples were employed to assess the psychometric properties (i.e., factor structure, reliability, convergent and discriminant validity) and nomological network of a 5-item, self-report Workplace Status Scale (WSS). To allow for methodological flexibility, an additional 3 samples were used to extend the WSS to coworker reports of a focal employee's status, provide additional evidence for the validity and reliability of the WSS, and to demonstrate consensus among coworker ratings. Together, these studies provide evidence of the psychometric soundness of the WSS for assessing employee status using either self-reports or other-source reports. The implications of the development of the WSS for the study of status in organizations are discussed, and suggestions for future research using the new measure are offered. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. Implicit learning is order dependent.

    Science.gov (United States)

    Jamieson, Randall K; Vokey, John R; Mewhort, D J K

    2017-01-01

    We report two experiments using the artificial-grammar task that demonstrate order dependence in implicit learning. Studying grammatical training strings in different orders did not affect participants' discrimination of grammatical from ungrammatical test strings, but it did affect their judgments about specific test strings. Current accounts of learning in the artificial-grammar task focus on category-level discrimination and largely ignore item-level discrimination. Hence, the results highlight the importance of moving theory from a category- to an item-level of analysis and point to a new way to evaluate and to refine accounts of implicit learning.

  17. Code status and resuscitation options in the electronic health record.

    Science.gov (United States)

    Bhatia, Haresh L; Patel, Neal R; Choma, Neesha N; Grande, Jonathan; Giuse, Dario A; Lehmann, Christoph U

    2015-02-01

    The advance discussion and documentation of code-status is important in preventing undesired cardiopulmonary resuscitation and related end of life interventions. Code-status documentation remains infrequent and paper-based, which limits its usefulness. This study evaluates a tool to document code-status in the electronic health records at a large teaching hospital, and analyzes the corresponding data. Encounter data for patients admitted to the Medical Center were collected over a period of 12 months (01-APR-2012-31-MAR-2013) and the code-status attribute was tracked for individual patients. The code-status data were analyzed separately for adult and pediatric patient populations. We considered 131,399 encounters for 83,248 adult patients and 80,778 encounters for 55,656 pediatric patients in this study. 71% of the adult patients and 30% of the pediatric patients studied had a documented code-status. Age and severity of illness influenced the decision to document code-status. Demographics such as gender, race, ethnicity, and proximity of primary residence were also associated with the documentation of code-status. Absence of a recorded code-status may result in unnecessary interventions. Code-status in paper charts may be difficult to access in cardiopulmonary arrest situations and may result in unnecessary and unwanted interventions and procedures. Documentation of code-status in electronic records creates a readily available reference for care providers. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  18. Status in Groups: The Importance of Motivation.

    Science.gov (United States)

    Ridgeway, Cecilia L.

    1982-01-01

    An experiment with mixed and same sex groups provided evidence that perceived motivation towards the group determines members' attained influence and status in task-oriented groups. While group-oriented members are generally more influential than self-oriented ones, the degree of motivation's effect depends on the member's external status…

  19. Status Report on the MCNP 2020 Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Forrest B. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Rising, Michael Evan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-10-02

    The discussion below provides a status report on the MCNP 2020 initiative. It includes discussion of the history of MCNP 2020, accomplishments during 2013-17, priorities for near-term development, other related efforts, a brief summary, and a list of references for the plans and work accomplished.

  20. Reputational concerns with altruistic providers.

    Science.gov (United States)

    Olivella, Pau; Siciliani, Luigi

    2017-09-01

    We study a model of reputational concerns when doctors differ in their degree of altruism and they can signal their altruism by their (observable) quality. When reputational concerns are high, following the introduction or enhancement of public reporting, the less altruistic (bad) doctor mimics the more altruistic (good) doctor. Otherwise, either a separating or a semi-separating equilibrium arises: the bad doctor mimics the good doctor with probability less than one. Pay-for-performance incentive schemes are unlikely to induce crowding out, unless some dimensions of quality are unobservable. Under the pooling equilibrium a purchaser can implement the first-best quality by appropriately choosing a simple payment scheme with a fixed price per unit of quality provided. This is not the case under the separating equilibrium. Therefore, policies that enhance public reporting complement pay-for-performance schemes. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Residential immersive life skills programs for youth with disabilities: service providers' perceptions of change processes.

    Science.gov (United States)

    King, Gillian; McPherson, Amy; Kingsnorth, Shauna; Stewart, Debra; Glencross-Eimantas, Tanya; Jones-Galley, Kimberlea; Morrison, Andrea; Isihi, Ana Maria; Gorter, Jan Willem

    2015-05-01

    Residential immersive life skills (RILS) programs are designed to equip youth with physical disabilities with the foundational life skills required to assume adult roles. The objective was to determine RILS service providers' perceptions of the active ingredients of the intervention change process. Thirty-seven service providers from various disciplines completed measures to assess expertise status and participated in qualitative interviews. Qualitative themes were derived, and similarities and differences in themes were identified for blinded groups of novices, intermediates, and experts. The three main themes, reflecting change processes, were: (a) creating a supportive program atmosphere with multiple opportunities for learning, (b) using strategies to support, encourage, and engage youth, and (c) intentionally fostering youth experiences of skill development, social interaction, and pride in accomplishment. In contrast to the novices, experts displayed a more holistic perspective and paid attention to higher-order issues such as providing opportunities and enabling youth. The findings indicate how RILS service providers work to create a program atmosphere and employ strategies to intentionally foster particular youth experiences. The findings explicate service providers' theories of practice, the intentional design of RILS program environments to bring about client change, and the value of service provider expertise. Implications for Rehabilitation Service providers of youth independence-oriented life skills programs can intentionally create a learning-oriented and supportive program atmosphere by using non-directive, coaching/guiding, and engagement strategies Youth experiences of skill development, shared experience with others, and pride in accomplishment can be cultivated by providing a range of learning opportunities, including choice making, problem-solving, and skill mastery Compared to more novice service providers, experts discussed managing the

  2. Spotlight on Working Adults: Congress Threatens Tax-Exempt Status of Employer-Provided Tuition Assistance.

    Science.gov (United States)

    Brown, J. Noah

    1996-01-01

    The future of employee tuition benefits under the federal Employee Educational Assistance Act is again threatened unless Congress acts to preserve it. Research shows this benefit to have been successful in achieving its principal goal of promoting equity among beneficiaries. The act has expired and been reenacted 8 times in 17 years, illustrating…

  3. Distorted self-perceived weight status and underestimation of weight status in diabetes mellitus type 2 patients.

    Science.gov (United States)

    Mogre, Victor; Abedandi, Robert; Salifu, Zenabankara S

    2014-01-01

    Diabetes mellitus type 2 (DM 2) patients' self-perception of their weight status is very critical in diabetes care. We sought to investigate perception of weight status in a sample of 200 DM 2 patients attending an outpatient clinic at a Teaching Hospital and compared it with their BMI-measured weight status, with a focus on underestimation of their weight status. Factors associated with underestimation of weight status in this sample were also explored. Using a cross-sectional design, anthropometric and clinical variables were assessed using appropriate tools. Questionnaires were used to collect socio-demographic data and self-perception of weight status. Self-perceived weight status was compared to BMI-measured weight status by cross-tabulation, Kappa statistics of agreement and χ2 for trend analysis. Both univariate and multiple logistic regression analysis were conducted to identify factors associated with underestimation of weight status. The prevalence of general overweight/obesity and abdominal obesity was 32.0% (n = 64) and 58.0% (n = 116) respectively. Generally, 58.0% (n = 116) of the participants had a distorted weight perceived weight status in which 77.6% (n = 90) underestimated their weight status. Factors associated with underestimation of weight status were being overweight/obese (AOR = 22.9, 95% CI = 8.30-63.07, pweight (AOR = 6.9, 95% CI = 2.35-19.97, pweight status. We found a substantial discordance between BMI-measured and self-perceived weight status. Factors that were associated with underestimation of weight status were being; overweight/obese, not married and never tried to lose weight. Diabetes patients should be provided with information about weight guidelines.

  4. DDE-MURR Status Report of Conceptual Design Activities

    Energy Technology Data Exchange (ETDEWEB)

    N.E. Woolstenhulme; R.B. Nielson; M.H. Sprenger; G.K. Housley

    2013-09-01

    The Design Demonstration Experiment for the University of Missouri Research Reactor (DDE-MURR) is intended to facilitate Low Enriched Uranium (LEU) conversion of the MURR by demonstrating the performance and fabrication of the LEU fuel element design through an irradiation test in a 200mm channel at the Belgium Reactor 2 (BR2). Revision 0 of this report was prepared at the end of government fiscal year 2012 when most of the resources for furthering DDE design work were expected to be postponed. Hence, the conceptual design efforts were summarized to provide the status of key objectives, notable results, and provisions for future design work. Revision 1 of this report was prepared at the end of fiscal year 2013 in order to include results from a neutronic study performed by BR2, to incorporate further details that had been achieved in the engineering sketches of the irradiation devices, and to provide an update of the DDE-MURR campaign in relation to program objectives and opportunities for its eventual irradiation. These updates were purposed to bring the DDE-MURR conceptual design to level of maturity similar to that of the other two DDE efforts (DDE-MITR and DDE-NBSR). This report demonstrates that the DDE-MURR design effort is well on the path to producing a suitable irradiation experiment, but also puts forth several recommendations in order to facilitate success of the irradiation campaign.

  5. Towards Successful Cloud Ordering Service

    Directory of Open Access Journals (Sweden)

    Chen Yan-Kwang

    2015-03-01

    Full Text Available Background: The rise of cloud services has led to a drastic growth of e-commerce and a greater investment in development of new cloud services systems by related industries. For SaaS developers, it is important to understand customer needs and make use of available resources at as early as the system design and development stage. Objectives: This study integrates E-commerce Systems (ECS Success model and Importance-Performance Analysis (IPA into empirical research of the critical factors for cloud ordering system success. Methods/Approach: A survey research is conducted to collect data on customer perceptions of the importance and performance of each attribute of the particular cloud ordering service. The sample is further divided according to the degree of use of online shopping into high-usage users and low-usage users in order to explore their views regarding the system and generate adequate coping strategies. Results: Developers of online ordering systems can refer to the important factors obtained in this study when planning strategies of product/service improvement. Conclusions: The approach proposed in this study can also be applied to evaluation of other kinds of cloud services systems.

  6. Nursing Aides, Orderlies, and Attendants

    Science.gov (United States)

    ... Releases » Students Games & Quizzes Student Resources Teacher´s Desk History of BLS FAQs Beta Data Finder » State and County Map » OOH HOME | OCCUPATION FINDER | OOH FAQ | OOH GLOSSARY ... Nursing Assistants and Orderlies PRINTER-FRIENDLY EN ESPAÑOL Summary ...

  7. Order functions and evaluation codes

    DEFF Research Database (Denmark)

    Høholdt, Tom; Pellikaan, Ruud; van Lint, Jack

    1997-01-01

    Based on the notion of an order function we construct and determine the parameters of a class of error-correcting evaluation codes. This class includes the one-point algebraic geometry codes as wella s the generalized Reed-Muller codes and the parameters are detremined without using the heavy...

  8. Moral Order and the Humanities.

    Science.gov (United States)

    Howard, Thomas

    1980-01-01

    Argues that a society without reverence for myths and history inevitably falls prone to chaos and evil, pointing to abortion, Andy Warhol's celebrity, and Woodstock as evidence of this disintegration of society. Proposes that humanities education expose students to human experience based on some awesome and fixed moral order. (AYC)

  9. Formalisation of the ordering process

    NARCIS (Netherlands)

    Welker, Gera A.; Vries, Jan de

    2002-01-01

    In this article a conceptual framework of the ordering process, especially the formalisation of this process, is presented. The fundaments of the framework are grounded on the observation that due to information technology and the necessity of reducing control complexity, companies often try to

  10. Time order reversals and saccades.

    Science.gov (United States)

    Kresevic, Jesse L; Marinovic, Welber; Johnston, Alan; Arnold, Derek H

    2016-08-01

    Ballistic eye movements, or saccades, present a major challenge to the visual system. They generate a rapid blur of movement across the surface of the retinae that is rarely consciously seen, as awareness of input is suppressed around the time of a saccade. Saccades are also associated with a number of perceptual distortions. Here we are primarily interested in a saccade-induced illusory reversal of apparent temporal order. We examine the apparent order of transient targets presented around the time of saccades. In agreement with previous reports, we find evidence for an illusory reversal of apparent temporal order when the second of two targets is presented during a saccade - but this is only apparent for some observers. This contrasts with the apparent salience of targets presented during a saccade, which is suppressed for all observers. Our data suggest that separable processes might underlie saccadic suppressions of salience and saccade-induced reversals of apparent order. We suggest the latter arises when neural transients, normally used for timing judgments, are suppressed due to a saccade - but that this is an insufficient pre-condition. We therefore make the further suggestion, that the loss of a neural transient must be coupled with a specific inferential strategy, whereby some people assume that when they lack a clear impression of event timing, that event must have happened less recently than alternate events for which they have a clear impression of timing. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  11. Factors determining choice of health care provider in Jordan.

    Science.gov (United States)

    Halasa, Y; Nandakumar, A K

    2009-01-01

    This paper examines factors influencing a patient's choice of provider for outpatient health care services in Jordan. Factors including demographic, socioeconomic, insurance status, quality of care, household size and cost of health care were studied using a multinomial logit model applied to a sample of 1031 outpatients from the Jordan heathcare utilization and expenditure survey, 2000. The patient's socioeconomic and demographic characteristics affected provider choice. Insurance was not statistically significant in choosing Ministry of Health facilities over other providers. Patients utilizing the public sector were price sensitive, and therefore any attempt to improve accessibility to health care services in Jordan should take this into consideration.

  12. Current Status and Perspectives of Forestry Entrepreneurship in Croatia

    Directory of Open Access Journals (Sweden)

    Mario Šporčić

    2017-01-01

    Full Text Available Background and Purpose: The relevance and importance of forestry entrepreneurship is constantly increasing, especially in countries with high transition dynamics in forestry sector. In Croatia, forestry entrepreneurs have in short time become an indispensable part in the performing of harvesting and other types of forestry operations. This paper presents the current status and perspectives of forestry entrepreneurship in Croatia. Materials and Methods: Based on the analysis of the available data from various sources (normative state acts, Forestry Chamber’s official registries, databases and documents, state forestry company business reports etc., this paper provides an overview of the legal and institutional framework for the activities of private entrepreneurs in Croatian forestry with particular attention to licensing forestry contractors and the role of the Croatian Chamber of Forest and Wood Technology Engineers (Forestry Chamber. Results and Conclusions: The paper explains the activities, tasks, organization structure and formal bodies of the Forestry Chamber. The licensing model is also presented together with the formal criteria and minimum conditions which forestry entrepreneurs have to fulfill in order to acquire a license for forest work operations. Structural characteristics and the profile of forestry entrepreneurs is given by the number, size and type of business, the type of forest operations for which they are licensed, and the volume of work that they are performing for Croatian Forests Ltd, the state forest company. Finally, the paper includes some reflections on the perspectives and possibilities for improving the status of entrepreneurship in Croatian forestry.

  13. Status Review of Renewable and Energy Efficiency Support Schemes in Europe

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-09-15

    This document forms the latest update to the regular CEER Status Review of Renewable Energy and Energy Efficiency Support Schemes in Europe and builds on the previous CEER report C10-SDE-19-04a. The purpose of Status Review publications is to collect comparable data on RES support in Europe in order to provide policy-makers, regulators and industry participants with information on support schemes for electricity from renewable energy sources, by technology and type of instrument (e.g. Feed-in tariffs and Green Certificates). To collect this data, a questionnaire was circulated to CEER members in July 2012, to explore the renewable electricity support schemes currently in place in Member States across Europe.

  14. MENA Renewables Status Report 2013

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-06-15

    The MENA Renewables Status Report is an outcome of ADIREC, the Abu Dhabi International Renewable Energy Conference. The report provides a status overview of renewable energy markets, industry, policy and investment trends in the region, drawing on the most recent data available. It is produced in cooperation with over 50 contributors and researchers in the region and reveals massive growth in the renewable energy markets of the Middle East and North Africa (MENA). Regional investment topped US$2.9 billion in 2012, up 40% from 2011 and 650% from 2004. With over 100 projects under development, the region could see a 450% increase in non-hydro renewable energy generating capacity in the next few years. For the report, the 21 MENA countries were clustered into two sub-groups: Net Oil-Exporting Countries (NOEC) -- Algeria, Bahrain, Egypt, Iran, Iraq, Kuwait, Libya, Oman, Qatar, Saudi Arabia, Syria, United Arab Emirates, and Yemen; and Net Oil-Importing Countries (NOIC) -- Djibouti, Israel, Jordan, Lebanon, Malta, Morocco, Palestine, and Tunisia.

  15. Status of the CBM experiment

    Directory of Open Access Journals (Sweden)

    Heuser Johann M.

    2015-01-01

    Full Text Available The Compressed Baryonic Matter (CBM experiment at the Facility for Anti-Proton and Ion Research (FAIR will explore the phase diagram of strongly interacting matter at highest net baryon densities and moderate temperatures. The CBM physics program will be started with beams delivered by the SIS 100 synchrotron, providing energies from 2 to 11 GeV/nucleon for heavy nuclei, up to 14 GeV/nucleon for light nuclei, and 29 GeV for protons. The highest net baryon densities will be explored with ion beams up to 45 GeV/nucleon energy delivered by SIS 300 in the next stage of FAIR. Collision rates up to 107 per second are required to produce very rare probes with unprecedented statistics in this energy range. Their signatures are complex. These conditions call for detector systems designed to meet the extreme requirements in terms of rate capability, momentum and spatial resolution, and a novel DAQ and trigger concept which is not limited by latency but by throughput. The article discusses the development status of the CBM sub-systems for charged particle tracking, vertex detection, electron/muon identification, hadron/time-of-flight measurement, electromagnetic and zero-degree calorimetry, in terms of prototypes and expected physics performance. The concept and development status of CBM’s central detector, the Silicon Tracking System STS are presented in somewhat more detail.

  16. Status of memory loss.

    LENUS (Irish Health Repository)

    Iyer, Parameswaran Mahadeva

    2012-01-01

    A 72-year-old woman presented with first onset of seizure with no prior history of cognitive dysfunction. EEG revealed focal non-convulsive status epilepticus. MRI brain showed a left temporal non-enhancing lesion. Temporal pole biopsy showed acute neuronal necrosis and astrocyte hyperplasia together with extensive amyloid plaques and neurofibrillary tangles. Perivascular oligodendroglial hyperplasia was present. Postmortem examination revealed extensive plaque and tangle disease. Perivascular oligodendroglial hyperplasia was limited to the left temporal area. The presence of focal perivascular oligodendroglial hyperplasia in the left temporal cortex, combined with extensive plaque and tangle disease may have contributed to the focal status epilepticus in this patient. Although the presence of focal perivascular oligodendroglial hyperplasia has been reported in cases of temporal lobe epilepsy, it has not been reported as a cause of seizure in patients with Alzheimer\\'s disease previously. Further studies for clinical-pathologic correlation would be required to confirm this hypothesis.

  17. Status Epilepticus in Children.

    Science.gov (United States)

    Behera, K; Rana, S; Kanitkar, M; Adhikari, M

    2005-02-01

    Status epilepticus (SE) is a life-threatening emergency that requires prompt treatment, including basic neuroresuscitation principles (the ABCs), antiepileptic drugs to stop the seizure and identification of etiology. It results from an inability to normally abort an isolated seizure either due to ineffective inhibition, or due to abnormally persistent excessive excitation. Symptomatic SE is more common in younger children and the likely etiology depends on the age of the child. Treating the precipitating cause may prevent ongoing neurologic injury and facilitates seizure control. Benzodiapenes, phenytoin and phenobarbital form the mainstay of treatment. A systematic treatment regimen, planned in advance, is needed, including one for refractory status epilepticus (RSE). Patient education and home management of seizures is important to reduce the morbidity and mortality associated with SE.

  18. Providing global WLCG transfer monitoring

    CERN Document Server

    Andreeva, J; Campana, S; Flix, J; Flix, J; Keeble, O; Magini, N; Molnar, Z; Oleynik, D; Petrosyan, A; Ro, G; Saiz, P; Salichos, M; Tuckett, D; Uzhinsky, A; Wildish, T

    2012-01-01

    The WLCG[1] Transfers Dashboard is a monitoring system which aims to provide a global view of WLCG data transfers and to reduce redundancy in monitoring tasks performed by the LHC experiments. The system is designed to work transparently across LHC experiments and across the various technologies used for data transfer. Currently each LHC experiment monitors data transfers via experiment-specific systems but the overall cross-experiment picture is missing. Even for data transfers handled by FTS, which is used by 3 LHC experiments, monitoring tasks such as aggregation of FTS transfer statistics or estimation of transfer latencies are performed by every experiment separately. These tasks could be performed once, centrally, and then served to all experiments via a well-defined set of APIs. In the design and development of the new system, experience accumulated by the LHC experiments in the data management monitoring area is taken into account and a considerable part of the code of the ATLAS DDM Dashboard is being...

  19. Mobile Food Ordering Application using Android OS Platform

    Science.gov (United States)

    Yosep Ricky, Michael

    2014-03-01

    The purpose of this research is making an ordering food application based on Android with New Order, Order History, Restaurant Profile, Order Status, Tracking Order, and Setting Profile features. The research method used in this research is water model of System Development Life Cycle (SDLC) method with following phases: requirement definition, analyzing and determining the features needed in developing application and making the detail definition of each features, system and software design, designing the flow of developing application by using storyboard design, user experience design, Unified Modeling Language (UML) design, and database structure design, implementation an unit testing, making database and translating the result of designs to programming language code then doing unit testing, integration and System testing, integrating unit program to one unit system then doing system testing, operation and maintenance, operating the result of system testing and if any changes and reparations needed then the previous phases could be back. The result of this research is an ordering food application based on Android for customer and courier user, and a website for restaurant and admin user. The conclusion of this research is to help customer in making order easily, to give detail information needed by customer, to help restaurant in receiving order, and to help courier while doing delivery.

  20. Mobile Food Ordering Application using Android OS Platform

    Directory of Open Access Journals (Sweden)

    Ricky Michael Yosep

    2014-03-01

    Full Text Available The purpose of this research is making an ordering food application based on Android with New Order, Order History, Restaurant Profile, Order Status, Tracking Order, and Setting Profile features. The research method used in this research is water model of System Development Life Cycle (SDLC method with following phases: requirement definition, analyzing and determining the features needed in developing application and making the detail definition of each features, system and software design, designing the flow of developing application by using storyboard design, user experience design, Unified Modeling Language (UML design, and database structure design, implementation an unit testing, making database and translating the result of designs to programming language code then doing unit testing, integration and System testing, integrating unit program to one unit system then doing system testing, operation and maintenance, operating the result of system testing and if any changes and reparations needed then the previous phases could be back. The result of this research is an ordering food application based on Android for customer and courier user, and a website for restaurant and admin user. The conclusion of this research is to help customer in making order easily, to give detail information needed by customer, to help restaurant in receiving order, and to help courier while doing delivery.

  1. [Hungarian Diet and Nutritional Status Survey 2014. I. Nutritional status of the Hungarian adult population].

    Science.gov (United States)

    Erdei, Gergő; Kovács, Viktória Anna; Bakacs, Márta; Martos, Éva

    2017-04-01

    The Hungarian Diet and Nutritional Status Survey examines the obesity prevalence, dietary habits and, since 2014, physical activity in Hungarian adults in every 5 years. The survey provides national data representative by age and gender, based on anthropometric measurements and international standards. In 2014, nearly two-thirds of adults were overweight or obese. 28.2% of men and 31.5% of women were obese. Prevalence of morbid obesity were 2.6% and 3.3% in men and women, respectively. Abdominal obesity was more prevalent among women than men (55% vs. 38%), and the rate was increasing with age in both genders. In elderly, 55% of men and almost 80% of women were abdominally obese. In conclusion, the prevalence of overweight, obesity, and abdominal obesity is high in Hungarian adults. In order to tackle obesity, we need to obtain representative and measured data, which form the basis of targeted interventions and the assessment of their impact. Orv. Hetil., 2017, 158(14), 533-540.

  2. [Status epilepticus and its treatment--update 2013].

    Science.gov (United States)

    Csilla, Gyimesi; Vera, Juhos; Réka, Horváth; Beáta, Bóné; Márton, Tóth; András, Fogarasi; Sámuel, Komoly; József, Janszky

    2013-11-30

    Our study provides an overview of the results and guidelines published on the treatment of status epilepticus in the last five years. In recent years, as a result of scientific observations and collected data, the definition of and treatment approach to status epilepticus have been refined and novel therapeutic methods have been developed. The updated guidelines provide guidance in everyday medical practice. However, only a relatively small number of randomized studies are available on status epilepticus, especially in second-line treatment and third-line treatment, thus it is difficult to transfer the newest methods into clinical practice and into updates to treatment protocols. Due to the nature and epidemiology of the disease, the treatment of status epilepticus remains a daily challenge for healthcare providers. The key points of an effective treatment are: expeditiously initiating appropriate therapy, concurrent causal treatment and anticonvulsant therapy, early detection of nonconvulsive status epilepticus, as well as avoiding "overtreatment" and side effects.

  3. Status of MARS Code

    Energy Technology Data Exchange (ETDEWEB)

    N.V. Mokhov

    2003-04-09

    Status and recent developments of the MARS 14 Monte Carlo code system for simulation of hadronic and electromagnetic cascades in shielding, accelerator and detector components in the energy range from a fraction of an electronvolt up to 100 TeV are described. these include physics models both in strong and electromagnetic interaction sectors, variance reduction techniques, residual dose, geometry, tracking, histograming. MAD-MARS Beam Line Build and Graphical-User Interface.

  4. The status of GALLEX

    Energy Technology Data Exchange (ETDEWEB)

    Cribier, M. (CEA Centre d' Etudes Nucleaires de Saclay, 91 - Gif-sur-Yvette (France). Dept. de Physique des Particules Elementaires)

    1990-01-01

    The present status of the Gallium Solar Neutrino Experiment performed by the GALLEX Collaboration in the Gran Sasso Underground Laboratory is described. The implementation phase of this experiment is now completed, the whole gallium is at hand and data taking starts now. After a short introduction and an outline of the basic experimental procedure, details will be given on different parts of the experiment and on some background. 14 refs., 2 figs.

  5. Uranium mining: Saskatchewan status

    Energy Technology Data Exchange (ETDEWEB)

    Martin, V. [AREVA Resources Canada Inc., Saskatoon, Saskatchewan, Ontario (Canada)

    2012-07-01

    This paper gives the status of uranium mining by Areva in Saskatchewan. Uranium production now meets 85% of world demand for power generation. 80% of world production of uranium comes from top 5 countries: Kazakhstan, Canada, Australia, Niger and Namibia. Saskatchewan is currently the only Canadian province with active uranium mines and mills and the largest exploration programs. Several mine projects are going through the environmental assessment process. Public opinion is in favour of mining activities in Saskatchewan.

  6. Effect of dental status on changes in mastication in patients with obesity following bariatric surgery.

    Directory of Open Access Journals (Sweden)

    Anne Espérance Godlewski

    Full Text Available BACKGROUND: Patients scheduled for bariatric surgery (BS are encouraged to chew slowly in order to optimise the digestion process. The influence of dental status on patients' ability to comply with advice on chewing behaviour is poorly documented. This study aims to compare modifications of chewing function before and after BS in three groups of obese patients differing in dental status. METHOD AND FINDINGS: A cohort of 46 obese women provided three groups: FD group: fully dentate (7-10 functional dental units [FU]; PD group: partially dentate (4-6 FU without partial dentures; DW group: partial and complete denture wearers. Chewing time (CT, number of chewing cycles (CC, and chewing frequency (CF were measured before and after surgery during mastication of standardised samples of raw carrot, peanuts, banana, apple and jelly. The median particle-size distribution (D50 of the pre-swallowed bolus was also evaluated for peanut and carrot. Before surgery, the PD and DW groups exhibited greater mean CCs and CTs than the FD group (SNK p<0.05 and produced a bolus with higher granulometry (SNK, p<0.05 than the FD group. After surgery, CT and CC increased for all groups and for all foods, but not statistically significant for jelly. The resulting changes in bolus granulometry observed depended on both food and dental status. The granulometry of carrot bolus remained as fine or as coarse in FD and DW groups respectively as it was before surgery while it was significantly decreased in the PD group (Student's test, p<0.001. CONCLUSIONS: After bariatric surgery, all the obese patients, regardless of dental status modified their chewing kinematics. The effects of this chewing behaviour on bolus granulometry depended on dental status and type of food. Further studies are needed to understand better the impact of dental status on feeding behaviour and nutrition in patients with obesity.

  7. Effect of Dental Status on Changes in Mastication in Patients with Obesity following Bariatric Surgery

    Science.gov (United States)

    Godlewski, Anne Espérance; Veyrune, Jean Luc; Nicolas, Emmanuel; Ciangura, Cécile A.; Chaussain, Catherine C.; Czernichow, Sébastien; Basdevant, Arnaud; Hennequin, Martine

    2011-01-01

    Background Patients scheduled for bariatric surgery (BS) are encouraged to chew slowly in order to optimise the digestion process. The influence of dental status on patients' ability to comply with advice on chewing behaviour is poorly documented. This study aims to compare modifications of chewing function before and after BS in three groups of obese patients differing in dental status. Method and Findings A cohort of 46 obese women provided three groups: FD group: fully dentate (7–10 functional dental units [FU]); PD group: partially dentate (4–6 FU) without partial dentures; DW group: partial and complete denture wearers. Chewing time (CT), number of chewing cycles (CC), and chewing frequency (CF) were measured before and after surgery during mastication of standardised samples of raw carrot, peanuts, banana, apple and jelly. The median particle-size distribution (D50) of the pre-swallowed bolus was also evaluated for peanut and carrot. Before surgery, the PD and DW groups exhibited greater mean CCs and CTs than the FD group (SNK p<0.05) and produced a bolus with higher granulometry (SNK, p<0.05) than the FD group. After surgery, CT and CC increased for all groups and for all foods, but not statistically significant for jelly. The resulting changes in bolus granulometry observed depended on both food and dental status. The granulometry of carrot bolus remained as fine or as coarse in FD and DW groups respectively as it was before surgery while it was significantly decreased in the PD group (Student's test, p<0.001). Conclusions After bariatric surgery, all the obese patients, regardless of dental status modified their chewing kinematics. The effects of this chewing behaviour on bolus granulometry depended on dental status and type of food. Further studies are needed to understand better the impact of dental status on feeding behaviour and nutrition in patients with obesity. PMID:21799822

  8. [Civil status and suicide].

    Science.gov (United States)

    Gaxiola-Robles, Ramón; Bitzer-Quintero, Oscar Kurt; García-González, Adolfo; Celis-de la Rosa, Alfredo

    2009-01-01

    To determine if civil status acts as a risk factor in suicide and how it modifies according to gender, age and population size. A retrospective study which analyzes information from the mortality data from the National Institute of Statistics, Geography and Information, from 1998 to 2002. Variables like suicides age, sex, cause of death, federal entity, population size and civil status were registered. Single men showed twofold risk for committing suicide. Women did not show any associated risk for suicide according to civil status. The risk of married men for committing suicide increased gradually with age. Medium-sized communities with less than 19,999 habitants presented the highest risk for habitants to commit suicide. Suicide is associated to gender especially to men who are not married and living in small and medium-sized communities. One explanation could be the lack of integrated behavior as defined by Emile Durkheim, where the physical density of society will determine behavior and ideas. This social structure phenomenon is called the "moral cocoon." This works around the individual being less individualistic and granting him/her the feeling of belonging to a group.

  9. Status of ISS Water Management and Recovery

    Science.gov (United States)

    Carter, Layne; Pruitt, Jennifer; Brown, Christopher A.; Bazley, Jesse; Gazda, Daniel; Schaezler, Ryan; Bankers, Lyndsey

    2016-01-01

    Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of May 2016 and describes the technical challenges encountered and lessons learned over the past year.

  10. Status of ISS Water Management and Recovery

    Science.gov (United States)

    Carter, Layne; Takada, Kevin; Gazda, Daniel; Brown, Christopher; Bazley, Jesse; Schaezler, Ryan; Bankers, Lyndsey

    2017-01-01

    Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of June 2017 and describes the technical challenges encountered and lessons learned over the past year.

  11. THE COURT OF JUSTICE OF THE EUROPEAN UNION AND INTERNATIONAL LEGAL ORDER

    Directory of Open Access Journals (Sweden)

    TETYANA KOMAROVA

    2017-01-01

    Full Text Available The author discusses the relationship between two legal orders: international law and European Union (EU law. The main provisions of this relationship have been established through the precedential practice of the Court of Justice of the European Union – the EU’s main judicial body. This kind of research seems important because of the gap in the theory of international law caused by the immutable dogma of the supremacy of international law. However, modern legal practice demonstrates a certain fragmentation of the international legal order because of the impact of the existence and development of regional supranational legal orders. The EU legal order, with its own special nature (sui generis, is undoubtedly one of the most developed among them. The Court of Justice of the European Union performs a crucial role in the EU legal system concerning application and interpretation of EU law. It provides a uniform interpretation of this law for the purposes of development of supranational integration. In this context the Court of Justice the European Union establishes the status of European law and its relationship with the national legal systems and international law. The Court acts as protector of the EU legal order against the influence of other legal orders. The Court’s precedential practice reveals EU law’s tendency towards its constitutionalization and the development of its autonomy. The latest practice indicates the Court’s powers to review the EU institutions’ acts in relation to the implementation of UN Security Council resolutions. This proves the Court’s ability to establish indirect control even over UN acts.

  12. Order Fulfillment and Accounting System

    Data.gov (United States)

    National Archives and Records Administration — OFAS is the financial management system that tracks and provides accounting of customer service requests for reproductions of National Archives and Records...

  13. Vaccine hesitancy and healthcare providers.

    Science.gov (United States)

    Paterson, Pauline; Meurice, François; Stanberry, Lawrence R; Glismann, Steffen; Rosenthal, Susan L; Larson, Heidi J

    2016-12-20

    While most people vaccinate according to the recommended schedule, this success is challenged by individuals and groups who delay or refuse vaccines. The aim of this article is to review studies on vaccine hesitancy among healthcare providers (HCPs), and the influences of their own vaccine confidence and vaccination behaviour on their vaccination recommendations to others. The search strategy was developed in Medline and then adapted across several multidisciplinary mainstream databases including Embase Classic & Embase, and PschInfo. All foreign language articles were included if the abstract was available in English. A total of 185 articles were included in the literature review. 66% studied the vaccine hesitancy among HCPs, 17% analysed concerns, attitudes and/or behaviour of HCPs towards vaccinating others, and 9% were about evaluating intervention(s). Overall, knowledge about particular vaccines, their efficacy and safety, helped to build HCPs own confidence in vaccines and their willingness to recommend vaccines to others. The importance of societal endorsement and support from colleagues was also reported. In the face of emerging vaccine hesitancy, HCPs still remain the most trusted advisor and influencer of vaccination decisions. The capacity and confidence of HCPs, though, are stretched as they are faced with time constraints, increased workload and limited resources, and often have inadequate information or training support to address parents' questions. Overall, HCPs need more support to manage the quickly evolving vaccine environment as well as changing public, especially those who are reluctant or refuse vaccination. Some recommended strategies included strengthening trust between HCPs, health authorities and policymakers, through more shared involvement in the establishment of vaccine recommendations. Copyright © 2016. Published by Elsevier Ltd.

  14. Outpatient Commitment on the Ground: Listening to Consumers and Providers

    Directory of Open Access Journals (Sweden)

    Christopher Gjesfjeld

    2011-09-01

    Full Text Available Current debate and research on outpatient commitment (OPC has examined whether OPC is (1 clinically effective or (2 ethically acceptable, yet little research has sought the voices of consumers and mental health providers who are most intimately impacted by outpatient commitment. Our research was specifically interested in the perspective that consumers and providers had about OPC. Qualitative interviews were conducted with nine consumers on OPC orders and eight treatment providers associated with these consumers. Three major themes emerged. First, consumers voiced an ambiguous sense of personal control in the context of OPC orders. Second, consumers and mental health providers maintained inconsistent understandings of outpatient commitment. Finally, all consumers reported an improvement in their life after being on OPC. Based on these findings, we suggest methods by which mental health providers could facilitate a collaborative relationship with consumers despite working within a context of OPC orders.

  15. The adaptive nature of liquidity taking in limit order books

    Science.gov (United States)

    Taranto, D. E.; Bormetti, G.; Lillo, F.

    2014-06-01

    In financial markets, the order flow, defined as the process assuming value one for buy market orders and minus one for sell market orders, displays a very slowly decaying autocorrelation function. Since orders impact prices, reconciling the persistence of the order flow with market efficiency is a subtle issue. A possible solution is provided by asymmetric liquidity, which states that the impact of a buy or sell order is inversely related to the probability of its occurrence. We empirically find that when the order flow predictability increases in one direction, the liquidity in the opposite side decreases, but the probability that a trade moves the price decreases significantly. While the last mechanism is able to counterbalance the persistence of order flow and restore efficiency and diffusivity, the first acts in the opposite direction. We introduce a statistical order book model where the persistence of the order flow is mitigated by adjusting the market order volume to the predictability of the order flow. The model reproduces the diffusive behaviour of prices at all time scales without fine-tuning the values of parameters, as well as the behaviour of most order book quantities as a function of the local predictability of the order flow.

  16. Relationship between social support and the nutritional status of patients receiving radiation therapy for cancer

    Energy Technology Data Exchange (ETDEWEB)

    Pulliam, L.W.

    1985-01-01

    The purpose of this descriptive, correlational study was to ascertain if there is a relationship between social support and the nutritional status of patients receiving radiation therapy for cancer. The data collection instruments used included the Norbeck Social Support Questionnaire (NSSQ), the Personal Characteristics Form, the abbreviated Health History, the Flow Sheet for Nutritional Data, and the Interview Schedule. For the analysis of data descriptive statistics were utilized to provide a profile of subjects, and correlational statistics were used to ascertain if there were relationships among the indicators of nutritional status and the social support variables. A convenience sample was comprised of 50 cancer patients deemed curable by radiation therapy. Findings included significant decreases in anthropometric measurements and biochemical tests during therapy. Serial assessments of nutritional status, therefore, are recommended for all cancer patients during therapy in order to plan and implement strategies for meeting the self-care requisites for food and water. No statistically significant relationships were found between the social support variables as measured by the NSSQ and the indicators of nutritional status. This suggests that nurses can assist patients by fostering support from actual and potential nutritional confidants.

  17. Dynamics of ecosystem services provided by subtropical ...

    Science.gov (United States)

    The trends in the provision of ecosystem services during restoration and succession of subtropical forests and plantations were quantified, in terms of both receiver and donor values, based on a case study of a 3-step secondary succession series that included a 400-year-old subtropical forest and a 23-year history of growth on 3 subtropical forest plantations in Southeastern China. The ‘People's Republic of China Forestry Standard: Forest Ecosystem Service Valuation Norms’ was revised and applied to quantify the receiver values of ecosystem services, which were then compared with the emergy-based, donor values of the services. The results revealed that the efficiencies of subtropical forests and plantations in providing ecosystem services were 2 orders of magnitude higher than similar services provided by the current China economic system, and these efficiencieskept increasing over the course of succession. As a result, we conclude that afforestation is an efficient way to accelerate both the ability and efficiency of subtropical forests to provide ecosystem services. This paper is significant because it examines the dynamics of the provision of ecosystem services by forests over a succession series that spans 400 years. The paper also examines the rate of increase of services during forest restoration over a period of 23 years. The emergy used in ecosystem services provision is compared to the provision of similar services by economic means in the Chinese e

  18. STATUS/IQ: A Semi-Intelligent Information Retrieval System.

    Science.gov (United States)

    Pearsall, Jayne

    1990-01-01

    Provides background on the problems of traditional text retrieval systems and describes STATUS/IQ, an advanced text retrieval system that incorporates a natural language front-end and an advanced relevance ranking facility. The principles, capabilities, and benefits of the system are discussed, and an example of a STATUS/IQ session is presented…

  19. 29 CFR 2.36 - Status of nonprofit organizations.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Status of nonprofit organizations. 2.36 Section 2.36 Labor... Religious Organizations; Protection of Religious Liberty of Department of Labor Social Service Providers and Beneficiaries § 2.36 Status of nonprofit organizations. (a) In general, DOL does not require that an...

  20. Counselling International Students in Turkish Universities: Current Status and Recommendations

    Science.gov (United States)

    Bektas, Dilek Yelda

    2008-01-01

    In the present study, the current status of international students and counselling services provided at Turkish universities is addressed. Firstly, a brief history of counselling and counselling services in Turkish universities is examined, leading to a consideration of the current status of international students and counselling services.…

  1. 45 CFR 1626.5 - Alien status and eligibility.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Alien status and eligibility. 1626.5 Section 1626... RESTRICTIONS ON LEGAL ASSISTANCE TO ALIENS § 1626.5 Alien status and eligibility. Subject to all other... may provide legal assistance to an alien who is present in the United States and who is within one of...

  2. Ramsey-type results for ordered hypergraphs

    OpenAIRE

    Balko, Martin

    2017-01-01

    Ramsey-type results for ordered hypergraphs Martin Balko Abstract We introduce ordered Ramsey numbers, which are an analogue of Ramsey numbers for graphs with a linear ordering on their vertices. We study the growth rate of ordered Ramsey numbers of ordered graphs with respect to the number of vertices. We find ordered match- ings whose ordered Ramsey numbers grow superpolynomially. We show that ordered Ramsey numbers of ordered graphs with bounded degeneracy and interval chromatic number are...

  3. Cosmology and the neutrino mass ordering

    DEFF Research Database (Denmark)

    Hannestad, Steen; Schwetz, Thomas

    2016-01-01

    We propose a simple method to quantify a possible exclusion of the inverted neutrino mass ordering from cosmological bounds on the sum of the neutrino masses. The method is based on Bayesian inference and allows for a calculation of the posterior odds of normal versus inverted ordering. We apply...... the method for a specific set of current data from Planck CMB data and large-scale structure surveys, providing an upper bound on the sum of neutrino masses of 0.14 eV at 95% CL. With this analysis we obtain posterior odds for normal versus inverted ordering of about 2:1. If cosmological data is combined...... with data from oscillation experiments the odds reduce to about 3:2. For an exclusion of the inverted ordering from cosmology at more than 95% CL, an accuracy of better than 0.02 eV is needed for the sum. We demonstrate that such a value could be reached with planned observations of large scale structure...

  4. Frontiers of higher order fuzzy sets

    CERN Document Server

    Tahayori, Hooman

    2015-01-01

    Frontiers of Higher Order Fuzzy Sets, strives to improve the theoretical aspects of general and Interval Type-2 fuzzy sets and provides a unified representation theorem for higher order fuzzy sets. Moreover, the book elaborates on the concept of gradual elements and their integration with the higher order fuzzy sets. This book also introduces new frameworks for information granulation based on general T2FSs, IT2FSs, Gradual elements, Shadowed sets and rough sets. In particular, the properties and characteristics of the new proposed frameworks are studied. Such new frameworks are shown to be more capable to be exploited in real applications. Higher order fuzzy sets that are the result of the integration of general T2FSs, IT2FSs, gradual elements, shadowed sets and rough sets will be shown to be suitable to be applied in the fields of bioinformatics, business, management, ambient intelligence, medicine, cloud computing and smart grids. Presents new variations of fuzzy set frameworks and new areas of applicabili...

  5. Automatically ordering events and times in text

    CERN Document Server

    Derczynski, Leon R A

    2017-01-01

    The book offers a detailed guide to temporal ordering, exploring open problems in the field and providing solutions and extensive analysis. It addresses the challenge of automatically ordering events and times in text. Aided by TimeML, it also describes and presents concepts relating to time in easy-to-compute terms. Working out the order that events and times happen has proven difficult for computers, since the language used to discuss time can be vague and complex. Mapping out these concepts for a computational system, which does not have its own inherent idea of time, is, unsurprisingly, tough. Solving this problem enables powerful systems that can plan, reason about events, and construct stories of their own accord, as well as understand the complex narratives that humans express and comprehend so naturally. This book presents a theory and data-driven analysis of temporal ordering, leading to the identification of exactly what is difficult about the task. It then proposes and evaluates machine-learning so...

  6. Ordering dynamics in collectively swimming Surf Scoters.

    Science.gov (United States)

    Lukeman, Ryan

    2014-08-21

    One striking feature of collective motion in animal groups is a high degree of alignment among individuals, generating polarized motion. When order is lost, the dynamic process of reorganization, directly resulting from the individual interaction rules, provides significant information about both the nature of the rules, and how these rules affect the functioning of the collective. By analyzing trajectories of collectively swimming Surf Scoters (Melanitta perspicillata) during transitions between order and disorder, I find that individual speed and polarization are positively correlated in time, such that individuals move more slowly in groups exhibiting lower alignment. A previously validated zone-based model framework is used to specify interactions that permit repolarization while maintaining group cohesion and avoiding collisions. Polarization efficiency is optimized under the constraints of cohesion and collision-avoidance for alignment-dominated propulsion (versus autonomous propulsion), and for repulsion an order of magnitude larger than attraction and alignment. The relative strengths of interactions that optimize polarization also quantitatively recover the speed-polarization dependence observed in the data. Parameters determined here through optimizing polarization efficiency are essentially the same as those determined previously from a different approach: a best-fit model for polarized Surf Scoter movement data. The rules governing these flocks are therefore robust, accounting for behavior across a range of order and structure, and also highly responsive to perturbation. Flexibility and efficient repolarization offers an adaptive explanation for why specific interactions in such animal groups are used. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. The spontaneous market order and evolution.

    Science.gov (United States)

    Beck, Naomi

    2016-08-01

    Darwin's theory of natural selection and the idea of a spontaneous order share a fundamental feature: the claim that apparent design or order do not necessarily imply a designer or rational planning. But they also present important differences, which touch upon central questions such as the evolution of morality, the role of human agency in social evolution, the existence (or not) of directionality in undesigned processes, and the presence (nor not) of a providential element in evolutionary accounts. In this article, I explore these themes and probe the relationship between the notion of a spontaneous order and the theory of evolution by natural selection. The reflections of Nobel laureate in economics, F.A. von Hayek, provide the beginning and endpoint in this voyage, for they constitute the most pronounced effort to develop a full-fledged theory combining evolution and economics in recent times. But along the way, I also investigate the influence of classical political economy on Darwin's thought, primarily that of Adam Smith, and consider the reasons for which Darwin did not refer to Smith when discussing the principle of natural selection in The Origin of Species. I conclude that the spontaneous order, as understood by Hayek, and evolution by natural selection constitute two disparate concepts. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. [Outpatient commitment under court order in psychiatry].

    Science.gov (United States)

    Bauer, Arie; Rosca, Paola; Shai, Ozi; Charnas, Jacob; Lehman, Dina; Mester, Roberto; Khawaled, Razek

    2007-08-01

    Outpatient commitment under court order is a controversial issue among mental health professionals in different countries. This kind of outpatient involuntary treatment is provided for mental patients suspected to have committed a crime endangering society while in a severe psychotic state. Despite their dangerousness, the Israeli Mental Health Law of 1991 provides outpatient commitment under court order as an alternative to inpatient commitment. This legal provision raises several concerns and important ethical questions. A major dilemma is the question of whether this legal tool is efficacious in stabilizing the mental condition of criminal mental patients in order to prevent the perpetuation of violent crimes in an open setting such as outpatient clinics. Other major concerns are: (a) who bears the responsibility for the implementation of the enforcement? (b) how the enforcement might be implemented? This paper discusses this complex issue and presents some possible solutions aimed at improving the practical use of this important component of the comprehensive modern system of care for mental patients.

  9. Nonlocal higher order evolution equations

    KAUST Repository

    Rossi, Julio D.

    2010-06-01

    In this article, we study the asymptotic behaviour of solutions to the nonlocal operator ut(x, t)1/4(-1)n-1 (J*Id -1)n (u(x, t)), x ∈ ℝN, which is the nonlocal analogous to the higher order local evolution equation vt(-1)n-1(Δ)nv. We prove that the solutions of the nonlocal problem converge to the solution of the higher order problem with the right-hand side given by powers of the Laplacian when the kernel J is rescaled in an appropriate way. Moreover, we prove that solutions to both equations have the same asymptotic decay rate as t goes to infinity. © 2010 Taylor & Francis.

  10. Emotions and the moral order

    DEFF Research Database (Denmark)

    Brinkmann, Svend; Musaeus, Peter

    2012-01-01

    In this paper, we follow Averill, who tells us that emotions reflect “the thought of an epoch, the secret of a civilization”. In this light, to understand the meaning of an emotion is to understand the relevant aspects of the sociocultural systems of which the emotion is a part. We argue...... that a number of the most central emotions in human lives are identified with reference to the moral order of the sociocultural system rather than with reference to physiological conditions or body states. We present a normative theory of emotions and refer to research on “emotionologies” of different cultures...... to demonstrate that specific moral orders are associated with specific forms of emotionality. If properly cultivated, moral emotions become “orientation guides” that enable persons to respond adequately to what happens in their local, moral worlds, and, as researchers, we can only grasp what such emotions...

  11. Perturbative gadgets at arbitrary orders

    Science.gov (United States)

    Jordan, Stephen P.; Farhi, Edward

    2008-06-01

    Adiabatic quantum algorithms are often most easily formulated using many-body interactions. However, experimentally available interactions are generally two-body. In 2004, Kempe, Kitaev, and Regev introduced perturbative gadgets, by which arbitrary three-body effective interactions can be obtained using Hamiltonians consisting only of two-body interactions. These three-body effective interactions arise from the third order in perturbation theory. Since their introduction, perturbative gadgets have become a standard tool in the theory of quantum computation. Here we construct generalized gadgets so that one can directly obtain arbitrary k -body effective interactions from two-body Hamiltonians. These effective interactions arise from the k th order in perturbation theory.

  12. Umbilic Lines in Orientational Order

    Directory of Open Access Journals (Sweden)

    Thomas Machon

    2016-03-01

    Full Text Available Three-dimensional orientational order in systems whose ground states possess nonzero gradients typically exhibits linelike structures or defects: λ lines in cholesterics or Skyrmion tubes in ferromagnets, for example. Here, we show that such lines can be identified as a set of natural geometric singularities in a unit vector field, the generalization of the umbilic points of a surface. We characterize these lines in terms of the natural vector bundles that the order defines and show that they give a way to localize and identify Skyrmion distortions in chiral materials—in particular, that they supply a natural representative of the Poincaré dual of the cocycle describing the topology. Their global structure leads to the definition of a self-linking number and helicity integral which relates the linking of umbilic lines to the Hopf invariant of the texture.

  13. Second-Order Footsteps Illusions

    Directory of Open Access Journals (Sweden)

    Akiyoshi Kitaoka

    2015-12-01

    Full Text Available In the “footsteps illusion”, light and dark squares travel at constant speed across black and white stripes. The squares appear to move faster and slower as their contrast against the stripes varies. We now demonstrate some second-order footsteps illusions, in which all edges are defined by colors or textures—even though luminance-based neural motion detectors are blind to such edges.

  14. Perturbative Gadgets at Arbitrary Orders

    OpenAIRE

    Jordan, Stephen P.; Farhi, Edward

    2008-01-01

    Adiabatic quantum algorithms are often most easily formulated using many-body interactions. However, experimentally available interactions are generally two-body. In 2004, Kempe, Kitaev, and Regev introduced perturbative gadgets, by which arbitrary three-body effective interactions can be obtained using Hamiltonians consisting only of two-body interactions. These three-body effective interactions arise from the third order in perturbation theory. Since their introduction, perturbative gadgets...

  15. Improved Multilevel Fast Multipole Method for Higher-Order discretizations

    DEFF Research Database (Denmark)

    Borries, Oscar Peter; Meincke, Peter; Jorgensen, Erik

    2014-01-01

    The Multilevel Fast Multipole Method (MLFMM) allows for a reduced computational complexity when solving electromagnetic scattering problems. Combining this with the reduced number of unknowns provided by Higher-Order discretizations has proven to be a difficult task, with the general conclusion...... being that going above 2nd order is not worthwhile. In this paper, we challenge this conclusion, providing results that demonstrate the potential performance gains with Higher-Order MLFMM and showing some modifications to the traditional MLFMM that can benefit both Higher-Order and standard...

  16. Maize breeding: How to provide further progress

    Directory of Open Access Journals (Sweden)

    Jocković Đorđe

    2009-01-01

    Full Text Available Maize is the first crop in the world concerning total production in tones per year. A big money and many scientific workers are working in the maize breeding. Millions of new hybrid combinations are tested every year in order to find the best of new hybrids. In spite off that currently hybrids has a pretty narrow genetic basis. The main goal in maize breeding is to create a new high yielding hybrid with good adaptability and yield stability. For that modern maize hybrid has to poses genes for tolerance against stress (drought and high temperatures, diseases and pest. Genetic variability in maize and conventional and modern technics of biotechnology will provide enough capability to ensure progress in maize breeding continually as until now. It means that we can expect even better maize hybrids in future. .

  17. Nursing Home Regulations Redefined: Implications for Providers.

    Science.gov (United States)

    Unroe, Kathleen T; Ouslander, Joseph G; Saliba, Debra

    2018-01-01

    The Centers for Medicare and Medicaid Services (CMS) finalized a comprehensive update to nursing home requirements of participation in October 2016. Nearly 10,000 public comments were received regarding the proposed rule, and CMS made multiple modifications based on comments from providers, advocacy organizations, and others before issuing the final rule. The final rule describing nursing home requirements of participation modernizes nursing home regulation. It is being implemented in three phases-beginning in November 2016, November 2017, and November 2019. There are multiple provisions that have implications for clinicians caring for nursing home residents, particularly in terms of management of infections, medication prescribing and monitoring, and delegation of medical orders. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  18. Energy status 2010; Energistatus 2010

    Energy Technology Data Exchange (ETDEWEB)

    Skaansar, Ellen

    2011-07-01

    In the new report, Energy Status NVE provides a unified presentation of statistics and facts about the Norwegian energy system. It gives an overview of the production, transmission and consumption of electricity in the Norwegian society, and shows energy use for various purposes and the relationship between energy and the environment. Norway is the sixth largest hydropower producer in the world and, together with Iceland the highest portion of renewable electricity production of all countries in Europe. In comparison, is about 17 percent of all electricity in the EU based on renewable resources. In Sweden, renewable energy resources account for about half of all electricity production, while the corresponding share in Denmark is about 29 percent. The good supply of water power has contributed to the fact that Norway has a consumption pattern that differs from the countries around us. (AG)

  19. Nuclear energy - status and outlook

    Energy Technology Data Exchange (ETDEWEB)

    Rogner, Hans-Holger; MacDonald, Alan

    2007-07-01

    Rising expectations best characterize the current prospects of nuclear power in a world that is confronted with a burgeoning demand for energy, higher energy prices, energy supply security concerns and growing environmental pressures. It appears that the inherent economic and environmental benefits of the technology and its excellent performance record over the last twenty years are beginning to tilt the balance of political opinion and public acceptance in favour of nuclear power. Nuclear power is a cost-effective supply-side technology for mitigating climate change and can make a substantial contribution to climate protection. This paper reviews the current status of nuclear power and its fuel cycle and provides an outlook on where nuclear power may be headed in the short-to-medium run (20 to 40 years from now). (auth)

  20. Socioeconomic status and fertility decline

    DEFF Research Database (Denmark)

    Dribe, Martin; Breschi, Marco; Gagnon, Alain

    2017-01-01

    The timings of historical fertility transitions in different regions are well understood by demographers, but much less is known regarding their specific features and causes. In the study reported in this paper, we used longitudinal micro-level data for five local populations in Europe and North...... America to analyse the relationship between socio-economic status and fertility during the fertility transition. Using comparable analytical models and class schemes for each population, we examined the changing socio-economic differences in marital fertility and related these to common theories...... on fertility behaviour. Our results do not provide support for the hypothesis of universally high fertility among the upper classes in pre-transitional society, but do support the idea that the upper classes acted as forerunners by reducing their fertility before other groups. Farmers and unskilled workers...

  1. Status of information resource organization in Iranian digital libraries

    OpenAIRE

    Hamed Alipour-Hafezi; Abbas Horri; Alireza Isfandiari Mogaddam; Mehdi Alipour-Hafezi

    2014-01-01

    This research aimed to determine the status of information resource organization in Iranian digital libraries. The research method was analytical survey. Researcher-made questionnaire was used to collect data in order to study the status of research population about information resources organization. In fact, 38 Iranian digital libraries were made research population of this research. Findings showed that studied digital library applications have many capabilities to organize information res...

  2. Trust in health care providers: factors predicting trust among homeless veterans over time.

    Science.gov (United States)

    van den Berk-Clark, Carissa; McGuire, James

    2014-08-01

    We examined whether a combination of predisposing, enabling, need, and primary care experience variables would predict trust in medical health care providers for homeless veterans over 18 months. Linear mixed model analysis indicated that, among these variables, race, social support, service-connected disability status, and satisfaction and continuity with providers predicted trust in provider over time. Trust in providers improved during the initial stages of the relationship between patient and provider and then declined to slightly below baseline levels over time. Further research is needed to determine generalizability and effects of provider trust on patient health care status over longer periods of time.

  3. Gapless Topological Order, Gravity, and Black Holes

    Science.gov (United States)

    Rasmussen, Alexander; Jermyn, Adam; Refael, Gil

    In recent years, there has been an intense theoretical effort to understand the low-energy properties of quantum mechanical systems where the emergent behavior has no classical analog. Systems with a bulk energy gap can exhibit topological order characterized by locally indistinguishable of states and degeneracy on manifolds with nonzero genus. Gapless systems, on the other hand, can arise out of systems without spontaneous symmetry breaking via emergent gauge structure. Seemingly unrelated, recent work by Strominger and others has related Weinberg's soft boson theorems to a new set of symmetries in both QED and linearized gravity. In this talk, we make an explicit connection between these new symmetries and the peculiar type of topological order present in the gapless pyrochlore U(1) spin liquid. This connection allows us to resolve the long-standing 1/L degeneracy splitting problem, and provides some insight into current issues with black holes.

  4. Fractional-order RC and RL circuits

    KAUST Repository

    Radwan, Ahmed Gomaa

    2012-05-30

    This paper is a step forward to generalize the fundamentals of the conventional RC and RL circuits in fractional-order sense. The effect of fractional orders is the key factor for extra freedom, more flexibility, and novelty. The conditions for RC and RL circuits to act as pure imaginary impedances are derived, which are unrealizable in the conventional case. In addition, the sensitivity analyses of the magnitude and phase response with respect to all parameters showing the locations of these critical values are discussed. A qualitative revision for the fractional RC and RL circuits in the frequency domain is provided. Numerical and PSpice simulations are included to validate this study. © Springer Science+Business Media, LLC 2012.

  5. Homocysteine and cobalamin status in German vegans.

    Science.gov (United States)

    Waldmann, Annika; Koschizke, Jochen W; Leitzmann, Claus; Hahn, Andreas

    2004-05-01

    The study aimed to evaluate the homocysteine and cobalamin status of German vegans and determine whether the intake of very small amounts of foods of animal origin can improve this status. Cross-sectional study, Germany. The dietary and nutritional intakes of 131 vegans (73 women, 58 men; age range: 20.2-82.1 years) were evaluated using a general questionnaire and two food-frequency questionnaires. The prevalence of inadequate cobalamin status in volunteers of the German Vegan Study was 28.2%, and that of hyperhomocysteinaemia, 38.1%. Moderate vegans were affected to a lesser extent than were strict vegans. Duration of veganism and cobalamin concentration were inversely correlated (Spearman's r=-0.175, P=0.047). Folate concentration and erythrocyte aspartic acid aminotransferase activity were not correlated with plasma homocysteine concentration, but duration of veganism correlated positively with homocysteine concentration (Spearman's r=0.319, Pveganism; r=-0.602, P<0.001). Cobalamin status needs to be improved in order to minimise the risk of hyperhomocysteinaemia.

  6. Health Status vs Quality of Life

    Directory of Open Access Journals (Sweden)

    Otília Zangão

    2016-04-01

    Full Text Available Goal: To understand if the health status affects the quality of life of employees and to identify which variables influence the quality of life of the employees of the institution. Methods: A descriptive-correlational study, quantitative. Sociodemographic questionnaire and the Portuguese version of MOS SF-36. Sample of teaching staff and non-teaching staff who agreed to participate in the study. Data processing made through the Software Statistical Package for Social Sciences version 20. Approved by the Commission of Ethics and the Director of the institution; informed consent given by the participants. Results: Statistically significant differences between the quality of life and health status in the Physical Component. As the levels of the Mental Component increase also increase the levels of self-perception of a better health condition. The higher the levels of each component, the higher the self-perception of the health condition of the participants. The variables that can influence the health status and quality of life of the participants are the presence of chronic conditions, academic qualifications and marital status. Conclusions: The importance of health promotion, disease prevention, was highlighted in order to obtain gains in quality of life, health gains, adding not only years to life, but also life to years. This is because health problems are mostly related to bad habits and harmful lifestyles.

  7. Do Birth Order, Family Size and Gender Affect Arithmetic Achievement in Elementary School?

    Science.gov (United States)

    Desoete, Annemie

    2008-01-01

    Introduction: For decades birth order and gender differences have attracted research attention. Method: Birth order, family size and gender, and the relationship with arithmetic achievement is studied among 1152 elementary school children (540 girls, 612 boys) in Flanders. Children were matched on socioeconomic status of the parents and…

  8. Prenatal investments, breastfeeding, and birth order.

    Science.gov (United States)

    Buckles, Kasey; Kolka, Shawna

    2014-10-01

    Mothers have many opportunities to invest in their own or their child's health and well-being during pregnancy and immediately after birth. These investments include seeking prenatal care, taking prenatal vitamins, and breastfeeding. In this paper, we investigate a potential determinant of mothers' investments that has been largely overlooked by previous research-birth order. Data are from the National Longitudinal Study of Youth 1979 (NLSY79) Child and Young Adult Survey, which provides detailed information on pre- and post-natal behaviors of women from the NLSY79. These women were between the ages of 14 and 22 in 1979, and form a nationally representative sample of youth in the United States. Our sample includes births to these women between 1973 and 2010 (10,328 births to 3755 mothers). We use fixed effects regression models to estimate within-mother differences in pre- and post-natal behaviors across births. We find that mothers are 6.6 percent less likely to take prenatal vitamins in a fourth or higher-order birth than in a first and are 10.6 percent less likely to receive early prenatal care. Remarkably, mothers are 15.4 percent less likely to breastfeed a second-born child than a first, and are 20.9 percent less likely to breastfeed a fourth or higher-order child. These results are not explained by changing attitudes toward investments over time. These findings suggest that providers may want to increase efforts to encourage these behaviors at women with higher parity. The results also identify a potential mechanism for the emergence of differences in health and other outcomes across birth orders. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. NASA GRC UAS Project: Communications Modeling and Simulation Status

    Science.gov (United States)

    Kubat, Greg

    2013-01-01

    The integration of Unmanned Aircraft Systems (UAS) in the National Airspace represents new operational concepts required in civil aviation. These new concepts are evolving as the nation moves toward the Next Generation Air Transportation System (NextGen) under the leadership of the Joint Planning and Development Office (JPDO), and through ongoing work by the Federal Aviation Administration (FAA). The desire and ability to fly UAS in the National Air Space (NAS) in the near term has increased dramatically, and this multi-agency effort to develop and implement a national plan to successfully address the challenges of UAS access to the NAS in a safe and timely manner is well underway. As part of the effort to integrate UAS in the National Airspace, NASA Glenn Research Center is currently involved with providing research into Communications systems and Communication system operations in order to assist with developing requirements for this implementation. In order to provide data and information regarding communication systems performance that will be necessary, NASA GRC is tasked with developing and executing plans for simulations of candidate future UAS command and control communications, in line with architectures and communications technologies being developed and/or proposed by NASA and relevant aviation organizations (in particular, RTCA SC-203). The simulations and related analyses will provide insight into the ability of proposed communications technologies and system architectures to enable safe operation of UAS, meeting UAS in the NAS project goals (including performance requirements, scalability, and interoperability), and ultimately leading to a determination of the ability of NextGen communication systems to accommodate UAS. This presentation, compiled by the NASA GRC team, will provide a view of the overall planned simulation effort and objectives, a description of the simulation concept and status of the design and development that has occurred to date.

  10. Status of Standardization Projects

    Science.gov (United States)

    1994-06-30

    STATUS CODES: A- 8 G - 0 , Y- 0 , Z- 0 8925 0153 A-A-20177 CANDY AND CHOCOLATE CONFECTION GL F2 934 944 944 A GL SA 50 SS N D 8925 0155 JJJ-S-351H SYRUP...944 944 A GL SA 50 SS N D 8925 0153 A-A-20177 CANDY AND CHOCOLATE CONFECTION GL F2 934 944 944 A GL SA 50 SS N D 8925 0155 JJJ-S-351H SYRUP MCA GL G5

  11. The status of GALLEX

    Energy Technology Data Exchange (ETDEWEB)

    Kirsten, T.; Anselmann, P.; Breitenbach, M.; Hampel, W.; Heusser, G.; Kiko, J.; Kirsten, T.; Lenzing, A.; Pernicka, E.; Plaga, R.; Povh, B.; Schlosser, C.; Voelk, H.; Wink, R.; Wojcik, M. (Max-Planck-Institut fuer Kernphysik, Heidelberg (Germany, F.R.)); Bellotti, E. (Laboratori Nazionali del Gran Sasso (Italy)); Ammon, R. v.; Balata, M.; Ebert, K.; Fritsch, T.; Hellriegel, K.; Henrich, E.; Stieglitz, L.; Weyrich, F. (Kernforschungszentrum Karlsruhe GmbH (Germany, F.R.)); Cremonesi, O.; Fiorini, E.; Ragazzi, S.; Zanotti, L. (Milan Univ. (Italy). Dipt. di Fisica); Feilitzsch, F. v.; Moessbauer, R.; Schanda, U. (Technische Univ. Muenchen, Garching (Germany, F.R.). Fakultaet fuer Physik); Berthomieu, G.; Schatzmann, E. (Nice Univ., 06 (France). Observatoire); Carmi, I.; Dostrovsky, I. (Weizmann Inst. of Science, Rehovoth (Israel)); D' Angelo, S.; Bacci, C.; Belli, P.; Bernabei, R.; Paoluzi, L. (Rome-2 Univ. (Italy)); Cribier, M.; Dupont, G.; Gosset, L.; Pichard, B.; Rich, J.; Spiro; GALLEX Collaboration

    1991-04-01

    A radiochemical Gallium-Solar-Neutrino Detector has been set up at the Gran Sasso Underground Laboratory. All major installations are implemented and the target, 53,5 m{sup 3} of galliumchloride solution containing 30.3 tons of gallium, has been brought underground after removing cosmogenic Ge-isotopes through nitrogen purge. This final implementation status and the achieved parameters characterizing the experiment are described in this report. Full scale performance tests and optimalization of the operating conditions of the extraction system are presently under way. (orig.).

  12. Status of Wheeler Reservoir

    Energy Technology Data Exchange (ETDEWEB)

    1990-09-01

    This is one in a series of status reports prepared by the Tennessee Valley Authority (TVA) for those interested in the conditions of TVA reservoirs. This overview of Wheeler Reservoir summarizes reservoir purposes and operation, reservoir and watershed characteristics, reservoir uses and use impairments, and water quality and aquatic biological conditions. The information presented here is from the most recent reports, publications, and original data available. If no recent data were available, historical data were summarized. If data were completely lacking, environmental professionals with special knowledge of the resource were interviewed. 12 refs., 2 figs.

  13. Status of Standardization Projects

    Science.gov (United States)

    1994-09-01

    PERFO CS B2 B 943 954 954 A 99 N 55M TOTAL -3 ,DELINQUENT -0 , STATUS CODES: A- 3 G6-0 , Y -0 , Z-O0 5610 0513 NIL D 16680D DECK COVERING SH D2 883 893...MIL A 49201 ARRESTER ELEC F1482 F1495 G CR D2 904 924 934 A CR U B 5920 A947 MIL M 49240A MULTIPLEXER TD 1235 P TTC CR F! 923 924 924 A N C 5920 D196

  14. Combination trading with limit orders

    Directory of Open Access Journals (Sweden)

    Henry Schellhorn

    1997-01-01

    Full Text Available We model the exchange of commodities that are contingent upon each other, when traders place mostly limit orders. Examples include: 1 a market of financial futures where future spreads are also traded, 2 a market of mutual funds and stocks, 3 a market of options and stocks, under the viewpoint that they are both combinations of Arrow-Debreu securities. We prove that consistent prices are optimal. We develop a fixed-point algorithm to compute an optimal price and allocation. The algorithm combines ideas from contraction mapping theory and from homotopy theory. It is much faster than a traditional linear programming approach.

  15. Order statistics & inference estimation methods

    CERN Document Server

    Balakrishnan, N

    1991-01-01

    The literature on order statistics and inferenc eis quite extensive and covers a large number of fields ,but most of it is dispersed throughout numerous publications. This volume is the consolidtion of the most important results and places an emphasis on estimation. Both theoretical and computational procedures are presented to meet the needs of researchers, professionals, and students. The methods of estimation discussed are well-illustrated with numerous practical examples from both the physical and life sciences, including sociology,psychology,a nd electrical and chemical engineering. A co

  16. The effect of dietary intake changes on nutritional status in acute leukaemia patients after first induction chemotherapy.

    Science.gov (United States)

    Malihi, Z; Kandiah, M; Chan, Y M; Esfandbod, M; Vakili, M; Hosseinzadeh, M; Zarif Yeganeh, M

    2015-07-01

    This study aimed to evaluate how changes in dietary intake among acute lymphoblastic and acute myeloid leukaemia (ALL and AML) patients affect nutritional status after the first induction chemotherapy. Dietary intake was assessed using 24-h recall and a 136-item food frequency questionnaire. Nutritional status was assessed by Patients Subjective Global Assessment questionnaire before starting induction therapy and again after 1 month. All newly diagnosed acute leukaemia patients aged 15 years old and older who attended three referral hospitals for initiation of their induction chemotherapy were included in the sample selection provided that they gave informed consent. A total of 30 AML and 33 ALL patients participated in the study. Dietary intake and nutritional status worsened after the chemotherapy treatment. Dietary intake in terms of macronutrients, micronutrients, food variety and diet diversity score changed significantly after the induction chemotherapy. No significant relationship was found between the changes in dietary indices and nutritional status. Chemotherapy-related side effects as an additional factor to cancer itself could affect dietary intake of leukaemia patients. The effectiveness of an early assessment of nutritional status and dietary intake should be further investigated in order to deter further deterioration. © 2014 The Authors. European Journal of Cancer Care Published by John Wiley & Sons Ltd.

  17. Variation in Subjective Aging by Sexual Minority Status.

    Science.gov (United States)

    Barrett, Anne; Barbee, Harry

    2017-06-01

    The past few decades have seen increased scholarly attention to gay and lesbian individuals' aging experiences; however, few studies examine differences in subjective aging by sexual minority status. We identify four perspectives on the association between sexual minority status and subjective aging-double jeopardy, crisis competence, gender interactive, and limited salience perspectives. We examine each perspective's predictions using data from the first wave of Midlife in the United States (1995-1996; MIDUS). Ordinary least square regression models reveal strongest support for the limited salience perspective, suggesting that sexual minority status has weaker effects on subjective aging than do other social factors, such as age, health, and gender. However, some results provide support for the gender interactive perspective, positing that the effect of sexual minority status on subjective aging varies by gender. Our study provides an organizational framework of theoretical perspectives that can guide further examinations of variation in aging experiences by sexual minority status.

  18. Biocatalytic induction of supramolecular order

    Science.gov (United States)

    Hirst, Andrew R.; Roy, Sangita; Arora, Meenakshi; Das, Apurba K.; Hodson, Nigel; Murray, Paul; Marshall, Stephen; Javid, Nadeem; Sefcik, Jan; Boekhoven, Job; van Esch, Jan H.; Santabarbara, Stefano; Hunt, Neil T.; Ulijn, Rein V.

    2010-12-01

    Supramolecular gels, which demonstrate tunable functionalities, have attracted much interest in a range of areas, including healthcare, environmental protection and energy-related technologies. Preparing these materials in a reliable manner is challenging, with an increased level of kinetic defects observed at higher self-assembly rates. Here, by combining biocatalysis and molecular self-assembly, we have shown the ability to more quickly access higher-ordered structures. By simply increasing enzyme concentration, supramolecular order expressed at molecular, nano- and micro-levels is dramatically enhanced, and, importantly, the gelator concentrations remain identical. Amphiphile molecules were prepared by attaching an aromatic moiety to a dipeptide backbone capped with a methyl ester. Their self-assembly was induced by an enzyme that hydrolysed the ester. Different enzyme concentrations altered the catalytic activity and size of the enzyme clusters, affecting their mobility. This allowed structurally diverse materials that represent local minima in the free energy landscape to be accessed based on a single gelator structure.

  19. Symbols of a cosmic order

    CERN Document Server

    Madjid, F Hadi

    2016-01-01

    The world runs on communicated sequences of symbols, e.g. numerals. Examining both engineered and natural communications networks reveals an unsuspected order that depends on contact with an unpredictable entity. This order has three roots. The first is a proof within quantum theory that no evidence can ever determine its explanation, so that an agent choosing an explanation must do so unpredictably. The second root is the showing that clocks that step computers do not "tell time" but serve as self-adjusting symbol-handling agents that regulate "logically synchronized" motion in response to unpredictable disturbances. Such a clock-agent has a certain independence as well as the capacity to communicate via unpredictable symbols with other clock-agents and to adjust its own tick rate in response to that communication. The third root is the noticing of unpredictable symbol exchange in natural systems, including the transmission of symbols found in molecular biology. We introduce a symbol-handling agent as a role...

  20. Fixed Broadband Deployment Data: June, 2016 Status V2

    Data.gov (United States)

    Federal Communications Commission — This data contains status reports for June 2016, with revisions accepted through May 2017. All facilities-based broadband providers are required to file data with...

  1. Venus Global Reference Atmospheric Model Status and Planned Updates

    Science.gov (United States)

    Justh, H. L.; Dwyer Cianciolo, A. M.

    2017-05-01

    Details the current status of Venus Global Reference Atmospheric Model (Venus-GRAM). Provides new sources of data and upgrades that need to be incorporated to maintain credibility and identifies options and features that could increase capability.

  2. Stock status update of Browns Bank North Scallops (Placopecten magellanicus)

    National Research Council Canada - National Science Library

    Keith, David; Broome, Jeremy; Reeves, Alan; Drew, Tricia Pearo; Themelis, Daphne; Stone, Heath; Bennett, Lottie; Docherty, Verna

    2017-01-01

    .... The purpose of this report is to update the status of Browns Bank North Scallop with data from the 2016 Scallop survey and fishery to provide science advice for the management of the 2017 fishery...

  3. Vision status among foster children in NYC: a research note.

    Science.gov (United States)

    Festinger, Trudy; Duckman, Robert H

    2004-01-01

    A summary of the results of research on the vision status of foster children. Results indicate that the vision screenings being provided at mandated annual physical examinations are not sufficiently identifying children's vision dysfunctions.

  4. Status Gizi Ibu Hamil dan Penyakit Tidak Menular pada Dewasa

    Directory of Open Access Journals (Sweden)

    Endang Laksmining Achadi

    2012-11-01

    i.e. providing an optimal nutrition environment to the fetus through improvement of maternal nutritional status, and infant 0 – 2 years of age, is recommended. Keywords: Maternal nutrition, non-communicable disease, poor population

  5. Relationship between institutional food service in Nursery Schools and Household feeding with the nutritional status of preschool children attending two Nursery Schools in Valparaiso, Chile

    Directory of Open Access Journals (Sweden)

    Mirta Crovetto

    2015-12-01

    Full Text Available Introduction: Obesity in children under 6 years of age, who attend Nursery Schools belonging to INTEGRA Foundation (Chile, may be associated with the diet received at school, their home or both. Objectives: To determine if there is a relationship between children’s dietary patterns and their nutritional status. Material and Methods: A descriptive, associative, cross-sectional method was used. Sample (n=33 was children 4 and 5 years old from two Nursery Schools from Valparaiso. It was assessed: i energy intake provided by nursery school and household’s diets, according to the recommendations of the Chilean dietary guidelines and ii nutritional status, W/A; W/H; H/A; body mass index, growth charts for children under 6 years of age, World Health Organization (Standards of the National Chilean Health Program for Children. Fisher’s exact test was used in order to associate food consumption patterns with nutritional status. Results: Nursery school provided the expected caloric contribution, while household provided 67% over the expected percentage (354 additional kcal per capita/day. From 21.2% to 27% of the children were overweight (W/H and BMI. Children with food consumption pattern 1 had normal nutritional status. Those with pattern 2 presented a 50% of malnutrition related to overconsumption. Fisher’s exact test was p=0.001. Conclusions: There is an association between dietary pattern and nutritional status of preschool children attending two INTEGRA Nursery Schools. This study is limited due to sample size.

  6. WFIRST: Project Overview and Status

    Science.gov (United States)

    Kruk, Jeffrey; WFIRST Formulation Science Working Group, WFIRST Project Team

    2018-01-01

    The Wide-Field InfraRed Survey Telescope (WFIRST) will be the next Astrophysics flagship mission to follow JWST. The observatory payload consists of a Hubble-size telescope aperture with a wide-field NIR instrument and a coronagraph operating at visible wavelengths and employing state-of-the-art wavefront sensing and control. The Wide-field instrument is optimized for large area NIR imaging and spectroscopic surveys, with performance requirements driven by programs to study cosmology and exoplanet detection via gravitational microlensing. All data will be public immediately, and a substantial guest observer program will be supported.The WFIRST Project is presently in Phase A, with a transition to Phase B expected in early to mid 2018. Candidate observing programs are under detailed study in order to inform the mission design, but the actual science investigations will not be selected until much closer to launch. We will present an overview of the present mission design and expected performance, a summary of Project status, and plans for selecting the observing programs.

  7. Overweight and obesity in children aged 3?13?years in urban Cameroon: a cross-sectional study of prevalence and association with socio-economic status

    OpenAIRE

    Choukem, Simeon-Pierre; Kamdeu-Chedeu, Josiane; Sam D Leary; Mboue-Djieka, Yannick; Nebongo, Daniel N.; Akazong, Christoph; Mapoure, Yacouba N; Hamilton-Shield, Julian P.; Gautier, Jean-François; Mbanya, Jean Claude

    2017-01-01

    Background Childhood overweight/obesity is increasing rapidly in developing countries. There is a need to provide more evidence on its burden in sub-Saharan Africa, and to identify associated factors in order to set preventive measures. We aimed to determine the prevalence of overweight/obesity and assess its association with the socioeconomic status in nursery and primary school children in urban Cameroon. Methods In this cross-sectional study, we included by multi-staged cluster random samp...

  8. Border bases and order ideals: a polyhedral characterization

    OpenAIRE

    Braun, Gábor; Pokutta, Sebastian

    2009-01-01

    Border bases arise as a canonical generalization of Gr\\"obner bases. We provide a polyhedral characterization of all order ideals (and hence border bases) that are supported by a zero-dimensional ideal: order ideals that support a border basis correspond one-to-one to integral points of the order ideal polytope. In particular, we establish a crucial connection between the ideal and its combinatorial structure. Based on this characterization we adapt the classical border basis algorithm to all...

  9. Provider portrayals and patient-provider communication in drama and reality medical entertainment television shows.

    Science.gov (United States)

    Jain, Parul; Slater, Michael D

    2013-01-01

    Portrayals of physicians on medical dramas have been the subject of research attention. However, such research has not examined portrayals of interactions between physicians and patients, has not compared physician portrayals on medical dramas versus on medical reality programs, and has not fully examined portrayals of physicians who are members of minority groups or who received their education internationally. This study content-analyzes 101 episodes (85 hours) of such programs broadcast during the 2006-2007 viewing season. Findings indicate that women are underrepresented as physicians on reality shows, though they are no longer underrepresented as physicians on dramas. However, they are not as actively portrayed in patient-care interactions as are male physicians on medical dramas. Asians and international medical graduates are underrepresented relative to their proportion in the U.S. physician population, the latter by almost a factor of 5. Many (but certainly not all) aspects of patient-centered communication are modeled, more so on reality programs than on medical dramas. Differences in patient-provider communication portrayals by minority status and gender are reported. Implications for public perception of physicians and expectations regarding provider-patient interaction are discussed.

  10. The number, status and organizational aspects of Serbs in Zagreb

    Directory of Open Access Journals (Sweden)

    Župarić-Iljić Drago

    2013-01-01

    Full Text Available This paper provides an overview of the basic characteristics regarding number, as well as normative and functional status, i.e. legal and institutional status of Serbs in Zagreb. Furthermore, the paper describes some distinctions among organizational levels of Serbian minority in Zagreb, concerning the most important aspects of socio-cultural, educational and religious integration. Serbian minority members’ number in Croatia and Zagreb is analyzed using an official demographic statistics, focusing primarily on major socio-demographic indicators, on population density and ethnic composition data for the population of Zagreb municipality for the period of 1981-2011. Legal position of the Serbian minority in Zagreb is described using analysis of official documents, including legislative framework provisions, which are related to issues of national minorities’ status and rights. Institutional and organizational status is elucidated by using descriptive analysis of cultural, educational, media and religious aspects of minority’s life. The number of Serbs in Croatia decreased drastically in last twenty years, affecting their number being reduced to approximately one-third of the prewar number. In the period 1981 to 2011 there was a continuous increase of number and proportion of Croatian majority population, and continuous reduction of national minorities in Zagreb. The biggest percentile decreasing in the municipality of Zagreb (during period 1991-2001 have undergone members of the Serbian (57.7%, Slovenian (48.9%, and Montenegrin (43.7% minority. In the case of Serbs, this is primarily and predominantly a consequence of forced emigration (displacement induced by the war in the 1990s. Moreover, negative demographic trends together with a possibility of “false” national declaration in census, as well as the relentless process of assimilation are counted as specific factors in reducing the number of national minorities’ members. Status of

  11. Active disturbance rejection control for fractional-order system.

    Science.gov (United States)

    Li, Mingda; Li, Donghai; Wang, Jing; Zhao, Chunzhe

    2013-05-01

    Fractional-order proportional-integral (PI) and proportional-integral-derivative (PID) controllers are the most commonly used controllers in fractional-order systems. However, this paper proposes a simple integer-order control scheme for fractional-order system based on active disturbance rejection method. By treating the fractional-order dynamics as a common disturbance and actively rejecting it, active disturbance rejection control (ADRC) can achieve the desired response. External disturbance, sensor noise, and parameter disturbance are also estimated using extended state observer. The ADRC stability of rational-order model is analyzed. Simulation results on three typical fractional-order systems are provided to demonstrate the effectiveness of the proposed method. Copyright © 2013 ISA. Published by Elsevier Ltd. All rights reserved.

  12. Cloud Macroscopic Organization: Order Emerging from Randomness

    Science.gov (United States)

    Yuan, Tianle

    2011-01-01

    Clouds play a central role in many aspects of the climate system and their forms and shapes are remarkably diverse. Appropriate representation of clouds in climate models is a major challenge because cloud processes span at least eight orders of magnitude in spatial scales. Here we show that there exists order in cloud size distribution of low-level clouds, and that it follows a power-law distribution with exponent gamma close to 2. gamma is insensitive to yearly variations in environmental conditions, but has regional variations and land-ocean contrasts. More importantly, we demonstrate this self-organizing behavior of clouds emerges naturally from a complex network model with simple, physical organizing principles: random clumping and merging. We also demonstrate symmetry between clear and cloudy skies in terms of macroscopic organization because of similar fundamental underlying organizing principles. The order in the apparently complex cloud-clear field thus has its root in random local interactions. Studying cloud organization with complex network models is an attractive new approach that has wide applications in climate science. We also propose a concept of cloud statistic mechanics approach. This approach is fully complementary to deterministic models, and the two approaches provide a powerful framework to meet the challenge of representing clouds in our climate models when working in tandem.

  13. Working for the New Order

    DEFF Research Database (Denmark)

    Lund, Joachim

    Damned if you do - damned if you don't. During the Second World War, the collaboration dilemma regarding Europe's business life came to the forefront as business leaders were faced with the necessity of cooperating with the German enemy in order to maintain production and essing a wide range...... of European countries under German control during the Second World War, this book analyzes the conditions of business during the war, showing how contrary to many beliefs and post-war conceptions, occupation and dependency on the German market - as part of a formal or informal empire - was not solely a story...... way or Europe's business during the Second World War is a story of corporate survival in a highly unstable business environment. Cooperation with the dominant European power aimed at securing the future for business, national economies - and the nation states of Europe. With this point of reference...

  14. Packing defects into ordered structures

    DEFF Research Database (Denmark)

    Bechstein, R.; Kristoffersen, Henrik Høgh; Vilhelmsen, L.B.

    2012-01-01

    We have studied vicinal TiO2(110) surfaces by high-resolution scanning tunneling microscopy and density functional theory calculations. On TiO2 surfaces characterized by a high density of ⟨11̅ 1⟩ steps, scanning tunneling microscopy reveals a high density of oxygen-deficient strandlike adstructures....... With the help of density functional theory calculations we develop a complete structural model for the entire strand and demonstrate these adstructures to be more stable than an equivalent amount of bulk defects such as Ti interstitials. We argue that strands can form particularly easy on stepped surfaces...... because building material is available at step sites. The strands on TiO2(110) represent point defects that are densely packed into ordered adstructures....

  15. Working for the New Order

    DEFF Research Database (Denmark)

    Lund, Joachim

    Damned if you do - damned if you don't. During the Second World War, the collaboration dilemma regarding Europe's business life came to the forefront as business leaders were faced with the necessity of cooperating with the German enemy in order to maintain production and essing a wide range...... of European countries under German control during the Second World War, this book analyzes the conditions of business during the war, showing how contrary to many beliefs and post-war conceptions, occupation and dependency on the German market - as part of a formal or informal empire - was not solely a story...... of survival for an individual company, but also an actual source of stabilization. The conditions of business survival varied according to the politics of the occupying power, the cooperation potential of local business and what was left of local political authority. However, in most European countries, one...

  16. Working for the New Order

    DEFF Research Database (Denmark)

    Lund, Joachim

    Damned if you do - damned if you don't. During the Second World War, the collaboration dilemma regarding Europe's business life came to the forefront as business leaders were faced with the necessity of cooperating with the German enemy in order to maintain production and essing a wide range...... of survival for an individual company, but also an actual source of stabilization. The conditions of business survival varied according to the politics of the occupying power, the cooperation potential of local business and what was left of local political authority. However, in most European countries, one...... way or Europe's business during the Second World War is a story of corporate survival in a highly unstable business environment. Cooperation with the dominant European power aimed at securing the future for business, national economies - and the nation states of Europe. With this point of reference...

  17. First-Order Hybrid Logic

    DEFF Research Database (Denmark)

    Braüner, Torben

    2011-01-01

    Hybrid logic is an extension of modal logic which allows us to refer explicitly to points of the model in the syntax of formulas. It is easy to justify interest in hybrid logic on applied grounds, with the usefulness of the additional expressive power. For example, when reasoning about time one...... often wants to build up a series of assertions about what happens at a particular instant, and standard modal formalisms do not allow this. What is less obvious is that the route hybrid logic takes to overcome this problem often actually improves the behaviour of the underlying modal formalism....... For example, it becomes far simpler to formulate proof-systems for hybrid logic, and completeness results can be proved of a generality that is simply not available in modal logic. That is, hybridization is a systematic way of remedying a number of known deficiencies of modal logic. First-order hybrid logic...

  18. Inadequate Nutritional Status of Hospitalized Cancer Patients

    Directory of Open Access Journals (Sweden)

    Ali Alkan

    2017-03-01

    Full Text Available Objective: In oncology practice, nutrition and also metabolic activity are essential to support the nutritional status and prevent malignant cachexia. It is important to evaluate the patients and plan the maneuvers at the start of the therapy. The primary objective of the study is to define the nutritional status of hospitalized patients and the factors affecting it in order to define the most susceptible patients and maneuvers for better nutritional support. Methods: Patients hospitalized in oncology clinic for therapy were evaluated for food intake and nutritional status through structured interviews. The clinical properties, medical therapies, elements of nutritional support were noted and predictors of inadequate nutritional status (INS were analyzed. Results: Four hundred twenty three patients, between 16-82 years old (median: 52 were evaluated. Nearly half of the patients (185, 43% reported a better appetite at home than in hospital and declared that hospitalization is an important cause of loss of appetite (140/185, 75.6%. Presence of nausea/vomiting (N/V, depression, age less than 65 and use of non-steroidal anti-inflammatory drugs (NSAIDs were associated with increased risk of INS in hospitalized cancer patients. On the contrary, steroid medication showed a positive impact on nutritional status of cancer patients. Conclusion: N/V, younger age, presence of depression and NSAIDs medication were associated with INS in hospitalized cancer patients. Clinicians should pay more attention to this group of patients. In addition, unnecessary hospitalizations and medications that may disturb oral intake must be avoided. Corticosteroids are important tools for managing anorexia and INS.

  19. 77 FR 40366 - Glen R. Justice: Debarment Order

    Science.gov (United States)

    2012-07-09

    ... HUMAN SERVICES Food and Drug Administration Glen R. Justice: Debarment Order AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is issuing an order under the Federal Food, Drug, and Cosmetic Act (the FD&C Act) debarring Glen R. Justice, M.D. from providing...

  20. Positive periodic solutions for third-order nonlinear differential equations

    Directory of Open Access Journals (Sweden)

    Jingli Ren

    2011-05-01

    Full Text Available For several classes of third-order constant coefficient linear differential equations we obtain existence and uniqueness of periodic solutions utilizing explicit Green's functions. We discuss an iteration method for constant coefficient nonlinear differential equations and provide new conditions for the existence of periodic positive solutions for third-order time-varying nonlinear and neutral differential equations.