WorldWideScience

Sample records for publicly-owned treatment works

  1. Publicly Owned Treatment Works General Permit (POTW GP) ...

    Science.gov (United States)

    2017-04-10

    The Notice of Availability of the final National Pollutant Discharge Elimination System (NPDES) General Permits for the Discharge of Wastewater from Certain Publicly Owned Treatment Works Treatment Plants (POTW Treatment Plants) and Other Treatment Works Treating Domestic Sewage in the Commonwealth of Massachusetts and the State of New Hampshire was published in the Federal Register on July 6, 2011.

  2. 40 CFR 117.13 - Applicability to discharges from publicly owned treatment works and their users.

    Science.gov (United States)

    2010-07-01

    ... publicly owned treatment works and their users. 117.13 Section 117.13 Protection of Environment... SUBSTANCES Applicability § 117.13 Applicability to discharges from publicly owned treatment works and their users. (a) (b) These regulations apply to all discharges of reportable quantities to a POTW, where the...

  3. Radioactive materials in biosolids : national survey, dose modeling, and publicly owned treatment works (POTW) guidance.

    Energy Technology Data Exchange (ETDEWEB)

    Bastian, R. K.; Bachmaier, J. T.; Schmidt, D. W.; Salomon, S. N.; Jones, A.; Chiu, W. A.; Setlow, L. W.; Wolbarst, A. B.; Yu, C.; Goodman, J.; Lenhart, T.; Environmental Assessment; U.S. EPA; U.S. DOE; U.S. NRC; NJ Dept of Environmental Radiation; NE Ohio Regional Sewer District

    2005-01-01

    Received for publication March 1, 2004. The Nuclear Regulatory Commission (NRC) announced the availability of three new documents concerning radioactive materials in sewage sludge and ash from publicly owned treatment works (POTW). One of the documents is a report presenting the results of a volunteer survey of sewage sludge and ash samples provided by 313 POTWs. The second document is a dose modeling document, using multiple exposure pathway modeling focused on a series of generic scenarios, to track possible exposure of POTW workers and members of the general public to radioactivity from the sewage sludge or ash. The third document is a guidance report providing recommendations on the management of radioactivity in sewage sludge and ash for POTW owners and operators. This paper explains how radioactive materials enter POTWs, provides criteria for evaluating levels of radioactive material in sludge and ash, and gives a summary of the results of the survey and dose modeling efforts.

  4. 40 CFR Appendix J to Part 122 - NPDES Permit Testing Requirements for Publicly Owned Treatment Works (§ 122.21(j))

    Science.gov (United States)

    2010-07-01

    ... Publicly Owned Treatment Works (§ 122.21(j)) J Appendix J to Part 122 Protection of Environment... POLLUTANT DISCHARGE ELIMINATION SYSTEM Pt. 122, App. J Appendix J to Part 122—NPDES Permit Testing Requirements for Publicly Owned Treatment Works (§ 122.21(j)) Table 1A—Effluent Parameters for All...

  5. Federal register, Volume 60, No. 234, Wednesday, December 6, 1995 proposed rules. Part 2. 40 CFR part 122, et al. National pollutant discharge elimination system permit application requirements for publicly owned treatment works and other treatment works treating domestic sewage; proposed rule

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-06

    The Environmental Protection Agency proposes to amend permit application requirements and application forms for publicly owned treatment works (POTWs) and other treatment works treating domestic sewage (TWTDS). TWTDS include facilities that generate sewage sludge, provide commercial treatment of sewage sludge, manufacture a product derived from sewage sludge, or provide disposal of sewage sludge.

  6. 40 CFR Appendix B to Subpart E of... - Federal Guidelines-User Charges for Operation and Maintenance of Publicly Owned Treatment Works

    Science.gov (United States)

    2010-07-01

    ... all users per unit of time. Bc = O&M cost for treatment of a unit of biochemical oxygen demand (BOD... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Federal Guidelines-User Charges for... Subpart E of Part 35—Federal Guidelines—User Charges for Operation and Maintenance of Publicly...

  7. Avaliação da eficácia dos critérios de recebimento de efluentes não domésticos em sistemas de coleta e transporte de esgotos sanitários em São Paulo Effectiveness of acceptance standards of non-household effluents to São Paulo state publicly owned treatment works

    Directory of Open Access Journals (Sweden)

    Irineu Delatorre Junior

    2007-03-01

    Full Text Available No presente trabalho, foram correlacionadas características de efluentes não domésticos, lançados no sistema de esgotos sanitários da Região Metropolitana de São Paulo (SES-RMSP, com os dados de manutenção. Foram também realizadas medições do limite inferior de explosividade e de concentrações de sulfetos nos principais coletores-tronco e interceptores deste sistema. Dos resultados obtidos, concluiu-se que: os critérios atuais de recebimento de efluentes não domésticos no SES-RMSP, no que se refere às interferências físicas e operacionais, não são eficazes; para a análise da possiblidade de recebimento, devem ser levados em consideração as matérias-primas, produtos auxiliares e fluxogramas do processo produtivo; deve haver comunicação entre as diversas áreas envolvidas na operação do SES-RMSP e a concessionária deve fazer o monitoramento sistemático do limite inferior de explosividade.In this research work, some characteristics of non-household effluents which are conveyed into the sanitary sewerage system of São Paulo’s Metropolitan Region (SPMR’s Sewerage System were correlated to maintenance data. Measurements of inferior limit of explosion and sulfide concentrations in the sewage mains and interceptor lines were also conducted. The results led us to conclude that the current non-domestic effluent collection criteria in SPMR’s Severage System are not effective with regard to physical and operational interferences. Auxiliary products, raw materials and the production process flux itself must be taken into consideration in the analysis made to evaluate whether or not such effluents can be conveyed into the Severage System. There must be communication among the sectors involved in the operation of SPMR’s Sewerage System and the responsible Sewerage Company in charge should monitor the inferior limit of explosion at all times.

  8. CSR in Publicly Owned Enterprises

    DEFF Research Database (Denmark)

    Lauesen, Linne Marie

    2011-01-01

    Purpose – CSR in water utilities in Denmark faces various challenges in getting to the same level as in private organisations. The water utilities are newly privatised, hybrid organisations that are both professionally and politically driven. The purpose of this paper is an examination of the opp......Purpose – CSR in water utilities in Denmark faces various challenges in getting to the same level as in private organisations. The water utilities are newly privatised, hybrid organisations that are both professionally and politically driven. The purpose of this paper is an examination...... of the opportunities and barriers in CSR in these publicly owned enterprises (POEs). The research question is: why do the opportunities of CSR in POEs seem more beneficial than for normal private businesses, while the barriers seem to slow the progression? The opportunities lie in the closeness to and willingness...... of the political decision-makers of the city. The barriers to CSR in POEs stem from the legal regulatory framework, which dictates efficiencies, price and cost reductions and limits the ethical investments of the POEs. Design/methodology/approach – The methodology of the paper is a comparative study and analysis...

  9. Financial statistics of major publicly owned electric utilities, 1991

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-31

    The Financial Statistics of Major Publicly Owned Electric Utilities publication presents summary and detailed financial accounting data on the publicly owned electric utilities. The objective of the publication is to provide Federal and State governments, industry, and the general public with data that can be used for policymaking and decisionmaking purposes relating to publicly owned electric utility issues.

  10. 40 CFR 35.1605-3 - Publicly owned freshwater lake.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Publicly owned freshwater lake. 35.1605... Owned Freshwater Lakes § 35.1605-3 Publicly owned freshwater lake. A freshwater lake that offers public... maintaining the public access and recreational facilities of this lake or other publicly owned...

  11. Financial statistics of major US publicly owned electric utilities 1993

    Energy Technology Data Exchange (ETDEWEB)

    1995-02-01

    The 1993 edition of the Financial Statistics of Major U.S. Publicly Owned Electric Utilities publication presents five years (1989 to 1993) of summary financial data and current year detailed financial data on the major publicly owned electric utilities. The objective of the publication is to provide Federal and State governments, industry, and the general public with current and historical data that can be used for policymaking and decision making purposes related to publicly owned electric utility issues. Generator and nongenerator summaries are presented in this publication. The primary source of publicly owned financial data is the Form EIA-412, the Annual Report of Public Electric Utilities, filed on a fiscal basis.

  12. Public power : the fight for publicly owned electricity

    Energy Technology Data Exchange (ETDEWEB)

    Hampton, H.; Reno, B.; O' Connor, M.; Almonte, R. (eds.)

    2003-07-01

    With the restructuring of Ontario's electricity industry, public versus private power is once again an issue of economic and political debate. This book outlines the history of the world's first publicly owned long-distance power system and the development of hydroelectric power generation at Niagara Falls in the late 1880s. The success of Ontario Hydro inspired the public power movement in the United States. This book presents strong arguments in favour of publicly owned electric utilities, emphasizing that it took decades to bring affordable power to all parts of Ontario, including rural regions. The generation, transmission, and distribution of electricity required a system of control and regulation that was in the best public interest. The role that nuclear power and the emerging natural gas industry has had on electric utilities was also discussed. By the mid-1970s it became evident that the drive for nuclear power in Ontario was an economic and environmental mistake. Despite warnings that deregulation and privatization would lead to power shortages and higher prices, Ontario opened its retail electricity markets to competition in 2002, following in the footsteps of many jurisdictions in the United States, the United Kingdom and Alberta. However, with electricity prices sky rocketing, privatization did not gain public support and the government of Ontario responded to public pressure by announcing a four-year rebate/price cap. This intervention angered private electric power companies who argue that deregulation in Ontario has been a failure. The author emphasized that the power industry must work on improving energy efficiency and developing renewable energy sources. Investment in the power grid is also critical to ensure power reliability. refs., figs.

  13. Financial statistics of major US publicly owned electric utilities 1992

    Energy Technology Data Exchange (ETDEWEB)

    1994-01-01

    The 1992 edition of the Financial Statistics of Major US Publicly Owned Electric Utilities publication presents 4 years (1989 through 1992) of summary financial data and current year detailed financial data on the major publicly owned electric utilities. The objective of the publication is to provide Federal and State governments, industry, and the general public with current and historical data that can be used for policymaking and decisionmaking purposes related to publicly owned electric utility issues. Generator and nongenerator summaries are presented in this publication. Four years of summary financial data are provided. Summaries of generators for fiscal years ending June 30 and December 31, nongenerators for fiscal years ending June 30 and December 31, and summaries of all respondents are provided. The composite tables present aggregates of income statement and balance sheet data, as well as financial indicators. Composite tables also display electric operation and maintenance expenses, electric utility plant, number of consumers, sales of electricity, and operating revenue, and electric energy account data. The primary source of publicly owned financial data is the Form EIA-412, {open_quotes}Annual Report of Public Electric Utilities.{close_quotes} Public electric utilities file this survey on a fiscal year, rather than a calendar year basis, in conformance with their recordkeeping practices. In previous editions of this publication, data were aggregated by the two most commonly reported fiscal years, June 30 and December 31. This omitted approximately 20 percent of the respondents who operate on fiscal years ending in other months. Accordingly, the EIA undertook a review of the Form EIA-412 submissions to determine if alternative classifications of publicly owned electric utilities would permit the inclusion of all respondents.

  14. Financial statistics of major US publicly owned electric utilities 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-15

    This publication presents 5 years (1990--94) of summary financial data and current year detailed financial data on the major publicly owned electric utilities. Generator and nongenerator summaries are presented. Composite tables present: Aggregates of income statement and balance sheet data, financial indicators, electric operation and maintenance expenses, electric utility plant, number of consumers, sales of electricity, and operating revenue, and electric energy account data.

  15. Financial statistics major US publicly owned electric utilities 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    The 1996 edition of The Financial Statistics of Major US Publicly Owned Electric Utilities publication presents 5 years (1992 through 1996) of summary financial data and current year detailed financial data on the major publicly owned electric utilities. The objective of the publication is to provide Federal and State governments, industry, and the general public with current and historical data that can be used for policymaking and decision making purposes related to publicly owned electric utility issues. Generator and nongenerator summaries are presented in this publication. Five years of summary financial data are provided. Summaries of generators for fiscal years ending June 30 and December 31, nongenerators for fiscal years ending June 30 and December 31, and summaries of all respondents are provided. The composite tables present aggregates of income statement and balance sheet data, as well as financial indicators. Composite tables also display electric operation and maintenance expenses, electric utility plant, number of consumers, sales of electricity, and operating revenue, and electric energy account data. 2 figs., 32 tabs.

  16. Working during cancer treatment

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000834.htm Working during cancer treatment To use the sharing features on this page, ... JavaScript. Many people continue to work throughout their cancer treatment. Cancer, or the side effects of treatment, may ...

  17. Financial statistics of selected publicly owned electric utilities 1989. [Contains glossary

    Energy Technology Data Exchange (ETDEWEB)

    1991-02-06

    The Financial Statistics of Selected Publicly Owned Electric Utilities publication presents summary and detailed financial accounting data on the publicly owned electric utilities. The objective of the publication is to provide the Federal and State governments, industry, and the general public with data that can be used for policymaking and decision making purposes relating to publicly owned electric utility issues. 21 tabs.

  18. Financial statistics of major U.S. publicly owned electric utilities 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-01

    The 1997 edition of the ``Financial Statistics of Major U.S. Publicly Owned Electric Utilities`` publication presents 5 years (1993 through 1997) of summary financial data and current year detailed financial data on the major publicly owned electric utilities. The objective of the publication is to provide Federal and State governments, industry, and the general public with current and historical data that can be used for policymaking and decisionmaking purposes related to publicly owned electric utility issues. Generator (Tables 3 through 11) and nongenerator (Tables 12 through 20) summaries are presented in this publication. Five years of summary financial data are provided (Tables 5 through 11 and 14 through 20). Summaries of generators for fiscal years ending June 30 and December 31, nongenerators for fiscal years ending June 30 and December 31, and summaries of all respondents are provided in Appendix C. The composite tables present aggregates of income statement and balance sheet data, as well as financial indicators. Composite tables also display electric operation and maintenance expenses, electric utility plant, number of consumers, sales of electricity, operating revenue, and electric energy account data. The primary source of publicly owned financial data is the Form EIA-412, ``Annual Report of Public Electric Utilities.`` Public electric utilities file this survey on a fiscal year basis, in conformance with their recordkeeping practices. The EIA undertook a review of the Form EIA-412 submissions to determine if alternative classifications of publicly owned electric utilities would permit the inclusion of all respondents. The review indicated that financial indicators differ most according to whether or not a publicly owned electric utility generates electricity. Therefore, the main body of the report provides summary information in generator/nongenerator classifications. 2 figs., 101 tabs.

  19. Regional Decentralization, Fiscal Incentives and Privatization of Public-Owned Enterprises

    Institute of Scientific and Technical Information of China (English)

    HengpengZhu

    2004-01-01

    The tax-sharing system reform since 1994 has hardened budgetary constraints on local governments, but has not derailed the fiscal decentralization trend since China started the reform and opening up. This fiscal decentralization has provided a strong impetus to local finance, so that local governments have become quite enthusiastic in pursuing local economic development and improving local economic efficiency. As market competition intensifies, the public-owned enterprises have gradually become a financial burden on local finance. Meanwhile, the non-state sector has made an increasing contribution to the local economy and to local coffers. Therefore, it has become the optimal choice for local governments, in pursuit of their own interests, to reform the ownership structure of public-owned enterprises.

  20. Financial statistics of major U.S. publicly owned electric utilities 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    The 1995 Edition of the Financial Statistics of Major U.S. Publicly Owned Electric Utilities publication presents 5 years (1991 through 1995) of summary financial data and current year detailed financial data on the major publicly owned electric utilities. The objective of the publication is to provide Federal and State governments, industry, and the general public with current and historical data that can be used for policymaking and decisionmaking purposes related to publicly owned electric utility issues. Generator (Tables 3 through 11) and nongenerator (Tables 12 through 20) summaries are presented in this publication. Five years of summary financial data are provided (Tables 5 through 11 and 14 through 20). Summaries of generators for fiscal years ending June 30 and December 31, nongenerators for fiscal years ending June 30 and December 31, and summaries of all respondents are provided in Appendix C. The composite tables present aggregates of income statement and balance sheet data, as well as financial indicators. Composite tables also display electric operation and maintenance expenses, electric utility plant, number of consumers, sales of electricity, and operating revenue, and electric energy account data. 9 figs., 87 tabs.

  1. When your cancer treatment stops working

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000851.htm When your cancer treatment stops working To use the sharing features on this page, please enable JavaScript. Cancer treatments can keep cancer from spreading and even cure ...

  2. 40 CFR 63.1592 - Which General Provisions apply to my POTW treatment plant?

    Science.gov (United States)

    2010-07-01

    ... POTW treatment plant? 63.1592 Section 63.1592 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... CATEGORIES National Emission Standards for Hazardous Air Pollutants: Publicly Owned Treatment Works General Requirements § 63.1592 Which General Provisions apply to my POTW treatment plant? (a) Table 1 to this...

  3. [Psychiatric Inpatient Treatment and Return to Work].

    Science.gov (United States)

    Mernyi, Lena; Hölzle, Patricia; Hamann, Johannes

    2017-05-12

    Objective People with mental diseases have a high risk of unemployment and they have only limited access to the labor market. The return to work is often associated with fears.The present study aims to provide an overview of the number of hospitalized psychiatric patients with permanent employment. Moreover it should give an insight into the process of return to work, the experiences patients gain and the support they receive. Methods In the participating clinics we measured the number of patients with permanent employment. The main inclusion criteria for further survey were the status of permanent employment and age between 18 and 65. The participating patients were interviewed on two occasions, at the time of inclusion and 3 months after the patient was discharged. The questions addressed working conditions, job satisfaction and the process of return-to-work. For statistical analysis, descriptive statistics (frequencies, means, standard deviations) were used. Results Only 21 % of n = 815 inpatients of the participating hospitals were permanently employed. Many patients did not return to work after being discharged. In many cases the interviewed patients saw a connection between their job and their current episode of illness. In this context patients reported unsatisfying workplace conditions such as long working hours, bad work organization and social conflicts. Conclusions For mentally ill patients, the employment rate in the primary labor market is devastating low. After psychiatric inpatient treatment patients are at high risk to lose their jobs. In order to prevent this development, work-related stress factors should be discussed with inpatients at an early stage and support should be provided during the return-to-work-process. © Georg Thieme Verlag KG Stuttgart · New York.

  4. A Study on the Operation Mechanism of Non - public Owned Forestry%国有林区非公有制林业运行机制研究

    Institute of Scientific and Technical Information of China (English)

    雒文虎; 万志芳

    2012-01-01

    非公有制林业的作用日益显现,黑龙江省国有林区的非公有制林业也获得了长足的发展。按照经济运行机制,国有林区非公有制林业要在运行主体、运行目标和运行环境上协调一致,同步发展。但是,非公有制林业的运行还存在运行环境上的一些体制性障碍,需要在改革林地使用制度、税费减免、完善活立木市场、改革林业投资政策、制定落实鼓励措施和加强林业文化建设等方面,采取有效措施予以破解。%The effect of non - public owned forestry is becoming more evident, and the non - public owned forestry in Heilongjiang province has also achieved considerable development. Non -public owned forestry should develop simultaneously and act in concert on the operating main body, the operation targets and the operation environment. But, there are 'still some system obstacles in non -public owned forestry, which need to remove by effective measures such as reforming the institution of forest land use, cutting the tax, improving the standing forest market, reforming the investment policies, carrying out the policy measures for encouraging and enhancing the construction of forest culture.

  5. Ear Infection Treatment: Do Alternative Therapies Work?

    Science.gov (United States)

    ... in books and magazines. They include chiropractic adjustments, homeopathy, herbal eardrops and others. Perhaps you're seeking ... infection treatments have been studied with mixed results. Homeopathy. A controversial treatment for ear infection, homeopathy involves ...

  6. Uterine/Endometrial Cancer: Working with Your Treatment Team

    Science.gov (United States)

    ... healthcare professionals. These people make up your treatment team. They will work with each other and with you to provide the special care you need. Your treatment team may include some of the healthcare professionals listed ...

  7. Work-Focused Treatment of Common Mental Disorders and Return to Work: A Comparative Outcome Study

    NARCIS (Netherlands)

    Lagerveld, S.E.; Blonk, R.W.B.; Brenninkmeijer, V.; Wijngaards-de Meij, L.; Schaufeli, W.B.

    2012-01-01

    The aim of this study was to compare the effectiveness of two individual-level psychotherapy interventions: (a) treatment as usual consisting of cognitive– behavioral therapy (CBT) and (b) work-focused CBT (W-CBT) that integrated work aspects early into the treatment. Both interventions were carried

  8. Work-Focused Treatment of Common Mental Disorders and Return to Work: A Comparative Outcome Study

    NARCIS (Netherlands)

    Lagerveld, S.E.; Blonk, R.W.B.; Brenninkmeijer, V.; Wijngaards-de Meij, L.; Schaufeli, W.B.

    2012-01-01

    The aim of this study was to compare the effectiveness of two individual-level psychotherapy interventions: (a) treatment as usual consisting of cognitive– behavioral therapy (CBT) and (b) work-focused CBT (W-CBT) that integrated work aspects early into the treatment. Both interventions were carried

  9. The work of recovery on two assertive community treatment teams.

    Science.gov (United States)

    Salyers, Michelle P; Stull, Laura G; Rollins, Angela L; Hopper, Kim

    2011-05-01

    The compatibility of recovery work with the Assertive Community Treatment (ACT) model has been debated; and little is known about how to best measure the work of recovery. Two ACT teams with high and low recovery orientation were identified by expert consensus and compared on a number of dimensions. Using an interpretive, qualitative approach to analyze interview and observation data, teams differed in the extent to which the environment, team structure, staff attitudes, and processes of working with consumers supported principles of recovery orientation. We present a model of recovery work and discuss implications for research and practice.

  10. Day treatment of patients with severe work-related complaints

    Directory of Open Access Journals (Sweden)

    Meesters Y

    2012-05-01

    Full Text Available Ybe Meesters, Ernst H Horwitz, Carol JM van VelzenUniversity of Groningen, University Medical Center Groningen, University Center for Psychiatry, Groningen, The NetherlandsAbstract: A day treatment program was developed for patients suffering with severe work-related complaints who were unable to function at work because of this. The program consisted of a number of treatment modalities, including Cognitive Behavioural Therapy, protocolized nonverbal therapies, and activation. The main objective of all these therapies was to analyze participants' personal qualities and vulnerabilities when functioning at work and to teach them new coping strategies and social skills to reduce their vulnerability in stressful situations. The results of the program were assessed in terms of scores on a number of self-rating questionnaires and hours spent at work. In a follow-up assessment one year after the original program had finished, we found a significant reduction in complaints and an increase in the number of hours spent on the job. At the start of the program, patients worked 25.2% of their contracted hours; a year later, this had increased to 77.3%. Even though this natural field study has its limitations, the results of the day treatment program seem very promising.Keywords: work-related stress, burnout, day treatment 

  11. Treatment optimization in MS: Canadian MS Working Group updated recommendations.

    Science.gov (United States)

    Freedman, Mark S; Selchen, Daniel; Arnold, Douglas L; Prat, Alexandre; Banwell, Brenda; Yeung, Michael; Morgenthau, David; Lapierre, Yves

    2013-05-01

    The Canadian Multiple Sclerosis Working Group (CMSWG) developed practical recommendations in 2004 to assist clinicians in optimizing the use of disease-modifying therapies (DMT) in patients with relapsing multiple sclerosis. The CMSWG convened to review how disease activity is assessed, propose a more current approach for assessing suboptimal response, and to suggest a scheme for switching or escalating treatment. Practical criteria for relapses, Expanded Disability Status Scale (EDSS) progression and MRI were developed to classify the clinical level of concern as Low, Medium and High. The group concluded that a change in treatment may be considered in any RRMS patient if there is a high level of concern in any one domain (relapses, progression or MRI), a medium level of concern in any two domains, or a low level of concern in all three domains. These recommendations for assessing treatment response should assist clinicians in making more rational choices in their management of relapsing MS patients.

  12. Work function modifications of graphite surface via oxygen plasma treatment

    Science.gov (United States)

    Duch, J.; Kubisiak, P.; Adolfsson, K. H.; Hakkarainen, M.; Golda-Cepa, M.; Kotarba, A.

    2017-10-01

    The surface modification of graphite by oxygen plasma was investigated experimentally (X-ray diffraction, nanoparticle tracking analysis, laser desorption ionization mass spectrometry, thermogravimetry, water contact angle) and by molecular modelling (Density Functional Theory). Generation of surface functional groups (mainly sbnd OHsurf) leads to substantial changes in electrodonor properties and wettability gauged by work function and water contact angle, respectively. The invoked modifications were analyzed in terms of Helmholtz model taking into account the theoretically determined surface dipole moment of graphite-OHsurf system (μ = 2.71 D) and experimentally measured work function increase (from 0.75 to 1.02 eV) to determine the sbnd OH surface coverage (from 0.70 to 1.03 × 1014 groups cm-2). Since the plasma treatment was confined to the surface, the high thermal stability of the graphite material was preserved as revealed by the thermogravimetric analysis. The obtained results provide a suitable quantitative background for tuning the key operating parameters of carbon electrodes: electronic properties, interaction with water and thermal stability.

  13. Development of an odorant emission model for sewage treatment works.

    Science.gov (United States)

    Gostelow, P; Parsons, S A; Cobb, J

    2001-01-01

    In the field of odour assessment, much attention has been paid to the measurement of odour concentration. Whilst the concentration of an odour at a receptor is a useful indicator of annoyance, the concentration at the source tells only half the story. The emission rate - the product of odour concentration and air flow rate - is required to appreciate the significance of odour sources. Knowledge of emission rates allows odour sources to be ranked in terms of significance and facilitates appropriate selection and design of odour control units. The emission rate is also a key input for atmospheric dispersion models. Given the increasing importance of odour to sewage treatment works operators, there is a clear need for predictive methods for odour emission rates. Theory suggests that the emission of odorants from sewage to air is controlled by mass transfer resistances in both the gas and liquid phase. These are in turn controlled by odorant and emission source characteristics. The required odorant characteristics are largely known, and mass transfer from many different types of emission sources have been studied. Sewage treatment processes can be described by one or more of six characteristic emission sources, these being quiescent surfaces, channels, weirs and drop structures, diffused aeration, surface aeration and flow over media. This paper describes the development of odorant mass transfer models for these characteristic emission types. The models have been applied in the form of spreadsheet models to the prediction of H2S emissions and the results compared with commercial VOC emission models.

  14. Work-Related Health Effects among Wastewater Treatment Plants Workers

    Directory of Open Access Journals (Sweden)

    MA Albatanony

    2011-09-01

    Full Text Available Background: Raw sewage contains various pathogenic organisms including bacteria, viruses, fungus, worms and protozoa. Workers at wastewater treatment plants (WWTPs are exposed to these organisms as well as to H2S gas causing many health hazards. Objectives: To assess some work-related health effects among WWTPs workers with special emphasis on the most common infections as well as cardiopulmonary disorders. Methods: 43 workers at Berket Al-Sabih WWTPs were studied. An equal number of non-exposed comparison group were also studied. All participants were asked about their personal demographic data, symptoms suggesting infection, respiratory tract impairment and cardiovascular manifestations. Spirometric measurements were made at the end of the work shift. A resting standard 12-lead ECG was also taken for each participant. For those with a positive ECG finding, echocardiography was also performed. Serum examination for antibodies against hepatitis A virus (HAV and hepatitis E virus (HEV was also done. A heparinized blood sample to measure sulf-hemoglobin, as an indicator of H2S exposure, was taken. Stool was analyzed by polymerase chain reaction (PCR for Leptospira spirochete. Results: WWTPs workers suffered from body ache, abdominal pain, wheeze, asthma and dyspnea more frequently than the comparison group (p<0.05. An obstructive pattern of pulmonary function impairment and a higher mean sulf-hemoglobin% were significantly more common among WWTPs workers than the comparison group. Antibody levels against HAV and HEV as well as frequency of positive stool PCR test results for L. spirochete were significantly higher among WWTPs workers than the comparison group. The prevalence of left ventricular hypertrophy (LVH according to ECG and mean ejection fraction (EF as measured by echocardiography were significantly more frequent in WWTPs workers than in the comparison group. Conclusion: WWTPs workers are high risk of developing various infections and

  15. Helicobacter pylori treatment: Still a work in progress.

    Science.gov (United States)

    Senatore, Frank J; Wilmot, Jonathan; Birk, John W

    2016-01-01

    Helicobacter pylori is a common worldwide bacterium, possessing adaptability that has created difficulty achieving eradication. While the standard treatment was thought to be triple therapy with a proton pump inhibitor, amoxicillin, and clarithromycin, growing rates of treatment failure and antibiotic resistance have stimulated research into novel regimens. Quadruple therapy with bismuth has been compared for both first- and second-line treatments, but eradication still has not reached expected goals. Innovative regimens including sequential and concomitant therapy, as well as the introduction of new antibiotics into previous treatment schedules, have shown promising improvements in eradication rates. We discuss and compare these unique regimens, reviewing the current literature to deduce those which are most likely to provide the highest success in curing H. pylori infection.

  16. The Dose That Works: Low Level Laser Treatment of Tendinopathy

    Science.gov (United States)

    Tumilty, Steve; Munn, Joanne; McDonough, Suzanne; Hurley, Deirdre A.; Basford, Jeffrey R.; David Baxter, G.

    2010-05-01

    Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59 Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6 mm less pain on a 100 mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

  17. Rituximab treatment in rheumatoid arthritis: how does it work?

    NARCIS (Netherlands)

    Boumans, M.J.H.; Tak, P.P.

    2009-01-01

    Treatment with the chimerical monoclonal antibody rituximab results in CD20-directed B cell depletion. Although this depletion is almost complete in the peripheral blood of nearly all patients with rheumatoid arthritis, a proportion of patients does not exhibit a clinical response. The paper by Nako

  18. Rituximab treatment in rheumatoid arthritis: how does it work?

    NARCIS (Netherlands)

    Boumans, M.J.H.; Tak, P.P.

    2009-01-01

    Treatment with the chimerical monoclonal antibody rituximab results in CD20-directed B cell depletion. Although this depletion is almost complete in the peripheral blood of nearly all patients with rheumatoid arthritis, a proportion of patients does not exhibit a clinical response. The paper by

  19. Work.

    Science.gov (United States)

    Haines, Annette M.

    2003-01-01

    Draws upon Maria Montessori's writings to examine work as a universal human tendency throughout life. Discusses the work of adaptation of the infant, work of "psycho-muscular organism" for the preschooler, work of the imagination for the elementary child, community work of the adolescent, and work of the adult. Asserts that…

  20. Working with an interpreter in psychiatric assessment and treatment.

    Science.gov (United States)

    Westermeyer, J

    1990-12-01

    Cross-cultural assessment and care frequently involve cross-language communication via a translator, interpreter, or bilingual worker. A resurgence of immigration, legalization of former illegal migrants, and refugee flight to the United States has increased the need for such special means of communication. Psychiatrists and other mental health professionals should develop conceptual models, skills, and experience for conducting cross-language interviews. This article provides information, terminology, and models for one aspect of this special clinical task, i.e., working with translators.

  1. Return to work following breast cancer treatment: the employers' side.

    Science.gov (United States)

    Tiedtke, Corine; Donceel, Peter; de Rijk, Angelique; Dierckx de Casterlé, Bernadette

    2014-09-01

    Research on employers' experiences with return to work (RTW) of employees with breast cancer is lacking. Employers seem to be the key people to create good working conditions. Our aim is to explore how Belgian employers experience their role and responsibility in RTW of employees with breast cancer. Using a qualitative design (Grounded Theory) 17 employers from the public (7), private (5) and non-profit (5) sector, directly involved in the RTW process, were interviewed. The analysis was based on the Qualitative Analysis Guide of Leuven (QUAGOL) with constant data comparison and interactive team dialogue as important guiding characteristics. RTW of employees with breast cancer is experienced by employers as an intangible process that is difficult to manage. This was expressed in (1) concern, referring to the employer's personal and emotional involvement, (2) uncertainty about the course of illness and the guidance needed by the employee and (3) specific dilemmas in the RTW process (when does one infringe on employee privacy; employee vs. organization interest; employers' personal vs. professional role). The degree to which this was experienced related to variety in organizational, employer, and employee factors. The findings of this study confirm the importance of the employer's involvement in RTW of employees with breast cancer and contribute to a better understanding of its complexity. The employers did their best to grasp the intangibility of the RTW process. Further research is needed to refine these findings and to discover the specific needs of employers regarding supporting RTW of breast cancer patients.

  2. Distinct work-related, clinical and psychological factors predict return to work following treatment in four different cancer types.

    Science.gov (United States)

    Cooper, Alethea F; Hankins, Matthew; Rixon, Lorna; Eaton, Emma; Grunfeld, Elizabeth A

    2013-03-01

    Many factors influence return to work (RTW) following cancer treatment. However specific factors affecting RTW across different cancer types are unclear. This study examined the role of clinical, sociodemographic, work and psychological factors in RTW following treatment for breast, gynaecological, head and neck, and urological cancer. A 12-month prospective questionnaire study was conducted with 290 patients. Cox regression analyses were conducted to calculate hazard ratios (HR) for time to RTW. Between 89-94% of cancer survivors returned to work. Breast cancer survivors took the longest to return (median 30 weeks), and urology cancer survivors returned the soonest (median 5 weeks). Earlier return among breast cancer survivors was predicted by a greater sense of control over their cancer at work (HR 1.2; 95% CI: 1.09-1.37) and by full-time work (HR 2.1; CI: 1.24-3.4). Predictive of a longer return among gynaecological cancer survivors was a belief that cancer treatment may impair ability to work (HR 0.75; CI: 0.62-0.91). Among urological cancer survivors constipation was predictive of longer RTW (HR 0.99; CI: 0.97-1.00), whereas undertaking flexible working was predictive of returning sooner (HR 1.70; CI: 1.07-2.7). Head and neck cancer survivors who perceived greater negative consequences of their cancer took longer to return (HR 0.27; CI: 0.11-0.68). Those reporting better physical functioning returned sooner (HR1.04; CI: 1.01-1.08). A different profile of predictive factors emerged for the four cancer types. In addition to optimal symptom management and workplace adaptations, the findings suggest that eliciting and challenging specific cancer and treatment-related perceptions may facilitate RTW. Copyright © 2012 John Wiley & Sons, Ltd.

  3. [The treatment of cannabis dependence: Clinical work, psychotherapy and evidence].

    Science.gov (United States)

    Capece, José; Pavlovsky, Federico

    2016-11-01

    Identifying compulsive consumption of marijuana in association with another mental disorder (attentional defcit disorder, bipolar disorder, depression or psychosis) presents the challenge of clarifying validated therapeutic strategies, especially within the teen population, in which it shows the highest prevalence. The ever-increasing prevalence and the need for regional treatments, demand that we approach this health matter as a public health issue. The ideological con?icts related to the necessary decriminalization of consumption and the current debate on the medical use of marijuana often confuse the urgent need to establish effective therapeutic strategies for the population affected by this mental disorder. Family therapy and community reinforcement are one of the most effcient interventions, other than the traditional individual and group therapies. Contingent, motivational and cognitive-behavioral tailored interventions appear to be most effcient and recommendable. Aerobic exercise and the use of mobile technology also show effectiveness. The administration of medications such as gabepentin, the aminoacid n-acetyl cysteine (NAC) and the cannabinoid cannabidiol (CBD) appear to be very promising. Usual medications, such as valproic acid, quetiapine and bupropion, increase craving, therefore intensifying the need for consumption and thus yielding overall negative results.

  4. The Association between Shift Work and Treatment-seeking Migraine in Denmark

    DEFF Research Database (Denmark)

    Jakobsen, Gitte Sofie; Timm, Anne Matilde; Hansen, Åse Marie

    2017-01-01

    In Europe, the one-year prevalence of migraine is 14.9% and migraine is on the top-ten list of leading causes of years lost to disability. Sleep disturbances and irregular daily routines are considered triggers of migraine and these factors are well-known consequences of shift work. We studied...... the association between treatment-seeking migraine and shift work, categorised as fixed evening work, fixed night work and variable working hours with and without night work in a Danish working population of 5,872 participants. When compared with fixed day workers, only participants with fixed evening work were...

  5. The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work

    NARCIS (Netherlands)

    de Jong, Steven; Renard, S. B.; van Donkersgoed, R. J. M.; van der Gaag, M.; Wunderink, Alexander; Pijnenborg, G. H. M.; Lysaker, P. H.

    Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known

  6. The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work

    NARCIS (Netherlands)

    de Jong, Steven; Renard, S. B.; van Donkersgoed, R. J. M.; van der Gaag, M.; Wunderink, Alexander; Pijnenborg, G. H. M.; Lysaker, P. H.

    2014-01-01

    Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known h

  7. Work-related treatment for major depressive disorder and incapacity to work: preliminary findings of a controlled, matched study.

    Science.gov (United States)

    Kröger, Christoph; Bode, Katharina; Wunsch, Eva-Maria; Kliem, Sören; Grocholewski, Anja; Finger, Friederike

    2015-04-01

    The aim of this study was to compare the effectiveness of work-related cognitive-behavioral treatment (W-CBT) with that of cognitive-behavioral treatment as usual (CBT-AU) for employees on sick leave as a result of a major depressive disorder (MDD). We collected data for 26 matched outpatients at pre- and posttreatment, as well as at 1-year follow-up. Outcome measures were the days of incapacity to work (DIW) as well as self-report measures (Beck Depression Inventory [BDI], Symptom Checklist 90-R [GSI], Life Satisfaction Questionnaire [FLZ]). We analyzed data with hierarchical linear modeling in a 2-level model. Therapy effects were defined in 3 ways: effect size (ES), response (based on the reliable change index), and remission compared with the general population's symptom level. The DIW were reduced significantly after both types of treatment, but employees showed even fewer DIW after W-CBT. At follow-up, significantly more employees were working as a result of W-CBT than with CBT-AU. Significant improvements on scores of self-rating measures corresponded with moderate-to-large effect sizes for both treatment types. Approximately 2 thirds of the treated employees were categorized as unimpaired on BDI scores at posttreatment and at follow-up. At least 1 half of the employees were classified as unimpaired on GSI scores at both assessment points. In future research, a randomized controlled trial should be conducted using a larger sample size to investigate the impact of moderators (e.g., employees at different branches of the company). Findings provided support for using common CBT techniques to enhance return to work without losing expected improvements at the symptom level.

  8. COMPLEAT (Community-Oriented Model for Planning Least-Cost Energy Alternatives and Technologies): A planning tool for publicly owned electric utilities. [Community-Oriented Model for Planning Least-Cost Energy Alternatives and Technologies (Compleat)

    Energy Technology Data Exchange (ETDEWEB)

    1990-09-01

    COMPLEAT takes its name, as an acronym, from Community-Oriented Model for Planning Least-Cost Energy Alternatives and Technologies. It is an electric utility planning model designed for use principally by publicly owned electric utilities and agencies serving such utilities. As a model, COMPLEAT is significantly more full-featured and complex than called out in APPA's original plan and proposal to DOE. The additional complexity grew out of a series of discussions early in the development schedule, in which it became clear to APPA staff and advisors that the simplicity characterizing the original plan, while highly desirable in terms of utility applications, was not achievable if practical utility problems were to be addressed. The project teams settled on Energy 20/20, an existing model developed by Dr. George Backus of Policy Assessment Associates, as the best candidate for the kinds of modifications and extensions that would be required. The remainder of the project effort was devoted to designing specific input data files, output files, and user screens and to writing and testing the compute programs that would properly implement the desired features around Energy 20/20 as a core program. This report presents in outline form, the features and user interface of COMPLEAT.

  9. Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms

    NARCIS (Netherlands)

    Backes, Daan; Rinkel, Gabriel J. E.; van der Schaaf, Irene C.; Bijvank, Jenny A. Nij; Verweij, Bon H.; Visser-Meily, Johanna M. A.; Post, Marcel W.; Algra, Ale; Vergouwen, Mervyn D. I.

    2015-01-01

    Background and Purpose-The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to bala

  10. Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms

    NARCIS (Netherlands)

    Backes, D.; Rinkel, G.J.; Van der Schaaf, I.C.; Bijvank, J.A.; Verweij, B.H.; Visser-Meily, J.M.A.; Post, Marcel W.M.; Algra, A.; Vergouwen, M.D.

    2015-01-01

    Background and Purpose—The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to bala

  11. Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms

    NARCIS (Netherlands)

    Backes, Daan; Rinkel, Gabriel J. E.|info:eu-repo/dai/nl/085712000; van der Schaaf, Irene C.|info:eu-repo/dai/nl/29133489X; Bijvank, Jenny A. Nij; Verweij, Bon H.|info:eu-repo/dai/nl/311491774; Visser-Meily, Johanna M. A.|info:eu-repo/dai/nl/180428047; Post, Marcel W.|info:eu-repo/dai/nl/137146426; Algra, Ale|info:eu-repo/dai/nl/07483472X; Vergouwen, Mervyn D. I.

    2015-01-01

    Background and Purpose-The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to bala

  12. A COGNITIVE-BEHAVIOURAL GROUP TREATMENT IMPROVED WORK ABILITY IN PATIENTS WITH SEVERE FUNCTIONAL SOMATIC SYNDROMES

    DEFF Research Database (Denmark)

    Schröder, Andreas; Ørnbøl, Eva; Jensen, Jens Søndergaard

    2014-01-01

    Objective: Functional somatic syndromes (FSS) such as fibromyalgia, irritable bowel and chronic fatigue syndrome often disrupt employment and may lead to long-term dependence on social benefits and permanently reduced work ability. Cognitive-behavioural treatments (CBT) relief symptoms and improve...... functioning in FSS, but their effect on work ability is unclear. The aim of this study was to estimate the long-term effect of group CBT on work ability in patients with severe FSS. Methods: 120 Patients from a recently published randomised controlled trial comparing group CBT with enhanced usual care (EUC...... before to 3 years after treatment by means of random effects modelling allowing individual levels and slopes. Results: Compared with the general population, FSS patients showed a continuous decline in self-support, leading to markedly reduced work ability at trial entry. In the following years, EUC...

  13. E-mailed standardized cognitive behavioural treatment of work-related stress: a randomized controlled trial.

    Science.gov (United States)

    Ruwaard, Jeroen; Lange, Alfred; Bouwman, Manon; Broeksteeg, Janneke; Schrieken, Bart

    2007-01-01

    The aim of this study was to assess the effects of a 7-week standardized cognitive behavioural treatment of work-related stress conducted via e-mail. A total of 342 people applied for treatment in reaction to a newspaper article. Initial screening reduced the sample to a heterogeneous (sub)clinical group of 239 participants. Participants were assigned randomly to a waiting list condition (n = 62), or to immediate treatment (n = 177). A follow-up was conducted 3 years after inception of the treatment. The outcome measures used were the Depression Anxiety Stress Scales (DASS-42) and the Emotional Exhaustion scale of the Maslach Burnout Inventory - General Survey (MBI-GS). Fifty participants (21%) dropped out. Both groups showed statistically significant improvements. Intention-to-treat analysis of covariance (ANCOVAs) revealed that participants in the treatment condition improved significantly more than those in the waiting control condition (0.001 or = d > or = 0.5 (anxiety)). The between-group effects ranged from d = 0.6 (stress) to d = 0.1 (anxiety). At follow-up, the effects were more pronounced, but this result requires replication in view of high attrition at follow-up. The results warrant further research on Internet-driven standardized cognitive behavioural therapy for work-related stress. Such research should include the direct comparison of this treatment with face-to-face treatment, and should address the optimal level of therapist contact in Internet-driven treatment.

  14. Job Burnout, Work Engagement and Self-reported Treatment for Health Conditions in South Africa.

    Science.gov (United States)

    de Beer, Leon T; Pienaar, Jaco; Rothmann, Sebastiaan

    2016-02-01

    The purpose of the study being reported here was to investigate the relationship of job burnout and work engagement with self-reported received treatment for health conditions (cardiovascular condition, high cholesterol, depression, diabetes, hypertension and irritable bowel syndrome), while controlling for age, gender, smoking and alcohol use. The sample comprised 7895 employees from a broad range of economic sectors in the South African working population. A cross-sectional survey design was used for the study. Structural equation modelling methods were implemented with a weighted least squares approach. The results showed that job burnout had a positive relationship with self-reported received treatment for depression, diabetes, hypertension and irritable bowel syndrome. Work engagement did not have any significant negative or positive relationships with the treatment for these health conditions. The results of this study make stakeholders aware of the relationship between job burnout, work engagement and self-reported treatment for health conditions. Evidence for increased reporting of treatment for ill-health conditions due to burnout was found. Therefore, attempts should be made to manage job burnout to prevent ill-health outcomes.

  15. THE ASSESMENT OF THE EFFICENCY AND STABILITY OF WORK SEWAGE TREATMENT PLANT IN ZABAJKA

    Directory of Open Access Journals (Sweden)

    Dariusz Młyński

    2016-05-01

    Full Text Available In the article the assessment of the efficiency and stability of work sewage treatment plant in Zabajka was performed based on the results of the physico-chemical measurements raw sewage and treated sewage noted in the period between 2010 and 2014. The analysis was performed for the following pollutants indicators: BOD5, CODCr and total suspended solids. For each of them descriptive statistics, percentage reduction the pollutants indicators and treatment plant reliability factors (WN were calculated. The assessment of the stability of work of sewage treatment plant was performed by using control cards X for the simple test. Based on the obtained results, it was concluded that sewage treatment plant in Zabajka works properly, what is confirmed by high values of the pollutants indicators reduction and the values of WN, which are less than 1.00. The analysis of the control cards indicates instability of the treatment process only for CODCr, but it does not impact on treatment efficiency in relation to this indicator.

  16. 77 FR 9882 - Arsenic Small Systems Compliance and Alternative Affordability Criteria Working Group; public...

    Science.gov (United States)

    2012-02-21

    ... Working Group; public meeting AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of public meeting. SUMMARY: EPA is holding an initial meeting of the Arsenic Small Systems Working Group to provide... Working Group composed of representatives from States, small publicly owned water systems, local...

  17. Interference with work in fibromyalgia - effect of treatment with pregabalin and relation to pain response

    Directory of Open Access Journals (Sweden)

    Hallier Ernst

    2011-06-01

    Full Text Available Abstract Background Clinical trials in chronic pain often collect information about interference with work as answers to component questions of commonly used questionnaires but these data are not normally analysed separately. Methods We performed a meta-analysis of individual patient data from four large trials of pregabalin for fibromyalgia lasting 8-14 weeks. We analysed data on interference with work, inferred from answers to component questions of Fibromyalgia Impact Questionnaire (FIQ, Short Form 36 Health Survey, Sheehan Disability Scale, and Multidimensional Assessment of Fatigue, including "How many days in the past week did you miss work, including housework, because of fibromyalgia?" from FIQ. Analyses were performed according to randomised treatment group (pregabalin 150-600 mg daily or placebo, pain improvement (0-10 numerical pain rating scale scores at trial beginning vs. end, and end of trial pain state (100 mm visual analogue pain scale [VAS]. Results Comparing treatment group average outcomes revealed modest improvement over the duration of the trials, more so with active treatment than with placebo. For the 'work missed' question from FIQ the change for patients on placebo was from 2.2 (standard deviation [SD] 2.3 days of work lost per week at trial beginning to 1.9 (SD 2.1 days lost at trial end (p /= 50% pain improvement and from 1.9 (SD 2.2 days to 0.73 (SD 1.4 days (p /= 50% pain improvement and a pain score Conclusions Effective pain treatment goes along with benefit regarding work. A reduction in time off work >1 day per week can be achieved in patients with good pain responses.

  18. Working alliance and treatment fidelity as predictors of externalizing problem behaviors in parent management training.

    Science.gov (United States)

    Hukkelberg, Silje S; Ogden, Terje

    2013-12-01

    The study investigated treatment fidelity and working alliance in the Parent Management Training-Oregon model (PMTO) and investigated how these relate to children's externalizing problem behaviors, as reported by parents and teachers. Participants were 331 Norwegian parents who rated the client-therapist working alliance at 3 time points (Sessions 3, 12, and 20). Competent adherence to the PMTO treatment protocol was assessed by PMTO specialists from evaluations of videotaped therapy sessions using the Fidelity of Implementation (FIMP) system (Knutson, Forgatch, & Rains, 2003). Parents and teachers reported children's problem behaviors at baseline and at the end of therapy. Structural equation modeling was used to analyze the repeated measures data. Parents reported high and stable levels of alliance and fidelity from Time 1 to Time 3, with no correlational or direct relations between the 2. Treatment fidelity predicted reductions in parent-reported externalizing behavior, whereas working alliance was related to less change in problem behavior. Alliance and fidelity were unrelated to teacher-reported behavior problems. The findings point to treatment fidelity as an active ingredient in PMTO and working alliance as a negative predictor of postassessment parent-reported externalizing behavior. More research is needed to investigate whether these findings can be replicated and extended beyond PMTO.

  19. Pain and nurses' emotion work in a paediatric clinic: treatment procedures and nurse-child alignments.

    Science.gov (United States)

    Rindstedt, Camilla

    2013-01-01

    In the treatment of cancer in children, treatment procedures have been reported to be one of the most feared elements, as more painful than the illness as such. This study draws on a video ethnography of routine needle procedure events, as part of fieldwork at a paediatric oncology clinic documenting everyday treatment negotiations between nurses and young children. On the basis of detailed transcriptions of verbal and nonverbal staff-child interaction, the analyses focus on ways in which pain and anxiety can be seen as phenomena that are partly contingent on nurses' emotion work. The school-age children did not display fear. In the preschool group, though, pain and fear seemed to be phenomena that were greatly reduced through nurses' emotion work. This study focuses on three preschoolers facing potentially painful treatment, showing how the nurses engaged in massive emotion work with the children, through online commentaries, interactive formats (delegation of tasks, consent sequences, collaborative 'we'-formats), as well as solidarity-oriented moves (such as praise and endearment terms). Even a young toddler would handle the distress of needle procedures, when interacting with an inventive nurse who mobilized child participation through skilful emotion work.

  20. Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms.

    Science.gov (United States)

    Backes, Daan; Rinkel, Gabriel J E; van der Schaaf, Irene C; Nij Bijvank, Jenny A; Verweij, Bon H; Visser-Meily, Johanna M A; Post, Marcel W; Algra, Ale; Vergouwen, Mervyn D I

    2015-06-01

    The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to balance the pros and cons of preventive aneurysm occlusion. We sent a questionnaire on time-to-recovery to preintervention functioning and return-to-work and life satisfaction to patients treated for an unruptured aneurysm between 2000 and 2013. Changes in life satisfaction before treatment, during recovery, and at follow-up were assessed with Wilcoxon signed-rank tests. The questionnaire was sent to 159 patients of whom 110 (69%) responded. The mean follow-up time after aneurysm treatment was 6 years (SD 4). Fifty-four patients had endovascular and 56 had microsurgical occlusion. Complete recovery to preintervention functioning was reported by 81% (95% confidence interval [CI], 74-88) of patients, with a median time-to-recovery of 3 months (range 0-48). Complete work recovery was reported by 78% (95% CI, 66-87) of patients. The proportion of patients with high life satisfaction reduced from 76% (95% CI, 67-84) before treatment to 52% (95% CI, 43-61) during the period of recovery (PLife satisfaction is significantly reduced during the period of recovery after treatment of unruptured aneurysms. In the long-term, ≈1 out of 5 patients reports incomplete recovery. These treatment effects should be kept in mind when considering preventive aneurysm treatment. Prospective studies are needed to better compare these losses in patients treated for unruptured aneurysms with those who had subarachnoid hemorrhage. © 2015 American Heart Association, Inc.

  1. Speciation and fate of copper in sewage treatment works with and without tertiary treatment: the effect of return flows.

    Science.gov (United States)

    Innaa, D; Lester, J N; Scrimshawb, M D; Cartmell, E

    2014-01-01

    The removal of metals from wastewaters is becoming an important issue, with new environmental quality standards putting increased regulatory pressure on operators of sewage treatment works. The use of additional processes (tertiary treatment) following two-stage biological treatment is frequently seen as a way of improving effluent quality for nutrients and suspended solids, and this study investigates the impact of how back washes from these tertiary processes may impact the removal of copper during primary sedimentation. Seven sites were studied, three conventional two-stage biological treatment, and four with tertiary processes. It was apparent that fluxes of copper in traditional return flows made a significant contribution to the load to the primary treatment tanks, and that copper removal in the primary tanks, probably due to their aerobic nature. Returning such aerobic back wash flows to the main process stream after primary treatment may therefore be worth consideration. The opportunity to treat consolidated liquor and sludge.flows in side-stream processes to remove toxic elements, as they are relatively concentrated, low volume flow streams, should also be evaluated.

  2. Effort-reward imbalance at work and the risk of antidepressant treatment in the Danish workforce

    DEFF Research Database (Denmark)

    Nielsen, Maj Britt D.; Madsen, Ida E. H.; Aust, Birgit;

    2016-01-01

    Background: Previous studies have shown that high effort-reward imbalance (ERI) at work is a risk factor for the onset of self-reported depressive symptoms. In this study, we examined whether ERI predicts risk of treatment with antidepressant medication in a representative sample of the Danish...... workforce. Methods: We linked survey data on ERI and covariates of 4541 participants from the Danish Work Environment Cohort Study 2000 with the Danish National Prescription Registry that includes all legally purchased prescription drugs at pharmacies in Denmark since 1995. Participants with a history...... of antidepressant treatment or with self-reported depressive symptoms at baseline were excluded. Using Cox proportional hazard analyses we examined the prospective association between ERI at baseline and incident antidepressant treatment while adjusting for potential confounders. Time of follow-up was 5 years...

  3. Fluorescence spectroscopy as a tool for determination of organic matter removal efficiency at water treatment works

    Directory of Open Access Journals (Sweden)

    M. Z. Bieroza

    2009-12-01

    Full Text Available Organic matter (OM in drinking water treatment is a common impediment responsible for increased coagulant and disinfectant dosages, formation of carcinogenic disinfection-by products, and microbial re-growth in distribution system. The inherent heterogeneity of OM implies the utilization of advanced analytical techniques for its characterization and assessment of removal efficiency. Here, the application of simple fluorescence excitation-emission technique to OM characterization in drinking water treatment is presented. The fluorescence data of raw and clarified water was obtained from 16 drinking water treatment works. The reduction in fulvic-like fluorescence was found to significantly correlate with OM removal measured with total organic carbon (TOC. Fluorescence properties, fulvic- and tryptophan-like regions, were found to discriminate OM fractions of different removal efficiencies.

    The results obtained in the study show that fluorescence spectroscopy provides a rapid and accurate characterization and quantification of OM fractions and indication of their treatability in conventional water treatment.

  4. Fluorescence spectroscopy as a tool for determination of organic matter removal efficiency at water treatment works

    Directory of Open Access Journals (Sweden)

    M. Z. Bieroza

    2010-04-01

    Full Text Available Organic matter (OM in drinking water treatment is a common impediment responsible for increased coagulant and disinfectant dosages, formation of carcinogenic disinfection-by products, and microbial re-growth in distribution system. The inherent heterogeneity of OM implies the utilization of advanced analytical techniques for its characterization and assessment of removal efficiency. Here, the application of simple fluorescence excitation-emission technique to OM characterization in drinking water treatment is presented. The fluorescence data of raw and clarified water was obtained from 16 drinking water treatment works. The reduction in fulvic-like fluorescence was found to significantly correlate with OM removal measured with total organic carbon (TOC. Fluorescence properties, fulvic- and tryptophan-like regions, were found to discriminate OM fractions of different removal efficiencies. The results obtained in the study show that fluorescence spectroscopy provides a rapid and accurate characterization and quantification of OM fractions and indication of their treatability in conventional water treatment.

  5. Miniscalpel-Needle Treatment Is Effective for Work-Related Neck and Shoulder Musculoskeletal Disorders

    Directory of Open Access Journals (Sweden)

    Shuming Li

    2016-01-01

    Full Text Available Background. Work-related musculoskeletal disorders (MSDs are a group of painful disorders of muscles, tendons, and nerves, such as neck and shoulder MSD. This study was designed to use miniscalpel-needle (MSN technique as an intervention for work-related MSDs. Methods. Thirty-one patients with work-related MSDs and 28 healthy subjects were enrolled as controls in this study. The MSD symptoms of each patient were assessed by visual analog scale (VAS and neck disability index (NDI. Blood samples were collected from control subjects and MSD patients before and after treatment. Serum levels of C-reactive protein (CRP and tumor necrosis factor (TNF were measured using ELISA. Results. Prior to MSN treatment, serum levels of CRP and TNF were significantly higher in the MSD patients than the healthy controls. Serum CRP levels correlated with VAS and NDI scores, and serum TNF levels correlated with NDI scores. Compared to pretreatment, VAS and NDI scores were significantly lower in MSD patients after MSN treatment, while serum CRP and TNF levels were significantly lower compared with the healthy control levels. Conclusions. Our results indicate that MSN may be an effective intervention for work-related MSDs and be associated with lower serum levels of inflammatory biomarkers.

  6. Does good leadership buffer effects of high emotional demands at work on risk of antidepressant treatment?

    DEFF Research Database (Denmark)

    Madsen, Ida E H; Hanson, Linda L Magnusson; Rugulies, Reiner Ernst;

    2014-01-01

    Emotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects of emoti......Emotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects...... of emotional demands on antidepressant treatment, as an indicator of common mental disorders, are buffered by good leadership....

  7. Reflections on psychoanalytic treatment of Lubavitch Chassidim couples: working with a culturally divergent population.

    Science.gov (United States)

    Schulman, Martin A; Kaplan, Ricki S

    2014-08-01

    Chassidic Jews create separate developmental lines for males and females beginning at three years of age. Since early marriages are encouraged and there is minimal contact between the sexes prior to marriage, problems inevitably arise in relationships. This article discusses both newlywed and long-term married Lubavitch Chassidim in couples treatment with secular analysts, parameters necessary for successful treatment, and countertransferences that arise. It is part of an ongoing series of publications based on the authors' decade-long psychoanalytic work with this population.

  8. Predictors of lost time from work among nursing personnel who sought treatment for back pain.

    Science.gov (United States)

    Pompeii, Lisa A; Lipscomb, Hester J; Dement, John M

    2010-01-01

    To examine possible predictors of lost workdays among nurses and nurses' aides who sought treatment for work-related back pain. Nursing staff employed at a tertiary care medical center over a 13-year time period (1994 through 2006). We used existing data from clinic surveys administered to nursing personnel during their initial treatment visit to the hospital's occupational health clinic. Predictors of losing ≤ 7 and ≥ 8 workdays was examined. 589 of 708 (83%) nursing personnel with complaints of work-related back pain completed the survey, with 31% resulting in lost workdays. Experiencing sudden onset of pain (RR:1.9; 95% CI: 1.1, 3.1), a combination of severe pain with numbness and tingling in the back/legs (RR: 7.4; 95% CI: 2.9, 18.6), severe pain only (RR: 4.4; 95% CI: 1.8, 11.1), numbness and tingling in the back/legs only (RR: 3.5; 95% CI: 1.0, 12.2), and working < 5 years at the hospital (RR: 2.3; 95% CI: 1.2, 4.7) were predictive of losing ≥ 8 workdays. Job title, work demands, work conflicts, and most psychosocial factors were not predictive. Severe pain, neurologic symptoms and sudden onset of pain were predictive of delayed return-to-work; however, these symptoms alone should not be considered indicators of poor outcomes given that most workers who reported these symptoms returned to work in less than 8~days. Among these health care workers, lost workdays appear to be related to more severe pathology rather than workplace characteristics.

  9. DOCTOR’S AUTOMATIZED WORK PLACE FOR THE TREATMENT OF PATIENTS WITH GAUCHER DISEASE

    Directory of Open Access Journals (Sweden)

    N. H. Horovenko

    2015-05-01

    Full Text Available The program was designed to account the registry of patients with Gaucher disease. During the investigation of object domain a medical documentation and work regime of centre were analyzed including medical forms and questionnaires, medical cards, the order of filling appointment of treatment, report forms. The program provides the creation of automatized work place for interaction with patients with Gaucher disease on a personal computer of doctor. The purpose of development system is to perform a range of functions, which correspond to the full cycle of interaction doctor with patients. General function: introduction and correction of data, analysis and preservation of the history of this treatment, filtration patient records, construction of schedules based on the results of blood tests and examinations which reflect the dynamics of the patient. Special functions: calculation of required quantity of the medicine to the patient, tracing of human health standards depending on the age of the patient, the cost of the medicine.

  10. Demographic and work-related correlates of job burnout in professional eating disorder treatment providers.

    Science.gov (United States)

    Warren, Cortney S; Schafer, Kerri J; Crowley, Mary Ellen J; Olivardia, Roberto

    2013-12-01

    Patients with eating disorders present unique challenges to treatment providers that may contribute to job burnout. This study examined demographic and work-related correlates of three primary components of burnout (i.e., emotional exhaustion, cynicism, and lack of personal accomplishment) in a sample of 296 professional eating disorder treatment providers. Participants completed the Maslach Burnout Inventory-Human Services Survey (MBI-HSS; Maslach, Jackson, & Leiter, 1996), demographics, and a questionnaire developed by the authors measuring eating disorder-specific factors theorized to be relevant to burnout. Overall, participants reported comparable levels of emotional exhaustion but significantly less cynicism and lack of personal accomplishment relative to established norms for mental health care providers on the MBI-HSS. Analyses of variance and backward regression analyses suggested that higher levels of burnout were associated with being younger, female, and overweight; working longer hours; having less experience; and experiencing a patient's death. Conversely, working in a private practice setting, having children, and having a personal history of an eating disorder were associated with lower burnout levels. Furthermore, over 45% of participants reported that treatment resistance, ego-syntonicity, high relapse rates, worry about patient survival, emotional drain, lack of appropriate financial reimbursement, and extra hours spent working contributed to feelings burned out somewhat to very much. Overall, these data suggest that emotional exhaustion is the most common aspect of burnout experienced by eating disorder treatment providers and highlight some of the key correlates of burnout for this population, which can be used to inform prevention and intervention efforts.

  11. [Consumerism, patient empowerment and changing clinical work--patient awareness and treatment demands on the rise].

    Science.gov (United States)

    Toiviainen, Hanna

    2011-01-01

    Consumerism refers to the accentuation of a patient's status and freedom of choice within the health care. Increasing patient knowledge, empowerment and demands stand out in the medical practice. Patients seek for self-diagnosis before attending the consultation. Regarding the treatment relationship, one doctor out of five experiences the situation positive and two out of five negative. The patients influence prescription decisions. Private doctors have a more positive attitude to patients' consumer role than those working within the public sector.

  12. Efficacy of Physical Therapy in the Treatment of Gonarthrosis in Physically Burdened Working Men

    OpenAIRE

    2013-01-01

    Introduction: Gonarthrosis is most frequently defined as the change involving damage of the articular cartilage of the knee joint, emergence of abnormal knee tissue, reactive changes in synovial membrane, and pathological synovial fluid. The site of initial damage most often remains unknown. Goal of the research The goal: The goal of this research is to demonstrate the efficacy of individual physical therapy during the medical treatment for gonarthrosis in the working population engaged in ph...

  13. Health effects in fish of long-term exposure to effluents from wastewater treatment works

    OpenAIRE

    Thorpe, KL; Gross-Sorokin, M; Johnson, I.; Brighty, G; Tyler, CR; Jobling, S

    2005-01-01

    The effects of simple mixtures of chemicals, with similar mechanisms of action, can be predicted using the concentration addition model (CA). The ability of this model to predict the estrogenic effects of more complex mixtures such as effluent discharges, however, has yet to be established. Effluents from 43 U.K. wastewater treatment works were analyzed for the presence of the principal estrogenic chemical contaminants, estradiol, estrone, ethinylestradiol, and nonylphenol. The measured conce...

  14. Cognitive-behavioral treatments for chronic pain: what works for whom?

    Science.gov (United States)

    Vlaeyen, Johan W S; Morley, Stephen

    2005-01-01

    Since the introduction of behavioral medicine in the early 70s, cognitive-behavioral treatment interventions for chronic pain have expanded considerably. It is now well established that these interventions are effective in reducing the enormous suffering that patients with chronic pain have to bear. In addition, these interventions have potential economic benefits in that they appear to be cost-effective as well. Despite these achievements, there is still room for improvement. First, there is a substantial proportion of patients who do not appear to benefit from treatment interventions available. Second, although the effect sizes of most cognitive-behavioral treatments for chronic pain are comparable to those in psychopathology, they are quite modest. Third, there is little evidence for differential outcomes for different treatment methods. Fourth, there still is relatively little known about the specific biobehavioral mechanisms that lead to chronic pain and pain disability. One direction is to better match treatment programs to patients' characteristics. This can be done according to an "Aptitude X Treatment Interaction" framework, or from the perspective of the Moderator-Mediator distinction. In this introduction to the special series on what works for whom in cognitive-behavioral treatments for chronic pain, we review existing knowledge concerning both moderating and mediating variables in cognitive-behavioral treatments for chronic pain. We further argue in favor of theory-driven research as the only way to define specific a priori hypotheses about which patient-treatment interactions to expect. We also argue that replicated single-participant studies, with appropriate statistics, are likely to enhance new developments in this clinical research area.

  15. Optimization of metal working fluids treatment using calcium chloride by response surface methodology

    Directory of Open Access Journals (Sweden)

    HA. Jamali

    2016-11-01

    Full Text Available Background: Extensive use of metal working fluids degrades their chemical composition. They should be treated using a safe method. Chemical coagulation-flocculation process is one the treatment methods. Objective: The aim of this study was to optimize the coagulation-flocculation process using calcium chloride in metal working fluids treatment. Methods: This laboratory based study was performed in School of Health affiliated to Qazvin University of Medical Sciences in 2014. Using calcium chloride and a six-compartment jar, the efficiency of coagulation-flocculation process was assessed for removal of chemical oxygen demand (COD and turbidity and amount of released oil. Central composite design (CCD and response surface methodology (RSM were applied to optimize the treatment operation parameters (pH and dosage of coagulant. Quadratic models were developed for calculation of the three responses (COD, turbidity, and released oil. Findings: The optimum condition for coagulation-flocculation process was seen after treatment with 4.2 g/L calcium chloride at pH 3.71 in which COD and turbidity removal efficiency were 93% and 96.9%, respectively and the amount of released oil was 31.8 ml. The level of desirability was 91.2%. The values of laboratory study were in good agreement with the values predicted by the model. Conclusion: Metal working fluids treatment with calcium chloride was efficient in the removal of pollution parameters. Dosage of calcium chloride was similar to the conventional coagulants such as Alum, but its efficiency was higher.

  16. A preliminary model of work during initial examination and treatment planning appointments.

    Science.gov (United States)

    Irwin, J Y; Torres-Urquidy, M H; Schleyer, T; Monaco, V

    2009-01-10

    Objective This study's objective was to formally describe the work process for charting and treatment planning in general dental practice to inform the design of a new clinical computing environment.Methods Using a process called contextual inquiry, researchers observed 23 comprehensive examination and treatment planning sessions during 14 visits to 12 general US dental offices. For each visit, field notes were analysed and reformulated as formalised models. Subsequently, each model type was consolidated across all offices and visits. Interruptions to the workflow, called breakdowns, were identified.Results Clinical work during dental examination and treatment planning appointments is a highly collaborative activity involving dentists, hygienists and assistants. Personnel with multiple overlapping roles complete complex multi-step tasks supported by a large and varied collection of equipment, artifacts and technology. Most of the breakdowns were related to technology which interrupted the workflow, caused rework and increased the number of steps in work processes.Conclusion Current dental software could be significantly improved with regard to its support for communication and collaboration, workflow, information design and presentation, information content, and data entry.

  17. Ageism at Work: What Happens to Older Workers Who Benefit from Preferential Treatment?

    Directory of Open Access Journals (Sweden)

    Caroline Iweins

    2012-12-01

    Full Text Available In order to increase the activity rate of older workers, the Organisation for Economic Cooperation and Development (OECD recommends that national governments implement policies promoting the employment of this category of workers. However, policies that favour minority groups have been shown to produce detrimental effects such as devaluing members of these groups. In two studies, we examined whether age-related preferential treatment reinforces ageist attitudes in the workplace. A first study revealed that policies favouring 50 years old workers increased negative perceptions toward them. In a second experimental study, results indicated that, compared to a merit-based treatment, a preferential treatment increased negative perceptions, emotions, and behaviours toward an old target. As a set, our findings shed new light on ageism at work and on the role of context.

  18. State-of-the-art of external photon beam radiation treatment planning. Photon Treatment Planning Collaborative Working Group.

    Science.gov (United States)

    1991-05-15

    A virtual revolution in computer capability has occurred in the last few years, largely based on rapidly decreasing costs and increasing reliability of digital memory and mass-storage capability. These developments have now made it possible to consider the application of both computer and display technologies to a much broader range of problems in radiation therapy, including planning of treatment, dose computation, and treatment verification. Several methods of three-dimensional dose computations in heterogeneous media capable of 3% accuracy are likely to be available, but significant work still remains, particularly for high energy x-rays where electron transport, and possibly pair production, need to be considered. Innovative display and planning techniques, as well as plan evaluation schemes, are emerging and show great promise for the future. No doubt these advances will lead to substantially improved treatment planning systems in the next few years. However, it must be emphasized that for many of these applications a tremendous software and hardware development effort is required.

  19. Methods of sampling airborne fungi in working environments of waste treatment facilities.

    Science.gov (United States)

    Černá, Kristýna; Wittlingerová, Zdeňka; Zimová, Magdaléna; Janovský, Zdeněk

    2016-01-01

    The objective of the present study was to evaluate and compare the efficiency of a filter based sampling method and a high volume sampling method for sampling airborne culturable fungi present in waste sorting facilities. Membrane filters method was compared with surface air system method. The selected sampling methods were modified and tested in 2 plastic waste sorting facilities. The total number of colony-forming units (CFU)/m3 of airborne fungi was dependent on the type of sampling device, on the time of sampling, which was carried out every hour from the beginning of the work shift, and on the type of cultivation medium (p method, and 3×102-6.4×104 CFU/m3 when using the surface air system (SAS) method. Both methods showed comparable sensitivity to the fluctuations of the concentrations of airborne fungi during the work shifts. The SAS method is adequate for a fast indicative determination of concentration of airborne fungi. The MF method is suitable for thorough assessment of working environment contamination by airborne fungi. Therefore we recommend the MF method for the implementation of a uniform standard methodology of airborne fungi sampling in working environments of waste treatment facilities. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  20. Treatment of Tendinopathy: What Works, What Does Not, and What is on the Horizon

    Science.gov (United States)

    Murrell, George A. C.

    2008-01-01

    Tendinopathy is a broad term encompassing painful conditions occurring in and around tendons in response to overuse. Recent basic science research suggests little or no inflammation is present in these conditions. Thus, traditional treatment modalities aimed at controlling inflammation such as corticosteroid injections and nonsteroidal antiinflammatory medications (NSAIDS) may not be the most effective options. We performed a systematic review of the literature to determine the best treatment options for tendinopathy. We evaluated the effectiveness of NSAIDS, corticosteroid injections, exercise-based physical therapy, physical therapy modalities, shock wave therapy, sclerotherapy, nitric oxide patches, surgery, growth factors, and stem cell treatment. NSAIDS and corticosteroids appear to provide pain relief in the short term, but their effectiveness in the long term has not been demonstrated. We identified inconsistent results with shock wave therapy and physical therapy modalities such as ultrasound, iontophoresis and low-level laser therapy. Current data support the use of eccentric strengthening protocols, sclerotherapy, and nitric oxide patches, but larger, multicenter trials are needed to confirm the early results with these treatments. Preliminary work with growth factors and stem cells is promising, but further study is required in these fields. Surgery remains the last option due to the morbidity and inconsistent outcomes. The ideal treatment for tendinopathy remains unclear. Level of Evidence: Level II, systematic review. See the Guidelines for Authors for a complete description of levels of evidence. PMID:18446422

  1. The occurrence and removal of selected pharmaceutical compounds in a sewage treatment works utilising activated sludge treatment

    Energy Technology Data Exchange (ETDEWEB)

    Jones, O.A.H. [Institute of Environmental Policy, Imperial College, London SW7 2AZ (United Kingdom); Voulvoulis, N. [Institute of Environmental Policy, Imperial College, London SW7 2AZ (United Kingdom); Lester, J.N. [School of Water Sciences, Cranfield University, Cranfield, Bedfordshire MK43 0AL (United Kingdom)]. E-mail: j.lester@cranfield.ac.uk

    2007-02-15

    Pharmaceutical substances have been detected in sewage effluents as well as receiving waters in many parts of the world. In this study, the occurrence and removal of a number of drug compounds were studied within a large sewage treatment plant in the south of England. Samples were processed using solid phase extraction and analysed using gas chromatography-mass spectrometry (GC-MS). The results demonstrate that ibuprofen, paracetamol, salbutamol and mefenamic acid were present in both the influent and effluent of the works while propranolol-HCl was not found above the limit of quantification in any sample. Elimination rates were circa 90% for each compound but several hundred nanograms per litre were still present in the final effluent. - This report looks at the occurrence and removal rates of drugs in English wastewater.

  2. [Work and alcohol: considerations on a caseload of patients undergoing treatment].

    Science.gov (United States)

    Biscaldi, G; Vittadini, G; Giorgi, I; Fonte, R; Maglio, R; Nervi, O

    1999-01-01

    An enquiry into alcohol dependent subjects admitted to the clinical wards of the first section of Occupational Medicine belonging to Medicina Preventiva Occupazionale e di Comunità of University of Pavia for an alcohol disaddiction treatment has been performed through a phone interview. 289 patients have been contacted and time elapsed from admission to interview was one to three years. The questions focused alcohol abstinence, occupational position before and after admission, any improvement in the work sphere (relationship with the collegues), any feeling of empowerment of the work abilities and any increase in the responsibilities load. From our results we can conclude that alcohol disaddiction carried on during admission has positively contributed to the reinstatement of alcoholics patients.

  3. Educational clowning – a serious development in the educational work with children receiving inpatient hospital treatment

    Directory of Open Access Journals (Sweden)

    Alexander Wertgen

    2009-06-01

    Full Text Available Children and youth, receiving inpatient hospital treatment, are living under exceptional physical, psychological, and social circumstances. The engagement of clinic clowns has recently been established as an educational outreach program in many hospitals. Clinic clowns are responsive to the special educational needs of young patients and, according to experience, are able to lastingly influence their state of health in a positive way. Based on an anecdote of a visit from a clinic clown, a description of the professional role of a clown, respectively a clinic clown, the effects and the beneficial results of clowns’ work are explained. The article ends with a discussion on how and to what extent educational clowning can be considered as a new discipline in the extracurricular educational work with sick children.

  4. Methods of sampling airborne fungi in working environments of waste treatment facilities

    Directory of Open Access Journals (Sweden)

    Kristýna Černá

    2016-06-01

    Full Text Available Objectives: The objective of the present study was to evaluate and compare the efficiency of a filter based sampling method and a high volume sampling method for sampling airborne culturable fungi present in waste sorting facilities. Material and Methods: Membrane filters method was compared with surface air system method. The selected sampling methods were modified and tested in 2 plastic waste sorting facilities. Results: The total number of colony-forming units (CFU/m3 of airborne fungi was dependent on the type of sampling device, on the time of sampling, which was carried out every hour from the beginning of the work shift, and on the type of cultivation medium (p < 0.001. Detected concentrations of airborne fungi ranged 2×102–1.7×106 CFU/m3 when using the membrane filters (MF method, and 3×102–6.4×104 CFU/m3 when using the surface air system (SAS method. Conclusions: Both methods showed comparable sensitivity to the fluctuations of the concentrations of airborne fungi during the work shifts. The SAS method is adequate for a fast indicative determination of concentration of airborne fungi. The MF method is suitable for thorough assessment of working environment contamination by airborne fungi. Therefore we recommend the MF method for the implementation of a uniform standard methodology of airborne fungi sampling in working environments of waste treatment facilities.

  5. Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial

    NARCIS (Netherlands)

    Vente, W.de; Kamphuis, J.H.; Emmelkamp, P.M.G.; Blonk, R.W.B.

    2008-01-01

    Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was

  6. Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial

    NARCIS (Netherlands)

    Vente, W.de; Kamphuis, J.H.; Emmelkamp, P.M.G.; Blonk, R.W.B.

    2008-01-01

    Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was

  7. WWC Review of the Report "Does Working Memory Moderate the Effects of Fraction Intervention? An Aptitude-Treatment Interaction." What Works Clearinghouse Single Study Review

    Science.gov (United States)

    What Works Clearinghouse, 2014

    2014-01-01

    The 2013 study, "Does Working Memory Moderate the Effects of Fraction Intervention? An Aptitude-Treatment Interaction," examined the impacts of the fluency and conceptual versions of "Fraction Face-Off!," a math instruction program designed to improve knowledge of fractions and decimals in fourth-graders at risk for low…

  8. The Vitiligo Working Group recommendations for narrowband ultraviolet B light phototherapy treatment of vitiligo.

    Science.gov (United States)

    Mohammad, Tasneem F; Al-Jamal, Mohammed; Hamzavi, Iltefat H; Harris, John E; Leone, Giovanni; Cabrera, Raúl; Lim, Henry W; Pandya, Amit G; Esmat, Samia M

    2017-05-01

    Treatment of vitiligo with narrowband ultraviolet B light (NBUVB) is an important component of the current standard of care. However, there are no consistent guidelines regarding the dosing and administration of NBUVB in vitiligo, reflected by varied treatment practices around the world. To create phototherapy recommendations to facilitate clinical management and identify areas requiring future research. The Vitiligo Working Group (VWG) Phototherapy Committee addressed 19 questions regarding the administration of phototherapy over 3 conference calls. Members of the Photomedicine Society and a group of phototherapy experts were surveyed regarding their phototherapy practices. Based on comparison and analysis of survey results, expert opinion, and discussion held during conference calls, expert recommendations for the administration of NBUVB phototherapy in vitiligo were created. There were several areas that required further research before final recommendations could be made. In addition, no standardized methodology was used during literature review and to assess the strength of evidence during the development of these recommendations. This set of expert recommendations by the VWG is based on the prescribing practices of phototherapy experts from around the world to create a unified, broadly applicable set of recommendations on the use of NBUVB in vitiligo. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  9. Assessment of activated sludge, membrane bioreactors and vertical flow wetlands for upgrading sewage treatment works.

    Science.gov (United States)

    Besançon, A; Le Corre, K S; Dotro, G; Jefferson, B

    2017-01-01

    This paper demonstrates that utilising a vertical flow (VF) wetland after a conventional activated sludge (CAS) delivers equivalent or better effluent quality to a membrane bioreactor (MBR) based on a side-by-side pilot trial. The CAS was operated under the solids retention times (SRT) of 6, 12, and 20 days, with the effluent from each pilot plant fed onto a soil aquifer treatment column to better understand their water reuse application potential. Results showed an upgraded CAS + VF system could deliver effluents with median values of 34 mgO2.L((-1)), 7 mg.L(-1) and 1.9 mg.L(-1) for organics, solids and ammonia nitrogen, respectively, which were statistically similar to those from the MBR. Water reuse standards were achieved by the upgraded system for most parameters, with the exception of total coliform removal. The upgraded system delivered superior metal removal when compared to the CAS. An economic analysis showed upgrading a CAS with a VF wetland was more favourable than investing in an MBR system for example works of 5000 and 50,000 population equivalents if the VF system was operated at hydraulic loading rates of 0.03 m.d(-1) and 0.08 m.d(-1), respectively. This was delivered for a tenth of the carbon footprint of the MBR treatment.

  10. Improving working memory abilities in individuals with Down syndrome: a treatment case study

    Directory of Open Access Journals (Sweden)

    Hiwet Mariam eCosta

    2015-09-01

    Full Text Available Working Memory (WM skills of individuals with Down’s syndrome DS tend to be very poor compared to typically developing children of similar mental age. In particular, research has found that in individuals with DS visuo-spatial WM is better preserved than verbal WM. This study investigated whether is possible to train Short-Term Memory (STM and WM abilities in individuals with DS. The cases of two teenage children are reported: E.H., 17 years and 3 months, and A.S., 15 years and 11 months. A school-based treatment targeting visuo-spatial WM was given to E.H. and A.S. for six weeks. Both prior to and after the treatment, they completed a set of assessments to measure WM abilities and their performance was compared with younger typically developing nonverbal mental age controls. The results showed that the trained participants improved their performance in some of the trained and non-trained WM tasks proposed, especially with regard to the tasks assessing visuo-spatial WM abilities. These findings are discussed on the basis of their theoretical, educational and clinical implications.

  11. Process optimization via response surface methodology in the treatment of metal working industry wastewater with electrocoagulation.

    Science.gov (United States)

    Guvenc, Senem Yazici; Okut, Yusuf; Ozak, Mert; Haktanir, Birsu; Bilgili, Mehmet Sinan

    2017-02-01

    In this study, process parameters in chemical oxygen demand (COD) and turbidity removal from metal working industry (MWI) wastewater were optimized by electrocoagulation (EC) using aluminum, iron and steel electrodes. The effects of process variables on COD and turbidity were investigated by developing a mathematical model using central composite design method, which is one of the response surface methodologies. Variance analysis was conducted to identify the interaction between process variables and model responses and the optimum conditions for the COD and turbidity removal. Second-order regression models were developed via the Statgraphics Centurion XVI.I software program to predict COD and turbidity removal efficiencies. Under the optimum conditions, removal efficiencies obtained from aluminum electrodes were found to be 76.72% for COD and 99.97% for turbidity, while the removal efficiencies obtained from iron electrodes were found to be 76.55% for COD and 99.9% for turbidity and the removal efficiencies obtained from steel electrodes were found to be 65.75% for COD and 99.25% for turbidity. Operational costs at optimum conditions were found to be 4.83, 1.91 and 2.91 €/m(3) for aluminum, iron and steel electrodes, respectively. Iron electrode was found to be more suitable for MWI wastewater treatment in terms of operational cost and treatment efficiency.

  12. Psychological intervention with working memory training increases basal ganglia volume: A VBM study of inpatient treatment for methamphetamine use

    Directory of Open Access Journals (Sweden)

    S.J. Brooks, PhD

    2016-01-01

    Conclusions: While psychological intervention is associated with larger volume in mesolimbic reward regions, the utilisation of additional working memory training as an adjunct to treatment may further normalize frontostriatal structure and function.

  13. Foraging at wastewater treatment works affects brown adipose tissue fatty acid profiles in banana bats.

    Science.gov (United States)

    Hill, Kate; van Aswegen, Sunet; Schoeman, M Corrie; Claassens, Sarina; Jansen van Rensburg, Peet; Naidoo, Samantha; Vosloo, Dalene

    2016-01-06

    In this study we tested the hypothesis that the decrease in habitat quality at wastewater treatment works (WWTW), such as limited prey diversity and exposure to the toxic cocktail of pollutants, affect fatty acid profiles of interscapular brown adipose tissue (iBrAT) in bats. Further, the antioxidant capacity of oxidative tissues such as pectoral and cardiac muscle may not be adequate to protect those tissues against reactive molecules resulting from polyunsaturated fatty acid auto-oxidation in the WWTW bats. Bats were sampled at two urban WWTW, and two unpolluted reference sites in KwaZulu-Natal, South Africa. Brown adipose tissue (BrAT) mass was lower in WWTW bats than in reference site bats. We found lower levels of saturated phospholipid fatty acids and higher levels of mono- and polyunsaturated fatty acids in WWTW bats than in reference site bats, while C18 desaturation and n-6 to n-3 ratios were higher in the WWTW bats. This was not associated with high lipid peroxidation levels in pectoral and cardiac muscle. Combined, these results indicate that WWTW bats rely on iBrAT as an energy source, and opportunistic foraging on abundant, pollutant-tolerant prey may change fatty acid profiles in their tissue, with possible effects on mitochondrial functioning, torpor and energy usage.

  14. Foraging at wastewater treatment works affects brown adipose tissue fatty acid profiles in banana bats

    Directory of Open Access Journals (Sweden)

    Kate Hill

    2016-02-01

    Full Text Available In this study we tested the hypothesis that the decrease in habitat quality at wastewater treatment works (WWTW, such as limited prey diversity and exposure to the toxic cocktail of pollutants, affect fatty acid profiles of interscapular brown adipose tissue (iBrAT in bats. Further, the antioxidant capacity of oxidative tissues such as pectoral and cardiac muscle may not be adequate to protect those tissues against reactive molecules resulting from polyunsaturated fatty acid auto-oxidation in the WWTW bats. Bats were sampled at two urban WWTW, and two unpolluted reference sites in KwaZulu-Natal, South Africa. Brown adipose tissue (BrAT mass was lower in WWTW bats than in reference site bats. We found lower levels of saturated phospholipid fatty acids and higher levels of mono- and polyunsaturated fatty acids in WWTW bats than in reference site bats, while C18 desaturation and n-6 to n-3 ratios were higher in the WWTW bats. This was not associated with high lipid peroxidation levels in pectoral and cardiac muscle. Combined, these results indicate that WWTW bats rely on iBrAT as an energy source, and opportunistic foraging on abundant, pollutant-tolerant prey may change fatty acid profiles in their tissue, with possible effects on mitochondrial functioning, torpor and energy usage.

  15. Industrial working conditions and the treatment of child workers in Turkey.

    Science.gov (United States)

    Arkan, Gülcihan; Sohbet, Rabia

    2014-11-01

    The purpose of this study was to determine working conditions for children working at industry descriptive study was conducted between May and June 2010 and included 249 workers 18 years at a Kahramanmaras industry site. Study data demonstrated that 33.3% of the children were 18 working in a mechanics store, 82.3% were working 9 to 12 hours a day, 68.7% were earning a Turkish Liras, and only 22 were using annual leave. These children started working under the age entered into the work force and quit school. Also, it was found that working conditions were was instituted in many workplaces.

  16. THE INFLUENCE OF STRESS CONNECTED WITH PROFESSIONAL WORK ON THE OCCURRENCE OF BURNOUT SYNDROME IN NURSES WORKING IN SURGICAL AND MEDICAL TREATMENT WARDS

    Directory of Open Access Journals (Sweden)

    Grażyna Nowak-Starz

    2013-11-01

    Full Text Available Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to the development of burnout syndrome. This syndrome not only lowers, to a great extent, the quality of performed work but also prevents nurses from further professional development. Aims : The aim of the following paper is to evaluate the influence of stress connected with the professional work of a nurse on the occurrence of burnout syndrome. Material and methodology : Research was conducted on a group of 103 nurses working at eight hospital wards (surgical and medical treatment at the District Hospital in Lipsko. The research tool was a questionnaire of the author’s own devise, which contained 34 questions. Results : Among the examined nurses, 90% concluded that their professional work has a negative impact on their family life and they pointed to their own occupational burnout. Nurses who carried negative emotions over from work to their homes significantly more often showed a lack of satisfaction from their job and signs of occupational burnout. A substantial percentage of the participants considered shift-work and the professional position held to be a detrimental factor in the process of occupational burnout. Conclusion : The nurses were to a large extent exposed to mental burdens having a negative impact on their work. The vast majority of the respondents felt satisfaction from their job but a significant percentage of the respondents admitted to suffering from symptoms of chronic stress and exhaustion, which may indicate a lack of any support from co

  17. The effects of ethanol and silymarin treatment during gestation on spatial working memory.

    Directory of Open Access Journals (Sweden)

    Romero David

    2004-02-01

    Full Text Available Abstract Background Using a rat model we have found that the bioflavonoid silymarin (SY ameliorates some of the negative consequences of in utero exposure to ethanol (EtOH. In the current study our aim was to determine if spatial working memory (SWM was impaired in offspring whose mothers were maintained on a liquid diet containing EtOH during different gestational weeks. We also determined if SWM was altered with a concomitant administration of SY with EtOH during specific gestational weeks. Methods We provided pregnant Fischer/344 rats with liquid diets containing 35% EtOH derived calories (EDC during specific weeks of the gestational period. A silymarin/phospholipid compound containing 29.8% silybin co-administered with EtOH was also administered during specific weeks of the gestational period. We tested SWM of the offspring with a radial arm maze on postnatal day (PND 60. After testing the rats were sacrificed and their brains perfused for later analysis. Results We observed SWM deficits, as well as a significantly lower brain weight in female offspring born of mothers treated with EtOH during the third week of gestation in comparison to mothers treated during either the first or second weeks of gestation. Rats from any group receiving EtOH in co-administration with SY showed no significant deficits in SWM. Conclusion EtOH treatment during the last week of gestation had the greatest impact on SWM. The addition of SY to the EtOH liquid diet appeared to ameliorate the EtOH-induced learning deficits.

  18. Re-designing the everyday; The use and perception of time among cancer patients combining work and treatment

    DEFF Research Database (Denmark)

    Hauge, Bettina

    2016-01-01

    cancer patients performing their jobs while going through demanding treatment programs found time as their main motive for working while being seriously ill. Actions at work point to a time ahead, so by taking part in the time at the workplace they were inscribed in a future presently under pressure...... towards recovery by re-establishing links to a well-known life-world, the workplace....

  19. The organisational perspective on the return to work of employees following treatment for cancer.

    Science.gov (United States)

    Grunfeld, Elizabeth A; Rixon, Lorna; Eaton, Emma; Cooper, Alethea F

    2008-12-01

    Due to improved survival rates across cancer types there is an ever increasing group of cancer survivors of working age with a unique set of needs associated with living with cancer and with returning to work. Little is known about the services provided for cancer survivors or the needs of organisations in the return to work process. This study aimed to provide this information through a survey of the organisational perspective of the return to work of cancer survivors. Questionnaires were sent to human resource or occupational health departments of 815 medium to large organisations. The questionnaire focussed on the companies' policies and procedures, their return to work services and beliefs about the experiences of cancer survivors returning to the workplace. 252 organisations returned completed questionnaires (response rate 31%). 48% of respondents were unable to provide information about the number of employees diagnosed with cancer in the past 12 months. A range of return to work services was provided although only 38% provided employees with written information or guidelines about return to work policies or services. Respondents tended to view employee related factors, such as employee attitude and emotional functioning, as key to a successful return to work. Organisations aim to be supportive of cancer survivors returning to the workplace and potentially offer a range of return to work services. However, employees may not be adequately informed of such services and a lack of information and clear communication may hinder a positive return to work experience.

  20. International survey and surgeon’s preferences in diagnostic work-up towards treatment of anterior shoulder instability

    OpenAIRE

    Weel, Hanneke; Tromp, Wouter; Krekel, Peter R; Randelli, Pietro; van den Bekerom, Michel P. J.; van Deurzen, Derek F. P.

    2016-01-01

    Purpose Recurrent anterior shoulder instability after surgical treatment can be caused by bony defects. Several diagnostic tools have been designed to measure the extent of these bony lesions. Currently, there is no consensus which measurement tool to use and decide which type of surgery is most appropriate. We therefore performed an evaluation of agreement in surgeons’ preference of diagnostic work-up and surgical treatment of anterior shoulder instability. Methods An international survey wa...

  1. If It Works for Pills, Can It Work for Skills? Direct-to-Consumer Social Marketing of Evidence-Based Psychological Treatments.

    Science.gov (United States)

    Friedberg, Robert D; Bayar, Hasan

    2017-06-01

    The emergence of evidence-based psychological treatments (EVPTs) is a scientific success story, but unfortunately the application of these empirically supported procedures has been slow to gain ground in treatment-as-usual settings. This Open Forum commentary argues that direct-to-consumer (DTC) marketing, which has worked well in communicating the advantages of various medicines, should perhaps be considered for use in social marketing of EVPTs. DTC marketing of pharmaceuticals is a long-standing advertising strategy in the United States. In fact, DTC marketing of psychotropic medicines is quite a success story. The authors recommend various strategies for using marketing science to devise DTC advertising of EVPTs, discuss previous research on DTC campaigns, and describe initiatives launched in the United Kingdom and Europe to promote EVPTs. Suggestions for evaluating and regulating DTC marketing of EVPTs are included. Finally, the potential for DTC marketing of EVPTs to increase mental health literacy and reduce health disparities is explored.

  2. Do all psychological treatments really work the same in posttraumatic stress disorder?

    Science.gov (United States)

    Ehlers, Anke; Bisson, Jonathan; Clark, David M; Creamer, Mark; Pilling, Steven; Richards, David; Schnurr, Paula P; Turner, Stuart; Yule, William

    2010-03-01

    A recent meta-analysis by Benish, Imel, and Wampold (2008, Clinical Psychology Review, 28, 746-758) concluded that all bona fide treatments are equally effective in posttraumatic stress disorder (PTSD). In contrast, seven other meta-analyses or systematic reviews concluded that there is good evidence that trauma-focused psychological treatments (trauma-focused cognitive behavior therapy and eye movement desensitization and reprocessing) are effective in PTSD; but that treatments that do not focus on the patients' trauma memories or their meanings are either less effective or not yet sufficiently studied. International treatment guidelines therefore recommend trauma-focused psychological treatments as first-line treatments for PTSD. We examine possible reasons for the discrepant conclusions and argue that (1) the selection procedure of the available evidence used in Benish et al.'s (2008)meta-analysis introduces bias, and (2) the analysis and conclusions fail to take into account the need to demonstrate that treatments for PTSD are more effective than natural recovery. Furthermore, significant increases in effect sizes of trauma-focused cognitive behavior therapies over the past two decades contradict the conclusion that content of treatment does not matter. To advance understanding of the optimal treatment for PTSD, we recommend further research into the active mechanisms of therapeutic change, including treatment elements commonly considered to be non-specific. We also recommend transparency in reporting exclusions in meta-analyses and suggest that bona fide treatments should be defined on empirical and theoretical grounds rather than by judgments of the investigators' intent. Copyright 2009 Elsevier Ltd. All rights reserved.

  3. Training Emotional Intelligence Related to Treatment Skills of Staff Working with Clients with Intellectual Disabilities and Challenging Behaviour

    Science.gov (United States)

    Zijlmans, L. J. M.; Embregts, P. J. C. M.; Gerits, L.; Bosman, A. M. T.; Derksen, J. J. L.

    2011-01-01

    Background: Staff working with clients with intellectual disabilities (ID) who display challenging behaviour may contribute to the continuation of this behaviour, because it causes emotional reactions such as anxiety, anger and annoyance, which may prohibit adequate response behaviour. To enhance staff behaviour and treatment skills a training…

  4. Treatment of Mobbing in School: Principles for and the Results of the Work of an Anti Mobbing Group

    Science.gov (United States)

    Pikas, Anatol

    1975-01-01

    Article attempted to define the concept of mobbing and to develop principles of treatment in connection with cases which really occur, and to use the work in a regular university course providing students with successful personal therapeutic experiences. (Author/RK)

  5. Rent dissipation through electricity prices of publicly owned utilities

    Energy Technology Data Exchange (ETDEWEB)

    Bernard, J-T.; Roland, M. [Laval Univ., Quebec City, PQ (Canada)

    1997-11-01

    Pricing policies of Canadian public utilities were examined. It was shown that under the existing set of rules the prices established are frequently below the marginal cost. This appears to be particularly true in the case of provinces that rely principally on hydroelectric resources. Study recommendations to bring electricity prices in line with marginal costs have had little success to date despite overwhelming evidence of large economic losses associated with the current institutional arrangements. This situation remains at the same time that governments apply high tax rates on incomes. By putting together two strands of economic literature, public choice and the theory of public utility pricing, this paper develops a simple model that explains why the median consumer prefers a low electricity price and a high tax rate. Hydro-Quebec survey data is used to confirm that these conditions are satisfied in Quebec. 17 refs., 1 tab.

  6. TNFα secretion of monocytes exposed to pulsed radiofrequency treatment: a possible working mechanism of PRF chronic pain management.

    Science.gov (United States)

    Maretto, Fabio; Vennik, Marco; Albers, Kim I; van Duijn, Bert

    2014-06-01

    Pulsed radiofrequency treatment (PRF) is a promising new technique increasingly used in treatment of chronic pain. The molecular working mechanism of PRF is not exactly known and is currently being investigated. This study investigates a possible role of PRF-induced modulation of TNFα secretion by differentiated monocytes in chronic pain management. The results show no significant PRF-induced change in TNFα secretion of lipopolysaccharides (LPS)-stimulated monocytes. However, PRF does significantly increase TNFα secretion of differentiated monocytes that have not been stimulated with LPS. This may indicate a possible role of PRF treatment in increasing TNFα production of nonstimulated monocytes. More research is needed to determine whether this is truly a part of the working mechanism of PRF in chronic pain management and which other factors are involved. © 2013 World Institute of Pain.

  7. Alcohol and Drug Treatment: How It Works, and How It Can Help You

    Science.gov (United States)

    ... HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment www.samhsa.gov Contact with the criminal justice system is an opportunity for you to make ...

  8. Noninvasive treatments for iatrogenic priapism: Do they really work? A prospective multicenter study

    Directory of Open Access Journals (Sweden)

    Mohamad Habous

    2016-01-01

    Conclusions: Physical exercise and oral salbutamol are safe and effective in restoring detumescence of pharmacologically-induced priapism. Noninvasive therapy may save a significant number of these patients an invasive treatment.

  9. Work-related stress in Australia: The effects of legislative interventions and the cost of treatment.

    Science.gov (United States)

    Guthrie, Robert; Ciccarelli, Marina; Babic, Angela

    2010-01-01

    The Australian Institute of Health and Welfare data published in 2002 shows a continued rise in health care costs to the Australian community due to the growing number of people diagnosed with mental health disorders. Those mental health disorders may originate from a number of sources, including work and non-work-related factors. The so called work-related stress claims in all Australian jurisdictions are the most expensive form of workers compensation claim. In the most part this is due to the lengthy period of absence (duration) and complicated medical care which are characteristic of these claims. In Australia, in the last decade, attempts have been made to reduce the costs of compensable stress-related claims by imposing special legislative thresholds on such claims. This 'back end' approach to cost reduction has resulted in an array of legislative formula designed to exclude work-related stress claims. This article surveys the various legislative provisions dealing with work-related stress claims in Australia and provides an analysis of their effectiveness. A range of options are presented as alternatives to the exclusion of particular forms of work-related stress claims. The use of a corporate citizenship approach to the prevention and management of stress claims is also discussed as a proactive alternative to occupational safety and health legislative provisions and the workers compensation legislative exclusions.

  10. Why treatments do(n't) work in vitiligo: An autoinflammatory perspective.

    Science.gov (United States)

    Speeckaert, Reinhart; Speeckaert, Marijn M; van Geel, Nanja

    2015-04-01

    Vitiligo is a recalcitrant depigmentary skin disorder with significant effects on the quality of life and a frequent association with other autoimmune disorders. The results of the current therapeutic options remain variable and treatment resistance is often encountered. The mainstay of treatment remains topical corticosteroids, topical calcineurin inhibitors and UVB therapy. In more extensive or progressive cases, systemic corticosteroids are effective although their prolonged use is hampered due to safety concerns. A lot of topical and systemic treatments have been investigated during the last decades. Given the elevated TNF-α levels in vitiligo lesions, the failure and even paradoxal effects of TNF-α inhibitors were highly remarkable. Nonetheless, a lot of progress has been made to unravel the pathophysiology of vitiligo. In this review, we provide an overview of the currently known underlying mechanisms leading to vitiligo and link this to the success or failure of treatments that have been used in clinical trials. We believe that this overview can direct future vitiligo research and rationalise the treatment options.

  11. Treatment of progressive multiple sclerosis: what works, what does not, and what is needed.

    Science.gov (United States)

    Feinstein, Anthony; Freeman, Jenny; Lo, Albert C

    2015-02-01

    Disease-modifying drugs have mostly failed as treatments for progressive multiple sclerosis. Management of the disease therefore solely aims to minimise symptoms and, if possible, improve function. The degree to which this approach is based on empirical data derived from studies of progressive disease or whether treatment decisions are based on what is known about relapsing-remitting disease remains unclear. Symptoms rated as important by patients with multiple sclerosis include balance and mobility impairments, weakness, reduced cardiovascular fitness, ataxia, fatigue, bladder dysfunction, spasticity, pain, cognitive deficits, depression, and pseudobulbar affect; a comprehensive literature search shows a notable paucity of studies devoted solely to these symptoms in progressive multiple sclerosis, which translates to few proven therapeutic options in the clinic. A new strategy that can be used in future rehabilitation trials is therefore needed, with the adoption of approaches that look beyond single interventions to concurrent, potentially synergistic, treatments that maximise what remains of neural plasticity in patients with progressive multiple sclerosis.

  12. Effectiveness of social work intervention with a systematic approach to improve general health in opioid addicts in addiction treatment centers

    Directory of Open Access Journals (Sweden)

    Raheb G

    2016-11-01

    Full Text Available Ghoncheh Raheb,1,2 Esmat Khaleghi,1 Amir Moghanibashi-Mansourieh,1 Ali Farhoudian,2 Robab Teymouri3 1Department of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 2Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 3Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Purpose: This study takes a systematic approach to investigate the effect of social work intervention aimed at increasing general health among opioid addicts in addiction treatment centers. Patients and methods: This is an experimental plan (pretest to posttest with a control group; the study sample included 60 patients with drug dependencies undergoing treatment in addiction treatment centers. These patients were randomly assigned as case (30 and control (30 groups. The case group was subjected to intervention over ten sessions, whereas the control group received no intervention. Both groups then passed through a posttest, while a follow-up was conducted after 4 months. Data were obtained via a General Health Questionnaire. Results: A covariance analysis test and independent and dependent t-test results indicated that a social work intervention adopting systematic approach was effective in increasing the general health of drug-addicted patients under treatment. Conclusion: Thus, the nature of the presence of social workers in addiction treatment centers has been effective and can have a significant influence by reducing anxiety and insomnia and somatic symptoms, improving patients’ self-understanding and self-recognition, and enhancing social functioning. Keywords: social work, intervention, systematic approach, general health, opioid addicts

  13. Conservative treatment for interstitial monochorionic twin pregnancy: case report and review of the published work.

    Science.gov (United States)

    Berretta, Roberto; Merisio, Carla; Dall'Asta, Andrea; Verrotti, Carla; Rolla, Martino; Bruni, Stefano; Bacchi Modena, Alberto

    2014-03-01

    Interstitial pregnancy is considered one of the most hazardous types of ectopic pregnancies, with a mortality rate of 2-2.5%. We describe a case of a viable monochorionic twin pregnancy in a 35-year-old woman successfully treated with systemic methotrexate associated with bilateral uterine arteries' embolization. β-hCG was undetectable 67 days after the first administration of methotrexate and the ultrasonography performed on day 67 showed the remnant of the gestational sac in the right uterine horn, a thin endometrium and a normal myometrial vascularization. Conservative treatment allowed us to avoid surgical treatment and to preserve the patient's fertility.

  14. Does Working Memory Moderate the Effects of Fraction Intervention? An Aptitude-Treatment Interaction

    Science.gov (United States)

    Fuchs, Lynn S.; Schumacher, Robin F.; Sterba, Sonya K.; Long, Jessica; Namkung, Jessica; Malone, Amelia; Hamlett, Carol L.; Jordan, Nancy C.; Gersten, Russell; Siegler, Robert S.; Changas, Paul

    2014-01-01

    This study investigated whether individual differences in working memory (WM) moderate effects of 2 variations of intervention designed to improve at-risk 4th graders' fraction knowledge. We also examined the effects of each intervention condition against a business-as-usual control group and assessed whether children's measurement interpretation…

  15. Working Memory Capacity and Disfluency Effect: An Aptitude-Treatment-Interaction Study

    Science.gov (United States)

    Lehmann, Janina; Goussios, Christina; Seufert, Tina

    2016-01-01

    According to Cognitive Load Theory, learning material should be designed in a way to decrease unnecessary demands on working memory (WM). However, recent research has shown that additional demands on WM caused by less legible texts lead to better learning outcomes. This so-called disfluency effect can be assumed as a metacognitive regulation…

  16. Armodafinil for Treatment of Excessive Sleepiness Associated With Shift Work Disorder: A Randomized Controlled Study

    OpenAIRE

    Czeisler, Charles A.; Walsh, James K.; Wesnes, Keith A.; Arora, Sanjay; Roth, Thomas

    2009-01-01

    OBJECTIVE: To assess the effect of armodafinil, 150 mg, on the physiologic propensity for sleep and cognitive performance during usual night shift hours in patients with excessive sleepiness associated with chronic (≥3 months) shift work disorder (SWD) of moderate or greater severity.

  17. Improving the Targeting of Treatment: Evidence from College Remediation. NBER Working Paper No. 18457

    Science.gov (United States)

    Scott-Clayton, Judith; Crosta, Peter M.; Belfield, Clive R.

    2012-01-01

    At an annual cost of roughly $7 billion nationally, remedial coursework is one of the single largest interventions intended to improve outcomes for underprepared college students. But like a costly medical treatment with non-trivial side effects, the value of remediation overall depends upon whether those most likely to benefit can be identified…

  18. On the possibility of using biological toxicity tests to monitor the work of wastewater treatment plants

    Directory of Open Access Journals (Sweden)

    Zorić Jelena

    2008-01-01

    Full Text Available The aim of this study was to ascertain the possibility of using biological toxicity tests to monitor influent and effluent wastewaters of wastewater treatment plants. The information obtained through these tests is used to prevent toxic pollutants from entering wastewater treatment plants and discharge of toxic pollutants into the recipient. Samples of wastewaters from the wastewater treatment plants of Kragujevac and Gornji Milanovac, as well as from the Lepenica and Despotovica Rivers immediately before and after the influx of wastewaters from the plants, were collected between October 2004 and June 2005. Used as the test organism in these tests was the zebrafish Brachydanio rerio Hamilton - Buchanon (Cyprinidae. The acute toxicity test of 96/h duration showed that the tested samples had a slight acutely toxic effect on B. rerio, except for the sample of influent wastewater into the Cvetojevac wastewater treatment plant, which had moderately acute toxicity, indicating that such water should be prevented from entering the system in order to eliminate its detrimental effect on the purification process.

  19. Looking Out for Eliza Doolittle: The Ethical Treatment of Education Research Subjects. Working Paper.

    Science.gov (United States)

    Pritchard, Ivor

    George Bernard Shaw's play, "Pygmalion," tells the story of an educational experiment involving Eliza Doolittle and Henry Higgins. The characters set out to achieve a dramatic alteration in Eliza's linguistic ability, and they succeed. This paper uses "Pygmalion" as a case study in the treatment of education research subjects.…

  20. Piece Work: Fabric Collage as a Neurodevelopmental Approach to Trauma Treatment

    Science.gov (United States)

    Homer, Eliza S.

    2015-01-01

    This article describes the use of collaborative fabric collage based on a neurodevelopmental adaptation for an adult who was being treated for trauma. The case demonstrates the value of thinking about neurodevelopmental factors when creating art therapy interventions. A biologically respectful treatment that offers relational, relevant,…

  1. Prophylaxis and treatment of GVHD: EBMT-ELN working group recommendations for a standardized practice

    NARCIS (Netherlands)

    Ruutu, T.; Gratwohl, A.; Witte, T.J. de; Afanasyev, B.; Apperley, J.; Bacigalupo, A.; Dazzi, F.; Dreger, P.; Duarte, R.; Finke, J.; Garderet, L.; Greinix, H.; Holler, E.; Kroger, N.; Lawitschka, A.; Mohty, M.; Nagler, A.; Passweg, J.; Ringden, O.; Socie, G.; Sierra, J.; Sureda, A.; Wiktor-Jedrzejczak, W.; Madrigal, A.; Niederwieser, D.

    2014-01-01

    GVHD remains the major impediment to broader application of allogeneic haematopoietic SCT. It can be prevented completely, but at the expense of other complications, rejection, relapse or delayed immune reconstitution. No optimal prevention or treatment method has been defined. This is reflected by

  2. Piece Work: Fabric Collage as a Neurodevelopmental Approach to Trauma Treatment

    Science.gov (United States)

    Homer, Eliza S.

    2015-01-01

    This article describes the use of collaborative fabric collage based on a neurodevelopmental adaptation for an adult who was being treated for trauma. The case demonstrates the value of thinking about neurodevelopmental factors when creating art therapy interventions. A biologically respectful treatment that offers relational, relevant,…

  3. Expert systems applied to sewage treatment works; Los sistemas expertos aplicados a las estaciones depuradoras de aguas residuales

    Energy Technology Data Exchange (ETDEWEB)

    Poch, M.; Lafuente, J.; Sanchez, M.; Cortes, V.; Tomas, R. [Unitat d`Enginyeria Quimica, Universitat Autonoma de Barcelona (Spain)

    1995-12-31

    The number of waste water treatment plants is increasing in order improve the water quality levels. The use of conventional automatic control systems applied to these processes deals with some difficulties, like complexity of the system, or the presence of cualitative knowledge. In this context, knowledge based systems (KBS) could be an interesting alternative to solve the management problem. In this paper, the authors present a knowledge based architecture for real time supervision and control of wastewater treatment plants that tries to overcome some of these troubles. The development of the KBS and the methodology employed are discussed. Finally a case study showing how the KBS works is presented. (Author) 11 refs.

  4. Preventing work-related stress among staff working in children's cancer Principal Treatment Centres in the UK: a brief survey of staff support systems and practices.

    Science.gov (United States)

    Beresford, B; Gibson, F; Bayliss, J; Mukherjee, S

    2016-07-04

    Growing evidence of the association between health professionals' well-being and patient and organisational outcomes points to the need for effective staff support. This paper reports a brief survey of the UK's children's cancer Principal Treatment Centres (PTCs) regarding staff support systems and practices. A short on-line questionnaire, administered in 2012-2013, collected information about the availability of staff support interventions which seek to prevent work-related stress among different members of the multi-disciplinary team (MDT). It was completed by a member of staff with, where required, assistance from colleagues. All PTCs (n = 19) participated. Debriefs following a patient death was the most frequently reported staff support practice. Support groups were infrequently mentioned. There was wide variability between PTCs, and between professional groups, regarding the number and type of interventions available. Doctors appear to be least likely to have access to support. A few Centres routinely addressed work-related stress in wider staff management strategies. Two Centres had developed a bespoke intervention. Very few Centres were reported to actively raise awareness of support available from their hospital's Occupational Health department. A minority of PTCs had expert input regarding staff support from clinical psychology/liaison psychiatry.

  5. 40 CFR 417.96 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Oleum Sulfonation and... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply...

  6. 40 CFR 417.196 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Detergent Bars... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply...

  7. 40 CFR 417.46 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Glycerine Concentration... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part...

  8. 40 CFR 417.26 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Fatty Acid Manufacturing by... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must...

  9. 40 CFR 417.16 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Soap Manufacturing by Batch... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply...

  10. 40 CFR 417.56 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Glycerine Distillation... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part...

  11. 40 CFR 417.36 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Soap Manufacturing by Fatty... to this subpart that introduces process wastewater pollutants into a publicly owned treatment works...

  12. 40 CFR 461.40 - Applicability; description of the Leclanche subcategory.

    Science.gov (United States)

    2010-07-01

    ... discharges to waters of the United States, and introductions of pollutants into publicly owned treatment works from manufacturing Leclanche type batteries (zinc anode batteries with acid electrolyte)....

  13. 40 CFR 427.36 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Paper (Starch Binder... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR...

  14. 40 CFR 427.46 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Paper (Elastomeric Binder... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR...

  15. 40 CFR 405.124 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS DAIRY PRODUCTS PROCESSING POINT SOURCE CATEGORY Dry Whey Subcategory... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR...

  16. 40 CFR 405.114 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS DAIRY PRODUCTS PROCESSING POINT SOURCE CATEGORY Condensed Whey... that introduces process wastewater pollutants into a publicly owned treatment works must comply with...

  17. RARE EARTH ELEMENT IMPACTS ON BIOLOGICAL WASTEWATER TREATMENT

    Energy Technology Data Exchange (ETDEWEB)

    Fujita, Y.; Barnes, J.; Fox, S.

    2016-09-01

    Increasing demand for rare earth elements (REE) is expected to lead to new development and expansion in industries processing and or recycling REE. For some industrial operators, sending aqueous waste streams to a municipal wastewater treatment plant, or publicly owned treatment works (POTW), may be a cost effective disposal option. However, wastewaters that adversely affect the performance of biological wastewater treatment at the POTW will not be accepted. The objective of our research is to assess the effects of wastewaters that might be generated by new rare earth element (REE) beneficiation or recycling processes on biological wastewater treatment systems. We have been investigating the impact of yttrium and europium on the biological activity of activated sludge collected from an operating municipal wastewater treatment plant. We have also examined the effect of an organic complexant that is commonly used in REE extraction and separations; similar compounds may be a component of newly developed REE recycling processes. Our preliminary results indicate that in the presence of Eu, respiration rates for the activated sludge decrease relative to the no-Eu controls, at Eu concentrations ranging from <10 to 660 µM. Yttrium appears to inhibit respiration as well, although negative impacts have been observed only at the highest Y amendment level tested (660 µM). The organic complexant appears to have a negative impact on activated sludge activity as well, although results are variable. Ultimately the intent of this research is to help REE industries to develop environmentally friendly and economically sustainable beneficiation and recycling processes.

  18. Anorexia nervosa in adults: The urgent need for novel outpatient treatments that work.

    Science.gov (United States)

    Le Grange, Daniel

    2016-06-01

    Anorexia nervosa (AN) is a serious psychiatric disorder that often follows a protracted course, and continues to confound those who attempt treatment once the patient has reached adulthood. Several randomized clinical trials for adults with AN have tested well-known therapies such as cognitive behavior therapy, supportive psychotherapies, or focal psychodynamic therapy, all of which have delivered frustratingly few helpful treatment strategies. Perhaps a different path could be pursued where we do not aim to cure all patients with 1 or 2 of these well-trodden therapies. Instead, a more targeted alternative, testing several novel approaches, could collectively reach a larger cohort of patients suffering from AN, the most lethal of all psychiatric disorders. (PsycINFO Database Record

  19. Treatments for nail psoriasis: a systematic review by the GRAPPA Nail Psoriasis Work Group.

    Science.gov (United States)

    Armstrong, April W; Tuong, William; Love, Thorvardur J; Carneiro, Sueli; Grynszpan, Rachel; Lee, Steve S; Kavanaugh, Arthur

    2014-11-01

    Nail involvement in psoriatic diseases causes significant physical and functional disabilities. Evaluating, measuring, and treating nail involvement is important in improving the health outcomes and quality of life among patients with psoriasis and psoriatic arthritis (PsA). We performed a systematic analysis of the literature on nail psoriasis to help inform an update of treatment recommendations by the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA).

  20. Work Incapacity and Treatment Costs After Severe Accidents: Standard Versus Intensive Case Management in a 6-Year Randomized Controlled Trial.

    Science.gov (United States)

    Scholz, Stefan M; Andermatt, Peter; Tobler, Benno L; Spinnler, Dieter

    2016-09-01

    Purpose Case management is widely accepted as an effective method to support medical rehabilitation and vocational reintegration of accident victims with musculoskeletal injuries. This study investigates whether more intensive case management improves outcomes such as work incapacity and treatment costs for severely injured patients. Methods 8,050 patients were randomly allocated either to standard case management (SCM, administered by claims specialists) or intensive case management (ICM, administered by case managers). These study groups differ mainly by caseload, which was approximately 100 cases in SCM and 35 in ICM. The setting is equivalent to a prospective randomized controlled trial. A 6-year follow-up period was chosen in order to encompass both short-term insurance benefits and permanent disability costs. All data were extracted from administrative insurance databases. Results Average work incapacity over the 6-year follow-up, including contributions from daily allowances and permanent losses from disability, was slightly but insignificantly higher under ICM than under SCM (21.6 vs. 21.3 % of pre-accident work capacity). Remaining work incapacity after 6 years of follow-up showed no difference between ICM and SCM (8.9 vs. 8.8 % of pre-accident work incapacity). Treatment costs were 43,500 Swiss Francs (CHF) in ICM compared to 39,800 in SCM (+9.4 %, p = 0.01). The number of care providers involved in ICM was 10.5 compared to 10.0 in ICM (+5.0 %, p SCM, but did increase healthcare consumption and treatment costs. It is concluded that the intensity of case management alone is not sufficient to improve rehabilitation and vocational reintegration of accident victims.

  1. Qualitative Treatment-Subgroup Interactions in a Randomized Clinical Trial of Treatments for Adolescents with ADHD: Exploring What Cognitive-Behavioral Treatment Works for Whom

    Science.gov (United States)

    Geurts, Hilde M.; Prins, Pier J. M.; Van Mechelen, Iven; Van der Oord, Saskia

    2016-01-01

    Objective This study explored qualitative treatment-subgroup interactions within data of a RCT with two cognitive behavioral treatments (CBT) for adolescents with ADHD: a planning-focused (PML) and a solution-focused CBT (SFT). Qualitative interactions imply that which treatment is best differs across subgroups of patients, and are therefore most relevant for personalized medicine. Methods Adolescents with ADHD (N = 159) received either PML or SFT. Pre-, post- and three-month follow-up data were gathered on parent-rated ADHD symptoms and planning problems. Pretreatment characteristics were explored as potential qualitative moderators of pretest to follow-up treatment effects, using an innovative analyses technique (QUINT; Dusseldorp & Van Mechelen, 2014). In addition, qualitative treatment-subgroup interactions for the therapeutic changes from pre- to posttest and from post- to follow-up test were investigated. Results For the entire time span from pretest to follow-up only a quantitative interaction was found, while from posttest to follow-up qualitative interactions were found: Adolescents with less depressive symptoms but more anxiety symptoms showed more improvement when receiving PML than SFT, while for other adolescents the effects of PML and SFT were comparable. Discussion Whereas subgroups in both treatments followed different trajectories, no subgroup was found for which SFT outperformed PML in terms of the global change in symptoms from pretest to three months after treatment. This implies that, based on this exploratory study, there is no need for personalized treatment allocation with regard to the CBTs under study for adolescents with ADHD. However, for a subgroup with comorbid anxiety symptoms but low depression PML clearly appears the treatment of preference. Trial Registration Nederlands Trial Register NTR2142 PMID:26977602

  2. Presynaptic mitochondrial morphology in monkey prefrontal cortex correlates with working memory and is improved with estrogen treatment.

    Science.gov (United States)

    Hara, Yuko; Yuk, Frank; Puri, Rishi; Janssen, William G M; Rapp, Peter R; Morrison, John H

    2014-01-07

    Humans and nonhuman primates are vulnerable to age- and menopause-related decline in working memory, a cognitive function reliant on the energy-demanding recurrent excitation of neurons within Brodmann's Area 46 of the dorsolateral prefrontal cortex (dlPFC). Here, we tested the hypothesis that the number and morphology (straight, curved, or donut-shaped) of mitochondria in dlPFC presynaptic boutons are altered with aging and menopause in rhesus monkeys (Macaca mulatta) and that these metrics correlate with delayed response (DR) accuracy, a well-characterized measure of dlPFC-dependent working memory. Although presynaptic bouton density or size was not significantly different across groups distinguished by age or menses status, DR accuracy correlated positively with the number of total and straight mitochondria per dlPFC bouton. In contrast, DR accuracy correlated inversely with the frequency of boutons containing donut-shaped mitochondria, which exhibited smaller active zone areas and fewer docked synaptic vesicles than those with straight or curved mitochondria. We then examined the effects of estrogen administration to test whether a treatment known to improve working memory influences mitochondrial morphology. Aged ovariectomized monkeys treated with vehicle displayed significant working memory impairment and a concomitant 44% increase in presynaptic donut-shaped mitochondria, both of which were reversed with cyclic estradiol treatment. Together, our data suggest that hormone replacement therapy may benefit cognitive aging, in part by promoting mitochondrial and synaptic health in the dlPFC.

  3. Innovative systems for cultural heritage conservation. Millimeter wave application for non-invasive monitoring and treatment of works of art.

    Science.gov (United States)

    Bruno, Bisceglia; De Leo, Roberto; Pastore, Anna Pia; von Gratowski, Svetlana; Meriakri, Viatcheslav

    2011-01-01

    A novel non invasive technique and a suitable apparatus for disinfestation of artworks is introduced. Non destructive and non invasive techniques are often irreplaceable in order to preserve and restore cultural heritage objects in its structure and shape. Although many techniques are available for art and archaeological works the non invasive methods are preferred as they leave the object untouched after treatment. Environmental parameters, such as humidity, can damage culture heritage objects and also results in spring up variety of pests and other micro-organisms. Non-invasive monitoring of these damage and also disinfestation treatments and drying with help of electromagnetic waves are preferred as they keep the object untouched after treatment. Application of millimeter waves for solving this problem is discussed here. Millimeter waves have high spatial resolution and absorption in water as well as in bio-objects that are usually moist and at the same time minimal interaction with dry culture heritage objects by itself. Different phases of the microwaves treatment (MW) of artworks are described, some results are shown and discussed. Many biological forms don't survive over a certain temperature, called lethal temperature which, for most xylophages is about 53-55 degrees C, while for moulds and funguses is between 65 and 70 degrees C. In order to evaluate the management of disinfestation of works of art, incident power, temperature, exposure time were monitored. The monitoring of temperature is essential in order to prevent damages. A computer simulation allows to predict and monitor the heating process.

  4. Increased incidence of infertility treatment among women working in the plastics industry

    DEFF Research Database (Denmark)

    Hougaard, K.S.; Hannerz, H.; Feveile, H.

    2009-01-01

    Several plastic chemicals adversely affect reproductive ability. This study examined the possible association between employment in the plastics industry and infertility. Dynamic cohorts of economically active women and men were followed for hospital contacts due to infertility in the Danish...... infertility were observed among female plastic workers, as opposed to an expected 87.15 cases, i.e. relative risk was 1.23 (95% CI: 1.01-1.48). For male workers the numbers were 41 respectively 49.9 cases, with relative risk being 0.82 (95% CI: 0.59-1.11). The increased incidence of infertility treatment...

  5. Influence of Absorption and Insulation Properties for Phonic Treatment of Public Works Equipment

    Directory of Open Access Journals (Sweden)

    Ovidiu Vasile

    2012-01-01

    Full Text Available This study presents the problem of designing, manufacturing and testing of some protective systems made from composite materials which can simultaneously perform the next requirements: noise absorption for middle and high range frequencies, noise insulation for low frequencies, vibration damping in order to avoid noise transmission by structure and finally, modularity and adaptability for using to different types of public works equipment, also for other technological equipment with a high level of noise, vibration and mechanical shocks. Decreasing of sound and vibration global level inside and/or outside the public works equipment’s cabin as well as the reduction the noise pollution or the pollution due to the vibration and mechanical shocks on construction site is an actual matter, especially for the countries –last became members of EU; these countries must harmonize theirs national legislations regarding the environment pollution and the labor protection with the EU Directives. The article presents the experimental data of four composite structures with noise absorption and insulation features and three case studies of global level noise reduction inside the cabin for a vibrating compactor, a crawler excavator and a frontal loader.

  6. Estimation of working memory in macaques for studying drugs for the treatment of cognitive disorders.

    Science.gov (United States)

    Buccafusco, Jerry J

    2008-12-01

    Non-human primates have served as subjects for studies of the cognition-enhancing potential of novel pharmacological agents for over 25 years. Only recently has a greater appreciation of the translational applicability of this model been realized. Though most Old-World monkeys do not appear to acquire an Alzheimer's-like syndrome in old age, their value resides in the brain physiology they have in common with humans. Paradigms like the delayed matching-to-sample task engender behavior that models aspects of working memory that are substrates for the actions of cognition-enhancing drugs. Our studies have provided information relevant to factors that limit the effectiveness of clinical trial design for compounds that potentially improve cognition. For example, cognition-enhancing compounds from different pharmacological classes, when administered to monkeys, can exhibit remarkable pharmacodynamic effects that outlast the presence of the drug in the body. Studies with non-human primates also can provide information regarding dose ranges and individual subject sensitivity experienced in the clinic. Components of working memory are differentially sensitive to drug effects and may be characterized by different dose ranges for certain compounds, even within the same task. Examples are provided that underscore the possible idiosyncrasies of drug action in the pharmacology of cognition--which could be of critical importance in the design of clinical trials.

  7. Noninvasive treatments for iatrogenic priapism: Do they really work? A prospective multicenter study

    Science.gov (United States)

    Habous, Mohamad; Elkhouly, Mohammed; Abdelwahab, Osama; Farag, Mohammed; Madbouly, Khaled; Altuwaijri, Talal; Spilotros, Marco; Bettocchi, Carlo; Binsaleh, Saleh

    2016-01-01

    Objectives: Intracorporeal injections (ICIs) of vasoactive substances during penile Doppler ultrasound (PDU) are a common investigation for erectile dysfunction (ED) diagnosis. ICI can be responsible of priapism, a pathological condition of prolonged penile erection not related to sexual stimulation. The aim of our study is to investigate the effectiveness of physical exercise and medical treatment as noninvasive therapy to restore detumescence in prolonged erections after ICI. Materials and Methods: Data were prospectively collected on men undergoing PDU in three urological centers. Three hundred and sixty-nine patients underwent PDU for the investigation of ED. All the participants received an ICI of quadrimix; prostaglandine E1, papaverine, phentolamine, and atropine. The data of the patients have been analyzed to record their comorbidities, results of PDU, and the complications encountered. Results: Fifty-three patients (14.4%) developed prolonged erections. Physical exercise alone was successful in reversing prolonged erection within 30 min in 21 (39.6%) patients. Out of the remaining 32 patients, oral salbutamol induced detumescence in 18 (34%) within the observation period of 60 min. Nonresponders were managed successfully with aspiration and irrigation of corpora with saline (11 patients, 20.75%) or with Phenylephrine (three patients, 5.66%). Conclusions: Physical exercise and oral salbutamol are safe and effective in restoring detumescence of pharmacologically-induced priapism. Noninvasive therapy may save a significant number of these patients an invasive treatment. PMID:27141191

  8. Adjuvant Teriparatide Therapy for Surgical Treatment of Femoral Fractures; Does It Work?

    Science.gov (United States)

    Kim, Jung Taek; Jeong, Hyung Jun; Lee, Soong Joon; Kim, Hee Joong

    2016-01-01

    Purpose Atypical femoral fracture (AFF), periprosthetic femoral fracture (PPFF) and femoral nonunion (FNU) are recalcitrant challenges for orthopedic surgeons. Teriparatide (TPTD) had been demonstrated to have anabolic effects on bone in various studies. We postulated that adjuvant TPTD after operation would enhance biologic stimulation for bone formation. We investigated (1) whether the adjuvant TPTD could achieve satisfactory union rate of surgically challenging cases such as displaced AFF, PPFF and FNU; (2) whether the adjuvant TPTD could promote development of abundant callus after surgical fixation; (3) whether the adjuvant TPTD had medically serious adverse effects. Materials and Methods Thirteen patients who agreed to off label use of TPTD in combination of operation were included in this retrospective case series. Median patients' age was 68.7 years, and there were three male and ten female patients. Their diagnoses were nonunion in six patients and acute fracture in seven. Medical records and radiographic images were reviewed. Results Twelve of thirteen fractures were united both clinically and radiologically within a year after adjuvant TPTD. Union completed radiologically median 5.4 months and clinically 5.7 months after the medication, respectively. Callus appeared abundantly showing median 1.4 of fracture healing response postoperatively. There was no serious adverse reaction of medication other than itching, muscle cramp, or nausea. Conclusion Even appropriate surgical treatment is a mainstay of treatment for AFF, PPFF, and FNU, the current report suggested that adjuvant TPTD combined with stable fixation results in satisfactory outcome for the challenging fractures of femur. PMID:27777917

  9. How a masculine work ethic and economic circumstances affect uptake of HIV treatment: experiences of men from an artisanal gold mining community in rural eastern Uganda

    OpenAIRE

    Siu, GE; Wight, D.; Seeley, J.

    2012-01-01

    Background: Current data from Uganda indicate that, compared to women, men are under-represented in HIV treatment, seek treatment later and have a higher mortality while on antiretroviral therapy (ART). By focusing on a masculine work ethic as one of the most predominant expressions of masculinity, this study explores why for some men HIV treatment enhances their masculinity while for others it undermines masculine work identity, leading them to discontinue the treatment. Methods: Participant...

  10. Role of Human Health Care Providers and Medical Treatment Facilities in Military Working Dog Care and Accessibility Difficulties with Military Working Dog Blood Products.

    Science.gov (United States)

    Giles Iii, James T

    2016-01-01

    The use of military working dogs (MWDs) in support of military operations has increased dramatically over recent years, as they have proven to be our most reliable deterrent to improvised explosive devices. Healthcare delivery for MWDs in combat presents unique challenges and requires extensive collaboration between veterinarians and human health care providers (HCPs). A successful example is the incorporation of MWD emergency care for nonveterinary HCPs into the Joint Trauma System Clinical Practice Guidelines, which has proven to be a helpful product. Additional challenges that need further solutions include MWDs as patients in human medical treatment facilities (MTFs) and the procurement of appropriate canine blood components in an operational environment. It is often necessary for MWDs to be treated as patients in human MTFs, however, there is no Department of Defense guidance to support this activity. Access to MWD blood products is limited to collection of fresh whole blood in the operational setting. Similar to humans, specific blood component therapy, such as fresh frozen plasma, is often indicated for sick or injured MWDs. Currently there is no formal system in place to deliver any blood products for MWDs or to facilitate collection in theater.

  11. Surface Treatment of Cr12MoV Steel towards Long-Life Cold-Work Dies

    Institute of Scientific and Technical Information of China (English)

    SHI Wen; WANG Jun-Li; WANG Zhen; WAN Zi; XU Luo-Ping

    2004-01-01

    With the rapid development of the automobile industry in China, there is an ever-increasing demand for long-life cold working dies used for punching automobile components. However, the full potential of such advanced surface engineering technologies as PVD coatings and duplex surface treatments in cold work dies has not been realized. In the present study, Crl2MoV steel has been surface engineered by single PVD Ti/TiN coating and duplex treatment combining low temperature plasma nitriding (LTPN) with PVD Ti/TiN coatings. The properties of Ti/TiN coatings in terms of surface morphology, microhardness, load bearing capacity, bonding strength and wear resistance were evaluated by microhardness,scratch and wear tests. The experimental results show that PVD Ti/TiN coatings can significantly enhance the surface load bearing capacity (especially for duplex treatments) and wear resistance of Cr12MoV steel by more than one order of magnitude. This can be mainly attributed to the hard and well-adherent PVD Ti/TiN surface coatings and strong mechanical support of the LTPN sublayer. While two-body abrasive wear prevails for uncoated Crl2MoV, the micropolishing action of the counterface dominates in surface engineered material.

  12. Surface Treatment of Cr12MoV Steel towards Long-Life Cold-Work Dies

    Institute of Scientific and Technical Information of China (English)

    SHIWen; WANGJun-Li; WANGZhen; WANZi; XULuo-Ping

    2004-01-01

    With the rapid development of the automobile industry in China, there is an ever-increasing demand for long-life cold working dies used for punching automobile components. However, the full potential of such advanced surface engineering technologies as PVD coatings and duplex surface treatments in cold work dies has not been realized. In the present study, Cr12MoV steel has been surface engineered by single PVD Ti/TiN coating and duplex treatment combining low temperature plasma nitriding (LTPN) with PVD Ti/TiN coatings. The properties of Ti/TiN coatings in terms of surface morphology, microhardness, load bearing capacity, bonding strength and wear resistance were evaluated by mierohardness,scratch and wear tests, The experimental results show that PVD Ti/TiN coatings can significantly enhance the surface load bearing capacity (especially for duplex treatments) and wear resistance of Cr12MoV steel by more than one order of magnitude. This can be mainly attributed to the hard and well-adherent PVD Ti/TiN surface coatings and strong mechanical support of the LTPN sublayer. While two-body abrasive wear prevails for uncoated Cr12MoV. the micropolishing action of the counterface dominates in surface engineered material.

  13. Work Predictors of Lapse in Patients under Treatment of ‎Methadone Maintenance Therapy

    Directory of Open Access Journals (Sweden)

    Ramin Mehrdad

    2015-12-01

    Full Text Available Background: Addiction to narcotics ‎can cause serious problems and ‎monetary losses. Therapeutic ‎success can be predicted ‎through identifying lapse risk ‎factors.‎Objective: Determining Job Risk ‎Factor of Lapse.‎Methods: This was a cross ‎sectional study on 351 addicts ‎visiting five methadone clinics. A ‎Data collection sheet consisting ‎of questions on demographic ‎and job information was filled up ‎through direct interviews. ‎Information relating to lapse in ‎the first month was analyzed.‎Results: The mean (SD age of ‎the participants was 40(12 ‎years; of them, 74% were ‎employed, of whom 34% had ‎lapsed. A relationship was ‎noticed between education ‎qualification (secondary school ‎compared with higher and lower ‎education and lapse (p = .04, ‎and also between type of drug ‎abuse (amphetamine and lapse ‎‎(p = .001.‎Conclusion:‎‏ ‏‎ Lapse was more ‎dependent on type of drug abused, ‎and employment had a protective role, ‎with no correlation with the type of ‎job and other job conditions. Non-‎work factors mediated/suppressed the ‎role of occupational conditions.‎

  14. The treatment of nonmelancholic depression: when antidepressants fail, does psychotherapy work?

    Science.gov (United States)

    Parker, Gordon; Graham, Rebecca; Sheppard, Elizabeth

    2014-07-01

    Treatment-resistant depression (TRD) is used as a descriptive or diagnostic term and has generated many management guidelines weighting antidepressant (AD) therapy, but which may be an inappropriate paradigm for the nonmelancholic disorders where psychotherapy may be a more salient modality. This study sought to evaluate the effectiveness of psychological therapy in patients whose nonmelancholic depressive condition had been resistant to at least 2 ADs. Principal analyses compared 32 patients, diagnosed with a nonmelancholic depression who received 12 weeks of psychological therapy, with a small control group. Comparative analyses failed to find a distinct therapeutic effect, leading to an extension study pursuing candidate explanatory factors for this lack of response, including psychosocial factors. While our sample showed a 41% response and 22% remission rate to psychotherapy, their improvement pattern was similar to the control group, thus arguing against any specific therapeutic benefit. Explanatory factors nominated by the treating psychologist weighted personality issues for 35% of the patients, distal stressors for 22%, and comorbid anxiety conditions for 18%. When sample members were compared with an age- and sex-matched sample of patients with nonmelancholic depression who improved distinctly during a similar 12-week period, rates of such putative personality, stress, and anxiety risk factors did not differ, arguing against the likelihood of these factors compromising improvement. Patients with nonmelancholic TRD also failed to demonstrate a clear response to a psychotherapeutic approach, while our pursuit of clinically explanatory variables was not supported empirically.

  15. Pyro-chemistry within Europart assessment of the studies on spent fuel treatment processes collective work

    Energy Technology Data Exchange (ETDEWEB)

    Bourg, S. [CEA Valrho, 30 - Marcoule (France); Madic, C. [CEA Saclay, 91 - Gif sur Yvette (France); Caravaca, C. [CIEMAT (Spain); Finne, J. [Electricite de France (EDF), 75 - Paris (France); Angelis, G. de [ENEA, Bologna (Italy); Malmbeck, R. [ITU, JRC (Germany); Lewin, B.G. [NEXIA Solutions (United Kingdom); Uhlir, J. [Nuclear Research Institute (NRI) (Czech Republic); Inoue, T. [CRIEPI (Japan); Luca, V. [ANSTO (Australia)

    2007-07-01

    In the continuation of PYROREP (FP5), the pyrochemical domain of EUROPART (FP6) involves today 7 European participants and 2 international partners in order to assess treatment processes which could be used in a broad variety of fuel cycles: molten salt reactor spent fuel, metallic, oxide, carbide or nitride fuels from any reactors. Indeed, a pyrochemical process is not sensitive to radiolysis, and obviously to temperature effects, and could afford to treat fuels after a short cooling period, even at high concentrations. Within EUROPART, the chemistry of actinides and of some fission products was studied in depth in either chloride or fluoride molten salts. Laboratory-scale demonstration experiments were used in order to assess electrolytic processes in molten chlorides and liquid-liquid reductive extraction in molten fluoride/liquid aluminum. An electrolysis process is also under development in molten fluoride. To complete the studies, the development of devices and the modeling of processes are taken into consideration. In order to be fitted for acceptance, a process has to produce minimal quantities of wastes, compatible with storage constraints. Therefore, decontamination techniques, as well as materials suitable for disposal, have to be developed. Fission products precipitation by carbonate and phosphate, and filtration on zeolites were studied. Some original confinement matrices such as sodalite or pollucite were also studied. Integration studies have been carried out in order to evaluate and to compare some selected process flowsheets and possibly to redirect development programs. (authors)

  16. International Myeloma Working Group Recommendations for the Treatment of Multiple Myeloma–Related Bone Disease

    Science.gov (United States)

    Terpos, Evangelos; Morgan, Gareth; Dimopoulos, Meletios A.; Drake, Matthew T.; Lentzsch, Suzanne; Raje, Noopur; Sezer, Orhan; García-Sanz, Ramón; Shimizu, Kazuyuki; Turesson, Ingemar; Reiman, Tony; Jurczyszyn, Artur; Merlini, Giampaolo; Spencer, Andrew; Leleu, Xavier; Cavo, Michele; Munshi, Nikhil; Rajkumar, S. Vincent; Durie, Brian G.M.; Roodman, G. David

    2013-01-01

    Purpose The aim of the International Myeloma Working Group was to develop practice recommendations for the management of multiple myeloma (MM) –related bone disease. Methodology An interdisciplinary panel of clinical experts on MM and myeloma bone disease developed recommendations based on published data through August 2012. Expert consensus was used to propose additional recommendations in situations where there were insufficient published data. Levels of evidence and grades of recommendations were assigned and approved by panel members. Recommendations Bisphosphonates (BPs) should be considered in all patients with MM receiving first-line antimyeloma therapy, regardless of presence of osteolytic bone lesions on conventional radiography. However, it is unknown if BPs offer any advantage in patients with no bone disease assessed by magnetic resonance imaging or positron emission tomography/computed tomography. Intravenous (IV) zoledronic acid (ZOL) or pamidronate (PAM) is recommended for preventing skeletal-related events in patients with MM. ZOL is preferred over oral clodronate in newly diagnosed patients with MM because of its potential antimyeloma effects and survival benefits. BPs should be administered every 3 to 4 weeks IV during initial therapy. ZOL or PAM should be continued in patients with active disease and should be resumed after disease relapse, if discontinued in patients achieving complete or very good partial response. BPs are well tolerated, but preventive strategies must be instituted to avoid renal toxicity or osteonecrosis of the jaw. Kyphoplasty should be considered for symptomatic vertebral compression fractures. Low-dose radiation therapy can be used for palliation of uncontrolled pain, impending pathologic fracture, or spinal cord compression. Orthopedic consultation should be sought for long-bone fractures, spinal cord compression, and vertebral column instability. PMID:23690408

  17. Dietary treatment of urinary risk factors for renal stone formation. A review of CLU Working Group.

    Science.gov (United States)

    Prezioso, Domenico; Strazzullo, Pasquale; Lotti, Tullio; Bianchi, Giampaolo; Borghi, Loris; Caione, Paolo; Carini, Marco; Caudarella, Renata; Ferraro, Manuel; Gambaro, Giovanni; Gelosa, Marco; Guttilla, Andrea; Illiano, Ester; Martino, Marangella; Meschi, Tiziana; Messa, Piergiorgio; Miano, Roberto; Napodano, Giorgio; Nouvenne, Antonio; Rendina, Domenico; Rocco, Francesco; Rosa, Marco; Sanseverino, Roberto; Salerno, Annamaria; Spatafora, Sebastiano; Tasca, Andrea; Ticinesi, Andrea; Travaglini, Fabrizio; Trinchieri, Alberto; Vespasiani, Giuseppe; Zattoni, Filiberto

    2015-07-07

    Diet interventions may reduce the risk of urinary stone formation and its recurrence, but there is no conclusive consensus in the literature regarding the effectiveness of dietary interventions and recommendations about specific diets for patients with urinary calculi. The aim of this study was to review the studies reporting the effects of different dietary interventions for the modification of urinary risk factors in patients with urinary stone disease. A systematic search of the Pubmed database literature up to July 1, 2014 for studies on dietary treatment of urinary risk factors for urinary stone formation was conducted according to a methodology developed a priori. Studies were screened by titles and abstracts for eligibility. Data were extracted using a standardized form and the quality of evidence was assessed. Evidence from the selected studies were used to form evidence-based guideline statements. In the absence of sufficient evidence, additional statements were developed as expert opinions. General measures: Each patient with nephrolithiasis should undertake appropriate evaluation according to the knowledge of the calculus composition. Regardless of the underlying cause of the stone disease, a mainstay of conservative management is the forced increase in fluid intake to achieve a daily urine output of 2 liters. HYPERCALCIURIA: Dietary calcium restriction is not recommended for stone formers with nephrolithiasis. Diets with a calcium content ≥ 1 g/day (and low protein-low sodium) could be protective against the risk of stone formation in hypercalciuric stone forming adults. Moderate dietary salt restriction is useful in limiting urinary calcium excretion and thus may be helpful for primary and secondary prevention of nephrolithiasis. A low-normal protein intake decrease calciuria and could be useful in stone prevention and preservation of bone mass. Omega-3 fatty acids and bran of different origin decreases calciuria, but their impact on the urinary

  18. Dietary treatment of urinary risk factors for renal stone formation. A review of CLU Working Group

    Directory of Open Access Journals (Sweden)

    Domenico Prezioso

    2015-07-01

    Full Text Available Objective: Diet interventions may reduce the risk of urinary stone formation and its recurrence, but there is no conclusive consensus in the literature regarding the effectiveness of dietary interventions and recommendations about specific diets for patients with urinary calculi. The aim of this study was to review the studies reporting the effects of different dietary interventions for the modification of urinary risk factors in patients with urinary stone disease. Materials and Methods: A systematic search of the Pubmed database literature up to July 1, 2014 for studies on dietary treatment of urinary risk factors for urinary stone formation was conducted according to a methodology developed a priori. Studies were screened by titles and abstracts for eligibility. Data were extracted using a standardized form and the quality of evidence was assessed. Results: Evidence from the selected studies were used to form evidencebased guideline statements. In the absence of sufficient evidence, additional statements were developed as expert opinions. Conclusions: General measures: Each patient with nephrolithiasis should undertake appropriate evaluation according to the knowledge of the calculus composition. Regardless of the underlying cause of the stone disease, a mainstay of conservative management is the forced increase in fluid intake to achieve a daily urine output of 2 liters. Hypercalciuria: Dietary calcium restriction is not recommended for stone formers with nephrolithiasis. Diets with a calcium content ≥ 1 g/day (and low protein-low sodium could be protective against the risk of stone formation in hypercalciuric stone forming adults. Moderate dietary salt restriction is useful in limiting urinary calcium excretion and thus may be helpful for primary and secondary prevention of nephrolithiasis. A low-normal protein intake decrease calciuria and could be useful in stone prevention and preservation of bone mass. Omega-3 fatty acids and bran of

  19. In situ polar organic chemical integrative sampling (POCIS) of steroidal estrogens in sewage treatment works discharge and river water.

    Science.gov (United States)

    Rujiralai, Thitima; Bull, Ian D; Llewellyn, Neville; Evershed, Richard P

    2011-05-01

    A passive sampler (the polar organic chemical integrative sampler; POCIS) was assessed for its ability to sample natural estrogens (17β-estradiol, E2; estrone, E1 and estriol, E3) and the synthetic estrogen (17α-ethynylestradiol, EE2) in the outlet of a sewage treatment works over several weeks. The performance of the POCIS was investigated and optimised in the laboratory before field deployment with high recoveries (66-99%) were achieved for all estrogens. Moreover, it was shown that POCIS does not exhibit any preferential selectivity towards any of the target compounds. The sampling rates of E1, E2 and E3 were 0.018 ± 0.009, 0.025 ± 0.014 and 0.033 ± 0.019 L d(-1), respectively. Following field deployments of 28 days in the discharge of a sewage works, POCIS was shown to enhance the sensitivity of estrogen detection, especially for E3, and provide time-weighted average (TWA) concentrations of E1, E2 and E3, ranging from undetectable to 12 ng L(-1) upstream of the outflow of a sewage treatment works, 13 to 91 ng L(-1) at the outflow and 8 to 39 ng L(-1) downstream of the outflow. This revealed that E1, E2 and E3 are not completely removed during sewage treatment, with concentrations most likely being maintained by contributions from conjugated estrogen analogues. Grab water samples showed considerable variation in the concentrations of estrogens over a longer period (6 months). The results confirm that POCIS is an effective and non-discriminatory method for the detection of low concentrations of estrogens in the aquatic environment.

  20. Cognitive Training and Work Therapy for the Treatment of Verbal Learning and Memory Deficits in Veterans With Alcohol Use Disorders.

    Science.gov (United States)

    Bell, Morris D; Vissicchio, Nicholas A; Weinstein, Andrea J

    2016-01-01

    This study focused on the efficacy of cognitive training for verbal learning and memory deficits in a population of older veterans with alcohol use disorders. Veterans with alcohol use disorders, who were in outpatient treatment at VA facilities and in early-phase recovery (N = 31), were randomized to receive a three-month trial of daily cognitive training plus work therapy (n = 15) or work therapy alone (n = 16), along with treatment as usual. Participants completed assessments at baseline and at three- and six-month follow-ups; the Hopkins Verbal Learning Task (HVLT) was the primary outcome measure. Participants were primarily male (97%) and in their mid-50s (M = 55.16, SD = 5.16) and had been sober for 1.64 (SD = 2.81) months. Study retention was excellent (91% at three-month follow-up) and adherence to treatment in both conditions was very good. On average, participants in the cognitive training condition had more than 41 hours of cognitive training, and both conditions had more than 230 hours of productive activity. HVLT results at three-month follow-up revealed significant condition effects favoring cognitive training for verbal learning (HVLT Trial-3 T-score, p learning compared with a premorbid estimate of verbal IQ. At three-month follow-up there was a significant reduction in the number of participants in the cognitive training condition with clinically significant verbal memory deficits (p learning deficits, which was not sustained at six-month follow-up. This National Institute on Drug Abuse-funded pilot study demonstrates that cognitive training within the context of another activating intervention (work therapy) may have efficacy in remediating verbal learning and memory deficits in patients with alcohol use disorder. Findings indicate a large effect for cognitive training in this pilot study, which suggests that further research is warranted. This study is registered on ClinicalTrials.gov (NCT 01410110).

  1. Return to work after early-stage breast cancer : A cohort study into the effects of treatment and cancer-related symptoms

    NARCIS (Netherlands)

    Balak, Fulya; Roelen, Corne A. M.; Koopmans, Petra C.; ten Berge, Elike E.; Groothoff, Johan W.

    2008-01-01

    Introduction Earlier diagnosis and better treatment have increased the survival rates of cancer patients. This warrants research on return to work of cancer survivors. What is the return to work rate following early-stage breast cancer? What is the effect of the type of treatment and cancer-related

  2. 26 CFR 1.1221-3T - Time and manner for electing capital asset treatment for certain self-created musical works...

    Science.gov (United States)

    2010-04-01

    ... treatment for certain self-created musical works (temporary). 1.1221-3T Section 1.1221-3T Internal Revenue... asset treatment for certain self-created musical works (temporary). (a) Description. Section 1221(b)(3) allows an electing taxpayer to treat the sale or exchange of a musical composition or copyright in a...

  3. Definition, diagnosis and treatment strategies for opioid-induced bowel dysfunction - Recommendations of the Nordic Working Group

    DEFF Research Database (Denmark)

    Drewes, Asbjørn Mohr; Munkholm, Pia; Simrén, Magnus

    2016-01-01

    and incomplete evacuation. Opioid-induced constipation (OIC) is one of its many symptoms and probably the most prevalent. The current review describes the pathophysiology, clinical implications and treatment of OIBD. Methods The Nordic Working Group was formed to provide input for Scandinavian specialists...... by exogenous opioids, there are changes in motility, secretion and absorption of fluids, and sphincter function that are reflected in clinical symptoms. The group supported a recent consensus statement for OIC, which takes into account the change in bowel habits for at least one week rather than focusing......, and they show advantages over laxatives. It should not be overlooked that many reasons for constipation other than OIBD exist, which should be taken into consideration in the individual patient. Conclusion and implications It is the belief of this Nordic Working Group that increased awareness of adverse effects...

  4. Treatment of multiple myeloma with high-risk cytogenetics: a consensus of the International Myeloma Working Group

    Science.gov (United States)

    Avet-Loiseau, Hervé; Lonial, Sagar; Usmani, Saad; Siegel, David; Anderson, Kenneth C.; Chng, Wee-Joo; Moreau, Philippe; Attal, Michel; Kyle, Robert A.; Caers, Jo; Hillengass, Jens; San Miguel, Jesús; van de Donk, Niels W. C. J.; Einsele, Hermann; Bladé, Joan; Durie, Brian G. M.; Goldschmidt, Hartmut; Mateos, María-Victoria; Palumbo, Antonio; Orlowski, Robert

    2016-01-01

    The International Myeloma Working Group consensus updates the definition for high-risk (HR) multiple myeloma based on cytogenetics Several cytogenetic abnormalities such as t(4;14), del(17/17p), t(14;16), t(14;20), nonhyperdiploidy, and gain(1q) were identified that confer poor prognosis. The prognosis of patients showing these abnormalities may vary with the choice of therapy. Treatment strategies have shown promise for HR cytogenetic diseases, such as proteasome inhibition in combination with lenalidomide/pomalidomide, double autologous stem cell transplant plus bortezomib, or combination of immunotherapy with lenalidomide or pomalidomide. Careful analysis of cytogenetic subgroups in trials comparing different treatments remains an important goal. Cross-trial comparisons may provide insight into the effect of new drugs in patients with cytogenetic abnormalities. However, to achieve this, consensus on definitions of analytical techniques, proportion of abnormal cells, and treatment regimens is needed. Based on data available today, bortezomib and carfilzomib treatment appear to improve complete response, progression-free survival, and overall survival in t(4;14) and del(17/17p), whereas lenalidomide may be associated with improved progression-free survival in t(4;14) and del(17/17p). Patients with multiple adverse cytogenetic abnormalities do not benefit from these agents. FISH data are implemented in the revised International Staging System for risk stratification. PMID:27002115

  5. How a masculine work ethic and economic circumstances affect uptake of HIV treatment: experiences of men from an artisanal gold mining community in rural eastern Uganda

    Directory of Open Access Journals (Sweden)

    Janet Seeley

    2012-06-01

    Full Text Available Background: Current data from Uganda indicate that, compared to women, men are under-represented in HIV treatment, seek treatment later and have a higher mortality while on antiretroviral therapy (ART. By focusing on a masculine work ethic as one of the most predominant expressions of masculinity, this study explores why for some men HIV treatment enhances their masculinity while for others it undermines masculine work identity, leading them to discontinue the treatment. Methods: Participant observation and 26 in-depth interviews with men were conducted in a gold mining village in Eastern Uganda between August 2009 and August 2010. Interviewees included men who were taking HIV treatment, who had discontinued treatment, who suspected HIV infection but had not sought testing, or who had other symptoms unrelated to HIV infection. Results: Many participants reported spending large proportions of their income, alleviating symptoms prior to confirming their HIV infection. This seriously undermined their sense of masculinity gained from providing for their families. Disclosing HIV diagnosis and treatment to employers and work colleagues could reduce job offers and/or collaborative work, as colleagues feared working with “ill” people. Drug side-effects affected work, leading some men to discontinue the treatment. Despite being on ART, some men believed their health remained fragile, leading them to opt out of hard work, contradicting their reputation as hard workers. However, some men on treatment talked about “resurrecting” due to ART and linked their current abilities to work again to good adherence. For some men, it was work colleagues who suggested testing and treatment-seeking following symptoms. Conclusions: The central role of a work ethic in expressing masculinity can both encourage and discourage men's treatment-seeking for AIDS. HIV testing and treatment may be sought in order to improve health and get back to work, thereby in the

  6. The short-run causal effect of tumor detection and treatment on psychosocial well-being, work, and income.

    Science.gov (United States)

    Cabus, Sofie J; Groot, Wim; Maassen van den Brink, Henriëtte

    2016-05-01

    This paper estimates the short-run causal effect of tumor detection and treatment on psychosocial well-being, work and income. Tumor detection can be considered as a random event, so that we can compare individuals' average outcomes in the year of diagnosis with the year before. We argue for using panel data estimation techniques that enable us to control for observed and unobserved information intrinsic to the individual and time constants. We use data of a national representative panel in the Netherlands that includes health survey information and data on work, education, and income between 2007 and 2012. Our findings show differences in the psychosocial dysfunction of men and women in response to tumor detection and treatment. Women, not men, are decreasingly likely to participate in the labor force as a result of malignant tumor detection, while no significant effects are found on her personal or household income. We also demonstrate that fixed effects panel data models are superior to matching techniques.

  7. Kinetic characterization and of recrystallization of the aluminum alloy 6063 after S work hardening treatment; Caracterizacao e cinetica de recristalizacao da liga de aluminio 6063 apos tratamentos termomecanicos

    Energy Technology Data Exchange (ETDEWEB)

    Esposito, Iara Maria

    2006-07-01

    The aluminum 6063 alloy possesses a great industrial interest, presenting characteristics that justify its frequent use, when compared to the other aluminum alloys: the precipitation hardening and high cold work capacity. These alloys present high ductility, that allows their use in operations with high deformation degrees, as the cold work. The objective of this work is to show comparative analysis of the hardness Vickers of the commercial aluminum 6063 alloy, after cold work with different area reduction degree and thermal treatment. Considering the frequent utilization aluminium 6063 alloy, this work studies the characterization and recrystallization of this alloy, after the plastic deformation in different area reduction degrees, thermal treatment and convenient treatment times - Thermo mechanic Treatments. (author)

  8. Patterns of work injuries: cases admitted to emergency room treatment compared to cases reported to the Danish Working Environment Authority during 2003-2010.

    Science.gov (United States)

    Lander, Flemming; Nielsen, Kent Jacob; Rasmussen, Kurt; Lauritsen, Jens M

    2014-02-01

    To compare work injuries treated in an emergency department (ED) and injuries reported to the Danish Working Environment Authority (DWEA). Work injuries of the ED, Odense University Hospital, and injuries from the geographical catchment area reported to the DWEA between 2003 and 2010 were included. The injuries included in both datasets were identified by merging the ED file and the DWEA file using the civil registry number and injury date information as key. Approximately 50 000 work injuries occurred in the catchment area of the ED. The intersection between the two injury registration systems was 16%. A major discordance concerned the type of injuries, as some injuries were seen frequently in the ED but not reported to the DWEA to any significant extent, for example 'eye injuries' and 'superficial lacerations or wounds'. On the other hand, some injuries are rarely seen in the ED, but often reported to the DWEA, for example 'low back pain'. Additionally, younger workers visit the ED more often than older workers, and injuries in the high risk sectors have the lowest reporting proportion. Neither the ED nor DWEA injury files alone give a complete picture of work injuries. But merged, they represent a significant number of injuries, taking into account differences in data sources, for example concerning uneven distribution of age, sex, type of injury and type of industry. Obviously, not all serious work related ED injuries resulting in lost work time are reported to the DWEA.

  9. Constructing the story: How nurses work with families regarding withdrawal of aggressive treatment in ICU – A narrative study.

    Science.gov (United States)

    Peden-McAlpine, Cynthia; Liaschenko, Joan; Traudt, Terri; Gilmore-Szott, Eleanor

    2015-07-01

    Specific communication practices used by experienced intensive care nurses who are comfortable working with dying patients and their families in ICU to reach consensus on withdrawal of aggressive treatment and shift to palliative care are lacking in the literature. However, there are seven international qualitative studies relevant to this research. Important themes related to communication were composed of four elements: general communication and relationship building, recognizing the need to transition to palliative care, facilitating palliative care, and providing dignified care through to death. To describe the specific communication practices experienced intensive care nurses' comfortable working with dying patients' use with families to negotiate consensus on withdrawal of aggressive treatment and/or shift to palliative are at end of life. A qualitative narrative study. Purposeful sampling was used to recruit nineteen experienced intensive care nurses. A narrative approach was used for data collection and analysis. Consistent with narrative inquiry the results describe an overall plot: "constructing the story" and five subplots that identify and describe communicative actions relevant to the plot. The five subplots are: (A) organizing and interpreting knowledge of different kinds from different sources; (B) learning who the patient is as a person and putting the medical diagnosis into the biographical life of the patient; (C) helping families see the deteriorating status of the patient; (D) imagining and acting on moral possibilities for end of life care; and (E) facilitating saying goodbye – the end of the story. Findings from this study enrich the understanding of how experienced nurses who are comfortable with dying patients communicate with families as they navigate the difficult path of transitioning from aggressive care to palliative care for their significant other in the intensive care unit. This research provides a beginning language that can

  10. The Association between Insomnia and Insomnia Treatment Side Effects on Health Status, Work Productivity, and Healthcare Resource Use.

    Directory of Open Access Journals (Sweden)

    Marco DiBonaventura

    Full Text Available The aims of this study were (1 to compare health outcomes (i.e., health-related quality of life [HRQoL], productivity at work, and healthcare resource use visits between those with insomnia and non-insomnia controls, (2 to compare health outcomes between those treated for insomnia and non-insomnia controls, and (3 to assess the prevalence of side effects of insomnia medications and their relationship with health outcomes. Data from the 2013 US (N = 75,000 and 5EU (N = 62,000 National Health and Wellness Survey (NHWS were used. The NHWS is a patient-reported survey administered to a demographically representative sample of adults. Those who met DSM-V criteria for insomnia and, separately, those treated for insomnia were compared with equivalently sized control groups who were identified using a propensity score matching method. Outcomes included HRQoL (Short Form 36v2, productivity at work (Work Productivity and Activity Impairment-General Health questionnaire, and healthcare resource use visits in the past 6 months and were analyzed using one-way ANOVAs. Among those with treated insomnia, those with and without side effects were compared on health outcomes using general linear models controlling for confounding variables. Patients with insomnia (n = 4147 and treated insomnia (n = 2860 in the 5EU reported significantly worse HRQoL than controls (health utilities: 0.60 vs. 0.74; 0.60 vs. 0.74, respectively, greater overall work impairment (38.74% vs. 14.86%; 39.50% vs. 15.66%, and more physician visits in the past 6 months (9.10 vs. 4.08; 9.58 vs. 4.11. Similar findings were observed in the US. Among those treated for insomnia, 13.56% and 24.55% in the US and 5EU, respectively, were non-adherent due to side effects. In the US, non-adherence was associated with significantly worse HRQoL (health utilities: 0.60 vs. 0.64, p <.05 and greater overall work impairment (37.71% vs. 29.08%, p <.05, among other significant differences. These relationships

  11. Influence of Different Surface Treatments of H13 Hot Work Die Steel on Its Thermal Fatigue Behaviors

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Thermal fatigue checking is the general failure of hot work die steels, which is relative with the structures and properties of the steels and the stress alternated during the employment. The Uddeholm test method on thermal fatigue is used to compare the behaviors of different samples, which are treated with plasma nitriding、plasma sulfur-carbon-nitriding、 boronizing or not treated. The results show that the nitriding improves the thermal fatigue property of the tool steel, while the plasma sulfur-carbon-nitriding and the boronizing impair the property. The mechanisms are induced as follows. By increasing the hardness and changing the stress distribution in the surface layer, surface treatment can decrease the plastic deformation and the tensile stress during the cycling. Therefore,the generation and growth of the cracks are restrained. On the other hand, as results of surface treating, in the surface layer the toughness declines and the expanding coefficient ascendes; the latter change caused the strengthening of the tensile and compressive stress during the cycling. Thus the resistance to thermal fatigue is weakened. Whether or not the surface treatment is favor to thermal fatigue of tool steels relies on which factor is dominant.

  12. Estimation of the electric power potential using wastewater sludge produced from the Percy Steward Wastewater Treatment Works (PS-WWTW) in Mogale City local municipality

    CSIR Research Space (South Africa)

    Mema, V

    2015-06-01

    Full Text Available Energy recovered from biogas in the form of methane can reduce the usage of electricity generated from fossil fuels thereby lessening greenhouse gas deposits into environment. Sewage sludge produced by Municipal Wastewater Treatment Works composes...

  13. 40 CFR 413.44 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ... elected by the source introducing treated process wastewater into a publicly owned treatment works with... user introducing wastewater pollutants into a publicly owned treatment works under the provisions of this subpart shall augment the use of process wastewater or otherwise dilute the wastewater as...

  14. 40 CFR 413.54 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ... elected by the source introducing treated process wastewater into a publicly owned treatment works with... user introducing wastewater pollutants into a publicly owned treatment works under the provisions of this subpart shall augment the use of process wastewater or otherwise dilute the wastewater as...

  15. 40 CFR 413.64 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ... introducing treated process wastewater into a publicly owned treatment works with the concurrence of the... existing sources (PSES): (a) No User introducing wastewater pollutants into publicly owned treatment works under the provisions of this subpart shall augment the use of process wastewater or otherwise dilute...

  16. 40 CFR 417.54 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Glycerine... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must... publicly owned treatment works by a point source subject to the provisions of this subpart. Pollutant or...

  17. 40 CFR 417.166 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Liquid... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply... publicly owned treatment works by a new source subject to the provisions of this subpart. (a) There shall...

  18. 40 CFR 417.156 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Spray Dried... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply... publicly owned treatment works by a new source subject to the provisions of this subpart. (a) There shall...

  19. 40 CFR 417.124 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Sulfamic Acid... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must... publicly owned treatment works by a point source subject to the provisions of this subpart. Pollutant or...

  20. 40 CFR 417.44 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Glycerine... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must... publicly owned treatment works by a point source subject to the provisions of this subpart. Pollutant or...

  1. 40 CFR 417.176 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Detergents by... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must... to a publicly owned treatment works by a new source subject to the provisions of this subpart. (a...

  2. 40 CFR 417.186 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Drum Dried... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply... publicly owned treatment works by a new source subject to the provisions of this subpart. (a) There shall...

  3. 40 CFR 417.144 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Neutralization of... publicly owned treatment works must comply with 40 CFR part 403. In addition, the following pretreatment... section which may be discharged to a publicly owned treatment works by a point source subject to the...

  4. 40 CFR 427.86 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Coating or Finishing of Asbestos... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply... publicly owned treatment works by a new point source subject to the provisions of this subpart....

  5. 40 CFR 427.44 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Paper (Elastomeric... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must... publicly owned treatment works by a point source subject to the provisions of this subpart. Pollutant...

  6. 40 CFR 427.34 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Paper (Starch... this subpart that introduces process wastewater pollutants into a publicly owned treatment works must... publicly owned treatment works by a point source subject to the provisions of this subpart. Pollutant...

  7. Affiliation to the work market after curative treatment of head-and-neck cancer: a population-based study from the DAHANCA database

    DEFF Research Database (Denmark)

    Kjær, Trille; Bøje, Charlotte Rotbøl; Olsen, Maja Halgren

    2013-01-01

    Survivors of squamous cell carcinoma of the head and neck (HNSCC) are more severely affected in regard to affiliation to the work market than other cancer survivors. Few studies have investigated associations between socioeconomic and disease-related factors and work market affiliation after cura...... curative treatment of HNSCC. We investigated the factors for early retirement pension due to disability and unemployment in patients who had been available for work one year before diagnosis....

  8. Effects of pH amendment on metal working fluid wastewater biological treatment using a defined bacterial consortium.

    Science.gov (United States)

    van der Gast, Christopher J; Thompson, Ian P

    2005-02-05

    The aim of this study was to determine whether pH amendment of a highly alkaline metal working fluid (MWF) wastewater would improve biological treatment in a bioreactor system following introduction of a bacterial inoculum (comprised of the following strains: Agrobacterium radiobacter, Comamonas testosteroni, Methylobacterium mesophilicum, Microbacterium esteraromaticum, and Microbacterium saperdae). The pH values tested were 6, 7, 8, and 9. Three replicate batch mode bioreactors inoculated with the bacterial inoculum (plus an abiotic control bioreactor) were operated for each of the four pH conditions. After 14 days, the final mean chemical oxygen demand (COD) reduction at pH 9 was 50 +/- 1.4%; at pH 8, 58 +/- 1.4%; pH 7, 65 +/- 1.0%; and pH 6, 75 +/- 2.7% of the initial COD (approximately 10,000 mg L(-1)), respectively. Interestingly, within 5 days, the pH in all inoculated bioreactors progressed toward pH 8. However, all abiotic control bioreactors remained at the pH at which they were amended. The fate of the inoculum, determined by denaturing gradient gel electrophoresis (DGGE) and by cluster analysis of the resulting DGGE profiles, revealed that the inocula survived throughout operation of all pH-amended bioreactors. Length-heterogeneity polymerase chain reaction (PCR) was used to track the population dynamics of individual strains. After 7 days of operation, M. esteraromaticum was the most abundant population in all bioreactors, regardless of pH. From our findings, it appears necessary to adjust the MWF wastewater from pH 9 to between 6 and 7, to achieve optimal biological treatment rates.

  9. Effects of a multidisciplinary stress treatment programme on patient return to work rate and symptom reduction: results from a randomised, wait-list controlled trial.

    Science.gov (United States)

    Netterstrøm, Bo; Friebel, Lene; Ladegaard, Yun

    2013-01-01

    To evaluate the efficacy of a multidisciplinary stress treatment programme. General practitioners referred 198 employed patients on sick leave with symptoms of persistent work-related stress. Using a waitlisted randomised controlled trial design, the participants were randomly divided into the following three groups: the intervention group (IG, 69 participants); treatment-as-usual control group (TAUCG, 71 participants), which received 12 consultations with a psychologist, and the waitlisted control group (WLCG, 58 participants). The stress treatment intervention consisted of nine 1-hour sessions conducted over 3 months. The goals of the sessions were the following: (1) identifying relevant stressors; (2) changing the participant's coping strategies; (3) adjusting the participant's workload and tasks, and (4) improving workplace dialogue. Each participant also attended a mindfulness-based stress reduction (MBSR) course for 2 h a week over 8 weeks. The IG and TAUCG showed significantly greater symptom level (Symptom Check List 92) reductions compared to the WLCG. Regarding the return to work (RTW) rate, 67% of participants in the IG returned to full-time work after treatment, which was a significantly higher rate than in the TAUCG (36%) and WLCG (24%). Significantly more participants in the IG (97%) increased their working hours during treatment compared with the participants in the control groups, TAUCG (71%) and WLCG (64%). The stress treatment programme--a combination of work place-focused psychotherapy and MBSR--significantly reduced stress symptom levels and increased RTW rates compared with the WLCG and TAUCG. Copyright © 2013 S. Karger AG, Basel.

  10. Limitation of sludge biotic index application for control of a wastewater treatment plant working with shock organic and ammonium loadings.

    Science.gov (United States)

    Drzewicki, Adam; Kulikowska, Dorota

    2011-11-01

    This study aimed to determine the relationship between activated sludge microfauna, the sludge biotic index (SBI) and the effluent quality of a full-scale municipal wastewater treatment plant (WWTP) working with shock organic and ammonium loadings caused by periodic wastewater delivery from septic tanks. Irrespective of high/low effluent quality in terms of COD, BOD5, ammonium and suspended solids, high SBI values (8-10), which correspond to the first quality class of sludge, were observed. High SBI values were connected with abundant taxonomic composition and the domination of crawling ciliates with shelled amoebae and attached ciliates. High SBI values, even at a low effluent quality, limit the usefulness of the index for monitoring the status of an activated sludge system and the effluent quality in municipal WWTP-treated wastewater from septic tanks. It was shown that a more sensitive indicator of effluent quality was a change in the abundance of attached ciliates with a narrow peristome (Vorticella infusionum and Opercularia coarctata), small flagellates and crawling ciliates (Acineria uncinata) feeding on flagellates.

  11. Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses.

    Science.gov (United States)

    Jaromi, Melinda; Nemeth, Andrea; Kranicz, Janos; Laczko, Tamas; Betlehem, Jozsef

    2012-06-01

    The purpose of the study was to measure the effectiveness of a spine training programme (Back School) in nurses who have been living with chronic low back pain. It was hypothesised that active therapy, ergonomics and education called Back School will significantly decrease the pain intensity levels and improve the body posture of the study participants. A chronic low back pain is a significant work-related health problem among healthcare workers around the world. Proper body posture is essential for decreasing pain in healthcare workers who have history of chronic low back pain. By teaching proper body posture and with the creation of occupational settings that are 'spine-friendly' hospitals and other healthcare settings can significantly lower the suffering of their nursing staff. Single-blinded randomised controlled trial was utilised with six- and 12-months follow-up. The study was carried out at the University of Pecs, Faculty of Health Sciences from 2007 to 2008 involving 124 nurses with low back pain. Participants were randomly assigned to the study group (who have received ergonomics training and education called Back School) with an intervention conducted once a week for a six-week period. The control group received passive physiotherapy once a week for a six-week period. Further follow-up measurements were conducted at six and 12 months, respectively. The study variables and outcome measures were pain intensity and body posture (angle of thoracic kyphosis and lumbar lordosis). The pain intensity was investigated with the Visual Analogue Scale. Body posture was recorded and analysed with the Zebris biomechanical motion analysis system. The statistical analysis of repeated measures indicated a significant decrease in back pain intensity after the therapy in both groups, compared with measurements before the therapy; however, the BS group showed significantly better results during the six-month and one-year follow-up period. The biomechanical analysis of

  12. Role of Perceived Fair Interpersonal Treatment and Organization-Based Self-Esteem in Innovative Work Behavior in a Nigerian Bank

    Directory of Open Access Journals (Sweden)

    Oluyinka Ojedokun

    2012-10-01

    Full Text Available The purpose of this study is to examine the role of perceived fair interpersonal treatment, organization-based self-esteem, and some demographic characteristics in innovative work behavior among employees of a Nigerian bank. Data were collected from a randomly selected sample of 185 employees through a structured questionnaire. Hierarchical multiple regression and One-Way Analysis of Variance were carried out to test hypotheses. The results reveal significant positive influence of perceived fair interpersonal treatment and organization-based self-esteem on innovative work behavior. Lastly, the results show significant effect of level of education on innovative work behavior. The findings suggest that perceived fair interpersonal treatment and organization-based self-esteem are important predictors of innovative work behavior. Therefore, organizations should focus on improving the levels of organizational based self-esteem among employees who scored low on this trait by providing more recognition and importance. They should also strive to ensure fair interpersonal treatment among employees in order to promote motivation to engage in innovative work behavior.

  13. The Continuing Care Model of Substance Use Treatment: What Works, and When Is “Enough,” “Enough?”

    Directory of Open Access Journals (Sweden)

    Steven L. Proctor

    2014-01-01

    Full Text Available There is little disagreement in the substance use treatment literature regarding the conceptualization of substance dependence as a cyclic, chronic condition consisting of alternating episodes of treatment and subsequent relapse. Likewise, substance use treatment efforts are increasingly being contextualized within a similar disease management framework, much like that of other chronic medical conditions (diabetes, hypertension, etc.. As such, substance use treatment has generally been viewed as a process comprised of two phases. Theoretically, the incorporation of some form of lower intensity continuing care services delivered in the context of outpatient treatment after the primary treatment phase (e.g., residential appears to be a likely requisite if all stakeholders aspire to successful long-term clinical outcomes. Thus, the overarching objective of any continuing care model should be to sustain treatment gains attained in the primary phase in an effort to ultimately prevent relapse. Given the extant treatment literature clearly supports the contention that treatment is superior to no treatment, and longer lengths of stay is associated with a variety of positive outcomes, the more prudent question appears to be not whether treatment works, but rather what are the specific programmatic elements (e.g., duration, intensity that comprise an adequate continuing care model. Generally speaking, it appears that the duration of continuing care should extend for a minimum of 3 to 6 months. However, continuing care over a protracted period of up to 12 months appears to be essential if a reasonable expectation of robust recovery is desired. Limitations of prior work and implications for routine clinical practice are also discussed.

  14. Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Bech, Per

    2010-01-01

    Medicine) completed a stress treatment programme consisted of the following:1) Identification of relevant stressors. 2. Changing the coping strategies of the participants. 3. Evaluating/changes in participant workload and tasks. 4. Relaxation techniques. 5. Physical exercise. 6. Psychiatric evaluation when...... was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW) rate in persons with work-related stress and establish predictive factors for this outcome. METHODS: During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational...... indicated by depression test score.On average each patient attended six one-hour sessions over the course of four months.A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline...

  15. Why it's important for it to stop: Examining the mental health correlates of bullying and ill-treatment at work in a cohort study.

    Science.gov (United States)

    Butterworth, Peter; Leach, Liana S; Kiely, Kim M

    2016-11-01

    There is limited Australian information on the prevalence and mental health consequences of bullying and ill-treatment at work. The aims of this study were to use data from an ongoing Australian longitudinal cohort study to (1) compare different measures of workplace bullying, (2) estimate the prevalence of bullying and ill-treatment at work, (3) evaluate whether workplace bullying is distinct from other adverse work characteristics and (4) examine the unique contribution of workplace bullying to common mental disorders in mid-life. The sample comprised 1466 participants (52% women) aged 52-58 from wave four of the Personality and Total Health (PATH) through Life study. Workplace bullying was assessed by a single item of self-labelling measure of bullying and a 15-item scale of bullying-related behaviours experienced in the past 6 months. Factor analysis the identified underlying factor structure of the behavioural bullying scale. Current bullying was reported by 7.0% of respondents, while 46.4% of respondents reported that they had been bullied at some point in their working life. Person-related and work-related bullying behaviours were more common than violence and intimidation. The multi-dimensional scale of bullying behaviours had greater concordance with a single item of self-labelled bullying (Area Under the Curve = 0.88) than other adverse work characteristics (all Area Under the Curves work-related bullying were independent predictors of depression and/or anxiety. This study provides unique information on the prevalence and mental health impacts of workplace bullying and ill-treatment in Australia. Workplace bullying is a relatively common experience, and is associated with increased risk of depression and anxiety. Greater attention to identifying and preventing bullying and ill-treatment in the workplace is warranted. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  16. 76 FR 6553 - Time and Manner for Electing Capital Asset Treatment for Certain Self-Created Musical Works

    Science.gov (United States)

    2011-02-07

    ... for Certain Self-Created Musical Works AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Final... provides the time and manner rules for electing to treat the sale or exchange of a musical composition or a copyright in a musical work created by the taxpayer (or received by the taxpayer from the composition or...

  17. Men Who Are Abusive to Their Female Intimate Partners: Incorporating Family of Origin Work into Group Treatment

    Science.gov (United States)

    Musick-Neily, Erin Francess; McBride, Dawn Lorraine

    2012-01-01

    This paper examines and provides a rationale for incorporating past victimization into group treatment for men who have been abusive to their female intimate partners. It begins with providing a general overview of the issue of family violence in Canada and in the U.S including statistics and an overview of group treatment effectiveness overall.…

  18. [Diagnosis and treatment of gastroesophageal reflux disease in the mentally retarded: guidelines of a multidisciplinary consensus work group. Dutch Association of Physicians in Care of Mentally Handicapped].

    Science.gov (United States)

    Gimbel, H

    2000-06-10

    Gastroesophageal reflux disease (GORD) is more frequent among people with intellectual disability than among the intellectually normal population. Also GORD is more serious in this population. The diagnosis is often missed, because most intellectually disabled cannot express their complaints of GORD. For that reason a multidisciplinary working group of the Dutch Association of physicians active in the care of persons with a mental handicap has developed guidelines. The working group recommends endoscopy in case of a (alarm) symptoms: haematemesis, prolonged vomiting, irondeficiency anaemia e.c.i., and a 24 hour oesophageal pH test in case of b (aspecific) symptoms: recurrent pneumonia, refusal of food, regurgitation, rumination, dental erosions. In general most patients are cured with drug treatment (omeprazol or another proton pump inhibitor). If symptoms are not improved after 6 months of optimal treatment, surgical treatment may be considered.

  19. Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

    Directory of Open Access Journals (Sweden)

    Bech Per

    2010-11-01

    Full Text Available Abstract Background In recent years an increasing number of patients have been referred to the medical sector with stress symptoms. Moreover, these conditions imply increased sickness absence. This indicates a need for treatment programmes in general medical practice. The aim of this study was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW rate in persons with work-related stress and establish predictive factors for this outcome. Methods During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational Medicine completed a stress treatment programme consisted of the following: 1 Identification of relevant stressors. 2. Changing the coping strategies of the participants. 3. Evaluating/changes in participant workload and tasks. 4. Relaxation techniques. 5. Physical exercise. 6. Psychiatric evaluation when indicated by depression test score. On average each patient attended six one-hour sessions over the course of four months. A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline and after four months. A specialist in occupational medicine carried out all sessions. Return To Work (RTW, defined as having a job and not being on sick leave at the census, was used as outcome measure four months after baseline, and after one and two years. Results The level of sick leave in the stress treatment group dropped from 52% to 16% during the first four months of follow-up and remained stable. In the control group, the reduction in sick leave was significantly smaller, ranging from 48% at baseline to 27% after four months and 24% after one year. No statistically significant difference between the two groups was observed after one and two years. Age below 50 years and being a manager increased the odds ratio for RTW after one and two years

  20. Training emotional intelligence related to treatment skills of staff working with clients with intellectual disabilities and challenging behaviour

    NARCIS (Netherlands)

    Zijlmans, L.J.M.; Embregts, P.J.C.M.; Gerits, L.; Bosman, A.M.T.; Derksen, J.J.L.

    2011-01-01

    Background - Staff working with clients with intellectual disabilities (ID) who display challenging behaviour may contribute to the continuation of this behaviour, because it causes emotional reactions such as anxiety, anger and annoyance, which may prohibit adequate response behaviour. To enhance

  1. Stereotactic radiosurgery for treatment of brain metastases. A report of the DEGRO Working Group on Stereotactic Radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Kocher, Martin [University Hospital Cologne, Department of Radiation Oncology, Koeln (Germany); Wittig, Andrea [Philips-University Marburg, Department of Radiotherapy and Radiation Oncology, Marburg (Germany); Piroth, Marc Dieter [University Hospital RWTH Aachen, Department of Radiotherapy and Radiation Oncology, Aachen (Germany); Helios-Klinikum Wuppertal, Klinik fuer Strahlentherapie und Radio-Onkologie, Wuppertal (Germany); Treuer, Harald; Ruge, Maximilian [University Hospital Cologne, Department of Stereotaxy and Functional Neurosurgery, Koeln (Germany); Seegenschmiedt, Heinrich [Strahlenzentrum Hamburg, Radioonkologie und Strahlentherapie, Hamburg (Germany); Grosu, Anca-Ligia [University Hospital Freiburg, Department of Radiation Oncology, Freiburg (Germany); Guckenberger, Matthias [University of Wuerzburg, Department of Radiation Oncology, Wuerzburg (Germany); University Hospital Zurich, Department of Radiation Oncology, Zuerich (Switzerland)

    2014-06-15

    This report from the Working Group on Stereotaktische Radiotherapie of the German Society of Radiation Oncology (Deutsche Gesellschaft fuer Radioonkologie, DEGRO) provides recommendations for the use of stereotactic radiosurgery (SRS) on patients with brain metastases. It considers existing international guidelines and details them where appropriate. The main recommendations are: Patients with solid tumors except germ cell tumors and small-cell lung cancer with a life expectancy of more than 3 months suffering from a single brain metastasis of less than 3 cm in diameter should be considered for SRS. Especially when metastases are not amenable to surgery, are located in the brain stem, and have no mass effect, SRS should be offered to the patient. For multiple (two to four) metastases - all less than 2.5 cm in diameter - in patients with a life expectancy of more than 3 months, SRS should be used rather than whole-brain radiotherapy (WBRT). Adjuvant WBRT after SRS for both single and multiple (two to four) metastases increases local control and reduces the frequency of distant brain metastases, but does not prolong survival when compared with SRS and salvage treatment. As WBRT carries the risk of inducing neurocognitive damage, it seems reasonable to withhold WBRT for as long as possible. A single (marginal) dose of 20 Gy is a reasonable choice that balances the effect on the treated lesion (local control, partial remission) against the risk of late side effects (radionecrosis). Higher doses (22-25 Gy) may be used for smaller (< 1 cm) lesions, while a dose reduction to 18 Gy may be necessary for lesions greater than 2.5-3 cm. As the infiltration zone of the brain metastases is usually small, the GTV-CTV (gross tumor volume-clinical target volume) margin should be in the range of 0-1 mm. The CTV-PTV (planning target volume) margin depends on the treatment technique and should lie in the range of 0-2 mm. Distant brain recurrences fulfilling the aforementioned criteria

  2. Community mapping of sex work criminalization and violence: impacts on HIV treatment interruptions among marginalized women living with HIV in Vancouver, Canada.

    Science.gov (United States)

    Goldenberg, Shira M; Deering, Kathleen; Amram, Ofer; Guillemi, Silvia; Nguyen, Paul; Montaner, Julio; Shannon, Kate

    2017-01-01

    Despite the high HIV burden faced by sex workers, data on access and retention in antiretroviral therapy (ART) are limited. Using an innovative spatial epidemiological approach, we explored how the social geography of sex work criminalization and violence impacts HIV treatment interruptions among sex workers living with HIV in Vancouver over a 3.5-year period. Drawing upon data from a community-based cohort (AESHA, 2010-2013) and linked external administrative data on ART dispensation, GIS mapping and multivariable logistic regression with generalized estimating equations to prospectively examine the effects of spatial criminalization and violence near women's places of residence on 2-day ART interruptions. Analyses were restricted to 66 ART-exposed women who contributed 208 observations and 83 ART interruption events. In adjusted multivariable models, heightened density of displacement due to policing independently correlated with HIV treatment interruptions (AOR: 1.02, 95%CI: 1.00-1.04); density of legal restrictions (AOR: 1.30, 95%CI: 0.97-1.76) and a combined measure of criminalization/violence (AOR: 1.00, 95%CI: 1.00-1.01) were marginally correlated. The social geography of sex work criminalization may undermine access to essential medicines, including HIV treatment. Interventions to promote 'enabling environments' (e.g. peer-led models, safer living/working spaces) should be explored, alongside policy reforms to ensure uninterrupted treatment access.

  3. Importance of HER2 Work-Up and Treatment Even in Patients with Poor Performance Status: A Case Report

    Science.gov (United States)

    Suner, Ali; Balakan, Ozan; Kalender, Mehmet Emin; Ulas, Turgay; Sevinc, Alper; Camci, Celalettin

    2014-01-01

    Gastric cancer is one of most common types of cancers. Metastatic gastric cancer has a poor prognosis and is accepted as incurable at this stage. Treatment of metastatic gastric cancer did not progress substantially until new targeted agents have come out. Recently published ToGA trial showed promising results in HER2 overexpressing metastatic gastric cancer. In this case we present a case with an excellent complete response with anti-HER2 treatment. Most importantly, we wanted to emphasize (1) the importance of early determination of HER2 overexpression, and (2) to draw attention of anti-HER2 agents in the first line treatment even in patients with a poor performance status. PMID:24822142

  4. Evaluation of an algorithm for the treatment of persistent diarrhoea: a multicentre study. International Working Group on Persistent Diarrhoea.

    Science.gov (United States)

    1996-01-01

    Described are the findings of a multicentre cohort study to test an algorithm for the treatment of persistent diarrhoea relying on the use of locally available, inexpensive foods, vitamin and mineral supplementation, and the selective use of antibiotics to treat associated infections. The initial diet (A) contained cereals, vegetable oil, and animal milk or yoghurt. The diet (B) offered when the patient did not improve with the initial regimen was lactose free, and the energy from cereals was partially replaced by simple sugars. A total of 460 children with persistent diarrhoea, aged 4-36 months, were enrolled at study centres in Bangladesh, India, Mexico, Pakistan, Peru, and Viet Nam. The study population was young (11.5 +/- 5.7 months) and malnourished (mean weight-for-age Z-score, -3.03 +/- 0.86), and severe associated conditions were common (45% required rehydration or treatment of severe infections on admission). The overall success rate of the treatment algorithm was 80% (95% CI, 76-84%). The recovery rate among all children with only diet A was 65% (95% CI, 61-70%), and was 71% (95% CI, 62-81%) for those evaluated after receiving diet B. The children at the greatest risk for treatment failure were those who had acute associated illnesses (including cholera, septicaemia, and urinary tract infections), required intravenous antibiotics, and had the highest initial purging rates. Our results indicate that the short-term treatment of persistent diarrhoea can be accomplished safely and effectively, in the majority of patients, using an algorithm relying primarily on locally available foods and simple clinical guidelines. This study should help establish rational and effective treatment for persistent diarrhoea.

  5. Ability to join the workforce and work productivity among drug users under methadone maintenance treatment in a mountainous area of Northern Vietnam: a cross-sectional study.

    Science.gov (United States)

    Nong, Vuong Minh; Boggiano, Victoria L; Nguyen, Lan Huong Thi; Nguyen, Cuong Tat; Nguyen, Long Hoang; Xuan Bach, Tran; Nguyen, Hung Van; Hoang, Canh Dinh; Latkin, Carl A; Vu, Minh Thuc Thi

    2017-07-26

    A major measure of treatment success for drug users undergoing rehabilitation is the ability to enter the workforce and generate income. This study examines the absenteeism and productivity among people who inject drugs (PWID) enrolled in methadone maintenance treatment (MMT) in Northern Vietnam. We conducted a cross-sectional study in two clinics in Tuyen Quang province. A total of 241 patients enrolled in MMT. Patients' work productivity was measured using the WPAI-GH instrument (Work Productivity and Activity Impairment Questionnaire: General Health V2.0). We also collected additional characteristics about participants' employment history, such as proficient jobs, whether they actively found a new job and be accepted by employers. Most of the participants (>90%) were employed at the time of the study. Rates of absenteeism (missed work), presenteeism (impairment while working) and overall loss of productivity were 15.8%, 5.6% and 11.2%, respectively, as measured by the WPAI-GH questionnaire. The most proficient job was 'freelancer' (17.5%), followed by 'blue-collar worker' (10.6%) and 'farmer' (10.2%). Only 26.8% of patients reported that they actively sought jobs in the past. About half of them had been refused by employers because of their drug use history and/or HIV status. We found no statistically significant difference between patients enrolled in MMT for 1 year. Factors associated with higher work productivity included not endorsing problems in mobility, self-care or pain; being HIV-negative and having greater MMT treatment adherence. Our study highlights the high employment rate and work productivity among PWID in MMT programmes in remote areas of Northern Vietnam. The results can help to improve the quality and structure of MMT programmes across Vietnam and in other countries. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise

  6. 污水处理厂建设监理工作要点探析%Analysis of the Construction Supervision Work Essentials in Sewage Treatment Plant

    Institute of Scientific and Technical Information of China (English)

    梁雅丹

    2014-01-01

    Sewage treatment plant is the terminal of urban sewage treatment. To do a good job of the supervision control work in the sewage treatment plant construction project is beneficial to accelerate the construction of sewage treatment plants. This article carries on the analysis of the construction supervision work essentials of sewage treatment plant, and elaborates the essentials from the aspects of measurement set-ting out, foundation and foundation engineering, main struc-ture construction, and equipment instalation as wel as comm-issioning in detail.%污水处理厂是城镇污水处理的终端,做好污水处理厂建设工程监理控制工作,有利于加快污水处理厂建设。本文对污水处理厂建设监理工作要点进行探析,从测量放线、地基与基础工程、主要构筑物施工以及设备安装与调试方面做了详细阐述。

  7. Training emotional intelligence related to treatment skills of staff working with clients with intellectual disabilities and challenging behaviour

    NARCIS (Netherlands)

    Zijlmans, L.J.M.; Embregts, P.J.C.M.; Gerits, L.; Bosman, A.M.T.; Derksen, J.J.L.

    2011-01-01

    Background - Staff working with clients with intellectual disabilities (ID) who display challenging behaviour may contribute to the continuation of this behaviour, because it causes emotional reactions such as anxiety, anger and annoyance, which may prohibit adequate response behaviour. To enhance s

  8. Assessment and Treatment of Short-Term and Working Memory Impairments in Stroke Aphasia: A Practical Tutorial

    Science.gov (United States)

    Salis, Christos; Kelly, Helen; Code, Chris

    2015-01-01

    Background: Aphasia following stroke refers to impairments that affect the comprehension and expression of spoken and/or written language, and co-occurring cognitive deficits are common. In this paper we focus on short-term and working memory impairments that impact on the ability to retain and manipulate auditory-verbal information. Evidence from…

  9. Knowledge and Attitude of Faculty Members Working in Dental Institutions towards the Dental Treatment of Patients with HIV/AIDS

    Science.gov (United States)

    Oberoi, Sukhvinder Singh; Sharma, Nilima; Mohanty, Vikrant; Marya, Charumohan; Rekhi, Amit; Oberoi, Avneet

    2014-01-01

    Background. Dentists have an ethical responsibility to provide treatment to HIV-infected patients, particularly because oral lesions are common among these patients. However, there are no official guidelines as to how to treat people living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) (PLWHA) or how to screen for potentially infectious people. Materials and Method. A descriptive cross-sectional questionnaire based study which assessed the knowledge and attitude of the faculty members towards the treatment of patients with HIV/AIDS was carried out in the Sudha Rustagi College of Dental Sciences, Faridabad, and Maulana Azad Institute of Dental Sciences, New Delhi. Results. The willingness to treat patients with HIV was found to be 86.0% among the faculty members in the present study. The majority (79%) of the faculty members thought that treating an HIV-positive patient is ethical responsibility of the dentist. There was a positive attitude (88.0%) among faculty members that routine dental care should be a part of the treatment of patients with HIV/AIDS. Conclusion. The level of knowledge regarding HIV and AIDS was acceptable in the present study. However, continuing dental education (CDE) programmes should be conducted on a regular basis for updating the knowledge level of the faculty members towards the dental treatment of patients with HIV/AIDS patients. PMID:27379262

  10. 'It's intense, to an extent': a qualitative study of the emotional challenges faced by staff working on a treatment programme for intellectually disabled sex offenders.

    Science.gov (United States)

    Sandhu, Daljit K; Rose, John; Rostill-Brookes, Helen J; Thrift, Su

    2012-07-01

    This study explores the emotional challenges faced by staff working on a sex offender treatment programme for people with an intellectual disability. Semi-structured interviews were carried out with eight participants working on a treatment programme for sex offenders with an intellectual disability. Interviews were analysed using interpretative phenomenological analysis. Staff experienced a range of negative emotions that they dealt with in a variety of ways including through the use of humour and various emotional defences. Empathy was a challenging and complex issue with individuals taking a variety of positions. Staff awareness and understanding of the role of emotions in relation to their own well-being and in relation to therapeutic processes varied. Emotional intelligence was associated with greater therapeutic understanding. Recommendations are made in relation to personal and professional characteristics and need for clinical supervision to support staff well-being and the development of therapeutic competence and effectiveness. © 2012 Blackwell Publishing Ltd.

  11. The effects of a group based stress treatment program (the Kalmia concept) targeting stress reduction and return to work. A randomized, wait-list controlled trial

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Friebel, Lene; Ladegaard, Yun Katrine

    2012-01-01

    Abstract Objective The aim of this study was to evaluate the effects of a group based multidisciplinary stress treatment program on reductions in symptom levels and the return to work (RTW) rate. Methods General practitioners referred 199 patients with persistent work related stress symptoms......%) and the WLCG (24%). Conclusion The stress treatment program significantly reduced symptom levels and increased the RTW rate in the IG compared to the TAUCG and the WLCG. ISRCTN52839015...... to the project. The inclusion criteria included being employed and being on sick leave. Using a randomized wait- list control design, the participants were randomized into three groups: the intervention group (IG, 70 participants) was treated using the Stress Therapy Concept of Kalmia, which consists...

  12. An Assessment of the Model of Concentration Addition for Predicting the Estrogenic Activity of Chemical Mixtures in Wastewater Treatment Works Effluents

    OpenAIRE

    Thorpe, Karen L.; Gross-Sorokin, Melanie; Johnson, Ian; Brighty, Geoff; Tyler, Charles R.

    2005-01-01

    The effects of simple mixtures of chemicals, with similar mechanisms of action, can be predicted using the concentration addition model (CA). The ability of this model to predict the estrogenic effects of more complex mixtures such as effluent discharges, however, has yet to be established. Effluents from 43 U.K. wastewater treatment works were analyzed for the presence of the principal estrogenic chemical contaminants, estradiol, estrone, ethinylestradiol, and nonylphenol. The measured conce...

  13. Life cycle assessment of a water supply and wastewater treatment system. A case study of Tampere Water Works; Vesihuollon elinkaaritutkimus. Tampereen vesilaitoksen vaikutukset ympaeristoeoen

    Energy Technology Data Exchange (ETDEWEB)

    Tenhunen, J.; Oinonen, J.; Seppaelae, J.

    2000-09-01

    In this study, the Life Cycle Assessment (LCA) of Tampere Water Works was conducted in Finland. The main aims of the study were to assess the environmental impacts of water supply and wastewater treatment and to explain the question 'To what extent is it worthwhile to treat wastewater from the point of view of the environment?' In the study emissions caused by Tampere Water Works were assessed by the impact assessment method in which Finland-specific conditions are taken into account. This case study shows that the environmental impacts of final effluent are much higher than those caused by the wastewater treatment. Energy production needed in wastewater treatment and other subsystems in Water Works is the most important source of the environmental impacts after the treated wastewater. According to this study wastewater management in Tampere seems to be efficient and successful from the point of view of the environment. Furthermore the potential impacts of final effluent were considerably smaller than the impacts of direct emissions from energy production, industry and road traffic in Tampere. (orig.)

  14. [Update of recommendations for evaluation and treatment of osteoporosis associated to endocrine and nutritional conditions. Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology].

    Science.gov (United States)

    Reyes-García, Rebeca; García-Martín, Antonia; Varsavsky, Mariela; Rozas-Moreno, Pedro; Cortés-Berdonces, María; Luque-Fernández, Inés; Gómez Sáez, José Manuel; Vidal Casariego, Alfonso; Romero Muñoz, Manuel; Guadalix Iglesias, Sonsoles; Fernández García, Diego; Jódar Gimeno, Esteban; Muñoz Torres, Manuel

    2015-05-01

    To update previous recommendations developed by the Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology and Nutrition for the evaluation and treatment of osteoporosis associated to different endocrine and nutritional diseases. Members of the Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology and Nutrition. Recommendations were formulated according to the GRADE system (Grading of Recommendations, Assessment, Development, and Evaluation) to describe both the strength of recommendations and the quality of evidence. A systematic search was made in MEDLINE (Pubmed) using the following terms associated to the name of each condition: AND "osteoporosis", "fractures", "bone mineral density", and "treatment". Papers in English with publication date between 18 October 2011 and 30 October 2014 were included. The recommendations were discussed and approved by all members of the Working Group. This update summarizes the new data regarding evaluation and treatment of osteoporosis associated to endocrine and nutritional conditions. Copyright © 2015 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  15. The role of patient attachment and working alliance on patient adherence, satisfaction, and health-related quality of life in lupus treatment.

    Science.gov (United States)

    Bennett, Jennifer K; Fuertes, Jairo N; Keitel, Merle; Phillips, Robert

    2011-10-01

    Researchers tested the hypothesis that patients' working alliance with their physicians, and patients' attachment styles would predict patients' adherence, satisfaction, and health-related quality of life. One hundred ninety-three patients diagnosed with lupus participated in an online survey. They completed measures of the Physician-Patient Alliance Inventory, Experiences in Close Relationships Scale, SF-36, General Adherence Inventory, and the Medical Patient Satisfaction Questionnaire. Working alliance was significantly and positively associated with all three outcome variables of adherence, satisfaction, and quality of life. Attachment avoidance was significantly and negatively related to adherence, and attachment anxiety was significantly and negatively related to health-related quality of life. A working alliance between physician and patient, characterized by agreement communication on goals and tasks of treatment, along with trust and patient liking of his/her doctor, predicts patient adherence, satisfaction, and quality of life. Psychological dimensions of attachment also predict patient adherence and quality of life. Doctors and other health service providers ought to actively set goals and tasks of treatment, and foster patient trust and liking. A strong relationship with patients can increase treatment efficacy and effectiveness and improve outcomes for individuals with debilitating chronic illnesses such as lupus. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  16. Treatment

    National Research Council Canada - National Science Library

    Safaa M. Raghab; Ahmed M. Abd El Meguid; Hala A. Hegazi

    2013-01-01

    .... This paper presents the results of the analyses of leachate treatment from the solid waste landfill located in Borg El Arab landfill in Alexandria using an aerobic treatment process which was applied...

  17. Person--job match among frontline staff working in residential treatment centers: the impact of personality and child psychopathology on burnout experiences.

    Science.gov (United States)

    Leon, Scott C; Visscher, Linn; Sugimura, Niwako; Lakin, Brittany L

    2008-04-01

    Prior research has shown that the personality variables extraversion and neuroticism predict burnout among frontline staff working in residential treatment centers. This study tested the hypothesis that the effect of personality on burnout would be moderated by the psychiatric characteristics of the youth served on the milieu. Two hundred and three frontline staff working in 21 residential treatment centers in Illinois serving troubled youth completed surveys regarding opinions about their jobs, the Big Five Inventory (BFI), a youth presenting problems scale for the entire milieu, and the Maslach Burnout Inventory (MBI). Results indicated that the effect of neuroticism on burnout is moderated by psychosis and posttraumatic stress disorder (PTSD); high and moderate milieu ratings of psychosis and PTSD showed a positive relationship between neurosis and burnout, while low ratings of these conditions showed no relationship. These findings suggest that the optimal work setting is a function of the interaction between specific personality characteristics and specific work environments, with implications for personnel selection and future research on person-environment fit.

  18. Utilisation of the National Antiretroviral Therapy Guidelines among health care professionals working in Abuja treatment centres, Nigeria

    Directory of Open Access Journals (Sweden)

    Lindiwe I. Zungu

    2009-04-01

    Full Text Available Background: Access to and utilisations of the National Antiretroviral Treatment Guidelines (NATG are valuable factors for effective programme implementation. The objective of this study was to investigate the accessibility of the NATG and their utilisation by health care professionals from five treatment centres in Abuja, Nigeria.Method: A quantitative cross-sectional descriptive survey was conducted in 2007 using purposively sampled health care professionals. Questionnaires were self-administered to participants who consented in writing to participate in the survey.Results: 97 health care professionals participated in this study with about equal numbers of men and women: 48 (49.5% women and 49 (50.5% men. Of these, 21.6% were unaware of the existence of the NATG in their treatment centres. More than half (51.5% reported that they did not have access to the NATG as opposed to those (48.5% who had access to the guidelines. Furthermore, 16.5% of the participants confirmed that they had access to an institutional copy of the NATG while 14.4% indicated that they had individual copies and only 3.1% stated that they had individual copies and access to the hospital copy as well. Regarding utilisation of the NATG, 41.2% rarely used them, 32.9% never used them and only 25.7% often used them. The most frequent use of the NATG was among pharmacists (38.1% compared to the least frequent use among nurses (20.0%.Conclusion: Poor accessibility of the NATG may have a negative impact on guidelines utilisation among health care professionals in Nigeria.

  19. Semi-analytic calculation of transient temperature field of laser treatment on an arbitrary shape work-piece

    Science.gov (United States)

    Junchang, Li; Xingyi, Li; Castex, L.

    2003-01-01

    From analytical solutions of the heat conduction equation in an infinite continuous medium with invariable thermal physical properties, the paper regards a laser-irradiated body as a part of the continuous medium, adopts the weighing function of laser power related to the shape of the body, and then gives a semi-analytical approach. The method can approximately estimate the instantaneous temperature field of laser irradiation on an arbitrary shape surface. Comparison of calculation results with accuracy solutions is presented. Finally, examples applied to estimate phase transformation hardening stripes of laser irradiation on cylinder work-pieces are given.

  20. [Supervision of junior doctors and allocation of work tasks regarding admissions and further treatment of acute admitted patients.

    DEFF Research Database (Denmark)

    Folkestad, Lars; Brabrand, Mikkel; Hallas, Peter

    2010-01-01

    -up of patients with clinical deterioration at the wards. RESULTS: A total of 88 interns with an average of 2.8 months of experience were included in the survey. Sixty percent of the interns answered that they initially dealt with acute admissions. During the day, patients with clinical deterioration......INTRODUCTION: It is being debated whether medical staff working at the emergency departments with acute admission services dealing with medical patients have the required professional competence level. It has not previously been documented which doctors see the acute admissions initially...... are the responsibility of the physicians doing their rounds at the ward. During evening and night hours, 80% of interns say that patients with clinical deterioration are their responsibility. Fifty four percent of participants care for medical patients as they initially arrive at the emergency room. The interns consult...

  1. [Pharmacological treatment of dementia: when, how and for how long. Recommendations of the Working Group on Dementia of the Catalan Society of Geriatrics and Gerontology].

    Science.gov (United States)

    Rodríguez, Daniel; Formiga, Francesc; Fort, Isabel; Robles, María José; Barranco, Elena; Cubí, Dolors

    2012-01-01

    Dementia in general--and Alzheimer's disease (AD) in particular--are bound to loom large among the most acute healthcare, social, and public health problems of the 21st century. AD shows a degenerative progression that can be slowed down--yet not halted--by today's most widely accepted specific treatments (those based on cholinesterase inhibitors as well as those using memantine). There is enough evidence to consider these treatments advisable for the mild, moderate and severe phases of the illness. However, in the final stage of the disease, a decision has to be made on whether to withdraw such treatment or not. In this paper, the Working Group on Dementia for the Catalan Society of Geriatrics and Gerontology reviews the use of these specific pharmacological treatments for AD, and, drawing on the scientific evidence thus gathered, makes a series of recommendations on when, how, and for how long, the currently existing specific pharmacological treatments should be used. Copyright © 2011 SEGG. Published by Elsevier Espana. All rights reserved.

  2. [Clinical practice guidelines for evaluation and treatment of osteoporosis associated to endocrine and nutritional conditions. Bone Metabolism Working Group of the Spanish Society of Endocrinology].

    Science.gov (United States)

    Reyes García, Rebeca; Jódar Gimeno, Esteban; García Martín, Antonia; Romero Muñoz, Manuel; Gómez Sáez, José Manuel; Luque Fernández, Inés; Varsavsky, Mariela; Guadalix Iglesias, Sonsoles; Cano Rodriguez, Isidoro; Ballesteros Pomar, María Dolores; Vidal Casariego, Alfonso; Rozas Moreno, Pedro; Cortés Berdonces, María; Fernández García, Diego; Calleja Canelas, Amparo; Palma Moya, Mercedes; Martínez Díaz-Guerra, Guillermo; Jimenez Moleón, José J; Muñoz Torres, Manuel

    2012-03-01

    To provide practical recommendations for evaluation and treatment of osteoporosis associated to endocrine diseases and nutritional conditions. Members of the Bone Metabolism Working Group of the Spanish Society of Endocrinology, a methodologist, and a documentalist. Recommendations were formulated according to the GRADE system (Grading of Recommendations, Assessment, Development, and Evaluation) to describe both the strength of recommendations and the quality of evidence. A systematic search was made in MEDLINE (Pubmed), using the following terms associated to the name of each condition: AND "osteoporosis", "fractures", "bone mineral density", and "treatment". Papers in English with publication date before 18 October 2011 were included. Current evidence for each disease was reviewed by two group members, and doubts related to the review process or development of recommendations were resolved by the methodologist. Finally, recommendations were discussed in a meeting of the Working Group. The document provides evidence-based practical recommendations for evaluation and management of endocrine and nutritional diseases associated to low bone mass or an increased risk of fracture. For each disease, the associated risk of low bone mass and fragility fractures is given, recommendations for bone mass assessment are provided, and treatment options that have shown to be effective for increasing bone mass and/or to decreasing fragility fractures are listed. Copyright © 2012 SEEN. Published by Elsevier Espana. All rights reserved.

  3. Functional diversity and dynamics of bacterial communities in a membrane bioreactor for the treatment of metal-working fluid wastewater.

    Science.gov (United States)

    Grijalbo, Lucía; Garbisu, Carlos; Martín, Iker; Etxebarria, Javier; Gutierrez-Mañero, F Javier; Lucas Garcia, Jose Antonio

    2015-12-01

    An extensive microbiological study has been carried out in a membrane bioreactor fed with activated sludge and metal-working fluids. Functional diversity and dynamics of bacterial communities were studied with different approaches. Functional diversity of culturable bacterial communities was studied with different Biolog™ plates. Structure and dynamics of bacterial communities were studied in culturable and in non-culturable fractions using a 16S rRNA analysis. Among the culturable bacteria, Alphaproteobacteria and Gammaproteobacteria were the predominant classes. However, changes in microbial community structure were detected over time. Culture-independent analysis showed that Betaproteobacteria was the most frequently detected class in the membrane bioreactor (MBR) community with Zoogloea and Acidovorax as dominant genera. Also, among non-culturable bacteria, a process of succession was observed. Longitudinal structural shifts observed were more marked for non-culturable than for culturable bacteria, pointing towards an important role in the MBR performance. Microbial community metabolic abilities assessed with Biolog™ Gram negative, Gram positive and anaerobic plates also showed differences over time for Shannon's diversity index, kinetics of average well colour development, and the intensely used substrates by bacterial community in each plate.

  4. Treatment of air pollution control residues with iron rich waste sulfuric acid: does it work for antimony (Sb)?

    Science.gov (United States)

    Okkenhaug, Gudny; Breedveld, Gijs D; Kirkeng, Terje; Lægreid, Marit; Mæhlum, Trond; Mulder, Jan

    2013-03-15

    Antimony (Sb) in air pollution control (APC) residues from municipal solid waste incineration has gained increased focus due to strict Sb leaching limits set by the EU landfill directive. Here we study the chemical speciation and solubility of Sb at the APC treatment facility NOAH Langøya (Norway), where iron (Fe)-rich sulfuric acid (∼3.6M, 2.3% Fe(II)), a waste product from the industrial extraction of ilmenite, is used for neutralization. Antimony in water extracts of untreated APC residues occurred exclusively as pentavalent antimonate, even at low pH and Eh values. The Sb solubility increased substantially at pHSb in porewater, occurring exclusively as Sb(V). Concentrations of Sb decreased from 87-918μgL(-1) (day 3) to 18-69μgL(-1) (day 600). We hypothesize that an initial sorption of Sb to Fe(II)-Fe(III) hydroxides (green rust) and eventually precipitation of Ca- and Fe-antimonates (tripuhyite; FeSbO4) occurred. We conclude that Fe-rich, sulfuric acid waste is efficient to immobilize Sb in APC residues from waste incineration.

  5. Does "grief work" work?

    NARCIS (Netherlands)

    Stroebe, M; Stroebe, W

    1991-01-01

    This article challenges the long-standing belief in the necessity of "grief work" for adjustment to bereavement. Evidence is offered from a prospective study of 30 widows and 30 widowers that indicates that grief work is not always as essential for adjustment to bereavement as theorists and clinicia

  6. Measures to reduce the impact of anti-icing agents on the environment and on the work of wastewater treatment facilities

    Directory of Open Access Journals (Sweden)

    Voronov Yuriy Viktorovich

    2014-09-01

    Full Text Available This article analyses the impact of the excess of chemical agents in the snow on the environment and on the working waste water treatment facilities. The article presents some suggestions for improvement of regulatory requirements concerning design engineering of snow melting facilities in the water disposal system. This suggestion was substantiated to assess snow as waste disposed from road surface, and to register snow mass delivered to snow melting facilities in equivalent units. It is assumed that snow melting stations are facilities designed for waste treatment, and this is why the project documentation for construction of these facilities has to undergo a state expertise for Environmental Impact Assessment. Completed studies provide estimates of the receipted snow, its pollution, etc. But at the same time these studies serve as the basis for approving the necessity of developing a unified system for monitoring the city's snow-melting plants to ensure the reliability.

  7. Occurrence, fate and environmental risk assessment of endocrine disrupting compounds at the wastewater treatment works in Pietermaritzburg (South Africa).

    Science.gov (United States)

    Manickum, T; John, W

    2014-01-15

    Steroid hormone Endocrine Disrupting Compounds (EDCs) (natural estrogens (17-β-estradiol (E2), estrone (E1), estriol (E3), synthetic estrogen (17-α-ethinylestradiol (EE2)), natural androgen (testosterone) (tes) and natural progestogen (progesterone) (pro)) at an activated sludge wastewater works (WWW), were quantitated using Enzyme-linked immunosorbent assay (ELISA). The steroid hormone profile in the adjacent surface water was also determined. Pro was the most abundant (41%, 408 ng/L) in the influent, followed by tes (35%, 343 ng/L) and E2 (12%, 119 ng/L). E1 was the most abundant (35%, 23 ng/L) in effluent, followed by E2 (30%, 20 ng/L) and tes (17%, 11 ng/L). Chemical removal efficiencies of the steroid hormones by the WWW averaged 92%. High removal efficiency was observed for pro (98% ± 2) and tes (96% ± 1), compared to natural (72-100%) and synthetic estrogen (90% ± 3), with biodegradation being the major removal route for pro and tes. The lowest removal for E2 is in spring (65%), and maximum removal is in winter (95%). Natural (E2, E1) and synthetic estrogen (EE2) were major contributors to influent (E2 = 69%) and effluent (E2 = 73%) estrogenic potency. The estrogenic potency removal averaged 85% (range: 73-100). Risk assessment of the steroid hormones present in wastewater effluent, and surface water, indicated that EE2 and E2 pose the highest risk to human health and fish. EE2 was found to be much more resistant to biodegradation, compared to E2, in surface water. Estrone, as the breakdown product of E2 and EE2 in wastewater, appears to be suitable as an indicator of EDCs. The study suggests that a battery of tests: quantitative chemical assay, bioassay for estrogenic activity and risk assessment methods, collectively, are preferred in order to make meaningful, accurate conclusions regarding potential adverse effects of EDCs present in treated wastewater effluent or surface water, to the aquatic environment, human health, and wildlife systems.

  8. [Changes in quality of life and work function during phase prophylactic lamotrigine treatment in bipolar patients: 6 month, prospective, observational study].

    Science.gov (United States)

    Gonda, Xenia; Kalman, Janos; Dome, Peter; Rihmer, Zoltan

    2016-03-01

    Bipolar disorder is a lifelong illness requiring lifelong pharmacotherapy. Therefore besides symptomatic remission, achievement of full work-related functioning and restoration of quality of life is a priority during successful treatment. The present prospective, observational, non-intervention study focused on investigating the effect of lamotrigine therapy on the quality of life and work-related function of bipolar patients in outpatient care. 969 bipolar or schizoaffective outpatients participated in the study who previously did not receive lamotrigine therapy. Our present phase-prophylactic study was a prospective, observational, non-intervention study with a six-month follow-up. Evaluations took place at baseline and at months 1, 2, 3 and 6. Patients were followed with a Clinical Global Impression-Severity (CGI-S) and Clinical Global Impression-Improvement (CGI-I). Changes in work-related function was evaluated using Social Adjustment Scale (SAS), while quality of life was assessed with the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) scale. SAS scoreds showed a consistent decrease in the overall sample and in all CGI-S initial groups reflecting the improvement of work-related function during the six months of the follow-up. Q-LES-Q values in the whole sample and in all initial CGI-S groups showed a steady increase indicating a continuous increase in quality of life during the study. Our results indicate that during long-term prophylactic lamotrigine therapy the work function and quality of life of bipolar patients shows a significant improvement, therefore lamotrigine provides a possibility for full functional remission and restoration of quality of life.

  9. STABILITY OF MOTION OF MOBILE MODULE OF EXPERIMENTAL SETUP IN THE STUDY OF ACTIVE ROTARY WORKING OF MACHINES FOR SOIL TREATMENT

    Directory of Open Access Journals (Sweden)

    Vladimir F. Kupryashkin

    2016-06-01

    Full Text Available Introduction. The paper is devoted to the theoretical study of stability of movement of the movable unit of the experimental setup intended for the exploration of the active rotational working organs of the car for soil treatment. This takes into account the design features of the mobile unit and features active rotary force interaction of working bodies with the soil. From the analysis of previously conducted both theoretical and experimental studies of this type of working bodies noted the possibility of breaking the stability of the mobile stroke unit, which in turn will have a negative impact on the enforcement of a given method of the experiment program. From the analysis of previous studies shows that the assumptions under which they were made, not allow you to fully take into account the nature of the effect occurring dynamic processes of interaction of active rotary working bodies with the soil on the experimental setup truck driving stability. Materials and Methods. To address the shortcomings in the research, based on a synthesis of the main provisions and laws of mechanics and the experimental data of active rotary force interaction of working bodies with the soil, carried out theoretical studies of stability of movement of the movable unit of the experimental setup in view of its design features and conditions of the experiment. Results. A theoretical study was composed of loading trolley design scheme of the experimental setup with regard to its design features and power factors acting on its working elements, namely, the wheel bearing and studied active rotary working bodies. Processing results of the study allowed the weary twist zone of stable and unstable movement of the movable unit Expo tal installation. The presence of unstable movement zone carts at-leads to a breach of the conditions set by the plan of experimental-governmental research and a negative impact on their quality and purity. Discussion and Conclusions. All of

  10. Variation in water density related to pollutants removal in wastewater treatment processes and its use in explaining the working principles of the Unifed SBR.

    Science.gov (United States)

    Xiang, Liancheng; Wu, Junqi; Song, Yonghui; Liu, Ruixia; Yu, Huibin; Gao, Qiong; Yang, Yingjie; Dai, Yunrong

    2016-11-01

    The wastewater quality of several municipal wastewater treatment plants (MWTPs) in Beijing was studied, and the water densities of different processing units were also measured during the wastewater treatment process. The results clearly showed that the water density declined from influent to effluent of the wastewater treatment process. Meanwhile, the variation in water density had good statistical correlation with the concentrations of total organic carbon, total phosphorus, suspended solids and total solids. Furthermore, the variation in water density could be used to explain the working principles of the Unifed sequencing batch reactor (SBR). Tracer tests were conducted in the Unifed SBR to investigate the hydraulic characteristics of the reactor. The experimental results showed that the variable values of water density from influent to effluent in the Fangzhuang MWTPs were greater than those caused by the temperature difference of >3 °C between the influent and the liquid in the reactor at 13 °C. Moreover, the flow regime of wastewater in the Unifed SBR was affected by the variation in water density, which may lead to stratification or a density current. Ascribed to the appearance of stratification in the Unifed SBR reactor, the water quality of the effluent could not be affected by that of the influent.

  11. [Application of group psychotherapy in treatment of adolescents and young women with anorexia nervosa (presentation of therapeutic work model in the Neurosis and Eating Disorders Treatment Centre "Dabrówka"--the author's own experience)].

    Science.gov (United States)

    Izydorczyk, Bernadetta; Niziołek, Elzbieta

    2009-01-01

    The article shows chosen motives from the authors self experience in the specificity and principles of conducting group psychotherapy in treating patients with a diagnosis of anorexia nervosa. In the first part of the article, the author presents elementary postulates of the working model in teenage therapeutic groups in the Neurosis and Eating Disorders Treatment Centre "Dabrówka", in the years 2002-2004. The second part presents basic postulates of adult group psychotherapy practiced in the "Dabrówka" Centre. Conclusions indicate the main elements of a group therapy process in patients with anorexia nervosa.

  12. Health hazards and medical treatment of volunteers aged 18-30 years working in international social projects of non-governmental organizations (NGO).

    Science.gov (United States)

    Küpper, T; Rieke, B; Neppach, K; Morrison, A; Martin, J

    2014-01-01

    The specific health risk profile and diversity of treatments sought by young volunteers participating in international social projects should differ from those of their older colleagues. In the absence of any data to identify whether this was correct, a retrospective analysis was performed using a standardized questionnaire. Questions included what diseases occurred, and details of the frequency and types of treatment sought during their stay - (e.g. self-treatment, medical/dental intervention, or local healer). The 153 participants were aged 18-30 years and worked in a non-governmental organization for >6 months. The participants were: 53% female, mean age 20 years, and mean duration of stay was 11.2 months. Their NGO placement abroad was in Latin America 65.4%, 14.4% in Africa, and 9.8% in Asia. 83% of the young volunteers had received some advice regarding travel medicine before their departure. However, they suffered from more injuries compared to private travellers, and febrile infections were more common when compared to older studies. 21.2% suffered from dental problems and 50% of them sought medical treatment. This study highlights a previously unreported higher risk profile of specific health problems occurring in young NGO volunteers, including some potentially life-threatening diagnoses that differed from their older colleagues and normal travellers. It is recommended that young volunteers should receive age specific, comprehensive pre-departure training in health and safety, first aid, and management of common health problems. A medical check-up upon returning home should be mandatory. The provision of a basic first aid kit to each volunteer before departure is also recommended.

  13. 40 CFR 468.20 - Applicability; description of the beryllium copper forming subcategory.

    Science.gov (United States)

    2010-07-01

    ... of pollutants into publicly owned treatment works from the forming of beryllium copper alloys. ... beryllium copper forming subcategory. 468.20 Section 468.20 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS COPPER FORMING POINT SOURCE...

  14. 40 CFR 417.76 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Bar Soaps... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part...

  15. 40 CFR 417.136 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Chlorosulfonic Acid Sulfation... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part...

  16. 40 CFR 417.106 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Air-SO3 Sulfation and... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply...

  17. 40 CFR 417.116 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY SO3 Solvent and Vacuum... subpart that introduces process wastewater pollutants into a publicly owned treatment works must comply...

  18. 40 CFR 417.86 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Liquid Soaps... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part...

  19. 40 CFR 417.126 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Sulfamic Acid Sulfation... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part...

  20. 40 CFR 467.01 - Applicability.

    Science.gov (United States)

    2010-07-01

    ... publicly owned treatment works. (c) This part is applicable to indirect discharging aluminum forming plants that extrude less than 3 million pounds of product per year and draw, with emulsions or soaps, less...

  1. 40 CFR 430.01 - General definitions.

    Science.gov (United States)

    2010-07-01

    ... loading rate basis. (l) POTW. Publicly owned treatment works as defined at 40 CFR 403.3(o). (m) Process... compound. (r) Wet Barking. Wet barking operations shall be defined to include hydraulic barking...

  2. 40 CFR 471.94 - Pretreatment standards for existing sources (PSES).

    Science.gov (United States)

    2010-07-01

    ... pollutants into a publicly owned treatment works must comply with 40 CFR part 403 and by August 23, 1988... pollutants. (d) Extrusion press hydraulic fluid leakage. Subpart I—PSES Pollutant or pollutant...

  3. 40 CFR 471.95 - Pretreatment standards for new sources (PSNS).

    Science.gov (United States)

    2010-07-01

    ... publicly owned treatment works must comply with 40 CFR part 403 and achieve the following pretreatment...) Extrusion press hydraulic fluid leakage. Subpart I—PSNS Pollutant or pollutant property Maximum for any...

  4. Dental Effluent Guidelines

    Science.gov (United States)

    Overview and documents for Dental Office Category regulation (40 CFR Part 441); comprising pretreatment standards for discharges of dental amalgam pollutants, including mercury, into publicly owned treatment works (POTWs).

  5. Industrial Pretreatment Program for New England

    Science.gov (United States)

    The Industrial Pretreatment Program prevents the discharge of pollutants to Publicly-Owned Treatment Works (POTWs) which will interfere with the operations of the POTW or its use and disposal of municipal biosolids.

  6. 40 CFR 427.66 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Roofing Subcategory § 427.66... wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part 403....

  7. 40 CFR 427.26 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos-Cement Sheet Subcategory § 427... process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part 403....

  8. 40 CFR 427.56 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard Subcategory § 427.56... wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part 403....

  9. 40 CFR 427.16 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos-Cement Pipe Subcategory § 427... process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part 403....

  10. 40 CFR 427.76 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Floor Tile Subcategory § 427... process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part 403....

  11. [Treatment for pulmonary arterial hypertension under the new French hospital financing system. Recommendations of the Pulmonary Vascular Diseases Working Group of the French Society of Pulmonary Medicine].

    Science.gov (United States)

    Sitbon, O; Humbert, M; Simonneau, G

    2005-11-05

    Activity-based financing (that is, casemix-based hospital payments, known as T2A) is intended to harmonize and improve the fairness of remuneration of public and private hospitals. T2A will ultimately rely mainly on a flat rate per admission, set according to the diagnosis-related group (DRG). Although payment for drugs is usually included in the DRG price, some expensive drugs will be reimbursed on an additional cost basis after implementation of a "best practices" agreement. Four drugs used for treatment of pulmonary arterial hypertension are eligible for this additional reimbursement: 3 prostacyclin derivatives (intravenous epoprostenol, inhaled iloprost, and subcutaneous treprostinil), and oral bosentan, an endothelin receptor antagonist. The Pulmonary Vascular Diseases working group of the French Society of Pulmonary Medicine has developed guidelines for the best practices in use of these drugs.

  12. Workplace phobia--a first explorative study on its relation to established anxiety disorders, sick leave, and work-directed treatment.

    Science.gov (United States)

    Muschalla, Beate; Linden, Michael

    2009-10-01

    Workplace phobia is defined as a phobic anxiety reaction with symptoms of panic occurring when thinking of or approaching the workplace. People suffering from workplace phobia regularly avoid confrontation with the workplace and are often on sick leave. The specific characteristics of workplace phobia are investigated empirically in comparison to established anxiety disorders. Two hundred thirty patients from an inpatient psychosomatic rehabilitation hospital were interviewed concerning workplace phobia and established anxiety disorders. Additionally, the patients filled in self-rating questionnaires on general and workplace phobic symptom load. Subjectively perceived degree of work load, sick leave, and therapy participation were assessed. Participants with workplace phobia reached significantly higher scores in workplace phobia self-rating than did participants with established anxiety disorders. A similar significant difference was not found concerning the general psychosomatic symptom load. Workplace phobics were more often on sick leave than patients with established anxiety disorders. Workplace phobia can occur as an alonestanding anxiety disorder. It has an own clinical value due to its specific consequences for work participation. Workplace phobia requires special therapeutic attention and treatment instead of purely 'sick leave' certification.

  13. Gentamicin treatment in exercised mdx mice: Identification of dystrophin-sensitive pathways and evaluation of efficacy in work-loaded dystrophic muscle.

    Science.gov (United States)

    De Luca, Annamaria; Nico, Beatrice; Rolland, Jean-François; Cozzoli, Anna; Burdi, Rosa; Mangieri, Domenica; Giannuzzi, Viviana; Liantonio, Antonella; Cippone, Valentina; De Bellis, Michela; Nicchia, Grazia Paola; Camerino, Giulia Maria; Frigeri, Antonio; Svelto, Maria; Camerino, Diana Conte

    2008-11-01

    Aminoglycosides force read through of premature stop codon mutations and introduce new mutation-specific gene-corrective strategies in Duchenne muscular dystrophy. A chronic treatment with gentamicin (32 mg/kg/daily i.p., 8-12 weeks) was performed in exercised mdx mice with the dual aim to clarify the dependence on dystrophin of the functional, biochemical and histological alterations present in dystrophic muscle and to verify the long term efficiency of small molecule gene-corrective strategies in work-loaded dystrophic muscle. The treatment counteracted the exercise-induced impairment of in vivo forelimb strength after 6-8 weeks. We observed an increase in dystrophin expression level in all the fibers, although lower than that observed in normal fibers, and found a concomitant recovery of aquaporin-4 at sarcolemma. A significant reduction in centronucleated fibers, in the area of necrosis and in the percentage of nuclear factor-kB-positive nuclei was observed in gastrocnemious muscle of treated animals. Plasma creatine kinase was reduced by 70%. Ex vivo, gentamicin restored membrane ionic conductance in mdx diaphragm and limb muscle fibers. No effects were observed on the altered calcium homeostasis and sarcolemmal calcium permeability, detected by electrophysiological and microspectrofluorimetric approaches. Thus, the maintenance of a partial level of dystrophin is sufficient to reinforce sarcolemmal stability, reducing leakiness, inflammation and fiber damage, while correction of altered calcium homeostasis needs greater expression of dystrophin or direct interventions on the channels involved.

  14. Exploratory analysis of excitation-emission matrix fluorescence spectra with self-organizing maps as a basis for determination of organic matter removal efficiency at water treatment works

    Science.gov (United States)

    Bieroza, Magdalena; Baker, Andy; Bridgeman, John

    2009-12-01

    In the paper, the self-organizing map (SOM) was employed for the exploratory analysis of fluorescence excitation-emission data characterizing organic matter removal efficiency at 16 water treatment works in the UK. Fluorescence spectroscopy was used to assess organic matter removal efficiency between raw and partially treated (clarified) water to provide an indication of the potential for disinfection by-products formation. Fluorescence spectroscopy was utilized to evaluate quantitative and qualitative properties of organic matter removal. However, the substantial amount of fluorescence data generated impeded the interpretation process. Therefore a robust SOM technique was used to examine the fluorescence data and to reveal patterns in data distribution and correlations between organic matter properties and fluorescence variables. It was found that the SOM provided a good discrimination between water treatment sites on the base of spectral properties of organic matter. The distances between the units of the SOM map were indicative of the similarity of the fluorescence samples and thus demonstrated the relative changes in organic matter content between raw and clarified water. The higher efficiency of organic matter removal was demonstrated for the larger distances between raw and clarified samples on the map. It was also shown that organic matter removal was highly dependent on the raw water fluorescence properties, with higher efficiencies for higher emission wavelengths in visible and UV humic-like fluorescence centers.

  15. Diabetes: importancia de la familia y el trabajo en la adhesión al tratamiento Diabetes: the importance of family and work for the compliance with treatment

    Directory of Open Access Journals (Sweden)

    Susana C. Azzollini

    2011-12-01

    Full Text Available Se realizó un estudio correlacional con el objetivo de analizar la percepción del apoyo social en el ámbito familiar y laboral que tienen los pacientes con diagnóstico de diabetes tipo 2 y su relación con la adhesión a los tratamientos médicos. Se seleccionó una muestra probabilística al azar sistemático de 337 pacientes entre 40 y 79 años que concurrían a consultorios externos de cuatro hospitales públicos de la Ciudad de Buenos Aires durante el año 2010. Se administró, entre otros instrumentos, un cuestionario de datos personales y de percepción de apoyo social familiar y laboral, y una escala de frecuencias sobre prácticas de autocuidado; todos validados durante una investigación previa. Se concluye que el apoyo social, tanto familiar como laboral, favorece una mayor adherencia a los tratamientos a través del cumplimiento de pautas de autocuidado en pacientes con diagnóstico de diabetes tipo 2 que concurren a hospitales públicos.Objective: To analyze how patients who suffer from diabetes type II perceive the social support in two areas: family and work. Research design and Methods: In this correlational research of patients with diabetes type II, who are treated in public hospitals of Buenos Aires city, it was selected a probabilistic random systematic sampling composed by 337 patients (ages between 40 -79. They were given several instruments, including a questionnaire about biographic, personal, laborer, and social network´s questions, and a self-care practices scale. All the instruments were previously validated. Results: According to the breakthroughs, social support, from both family and work, favour the compliance with treatment by following the self care´s prescriptions.

  16. Update on Diagnosis and Treatment of Diabetic Retinopathy: A Consensus Guideline of the Working Group of Ocular Health (Spanish Society of Diabetes and Spanish Vitreous and Retina Society

    Directory of Open Access Journals (Sweden)

    Borja Corcóstegui

    2017-01-01

    Full Text Available A group of members of the Spanish Retina and Vitreous Society (SERV and of the Working Group of Ocular Health of the Spanish Society of Diabetes (SED updated knowledge regarding the diagnosis and treatment of diabetic retinopathy (DR based on recent evidence reported in the literature. A synthesis of this consensus forms the basis of the present review, which is intended to inform clinicians on current advances in the field of DR and their clinical applicability to patients with this disease. Aspects presented in this article include screening procedures of DR, new technologies in the early diagnosis of DR, control of risk factors in the different stages of the disease, indications of panretinal laser photocoagulation, efficacy of intravitreal antiangiogenic agents and steroids, and surgical options for treating DR-related complications. Practical information regarding periodicity of screening procedures in patients with type 1 and type 2 diabetes, ophthalmological controls according to the stage of retinopathy and complications, and criteria and degree of urgency for referral of a DR patient to the ophthalmologist are also presented.

  17. Mobility Work

    DEFF Research Database (Denmark)

    Bardram, Jakob Eyvind; Bossen, Claus

    2005-01-01

    We posit the concept of Mobility Work to describe efforts of moving about people and things as part of accomplishing tasks. Mobility work can be seen as a spatial parallel to the concept of articulation work proposed by the sociologist Anselm Strauss. Articulation work describes efforts...... of coordination necessary in cooperative work, but focuses, we argue, mainly on the temporal aspects of cooperative work. As a supplement, the concept of mobility work focuses on the spatial aspects of cooperative work. Whereas actors seek to diminish the amount of articulation work needed in collaboration...... by constructing Standard Operation Procedures (SOPs), actors minimise mobility work by constructing Standard Operation Configurations (SOCs). We apply the concept of mobility work to the ethnography of hospital work, and argue that mobility arises because of the need to get access to people, places, knowledge and...

  18. "I take what I think works for me": a qualitative study to explore patient perception of diabetes treatment benefits and risks.

    Science.gov (United States)

    Nair, Kalpana M; Levine, Mitchel A H; Lohfeld, Lynne H; Gerstein, Hertzel C

    2007-01-01

    Diabetes is impacting more and more people each year. A key aspect of disease management is patient adherence to prescribed treatments. Treatment adherence is influenced by many factors, including the understanding of a treatment's benefits and risks. This study sought to describe the experience of benefit and risk assessment for people with type 2 diabetes when making treatment decisions. This study utilized qualitative research methods. Individual interviews were conducted using a semi-structured interview guide. Both purposeful and theoretical sampling was used. A grounded theory approach was employed to facilitate data collection and analysis. The 18 study participants were on varying treatment regimens for diabetes (diet therapy, oral medications, and insulin). Many people felt that they had not received enough information about the benefits and risks of treatment at the point of decision-making and later sought this information on their own. Participants did not seem to consciously assess treatment benefits and risks when treatments were prescribed or suggested, but rather continued to make decisions after the clinical encounter by means of experimentation or experience with treatments. In general, benefits and risks were conceptualized very broadly, and some people were not able to verbally articulate their perceptions of treatment benefits and risks. Patients' assessment of treatment benefits and risks is an ongoing, often unconscious process that requires continuous interaction with the health care system. Access to information and an opportunity to discuss treatment options with health care providers are important to people with diabetes when making treatment decisions.

  19. Diagnostic imaging work-up for disease relapse after radical treatment for prostate cancer: how to differentiate local from systemic disease? The urologist point of view.

    Science.gov (United States)

    Schiavina, R; Brunocilla, E; Borghesi, M; Vagnoni, V; Castellucci, P; Nanni, C; Ceci, F; Gacci, M; Martorana, G; Fanti, S

    2013-01-01

    About 40% of all patients undergoing radical treatment for localized prostate cancer (PCa) develop biochemical relapse (BCR) during lifetime but only 10-20% of them will show clinically detectable recurrences. Prostatic bed, pelvic or retroperitoneal lymph nodes (LN) and bones (especially the spine) are the sites where we must focus our attention in the early phase of PSA relapse. Time to PSA relapse, PSA kinetics, pathological Gleason score and pathological stage are the main factors related to the likelihood of local vs. distant relapse. Before an extensive diagnostic work-up in patients with BCR, is mandatory to understand if there is a therapeutic consequence or not for the patient. Current imaging techniques have some potential but many limits are yet encountered in the diagnosis of disease relapse. Transrectal ultrasound (TRUS) and Multiparametric Magnetic Resonance Imaging (MRI) have low accuracy in the detection of the recurrence. Today, Choline PET/CT may visualize the site of recurrence earlier, with better accuracy than conventional imaging, in a single step and even in the presence of low PSA level. In recent years, the new radiotracer (18)F-FACBC has been proposed as a possible alternative radiopharmaceutical to detect PCa relapse. From a clinical point of view, first clinical studies showed very promising and reproducible results with an improvement in sensitivity is about 20-25% with respect to Choline PET/CT, rendering the FACBC the possible radiotracer of the future for PCa. In conclusion, many improvements have been recently achieved in imaging techniques for PCa restaging, essentially in Nuclear Medicine and MRI, but negative results remain in many cases. Low sensitivity, costs, availability of technologies and confirmation of the results remain the major limitations in most cases.

  20. Six years working experience of the Marcoule plant for treatment of irradiated fuel; Experience de 6 annees de fonctionnement de l'usine de retraitement de Marcoule

    Energy Technology Data Exchange (ETDEWEB)

    Jouannaud, C. [CEA Marcoule, Centre de Production de Plutonium, 30 (France)

    1964-07-01

    The irradiated fuel treatment plant at Marcoule began treating rods from the pile G 1 in July 1958. These six years experience of the plant in operation have led to the confirmation or revision of the original ideas concerning the process as well as the technology or methods of exploitation. The process as a whole has suffered little modification, the performances having proved better than originally foreseen; the only alterations made were justified by greater simplicity of operation, better nuclear security (criticality) or for technological reasons. The processes of plutonium reduction from valency IV to valency III by uranium IV, and of concentration of fission product solutions in the presence of formaldehyde, have always given complete satisfaction. The initial concept of direct maintenance of the installations has been justified by experience. Certain maintenance jobs, originally considered impossible after the start of operations, have proved feasible and have been carried out under acceptable conditions; a number of examples are given. From experience it has been possible to define optimal conditions for the design of these installations such as to provide a maximum in robustness and ease of maintenance. The advantages of continuously-operating equipment have been shown. Certain installations have been altered in accordance with these new ideas. Analytical checking in the laboratory has been profoundly modified, and the plans adopted are such that complete safety in work on radioactive solutions is compatible with a very good working speed. Experience has also shown the advantages of having a group on the spot to carry out short-term applied studies. Finally, a strict working discipline and excellent collaboration with the radiation protection service have enabled us to reach the end of these six years, during some of which the exploitation was intensive, without irradiation accident. (authors) [French] L'usine de traitement des combustibles irradies

  1. Impact of linaclotide treatment on work productivity and activity impairment in adults with irritable bowel syndrome with constipation: results from 2 randomized, double-blind, placebo-controlled phase 3 trials.

    Science.gov (United States)

    Buono, Jessica L; Tourkodimitris, Stavros; Sarocco, Phil; Johnston, Jeffrey M; Carson, Robyn T

    2014-08-01

    Irritable bowel syndrome with constipation (IBS-C), a chronic functional gastrointestinal disorder, has been shown to negatively affect work productivity and impair daily activity, resulting in a substantial burden for patients and employers. Linaclotide is a first-in-class guanylate cyclase-C agonist approved for the treatment of adults with IBS-C and chronic idiopathic constipation in the United States. To analyze the impact of treatment with linaclotide on work productivity and daily activity impairment in adults with IBS-C and estimate the indirect costs associated with this condition. This was a post-hoc analysis of data on IBS-C-related work time missed and work and activity impairment from 2 phase 3 clinical trials that assessed the efficacy and safety of linaclotide therapy in adults with IBS-C. The Work Productivity and Activity Impairment Questionnaire for IBS-C (WPAI:IBS-C) was self-administered at baseline and at weeks 4, 8, and 12 during the 12-week treatment periods in Trials 1 and 2 and at weeks 16, 20, and 26 during the extended treatment period in Trial 2. An analysis of covariance was conducted to assess changes from baseline to all study weeks for each WPAI:IBS-C measure. Indirect costs were calculated by converting overall work productivity losses into monetary values using the human capital cost approach. Of the 1602 patients with IBS-C who were randomized in the 2 clinical trials, 1555 (97.1%) completed a baseline and at least 1 postbaseline WPAI:IBS-C assessment and were included in the analysis cohort; 1148 (71.7%) of these patients were employed. Once-daily treatment with linaclotide significantly reduced overall work productivity loss and daily activity impairment among patients with IBS-C at all study weeks. From baseline to week 12, compared with placebo, linaclotide significantly reduced presenteeism by 5.2%, overall work productivity loss by 6.1%, and daily activity impairment by 4.7% (all P employee with IBS-C. The results of this

  2. Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Bech, Per

    2010-01-01

    Medicine) completed a stress treatment programme consisted of the following:1) Identification of relevant stressors. 2. Changing the coping strategies of the participants. 3. Evaluating/changes in participant workload and tasks. 4. Relaxation techniques. 5. Physical exercise. 6. Psychiatric evaluation when...

  3. An assessment of the model of concentration addition for predicting the estrogenic activity of chemical mixtures in wastewater treatment works effluents.

    Science.gov (United States)

    Thorpe, Karen L; Gross-Sorokin, Melanie; Johnson, Ian; Brighty, Geoff; Tyler, Charles R

    2006-04-01

    The effects of simple mixtures of chemicals, with similar mechanisms of action, can be predicted using the concentration addition model (CA). The ability of this model to predict the estrogenic effects of more complex mixtures such as effluent discharges, however, has yet to be established. Effluents from 43 U.K. wastewater treatment works were analyzed for the presence of the principal estrogenic chemical contaminants, estradiol, estrone, ethinylestradiol, and nonylphenol. The measured concentrations were used to predict the estrogenic activity of each effluent, employing the model of CA, based on the relative potencies of the individual chemicals in an in vitro recombinant yeast estrogen screen (rYES) and a short-term (14-day) in vivo rainbow trout vitellogenin induction assay. Based on the measured concentrations of the four chemicals in the effluents and their relative potencies in each assay, the calculated in vitro and in vivo responses compared well and ranged between 3.5 and 87 ng/L of estradiol equivalents (E2 EQ) for the different effluents. In the rYES, however, the measured E2 EQ concentrations in the effluents ranged between 0.65 and 43 ng E2 EQ/L, and they varied against those predicted by the CA model. Deviations in the estimation of the estrogenic potency of the effluents by the CA model, compared with the measured responses in the rYES, are likely to have resulted from inaccuracies associated with the measurement of the chemicals in the extracts derived from the complex effluents. Such deviations could also result as a consequence of interactions between chemicals present in the extracts that disrupted the activation of the estrogen response elements in the rYES. E2 EQ concentrations derived from the vitellogenic response in fathead minnows exposed to a series of effluent dilutions were highly comparable with the E2 EQ concentrations derived from assessments of the estrogenic potency of these dilutions in the rYES. Together these data support the

  4. Problemas laborales en pacientes dependientes del alcohol: Evolución en un año de tratamiento Work-related problems among alcohol-dependent patients: Development a year of alcohol treatment

    Directory of Open Access Journals (Sweden)

    Mª Trinidad Gómez-Talegón

    2009-09-01

    Full Text Available Objetivo: El objetivo de este estudio es analizar la prevalencia de problemas laborales debidos al consumo de alcohol en una muestra de dependientes del alcohol y su evolución durante un año de tratamiento. Material y Método: Se realizó un estudio prospectivo de una cohorte de 93 pacientes, que realizaron tratamiento durante un año, diagnosticados de dependencia del alcohol según criterios DSM-IV. Se obtuvo información de los siguientes problemas laborales debidos al consumo de alcohol: absentismo, llamadas de atención, sanciones, accidentes laborales, despidos, desempleo o paro, ocurridos en tres momentos: durante toda la vida, el año anterior al inicio del tratamiento y durante un año de tratamiento. Resultados: El 57% tuvieron problemas laborales a lo largo de su vida, el 35,5% el año anterior al inicio del tratamiento, y el 23,7% durante el año de tratamiento. Los problemas mas frecuentes fueron el absentismo y el desempleo. Los problemas laborales disminuyeron (pObjetive: The aim of this study is to analyse the prevalence of work-related problems due to the consumption of alcohol in a sample of alcohol-dependent patients and their evolution over twelve months of treatment. Method: A prospective study was carried out on a cohort of 93 patients diagnosed as alcohol-dependent according to DSM-IV criteria, who underwent treatment over a 12 month period. Information concerning the following work-related problems due to the consumption of alcohol was obtained: absenteeism, warnings, sanctions, accidents at work, dismissals and unemployment, that occurred within three different time scales: the patient's lifetime, the 12 months prior to the start of the treatment and during the 12 months of the treatment. Results: 57% had had work-related problems during their lifetime, 35.5% in the 12 months prior to starting treatment and 23,7% during the year of treatment. The most frequent problems during the year of treatment were absenteeism and

  5. A PROPOSITION FOR THE DIAGNOSIS AND TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE IN CHILDREN - A REPORT FROM A WORKING GROUP ON GASTROESOPHAGEAL REFLUX DISEASE

    NARCIS (Netherlands)

    VANDENPLAS, Y; ASHKENAZI, A; BELLI, D; BOIGE, N; BOUQUET, J; CADRANEL, S; CEZARD, JP; CUCCHIARA, S; DUPONT, C; GEBOES, K; GOTTRAND, F; HEYMANS, HSA; JASINSKI, C; KNEEPKENS, CMF; KOLETZKO, S; MILLA, P; MOUGENOT, JF; NUSSLE, D; NAVARRO, J; NEWELL, SJ; OLAFSDOTTIR, E; PEETERS, S; RAVELLI, A; POLANCO, [No Value; SANDHU, BK; TOLBOOM, J

    1993-01-01

    In this paper, a Working Group on Gastro-Oesophageal Reflux discusses recommendations for the first line diagnostic and therapeutic approach of gastro-oesophageal reflux disease in infants and children. All members of the Working Group agreed that infants with uncomplicated gastro-oesophageal reflux

  6. A proposition for the diagnosis and treatment of gastro-oesophageal reflux disease in children: A report from a working group on gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Y. Vandenplas (Yvan); A. Ashkenazi (A.); D. Belli (D.); N. Boige (N.); J. Bouquet (Jan); S. Cadranel (S.); J.P. Cezard (J.); S. Cucchiara (S.); C. Dupont (C.); K. Geboes (K.); F. Gottrand; H.S.A. Heymans (Hugo); C. Jasinski (C.); C.M.F. Kneepkens (Frank); S. Koletzko (Sybille); P. Milla (Peter); J.F. Mougenot (J.); D. Nusslé (D.); J. Navarro (J.); S.J. Newell (S.); E. Olafsdottir (E.); S. Peeters (S.); A. Ravelli (A.); I. Polanco (I.); B. Sandhu; J.J. Tolboom (Jules)

    1993-01-01

    textabstractIn this paper, a Working Group on Gastro-Oesophageal Reflux discusses recommendations for the first line diagnostic and therapeutic approach of gastro-oesophageal reflux disease in infants and children. All members of the Working Group agreed that infants with uncomplicated gastro-oesoph

  7. Mobility Work

    DEFF Research Database (Denmark)

    Bardram, Jakob Eyvind; Bossen, Claus

    2005-01-01

    by constructing Standard Operation Procedures (SOPs), actors minimise mobility work by constructing Standard Operation Configurations (SOCs). We apply the concept of mobility work to the ethnography of hospital work, and argue that mobility arises because of the need to get access to people, places, knowledge and....../or resources. To accomplish their work, actors have to make the right configuration of these four aspects emerge....

  8. Developmental Work

    DEFF Research Database (Denmark)

    Møller, Niels; Hvid, Helge; Kristensen, Tage Søndergaard

    2003-01-01

    Human Deveoplment and Working Life - Work for Welfare explores whether the development of human resources at company level can improve individuals' quality of life, companies' possibilities of development, and welfare and democracy in society. Chapter two discuss the concept "developmental work...

  9. Developmental Work

    DEFF Research Database (Denmark)

    Møller, Niels; Hvid, Helge; Kristensen, Tage Søndergaard;

    2003-01-01

    Human Deveoplment and Working Life - Work for Welfare explores whether the development of human resources at company level can improve individuals' quality of life, companies' possibilities of development, and welfare and democracy in society. Chapter two discuss the concept "developmental work...

  10. Treatment stage associated changes in cellular and molecular microbial markers during the production of drinking water at the Vansjø water works.

    Science.gov (United States)

    Charnock, Colin; Otterholt, Eli; Nordlie, Anne-Lise

    2015-09-15

    The production of a drinking water that meets current aesthetic, microbiological and chemical standards, generally requires a combination of mechanical purification and disinfection in a multi-component treatment chain. Treatment choices and optimisation of water processing is best informed by using markers (including microbiological parameters) which indicate how each stage contributes to the production of the potable water. The present study combines culture-based and a number of culture-independent analyses to indicate what is happening at each stage of a state-of-the-art water treatment chain at Vansjø near the city of Moss in Norway. We show that particularly clarification with flotation and post-chlorination have profound and positive effects on water quality with respect to the removal and inactivation of microbes. Post-chlorination achieved better disinfection of the water than UV-treatment and was of paramount importance, as the penultimate step filtration through granular activated shed microbes to the water. Cloning and sequencing showed that some clones present in the raw water were detected at all stages in the treatment process, perhaps providing examples of microbes breaching physically all barriers in the treatment process. Results from the study should be useful in the improvement and maintenance of the treatment process at the Vansjø plant and others.

  11. 广东省环境污染治理设施运营管理工作分析%Working Analysis on Operation and Management of Environmental Pollution Treatment Equipment in Guangdong

    Institute of Scientific and Technical Information of China (English)

    邹耀

    2014-01-01

    The working analysis on operation and management of environmental pol ution treatment equipment is one of day-to-day important management work of administrative departments of environmental protection in Guangdong province. The regulation operation and supervision of environmental pol ution treatment equipment are important link in ensuring the ef-fective work of environmental protection in Guangdong province and are the important means in protecting eco-environment.%环境污染治理设施运营管理工作是广东省环境保护主管部门重要的日常管理工作之一,环境污染治理设施的规范运营和到位监管,是保障广东省环境保护工作有效开展的重要环节,是保护生态环境的重要手段。

  12. The Impact of Microbial Ecology and Chemical Profile on the Enhanced Biological Phosphorus Removal (EBPR Process: A Case Study of Northern Wastewater Treatment Works, Johannesburg

    Directory of Open Access Journals (Sweden)

    Ilunga Kamika

    2014-03-01

    Full Text Available The impact of polyphosphate-accumulating organism (PAO and glycogen-accumulating organism (GAO populations as well as of the chemical profile on the performance of Unit-3 (open elutriation tanks and Unit-5 (covered elutriation tank of the City of Johannesburg Northern Wastewater Treatment Works was determined. Physicochemical parameters of wastewater samples were measured using standard methods. Bacterial diversity was determined using 16S rRNA gene amplicon pyrosequencing of the variable region V1-3. Results showed soluble COD concentrations from settled sewage for Unit-3 at 192.8 mg COD/L and for Unit-5 at 214.6 mg COD/L, which increased to 301.8 mg COD/L and 411.6 mg COD/L in the overflow from elutriation tanks and decreased to 170.9 mg COD/L and 256.3 mg COD/L at the division boxes, respectively. Both long-chain volatile fatty acids (heptanoic acid, isobutyric acid, 3-methylbutanoic acid, pentanoic acid, 4-methylpentanoic acid, methylheptanoic acid and short-chain volatile fatty acids (acetic acid, propionic acid, isobutyric acid were present within concentration ranges of 17.19 mg/L to 54.98 mg/L and 13.64 mg/L to 87.6 mg/L for Unit 3 and 38.61 mg/L to58.85 mg/L and 21.63 mg/L to 92.39 mg/L for Unit 5, respectively. In the secondary settling tanks, the phosphate-removal efficiency in Unit-5 appeared to be slightly higher (0.08 mg P/L compared to that of Unit-3 (0.11 mg P/L. The average DO concentrations (2.1 mg/L and 2.2 mg/L as well as the pH values (pH 7 to pH 7.5 were found to be slightly higher in Unit-5 in the aerobic zones. The high presence of PAOs in the bioreactors (Unit-5: Dechloromonas (14.96%, Acinetobacter (6.3%, Zoogloea (4.72% in the anaerobic zone and Dechloromonas (22.37 % in the aerobic zone; Unit-3: Dechloromonas (37.25% in the anaerobic zone and Dechloromonas (23.97% in the aerobic zone confirmed the phosphate-removal efficiencies of both units. Negligible GAOs were found in the aerobic zones (Defluviicoccus spp.: 0

  13. The Impact of Microbial Ecology and Chemical Profile on the Enhanced Biological Phosphorus Removal (EBPR) Process: A Case Study of Northern Wastewater Treatment Works, Johannesburg

    Science.gov (United States)

    Kamika, Ilunga; Coetzee, Martie; Mamba, Bhekie Brilliance; Msagati, Titus; Momba, Maggy N. B.

    2014-01-01

    The impact of polyphosphate-accumulating organism (PAO) and glycogen-accumulating organism (GAO) populations as well as of the chemical profile on the performance of Unit-3 (open elutriation tanks) and Unit-5 (covered elutriation tank) of the City of Johannesburg Northern Wastewater Treatment Works was determined. Physicochemical parameters of wastewater samples were measured using standard methods. Bacterial diversity was determined using 16S rRNA gene amplicon pyrosequencing of the variable region V1-3. Results showed soluble COD concentrations from settled sewage for Unit-3 at 192.8 mg COD/L and for Unit-5 at 214.6 mg COD/L, which increased to 301.8 mg COD/L and 411.6 mg COD/L in the overflow from elutriation tanks and decreased to 170.9 mg COD/L and 256.3 mg COD/L at the division boxes, respectively. Both long-chain volatile fatty acids (heptanoic acid, isobutyric acid, 3-methylbutanoic acid, pentanoic acid, 4-methylpentanoic acid, methylheptanoic acid) and short-chain volatile fatty acids (acetic acid, propionic acid, isobutyric acid) were present within concentration ranges of 17.19 mg/L to 54.98 mg/L and 13.64 mg/L to 87.6 mg/L for Unit 3 and 38.61 mg/L to58.85 mg/L and 21.63 mg/L to 92.39 mg/L for Unit 5, respectively. In the secondary settling tanks, the phosphate-removal efficiency in Unit-5 appeared to be slightly higher (0.08 mg P/L) compared to that of Unit-3 (0.11 mg P/L). The average DO concentrations (2.1 mg/L and 2.2 mg/L) as well as the pH values (pH 7 to pH 7.5) were found to be slightly higher in Unit-5 in the aerobic zones. The high presence of PAOs in the bioreactors (Unit-5: Dechloromonas (14.96%), Acinetobacter (6.3%), Zoogloea (4.72%) in the anaerobic zone and Dechloromonas (22.37 %) in the aerobic zone; Unit-3: Dechloromonas (37.25%) in the anaerobic zone and Dechloromonas (23.97%) in the aerobic zone) confirmed the phosphate-removal efficiencies of both units. Negligible GAOs were found in the aerobic zones (Defluviicoccus spp.: 0.33% for

  14. The impact of microbial ecology and chemical profile on the enhanced biological phosphorus removal (EBPR) process: a case study of Northern Wastewater Treatment Works, Johannesburg.

    Science.gov (United States)

    Kamika, Ilunga; Coetzee, Martie; Mamba, Bhekie Brilliance; Msagati, Titus; Momba, Maggy N B

    2014-03-10

    The impact of polyphosphate-accumulating organism (PAO) and glycogen-accumulating organism (GAO) populations as well as of the chemical profile on the performance of Unit-3 (open elutriation tanks) and Unit-5 (covered elutriation tank) of the City of Johannesburg Northern Wastewater Treatment Works was determined. Physicochemical parameters of wastewater samples were measured using standard methods. Bacterial diversity was determined using 16S rRNA gene amplicon pyrosequencing of the variable region V1-3. Results showed soluble COD concentrations from settled sewage for Unit-3 at 192.8 mg COD/L and for Unit-5 at 214.6 mg COD/L, which increased to 301.8 mg COD/L and 411.6 mg COD/L in the overflow from elutriation tanks and decreased to 170.9 mg COD/L and 256.3 mg COD/L at the division boxes, respectively. Both long-chain volatile fatty acids (heptanoic acid, isobutyric acid, 3-methylbutanoic acid, pentanoic acid, 4-methylpentanoic acid, methylheptanoic acid) and short-chain volatile fatty acids (acetic acid, propionic acid, isobutyric acid) were present within concentration ranges of 17.19 mg/L to 54.98 mg/L and 13.64 mg/L to 87.6 mg/L for Unit 3 and 38.61 mg/L to58.85 mg/L and 21.63 mg/L to 92.39 mg/L for Unit 5, respectively. In the secondary settling tanks, the phosphate-removal efficiency in Unit-5 appeared to be slightly higher (0.08 mg P/L) compared to that of Unit-3 (0.11 mg P/L). The average DO concentrations (2.1 mg/L and 2.2 mg/L) as well as the pH values (pH 7 to pH 7.5) were found to be slightly higher in Unit-5 in the aerobic zones. The high presence of PAOs in the bioreactors (Unit-5: Dechloromonas (14.96%), Acinetobacter (6.3%), Zoogloea (4.72%) in the anaerobic zone and Dechloromonas (22.37 %) in the aerobic zone; Unit-3: Dechloromonas (37.25%) in the anaerobic zone and Dechloromonas (23.97%) in the aerobic zone) confirmed the phosphate-removal efficiencies of both units. Negligible GAOs were found in the aerobic zones (Defluviicoccus spp.: 0.33% for

  15. Protocol: Personality assessment as a support for referral and case-work in treatment for substance use disorders (PASRC-study

    Directory of Open Access Journals (Sweden)

    Pedersen Mads K

    2008-04-01

    Full Text Available Abstract Background Assessment of co-morbid personality disorders in substance use disorders may lead to important insights concerning individual patients. However, little is known about the potential value of routine personality disorder assessment in a clinical context. Methods Patients are adults with past-year substance dependence seeking treatment at a centralized intake unit for substance abusers in the City of Copenhagen. A randomized controlled trial of assessment of personality disorders and individual feedback vs. a general life situation interview. Patients are followed at 3 and 6 months post-treatment Discussion If routine personality assessment improves outcomes of substance abuse treatment, the clinical implication is to increase the use of personality disorder assessment in substance abuse treatment settings. Trial registration Current controlled trials ISRCTN39851689

  16. Case work

    DEFF Research Database (Denmark)

    Shaw, Ian Frank

    2016-01-01

    Answers to the question just what is the ?case? partly defined the fields of sociology and social work in early 20th century Chicago. Drawing on the archives of the University of Chicago, I describe and appraise the way the ?case? figured in social work at Chicago and elsewhere. I ask...... the corresponding question of sociology. Finally, I briefly consider why not much came of social work and sociology ploughing similar territory in ways that served for a time to hallmark their identities. This analysis opens up ways of rethinking how social work and sociological research are distinctive...

  17. Effects of Deep Cryogenic Treatment on the Wear Resistance and Mechanical Properties of AISI H13 Hot-Work Tool Steel

    Science.gov (United States)

    Çiçek, Adem; Kara, Fuat; Kıvak, Turgay; Ekici, Ergün; Uygur, İlyas

    2015-11-01

    In this study, a number of wear and tensile tests were performed to elucidate the effects of deep cryogenic treatment on the wear behavior and mechanical properties (hardness and tensile strength) of AISI H13 tool steel. In accordance with this purpose, three different heat treatments (conventional heat treatment (CHT), deep cryogenic treatment (DCT), and deep cryogenic treatment and tempering (DCTT)) were applied to tool steel samples. DCT and DCTT samples were held in nitrogen gas at -145 °C for 24 h. Wear tests were conducted on a dry pin-on-disk device using two loads of 60 and 80 N, two sliding velocities of 0.8 and 1 m/s, and a wear distance of 1000 m. All test results showed that DCT improved the adhesive wear resistance and mechanical properties of AISI H13 steel. The formation of small-sized and uniformly distributed carbide particles and the transformation of retained austenite to martensite played an important role in the improvements in the wear resistance and mechanical properties. After cleavage fracture, the surfaces of all samples were characterized by the cracking of primary carbides, while the DCT and DCTT samples displayed microvoid formation by decohesion of the fine carbides precipitated during the cryo-tempering process.

  18. Study of low resistivity and high work function ITO films prepared by oxygen flow rates and N2O plasma treatment for amorphous/crystalline silicon heterojunction solar cells.

    Science.gov (United States)

    Hussain, Shahzada Qamar; Oh, Woong-Kyo; Kim, Sunbo; Ahn, Shihyun; Le, Anh Huy Tuan; Park, Hyeongsik; Lee, Youngseok; Dao, Vinh Ai; Velumani, S; Yi, Junsin

    2014-12-01

    Pulsed DC magnetron sputtered indium tin oxide (ITO) films deposited on glass substrates with lowest resistivity of 2.62 x 10(-4) Ω x cm and high transmittance of about 89% in the visible wavelength region. We report the enhancement of ITO work function (Φ(ITO)) by the variation of oxygen (O2) flow rate and N2O surface plasma treatment. The Φ(ITO) increased from 4.43 to 4.56 eV with the increase in O2 flow rate from 0 to 4 sccm while surface treatment of N2O plasma further enhanced the ITO work function to 4.65 eV. The crystallinity of the ITO films improved with increasing O2 flow rate, as revealed by XRD analysis. The ITO work function was increased by the interfacial dipole resulting from the surface rich in O- ions and by the dipole moment formed at the ITO surface during N2O plasma treatment. The ITO films with high work functions can be used to modify the front barrier height in heterojunction with intrinsic thin layer (HIT) solar cells.

  19. Controversial issues in CKD clinical practice: position statement of the CKD-treatment working group of the Italian Society of Nephrology.

    Science.gov (United States)

    Bellizzi, Vincenzo; Conte, Giuseppe; Borrelli, Silvio; Cupisti, Adamasco; De Nicola, Luca; Di Iorio, Biagio R; Cabiddu, Gianfranca; Mandreoli, Marcora; Paoletti, Ernesto; Piccoli, Giorgina B; Quintaliani, Giuseppe; Ravera, Maura; Santoro, Domenico; Torraca, Serena; Minutolo, Roberto

    2017-04-01

    This position paper of the study group "Conservative treatment of Chronic Kidney Disease-CKD" of the Italian Society of Nephrology addresses major practical, unresolved, issues related to the conservative treatment of chronic renal disease. Specifically, controversial topics from everyday clinical nephrology practice which cannot find a clear, definitive answer in the current literature or in nephrology guidelines are discussed. The paper reports the point of view of the study group. Concise and practical advice is given on several common issues: renal biopsy in diabetes; dual blockade of the renin-angiotensin-aldosterone system (RAAS); management of iron deficiency; low protein diet; dietary salt intake; bicarbonate supplementation; treatment of obesity; the choice of conservative therapy vs. dialysis. For each topic synthetic statements, guideline-style, are reported.

  20. The effects of a group based stress treatment program (the Kalmia concept) targeting stress reduction and return to work. A randomized, wait-list controlled trial

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Friebel, Lene; Ladegaard, Yun Katrine

    2012-01-01

    of an integrative approach of group psychotherapy for 2.5 hours per week and Basic Body Awareness Therapy (BBAT) with mindfulness meditation for 1.5 hours per week, which runs in a parallel process supplemented with workplace dialogue; the treatment-as-usual control group (TAUCG, 71 participants), who received 12...... consultations with a psychologist; and the wait-listed control group (WLCG, 58 participants). Treatment in the IG and the TAUCG lasted 10 and 12 weeks, respectively. Results Reductions in symptom levels (as measured by scores on the SCL92) were significantly larger in the IG (Cohen�s d= 0.73) and TAUCG compared...

  1. Paper works

    DEFF Research Database (Denmark)

    Rasmussen, Mattias Borg

    2017-01-01

    of their land and natural resources, but also of labor and territorial sovereignty. This case shows how an Andean campesino community counters such movements by a wide repertoire of legal and social actions that works simultaneously in legal and extra-legal domains. Paper works mediate claims to territorial...

  2. Works Councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne; Markey, Ray

    2002-01-01

    The article outlines the operation of works councils in Europe and in the context of disscussing their viability in Austalia.......The article outlines the operation of works councils in Europe and in the context of disscussing their viability in Austalia....

  3. Sedentary work

    DEFF Research Database (Denmark)

    Eriksen, Dorte; Rosthøj, Susanne; Burr, Hermann

    2015-01-01

    OBJECTIVE: The aim of this study is to investigate the association between five-year changes in occupational sitting and body mass index (BMI) in working adults. METHODS: We analyzed data from The Danish Work Environment Cohort Study (2005 and 2010, n=3.482). Data on occupational sitting, weight...

  4. Feasible, efficient and necessary, without exception - Working with sex workers interrupts HIV/STI transmission and brings treatment to many in need

    NARCIS (Netherlands)

    R. Steen (Richard); T. Wheeler (Tisha); M. Gorgens (Marelize); E. Mziray (Elizabeth); G. Dallabetta (Gina)

    2015-01-01

    textabstractBackground and Overview. High rates of partner change in sex work-whether in professional, 'transactional' or other context-disproportionately drive transmission of HIV and other sexually transmitted infections. Several countries in Asia have demonstrated that reducing transmission in se

  5. "Conditional Scholarships" for HIV/AIDS Health Workers: Educating and Retaining the Workforce to Provide Antiretroviral Treatment in Sub-Saharan Africa. NBER Working Paper No. 13396

    Science.gov (United States)

    Barnighausen, Till; Bloom, David E.

    2007-01-01

    Without large increases in the number of health workers to treat HIV/AIDS (HAHW), most developing countries will be unable to achieve universal coverage with antiretroviral treatment (ART), leading to large numbers of potentially avoidable deaths among people living with HIV/AIDS. We use Markov Monte Carlo microsimulation to estimate the expected…

  6. International Myeloma Working Group consensus statement for the management, treatment, and supportive care of patients with myeloma not eligible for standard autologous stem-cell transplantation

    NARCIS (Netherlands)

    A. Palumbo (Antonio); S.V. Rajkumar (Vincent); J.F. San Miguel (Jesús Fernando); A. Larocca (Alessandra); R. Niesvizky; G. Morgan (Gareth); O. Landgren; R. Hajek (Roman); H. Einsele (Hermann); K.C. Anderson (Kenneth Carl); M.A. Dimopoulos (Meletios); P.G. Richardson (Paul Gerard); M. Cavo (Michele); A. Spencer (Andrew); A.J. Stewart (A.); K. Shimizu; S. Lonial (Sagar); P. Sonneveld (Pieter); B.G.M. Durie (Brian); P. Moreau; R.Z. Orlowski (Robert)

    2014-01-01

    textabstractPurpose: To provide an update on recent advances in the management of patients with multiple myeloma who are not eligible for autologous stem-cell transplantation. Methods: A comprehensive review of the literature on diagnostic criteria is provided, and treatment options and management o

  7. Expanding treatment options for youth with type 2 diabetes: Current problems and proposed solutions: A white paper from the NICHD Diabetes Working Group

    Science.gov (United States)

    The Best Pharmaceuticals for Children Act of 2002 mandated that the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) carries out critical reviews of the gaps in knowledge and unmet needs regarding safe and effective pharmacologic treatment of infants, children,...

  8. Work Stress

    OpenAIRE

    Roeters, Anne

    2014-01-01

    Most of us agree that stress is a growing problem within organizations. We hear about the postal workers who had killed fellow employees and supervisors, and then hear that a major cause of tension is at work. Friends tell us that they are stressed due to increased workload and he has to work overtime because the company is restructured. We read the polls that employees complain about the stress in trying to balance family life with the work. Stress is a dynamic condition in which an individu...

  9. Does "Social Work Abstracts" Work?

    Science.gov (United States)

    Holden, Gary; Barker, Kathleen; Covert-Vail, Lucinda; Rosenberg, Gary; Cohen, Stephanie A.

    2008-01-01

    Objective: The current study seeks to provide estimates of the adequacy of journal coverage in the Social Work Abstracts (SWA) database. Method: A total of 23 journals listed in the Journal Citation Reports social work category during the 1997 to 2005 period were selected for study. Issue-level coverage estimates were obtained for SWA and…

  10. Does "Social Work Abstracts" Work?

    Science.gov (United States)

    Holden, Gary; Barker, Kathleen; Covert-Vail, Lucinda; Rosenberg, Gary; Cohen, Stephanie A.

    2008-01-01

    Objective: The current study seeks to provide estimates of the adequacy of journal coverage in the Social Work Abstracts (SWA) database. Method: A total of 23 journals listed in the Journal Citation Reports social work category during the 1997 to 2005 period were selected for study. Issue-level coverage estimates were obtained for SWA and…

  11. The Inventory Revaluation Method and General Ledger Accounting Treatment Used in Compiling the FY 1997 Air Force Working Capital Fund Financial Statements.

    Science.gov (United States)

    1998-09-28

    stratification reports are prepared semiannually, data from the latest available report will be used until a new report is received. Net Realizable Value . On...Working Capital Funds (DCWF) Supply Management Inventory Values." The memorandum stated that the net realizable value of inventory identified as EOBR...Regulation states that the difference between the value of the inventory before identification as EOBR and its expected net realizable value after

  12. CITA works

    DEFF Research Database (Denmark)

    Ramsgaard Thomsen, Mette; Tamke, Martin; Ayres, Phil;

    2015-01-01

    CITA works documents over 40 projects, events and research collaborations conducted between 2005 and 2014 by the Centre for Information Technology and Architecture (CITA). Through individual project descriptions accompanied by photographic documentation and design drawings, CITA works provides...... readers with insights into our design-led practice-based architectural research which queries how computation challenges the way we think, design and build architecture. With essays by Professor Mette Ramsgaard Thomsen (Head of CITA), and Dr. Jane Burry (Head of the Spatial Information Architecture...... Laboratory, RMIT) the work is contextualised within the field of digital architectural design practice. These essays also identify the emerging questions and maturing methods that continue to inform CITA’s research within this territory. CITA works marks the first 10 years of our research effort...

  13. [Comparative evaluation of influence of low-intensity laser radiation of different spectrum components and regimen of laser work upon microcirculation in comprehensive treatment of chronic parodontitis].

    Science.gov (United States)

    Krechina, E K; Shidova, A V; Maslova, V V

    2008-01-01

    Comparative study of the influence details of low-intensity pulse and continuous oscillation of laser radiation of red and infrared parts of spectrum upon microcirculation indices in comprehensive treatment of chronic parodontitis of light and middle severity was performed. For the first time the predominantly activating influence upon microcirculation in gingival tissues of the pulsed laser radiation in the red part of spectrum was established.

  14. The clinical librarians and information professionals’ role in tele-medicine: assisting the general practitioners working in rural areas of Kerman Province in the treatment process

    Directory of Open Access Journals (Sweden)

    Fatemeh Motamedi

    2014-04-01

    Full Text Available Introduction: Over the last decade, the role of clinical librarians in assisting general practitioners to provide better health care has been proved. Rapid progress in telecommunication technology has emerged this question. Could clinical librarians be able to assist general practitioners working in rural and remote areas through Information and communication technologies? This project sought to evaluate whether clinical librarians are able to provide accurate and updated information to physicians. Method: Twenty general practitioners working in non rural working in remote areas of Kerman were requested to ask clinical librarians 5 questions through a phone line each over the period of two months whenever they felt they need to have more information on a matter related to their practice. Then all questions and answers were evaluated by expert medical specialists and pharmacists who were academic staff of Kerman University of Medical Sciences . Clinical librarians’ role was also evaluated by an electronic questionnaire sent to general practitioners. Results: Over 80 percents of the answers were evaluated as perfect and 10 percent as good. Only 10 percent of the answers were scored as wrong. Conclusion: Clinical librarians are able to provide reliable information to remote and rural physicians, The fact which has been also verified by the specialists. However, clinical librarians need to improve their English language and their knowledge about online search strategies and basic medication. Telecommunication infrastructure and suitable internet speed for online search by librarians are very important.

  15. Risk assessment Department of Energy Kansas City Plant (DOE/KCP) PCB discharge to Blue River Sewage Treatment Plant, Kansas City, Missouri

    Energy Technology Data Exchange (ETDEWEB)

    Chidambariah, Venkatesh; Garrett, J.K.; King, K.H.; Yambert, M.W.; Travis, C.C. (Oak Ridge National Lab., TN (USA))

    1989-09-29

    The Environmental Protection Department of the US Department of Energy Kansas City Plant (DOE/KCP) requested that a risk assessment be performed on the potential health effects of discharges of polychlorinated biphenyls (PCBs) from the DOE/KCP to the Blue River Sewage Treatment Plant, Kansas City's largest publicly owned treatment works facility (Kansas City POTW). The major objectives of this risk assessment are (1) to determine the potential health impacts of DOE/KCP's current discharges of PCBs to the Kansas City POTW via all reasonable exposure pathways and (2) to determine a health-based, safe'' discharge level for PCBs to the Kansas City POTW. The present risk assessment considers both occupational and public impacts of PCB discharges from the DOE/KCP. Two occupational exposure scenarios assessed are (1) risk to Kansas City POTW sewer line maintenance workers and (2) risk to Kansas City POTW workers during routine operations of the facility. Both types of workers may be dermally exposed to PCBs in sewage. Public risks considered include risk to populations living within 50 km of the Kansas City POTW via inhalation of PCBs from sludge incinerated at the facility. Additionally, risk to the general public associated with PCB releases from the Kansas City POTW to the Missouri River is assessed. These pathways include ingestion of PCBs in drinking water supplied by the Missouri River, dermal adsorption and accidental ingestion of PCBs while swimming in the Missouri River, and ingestion of PCBs through consumption of fish taken from the Missouri River. Risk to breastfed infants from ingestion of PCBs through mothers' milk is also assessed. 108 refs., 3 figs., 5 tabs.

  16. International Myeloma Working Group consensus approach to the treatment of multiple myeloma patients who are candidates for autologous stem cell transplantation

    Science.gov (United States)

    Palumbo, Antonio; Moreau, Philippe; Orlowski, Robert; Bladé, Joan; Sezer, Orhan; Ludwig, Heinz; Dimopoulos, Meletios A.; Attal, Michel; Sonneveld, Pieter; Boccadoro, Mario; Anderson, Kenneth C.; Richardson, Paul G.; Bensinger, William; Johnsen, Hans E.; Kroeger, Nicolaus; Gahrton, Gösta; Bergsagel, P. Leif; Vesole, David H.; Einsele, Hermann; Jagannath, Sundar; Niesvizky, Ruben; Durie, Brian G. M.; San Miguel, Jesus; Lonial, Sagar

    2011-01-01

    The role of high-dose therapy followed by autologous stem cell transplantation (ASCT) in the treatment of multiple myeloma (MM) continues to evolve in the novel agent era. The choice of induction therapy has moved from conventional chemotherapy to newer regimens incorporating the immunomodulatory derivatives thalidomide or lenalidomide and the proteasome inhibitor bortezomib. These drugs combine well with traditional therapies and with one another to form various doublet, triplet, and quadruplet regimens. Up-front use of these induction treatments, in particular 3-drug combinations, has affected unprecedented rates of complete response that rival those previously seen with conventional chemotherapy and subsequent ASCT. Autotransplantation applied after novel-agent-based induction regimens provides further improvement in the depth of response, a gain that translates into extended progression-free survival and, potentially, overall survival. High activity shown by immunomodulatory derivatives and bortezomib before ASCT has recently led to their use as consolidation and maintenance therapies after autotransplantation. Novel agents and ASCT are complementary treatment strategies for MM. This article reviews the current literature and provides important perspectives and guidance on the major issues surrounding the optimal current management of younger, transplantation-eligible MM patients. PMID:21447828

  17. Paid work and unpaid work

    DEFF Research Database (Denmark)

    Bonke, Jens

    Time-use information is preferably obtained from diaries, as this method is considered more reliable than information from questionnaires. The diary-technique seems to be unique in catching the rhythm of every day life and thereby the structuring of work and leisure during a well......-questions are asked about the time spent on paid work and unpaid/household work. The advantage of the latter technique is that it can easily be integrated into surveys. Thus the American National Survey of Families and Households (NSFH) already contains two waves, and a new wave for 2001-2002, which allows...

  18. Investigation and improvement of a novel double-working-electrode electrochemical system for organic matter treatment from high-salinity wastewater.

    Science.gov (United States)

    Yu, Han; Zhao, Min; Zhang, Linus; Dong, Heng; Yu, Hongbing; Chen, Ze

    2017-02-03

    The novel double-working-electrode electrochemical system with air diffusion cathode (ADC) and Ti/SnO2-Sb anode (TSSA) has shown higher efficiency and lower energy consumption for the degradation of organic pollutant from high-salinity wastewater, compared to the traditional single anode system. To further investigate and improve this system, in this work, firstly the effect of vital factors of the double-working-electrode electrochemical system including initial methyl orange (MO) concentration, NaCl concentration and initial pH value of organic solution were investigated, using MO as the targeted organic pollutant, carbon black ADC (CBAC) as cathode and stainless steel mesh electrode (SSME) as control. Besides, for the further improvement of removal performance, a novel home-made activated carbon-ADC (ACAC) was studied as cathode with the same investigation process. The results showed that, in the experiments studying the effect of both initial MO and NaCl concentrations, the removal performance was in the order of TSSA-ACAC > TSSA-CBAC > TSSA-SSME in all conditions of initial MO and NaCl concentrations. However, with the pH value reduced from 6.0 to 3.0, the performances of three systems turned to be much closer to each other. Besides, ACAC played a synergistic role in MO removal by greatly improving the MO removal performance and enhancing its adaptability to the reactor parametric variation. ACAC created a weak acidic environment for accelerating the indirect electro-oxidation of MO on TSSA. The MO degradation pathways in the three systems were the same but the TSSA-ACAC system gave a higher degradation kinetics order.

  19. Aplastic Anemia: Alternative Immunosuppressive Treatments and Eltrombopag. A report from the 2014 EBMT Educational Meeting from the Severe Aplastic Anaemia and Infectious Diseases Working Parties.

    Science.gov (United States)

    Risitano, Antonio M

    2015-01-25

    Acquired idiopathic AA is the most typical form of immune-mediated bone marrow failure; the standard treatment of AA for patients who lack a transplant option is immunosuppressive treatment (IST). The standard IST regimen is horse anti-thymocyte globuline (h-ATG) combined with cyclosporine A (CsA), which results in a long term survival around 65-70%. In the past two decades several efforts have been made to improve these results, however results were quite disappointing. Indeed, the addition of a third immunosuppressive agent (micophenolate and sirolimus) on the h-ATG/CsA platform has not resulted in any benefit. Furthermore, the use of anti-lymphocyte agents other than h-ATG (rabbit-ATG, cyclophosphamide, alemtuzumab) has not reproduced the positive outcome seen with standard h-ATG + CsA, irrespective of a more pronounced lymphocyte depletion observed with these alternative compounds. Thus, at least with the strategies tested so far, the strengthening of IST has not led to improved results. More recently, the use of the thrombopoietin mimetic agent eltrombopag has emerged as a possible option to rescue patients failing IST. Nowadays the protection and/or stimulation of residual hematopoietic stem cells by eltrombopag seem an interesting strategy which, once combined with IST, may improve its clinical efficacy. Prospective studies which combine h-ATG and CsA with eltrombopag are currently ongoing in the United States and in Europe, eventually aiming to establish the best non-transplant treatment of AA in the new millennium.

  20. Water Governance Decentralisation and River Basin Management Reforms in Hierarchical Systems: Do They Work for Water Treatment Policy in Mexico’s Tlaxcala Atoyac Sub-Basin?

    Directory of Open Access Journals (Sweden)

    Cesar Casiano Flores

    2016-05-01

    Full Text Available In the last decades, policy reforms, new instruments development, and economic resources investment have taken place in water sanitation in Mexico; however, the intended goals have not been accomplished. The percentage of treated wastewater as intended in the last two federal water plans has not been achieved. The creation of River Basin Commissions and the decentralisation process have also faced challenges. In the case of Tlaxcala, the River Basin Commission exists only on paper and the municipalities do not have the resources to fulfil the water treatment responsibilities transferred to them. This lack of results poses the question whether the context was sufficiently considered when the reforms were enacted. In this research, we will study the Tlaxcala Atoyac sub-basin, where water treatment policy reforms have taken place recently with a more context sensitive approach. We will apply the Governance Assessment Tool in order to find out whether the last reforms are indeed apt for the context. The Governance Assessment Tool includes four qualities, namely extent, coherence, flexibility, and intensity. The assessment allows deeper understanding of the governance context. Data collection involved semi-structured in-depth interviews with stakeholders. The research concludes that the observed combination of qualities creates a governance context that partially supports the implementation of the policy. This has helped to increase the percentage of wastewater treated, but the water quality goals set by the River Classification have not been achieved. With the last reforms, in this hierarchical context, decreasing the participation of municipal government levels has been shown to be instrumental for improving water treatment plants implementation policy, although many challenges remain to be addressed.

  1. Developing culturally competent marriage and family therapists: treatment guidelines for non-African-American therapists working with African-American families.

    Science.gov (United States)

    Bean, Roy A; Perry, Benjamin J; Bedell, Tina M

    2002-04-01

    To serve African-American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to examine the most common expert recommendations for family therapy with African Americans. Fifteen specific guidelines were generated, including orient the family to therapy, do not assume familiarity, address issue of racism, intervene multi-systemically, do home visits, use problem-solving focus, involve religious leader, incorporate the father, and acknowledge strengths. Conceptual and empirical support for each guideline is discussed, and conclusions are made regarding culturally competent therapy with African-American families.

  2. Does mass drug administration for the integrated treatment of neglected tropical diseases really work? Assessing evidence for the control of schistosomiasis and soil-transmitted helminths in Uganda

    Directory of Open Access Journals (Sweden)

    Allen Tim

    2011-01-01

    Full Text Available Abstract Background Less is known about mass drug administration [MDA] for neglected tropical diseases [NTDs] than is suggested by those so vigorously promoting expansion of the approach. This paper fills an important gap: it draws upon local level research to examine the roll out of treatment for two NTDs, schistosomiasis and soil-transmitted helminths, in Uganda. Methods Ethnographic research was undertaken over a period of four years between 2005-2009 in north-west and south-east Uganda. In addition to participant observation, survey data recording self-reported take-up of drugs for schistosomiasis, soil-transmitted helminths and, where relevant, lymphatic filariasis and onchocerciasis was collected from a random sample of at least 10% of households at study locations. Data recording the take-up of drugs in Ministry of Health registers for NTDs were analysed in the light of these ethnographic and social survey data. Results The comparative analysis of the take-up of drugs among adults revealed that although most long term residents have been offered treatment at least once since 2004, the actual take up of drugs for schistosomiasis and soil-transmitted helminths varies considerably from one district to another and often also within districts. The specific reasons why MDA succeeds in some locations and falters in others relates to local dynamics. Issues such as population movement across borders, changing food supply, relations between drug distributors and targeted groups, rumours and conspiracy theories about the 'real' purpose of treatment, subjective experiences of side effects from treatment, alternative understandings of affliction, responses to social control measures and historical experiences of public health control measures, can all make a huge difference. The paper highlights the need to adapt MDA to local circumstances. It also points to specific generalisable issues, notably with respect to health education, drug distribution and

  3. Working Collaboratively

    DEFF Research Database (Denmark)

    Holder, Anna; Lovett, George

    2009-01-01

    Working collaboratively is arguably an essential skill in architectural practice as the complexity of contemporary projects involves multiple agents in the conception, construction and use of architecture. This has been emphasised by recent government rhetoric. Mass collaboration has been...... identified as a transformative global force of the last decade, most notably in knowledge and information publishing, communication and creation. This paper presents a structured conversation on changing understandings of collaboration, and the realities of collaborative methodology in architectural work....... Ideas of the platforms and structures necessary to support ‘creative’ collaborations are advanced and tested, and a vocabulary of key terms is developed. The conversation extends to reflect on the role of the architecture profession in supporting or enabling collaboration in architectural works....

  4. Postnatal MK-801 treatment of female rats impairs acquisition of working memory, but not reference memory in an eight-arm radial maze; no beneficial effects of enriched environment.

    Science.gov (United States)

    Nozari, Masoumeh; Mansouri, Farshad Alizadeh; Shabani, Mohammad; Nozari, Hojat; Atapour, Nafiseh

    2015-07-01

    Memory impairment has been documented in MK-801 (NMDA receptor antagonist) model of schizophrenia, but less is known on the rescue and/or differential effects of MK-801 on short- and long-term memories. We determined the effects of MK-801 treatment and/or enriched environment (EE) on acquisition of reference and working memory in developing rats. Female Wistar rats were injected with MK-801 (1 mg/kg) from postnatal days (P) 6-10. Task acquisition, working memory error (WME), and reference memory error (RME) were assessed in an eight-arm radial maze task. Behavioral performance of rats was also tested in an open field test before (P35-P40) and after (P65-P70) radial maze training to assess anxiety and locomotion. EE was applied from birth up to the end of experiments. MK-801 treatment did not influence task acquisition in the radial maze; however, by the end of training, MK-801-treated rats made significantly more WME, but not RME, compared to control rats. Ratio of WME to total error was also significantly higher in MK-801 group. EE prevented MK-801-associated behaviors in the open field but did not exert beneficial effects on working memory deficit in the radial maze task. EE per se affected behavioral performance of rats only in the open field test. Our results suggest that postnatal MK-801 treatment differentially affects working and reference memory in a young brain. Anxiety and hyperactivity associated with MK-801 are observed more severely in adulthood. Dissociation of the positive effects of EE may suggest selective modification of distinct pathways.

  5. Work sampling

    OpenAIRE

    Salas Bacalla, julio; FII-UNMSM

    2014-01-01

    Work sampling is a method of indirect measurement, which means instantaneous observations, to determine the amount of uptime or downtime in a production process El muestreo de trabajo es un método de medición indirecto, que mediante observaciones instantaneas, permite determinar la cantidad de tiempo en actividad o inactividad en un proceso productivo

  6. Hard work

    NARCIS (Netherlands)

    Myra Keizer; Saskia Keuzenkamp

    2011-01-01

    Original title: Moeilijk werken More than one in ten women say they are not available for the labour market because of health complaints. That is almost twice as many as the figure for men. Migrant women, in particular, often cite health as a reason for not being able to work. Are there

  7. Demolition work

    CERN Document Server

    2004-01-01

    Because of demolition work inside Bldg. 251, two containers will be placed on the route Démocrite. For security reasons, the part of this road in front of barrack 553 will be closed to circulation from 5 to 12 November. Thank you, in advance for your understanding. PH-SMI

  8. Road works

    CERN Multimedia

    GS Department

    2010-01-01

    From Monday 11 October until Friday 29 October 2010, the flow of traffic will be disrupted by road works at the roundabout in front of Restaurant No. 2; The number of spaces available in the car park in front of Rest. No. 2 will be reduced. Thank you for your understanding during this period. GS/SEM Group

  9. Wetlands Work

    Science.gov (United States)

    Messina, Linda; Blanchard, Pamela Borne

    2004-01-01

    This article describes how a biology teacher's search for a cross-curricular project in science, math, history, and environmental science, that would help her students connect what they were learning in the classroom to their everyday life, resulted in an ongoing stewardship project. Working together with the Louisiana Sea Grant College Program…

  10. Wetlands Work

    Science.gov (United States)

    Messina, Linda; Blanchard, Pamela Borne

    2004-01-01

    This article describes how a biology teacher's search for a cross-curricular project in science, math, history, and environmental science, that would help her students connect what they were learning in the classroom to their everyday life, resulted in an ongoing stewardship project. Working together with the Louisiana Sea Grant College Program…

  11. Working Parents

    Science.gov (United States)

    ... on your time and energy. For example, the family can work together to clean up the kitchen after dinner; with everyone's help it will get done much quicker and free up some time for you in the evening. Do the same on the ... build family cohesiveness while finishing the job faster, thus leaving ...

  12. Construction work

    CERN Multimedia

    2004-01-01

    Construction work on building 179 will start on the 16th February 2004 and continue until November 2004. The road between buildings 179 and 158 will temporarily become a one way street from Route Democrite towards building 7. The parking places between buildings 179 and 7 will become obsolete. The ISOLDE collaboration would like to apologize for any inconveniences.

  13. Suitability assessment of replacement of conventional hot-working steels with maraging steel. Pt. I. Mechanical properties of maraging steel after precipitation hardening treatment

    Energy Technology Data Exchange (ETDEWEB)

    Grum, J.; Zupancic, M. [Ljubljana Univ. (Slovenia). Fakulteta za Strojnistvo

    2002-02-01

    The paper deals with the results of measurement of mechanical properties of maraging steel Thyssen 1.2799 after precipitation annealing with a wide spectrum of temperature/time conditions. The purpose of the investigation conducted on the material for die-casting tools was to find out how the tool life could be extended depending on the heat-treatment conditions and the microstructure of the steel. Thus the influence of temperature/time conditions of precipitation annealing on tensile strength, hardness, and impact toughness of the steel was studied. The Charpy impact toughness test was carried out at a temperature of 200 C, which is, according to our assessment, an average operating temperature of the observed tool surface in die casting of aluminium alloys. Measurements of the mechanical properties were accomplished on three test pieces under each combination of annealing conditions. Special attention was paid to the correlation of the mechanical properties measured under individual precipitation annealing conditions. (orig.)

  14. Work and minor work contracts

    CERN Document Server

    1999-01-01

    The Work and Minor Work contracts are all of the result-oriented type. The work is specified by CERN and the contractor is given full responsibility for its performance. The contracts are thus very similar to supply contracts. The re-tendering of the existing contracts is almost complete, except for some building maintenance contracts. A new cycle of re-tendering for some activities will be launched in the next twelve months. The total estimated expenditure in the year 2000 for the contracts referred to in this document is 27 750 000 Swiss francs at 1999 prices. The Finance Committee is invited: - to approve the proposed expenditure for the extension of contracts for which the estimated amount for the year 2000 exceeds 750 000 Swiss francs, namely those under references 1, 2, 3, 5, 7, 8, 9 and 23, highlighted in Table I; - to take note that all Work and Minor Work contracts have been tendered since 1 January 1994, except the small contracts shown under references 12 and 16 in Table I; - to take note that the ...

  15. Effects of briakinumab treatment for moderate to severe psoriasis on health-related quality of life and work productivity and activity impairment: results from a randomized phase III study.

    Science.gov (United States)

    Papp, K A; Sundaram, M; Bao, Y; Williams, D A; Gu, Y; Signorovitch, J E; Wang, Y; Valdes, J M; Mulani, P M

    2014-06-01

    Psoriasis is known to have a significant negative impact on a patient's health-related quality of life, including social, recreational and work activities. To evaluate the effects of briakinumab on quality of life and work productivity measures in patients with moderate to severe psoriasis. Patients received either briakinumab (n = 981) or placebo (n = 484) during the 12-week induction phase of trial M06-890. At week 12, patients with a Physician's Global Assessment score of 'Clear' or 'Minimal' entered the 40-week maintenance phase and were to receive briakinumab every 4 weeks, briakinumab every 12 weeks, or placebo. At weeks 12 and 52, treatment groups were compared using mean change from baseline in health-related quality of life and Work Productivity and Activity Impairment Questionnaire scores and the percentage of patients with minimum clinically important differences. At week 12, more than half of the briakinumab-treated patients achieved improvements meeting or exceeding minimum clinically important differences for Dermatology Life Quality Index (75.9%), and psoriasis- (64.8%), and psoriatic arthritis-related (54.1%) pain scores; 48.4% achieved improvements for activity impairment. Although improvements in quality of life and work productivity measures were maintained at week 52 for both briakinumab regimens, responder rates were consistently greater in the every-4-week group than in the every-12-week group. Briakinumab treatment resulted in clinically significant improvements in quality of life and work productivity in adults with moderate to severe psoriasis. Maintenance therapy was associated with a more pronounced benefit for the every-4-week briakinumab regimen. © 2013 European Academy of Dermatology and Venereology.

  16. Evaluation of Quality of Life, Functioning, Disability, and Work/School Productivity Following Treatment with an Extended-Release Hydrocodone Tablet Formulated with Abuse-Deterrence Technology: A 12-month Open-label Study in Patients with Chronic Pain.

    Science.gov (United States)

    Hale, Martin E; Zimmerman, Thomas R; Ma, Yuju; Malamut, Richard

    2017-02-01

    This phase 3 study evaluated quality of life, functioning, and productivity after treatment with extended-release (ER) hydrocodone formulated with CIMA(®) Abuse-Deterrence Technology platform. Patients with chronic pain were rolled over from a 12-week placebo-controlled hydrocodone ER study or were newly enrolled. Hydrocodone ER doses were titrated (15 to 90 mg every 12 hours) to an analgesic dose, and patients received up to 52 weeks of open-label treatment. Assessments included Clinician Assessment of Patient Function (CAPF), Patient Assessment of Function (PAF), Brief Pain Inventory-Short Form (BPI-SF), 36-item Short-Form Health Survey (SF-36), Sheehan Disability Scale (SDS), and World Health Organization Health and Work Performance Questionnaire-Short Form (HPQ-SF). Of 330 enrolled patients, 291 composed the full analysis population. By week 4, ≥ 50% of patients showed improvement from baseline in all 5 CAPF domains (general activities, walking, work/daily living, relationships, and enjoyment of life) and 6 of 7 PAF domains (work attendance, work performance, walking, exercise, socializing, and enjoying life). Mean decreases from baseline of 2 to 3 points were noted for BPI-SF pain interference questions from week 4 through endpoint. Mean improvements from baseline to endpoint in SF-36 subscales ranged from 3.3 to 22.3, and SDS scores improved from moderate (4.8 to 5.1) to mild (2.5 to 2.8) disruptions in work/school, social life, and family life. At endpoint, mean HPQ-SF absolute absenteeism scores decreased from 13.6 to 10.0 hours lost/month and absolute presenteeism scores improved from 67.0 to 77.1. Patients receiving hydrocodone ER showed early numeric improvements in functioning that continued throughout this 12-month study. © 2016 World Institute of Pain.

  17. 浙江省分级诊疗工作整体构想及主要举措%General envision and main measures concerning Zhejiang’s tiered diagnosis and treatment work

    Institute of Scientific and Technical Information of China (English)

    马伟杭; 王桢; 孙建伟; 徐飞鸿

    2015-01-01

    The article analyzes the status quo of the slow implementation of Zhejiang’s tiered diagnosis and treatment work and its related reasons. On the basis of this analysis, the article then puts forward the general envision of Zhejiang’s tiered diagnosis and treatment work:setting raising grassroots service ability and strengthening medical insurance adjustment as main thread, enhancing service for bringing convenience and beneifts to people and smoothing dual referral channels as gripper, a medical service structure featuring grassroots diagnosis ifrst, dual referral system and tiered diagnosis and treatment will be built. Main measures to carry out Zhejiang’s tiered diagnosis and treatment work are also illustrated in the article including:enhancing tiered diagnosis and treatment policy and service guarantee, improving appointment diagnosis and treatment service mechanism, raising service capabilities of grassroots medical institutions and promoting regional medical service coordination through information technology.%在分析浙江省分级诊疗工作推进缓慢的状况与原因的基础上,提出了该省开展分级诊疗工作整体构想:以提升基层服务能力、加大医疗保险调节力度为主线,以强化便民惠民服务、畅通双向转诊通道为抓手,全面构建基层首诊、双向转诊、分级诊疗格局。介绍了该省开展分级诊疗工作的主要举措:强化分级诊疗政策保障,强化分级诊疗服务保障,完善预约诊疗服务机制,提升基层医疗机构医疗服务能力,利用信息化手段推进区域医疗协同服务。

  18. Performance comparison and economics analysis of waste stabilization ponds and horizontal subsurface flow constructed wetlands treating domestic wastewater: a case study of the Juja sewage treatment works.

    Science.gov (United States)

    Mburu, Njenga; Tebitendwa, Sylvie M; van Bruggen, Johan J A; Rousseau, Diederik P L; Lens, Piet N L

    2013-10-15

    The performance, effluent quality, land area requirement, investment and operation costs of a full-scale waste stabilization pond (WSP) and a pilot scale horizontal subsurface flow constructed wetland (HSSF-CW) at Jomo Kenyatta University of Agriculture and Technology (JKUAT) were investigated between November 2010 to January 2011. Both systems gave comparable medium to high levels of organic matter and suspended solids removal. However, the WSP showed a better removal for Total Phosphorus (TP) and Ammonium (NH4(+)-N). Based on the population equivalent calculations, the land area requirement per person equivalent of the WSP system was 3 times the area that would be required for the HSSF-CW to treat the same amount of wastewater. The total annual cost estimates consisting of capital, operation and maintenance (O&M) costs were comparable for both systems. However, the evaluation of the capital cost of either system showed that it is largely influenced by the size of the population served, local cost of land and the construction materials involved. Hence, one can select either system in terms of treatment efficiency. When land is available other factor including the volume of wastewater or the investment, and O&M costs determine the technology selection. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Dopamine Treatment and Cognitive Functioning in Individuals with Parkinson’s Disease: The “Cognitive Flexibility” Hypothesis Seems to Work

    Directory of Open Access Journals (Sweden)

    Alberto Costa

    2014-01-01

    Full Text Available Background. Previous data suggest that (i dopamine modulates the ability to implement nonroutine schemata and update operations (flexibility processes and that (ii dopamine-related improvement may be related to baseline dopamine levels in target pathways (inverted U-shaped hypothesis. Objective. To investigate above hypotheses in individuals with Parkinson's disease (PD. Methods. Twenty PD patients were administered tasks varying as to flexibility load in two treatment conditions: (i “off” condition, about 18 hours after dopamine dose and (ii “on” condition, after dopamine administration. PD patients were separated into two groups: low performers (i.e., performance on Digit Span Backward below the sample mean and high performers (i.e., performance above the mean. Twenty healthy individuals performed the tasks in two sessions without taking drugs. Results. Passing from the “off” to the “on” state, only low performer PD patients significantly improved their performance on high-flexibility measures (interference condition of the Stroop test; P<0.05; no significant effect was found on low-flexibility tasks. Conclusions. These findings document that high-flexibility processes are sensitive to dopamine neuromodulation in the early phases of PD. This is in line with the hypothesis that striatal dopamine pathways, affected early by PD, are precociously implicated in the expression of cognitive disorders in these individuals.

  20. RESUMING WORK

    CERN Multimedia

    Service Médical

    2000-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: - if the medical absence has been for 21 calendar days or longer, - if absent more than 48 hours due to professional accident. It is incumbent upon the member of the personnel himself/herself to contact the Medical Service 73186, without awaiting its summons.

  1. Works notice

    CERN Multimedia

    GS Department

    2009-01-01

    We would like to inform you that renovation work on the road lighting equipment will take place on the Meyrin site between 19 October and 18 December 2009. During this period, traffic will be disrupted on the Schrödinger, Perrin and Siegbahn roads, ie from Building 274 to Building 188. We request that you comply with the road signs and thank you for your understanding. GS-SEM Group

  2. RESUMING WORK

    CERN Multimedia

    Medical Service

    2001-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: if the medical absence has been for 21 calendar days or longer, if absent more than 48 hours due to professional accident. It is incumbent upon the member of the personnel himself/herself to contact the Medical Service 73186, without awaiting its summons.

  3. RESUMING WORK

    CERN Multimedia

    Medical Service

    2002-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: if the medical absence has been for 21 calendar days or longer, if absent more than 48 hours due to professional accident. It is incumbent upon the member of the personnel himself/herself to contact the Medical Service 73186, without awaiting its summons. Medical Service

  4. RESUMING WORK

    CERN Multimedia

    Service Médical

    2000-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: if the medical absence has been for 21 calendar days or longer, if absent more than 48 hours due to professional accident. It is incumbent upon the member of the personnel himself/herself to contact the Medical Service 73186, without awaiting its summons.

  5. RESUMING WORK

    CERN Multimedia

    Medical Service

    2002-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: if the medical absence has been for 21 calendar days or longer, if absent more than 48 hours due to professional accident. It is incumbent upon the member of the personnel himself/herself to contact the Medical Service 73186, without awaiting its summons. Medical Service

  6. Paid work and unpaid work

    DEFF Research Database (Denmark)

    Bonke, Jens

    Time-use information is preferably obtained from diaries, as this method is considered more reliable than information from questionnaires. The diary-technique seems to be unique in catching the rhythm of every day life and thereby the structuring of work and leisure during a well-defined and memo...

  7. Screening Tool for Older Persons' Appropriate Prescriptions for Japanese: Report of the Japan Geriatrics Society Working Group on "Guidelines for medical treatment and its safety in the elderly".

    Science.gov (United States)

    Kojima, Taro; Mizukami, Katsuyoshi; Tomita, Naoki; Arai, Hiroyuki; Ohrui, Takashi; Eto, Masato; Takeya, Yasushi; Isaka, Yoshitaka; Rakugi, Hiromi; Sudo, Noriko; Arai, Hidenori; Aoki, Hiroaki; Horie, Shigeo; Ishii, Shinya; Iwasaki, Koh; Takayama, Shin; Suzuki, Yusuke; Matsui, Toshifumi; Mizokami, Fumihiro; Furuta, Katsunori; Toba, Kenji; Akishita, Masahiro

    2016-09-01

    In 2005, the Japan Geriatrics Society published a list of potentially inappropriate medication that was an extract from the "Guidelines for medical treatment and its safety in the elderly 2005." The 2005 guidelines are due for a revision, and a new comprehensive list of potentially inappropriate medications is required. A total of 15 diseases, conditions and special areas related to their clinical care were selected. We originated clinical questions and keywords for these 15 areas, carried out a systematic review using these search criteria, and formulated guidelines applying the Grading of Recommendations Assessment, Development and Evaluation system advocated by Minds2014. If we did not find good evidence despite the drug being clinically important, we looked for evidence of efficacy and for disease-specific guidelines, and incorporated them into our guidelines. We selected 2098 articles (140 articles per area), and extracted another 186 articles through a manual search. We further added guidelines based on disease entity and made two lists, one of "drugs to be prescribed with special caution" and the other of "drugs to consider starting," primarily considering individuals aged 75 years or older or those who are frail or in need of special care. New lists of potentially inappropriate medications and potential prescribing omissions called "Screening Tool for Older Person's Appropriate Prescriptions for Japanese" were constructed. We anticipate that future studies will highlight more evidence regarding the safety of high-quality drugs, further improving the provision of appropriate medical care for the elderly. Geriatr Gerontol Int 2016: 16: 983-1001. © 2016 Japan Geriatrics Society.

  8. Key role of social work in effective communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) Program in New York and shared medical decision making at the end of life.

    Science.gov (United States)

    Bomba, Patricia A; Morrissey, Mary Beth; Leven, David C

    2011-01-01

    In this article, the authors review the development of the Medical Orders for Life-Sustaining Treatment (MOLST) Program and recent landmark legislation in New York State in the context of advance care planning and shared medical decision making at the end of life. Social workers are central health care professionals in working with patients, families, practitioners, health care agents, and surrogates in the health systems and in the communication and conflict resolution process that is integral to health care decision making. The critical importance of ethics and end-of-life training and education for social workers is also addressed. Data from a pilot study evaluating interdisciplinary ethics training on legal and ethical content in communication and conflict resolution skills in health care decision making are reported. Recommendations are made for research on education and training of social workers, and investigation of the role and influence of systems in shaping social work involvement in end-of-life and palliative care.

  9. RESUMING WORK

    CERN Multimedia

    2003-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: - if the medical absence has been for 21 calendar days or longer - if absent more than 48 hours due to professional accident It is incumbent upon the member of the personnel himself/herself to contact the Medical Service Tel. 73186, without awaiting its summons. The purpose of this exam is not to check on the absenteeism, but to support the professional reinsertion. Medical Service

  10. RESUMING WORK

    CERN Multimedia

    2003-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: - if the medical absence has been for 21 calendar days or longer - if absent more than 48 hours due to professional accident It is incumbent upon the member of the personnel himself/herself to contact the Medical Service tel. 73186, without awaiting its summons. The purpose of this exam is not to check on the absenteeism, but to support the professional reinsertion. Medical Service

  11. RESUMING WORK

    CERN Multimedia

    2004-01-01

    In application of the Staff Rules and Regulations, every member of the CERN personnel is required to undergo a medical examination on resuming work after sick leave: • if the medical absence has been for 21 calendar days or longer • if absent more than 48 hours due to professional accident It is incumbent upon the member of the personnel himself/herself to contact the Medical Service tel. 73186, without awaiting its summons. The purpose of this exam is not to check on the absenteeism, but to support the professional reinsertion. Medical Service

  12. 木工刨刀的选材和热处理工艺分析%Material Choice and Heat Treatment Process Analysis for Wood-working Planning Tool

    Institute of Scientific and Technical Information of China (English)

    徐年富

    2011-01-01

    根据刨刀的工作特点,选择W6Mo5Cr4V2高速钢作为刨刀材料,并进行合理的热处理,大大提高了其使用性能,延长了寿命.%According to the working characters of planning tool, W6Mo5Cr4V2 high speed steel was chosen as the material of planning tool and the rational heat treatment was made so as to improve the operating performance and prolong the worklife.

  13. 40 CFR 417.24 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Fatty Acid... treatment works must comply with 40 CFR part 403. In addition, the following pretreatment standard... be discharged to a publicly owned treatment works by a point source subject to the provisions of this...

  14. 40 CFR 417.194 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of... treatment works must comply with 40 CFR part 403. In addition, the following pretreatment standard... be discharged to a publicly owned treatment works by a point source subject to the provisions of this...

  15. 40 CFR 417.34 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Soap Manufacturing... treatment works must comply with 40 CFR part 403. In addition, the following pretreatment standard... be discharged to a publicly owned treatment works by a point source subject to the provisions of this...

  16. 40 CFR 427.54 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard... that introduces process wastewater pollutants into a publicly owned treatment works must comply with 40... treatment works by a point source subject to the provisions of this subpart. Pollutant or pollutant...

  17. 40 CFR 427.14 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos-Cement Pipe... that introduces process wastewater pollutants into a publicly owned treatment works must comply with 40... treatment works by a point source subject to the provisions of this subpart. Pollutant or pollutant...

  18. 40 CFR 427.64 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Roofing Subcategory... introduces process wastewater pollutants into a publicly owned treatment works must comply with 40 CFR part... treatment works by a point source subject to the provisions of this subpart. Pollutant or pollutant...

  19. 40 CFR 427.74 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Floor Tile... that introduces process wastewater pollutants into a publicly owned treatment works must comply with 40... treatment works by a point source subject to the provisions of this subpart. Pollutant or pollutant...

  20. 40 CFR 427.24 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos-Cement Sheet... that introduces process wastewater pollutants into a publicly owned treatment works must comply with 40... treatment works by a point source subject to the provisions of this subpart. Pollutant or pollutant...

  1. Treatment Options

    Science.gov (United States)

    ... exciting research being done today to generate promising new drugs. These new drugs all work differently than the approved treatments, so ... could include a combination of the old and new drugs. Several of the new drugs are already being ...

  2. State Waste Discharge Permit application: 400 Area Septic System

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    As part of the Hanford Federal Facility Agreement and Consent Order negotiations, the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affects groundwater or has the potential to affect groundwater would be subject to permitting under the structure of Chapter 173-216 (or 173-218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. This document constitutes the State Waste Discharge Permit application for the 400 Area Septic System. The influent to the system is domestic waste water. Although the 400 Area Septic System is not a Public Owned Treatment Works, the Public Owned Treatment Works application is more applicable than the application for industrial waste water. Therefore, the State Waste Discharge Permit application for Public Owned Treatment Works Discharges to Land was used.

  3. When your child's treatment stops working

    Science.gov (United States)

    ... OK when your child dies and will take care of the people and animals your child loves. Alternative Names End of life care - children; Palliative care - children; Advance care planning - children ...

  4. Menopause: Symptom Relief and Treatments

    Science.gov (United States)

    ... Submit Home > Menopause > Menopause symptom relief and treatments Menopause Menopause symptom relief and treatments Working with your doctor ... on menopause symptom relief and treatments Learning about menopause treatment options Most women do not need treatment ...

  5. Work team

    Directory of Open Access Journals (Sweden)

    RBE Editorial

    2016-06-01

    Full Text Available Work Team 2016 (Jan-Jul1. Editorial TeamChief-editorsBayardo Bapstista Torres, Instituto de Química (USP, BrasilEduardo Galembeck, Depto. Bioquímica, Instituto de Biologia, Universidade de Campinas (Unicamp, Brasil Co-editorsGabriel Gerber Hornink, Depto. Bioquímica, Instituto de Ciências Biomédicas, Universidade - Federal de Alfenas (Unifal-MG, BrasilVera Maria Treis Trindade, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS, Brasil Editorial BoardAdriana Cassina, Department of Biochemistry, Facultad de Medicina, Universidad de la República, UruguayAngel Herráez, Departamento de Bioquímica y Biología molecular, Universidad de Alcalá de Henares, Madrid, SpainAndré Amaral Gonçalves Bianco, Universidade Federal de São Paulo (Unifesp, BrasilDenise Vaz de Macedo, Depto. Bioquímica, Instituto de Biologia, Universidade Estadual de Campinas (Unicamp, BrasilEneida de Paula, Depto. Bioquímica, Instituto de Biologia, Universidade Estadual de Campinas (Unicamp, BrasilJose Antonio Martinez Oyanedel, Universidad de Concepción, ChileJosep Maria Fernández Novell, Department of Molecular Biology & Biochemistry, Universitat de Barcelona, SpainLeila Maria Beltramini, Instituto de Física de São Carlos, Universidade Estadual de São Paulo (USP, BrasilManuel João da Costa, Escola de Ciências da Saúde, Universidade do Minho, PortugalMaria Lucia Bianconi, Instituto de Bioquímica Médica, Universidade Federal do Rio de Janeiro (UFRJ, BrasilMaría Noel Alvarez, Department of Biochemistry, Facultad de Medicina, Universidad de la República, UruguayMiguel Ángel Medina Torres, Department of Molecular Biology & Biochemistry Faculty of Sciences University of Málaga, SpainNelma Regina Segnini Bossolan, Instituto de Física de São Carlos, Universidade de São Paulo (USP, BrasilPaulo De Avila Junior, Centro de Ciências Naturais e Humanas (CCNH Universidade Federal do ABC (UFABC

  6. Report of working committee 1 ''exploration, production, treatment and underground storage of natural gas''; Rapport du comite de travail 1 ''exploration, production, traitement et stockage souterrain du gaz naturel

    Energy Technology Data Exchange (ETDEWEB)

    Rekdal, Ottar

    2000-07-01

    This report describes the activities of Working Committee 1 during the triennium 1997 - 2000. The first part of the report gives an overview of the current situation world-wide within the basic activities of the committee, i.e. exploration, production, treatment and underground storage of natural gas. In the second part of the report analyses of three prioritized topics important to the industry are described: - Improving the performance of existing gas storages; - Use of 3-D seismic data in exploration, production and underground storage. - Development of small-scale offshore gas fields. The report will be presented during the WOC 1 sessions at the World Gas Conference 2000, together with papers selected by the committee. Other relevant papers will be presented during the poster session. Furthermore, the committee will organize a round table session addressing reductions of greenhouse gas emissions along the gas chain. Representatives from industry, environmental organisations and politicians will take part in this round table discussion. (author)

  7. Paid care work and depression

    DEFF Research Database (Denmark)

    Madsen, Ida E H; Aust, Birgit; Burr, Hermann

    2012-01-01

    Previous studies have reported that employees in paid care work (e.g., child, health, and elderly care) have increased rates of hospitalization with depression and treatment with antidepressants. It is unclear, however, whether these findings reflect a causal effect of the work on employee mental...

  8. Influence of sequence of cold working and aging treatment on mechanical behaviour of 6061 aluminum alloy%冷加工和时效处理顺序对6061铝合金力学性能的影响

    Institute of Scientific and Technical Information of China (English)

    Mostafa MANSOURINEJAD; Bahman MIRZAKHANI

    2012-01-01

    The influence of combination of different designated precipitation hardening and cold working on the tensile properties of 6061 aluminum alloy was investigated.The results indicate that applying single aging at 180 ℃ for 4 h in different thermal-mechanical treatments improves both the strength and elongation.However,double aging does not improve the mechanical properties.In addition,pre-aging shows a negative effect on the subsequent precipitation hardening of material.The changes in mechanical properties were discussed by explanation of mierostructural evolution due to the competition of precipitation hardening,strain hardening and work softening processes.%研究不同的析出硬化和冷加工组合对6061铝合金拉伸性能的影响.结果表明,在不同的热处理过程中,在180℃单时效4 h能提高合金的强度和伸长率.然而,双时效处理不能改善其力学性能.另外,预时效对随后的析出硬化有负面影响.合金力学性能的变化归因于析出硬化、应变硬化和加工软化的竞争而引起的显微组织演变.

  9. The works of archimedes

    CERN Document Server

    Archimedes

    2002-01-01

    The complete works of antiquity's great geometer appear here in a highly accessible English translation by a distinguished scholar. Remarkable for his range of thought and his mastery of treatment, Archimedes addressed such topics as the famous problems of the ratio of the areas of a cylinder and an inscribed sphere; the measurement of a circle; the properties of conoids, spheroids, and spirals; and the quadrature of the parabola. This edition offers an informative introduction with many valuable insights into the ancient mathematician's life and thought as well as the views of his contemporar

  10. 40 CFR 417.94 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Oleum Sulfonation... works must comply with 40 CFR part 403. In addition, the following pretreatment standard establishes the... discharged to a publicly owned treatment works by a point source subject to the provisions of this subpart...

  11. 40 CFR 417.104 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Air-SO3 Sulfation... works must comply with 40 CFR part 403. In addition, the following pretreatment standard establishes the... discharged to a publicly owned treatment works by a point source subject to the provisions of this subpart...

  12. 40 CFR 417.114 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY SO3 Solvent and... works must comply with 40 CFR part 403. In addition, the following pretreatment standard establishes the... discharged to a publicly owned treatment works by a point source subject to the provisions of this subpart...

  13. 40 CFR 417.14 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Soap Manufacturing... works must comply with 40 CFR part 403. In addition, the following pretreatment standard establishes the... discharged to a publicly owned treatment works by a point source subject to the provisions of this subpart...

  14. 40 CFR 417.134 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Chlorosulfonic... works must comply with 40 CFR part 403. In addition, the following pretreatment standard establishes the... discharged to a publicly owned treatment works by a point source subject to the provisions of this subpart...

  15. 40 CFR 63.1590 - What reports must I submit?

    Science.gov (United States)

    2010-07-01

    ... description of the air pollution control equipment (or method) for each emission point; and (vi) Your... (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National Emission Standards for Hazardous Air Pollutants: Publicly Owned Treatment Works Non-Industrial Potw Treatment...

  16. 40 CFR 63.1589 - What records must I keep?

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National Emission Standards for Hazardous Air Pollutants: Publicly Owned Treatment Works Non-Industrial Potw Treatment Plant... own or operate a control device used to meet the requirements for § 63.1586, you must comply with...

  17. Occupational mental health promotion: a prevention agenda based on education and treatment. The American Psychological Association/National Institute for Occupational Safety and Health, Health Promotion Panel, 1990 Work and Well-Being Conference.

    Science.gov (United States)

    1992-01-01

    PURPOSE OF THE REVIEW. Psychological disorders are one of the 10 leading work-related diseases and injuries in the United States according to the National Institute for Occupational Safety and Health. This article addresses occupational metal health and preventive stress management in the workplace. The individual and organizational costs are briefly considered with concern for reducing the burden of suffering associated with these problems. SEARCH METHOD. As an American Psychological Association interdisciplinary panel, we searched the psychological, medical, public health, and organizational literature. We selected articles relevant to the problem of psychological disorders in the workplace and to enhancing occupational mental health and preventive stress management. IMPORTANT FINDINGS. The panel proposed a national agenda of education and treatment, combined with a program of evaluation research, for addressing these issues. Target populations are identified, and the need for collaboration among a variety of national constituencies is considered. Advancing occupational mental health and promoting skills in preventive stress management is considered in the context of comprehensive health promotion. MAJOR CONCLUSIONS. The panel concluded that there is a pressing need to: 1) set a 'gold' standard concerning the current state of knowledge in the domains of occupational mental health and stress management; 2) identify Diagnostically Related Groups (DRGs) which are stress-related; 3) establish assessment standards for stress and mental health; 4) set guidelines for reasonable interventions; and 5) establish acceptable post-outcome criteria.

  18. Material and heat treatment of the knives of rotary and plane cutting for wood working%木材加工旋切刀和刨切刀的材料及热处理

    Institute of Scientific and Technical Information of China (English)

    章晓静; 刘国方; 马永庆

    2011-01-01

    介绍了木材加工旋切刀和刨切刀刃钢材料及热处理的基本现况;解释了四种类型刃钢刀片的退火、淬火及回火工艺;给出了两种超细碳化物合金工具钢的显微组织和回火硬度曲线;讨论了机械刀片使用性能和热处理组织与性能的关系。%In this paper the radical status of material and heat treatment of the knives of rotary and plane cutting for wood working is introduced. The technics about annealing, quenching and tempering of four types of the steels for the knives are explained, and the microstructure and the tempering hardness of two types of the steels with ultra-fine carbides are produced. Bases of the characteristics of the knives cutting, the relationship between microstructure and properties of the steels is discussed.

  19. PRIMARY ANALYSIS ON THE REMOVING CHARACTERISTICS OF ACTIVE CARBON COMBINED PROCESS IN A WATER TREATMENT WORKS CALLED X IN THE SOUTH%南方某水厂活性炭吸附降解特性研究

    Institute of Scientific and Technical Information of China (English)

    尢志磊; 蒋福春; 华伟; 张雪

    2011-01-01

    With 2 years of production experience in a water treatment works called X in the south, the influence on organic pollutants depression effect and PH amount of activated carbon by the separated time, when activated carbon was separated from aqueous medium, was selectively explored. The results show that nitrogenous organic pollutants depression effect of activated carbon was dominated by biological actions of autotrophic organism and auxohetertrophs. In a particular situation which autotrophic organism was in the ascendant, ammonification play a leading role inside activated carbon to aminate nitrogenous organic pollutants, and then to rise ammonia nitrogen in the water. Under microthermal climate condition, biodegradation of active carbon would be weaken and effluent from activated carbon filter would worsen, when activated carbon filter cease after 10 days.%结合南方某水厂生物活性炭滤池两年多的生产经验,研究了活性炭脱离水源介质的时间对其去除有机污染物的效果及出水pH的影响.结果表明,活性炭对含氮有机物去除效果取决于其内部自养型细菌与异养型细菌的生物作用程度,如后者发挥主导作用,活性炭主要起氨化作用,水中含氮有机物将被氨化,滤后水氨氮升高.在低温气候条件下,活性炭滤池的停运时间一旦超过10d,生物降解作用将逐渐降低,滤池出水效果也将受到影响.

  20. Clinical analysis of 670 cases in two trials of the European Organization for the Research and Treatment of Cancer Lymphoma Cooperative Group subtyped according to the Revised European-American Classification of Lymphoid Neoplasms: a comparison with the Working Formulation.

    Science.gov (United States)

    Pittaluga, S; Bijnens, L; Teodorovic, I; Hagenbeek, A; Meerwaldt, J H; Somers, R; Thomas, J; Noordijk, E M; De Wolf-Peeters, C

    1996-05-15

    In the Working Formulation (WF), non-Hodgkin's lymphomas (NHL) are grouped according to their clinical behavior. These disorders are listed as entities defined by morphology, phenotype, and cytogenetics in the proposed Revised European-American Classification of Lymphoid Neoplasms (REAL), the clinical relevance of which is still debated. We analyzed 670 NHL cases included in two randomized clinical trials (EORTC 20855 WF-intermediate/high-grade and 20856 WF-low-grade malignancy) with histologic material available for review. Based on hematoxylin-eosin-stained sections, 77% of cases could be subtyped. Immunophenotyping was considered to be mandatory only in diagnosing T-cell lymphoma and anaplastic large-cell lymphoma. Of 522 cases subtyped, 11% were mantle cell lymphoma (MCL), 5% were marginal zone B-cell lymphoma (MZBCL), 46% were follicle center lymphoma, and 32% were diffuse large B-cell lymphoma. Statistical analysis and comparisons between classifications were made only within each trial and treatment group. MCL and MZBCL were characterized by a shorter median survival (3.4 and 4.1 years, respectively) in comparison with low- and intermediate-grade WF groups (> 9.3 and 5.8 years, respectively). In terms of progression-free survival, MCL showed a behavior similar to the low-grade group, with frequent relapses. Follicle center cell lymphomas behaved as low-grade lymphomas as defined by the WF and diffuse large B-cell lymphomas as the WF-intermediate grade group. Because several NHL entities have a clinical behavior of their own, their recognition by the REAL classification offers clinicians additional information that is not obtained when the WF is used.

  1. Revised version of quality guidelines for presurgical epilepsy evaluation and surgical epilepsy therapy issued by the Austrian, German, and Swiss working group on presurgical epilepsy diagnosis and operative epilepsy treatment.

    Science.gov (United States)

    Rosenow, Felix; Bast, Thomas; Czech, Thomas; Feucht, Martha; Hans, Volkmar H; Helmstaedter, Christoph; Huppertz, Hans-Jürgen; Noachtar, Soheyl; Oltmanns, Frank; Polster, Tilman; Seeck, Margitta; Trinka, Eugen; Wagner, Kathrin; Strzelczyk, Adam

    2016-08-01

    The definition of minimal standards remains pivotal as a basis for a high standard of care and as a basis for staff allocation or reimbursement. Only limited publications are available regarding the required staffing or methodologic expertise in epilepsy centers. The executive board of the working group (WG) on presurgical epilepsy diagnosis and operative epilepsy treatment published the first guidelines in 2000 for Austria, Germany, and Switzerland. In 2014, revised guidelines were published and the WG decided to publish an unaltered English translation in this report. Because epilepsy surgery is an elective procedure, quality standards are particularly high. As detailed in the first edition of these guidelines, quality control relates to seven different domains: (1) establishing centers with a sufficient number of sufficiently and specifically trained personnel, (2) minimum technical standards and equipment, (3) continuous medical education of employees, (4) surveillance by trained personnel during video electroencephalography (EEG) monitoring (VEM), (5) systematic acquisition of clinical and outcome data, (6) the minimum number of preoperative evaluations and epilepsy surgery procedures, and (7) the cooperation of epilepsy centers. These standards required the certification of the different professions involved and minimum numbers of procedures. In the subsequent decade, quite a number of colleagues were certified by the trinational WG; therefore, the executive board of the WG decided in 2013 to make these standards obligatory. This revised version is particularly relevant given that the German procedure classification explicitly refers to the guidelines of the WG with regard to noninvasive/invasive preoperative video-EEG monitoring and invasive intraoperative diagnostics in epilepsy. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  2. Balancing Machine Work, Comfort Work, and Sentimental Work

    DEFF Research Database (Denmark)

    Pedersen, Maria Ie; Hansen, Magnus; Hertzum, Morten

    2011-01-01

    and attention. We investigate ambulance care in three of Denmark’s five healthcare regions, which staff ambulances with emergency medical technicians, paramedics, and physicians. Using the concept of illness trajectory we analyse how the ambulance crews balance machine work, which involves continuously...... work, but also that this has negative consequences. Equipment for use in ambulances should aim at supporting the ambulance crews in competently and dynamically balancing the different types of work and should, consequently, avoid binding the crew’s attention for unbroken periods of time....... monitoring the equipment, comfort work, which is actions taken to relieve the pain or discomfort of the patient, and sentimental work, which is care for the patient’s physical and mental well-being, often verbal in nature. The analysis shows that comfort and sentimental work often takes priority over machine...

  3. Hepatitis C and Social Work.

    Science.gov (United States)

    Mack, Heather; Paylor, Ian

    2016-06-01

    It is now a full decade since Paylor and Orgel (2004) called for social work to 'wake up' to hepatitis C (HCV). In that time, a small but significant body of social research has developed which has highlighted the far-reaching social consequences of living with HCV. Using this as a foundation, Paylor and Mack (2010) expanded arguments on the role of social work and identified specific areas where social work might become involved, arguing that the profession is uniquely placed and skilled, to respond and provide support. This article draws on qualitative in-depth interviews with twenty-one people who (had) lived with HCV in the UK, to strengthen and broaden the argument that social work and social care need to urgently take a bigger role in working with people with HCV, given the cross-cutting and wide range of issues that arise. This is the first study which uses participant data to argue for the need for social work involvement and in that it highlights a number of points in the experience where social work support is needed including pre and post diagnosis, whilst on treatment and after treatment.

  4. Returning to Work

    Science.gov (United States)

    ... when work tasks can be upgraded to full duty. What can a person returning to work do? ... to-work program that includes transitional work for employees is an important component of a company's healthy ...

  5. Informal work and formal plans

    DEFF Research Database (Denmark)

    Dalsted, Rikke Juul; Hølge-Hazelton, Bibi; Kousgaard, Marius Brostrøm

    2012-01-01

    trajectories. METHODS AND THEORY: An in-depth case study of patient trajectories at a Danish hospital and surrounding municipality using individual interviews with patients. Theory about trajectory and work by Strauss was included. RESULTS: Patients continuously took initiatives to organize their treatment...... and care. They initiated processes in the trajectories, and acquired information, which they used to form their trajectories. Patients presented problems to the healthcare professionals in order to get proper help when needed. DISCUSSION: Work done by patients was invisible and not perceived as work....... The patients' requests were not sufficiently supported in the professional organisation of work or formal planning. Patients' insertion and use of information in their trajectories challenged professional views and working processes. And the design of the formal pathway models limits the patients' active...

  6. Informal work and formal plans

    DEFF Research Database (Denmark)

    Dalsted, Rikke Juul; Hølge-Hazelton, Bibi; Kousgaard, Marius Brostrøm;

    2012-01-01

    trajectories. METHODS AND THEORY: An in-depth case study of patient trajectories at a Danish hospital and surrounding municipality using individual interviews with patients. Theory about trajectory and work by Strauss was included. RESULTS: Patients continuously took initiatives to organize their treatment...... and care. They initiated processes in the trajectories, and acquired information, which they used to form their trajectories. Patients presented problems to the healthcare professionals in order to get proper help when needed. DISCUSSION: Work done by patients was invisible and not perceived as work....... The patients' requests were not sufficiently supported in the professional organisation of work or formal planning. Patients' insertion and use of information in their trajectories challenged professional views and working processes. And the design of the formal pathway models limits the patients' active...

  7. Meaningful work, work engagement and organisational commitment

    Directory of Open Access Journals (Sweden)

    Madelyn Geldenhuys

    2014-02-01

    Full Text Available Orientation: Meaningful work can yield benefits for organisations and lead to positive work outcomes such as satisfied, engaged and committed employees, individual and organisational fulfilment, productivity, retention and loyalty.Research purpose: The aim of the study was to investigate the relationships amongst psychological meaningfulness, work engagement and organisational commitment and to test for a possible mediation effect of work engagement on the relationship between psychological meaningfulness and organisational commitment.Motivation for the study: Managers have to rethink ways of improving productivity and performance at work, due to the diverse, and in some instances escalating, needs of employees (e.g. financial support to uphold their interest in and enjoyment of working.Research approach, design and method: A quantitative approach was employed to gather the data for the study, utilising a cross-sectional survey design. The sample (n = 415 consisted of working employees from various companies and positions in Gauteng, South Africa.Main findings: The results confirmed a positive relationship between psychological meaningfulness, work engagement and organisational commitment. Further, psychological meaningfulness predicts work engagement, whilst psychological meaningfulness and work engagement predict organisational commitment.Practical/managerial implications: Employers identifying their employees’ commitment patterns and mapping out strategies for enhancing those that are relevant to organisational goals will yield positive work outcomes (e.g. employees who are creative, seek growth or challenges for themselves.Contribution/value-add: This study contributes to the literature through highlighting the impact that meaningful work has on sustaining employee commitment to the organisation.

  8. New ways of working and work engagement

    NARCIS (Netherlands)

    Baudewijns, C.; Gerards, R.; de Grip, A.

    2015-01-01

    This article investigates whether New Ways of Working (NWW) are related to employee work engagement in the Netherlands. We test our hypotheses using a sample of 656 employees from 14 industry sectors and 12 occupational fields. Our study reveals that three facets of NWW positively affect work

  9. HIV Treatment: The Basics

    Science.gov (United States)

    HIV Treatment HIV Treatment: The Basics (Last updated 2/24/2017; last reviewed 2/24/2017) Key Points Antiretroviral therapy (ART) ... reduces the risk of HIV transmission . How do HIV medicines work? HIV attacks and destroys the infection- ...

  10. 40 CFR 413.14 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ... following optional control program may be elected by the source introducing treated process wastewater into... for existing sources (PSES): (a) No user introducing wastewater pollutants into a publicly owned treatment works under the provisions of this subpart shall augment the use of process wastewater...

  11. 40 CFR 413.74 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ... optional control program may be elected by the source introducing treated process wastewater into a... (PSES): (a) No User introducing wastewater pollutants into publicly owned treatment works under the provisions of this subpart shall augment the use of process wastewater or otherwise dilute the wastewater...

  12. 40 CFR 413.24 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ... optional control program may be elected by the source introducing treated process wastewater into a... existing sources (PSES): (a) No user introducing wastewater pollutants into a publicly owned treatment works under the provisions of this subpart shall augment the use of process wastewater or...

  13. 40 CFR 415.366 - Pretreatment standards for new sources (PSNS).

    Science.gov (United States)

    2010-07-01

    ... CFR 403.7, any new source subject to this subpart and producing copper sulfate, copper chloride, copper iodide, or copper nitrate which introduces pollutants into a publicly owned treatment works must...) EFFLUENT GUIDELINES AND STANDARDS INORGANIC CHEMICALS MANUFACTURING POINT SOURCE CATEGORY Copper...

  14. 40 CFR 415.360 - Applicability; description of the copper salts production subcategory.

    Science.gov (United States)

    2010-07-01

    ... copper salts production subcategory. 415.360 Section 415.360 Protection of Environment ENVIRONMENTAL... SOURCE CATEGORY Copper Salts Production Subcategory § 415.360 Applicability; description of the copper... introduction of pollutants into treatment works which are publicly owned resulting from the production...

  15. 40 CFR 464.20 - Applicability; description of the copper casting subcategory.

    Science.gov (United States)

    2010-07-01

    ... introduction of pollutants into publicly owned treatment works resulting from copper casting operations as... copper casting subcategory. 464.20 Section 464.20 Protection of Environment ENVIRONMENTAL PROTECTION... Copper Casting Subcategory § 464.20 Applicability; description of the copper casting subcategory....

  16. 40 CFR 466.40 - Applicability; description of the copper basis material subcategory.

    Science.gov (United States)

    2010-07-01

    ... into publicly owned treatment works from porcelain enameling of copper basis materials. ... copper basis material subcategory. 466.40 Section 466.40 Protection of Environment ENVIRONMENTAL... Copper Basis Material Subcategory § 466.40 Applicability; description of the copper basis...

  17. 40 CFR 417.74 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE CATEGORY Manufacture of Bar Soaps Subcategory § 417.74 Pretreatment standards for existing sources. Any existing source subject to this subpart that introduces process wastewater pollutants into a publicly owned treatment works must...

  18. 40 CFR 418.76 - Pretreatment standard for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS FERTILIZER MANUFACTURING POINT SOURCE CATEGORY Mixed and Blend Fertilizer Production... the Act for a new source within the mixed and blend fertilizer subcategory which is a user of a publicly owned treatment works and a major contributing industry as defined in 40 CFR part 128 (and...

  19. 40 CFR 464.10 - Applicability; description of the aluminum casting subcategory.

    Science.gov (United States)

    2010-07-01

    ... aluminum casting subcategory. 464.10 Section 464.10 Protection of Environment ENVIRONMENTAL PROTECTION... Aluminum Casting Subcategory § 464.10 Applicability; description of the aluminum casting subcategory. The... introduction of pollutants into publicly owned treatment works resulting from aluminum casting operations as...

  20. 40 CFR 418.56 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... within the nitric acid subcategory, which is a user of a publicly owned treatment works (and which would... GUIDELINES AND STANDARDS FERTILIZER MANUFACTURING POINT SOURCE CATEGORY Nitric Acid Subcategory § 418.56... navigable waters), shall be the standard set forth in part 128 of this chapter, except that, for the...

  1. 40 CFR 469.26 - Pretreatment standards for existing sources (PSES).

    Science.gov (United States)

    2010-07-01

    ... 40 CFR 403.7 and 403.13, any existing source subject to this subpart which introduces pollutants into a publicly owned treatment works must comply with 40 CFR part 403 and achieve the following... Milligrams per liter (mg/l) TTO 1 1.37 (2) Arsenic (T) 3 2.09 0.83 1 Total toxic organics. 2 Not...

  2. 76 FR 26899 - Agency Information Collection Activities: Request for Comments on Sixty-Four Proposed Information...

    Science.gov (United States)

    2011-05-09

    ...-0252. Title: NESHAP for Asbestos (40 CFR Part 61, Subpart M). ICR Numbers: EPA ICR Number 0111.13, OMB...-HQ-OECA-2011-0266. Title: NESHAP for Publicly Owned Treatment Works (40 CFR Part 63, Subpart VVV... Number 1871.06, OMB Control Number 2060-0420; expiration date June 30, 2012. (41) NESHAP for Asbestos...

  3. 40 CFR 63.1580 - Am I subject to this subpart?

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Am I subject to this subpart? 63.1580 Section 63.1580 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... Standards for Hazardous Air Pollutants: Publicly Owned Treatment Works Applicability § 63.1580 Am I subject...

  4. 40 CFR 421.276 - Pretreatment standards for new sources.

    Science.gov (United States)

    2010-07-01

    ... GUIDELINES AND STANDARDS NONFERROUS METALS MANUFACTURING POINT SOURCE CATEGORY Primary Rare Earth Metals... source subject to this subpart which introduces pollutants into a publicly owned treatment works must... wastewater pollutants in primary rare earth metals process wastewater introduced into a POTW shall not exceed...

  5. 40 CFR 421.275 - Pretreatment standards for existing sources.

    Science.gov (United States)

    2010-07-01

    ...) EFFLUENT GUIDELINES AND STANDARDS NONFERROUS METALS MANUFACTURING POINT SOURCE CATEGORY Primary Rare Earth... publicly owned treatment works must comply with 40 CFR part 403 and achieve the following pretreatment standards for existing sources. The mass of wastewater pollutants in primary rare earth metals process...

  6. 40 CFR 466.20 - Applicability; description of the cast iron basis material subcategory.

    Science.gov (United States)

    2010-07-01

    ... Cast Iron Basis Material Subcategory § 466.20 Applicability; description of the cast iron basis... of pollutants into publicly owned treatment works from porcelain enameling of cast iron basis... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Applicability; description of the...

  7. 40 CFR 464.30 - Applicability; description of the ferrous casting subcategory.

    Science.gov (United States)

    2010-07-01

    ... ferrous casting subcategory. 464.30 Section 464.30 Protection of Environment ENVIRONMENTAL PROTECTION... Ferrous Casting Subcategory § 464.30 Applicability; description of the ferrous casting subcategory. The... introduction of pollutants into publicly owned treatment works resulting from ferrous casting operations as...

  8. 40 CFR 35.3135 - Specific capitalization grant agreement requirements.

    Science.gov (United States)

    2010-07-01

    ...) or (f) and for Fund administration under 40 CFR 35.3120(g). (2) If the State commits more than the... State match to address any major and minor publicly owned treatment works (POTW) that the Region and the... funds may be used to fund the cost-effective reserve capacity of these projects. (3) In order for a...

  9. Knowledge work and work-related stress

    DEFF Research Database (Denmark)

    Ipsen, Christine

    2006-01-01

    Work-related stress is an increasing problem in Europe. Earlier studies have stated that knowledge-work comprises working conditions which reflect a good psychosocial environment. Recent Danish studies, however, point at stress being an increasing problem in knowledge-intensive companies...... as good and stimulating, but has on the other hand sides to it which can cause frustration and stress. The implication of organisational characteristics of the knowledge-intensive companies studied is a transfer of the responsibility for ones own working-life. Consequently, issues are dealt...... with informally, individu-ally and incidentally. It is only when problems exist that enhanced support is offered in order to help an employee to cope or recover. As most workplace initiatives work at this tertiary level, the sources of work-related and organiza-tional stress are not reduced or eliminated...

  10. Knowledge work and work-related stress

    OpenAIRE

    Ipsen, Christine

    2006-01-01

    Work-related stress is an increasing problem in Europe. Earlier studies have stated that knowledge-work comprises working conditions which reflect a good psychosocial environment. Recent Danish studies, however, point at stress being an increasing problem in knowledge-intensive companies. These companies employ highly educated and com-petent people who apply their personal knowledge to generate new knowledge in close relationship with both custom-ers and colleagues. The employees are self-man...

  11. Working capacity and cervical dystonia.

    Science.gov (United States)

    Martikainen, Kirsti K; Luukkaala, Tiina H; Marttila, Reijo J

    2010-03-01

    The objective of this questionnaire study was to assess the effect of cervical dystonia on patients' working capacity. Of the 303 working-aged members of the Finnish Dystonia Association (N = 433) who participated in the study 247 (82%) had cervical dystonia. Their median age was 50 years, the median duration of CD symptoms was 12.3 years. Most (78%) subjects were on botulinum toxin treatment. Ninety-seven (39%) had retired because of CD at a median age of 48 years; 96 (39%) of the subjects were working: 87 full-time and 9 part-time. The remaining participants were on sick leave, unemployed, studying or retired of other reasons. Retirement occurred more than ten years earlier compared with the general Finnish population. All possibilities to help CD patients to continue longer in work should be considered early.

  12. How the Heart Works

    Science.gov (United States)

    ... Works Explore How the Heart Works What Is... Anatomy Contraction Circulation Electrical System Heart Disease Related Topics Arrhythmia Congenital Heart Defects Coronary Heart Disease Heart Valve Disease How the Lungs Work Send a link to NHLBI to someone ...

  13. Work and Non-Work: Institutional Perspectives.

    Science.gov (United States)

    Dubin, Robert

    What impact do the institutions of society have on work? To answer this question a distinction was drawn between two models of social institutions, contrasting their characteristics and pointing out the implication of each model for an understanding of work and the production institution. It was concluded that the "multi-equal" model of social…

  14. Riding Third: Social Work in Ambulance Work

    Science.gov (United States)

    Campbell, Hilary; Rasmussen, Brian

    2012-01-01

    This research explored the possible role of social work alongside emergency ambulance services. An ethnographic study included semistructured interviews and direct observations collected over 300 hours while riding in ambulances in an urban setting. The data suggest that social work could play a role by providing needed psychosocial care during…

  15. Work organisation, technology and working conditions

    NARCIS (Netherlands)

    Dhondt, S.; Kraan, K.; Sloten, G. van

    2002-01-01

    The personal computer, computer networks and the Internet have brought the Union into the Information Age. These technological changes have inevitably led to changes in the work environment and the quality of working conditions. For the third time, the European Foundation for the Improvement of Livi

  16. Constant attention to work on work safety

    Energy Technology Data Exchange (ETDEWEB)

    Gurando, R.V.

    1982-01-01

    In order to improve responsibility of the workers for strict observance of the standards, rules and instruction for work safety, the Karlov NKGRE has introduced a number of indicators under socialist competition: lack of injuries, accidents, complications, fulfillment of organizational-technical measures of a comprehensive plan and collective contract, preventive maintenance schedule and instructions of the agencies of inspection and public inspectors. The organization of prevention of production injury is based on the principle ''for each object constant attention to work safety and supervisory monitoring.'' Monitoring of the condition of accident prevention is done by 69 public inspectors under the control of the commission of work safety made of 9 people. The work of the commission is done according to quarterly and annual plans. The commission reveals shortcomings, introduces specific suggestions, for example regarding reconstruction of the ventilation of the sharpener, the mechanism of pipe feed to the pipe cutting machine, etc. One of the main tasks of the commission is to participate in the rapid control of the condition of work safety at the work sites. For achievements in work to create good working and living conditions, the collective of the Karlov NKGRE was awarded certificates of the AUCCTU, the Ukrainian SSR Ministry of Geology and the USSR Ministry of Geology, as well as group and republic committees of the trade unions.

  17. Riding Third: Social Work in Ambulance Work

    Science.gov (United States)

    Campbell, Hilary; Rasmussen, Brian

    2012-01-01

    This research explored the possible role of social work alongside emergency ambulance services. An ethnographic study included semistructured interviews and direct observations collected over 300 hours while riding in ambulances in an urban setting. The data suggest that social work could play a role by providing needed psychosocial care during…

  18. Struggling at work

    DEFF Research Database (Denmark)

    Hjarsbech, Pernille U; Nielsen, Maj Britt D.; Andersen, Malene Friis

    2015-01-01

    who were in an on-going process that we conceptualised as struggling at work. Informants struggled with the negative experiences of work that led to emotional, cognitive and somatic symptoms. Relationships with supervisors and colleagues, work load and work pressure and their self-image as a good...... with problems at work. Methods: From a survey study on work and mental health in Denmark, we invited participants for in-depth interviews. Using grounded theory, we conducted 13 semi structured interviews with employees, at work, experiencing depressive symptoms. Findings: Work was pivotal for the informants...

  19. Does it work? Why does it work? Reconciling difficult questions.

    Science.gov (United States)

    Hayhow, Rosemarie

    2011-01-01

    Within medicine there is an agreed hierarchy of levels of research evidence with randomized controlled trials at the top and expert opinion at the bottom. When randomized controlled trials are the final stage in testing a treatment for which there is a sound theoretical basis both the 'Does it work?' and 'How does it work?' questions may be answered. However, when the theoretical basis is underdeveloped or contentious, then randomized controlled trials will provide only partial answers and other methods or methodologies may be needed to understand more about the mechanisms involved in the treatments. This paper aims to contribute to the debate about the nature of the evidence that is required in order to feel confident that people with communication difficulties will benefit from the treatments offered. The aim is not to discuss the relative merits of one methodology over another, but rather, by referring to one particular treatment, to show how knowledge gained from a range of research studies, using different methodologies, can be synthesized to increase one's understanding. The initial discussion focuses on two frameworks that have been developed specifically for the evaluation of healthcare interventions. This is followed by discussion of the research evidence for the Lidcombe Program of early stuttering intervention to illustrate some issues relevant to treatment development and evaluation in the field of communication difficulty. The evidence from randomized controlled trails is related to clinicians' needs. Finally, the potential value of an iterative approach is illustrated with reference to verbal contingencies, which are an essential component of the Lidcombe Program. This paper considers different sorts of evidence and their contribution to one's knowledge and practice. The content provides a practical example of how knowledge and understanding of a treatment approach can develop through a synthesis of knowledge from a programme of systematic research

  20. Patterns of work injuries

    DEFF Research Database (Denmark)

    Lander, Flemming; Nielsen, Kent Jacob; Rasmussen, Kurt;

    2014-01-01

    To compare work injuries treated in an emergency department (ED) and injuries reported to the Danish Working Environment Authority (DWEA).......To compare work injuries treated in an emergency department (ED) and injuries reported to the Danish Working Environment Authority (DWEA)....

  1. New ways to work.

    Science.gov (United States)

    2003-06-01

    Flexible working, work-life balance, family friendliness; all are now familiar terms in today's NHS, and employers, managers and leaders are expected to be forging ahead in improving the working lives for all staff. If you are looking for new ideas to help tackle the challenge, you should try the New Ways to Work website.

  2. Working With Educational Interpreters.

    Science.gov (United States)

    Seal, Brenda C

    2000-01-01

    Increasing numbers of students who are deaf or hard of hearing are being educated in their local schools. Accommodations frequently made for these students include the provision of educational interpreting services. Educational interpreters serve to equalize the source language or source communication mode (usually spoken English) with a target language or target mode (either sign language, cued speech, or oral transliterating). Educational interpreters' expertise in sign language or cued speech will likely exceed that of speech-language pathologists, whose expertise in speech and language development and in discourse demands of the classroom will likely exceed that of the educational interpreters. This article addresses the mutual needs of speech-language pathologists and educational interpreters in providing services to their students. Guidelines supported by recent research reports and survey data collected from interpreters are offered to speech-language pathologists as ways to improve the working relationships with educational interpreters in three areas: (a) evaluating a student's communication skills, (b) establishing treatment goals and intervening to meet those goals, and

  3. Freud's early clinical work.

    Science.gov (United States)

    Vogel, L Z

    1994-01-01

    Freud became a medical practitioner because it was impossible for him to pursue the desired career of a microscopic researcher. His education and training had not prepared him for the task of being a practicing physician. In his private practice he began treating some very intelligent, chaotic, demanding, volatile and disturbed patients. Anna von Lieben was one of these patients whom Freud treated very intensively for a long period of time. Elise Gomperz was another talented and severely pained early patient of Freud. Over a number of years, Freud was her psychiatrist and provided her with attentive care using a variety of treatment methods that were available to him at that time. Emmy von N.'s condition was also fluctuating and very demanding. The dramatic sense and chronic clinical course of these patients is compatible with the contemporary diagnostic category of Borderline Personality Disorder. Freud provided these patients with long-term supportive care while he attempted to cure them. At the same time, Freud committed himself to the theory of radical cure and downplayed the supportive, draining and difficult clinical work that he was doing.

  4. CTOs at work

    CERN Document Server

    Donaldson, Scott; Donaldson, Gary

    2012-01-01

    Scott Donaldson, Stanley Siegel and Gary Donaldson interview many of the world's most influential chief technology officers in CTOs at Work, offering a brand-new companion volume to the highly acclaimed elite At Work books including Coders at Work, CIOS at Work and Venture Capitalists at Work. As the words "at work" suggest, the authors focus on how their interviewees tackle the day-to-day work of the CTO while revealing much more: how they got there, how they manage and allocate projects, and how they interact with business units and ensure that their companies take advantage of technologies,

  5. Endovascular treatment for acute ischemic stroke patients: implications and interpretation of IMS III, MR RESCUE, and SYNTHESIS EXPANSION trials: A report from the Working Group of International Congress of Interventional Neurology

    Science.gov (United States)

    Qureshi, Adnan I.; Abd-Allah, Foad; Aleu, Aitziber; Connors, John J.; Hanel, Ricardo A.; Hassan, Ameer E.; Hussein, Haitham M.; Janjua, Nazli A.; Khatri, Rakesh; Kirmani, Jawad F.; Mazighi, Mikael; Mattle, Heinrich P.; Miley, Jefferson T.; Nguyen, Thanh N.; Rodriguez, Gustavo J.; Shah, Qaisar A.; Siddiqui, Adnan H.; Suarez, Jose I.; Suri, M. Fareed K.; Tolun, Reha

    2014-01-01

    Objective: The results of Interventional Management of Stroke (IMS) III, Magnetic Resonance and REcanalization of Stroke Clots Using Embolectomy (MR RESCUE), and SYNTHESIS EXPANSION trials are expected to affect the practice of endovascular treatment for acute ischemic stroke. The purpose of this report is to review the components of the designs and methods of these trials and to describe the influence of those components on the interpretation of trial results. Methods: A critical review of trial design and conduct of IMS III, MR RESCUE, and SYNTHESIS EXPANSION is performed with emphasis on patient selection, shortcomings in procedural aspects, and methodology of data ascertainment and analysis. The influence of each component is estimated based on published literature including multicenter clinical trials reporting on endovascular treatment for acute ischemic stroke and myocardial infarction. Results: We critically examined the time interval between symptom onset and treatment and rates of angiographic recanalization to differentiate between “endovascular treatment” and “parameter optimized endovascular treatment” as it relates to the IMS III, MR RESCUE, and SYNTHESIS EXPANSION trials. All the three trials failed to effectively test “parameter optimized endovascular treatment” due to the delay between symptom onset and treatment and less than optimal rates of recanalization. In all the three trials, the magnitude of benefit with endovascular treatment required to reject the null hypothesis was larger than could be expected based on previous studies. The IMS III and SYNTHESIS EXPANSION trials demonstrated that rates of symptomatic intracerebral hemorrhages subsequent to treatment are similar between IV thrombolytics and endovascular treatment in matched acute ischemic stroke patients. The trials also indirectly validated the superiority/equivalence of IV thrombolytics (compared with endovascular treatment) in patients with minor neurological deficits

  6. 3950mm宽厚板铝板轧机工作辊的热处理%Heat Treatment for Work Roll of 3 950 mm Aluminum Heavy Plate Mill

    Institute of Scientific and Technical Information of China (English)

    陈太辉; 郭峰

    2013-01-01

    The forged steel Cr5 is used as the material of work rolls .3 950 mm aluminum heavy plate mills have been researched and developed successfully by adjusting quenching and tempering processes and designing installation auxiliary tools and applying differential temperature spray way , which is ensured to meet various technical requirements of work roll and provides new idea for manufacturing work roll .%采用Cr5锻钢工作辊材质,通过调整调质方式以及设计安装辅具,采用差温喷雾的方式成功制造出3950 mm宽厚板铝板轧机工作辊,较好地保证了工作辊的各项技术要求,为工作辊的制造提供了新思路。

  7. Alternative Work Schedules Increase Employee Satisfaction.

    Science.gov (United States)

    Turney, John R.; Cohen, Stanley L.

    1983-01-01

    Facets of alternative work schedules (AWS) are discussed: importance of employee control, possible negative consequences, AWS handbook, time monitoring systems, and treatment of exceptions. AWS' effect on productivity and motivation is examined. (SK)

  8. Advantages and limits to the fermentation of easily-degradable industrial and food wastes in sewage treatment works; Vorteile und Grenzen der Vergaerung von leicht abbaubaren Industrie- und Lebensmittelabfaellen in Abwasserreinigungsanlagen. Vergleich zu landwirtschaftlichen Anlagen - Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Bachmann, N.; Wellinger, A. [Nova Energie GmbH, Aadorf (Switzerland); Bachmann, N. [EREP SA, Aclens (Switzerland)

    2009-12-15

    This final report for the Swiss Federal Office of Energy (SFOE) takes a look at the advantages and limits that apply to the fermentation of industrial and food wastes in sewage treatment facilities in comparison to agricultural installations. For this ecological review, a material-flow analysis was made which permitted the nutrient loss to be quantified. The report presents data on the energy and carbon dioxide balances for the method and also looks at the method from an economical point of view. Co-fermentation in the wastewater treatment plant in Berne, Switzerland, and in agricultural plant are examined.

  9. The Ambiguity of Work

    DEFF Research Database (Denmark)

    Humle, Didde Maria

    2014-01-01

    drawing on the results of an ethnographic case study of a consultancy house; more specifically, it comprises an exploration of the narrative identity work of consultants as they perform work practice stories of self, work, and the organization negotiating why the work they do is both challenging...... contributes by showing that some of the elements perceived to make the work meaningful and rewarding are the same ones also described as potentially demanding and challenging. Furthermore, the article contributes by arguing that studying work practice stories as (ante)narrative identity work provides a rich......This article contributes to the current debate among organizational and work-life researchers on the double-sided nature of knowledge work, which offers great freedom and satisfaction on the one hand and the potential to be overly demanding and stressful on the other. This contribution involves...

  10. Informal work and formal plans

    DEFF Research Database (Denmark)

    Dalsted, Rikke Juul; Hølge-Hazelton, Bibi; Kousgaard, Marius Brostrøm

    2012-01-01

    INTRODUCTION: Formal pathways models outline that patients should receive information in order to experience a coherent journey but do not describe an active role for patients or their relatives. The aim of this is paper is to articulate and discuss the active role of patients during their cancer...... trajectories. METHODS AND THEORY: An in-depth case study of patient trajectories at a Danish hospital and surrounding municipality using individual interviews with patients. Theory about trajectory and work by Strauss was included. RESULTS: Patients continuously took initiatives to organize their treatment...... and care. They initiated processes in the trajectories, and acquired information, which they used to form their trajectories. Patients presented problems to the healthcare professionals in order to get proper help when needed. DISCUSSION: Work done by patients was invisible and not perceived as work...

  11. The meaning of work and working life after cancer: an interview study

    DEFF Research Database (Denmark)

    Rasmussen, Dorte M; Elverdam, Beth

    2008-01-01

    the cultural meaning of work in capitalist society, we incorporate the theoretical perspective of Max Weber. CONCLUSION: Those who after cancer treatment are unable to work lose a part of their identity; they lose the personal challenge and satisfaction related to work. They are no longer part...

  12. Predicting Sustainable Work Behavior

    DEFF Research Database (Denmark)

    Hald, Kim Sundtoft

    2013-01-01

    Sustainable work behavior is an important issue for operations managers – it has implications for most outcomes of OM. This research explores the antecedents of sustainable work behavior. It revisits and extends the sociotechnical model developed by Brown et al. (2000) on predicting safe behavior....... Employee characteristics and general attitudes towards safety and work condition are included in the extended model. A survey was handed out to 654 employees in Chinese factories. This research contributes by demonstrating how employee- characteristics and general attitudes towards safety and work...... condition influence their sustainable work behavior. A new definition of sustainable work behavior is proposed....

  13. The Forefront for Novel Therapeutic Agents Based on the Pathophysiology of Lower Urinary Tract Dysfunction: alpha-Blockers in the Treatment of Male Voiding Dysfunction - How Do They Work and Why Do They Differ in Tolerability?

    NARCIS (Netherlands)

    Michel, M.C.

    2010-01-01

    alpha(1)-Adrenoceptor antagonists are the mainstay of medical treatment of male voiding dysfunction which typically is attributed to benign prostatic hyperplasia While original concepts have assumed that they relieve voiding dysfunction by relaxing prostatic smooth muscle, newer data indicate that t

  14. 针灸治疗带状疱疹临床研究概况%The general situation ofAcupuncture treatment of herpes zoster in clinical research work

    Institute of Scientific and Technical Information of China (English)

    张爱珍

    2013-01-01

      介绍针灸治疗带状疱疹临床研究的进展及相关情况,对未来发展进行展望。%  This article describes the clinical studies progress and related information of acupuncture treatment of herpes zoster, future development prospects.

  15. Current Work Politics

    DEFF Research Database (Denmark)

    Hasle, Peter; Hvid, Helge

    2003-01-01

    A presentation of the development of the Danish work politics during the last decade, discussed in an international context.......A presentation of the development of the Danish work politics during the last decade, discussed in an international context....

  16. How the Ear Works

    Science.gov (United States)

    ... Find an ENT Doctor Near You How the Ear Works How the Ear Works Patient Health Information News media interested in ... public relations staff at newsroom@entnet.org . The ear has three main parts: the outer ear (including ...

  17. NCPC Commemorative Works Catalog

    Data.gov (United States)

    National Capital Planning Commission — The CWC is a complete list of Washington DC's commemorative works on federal land. Each record includes a work's title, location, a short description of its purpose,...

  18. Group Work Publication-1991.

    Science.gov (United States)

    Zimpfer, David G.

    1992-01-01

    Lists 21 new publications in group work, of which 9 are reviewed. Those discussed include publications on group counseling and psychotherapy, structured groups, support groups, psychodrama, and social group work. (Author/NB)

  19. The recognition of work

    OpenAIRE

    Nierling, Linda

    2007-01-01

    The following article argues that recognition structures in work relations differ significantly in the sphere of paid work in contrast to unpaid work in private spheres. According to the systematic approach on recognition of Axel Honneth three different levels of recognition are identified: the interpersonal recognition, organisational recognition and societal recognition. Based on this framework it can be stated that recognition structures in the sphere of paid work and in private spheres di...

  20. Work Coordination Engine

    Science.gov (United States)

    Zendejas, Silvino; Bui, Tung; Bui, Bach; Malhotra, Shantanu; Chen, Fannie; Kim, Rachel; Allen, Christopher; Luong, Ivy; Chang, George; Sadaqathulla, Syed

    2009-01-01

    The Work Coordination Engine (WCE) is a Java application integrated into the Service Management Database (SMDB), which coordinates the dispatching and monitoring of a work order system. WCE de-queues work orders from SMDB and orchestrates the dispatching of work to a registered set of software worker applications distributed over a set of local, or remote, heterogeneous computing systems. WCE monitors the execution of work orders once dispatched, and accepts the results of the work order by storing to the SMDB persistent store. The software leverages the use of a relational database, Java Messaging System (JMS), and Web Services using Simple Object Access Protocol (SOAP) technologies to implement an efficient work-order dispatching mechanism capable of coordinating the work of multiple computer servers on various platforms working concurrently on different, or similar, types of data or algorithmic processing. Existing (legacy) applications can be wrapped with a proxy object so that no changes to the application are needed to make them available for integration into the work order system as "workers." WCE automatically reschedules work orders that fail to be executed by one server to a different server if available. From initiation to completion, the system manages the execution state of work orders and workers via a well-defined set of events, states, and actions. It allows for configurable work-order execution timeouts by work-order type. This innovation eliminates a current processing bottleneck by providing a highly scalable, distributed work-order system used to quickly generate products needed by the Deep Space Network (DSN) to support space flight operations. WCE is driven by asynchronous messages delivered via JMS indicating the availability of new work or workers. It runs completely unattended in support of the lights-out operations concept in the DSN.

  1. Work-related stress

    OpenAIRE

    Houtman, I.L.D.

    2005-01-01

    Changes in the content and organisation of work in recent decades have resulted in an intensification of work, which is commonly regarded as a cause of stress. This report presents trends in the risks and consequences of work-related stress, and identifies how these can be prevented. The focus iswithin the European Working Conditions Observatory (EWCO) network of seven European countries in its initial phase: Denmark, Finland, France, Germany, the Netherlands, Spain and Sweden. In many countr...

  2. Working with Working Families. ERIC Digest.

    Science.gov (United States)

    King, Margaret

    This ERIC Digest offers tips for understanding the needs, concerns, and feelings of employed parents, and discusses ways child caregivers can involve working parents in their children's lives while the children are enrolled in child care facilities. Competition with the caregiver, guilt over leaving children in the care of others, and little time…

  3. Work Redesign that Works for Teachers

    Science.gov (United States)

    Mayrowetz, David; Smylie, Mark A.

    2004-01-01

    Over the past two decades, scholars and practitioners in a variety of industries have considered work redesign among a constellation of strategies to promote employee recruitment and retention, development, motivation, and performance. Although educational policymakers in the middle to late 1990s shifted their attention to standards, systemic…

  4. Work for Hire for Nonacademic Creators.

    Science.gov (United States)

    Herrington, TyAnna K.

    1999-01-01

    Examines the Work for Hire Doctrine and its importance to technical communication instructors who prepare students to create intellectual products in workplace settings. Explains how the Doctrine operates in practice, charts the progressive legal treatment of work for hire through case law, and notes the developing trend in the courts to support a…

  5. Does Leave Work?

    NARCIS (Netherlands)

    Heleen van Luijn; Saskia Keuzenkamp

    2004-01-01

    More and more people have to combine work and care responsibilities, and work part-time or use daycare and after-school care facilities to help them do so. The Work and Care Act, which came into force on 1 December 2001, combined all the existing schemes - such as parental and maternity leave -

  6. Authenticity at work

    NARCIS (Netherlands)

    van den Bosch, Ralph

    2016-01-01

    Authenticity at work, loosely defined as the degree to which an individual stays true to their core self, has impact on workers in the workplace. This thesis shows that authenticity at work can be measured with a reliable and valid instrument: the IAM Work. Furthermore, results of this thesis show t

  7. Motivational Orientations in Work

    Science.gov (United States)

    Murtonen, Mari; Olkinuora, Erkki; Palonen, Tuire; Hakkarainen, Kai; Lehtinen, Erno

    2008-01-01

    The rapid development in working life during recent decades has changed the structures of work organisations and expectations of employees' work. Differing forms of professional employment and different types of organisational environments likely promote different types of motivational patterns in workers. The aim of this study was to apply a…

  8. Performative Work in Tourism

    DEFF Research Database (Denmark)

    Bærenholdt, Jørgen Ole; Jensen, Hanne Louise

    2009-01-01

    performative work. For many workers, the performative aspect has contributed to their personal development, especially where self-control at work contributes to enhancing self-esteem. Second, performative work is also often vulnerable, involving various emotional strategies to cope with its challenges. While...

  9. Worth the work

    NARCIS (Netherlands)

    Mariëlle Cloïn

    2010-01-01

    Original title: Het werken waard. Why do lower educated women work outside the home less often than higher educated women? And why are lower educated women overrepresented in the smallest part-time jobs? Is it not financially worthwhile for lower educated women to work or to work a lot of

  10. Authenticity at work

    NARCIS (Netherlands)

    van den Bosch, Ralph

    2016-01-01

    Authenticity at work, loosely defined as the degree to which an individual stays true to their core self, has impact on workers in the workplace. This thesis shows that authenticity at work can be measured with a reliable and valid instrument: the IAM Work. Furthermore, results of this thesis show

  11. Motivational Orientations in Work

    Science.gov (United States)

    Murtonen, Mari; Olkinuora, Erkki; Palonen, Tuire; Hakkarainen, Kai; Lehtinen, Erno

    2008-01-01

    The rapid development in working life during recent decades has changed the structures of work organisations and expectations of employees' work. Differing forms of professional employment and different types of organisational environments likely promote different types of motivational patterns in workers. The aim of this study was to apply a…

  12. Work-related stress

    NARCIS (Netherlands)

    Houtman, I.L.D.

    2005-01-01

    Changes in the content and organisation of work in recent decades have resulted in an intensification of work, which is commonly regarded as a cause of stress. This report presents trends in the risks and consequences of work-related stress, and identifies how these can be prevented. The focus

  13. Live to work or love to work: work craving and work engagement.

    Directory of Open Access Journals (Sweden)

    Kamila Wojdylo

    Full Text Available OBJECTIVE: According to the theory of work craving, a workaholic has a craving for self-worth compensatory incentives and an expectation of relief from negative affect experienced through neurotic perfectionism and an obsessive-compulsive style of working. Research has shown that workaholism and work engagement should be considered as two distinct work styles with different health consequences. However, the mechanisms underlying the adoption of these work styles have been neglected. The present study proposes that work craving and work engagement are differentially associated with self-regulatory competencies and health. In particular, we expected that the working styles mediate the relationships between emotional self-regulation and health. METHODS: In the cross-sectional study, 469 teachers from German schools completed online administered questionnaires. By means of structural equation modeling, we tested two indirect paths: a from self-relaxation deficits via work craving to poor health and b from self-motivation competencies via work engagement to good health. RESULTS: As expected, we found evidence that a the negative relationship of self-relaxation deficits on health was partially mediated by work craving and b the positive relationship of self-motivation competencies on health was partially mediated by work engagement. CONCLUSIONS: The present study emphasizes the importance of self-regulation competencies for healthy or unhealthy work styles. Whereas work craving was associated with a low ability to down-regulate negative emotions and poor health, work engagement was associated with a high ability to up-regulate positive emotions and good health.

  14. What Happens After Treatment for Stomach Cancer?

    Science.gov (United States)

    ... Cancer After Treatment What Happens After Treatment for Stomach Cancer? For some people with stomach cancer, treatment ... Treatment for Stomach Cancer Stops Working More In Stomach Cancer About Stomach Cancer Causes, Risk Factors, and ...

  15. What Happens After Treatment for Testicular Cancer?

    Science.gov (United States)

    ... Cancer After Treatment What Happens After Treatment for Testicular Cancer? For most people with testicular cancer, treatment removes ... Treatment for Testicular Cancer Stops Working More In Testicular Cancer About Testicular Cancer Causes, Risk Factors, and Prevention ...

  16. [Reactions to infliximab infusions in dermatologic patients: consensus statement and treatment protocol. Working Group of the Grupo Español de Psoriasis de la Academia Española de Dermatología y Venereología ].

    Science.gov (United States)

    Puig Sanz, Lluís; Sáez, E; Lozano, M J; Bordas, X; Carrascosa, J M; Gallardo, F; Luelmo, J; Sánchez-Regaña, M; Alsina, M; García-Patos, V

    2009-03-01

    Infliximab is a chimeric monoclonal antibody that binds to and blocks tumor necrosis factor alpha and is the most effective biologic agent approved for the treatment of moderate-to-severe psoriasis. It is administered by intravenous infusion, usually in day hospitals on an outpatient basis. The main problem with the administration of infliximab is the possibility of infusion reactions, which may be immediate or delayed; these reactions are related to the immunogenicity of this monoclonal antibody, leading to the production of anti-infliximab antibodies. Infusion reactions to infliximab are not usually anaphylactic (ie, they are not mediated by immunoglobulin E), and re-exposure of the patient using specific protocols to prevent and treat these reactions is therefore possible. The extensive experience in the use of infliximab for the treatment of rheumatic conditions and chronic inflammatory bowel disease has made it possible to develop infusion reaction management protocols; these can be applied to dermatologic patients, who constitute a growing proportion of patients treated with intravenous biological agents. The aim of this review is to draw up a consensus protocol for the treatment of infusion reactions in dermatologic patients treated with infliximab.

  17. Stress at Work Place

    OpenAIRE

    Mohammad A. Shahrour

    2010-01-01

    One of hardest forms of stresses to avoid is that work place or job stress Job stress refers to stress experienced by an individual at or because of issues at their work place The term work related stress has many meanings and it causes different levels of anxiety. Not all challenges at work can be called stress as some of these challenges drive employees upward, and empower them to learn new skills or push them to work harder to achieve a certain goal. So, this type of challenges cannot be c...

  18. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones: results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis.

    Science.gov (United States)

    Sanguedolce, F; Liatsikos, E; Verze, P; Hruby, S; Breda, A; Beatty, J D; Knoll, T

    2014-08-01

    Treatment of renal stones using flexible ureteroscopy (fURS) is increasingly common despite the poor evidence in literature supporting its use and indications. With this study, we wanted to investigate the current use and indication of fURS for the treatment of renal stones in the clinical practice across the European countries. A survey was conducted using an emailed questionnaire consisting of 21 items; 2,894 recipients were selected via the EAU membership database. The questionnaires were collected through the SurveyMonkey system and the data were processed with the SPSS statistical package. Frequencies, cross tabs and Pearson correlation coefficients were applied as appropriate. 1,168 questionnaires were collected (response rate 40.4%). fURS was performed in 72.9% of the respondents' institutions, and 54.2% of the respondents were performing the procedure. For 95% of the users, fURS was considered first-line treatment, for stone of lower pole stone (45.9%) and <1 cm (44.2%) and 2 cm (43.8%) in size. The ureteral access sheaths were used routinely by more than 70% of the respondents. Lower pole stone repositioning technique was routinely performed by 45.9% of the surgeons. After fragmentation, 47.2% of the responders preferred to retrieve only the bigger fragments. At the end of fURS, lower volume surgeons were more likely to place routinely a double-J stent (p = 0.001). Higher volume surgeons estimated a higher durability of devices, both optical and digital ones (p < 0.001), and were more prone to consider fURS cost-effective when compared to other treatment modalities (p < 0.001). fURS is widely used for the treatment of renal stones and its use and indication can vary according to the age and surgeons' case volume. Higher volume surgeons are more prompt to extend international guidelines indications and to consider the technology cost-effective.

  19. The Ambiguity of Work

    DEFF Research Database (Denmark)

    Humle, Didde Maria

    2014-01-01

    This article contributes to the current debate among organizational and work-life researchers on the double-sided nature of knowledge work, which offers great freedom and satisfaction on the one hand and the potential to be overly demanding and stressful on the other. This contribution involves...... drawing on the results of an ethnographic case study of a consultancy house; more specifically, it comprises an exploration of the narrative identity work of consultants as they perform work practice stories of self, work, and the organization negotiating why the work they do is both challenging...... and rewarding. The type of knowledge work explored is characterized by its immaterial nature in the sense that the primary input is the competences, knowledge, and commitment of the consultants and the output is the joy, success, and satisfaction of candidates, clients, and collaborators. The article...

  20. The Ambiguity of work

    DEFF Research Database (Denmark)

    Humle, Didde Maria

    2014-01-01

    This article contributes to the current debate among organizational and work-life researchers on the double-sided nature of knowledge work, which offers great freedom and satisfaction on the one hand and the potential to be overly demanding and stressful on the other. This contribution involves...... drawing on the results of an ethnographic case study of a consultancy house; more spe- cifically, it comprises an exploration of the narrative identity work of consultants as they perform work practice stories of self, work, and the organization negotiating why the work they do is both challenging...... and rewarding. The type of knowledge work explored is characterized by its immaterial nature in the sense that the primary input is the competences, knowledge, and commitment of the consultants and the output is the joy, success, and satisfaction of candidates, clients, and collaborators. The article...

  1. It works – I know it works

    Directory of Open Access Journals (Sweden)

    Lars Kolind

    2015-06-01

    Full Text Available Valve is the prototype knowledge-based company because its organizational design fosters creativity, action, fast learning, and high productivity. I experienced a similar organization about 15 years before Valve, at Oticon, the Danish hearing aid manufacturer which dropped bosses, titles, departments, and most of the bureaucracy and paperwork that slows down work. As in Valve, the value-creation was spectacular: 60% growth in market value each year for a ten-year period.

  2. Psychological Treatment

    Science.gov (United States)

    ... IBS Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments ... IBS Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments ...

  3. Work as An Effective Intervention Strategy and Rehabilitation Treatment Program for People Who Abuse Drugs And Alcohol%工作作为药物及酒精滥用者有效的干预策略和治疗方法

    Institute of Scientific and Technical Information of China (English)

    Lucy Wong-Hernandez; Daniel W. Wong; G. Ben Selby

    2006-01-01

    Despite years of interventions in the United States, substance abuse continues to be a major national problem in our society. For individuals affected, it can constitute a major disability and a decrease in quality of life. Current American societal expectations are that individuals who identify they are involved in substance abuse will go to treatment, eventually recover, get off public assistance straightaway, and return to work. Most rehabilitation professionals also maintain the same expectations. The reality is that efforts of prevention do not appear to diminish the number of people with substance abuse. Traditional treatment appears to have minimal, if any, influence upon the cessation of substance abuse, and traditional vocational rehabilitation practices appear unsuited for the unique problems and types of symptoms experienced by substance abusers. Creative, yet sound, alternatives that combine effective treatment strategies and non-traditional vocational rehabilitation methods need to be explored and tested for effectiveness, and applied.

  4. Mixed Waste Working Group report

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-09

    The treatment of mixed waste remains one of this country`s most vexing environmental problems. Mixed waste is the combination of radioactive waste and hazardous waste, as defined by the Resource Conservation and Recovery Act (RCRA). The Department of Energy (DOE), as the country`s largest mixed waste generator, responsible for 95 percent of the Nation`s mixed waste volume, is now required to address a strict set of milestones under the Federal Facility Compliance Act of 1992. DOE`s earlier failure to adequately address the storage and treatment issues associated with mixed waste has led to a significant backlog of temporarily stored waste, significant quantities of buried waste, limited permanent disposal options, and inadequate treatment solutions. Between May and November of 1993, the Mixed Waste Working Group brought together stakeholders from around the Nation. Scientists, citizens, entrepreneurs, and bureaucrats convened in a series of forums to chart a course for accelerated testing of innovative mixed waste technologies. For the first time, a wide range of stakeholders were asked to examine new technologies that, if given the chance to be tested and evaluated, offer the prospect for better, safer, cheaper, and faster solutions to the mixed waste problem. In a matter of months, the Working Group has managed to bridge a gap between science and perception, engineer and citizen, and has developed a shared program for testing new technologies.

  5. Induction of hepatic carbonyl reductase/20{beta}-hydroxysteroid dehydrogenase mRNA in rainbow trout downstream from sewage treatment works-Possible roles of aryl hydrocarbon receptor agonists and oxidative stress

    Energy Technology Data Exchange (ETDEWEB)

    Albertsson, E., E-mail: eva.albertsson@zool.gu.se [Department of Zoology, University of Gothenburg, Box 463, SE-405 30 Goeteborg (Sweden); Larsson, D.G.J. [Department of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Box 434, SE-405 30 Goeteborg (Sweden); Foerlin, L. [Department of Zoology, University of Gothenburg, Box 463, SE-405 30 Goeteborg (Sweden)

    2010-05-05

    Carbonyl reductase/20{beta}-hydroxysteroid dehydrogenase (CR/20{beta}-HSD) serves both as a key enzyme in the gonadal synthesis of maturing-inducing hormone in salmonids, and as an enzyme protecting against certain reactive oxygen species. We have previously shown that mRNA of the hepatic CR/20{beta}-HSD B isoform is increased in rainbow trout caged downstream from a Swedish sewage treatment plant. Here, we report an increase of both the A as well as B form in fish kept downstream from a second sewage treatment plant. The two mRNAs were also induced in fish hepatoma cells in vitro after exposure to effluent extract. This indicates that the effects observed in vivo could be a direct effect on the liver, i.e. the mRNA induction does not require a signal from any other organ. When fish were exposed in vivo to several effluents treated with more advanced methods (ozone, moving bed biofilm reactor or membrane bioreactor) the expression of hepatic mRNA CR/20{beta}-HSD A and B was significantly reduced. Their abundance did not parallel the reduction of estrogen-responsive transcripts, in agreement with our previous observations that ethinylestradiol is not a potent inducer. Treatment with norethisterone, methyltestosterone or hydrocortisone in vivo did not induce the hepatic CR/20{beta}-HSD A and B mRNA expression. In contrast, both isoforms were markedly induced by the aryl hydrocarbon receptor agonist {beta}-naphthoflavone as well as by the pro-oxidant herbicide paraquat. We hypothesize that the induction of CR/20{beta}-HSD A and B by sewage effluents could be due to anthropogenic contaminants stimulating the aryl hydrocarbon receptor and/or causing oxidative stress.

  6. Working Together to Promote Diabetes Control

    DEFF Research Database (Denmark)

    Jones, Allan; Vallis, Michael; Cooke, Debbie

    2016-01-01

    The quality of the "patient-carer" relationship is the foundation of self-management support and has been shown to influence treatment outcome in relation to psychological and somatic illness, including diabetes. It has long been accepted within applied psychology that the quality of the client......-therapist relationship--termed the working alliance--is of central importance to treatment outcome and may account for a significant degree of the overall treatment effect. Diabetes healthcare providers have recently expressed a need for further training in communication techniques and in the psychological aspects...... of diabetes. Could we take a page from the psychological treatment manual on working alliance in therapy to guide the diabetes healthcare provider in their role of supporting the person with diabetes achieve and maintain better metabolic control? This paper examines the role of the working alliance...

  7. IPD-Work consortium

    DEFF Research Database (Denmark)

    Kivimäki, Mika; Singh-Manoux, Archana; Virtanen, Marianna

    2015-01-01

    to advance research on associations between work-related psychosocial risk factors and health; (ii) demonstrate as unfounded Choi et al's assertion that IPD-Work has underestimated associations between job strain and health endpoints; these include the dichotomous measurement of job strain, potential......Established in 2008 and comprising over 60 researchers, the IPD-Work (individual-participant data meta-analysis in working populations) consortium is a collaborative research project that uses pre-defined meta-analyses of individual-participant data from multiple cohort studies representing a range......-Work's findings have also generated disagreement as they challenge the importance of job strain as a major target for coronary heart disease (CHD) prevention, this is reflected in the critical discussion paper by Choi et al (1). In this invited reply to Choi et al, we aim to (i) describe how IPD-Work seeks...

  8. Unhappy expatriates at work

    DEFF Research Database (Denmark)

    Selmer, Jan; Lauring, Jakob

    2014-01-01

    have a substantial effect on performing certain work tasks which is the reason for the foreign assignment. Based on the survey responses of 428 expatriate academics, results of this exploratory study show that unhappiness conceptualised as Subjective Ill-Being (SIB) had a strong negative association......While some expatriates could feel deeply unhappy trying to deal with the challenges of living and working abroad, few rigorous academic studies have presented evidence of the association between unhappiness among expatriates and their work outcomes. That is surprising since unhappiness could well...... with work adjustment, work performance, work effectiveness, and job satisfaction as well as a strong positive relationship with time to proficiency. These results are discussed in detail and their implications are drawn....

  9. Work Practice Characteristics

    DEFF Research Database (Denmark)

    Pors, Jens Kaaber; Simonsen, Jesper

    2003-01-01

    and work practice. To understand these issues a framework of characteristics is identified and termed work practice characteristics to describe important aspects of the hybrid configuration of groupware and situated work practices. Drawing on concepts and work practice studies in the field of computer......Integrating groupware in work practices poses a range of interrelated problems comprising organisational and technological issues. These are complex issues, since they derive from the combined influence of a range of heterogeneous elements and emergent phenomena in the intersection of groupware...... supported cooperative work (CSCW) the paper argues that the interrelations of heterogeneous elements and emergent phenomena arising from the integration of groupware in practice should be made visible from a perspective encompassing both the social and the technical. Two cases from an empirical...

  10. Work Practice Characteristics

    DEFF Research Database (Denmark)

    Pors, Jens Kaaber; Simonsen, Jesper

    2003-01-01

    and work practice. To understand these issues a framework of characteristics is identified and termed work practice characteristics to describe important aspects of the hybrid configuration of groupware and situated work practices. Drawing on concepts and work practice studies in the field of computer......Integrating groupware in work practices poses a range of interrelated problems comprising organisational and technological issues. These are complex issues, since they derive from the combined influence of a range of heterogeneous elements and emergent phenomena in the intersection of groupware...... supported cooperative work (CSCW) the paper argues that the interrelations of heterogeneous elements and emergent phenomena arising from the integration of groupware in practice should be made visible from a perspective encompassing both the social and the technical. Two cases from an empirical...

  11. Working around technologies

    DEFF Research Database (Denmark)

    Dupret, Katia

    2017-01-01

    in Denmark. The aim and contribution of the study is twofold. First, it attempts to revitalise the discussion on technology workaround strategies as responsible professionalism. Second, it will direct attention to and contribute to an understanding of how the normativity embedded in technological development......This study discusses how professionalism and work ethics influence how health care professionals work around new technologies. When people avoid using technologies, they are not necessarily ceasing to engage in their work activities. The workaround strategies presented here are rather practical...... expressions of professionals’ active encounter with the complexity of work situations, and can therefore be important signs of professional ethical judgement. Drawing on science and technology studies and the concept of invisible work, the study discusses workaround situations that arise in health care work...

  12. 临床药师参与抗凝治疗的实践及工作模式探讨%Introduction and Discussion of Clinical Practice and Working Pattern of Clinical Pharmacist in Anticoagula-tion Treatment

    Institute of Scientific and Technical Information of China (English)

    刘俊; 徐航

    2014-01-01

    Close monitoring and medication education are very important in the treatment of anticoagulation . Through clinical pharmacists ’ participation in formulating and adjusting anticoagulant therapy scheme and providing a full range of pharmaceutical service to the patients during hospitalization and before and after discharge from hospital , the treatment compliance of patients was increased , the success rate of anticoagulant therapy was improved and the risk of medication was reduced .%在抗凝治疗过程中,密切的监护和系统的用药教育非常重要。临床药师通过参与患者抗凝方案的制定和调整,并为患者在住院期间、出院前和出院后提供全方位药学服务,可增加患者治疗依从性,提高抗凝治疗成功率,减少患者用药风险。

  13. China's Work Safety Report

    Institute of Scientific and Technical Information of China (English)

    Liang Jiakun

    2005-01-01

    @@ General Situation of China's Work Safety in 2004 In 2004, the national work safety situation remained stable as a whole and gained momentum to improve. The totality of accidents held the line and began to drop. The safety conditions in industrial,mining, and commercial/trading enterprises improved. Progress was made in ensuring work safety in the relevant industries and fields. The safety situation in most provinces (autonomous regions, municipalities directly under the Central Government) kept stable.

  14. Learning, Working and Living

    DEFF Research Database (Denmark)

    Andersen, Vibeke

    In the recent years, learning and knowing have emerged as key issues in understanding work organizations. Identifying ways in which learning can be supported in the workplace has been a long standing concern for organization studies and education. The book presents new ways of thinking about...... learning at work. Moreover it paves the way for the repositioning of learning, working and living in the context of organizationel complexity....

  15. Tribology in Metal Working

    OpenAIRE

    Nilsson, Maria

    2012-01-01

    This thesis focuses on the tribological performance of tool surfaces in two steel working operations, namely wire drawing and hot rolling. In all forming operations dimensions and surface finish of the products are of utmost importance. Forming basically includes three parts – forming conditions excluded – that may be changed; work material, tool and (possibly) lubricant. In the interface between work material and tool, the conditions are very aggressive with – generally or locally – high tem...

  16. Stress at Work Place

    Directory of Open Access Journals (Sweden)

    Mohammad A. Shahrour

    2010-06-01

    Full Text Available One of hardest forms of stresses to avoid is that work place or job stress Job stress refers to stress experienced by an individual at or because of issues at their work place The term work related stress has many meanings and it causes different levels of anxiety. Not all challenges at work can be called stress as some of these challenges drive employees upward, and empower them to learn new skills or push them to work harder to achieve a certain goal. So, this type of challenges cannot be considered as true stress True job stress is a condition that not only destroys employee desire to work, but also his or her energy, getting them to suffer both emotionally and physically. Warning signs of stress at work when people feel overwhelmed they feel lacking confidence, become irritated or withdrawn, less productive, less effective and their work less rewarding if these warning passed unnoticed then signs and symptoms of stress will appear. Signs and Symptoms of Excessive 4. Personal conflicts with supervisors Workplace Stress or other employees 5. Feeling insecure at work ( 1. Feeling anxious, agitated, constantly threatened with criticism depressed or apathetic or job loss 2. Loss of interest at work 6. Discrimination ( race, sex or age 3. Difficulty in attention and 7. Discouragement (to feel concentration incompetent and worthless 4. Insomnia and sleep problems 8. Sexual harassment 5. Feeling fatigue 9. Lack of flexibility in work hours 6. Muscle tension and headaches 10. Poor work environment 7. Stomach problems or different 11. Developments in technology body aches 8. Social withdrawal How to Deal with Work Place Stress 9. Loss of sex drive 10. Using alcohol or drugs to cope Fortunately, there is a lot that you can do to manage and reduce stress at work. Different Causes of Job Stress General Guidelines: 1. Poor work conditions and having no say over such conditions A. Taking responsibility for 2. Unreasonable demands from improving your

  17. Meaning in Work Life

    DEFF Research Database (Denmark)

    Ravn, Ib

    meaningful is still lacking (Harpaz & Fu, 2002), as are definitions of key terms. Here, I define meaning as the experience that something fits into a wider context or coheres within a larger whole.     I conceptualize meaning in work life as deriving from four factors, each of which helps us contribute...... to something larger than ourselves (Seligman, 2002) through our work. Thus, a person experiences meaning in work life when she... A. is able to use her signature strengths at work (Peterson and Seligman, 2004), B. makes an important contribution to the workplace (Drucker, 1999), C. participates in a productive...

  18. Social Work Research

    DEFF Research Database (Denmark)

    Social work research has gathered a greater transparency and clarity of identity in North American and parts of Europe. Furthermore, the rapid emergence of social work research in other European countries, China, India, Japan and elsewhere in Asia and Pacific Rim countries, and gradually in South...... understanding of the different aspects involved in the research. Volume One: Historical Trajectories, Purposes and Key Concepts Volume Two: Key Decisions about Research Strategy Volume Three: The Practice of Social Work Research Volume Four: The Contexts of Social Work Research...

  19. Catalytic models developed through social work

    DEFF Research Database (Denmark)

    Jensen, Mogens

    2015-01-01

    The article develops the concept of catalytic processes in relation to social work with adolescents in an attempt to both reach a more nuanced understanding of social work and at the same time to develop the concept of catalytic processes in psychology. The social work is pedagogical treatment...... of adolescents placed in out-of-home care and is characterised using three situated cases as empirical data. Afterwards the concept of catalytic processes is briefly presented and then applied in an analysis of pedagogical treatment in the three cases. The result is a different conceptualisation of the social...... work with new possibilities of development of the work, but also suggestions for development of the concept of catalytic processes....

  20. Working with DICOM craniofacial images

    Science.gov (United States)

    Grauer, Dan; Cevidanes, Lucia S. H.; Proffit, William R.

    2009-01-01

    The increasing use of cone-beam computed tomography (CBCT) requires changes in our diagnosis and treatment planning methods as well as additional training. The standard for digital computed tomography images is called digital imaging and communications in medicine (DICOM). In this article we discuss the following concepts: visualization of CBCT images in orthodontics, measurement in CBCT images, creation of 2-dimensional radiographs from DICOM files, segmentation engines and multimodal images, registration and superimposition of 3-dimensional (3D) images, special applications for quantitative analysis, and 3D surgical prediction. CBCT manufacturers and software companies are continually working to improve their products to help clinicians diagnose and plan treatment using 3D craniofacial images. PMID:19732681

  1. 黄泥灌浆治理采煤工作面火区实践%Practice on the Treatment of Fire Area in Mining Working Face by Yellow Clay Grouting

    Institute of Scientific and Technical Information of China (English)

    张中岭

    2014-01-01

    The process and treatment of spontaneous combustion in 21021 Coal Face ,Hongda Colliery was intro-duced in the paper ,after testing and analyzing correlation gas sample ,yellow clay grouting scheme was adopted to grout fire area ,which put out fire successfully and ensured safety production .%介绍了宏达煤矿21021采煤工作面发生自燃的过程及处理情况,通过对相关气样化验、分析后,采取了黄泥灌浆方案对火区进行注浆,成功灭火,保证了安全生产。

  2. Do evidence-based interventions work when tested in the "real world?" A systematic review and meta-analysis of parent management training for the treatment of child disruptive behavior.

    Science.gov (United States)

    Michelson, Daniel; Davenport, Clare; Dretzke, Janine; Barlow, Jane; Day, Crispin

    2013-03-01

    Evidence-based interventions are often unavailable in everyday clinical settings. This may partly reflect practitioners' assumptions that research evidence does not reflect "real-world" conditions. To examine this further, we systematically assessed the clinical effectiveness of parent management training (PMT) for the treatment of child disruptive behavior across different real-world practice contexts. We identified 28 relevant randomized controlled trials from a systematic search of electronic bibliographic databases and conducted a meta-analysis of child outcomes across trials. Planned subgroup analyses involved comparisons between studies grouped according to individual real-world practice criteria and total real-world practice criteria scores, reflecting the extent to which PMT was delivered by non-specialist therapists, to a clinic-referred population, in a routine setting, and as part of a routine service. Meta-analysis revealed a significant overall advantage for PMT compared with waitlist control conditions. Subgroup analyses did not demonstrate significant differences in effect size estimates according to the total number of real-world practice criteria met by studies. Moreover, no consistent relationships were found between specific practice criteria and effect size estimates. In conclusion, PMT appears to be an effective treatment for children with disruptive behavior problems. There was no clear evidence that conducting PMT in real-world practice contexts is a deterrent to achieving effective child behavior outcomes, although relative advantage to "usual care" was not directly examined and the power of the analysis was limited as a result of significant heterogeneity. More research is needed to investigate whether this finding is generalizable to other psychological interventions. Suggestions are also made for developing more differentiated criteria to assist with evaluating the specific applicability of research evidence to different care providers.

  3. Aspects of quantum work.

    Science.gov (United States)

    Talkner, Peter; Hänggi, Peter

    2016-02-01

    Various approaches of defining and determining work performed on a quantum system are compared. Any operational definition of work, however, must allow for two facts: first, that work characterizes a process rather than an instantaneous state of a system and, second, that quantum systems are sensitive to the interactions with a measurement apparatus. We compare different measurement scenarios on the basis of the resulting postmeasurement states and the according probabilities for finding a particular work value. In particular, we analyze a recently proposed work meter for the case of a Gaussian pointer state and compare it with the results obtained by two projective and, alternatively, two Gaussian measurements. In the limit of a strong effective measurement strength the work distribution of projective two energy measurements can be recovered. In the opposite limit the average of work becomes independent of any measurement. Yet the fluctuations about this value diverge. The performance of the work meter is illustrated by the example of a spin in a suddenly changing magnetic field.

  4. Fragmented Work Stories

    DEFF Research Database (Denmark)

    Humle, Didde Maria; Reff Pedersen, Anne

    2015-01-01

    by exploring how different types of fragmentation create meanings. This is done by studying the work stories of job and personnel consultants and by drawing on the results of a narrative, ethnographic study of a consultancy. The analysis demonstrates how work stories are social practices negotiated, retold...

  5. Human Work Interaction Design

    DEFF Research Database (Denmark)

    2015-01-01

    In this paper, we review research in the emerging practice and research field of Human Work Interaction Design (HWID). We present a HWID frame-work, and a sample of 54 papers from workshops, conferences and journals from the period 2009-2014. We group the papers into six topical groups, and then ...

  6. Working with RNA

    DEFF Research Database (Denmark)

    Nielsen, Henrik

    2011-01-01

    Working with RNA is not a special discipline in molecular biology. However, RNA is chemically and structurally different from DNA and a few simple work rules have to be implemented to maintain the integrity of the RNA. Alkaline pH, high temperatures, and heavy metal ions should be avoided when po...

  7. COLD-WORKED HARDWARE

    Directory of Open Access Journals (Sweden)

    N. M. Strizhak

    2007-01-01

    Full Text Available The different types of cold-worked accessory are examined in the article. The necessity of development of such type of accessory in the Republic of Belarus due to requirements of market is shown. High emphasis is placed on the methods of increase of plasticity of cold-worked accessory from usual mill of RUP and CIS countries.

  8. Successful aging at work

    NARCIS (Netherlands)

    Zacher, Hannes

    2015-01-01

    The expression successful aging at work and related terms such as active, healthy, and productive aging at work are frequently used by organizational researchers and practitioners. However, there are no concrete definitions or theoretical frameworks that explain their meaning, assumptions, and

  9. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2003-01-01

    The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies.......The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies....

  10. Work and Rights.

    Science.gov (United States)

    Sen, Amartya

    2000-01-01

    Examines four conceptual features of decent work essential to its achievement in a context of globalization: (1) an inclusive approach, (2) rights-based thinking, (3) placing work within a broad economic, political, and social context, and (4) extension of thinking from international to truly global. Contains 17 references. (JOW)

  11. Coordinating Work with Groupware

    DEFF Research Database (Denmark)

    Pors, Jens Kaaber; Simonsen, Jesper

    2003-01-01

    One important goal of employing groupware is to make possible complex collaboration between geographically distributed groups. This requires a dual transformation of both technology and work practice. The challenge is to re­duce the complexity of the coordination work by successfully inte­grating...

  12. Making Science Teams Work

    Science.gov (United States)

    Miller, Roxanne Greitz

    2004-01-01

    Science teachers, likely have more experience with students working together than teachers in any other subject area due to teaming students for hands-on activities. While the importance of teamwork is emphasized in the National Science Education Standards, getting teams to actually work-meaning getting students to share equally in the academic…

  13. CORRECTING WRITTEN WORK

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    Introduction During the teaching and learning process, teachers often check how much students have understood through written assignments. In this article I’d like to describe one method of correcting students’ written work by using a variety of symbols to indicate where students have gone wrong, then asking students to correct their work themselves.

  14. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2004-01-01

    The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies.......The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies....

  15. Work injuries and disability

    DEFF Research Database (Denmark)

    Tüchsen, Finn; Christensen, Karl Bang; Feveile, Helene

    2009-01-01

    PROBLEM: This study estimated the hazard ratio for disability pension retirement (DPR) for persons who have experienced a work injury causing absence lasting at least one day after the accidental injury occurred and to estimate the fraction of DPR attributable to work injuries. METHODS: A total...

  16. Working in virtual knowledge

    DEFF Research Database (Denmark)

    Antonijević, Smiljana; Dormans, Stefan; Wyatt, Sally

    2012-01-01

    Scholarly work, especially in the humanities and social sciences, is often seen as solitary. The lone, creative individual, reading and writing while sitting on a chair and gazing out a window, is a powerful image even as it draws attention to the very unglamorous nature of such work. This image ...

  17. Group Work. Research Brief

    Science.gov (United States)

    Walker, Karen

    2010-01-01

    According to Johnson and Johnson, group work helps increase student retention and satisfaction, develops strong oral communication and social skills, as well as higher self-esteem (University of Minnesota, n.d.). Group work, when planned and implemented deliberately and thoughtfully helps students develop cognitive and leadership skills as well as…

  18. Cloisonne Works of Beijing

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    CLOISONNE, or enamel work on red copper, is a traditional handicraft in Beijing. It has a history of more than 500 years in China. Cloisonne requires precise and careful work. The body is made of red copper, tapped into shape by hand. Then thin copper wires are twisted into the desired shapes and

  19. Abstract: Body Work

    DEFF Research Database (Denmark)

    Otto, Lene

    2012-01-01

    in which body work features in medical, therapeutic, and care fields as well as in different sectors of work outside health and social care. The aim of such bodywork can be medical, therapeutic, pleasurable, aesthetic, erotic, hygienic, or symbolic. It encompasses a range of practitioners: surgeons...

  20. Social Work and Science

    Science.gov (United States)

    Gehlert, Sarah

    2016-01-01

    Interest has grown in the past few years about the place of social work in science. Questions remain, such as whether social work should be considered a science, and if so, where it fits into the constellation of sciences. This article attempts to shed light on these questions. After briefly considering past and present constructions of science…

  1. Work Values across Generations

    Science.gov (United States)

    Hansen, Jo-Ida C.; Leuty, Melanie E.

    2012-01-01

    Mainstream publication discussions of differences in generational cohorts in the workplace suggest that individuals of more recent generations, such as Generation X and Y, have different work values than do individuals of the Silent and Baby Boom generations. Although extant research suggests that age may influence work values, few of the…

  2. Social Work and Science

    Science.gov (United States)

    Gehlert, Sarah

    2016-01-01

    Interest has grown in the past few years about the place of social work in science. Questions remain, such as whether social work should be considered a science, and if so, where it fits into the constellation of sciences. This article attempts to shed light on these questions. After briefly considering past and present constructions of science…

  3. Too old to work?

    Directory of Open Access Journals (Sweden)

    Per Erik Solem

    2009-10-01

    Full Text Available The article reviews Norwegian and international research on aging and work; causes of early exit,attitudes towards older workers, aging and work performance, and trends of changes in working life.Workers seem to have become too old to work at increasingly younger ages. Recent and futuredemographic changes call for initiatives to keep older workers in the work force. In many countriesfavourable early retirement arrangements are reversed in order to stop pulling older workers prematurelyout of work. The other main group of factors causing early exit, the push factors in the work environment,have until recently attracted less attention. Even if older workers in general seem to be no less effectivethan younger workers, employers prefer to recruit younger workers, and to dismiss older workers whenreducing the staff. However, employers’ cognitions of older workes’ performance is quite nuanced. Thereseems to be an emotional ambivalence where negative feelings are less openly expressed, still they seemto have a strong influence on decisions. Ways of influencing attitudes towards older workers arediscussed. Companies creating working conditions to stimulate, include and motivate middle-aged andolder workers may get an advantage in the market. This may even benefit workers of all ages.

  4. Technology of social work

    OpenAIRE

    2008-01-01

    Educational manual contains the basis of the lecture course by discipline «Technology of social work» for students of specialty «Social work», plans and guidelines for practical exercises, control questions and bibliography to each topic.

  5. Stay Safe at Work

    Science.gov (United States)

    ... common type of workplace injury. You are at risk of getting hurt at work if you: Lift or carry heavy objects. This ... tips: Sit or stand up straight while you work. If you sit, adjust the chair or desk to your height. If you use tools or equipment, put them ...

  6. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2003-01-01

    The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies.......The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies....

  7. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2004-01-01

    The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies.......The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies....

  8. Work Values across Generations

    Science.gov (United States)

    Hansen, Jo-Ida C.; Leuty, Melanie E.

    2012-01-01

    Mainstream publication discussions of differences in generational cohorts in the workplace suggest that individuals of more recent generations, such as Generation X and Y, have different work values than do individuals of the Silent and Baby Boom generations. Although extant research suggests that age may influence work values, few of the…

  9. Human Work Interaction Design

    DEFF Research Database (Denmark)

    Lopes, Arminda; Ørngreen, Rikke

    This book constitutes the thoroughly refereed post-conference proceedings of the Third IFIP WG 13.6 Working Conference on Human Work Interaction Design, HWID 2012, held in Copenhagen, Denmark, in December 2012. The 16 revised papers presented were carefully selected for inclusion in this volume...

  10. Mothers, work and childcare

    NARCIS (Netherlands)

    Ingrid Ooms; Evelien Eggink; Edwin van Gameren

    2007-01-01

    Original title: Moeders, werk en kinderopvang in model. The government wants women to go out to work more. The choices made by women between working and looking after children are accordingly receiving a great deal of attention. This report describes which factors influence these choices by mothers

  11. Temptation at work

    DEFF Research Database (Denmark)

    Bucciol, Alessandro; Houser, Daniel; Piovesan, Marco

    2013-01-01

    to delay gratification can negatively impact performance. We report data from an experiment where subjects in a Willpower Treatment are asked to resist the temptation to join others in watching a humorous video for 10 minutes. In relation to a baseline treatment that does not require willpower, we show...

  12. Negotiating work identity

    Directory of Open Access Journals (Sweden)

    Tamsen Saayman

    2011-03-01

    Full Text Available Orientation: The study explored the dynamics of work identity negotiation and construction.Research purpose: The aim of the study was to investigate identity tensions and demands that mobilise identity work in the work environment.Motivation for the study: The study hoped to improve the understanding of the dynamics of identity construction and negotiation.Research design, approach and method: Using grounded theory methodology in the context of qualitative field research, the researchers conducted two unstructured interviews with 28 employees of a South African manufacturing company.Main findings: The five primary dimensions the data yielded were personal identity, individual agency, social identity, social practice and job.Practical/managerial implications: This study has implications for organisations that want to improve productivity through understanding work identity.Contribution/value-add: The article presents a conceptual model of the demands and tensions that influence work identity.

  13. Distributed Project Work

    DEFF Research Database (Denmark)

    Borch, Ole; Kirkegaard, B.; Knudsen, Morten

    1998-01-01

    Project work has been used for many years at Aalborg University to improve learning of theory and methods given in courses. In a closed environment where the students are forming a group in a single room, the interaction behaviour is more or less given from the natural life. Group work...... in a distributed fashion over the Internet needs more attention to the interaction protocol since the physical group room is not existing. The purpose in this paper is to develop a method for online project work by using the product: Basic Support for Cooperative Work (BSCV). An analysis of a well-proven protocol...... to be very precises and with success used on the second test group. Distributed project work is coming pretty soon and with little improvement in server tools, projects in different topics with a large and inhomogeneous profile of users are realistic....

  14. Innovative Work Behavior

    DEFF Research Database (Denmark)

    Pihl-Thingvad, Signe; Klausen, Kurt Klaudi

    work behaviour of the employees in a particular empirical setting. Innovative work behaviour has become an important concept in the literature on innovation. Theories on managing change and innovation in public service organizations would suggest that managers have several possibilities when ensuring...... the implementation of innovation. There is, however, still a gap (both empirical and theoretical) in the literature on how managers can contribute to and strengthen the employees’ innovative work behaviour in public service organizations. Therefore, we focus on the following research questions. Which management...... strategies are public managers using in order to create more innovative work behaviour? How do public managers create an innovative climate in the organization which affects the innovative work behaviour positively? In this paper we examine the implementation of innovation in a large Danish municipality...

  15. Ubiquitous Working Environments

    Science.gov (United States)

    Jansson, Carl Gustaf

    This chapter presents the Ubiquitous Working Environments, a vision for the work environments of the future and how this vision is manifested in current experimental environments and projects at KTH. Building upon the Ubiquitous Computing paradigm, our research targets environments, which support collaborating mobile workers in a seamless way, providing work support anywhere and anytime. In our design work so far, we have been particularly interested in the following three design aspects: First, context aware, proactive, and adaptive services; second, ad hoc configuration and synchronization of available resources, including both devices and services; third, new ways of sharing and using resources in a work environment. The systems we design comprise both devices, services, and their interfaces.

  16. Working in virtual knowledge

    DEFF Research Database (Denmark)

    Antonijević, Smiljana; Dormans, Stefan; Wyatt, Sally

    2012-01-01

    Scholarly work, especially in the humanities and social sciences, is often seen as solitary. The lone, creative individual, reading and writing while sitting on a chair and gazing out a window, is a powerful image even as it draws attention to the very unglamorous nature of such work. This image...... possibilities for augmenting or disrupting such collaborative work, by shifting the boundaries between visible and invisible tasks, influencing the division of labor within teams, as well as by bringing to light various affective underpinnings of scholarly practice. In this chapter, we focus on such affective...... of routine, often rather lonely activity contrasts sharply with the much more exciting one of teams of scientists working together in a laboratory, collecting samples, analyzing data and sharing ideas. But the reality of scholarly work in the humanities and social sciences has always been otherwise. Scholars...

  17. Patient Treatment Tracking Chart

    Science.gov (United States)

    ... Treatment Tracking Chart Viral Hepatitis Menu Menu Viral Hepatitis Viral Hepatitis Home For Veterans and the Public Veterans ... can record dates of blood work, laboratory values, hepatitis C viral load levels, medication dosages, and side effects. You ...

  18. Bisphosphonate Treatment and Pregnancy

    Science.gov (United States)

    ... They are also used in the treatment of Gaucher disease. For more information on Gaucher disease, see the MotherToBaby fact sheet at http: / / www. mothertobaby. org/ files/ Gaucher_ disease. pdf . Bisphosphonates work to decrease the rate of ...

  19. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... vary, however, you should work with your child’s doctor to help find most effective treatment for your ... stimulant medications. Scientists have studied psychostimulants extensively, and doctors have been prescribing them for more than 60 ...

  20. 浊度去除率在城市污水处理工程调试中的应用实践%Application of Turbidity Removal Ratio in Commissioning Works of Urban Sewage Treatment Projects

    Institute of Scientific and Technical Information of China (English)

    公明; 蒋孟龙; 庞艳; 冀强; 冀贞泉; 任京霞

    2011-01-01

    An urban sewage treatment plant which adopts hydrolyze acidification +BAF as the major sewage treatment technology has a treatment capaeity of 5000 m3/d and its inflow quality are COD ≤ 500 mg/l, BOD5 ≤220mg/l, SS ≤ 350 mg/l, NH3-N ≤ 15 mg/l, TN≤35 mg/l, TP≤4.0 mg/l. The effluent reached Level One A (GB18918-2002) i.e. COD≤50 mg/l, BOD≤ 10mg/l, SS ≤ 10 mg/l, flora and fauna≤ 1 mg/l, petroleum≤ 1 mg/l, NH3-N≤5 mg/l, TN≤ 15 mg/l. Adopting water cycle control method during the commissioning process, the COD was calculated by turbidity value so as to guide the system testing. According to the relation between water turbidity and COD, the turbidity removal ration was determined as a major technic control parameter. The advantage of this method includes easy operation, straightforward, adaptable to technology changes, guarantee testing effects, find abnormalities promptly and quick handling. It has a promising application prospect.%某城镇污水处理厂采用水解酸化+BAF为主要工艺处理污水,处理量0.57Ym。/d,进水水质COD≤500mg/1、BOD5≤220mg/1、SS≤350mg/1、NH3一N≤15mg/1、总氮≤35mg/1、总磷≤4.0mg/1。出水标准(GB18918≤2002)一级A标准,即COD≤50mg/1、BOD10rag/1、SS≤10mg/1、动植物≤1mg/1、石油类≤1mg/1、NH3-N≤5mg/1、总氮≤15mg/1。调试过程中采用控水周期法,同时应用浊度快速核算COD值,指导调试运行,根据水质的浊度与c0D之间的关系,确定以浊度去除率作为主要工艺控制参数,具有操作方便、直观、及时变换工艺条件,保证调试的效果,及时发现异常,快速处理,具有良好的使用前景。