WorldWideScience

Sample records for quality issues related

  1. Fabric quality issues related to apparel merchandising

    CSIR Research Space (South Africa)

    Das, Sonali

    2015-02-01

    Full Text Available The objectives of this study are to develop an understanding of fabric quality related issues and research gaps relevant to apparel manufacturing and merchandising within the South African context. The specific focus is on fabric objective...

  2. Conceptual issues specifically related to health-related quality of life in critically ill patients

    NARCIS (Netherlands)

    Hofhuis, Jose G. M.; van Stel, Henk F.; Schrijvers, Augustinus J. P.; Rommes, Johannes H.; Bakker, Jan; Spronk, Peter E.

    2009-01-01

    During recent years increasing attention has been given to the quality of survival in critical care. Health-related quality of life (HRQOL) is an important issue both for patients and their families. Furthermore, admission to the intensive care unit can have adverse psychological effects in critical

  3. Quality of life issues relating to endocrine treatment options

    DEFF Research Database (Denmark)

    Iversen, P

    1999-01-01

    treatments for prostate cancer, such as castration, combined androgen blockade and non-steroidal antiandrogen monotherapy, have shown similar results in terms of time to progression and survival. The main difference between these treatments is their impact on patients' quality of life. Instruments...... for measuring health-related quality of life should assess both overall and disease-specific quality of life. Data from two large studies of bicalutamide monotherapy show that this non-steroidal antiandrogen is associated with significant health-related quality of life advantages in the treatment of patients...... with locally advanced (M0) disease compared with castration, suggesting that this treatment may benefit patients with early disease. Bicalutamide was favoured in 8 out of 9 evaluable quality of life dimensions, and this was statistically significant for sexual interest and physical capacity. Endocrine...

  4. Quality of life issues relating to endocrine treatment options

    DEFF Research Database (Denmark)

    Iversen, P

    1999-01-01

    treatments for prostate cancer, such as castration, combined androgen blockade and non-steroidal antiandrogen monotherapy, have shown similar results in terms of time to progression and survival. The main difference between these treatments is their impact on patients' quality of life. Instruments...... for measuring health-related quality of life should assess both overall and disease-specific quality of life. Data from two large studies of bicalutamide monotherapy show that this non-steroidal antiandrogen is associated with significant health-related quality of life advantages in the treatment of patients...... with locally advanced (M0) disease compared with castration, suggesting that this treatment may benefit patients with early disease. Bicalutamide was favoured in 8 out of 9 evaluable quality of life dimensions, and this was statistically significant for sexual interest and physical capacity. Endocrine...

  5. Quality control issues related to assessment of body composition.

    Science.gov (United States)

    Wootton, Stephen; Durkin, Kesta; Jackson, Alan

    2014-06-01

    There are no internationally agreed quality standards for the measurement of stature, weight, and body composition. This lack of agreement constrains the quality of work in nutrition and must be addressed in order to build systemic capacity within the Scaling Up Nutrition agenda. There is a need to reach agreement and define standards of performance and the required training to be able to demonstrate the competency of those responsible for making the measurements. This, together with the adoption of standardized protocols, traceable reference materials, quality assurance frameworks, and publication guidance, would mark an important first step in improving the conduct and interpretation of measurements of growth and body composition.

  6. Test Code Quality and Its Relation to Issue Handling Performance

    NARCIS (Netherlands)

    Athanasiou, D.; Nugroho, A.; Visser, J.; Zaidman, A.

    2014-01-01

    Automated testing is a basic principle of agile development. Its benefits include early defect detection, defect cause localization and removal of fear to apply changes to the code. Therefore, maintaining high quality test code is essential. This study introduces a model that assesses test code qual

  7. Indoor air quality issues related to the acquisition of conservation in commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, M.C.; Hadley, D.L.; Marseille, T.J.

    1990-09-01

    The quality of indoor air in commercial buildings is dependent on the complex interaction between sources of indoor pollutants, environmental factors within buildings such as temperature and humidity, the removal of air pollutants by air-cleaning devices, and the removal and dilution of pollutants from outside air. To the extent that energy conservation measures (ECMs) may affect a number of these factors, the relationship between ECMs and indoor air quality is difficult to predict. Energy conservation measures may affect pollutant levels in other ways. Conservation measures, such as caulking and insulation, may introduce sources of indoor pollutants. Measures that reduce mechanical ventilation may allow pollutants to build up inside structures. Finally, heating, ventilation, and air-conditioning (HVAC) systems may provide surface areas for the growth of biogenic agents, or may encourage the dissemination of pollutants throughout a building. Information about indoor air quality and ventilation in both new and existing commercial buildings is summarized in this report. Sick building syndrome and specific pollutants are discussed, as are broader issues such as ventilation, general mitigation techniques, and the interaction between energy conservation activities and indoor air quality. Pacific Northwest Laboratory (PNL) prepared this review to aid the Bonneville Power Administration (Bonneville) in its assessment of potential environmental effects resulting from conservation activities in commercial buildings. 76 refs., 2 figs., 19 tabs.

  8. Power quality issues current harmonics

    CERN Document Server

    Mikkili, Suresh

    2015-01-01

    Power Quality Issues: Current Harmonics provides solutions for the mitigation of power quality problems related to harmonics. Focusing on active power filters (APFs) due to their excellent harmonic and reactive power compensation in two-wire (single phase), three-wire (three-phase without neutral), and four-wire (three-phase with neutral) AC power networks with nonlinear loads, the text:Introduces the APF technology, describing various APF configurations and offering guidelines for the selection of APFs for specific application considerationsCompares shunt active filter (SHAF) control strategi

  9. The Quality of Life of Employees in EU Member States. Issues Related to the Nature and Organization of Work

    Directory of Open Access Journals (Sweden)

    CRISTINA LEOVARIDIS

    2011-03-01

    Full Text Available The quality of life of employees has become one of the main concerns of European employment policies in the last ten years, with the strategies that were developed taking into account the new emerging risks related to the changes in the way work is organized (flexible work arrangements, increased work intensity in order to meet deadlines, increased share of highly skilled non-manual workers, etc.. The article presents a comparative analysis between member states with respect to the quality of the life of employees, from the point of view of the nature and organization of work, focusing on one of the negative effects of overworking, especially in non-manual occupations in new member states, which has increased in incidence in the last years: stress.

  10. Ethical Issues Related to Restructuring.

    Science.gov (United States)

    Mielke, Patricia L.; Schuh, John H.

    1995-01-01

    Offers a framework for thinking about ethical principles through the use of codes of ethics. Examines the ethical issues of restructuring and discusses specific ethical dilemmas. Specifically outlines ethics related to resources allocation and management, and details critical points in restructuring. Argues that ethical guidelines help shape…

  11. Stereoscopic medical data video quality issues.

    Science.gov (United States)

    Patrona, Foteini; Mademlis, Ioannis; Kalaganis, Fotios; Pitas, Ioannis; Lyroudia, Kleoniki

    2016-04-01

    Stereoscopic medical videos are recorded, e.g., in stereo endoscopy or during video recording medical/dental operations. This paper examines quality issues in the recorded stereoscopic medical videos, as insufficient quality may induce visual fatigue to doctors. No attention has been paid to stereo quality and ensuing fatigue issues in the scientific literature so far. Two of the most commonly encountered quality issues in stereoscopic data, namely stereoscopic window violations and bent windows, were searched for in stereo endoscopic medical videos. Furthermore, an additional stereo quality issue encountered in dental operation videos, namely excessive disparity, was detected and fixed. The conducted experiments prove the existence of such quality issues in stereoscopic medical data and highlight the need for their detection and correction.

  12. Urban air quality management - current issues

    Energy Technology Data Exchange (ETDEWEB)

    Chaplin, N. [Sheffield City Council, Sheffield (United Kingdom). Environment and Regulatory Services; Virtanen, T. [Helsinki Metropolitan Area Council, Helsinki (Finland); Mladonicky, P. [National Centre of Health Promotion, Bratislava (Slovakia)

    2002-07-01

    In 1996 the EC adopted the Ambient Air Quality and Assessment Directive, which is designed to provide a comprehensive strategy for the management of air quality in Member States, linking controls on emissions with the attainment of air quality objectives. The subsequent Daughter Directives provide limit values, based on health effects, for specified pollutants. In essence Member States have to monitor and assess air quality and where necessary draw up air pollution minimisation plans. This paper explores the practical issues facing three European cities, Sheffield, Helsinki and Bratislava as they face the challenge of implementing action necessary to bring about improvements in air quality by 2010. There are very different problems to resolve due to each City's particular characteristics, although they all share the same cause of the problem - road traffic. Although the technical solutions appear to be relatively straight forward each city faces the problems of trying to educate its citizens, to bring about changes in individual behaviour so that everyone can benefit from better air quality. Sheffield now faces an added level of complexity as its economic performance is below the European average and it has attained Objective 1 status which will introduce a huge investment to kick start the economy and make sure it continues to thrive. (orig.)

  13. Particulate Air Pollution and Health: Emerging Issues and Research Needs Related to the Development of Air Quality Standards

    Directory of Open Access Journals (Sweden)

    Patrick A Hessel

    1997-01-01

    Full Text Available The health effects of particulate air pollution were highlighted at the Eighth Annual Conference of the International Society for Environmental Epidemiology, held in Edmonton, Alberta in August 1996. Despite consistent evidence for adverse respiratory and cardiovascular health effects related to particulate air pollution, there are significant gaps in the knowledge of the mechanisms whereby particulate air pollution affects human health. Questions regarding the appropriate measure of dose for assessing exposures relevant to health outcomes and the methods used to analyze dose-response data remain unanswered. Health effects have been demonstrated across the range of exposures that have been examined, and further research in low exposure settings is necessary to explore the lower end of the dose-response curve. Although a significant body of literature has been generated, comprehensive risk assessments have not been undertaken. Examination of the chronic effects of particulate air pollution and identification of high risk populations are necessary. Although there are significant unanswered questions regarding the health effects of particulate air pollution, the available information suggests that particulate air pollution at levels consistent with current standards is associated with measurable health effects.

  14. Gender relations and economic issues.

    Science.gov (United States)

    Elson, D

    1993-10-01

    While most discussions of economic issues pay no explicit attention to gender relations, most economic policy is marked by male bias which provides women with an unequal access to resources. This situation exists because most economists, officials, and business managers lack the imagination to see the gender impact of economic issues and most women's groups and researchers lack the language to portray this connection. This article explores some aspects of this gap and aims to provide women with the ability to effectively discuss economic issues. After an introduction, the article considers the basic problem caused by the fact that the economy is defined primarily in terms of money-making activities. This leads to a male bias since much of women's work occurs outside of the monetary sphere. The next section looks at how a failure to understand the significance of gender relations will interfere with the fulfillment of policy objectives. This discussion is followed by a description of how cutbacks in government expenditures increase the burden on women who must replace the services. Problems with the option of the private-sector replacing government services, such as the fact that increasing disposable income in households does not guarantee that unpaid labor will be reduced and the fact that the private sector may fail to expand in a productive way, are covered. The article then touches on the new emphasis placed by some economists and policy makers on cooperative and interactive solutions to these problems and ends by mentioning three new initiatives which seek to build capacity for gender-aware economic analysis: the development of a training program at Manchester University in the UK, coordination of an international research workshop by the University of Utah in the US, and development of an international association for feminist economics based in the US.

  15. Muscle growth and poultry meat quality issues.

    Science.gov (United States)

    Petracci, Massimiliano; Cavani, Claudio

    2012-01-01

    Over the past 50 years the worldwide growing demand of poultry meat has resulted in pressure on breeders, nutritionists and growers to increase the growth rate of birds, feed efficiency, size of breast muscle and reduction in abdominal fatness. Moreover, the shift toward further processed products has emphasized the necessity for higher standards in poultry meat to improve sensory characteristics and functional properties. It is believed that genetic progress has put more stress on the growing bird and it has resulted in histological and biochemical modifications of the muscle tissue by impairing some meat quality traits. The most current poultry meat quality concerns are associated with deep pectoral muscle disease and white striping which impair product appearance, and increased occurrence of problems related with the meat's poor ability to hold water during processing and storage (PSE-like condition) as well as poor toughness and cohesiveness related to immaturity of intramuscular connective tissue. This paper is aimed at making a general statement of recent studies focusing on the relationship between muscle growth and meat quality issues in poultry.

  16. Muscle Growth and Poultry Meat Quality Issues

    Directory of Open Access Journals (Sweden)

    Massimiliano Petracci

    2011-12-01

    Full Text Available Over the past 50 years the worldwide growing demand of poultry meat has resulted in pressure on breeders, nutritionists and growers to increase the growth rate of birds, feed efficiency, size of breast muscle and reduction in abdominal fatness. Moreover, the shift toward further processed products has emphasized the necessity for higher standards in poultry meat to improve sensory characteristics and functional properties. It is believed that genetic progress has put more stress on the growing bird and it has resulted in histological and biochemical modifications of the muscle tissue by impairing some meat quality traits. The most current poultry meat quality concerns are associated with deep pectoral muscle disease and white striping which impair product appearance, and increased occurrence of problems related with the meat’s poor ability to hold water during processing and storage (PSE-like condition as well as poor toughness and cohesiveness related to immaturity of intramuscular connective tissue. This paper is aimed at making a general statement of recent studies focusing on the relationship between muscle growth and meat quality issues in poultry.

  17. Muscle Growth and Poultry Meat Quality Issues

    Science.gov (United States)

    Petracci, Massimiliano; Cavani, Claudio

    2011-01-01

    Over the past 50 years the worldwide growing demand of poultry meat has resulted in pressure on breeders, nutritionists and growers to increase the growth rate of birds, feed efficiency, size of breast muscle and reduction in abdominal fatness. Moreover, the shift toward further processed products has emphasized the necessity for higher standards in poultry meat to improve sensory characteristics and functional properties. It is believed that genetic progress has put more stress on the growing bird and it has resulted in histological and biochemical modifications of the muscle tissue by impairing some meat quality traits. The most current poultry meat quality concerns are associated with deep pectoral muscle disease and white striping which impair product appearance, and increased occurrence of problems related with the meat’s poor ability to hold water during processing and storage (PSE-like condition) as well as poor toughness and cohesiveness related to immaturity of intramuscular connective tissue. This paper is aimed at making a general statement of recent studies focusing on the relationship between muscle growth and meat quality issues in poultry. PMID:22347614

  18. Faster issue resolution with higher technical quality of software

    NARCIS (Netherlands)

    Bijlsma, D.; Ferreira, M.A.; Luijten, B.; Visser, J.

    2011-01-01

    We performed an empirical study of the relation between technical quality of software products and the issue resolution performance of their maintainers. In particular, we tested the hypothesis that ratings for source code maintainability, as employed by the Software Improvement Group (SIG) quality

  19. Using data from studies of health-related quality of life to describe clinical issues examples from a longitudinal study of patients with advanced stages of cervical cancer.

    Science.gov (United States)

    Klee, M; Groenvold, M; Machin, D

    1999-12-01

    The focus of the paper is to describe how to present data from studies on health-related quality of life (H-QoL) in a way that is simple and clinically relevant. Data from a longitudinal study of patients with advanced stages of cervix cancer are used. One hundred and eighteen patients filled out questionnaires (including EORTC QLQ-C30) 7 times over a period of 2 years. The following issues are considered: (1) The use of a panel for an initial overview of data. (2) The visual difference between using mean and median values. (3) Box-whisker plots to illustrate the variability of the data. (4) The effect of combining categorical data into fewer categories. (5) Individual patient profiles showing the wide variability among patients. (6) A table showing the change of scores over a one-year period. (7) "Prognostic plots" dividing the initial scores and the following scores. (8) Plotting changes over time. (9) Illustration of the impact of non-random dropout. (10) The effect of drop-out for the patients who fill out two sequential assessments. (11) The use of healthy controls to help answer the question "what is normal?".

  20. Robustness-related issues in speaker recognition

    CERN Document Server

    Zheng, Thomas Fang

    2017-01-01

    This book presents an overview of speaker recognition technologies with an emphasis on dealing with robustness issues. Firstly, the book gives an overview of speaker recognition, such as the basic system framework, categories under different criteria, performance evaluation and its development history. Secondly, with regard to robustness issues, the book presents three categories, including environment-related issues, speaker-related issues and application-oriented issues. For each category, the book describes the current hot topics, existing technologies, and potential research focuses in the future. The book is a useful reference book and self-learning guide for early researchers working in the field of robust speech recognition.

  1. The insanity defense: Related issues

    Science.gov (United States)

    Asokan, T. V.

    2016-01-01

    For the past 150 years, there is no change in the understanding and knowledge other than autonomy and capacity to choose the right and wrong for criminal liability. The alternative concept that human behavior is the result of an interaction between biological and environmental factors other than free choice failed to impress the criminal justice system because of a direct threat to a society's deep seated need to blame someone than themselves for criminal harms that occur. The insanity defense has a long history, and is evolved after many tests that have been tried and tested. McNaughton's rules stressed on “understandability of right and wrong” and “intellectual” rather than a moral or affective definition dominated in its formulation. Lack of control and irresistible drives or impulses were neglected Going by the current understanding of neurological evidences of compulsion and lack of impulse control, rationality tests without the inclusion of lack of control, seem to be outdated. Separate “Control determination” than the “Rationality determination” by the jurors may improve the accuracy of Juror's categorizations. There is a suggestion that Relevance ratio is ideal for ‘Evidentiary relevance” and there should be a quality control on expert testimonies. With progress in neuroscience, the law may need to abandon or alter some of its current assumptions about the nature of voluntary conduct, which underlies various defenses PMID:28216769

  2. Health-related quality of life in non-small-cell lung cancer: An update of a systematic review on methodologic issues in randomized controlled trials

    NARCIS (Netherlands)

    L. Claassens (Lily); J. van Meerbeeck (Jan); C. Coens (Corneel); C. Quinten (Chantal); I. Ghislain (Irina); E.K. Sloan (Elizabeth); X.S. Wang (Xin Shelly); G. Velikova (Galina); A. Bottomley (Andrew)

    2011-01-01

    textabstractPurpose This study is an update of a systematic review of health-related quality-of-life (HRQOL) methodology reporting in non-small-cell lung cancer (NSCLC) randomized controlled trials (RCTs). The objective was to evaluate HRQOL methodology reporting over the last decade and its benefit

  3. Deployment-related Respiratory Issues.

    Science.gov (United States)

    Morris, Michael J; Rawlins, Frederic A; Forbes, Damon A; Skabelund, Andrew J; Lucero, Pedro F

    2016-01-01

    Military deployment to Southwest Asia since 2003 in support of Operations Enduring Freedom/Iraqi Freedom/New Dawn has presented unique challenges from a pulmonary perspective. Various airborne hazards in the deployed environment include suspended geologic dusts, burn pit smoke, vehicle exhaust emissions, industrial air pollution, and isolated exposure incidents. These exposures may give rise to both acute respiratory symptoms and in some instances development of chronic lung disease. While increased respiratory symptoms during deployment are well documented, there is limited data on whether inhalation of airborne particulate matter is causally related to an increase in either common or unique pulmonary diseases. While disease processes such as acute eosinophilic pneumonia and exacerbation of preexisting asthma have been adequately documented, there is significant controversy surrounding the potential effects of deployment exposures and development of rare pulmonary disorders such as constrictive bronchiolitis. The role of smoking and related disorders has yet to be defined. This article presents the current evidence for deployment-related respiratory symptoms and ongoing Department of Defense studies. Further, it also provides general recommendations for evaluating pulmonary health in the deployed military population.

  4. Total quality management issues in managed care.

    Science.gov (United States)

    McLaughlin, C P; Kaluzny, A D

    1997-01-01

    The implementation of total quality management (TQM) in health care has gone on in parallel with the growth of managed care. What is the interaction between the two? Key issues are the ascendance of cost control over quality in many areas, erosion of employee commitment and loyalty, and a short-run orientation. Associated with this is an emphasis on organizational learning rather than learning by autonomous professionals. Both TQM and managed care acknowledge the dynamic nature of clinical processes and the ability and responsibility of both institutions and clinicians to improve their processes. Both are consistent with efforts to identify and implement best practices. However, these similarities should not mask fundamental differences. Continuous improvement must shift its focus from avoiding unnecessary variation to facilitating rapid organizational learning and institutionalizing mass customization into the delivery of health services.

  5. A systematic review of quality of life and weight gain-related issues in patients treated for severe and persistent mental disorders: focus on aripiprazole

    Directory of Open Access Journals (Sweden)

    Salvatore Gentile

    2009-02-01

    Full Text Available Salvatore GentileDepartment of Mental Health, ASL Salerno 1, ItalyAbstract: Aripiprazole is a relatively novel second-generation antipsychotic belonging to the chemical class of benzisoxazole derivatives and is characterized by a unique pharmacological profile which suggests that the drug acts as a dopamine-serotonin system stabilizer. Whereas all previously available antipsychotics are antagonists at D2 receptors, aripiprazole is the only available partial agonist at these receptors. Thus, it has been suggested that aripiprazole could be associated with a relatively neutral impact on bodyweight, possibly reducing risks of a detrimental impact on the quality of life that often complicates management for a large number of patients diagnosed with severe and persistent mental disorders (SPMDs treated chronically with antipsychotic medications. However, data from short- and long-term reviewed studies indicate that the prevalence rate of clinically relevant weight gain during therapy with this drug is similar to that occurring during treatments with other antipsychotic agents, either typical or atypical. Moreover, information on the impact of aripiprazole therapy on the quality of life of patients diagnosed with SPMDs is scarce and characterized by conflicting results. Given these results, further, large, well-designed studies are needed before confirming potential advantages of aripiprazole over first-generation antipsychotics and other SGAs.Keywords: aripiprazole, effectiveness, quality of life, safety, weight gain

  6. Security Issues related with cloud computing

    Directory of Open Access Journals (Sweden)

    Manju,

    2014-04-01

    Full Text Available The term CLOUD means Common Location Independent Online Utility on Demand. It‟s an emerging technology in IT industries. Cloud technologies are improving day by day and now it become a need for all small and large scale industries. Companies like Google, Amazon, Microsoft etc. is providing virtualized environment for user by which it omits the need for physical storage and others. But as the advantage of cloud computing is increasing day by day the issues are also threatening the IT industries. These issues related with the security of the data. The basic idea of this review paper is to elaborate the security issues related with cloud computing and what methods are implemented to improve these security. Certain algorithms like RSA, DES, and Ceaser Cipher etc. implemented to improve the security issues. In this paper we have implemented Identity based mRSA algorithm in this paper for improving security of data.

  7. Teachers' Attitudes Toward Death-Related Issues

    Science.gov (United States)

    Perkes, A. Cordell

    1978-01-01

    Reports a study to assess teachers attitudes toward death-related issues. A questionnaire was given to 61 teachers in a graduate education course. It was found that the teachers tended to favor liberal abortion laws (67 percent), euthanasia (83 percent), and the majority (65 percent) believed in life after death. (SLH)

  8. Addressing Issues Related to Technology and Engineering

    Science.gov (United States)

    Technology Teacher, 2008

    2008-01-01

    This article presents an interview with Michael Hacker and David Burghardt, codirectors of Hoftra University's Center for Technological Literacy. Hacker and Burghardt address issues related to technology and engineering. They argue that teachers need to be aware of the problems kids are facing, and how to present these problems in an engaging…

  9. Teachers' Attitudes Toward Death-Related Issues

    Science.gov (United States)

    Perkes, A. Cordell

    1978-01-01

    Reports a study to assess teachers attitudes toward death-related issues. A questionnaire was given to 61 teachers in a graduate education course. It was found that the teachers tended to favor liberal abortion laws (67 percent), euthanasia (83 percent), and the majority (65 percent) believed in life after death. (SLH)

  10. Addressing Measurement Issues Related to Bullying Involvement

    Science.gov (United States)

    Casper, Deborah M.; Meter, Diana J.; Card, Noel A.

    2015-01-01

    In this article, we address measurement issues related to select aspects of bullying involvement with the goal of moving psychometrically sound measurement practices toward applied bullying research. We first provide a nontechnical introduction to psychometric considerations in measuring bullying involvement, highlighting the importance of…

  11. Implementation workshop of WHO guidelines on evaluation of malaria vaccines: Current regulatory concepts and issues related to vaccine quality, Pretoria, South Africa 07 Nov 2014.

    Science.gov (United States)

    Ho, Mei Mei; Baca-Estrada, Maria; Conrad, Christoph; Karikari-Boateng, Eric; Kang, Hye-Na

    2015-08-26

    The current World Health Organization (WHO) guidelines on the quality, safety and efficacy of recombinant malaria vaccines targeting the pre-erythrocytic and blood stages of Plasmodium falciparum were adopted by the WHO Expert Committee on Biological Standardization in 2012 to provide guidance on the quality, nonclinical and clinical aspects of recombinant malaria vaccines. A WHO workshop was organised to facilitate implementation into African (national/regional) regulatory practices, of the regulatory evaluation principles outlined in the guidelines regarding quality aspects. The workshop was used also to share knowledge and experience on regulatory topics of chemistry, manufacturing and control with a focus on vaccines through presentations and an interactive discussion using a case study approach. The basic principles and concepts of vaccine quality including consistency of production, quality control and manufacturing process were presented and discussed in the meeting. By reviewing and practicing a case study, better understanding on the relationship between consistency of production and batch release tests of an adjuvanted pre-erythrocytic recombinant malaria vaccine was reached. The case study exercise was considered very useful to understand regulatory evaluation principles of vaccines and a suggestion was made to WHO to provide such practices also through its Global Learning Opportunities for Vaccine Quality programme.

  12. Quality issues in the management of web information

    CERN Document Server

    Bordogna, Gloria; Jain, Lakhmi

    2013-01-01

    This research volume presents a sample of recent contributions related to the issue of quality-assessment for Web Based information in the context of information access, retrieval, and filtering systems. The advent of the Web and the uncontrolled process of documents' generation have raised the problem of declining quality assessment to information on the Web, by considering both the nature of documents (texts, images, video, sounds, and so on), the genre of documents ( news, geographic information, ontologies, medical records, products records, and so on), the reputation of information sources and sites, and, last but not least the actions performed on documents (content indexing, retrieval and ranking, collaborative filtering, and so on). The volume constitutes a compendium of both heterogeneous approaches and sample applications focusing specific aspects of the quality assessment for Web-based information for researchers, PhD students and practitioners carrying out their research activity in the field of W...

  13. U.S.-China Relations: Policy Issues

    Science.gov (United States)

    2010-03-12

    Two Chinese-born Americans, Xue Feng , a geologist, and Hu Zhicheng, an automotive engineer, remain under detention in China while facing criminal...raised the issue of Xue Feng to China’s leaders.15 U.S.-PRC Dialogues The Strategic and Economic Dialogue (S&ED) On April 1, 2009, on the sidelines of...former President Chen Shui -bian’s eight-year record of governance. President Ma moved quickly to implement improvements in cross-strait relations

  14. Management issues power quality in distribution system

    OpenAIRE

    2011-01-01

    In recent years, the number of power quality problems has increased dramatically. This increase in electricity demand of recent years, consecutively with increasing the number of power plants and power, along with changing the structure of energy agents and increasepower receivers, led to deterioration of power quality parameters, with implications serious about working arrangements and consumer networks. Most disputed aspect in terms of power quality standards is the regime's control sizes. ...

  15. Economic Journal in Russia: Quality Assessment Issues

    Directory of Open Access Journals (Sweden)

    Ol’ga Valentinovna Tret’yakova

    2016-05-01

    Full Text Available The paper attempts to assess economic journals included in the List of peer-reviewed scientific journals and editions that are authorized to publish the principal research findings of doctoral (candidate’s dissertations (the VAK List, it was established by the Decision of the Ministry of Education and Science of the Russian Federation and entered into force on December 01, 2016. The general assessment of the journals that include more than 380 titles is carried out by analyzing their bibliometric indicators in the system of the Russian Science Citation Index, in particular, by examining the values of their impact factors. The analysis conducted at the Institute of Socio-economic Development of Territories of RAS shows that a relatively small number of economic journals publish a significant proportion of articles that obtain a large share of citations. The author reveals that the new VAK List includes over 50% of journals specializing in economic sciences, which have a lower level of citation or which are virtually not cited at all. This indirectly indicates that such journals are “left behind” the “main stream of science”, that their significance is local, availability low, attractiveness for the audience and scientific authority insufficient. The analysis proves that when forming the list of peer-reviewed scientific publications recommended for publication of dissertation research findings, along with other criteria, it is advisable to use tools that help assess the level of the journal. It is very important that the evaluation had quantitative expression and served as a specific measure for ranking the journals. One of these tools may be a criterion value for the two-year impact factor, which helps identify journals with a sufficient citation level. The paper presents the results of analysis of the RSCI list, which was proposed by the Council for Science under the Ministry of Education and Science of the Russian Federation as an

  16. Three issues in consumer quality perception and acceptance of dairy products

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bech-Larsen, Tino; Bredahl, Lone

    2000-01-01

    It is argued that consumer quality perception of dairy products is characterised by four major dimensions: hedonic, health-related, convenience-related and process-related quality. Two of these, viz. health and process-related quality, are credence dimensions, ie, a matter of consumer trust...... in communication provided. Drawing on five different empirical studies on consumer quality perception of dairy products, three issues related to the communication on credence quality dimensions are discussed: providing credible information, the role of consumer attitudes, and inference processes in quality...... perception. Organic products, functional products, and products involving genetic modification are used as examples....

  17. Labour Rights Protection in Industrial Relations Issues

    Directory of Open Access Journals (Sweden)

    Eko Adi Susanto

    2015-12-01

    Full Text Available Many violations of the terms of employment at Surabaya, employment protection  and working conditions for workers who are not provided by employers to the maximum, according to the legislation in force, while the legal protection for workers constrained because of the weakness in the system of employment law, both the substance and the culture built by governments and companies. How To Cite: Susanto, E. (2015. Labour Rights Protection in Industrial Relations Issues. Rechtsidee, 2(2, 109-120. doi:http://dx.doi.org/10.21070/jihr.v2i2.78

  18. Product Life Cycle - Quality Management Issues

    DEFF Research Database (Denmark)

    Alting, Leo; Majstorovic, Vidosav D.

    2004-01-01

    The strategic goal of our country is European and world integration. Within this context the management of sustainable development considered from the aspect of product’s life cycle and its quality management represents a real challenge for researchers, economy and educational system. The aim...

  19. Product Life Cycle - Quality Management Issues

    DEFF Research Database (Denmark)

    Alting, Leo; Majstorovic, Vidosav D.

    2004-01-01

    The strategic goal of our country is European and world integration. Within this context the management of sustainable development considered from the aspect of product’s life cycle and its quality management represents a real challenge for researchers, economy and educational system. The aim...

  20. Reliability and quality EEE parts issues

    Science.gov (United States)

    Barney, Dan; Feigenbaum, Irwin

    1990-01-01

    NASA policy and procedures are established which govern the selection, testing, and application of electrical, electronic, and electromechanical (EEE) parts. Recent advances in the state-of-the-art of electronic parts and associated technologies can significantly impact the electronic designs and reliability of NASA space transportation avionics. Significant issues that result from these advances are examined, including: recent advances in microelectronics technology (as applied to or considered for use in NASA projects); electron packaging technology advances (concurrent with, and as a result of, the development of the advanced microelectronic devices); availability of parts used in space avionics; and standardization and integration of parts activities between projects, centers, and contractors.

  1. ISSUE OF QUALITY IN A QUALITATIVE RESEARCH: AN OVERVIEW

    Directory of Open Access Journals (Sweden)

    Iqbal Ahmed Chowdhury

    2015-01-01

    Full Text Available The issues of quality in a qualitative research cannot be addressed by a single or constant method. It, however, may be judged through the aggregate of various perspectives such as “credibility,” “dependability,” “confirmability,” “ethics” and so on which is the central focus of this paper. In a qualitative research, researchers often engage with flexible realities where the subjective views of respondents may shape the research frame and the whole process of an inquiry. In such a situation, quality issue is more pertinent as it deals with peoplr’s everyday realitiy and subjective explanation of it. The study focuses on the issue of quality in a qualitative research and provides a middle way to deal with this issue in respect to the debates over it. Using secondary sources it provides a comprehensive idea for ensuring quality in a qualitative research.

  2. Thermal food processing: new technologies and quality issues

    National Research Council Canada - National Science Library

    Sun, Da-Wen

    2012-01-01

    .... The editor of Thermal Food Processing: New Technologies and Quality Issues presents a comprehensive reference through authors that assist in meeting this challenge by explaining the latest developments and analyzing the latest trends...

  3. Assistance to States on Policies Related to Wind Energy Issues

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Matthew, H; Decesaro, Jennifer; DOE Project Officer - Keith Bennett

    2005-07-15

    This final report summarizes work carried out under agreement with the US Department of Energy, related to wind energy policy issues. This project has involved a combination of outreach and publications on wind energy, with a specific focus on educating state-level policymakers. Education of state policymakers is vitally important because state policy (in the form of incentives or regulation) is a crucial part of the success of wind energy. State policymakers wield a significant influence over all of these policies. They are also in need of high quality, non-biased educational resources which this project provided. This project provided outreach to legislatures, in the form of meetings designed specifically for state legislators and legislative staff, responses to information requests on wind energy, and publications. The publications addressed: renewable energy portfolio standards, wind energy transmission, wind energy siting, case studies of wind energy policy, avian issues, economic development, and other related issues. These publications were distributed to legislative energy committee members, and chairs, legislative staff, legislative libraries, and other related state officials. The effect of this effort has been to provide an extensive resource of information about wind information for state policymakers in a form that is useful to them. This non-partisan information has been used as state policymakers attempt to develop their own policy proposals related to wind energy in the states.

  4. Nuclear power plant safety related pump issues

    Energy Technology Data Exchange (ETDEWEB)

    Colaccino, J.

    1996-12-01

    This paper summarizes of a number of pump issues raised since the Third NRC/ASME Symposium on Valve and Pump Testing in 1994. General issues discussed include revision of NRC Inspection Procedure 73756, issuance of NRC Information Notice 95-08 on ultrasonic flow meter uncertainties, relief requests for tests that are determined by the licensee to be impractical, and items in the ASME OM-1995 Code, Subsection ISTB, for pumps. The paper also discusses current pump vibration issues encountered in relief requests and plant inspections - which include smooth running pumps, absolute vibration limits, and vertical centrifugal pump vibration measurement requirements. Two pump scope issues involving boiling water reactor waterlog and reactor core isolation cooling pumps are also discussed. Where appropriate, NRC guidance is discussed.

  5. Issues Related to EU's Foreign Policy

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ The European Union (EU) is widely regarded as an important international actor, and usually referred to as a big power like the U. S. , Russia, China and Japan. So naturally the foreign policy of the EU has caught attention of both officials and scholars over the world. However, the EU is also a combination of sovereign states, its foreign policy is different from others, and perhaps this is often ignored. For instance, unlike a single nation state, the EU's influence and power are different in various policy fields due to its different ways of decision-making and implementation. Also, different from the common currency, the forming of the common foreign policy of the EU doesn't mean the disappearance of respective member state's foreign policy. Only seeing or emphasizing one respect will lead to a misunderstanding of the EU. Moreover, as a unique "supranational and intergovernmental" organization in the world, the EU has too many complex institutions, names and terms. Of course, the situation is not better in the field of foreign policy, and it easily leads to confusion and misunderstanding. It is also necessary to point out that the EU is still in the process of evolvement, and in particular, as one of the major reforms of the EU in recent years, the foreign policy-making mechanism has been in the center of change and adjustment. It is no doubt that this adds to the difficulties of studying and understanding the EU's foreign policy. In a word, the author thinks it is necessary to raise some major issues related to the EU's foreign policy and delve into it in connecting with the EU's current development.

  6. Power Quality Issues on Wind Power Installations in Denmark

    DEFF Research Database (Denmark)

    Sørensen, Poul Ejnar; Cutululis, Nicolaos Antonio; Lund, Torsten

    2007-01-01

    This paper introduces the power quality issues of wind power installations in a historic perspective, as the development from a few small wind turbines connected directly to the low voltage grid, to the present system with high penetration on the medium voltage distribution grids and two large...

  7. Quality improvement in primary care: ethical issues explored.

    NARCIS (Netherlands)

    Tapp, L.; Elwyn, G.; Edwards, A.; Holm, S.; Eriksson, T.

    2009-01-01

    PURPOSE: Quality improvement (QI) processes in family medicine are becoming increasingly complex. Their influence on the organisation of the sector and on the daily work processes is profound and increasing. The literature indicates that many ethical issues are arising from QI work. Therefore this

  8. Quality as the cornerstone of behavioral health: four critical issues.

    Science.gov (United States)

    Rosenberg, Linda

    2007-10-01

    The author emphasizes the need to focus on quality in mental health and addictions treatment. High-quality care means care that is personalized, prevention-oriented, and based on evidence about the benefits, costs, and the desires of each person. Whereas the challenges to improving quality are formidable, four critical issues can and must be addressed: focus on whole health, clinical excellence, workforce, and information technology. With strong leadership, commitment, and persistence, we can have a system that supports recovery and ensures a meaningful life in the community for our sickest and poorest citizens.

  9. U.S.-China Relations: Policy Issues

    Science.gov (United States)

    2012-08-02

    over U.S. anti-dumping measures on shrimp and diamond sawblades from China. • May 15-23, 2011: People’s Liberation Army Chief of the General Staff...Issues Congressional Research Service 31 lack of transparency in China’s agricultural market; and discriminatory regulatory processes and...energy power plants , promote cleaner use of coal and large-scale carbon capture and storage, and assess China’s shale gas resources. China leads the

  10. Environmental Issues Related to Conventional Hydropower

    Energy Technology Data Exchange (ETDEWEB)

    Deng, Zhiqun; Colotelo, Alison HA; Brown, Richard S.; Carlson, Thomas J.

    2016-04-27

    Hydropower is the largest renewable electrical energy source in the world and has a total global capacity of approximately 1,010 GW from 150 countries. Although hydropower has many environmental advantages, hydropower dams have potential adverse ecological impacts such as fish passage, water quality, and habitat alterations.

  11. Unsolved issues related to human mitochondrial diseases.

    Science.gov (United States)

    Lombès, Anne; Auré, Karine; Bellanné-Chantelot, Christine; Gilleron, Mylène; Jardel, Claude

    2014-05-01

    Human mitochondrial diseases, defined as the diseases due to a mitochondrial oxidative phosphorylation defect, represent a large group of very diverse diseases with respect to phenotype and genetic causes. They present with many unsolved issues, the comprehensive analysis of which is beyond the scope of this review. We here essentially focus on the mechanisms underlying the diversity of targeted tissues, which is an important component of the large panel of these diseases phenotypic expression. The reproducibility of genotype/phenotype expression, the presence of modifying factors, and the potential causes for the restricted pattern of tissular expression are reviewed. Special emphasis is made on heteroplasmy, a specific feature of mitochondrial diseases, defined as the coexistence within the cell of mutant and wild type mitochondrial DNA molecules. Its existence permits unequal segregation during mitoses of the mitochondrial DNA populations and consequently heterogeneous tissue distribution of the mutation load. The observed tissue distributions of recurrent human mitochondrial DNA deleterious mutations are diverse but reproducible for a given mutation demonstrating that the segregation is not a random process. Its extent and mechanisms remain essentially unknown despite recent advances obtained in animal models.

  12. NATO, MBFR and Some Related Issues

    Science.gov (United States)

    1975-06-06

    34flexible reoponse" is briefly mentioned above. TheBe three strategic doctrines were briefly related to the tactical nuclear weapon superiority, noted...üKely that was discussed in the previous section of this paper. ln most ca3e3 theBe proposals were not linfcsd to specific types of outcomes. To

  13. Substance use and health related issues

    NARCIS (Netherlands)

    Didden, H.C.M.; Nagel, J.E.L. van der; Duijvenbode, N. van

    2016-01-01

    Individuals with intellectual and developmental disabilities (IDD) have an increased risk for developing problems related to use and misuse of substances such as alcohol and drugs. The consequences for mental and somatic health are often detrimental. Substance use disorder is a chronic and

  14. Ensuring Quality in Online Courses: Applying the AACSB International's Distance Learning Quality Issues

    Science.gov (United States)

    Gaytan, Jorge

    2013-01-01

    The purpose of this qualitative study was to examine the Distance Learning Quality Issues published by the American Assembly of Collegiate Schools of Business International (AACSB-International) to document the various characteristics that high-quality online courses must possess. A content analysis methodology was employed to examine the seven…

  15. Air quality management in China: issues, challenges, and options.

    Science.gov (United States)

    Wang, Shuxiao; Hao, Jiming

    2012-01-01

    This article analyzed the control progress and current status of air quality, identified the major air pollution issues and challenges in future, proposed the long-term air pollution control targets, and suggested the options for better air quality in China. With the continuing growth of economy in the next 10-15 years, China will face a more severe situation of energy consumption, electricity generation and vehicle population leading to increase in multiple pollutant emissions. Controlling regional air pollution especially fine particles and ozone, as well as lowering carbon emissions from fossil fuel consumption will be a big challenge for the country. To protect public health and the eco-system, the ambient air quality in all Chinese cities shall attain the national ambient air quality standards (NAAQS) and ambient air quality guideline values set by the World Health Organization (WHO). To achieve the air quality targets, the emissions of SO2, NOx, PM10, and volatile organic compounds (VOC) should decrease by 60%, 40%, 50%, and 40%, respectively, on the basis of that in 2005. A comprehensive control policy focusing on multiple pollutants and emission sources at both the local and regional levels was proposed to mitigate the regional air pollution issue in China. The options include development of clean energy resources, promotion of clean and efficient coal use, enhancement of vehicle pollution control, implementation of synchronous control of multiple pollutants including SO2, NOx, VOC, and PM emissions, joint prevention and control of regional air pollution, and application of climate friendly air pollution control measures.

  16. Air quality management in China: Issues, challenges, and options

    Institute of Scientific and Technical Information of China (English)

    Shuxiao Wang; Jiming Hao

    2012-01-01

    This article analyzed the control progress and current status of air quality,identified the major air pollution issues and challenges in future,proposed the long-term air pollution control targets,and suggested the options for better air quality in China.With the continuing growth of economy in the next 10-15 years,China will face a more severe situation of energy consumption,electricity generation and vehicle population leading to increase in multiple pollutant emissions.Controlling regional air pollution especially fine particles and ozone,as well as lowering carbon emissions from fossil fuel consumption will be a big challenge for the country.To protect public health and the eco-system,the ambient air quality in all Chinese cities shall attain the national ambient air quality standards (NAAQS)and ambient air quality guideline values set by the World Health Organization (WHO).To achieve the air quality targets,the emissions of SO2,NOx,PM10,and volatile organic compounds (VOC) should decrease by 60%,40%,50%,and 40%,respectively,on the basis of that in 2005.A comprehensive control policy focusing on multiple pollutants and emission sources at both the local and regional levels was proposed to mitigate the regional air pollution issue in China.The options include development of clean energy resources,promotion of clean and efficient coal use,enhancement of vehicle pollution control,implementation of synchronous control of multiple pollutants including SO2,NOx,VOC,and PM emissions,joint prevention and control of regional air pollution,and application of climate friendly air pollution control measures.

  17. Classification issues related to neuropathic trigeminal pain.

    Science.gov (United States)

    Zakrzewska, Joanna M

    2004-01-01

    The goal of a classification system of medical conditions is to facilitate accurate communication, to ensure that each condition is described uniformly and universally and that all data banks for the storage and retrieval of research and clinical data related to the conditions are consistent. Classification entails deciding which kinds of diagnostic entities should be recognized and how to order them in a meaningful way. Currently there are 3 major pain classification systems of relevance to orofacial pain: The International Association for the Study of Pain classification system, the International Headache Society classification system, and the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). All use different methodologies, and only the RDC/TMD take into account social and psychologic factors in the classification of conditions. Classification systems need to be reliable, valid, comprehensive, generalizable, and flexible, and they need to be tested using consensus views of experts as well as the available literature. There is an urgent need for a robust classification system for neuropathic trigeminal pain.

  18. Internet pharmacy: issues of access, quality, costs, and regulation.

    Science.gov (United States)

    Crawford, Stephanie Y

    2003-02-01

    Internet pharmacy has been the focus of heightened interest over the past 3 years since the first major Web site was introduced in the United States. This paper addresses issues pertaining to Internet pharmacies that sell prescriptions and other products to consumers at the retail level. The Internet pharmacy industry has shifted rapidly in the short time span. This paper begins with a summary of historical considerations and the shifting organization of Internet pharmacy. The advantages and disadvantages of online pharmacy practice are listed. Issues of access, quality, and cost are described. The challenges in regulation at the state and federal levels are presented. Advice to consumers is offered regarding the use of Internet pharmacy sites for purchasing prescription drug products.

  19. Issues of therapeutic communication relevant for improving quality of care.

    Science.gov (United States)

    Popa-Velea, O; Purcărea, V L

    2014-01-01

    Communication issues are extensively considered a topic of high interest for improving the efficacy of the therapeutic act. This article aimed to overview several issues of therapeutic communication relevant for improving quality of care. A number of 15 bibliographic resources on these topics published in peer-reviewed journals between 1975 and 2010, and indexed in PubMed, ProQuest and EBSCO databases were examined, to seek for evidence regarding these data. Results highlight a number of communication problems commonly reported in the literature, such as the lack of physician communicational skills or their deterioration, the persistence of an asymmetric therapeutic communicational model, communication obstacles brought by the disease itself or by several variables pertaining to the patient, including specific demographic and psychological contexts. Equally, literature reports ways of improving therapeutic communication, such as optimizing the clinical interview, better time management techniques or assertiveness. Integration of communication training in the bio-psycho-social model of care and monitoring parameters like adherence and quality of life as tools reflecting also a good therapeutic communication can be valuable future approaches of obtaining better results in this area.

  20. Korea: U.S.-Korean Relations -- Issues for Congress

    Science.gov (United States)

    2005-06-16

    wounded in the Korean War (1950-53). The United States agreed to defend South Korea from external aggression in the 1954 Mutual Defense Treaty. The... Korean RelationsIssues for Congress Updated June 16, 2005 Larry A. Niksch Foreign Affairs, Defense , and Trade Division Report Documentation Page...A 3. DATES COVERED - 4. TITLE AND SUBTITLE Korea : U.S.- Korean Relations -- Issues for Congress 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c

  1. Public Relations Manager Involvement in Strategic Issue Diagnosis.

    Science.gov (United States)

    Lauzen, Martha M.

    1995-01-01

    Reports on an exploratory study that seeks to build theoretical understanding of how public relations practitioner involvement in one type of strategic organizational decision making--strategic issue diagnosis--is related to shared values with top management, diagnosis accuracy, strategy pursued, and the power of the public relations function. (TB)

  2. Exploring work-related issues on corporate sustainability.

    Science.gov (United States)

    Brunoro, C M; Bolis, I; Sznelwar, L I

    2015-01-01

    In a research project about work-related issues and corporate sustainability conducted in Brazil, the goal was to better understand how work-related issues were addressed in the corporate context. Particularly, there are some specific initiatives that serve as guides to organizational decisions, which make their performance indicators for the context of corporate sustainability. 1) To explore the presence of work-related issues and their origins in corporate sustainability approach, analyzing a) corporate disclosures; b) sustainability guidelines that are identified as relevant in corporate disclosures; c) documents that are related to sustainable development and also identified as key-documents for these guidelines and initiatives. 2) To present the activity-centered ergonomics and psychodynamics of work contributions to work-related issues in a corporate sustainability approach. An exploratory study based on multiple sources of evidence that were performed from 2012 to 2013, including interviews with companies that engaged in corporate sustainability and document analysis using the content analysis approach. Work-related issues have been presented since the earliest sustainable development documents. It is feasible to construct an empirical framework for work-related issues and corporate sustainability approaches. 1) Although some authors argue that corporate sustainability has its roots based only on the environmental dimension, there is strong empirical evidence showing that social dimension aspects such as work-related issues have been present since the beginning. 2) Some indicators should be redesigned to more precisely translate the reality of some workplaces, particularly those indicators related to organizational design and mental health.

  3. Meeting the challenges related to material issues in chemical industries

    Indian Academy of Sciences (India)

    Baldev Raj; U Kamachi Mudali; T Jayakumar; K V Kasiviswanathn; K Natarajan

    2000-12-01

    Reliable performance and profitability are two important requirements for any chemical industry. In order to achieve high level of reliability and excellent performance, several issues related to design, materials selection, fabrication, quality assurance, transport, storage, inputs from condition monitoring, failure analysis etc. have to be adequately addressed and implemented. Technology related to nondestructive testing and monitoring of the plant is also essential for precise identification of defect sites and to take appropriate remedial decision regarding repair, replacement or modification of process conditions. The interdisciplinary holistic approach enhances the life of critical engineering components in chemical plants. Further, understanding the failure modes of the components through the analysis of failed components throws light on the choice of appropriate preventive measures to be taken well in advance, to have a control over the overall health of the plant. The failure analysis also leads to better design modification and condition monitoring methodologies, for the next generation components and plants. At the Indira Gandhi Centre for Atomic Research (IGCAR), Kalpakkam, a unique combination of the expertise in design, materials selection, fabrication, NDT development, condition monitoring, life prediction and failure analysis exists to obtain desired results for achieving high levels of reliability and performance assessment of critical engineering components in chemical industries. Case studies related to design, materials selection and fabrication aspects of critical components in nuclear fuel reprocessing plants, NDT development and condition monitoring of various components of nuclear power plants, and important failure investigations on critical engineering components in chemical and allied industries are discussed in this paper. Future directions are identified and planned approaches are briefly described.

  4. Teaching room acoustics as a product sound quality issue

    Science.gov (United States)

    Kleiner, Mendel; Vastfjall, Daniel

    2003-04-01

    The department of Applied Acoustics teaches engineering and architect students at Chalmers University of Technology. The teaching of room acoustics to architectural students has been under constant development under several years and is now based on the study of room acoustics as a product sound quality issue. Various listening sessions using binaural sound recording and reproduction is used to focus students' learning on simple, easy to remember concepts. Computer modeling using ray tracing software and auralization is also used extensively as a tool to demonstrate concepts in addition to other software for simple sound generation and manipulation. Sound in general is the focus of an interdisciplinary course for students from Chalmers as well as from a school of art, a school of design, and a school of music which offers particular challenges and which is almost all listening based.

  5. Quality of life issues and measurement in patients with psoriasis

    Directory of Open Access Journals (Sweden)

    Tan X

    2012-02-01

    Full Text Available Xi Tan1, Steven R Feldman2, Rajesh Balkrishnan11Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, MI, USA; 2Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USAAbstract: Psoriasis is a chronic immunologic disease characterized by red papules and plaques with a silver colored scale. The impact of psoriasis on patients’ overall quality of life is significant, broad, and deep, including effects on emotional wellbeing, psychological stress, self-esteem, relationship, work, social activities, financial burden, and even physical function. Although there are various measures available for assessing health-related quality of life (HRQoL in research studies, there is no consensus on which measure is best to use in clinical practice or for research comparing different treatments. Choosing treatments based on patients’ specific individual preferences, goal-orientation, and close, attentive cooperation between patients and their doctors may be an effective strategy that can be applied to improve patients’ quality of life.Keywords: treatment, health related quality of life, HRQoL

  6. Discussions on Librarian Professional Quality and Its Related Issues Based on the Comparative Perspective%比较视野下图书馆员职业素养及相关问题的探讨

    Institute of Scientific and Technical Information of China (English)

    吴志鸿

    2011-01-01

    美国专业图书馆协会、法律图书馆协会及英国图书馆与情报从业者特许协会都对图书馆员职业素养作出了相应的要求,而我国图书馆员职业素养研究却相对滞后。因此,我国图书馆界应转变图书馆学教育办学思路,逐步与职业素养要求相衔接;建立符合我国国情的图书馆职业资格认证制度;成立多种类型的图书馆协会,加强中国图书馆学会的职责与功能。%Special Libraries Association (SLA), American Association of Law Libraries (AALL) and Chartered Institute of Library and Information Professionals(CILIP) have prescribed the librarian professional quality, but the research of our librarian professional quality are relative lagging behind. Therefore our library field should change the educational idea of the library science to converge with the requirement of profession quality gradually, establish the library professional qualification certification system in accordance with our national conditions, set up various types of library association, and strengthen the role and function of Library Society of China.

  7. Social justice issues related to uneven distribution of resources.

    Science.gov (United States)

    Ervin, Naomi E; Bell, Sue Ellen

    2004-01-01

    This article examines the social justice issues resulting from the uneven distribution of resources. In this article, justice theories are discussed in relation to two of these issues: lack of adequate food and shelter and inequitable access to an appropriate continuum of health care. Public health nurses have the obligation to deal with the results of poverty and the uneven distribution of resources, which pose a threat to the common good in the United States and throughout the global community.

  8. Alternative interpretations of price-quality relations

    DEFF Research Database (Denmark)

    Hjorth-Andersen, Christian

    1992-01-01

    In a previous paper by Ratchford and Gupta price-quality relations are related to a measure of market efficiency. In this paper, alternative explanations are presented to the effect that one cannot conclude from a poor price-quality relation that the market is inefficient. Further, some...

  9. Mass Digitisation by Libraries: Issues concerning Organisation, Quality and Efficiency

    Directory of Open Access Journals (Sweden)

    Astrid Verheusen

    2008-03-01

    Full Text Available Ever since the world-wide web made it possible to display graphics on the Internet, libraries have been scanning their older documents and pictures to provide access to them. From the middle of the 1990s thousands of libraries of all sizes began scanning parts of their collections, provided these with metadata and made them available on the web. The emphasis in these first, rather small, digitisation projects was on experimenting with different techniques for both scanning and building interfaces for the Internet. Along the way, methods for quality assurance, project management and business models became more professional. In line with the progress made in the field of digitisation, a profound knowledge of best practices has been developed. However, this knowledge is not available for all cultural heritage institutions who want to digitise their collections. Most of the smaller institutions lack experience and, moreover, the means to digitise in an efficient way. At the same time, the larger libraries are moving towards large-scale digitisation of historical texts while Google has already digitised millions of books from several libraries around the world. Although many libraries welcome the unprecedented access to all this information, Google has also been criticized for the inferior quality of their images, the emphasis on the English language, the violation of copyright laws and the lack of attention for preservation issues. The question therefore arises: can libraries do better than Google?

  10. Framing perceived service quality and related constructs : A multilevel approach

    OpenAIRE

    Roest, H.C.A.; Koelemeijer, K.

    1993-01-01

    Despite many publications on perceived service quality, the position of the construct relative to other key constructs in marketing/consumer behavior remains vague. This paper tries to bring conceptual clarity with regard to the relationships between perceived service quality, customer satisfaction/ dissatisfaction, attitude, and repurchase intention. An integrated framework is presented based on a review of the literature on the each of the relevant constructs. Central issue in this integrat...

  11. OAI-PMH repositories : quality issues regarding metadata and protocol compliance, tutorial 1

    CERN Document Server

    CERN. Geneva; Cole, Tim

    2005-01-01

    This tutorial will provide an overview of emerging guidelines and best practices for OAI data providers and how they relate to expectations and needs of service providers. The audience should already be familiar with OAI protocol basics and have at least some experience with either data provider or service provider implementations. The speakers will present both protocol compliance best practices and general recommendations for creating and disseminating high-quality "shareable metadata". Protocol best practices discussion will include coverage of OAI identifiers, date-stamps, deleted records, sets, resumption tokens, about containers, branding, errors conditions, HTTP server issues, and repository lifecycle issues. Discussion of what makes for good, shareable metadata will cover topics including character encoding, namespace and XML schema issues, metadata crosswalk issues, support of multiple metadata formats, general metadata authoring recommendations, specific recommendations for use of Dublin Core elemen...

  12. Nutrition and cancer: issues related to treatment and survivorship.

    Science.gov (United States)

    Witham, Gary

    2013-10-01

    This paper reviews nutritional issues related to cancer treatment and further explores nutritional needs pertinent to cancer survivorship. It examines the major problems with nutrition when patients undergo the main cancer treatment modalities of chemotherapy, radiotherapy and surgery. Particular attention is paid to long-term dietary advice in acknowledgement of the improved effectiveness of cancer treatment and the chronic nature of the condition.

  13. Issues related to topology optimization of snap-through problems

    DEFF Research Database (Denmark)

    Lindgaard, Esben; Dahl, Jonas

    2012-01-01

    This work focuses on issues related to topology optimization of static geometrically nonlinear structures experiencing snap-through behaviour. Different compliance and buckling criterion functions are studied and applied to topology optimization of a point loaded curved beam problem with the aim ...

  14. Several Legal Issues Relating to Service Technological Results

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    How "the rights and interests in the intellectual property rights of the scientists and technicians should be protected and the entity achieving the service-related technological results should remunerate, under law, those achieving the service-related technological results and those making outstanding contribution to the transfer of the technological results" are important issues encountered in China in its efforts to improve its innovation capacity and build up a new nation. The current legal system in...

  15. Issues relating to airborne applications of HTS SQUIDs

    CERN Document Server

    Foley, C P; Binks, R A; Lam, S H K; Du, J; Tilbrook, D L; Mitchell, E E; MacFarlane, J C; Lee, J B; Turner, R; Downey, M; Maddever, A

    2002-01-01

    Airborne application of HTS SQUIDs is the most difficult environment for their successful deployment. In order to operate with the sensitivity required for a particular application, there are many issues to be addressed such as the need for very wide dynamic range electronics, motion noise elimination, immunity to large changing magnetic fields and cultural noise sources. This paper reviews what is necessary to achieve an airborne system giving examples in geophysical mineral exploration. It will consider issues relating to device design and fabrication, electronics, dewar design, suspension system requirements and noise elimination methods.

  16. Quality issues concerning genetic counselling for presymptomatic testing: a European Delphi study.

    Science.gov (United States)

    Paneque, Milena; Sequeiros, Jorge; Skirton, Heather

    2015-11-01

    Genetic counselling for presymptomatic testing is complex, bringing both ethical and practical questions. There are protocols for counselling but a scarcity of literature regarding quality assessment of such counselling practice. Generic quality assessment tools for genetic services are not specific to presymptomatic testing (PST). Therefore, the aim of this study was to identify aspects of effective counselling practice in PST for late-onset neurological disorders. We used the Delphi method to ascertain the views of relevant European experts in genetic counselling practice, ascertained via published literature and nomination by practitioners. Ethical approval was obtained. Questionnaires were sent electronically to a list of 45 experts, (Medical Doctors, Geneticists, Genetic Counsellors and Genetic Nurses), who each contributed to one to three rounds. In the first round, we provided a list of relevant indicators of quality of practice from a literature review. Experts were requested to evaluate topics in four domains: (a) professional standards; (b) service standards; (c) the consultant's perspective; and (d) protocol standards. We then removed items receiving less than 65% approval and added new issues suggested by experts. The second round was performed for the refinement of issues and the last round was aimed at achieving final consensus on high-standard indicators of quality, for inclusion in the assessment tool. The most relevant indicators were related to (1) consultant-centred practice and (2) advanced counselling and interpersonal skills of professionals. Defined high-standard indicators can be used for the development of a new tool for quality assessment of PST counselling practice.

  17. Issues of quality and consumer rights in the health care market.

    Science.gov (United States)

    Copeland, C

    1998-04-01

    This Issue Brief describes how the structure of the health care market has changed in the recent years. It outlines the growth in managed care and the changes in the types of managed care plans available. In addition, it discusses the issue of quality in the health care market. It also includes an overview of the legislative topics and issues relating to quality and consumer rights that policymakers are currently considering. Growth in national health expenditures, the medical care price index, and employer health care costs has slowed significantly since 1990. This decreased growth has coincided with substantial increases in managed care plan enrollment. The percentage of employees enrolled in managed care plans increased from 48 percent to 85 percent from 1992 to 1997. Quality is a multidimensional concept. Although individuals may agree on its components, they may disagree on the relative importance of these components. Therefore, disagreement exists not only on how to measure quality but also on how it is defined. Consequently, policy decisions need to be based on an evaluation of a particular law's effect as opposed to its stated goal or intent. This distinction is important because a law that addresses access or consumer rights does not necessarily address the quality of care a consumer receives. Ultimately, whether an individual believes that a law truly addresses quality will depend in a large part on his or her subjective opinion of what quality entails. To date, comparison of the quality of managed care plans with that of fee-for-service plans has not produced results that uniformly differentiate between these two plan types in either a positive or a negative way. In addition, it is important to note that the current debate on the quality of care provided in the health care market is not new to the present managed care era. The regulations and mandates discussed in this report would not guarantee increased quality in the health care market, unless quality

  18. U.S.-China Relations: An Overview of Policy Issues

    Science.gov (United States)

    2013-08-01

    term debt, expansionary monetary policy , and alleged barriers to Chinese investment in the United States. Mistrust is particularly pronounced on... monetary policy to stimulate its economy. China fears the policy , by suppressing interest rates, could produce inflation and/or a devaluation of the...CRS Report for Congress Prepared for Members and Committees of Congress U.S.-China Relations: An Overview of Policy Issues Susan V

  19. Artificial intelligence issues related to automated computing operations

    Science.gov (United States)

    Hornfeck, William A.

    1989-01-01

    Large data processing installations represent target systems for effective applications of artificial intelligence (AI) constructs. The system organization of a large data processing facility at the NASA Marshall Space Flight Center is presented. The methodology and the issues which are related to AI application to automated operations within a large-scale computing facility are described. Problems to be addressed and initial goals are outlined.

  20. Psychometric issues and test quality in the Netherlands

    NARCIS (Netherlands)

    Egberink, Iris; Hurks, Petra

    2016-01-01

    The Dutch Committee on Tests and Testing (COTAN) aims at improving test use and test quality in the Netherlands. Improving test use is done by raising standards in the use of psychological tests. Improving test quality is done by assessing the quality of different psychological instruments that are

  1. Psychometric issues and test quality in the Netherlands

    NARCIS (Netherlands)

    Egberink, I.J.L.; Hurks, P.P.M.

    The Dutch Committee on Tests and Testing (COTAN) aims at improving test use and test quality in the Netherlands. Improving test use is done by raising standards in the use of psychological tests. Improving test quality is done by assessing the quality of different psychological instruments that are

  2. Strategic Issues in Quality Management: 1. Theoretical Considerations.

    Science.gov (United States)

    Johannsen, Carl Gustav

    1996-01-01

    Examines the relationship between strategic management and quality management concepts in a library and information services setting. Conceptual frameworks are presented and a new strategic quality management framework, inspired by the Japanese policy deployment approach, is developed that also discusses total quality management. (Author/LRW)

  3. General measures and quality of life issues in psoriasis

    Directory of Open Access Journals (Sweden)

    Rashmi Sarkar

    2016-01-01

    Full Text Available Psoriasis generally does not affect survival but has significant detrimental effect on quality of life (QOL, which may be comparable to that of ischemic heart disease, diabetes, depression, and cancer. The foremost important thing in the management of psoriasis is counseling of the patient. The clinician needs to be empathetic and spend adequate time with the patient and educating the patient about psoriasis. Clinicians should make it clear to the patient that the primary goal of treatment is control of the disease rather than cure. Eating a balanced and low glycemic diet could be an important adjuvant factor in the prevention and treatment of moderate nonpustular psoriasis. Obese people are more likely to have severe psoriasis and psoriatic arthritis than people with an average body mass index. Dietary supplementation with oily fish, rich in n-3 fatty acids, in psoriasis had shown mixed results in trials. Promising results have been documented for parenteral application of n-3 fatty acid, but not with oral supplementation. Increased smoking or alcohol abuse increases the risk of developing psoriasis and may influence disease severity, and hence must be avoided. Soaking in warm water with bath oil can be done in extensive psoriasis for hydration and emollient effect, and bland soaps or soap substitutes should be used; antiseptics should be avoided as they may irritate the skin. Relatively small, localized patches of psoriasis may improve with occlusion, i.e., waterproof adhesive dressings. The use of emollients is an internationally accepted standard adjunctive to the treatment of psoriasis. Dermatology Life Quality Index is a psychometrically sound and responsive measure of psoriasis-specific outcomes and most comprehensively captures the impact of clinical signs and symptoms on patient's well-being.

  4. Environmentally related taxes in OECD countries: issues and strategies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    Economic instruments, including environmentally related taxes, play an increasing role in the environmental policies of developed countries. This publication addresses the use of environmental taxes and their effectiveness in reducing environmental damage. It finds these taxes are a powerful tool for implementing environmental strategy. It also describes obstacles to increased use of such taxes (e.g. concerns about competitiveness and distributional effects) and suggests ways to overcome such barriers. Particular attention is given to issues and options related to taxes on greenhouse gases. 18 figs., 13 tabs.

  5. Materials Issues Related to Catalysts for Treatment of Diesel Exhaust

    Energy Technology Data Exchange (ETDEWEB)

    Narula, Chaitanya Kumar [ORNL; Daw, C Stuart [ORNL; Hoard, John W. [Ford Motor Company; Hammer, T. [Siemens AG, Germany

    2005-01-01

    The driver for lean NO{sub x} treatment is the need to meet regulatory standards for diesel engines and gasoline direct injection spark-ignited engines that offer better fuel economy. Efforts over the last decade have been focused toward finding an active lean NO{sub x} catalyst that can reduce NO{sub x} under oxidizing conditions or strategies such as selective catalytic reduction (SCR), plasma-catalysis, plasma catalyst SCR, and lean NO{sub x} traps with varying degrees of success. At present, it appears that SCR with urea and lean NO{sub x} traps are the leading contender technologies for commercial deployment. Key issues that remain to be resolved for these two technologies include byproduct formation, dosing control, and durability. In this review, we summarize material-related issues that are unique to each of these technologies, and point out the improvements necessary to facilitate their deployment.

  6. Product development for catering - how to integrate issues on nutrition, quality and environment in the products

    DEFF Research Database (Denmark)

    Jørgensen, Michael Søgaard

    1996-01-01

    Overview of the experience with integration of issues on nutrition, quality and environment from a development and technology assessment project about product development for the catering sector......Overview of the experience with integration of issues on nutrition, quality and environment from a development and technology assessment project about product development for the catering sector...

  7. 75 FR 14243 - Pipeline Safety: Girth Weld Quality Issues Due to Improper Transitioning, Misalignment, and...

    Science.gov (United States)

    2010-03-24

    ... Pipeline and Hazardous Materials Safety Administration Pipeline Safety: Girth Weld Quality Issues Due to... and Hazardous Materials Safety Administration (PHMSA); DOT. ACTION: Notice; issuance of advisory... girth weld failures due to welding quality issues. Misalignment during welding of large diameter line...

  8. Power Quality Issues and It’s Mitigation Techniques Tejashree

    Directory of Open Access Journals (Sweden)

    G. More

    2014-07-01

    Full Text Available In this paper the main power quality (PQ problems are presented with there associated causes and consequences. The economic impact associated with PQ are characterized. Also this paper tries to give the solution for reducing the losses produced because of harmonics and increasing the quality of power at consumers’ side.

  9. Antimicrobial resistance and related issues: An overview of Bangladesh situation

    Directory of Open Access Journals (Sweden)

    Md. Sayedur Rahman

    2014-06-01

    Full Text Available The present study was designed to understand Bangladesh situation about antimicrobial resistance. Half of the Escherichia coli, Staphylococcus aureus, Pseudomonas and Klebsiella showed resistance against older and common antimicrobials. Most (50% common reasons to prescribe antimicrobial are fever, respiratory and urinary tract infection. About 70% prescriber mentioned diagnostic uncertainty and emergence of resistance as causes for increase in antimicrobial prescribing. 51.9% of prescribers opined that physicians prescribe antimicrobial more than the actual need. About two-third of 5th year medical students answered correctly on different issues related to antimicrobials and resistance. Antimicrobial and resistance received little emphasis in Pharmacology and Microbiology written questions at both undergraduate (0.7 to 16.1% and postgraduate (0.9 to 18.4% level. Print (0.02% to 2.0% and electronic media (0.0 to 0.6% attaches small importance on the issues. Nothing related to ‘antimicrobials’ and ‘measure to contain resistance’ were mentioned in related policy documents.

  10. Codes of practice and related issues in biomedical waste management

    Energy Technology Data Exchange (ETDEWEB)

    Moy, D.; Watt, C. [Griffith Univ. (Australia)

    1996-12-31

    This paper outlines the development of a National Code of Practice for biomedical waste management in Australia. The 10 key areas addressed by the code are industry mission statement; uniform terms and definitions; community relations - public perceptions and right to know; generation, source separation, and handling; storage requirements; transportation; treatment and disposal; disposal of solid and liquid residues and air emissions; occupational health and safety; staff awareness and education. A comparison with other industry codes in Australia is made. A list of outstanding issues is also provided; these include the development of standard containers, treatment effectiveness, and reusable sharps containers.

  11. The Gwadar Port Issue in Sino-U.S. Relations

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Because of its unique geopolitical importance,China's aid to construct Gwadar Port has caused much concern in the U.S. and other countries. The U.S. sees it as strategic expansion in the Indian Ocean and claims that China is intent on using Gwadar Port as a naval base in its "string of pearls strategy." The U.S. and China maintain conflicting interests on this issue. Although Sino-U.S.relations may not be affected greatly in the near future, the negative influence in the long term cannot be ignored.

  12. Air quality in Malaysia: impacts, management issues and future challenges.

    Science.gov (United States)

    Awang, M B; Jaafar, A B; Abdullah, A M; Ismail, M B; Hassan, M N; Abdullah, R; Johan, S; Noor, H

    2000-06-01

    evidence that biomass burning is the dominating source of particulate matter. The severity and extent of 1997's haze pollution was unprecedented, affecting some 300 million people across the region. The amount of economic costs suffered by Southeast Asian countries during this environmental disaster was enormous and is yet to be fully determined. Among the important sectors severely affected were air and land transport, shipping, construction, tourism and agro-based industries. The economic cost of the haze-related damage to Malaysia presented in this study include short-term health costs, production losses, tourism-related losses and the cost of avertive action. Although the cost reported here is likely to be underestimated, they are nevertheless significant (roughly RM1 billion). The general air quality of Malaysia since 1970 has deteriorated. Studies have shown that should no effective countermeasures be introduced, the emissions of sulfur dioxide, nitrogen oxides, particulate matter, hydrocarbons and carbon monoxide in the year 2005 would increase by 1.4, 2.12, 1.47 and 2.27 times, respectively, from the 1992 levels.

  13. BUSINESS RELATIONS HIP QUALITY PRODUCTS AND COMPETITIVE ENTERPRISE

    Directory of Open Access Journals (Sweden)

    Alexandru GRIBINCEA

    2016-07-01

    Full Text Available The article deals with questions related to the quality management of products based on the principles of marketing and competitiveness of the company. There was revealed that the quality of the products is adequately to the competitiveness, as the quality of products perceived by the consumer is made up of different indicators. Marketing solutions in the field of quality management provide for the establishment, provision and maintenance of consumer qualities at all stages of the product life cycle (services. The authors substantiate the necessity of a complex mechanism of marketing management of product quality. Novelty. Product quality management is one of the major problems, which is further exacerbated due to the constantly increasing demand for environmentally friendly products. At the same time, issues of product quality management (services and increasing the competitiveness of the company is one of the main components of forecasting, strategy and policy of the company. The aim of the study is to examine the activity of economic agents to develop and implement competitiveness strategies for effective action on domestic and foreign markets. To achieve this purpose the methods of analysis, comparison, statistics, induction and deduction have been used.

  14. Balancing energy conservation and occupant needs in ventilation rate standards for Big Box stores and other commercial buildings in California. Issues related to the ASHRAE 62.1 Indoor Air Quality Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Mendell, Mark J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Apte, Mike G. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2010-10-31

    This report considers the question of whether the California Energy Commission should incorporate the ASHRAE 62.1 ventilation standard into the Title 24 ventilation rate (VR) standards, thus allowing buildings to follow the Indoor Air Quality Procedure. This, in contrast to the current prescriptive standard, allows the option of using ventilation rate as one of several strategies, which might include source reduction and air cleaning, to meet specified targets of indoor air concentrations and occupant acceptability. The research findings reviewed in this report suggest that a revised approach to a ventilation standard for commercial buildings is necessary, because the current prescriptive ASHRAE 62.1 Ventilation Rate Procedure (VRP) apparently does not provide occupants with either sufficiently acceptable or sufficiently healthprotective air quality. One possible solution would be a dramatic increase in the minimum ventilation rates (VRs) prescribed by a VRP. This solution, however, is not feasible for at least three reasons: the current need to reduce energy use rather than increase it further, the problem of polluted outdoor air in many cities, and the apparent limited ability of increasing VRs to reduce all indoor airborne contaminants of concern (per Hodgson (2003)). Any feasible solution is thus likely to include methods of pollutant reduction other than increased outdoor air ventilation; e.g., source reduction or air cleaning. The alternative 62.1 Indoor Air Quality Procedure (IAQP) offers multiple possible benefits in this direction over the VRP, but seems too limited by insufficient specifications and inadequate available data to provide adequate protection for occupants. Ventilation system designers rarely choose to use it, finding it too arbitrary and requiring use of much non-engineering judgment and information that is not readily available. This report suggests strategies to revise the current ASHRAE IAQP to reduce its current limitations. These

  15. Issues in Evaluating Importance Weighting in Quality of Life Measures

    Science.gov (United States)

    Hsieh, Chang-ming

    2013-01-01

    For most empirical research investigating the topic of importance weighting in quality of life (QoL) measures, the prevailing approach has been to use (1) a limited choice of global QoL measures as criterion variables (often a single one) to determine the performance of importance weighting, (2) a limited option of weighting methods to develop…

  16. Quality in Qualitative Evaluation: Issues and Possible Answers

    Science.gov (United States)

    Anastas, Jeane W.

    2004-01-01

    Qualitative evaluation studies can differ markedly from quantitative ones in both purpose and method and therefore must be understood and evaluated on their own terms. This article defines qualitative evaluation research and describes key parameters of quality to be considered when conducting and evaluating these studies in terms that take their…

  17. Cervical cancer, quality issues in early detection and prognostic factors

    NARCIS (Netherlands)

    Zaal, A.

    2014-01-01

    It is expected that cervical cancer incidence will reduce in The Netherlands over the next decades, as a result of hrHPV vaccination and hrHPV-based screening. Untill then, quality of care could need some improvements as suggested by the work described in this thesis. Novel tools are being indicated

  18. Strategic Issues in Quality Management: 2. Survey Analysis.

    Science.gov (United States)

    Johanssen, Carl Gustav

    1996-01-01

    Examines how and to what extent business-oriented libraries and information centers in the Nordic countries have implemented strategic quality management (SQM), drawing from theoretical considerations in an earlier article. An operational assessment model is proposed and empirical findings from a survey of business information services are…

  19. High temperature corrosion issues in energy-related systems

    Directory of Open Access Journals (Sweden)

    Stringer John

    2004-01-01

    Full Text Available The large majority of electric power that is generated world-wide involves heat engines of one kind or another. The significant exceptions are hydroelectric generation; wind; and photovoltaics. The thermal sources for the heat engines include: fossil fuels, nuclear fission, biomass, geothermal sources, and solar radiation. There has been a progressive move to higher overall cycle efficiencies for at least one hundred years, and in the case of fossil fuels this has accelerated recently in part because of concerns about greenhouse gas emissions, notably CO2. For a heat engine, the overall efficiency is closely related to the difference between the highest temperature in the cycle and the lowest temperature. In most cases, this has resulted in an increase in the high temperature, and this in turn has led to increasing demands on the materials of construction used in the high temperature end of the systems. One of the issues is the chemical degradation because of reactions between the materials of construction and the environments to which they are exposed: this is high temperature corrosion. This paper will describe the issues for a range of current heat engines.

  20. A Survey of Solver-Related Geometry and Meshing Issues

    Science.gov (United States)

    Masters, James; Daniel, Derick; Gudenkauf, Jared; Hine, David; Sideroff, Chris

    2016-01-01

    There is a concern in the computational fluid dynamics community that mesh generation is a significant bottleneck in the CFD workflow. This is one of several papers that will help set the stage for a moderated panel discussion addressing this issue. Although certain general "rules of thumb" and a priori mesh metrics can be used to ensure that some base level of mesh quality is achieved, inadequate consideration is often given to the type of solver or particular flow regime on which the mesh will be utilized. This paper explores how an analyst may want to think differently about a mesh based on considerations such as if a flow is compressible vs. incompressible or hypersonic vs. subsonic or if the solver is node-centered vs. cell-centered. This paper is a high-level investigation intended to provide general insight into how considering the nature of the solver or flow when performing mesh generation has the potential to increase the accuracy and/or robustness of the solution and drive the mesh generation process to a state where it is no longer a hindrance to the analysis process.

  1. [Related reproductive issues on male autosomal dominant polycystic kidney disease].

    Science.gov (United States)

    Cai, Hong-cai; Shang, Xue-jun; Huang, Yu-feng

    2015-11-01

    Autosomal dominant polycystic kidney disease (ADPKD) is a most common inherited renal disease, about 50% with a family history, although the exact etiology not yet clear. To date, ADPKD, a multisystem disorder without effective preventive and therapeutic means, has been shown to be detrimental to human health. Recent studies show that severe oligoasthenozoospermia, necrospermia, immotile sperm, azoospermia, epididymal cyst, seminal vesicle cyst, and ejaculatory duct cyst found in male ADPKD patients may lead to male infertility, though the specific mechanisms remain unknown. Structural anomaly of spermatozoa, defect of polycystin, mutation of PKD genes, and micro-deletion of the AZF gene could be the reasons for the higher incidence of abnormal semen quality in male ADPKD patients. Assisted reproductive techniques can increase the chances of pregnancy, whereas the health of the offspring should be taken into consideration. This article presents an overview of reproductive issues concerning infertile male ADPKD patients from the perspective of the morbidity, pathophysiological mechanism, diagnosis, and management of the disease.

  2. Health-Related Quality of Life

    DEFF Research Database (Denmark)

    Linde, Louise; Sørensen, Jan; Ostergaard, Mikkel

    2008-01-01

    OBJECTIVE: To compare validity, reliability, and responsiveness of generic and disease specific health-related quality of life (HRQOL) instruments in rheumatoid arthritis (RA). METHODS: Two samples of patients completed the Medical Outcomes Study Short Form-36 Health Survey (SF-36), EuroQol (EQ)-5D......, 15D, Rheumatoid Arthritis Quality of Life Scale (RAQoL), Health Assessment Questionnaire (HAQ), and visual analog scales (VAS) for pain, fatigue, and global RA. Validity (convergent, discriminant, and known-groups) was evaluated in a cross-section of 200 patients. Reliability was evaluated...

  3. Health-Related Quality of Life

    DEFF Research Database (Denmark)

    Linde, Louise; Sørensen, Jan; Ostergaard, Mikkel

    2008-01-01

    OBJECTIVE: To compare validity, reliability, and responsiveness of generic and disease specific health-related quality of life (HRQOL) instruments in rheumatoid arthritis (RA). METHODS: Two samples of patients completed the Medical Outcomes Study Short Form-36 Health Survey (SF-36), EuroQol (EQ)-5D......, 15D, Rheumatoid Arthritis Quality of Life Scale (RAQoL), Health Assessment Questionnaire (HAQ), and visual analog scales (VAS) for pain, fatigue, and global RA. Validity (convergent, discriminant, and known-groups) was evaluated in a cross-section of 200 patients. Reliability was evaluated...

  4. Effect of splenectomy on liver cirrhosis and related surgical issues

    Directory of Open Access Journals (Sweden)

    KONG Degang

    2016-12-01

    Full Text Available Patients with liver fibrosis and cirrhosis experience certain changes in spleen morphology and function, and there is always a controversy over whether to perform splenectomy in patients with liver cirrhosis. As a surgical treatment of recurrent portal hypertension complicated by esophagogastric variceal bleeding, splenectomy can reduce portal venous pressure, reduce the possibility of gastrointestinal bleeding, and correct the reduced white blood cell count and platelet count. It can also protect the liver by improving liver function, promoting regeneration of hepatocytes, and inhibiting the progression of liver fibrosis. With reference to available clinical and laboratory data, this article reviews the effect of splenectomy on the cirrhotic liver and related issues such as selection of surgical procedures and prevention and treatment of postoperative complications, in order to promote splenectomy in patients with liver cirrhosis.

  5. Environmental Issues Related to Chemical Fertilizer Use in China

    Institute of Scientific and Technical Information of China (English)

    CAOZHIHONG

    1996-01-01

    The current status of chemical fertilizers production and consumption in China as well as their important roles in Chinese modern agriculture are discussed with special concerns to the environmental issues related to chemical fertilizer use.On the one hand.the total amount of chemical fertilizer produced is insufficient to meet the agricultural needs.On the other hand.the production and consumption of chemical fertilizers in China are obviously not balanced.In some areas over application of nitrogen fertilizers and loss of phosphate fertilizer due to soil erosion have resulted in some undesirable environmental problems such as increase of nitrate in water and eutrophication of water bodies.Maximum scientific uses of organic manures in combination with reasonable use of chemical fertilizers are part of good practices not only in increasuing soil productivity and keeping sustainable agriculture development but also in minimizing their detrimental effects on the environment.

  6. Niche applications of metal hydrides and related thermal management issues

    Energy Technology Data Exchange (ETDEWEB)

    Lototskyy, M., E-mail: mlototskyy@uwc.ac.za [HySA Systems Competence Centre, South African Institute for Advanced Materials Chemistry, Faculty of Natural Sciences, University of the Western Cape, Private Bag X17, Bellville 7535 (South Africa); Satya Sekhar, B. [HySA Systems Competence Centre, South African Institute for Advanced Materials Chemistry, Faculty of Natural Sciences, University of the Western Cape, Private Bag X17, Bellville 7535 (South Africa); Muthukumar, P. [Mechanical Department, Indian Institute of Technology Guwahati, Guwahati 781039 (India); Linkov, V.; Pollet, B.G. [HySA Systems Competence Centre, South African Institute for Advanced Materials Chemistry, Faculty of Natural Sciences, University of the Western Cape, Private Bag X17, Bellville 7535 (South Africa)

    2015-10-05

    Highlights: • MH H{sub 2} storage, compression & heat management: developments/thermal management. • Thermodynamic criteria for proper selection of MH for different gas phase applications. • Factors influencing on H{sub 2} charge/discharge dynamic performance and energy efficiency. • The improvement of MH heat transfer characteristics is crucial. • Ways of improvement of heat transfer in the MH systems. - Abstract: This short review highlights and discusses the recent developments and thermal management issues related to metal hydride (MH) systems for hydrogen storage, hydrogen compression and heat management (refrigeration, pump and upgrade, etc.). Special attention is paid to aligning the system features with the requirements of the specific application. The considered system features include the MH material, the MH bed on the basis of its corresponding MH container, as well as the layout of the integrated system.

  7. Security Issues for Information Quality on Mobile Devices

    Directory of Open Access Journals (Sweden)

    Dana Ramona ANDRISESCU

    2010-01-01

    Full Text Available Mobile devices are used everywhere, from making acall to store huge volume of information. But together withdevices shrinking and rise of storage space on a single device webring to mind the problem of trusting the stored information.Trusting the information and assuring its quality meansknowing the security threats these devices face and measuresthat should be taken. Many questions rise from here like “Whathappens when a mobile device is used by several persons andespecially employees?”, “Is that information reliable andoriginal?”, “Who is responsible for a device and its security?”.We are going to see in this paper that information quality can beassured even on portable devices by using the adequate securitymeasures.

  8. [CAP quality management system in clinical laboratory and its issue].

    Science.gov (United States)

    Tazawa, Hiromitsu

    2004-03-01

    The CAP (College of American Pathologists) was established in 1962 and, at present, CAP-accredited laboratories include about 6000 institutions all over the world, mainly in the U.S. The essential purpose of CAP accreditation is high quality reservation and improvement of clinical laboratory services for patient care, and is based on seven points, listed below. (1) Establishment of a laboratory management program and laboratory techniques to assure accuracy and improve overall quality of laboratory services. (2) Maintenance and improvement of accuracy objectively by centering on a CAP survey. (3) Thoroughness in safety and health administration. (4) Reservation of the performance of laboratory services by personnel and proficiency management. (5) Provision of appropriate information to physicians, and contribution to improved quality of patient care by close communication with physicians (improvement in patient care). (6) Reduction of running costs and personnel costs based on evidence by employing the above-mentioned criteria. (7) Reduction of laboratory error. In the future, accreditation and/or certification by organizations such as CAP, ISO, etc., may become a requirement for providing any clinical laboratory services in Japan. Taking the essence of the CAP and the characteristics of the new international standard, ISO151589, into consideration, it is important to choose the best suited accreditation and/or certification depending of the purpose of clinical laboratory.

  9. Issues related to a programme of activities under the CDM

    Energy Technology Data Exchange (ETDEWEB)

    Ellis, J.

    2006-05-15

    Emissions of CO2 from the energy and land-use change and forestry sectors are responsible for the majority of emissions in non-Annex I Parties to the UNFCCC. Tackling greenhouse gas (GHG) emissions from these sectors is a key to slowing the growth in GHG emissions in non-Annex I countries. Implementing Clean Development Mechanism (CDM) projects can help achieve this aim, while also assisting non-Annex I countries to move towards sustainable development and Annex I countries achieve their emission commitments under the Kyoto Protocol. There has been rapid progress in the CDM over the last year - in terms of the number of projects in the pipeline and registered, and in terms of credits issued. However, some important sectors are notable by their small share in the CDM portfolio. Several countries have also called attention to the need to accelerate the process of approving CDM methodologies and projects. In order to improve the effectiveness of the CDM to achieve its dual objectives, the COP/MOP agreed a decision on 'further guidance relating to the clean development mechanism. This decision lays out guidance on how to improve the operation of the CDM, and includes provisions that allow: (1) Bundling of project activities; and (2) Project activities under a programme of activities, to be registered as a CDM project activity. At present, of the 172 currently registered CDM project activities, 27 involve programmes or bundles. These project activities can include more than one project type, be implemented in several locations, and/or occur in more than one sector. This paper assesses how project activities under a programme of activities under the CDM (referred to here as PCDM) could help to increase the effectiveness of the CDM by encouraging a wide spread of emission mitigation activities. This paper also explores the key issues that may need to be considered for the PCDM concept to be further implemented. The paper concludes that: (1) Key concepts and issues

  10. EDUCATION QUALITY AND ISSUES OF PEDAGOGICAL STAFF TRAINING

    Directory of Open Access Journals (Sweden)

    Vladimir P. Borisenkov

    2015-01-01

    Full Text Available The aim of the investigation is to reveal the reasons of deterioration of education quality at the Soviet and Post-Soviet school and, adopting the best experience of the countries that are recognised as world leaders in education; to plan the solution ways to current problems and situation at the Russian school. Methods. The principle of a historicism that expresses the necessity of concrete historical studying of the public phenomena is put in a basis of methodology of the research conducted by the author; it includes pedagogical phenomena (in the course of its origin, its development and transformation, taking into account variety of its communications, dependences and mediations. The concrete methods used in work, are typical for theoretical research: the analysis, an estimation and reduction in system of the empirical and generalised material on the selected theme. Large corpus of the scientific literature is studied. The data of the published international researches on education in which our country is widely involved (PISA, TIMSS, and also the national researches undertaken in the USA, Great Britain and other countries are considered. Methods of expert estimations, and direct supervision of educational process in secondary and higher educational institutions are applied. Results. The general characteristic of evolution of quality of the Russian education is presented during the Soviet and Post-Soviet periods. The factors which have had negative influence on quality of school training during the various periods are revealed. The estimation of the reasons which have caused failures of school reforms, carried out in the USSR in the 60–80s and within two last decades in modern Russia is given. The concurrent important positive shifts in this sphere, taking place in the same years are noted. Results of the international researches on education (PISA and TIMSS are presented; the scoring of Russia among other states is defined, following

  11. Guest Editorial Special Issue on Power Quality in Smart Grids

    DEFF Research Database (Denmark)

    Guerrero, Josep M.

    2017-01-01

    Smart grid (SG) is usually described as a power system utilizing information and communication technology (ICT) and advanced monitoring systems to improve the grid performance and offer a wide range of additional services for the consumers. Some of the main features of such a grid are self......-healing from power disturbances, efficient energy management, automation based on ICT and advanced metering infrastructures (smart metering), integration of distributed power generation, renewable energy resources and storage units as well as high power quality and reliability. In this regard, the concept...

  12. Three issues in consumer quality perception and acceptance of dairy products

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bech-Larsen, Tino; Bredahl, Lone

    2000-01-01

    It is argued that consumer quality perception of dairy products is characterised by four major dimensions: hedonic, health-related, convenience-related and process-related quality. Two of these, viz. health and process-related quality, are credence dimensions, ie, a matter of consumer trust in co...

  13. Report: Quality Control Review of EPA OIG Reports Issued in Fiscal Year 2015

    Science.gov (United States)

    Report #16-N-0223, July 18, 2016. OIG reports issued in FY 2015 demonstrated high levels of compliance with OIG quality assurance procedures, and received average compliance scores of 90 percent or greater.

  14. Addressing security issues related to virtual institute distributed activities

    Science.gov (United States)

    Stytz, Martin R.; Banks, Sheila B.

    2008-03-01

    One issue confounding the development and experimentation of distributed modeling and simulation environments is the inability of the project team to identify and collaborate with resources, both human and technical, from outside the United States. This limitation is especially significant within the human behavior representation area where areas such as cultural effects research and joint command team behavior modeling require the participation of various cultural and national representatives. To address this limitation, as well as other human behavior representation research issues, NATO Research and Technology Organization initiated a project to develop a NATO virtual institute that enables more effective and more collaborative research into human behavior representation. However, in building and operating a virtual institute one of the chief concerns must be the cyber security of the institute. Because the institute "exists" in cyberspace, all of its activities are susceptible to cyberattacks, subterfuge, denial of service and all of the vulnerabilities that networked computers must face. In our opinion, for the concept of virtual institutes to be successful and useful, their operations and services must be protected from the threats in the cyber environment. A key to developing the required protection is the development and promulgation of standards for cyber security. In this paper, we discuss the types of cyber standards that are required, how new internet technologies can be exploited and can benefit the promulgation, development, maintenance, and robustness of the standards. This paper is organized as follows. Section One introduces the concept of the virtual institutes, the expected benefits, and the motivation for our research and for research in this area. Section Two presents background material and a discussion of topics related to VIs, uman behavior and cultural modeling, and network-centric warfare. Section Three contains a discussion of the

  15. High-quality collection and disposal of WEEE: Environmental impacts and resultant issues.

    Science.gov (United States)

    Baxter, John; Lyng, Kari-Anne; Askham, Cecilia; Hanssen, Ole Jørgen

    2016-11-01

    Life cycle assessment of the collection, transport and recycling of various types of waste electrical and electronic equipment (WEEE) in Norway shows that small amounts of critical materials (refrigerants, precious/trace metals) are vital for the overall environmental accounts of the value chains. High-quality recycling ensures that materials and energy are effectively recovered from WEEE. This recovery means that responsible waste handling confers net environmental benefits in terms of global warming potential (GWP), for all types of WEEE analysed. For refrigeration equipment, the potential reduction of GWP by high-quality recycling is so large as to be of national significance. For all waste types, the magnitude of the net benefit from recovering materials and energy exceeds the negative consequences of irresponsible disposal. One outcome of this may be widespread misunderstanding of the need for recycling. Furthermore, framing public communication on recycling in terms of avoiding negative consequences, as is essentially universal, may not convey an appropriate message. The issue is particularly important where the consumer regards products as relatively disposable and environmentally benign, and/or where the "null option" of retaining the product at end-of-life is especially prevalent. The paper highlights the implications of all these issues for policy-makers, waste collectors and recyclers, and consumers.

  16. Hybrid Wall Construction and Quality Control Issues in Wyandotte, Michigan

    Energy Technology Data Exchange (ETDEWEB)

    Lukachko, A. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Grin, A. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bergey, D. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2013-12-01

    This report is the second report on the Wyandotte NSP2 project in Wyandotte, MI and documents refinements to the design, construction, and quality control for the High R-value enclosure. The report will be of interest to designers and builders of production housing in Cold Climates. The focus of the second round of research was on using the hybrid insulation approach to develop a reliable methodof achieving consistently low airtightness numbers. There are two primary outcomes from this research. First, the airtightness measurements demonstrate that with a shallow learning curve, even new builders entering the program having little experience with the technology package are able to achieve consistent results that are less than 1.5 ACH50. Second, the process changes implemented to helpsecure these results were straightforward and ended up encouraging better communication between designer, builder, and the City officials supervising the project.

  17. Hybrid Wall Construction and Quality Control Issues in Wyandotte, Michigan

    Energy Technology Data Exchange (ETDEWEB)

    Lukachko, A. [Building Science Corporation, Somerville, MA (United States); Grin, A. [Building Science Corporation, Somerville, MA (United States); Bergey, D. [Building Science Corporation, Somerville, MA (United States)

    2013-12-01

    This report is the second report on the Wyandotte Neighborhood Stabilization Program 2 project in Wyandotte, MI, and documents refinements to the design, construction, and quality control for the high R-value enclosure. The report will be of interest to designers and builders of production housing in Cold Climates. The focus of the second round of research was on using the hybrid insulation approach to develop a reliable method of achieving consistently low airtightness numbers. There are two primary outcomes from this research. First, the airtightness measurements demonstrate that with a shallow learning curve, even new builders entering the program having little experience with the technology package are able to achieve consistent results that are less than 1.5 ACH50. Second, the process changes implemented to help secure these results were straightforward and ended up encouraging better communication between designer, builder, and the city officials supervising the project.

  18. 78 FR 25436 - SFIREG Environmental Quality Issues Committee; Notice of Public Meeting

    Science.gov (United States)

    2013-05-01

    ... decision-making process. You are invited and encouraged to attend the meetings and participate as... (AAPCO)/State FIFRA Issues Research and Evaluation Group (SFIREG), Environmental Quality Issues (EQI..., distribute or use pesticides, as well as any Non Government Organization. If you have any questions regarding...

  19. Call for Papers for a special issue/section on Environmental Economics and Related Issues in China

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    (Deadline:15 December 2015)Economic and Political Studies(EPS,ISSN 2095-4816),a biannual journal published by Renmin University of China,calls for papers for a special issue/section on "Environmental Economics and Related Issues in China."China is facing an enormous challenge in environment destruction,which has severely

  20. The Concept of Cultural Relativity in Moral Judgments Concerning Gender-Related Issues.

    Science.gov (United States)

    Boyd, D. R.; And Others

    The comparative study was designed to determine whether cultural relativism and ethical reasoning develop in a hierarchical manner when applied to culturally different phenomena. The phenomena investigated were moral judgments concerning gender-related issues. Thirty-six first through sixth-grade students from two private schools and 130…

  1. EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and ...

    Science.gov (United States)

    EPA is releasing for external peer review and public comment an important draft document reviewing the literature on the health effects of dioxin and related compounds (also referred to as 2,3,7,8-Tetrachlorodibenzo-p-dioxin). At the request of Administrator Jackson, EPA is in the process of re-assessing the science on the effects of dioxin, a toxic chemical that is emitted by multiple sources, on the public’s health. This draft dioxin report is EPA’s response to key comments and recommendations made by the National Academy of Sciences on the Agency’s draft dioxin reassessment. This assessment has been in progress for many years and raises health issues of broad interest to scientists and policymakers across the federal family. The Agency’s draft report includes significant new analyses on potential cancer and non-cancer human health effects that may result from exposures to dioxins and includes an oral reference dose for what is considered to be the most toxic of the dioxin-like compounds. EPA’s Science

  2. Monitoring asthma in childhood: management-related issues

    Directory of Open Access Journals (Sweden)

    Bart L. Rottier

    2015-06-01

    Full Text Available Management-related issues are an important aspect of monitoring asthma in children in clinical practice. This review summarises the literature on practical aspects of monitoring including adherence to treatment, inhalation technique, ongoing exposure to allergens and irritants, comorbid conditions and side-effects of treatment, as agreed by the European Respiratory Society Task Force on Monitoring Asthma in Childhood. The evidence indicates that it is important to discuss adherence to treatment in a non-confrontational way at every clinic visit, and take into account a patient's illness and medication beliefs. All task force members teach inhalation techniques at least twice when introducing a new inhalation device and then at least annually. Exposure to second-hand tobacco smoke, combustion-derived air pollutants, house dust mites, fungal spores, pollens and pet dander deserve regular attention during follow-up according to most task force members. In addition, allergic rhinitis should be considered as a cause for poor asthma control. Task force members do not screen for gastro-oesophageal reflux and food allergy. Height and weight are generally measured at least annually to identify individuals who are susceptible to adrenal suppression and to calculate body mass index, even though causality between obesity and asthma has not been established. In cases of poor asthma control, before stepping up treatment the above aspects of monitoring deserve closer attention.

  3. Material issues relating to high power spallation neutron sources

    Science.gov (United States)

    Futakawa, M.

    2015-02-01

    Innovative researches using neutrons are being performed at the Materials and Life Science Experimental Facility (MLF) at the Japan Proton Accelerator Research Complex (J-PARC), in which a mercury target system is installed for MW-class pulse spallation neutron sources. In order to produce neutrons by the spallation reaction, proton beams are injected into the mercury target. At the moment, when the intense proton beam hits the target, pressure waves are generated in mercury because of the abrupt heat deposition. The pressure waves interact with the target vessel, leading to negative pressure that may cause cavitation along the vessel wall, i.e. on the interface between liquid and solid metals. On the other hand, the structural materials are subjected to irradiation damage due to protons and neutrons, very high cycle fatigue damages and so-called "liquid metal embrittlement". That is, the structural materials must be said to be exposed to the extremely severe environments. In the paper, research and development relating to the material issues in the high power spallation neutron sources that has been performed so far at J-PARC is summarized.

  4. Relating realist metatheory to issues of gender and mental health.

    Science.gov (United States)

    Bergin, M; Wells, John S G; Owen, Sara

    2010-06-01

    This paper seeks to advance the debate that considers critical realism as an alternative approach for understanding gender and mental health and its relatedness to mental health research and practice. The knowledge base of how 'sex' and 'gender' affect mental health and illness is expanding. However, the way we conceptualize gender is significant and challenging as quite often our ability to think about 'gender' as independent of 'sex' is not common. The influences and interplay of how sex (biological) and gender (social) affect mental health and illness requires consideration. Critical realism suggests a shared ontology and epistemology for the natural and social sciences. While much of the debate surrounding gender is guided within a constructivist discourse, an exploration of the concept 'gender' is reflected on and some key realist propositions are considered for mental health research and practice. This is achieved through the works of some key realist theorists. Critical realism offers potential for research and practice in relation to gender and mental health because it facilitates changes in our understanding, while simultaneously, not discarding that which is already known. In so doing, it allows the biological (sex) and social (gender) domains of knowledge for mental health and illness to coexist, without either being reduced to or defined by the other. Arguably, greater depth and explanations for gender and mental health issues are presented within a realist metatheory.

  5. Do medical students require education on issues related to plagiarism?

    Science.gov (United States)

    Varghese, Joe; Jacob, Molly

    2015-01-01

    In the course of our professional experience, we have seen that many medical students plagiarise. We hypothesised that they do so out of ignorance and that they require formal education on the subject. With this objective in mind, we conducted a teaching session on issues related to plagiarism. As a part of this, we administered a quiz to assess their baseline knowledge on plagiarism and a questionnaire to determine their attitudes towards it. We followed this up with an interactive teaching session, in which we discussed various aspects of plagiarism. We subjected the data obtained from the quiz and questionnaire to bivariate and multivariate analysis. A total of 423 medical students participated in the study. Their average score for the quiz was 4.96±1.67 (out of 10). Age, gender and years in medical school were not significantly associated with knowledge regarding plagiarism. The knowledge scores were negatively correlated with permissive attitudes towards plagiarism and positively correlated with attitudes critical of the practice. Men had significantly higher scores on permissive attitudes compared to women . In conclusion, we found that the medical students' knowledge regarding plagiarism was limited. Those with low knowledge scores tended to have permissive attitudes towards plagiarism and were less critical of the practice. We recommend the inclusion of formal instruction on this subject in the medical curriculum, so that this form of academic misconduct can be tackled.

  6. Health-related quality of life in sickle cell disease.

    Science.gov (United States)

    Panepinto, Julie A

    2008-07-01

    Advances in drug therapy, hematopoietic stem cell transplantation, and technology have improved the morbidity and survival for those with sickle cell disease. The effect of this modern therapy on the health-related quality of life (HRQL) of those with sickle cell disease is not known. HRQL provides an assessment of how an illness, its complications, and its treatment are experienced by a patient. This review will examine prior work in HRQL in sickle cell disease and the rationale for utilizing HRQL as an outcome to measure impact of treatment. In addition, issues to consider when reporting HRQL will be presented.

  7. Ethical and medicolegal issues related to percutaneous endoscopic gastrostomy placement.

    Science.gov (United States)

    Ritchie, Christine S; Wilcox, C Mel; Kvale, Elizabeth

    2007-10-01

    Enteral nutrition, in many respects more than other medical interventions, has been in the limelight concerning the ethics of withdrawing or withholding nutritional support. This article describes the ethical and legal issues surrounding enteral nutrition, identifies the elements of informed consent for enteral nutrition, provides an overview of the endoscopic gastrostomy procedure, and offers recommendations for addressing ethicolegal issues in enteral nutrition.

  8. The Burma Issue in Sino-U.S. Relations

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    In January 2007, China and Russia vetoed a UN draft resolution on Burma with the result that the Burma issue has become yet another point of conflict between the U.S. and China. Although the Burma issue has been present for nearly 20 years, China and the U.S. have both successfully kept their differences under control. In the short term, it is unlikely that conflict will break out between China and U.S. over Burma. However, in the long term,there is still the possibility that the Burma issue could trigger a conflict between China and the U.S..

  9. Central Issue Facility at Fort Benning and Related Army Policies

    Science.gov (United States)

    2010-06-21

    such as boots, T-shirts, underwear, and socks , are not required to be returned. G-4 (Logistics) personnel informed us that the PPG is currently under...of this process slipped to June 1, 2010. This CIF is intended to provide issue,2 2 Issue means...0 Yes Elbow Pads 1 0 0 Yes Glove System, Summer 1 0 0 No Glove System, Intermediate 1 0 0 No T-Shirts, Moist Wick 0 0 4 No Socks , Cotton 0 0 4

  10. Mexico-U.S. Relations: Issues for Congress

    Science.gov (United States)

    2010-06-03

    commercial and cultural ties and cooperation on a range of bilateral and international issues. In recent years, security issues have dominated the...an American filmmaker who was shot while documenting civil unrest in Oaxaca . As of December 2009, none of the 2,500 police officers who had...somewhat low-cost supplier of wind energy coming from the states of Oaxaca and Baja California. Some also argue that renewable energy projects could

  11. Quality and Quality Assurance in Ethiopian Higher Education. Critical Issues and Practical Implications.

    NARCIS (Netherlands)

    Kahsay, M.

    2012-01-01

    This book critically examines quality and quality assurance in the Ethiopian higher education context. More specifically, the main research problem that guided the study was: ‘how and under what circumstances do the public Universities in Ethiopia assure quality of their education, and what contextu

  12. Quality and Quality Assurance in Ethiopian Higher Education. Critical Issues and Practical Implications.

    NARCIS (Netherlands)

    Kahsay, M.

    2012-01-01

    This book critically examines quality and quality assurance in the Ethiopian higher education context. More specifically, the main research problem that guided the study was: ‘how and under what circumstances do the public Universities in Ethiopia assure quality of their education, and what

  13. Understanding the experiences and quality of life issues of Bahraini women with breast cancer.

    Science.gov (United States)

    Jassim, Ghufran A; Whitford, David L

    2014-04-01

    We explored the experiences of Bahraini women who have survived breast cancer and their perception of quality of life after diagnosis. We conducted in depth, semi-structured face-to-face interviews with twelve women diagnosed with breast cancer. A qualitative method using semi-structured interviews on a purposive sample of 12 Bahraini women with breast cancer was conducted. Similarities and differences in women's experience were identified through thematic analysis of interview transcripts using a constant comparative approach. The themes identified were meaning of cancer and quality of life, spirituality and beliefs about causes of breast cancer, coping mechanisms, impact of illness and change in relationships. Quality of life was framed in terms of the ability to perform daily duties with emphasis on the physical component of quality of life. Themes that differed from previous western studies included a heavy emphasis on spiritual practices for comfort; the use of traditional clothing (hijab and abaya) to hide hair and body changes; the important role played by the family and husband in treatment decisions and concerns regarding satisfying the sexual needs of the husband, which were related to a fear of losing the husband to a second wife. Evil eye, stress and God's punishment were believed to be fundamental causes of the disease. The emotional shock of the initial diagnosis, concerns about whether to reveal the diagnosis and a desire to live a normal life were consistent with previous studies. However, cultural and religious issues such as role of the husband and impact of prayers were also important here. These themes are important to healthcare professionals for ensuring an individualized approach to the treatment of women with breast cancer. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Employed Farmers in the Pearl River Delta and Related Issues

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    As a special weak group in agricultural floating population,employed farmers make special historic contribution to socio-economic development of the Pearl River Delta.However,employed farmers are faced with survival difficulties,which lead to a series of social issues.From historical origin,current situations and social issues,we put forward countermeasures to solve problems of employed farmers:solve the household registration of employed farmers;raise the compensation standard of land expropriation and demolition;cancel the admission threshold;provide reemployment guidance;and establish management funds of employed farmers.

  15. Motivational Processes in Children's Physical Activity and Health-Related Quality of Life

    Science.gov (United States)

    Gu, Xiangli; Solmon, Melinda A.

    2016-01-01

    Background: School physical education (PE) not only offers and promotes health-related physical activity (PA), but also encompasses the promotion and development of health-related well-being such as health-related quality of life (HRQOL). Furthermore, assessing PA and HRQOL have become major issues in pediatric public health and also serve as a…

  16. Revised classification/nomenclature of vitiligo and related issues: the Vitiligo Global Issues Consensus Conference

    OpenAIRE

    2012-01-01

    During the 2011 International Pigment Cell Conference (IPCC), the Vitiligo European Taskforce (VETF) convened a consensus conference on issues of global importance for vitiligo clinical research. As suggested by an international panel of experts, the conference focused on four topics: classification and nomenclature; definition of stable disease; definition of Koebner’s phenomenon (KP); and ‘autoimmune vitiligo’. These topics were discussed in seven working groups representing different geogr...

  17. Teacher-Student Sexual Relations: Key Risks and Ethical Issues

    Science.gov (United States)

    Sikes, Pat

    2010-01-01

    Researching actual or purported sexual contact between teachers and students raises many difficult ethical issues, questions and dilemmas, which may help to explain why few have ventured into the field. This experientially based paper addresses key problem areas under the headings of: the ethics of researching a sensitive taboo topic; the ethics…

  18. Safety, Efficacy, and Legal Issues Related to Dietary Supplements

    Science.gov (United States)

    Powers, Michael

    2004-01-01

    This article focuses on the effects of dietary supplements on collegiate and adult populations. Anabolic steroids, amphetamines, and other drugs have been used for decades to improve athletic performance. However, the legal issues and dangers associated with these drugs have resulted in reluctance by many athletes to use them. Because dietary…

  19. Current issues in libraries, information science and related fields

    CERN Document Server

    Woodsworth, Anne

    2015-01-01

    This volume is unusual in that the theme is quite broad in scope yet focused on a specific topic; innovations and boundary-pushing studies in areas not usually found in library literature. It examines the periphery of the field surveyed in previous volumes. The chapters are grouped in two categories: professional issues and transforming services.

  20. Methodological issues in HIV-related social research in Nigeria.

    Science.gov (United States)

    Erinosho, Olayiwola; Joseph, Richard; Isiugo-Abanihe, Uche; Dike, Nkem; Aderinto, Adeyinka A

    2013-12-01

    This paper is about methodological issues in a community-wide study in Nigeria on an infectious disease, namely HIV/AIDS. The study was designed to ascertain the risk factors that contribute to the spread of HIV/AIDS and how that can be tackled in order to bring about behavioural change. The research team believed at the onset that a study on the interplay between HIV/AIDS and sensitive issues like sexual mores and sexuality requires much more than a straightjacket social science method, such as simply doing a cross-section study and/or using interview schedule. This paper reviews the essence of cross-disciplinary approach; team building; as well as the use of a non-participatory observational approach in data collection. It also shows why ample consideration was given to ethical issues which are often glossed over in social research in developing countries. The lessons from the study underscore the methodological imperatives in social research that focus on sensitive issues in largely non-literate context like Nigeria. Although there are formidable challenges in community-based studies in largely non-literate societies, nevertheless they could easily be surmounted if there are ample time and resources to navigate the various sticking points.

  1. Relating Social Inclusion and Environmental Issues in Botanic Gardens

    Science.gov (United States)

    Vergou, Asimina; Willison, Julia

    2016-01-01

    Botanic gardens have been evolving, responding to the changing needs of society, from their outset as medicinal gardens of monasteries and university gardens to more recently as organizations that contribute to the conservation of plant genetic resources. Considering that social and environmental issues are deeply intertwined and cannot be tackled…

  2. Relating Social Inclusion and Environmental Issues in Botanic Gardens

    Science.gov (United States)

    Vergou, Asimina; Willison, Julia

    2016-01-01

    Botanic gardens have been evolving, responding to the changing needs of society, from their outset as medicinal gardens of monasteries and university gardens to more recently as organizations that contribute to the conservation of plant genetic resources. Considering that social and environmental issues are deeply intertwined and cannot be tackled…

  3. Ecological Issues Related to Children's Health and Safety

    Science.gov (United States)

    Aldridge, Jerry; Kohler, Maxie

    2009-01-01

    Issues concerning the health and safety of children and youth occur at multiple levels. Bronfenbrenner (1995) proposed an ecological systems approach in which multiple systems interact to enhance or diminish children's development. The same systems are at work in health promotion. The authors present and review articles that reflect the multiple…

  4. Quality Management in Reverse Logistics A Broad Look on Quality Issues and Their Interaction with Closed-Loop Supply Chains

    CERN Document Server

    2013-01-01

    The concepts of Quality Management (QM) have been used for a long time by manufacturing companies to ensure customers receive a constant and high quality level of products. But what happens with remanufactured or refurbished products?   Quality Management in Reverse Logistics: A Broad Look on Quality Issues and Their Interaction with Closed-Loop Supply Chains discusses the new, promising area of QM and Reverse Logistics interaction. More specifically, it examines and evaluates a number of QM tools and techniques, which can be applied in practice in order to understand, review and improve any closed-loop supply chain process.   Modeling and quantitative methods that can be used by students, practitioners and academics in the Reverse Logistics industry are described. The readers will broaden their scope of thinking in the area of Reverse Logistics, where Quality Management can be applied.

  5. U.S.-Mexico Economic Relations: Trends, Issues, and Implications

    Science.gov (United States)

    2005-07-11

    NAFTA, the U.S. Economy, and Maquiladoras,” El Paso Business Frontier, 2001. maquiladora operation, Delphi Automotive Systems, headquartered in the...Dallas, El Paso Branch, “Workers’ Remittances to Mexico,” El Paso Business Frontier, Issue 1, 2004. 20 The Federal Reserve Bank report “Workers...when returning from other North American countries.25 U.S. Commerce Secretary Carlos Gutierrez and Mexican Economy Minister Fernando Canales met on

  6. Economics, Ecology and GMOs: Sustainability, Precaution and Related Issues

    OpenAIRE

    Clement A. Tisdell

    2011-01-01

    Ecological, evolutionary and economic issues involved in introducing genetically modified organisms (GMOs), mainly in agriculture, are discussed. The ecological and evolutionary impacts identified hamper (economic) valuation of GMOs and their biosafety regulation and creates difficulties for planning for sustainable development. Assessment of the desirability of releasing GMOs is difficult because of lack of communal agreement about the risks involved, about how much precaution should be exer...

  7. LEGAL ISSUES RELATED TO THE SHARIAH ADVISORY COUNCIL IN MALAYSIA

    Directory of Open Access Journals (Sweden)

    Norhashimah Mohd Yasin

    2013-08-01

    Full Text Available Malaysia has always aspired to be the hub for Islamic banking and finance. Various measures have been, and are being, carried out to promote Malaysia as an international Islamic banking and financial centre. As the backbone for this, the national Shariah Advisory Council (SAC has been established under the auspices of the Central Bank of Malaysia Act 1958 (CBMA. Under the CBMA, the SAC has been conferred a statutory function as the authority for the ascertainment of Islamic law for the purposes of Islamic banking, as well as business and other types of Islamic financial businesses. In 2009, the CBMA 1958 was replaced and repealed. With the coming into force of the CBMA 2009, the role and functions of the SAC was reinforced and upgraded in terms of appointments of members and, most importantly, that the Shariah rulings pursuant to any reference made to the SAC by the Civil court or arbitrator concerning Shariah matters shall be binding on the Islamic financial institutions as well as on the court and any arbitrator. The issue of whether or not the SAC is the final arbiter on Islamic banking and finance disputes or, in other words, there is no longer a process of judicial review where it involves Shariah matters, will be the highlight of this paper. To what extent does the post CBMA 2009 solve the binding nature of the SAC upon the Civil courts of Malaysia as its rulings and directives are only relevant to ‘Shariah’ issues? What would be the situations if the issues of the Islamic banking and finance cases are deemed not to amount to a ‘Shariah’ issue, but are purely on banking, land matters or contractual interpretations? Has there any actual legal reform been brought about by this amendment or is it merely a cosmetic changes? If the court were to be bound by the SAC rulings, does this not usurp the independence of the judiciary which is the corner stone of the principle of separation of powers between the executive, the legislature and

  8. Quality assurance and control issues for HF radar wave and current measurements

    Science.gov (United States)

    Wyatt, Lucy

    2015-04-01

    HF radars are now widely used to provide surface current measurements over wide areas of the coastal ocean for scientific and operational applications. In general data quality is acceptable for these applications but there remain issues that impact on the quantity and quality of the data. These include problems with calibration and interference which impact on both phased array (e.g. WERA, Pisces) and direction-finding (e.g. SeaSonde) radars. These same issues and others (e.g. signal-to-noise, in-cell current variability, antenna sidelobes) also impact on the quality and quantity of wave data that can be obtained. These issues will be discussed in this paper, illustrated with examples from deployments of WERA, Pisces and SeaSonde radars in the UK, Europe, USA and Australia. These issues involve both quality assurance (making sure the radars perform to spec and the software is fully operational) and in quality control (identifying problems with the data due to radar hardware or software performance issues and flagging these in the provided data streams). Recommendations for the former, and current practice (of the author and within the Australian Coastal Ocean Radar Network, ACORN*) for the latter, will be discussed. The quality control processes for wave measurement are not yet as well developed as those for currents and data from some deployments can be rather noisy. Some new methods, currently under development by SeaView Sensing Ltd and being tested with ACORN data, will be described and results presented. *ACORN is a facility of the Australian Integrated Marine Observing System, IMOS. IMOS is a national collaborative research infrastructure, supported by Australian Government. It is led by University of Tasmania in partnership with the Australian marine and climate science community.

  9. Press Conference for Issuing National Standard--Target Text Quality Requirements for Translation Services

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ On June 2nd, the press conference for issuing the national standard-Target Text Quality Requirements for Translation Services was held in Beijing, jointly hosted by China Association for Standardization (CAS), Translator Association of China (TAC), China Translation and Publishing Corporation (CTPC) and China Shipol Information Center.

  10. Garbage in, Garbage Stays: How ERPs Could Improve Our Data-Quality Issues

    Science.gov (United States)

    Riccardi, Richard I.

    2009-01-01

    As universities begin to implement business intelligence tools such as end-user reporting, data warehousing, and dashboard indicators, data quality becomes an even greater and more public issue. With automated tools taking nightly snapshots of the database, the faulty data grow exponentially, propagating as another layer of the data warehouse.…

  11. Power quality issues into a Danish low-voltage grid with electric vehicles

    DEFF Research Database (Denmark)

    Marra, Francesco; Jensen, Morten M.; Garcia-Valle, Rodrigo

    2011-01-01

    An increased interest on electric vehicles (EVs) and plug-in hybrid electric vehicles (PHEVs) is dealing with their introduction into low voltage (LV) distribution grids. Lately, analysis on power quality issues has received attention when considering EVs as additional load. The charging of EVs...

  12. Dealing with quantum weirdness: Holism and related issues

    Energy Technology Data Exchange (ETDEWEB)

    Elby, Andrew Richard [Univ. of California, Berkeley, CA (United States)

    1995-12-01

    Various issues are discussed in interpretation of quantum mechanics. All these explorations point toward the same conclusion, that some systems are holistically connected, i.e., some composite systems have properties that cannot, even in principle, be reduced to the properties of its subsystems. This is argued to be the central metaphysical lesson of quantum theory; this will remain pertinent even if quantum mechanics gets replaced by a superior theory. Chap. 2 discusses nonlocality and rules out hidden-variable theories that approximately reproduce the perfect correlations of quantum mechanics, as well as theories that obey locality conditions weaker than those needed to derive Bell`s inequality. Chap. 3 shows that SQUID experiments can rule out non-invasive measurability if not macrorealism. Chap. 4 looks at interpretational issues surrounding decoherence, the dissipative interaction between a system and its environment. Decoherence klcan help ``modal`` interpretations pick out the desired ``preferred`` basis. Chap. 5 explores what varieties of causation can and cannot ``explain`` EPR correlations. Instead of relying on ``watered down`` causal explanations, we should instead develop new, holistic explanatory frameworks.

  13. Issues related to waste sewage sludge drying under superheated steam

    Directory of Open Access Journals (Sweden)

    Hamawand Ihsan

    2015-12-01

    Full Text Available Sewage sludge was dried in a rotary drum dryer under superheated steam. Particle size and moisture content were shown to have significant influences on sticking and agglomeration of the materials. Pouring partially dried sludge (70–80% moisture content, wet basis directly into the screw feeder of the drum dryer resulted in a significant sticking to the surface of the drum and the final particle size of the product was greater than 100 mm in diameter. The moisture content of this product was slightly less than its initial value. To overcome this issue, the sludge was mixed with lignite at variety ratios and then chopped before being introduced to the feeding screw. It was found that mixing the sludge with lignite and then sieving the chopped materials through a four millimetre mesh sieve was the key to solve this issue. This technique significantly reduced both stickiness and agglomeration of the material. Also, this enabled for a significant reduction in moisture content of the final product.

  14. Dealing with Quantum Weirdness: Holism and Related Issues

    Science.gov (United States)

    Elby, Andrew Richard

    1995-01-01

    I discuss a variety of issues in the interpretation of quantum mechanics. All of these explorations point toward the same conclusion, that some systems are holistically connected. In other words, some composite systems possess properties that cannot, even in principle, be reduced to (or "built up" from) the properties of its subsystems. This, I argue, is a central metaphysical lesson of quantum theory, a lesson that will pertain even if quantum mechanics eventually gets replaced by a superior theory. After outlining this dissertation in chapter 1, I jump into issues of nonlocality in chapter 2. There, I establish a new, probabilistic framework in which to formulate "algebraic" (perfect correlations) nonlocality proofs. Working within that framework, I rule out hidden -variable theories that approximately reproduce the perfect correlations of quantum mechanics, as well as theories that obey locality conditions weaker than those needed to derive Bell's inequality. In chapter 3, I discuss Superconducting Quantum Interference Devices (SQUIDs). Contra Leggett, I show that SQUID experiments cannot rule out Macrorealism. What they can rule out is non-invasive measurability, the assumption that it's possible (in principle) to measure a system with arbitrarily small disturbance to its future dynamics. Failure of non-invasive measurability is best explained as resulting from a holistic connection between measuring device and measured system. Chapter 4 looks at the interpretational issues surrounding decoherence, the dissipative interaction between a system and its environment. Decoherence alone neither constitutes nor points to a specific interpretation of the quantum formalism. It can, however, help "modal" interpretations pick out the desired "preferred" basis. After raising some potentially fatal objections to the modal interpretation, I show in detail how decoherence comes to the rescue. Modal interpretations explicitly incorporate holism. Finally, in chapter 5, I

  15. Use of a web-based image reporting and tracking system for assessing abdominal imaging examination quality issues in a single practice.

    Science.gov (United States)

    Rosenkrantz, Andrew B; Johnson, Evan; Sanger, Joseph J

    2015-10-01

    This article presents our local experience in the implementation of a real-time web-based system for reporting and tracking quality issues relating to abdominal imaging examinations. This system allows radiologists to electronically submit examination quality issues during clinical readouts. The submitted information is e-mailed to a designate for the given modality for further follow-up; the designate may subsequently enter text describing their response or action taken, which is e-mailed back to the radiologist. Review of 558 entries over a 6-year period demonstrated documentation of a broad range of examination quality issues, including specific issues relating to protocol deviation, post-processing errors, positioning errors, artifacts, and IT concerns. The most common issues varied among US, CT, MRI, radiography, and fluoroscopy. In addition, the most common issues resulting in a patient recall for repeat imaging (generally related to protocol deviation in MRI and US) were identified. In addition to submitting quality problems, radiologists also commonly used the tool to provide recognition of a well-performed examination. An electronic log of actions taken in response to radiologists' submissions indicated that both positive and negative feedback were commonly communicated to the performing technologist. Information generated using the tool can be used to guide subsequent quality improvement initiatives within a practice, including continued protocol standardization as well as education of technologists in the optimization of abdominal imaging examinations.

  16. 76 FR 63573 - Roundtable on Issues Relating to Conflict Minerals

    Science.gov (United States)

    2011-10-13

    ... Street Reform and Consumer Protection Act (the ``Act''), which relates to reporting requirements..., affected issuers, human rights organizations, and other stakeholders. The roundtable will consist of a...

  17. Revised classification/nomenclature of vitiligo and related issues: the Vitiligo Global Issues Consensus Conference.

    Science.gov (United States)

    Ezzedine, K; Lim, H W; Suzuki, T; Katayama, I; Hamzavi, I; Lan, C C E; Goh, B K; Anbar, T; Silva de Castro, C; Lee, A Y; Parsad, D; van Geel, N; Le Poole, I C; Oiso, N; Benzekri, L; Spritz, R; Gauthier, Y; Hann, S K; Picardo, M; Taieb, A

    2012-05-01

    During the 2011 International Pigment Cell Conference (IPCC), the Vitiligo European Taskforce (VETF) convened a consensus conference on issues of global importance for vitiligo clinical research. As suggested by an international panel of experts, the conference focused on four topics: classification and nomenclature; definition of stable disease; definition of Koebner's phenomenon (KP); and 'autoimmune vitiligo'. These topics were discussed in seven working groups representing different geographical regions. A consensus emerged that segmental vitiligo be classified separately from all other forms of vitiligo and that the term 'vitiligo' be used as an umbrella term for all non-segmental forms of vitiligo, including 'mixed vitiligo' in which segmental and non-segmental vitiligo are combined and which is considered a subgroup of vitiligo. Further, the conference recommends that disease stability be best assessed based on the stability of individual lesions rather than the overall stability of the disease as the latter is difficult to define precisely and reliably. The conference also endorsed the classification of KP for vitiligo as proposed by the VETF (history based, clinical observation based, or experimentally induced). Lastly, the conference agreed that 'autoimmune vitiligo' should not be used as a separate classification as published evidence indicates that the pathophysiology of all forms of vitiligo likely involves autoimmune or inflammatory mechanisms.

  18. Levothyroxine: therapeutic use and regulatory issues related to bioequivalence.

    Science.gov (United States)

    Wartofsky, Leonard

    2002-06-01

    Levothyroxine is the overwhelming choice of clinicians for the treatment of hypothyroidism and for the suppression of goitre and thyroid nodules in selected cases. The monitoring of serum levels of thyroid stimulating hormone is necessary for appropriate dosage adjustment of levothyroxine. Levothyroxine has a narrow therapeutic index: both underdosage (subclinical hypothyroidism) and excessive dosage (subclinical hyperthyroidism) are associated with adverse symptoms and pathophysiological effects and are to be avoided. The consequent necessity for careful titration of doses has had an impact on the issue of switchability, or bioequivalence, of the various marketed levothyroxine products. In this article, the basis for concern about currently accepted standards of the FDA for pharmacological bioequivalence are examined in the context of levothyroxine. The history and status of the recent request by the FDA for a new drug application for all levothyroxine products, and its impact on the market leader Synthroid, is also discussed.

  19. Survey on Issues related to National Nuclear Promotion Policy

    Energy Technology Data Exchange (ETDEWEB)

    Woo, Byungchool; Lee, Youngjoon; Lee, Youngcheol; Jeong, I. K.; Kim, Hyunjun; Kim, Youngsoo; Yun, Sungwon; Moon, Keehwan; Chung, Whansam

    2013-06-15

    Ο Major issues surrounding nuclear are including suspicions about nuclear safety, spent-fuel management, acquiring the advanced R and D capabilities and making the nuclear a creative industry Ο Solid measures for securing safety should be formulated and implemented for reducing public anxiety of nuclear use Ο The long-term R and D performance system from a scientific perspective should be established for expanding Research and Development for safer use of nuclear Ο The spent-fuel management policy should be determined through publicizing process Ο Establishing small and medium enterprises-oriented supply system of reactors and SMRs and Encouraging the radiation fusion technology industrialization for promoting creative industry utilizing nuclear.

  20. Current Issues in the Neurology and Genetics of Learning-Related Traits and Disorders: Introduction to the Special Issue.

    Science.gov (United States)

    Gilger, Jeffrey W.

    2001-01-01

    This introductory article briefly describes each of the following eight articles in this special issue on the neurology and genetics of learning related disorders. It notes the greater appreciation of learning disability as a set of complex disorders with broad and intricate neurological bases and of the large individual differences in how these…

  1. Current Issues in the Neurology and Genetics of Learning-Related Traits and Disorders: Introduction to the Special Issue.

    Science.gov (United States)

    Gilger, Jeffrey W.

    2001-01-01

    This introductory article briefly describes each of the following eight articles in this special issue on the neurology and genetics of learning related disorders. It notes the greater appreciation of learning disability as a set of complex disorders with broad and intricate neurological bases and of the large individual differences in how these…

  2. Issues related to symptomatic and disease-modifying treatments affecting cognitive and neuropsychiatric comorbidities of epilepsy

    Science.gov (United States)

    Brooks-Kayal, Amy R.; Bath, Kevin G.; Berg, Anne T.; Galanopoulou, Aristea S.; Holmes, Gregory L.; Jensen, Frances E.; Kanner, Andres M.; O’Brien, Terence J.; Whittemore, Vicky H.; Winawer, Melodie R.; Patel, Manisha; Scharfman, Helen E.

    2014-01-01

    Summary Many symptoms of neurologic or psychiatric illness—such as cognitive impairment, depression, anxiety, attention deficits, and migraine—occur more frequently in people with epilepsy than in the general population. These diverse comorbidities present an underappreciated problem for people with epilepsy and their caregivers because they decrease quality of life, complicate treatment, and increase mortality. In fact, it has been suggested that comorbidities can have a greater effect on quality of life in people with epilepsy than the seizures themselves. There is increasing recognition of the frequency and impact of cognitive and behavioral comorbidities of epilepsy, highlighted in the 2012 Institute of Medicine report on epilepsy. Comorbidities have also been acknowledged, as a National Institutes of Health (NIH) Benchmark area for research in epilepsy. However, relatively little progress has been made in developing new therapies directed specifically at comorbidities. On the other hand, there have been many advances in understanding underlying mechanisms. These advances have made it possible to identify novel targets for therapy and prevention. As part of the International League Against Epilepsy/American Epilepsy Society workshop on preclinical therapy development for epilepsy, our working group considered the current state of understanding related to terminology, models, and strategies for therapy development for the comorbidities of epilepsy. Herein we summarize our findings and suggest ways to accelerate development of new therapies. We also consider important issues to improve research including those related to methodology, nonpharmacologic therapies, biomarkers, and infrastructure. PMID:23909853

  3. Software Defined Networking: A Concept and Related Issues

    Directory of Open Access Journals (Sweden)

    Deepak Kumar

    2014-09-01

    Full Text Available SDN (Software Defined Networking is the networking architecture that has gained attention of researchers in recent past. It is the future of programmable networks. Traditional networks were very complex and difficult to manage. SDN is going to change this by offering a standard interface (OpenFlow between the control plane and the networking devices (data plane. Its implementation is fully supported by software so that we can control the behavior of networking devices through programmatic control. This programmatic control provides various new ways to find breakpoints and failures in networking devices. Today SDN has become an important part of networking, so it is important to emulate its behavior. SDN support virtualization which makes it scalable and flexible. Data traffic resides in the data plane. The main function of intelligent controller is to decide the routing policy and manage the traffic in data plane. So effectively SDN emerges as a networking architecture that has the ability to solve all problems those were found in traditional architecture In this paper the authors discussed historical perspective of SDN, languages that support SDN, emulation tools, security issues with SDN and advantages that makes SDN suitable choice for today’s network.

  4. Issues to consider in the derivation of water quality benchmarks for the protection of aquatic life.

    Science.gov (United States)

    Schneider, Uwe

    2014-01-01

    While water quality benchmarks for the protection of aquatic life have been in use in some jurisdictions for several decades (USA, Canada, several European countries), more and more countries are now setting up their own national water quality benchmark development programs. In doing so, they either adopt an existing method from another jurisdiction, update on an existing approach, or develop their own new derivation method. Each approach has its own advantages and disadvantages, and many issues have to be addressed when setting up a water quality benchmark development program or when deriving a water quality benchmark. Each of these tasks requires a special expertise. They may seem simple, but are complex in their details. The intention of this paper was to provide some guidance for this process of water quality benchmark development on the program level, for the derivation methodology development, and in the actual benchmark derivation step, as well as to point out some issues (notably the inclusion of adapted populations and cryptic species and points to consider in the use of the species sensitivity distribution approach) and future opportunities (an international data repository and international collaboration in water quality benchmark development).

  5. Rethinking big data: A review on the data quality and usage issues

    Science.gov (United States)

    Liu, Jianzheng; Li, Jie; Li, Weifeng; Wu, Jiansheng

    2016-05-01

    The recent explosive publications of big data studies have well documented the rise of big data and its ongoing prevalence. Different types of ;big data; have emerged and have greatly enriched spatial information sciences and related fields in terms of breadth and granularity. Studies that were difficult to conduct in the past time due to data availability can now be carried out. However, big data brings lots of ;big errors; in data quality and data usage, which cannot be used as a substitute for sound research design and solid theories. We indicated and summarized the problems faced by current big data studies with regard to data collection, processing and analysis: inauthentic data collection, information incompleteness and noise of big data, unrepresentativeness, consistency and reliability, and ethical issues. Cases of empirical studies are provided as evidences for each problem. We propose that big data research should closely follow good scientific practice to provide reliable and scientific ;stories;, as well as explore and develop techniques and methods to mitigate or rectify those 'big-errors' brought by big data.

  6. American intergovernmental relations: foundations, perspectives, and issues, 5th ed

    NARCIS (Netherlands)

    O'Toole, Laurence J.; Christensen, Robert K.; O'Toole, Laurence J.; Christensen, Robert K.

    2012-01-01

    With the addition of brand new co-editor, Robert Christensen, this trusted reader is back in a fresh and insightful fifth edition. To the general structure that has made American Intergovernmental Relations so enduring, the editors have added a new section that incorporates the importance of law and

  7. Fuzzy Relational Databases: Representational Issues and Reduction Using Similarity Measures.

    Science.gov (United States)

    Prade, Henri; Testemale, Claudette

    1987-01-01

    Compares and expands upon two approaches to dealing with fuzzy relational databases. The proposed similarity measure is based on a fuzzy Hausdorff distance and estimates the mismatch between two possibility distributions using a reduction process. The consequences of the reduction process on query evaluation are studied. (Author/EM)

  8. Ethical issues related to biomonitoring studies on children

    DEFF Research Database (Denmark)

    Pedersen, Marie; Merlo, Domenico Franco; Knudsen, Lisbeth E.

    2007-01-01

    -off and the recruitments. In the initial phase of planning a biomonitoring study consideration of communication of results including risk and means of risk prevention should be made. Ethical considerations regarding the study protocol should take into account (a) justification of biological sampling related...

  9. Ottoman-American Relations, Francis Hopkins Smith and Armenian Issue

    Science.gov (United States)

    Akalin, Berrin

    2015-01-01

    The Ottoman-American relations, started upon arrival of American merchant ships to Izmir port in 1797, gained a new dimension by signing a treaty of commerce between two states in 1830 and David Porter was assigned as an acting ambassador and moved from Algeria to Istanbul in 1831. Ottoman state gave the privileged country status to America…

  10. Problematic Issues Related to the Systematic Teaching of Affective Skills.

    Science.gov (United States)

    Ruff, Frances K.; Roberts, Jane M. E.

    This paper presents a discussion of three problem areas that were delineated during the course of a field test designed to assess the effects of the "Heartsmart Adventures," an interpersonal skills curriculum developed from the Fundamental Interpersonal Relations Orientation (FIRO) Theory as described by William C. Schutz. Students and teachers…

  11. HON label and DISCERN as content quality indicators of health-related websites.

    Science.gov (United States)

    Khazaal, Yasser; Chatton, Anne; Zullino, Daniele; Khan, Riaz

    2012-03-01

    Content quality indicators are warranted in order to help patients and consumers to judge the content quality of health-related on-line information. The aim of the present study is to evaluate web-based information on health topics and to assess particular content quality indicators like HON (Health on the Net) and DISCERN. The present study is based on the analysis of data issued from six previous studies which assessed with a standardized tool the general and content quality (evidence-based health information) of health-related websites. Keywords related to Social phobia, bipolar disorders, pathological gambling as well as cannabis, alcohol and cocaine addiction were entered into popular World Wide Web search engines. Websites were assessed with a standardized proforma designed to rate sites on the basis of accountability, presentation, interactivity, readability and content quality (evidence-based information). "Health on the Net" (HON) quality label, and DISCERN scale scores were used to verify their efficiency as quality indicators. Of 874 websites identified, 388 were included. Despite an observed association with higher content quality scores, the HON label fails to predict good content quality websites when used in a multiple regression. Sensibility and specificity of a DISCERN score >40 in the detection of good content quality websites were, respectively, 0.45 and 0.96. The DISCERN is a potential quality indicator with a relatively high specificity. Further developments in this domain are warranted in order to facilitate the identification of high-quality information on the web by patients.

  12. Special Issues Related to the Landslides of Romania

    Directory of Open Access Journals (Sweden)

    FLORINA GRECU

    2010-09-01

    Full Text Available On Romanian territory, landslides are encountered i n all relief units; the existing differences being related to several factors, among which important roles are played by rock, slope, relief fragmentation density, clearing s, moisture degree of deposits. The importance of landslides within prese nt-day processes is very different from one region to another. Landslides play a determinant role in the slopes’ modeling of the Carpathians, the Subcarpathians, the Moldavian Tableland or the Transylvanian Tableland.

  13. Two-dimensional mesoscopic Wigner crystallization and related issues

    Indian Academy of Sciences (India)

    Jean-Louis Pichard

    2002-02-01

    The quantum-classical crossover from the Fermi liquid towards the Wigner solid is numerically revisited using small square lattice models where electrons interact via a Coulomb / potential. From exact numerical diagonalizations, one finds that the mesoscopic electron solid is formed in two stages, giving rise to an intriguing solid–liquid regime at intermediate couplings. The roles of a random substrate and of the spin degrees of freedom are investigated. Possible relations with the 2 metal–insulator transition observed in various field effect devices are suggested.

  14. Quality of Smartphone Apps Related to Panic Disorder

    OpenAIRE

    Van Singer, Mathias; Chatton, Anne; Khazaal, Yasser

    2015-01-01

    Quality of smartphone apps related to panic: smartphone apps have a growing role in health care. This study assessed the quality of English-language apps for panic disorder (PD) and compared paid and free apps. Keywords related to PD were entered into the Google Play Store search engine. Apps were assessed using the following quality indicators: accountability, interactivity, self-help score (the potential of smartphone apps to help users in daily life), and evidence-based content quality. Th...

  15. EVALUATION OF QUALITY INDICATORS RELATED TO QUALITY BREAD WHEAT PROMISING LINES

    Directory of Open Access Journals (Sweden)

    Watson Munyanyi

    2014-01-01

    Full Text Available The bread waste is one of the important socio-economic's issues country now, the urgent need is feeling to improve the wheat quality. Therefore, using the methods of farming and breeding is necessary to improve the quality of this strategic product. As a result, tests of quality's traits in wheat promising lines in Isfahan climate took place. In this study, the choice 17 advanced lines of compare the performances,s experiments, an experiment was conducted for two consecutive cropping (2011-2012 at cultural experiment and research centre in Isfahan located in Kabutar Abad region. Randomized complete block designs with 3 replications were compared with Spring variety (for control. Traits including: 1000 grain weight, hectolitre weight, protein content, Zeleny sedimentation rate, bread volume, grain moisture content, grain hardness, water absorption, falling number, percentage of dry gluten, gluten index, sedimentation rates were SDS.The results of the combined analysis of variance qualitative characteristics,s for two consecutive cropping showed that treatments with compare together and control variety had significant influence in 1% probability.Correlation coefficients of two years showed that the compound test significant positive correlation within grain hardness index and protein content, wet gluten and dry deposition rates of SDS. Also, significant positive correlation with the percentage of protein content of dry gluten. In view of the high correlation with protein content of dry gluten (quantity. However, grain hardness and relatively high correlation with SDS sedimentation as an important measure of protein quality. Therefore, the test results of dry gluten grains can be tough to choose in order to improve the quality of wheat bread may be used.

  16. Malaysian public perception towards nuclear power energy-related issues

    Science.gov (United States)

    Misnon, Fauzan Amin; Hu, Yeoh Siong; Rahman, Irman Abd.; Yasir, Muhamad Samudi

    2017-01-01

    Malaysia had considered nuclear energy as an option for future electricity generation during the 9th Malaysia Development Plan. Since 2009, Malaysia had implemented a number of important preparatory steps towards this goal, including the establishment of Nuclear Power Corporation of Malaysia (MNPC) as first Nuclear Energy Programme Implementing Organization (NEPIO) in Malaysia. In light of the establishment of MNPC, the National Nuclear Policy was formulated in 2010 and a new comprehensive nuclear law to replace the existing Atomic Energy Licensing Act (Act 304) is currently in the pipeline. Internationally, public acceptance is generally used to gauge the acceptance of nuclear energy by the public whenever a government decides to engage in nuclear energy. A public survey was conducted in between 14 March 2016 to 10 May 2016 focusing on the Malaysian public acceptance and perception towards the implementation of nuclear energy in Malaysia. The methodology of this research was aim on finding an overview of the general knowledge, public-relation recommendation, perception and acceptance of Malaysian towards the nuclear power development program. The combination of information gathered from this study can be interpreted as an indication of the complexity surrounding the development of nuclear energy and its relationship with the unique background of Malaysian demography. This paper will focus mainly on energy-related section in the survey in comparison with nuclear energy.

  17. Measuring Physical Neighborhood Quality Related to Health

    Directory of Open Access Journals (Sweden)

    Kimberly A. Rollings

    2015-04-01

    Full Text Available Although sociodemographic factors are one aspect of understanding the effects of neighborhood environments on health, equating neighborhood quality with socioeconomic status ignores the important role of physical neighborhood attributes. Prior work on neighborhood environments and health has relied primarily on level of socioeconomic disadvantage as the indicator of neighborhood quality without attention to physical neighborhood quality. A small but increasing number of studies have assessed neighborhood physical characteristics. Findings generally indicate that there is an association between living in deprived neighborhoods and poor health outcomes, but rigorous evidence linking specific physical neighborhood attributes to particular health outcomes is lacking. This paper discusses the methodological challenges and limitations of measuring physical neighborhood environments relevant to health and concludes with proposed directions for future work.

  18. Measuring Physical Neighborhood Quality Related to Health

    Science.gov (United States)

    Rollings, Kimberly A.; Wells, Nancy M.; Evans, Gary W.

    2015-01-01

    Although sociodemographic factors are one aspect of understanding the effects of neighborhood environments on health, equating neighborhood quality with socioeconomic status ignores the important role of physical neighborhood attributes. Prior work on neighborhood environments and health has relied primarily on level of socioeconomic disadvantage as the indicator of neighborhood quality without attention to physical neighborhood quality. A small but increasing number of studies have assessed neighborhood physical characteristics. Findings generally indicate that there is an association between living in deprived neighborhoods and poor health outcomes, but rigorous evidence linking specific physical neighborhood attributes to particular health outcomes is lacking. This paper discusses the methodological challenges and limitations of measuring physical neighborhood environments relevant to health and concludes with proposed directions for future work. PMID:25938692

  19. Delay related issues in integrated voice and data networks

    Science.gov (United States)

    Gruber, J. G.

    1981-06-01

    The described investigation is concerned with the problem of transmitting voice with data in a computer communications network. The motivations for considering mixed voice and data traffic in such a shared network environment include the advent of new voice related applications with the technology now existing to economically support them, and the desire to plan for and design future integrated networks for reasons of economy and flexibility. Attention is given to the problem of variable delays in a shared network environment handling voice traffic. Previous work in packetized voice, as well as various approaches to integrated voice and data transmission, are reviewed. These approaches may be regarded as enhanced versions of circuit, packet, and hybrid switching. The impact of network interfacing and delay considerations for voice traffic is discussed.

  20. Plan for addressing issues relating to oil shale plant siting

    Energy Technology Data Exchange (ETDEWEB)

    Noridin, J. S.; Donovan, R.; Trudell, L.; Dean, J.; Blevins, A.; Harrington, L. W.; James, R.; Berdan, G.

    1987-09-01

    The Western Research Institute plan for addressing oil shale plant siting methodology calls for identifying the available resources such as oil shale, water, topography and transportation, and human resources. Restrictions on development are addressed: land ownership, land use, water rights, environment, socioeconomics, culture, health and safety, and other institutional restrictions. Descriptions of the technologies for development of oil shale resources are included. The impacts of oil shale development on the environment, socioeconomic structure, water availability, and other conditions are discussed. Finally, the Western Research Institute plan proposes to integrate these topics to develop a flow chart for oil shale plant siting. Western Research Institute has (1) identified relative topics for shale oil plant siting, (2) surveyed both published and unpublished information, and (3) identified data gaps and research needs. 910 refs., 3 figs., 30 tabs.

  1. 32 CFR 536.35 - Unique issues related to environmental claims.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Unique issues related to environmental claims... issues related to environmental claims. Claims for property damage, personal injury, or death arising in... reported by USARCS to the Environmental Law Division of the Army Litigation Center and the...

  2. Ultrasound-assisted osmotic dehydration and convective drying of apples: Process kinetics and quality issues

    OpenAIRE

    Mierzwa Dominik; Kowalski Stefan J.

    2016-01-01

    The aim of the present theme issue was to study the influence of ultrasound enhancement on the kinetics of osmotic dehydration and the effect of convective drying from the point of view of drying time and quality of dried products. Apple fruit was used as the experimental material. The kinetics of osmotic dehydration with (UAOD) and without (OD) ultrasound enhancement were examined for 40% fructose and sorbitol solutions. The effective dehydration time of osmotic process was determined. Preli...

  3. Water Quality Considerations and Related Dishwashing Problems.

    Science.gov (United States)

    McClelland, Nina I.

    A number of the chemical and physical factors which cause dishwashing problems are presented in a series of charts. Water quality considerations are vital, but the importance of good housekeeping and proper operating practices cannot and must not be minimized. Topics discussed include--(1) dissolved minerals, (2) dissolved gases, (3) detergents,…

  4. Breaking bad news: issues relating to nursing practice.

    Science.gov (United States)

    Warnock, Clare

    2014-07-15

    The breaking of bad news was traditionally regarded to be the time when a doctor and nurse sat down with a patient and family members to provide information about, for example, a life-limiting diagnosis or a poor prognosis. However, breaking bad news is now generally accepted as a process, not a one-off event, and is considered to refer to any bad, sad or difficult information that alters patients' perceptions of their present and future. Nurses have an important role in the process of providing information and helping patients prepare for, receive, understand and cope with the bad news they have been given. This article aims to help nurses understand the process of breaking bad news and discuss the challenges and difficulties that nurses can face when they are involved with patients who have been given bad news. It also provides guidance with regard to preparing for breaking bad news, giving difficult information, responding to possible reactions, and supporting patients and their relatives after they have received bad news.

  5. Critical issues related to transfersomes - novel vesicular system

    Directory of Open Access Journals (Sweden)

    Kombath Ravindran Vinod

    2012-03-01

    Full Text Available It has become increasingly apparent that vesicular drug delivery elicits modest possessions in drug targeting. Transfersomes are a form of elastic or deformable vesicle, which were first introduced in the early 1990s. Elas ticity can be achieved by using an edge activator in the lipid bilayer structure. Molecules greater than 500 Da normally do not cross the skin. This prevents epicutaneous delivery of the high molecular weight therapeutics as well as non-invasive transcutaneous immunisation. Transdermal route will always remain a lucrative area for drug delivery. With the advent of new categories of drugs like peptides this route has captured more focus to combat the problems related to their delivery through oral route. But the transdermal route is equally filled with the hopes and disappointments as the transport of drug through this route faces many problems especially for the large molecules. To answer this problem many approaches were adopted. One of the very recent approaches is the use of ultra-deformable carrier systems (transfersomes. They have been used as drug carriers for a range of small molecules, peptides, proteins and vaccines, both in vitro and in vivo. Transfersomes penetrate through the pores of stratum corneum which are smaller than its size and get into the underlying viable skin in intact form. This is because of its deformable nature. The aim of this article is explanation the formation of micelle and vesicles, various types of vesicles, specifically focusing on transfersomes.

  6. Mass Generation and Related Issues from Exotic Higher Dimensions

    CERN Document Server

    Rojas, M; Colatto, L P; Matheus-Valle, J L; De Assis, L P G; Helayel-Neto, J A

    2011-01-01

    The main purpose of this work is to show that massless Dirac equation formulated for non-interacting Majorana-Weyl spinors in higher dimensions, particularly in D=1+9 and D=5+5, can lead to an interpretation of massive Majorana and Dirac spinors in D=1+3. By adopting suitable representations of the Dirac matrices in higher dimensions, we pursue the investigation of which higher dimensional space-times and which mass-shell relation concerning massless Dirac equations in higher dimensions may induce massive spinors in D=1+3. The mixing of the chiral fermions in higher dimensions may induce a mechanism such that four massive Majorana fermions may show up and, at an appropriate limit an almost zero and a huge mass show up with corresponding left-handed and right-handed eigenstates. This mechanism, in a peculiar way, could reassess the See-Saw scheme associated to neutrino with Majorana-type masses. Remarkably the masses of the particles are fixed by the dimension decoupling/reduction scheme based on the mass Lore...

  7. PBL triggers in relation to students' generated learning issues and predetermined faculty objectives: Study in a Malaysian public university.

    Science.gov (United States)

    Ruslai, Nurul Hidayati; Salam, Abdus

    2016-01-01

    Foundational elements of problem based learning (PBL) are triggers, tutors and students. Ineffective triggers are important issues for students' inability to generate appropriate learning issues. The objective of this study was to evaluate PBL triggers and to determine similarities of students' generated learning issues with predetermined faculty objectives. It was a retrospective study conducted in 2014 analyzing all 24 PBL-triggers used at Centre for Foundation Studies, International Islamic University Malaysia, in four semesters during two consecutive years 2011 and 2012. Triggers were used as textual and illustration format equally in each semester. Total 16 PBL-triggers with highest and lowest achieving similarities of learning issues with predetermined faculty objectives were selected equally from each semester and format. The trigger quality and learning issues related to predetermine faculty objectives were analyzed and presented as mean and percent distribution. Mean similarities score of students' generated learning issues were 3.4 over 5 predetermined faculty objectives which was 68%, varied from 58% to 79%. More than 70% similarities were generated from five textual and four illustrated triggers, while PBL, it is the designing considering influential variables that influence higher outcomes. Triggers should have planned clues that lead students to generate issues correlate with faculty objectives. Educational institution should emphasize on training needs of faculty at regular interval to develop and re-in force teachers' skills in trigger design, thereby to promote a sustainable educational and organizational development.

  8. Unmet needs and health-related quality of life in young-onset dementia

    NARCIS (Netherlands)

    Bakker, C.; Vugt, M.E. de; Vliet, D. van; Verhey, F.; Pijnenburg, Y.A.; Vernooij-Dassen, M.J.; Koopmans, R.T.

    2014-01-01

    OBJECTIVES: Young-onset dementia (YOD) causes specific challenges and issues that are likely to affect health-related quality of life (HRQOL). This study explored patient and caregiver HRQOL and its association with unmet needs in YOD. METHODS: A cross-sectional design was used to study 215 communit

  9. Patient safety culture in a district hospital in South Africa: An issue of quality.

    Science.gov (United States)

    Mayeng, Lorraine M; Wolvaardt, Jacqueline E

    2015-11-05

    The Nursing Act 33 of 2005 holds nurse practitioners responsible for all acts and omissions in the delivery of quality patient care. But quality patient care is influenced by a number of factors beyond the control of nurse practitioners. Patient safety culture is one such factor and is seldom explored in hospitals in developing countries. This article describes the patient safety culture of a district hospital in South Africa. The study identified and analysed the factors that influence the patient safety culture by using the Manchester Patient Safety Framework at the National District Hospital, Bloemfontein, Free State Province. A descriptive cross-sectional study was conducted and included the total population of permanent staff; community service health professionals; temporarily employed health professionals and volunteers. The standard Manchester Patient Safety Framework questionnaire was distributed with a response rate of 61%. Less than half of the respondents (42.4%; n = 61) graded their units as acceptable. Several quality dimensions were statistically significant for the employment profile: overall commitment to quality (p = 0.001); investigating patient incidents (p = 0.031); organisational learning following incidents (p < 0.001); communication around safety issues (p = 0.001); and team working around safety issues (p = 0.005). These same quality dimensions were also statistically significant for the professional profiles. Medical doctors had negative perceptions of all the safety dimensions. The research measured and described patient safety culture (PSC) amongst the staff at the National District Hospital (NDH). This research has identified the perceived inadequacies with PSC and gives nurse managers a clear mandate to implement change to ensure a PSC that fosters quality patient care.

  10. Patient safety culture in a district hospital in South Africa: An issue of quality

    Directory of Open Access Journals (Sweden)

    Lorraine M. Mayeng

    2015-02-01

    Full Text Available Background: The Nursing Act 33 of 2005 holds nurse practitioners responsible for all acts and omissions in the delivery of quality patient care. But quality patient care is influenced by a number of factors beyond the control of nurse practitioners. Patient safety culture is one such factor and is seldom explored in hospitals in developing countries. This article describes the patient safety culture of a district hospital in South Africa.Objectives: The study identified and analysed the factors that influence the patient safety culture by using the Manchester Patient Safety Framework at the National District Hospital, Bloemfontein, Free State Province.Method: A descriptive cross-sectional study was conducted and included the total population of permanent staff; community service health professionals; temporarily employed health professionals and volunteers. The standard Manchester Patient Safety Framework questionnaire was distributed with a response rate of 61%.Results: Less than half of the respondents (42.4%; n = 61 graded their units as acceptable. Several quality dimensions were statistically significant for the employment profile: overall commitment to quality (p = 0.001; investigating patient incidents (p = 0.031; organisational learning following incidents (p < 0.001; communication around safety issues (p = 0.001; and team working around safety issues (p = 0.005. These same quality dimensions were also statistically significant for the professional profiles. Medical doctors had negative perceptions of all the safety dimensions.Conclusion: The research measured and described patient safety culture (PSC amongst the staff at the National District Hospital (NDH. This research has identified the perceived inadequacies with PSC and gives nurse managers a clear mandate to implement change to ensure a PSC that fosters quality patient care.

  11. Design of Cycle 3 of the National Water-Quality Assessment Program, 2013-2022: Part 1: Framework of Water-Quality Issues and Potential Approaches

    Science.gov (United States)

    Rowe, Gary L.; Belitz, Kenneth; Essaid, Hedeff I.; Gilliom, Robert J.; Hamilton, Pixie A.; Hoos, Anne B.; Lynch, Dennis D.; Munn, Mark D.; Wolock, David W.

    2010-01-01

    In 1991, the U.S. Congress established the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program to develop long-term, nationally consistent information on the quality of the Nation's streams and groundwater. Congress recognized the critical need for this information to support scientifically sound management, regulatory, and policy decisions concerning the increasingly stressed water resources of the Nation. The long-term goals of NAWQA are to: (1) assess the status of water-quality conditions in the United States, (2) evaluate long-term trends in water-quality conditions, and (3) link status and trends with an understanding of the natural and human factors that affect water quality. These goals are national in scale, include both surface water and groundwater, and include consideration of water quality in relation to both human uses and aquatic ecosystems. Since 1991, NAWQA assessments and findings have fostered and supported major improvements in the availability and use of unbiased scientific information for decisionmaking, resource management, and planning at all levels of government. These improvements have enabled agencies and stakeholders to cost-effectively address a wide range of water-quality issues related to natural and human influences on the quality of water and potential effects on aquatic ecosystems and human health (http://water.usgs.gov/nawqa/xrel.pdf). NAWQA, like all USGS programs, provides policy relevant information that serves as a scientific basis for decisionmaking related to resource management, protection, and restoration. The information is freely available to all levels of government, nongovernmental organizations, industry, academia, and the public, and is readily accessible on the NAWQA Web site and other diverse formats to serve the needs of the water-resource community at different technical levels. Water-quality conditions in streams and groundwater are described in more than 1,700 publications (available

  12. Organizational culture, team climate, and quality management in an important patient safety issue: nosocomial pressure ulcers.

    Science.gov (United States)

    Bosch, Marije; Halfens, Ruud J G; van der Weijden, Trudy; Wensing, Michel; Akkermans, Reinier; Grol, Richard

    2011-03-01

    Increasingly, policy reform in health care is discussed in terms of changing organizational culture, creating practice teams, and organizational quality management. Yet, the evidence for these suggested determinants of high-quality care is inconsistent. To determine if the type of organizational culture (Competing Values Framework), team climate (Team Climate Inventory), and preventive pressure ulcer quality management at ward level were related to the prevalence of pressure ulcers. Also, we wanted to determine if the type of organizational culture, team climate, or the institutional quality management related to preventive quality management at the ward level. In this cross-sectional observational study multivariate (logistic) regression analyses were performed, adjusting for potential confounders and institution-level clustering. Data from 1274 patients and 460 health care professionals in 37 general hospital wards and 67 nursing home wards in the Netherlands were analyzed. The main outcome measures were nosocomial pressure ulcers in patients at risk for pressure ulcers (Braden score ≤ 18) and preventive quality management at ward level. No associations were found between organizational culture, team climate, or preventive quality management at the ward level and the prevalence of nosocomial pressure ulcers. Institutional quality management was positively correlated with preventive quality management at ward level (adj. β 0.32; p organizational culture, team climate, or preventive quality management at the ward level. These results would therefore not subscribe the widely suggested importance of these factors in improving health care. However, different designs and research methods (that go beyond the cross-sectional design) may be more informative in studying relations between such complex factors and outcomes in a more meaningful way. Copyright ©2010 Sigma Theta Tau International.

  13. Metadata Quality in Institutional Repositories May be Improved by Addressing Staffing Issues

    Directory of Open Access Journals (Sweden)

    Elizabeth Stovold

    2016-09-01

    selection. The majority of repositories used locally established standards (61%, n=11. When asked about obstacles to metadata quality, the majority identified time and staff hours (85%, n=17 as a barrier, as well as repository software (60%, n=12. When the responses to questions about obstacles to quality were tabulated with the responses to quality rating, time limitations and staff hours came out as the top or joint-top answer, regardless of the quality rating. Finally, the authors present a sample of responses to the question on how metadata could be improved and these offer some solutions to staffing issues, the application of standards, and the repository system in use. Conclusion – The authors conclude that staffing, standards, and systems are all concerns in providing quality metadata. However, they suggest that standards and software issues could be overcome if adequate numbers of qualified staff are in place.

  14. The Crossmatch/Issue Ratio:  Use of a Novel Quality Indicator and Results of an International Survey on RBC Crossmatching and Issuing Practices

    DEFF Research Database (Denmark)

    Yazer, Mark H; Alcantara, Ramir; Beizai, Pouneh

    2016-01-01

    OBJECTIVES: To understand the worldwide scope of RBC crossmatching and issuing practices and measure efficiency using a novel quality indicator, the crossmatch/issue (C/I) ratio. METHODS: An electronic survey was disseminated to hospital transfusion services collecting details about RBC....... 1.35 ± 0.36, respectively; P = .19). CONCLUSIONS: Electronic crossmatching is common, and the C/I ratio can be an indicator of efficiency....

  15. Resistance in the Classroom: A Phenomenological Analysis of Student Responses to Gender-Related Issues.

    Science.gov (United States)

    Bobel, Christina

    Examining how students respond to gender-related issues, a study observed six classroom discussions of Fundamentals of Interpersonal Communication, an introductory level college course which integrated gender issues. Four different classes, each consisting of 25-30 male and female students averaging 18-20 years of age, participated in the study.…

  16. Parental Marital Quality, Parental Divorce, and Relations with Parents.

    Science.gov (United States)

    Booth, Alan; Amato, Paul R.

    1994-01-01

    Examined data from 419 parents and their adult children to assess impact of parental marital quality and divorce while child is residing with parents on parent-child relations 12 years later. Low marital quality and divorce appeared to have independent effects on adult child-parent relations. Fathers' relationships suffered more than mothers';…

  17. Management of Power Quality Issues in Low Voltage Networks using Electric Vehicles: Experimental Validation

    DEFF Research Database (Denmark)

    Martinenas, Sergejus; Knezovic, Katarina; Marinelli, Mattia

    2016-01-01

    As Electric Vehicles (EVs) are becoming more wide spread, their high power consumption presents challenges for the residential low voltage networks, especially when connected to long feeders with unevenly distributed loads. However, if intelligently integrated, EVs can also partially solve...... the existing and future power quality problems. One of the main aspects of the power quality relates to voltage quality. The aim of this work is to experimentally analyse whether series-produced EVs, adhering to contemporary standard and without relying on any V2G capability, can mitigate line voltage drops...

  18. Ultrasound-assisted osmotic dehydration and convective drying of apples: Process kinetics and quality issues

    Directory of Open Access Journals (Sweden)

    Mierzwa Dominik

    2016-09-01

    Full Text Available The aim of the present theme issue was to study the influence of ultrasound enhancement on the kinetics of osmotic dehydration and the effect of convective drying from the point of view of drying time and quality of dried products. Apple fruit was used as the experimental material. The kinetics of osmotic dehydration with (UAOD and without (OD ultrasound enhancement were examined for 40% fructose and sorbitol solutions. The effective dehydration time of osmotic process was determined. Preliminary dehydrated samples with OD and UAOD were next dried convectively with (CVUS and without (CV ultrasound assistance. The influence of OD and UAOD on the kinetics of CV and CVUS drying was analysed. The parameters of water activity and colour change were measured for the assessment of product quality after drying process.

  19. Mobile Adhoc Network(MANETS : Proposed solution to Security Related Issues

    Directory of Open Access Journals (Sweden)

    Rachika Gupta

    2011-10-01

    Full Text Available Most of the research in MANETS has been focused on Routing issues. Security on the other hand has been given low priority. This paper provides an introduction to Mobile Adhoc Networks, Routing related issues and overview of security problems for MANETS, by distinguishing the threats on the basic mechanisms and securitymechanisms. It then addresses the possible solution to protect the security mechanism, which involves availability, integrity, authentication and non repudiation. These securities related issues are well addressed if one can provide methods that are pertinent for authentication, key distribution, and intrusion detection andrerouting in case of Byzantine failure in MANETS.

  20. The relationship between press release and newspaper coverage of tobacco-related issues in South Korea.

    Science.gov (United States)

    Cho, Kyung Sook; Yoon, Jangho

    2017-08-01

    This study investigates an association between press release and news media response on tobacco-related issues in South Korea. We retrieved 231 tobacco-related newspaper articles from all major dailies throughout the year 2005. In total, 37 press releases on tobacco-related issues and policies published by the Korea Ministry of Health and Welfare were obtained from the Ministry website. Content analysis and appropriate statistical tests were performed. Results from our content analysis suggest that producing more press releases on tobacco-related issues may result in a greater volume of newspaper articles, and that a press release on a new topical issue may effect more intense media coverage. Findings also show that when Korean newspaper articles overall held less favorable views of tobacco-related policies and programs in 2005, taxation was the most frequent theme with a non-positive opinion. Findings from our multivariate logistic regression models imply that a newspaper article with a source press release-especially about a new topical issue-is more likely than an article without a source press release to discuss tobacco-related issues more positively. Our findings suggest that a press release may serve as an effective media strategy for reaching out to the public by disseminating tobacco-control efforts and policies.

  1. (Dysfunctional relations between knowledge quality and education system

    Directory of Open Access Journals (Sweden)

    Avramović Zoran

    2011-01-01

    Full Text Available Functional analysis of the relation between knowledge and education system from the viewpoint of quality is used in the paper. It is proved that it is not necessarily true that there is a correspondence between knowledge quality and construction of the education system, i.e. that the former quality is not an inevitable condition of the latter. In the first part of the paper, we distinguish the concept of quality from non-quality knowledge. Out of 19 indicators, five knowledge qualities are normative (exceptional sense, and the others descriptive (specific sense characteristics. In the second part, the conceptual approach to education system focuses on its (dysfunctional and non-functional connections. The tradition of national knowledge, the character of social relations established between the actors within the system and the influence of implicit knowledge on teacher and student actions in education system are discussed. All these factors can influence positively and negatively the direction and content of knowledge quality in education system. Knowledge quality in school curricula and textbooks may be ensured and then (not realized due to the influence of traditional, social and implicit factors on educational interaction. The concept of constellation is used to explain the favorable and unfavorable relation between knowledge quality and education system. In the concluding part, the author argues that education system cannot ensure complete realization of knowledge quality since it is, to a considerable extent, conditioned by school and non-school factors.

  2. Bidirectional relations between work-related stress, sleep quality and perseverative cognition.

    Science.gov (United States)

    Van Laethem, Michelle; Beckers, Debby G J; Kompier, Michiel A J; Kecklund, Göran; van den Bossche, Seth N J; Geurts, Sabine A E

    2015-11-01

    In this longitudinal two-wave study, bidirectional relations between work-related stress and sleep quality were examined. Moreover, it was investigated whether perseverative cognition is a potential underlying mechanism in this association, related to both work-related stress and sleep quality. A randomly selected sample of Dutch employees received an online survey in 2012 and 2013. Of all invited employees, 877 participated in both waves. Structural equation modeling was performed to analyze the data. We found evidence for reversed relations between work-related stress and sleep quality. Specifically, when controlling for perseverative cognition, work-related stress was not directly related to subsequent sleep quality, but low sleep quality was associated with an increase in work-related stress over time. Moreover, negative bidirectional associations over time were found between perseverative cognition and sleep quality, and positive bidirectional associations were found between work-related stress and perseverative cognition. Lastly, a mediation analysis showed that perseverative cognition fully mediated the relationship between work-related stress and sleep quality. The study findings suggest that perseverative cognition could be an important underlying mechanism in the association between work-related stress and sleep quality. The bidirectionality of the studied relationships could be an indication of a vicious cycle, in which work-related stress, perseverative cognition, and sleep quality mutually influence each other over time. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. REACTION CHEMISTRY RELATED TO FCC GASOLINE QUALITY

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    About 80% of the gasoline pool as a whole in China for supplying the domestic market at current stage directly originates from FCC units. Obviously, FCC gasoline quality is critical for refiners to meet the nations more and more stringent gasoline specifications. FCC process is expected to produce gasoline with reduced contents of olefins, aromatics, benzene, sulfur, and, contradictorily, still with high octane number.   Catalytic cracking process involves a series of acid catalyzed reactions. Bronsted acid sites dominate the surface of the catalyst used for FCC process. All the reactions of hydrocarbons in FCC process are based on carbonium ions of penta-coordinated, or carbenium ions of tri-coordinated. The monomolecular beta scission mechanism for alkane cracking explains that the cracking of carbon-carbon bonding occurs at the beta position to the carbon atom bearing positive charge, and hence forms two small hydrocarbon molecules: one alkane molecule and one olefin molecule. The molar ratio of alkane to olefin for the primary cracking product will be 1 and it will be less than 1 if the cracking reaction proceeds.   However, it is proved that bimolecular reaction pathways exist between surface carbenium ions and the feed molecules. The products of this bimolecular disproportionation reaction could be an alkane molecule and a newly formed carbenium ion. The better understanding of the reaction chemistry of FCC process based on monomolecular pathways and bimolecular pathways should be the basis for searching approaches to the improvement of FCC gasoline quality. In the complicated reaction scheme of the FCC process, the isomerization reaction leading to the formation of iso-alkanes is obviously a target reaction, which favors both olefin reduction and octane enhancement.   The cracking of small paraffin molecules, due to its limited number of reaction pathways and products, has been used to investigate cracking mechanism. In the present work the

  4. Measuring tourists' satisfaction with quality of life issues at an arts festival

    Directory of Open Access Journals (Sweden)

    S. Kruger

    2008-12-01

    Full Text Available Purpose: The purpose of this paper is to measure tourists' satisfaction with quality of life issues at an arts festival - the Aardklop National Arts Festival in Potchefstroom. Problem investigated: Understanding satisfaction with quality of life issues could assist Festival organizers and other businesses to improve services for tourists by tailoring these to meet their needs. Satisfied tourists spread positive word-of-mouth communication and are more likely to return in the future. Methodology: A self-administered survey developed and validated by Neal, Sirgy and Uysal (1999:156 & 2004:245 was fielded at the 2007 Aardklop National Arts Festival in Potchefstroom. The target population included all visitors to the Festival who were staying for two or more days, and who had travelled to Potchefstroom from elsewhere. Findings and implications: Respondents were satisfied with travel / tourism services and experiences at the Festival, and with their leisure time and life in general. However, certain things at the Festival led to lowered levels of satisfaction. Demographically, respondents did not differ significantly in their levels of satisfaction with travel / tourism services, travel / tourism experiences, leisure life, and life in general at the Festival except in terms of population group and region from which they came. Organizers of the Festival and other businesses should take cognizance of the fact that all parties involved in providing services to tourists attending an arts festival impact on their satisfaction levels with travel / tourism services and experiences - and ultimately also on their quality of life. Tourists attending the arts festival are not homogenous and differ substantially in terms of their demographic profile. Tourist service providers should tailor their offerings in order to satisfy the varied needs of the different types of tourist attending the Festival. Originality and value of the research: This research focused on

  5. Health-related quality of life in critically ill patients : how to score and what is the clinical impact?

    NARCIS (Netherlands)

    Hofhuis, Jose G. M.; van Stel, Henk F.; Schrijvers, Augustinus J. P.; Rommes, Johannes H.; Bakker, Jan; Spronk, Peter E.

    2009-01-01

    Purpose of review Traditionally, the assessment of critical care has focused largely on mortality. However, in the last few years, there is more attention on the quality of survival. Health-related quality of life (HRQOL) is an important issue for both patients and family. The purpose of this review

  6. Subjective sleep quality in perimenopausal women and its related factors

    Institute of Scientific and Technical Information of China (English)

    Jianping Zhang; Fen Lia; Yongjie Lin; Qiu Sheng; Xuewen Yu; Xinwen Zhang

    2007-01-01

    Objective: To evaluate the sleep quality and its related factors among perimenopausal women. Methods: A self-designed questionnaire was administered to 506 perimenopausal women. The questionnaire included the influencing factors on the sleep quality, the Pittsburgh Sleep Quality Index (PSQI), the Zung Self-Rating Depression Scales (SDS), the Zung Self-Rating Anxiety (SAS) and the Modified Kupperman Index (KI). Data were analyzed by SPSS11.5. Results: The mean PSQI was 5.97±4.30.Twenty-four percent of perimenopausal women reported poor sleep. Age and perimenopausal symptoms were significantly correlated with sleep quality. The sleep quality of the 45~49 age group was the poorest and the 40~44 age group was the best. The women who had higher Kupperman index were more likely to be poor sleepers. There was no significant correlation between occupation and sleep quality. Night sweat, depression, anxiety, hot flash, stressful life event, and regular exercise were significantly and independently related with sleep quality. Among them, regular exercise was a protective factor of sleep quality. Conclusion:High incidence of poor sleep quality exists among perimenopausal women. Some effective interventions should be taken to improve the sleep quality of perimenopausal women.

  7. Supported and Sheltered Employment: Quality of Life Issues among Workers with Disabilities.

    Science.gov (United States)

    Sinnott-Oswald, Mary; And Others

    1991-01-01

    Perceived quality of life was compared among 10 individuals with disabilities in supported community employment, 10 individuals in sheltered workshops, and 9 individuals without disabilities. Supported community employment was positively related to number of leisure activities, self-esteem, use of leisure time, involvement in activities, mobility,…

  8. Quality issues in the market based dissemination of solar home systems

    Energy Technology Data Exchange (ETDEWEB)

    Lindner, Klara [MicroEnergy International, Berlin (Germany)

    2011-07-01

    In general, Photovoltaic systems are built to last and require little maintenance. However, field studies have revealed a high number of system failures, which are linked to a lack of quality assurance. This paper depicts problems that occur with solar home systems (SHS) disseminated on a market-based approach. The research methodology is based on three pillars: A literature review covers documented projects around the world dealing with solar home system dissemination. Expert practitioners drawn together in a workshop have shared valuable experiences, while a trip to rural Tanzania has been carried out to collect personal insights from the field. To facilitate continuous sharing of challenges between different stakeholders, common quality issues are grouped into four categories according to their cause: component quality, system integration, business model and framework conditions. While the solar component and the user are often initially blamed for system failure, it shows that difficulties arise at various levels of the SHS life cycle - this paper highlights focus problems within each stage. As a root, three underlying challenges are suggested: maladjusted systems, inadequate installations and a disorganized after-sales service. A possible instrument to assure better quality in this context is the enforcement of standards also in market-based SHS sales. Microfinance institutions are assumed as an important partner, because only clients with a functioning system are willing to repay the linked loan. As most of these institutions lack technical knowledge, they can only become an agent for their clients' wish for customer protection, if an independent facility certifies the system's functionality. The given recommendation is that a sustainable approach for solar home system dissemination should not attempt to increase the affordability by developing cheaper products but by fostering income-generating activities, which facilitate paying for good quality

  9. Framing perceived service quality and related constructs : A multilevel approach

    NARCIS (Netherlands)

    Roest, H.C.A.; Koelemeijer, K.

    1993-01-01

    Despite many publications on perceived service quality, the position of the construct relative to other key constructs in marketing/consumer behavior remains vague. This paper tries to bring conceptual clarity with regard to the relationships between perceived service quality, customer satisfaction/

  10. Framing perceived service quality and related constructs : A multilevel approach

    NARCIS (Netherlands)

    Roest, H.C.A.; Koelemeijer, K.

    1993-01-01

    Despite many publications on perceived service quality, the position of the construct relative to other key constructs in marketing/consumer behavior remains vague. This paper tries to bring conceptual clarity with regard to the relationships between perceived service quality, customer satisfaction/

  11. Issue Relating to The Production and Sale of Milk Products to SC Helvetika Milk SRL Pecica, Arad County

    Directory of Open Access Journals (Sweden)

    Iuliana Ioana Merce

    2014-11-01

    Full Text Available Food quality and human health influences contemporary life. Today more than ever, quality products to be safe in terms of food to meet the needs and innocuity became major values ​​for all producers, processors, distributors, especially for food consumers who are becoming more aware that their health depends on the quality of the food they consume. The paper recently a case study in a Romanian company in the dairy industry and the manufacture of dairy products, and all commercial operations the object of transaction milk and milk products, a small company that combines managed but we consider traditionalism ( the products we offer to the market modernism ( European requirements, quick marketing, producer - client relationship etc. This paper analyzes the emergence and development aspects of the company, implementing and upgrading production technology, issues related to the introduction of quality management, promotion and sale of products, customer relations, etc. We believe that SC HELVETICA MILK SRL, the constant concern of food safety, raw material procurement stage till marketing - customer satisfaction by offering quality products and thereby ensure customer loyalty. In conclusion, we believe the company is a successful example of business succces Romanian food industry.

  12. Recognition of an important water quality issue at zoos: prevalence and potential threat of toxic cyanobacteria.

    Science.gov (United States)

    Doster, Enrique; Chislock, Michael F; Roberts, John F; Kottwitz, Jack J; Wilson, Alan E

    2014-03-01

    Zoo animals may be particularly vulnerable to water sources contaminated with cyanobacterial toxins given their nonvoluntary close association with this resource. However, the prevalence and potential threat of toxic cyanobacteria in this setting are unknown. Several otherwise unexplained yellow-bellied slider (Trachemys scripta scripta) deaths were documented in a zoo moat with recurring blooms of toxic Microcystis aeruginosa. Furthermore, an extremely high and potentially lethal concentration of the hepatotoxin microcystin (166 ng/g) was found in the liver of a necropsied turtle that died in this moat. A subsequent monthly survey of water quality revealed detectable concentrations of microcystin in all moats (0.0001 to 7.5 microg/L), with moats higher than 1 microg/L being significantly higher than the threshold for safe drinking water recommended by the World Health Organization. These results demonstrate that cyanobacterial blooms are an important water quality issue in zoos, and future research is necessary to identify potential associations among water quality, zoo animal health, and moat management strategies.

  13. Audiovisual Quality Fusion based on Relative Multimodal Complexity

    DEFF Research Database (Denmark)

    You, Junyong; Korhonen, Jari; Reiter, Ulrich

    2011-01-01

    In multimodal presentations the perceived audiovisual quality assessment is significantly influenced by the content of both the audio and visual tracks. Based on our earlier subjective quality test for finding the optimal trade-off between audio and video quality, this paper proposes a novel method...... designed auditory and visual features, the relative complexity analysis model across sensory modalities is proposed for deriving the fusion parameter. Experimental results have demonstrated that the content adaptive fusion parameter can improve the prediction accuracy of objective audiovisual quality...

  14. Popper and Dingle on special relativity and the issue of symmetry

    Science.gov (United States)

    Dotson, Allen Clark

    2012-02-01

    Karl Popper and Herbert Dingle engaged in a fascinating debate concerning the kind of theory the special theory of relativity is. One of the issues was whether applications of the theory could be made consistent with the principle of relativity, a cornerstone of the theory itself. The principle of relativity seems to imply some sort of symmetry in results obtained for similar experiments as observed in two different inertial reference frames. Peter Hayes has recently dealt with the Dingle-Popper debate on this matter, as well as other issues. The present paper seeks to clarify what kind of symmetry is appropriate in a situation discussed by Popper, Dingle, and Hayes.

  15. Quality of Smartphone Apps Related to Panic Disorder.

    Science.gov (United States)

    Van Singer, Mathias; Chatton, Anne; Khazaal, Yasser

    2015-01-01

    Quality of smartphone apps related to panic: smartphone apps have a growing role in health care. This study assessed the quality of English-language apps for panic disorder (PD) and compared paid and free apps. Keywords related to PD were entered into the Google Play Store search engine. Apps were assessed using the following quality indicators: accountability, interactivity, self-help score (the potential of smartphone apps to help users in daily life), and evidence-based content quality. The Brief DISCERN score and the criteria of the "Health on the Net" label were also used as content quality indicators as well as the number of downloads. Of 247 apps identified, 52 met all inclusion criteria. The content quality and self-help scores of these PD apps were poor. None of the assessed indicators were associated with payment status or number of downloads. Multiple linear regressions showed that the Brief DISCERN score significantly predicted the content quality and self-help scores. Poor content quality and self-help scores of PD smartphone apps highlight the gap between their technological potential and the overall quality of available products.

  16. University Intervention into Community Issues as Dialogic Public Relations: A Case Study

    Science.gov (United States)

    Byrne, Jamie M.

    2007-01-01

    This paper examines a study of the wastewater collection and treatment issues of Little Rock and North Little Rock, Arkansas by University of Arkansas at Little Rock personnel and how it constitutes dialogic public relations. The paper defines dialogic public relations using Kent and Taylor's work and then uses their criteria to describe how this…

  17. National Technology Standards for K-12 Schools: A Case Study of Unresolved Issues in Public Relations

    Science.gov (United States)

    Mullen, Carol A.; Kealy, William A.; Sullivan, Ashley

    2004-01-01

    This article addresses an important need--the dissemination of information relating to technology as a public relations tool--and the associated exigency for administrator and teacher technology training. Specifically, we identify the increased expectations for the performance of school leaders and teachers, as well as unresolved issues in public…

  18. Introduction to the Special Issue: New and Interdisciplinary Approaches to Linguistic Relativity

    Science.gov (United States)

    Athanasopoulos, Panos; Bylund, Emanuel; Casasanto, Daniel

    2016-01-01

    This Special Issue of "Language Learning" presents an interdisciplinary state-of-the-art overview of current approaches to linguistic relativity. It contains empirical and theoretical studies and reflections on linguistic relativity from a variety of perspectives, such as associative learning, conceptual transfer, multilingual awareness,…

  19. 76 FR 52731 - On-Line Complaint Form for Service-Related Issues in Air Transportation

    Science.gov (United States)

    2011-08-23

    ... Office of the Secretary On-Line Complaint Form for Service-Related Issues in Air Transportation AGENCY... is complaining, flight date, flight number, and origin and destination cities of complainant's trip...- travel related information from the ACPD. The Department has limited its informational request to...

  20. University Intervention into Community Issues as Dialogic Public Relations: A Case Study

    Science.gov (United States)

    Byrne, Jamie M.

    2007-01-01

    This paper examines a study of the wastewater collection and treatment issues of Little Rock and North Little Rock, Arkansas by University of Arkansas at Little Rock personnel and how it constitutes dialogic public relations. The paper defines dialogic public relations using Kent and Taylor's work and then uses their criteria to describe how this…

  1. Introduction to the Special Issue: New and Interdisciplinary Approaches to Linguistic Relativity

    Science.gov (United States)

    Athanasopoulos, Panos; Bylund, Emanuel; Casasanto, Daniel

    2016-01-01

    This Special Issue of "Language Learning" presents an interdisciplinary state-of-the-art overview of current approaches to linguistic relativity. It contains empirical and theoretical studies and reflections on linguistic relativity from a variety of perspectives, such as associative learning, conceptual transfer, multilingual awareness,…

  2. Factors affecting health-related quality of life in patients after femoral neck fracture.

    Science.gov (United States)

    Valavičienė, Rasa; Smailys, Alfredas; Macijauskienė, Jūratė; Hommel, Ami

    2010-01-01

    Quality of life in patients with femoral neck fracture is an issue frequently discussed in the literature. There is ongoing research on identifying factors that have an impact on quality of life in this particular group of patients. A great variety of factors affecting quality of life and lack of information on their importance encouraged us to perform a systematic literature review analyzing quality of life of patients who sustained femoral neck fracture. The search was performed in the PubMed and Medline databases according to the selected key words. In our systematic review, we included clinical and clinical randomized trials investigating patients with femoral neck fracture and their quality of life. Our analysis showed that treatment of femoral neck fracture with hip replacement was superior to osteosynthesis with regard to patients' quality of life. The data regarding the impact of different rehabilitation programs on quality of life were controversial; a few reports showed that special rehabilitation programs were associated with better health-related quality life. However, other studies did not report any differences in patients' quality of life when different rehabilitation programs were applied. Patient's nutrition may be an important factor affecting the quality of life in patients with femoral neck fractures; however, data supporting this fact are insufficient.

  3. On the issue of quality of experience in technology supported learning

    Directory of Open Access Journals (Sweden)

    Kirsten Snyder

    2010-12-01

    Full Text Available Quality in education has been discussed for many decades, and as such the discussion reflects the social accountability to which schools are bound in order to demonstrate the degree to which they fulfill their purpose. What has changed overtime is the way in which quality is perceived and how it is used as both an accountability device as well as a form of change agency (Fredriksson & Snyder, 2004; Power, 2002; Riley & Nutall 1994; Snyder, Acker-Hocevar & Snyder, 2000; 2008. Typical accountability models, such as those found in Great Britain and the U.S. and more recently in the European Union and Sweden as well, focus on student achievement, drop-out rates, student attrition and teacher training as some of the key factors that define ”quality” in education (Fredriksson & Snyder, 2004. Presently, international comparison tests such as TIMMS, PEARLS, and PISA are acquiring a greater significance as a ”measure of quality”. At the same time, many argue that such large scale testing does not consider important factors that relate to learning, and drop-out rates do not necessarily relate to quality education. In contrast to the standard accountability and comparative models of quality, are other systemic models, such as total quality management (Deming, 1986; Juran, 1992 that focus on both process and outcome, and recognize the inter-relationship between the two. Quality, from a systemic model, thus must address a variety of factors in addition to student achievement, including elements in the learning environment, as well as the leadership of the school, the infrastructure and resource allocation, team work, etc. (Murgatroyd & Morgan, 1994; Snyder, Acker-Hocevar & Snyder, 2000.

  4. Application of Extended Kalman Filter to the Modeling of Electric Arc Furnace for Power Quality Issues

    Institute of Scientific and Technical Information of China (English)

    JIN Zhi-jian; WANG Feng-hua; ZHU Zi-shu

    2007-01-01

    Electric arc furnaces (EAFs) represent one of the most disturbing loads in the subtransmission or transmission electric power systems. Therefore, it is necessary to build a practical model to descript the behavior of EAF in the simulation of power system for power quality issues. This paper deals with the modeling of EAF based on the combination of extended Kalman filter to identify the parameter of arc current and the power balance equation to obtain the dynamic, multi-valued u-i characteristics of EAF load. The whole EAF systems are simulated by means of power system blockset in Matlab to validate the proposed EAF model. This model can also be used to assess the impact of the new plant or highly varying nonlinear loads that exhibit chaos in power systems.

  5. Containment-emergency-sump performance. Technical findings related to Unresolved Safety Issue A-43. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    1983-04-01

    This report summarizes key technical findings related to the Unresolved Safety Issue A-43, Containment Emergency Sump Performance, and provides recommendations for resolution of attendant safety issues. The key safety questions relate to: (a) effects of insulation debris on sump performance; (b) sump hydraulic performance as determined by design features, submergence, and plant induced effects, and (c) recirculation pump performance wherein air and/or particulate ingestion can occur. The technical findings presented in this report provide information relevant to the design and performance evaluation of the containment emergency sump.

  6. Quality comparison of websites related to developmental disabilities.

    Science.gov (United States)

    Reichow, Brian; Shefcyk, Allison; Bruder, Mary Beth

    2013-10-01

    The Internet is commonly used to seek health-related information, but little is known about the quality of websites on developmental disabilities. Therefore, we sought to evaluate the characteristics and quality of websites located by searching ten common terms related to developmental disabilities and explore relations between website characteristics and website quality in order to make recommendations on ways to ensure locating good online information. We located 208 unique websites in our November 2012 US searches of Google and Bing. Two independent coders evaluated 10 characteristics of the websites and two different coders assessed the quality of the websites. From the 208 websites, 104 (50%) provided relevant information about the disability being searched. Of these 104 websites, those found to be of highest quality were least likely to be a sponsored result, contain advertisements, be from a for-profit company, and did contain references to peer-reviewed publications or had a top-level domain of .gov or .org. Individuals with developmental disabilities and their family members who choose to obtain disability-related information online should remain vigilant to ensure that they locate high-quality and accurate information and should not replace information obtained from health-care professionals and educational specialists with information found online.

  7. Differential item functioning (DIF) analyses of health-related quality of life instruments using logistic regression

    DEFF Research Database (Denmark)

    Scott, Neil W; Fayers, Peter M; Aaronson, Neil K

    2010-01-01

    Differential item functioning (DIF) methods can be used to determine whether different subgroups respond differently to particular items within a health-related quality of life (HRQoL) subscale, after allowing for overall subgroup differences in that scale. This article reviews issues that arise ...... when testing for DIF in HRQoL instruments. We focus on logistic regression methods, which are often used because of their efficiency, simplicity and ease of application....

  8. Differential item functioning (DIF) analyses of health-related quality of life instruments using logistic regression

    DEFF Research Database (Denmark)

    Scott, Neil W.; Fayers, Peter M.; Aaronson, Neil K.

    2010-01-01

    Differential item functioning (DIF) methods can be used to determine whether different subgroups respond differently to particular items within a health-related quality of life (HRQoL) subscale, after allowing for overall subgroup differences in that scale. This article reviews issues that arise...... when testing for DIF in HRQoL instruments. We focus on logistic regression methods, which are often used because of their efficiency, simplicity and ease of application....

  9. Simulation and Study of Power Quality Issues in a Fixed Speed Wind Farm Substation

    Directory of Open Access Journals (Sweden)

    T. Magesh

    2015-01-01

    Full Text Available Power quality issues associated with the fixed speed wind farm substation located at Coimbatore district are investigated as the wind generators are tripping frequently. The investigations are carried out using two power quality analyzers, Fluke 435 and Dranetz PX5.8, with one of them connected at group control breaker of the 110 kV feeder and the other at the selected 0.69 kV generator busbar during the period of maximum power generation. From the analysis of the recorded data it is found that sag, swell, and transients are the major events which are responsible for the tripping of the generators. In the present study, simulation models for wind, turbine, shaft, pitch mechanism, induction generator, and grid are developed using DIgSILENT. Using the turbine characteristics, a two-dimensional lookup table is designed to generate a reference pitch angle necessary to simulate the power curve of the passive stall controlled wind turbine. Various scenarios and their effects on the performance of the wind farm are studied and validated with the recorded data and waveforms. The simulation model will be useful for the designers for planning and development of the wind farm before implementation.

  10. Simulation and study of power quality issues in a fixed speed wind farm substation.

    Science.gov (United States)

    Magesh, T; Chellamuthu, C

    2015-01-01

    Power quality issues associated with the fixed speed wind farm substation located at Coimbatore district are investigated as the wind generators are tripping frequently. The investigations are carried out using two power quality analyzers, Fluke 435 and Dranetz PX5.8, with one of them connected at group control breaker of the 110 kV feeder and the other at the selected 0.69 kV generator busbar during the period of maximum power generation. From the analysis of the recorded data it is found that sag, swell, and transients are the major events which are responsible for the tripping of the generators. In the present study, simulation models for wind, turbine, shaft, pitch mechanism, induction generator, and grid are developed using DIgSILENT. Using the turbine characteristics, a two-dimensional lookup table is designed to generate a reference pitch angle necessary to simulate the power curve of the passive stall controlled wind turbine. Various scenarios and their effects on the performance of the wind farm are studied and validated with the recorded data and waveforms. The simulation model will be useful for the designers for planning and development of the wind farm before implementation.

  11. Health related quality of life among insulin-dependent diabetics

    DEFF Research Database (Denmark)

    Aalto, A M; Uutela, A; Aro, A R

    1997-01-01

    This crossectional questionnaire study examined the associations of health factors and psychosocial factors with Health Related Quality of Life (HRQOL) in a sample of adult type I diabetic patients (n = 385). Health related quality of life was measured by the Finnish version of MOS SF-20....... Psychosocial measures were general social support, diabetes-specific social support, diabetes locus of control (DCL), self-efficacy, diabetes health beliefs and self-care practices. In multivariate analyses, limitations in physical functioning showed strong associations with perceived health (beta = -0.33, P...... diabetes and glycemic control were not related to HRQOL...

  12. Heritability of health-related quality of life

    DEFF Research Database (Denmark)

    Steenstrup, Troels; Pedersen, Ole Birger; Hjelmborg, Jacob

    2013-01-01

    Aim: The present study aims to estimate the relative importance of genetic and environmental factors for health-related quality of life (HRQL) measured by the 12-item Short-Form Health Survey (SF-12). Methods: The study was based on two Danish twin cohorts (46,417 twin individuals) originating from...

  13. Framing Islam-related issues during GE13: An analysis of Malaysian mainstream newspapers

    Directory of Open Access Journals (Sweden)

    Aini Maznina A.Manaf

    2015-06-01

    Full Text Available Abstract: The two major political coalitions in Malaysia are Barisan Nasional  (BN and Pakatan Rakyat (PR, which are dominated by the Malay-Muslim majority. During the 13th national election, to gain public votes, the government used mainstream newspapers to frame Islam-related issues. This research focuses on the characterisation and information reported about Islam and Muslims during the 13th General Election. Using content analysis, we examine the coverage of such issues by the mainstream newspapers: Berita Harian, Utusan Malaysia, New Straits Times, and The Star. This analysis aims to provide a holistic review of the scope of the coverage during the period with a focus on how the Malaysian government framed Islam-related issues through the print media in order to gain the Malay votes. A total of 178 news articles were analysed, from which we found that 15 dominant issues were reported in the newspapers during that period. Among the most frequently reported Islam-related issues were hudud (prescribed punishments, Islamic state, and kalimah Allah (the word “Allah”, which were predominantly covered by the Malay newspapers. In addition, the data indicated that most of the news were inclined towards supporting the ruling coalition, i.e., Barisan Nasional.

  14. The psychiatrist's perspective on quality of life and quality of care in oncology: concepts, symptom management, communication issues.

    Science.gov (United States)

    Razavi, D; Delvaux, N

    1995-01-01

    The important prevalence of psychosocial problems and psychiatric disturbances that have been reported in oncology, underlines the need for comprehensive psychosocial support for cancer patients and their families. Psychosocial support is designed to preserve, restore or enhance quality of life. Quality of life refers not only to psychosocial distress and adjustment-related problems but also to the management of cancer symptoms and treatment side-effects. Psychosocial interventions designed for this purpose should be divided into five categories: prevention, early detection, restoration, support and palliation. Firstly, preventive interventions are designed to avoid the development of predictable morbidity secondary to treatment and/or disease. Secondly, early detection of patients' needs or problems refers to the assumption that early interventions' could have therapeutic results superior to those of delayed support, both for quality of life and survival. Thirdly, restorative interventions refer to actions used when a cure is likely, the aim being the control or elimination of residual cancer disability. Fourthly, supportive rehabilitation is planned to lessen disability related to chronic disease, characterised by cancer illness remission and progression, and to active treatment. Fifthly, palliation is required when curative treatments are likely to no longer be effective, and when maintaining or improving comfort becomes the main goal. Psychological interventions are often multidisciplinary, with a variety of content. The type of psychological intervention ranges from information and education to more sophisticated support programmes including directive (behavioural or cognitive) therapies, or non-directive (dynamic or supportive) therapies. Social interventions usually include financial, household, equipment, and transport assistance depending on individual and family needs and resources. These interventions may be combined with the prescription of

  15. Compliance with treatment: related-issues and insights for pharmacist intervention

    Directory of Open Access Journals (Sweden)

    Nilcéia Lopes da Silva

    2011-03-01

    Full Text Available Low patient compliance with pharmacotherapy remains one of the greatest challenges for success of treatments, especially in chronic diseases, since it can negatively influence treatment effectiveness and patient quality of life, increase health expenses and decrease productivity of the patient. Compliance is an important but complex issue in clinical practice. Its complexity begins with the difficulty in adopting terminology that can express its exact meaning. Moreover, many methods to evaluate compliance have been established but no consensus exists on which method should be considered the gold standard. Additionally, socioeconomic, disease and therapy-related factors, healthcare team and system related-factors and patient-related factors can simultaneously influence compliance levels. In this highly complex scenario, pharmacist interventions have been identified as an effective strategy to enhance patient compliance with treatment. The objectives of this paper were: (1 to provide useful information for pharmacists about issues related to compliance such as terminology and definitions; methods for measuring compliance and persistence; influencing factors and the impact of low compliance; and (2 to offer insight into how these healthcare professionals can effectively contribute toward improved compliance levels.A baixa adesão dos pacientes ao tratamento medicamentoso de doenças crônicas continua sendo um dos maiores desafios da medicina, por comprometer a efetividade do tratamento, repercutindo na qualidade de vida, aumentando os gastos com saúde e diminuindo a produtividade do indivíduo doente. O tema adesão é tão relevante para a prática clínica quanto complexo, a começar pelas tentativas de adoção de uma terminologia que expresse com exatidão o seu significado. Além disso, vários métodos para sua determinação foram estabelecidos sem, contudo, se chegar a um consenso sobre qual seria o "ótimo". Adicionalmente, as condi

  16. Quality of smartphone apps related to panic disorder.

    Directory of Open Access Journals (Sweden)

    mathias eVan-Singer

    2015-07-01

    Full Text Available Smartphone apps have a growing role in health care. This study assessed the quality of English-language apps for panic disorder (PD and compared paid and free apps. Keywords related to PD were entered into the Google Play Store search engine. Apps were assessed using the following quality indicators: accountability, interactivity, self-help score (the potential of smartphone apps to help users in daily life, and evidence-based content quality. The Brief DISCERN score and the criteria of the Health on the Net label were also used as content quality indicators as well as the number of downloads. Of 247 apps identified, 52 met all inclusion criteria. The content quality and self-help scores of these PD apps were poor. None of the assessed indicators were associated with payment status or number of downloads. Multiple linear regressions showed that the Brief DISCERN score significantly predicted content quality and self-help scores. Poor content quality and self-help scores of PD smartphone apps highlight the gap between their technological potential and the overall quality of available products

  17. [Health-related Quality of Life After Oropharyngeal Cancer Treatment].

    Science.gov (United States)

    Volkenstein, S; Willers, J; Noack, V; Dazert, S; Minovi, A

    2015-08-01

    Oropharyngeal cancer is a diagnosis which means a change in life and even after successful treatment a tremendous reduction in the quality of life. Aim of this study is to analyse the health-related quality of life in patients with oropharyngeal cancer dependent on different treatment options. Charts of 256 patients treated for oropharyngeal cancer between 1997 and 2007 were analysed in a retrospective study. Inclusion criteria for this study has been fulfilled by 98 patients, 82 of these completed the study. Therefore, standardised questionnaires (EORTC QLQ-C30 und EORTC QLQ-H&N35) have been used and 2 groups were compared: patients with primary radiochemotherapy (pRCT) vs. patients treated by an operation and adjuvant radiation. Most of the health-related quality of life domains in our patients were significantly reduced compared to the general population. There have been just very few significant differences in the quality of life domains in between the 2 groups. Health-related quality of life after treatment of oropharyngeal cancer is significantly compromised for these patients compared to the general population, but there have been no obvious differences depending on the compared treatment options. Only regarding the items "physical and cognitive functioning" patients after primary radiochemotherapy showed significantly better results and thus a better quality of life, despite the fact, that this group has a significantly advanced cancer stadium. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Work-related quality of life of Ugandan healthcare workers.

    Science.gov (United States)

    Opollo, J G; Gray, J; Spies, L A

    2014-03-01

    To describe perceived work-related quality of life of Ugandan healthcare workers. A secondary aim was to seek participant input on ways to improve work environments. Poor patient outcomes, decreased employee motivation and decisions to leave the organization have been linked to poor work conditions. Interventions to correct healthcare worker shortage in developing countries require information about work quality of life. Descriptive cross-sectional study conducted in health and educational settings in Uganda in July 2011. Participants completed the Biographical Information Scale demographic questionnaire and the validated 24-item Work-Related Quality of Life scale. Sample included 146 healthcare workers employed in various settings. Participants reported poorer quality of work life on the work conditions, control at work and home-work interface subscales. Participants perceived stress at work to be low and experienced higher job career satisfaction. There was a significant relationship between work-related quality of life, gender and hours worked. Participants' suggestions to improve work life ranged from simple no-cost suggestions to more complex system level interventions. Work-related quality of life was low in this convenience sample. Perceived stress at work was lower than expected, but may have been due to nurses' expectations of a normal work assignment. Predominantly women, the participants had significant caregiving responsibilities. Nurses must acquire a seat at the table where crucial decisions about nursing and its future are made. By advancing leadership skills, nurses can effectively advocate for organizational changes that address broad factors related to increasing job satisfaction, and retaining and attracting nurses. Nurses can influence work quality of life individually and collectively by identifying workplace concerns, demanding safe work environments, fostering teamwork and enhancing professional growth. © 2014 International Council of Nurses.

  19. Musicians’ profession-related health issues and their evolving transformative learning through biography

    NARCIS (Netherlands)

    Rineke Smilde

    2009-01-01

    Within a study on ‘musicians as lifelong learners’, explorative biographical research was used. When analysing the learning biographies informed by grounded theory, the emergence of profession-related health issues was striking. More than half of the portrayed musicians suffered from both physical

  20. Key issues of public relations of Europe: findings from the European Communication Monitor 2007-2014

    NARCIS (Netherlands)

    Verčič, D.; Verhoeven, P.; Zerfass, A.

    2014-01-01

    European Communication Monitor is the largest longitudinal research project in public relations practice in the world. Data collected annually from 2007 to 2014 show that practitioners perceive five issues as the most important for their work: linking business strategy and communication, coping with

  1. A Study of Current Trends and Issues Related to Technical/Engineering Design Graphics.

    Science.gov (United States)

    Clark, Aaron C.; Scales Alice

    2000-01-01

    Presents results from a survey of engineering design graphics educators who responded to questions related to current trends and issues in the profession of graphics education. Concludes that there is a clear trend in institutions towards the teaching of constraint-based modeling and computer-aided manufacturing. (Author/YDS)

  2. Teacher to Teacher: What Texts Effectively Raise Issues Related to 9/11 for Secondary Students?

    Science.gov (United States)

    English Journal, 2006

    2006-01-01

    This article deals with texts that effectively raise issues related to 9/11 for secondary students, as discussed by several teachers. Kevin J. Collins from St. Thomas Aquinas High School says, "Elephant," Gus Van Sant's exploration of a Columbine-like tragedy, underscores the current generation's attempt to define the meaning of events in…

  3. Early Childhood Education: Status, Trends, and Issues Related to Electronic Delivery.

    Science.gov (United States)

    Rothenberg, Donna

    As part of a broad investigation of the role of large-scale, satellite-based, educational telecommunication systems, the trends and issues in early childhood education in relation to electronic delivery are discussed in some detail. The population and numbers currently served by pre-primary programs, and school setting by type of control (public…

  4. How Do Learners in Developed and Developing Countries Relate to Environmental Issues?

    Science.gov (United States)

    Trumper, Ricardo

    2010-01-01

    The present study was carried out in the framework of earlier research on environmental education for sustainability, using data collected in the ROSE Project. Attention was focused mainly on students' responses to sections and items related to environmental issues, regarding their countries' degree of development. The research questions dealt…

  5. Allostatic Load: Single Parents, Stress-Related Health Issues, and Social Care

    Science.gov (United States)

    Johner, Randy L.

    2007-01-01

    This article explores the possible relationships between allostatic load (AL) and stress-related health issues in the low-income single-parent population, using both a population health perspective (PHP) and a biological framework. A PHP identifies associations among such factors as gender, income, employment, and social support and their…

  6. Students' Understandings of Religious Identities and Relations: Issues of Social Cohesion and Citizenship

    Science.gov (United States)

    Keddie, Amanda

    2014-01-01

    The focus in this article is on issues of social cohesion and citizenship as they relate to students' understandings of religion and religious identity. The article draws on data gathered from a study conducted at a highly diverse English comprehensive school and is set amid broader anxieties about religion, community disharmony and national…

  7. Mediating Effects of Stress, Weight-Related Issues, and Depression on Suicidality in College Students

    Science.gov (United States)

    Smith, Sydney S.; Smith Carter, Jocelyn; Karczewski, Sabrina; Pivarunas, Bernadette; Suffoletto, Shannon; Munin, Art

    2015-01-01

    Objective: Through a holistic health lens, the current study examines the effects of weight-related issues and stress on suicidality while controlling for depressive symptoms in college students. Participants: In total, 872 undergraduate and graduate students at DePaul University completed the American College Health Association-National College…

  8. Musicians’ profession-related health issues and their evolving transformative learning through biography

    NARCIS (Netherlands)

    Smilde, Rineke

    2009-01-01

    Within a study on ‘musicians as lifelong learners’, explorative biographical research was used. When analysing the learning biographies informed by grounded theory, the emergence of profession-related health issues was striking. More than half of the portrayed musicians suffered from both physical a

  9. Key issues of public relations of Europe: findings from the European Communication Monitor 2007-2014

    NARCIS (Netherlands)

    Verčič, D.; Verhoeven, P.; Zerfass, A.

    2014-01-01

    European Communication Monitor is the largest longitudinal research project in public relations practice in the world. Data collected annually from 2007 to 2014 show that practitioners perceive five issues as the most important for their work: linking business strategy and communication, coping with

  10. African American College Students' Health Behaviors and Perceptions of Related Health Issues.

    Science.gov (United States)

    Ford, Denyce S.; Goode, Carolyn R.

    1994-01-01

    A study of African American college students compared students' health-related behaviors with their perceptions of corresponding health issues. Students had low smoking rates but higher alcohol consumption. Most students did not practice good nutrition or daily physical activity. Over half managed stress well, and three-quarters were sexually…

  11. U.S.-Vietnam Relations in 2010: Current Issues and Implications for U.S. Policy

    Science.gov (United States)

    2010-08-06

    U.S.-Vietnam Economic and Trade Relations: Issues for the 111th Congress, by Michael F. Martin. 18 Peru and Australia are the other two countries...plan emphasized lighter industries such as foodstuffs, textiles , and electronics. According to some sources, many if not most of Vietnam’s SOEs are

  12. Prospective Teachers' Perceptions about the Concept of Sustainable Development and Related Issues in Oman

    Science.gov (United States)

    Ambusaidi, Abdullah; Al Washahi, Maryam

    2016-01-01

    This study aims to investigate, from the Omani's prospective, teachers' perceptions about the concept of sustainable development (SD) and three related issues (cultural diversity, renewable energy and equity). The sample consisted of 159 prospective teachers from Sultan Qaboos University. Data were collected via a questionnaire comprising a list…

  13. Introducing GaLA: Serious Game potentials, challenges and TEL-related issues

    NARCIS (Netherlands)

    Earp, Jeffrey; Klemke, Roland

    2011-01-01

    Earp, J., & Klemke, R. (2011, 21 September). Introducing GaLA: Serious Game potentials, challenges and TEL-related issues. Presented at TEL-Think-Tank Workshop at the 6th European conference on Technology enhanced learning: towards ubiquitous learning (EC-TEL 2011), Palermo, Italy.

  14. The Portability of Computer-Related Educational Resources: An Overview of Issues and Directions.

    Science.gov (United States)

    Collis, Betty A.; De Diana, Italo

    1990-01-01

    Provides an overview of the articles in this special issue, which deals with the portability, or transferability, of educational computer software. Motivations for portable software relating to cost, personnel, and time are discussed, and factors affecting portability are described, including technical factors, educational factors, social/cultural…

  15. Awareness of legal and social issues related to reproductive health among adolescent girls in rural Varanasi

    Directory of Open Access Journals (Sweden)

    Sangeeta Kansal

    2017-01-01

    Full Text Available Background: Data on awareness of adolescent's on the legal and social issues/acts related to reproductive health, especially in rural areas, are scarce. Objectives: The aim of the present cross-sectional study is to assess the awareness level of legal and social issues related to reproductive health and its association with the various individual and family/household level characteristics. Methods: 650 adolescent girls in the age group of 15–19 years were interviewed with the help of pretested and semistructured questionnaire and focus group discussions were also conducted for qualitative findings in Chiraigaon block of district Varanasi. Results: It was observed that 42.9% of the respondents were aware of legal age of marriage, 14.9% knew about the right age of childbearing. Dowry prohibition act and domestic violence act were known to 46% and 27% respondents, respectively, and only 2.6% were aware of medical termination of pregnancy act. Logistic regression analysis shows the significant effect of education on awareness of legal age of marriage, right age of childbearing, domestic violence, and dowry prohibition acts, which is also supported by qualitative findings. Conclusion: All the important legal issues/acts should be included in high school curriculum and female teachers should be involved in training program for adolescents. Role of mass media in creating awareness about these issues in their routine programs should be ascertained. Accredited Social Health Activist and Anganwadi workers should be aware of and include these issues/acts in adolescent meetings.

  16. Awareness of legal and social issues related to reproductive health among adolescent girls in rural Varanasi.

    Science.gov (United States)

    Kansal, Sangeeta; Singh, Sweta; Kumar, Alok

    2017-01-01

    Data on awareness of adolescent's on the legal and social issues/acts related to reproductive health, especially in rural areas, are scarce. The aim of the present cross-sectional study is to assess the awareness level of legal and social issues related to reproductive health and its association with the various individual and family/household level characteristics. 650 adolescent girls in the age group of 15-19 years were interviewed with the help of pretested and semistructured questionnaire and focus group discussions were also conducted for qualitative findings in Chiraigaon block of district Varanasi. It was observed that 42.9% of the respondents were aware of legal age of marriage, 14.9% knew about the right age of childbearing. Dowry prohibition act and domestic violence act were known to 46% and 27% respondents, respectively, and only 2.6% were aware of medical termination of pregnancy act. Logistic regression analysis shows the significant effect of education on awareness of legal age of marriage, right age of childbearing, domestic violence, and dowry prohibition acts, which is also supported by qualitative findings. All the important legal issues/acts should be included in high school curriculum and female teachers should be involved in training program for adolescents. Role of mass media in creating awareness about these issues in their routine programs should be ascertained. Accredited Social Health Activist and Anganwadi workers should be aware of and include these issues/acts in adolescent meetings.

  17. Key issues of public relations of Europe: Findings from the European Communication Monitor 2007-2014

    Directory of Open Access Journals (Sweden)

    Dejan Vercic

    2014-10-01

    Full Text Available European Communication Monitor is the largest longitudinal research project in public relations practice in the world. Data collected annually from 2007 to 2014 show that practitioners perceive five issues as the most important for their work: linking business strategy and communication, coping with the digital evolution and social web, building and maintaining trust, dealing with the demand for more transparency and active audiences, and dealing with the speed and volume of information flow. Perception of the importance of various issues for the practice of public relations is largely dependent on the gender, geography (division between Northern and Western vs. Southern and Eastern Europe, and sector in which a practitioner works (corporate, government, NGO or agency. While gender and sectorial differences studied in academic public relations literature, divisions in public relations practice between North-Western and South-Eastern Europe are largely ignored.

  18. Are physician productivity and quality of care related?

    Science.gov (United States)

    Menachemi, Nir; Yeager, Valerie A; Welty, Elisabeth; Manzella, Bryn

    2015-01-01

    This study examines the relationship between clinical quality of care and physician productivity in the public sector clinical setting. This longitudinal study takes place in Jefferson County, Alabama using data from six public sector clinics. Data representing 21 physicians across 13 consecutive quarters representing 44,765 person observations were analyzed. Four variables were selected to represent quality of care for this pediatric patient population; two of which pertained to antibiotic use and two pertained to asthma care. Findings from multivariate analyses examining each quality of care measure and controlling for other visit and practice characteristics indicate that three of the four quality measures were significantly related to productivity. Specifically, the percent of asthma patients with documented asthma severity classification was negatively related to physician productivity (ß = -.24, p = .04), although the magnitude of this relationship was small. The percent of asthma patients prescribed an inhaled corticosteroid who also had a severity classification was negatively related to physician productivity (ß = -.23, p = .03) and the percent of patients prescribed oral antibiotics was marginally negatively related to physician productivity (ß = -.09, p = .09). In general, findings suggest that a relationship exists between quality of healthcare and physician productivity. Future research should continue to examine this relationship across other disciplines and healthcare settings.

  19. Power Quality Issues In Indian Power Distribution Utilities And Feasible Solutions

    Directory of Open Access Journals (Sweden)

    Narasimha Pandit

    2015-08-01

    Full Text Available One important contributing factor to Indias slow pace of development in general and relatively poor industrial growth in particular is the poor quality and reliability of the electrical power. Earlier the consumers of electrical energy were mere acceptors. Interruptions and other voltage disturbances were part of the deal. But today electric power is viewed as a product with certain characteristics which can be measured predicted guaranteed improved etc. which has become an integral part of our life. This paper gives insights on different Power Quality PQ problems experienced by the Indian electricity consumers and the reasons for those problems. This paper proposes feasible solutions to assist in employing or implementing appropriate mitigation techniques with an optimism of an improvement in the field scenario as more and more investments are proposed in Generation Transmission and Distribution Sectors and stringent codes and standards are being imposed for those who do not maintain minimum PQ level in the field.

  20. Bidirectional relations between work-related stress, sleep quality and perseverative cognition

    NARCIS (Netherlands)

    Laethem, M. van; Beckers, D.G.J.; Kompier, M.A.J.; Kecklund, G.; Bossche, S.N.J. van den; Geurts, S.A.E.

    2015-01-01

    Objective In this longitudinal two-wave study, bidirectional relations between work-related stress and sleep quality were examined. Moreover, it was investigated whether perseverative cognition is a potential underlying mechanism in this association, related to both work-related stress and sleep qua

  1. Bidirectional relations between work-related stress, sleep quality and perseverative cognition

    NARCIS (Netherlands)

    Laethem, M. van; Beckers, D.G.J.; Kompier, M.A.J.; Kecklund, L.G.; Bossche, S.N.J. van den; Geurts, S.A.E.

    2015-01-01

    Objective In this longitudinal two-wave study, bidirectional relations between work-related stress and sleep quality were examined. Moreover, it was investigated whether perseverative cognition is a potential underlying mechanism in this association, related to both work-related stress and sleep

  2. Health related quality of life of Canary Island citizens

    Directory of Open Access Journals (Sweden)

    Lopez-Bastida Julio

    2010-11-01

    Full Text Available Abstract Background The aim of the study was to describe the health-related quality of life of Canarian population using information from the Canary Island Health Survey and three observational studies developed in the Canary Islands. Methods A descriptive analysis was carried out on a sample of 5.549 Canarian citizens using information from 2004 Canary Island Health Survey and three observational studies on Alzheimer's disease, Stroke and HIV. EQ-5 D was the generic tool used for revealing quality of life of people surveyed. Besides the rate of people reporting moderate or severe decrease in quality of life, TTO-index scores and visual analogue scale were used for assessing health related quality of life of people that suffer a specific diseases and general population. Results Self-perceived health status of citizens that suffer chronic diseases of high prevalence, identifies by the Canary Island Health Survey and other diseases such Alzheimer's disease, Stroke and HIV, independently examined in observational studies, are worse than self-perceived health of general population. Depression/anxiety and pain/discomfort were identified as the dimensions of the EQ-5 D with highest prevalence of problems. Alzheimer's disease and stroke were the illnesses with greater loss of quality of life. Conclusions Health related quality of life should be integrated into a set of information along with expectancy of life, incidence and prevalence of chronic diseases for developing health policy and planning health care activities The combination of information on health related quality of life from population health surveys with data from observational studies enlarges the sources of relevant information for setting health priorities and assessing the impact of health policies.

  3. Peran Growth Opportunities, Free Cash Flow, dan Relative Issue Size dalam Reaksi Pasar terhadap Pengumuman Right Issue

    Directory of Open Access Journals (Sweden)

    Synthia Atas Sari

    2007-03-01

    Full Text Available Right issue is when a firm announces its plan to publicly offer additional shares of common stock after Initial Public Offering (IPO. The aim of this research are to test market stock price and examine the role of growth opportunities in stock price reaction to right issue announcement. Sample was taking from companies which been listed in Jakarta Stock Exchange and publish right issue from 1998 to 2005. To measure growth opportunities, the companies were divided into 2 groups, growth and mature. This classification using Tobin’s q proxy method (market-book value ratio. The research have final conclusion, that is at right issue announcement in Jakarta Stock Exchange, market give positive reaction and statistically significant, and so in normal period.

  4. Assessing Weight-Related Quality of Life in Adolescents

    Science.gov (United States)

    Kolotkin, Ronette L.; Zeller, Meg; Modi, Avani C.; Samsa, Gregory P.; Quinlan, Nicole Polanichka; Yanovski, Jack A.; Bell, Stephen K.; Maahs, David M.; de Serna, Daniela Gonzales; Roehrig, Helmut R.

    2008-01-01

    Objective The development of a new weight-related measure to assess quality of life in adolescents [Impact of Weight on Quality of Life (IWQOL)-Kids] is described. Research Methods and Procedures Using a literature search, clinical experience, and consultation with pediatric clinicians, 73 items were developed, pilot tested, and administered to 642 participants, 11 to 19 years old, recruited from weight loss programs/studies and community samples (mean z-BMI, 1.5; range, –1.2 to 3.4; mean age, 14.0; 60% female; 56% white). Participants completed the 73 items and the Pediatric Quality of Life Inventory and were weighed and measured. Results Four factors (27 items) were identified (physical comfort, body esteem, social life, and family relations), accounting for 71% of the variance. The IWQOL-Kids demonstrated excellent psychometric properties. Internal consistency coefficients ranged from 0.88 to 0.95 for scales and equaled 0.96 for total score. Convergent validity was demonstrated with strong correlations between IWQOL-Kids total score and the Pediatric Quality of Life Inventory (r = 0.76, p obesity in youth, the development of a reliable and valid weight-related measure of quality of life is timely. PMID:16648616

  5. Mining Health-Related Issues in Consumer Product Reviews by Using Scalable Text Analytics.

    Science.gov (United States)

    Torii, Manabu; Tilak, Sameer S; Doan, Son; Zisook, Daniel S; Fan, Jung-Wei

    2016-01-01

    In an era when most of our life activities are digitized and recorded, opportunities abound to gain insights about population health. Online product reviews present a unique data source that is currently underexplored. Health-related information, although scarce, can be systematically mined in online product reviews. Leveraging natural language processing and machine learning tools, we were able to mine 1.3 million grocery product reviews for health-related information. The objectives of the study were as follows: (1) conduct quantitative and qualitative analysis on the types of health issues found in consumer product reviews; (2) develop a machine learning classifier to detect reviews that contain health-related issues; and (3) gain insights about the task characteristics and challenges for text analytics to guide future research.

  6. Climate and climate-related issues for the safety assessment SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Naeslund, Jens-Ove (comp.)

    2006-11-15

    The purpose of this report is to document current scientific knowledge of the climate-related conditions and processes relevant to the long-term safety of a KBS-3 repository to a level required for an adequate treatment in the safety assessment SR-Can. The report also includes a concise background description of the climate system. The report includes three main chapters: A description of the climate system (Chapter 2); Identification and discussion of climate-related issues (Chapter 3); and, A description of the evolution of climate-related conditions for the safety assessment (Chapter 4). Chapter 2 includes an overview of present knowledge of the Earth climate system and the climate conditions that can be expected to occur in Sweden on a 100,000 year time perspective. Based on this, climate-related issues relevant for the long-term safety of a KBS-3 repository are identified. These are documented in Chapter 3 'Climate-related issues' to a level required for an adequate treatment in the safety assessment. Finally, in Chapter 4, 'Evolution of climate-related conditions for the safety assessment' an evolution for a 120,000 year period is presented, including discussions of identified climate-related issues of importance for repository safety. The documentation is from a scientific point of view not exhaustive, since such a treatment is neither necessary for the purposes of the safety assessment nor possible within the scope of a safety assessment. As further described in the SR-Can Main Report and in the Features Events and Processes report, the content of the present report has been audited by comparison with FEP databases compiled in other assessment projects. This report follows as far as possible the template for documentation of processes regarded as internal to the repository system. However, the term processes is not used in this report, instead the term issue has been used. Each issue includes a set of processes together resulting in the

  7. Quality of life issues in men undergoing androgen deprivation therapy: a review

    Institute of Scientific and Technical Information of China (English)

    Rowan G Casey; Niall M Corcoran; S Larry Goldenberg

    2012-01-01

    Androgen deprivation therapy (ADT) has been an essential treatment option for treating prostate cancer (PCa).The role for hormonal treatment initially was restricted to men with metastatic and inoperable,locally advanced disease.Now it has been extended to neoadjuvant or adjuvant therapy for surgery and radiotherapy,for biochemical relapse after surgery or radiation,and even as primary therapy for non-metastatic disease.Fifty percent of PCa patients treated will receive ADT at some point.There is growing concern about the adverse effects and costs associated with more widespread ADT use.The adverse effects on quality of life (QoL),including physical,social and psychological well-being when men are androgen-deprived,may be considerable.This review examines the QoL issues in the following areas:body feminisation,sexual changes,relationship changes,cognitive and affective symptoms,fatigue,sleep disturbance,depression and physical effects.Further suggestions for therapeutic approaches to reduce these alterations are suggested.

  8. Exploiting wild relatives of S. lycopersicum for quality traits

    NARCIS (Netherlands)

    Víquez Zamora, A.M.

    2015-01-01

    Exploiting wild relatives of S. lycopersicum for quality traits Ana Marcela Víquez Zamora Tomatoes are consumed worldwide and became a model for crop plant research. A part of the research aims at expanding genetic diversity in tomato; this can be done by incorporating

  9. Poor Health-related Quality of Life After Severe Preeclampsia

    NARCIS (Netherlands)

    Hoedjes, Meeke; Berks, Durk; Vogel, Ineke; Franx, Arie; Duvekot, Johannes J.; Steegers, Eric A. P.; Raat, Hein

    Background: Preeclampsia is a major complication of pregnancy associated with increased maternal morbidity and mortality, and adverse birth outcomes. The objective of this study was to describe changes in all domains of health-related quality of life between 6 and 12 weeks postpartum after mild and

  10. Health-related quality of life in sarcoidosis

    NARCIS (Netherlands)

    Korenromp, Ingrid H.E.; van de Laar, Mart A F J

    2014-01-01

    Purpose of review: The review presents an overview of the scientific publications in the field of health-related quality of life (HRQL) in sarcoidosis. Recent findings: Literature on HRQL in sarcoidosis is limited. HRQL was mainly used as a primary or secondary endpoint in intervention studies.

  11. Health-related quality of life in sarcoidosis

    NARCIS (Netherlands)

    Korenromp, Ingrid H.E.; Laar, van de Mart A.F.J.

    2014-01-01

    Purpose of review: The review presents an overview of the scientific publications in the field of health-related quality of life (HRQL) in sarcoidosis. Recent findings: Literature on HRQL in sarcoidosis is limited. HRQL was mainly used as a primary or secondary endpoint in intervention studies. Mo

  12. Poor Health-related Quality of Life After Severe Preeclampsia

    NARCIS (Netherlands)

    Hoedjes, Meeke; Berks, Durk; Vogel, Ineke; Franx, Arie; Duvekot, Johannes J.; Steegers, Eric A. P.; Raat, Hein

    2011-01-01

    Background: Preeclampsia is a major complication of pregnancy associated with increased maternal morbidity and mortality, and adverse birth outcomes. The objective of this study was to describe changes in all domains of health-related quality of life between 6 and 12 weeks postpartum after mild and

  13. Health-Related Quality of Life in HIV Disease.

    Science.gov (United States)

    Hays, Ron D.; And Others

    1995-01-01

    The structure of health-related quality of life (HRQOL) in persons with human immunodeficiency virus (HIV) was studied in 205 symptomatic adults. Confirmatory factor analysis supported a two-factor model of HRQOL, with physical and mental health dimensions. Correlations of HRQOL with other aspects of health and support are discussed. (SLD)

  14. The Health-Related Quality of Life of Custodial Grandparents

    Science.gov (United States)

    Neely-Barnes, Susan L.; Graff, J. Carolyn; Washington, Gregory

    2010-01-01

    Health-related quality of life (HRQOL) was explored in a sample of 119 custodial grandparents. A latent profile analysis identified three groups of grandparents along a continuum of good to poor HRQOL, with most custodial grandparents reporting Short Form-12 Health Survey (version 2) scores significantly below U.S. population means. Grandparent…

  15. Monitoring health related quality of life in adolescents with diabetes

    DEFF Research Database (Denmark)

    de Wit, M; Delemarre-van de Waal, Henriette A; Pouwer, F

    2007-01-01

    Particularly in chronic conditions, monitoring health related quality of life (HRQoL) of adolescents in clinical practice is increasingly advocated. We set out to identify and review the clinical utility of available generic and diabetes specific HRQoL questionnaires suitable for use in adolescents...

  16. Quality of Life and Health-Related Quality of Life of Adolescents with Cerebral Palsy

    Science.gov (United States)

    Rosenbaum, Peter L.; Livingston, Michael H.; Palisano, Robert J.; Galuppi, Barbara E.; Russell, Dianne J.

    2007-01-01

    This study assessed quality of life (QOL) and health-related quality of life (HRQOL) of 203 adolescents with cerebral palsy (111 males, 92 females; mean age 16y [SD 1y 9mo]). Participants were classified using the Gross Motor Function Classification System (GMFCS), as Level I (n=60), Level II (n=33), Level III (n=28), Level IV (n=50), or Level V…

  17. QA/QC Issues Related to Data From Volunteer Citizen Scientist Networks

    Science.gov (United States)

    Woodard, G. C.; Crimmins, M.; Vazquez, R.; Rupprecht, C.

    2007-12-01

    Earth science researchers increasingly are using field data gathered by volunteer citizen scientists, particularly where there is a need for dense or far-flung networks of instruments, or qualitative observations of environmental conditions (e.g., drought-caused plant stress, bird migration, spring ice break-up). Precipitation monitoring is a popular form of citizen science, with hundreds of local networks, and two regional networks - CoCoRaHS with observers in over 20 states, and RainLog, with over 1,200 observers in the Southwestern U.S. Dense networks of rain gages are especially valuable for capturing localized, convective storm events, with the data used for multiple purposes, including research, flood early warning, drought monitoring, and weather reporting. Researchers may be hesitant to use data collected by citizen scientists because of Quality Assurance/Quality Control issues associated with networks of volunteers. Gages vary in precision and accuracy, and citizen scientists have different levels of skill and experience. Backyard gages are not always ideally sited with respect to buildings and trees. Data entry issues include delays in reporting and input errors. Missing data are not only more prevalent than for official gages, the missing data are non-random. Spatial patterns of volunteers' gages reflect development patterns and socio-demographic factors, resulting in clusters and voids in gage distribution. Current interpolation methodologies do not handle these gage patterns well. RainLog is systematically quantifying these QA/QC issues, and where possible, developing procedures to mitigate them. Citizen scientists are kept informed and engaged and informed through a variety of web-based data visualization approaches. Automated monthly data reviews glean missing data and offer an opportunity to check outlier values. Various statistical approaches are used to estimate accuracy and precision for each gage. Finally, we are developing and implementing more

  18. Current Status and Quality Assessment of Cardiovascular Diseases Related Smartphone Apps in China.

    Science.gov (United States)

    Xiao, Qian; Wang, Yanling; Sun, Liu; Lu, Sai; Wu, Ying

    2016-01-01

    To examine current status and quality of CVD related apps available for download in China, a total of 151 apps from the top popular six app stores were analyzed. Data analysis uncovered a range of issues including missing of key variables in the pre-formatted daily records, no platform for interaction with relevant healthcare professionals and undesirable user-interface design. More importantly, these apps had low levels of adherence to internationally recognized guidelines in CVD management. Overall quality score of these apps was below the average (8.08/20). This study identified areas for improvement concerning the existing CVD related apps. Information may guide the further advancement of CVD related apps and benefit CVD management in China.

  19. Leveraging People-Related Maturity Issues for Achieving Higher Maturity and Capability Levels

    Science.gov (United States)

    Buglione, Luigi

    During the past 20 years Maturity Models (MM) become a buzzword in the ICT world. Since the initial Crosby's idea in 1979, plenty of models have been created in the Software & Systems Engineering domains, addressing various perspectives. By analyzing the content of the Process Reference Models (PRM) in many of them, it can be noticed that people-related issues have little weight in the appraisals of the capabilities of organizations while in practice they are considered as significant contributors in traditional process and organizational performance appraisals, as stressed instead in well-known Performance Management models such as MBQA, EFQM and BSC. This paper proposes some ways for leveraging people-related maturity issues merging HR practices from several types of maturity models into the organizational Business Process Model (BPM) in order to achieve higher organizational maturity and capability levels.

  20. Properly Handling the Third Party Issues in Sino-U.S. Relations

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ The relationship between China and the United States is becoming increasingly important in the world; no longer is it limited to bilateral issues, and the third party issue has grown in significance. There are various kinds of third party countries.Some of these, such as Japan, South Korea, Australia and the European countries are U.S. allies. Some, like the central Asian and ASEAN states, are neighbors of China. In the category of major world powers we can also include Russia, India, Japan and the EU, while African and some Latin American countries are relatively marginalized. An important aspect of China's diplomacy in recent years has been to work hard on two fronts:to develop relations with the above mentioned countries, while at the same time taking note of the interests and concerns of the United States. China has achieved a successful balance between the two.

  1. Perceived Quality of Social Relations and Frequent Drunkenness

    DEFF Research Database (Denmark)

    Kjærulff, Thora M; Rivera, Francisco; Jiménez-Iglesias, Antonia

    2014-01-01

    AIM: The aim of the study was to examine, for female and male students separately, whether perceived quality of relationships with peers and parents and relations in school predict self-reported frequent drunkenness among Spanish adolescents. METHODS: The Spanish data from the Health Behaviour...... in School-aged Children Study (HBSC) 2010 survey were used including 1177 female and 1126 male students aged between 15 and 16 years. RESULTS: For both genders, students reporting low school satisfaction had increased odds of frequent drunkenness. Among females, low and medium levels of classmate support...... odds of frequent drunkenness compared with those with high level of satisfaction with friendships. CONCLUSION: We found different associations between perceived quality of social relations and frequent drunkenness among male and female students. Results showed that social relations seemed to better...

  2. Relative deprivation: Measurement issues and predictive role for body image dissatisfaction.

    Science.gov (United States)

    Esposito, Lucio; Villaseñor, Adrián

    2017-09-21

    The study of how relative standing in the socioeconomic hierarchy affects health outcomes faces a number of challenges. Two critical issues are the choice of the indicator quantifying relative standard of living and the collinearity which typically arises when absolute standard of living is controlled for. We address these issues by taking into examination linear and concave measures of relative deprivation and by showing that collinearity can be lessened through manipulations of the measures' formulae. Importantly, we argue that the two issues are intertwined and should be jointly considered by researchers. We illustrate the points above using nationally representative data from Mexico (N = 44,214) and studying relative deprivation as a predictor of body image dissatisfaction - a growing public health concern whose effects go well beyond eating disorders. Controlling for several individual characteristics, binary and multinomial logit regressions indicate relative deprivation as a risk factor for body image dissatisfaction. By conducting subsample analyses and by introducing an interaction term between gender and relative deprivation, we show evidence of a gender-based heterogeneity in the role of relative deprivation - which predicts feeling smaller than desired for both females and males and feeling larger than desired for females but not for males. This heterogeneity is discussed in the light of the different social pressures females and males face for slenderness and muscularity. Our evidence enriches the literature on socioeconomic gradients in health, pointing to an additional domain in which a low position in the socioeconomic ladder translates into greater likelihood of developing health problems and adopting health-compromising behaviors. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. The Issues of Human Rights in the India-U.S. Relations

    OpenAIRE

    Zakharov Aleksey I.

    2016-01-01

    The article presents a brief overview of India-U.S. relations during the period of Narendra Modi’s government and Barack Obama’s administration. The author analyzes the dynamics of cooperation development after the victory of Bharatiya Janata Party in the 2014 Parliamentary elections in India and studies the key directions of bilateral agenda. The current condition of India-U.S. strategic dialogue and the influence of human rights issues on the countries’ cooperation are characterized. Si...

  4. The Issues of Human Rights in the India-U.S. Relations

    OpenAIRE

    Zakharov Aleksey I.

    2016-01-01

    The article presents a brief overview of India-U.S. relations during the period of Narendra Modi’s government and Barack Obama’s administration. The author analyzes the dynamics of cooperation development after the victory of Bharatiya Janata Party in the 2014 Parliamentary elections in India and studies the key directions of bilateral agenda. The current condition of India-U.S. strategic dialogue and the influence of human rights issues on the countries’ cooperation are characterized. Si...

  5. TRENDS AND ISSUES: A REVIEW OF STUDIES RELATED TO TECHNOLOGY USAGE IN EARLY CHILDHOOD EDUCATION

    OpenAIRE

    Elif ÖZTÜRK YILMAZTEKİN; OLGAN, Refika

    2013-01-01

    This paper describes types of technology studies that have been conducted related to young children’s early education. A systematic review of studies was undertaken using EBSCOhost, Blackwell Synergy, and ScienceDirect databases, to identify all studies published between 2003 and 2009 according to specific criteria. The studies were selected on the basis of the following three issues: (1) the role of technology in children’s development, (2) the role of technology in teachers’ teaching pract...

  6. Global Civil Society and Health Advocacy in Intellectual Property Related Issues

    OpenAIRE

    Bennett, Alexandra

    2015-01-01

    Civil society organizations and other non-governmental organizations (NGOs) act as policy watchdogs and often represent the voices of marginalized populations. The importance of advocates in the field of Intellectual Property is apparent now more than ever. The global stage is changing; what were previously considered domestic issues have been thrust onto the international stage by agreements such as the Trade Related Aspects of Intellectual Property Rights agreement (TRIPS) (Sell & Praka...

  7. Decentralization for High-Quality Education: Elements and Issues of Design. RTI Research Report Series. Occasional Paper

    Science.gov (United States)

    Healey, F. Henry, III; Crouch, Luis

    2012-01-01

    The impact of education decentralization on high-quality education has been mixed at best. This can be attributed to a variety of factors including decentralization itself, ineffectual implementation, political-economic friction, and poor design. This paper focuses largely on the issue of design, contending that if governments or donors aim to…

  8. On the Conceptual Issues Surrounding the Notion of Relational Bohmian Dynamics

    CERN Document Server

    Vassallo, Antonio

    2016-01-01

    The paper presents a program to construct a non-relativistic relational Bohmian theory, that is, a theory of $N$ moving point-like particles that dispenses with space and time as fundamental background structures. The relational program proposed is based on the best-matching framework originally developed by Julian Barbour. In particular, the paper focuses on the conceptual problems that arise when trying to implement such a program. It is argued that pursuing a relational strategy in the Bohmian context leads to a more parsimonious ontology than that of standard Bohmian mechanics without betraying the original motivations for adopting a primitive ontology approach to quantum physics. It is also shown how a relational Bohmian approach might clarify the issue of the timelessness of the dynamics resulting from the quantization of a classical relational system of particles.

  9. On the Conceptual Issues Surrounding the Notion of Relational Bohmian Dynamics

    Science.gov (United States)

    Vassallo, Antonio; Ip, Pui Him

    2016-08-01

    The paper presents a program to construct a non-relativistic relational Bohmian theory, that is, a theory of N moving point-like particles that dispenses with space and time as fundamental background structures. The relational program proposed is based on the best-matching framework originally developed by Julian Barbour. In particular, the paper focuses on the conceptual problems that arise when trying to implement such a program. It is argued that pursuing a relational strategy in the Bohmian context leads to a more parsimonious ontology than that of standard Bohmian mechanics without betraying the original motivations for adopting a primitive ontology approach to quantum physics. It is also shown how a relational Bohmian approach might clarify the issue of the timelessness of the dynamics resulting from the quantization of a classical relational system of particles.

  10. Current issues and related activities in seismic hazard analysis in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Jeong-Moon [Korea Atomic Energy Research Inst., Taejon (Korea, Republic of); Lee, Jong-Rim; Chang, Chun-Joong

    1997-03-01

    This paper discusses some technical issues identified from the seismic hazard analyses for probabilistic safety assessment on the operating Korean nuclear power plants and the related activities to resolve the issues. Since there are no strong instrumental earthquake records in Korea, the seismic hazard analysis is mainly dependent on the historical earthquake records. Results of the past seismic hazard analyses show that there are many uncertainties in attenuation function and intensity level and that there is a need to improve statistical method. The identification of the activity of the Yangsan Fault, which is close to nuclear power plant sites, has been an important issue. But the issue has not been resolved yet in spite of much research works done. Recently, some capable faults were found in the offshore area of Gulupdo Island in the Yellow Sea. It is anticipated that the results of research on both the Yangsan Fault and reduction of uncertainty in seismic hazard analysis will have an significant influence on seismic design and safety assessment of nuclear power plants in the future. (author)

  11. trans-Resveratrol in Nutraceuticals: Issues in Retail Quality and Effectiveness

    Directory of Open Access Journals (Sweden)

    Gianni Sacchetti

    2012-10-01

    Full Text Available Fourteen brands of resveratrol-containing nutraceuticals were evaluated in order to verify their actual resveratrol content and to control if their health-promoting properties are related to manufacturing quality. Products included pure resveratrol capsules or multi-ingredient formulations with standardized amounts of resveratrol and other phytochemicals. Samples were analyzed for total trans-resveratrol, flavonoids, procyanidin, polyphenol content and the results were compared with the content declared on-label. Only five out of 14 brands had near label values, compliant with Good Manufacturing Practices (GMP requirements (95–105% content of active constituent, four products were slightly out of this range (83–111% and three were in the 8–64% range. Two samples were below the limit of detection. The greater the difference between actual and labeled resveratrol content, the lower was the antioxidant and antiproliferative activity strength. Dietary supplements containing pure trans-resveratrol exhibited a greater induction of differentiation towards human leukemic K562 cells when compared to multicomponent products. Great differences currently exist among resveratrol food supplements commercially available and GMP-grade quality should not be taken for granted. On the other side, dosages suggested by most “pure”, “high-dosage” supplements may allow a supplementation level adequate to obtain some of the purported health benefits.

  12. Integrating positive psychology into health-related quality of life research.

    Science.gov (United States)

    Park, Crystal L

    2015-07-01

    Positive psychology is an increasingly influential force in theory and research within psychology and many related fields, including behavioral medicine, sociology, and public health. This article aims to review the ways in which positive psychology and health-related quality of life (HRQOL) research currently interface and to suggest fruitful future directions. This article reviews the basic elements of positive psychology and provides an overview of conceptual and empirical links between positive psychology and HRQOL. The role of one central aspect of positive psychology (meaning) within HRQOL is highlighted, and unresolved issues (e.g., lack of definitional clarity) are discussed. Some research on HRQOL has taken a positive psychology perspective, demonstrating the usefulness of taking a positive psychology approach. However, many areas await integration. Once conceptual and methodological issues are resolved, positive psychology may profitably inform many aspects of HRQOL research and, perhaps, clinical interventions to promote HRQOL as well.

  13. Aggregate Indices Method in Soil Quality Evaluation Using the Relative Soil Quality Index

    Directory of Open Access Journals (Sweden)

    Ho Ngoc Pham

    2015-01-01

    Full Text Available This paper presents a new approach to assess the soil quality by aggregate indices using the Relative Soil Quality Index (RSQI proposed by Ho Ngoc Pham. RSQI is integrated from the individual indices into a simple formula for overall assessment of the soil quality. RSQI is different from other approaches. Particularly, the individual indices and the weighting factors of Pham are calculated from the analytical laboratory data and the environmental standards, respectively, and not self-regulated as in methods of some other authors. In this paper, the authors applied the RSQI to assess the Soil Environmental Quality of rice intensive cultivation areas through a case study in Haiduong province in 2013. The RSQI is calculated for sampling points in 12 districts and simulated the Soil Environmental Quality on GIS map. The results show that the Soil Environmental Quality of rice intensive cultivation areas in Haiduong is predominantly divided into three levels: good, moderate, and poor. According to the report of General Statistics Office for Haiduong province, rice intensive cultivation areas in 2013 achieved a relatively high average rice yield of 5.90 tonnes per hectare; it means actual soil properties are in line with results of the research.

  14. Designing health care environments: Part I. Basic concepts, principles, and issues related to evidence-based design.

    Science.gov (United States)

    Cesario, Sandra K

    2009-06-01

    A 2001 Institute of Medicine report captured the nation's attention regarding the dangers that can result from the health care environment. This report, fueled by the need for new facilities to be constructed, led to an explosion of research that now links the physical structure and design of health care facilities to the health and well-being of patients, nurses, other health care workers, and visitors. Continuing nursing education that highlights the importance of evidence-based design has been associated with measurable improvement in health care facilities' clinical outcomes, economic performance, employee productivity, customer satisfaction, and cultural congruency. Three major categories of outcomes can be impacted by evidence-based design: stress reduction, safety, and overall health care quality and ecology. In this article, Part I of a two-part series, the basic concepts, principles, and issues related to evidence-based design are introduced. Part II will describe continuing education programs available for nurses.

  15. Impact of cardiac rehabilitation on health related quality of life.

    LENUS (Irish Health Repository)

    Riaz, A

    2012-02-01

    Cardiac rehabilitation (CR) programs are recognized as integral part of the comprehensive care of patients with cardiovascular disease and are recommended as useful and effective (Class I) by the American Heart Association (AHA). In this study we used serial administration of the short form 36 (SF36) to evaluate patient\\'s response to CR in terms of improvement in Health related Quality of Life. A total of 49 patients were included in the analysis. There was a significant improvement observed after CR in the Physical Capacity Score (42.3 vs 49.9 p = 0.0005). There was no significant improvement in the Mental Capacity Score (54.8 vs 54.9 p = 0.96). We conclude that Cardiac Rehabilitation Program causes a significant improvement in the health related quality of life of patients by improving their physical health and well being but does not improve the mental capacity which is already at a healthy level before CR.

  16. Methodological challenges in quality of life research among Turkish and Moroccan ethnic minority cancer patients: translation, recruitment and ethical issues.

    Science.gov (United States)

    Hoopman, Rianne; Terwee, Caroline B; Muller, Martin J; Ory, Ferko G; Aaronson, Neil K

    2009-06-01

    The large population of first generation Turkish and Moroccan immigrants who moved to Western Europe in the 1960s and 1970s is now reaching an age at which the incidence of chronic diseases, including cancer, rises sharply. To date, little attention has been paid to the health-related quality of life (HRQOL) of these ethnic minority groups, primarily due to the paucity of well translated and validated measures, but also because of a range of methodological and logistical barriers. The primary objective of this paper is to describe the methodological challenges in conducting HRQOL research among these patient populations, based on experience gained in a project in which four widely used HRQOL questionnaires were translated into Turkish, Moroccan-Arabic and Tarifit, and administered to a sample of 90 Turkish and 79 Moroccan cancer patients in the Netherlands. Problems encountered in translating and administering the questionnaires included achieving semantic equivalence (use of loanwords), use of numerical rating scales, lengthy questions and response scales, and culturally sensitive and/or inappropriate questions. Privacy laws that prohibit hospitals from registering the ethnicity of patients hampered efficient identification of eligible patients. Recruiting patients to studies is often difficult due to low literacy levels, lack of familiarity with and distrust of research, concerns about immigration status, and inaccurate or missing contact information. This can lead to lower response rates than is the case with the population of Dutch cancer patients. Additional ethical issues that arise in such studies concern patients' problems with communicating with their health care providers, their lack of understanding of their diagnosis, treatment and prognosis, and the potential role conflict experienced by bilingual research assistants who may wish or be asked to intervene on the patients' behalf. Practical approaches to resolving these issues are presented.

  17. Overt and subtle discrimination, subjective well-being and physical health-related quality of life in an obese sample.

    Science.gov (United States)

    Magallares, Alejandro; Benito de Valle, Pilar; Irles, Jose Antonio; Jauregui-Lobera, Ignacio

    2014-10-27

    Obesity represents a serious health issue affecting millions of people in Western industrialized countries. The severity of the medical problems it causes is paralleled by the fact that obesity has become a social stigma that affects the psychological health-related quality of life of individuals with weight problems. Our study, with 111 obese patients of a Spanish hospital, focused specifically on how overt and subtle discrimination is related to subjective well-being (affect balance and life satisfaction) and physical health-related quality of life. It was shown that overt (r = -.28, p subjective well-being, and that there was a negative correlation between overt discrimination and physical health-related quality of life (r = -.26, p subjective well-being using the Baron and Kenny procedure. Finally, it is discussed the relationship between discrimination, subjective well-being and physical health-related quality of life in obese people.

  18. Teacher formation related to socio-scientific issues: complexity, contributions and limitations of an educational practice

    Directory of Open Access Journals (Sweden)

    Mariuce Campos de Moraes

    2015-12-01

    Full Text Available This reflection refers to teacher formation related to socio-scientific issues. Whereas such matters take into account the impact of scientific development in society, including ethical aspects and encompass dilemmas involving a wide range of prospects for its resolution, we propose analysis of the complexity that is inherent in their teaching. Thus, we aimed to analyze different spaces and teaching time that produce and are produced in close linkage between theory and practice, as well as their contributions and limitations. The study required a dynamic conversation system that led to the analysis indicators. The issue of sustainability was shown to be feasible for educational planning as cover technical and scientific knowledge, ethical, social and economic pressures. The collective production allowed understand arguments and reflective-creative processes. The lived relations in schools has accompanied and limited the ideas expressed on the socio-scientific issues. We understand that the simultaneity of research and reflection in the sociocultural context has strengthened teacher formation.

  19. Resolving plant operational issues related to pressurizer safety relief valve piping

    Energy Technology Data Exchange (ETDEWEB)

    Bain, R.A. [Stone and Webster Engineering Corp., Boston, MA (United States). Mechanical Engineering Div.; Testa, M.F. [Duquesne Light Co., Shippingport, PA (United States). Mechanical Engineering Dept.

    1995-11-01

    Pressurizer safety and relief valve (PSARV) piping has many technical issues related to the qualification and operation of the system that have been addressed at Beaver Valley Unit 2. The PSARV piping is part of a system that must meet Code requirements while being subjected to very significant fluid transient loadings. Valve components include safety valves, power operated relief valves (PORVs), and motor operated block valves. Fluid slugs upstream of these valves can be steam or can be hot or cold water, resulting in a significant variance in possible slug densities. Problems with design options and hardware installed to decrease slug density such as heat tracing, and the susceptibility of the PORVs to leak are issues that affect plant operation, efficiency and cost effectiveness.

  20. Vision Related Quality of Life in Patients with Keratoconus

    Directory of Open Access Journals (Sweden)

    Sevda Aydin Kurna

    2014-01-01

    Full Text Available Purpose. The purpose of this study is to evaluate the vision related quality of life in patients with keratoconus by using the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25. Methods. Thirty patients presented with keratoconus (keratoconus group and 30 healthy patients (control group were included in this study. Twenty patients were using rigid gas permeable and 10 patients were not using contact lenses in keratoconus group. High and low contrast visual acuity and mean K values of the patients were recorded. Each subject completed the 25-item NEI-VFQ-25. Results. All subscales of NEI-VFQ-25 were lower in the keratoconus patients. The difference was more evident in the subscales of general vision, ocular pain, near vision, vision-specific mental health, vision-specific role difficulties, and peripheral vision P 0.4 in the better eye had lower distance vision, social functioning, mental health, and role difficulties. Meanwhile, patients with low visual acuity (logMAR > 0.4 in the worse eye had lower general health scores P<0.05. Conclusions. Vision related quality of life was worse in keratoconus patients. Success in the contact lens usage and maintaining higher visual acuity may improve vision related quality of life.

  1. Vision Related Quality of Life in Patients with Keratoconus

    Science.gov (United States)

    Aydin Kurna, Sevda; Altun, Ahmet; Gencaga, Tugba; Akkaya, Sezen; Sengor, Tomris

    2014-01-01

    Purpose. The purpose of this study is to evaluate the vision related quality of life in patients with keratoconus by using the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25). Methods. Thirty patients presented with keratoconus (keratoconus group) and 30 healthy patients (control group) were included in this study. Twenty patients were using rigid gas permeable and 10 patients were not using contact lenses in keratoconus group. High and low contrast visual acuity and mean K values of the patients were recorded. Each subject completed the 25-item NEI-VFQ-25. Results. All subscales of NEI-VFQ-25 were lower in the keratoconus patients. The difference was more evident in the subscales of general vision, ocular pain, near vision, vision-specific mental health, vision-specific role difficulties, and peripheral vision (P  0.4) in the better eye had lower distance vision, social functioning, mental health, and role difficulties. Meanwhile, patients with low visual acuity (logMAR > 0.4) in the worse eye had lower general health scores (P < 0.05). Conclusions. Vision related quality of life was worse in keratoconus patients. Success in the contact lens usage and maintaining higher visual acuity may improve vision related quality of life. PMID:24868455

  2. Health Related Quality of Life among Insulin-Dependent Diabetics: Disease-Related and Psychosocial Correlates.

    Science.gov (United States)

    Aalto, Anna-Mari; Uutela, Antti; Aro, Arja R.

    1997-01-01

    The associations of health and psychosocial factors with the Health Related Quality of Life Questionnaire were examined in adult type 1 diabetic patients (N=385). The most important factors from multivariate analysis were self-efficacy and diabetes-related social support, especially among those in good physical condition. Diabetes-specific factors…

  3. Relating watershed nutrient loads to satellite derived estuarine water quality

    Science.gov (United States)

    Lehrter, J. C.; Le, C.

    2015-12-01

    Nutrient enhanced phytoplankton production is a cause of degraded estuarine water quality. Yet, relationships between watershed nutrient loads and the spatial and temporal scales of phytoplankton blooms and subsequent water quality impairments remain unquantified for most systems. This is partially due to a lack of observations. In many systems, satellite remote sensing of water quality variables may be used to supplement limited field observations and improve understanding of linkages to nutrients. Here, we present the results from a field and satellite ocean color study that quantitatively links nutrients to variations in estuarine water quality endpoints. The study was conducted in Pensacola Bay, Florida, an estuary in the northern Gulf of Mexico that is impacted by watershed nutrients. We developed new empirical band ratio algorithms to retrieve phytoplankton biomass as chlorophyll a (chla), colored dissolved organic matter (CDOM), and suspended particulate matter (SPM) from the MEdium Resolution Imaging Spectrometer (MERIS). MERIS had suitable spatial resolution (300-m) for the scale of Pensacola Bay (area = 370 km2, mean depth = 3.4 m) and a spectral band centered at wavelength 709 nm that was used to minimize the effect of organic matter on chla retrieval. The algorithms were applied to daily MERIS remote sensing reflectance (level 2) data acquired from 2003 to 2011 to calculate nine-year time-series of mean monthly chla, CDOM, and SPM concentrations. The MERIS derived time-series were then analyzed for statistical relations with time-series of mean monthly river discharge and river loads of nitrogen, phosphorus, dissolved organic carbon, and SPM. Regression analyses revealed significant relationships between river loads and MERIS water quality variables. The simple regression models provide quantitative predictions about how much chla, CDOM, and SPM concentrations in Pensacola Bay will increase with increased river loading, which is necessary information

  4. Current research issues related to post-wildfire runoff and erosion processes

    Science.gov (United States)

    Moody, John A.; Shakesby, Richard A.; Robichaud, Peter R.; Cannon, Susan H.; Martin, Deborah A.

    2013-01-01

    Research into post-wildfire effects began in the United States more than 70 years ago and only later extended to other parts of the world. Post-wildfire responses are typically transient, episodic, variable in space and time, dependent on thresholds, and involve multiple processes measured by different methods. These characteristics tend to hinder research progress, but the large empirical knowledge base amassed in different regions of the world suggests that it should now be possible to synthesize the data and make a substantial improvement in the understanding of post-wildfire runoff and erosion response. Thus, it is important to identify and prioritize the research issues related to post-wildfire runoff and erosion. Priority research issues are the need to: (1) organize and synthesize similarities and differences in post-wildfire responses between different fire-prone regions of the world in order to determine common patterns and generalities that can explain cause and effect relations; (2) identify and quantify functional relations between metrics of fire effects and soil hydraulic properties that will better represent the dynamic and transient conditions after a wildfire; (3) determine the interaction between burned landscapes and temporally and spatially variable meso-scale precipitation, which is often the primary driver of post-wildfire runoff and erosion responses; (4) determine functional relations between precipitation, basin morphology, runoff connectivity, contributing area, surface roughness, depression storage, and soil characteristics required to predict the timing, magnitudes, and duration of floods and debris flows from ungaged burned basins; and (5) develop standard measurement methods that will ensure the collection of uniform and comparable runoff and erosion data. Resolution of these issues will help to improve conceptual and computer models of post-wildfire runoff and erosion processes.

  5. Issues and Opportunities for Improving the Quality and Use of Data in the Department of Defense

    Science.gov (United States)

    2011-03-01

    from the data being released. For example (covert channels): determining the timing of an invasion in Iraq based on num- ber of late-night pizza ...abstract data quality goals into concrete data quality requirements. This includes methods to analyze and preserve the integrity of data quality

  6. Which domains of thyroid-related quality of life are most relevant?

    DEFF Research Database (Denmark)

    Watt, Torquil; Hegedüs, Laszlo; Rasmussen, Ase Krogh

    2007-01-01

    To identify how thyroid diseases impact the patients' lives and to select the most relevant quality of life (QoL) issues for a thyroid-specific questionnaire.......To identify how thyroid diseases impact the patients' lives and to select the most relevant quality of life (QoL) issues for a thyroid-specific questionnaire....

  7. Comparison of environmental issues related to development of small hydropower resources at new versus existing sites

    Energy Technology Data Exchange (ETDEWEB)

    Loar, J. M.; Hildebrand, S. G.

    1980-01-01

    Many of the ecological issues associated with the development of small hydropower resources are similar at both new (undeveloped) sites and those with existing dams that will be retrofitted for hydroelectric generation. Issues that could occur with both types of development are: (1) blockage of fish migration routes; (2) water level fluctuations; (3) instream flows, (4) water quality; (5) dredging and dredged material disposal; and (6) threatened or endangered species. However, new site development projects require the alteration of existing aquatic and terrestrial ecosystems that will be, in most cases, significantly greater than the environmental changes associated with the retrofitting of existing dams. Although project design and operation are important factors controlling the nature and magnitude of the environmental impacts of small hydropower resource development, the mitigation of adverse impacts (and the optimization of beneficial effects) is dependent, in large measure, on our ability to accurately predict physical, chemical, and biological changes. Predicting the impacts of new impoundments may be considerably more difficult than predicting the impacts that might occur if an existing dam/impoundment system is developed. A comparative approach at the ecosystem level can provide valuable insights into the structure and function of reservoir systems and significantly increase our predictive capability.

  8. Determining issues of importance for the evaluation of quality of life and patient-reported outcomes in breast cancer: results of a survey of 1072 patients.

    Science.gov (United States)

    Hollen, Patricia J; Msaouel, Pavlos; Gralla, Richard J

    2015-06-01

    Identifying key issues for patients is central to assessing treatment for cancer, especially when evaluating health-related quality of life (QL) and patient-reported outcomes (PROs). This study was conducted to provide enhanced content validity support by incorporating the views of a large number of patients with breast cancer. This methodological study used an anonymous, cross-sectional, electronic web-based survey of 1072 patients with a diagnosis of breast cancer. Patients ranked the importance of 21 issues on a 5-point scale. Issues included general, physical, functional, psychosocial, and summative items. Analysis was also performed by four key factors (age group, time since diagnosis, adjuvant treatment or not, and tumor extent). All of the top five issues rated as either "very important" or "important" were global issues-rather than symptoms-such as maintaining quality of life (ranked in these two highest categories by 99 % of patients), maintaining independence (97 %), and ability to perform normal activities (97 %). The abilities to concentrate and to be able to sleep (97 and 96 %, respectively) were ranked above specific breast cancer symptoms. Specific symptoms included within the top ten highest ranked items were fatigue, depression, anxiety, shortness of breath, and pain. This is the largest analysis of evidence-based data determining support for content validity for QL and PROs provided by patients with breast cancer. While symptoms are important to patients, the survey also demonstrates that PRO measures that only evaluate symptoms are not fully responding to patient-expressed needs. These results provide confidence in the content of quality of life measures for large groups of patients with breast cancer, including the new Breast Cancer Symptom Scale (BCSS) questionnaire.

  9. Fetal Aneuploidy Detection by Cell-Free DNA Sequencing for Multiple Pregnancies and Quality Issues with Vanishing Twins

    Directory of Open Access Journals (Sweden)

    Sebastian Grömminger

    2014-06-01

    Full Text Available Non-invasive prenatal testing (NIPT by random massively parallel sequencing of maternal plasma DNA for multiple pregnancies is a promising new option for prenatal care since conventional non-invasive screening for fetal trisomies 21, 18 and 13 has limitations and invasive diagnostic methods bear a higher risk for procedure related fetal losses in the case of multiple gestations compared to singletons. In this study, in a retrospective blinded analysis of stored twin samples, all 16 samples have been determined correctly, with four trisomy 21 positive and 12 trisomy negative samples. In the prospective part of the study, 40 blood samples from women with multiple pregnancies have been analyzed (two triplets and 38 twins, with two correctly identified trisomy 21 cases, confirmed by karyotyping. The remaining 38 samples, including the two triplet pregnancies, had trisomy negative results. However, NIPT is also prone to quality issues in case of multiple gestations: the minimum total amount of cell-free fetal DNA must be higher to reach a comparable sensitivity and vanishing twins may cause results that do not represent the genetics of the living sibling, as described in two case reports.

  10. China-U.S. Relations: Current Issues and Implications for U.S. Policy

    Science.gov (United States)

    2008-10-09

    Strains in Taiwan-U.S. Political Relations, by Kerry Dumbaugh. ! The Asia-Pacific Partnership on Clean Development and Climate (AP6), announced in 2005...quality, agriculture, human health, and climate change. PRC leaders have recognized that this trend is not sustainable and have undertaken efforts to...representatives in Shenzhen , China.49 These also were described as “candid and frank,” but they did result in a decision to schedule a seventh round

  11. Environmental Related Issues along Kayamkulam – Thottappally Placer Deposits, SW Coast, India

    Directory of Open Access Journals (Sweden)

    Babu Nallusamy

    2016-06-01

    Full Text Available Baseline status on the shoreline changes, water level fluctuation, water quality and impact of tsunami on placer concentration deals in this paper. Socio-ecological problems have always been reported as sensitive issues during the mining of placers in coastal regions of India. The Kayamkualm-Thottappally area has a delicate eco-system and is prone to severe beach erosion even in summer season. Shoreline change studies show that, moderate erosion was empirical along the south of Purakkad from Thrikkunnapuzha to Thottappally. Depositional features were observed atleast for about 400 m towards sea from Pannur to Chellakad area. Watertables in wells which are distant from the shoreline (100 – 1000 m show higher positions during post-monsoon, due to recharge after monsoon. The proximity of Kayamkulam lagoon to selected sampling sites (Vattachal to Valiazhikal causes increased salinity. In general, the quality of the water with respect to pH and Eh is good in the study area. The giant tsunami waves have brought considerable quantities of shelf sediments to the coast and done maximum damages in the study area especially in Tharayilkadavu, about 4 km north of Kayamkulam inlet.

  12. Current issues relating to psychosocial job strain and cardiovascular disease research.

    Science.gov (United States)

    Theorell, T; Karasek, R A

    1996-01-01

    The authors comment on recent reviews of cardiovascular job strain research by P. L. Schnall and P. A. Landsbergis (1994), and by T. S. Kristensen (1995), which conclude that job strain as defined by the demand-control model (the combination of contributions of low job decision latitudes and high psychological job demands) is confirmed as a risk factor for cardiovascular mortality in a large majority of studies. Lack of social support at work appears to further increase risk. Several still-unresolved research questions are examined in light of recent studies: (a) methodological issues related to use of occupational aggregate estimations and occupational career aggregate assessments, use of standard scales for job analysis and recall bias issues in self-reporting; (b) confounding factors and differential strengths of association by subgroups in job strain-cardiovascular disease analyses with respect to social class, gender, and working hours; and (c) review of results of monitoring job strain-blood pressure associations and associated methodological issues.

  13. Health related quality of life after surgery for colonic diverticular disease

    Institute of Scientific and Technical Information of China (English)

    Imerio; Angriman; Marco; Scarpa; Cesare; Ruffolo

    2010-01-01

    Diverticular disease(DD) of the colon is very common in developed countries and is ranked the fifth most important gastrointestinal disease worldwide.The management of acute diverticulitis without perforation and peritonitis is still debated.Health related quality of life(HRQL),subjectively perceived by patients,is becoming a major issue in the evaluation of any therapeutic intervention,mainly in patients with chronic disease.To date only a few published studies can be found on Medline examining HRQL in pat...

  14. Hospital Malnutrition Related to Fasting and Underfeeding: Is It an Ethical Issue?

    Science.gov (United States)

    Arenas Moya, Diego; Plascencia Gaitán, Alejandra; Ornelas Camacho, Denisse; Arenas Márquez, Humberto

    2016-06-01

    Hospital malnutrition is a relevant clinical issue present in about 50% of patients that is associated with increased morbidity, mortality, and cost of care. Because of the relation of malnutrition with chronic and acute inflammatory processes secondary to disease, nutrition therapy is considered an important medical treatment. However, there is little discussion about the impact of another critical issue related to hospital malnutrition, that is, lack of appropriate food or nutrition therapy given to the patients. Unnecessary fasting practices and the use of inappropriate nutrition prescriptions result in underfeeding that can be a related or direct cause of hospital malnutrition, independent of disease or inflammatory state. Suboptimal prescription of oral, enteral, and parenteral nutrition should be analyzed and discussed from an ethical perspective since this practice has the potential to harm patients. In addition, absence or inadequate provision of nutrition may present barriers for improved patient outcomes and could be prevented by simply recognizing lack of knowledge, skills, or experience in nutrition and entrusting nutrition prescription to interdisciplinary teams with clinicians well prepared in nutrition sciences. This article reviews potential barriers to the prevention or treatment of hospital malnutrition and proposes specific actions that can help clinicians to overcome and implement optimal nutrition not just as medical therapy but also as a basic comfort care that may help patients nutritionally, clinically, physically, and emotionally. © 2016 American Society for Parenteral and Enteral Nutrition.

  15. Rearward Visibility Issues Related to Agricultural Tractors and Self-Propelled Machinery: Contributing Factors, Potential Solutions.

    Science.gov (United States)

    Ehlers, S G; Field, W E

    2016-01-01

    As the size, complexity, and speed of agricultural tractors and self-propelled machinery have increased, so have the visibility-related issues, placing significant importance on the visual skills, alertness, and reactive abilities of the operator. Rearward movement of large agricultural equipment has been identified in the literature as causing both fatalities and injuries to bystanders who were not visible to the operator and damage to both the machine and stationary objects. The addition of monitoring assistance, while not a new concept, has advanced significantly, offering agricultural machinery operators greater options for increasing their awareness of the area surrounding the machine. In this research, we attempt to (1) identify and describe the key contributors to agricultural machinery visibility issues, i.e., operator-related and machine-related factors, and (2) enumerate and evaluate the potential solutions being offered that address these factors. Enhanced operator safety and efficiency should result from a better understanding of the efforts to solve the visibility problems inherent in large tractors and self-propelled agricultural machinery.

  16. 75 FR 28610 - Draft EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments

    Science.gov (United States)

    2010-05-21

    ... AGENCY Draft EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments... Issues Related to Dioxin Toxicity and Response to NAS Comments'' (EPA/600/R- 10/038A). This draft report responds to the key recommendations and comments included in the National Academy of Sciences (NAS)...

  17. 75 FR 62514 - Notice of Availability of Report on Data Access and Privacy Issues Related to Smart Grid...

    Science.gov (United States)

    2010-10-12

    ... of Availability of Report on Data Access and Privacy Issues Related to Smart Grid Technologies AGENCY... Access and Privacy Issues Related to Smart Grid Technologies.'' In this report, DOE discusses existing... accommodate the deployment of Smart Grid technologies. DOE also provides a comprehensive summary of the...

  18. Power system technical performance issues related to the application of long HVAC cables

    DEFF Research Database (Denmark)

    Wiechowski, on behalf of Cigre WG C4.502, W.; Sluis, L. V. der; Ohno, Teruo

    2011-01-01

    This paper reports the progress of work of Cigre Working Group C4.502 “Power system technical performance issues related to the application of long HVAC cables”. The primary goal of the WG C4.502 is to write a technical brochure that will serve as practical guide for performing studies necessary...... for assessing the technical performance of HV/EHV systems with large share of AC cable lines. This paper besides providing a background for formulation of WG C4.502 and its overall aim, describes the tasks that were accomplished before the interim report was submitted to Study Committee C4 System Technical...

  19. Power System Technical Performance Issues related to the Application of Long HVAC Cables

    DEFF Research Database (Denmark)

    Wiechowski, W.; der Sluis, L.V.; Ohno, Teruo

    2011-01-01

    This paper reports the progress of work of Cigre Working Group C4.502 “Power system technical performance issues related to the application of long HVAC cables”. The primary goal of the WG C4.502 is to write a technical brochure that will serve as practical guide for performing studies necessary...... for assessing the technical performance of HV/EHV systems with large share of AC cable lines. This paper besides providing a background for formulation of WG C4.502 and its overall aim, describes the tasks that were accomplished before the interim report was submitted to Study Committee C4 System Technical...

  20. Impact of direct-to-consumer advertising (DTCA) on patient health-related behaviors and issues.

    Science.gov (United States)

    Polen, Hyla H; Khanfar, Nile M; Clauson, Kevin A

    2009-01-01

    The pharmaceutical industry spends billions of dollars annually on direct-to-consumer advertising (DTCA). Patient perspectives on the impact of televised DTCA on health-related behaviors and issues were assessed by means of a 68-question survey. 58.6% of respondents believed that DTCA allowed consumers to have a more active role in managing their health. However, 27.6% felt DTCA caused confusion, and an alarming 17.8% of respondents stopped taking their medication because of concerns about serious side effects mentioned in DTCA. Overall, participants believed DTCA plays a useful role in health self-management; however, a considerable percentage thought that the cost outweighs the benefits.

  1. Health-related quality of life in early breast cancer

    DEFF Research Database (Denmark)

    Grønvold, Mogens

    2010-01-01

    . This thesis deals with scientific aspects and clinical results of a study aimed at assessing the impact of breast cancer (and its treatment) on the patients' quality of life. Studies such as this assessing the problems and symptoms experienced by the patients are often referred to as health-related quality...... populations reporting their symptoms more completely, e.g., general population samples. In contrast, this mechanism has little importance when results from different sub-groups of cancer patients are compared. In this study multiple variables were assessed at multiple points in time and we did not have...... to be lower than those from the general population sample. After careful consideration we concluded that this finding was probably incorrect. The most important explanations were thought to be the wording of some HAD Scale items as well as two mechanisms that are not specific to the HAD Scale, the "selective...

  2. Health Related Quality Of Life In Patents With Spinal Disorders

    Directory of Open Access Journals (Sweden)

    Kamath Prakash

    2003-01-01

    Full Text Available Spinal disorders are the major cause of disability and poor Quality Of Life (QoL. This study attempted to measure Health Related Quality Of Life (HRQoL Spinal disorders using a brief, generic scale. Consecutive subjects with spinal disorders (n=102 were interviewed using two scales Karnofsky Performance Status, Euro QoL EQ-5D and two statements from WHOQoL-Bref. The study found that the overall HRQoL in spinal disorders is not so good in most of the patients. Pain and impaired mobility maximally contributed to the poor HRQoL. Socio demographic factors like age, education, habitat had significant relationship with HRQoL scores. Average time taken for HRQoL measurement was less than 5 minutes. In conclusion HRQoL in spinal disorders is generally not so good and brief generic scales to measure HRQOL can prove to be useful for routine use.

  3. Quantitative performance of E-Scribe warehouse in detecting quality issues with digital annotated ECG data from healthy subjects.

    Science.gov (United States)

    Sarapa, Nenad; Mortara, Justin L; Brown, Barry D; Isola, Lamberto; Badilini, Fabio

    2008-05-01

    The US Food and Drug Administration recommends submission of digital electrocardiograms in the standard HL7 XML format into the electrocardiogram warehouse to support preapproval review of new drug applications. The Food and Drug Administration scrutinizes electrocardiogram quality by viewing the annotated waveforms and scoring electrocardiogram quality by the warehouse algorithms. Part of the Food and Drug Administration warehouse is commercially available to sponsors as the E-Scribe Warehouse. The authors tested the performance of E-Scribe Warehouse algorithms by quantifying electrocardiogram acquisition quality, adherence to QT annotation protocol, and T-wave signal strength in 2 data sets: "reference" (104 digital electrocardiograms from a phase I study with sotalol in 26 healthy subjects with QT annotations by computer-assisted manual adjustment) and "test" (the same electrocardiograms with an intentionally introduced predefined number of quality issues). The E-Scribe Warehouse correctly detected differences between the 2 sets expected from the number and pattern of errors in the "test" set (except for 1 subject with QT misannotated in different leads of serial electrocardiograms) and confirmed the absence of differences where none was expected. E-Scribe Warehouse scores below the threshold value identified individual electrocardiograms with questionable T-wave signal strength. The E-Scribe Warehouse showed satisfactory performance in detecting electrocardiogram quality issues that may impair reliability of QTc assessment in clinical trials in healthy subjects.

  4. Current issues in schizophrenia: overview of patient acceptability, functioning capacity and quality of life.

    Science.gov (United States)

    Lambert, Martin; Naber, Dieter

    2004-01-01

    The increasing interest in the subjective wellbeing and quality of life (QoL) of patients with schizophrenia represents a conceptual extension of therapeutic outcome criteria. For a long time, the reduction of positive symptoms alone was the most important outcome parameter, but the development of atypical antipsychotic drugs in the early 1990s resulted in the adoption of more wide-reaching measures of therapeutic outcome. Patient satisfaction appears to be strongly related to their willingness to be or stay engaged in psychosocial and pharmacological treatment, and therefore to the symptomatic and functional outcome. Existing studies that deal with QoL and subjective wellbeing differ in their methodology and are difficult to compare because of varying underlying concepts of QoL or subjective wellbeing, different assessment scales or small sample sizes. Although QoL is a heterogeneous concept, it is clearly correlated with a number of factors, including illness, medication and stress process-related variables. Various protective factors have been identified; among these are personality traits, the degree of social support and treatment interventions. In clinical studies, atypical antipsychotic agents are associated with greater improvements in QoL and subjective wellbeing than are conventional agents. The reason for this is probably the ability of atypical agents to have a positive impact on factors most associated with QoL, such as negative and affective symptoms and drug tolerability. The most appropriate clinical approach to maximize QoL and subjective wellbeing for patients with schizophrenia is to use atypical antipsychotic drugs as a first-line treatment approach. Ideally, an atypical drug which is known not to have a negative effect on attention, affect or motivation should be chosen.

  5. An issue tracking system to facilitate the enhancement of clinical data quality in the clinical breast care project.

    Science.gov (United States)

    Zhang, Yonghong; Sun, Weihong; Gutchell, Emily M; Hu, Hai; Liebman, Michael N; Shriver, Craig D; Mural, Richard J

    2007-10-11

    An online issue tracking (QAIT) system was developed to support the QA of questionnaire-based clinical data and tissue banking in the Clinical Breast Care Project (CBCP). The web-based system provides a centralized storage and management of QA issues and role-based access to related information and functions via internet. The QAIT system greatly improved the QA process for the CBCP clinical data and tissue banking and can be easily adapted to other applications.

  6. Examination of issues related to U. S. Lake Erie natural gas development

    Energy Technology Data Exchange (ETDEWEB)

    McGregor, D.L.

    1978-09-01

    A report is presented which marks the culmination of a preliminary identification and examination of issues related to U.S. Lake Erie (USLE) natural gas development. A brief synopsis of the Canadian Lake Erie gas development program is presented. Also reviewed are (1) relevant natural gas economics, (2) the existing institutional framework for administering a USLE gas development program, and (3) drilling technology related to Lake Erie gas exploitation. The issues were identified through a structured selection process, and are examined using a question-response format following each of the topical (economic, institutional, technological) overviews. The results of research and analysis efforts described briefly at the end of the report are crucial to conclusions developed in the final environmental impact statement. The study region addressed is defined by U.S. waters extending eastward from a north-south boundary line between Marblehead, Ohio, and the tip of Pt. Pelee, Ontario, to Buffalo, New York--an area which corresponds roughly to the U.S. portion of the central and eastern basins of Lake Erie. The inland portion of the study area includes those counties of Ohio, Pennsylvania, and New York adjacent to the Lake, from Ottawa, Ohio, to Erie, New York. This region was defined to concentrate assessment efforts to those areas where development and production activities would have direct environmental consequences. However, where appropriate, the study area was expanded to meet the needs of issue identification and examination. Examination of natural gas economics often required expansion of investigation to a state, regional, or national level. Also, many environmental parameters were examined to gain a Great Lakes watershed perspective.

  7. Swelling Index of Glutenin (SIG) Related to Protein Quality,Dough Characters and Noodle Quality

    Institute of Scientific and Technical Information of China (English)

    HU Xin-zhong; WEI Yi-min; M I P Kovacs; WANG Chun

    2004-01-01

    The swelling index of glutenin (SIG) and the protein fraction of 25 Chinese wheat varieties were studied with new protein fractions extracting method. The protein fractions compose of monomeric protein, soluble glutenin and insoluble glutenin. The relations between other protein index, dough character, and fresh noodle quality were also discussed. The SIG results at different time is positively and highly significantly related to the insoluble glutenin content (r=0.808 -0.867, P< 0.01). The SIG result can reflect the insoluble glutenin content. The protein content, gluten index, farinograph stability time, extensibility length and extensigramenergy were positively and significantly correlated with SIG5 and SIG20 (r=0.516- 0.734, P<0.05, 0.01).SIG proved to be applicable in Chinese wheat dough evaluation. Fresh noodle making quality parameters were evaluated by fresh noodle length, thickness, maximum resistance to extension, extension area and extension distance, while cooked noodle texture was determined by cutting firmness, compression recovery, surface firmness and TPA by using a texture analyzer of TA.XT2i.The noodle cooking quality was significantly correlated with SIG value. The surface firmness and cutting firmness were more desirable for predicating the quality difference than TPA test and compression. Cooking loss and water absorption were negatively related to SIG value and insoluble content (r=-0.556 - - 0.787, P< 0.05, 0.01) . The results showed that SIG test was also suitable in evaluating noodle making and cooking quality in very small sample size, which was very important in wheat breeding programs. Therefore,SIG test, as a small scale test, is suitable to evaluate dough rheological properties for Chinese wheat varieties, and will be helpful in cereal research and wheat breeding program, especially, in early generations.

  8. Changes in Children's Oral Health Related Quality of Life Following Dental Treatment under General Anesthesia.

    Science.gov (United States)

    Jabarifar, Seyed Ebrahim; Eshghi, Ali Reza; Shabanian, Mitra; Ahmad, Shahrzad

    2009-01-01

    Children's oral health related quality of life (OHRQoL) evaluates the impacts of oral daily activities of children and family on quality of life. Oral health related quality of life as outcome can be used to evaluate the dental health services. This study aimed to assess the extent to which dental treatment under general anesthesia affects quality of life of children and their families. One hundred parents of 3-10 year-old children who needed dental treatment under general anesthesia completed a parent-children perception questionnaire (P-CPQ) and family impact scale (FIS) before, and 4 weeks after dental treatment under general anesthesia. The questionnaire had statements related to oral health, functional limitation, emotional state and well being social well-being and family issues. Data were analyzed using SPSS version 11.5. The mean scores and standard deviations of oral health quality of life of the children before and after dental treatment were 43.3 ± 7.14 and 39.24 ± 5.47 respectively. The mean scores of FIS before and after dental treatment were 8.00 ± 3.21 and 3.66 ± 2.62, respectively. The effect size of mean differences in P-CPQ and FIS scores were 1.84 ± 1.64 and 1.35 ± 4.34, respectively. Provision of dental treatment under general anesthesia for uncooperative, young children with extensive dental problems had significant effects on quality of life of both children and their families.

  9. The Influence of the Relative Sliding on the Surface Quality

    Directory of Open Access Journals (Sweden)

    N. Diaconu

    2011-09-01

    Full Text Available This paper presents a study on the surface quality pointing out the influence of relative sliding on the topography parameters. Traditional roughness parameters as Ra and Rq, deal only with relative high of the asperities to the mean line and they give no information on shape, slope and asperities magnitude, on their appearance frequency on the profile length. The authors analysed a set of 3D parameters including the amplitude ones (Sa, Sku, Ssk and St and functional parameters as Svk, Sk and Spk as calculated with a dedicated soft from the bearing area. Tests were done on roller-roller tribotester lubricated with the grease grade UM185Li2EP (general purpose grease for rolling bearings, the temperature of the environment being kept at 80°C. There was studied the influence of relative sliding speed on the skewness and the kurtosis of the surface topography, but also on common parameters as Sa and St. Such a study may be used for selecting a suitable surface quality and to evaluate the surface topography degradation in time, after tests under severe conditions, very close to the actual ones.

  10. Misperceptions of patients vs providers regarding medication-related communication issues.

    Science.gov (United States)

    Lapane, Kate L; Dubé, Catherine E; Schneider, Karen L; Quilliam, Brian J

    2007-11-01

    To test the hypothesis that there is little concordance in perceptions of medication-related communication between patients and providers, with providers estimating greater frequency of such discussions than patients; and to determine whether discordance is less apparent among patients who received e-prescriptions. Data are from a convenience sample of 96 providers practicing in 6 states and 1100 of their patients. Twenty-nine practices used e-prescribing, and 3 practices were initiating e-prescribing. Patients' and providers' perceptions regarding discussions with their providers or patients regarding medication costs, adherence, and potential adverse effects were collected by survey. Relative to patients, providers estimated more frequent discussions of medication issues with patients. Most patients (83%) reported that they would never tell their physician if they did not plan on picking up a prescription. Patients receiving electronic prescriptions were more likely than patients with paper prescriptions (54% vs 43%) to report that their provider always checks the accuracy of their medication list. Although e-prescribing may not change the extent to which patients and physicians discuss medication issues, patients of e-prescribing providers more frequently report provider verification of medication lists.

  11. Developing a research agenda on ethical issues related to using social media in healthcare.

    Science.gov (United States)

    Adams, Samantha A; Van Veghel, Dennis; Dekker, Lukas

    2015-07-01

    The consequences of using publicly available social media applications specifically for healthcare purposes are largely unaddressed in current research. Where they are addressed, the focus is primarily on issues of privacy and data protection. We therefore use a case study of the first live Twitter heart operation in the Netherlands, in combination with recent literature on social media from other academic fields, to identify a wide range of ethical issues related to using social media for health-related purposes. Although this case reflects an innovative approach to public education and patient centeredness, it also illustrates the need for institutions to weigh the various aspects of use and to develop a plan to deal with these on a per case basis. Given the continual development of technologies, researchers may not yet be able to oversee and anticipate all of the potential implications. Further development of a research agenda on this topic, the promotion of guidelines and policies, and the publication of case studies that reveal the granularity of individual situations will therefore help raise awareness and assist physicians and institutions in using social media to support existing care services.

  12. Economic and demographic issues related to deployment of the Satellite Power System: (SPS)

    Energy Technology Data Exchange (ETDEWEB)

    Baldwin, T. E.; Hill, L. G.; Santini, D. J.; Stenehjem, E. J.

    1978-10-01

    Growth in energy consumption has stimulated interest in exploitation of renewable sources of electric energy. One technology that has been proposed is the Satellite Power System (SPS). Before committing the U.S. to such a large program, the Department of Energy and the National Aeronautics and Space Administration are jointly participating in an SPS Concept Development and Evaluation Program. This white paper on industrial and population relocation is part of the FY 1978 preliminary evaluation of related socio-economic issues. Results of four preliminary assessment activities are documented, namely: review existing literature dealing with industrial location, attendant population migration, and the role of electricity availability and pricing as factors influencing economic movements; identify economic and demographic issues relating to the deployment of SPS; consider the potential significance of these sociodemographic impacts in terms of expected public acceptance by appropriate interest groups; and recommend additional study needs and the most advantageous approaches to these studies. The conclusion of this preliminary assessment is that FY 1979 study should be concentrated in four assessment areas: (1) rectenna siting strategies, (2) expected effects of marginal and average-cost pricing on industrial and population relocation, (3) future impact of rectennae siting, and (4) responsiveness of industry to locate facilities according to the availability and cost of electricity. Long-term research should address the question of whether SPS will contribute to the centralization or decentralization of economic activity and society.

  13. Indoor Air Quality (IAQ) Schools and Universities: Overview of Indoor Air Quality Issues, and Preliminary Design Guide.

    Science.gov (United States)

    Healthy Buildings International, Inc., Fairfax, VA.

    This guide is intended to help the building design, engineering, and maintenance staff of school buildings maintain a common standard of high indoor air quality (IAQ) and a productive and comfortable workplace for students and staff. The report defines the four basic classifications of indoor environmental pollution, lists the factors impacting…

  14. Sports related musculoskeletal disorders in children and adolescents: A review of the emerging issues

    Directory of Open Access Journals (Sweden)

    Maria Eugénia R. C. Pinho

    2013-04-01

    Full Text Available Regular physical activity promotes better general state of health and is essential for the prevention of many illnesses, including musculoskeletal disorders. The promotion of both physical activity and its beneficial effects on health have contributed to the fast growth in the number of children and adolescents involved in organized or recreational sports activities which, unfortunately, has been followed by a significant increase on the number of injuries related to its practice. Taking into account that children and adolescents musculoskeletal system is still developing, its overuse particularly associated to competition sports activities may have long-term effects on their health. This paper aims to review the main questions of sports-related musculoskeletal disorders in children and adolescents, including the involved ethical issues, as well as to identify some of the main risk factors and to point out some of the measures to be adopted for its prevention.

  15. Health-related quality of life in pituitary diseases.

    Science.gov (United States)

    Crespo, Iris; Valassi, Elena; Santos, Alicia; Webb, Susan M

    2015-03-01

    In the last 15 years, worse health-related quality of life (QoL) has been reported in patients with pituitary diseases compared with healthy individuals. Different QoL questionnaires have shown incomplete physical and psychological recovery after therapy. Residual impairments often affect QoL even long-term after successful treatment of pituitary adenomas. In this article, knowledge of factors that affect QoL in pituitary diseases is reviewed. The focus is on 5 pituitary diseases: Cushing syndrome, acromegaly, prolactinomas, nonfunctioning pituitary adenomas, and hypopituitarism.

  16. Organizational culture, team climate, and quality management in an important patient safety issue: nosocomial pressure ulcers

    NARCIS (Netherlands)

    Bosch, M.; Halfens, R.J.; Weijden, T.T. van der; Wensing, M.J.P.; Akkermans, R.P.; Grol, R.P.

    2011-01-01

    BACKGROUND: Increasingly, policy reform in health care is discussed in terms of changing organizational culture, creating practice teams, and organizational quality management. Yet, the evidence for these suggested determinants of high-quality care is inconsistent. AIMS: To determine if the type of

  17. The Issues of Human Rights in the India-U.S. Relations

    Directory of Open Access Journals (Sweden)

    Zakharov Aleksey I.

    2016-10-01

    Full Text Available The article presents a brief overview of India-U.S. relations during the period of Narendra Modi’s government and Barack Obama’s administration. The author analyzes the dynamics of cooperation development after the victory of Bharatiya Janata Party in the 2014 Parliamentary elections in India and studies the key directions of bilateral agenda. The current condition of India-U.S. strategic dialogue and the influence of human rights issues on the countries’ cooperation are characterized. Since 2014 the states’ cooperation has been growing rapidly. The bilateral investment, trade and economic interdependence have significantly increased. Some experts and mass media note that Barack Obama and Narendra Modi are having friendly relations. From a different angle, a number of agreements between countries still remain unaccomplished. For instance, the U.S. support for India’s permanent seat in the United Nations Security Council, its accession to APEC and the implementation of nuclear deal have yet to be turned into achievement. Together with strengthening the bilateral strategic dialogue, the U.S. has intensified the criticism of India’s human rights record. The main part of it includes the cases of religious intolerance, which are observed in the United States Commission on International Religious Freedom reports and the remarks given by U.S. lawmakers and official representatives, including the Ambassador to India. Washington’s careful attention to the human rights issues and religious violence in particular is one of the major irritants in the U.S.-India relations. The engagement of Indian Americans in the local U.S. politics and their lobbying efforts in the context of U.S.-India relations are revealed. The author outlines the near-terms perspectives of bilateral cooperation.

  18. Health related quality of life in Malaysian children with thalassaemia

    Directory of Open Access Journals (Sweden)

    Jones Georgina L

    2006-07-01

    Full Text Available Abstract Background Health Related Quality of Life (HRQoL studies on children with chronic illness such as thalassaemia are limited. We conducted the first study to investigate if children with thalassaemia have a lower quality of life in the four dimensions as measured using the PedsQL 4.0 generic Scale Score: physical, emotional, social and role (school functioning compared to the healthy controls allowing for age, gender, ethnicity and household income. Methods The PedsQL 4.0 was administered to children receiving blood transfusions and treatments at Hospital Kuala Lumpur, Malaysia using PedsQL 4.0 generic Scale Score. Accordingly, the questionnaire was also administered to a control group of healthy school children. Socio-demographic data were also collected from patients and controls using an interview schedule designed for the study. Results Of the 96 thalassaemia patients approached, 78 gave consent to be interviewed giving a response rate of 81.3%. Out of 235 healthy controls approached, all agreed to participate giving a response rate of 100%. The mean age for the patients and schoolchildren is 11.9 and 13.2 years respectively. The age range for the patients and the schoolchildren is between 5 to 18 years and 7 to 18 years respectively. After controlling for age and demographic background, the thalassaemia patients reported having significantly lower quality of life than the healthy controls. Conclusion Thalassaemia has a negative impact on perceived physical, emotional, social and school functioning in thalassaemia patients which was also found to be worse than the children's healthy counterparts. Continuing support of free desferal from the Ministry of Health should be given to these patients. More understanding and support especially from health authorities, school authorities and the society is essential to enhance their quality of life.

  19. HPV testing for primary cervical screening: Laboratory issues and evolving requirements for robust quality assurance.

    Science.gov (United States)

    Carozzi, Francesca Maria; Del Mistro, Annarosa; Cuschieri, Kate; Frayle, Helena; Sani, Cristina; Burroni, Elena

    2016-03-01

    This review aims to highlight the importance of Quality Assurance for Laboratories performing HPV test for Cervical Cancer Screening. An HPV test, to be used as primary screening test, must be validated according to international criteria, based on comparison of its clinical accuracy to HC2 or GP5+/6+ PCR-EIA tests. The number of validated platforms is increasing and appropriate Quality Assurance Programs (QAPs) which can interrogate longitudinal robustness and quality are paramount. This document describes the following topics: (1) the characteristics of an HPV laboratory and the personnel training needs, to ensure an elevated quality of the entire process and the optimal use of the resources; (2) the Quality Assurance, as both internal (IQA) and external quality assessment (EQA) systems, to be implemented and performed, and the description of the existing EQAs, including limitations; (3) general considerations for an optimal EQA program for hrHPV primary screening Due to the importance of Quality Assurance for this field, international efforts are necessary to improve QA International Collaboration.

  20. Fatigue, Sleep Quality, and Disability in Relation to Quality of Life in Multiple Sclerosis.

    Science.gov (United States)

    Tabrizi, Fatemeh Moghaddam; Radfar, Moloud

    2015-01-01

    Quality of life (QOL) is impaired in multiple sclerosis (MS) in part due to physical disability. MS-associated fatigue and poor sleep are common and treatable features of MS that affect QOL. We assessed the association between fatigue, sleep quality, and QOL in people with MS. Cross-sectional data were collected from 217 patients with MS. Health-related QOL (MS Quality of Life-54), fatigue (Fatigue Severity Scale [FSS]), and sleep quality (Pittsburgh Sleep Quality Inventory [PSQI]) were assessed. Expanded Disability Status Scale scores were also provided by a qualified neurologist. The mean ± SD age of the 217 patients was 32.6 ± 8.6 years, and 79% were female. One hundred fifty-two patients (70.0%) were classified as poor sleepers based on PSQI scores; 122 (56.2%) had significant fatigue based on FSS results. The mean ± SE physical (PCS) and mental (MCS) health composite scores of the MSQOL-54 were 40.12 ± 1.27 and 43.81 ± 1.61, respectively. There was a strong statistically significant positive correlation between PCS scores and MCS (r = 0.58), FSS (r = 0.49), and PSQI (r = 0.52) scores. MCS scores were strongly correlated with FSS (r = 0.53) and PSQI (r = 0.35) scores. Age exhibited statistically significant negative correlations with PCS (r = -0.21) and MCS (r = -0.58) scores, and was statistically significantly correlated with FSS (r = 0.23) and PSQI (r = 0.21) scores. Expanded Disability Status Scale scores were strongly correlated with FSS scores. These findings support screening of fatigue severity and sleep quality and their effects on QOL.

  1. Fatigue, Sleep Quality, and Disability in Relation to Quality of Life in Multiple Sclerosis

    Science.gov (United States)

    Radfar, Moloud

    2015-01-01

    Background: Quality of life (QOL) is impaired in multiple sclerosis (MS) in part due to physical disability. MS-associated fatigue and poor sleep are common and treatable features of MS that affect QOL. We assessed the association between fatigue, sleep quality, and QOL in people with MS. Methods: Cross-sectional data were collected from 217 patients with MS. Health-related QOL (MS Quality of Life-54), fatigue (Fatigue Severity Scale [FSS]), and sleep quality (Pittsburgh Sleep Quality Inventory [PSQI]) were assessed. Expanded Disability Status Scale scores were also provided by a qualified neurologist. Results: The mean ± SD age of the 217 patients was 32.6 ± 8.6 years, and 79% were female. One hundred fifty-two patients (70.0%) were classified as poor sleepers based on PSQI scores; 122 (56.2%) had significant fatigue based on FSS results. The mean ± SE physical (PCS) and mental (MCS) health composite scores of the MSQOL-54 were 40.12 ± 1.27 and 43.81 ± 1.61, respectively. There was a strong statistically significant positive correlation between PCS scores and MCS (r = 0.58), FSS (r = 0.49), and PSQI (r = 0.52) scores. MCS scores were strongly correlated with FSS (r = 0.53) and PSQI (r = 0.35) scores. Age exhibited statistically significant negative correlations with PCS (r = −0.21) and MCS (r = −0.58) scores, and was statistically significantly correlated with FSS (r = 0.23) and PSQI (r = 0.21) scores. Expanded Disability Status Scale scores were strongly correlated with FSS scores. Conclusions: These findings support screening of fatigue severity and sleep quality and their effects on QOL. PMID:26664332

  2. Measuring the quality of melanoma surgery - Highlighting issues with standardization and quality assurance of care in surgical oncology.

    Science.gov (United States)

    Pasquali, S; Sommariva, A; Spillane, A J; Bilimoria, K Y; Rossi, C R

    2017-03-01

    In an attempt to ensure high standards of cancer care, there is increasing interest in determining and monitoring the quality of interventions in surgical oncology. In recent years, this has been particularly the case for melanoma surgery. The vast majority of patients with melanoma undergo surgery. Usually, this is with combinations of wide excision, sentinel lymph node biopsy and lymphadenectomy. The indications for these procedures evolved during a time when no effective systemic adjuvant therapy was available, and whilst the rationale has been sound, the justification for differences in extent and thoroughness has generally been supported by inadequate or low-level evidence. This has led to a substantial variation among melanoma centres or even among surgeons within a centre in how these procedures are done. With recent rapid progress in the efficacy of systemic treatments that are impacting on overall survival, the prospect of long-term survival in these previously high risk patients means that more than ever long-term locoregional control of melanoma is imperative. Furthermore, the understanding of effects of systemic therapy on locoregional disease will only be interpretable if surgeons use standardized, high quality techniques. This article focuses on standardization and evolution of quality indicators for melanoma surgery and how these might have a positive impact on patient care. Copyright © 2016 Elsevier Ltd, BASO ~ the Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

  3. Assuring the Quality of Agricultural Learning Repositories: Issues for the Learning Object Metadata Creation Process of the CGIAR

    Science.gov (United States)

    Zschocke, Thomas; Beniest, Jan

    The Consultative Group on International Agricultural Re- search (CGIAR) has established a digital repository to share its teaching and learning resources along with descriptive educational information based on the IEEE Learning Object Metadata (LOM) standard. As a critical component of any digital repository, quality metadata are critical not only to enable users to find more easily the resources they require, but also for the operation and interoperability of the repository itself. Studies show that repositories have difficulties in obtaining good quality metadata from their contributors, especially when this process involves many different stakeholders as is the case with the CGIAR as an international organization. To address this issue the CGIAR began investigating the Open ECBCheck as well as the ISO/IEC 19796-1 standard to establish quality protocols for its training. The paper highlights the implications and challenges posed by strengthening the metadata creation workflow for disseminating learning objects of the CGIAR.

  4. Relational issues of law and economic integration in Africa : perspectives from constitutional, public and private international law.

    OpenAIRE

    Oppong, Richard F.

    2009-01-01

    This thesis examines how relational issues of law in economic integration are being approached in Africa. At its core, relational issues deal with the legal interactions among community, national, regional and international legal systems within the context of economic integration. The theory is that effective economic integration is the product of properly structuring and managing – within well-defined legal frameworks – vertical, horizontal and vertico-horizontal relations among states, lega...

  5. Attitudes of cystic fibrosis patients and parents toward carrier screening and related reproductive issues.

    Science.gov (United States)

    Janssens, Sandra; Chokoshvilli, Davit; Binst, Carmen; Mahieu, Inge; Henneman, Lidewij; De Paepe, Anne; Borry, Pascal

    2016-04-01

    Cystic fibrosis (CF) is a life-limiting autosomal recessive disorder affecting ~1 in 2500-4000 Caucasians. As most CF patients have no family history of the disorder, carrier screening for CF has the potential to prospectively identify couples at risk of conceiving an affected child. At-risk couples may consequently choose to act on the provided information and take steps to avoid the birth of a child with CF. Although carrier screening is widely believed to enhance reproductive autonomy of prospective parents, the practice also raises important ethical questions. A written questionnaire was administered to adult patients and parents of children with CF with the aim to explore participants' attitudes toward CF carrier screening and related reproductive issues. The study population was recruited from a CF patient registry in Belgium and comprised 111 participants (64 parents, 47 patients aged 16 or older). We found that more than 80% of all participants were in favor of preconception carrier screening for CF. However, some were concerned over potential negative consequences of population-wide CF carrier screening. Regarding future reproductive intentions, 43% of the participants indicated a desire to have children. Among these, preimplantation genetic diagnosis was found to be the most preferred reproductive option, closely followed by spontaneous pregnancy and prenatal diagnosis. Although the findings of our study suggest that patients and parents of children with CF support a population-based carrier screening program for CF, they also highlight some issues deserving particular attention when implementing such a program.

  6. Methods uncovering usability issues in medication-related alerting functions: results from a systematic review.

    Science.gov (United States)

    Marcilly, Romaric; Vasseur, Francis; Ammenwerth, Elske; Beuscart-Zephir, Marie-Catherine

    2014-01-01

    This paper aims at listing the methods used to evaluate the usability of medication-related alerting functions and at knowing what type of usability issues those methods allow to detect. A sub-analysis of data from this systematic review has been performed. Methods applied in the included papers were collected. Then, included papers were sorted in four types of evaluation: "expert evaluation", "user- testing/simulation", "on site observation" and "impact studies". The types of usability issues (usability flaws, usage problems and negative outcomes) uncovered by those evaluations were analyzed. Results show that a large set of methods are used. The largest proportion of papers uses "on site observation" evaluation. This is the only evaluation type for which every kind of usability flaws, usage problems and outcomes are detected. It is somehow surprising that, in a usability systematic review, most of the papers included use a method that is not often presented as a usability method. Results are discussed about the opportunity to provide usability information collected after the implementation of the technology during their design process, i.e. before their implementation.

  7. A Needs Assessment of Health Issues Related to Maternal Mortality Rates in Afghanistan: A Pilot Study.

    Science.gov (United States)

    Naim, Ali; Feldman, Robert; Sawyer, Robin

    2015-01-01

    Maternal death rates in Afghanistan were among the highest in the world during the reign of the Taliban. Although these figures have improved, current rates are still alarming. The aim of this pilot study was to develop a needs assessment of the major health issues related to the high maternal mortality rates in Afghanistan. In-depth interviews were conducted with managerial midwives, clinical midwives, and mothers. Results of the interviews indicate that the improvement in the maternal mortality rate may be attributed to the increase in the involvement of midwives in the birthing process. However, barriers to decreasing maternal mortality still exist. These include transportation, access to care, and sociocultural factors such as the influence of the husband and mother-in-law in preventing access to midwives. Therefore, any programs to decrease maternal mortality need to address infrastructure issues (making health care more accessible) and sociocultural factors (including husbands and mother-in-laws in maternal health education). However, it should be noted that these findings are based on a small pilot study to help develop a larger scale need assessment.

  8. Interdisciplinary team discussion on work environment issues related to low back disability: a multiple case study.

    Science.gov (United States)

    Costa-Black, Kátia M; Durand, Marie-José; Imbeau, Daniel; Baril, Raymond; Loisel, Patrick

    2007-01-01

    From both a social and cost-benefit perspective, disability prevention and associated management strategies for assisting employees with back pain are only successful if they address critical return-to-work (RTW) determining factors present in the workplace, including ergonomic factors. Despite our current knowledge of the importance of an integrated team approach targeting these factors, questions remain regarding the conceptual framework adopted by contemporary rehabilitation teams as it relates to work-oriented interventions to accommodate employees back to work. The purpose of this study was to explore and describe the work environment issues discussed by an interdisciplinary team engaged in the work rehabilitation process of low back disability cases. A qualitative content analysis was conducted for 10 sample cases that underwent a rehabilitation program in Quebec (Canada). Drawing on the results of these analyses, a framework representing a synopsis of practitioners' involvement in the person-environment dynamic is presented and discussed. This study makes a unique contribution to the understanding of the 'real-life' content of an interdisciplinary activity in disability management, thus, helping rehabilitation practitioners to build knowledge on the practical application of a cross-disciplinary framework to address work environment issues during the RTW process of those patients sick-listed due to back pain.

  9. Motivational Issues Related to the Business Foreign Language Class in Higher Education

    Directory of Open Access Journals (Sweden)

    Armasar, P.I.

    2014-06-01

    Full Text Available The present student-centred paradigm in education aims at developing the motivational dimension of the stakeholders within the educational process, i.e. the teacher and the student. Considering the dynamics of the system of needs in the present highly technologized consumer society, motivation allows the understanding of a series of psycho-social phenomena within which it establishes a functional cycle together with the activity and the conduct. It is worth considering the motivational and cognitive education of teachers who teach foreign languages to economics students, as well as the informative side of their training, because all their linguistic, cultural and pedagogical competences attend on economics students. The humanistic, cultural and ludic components of the foreign language class may constitute predominantly intrinsic motivation for economics students. The didactic strategy, the need for feedback,the inter- determination relationship between teacher and student, issues related to the organizational and social culture are solutions for decoding motivational issues.The final aim of the formative-motivational elements is represented by the preparation of individuals for self-learning and continuous learning throughout their entire life.

  10. Materials-related issues in the safety and licensing of nuclear fusion facilities

    Science.gov (United States)

    Taylor, N.; Merrill, B.; Cadwallader, L.; Di Pace, L.; El-Guebaly, L.; Humrickhouse, P.; Panayotov, D.; Pinna, T.; Porfiri, M.-T.; Reyes, S.; Shimada, M.; Willms, S.

    2017-09-01

    Fusion power holds the promise of electricity production with a high degree of safety and low environmental impact. Favourable characteristics of fusion as an energy source provide the potential for this very good safety and environmental performance. But to fully realize the potential, attention must be paid in the design of a demonstration fusion power plant (DEMO) or a commercial power plant to minimize the radiological hazards. These hazards arise principally from the inventory of tritium and from materials that become activated by neutrons from the plasma. The confinement of these radioactive substances, and prevention of radiation exposure, are the primary goals of the safety approach for fusion, in order to minimize the potential for harm to personnel, the public, and the environment. The safety functions that are implemented in the design to achieve these goals are dependent on the performance of a range of materials. Degradation of the properties of materials can lead to challenges to key safety functions such as confinement. In this paper the principal types of material that have some role in safety are recalled. These either represent a potential source of hazard or contribute to the amelioration of hazards; in each case the related issues are reviewed. The resolution of these issues lead, in some instances, to requirements on materials specifications or to limits on their performance.

  11. Current issues relating to the transfusion of stored red blood cells.

    Science.gov (United States)

    Zimrin, A B; Hess, J R

    2009-02-01

    The development of blood storage systems allowed donation and transfusion to be separated in time and space. This separation has permitted the regionalization of donor services with subsequent economies of scale and improvements in the quality and availability of blood products. However, the availability of storage raises the question of how long blood products can and should be stored and how long they are safe and effective. The efficacy of red blood cells was originally measured as the increment in haematocrit and safety began with typing and the effort to reduce the risk of bacterial contamination. Appreciation of a growing list of storage lesions of red blood cells has developed with our increasing understanding of red blood cell physiology and our experience with red blood cell transfusion. However, other than frank haemolysis, rare episodes of bacterial contamination and overgrowth, the reduction of oxygen-carrying capacity associated with the failure of some transfused cells to circulate, and the toxicity of lysophospholipids released from membrane breakdown, storage-induced lesions have not had obvious correlations with safety or efficacy. The safety of red blood cell storage has also been approached in retrospective epidemiologic studies of transfused patients, but the results are frequently biased by the fact that sicker patients are transfused more often and blood banks do not issue blood products in a random order. Several large prospective studies of the safety of stored red blood cells are planned.

  12. Addressing Practical Issues Related Tto Nursing Care For International Visitors To Hiroshima

    Directory of Open Access Journals (Sweden)

    Mariko Nishikawa

    2014-04-01

    Full Text Available When nine million foreigners visited Japan in 2013, the federal government set a goal to attract an additional two and a half million visitors including medical tourists by 2020. This research investigates the attitudes and concerns of Japanese nurses when they are in a situation dealing with foreign patients. The data were collected from March through September 2010, from 114 nurses at three hospitals, in close proximity to popular tourist destinations in Hiroshima. A questionnaire was developed for this research, named Mari Meter, which included a section to write answers to an open question for the nurses to express their opinions. These responses were examined statistically and by word analysis using Text Mining Studio. Japanese nurses expressed greatest concern about payment options, foreign language skills, and issues of informed consent, when dealing with foreigners. The results confirm that, in order to provide a high quality of patient care, extra preparation and a greater knowledge of international workers and visitors are required by nursing professionals in Japan.

  13. Thin Solid Films Topical Special Issue on ZnO related transparent conductive oxides

    Energy Technology Data Exchange (ETDEWEB)

    Chu, Jinn P.; Endo, Tamio; Ellmer, Klaus; Gessert, Tim; Ginley, David

    2016-04-01

    World-wide research activities on ZnO and related transparent conductive oxides (TCO) in thin film, nanostructured, and multilayered forms are driven by the vast potential of these materials for optoelectronic, microelectronic, and photovoltaic applications. Renewed interest in ZnO applications is partly stimulated by cost reduction in material processing and device development. One of the most important issues is doping and alloying with Al, Ga, In, Sn, etc. in order to tune properties. When highly doped, these materials are used as transparent-conducting contacts on solar cells, as well as in catalytic, spintronic, and surface acoustic wave devices. Film growth conditions, including substrate type and orientation, growth temperature, deposition rate, and ambient atmosphere, all play important roles in determining structural, electrical, magnetic, and optical properties.

  14. TRENDS AND ISSUES: A REVIEW OF STUDIES RELATED TO TECHNOLOGY USAGE IN EARLY CHILDHOOD EDUCATION

    Directory of Open Access Journals (Sweden)

    Elif ÖZTÜRK YILMAZTEKİN

    2013-06-01

    Full Text Available This paper describes types of technology studies that have been conducted related to young children’s early education. A systematic review of studies was undertaken using EBSCOhost, Blackwell Synergy, and ScienceDirect databases, to identify all studies published between 2003 and 2009 according to specific criteria. The studies were selected on the basis of the following three issues: (1 the role of technology in children’s development, (2 the role of technology in teachers’ teaching practices, and (3 studies that aimed to investigate the impact of technology usage on not only teacher practices but also young children’s development in school settings. In for each type of study the methodology, types of technology used, purposes and findings and other features including the publication year, and study locations are given in detail.

  15. Doubly-Special Relativity: Facts, Myths and Some Key Open Issues

    Science.gov (United States)

    Amelino-Camelia, Giovanni

    I report on the status of the development of "doubly-special" relativistic ("DSR") theories with both an observer-independent high-velocity scale and an observer-independent small-length/large-momentum scale, with emphasis on some key open issues and some aspects that are particularly relevant for phenomenology. I also give a true-false characterization of the structure of these theories. In particular, I discuss a DSR scenario without modification of the energy-momentum dispersion relation and without the κ-Poincaré Hopf algebra, a scenario with deformed Poincaré symmetries which is not a DSR scenario, some scenarios with both an invariant length scale and an invariant velocity scale which are not DSR scenarios, and a DSR scenario in which it is easy to verify that some observable relativistic (but non-special-relativistic) features are insensitive to possible nonlinear redefinitions of symmetry generators.

  16. Doubly-Special Relativity: Facts, Myths and Some Key Open Issues

    CERN Document Server

    Amelino-Camelia, Giovanni

    2010-01-01

    I report, emphasizing some key open issues and some aspects that are particularly relevant for phenomenology, on the status of the development of "doubly-special" relativistic ("DSR") theories with both an observer-independent high-velocity scale and an observer-independent small-length/large-momentum scale, possibly relevant for the Planck-scale/quantum-gravity realm. I also give a true/false characterization of the structure of these theories. In particular, I discuss a DSR scenario without modification of the energy-momentum dispersion relation and without the $\\kappa$-Poincar\\'e Hopf algebra, a scenario with deformed Poincar\\'e symmetries which is not a DSR scenario, some scenarios with both an invariant length scale and an invariant velocity scale which are not DSR scenarios, and a DSR scenario in which it is easy to verify that some observable relativistic (but non-special-relativistic) features are insensitive to possible nonlinear redefinitions of symmetry generators.

  17. International Conference on Harmonisation; choice of control group and related issues in clinical trials; availability. Notice.

    Science.gov (United States)

    2001-05-14

    The Food and Drug Administration (FDA) is announcing the availability of a guidance entitled "E10 Choice of Control Group and Related Issues in Clinical Trials." The guidance was prepared under the auspices of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The guidance sets forth general principles that are relevant to all controlled trials and are especially pertinent to the major clinical trials intended to demonstrate drug (including biological drug) efficacy. The guidance describes the principal types of control groups and discusses their appropriateness in particular situations. The guidance is intended to assist sponsors and investigators in the choice of control groups for clinical trials.

  18. Relating consumer perceptions of pork quality to physical product characteristics

    DEFF Research Database (Denmark)

    Bredahl, Lone; Grunert, Klaus G.; Fertin, Claus

    , wholesomeness, nutritional value, freshness, ju and leanness of the meat. 5. Results also reveal a moderate accordance between quality expectations and quality experience, meaning that the quality expectations consumers derive are not fully predictive of the quality that will be experienced upon consuming......1. Consumers form expectations about the quality of meat at the point of purchase based on the quality cues that are available to them in the shop. These expectations can either be confirmed or disconfirmed during consumption, depending on how cap the consumers actually are of predicting...... the quality that they will perceived when preparing and consuming the meat. 2. The study uses the Total Food Quality Model as a frame of reference to investigate how consumers' quality expectations and quality experience with regard to pork are formed, how they are interrelated, and how both of them...

  19. Quality in orthopaedic surgery--an international perspective: AOA critical issues.

    Science.gov (United States)

    Saleh, Khaled J; Bozic, Kevin J; Graham, David B; Shaha, Steven H; Swiontkowski, Marc F; Wright, James G; Robinson, Brooke S; Novicoff, Wendy M

    2013-01-02

    Quality is a hallmark of health care, although it is difficult to come to a consensus on who gets to define what "quality health care" is. Most health-care workers enter this field with the goal of improving the health of their patients (and the community), and while everyone tries to do the best job possible, we must continuously seek better methods and techniques for achieving better outcomes. The passion for continuous improvement is fundamental, but passion is not sufficient by itself. There is substantial opportunity to improve quality and reduce cost in health care. Multidisciplinary teams that include physicians, nurses, and other ancillary care providers have led to decreased waiting times to see specialists and have also led to better management of chronic disease. By including ancillary care, providers can increase cancer-screening rates and have the potential to decrease readmissions. Moreover, the addition of hospitalists and physician assistants can produce quality and efficiency outcomes that are commensurate with those enjoyed by traditional house staff. However, truly improving performance is difficult due to questions about how we define "quality," design care processes, measure inputs and outputs, develop multi-stakeholder collaborations, and develop incentive programs for delivering "good" care. There is a definite need for more thorough and robust studies of the impact of pay-for-performance programs, with the inclusion of ancillary care providers. Current research has not shown that there is not enough evidence to be able to determine what incentive structure might "work" in a particular health-care system. Payment systems will continue to evolve to incentivize greater collaboration among providers to yield higher-quality, lower-cost care. Future efforts will necessitate the need for strong physician leadership in helping to develop an optimal care team that is as patient-centered as possible. Technology adds dimensions of capability to making

  20. Conclusions to the special issue of Science of the Total Environment concerning 'The water quality of UK rivers entering the North Sea'.

    Science.gov (United States)

    Neal, C; House, W A; Leeks, G J; Whitton, B A; Williams, R J

    2000-05-05

    This paper presents an overview of the water quality functioning of eastern UK rivers draining into the North Sea. It summarises the results of three special issues of Science of the Total Environment and related work and complements a companion bibliography (Neal and Turner, 2000, this volume). The rivers are described in straightforward broad terms, and the reader is guided via the bibliography to the special volumes for the detailed findings. The water quality is shown to be highly variable over space and time. The changes over the past 300 years reflect first the transition from a rural society to the major impact of the industrial revolution and subsequently to one of the worlds' most successful environmental cleanups. The present water quality reflects the relative impacts of diffuse agricultural sources, urban and industrial point source discharges together with background inputs associated with geology: all these can be modified by within-river processes associated with physical mixing, biology and inorganic reactions. The work is set within the context of water quality, modelling and flux outputs to the North Sea and contemporary and future environmental research and management needs. A range of environmental impact studies is included. The detailed information is now available on a major and easily accessible database.

  1. Issues relating to the subtraction phase in EOG artefact correction of the EEG.

    Science.gov (United States)

    Croft, Rodney J; Barry, Robert J

    2002-06-01

    An important method for removing the effect of ocular artefact from the EEG is 'EOG correction'. This method estimates the proportion of ocular artefact that is in the EEG, and removes it by subtraction. To date, EOG correction research has focused on problems relating to the estimation of the correction coefficients. Using both mathematical rationale and empirical data, this paper addresses issues relating to the subtraction phase, such as the magnitude of error that can be expected due to EOG correction. Using ERP methodology, principal component and regression analyses, it is shown that the N1P2 complex propagates forward to the horizontal and radial (but not vertical) electrooculograms (EOG), and it is shown mathematically that this will result in EOG-correction error. Assuming an accurate estimate of ocular contamination of the EEG, maximal subtraction-phase error of the N1P2 complex was found to be a prefrontal attenuation of 15-22%, decreasing to central and occipital enhancements of 3-4% and 13-14%, respectively. The magnitude of this subtraction-phase error is compared to between-subject ERP variability and to error associated with EOG rejection (omitting data contaminated by ocular artefact). It is argued that such EOG correction error is small relative to both artefact rejection procedures and to normal variability found in ERP studies, and that it is less pernicious than artefact rejection procedures.

  2. Complexity Triggered by Economic Globalisation— The Issue of On-Line Betting-Related Match Fixing

    Directory of Open Access Journals (Sweden)

    Wladimir Andreff

    2017-02-01

    Full Text Available Complexity in mainstream economics consists in high intermediary consumption of mathematics. A new approach to complexity economics dwells upon path-dependent global systems; their emergence and evolving organisation. The focus here is on the complexity of the real economic world due to globalisation. On-line betting related match-fixing is a case in point about which the article presents non-exhaustive empirical evidence and shows how it is analysed with the standard model of the economics of crime. There is no room for complexity in such an individualistic approach to corrupt behaviour applied to bet-related fixes. A more complex model is sketched based on interactions between a global (though underground market for fixes and the actual partly legal, partly illegal global sport betting market. These interactions exhibit how complex is the issue of combating betting-related match fixing. Reviewing those major policies envisaged for containing the latter—prohibition; sanctions; regulation; privatisation (betting rights—the article opts for a global ‘Sportbettobin’ tax on sport betting gains; in the same vein as the famous Tobin tax on international capital transfers. The novelty in this approach is a variable (increasing rate applied to increasing tranches of taxation (gains which should dry up the worst cases of on-line bettingrelated match fixing.

  3. Groundwater Quantity and Quality Issues in a Water-Rich Region: Examples from Wisconsin, USA

    Directory of Open Access Journals (Sweden)

    John Luczaj

    2015-06-01

    Full Text Available The State of Wisconsin is located in an unusually water-rich portion of the world in the western part of the Great Lakes region of North America. This article presents an overview of the major groundwater quantity and quality concerns for this region in a geologic context. The water quantity concerns are most prominent in the central sand plain region and portions of a Paleozoic confined sandstone aquifer in eastern Wisconsin. Water quality concerns are more varied, with significant impacts from both naturally occurring inorganic contaminants and anthropogenic sources. Naturally occurring contaminants include radium, arsenic and associated heavy metals, fluoride, strontium, and others. Anthropogenic contaminants include nitrate, bacteria, viruses, as well as endocrine disrupting compounds. Groundwater quality in the region is highly dependent upon local geology and land use, but water bearing geologic units of all ages, Precambrian through Quaternary, are impacted by at least one kind of contaminant.

  4. [Quality of life questionnaire related to nutritional status].

    Science.gov (United States)

    Wanden-Berghe, C; Martín-Rodero, H; Guardiola-Wanden-Berghe, R; Sanz-Valero, J; Galindo-Villardón, P

    2012-01-01

    To build and validate an instrument to measure the perceived quality of life in the nutritional status. By focal groups and interviews with nutrition experts, the dimensions with greater affectation were identified. After the judge test, the CaVEN questionnaire was defined. For its valuation a multicentric study was performed, participating 7 Spanish hospitals. The internal structure of the questionnaire was evaluated by explanatory factorial analysis. Reliability was tested using the Cronbach α coefficient and the validity of the criteria with the nutritional Gold Standards. A questionnaire of 26 items with 6 health dimensions was built. It was applied to 68 patients that were valued in the Nutrition Units. The test KMO was 0.756, showing a good accuracy in the Factorial Analysis. The existence of principal dimension of inertia was found (Bartlett p CaVEN (p CaVEN. The CaVEN questionnaire has proved a useful tool for assessing the quality of life related to nutritional status, even in groups with little nutritional alterations.

  5. Quality Issues in Higher Education: The Role of Methodological Triangulation in Enhancing the Quality of a Doctoral Thesis

    National Research Council Canada - National Science Library

    Muhammad Farouq Khan Lodhi

    2016-01-01

      This paper examines the relative merits of writing or examining a doctoral thesis by placing it in its appropriate philosophical perspective and opting for plurality in choice of methodology paradigms...

  6. Water quality of the river yamuna in the Delhi stretch: Key determinants and management issues

    Energy Technology Data Exchange (ETDEWEB)

    Trisal, Chaman; Tabassum, Tanveera; Kumar, Ritesh [Wetlands International - South Asia, New Delhi (India)

    2008-03-15

    The assessment of water quality of the River Yamuna in the Delhi stretch was carried out by determining changes in the concentration levels of 19 physico-chemical parameters. It was observed that vegetation plays an important role in acting as a biological sink for mineral nutrients, thereby restoring the water quality. It is proposed that restoration of the inundation pattern of floodplains would greatly help in re-aeration of the overlying water and re-absorption of pollutants through mud/water exchanges. (Abstract Copyright [2008], Wiley Periodicals, Inc.)

  7. Health-related quality of life after deep vein thrombosis

    DEFF Research Database (Denmark)

    Utne, Kristin Kornelia; Tavoly, Mazdak; Wik, Hilde Skuterud

    2016-01-01

    BACKGROUND: Health-related quality of life (HRQoL) is known to be impaired in patients who develop post-thrombotic syndrome (PTS) following deep vein thrombosis (DVT). However, there is limited knowledge of the long-term HRQoL after DVT compared to controls without DVT. The objectives of this study...... index value was lower in patients compared with buddy controls; mean 0.79 (SD 0.17; IQR 0.72-1.00) versus 0.9 (SD 0.12; IQR 0.80-1.00), p obesity (BMI >30/m(2)) were significantly...... in DVT patients compared with buddy controls and population norms. PTS and obesity were independently associated with impaired HRQoL....

  8. [Quality-of-life-related factors in adolescents].

    Science.gov (United States)

    Lima-Serrano, Marta; Martínez-Montilla, José Manuel; Guerra-Martín, María Dolores; Vargas-Martínez, Ana Magdalena; Lima-Rodríguez, Joaquín S

    2016-08-23

    To determine quality of life (QoL) and its relationship to lifestyles in adolescents in high schools. Cross-sectional, observational study with 256 students aged 12 to 17 in Seville (Spain). Multiple linear regression models were tested (p <0.05). The boys had higher scores in most of the QoL areas. The female gender was inversely related to physical, psychological, familial QoL areas and the general QoL index. Family functionality and performing physical activity were the factors most associated with better QoL in all areas. All multivariate models were statistically significant and explained from 11% of social QoL variability to 35% of the general QoL index. The findings could be useful for developing interventions to promote health in schools, with the objective of promoting healthy lifestyles and QoL. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Relative quality of internet-derived gastrointestinal cancer information.

    Science.gov (United States)

    Chan, David S Y; Willicombe, Anita; Reid, Thomas D; Beaton, Ceri; Arnold, David; Ward, James; Davies, I Llion; Lewis, Wyn G

    2012-12-01

    Internet-derived health care information is increasingly accessed by patients, yet its quality and accuracy is variable and unregulated. The aim of this study was to assess the information available regarding common gastrointestinal cancers via three internet search engines (Google, Yahoo and Bing). The top 30 websites for each of the terms: oesophageal, gastric, pancreatic, colon and rectal cancer were evaluated (University of Michigan Consumer Health Website Checklist) and scored [-80 (poor) to 90 (excellent)]. The median score was 53 (-7 to 81) and was significantly higher for oesophageal (61) and pancreatic (65) cancer websites, compared with gastric (49), colon (48) and rectal cancer (50) (p = 0.014). Median scores related to charitable organisations were significantly better than academic, commercial, news agency, care provider, layperson and medical information websites collectively (79 vs. 42, p internet-derived gastrointestinal cancer information remains poor and patients and clinicians should be aware.

  10. Learning in and about rural places: Connections and tensions between students' everyday experiences and environmental quality issues in their community

    Science.gov (United States)

    Zimmerman, Heather Toomey; Weible, Jennifer L.

    2016-09-01

    Guided by sociocultural perspectives on the importance of place as a resource for learning, we investigated 14- and 15-year old students' understandings of their community and water quality during a school-based watershed unit. Methods included a theory-driven thematic analysis of field notes and video transcripts from four biology classrooms, a qualitative and quantitative analysis of 67 pairs of matched pre- and post-intervention mindmaps, and a content analysis of 73 student reflections. As they learned about water quality, learners recognized the relevance of the watershed's health to the health of their community. Students acknowledged the impacts of local economically driven activities (e.g., natural gas wells, application of agrichemicals) and leisure activities (e.g., boating, fishing) on the watershed's environmental health. As students learned in and about their watershed, they experienced both connections and tensions between their everyday experiences and the environmental problems in their community. The students suggested individual sustainability actions needed to address water quality issues; however, the students struggled to understand how to act collectively. Implications of rural experiences as assets to future environmental sciences learning are discussed as well as the implications of educational experiences that do not include an advocacy component when students uncover environmental health issues. We suggest further consideration is needed on how to help young people develop action-oriented science knowledge, not just inert knowledge of environmental problems, during place-based education units.

  11. Learning in and about rural places: Connections and tensions between students' everyday experiences and environmental quality issues in their community

    Science.gov (United States)

    Zimmerman, Heather Toomey; Weible, Jennifer L.

    2017-03-01

    Guided by sociocultural perspectives on the importance of place as a resource for learning, we investigated 14- and 15-year old students' understandings of their community and water quality during a school-based watershed unit. Methods included a theory-driven thematic analysis of field notes and video transcripts from four biology classrooms, a qualitative and quantitative analysis of 67 pairs of matched pre- and post-intervention mindmaps, and a content analysis of 73 student reflections. As they learned about water quality, learners recognized the relevance of the watershed's health to the health of their community. Students acknowledged the impacts of local economically driven activities (e.g., natural gas wells, application of agrichemicals) and leisure activities (e.g., boating, fishing) on the watershed's environmental health. As students learned in and about their watershed, they experienced both connections and tensions between their everyday experiences and the environmental problems in their community. The students suggested individual sustainability actions needed to address water quality issues; however, the students struggled to understand how to act collectively. Implications of rural experiences as assets to future environmental sciences learning are discussed as well as the implications of educational experiences that do not include an advocacy component when students uncover environmental health issues. We suggest further consideration is needed on how to help young people develop action-oriented science knowledge, not just inert knowledge of environmental problems, during place-based education units.

  12. Attitudes toward Euthanasia and Related Issues among Physicians and Patients in a Multi-cultural Society of Malaysia

    National Research Council Canada - National Science Library

    Rathor, Mohammad Yousuf; Abdul Rani, Mohammad Fauzi; Shahar, Mohammad Arif; Jamalludin, A Rehman; Che Abdullah, Shahrin Tarmizi Bin; Omar, Ahmad Marzuki Bin; Mohamad Shah, Azarisman Shah Bin

    2014-01-01

    .... As euthanasia has gained world-wide prominence, the objectives of our study therefore were to explore the attitude of physicians and chronically ill patients toward euthanasia and related issues...

  13. Economic feasibility, cost and issues related to acquiring water right options to secure drought water supplies for Lahontan Valley Wetlands

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The focus of this study, prepared for The Nature Conservancy, is on the economic feasibility and issues related to implementing water supply option contracts to...

  14. Smoking, health-related quality of life and economic evaluation.

    Science.gov (United States)

    López-Nicolás, Ángel; Trapero-Bertran, Marta; Muñoz, Celia

    2017-07-26

    The economic evaluation of tobacco control policies requires the adoption of assumptions about the impact of changes in smoking status on health-related quality of life (HRQoL). Estimates for such impacts are necessary for different populations. This paper aims to test whether smoking status has an independent effect on HRQoL over and above the effect derived from the increased likelihood of suffering a tobacco related disease, and to calculate utility values for the Spanish population. Using data from the Spanish Encuesta Nacional de Salud of 2011-12, we estimate statistical models for HRQoL as measured by the EQ-5D-5L instrument as a function of smoking status. We include a comprehensive set of controls for biological, clinical, lifestyle and socioeconomic characteristics. Smoking status has an independent, statistically significant effect on HRQoL. However, the size of the effect is small. The typical smoking related diseases, such as lung cancer, are associated with a reduction in HRQoL about 5 times larger than the difference between current smokers and never smokers. Attributing substantive HRQoL gains to quitting smoking as well as accounting for the concomitant HRQoL gain derived from a smaller likelihood of contracting tobacco related diseases might lead to an overestimation of the benefits of tobacco control policies. Nonetheless, the relatively large drops in HRQoL associated with being diagnosed with diseases that might be causally linked to tobacco suggest that such diseases should not be omitted from the economic evaluations of tobacco control policies.

  15. The Fidelity of Formative Assessment Implementation: Issues of Breadth and Quality

    Science.gov (United States)

    Wylie, E. Caroline; Lyon, Christine J.

    2015-01-01

    The paper examines the breadth and quality of formative assessment implementation of 202 mathematics and science teachers who participated in a two-year, school-based professional development programme that focused on formative assessment. Results are triangulated using three sources of data: baseline and end-of-Year 2 data from an annual survey,…

  16. Framing the Issue of Research Quality in a Context of Research Diversity

    DEFF Research Database (Denmark)

    Chapman, Christopher S.

    2013-01-01

    The author discusses the two frameworks in structuring arguments on the relationship between research quality and diversity. The author suggests understanding the research diversity drawn outside the discipline of accounting. He mentions the research methods in two dimensions which was distinguis...

  17. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues.

    Science.gov (United States)

    Black, Kevin P; Armstrong, April D; Hutzler, Lorraine; Egol, Kenneth A

    2015-11-04

    Increasing attention has been placed on providing higher quality and safer patient care. This requires the development of a new set of competencies to better understand and navigate the system and lead the orthopaedic team. While still trying to learn and develop these competencies, the academic orthopaedist is also expected to model and teach them.The orthopaedic surgeon must understand what is being measured and why, both for purposes of providing better care and to eliminate unnecessary expense in the system. Metrics currently include hospital-acquired conditions, "never events," and thirty-day readmission rates. More will undoubtedly follow.Although commitment and excellence at the individual level are essential, the orthopaedist must think at the systems level to provide the highest value of care. A work culture characterized by respect and trust is essential to improved communication, teamwork, and confidential peer review. An increasing number of resources, both in print and electronic format, are available for us to understand what we can do now to improve quality and safety.Resident education in quality and safety is a fundamental component of the systems-based practice competency, the Next Accreditation System, and the Clinical Learning Environment Review. This needs to be longitudinally integrated into the curriculum and applied parallel to the development of resident knowledge and skill, and will be best learned if resident learning is experiential and taught within a genuine culture of quality and safety. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

  18. Optimal reservoir operation considering the water quality issues: A stochastic conflict resolution approach

    Science.gov (United States)

    Kerachian, Reza; Karamouz, Mohammad

    2006-12-01

    In this study, an algorithm combining a water quality simulation model and a deterministic/stochastic conflict resolution technique is developed for determining optimal reservoir operating rules. As different decision makers and stakeholders are involved in reservoir operation, the Nash bargaining theory is used to resolve the existing conflict of interests. The utility functions of the proposed models are developed on the basis of the reliability of the water supply to downstream demands, water storage, and the quality of the withdrawn water. The expected value on the Nash product is considered as the objective function of the stochastic model, which can incorporate the inherent uncertainty of reservoir inflow. A water quality simulation model is also developed to simulate the thermal stratification cycle and the reservoir discharge quality through a selective withdrawal structure. The optimization models are solved using a new version of genetic algorithms called varying chromosome length genetic algorithm (VLGA). In this algorithm the chromosome length is sequentially increased to provide a good initial solution for the final traditional GA-based optimization model. The proposed stochastic optimization model can also reduce the computational burden of the previously proposed models such as stochastic dynamic programming (SDP) by reducing the number of state transitions in each stage. The proposed models which are called VLGAQ and SVLGAQ are applied to the 15-Khordad Reservoir in the central part of Iran. The results show that the proposed models can reduce the salinity of allocated water to different water demands as well as the salinity buildup in the reservoir.

  19. Fuels planning: science synthesis and integration; social issues fact sheet 16: Prescribed fire and visual quality

    Science.gov (United States)

    Christine Esposito

    2006-01-01

    Research shows that, while prescribed burning and other fuels treatments can lower visual quality in some situations, they can also improve it in others. This fact sheet reviews the visual aspects of different levels of prescribed burning.Other publications in this series...

  20. Teacher Knowledge, Curriculum Materials, and Quality of Instruction: Lessons Learned and Open Issues

    Science.gov (United States)

    Hill, Heather C.; Charalambous, Charalambos Y.

    2012-01-01

    This paper draws on four case studies to perform a cross-case analysis investigating the unique and joint contribution of mathematical knowledge for teaching (MKT) and curriculum materials to instructional quality. As expected, it was found that both MKT and curriculum materials matter for instruction. The contribution of MKT was more prevalent in…

  1. Teaching Large Classes in an Increasingly Internationalising Higher Education Environment: Pedagogical, Quality and Equity Issues

    Science.gov (United States)

    Maringe, Felix; Sing, Nevensha

    2014-01-01

    Marketisation, increased student mobility, the massification of Higher Education (HE) and stagnating staff numbers in universities have combined to cause a ripple effect of change both in the demography and size of university classes across the world. This has implications for the quality and equity of learning and the need to examine and to…

  2. Impact of Job Satisfaction on Greek Nurses' Health-Related Quality of Life.

    Science.gov (United States)

    Ioannou, Panagiotis; Katsikavali, Vassiliki; Galanis, Petros; Velonakis, Emmanuel; Papadatou, Danai; Sourtzi, Panayota

    2015-12-01

    Employee job satisfaction and its relationship with health and quality of life has been an issue of major concern over the past decades. Nurses experience difficult working conditions that affect their job satisfaction, health, and quality of life. A cross-sectional study was undertaken in three general hospitals and their respective health centers. Stratified random sampling by level of education was used, and 508 nurses and nursing assistants were included. A self-administered anonymous questionnaire, which included the Measure of Job Satisfaction, the 36-item Short Form Health Survey, as well as demographic details, education, and work conditions data, was used. Greek nurses were found to be dissatisfied with their job according to the total score of the job satisfaction scale, although personal satisfaction and satisfaction with support had had higher scores. Their general health was reported as average, because of physical and mental health problems, low vitality, low energy, and increased physical pain. Multivariate linear regression analysis revealed that males and those wishing to stay in the job had higher physical and mental health. Increased job satisfaction was related to increased physical and mental health. Although Greek nurses are not satisfied with their work, those with high levels of job satisfaction had better health-related quality of life. The findings suggest that improvement of the work environment would contribute to a healthier and more satisfied nursing workforce.

  3. Analysis of environmental issues related to small-scale hydroelectric development. III. Water level fluctuation

    Energy Technology Data Exchange (ETDEWEB)

    Hildebrand, S.G. (ed.)

    1980-10-01

    Potential environmental impacts in reservoirs and downstream river reaches below dams that may be caused by the water level fluctuation resulting from development and operation of small scale (under 25MW) hydroelectric projects are identified. The impacts discussed will be of potential concern at only those small-scale hydroelectric projects that are operated in a store and release (peaking) mode. Potential impacts on physical and chemical characteristics in reservoirs resulting from water level fluctuation include resuspension and redistribution of bank and bed sediment; leaching of soluble organic matter from sediment in the littoral zone; and changes in water quality resulting from changes in sediment and nutrient trap efficiency. Potential impacts on reservoir biota as a result of water level fluctuation include habitat destruction and the resulting partial or total loss of aquatic species; changes in habitat quality, which result in reduced standing crop and production of aquatic biota; and possible shifts in species diversity. The potential physical effects of water level fluctuation on downstream systems below dams are streambed and bank erosion and water quality problems related to resuspension and redistribution of these materials. Potential biological impacts of water level fluctuation on downstream systems below dams result from changes in current velocity, habitat reduction, and alteration in food supply. These alterations, either singly or in combination, can adversely affect aquatic populations below dams. The nature and potential significance of adverse impacts resulting from water level fluctuation are discussed. Recommendations for site-specific evaluation of water level fluctuation at small-scale hydroelectric projects are presented.

  4. The impact of leprosy on health-related quality of life

    Directory of Open Access Journals (Sweden)

    Anselmo Alves Lustosa

    2011-10-01

    Full Text Available INTRODUCTION: Leprosy is a potentially disabling infectious disease that evolves into emotional issues due to the prejudice that persists about the illness. The endemic has declined substantially with multidrug therapy (MDT in the 80's; however, new demands associated with the reduction of stigma and the improvement of the affected people's quality of life have emerged. In Brazil, leprosy is still a public health problem. Piauí is the second state in the Northeast in prevalence and detection, and Teresina is a hyperendemic city. This study aimed to analyze the health-related quality of life (HRQoL of people in treatment for leprosy in Teresina/PI. METHODS: An observational study was conducted using the SF-36 (a specific questionnaire for assessing quality of life, which sought the determinants of poor quality of life among people with leprosy, outlining the sociodemographic, clinical, and epidemiological characteristics of the 107 patients interviewed. RESULTS: The correlations between the variables showed five determinants of HRQoL: late diagnosis, multibacillary forms, reactions, disability diagnosis grade II, and prejudice. The profile of the participants showed that leprosy still affects the lower social classes in historically endemic areas, causing high percentages of secondary injuries that compromise the work capacity and quality of life of the affected people, perpetuating the stigma associated with the disease. CONCLUSIONS: The study reinforces the need to implement more effective strategies of disease control, due to the development of severe and disabling forms of leprosy is directly related to poor HRQoL in the same cured patient.

  5. Proliferation resistance for fast reactors and related fuel cycles: issues and impacts

    Energy Technology Data Exchange (ETDEWEB)

    Pilat, Joseph F [Los Alamos National Laboratory

    2010-01-01

    The prospects for a dramatic growth in nuclear power may depend to a significant degree on the effectiveness of, and the resources devoted to, plans to develop and implement technologies and approaches that strengthen proliferation resistance and nuclear materials accountability. The challenges for fast reactors and related fuel cycles are especially critical. They are being explored in the Generation IV Tnternational Forum (GIF) and the Tnternational Atomic Energy Agency's (IAEA's) International Project on Innovative Nuclear Reactors and Fuel Cycles (INPRO) initiative, as well as by many states that are looking to these systems for the efficient lise of uranium resources and long-term energy security. How do any proliferation risks they may pose compare to other reactors, both existing and under development, and their fuel cycles? Can they be designed with intrinsic (technological) features to make these systems more proliferation resistant? What roles can extrinsic (institutional) features play in proliferation resistance? What are the anticipated safeguards requirements, and will new technologies and approaches need to be developed? How can safeguards be facilitated by the design process? These and other questions require a rethinking of proliferation resistance and the prospects for new technologies and other intrinsic and extrinsic features being developed that are responsive to specific issues for fast reactors and related fuel cycles and to the broader threat environment in which these systems will have to operate. There are no technologies that can wholly eliminate the risk of proliferation by a determined state, but technology and design can playa role in reducing state threats and perhaps in eliminating non-state threats. There will be a significant role for extrinsic factors, especially the various measures - from safeguards and physical protection to export controls - embodied in the international nuclear nonproliferation regime. This paper

  6. Assessment of indoor air quality related to potential vapor intrusion: Issues for former manufactured gas plants; evaluation de la qualite de l'air interieur au regard d'un eventuel phenomene d'intrusion de vapeur: cas des anciennes usines a gaz

    Energy Technology Data Exchange (ETDEWEB)

    Rames, Antoine [EDF-DIG, 20, place de la Defense, 92050 Paris La Defense (France); Guillossou, Gaelle; Ronga-Pezeret, Sylvaine [EDF, Service des etudes medicales, 45, rue Kleber, 92300 Levallois-Perret (France); Hulot, Corinne [Ineris, Direction des risques chroniques, Parc technologique Alata, 60550 Verneuil-en-Halatte (France)

    2012-03-15

    The indoor air quality of buildings on sites with soil or groundwater contaminated with volatile or semi-volatile compounds can be degraded by potential vapor intrusion (VI) from these environmental media. For sites of former manufactured gas plants (MGP), the compounds that must be considered are BTEX (benzene, toluene, ethylbenzene, and xylenes), 8 of the 16 polycyclic aromatic hydrocarbons (PAHs) generally studied, and, to a lesser degree, phenol and hydrogen cyanide. Given the plausibility of VI and in accordance with current recommendations of the French Ministry of the Environment, measurements of indoor air quality (and outdoor air, for additional analyses) were conducted on two occasions during the winter and summer of 2010. These measurements simultaneously used multiple air sampling devices (Summa canisters, Gore modules, air pumps coupled to various matrices; such as XAD2, silica gel, etc.). Phenol and hydrogen cyanide have not previously been quantified (limit of quantification between 0.12 and 2.00 {mu}g/m{sup 3}). BTEX and PAHs were found ubiquitously at concentrations on the order of 1 to 10 {mu}g/m{sup 3} for BTEX and naphthalene and one to ten ng/m{sup 3} for PAHs other than naphthalene) at all 14 MGP and both control sites, regardless of where onsite the air was sampled (office, basement or crawl space, or outdoors). These levels (the maximum considered) do not allow us to conclude that the indoor air is degraded according to the official French guidelines for managing potentially contaminated sites and soils. Thus, no excess health risk is expected for residents of these sites because of exposure to possible VI, which cannot be ruled out in view of the ubiquity of some compounds. (authors)

  7. Application of Radiation Chemistry to Some Selected Technological Issues Related to the Development of Nuclear Energy.

    Science.gov (United States)

    Bobrowski, Krzysztof; Skotnicki, Konrad; Szreder, Tomasz

    2016-10-01

    The most important contributions of radiation chemistry to some selected technological issues related to water-cooled reactors, reprocessing of spent nuclear fuel and high-level radioactive wastes, and fuel evolution during final radioactive waste disposal are highlighted. Chemical reactions occurring at the operating temperatures and pressures of reactors and involving primary transients and stable products from water radiolysis are presented and discussed in terms of the kinetic parameters and radiation chemical yields. The knowledge of these parameters is essential since they serve as input data to the models of water radiolysis in the primary loop of light water reactors and super critical water reactors. Selected features of water radiolysis in heterogeneous systems, such as aqueous nanoparticle suspensions and slurries, ceramic oxides surfaces, nanoporous, and cement-based materials, are discussed. They are of particular concern in the primary cooling loops in nuclear reactors and long-term storage of nuclear waste in geological repositories. This also includes radiation-induced processes related to corrosion of cladding materials and copper-coated iron canisters, dissolution of spent nuclear fuel, and changes of bentonite clays properties. Radiation-induced processes affecting stability of solvents and solvent extraction ligands as well oxidation states of actinide metal ions during recycling of the spent nuclear fuel are also briefly summarized.

  8. Methods for Identifying Part Quality Issues and Estimating Their Cost with an Application Using the UH-60

    Science.gov (United States)

    2014-01-01

    WPU report. TOP 5 Items with PQDRs by Value ($M) RCN# (*Oldest PQDR) Nomenclature I/E SOS NIIN CAT Qty Def Unit Cost Total # PQDR s End Item Value...401667 4 AH-64D 1.581 145 TOP 5 PQDRs by Age (Days) RCN# Nomenclature I/E SOS NIIN CAT Qty Def Unit Cost End Item Value ($M) Age (Days) W45N7V-09-0274...customer dissatisfaction leading to lost sales (and revenue), • compromised employee morale due to persistent quality issues, • increased scrap and

  9. Statistical issues in quality control of proteomic analyses: good experimental design and planning.

    Science.gov (United States)

    Cairns, David A

    2011-03-01

    Quality control is becoming increasingly important in proteomic investigations as experiments become more multivariate and quantitative. Quality control applies to all stages of an investigation and statistics can play a key role. In this review, the role of statistical ideas in the design and planning of an investigation is described. This involves the design of unbiased experiments using key concepts from statistical experimental design, the understanding of the biological and analytical variation in a system using variance components analysis and the determination of a required sample size to perform a statistically powerful investigation. These concepts are described through simple examples and an example data set from a 2-D DIGE pilot experiment. Each of these concepts can prove useful in producing better and more reproducible data. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  10. Audiovisual Quality Fusion based on Relative Multimodal Complexity

    DEFF Research Database (Denmark)

    You, Junyong; Korhonen, Jari; Reiter, Ulrich

    2011-01-01

    In multimodal presentations the perceived audiovisual quality assessment is significantly influenced by the content of both the audio and visual tracks. Based on our earlier subjective quality test for finding the optimal trade-off between audio and video quality, this paper proposes a novel meth...

  11. Health related quality of life and influencing factors among welders.

    Directory of Open Access Journals (Sweden)

    Jingxiang Qin

    Full Text Available BACKGROUND: Occupational exposure to welding fumes is a serious occupational health problem all over the world. Welders are exposed to many occupational hazards; these hazards might cause some occupational diseases. The aim of the study was to assess the health related quality of life (HRQL of electric welders in Shanghai China and explore influencing factors to HRQL of welders. METHODS: 301 male welders (without pneumoconiosis and 305 non-dust male workers in Shanghai were enrolled in this study. Short Form-36 (SF-36 health survey questionnaires were applied in this cross-sectional study. Socio-demographic, working and health factors were also collected. Multiple stepwise regress analysis was used to identify significant factors related to the eight dimension scores. RESULTS: Six dimensions including role-physical (RP, bodily pain (BP, general health (GH, validity (VT, social function (SF, and mental health (MH were significantly worse in welders compared to non-dust workers. Multiple stepwise regress analysis results show that native place, monthly income, quantity of children, drinking, sleep time, welding type, use of personal protective equipment (PPE, great events in life, and some symptoms including dizziness, discomfort of cervical vertebra, low back pain, cough and insomnia may be influencing factors for HRQL of welders. Among these factors, only sleep time and the use of PPE were salutary. CONCLUSIONS: Some dimensions of HRQL of these welders have been affected. Enterprises which employ welders should take measures to protect the health of these people and improve their HRQL.

  12. A decision support system for water quality issues in the Manzanares River (Madrid, Spain).

    Science.gov (United States)

    Paredes, Javier; Andreu, Joaquín; Solera, Abel

    2010-05-15

    The Manzanares River, located in Madrid (Spain), is the main water supplier of a highly populated region, and it also receives wastewater from the same area. The effluents of eight Waste Water Treatment Plants (WWTPs) downstream of the river, which represent 90% of the flow in the middle and lower parts of the river, are the primary sources of water pollution. Although the situation has improved slightly in the last two years, the water in the river is highly polluted, making it uninhabitable for aquatic life. Water quality modelling is typically used to assess the effect of treatment improvements in water bodies. In this work, the GESCAL module of the Aquatool Decision Support System Shell was used to simulate water quality in the Manzanares River. GESCAL is appropriate for modelling in an integrated way water quality for whole water resources systems, including reservoirs and rivers. A model was built that simulates conductivity, phosphorous, carbonaceous organic matter, dissolved oxygen, organic nitrogen, ammonia, and nitrates. The period from October 2006 to September 2008 was selected for calibration due to the many treatment modifications that occurred during this time. An earlier and longer period, from October 2000 to September 2006, was used for validation. In addition, a daily model was used to analyse the robustness of the GESCAL model. Once the GESCAL model was validated, different scenarios were considered and simulated. First, different combinations of nutrient elimination among the different WWTPs were simulated, leading to the conclusion that investments have to focus on three of the proposed WWTPs. Moreover, these treatments will not be sufficient to maintain fish habitat conditions at all times. Additional measures, such as the increment of the flow in the river or oxygen injection, were simulated. Incrementing the flow of the Manzanares River has been shown to be an efficient means of increasing water quality, but this implies an increment in the

  13. Application of Computer Vision for quality control in frozen mixed berries production: colour calibration issues

    Directory of Open Access Journals (Sweden)

    D. Ricauda Aimonino

    2013-09-01

    Full Text Available Computer vision is becoming increasingly important in quality control of many food processes. The appearance properties of food products (colour, texture, shape and size are, in fact, correlated with organoleptic characteristics and/or the presence of defects. Quality control based on image processing eliminates the subjectivity of human visual inspection, allowing rapid and non-destructive analysis. However, most food matrices show a wide variability in appearance features, therefore robust and customized image elaboration algorithms have to be implemented for each specific product. For this reason, quality control by visual inspection is still rather diffused in several food processes. The case study inspiring this paper concerns the production of frozen mixed berries. Once frozen, different kinds of berries are mixed together, in different amounts, according to a recipe. The correct quantity of each kind of fruit, within a certain tolerance, has to be ensured by producers. Quality control relies on bringing few samples for each production lot (samples of the same weight and, manually, counting the amount of each species. This operation is tedious, subject to errors, and time consuming, while a computer vision system (CVS could determine the amount of each kind of berries in a few seconds. This paper discusses the problem of colour calibration of the CVS used for frozen berries mixture evaluation. Images are acquired by a digital camera coupled with a dome lighting system, which gives a homogeneous illumination on the entire visible surface of the berries, and a flat bed scanner. RBG device dependent data are then mapped onto CIELab colorimetric colour space using different transformation operators. The obtained results show that the proposed calibration procedure leads to colour discrepancies comparable or even below the human eyes sensibility.

  14. Data quality objectives for generic in-tank health and safety vapor issue resolution. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Osborne, J.W.

    1995-04-28

    Data Quality Objectives (DQOs) for generic waste storage tank vapor and gas sampling were developed in facilitated meetings and a stakeholder review session, using the most recent US EPA DQO guidelines. These meetings elicited DQOs for two major vapor problem areas: flammability and toxicity. This is a summary of the outputs of the planning team for each of the 7 steps of the DQO process.

  15. Effects of physician joint ventures on health care costs, access, and quality: exploring some issues.

    Science.gov (United States)

    Ahern, M; Scott, E

    1992-01-01

    Increasingly, physicians are joint-venturing with health care businesses such as physical therapy centers, diagnostic imaging centers, ambulatory surgical centers, and other services. Simultaneously, outpatient costs have been rising. Theoretical and empirical evidence, including results of an exploratory survey of experts, indicate that these two events are linked. Specifically, joint ventures between referring physicians and health care businesses often appear to increase costs, increase utilization, reduce quality of care, and reduce access.

  16. Effects of global warming on floods and droughts and related water quality of rivers

    NARCIS (Netherlands)

    De Jong, B.

    2006-01-01

    This review focuses on the effect of global warming on droughts, rainstorms and floods and related water quality of rivers. Relations of temperature, rainstorms and river discharges with water quality variables like water temperature, chemical concentrations and microbiological activity are

  17. Diet quality and physical activity in relation to childhood obesity.

    Science.gov (United States)

    An, Ruopeng

    2017-04-01

    Healthy lifestyles such as being physically active and eating a healthy diet help reduce the childhood obesity risk. However, population-level studies on the relationship between lifestyles and childhood obesity typically focus on either physical activity or diet but seldom both. This study examined physical activity and diet quality in relation to obesity in a nationally representative sample of U.S. children and adolescents. The study sample of 2818 children 6-17 years old came from the National Health and Nutrition Examination Survey 2003-2006 waves. A healthy eating index (HEI)-2010 was constructed based on two nonconsecutive 24-h dietary recalls. Participants at or above the 60th percentile of the HEI-2010 score were classified as consuming a healthy diet. Participants engaging in at least 60 min of moderate-vigorous physical activity daily measured by accelerometer were classified as being physically active. Adjusted average marginal effect of diet quality and physical activity on obesity was calculated based on estimates from logistic regressions. Compared with those consuming a healthy diet who are physically active, the estimated probabilities for overweight and obesity were 19.03 (95% confidence interval: 11.31, 26.74) and 15.84 (10.48, 21.21) percentage points higher among children consuming an unhealthy diet and who are physically inactive, 16.53 (7.58, 25.48) and 13.48 (5.68, 21.29) percentage points higher among children consuming a healthy diet but who are physically inactive and 3.22 (-3.43, 9.88) and 3.10 (-3.08, 9.29) percentage points higher among children consuming an unhealthy diet but physically active, respectively. Healthy habit formation at an early age is essential in obesity prevention.

  18. Issues related to handling Exploration Seismic data within the EU FP7 GeoSeas project

    Science.gov (United States)

    Diviacco, Paolo; Cox, Simon

    2010-05-01

    GeoSeas is a sibling of the SeaDataNet initiative, aiming at creating an e-infrastructure where users will be able to identify, locate and access pan-European, harmonized and federated marine Geological and Geophysical data. GeoSeas adopts many of the technologies developed within SeaDataNet. While for most of the designated data types, only minor tuning is required, the case of Exploration Seismics poses several issues needing specific solutions. The main issue is the sampling strategy, where the technologies, practices and the legacies of exploration geophysics differ considerably from those found in Oceanography (the original research field considered by SeaDataNet). Specific extensions to the SeaDataNet framework were required at many levels. The most significant interventions concerned the Common Data Index (CDI) metadatabase and data access mechanisms. The primary feature of interest in marine exploration geophysics is the seismic line (in the 2D case) or the seismic volume (3D). For various reasons seismic lines are often segmented, which poses serious problems to the one-to-one correspondence between the CDI and data files. Furthermore, common practice is for positioning and the observation data to be managed separately. Another issue is that the catalogue of metadata items needed for Seismic data discovery and browsing needs parameters that are not available in the standard CDI. However, in the context of data discovery a common framework for all data types is preferable, so we should avoid unnecessary customization for this data type. Both of these issues have been addressed using the framework provided by the OGC Observations and Measurements standard (O&M - see Cox, this conference). O&M provides a structure for observation metadata, allowing the description of the feature of interest, observation procedure, sampling features and the relationships between them, while still allowing the original encoding of the actual observation result. Thus, the

  19. Vocational technical and adult education: Status, trends and issues related to electronic delivery

    Science.gov (United States)

    Rothenberg, D.

    1973-01-01

    Data are analyzed, and trends and issues are discussed to provide information useful to the systems designer who wishes to identify and assess the opportunities for large scale electronic delivery in vocational/technical and adult education. Issues connected with vocational/technical education are investigated, with emphasis on those issues in the current spotlight which are relevant to the possibilities of electronic delivery. The current role of media is examined in vocational/technical instruction.

  20. Methodological issues in cohort studies that relate sodium intake to cardiovascular disease outcomes: a science advisory from the American Heart Association.

    Science.gov (United States)

    Cobb, Laura K; Anderson, Cheryl A M; Elliott, Paul; Hu, Frank B; Liu, Kiang; Neaton, James D; Whelton, Paul K; Woodward, Mark; Appel, Lawrence J

    2014-03-11

    The results of cohort studies relating sodium (Na) intake to blood pressure-related cardiovascular disease (CVD) are inconsistent. To understand whether methodological issues account for the inconsistency, we reviewed the quality of these studies. We reviewed cohort studies that examined the association between Na and CVD. We then identified methodological issues with greatest potential to alter the direction of association (reverse causality, systematic error in Na assessment), some potential to alter the direction of association (residual confounding, inadequate follow-up), and the potential to yield false null results (random error in Na assessment, insufficient power). We included 26 studies with 31 independent analyses. Of these, 13 found direct associations between Na and CVD, 8 found inverse associations, 2 found J-shaped associations, and 8 found null associations only. On average there were 3 to 4 methodological issues per study. Issues with greater potential to alter the direction of association were present in all but 1 of the 26 studies (systematic error, 22; reverse causality, 16). Issues with lesser potential to alter the direction of association were present in 18 studies, whereas those with potential to yield false null results were present in 23. Methodological issues may account for the inconsistent findings in currently available observational studies relating Na to CVD. Until well-designed cohort studies in the general population are available, it remains appropriate to base Na guidelines on the robust body of evidence linking Na with elevated blood pressure and the few existing general population trials of the effects of Na reduction on CVD.

  1. A Structural Model of Health-Related Quality of Life in Parkinson's Disease Patients.

    Science.gov (United States)

    Lee, JuHee; Choi, MoonKi; Jung, Dukyoo; Sohn, Young H; Hong, JinYong

    2015-08-01

    Disability-adjusted life expectancy is focused on more than just extending life span; thus, health-related quality of life (HRQOL) has emerged as an important issue for elderly patients with chronic disease. The number of patients with Parkinson's disease (PD) is predicted to grow along with the aging population, so it is essential to identify the predictors of HRQOL. This study utilized structural equation modeling (SEM) to predict the HRQOL of patients with PD. Participants (N = 217) were patients diagnosed with PD (M age = 66.01). Demographic and disease-related characteristics, sleep quality, pain, depression, and HRQOL were investigated via a structured questionnaire. Participants' functional factors were measured using physical function evaluations. The hypothetical model verified disease-related factors, depression, and pain as direct factors that significantly predicted HRQOL of patients with PD (Goodness of Fit Index = 0.93 and Comparative Fit Index = 0.96). These findings are useful for developing comprehensive interventions to improve the HRQOL of patients with PD.

  2. Quality and quantity tackling real issues in an institutional research repository

    CERN Document Server

    CERN. Geneva; Simpson, Pauline

    2005-01-01

    The TARDis project has examined and tackled many practical issues in scaling up from the current individual departmental scholarly communication practices towards an active institutional research repository. This repository must, of necessity, serve a variety of goals for a wide spread of disciplines. We illustrate the steps that have helped move the University of Southampton’s institutional research repository into a key position within the university’s research strategy for both visibility and reporting. We demonstrate the practical activities being developed to manage research assessment in conjunction with the EPrints software. These balance others which we show help fulfill the broad vision of disseminating all research output. These steps are enabling the visions of open access and institutional repositories to come closer together in a constructive fashion.

  3. The Quality Issue of the Parts Blanked from Thin Silicon Sheets

    Science.gov (United States)

    Mucha, Jacek; Jaworski, Jan

    2017-03-01

    In this paper, the wear mechanism of punches made of M3:2 and M2 steel sheet which are used in blanking process of the rotor part of the low-power asynchronous motor was presented. The influence of additional TiN coating on the punch flank surface degradation intensity was described. The punch wear influence on the hardness changes close the material intersection surface was determined. The research results indicate that the tool durability ensures the quality of parts blanked from electrotechnical steel. The results will allow for selection of new tools materials for this type of tools which are used in difficult tribological conditions.

  4. Online Tools for Uncovering Data Quality (DQ) Issues in Satellite-Based Global Precipitation Products

    Science.gov (United States)

    Liu, Zhong; Heo, Gil

    2015-01-01

    Data quality (DQ) has many attributes or facets (i.e., errors, biases, systematic differences, uncertainties, benchmark, false trends, false alarm ratio, etc.)Sources can be complicated (measurements, environmental conditions, surface types, algorithms, etc.) and difficult to be identified especially for multi-sensor and multi-satellite products with bias correction (TMPA, IMERG, etc.) How to obtain DQ info fast and easily, especially quantified info in ROI Existing parameters (random error), literature, DIY, etc.How to apply the knowledge in research and applications.Here, we focus on online systems for integration of products and parameters, visualization and analysis as well as investigation and extraction of DQ information.

  5. Scientific issues related to Codex Alimentarius goals: a review of principles, with examples.

    Science.gov (United States)

    Somogyi, Arpad; Hathcock, John; Biesalski, Hans Konrad; Blumberg, Jeffrey B; Antoine, Jean-Michel; Edwards, Gareth; Prock, Peter

    2011-06-01

    The Codex Alimentarius provides the food standards and guidelines recognized by the World Trade Organization as the primary authority for use in settlement of related trade disputes. Codex bases its decisions primarily on scientific principles and evidence, although other legitimate factors such as economic and societal values may be considered. Codex has two primary aims: to protect consumers' health and assure fair practices in food trade. Codex documents may provide templates for individual nations but are not binding for domestic policies. Despite many advances over the last couple of decades, misunderstandings and controversies have interfered with important aspects of progress which Codex needs to accomplish, especially in the areas of claims of benefits related to food or nutrient consumption and the establishment of the safety of these items. Claims for health benefits should be based on the totality of available scientific evidence, including observational data collected from large populations as well as the results from randomized clinical trials. Safety should be evaluated by risk assessment on high quality experimental data, with anecdotal information having a lesser role. Regulatory policy would be improved if "history of safe use" were to be better defined and described.

  6. Legal Issues Related to Donation of Organs, Tissues and Cells of Human Origin

    Directory of Open Access Journals (Sweden)

    Gabriela Mironov

    2010-06-01

    Full Text Available Scientific developments, positive changes in attitude of the man and the new legal framework allow the donation of organs, tissues and cells of human origin. In this context it is necessary to clarifywhether the donation covered by the special law is, legally, one and the same as that covered by the Romanian Civil Code in force and qualified the successor’s right to accept or reject late withdrawals for transplantation. The right to life and physical integrity is personal patrimony; it is a subjective civil right that has no economic content and it cannot be measured in money. Consequently, the content of these rights can not be expressed in money, the property does not belong to their owner. Given the above view, "the right of disposal" to donation of organs, tissues and cells of human origin is an attribute of ownership, right to life and physical integrity, as a personal right that is an intimate attribute patrimonial related to the person’s right to dispose of his body as it wishes, within the law. Addressing these issues it is necessary to clarify the legal consequences of donating organs, tissues and cells of human origin, considering that medical activities are becoming more numerous.

  7. Doubly-Special Relativity: Facts, Myths and Some Key Open Issues

    Directory of Open Access Journals (Sweden)

    Giovanni Amelino-Camelia

    2010-03-01

    Full Text Available I report, emphasizing some key open issues and some aspects that are particularly relevant for phenomenology, on the status of the development of “doubly-special” relativistic (“DSR” theories with both an observer-independent high-velocity scale and an observer-independent small-length/large-momentum scale, possibly relevant for the Planck-scale/quantum-gravity realm. I also give a true/false characterization of the structure of these theories. In particular, I discuss a DSR scenario without modification of the energy-momentum dispersion relation and without the қ-Poincaré Hopf algebra, a scenario with deformed Poincaré symmetries which is not a DSR scenario, some scenarios with both an invariant length scale and an invariant velocity scale which are not DSR scenarios, and a DSR scenario in which it is easy to verify that some observable relativistic (but non-special-relativistic features are insensitive to possible nonlinear redefinitions of symmetry generators.

  8. Medical Big Data for Research Use: Current Status and Related Issues.

    Science.gov (United States)

    Ishikawa, Koichi Benjamin

    2016-09-01

    Advances in the computerization of information and development of technology have mitigated restrictions on handling of a large amount of information. This has resulted in growth of expectations for the use of large-scale databases, or so-called "big data." This is also the case in the field of healthcare. Projects that involve building of the national receipt database (NDB) of medical fee bill (receipt) information and special health check-up information based on the Act on Assurance of Medical Care for Elderly People and the development of medical information databases have been pursued by the national government, and considerable attention has also been focused on researches conducted through the secondary uses of publicly collected data. Aside from these trends, there are numerous projects which collect diagnosis procedure combination (DPC) data to build large-scale databases for research purposes. Following to the ethics guidelines for epidemiologic studies, they collect and analyze anonymized DPC data from cooperating institutions. This communication concentrates on the use of DPC data, and outlines the scale of data currently available for research use. Examples on the use of DPC data will be shown for analysis on the current status of clinical practice from the microscopic perspective and macroscopic analysis of community medical care provision. Additionally, potential for extending studies to long-term outcomes research, limitations and issues related to the use of medical big data will also be discussed.

  9. Development of a General Package for Resolution of Uncertainty-Related Issues in Reservoir Engineering

    Directory of Open Access Journals (Sweden)

    Liang Xue

    2017-02-01

    Full Text Available Reservoir simulations always involve a large number of parameters to characterize the properties of formation and fluid, many of which are subject to uncertainties owing to spatial heterogeneity and insufficient measurements. To provide solutions to uncertainty-related issues in reservoir simulations, a general package called GenPack has been developed. GenPack includes three main functions required for full stochastic analysis in petroleum engineering, generation of random parameter fields, predictive uncertainty quantifications and automatic history matching. GenPack, which was developed in a modularized manner, is a non-intrusive package which can be integrated with any existing commercial simulator in petroleum engineering to facilitate its application. Computational efficiency can be improved both theoretically by introducing a surrogate model-based probabilistic collocation method, and technically by using parallel computing. A series of synthetic cases are designed to demonstrate the capability of GenPack. The test results show that the random parameter field can be flexibly generated in a customized manner for petroleum engineering applications. The predictive uncertainty can be reasonably quantified and the computational efficiency is significantly improved. The ensemble Kalman filter (EnKF-based automatic history matching method can improve predictive accuracy and reduce the corresponding predictive uncertainty by accounting for observations.

  10. Legal and Program Issues Related to Child Custody and Late Parents.

    Science.gov (United States)

    Southern Regional Education Board, Atlanta, GA. Training for Child Care Project.

    This bulletin, the third in a series on selected issues in day care, addresses two problems involving legal issues: (1) what are the implications for the day care program when parents or other legal guardians are involved in a dispute over the custody of children? and (2) what are the rights and responsibilities of day care programs when parents…

  11. Current Issues Related to Associate Degree Nursing: Their Impact on Directors, Faculty, and Students.

    Science.gov (United States)

    Cavenar, Mary G.

    Perceptions of students, faculty members, and associate degree nursing (ADN) program directors/coordinators concerning seven issues affecting ADN programs were obtained in 1982. The issues, which were identified through a review of the literature, were: entry into practice, professional and technical nurses, developing competency statements,…

  12. School Administrators' Perceptions of Trends, Issues, and Responsibilities Relating to the Modern Educational Climate.

    Science.gov (United States)

    Sharp, William L.; Walter, James K.

    In 1995, a group of school administrators affiliated with the Indiana Executive Fellows Program identified important educational issues. This paper presents findings of a 1997 study that asked a different sample of superintendents to rank a list of educational issues on the basis of importance. Questionnaires were sent to 325 superintendents in…

  13. A green roof experimental site in the Mediterranean climate: the storm water quality issue.

    Science.gov (United States)

    Gnecco, Ilaria; Palla, Anna; Lanza, Luca G; La Barbera, Paolo

    2013-01-01

    Since 2007, the University of Genoa has been carrying out a monitoring programme to investigate the hydrologic response of green roofs in the Mediterranean climate by installing a green roof experimental site. In order to assess the influence of green roofs on the storm water runoff quality, water chemistry data have been included in the monitoring programme since 2010, providing rainfall and outflow data. For atmospheric source, the bulk deposition is collected to evaluate the role of the overall atmospheric deposition in storm water runoff quality. For subsurface outflow, a maximum of 24 composite samples are taken on an event basis, thus aiming at a full characterization of the outflow hydrograph. Water chemistry data reveal that the pollutant loads associated with green roof outflow is low; in particular, solids and metal concentrations are lower than values generally observed in storm water runoff from traditional rooftops. The concentration values of chemical oxygen demand, total dissolved solids, Fe, Ca and K measured in the subsurface outflow are significantly higher than those observed in the bulk deposition (p < 0.05). With respect to the atmospheric deposition, the green roof behaviour as a sink/source of pollutants is investigated based on both concentration and mass.

  14. A game theoretic approach for interbasin water resources allocation considering the water quality issues.

    Science.gov (United States)

    Mahjouri, Najmeh; Ardestani, Mojtaba

    2010-08-01

    In this paper, a new game theoretic methodology is developed for interbasin water transfer management with regard to economic, equity, and environmental criteria. The main objective is to supply the competing users in a fair way, while the efficiency and environmental sustainability criteria are satisfied and the utilities of water users are incorporated. Firstly, an optimization model is developed to proportionally allocate water to the competing users in water donor and receiving basins based on their water demands. Secondly, for different coalitions of water users, the water shares of the coalitions are determined using an optimization model with economic objectives regarding the physical and environmental constraints of the system. In order to satisfy water-quality requirements, the impacts of decreasing the instream flow in donor basin are estimated using a water-quality simulation model, and the required treatment levels for effluents discharged into the river, downstream of the water transfer point are determined. Finally, to achieve equity and to provide sufficient incentives for water users to participate in the cooperation, some cooperative game theoretic approaches are utilized for reallocation of net benefits to water users. This model is applied to a large-scale interbasin water allocation problem including two different basins struggling with water scarcity in Iran. The results show that this model can be utilized as an effective tool for optimal interbasin water allocation management involving stakeholders with conflicting objectives subject to physical and environmental constraints.

  15. Gender Issues and Related Social Stigma Affecting Patients with a Disorder of Sex Development in India.

    Science.gov (United States)

    Joseph, Angela Ann; Kulshreshtha, Bindu; Shabir, Iram; Marumudi, Eunice; George, Tony Sam; Sagar, Rajesh; Mehta, Manju; Ammini, Ariachery C

    2017-02-01

    Children with disorders of sex development (DSD) manifest at birth with malformed genitalia or later with atypical pubertal development. Those born with malformed genitalia are often diagnosed at birth. However, in resource-poor countries like India, where not all births are supervised by healthcare workers, some of these children remain undiagnosed until puberty or even later. The aim of this study was to assess the gender issues and psychosocial problems of children with DSD. Participants included 205 children with DSD (103 with 46,XX DSD and 102 with 46,XY DSD). Both the children with DSD and their parents underwent semistructured interviews by a clinical psychologist. The birth of a child with DSD was perceived as a major medical and social problem by parents from all socioeconomic strata. Mothers were distressed as many believed the DSD condition was transmitted through the mother. Children who were not diagnosed and treated during infancy or early childhood experienced considerable social discrimination not only from relatives and friends but also from medical and paramedical staff in hospitals. Several patients had been operated during infancy without an etiological diagnosis and without provision of adequate information to the parents. Some children had problems related to complications of surgery. Most teenage patients with 5α-reductase-2 deficiency reared as females presented with gender dysphoria, while children with androgen insensitivity (except for one) or with gonadal dysgenesis developed a gender identity concordant with their gender of rearing. Parents of children with DSD preferred a male gender assignment for their children (if that was possible) because of the social advantages of growing up male in a patriarchal society.

  16. Public health issues related with the consumption of food obtained from genetically modified organisms.

    Science.gov (United States)

    Paparini, Andrea; Romano-Spica, Vincenzo

    2004-01-01

    Genetically Modified Organisms (GMOs) are a fact of modern agriculture and a major field of discussion in biotechnology. As science incessantly achieves innovative and unexpected breakthroughs, new medical, political, ethical and religious debates arise over the production and consumption of transgenic organisms. Despite no described medical condition being directly associated with a diet including approved GM crops in large exposed populations such as 300,000,000 Americans and a billion Chinese, public opinion seems to look at this new technology with either growing concern or even disapproval. It is generally recognized that a high level of vigilance is necessary and highly desirable, but it should also be considered that GMOs are a promising new challenge for the III Millennium societies, with remarkable impact on many disciplines and fields related to biotechnology. To acquire a basic knowledge on GMO production, GM-food consumption, GMO interaction with humans and environment is of primary importance for risk assessment. It requires availability of clear data and results from rigorous experiments. This review will focus on public health risks related with a GMO-containing diet. The objective is to summarize state of the art research, provide fundamental technical information, point out problems and perspectives, and make available essential tools for further research. Are GMO based industries and GMO-derived foods safe to human health? Can we consider both social, ethical and public health issues by means of a constant and effective monitoring of the food chain and by a clear, informative labeling of the products? Which are the so far characterized or alleged hazards of GMOs? And, most importantly, are these hazards actual, potential or merely contrived? Several questions remain open; answers and solutions belong to science, to politics and to the personal opinion of each social subject.

  17. Challenges and Issues in the Evaluation of Teaching Quality: How Does it Affect Teachers' Professional Practice? A UK Perspective.

    Science.gov (United States)

    Warman, Sheena M

    2015-01-01

    Evaluation of the quality of higher education is undertaken for the purposes of ensuring accountability, accreditation, and improvement, all of which are highly relevant to veterinary teaching institutions in the current economic climate. If evaluation is to drive change, it needs to be able to influence teaching practice. This article reviews the literature relating to evaluation of teaching quality in higher education with a particular focus on teachers' professional practice. Student evaluation and peer observation of teaching are discussed as examples of widely used evaluation processes. These approaches clearly have the potential to influence teachers' practice. Institutions should strive to ensure the development of a supportive culture that prioritizes teaching quality while being aware of any potential consequences related to cost, faculty time, or negative emotional responses that might result from the use of different evaluation methods.

  18. Childhood bruxism: Related factors and impact on oral health-related quality of life.

    Science.gov (United States)

    Antunes, Lívia Azeredo Alves; Castilho, Thuanny; Marinho, Marcello; Fraga, Renato Silva; Antunes, Leonardo Santos

    2016-01-01

    This study aimed to assess childhood bruxism relating associated factors and the bruxism's impact on oral health-related quality of life (OHRQoL). A case-control study was performed with 3- to 6-year-old children obtained from public preschools in Brazil. The case and control groups had 21 and 40 children, respectively. Associations between bruxism and respiratory problems (p = 0.04, OR: 0.33, CI: 0.09 to 1.14), dental wear (p 0.05). The association between presence and absence of impact with bruxism or other variables showed no statistical relationship (p > 0.05). It could be concluded that childhood bruxism is related to respiratory problems, dental wear, dental caries, and malocclusion. Despite being a topic that demands special care in dentistry, bruxism does not significantly affect the OHRQoL.

  19. Optimal Management Strategy for Groundwater Protection and Restoration Along with Discussions on Related Issues

    Science.gov (United States)

    Wang, M.

    2003-12-01

    Contamination of groundwater systems is an increasingly critical problem. The limited available resources or budget for groundwater protection and restoration and sustainable development in a country or region require a corresponding strategy for groundwater protection and restoration to maximize resource or budget utilization and minimize an adverse impact on the sustainable development. An innovative strategy for groundwater protection and restoration has been established based on the optimization principles and considerations of both risk assessments of groundwater contamination and difficulties or costs of groundwater remediation and protection measures. Site investigations and groundwater modeling are two critical components to implement this strategy. Cost for groundwater protection and restoration can be categorized as Existing Contaminated Site Investigation Cost (ECSIC), Existing Contaminated Site Remediation Cost (ECSRC), Projected Contamination Site Investigation Cost (PCSIC), Projected Contamination Site Protection Cost (PCSPC), and Projected Contamination Site Remediation Cost (PCSRC). The objective function for optimization analyses consists of risk reduction components with variables of the above different costs from all individual site remediation and protection measures. The optimal distribution of the limited available resources is determined by such proper selections of those variables that the objective function reaches its maximum. Several important issues related to implementations of the strategy for groundwater protection and restoration are discussed. Those issues include uncertainty from aquifer heterogeneity, modeling for fractured geologic media, irreversible sorption, and implementations of natural attenuation. Specifically, Monte Carlo simulations through a numerical flow and transport model can be performed to develop a heterogeneity dispersivity matrix to account for the effects of different attributes of aquifer heterogeneity. In

  20. Healthcare Professionals’ Perception and Related Factors About Total Quality Management

    OpenAIRE

    Tapan, Birkan; ALICI, Selin; GAYEF, Albena; YILDIRIM, Nurdan; Sezen, Adem

    2015-01-01

    Quality defined as extent of features of any product or service to meet expectations of consumers enjoying such product or service. Although it was a concept first emerged in manufacturing industry, today, it has become an important competitive factor for service institutions as well. Total Quality Management approach is drawing more and more interest as international borders start to fade out in parallel with globalization and increasing competition. Total Quality Management is a ma...

  1. Global hydrobelts and hydroregions: improved reporting scale for water-related issues?

    Directory of Open Access Journals (Sweden)

    M. Meybeck

    2013-03-01

    Full Text Available Global-scale water issues such as its availability, water needs or stress, or management, are mapped at various resolutions and reported at many scales, mostly along political or continental boundaries. As such, they ignore the fundamental heterogeneity of hydroclimates and natural boundaries of river basins. Here we describe the continental landmasses at two levels: eight hydrobelts strictly limited by river basins, defined at a 30' (0.5° resolution, which are decomposed on continents as 26 hydroregions. The belts were defined and delineated, based primarily on the annual average temperature (T and run-off (q, to maximise inter-belt differences and minimise intra-belt variability. This new global puzzle defines homogeneous and near-contiguous entities with similar hydrological and thermal regimes, glacial and postglacial basin histories, endorheism distribution and sensitivity to climate variations. The mid-latitude, dry and subtropical belts have northern and southern analogues and a general symmetry can be observed for T and q between them. The boreal and equatorial belts are unique. Population density between belts and between the continents varies greatly, resulting in pronounced differences between the belts with analogues in both hemispheres. Hydroregions (median size 4.7 M km2 are highly contrasted, with the average q ranging between 6 and 1393 mm yr−1 and the average T between −9.7 and +26.3 °C, and a population density ranging from 0.7 to 0.8 p km−2 for the North American boreal region and some Australian hydroregions to 280 p km−2 for some Asian hydroregions. The population/run-off ratio, normalised to a reference pristine region, is used to map and quantify the global population at risk of severe water quality degradation. Our initial tests suggest that hydrobelt and hydroregion divisions are often more appropriate than conventional continental or political divisions for the global analysis of river basins within the Earth

  2. Health related quality of life in patients with actinic keratosis

    DEFF Research Database (Denmark)

    Tennvall, Gunnel Ragnarson; Norlin, J M; Malmberg, I;

    2015-01-01

    BACKGROUND: Actinic keratosis (AK) is a common skin condition that may progress to non-melanoma skin cancer (NMSC). The disease may influence Health Related Quality of Life (HRQoL), but studies of HRQoL in patients with AK are limited. The purpose of the study was to analyze HRQoL in patients wit...... with severe actinic damage showed more impairment in HRQoL than those with mild disease. Correlations between instruments suggest that they are complementary as they measure different aspects of HRQoL and are used for different purposes....... with different severity levels of AK treated in dermatology specialist care using generic and disease-specific HRQoL instruments and to analyze their relationship. METHODS: AK patients who visited dermatological clinics in Denmark were included in an observational, cross-sectional, study in a multi...... instruments was analyzed with the Spearman correlation test. RESULTS: A total of 312 patients were included in the analyses. Patients reported impairment in the disease specific HRQoL instrument AKQoL (mean AKQoL 6.7, DLQI 2, EQ-5D-5 L 0.88, and EQ-VAS 79). HRQoL was least affected in patients with mild...

  3. The relation between quality of clinical trials and acupuncture efficacy

    Directory of Open Access Journals (Sweden)

    David Gonçalves Nordon

    2013-06-01

    Full Text Available Introduction: Clinical trials of acupuncture not always have concordant results, mostly due to their great heterogeneity. Two indexes have been developed to analyze the quality of acupuncture trials. This study hypothesizes that, the more adequate the intervention and the control techniques, the more efficacious the acupuncture. Methods: Both indexes were applied to 27 randomized clinical trials comparing acupuncture to placebo. Results were compared by using the Mann-Whitney test. Results: Studies favorable to acupuncture had a intervention score’s median of 11.5; for the unfavorable ones, it was 7, p: 0.0017. Articles with and without statistically significant differences, though, had the same median for their scores in the control index: 6. Discussion: There is a positive relation between a better score for acupuncture technique and a statistically significant difference between acupuncture and interventional control. However, due to the little heterogeneity in the degree of physiological effect from each article, the control index had no statistical significance. Conclusion: This study established that, among acupuncture RCT controlled by placebo or sham of moderate physiological effect, the adequacy of the technique is more important than the adequacy of control in establishing a statistically significant difference between acupuncture and interventional control.

  4. Health related quality of life in patients with anogenital warts

    Directory of Open Access Journals (Sweden)

    Papadogeorgakis Helen

    2011-08-01

    Full Text Available Abstract Introduction The health-related quality-of-life (HRQoL instruments are an important tool for the evaluation of medical outcomes. Sexually transmitted diseases (STDs influence the patients' life. We aimed to evaluate the HRQoL in patients with anogenital warts at the time of and 1 month after the diagnosis. Materials and methods We used the short-form (SF-36 questionnaire to compare the HRQoL of 91 patients with anogenital warts to 53 control subjects with the same socioeconomic characteristics. Results There was no statistical difference in the overall HRQoL measurement between the anogenital wart patients and controls. However, there was an improvement in the scales of vitality (65.22 ± 15.70 vs. 69.04 ± 14.11, respectively; p Conclusions HRQoL does not appear to be influenced in anogenital wart patients, as measured by the generic instrument SF-36. It is therefore important to develop specific instruments for the measurement of HRQoL in this group of patients.

  5. 21 CFR 26.19 - Information relating to quality aspects.

    Science.gov (United States)

    2010-04-01

    ... MUTUAL RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM... COMMUNITY Specific Sector Provisions for Pharmaceutical Good Manufacturing Practices § 26.19...

  6. Quality of Smartphone Apps Related to Alcohol Use Disorder.

    Science.gov (United States)

    Penzenstadler, Louise; Chatton, Anne; Van Singer, Mathias; Khazaal, Yasser

    2016-01-01

    Apps for smartphones are opening an important range of opportunities for improving the care of people with alcohol use disorders (AUDs). This study aimed to evaluate the quality of English language apps for AUDs and to compare paid and free apps. The keywords 'alcohol', 'alcohol addiction', 'alcohol help' and 'stop drinking' were entered into the iTunes Store search engine. Apps were evaluated using a standardized assessment designed to rate the quality of apps in terms of accountability, interactivity, self-help score and evidence-based content. The Brief DISCERN score and the criteria of the 'Health on the Net' label were also used as content quality indicators. Of the 137 unique apps identified, 52 met the inclusion criteria. Overall, the content quality and self-help scores of these AUD apps were poor. The main quality indicators were not linked to payment status. Multiple linear regressions showed that the Brief DISCERN score significantly predicted content quality. Poor content quality and self-help scores of AUD smartphone apps underline the gap between their potential promises and the overall quality of available products in stores. The quality indicators used in the present study may be used for further app developments. © 2016 S. Karger AG, Basel.

  7. Methodological challenges in quality of life research among Turkish and Moroccan ethnic minority cancer patients: translation, recruitment and ethical issues

    NARCIS (Netherlands)

    Hoopman, R.; Terwee, C.B.; Muller, M.T.; Ory, F.; Aaronson, N.K.

    2009-01-01

    The large population of first generation Turkish and Moroccan immigrants who moved to Western Europe in the 1960s and 1970s is now reaching an age at which the incidence of chronic diseases, including cancer, rises sharply. To date, little attention has been paid to the health-related quality of

  8. Methodological challenges in quality of life research among Turkish and Moroccan ethnic minority cancer patients: translation, recruitment and ethical issues

    NARCIS (Netherlands)

    Hoopman, R.; Terwee, C.B.; Muller, M.T.; Ory, F.; Aaronson, N.K.

    2009-01-01

    The large population of first generation Turkish and Moroccan immigrants who moved to Western Europe in the 1960s and 1970s is now reaching an age at which the incidence of chronic diseases, including cancer, rises sharply. To date, little attention has been paid to the health-related quality of lif

  9. Cesarean Delivery Rates Vary 10-Fold Among US Hospitals; Reducing Variation May Address Quality, Cost Issues

    Science.gov (United States)

    Kozhimannil, Katy Backes; Law, Michael R.; Virnig, Beth A.

    2013-01-01

    Cesarean delivery is the most commonly performed surgical procedure in the United States, and cesarean rates are increasing. Working with 2009 data from 593 US hospitals nationwide, we found that cesarean rates varied tenfold across hospitals, from 7.1 percent to 69.9 percent. Even for women with lower-risk pregnancies, in which more limited variation might be expected, cesarean rates varied fifteen-fold, from 2.4 percent to 36.5 percent. Thus, vast differences in practice patterns are likely to be driving the costly overuse of cesarean delivery in many US hospitals. Because Medicaid pays for nearly half of US births, government efforts to decrease variation are warranted. We focus on four promising directions for reducing these variations, including better coordination of maternity care, more data collection and measurement, tying Medicaid payment to quality improvement, and enhancing patient-centered decision making through public reporting. PMID:23459732

  10. State of the art in quality assurance issues of structures with particular emphasis on strength degradation

    Directory of Open Access Journals (Sweden)

    Suchart Limkatanyu

    2006-11-01

    Full Text Available With the increase of the economic competition in the industrial world, much attention is being paid to the deterioration of the design structures before and after their first use. Even with the highest quality of materials and workmanship, the occurrence of some form of imperfections during manufacture is inevitable and there will be a typical distribution of imperfection sizes associated with a particular manufacturing process and quality. The origin of defects in a material can take place during manufacturing stage, or during assembly, installation, commissioning or during in service. The defects will be generated due to deterioration of the component/structure which, in turn, results in deterioration of mechanical properties, crack initiation and propagation, leaks in pressurized components and catastrophic failures. Hence, Non Destructive Inspection (NDI is required at regular intervals and the results can be used for maintenance to mitigate fatigue risk. However, no in-service inspection is perfect. NDI outputs normally depend on many uncertain factors such as the condition of the inspected structure and its service environment etc. In order to take into account those uncertainties, the probabilistic approach is capable of identifying variables affecting the design life of the components. It has also been proved that the probabilistic method can be extended to provide very useful information to help managers in making decisions regarding the operation and inspection time of the structures in order to maintain their reliability. In the present paper, a literature review of the current approaches and methodologies that has been utilized in the area of structural risk and reliability analysis for structures is presented. The parameters used to quantify the uncertainty and reliability of NDI technique is explored. Several probabilistic models regarding the updating flaw information and inspection schedule using different approaches are

  11. Accuracy and reliability of Chile's National Air Quality Information System for measuring particulate matter: Beta attenuation monitoring issue.

    Science.gov (United States)

    Toro A, Richard; Campos, Claudia; Molina, Carolina; Morales S, Raul G E; Leiva-Guzmán, Manuel A

    2015-09-01

    A critical analysis of Chile's National Air Quality Information System (NAQIS) is presented, focusing on particulate matter (PM) measurement. This paper examines the complexity, availability and reliability of monitoring station information, the implementation of control systems, the quality assurance protocols of the monitoring station data and the reliability of the measurement systems in areas highly polluted by particulate matter. From information available on the NAQIS website, it is possible to confirm that the PM2.5 (PM10) data available on the site correspond to 30.8% (69.2%) of the total information available from the monitoring stations. There is a lack of information regarding the measurement systems used to quantify air pollutants, most of the available data registers contain gaps, almost all of the information is categorized as "preliminary information" and neither standard operating procedures (operational and validation) nor assurance audits or quality control of the measurements are reported. In contrast, events that cause saturation of the monitoring detectors located in northern and southern Chile have been observed using beta attenuation monitoring. In these cases, it can only be concluded that the PM content is equal to or greater than the saturation concentration registered by the monitors and that the air quality indexes obtained from these measurements are underestimated. This occurrence has been observed in 12 (20) public and private stations where PM2.5 (PM10) is measured. The shortcomings of the NAQIS data have important repercussions for the conclusions obtained from the data and for how the data are used. However, these issues represent opportunities for improving the system to widen its use, incorporate comparison protocols between equipment, install new stations and standardize the control system and quality assurance.

  12. The role of quality of life in functional gastrointestinal disorders: regulatory issues.

    Science.gov (United States)

    Bergmann, J F; Chassany, O

    1998-01-01

    Generic questionnaire such as SF36 and functional gastrointestinal disorder (FGD)-specific questionnaires (i.e. IBSQOL or FGDQL) are now available for the evaluation of new drugs for the treatment of irritable bowel syndrome or functional dyspepsia. For regulatory issues it is necessary to describe in detail the scale of the QOL questionnaire, its psychometric properties and reason for its choice, as well as validation studies, populations concerned, means of administration and methods for analysis. Preselection of few dimensions of the QOL questionnaire, if necessary, has to be explained. QOL results have to be compared with symptom scores. Trials have to be double-blind placebo- controlled studies with a sample size calculation taking account of the high placebo-response. No official guidelines are available in FGD and more validation studies are needed to help in the choice of the specific QOL questionnaire, in the metrologic analysis and in the interpretation of QOL changes during FGD treatment. Then QOL questionnaires could become a primary end point in clinical trials if efficient drugs for FGD treatment are developed.

  13. What some African development plans say on population related issues in development.

    Science.gov (United States)

    1983-01-01

    This discussion reviews what development plans say about population related issues in development in the countries of Botswana, Kenya, Lesotho, Senegal, Nigeria, Ivory Coast, Seychelles, Sierra Leone, Somalia Democratic Republic, Sudan, The United Republic of Cameroon, Tanzania, Zambia, and Zimbabwe. Botswana's 1970-73 development plan recognized the need to have fewer children who would be better fed, well clothed, properly housed, and better educated. The government set a target of population growth not to exceed 2.5% for the 1970-80 period. The government of Kenya has expressed much concern about population growth and is devoted to continuing and strengthening the official family planning program instituted in 1967. Lesotho's 1980-81 to 1984-85 development plan emphasizes the need to enhance the well-being of the rural population. The orientation of the health sector strategy is towards primary health care, health education, family planning, water supply, sanitation, and nutrition. Nigeria's 1975-80 plan indicates that demographic factors do not appear as yet to constitute a significant or serious obstacle to domestic economic progress. The objective of the Ivory Coast's 1976-80 plan for economic, social, and cultural development is to increase population since the Ivory Coast still seems to be an underpopulated country. The 1979-83 National Development Plan of Seychelles includes the following objectives: to remedy the housing problem, to achieve full employment, and to introduce responsible family planning. Sierra Leone's development plan for 1974-75 to 1978-79 did not indicate a need to decrease population growth. Population variables in relation to development are not well articulated in the plan of the Somalia Democratic Republic. Like many other developing countries, Sudan's plan has objectives to improve all aspects of the standard of living. It recognizes the serious problem of absorbing a larger population in urban areas. In Tanzania family planning is

  14. Evaluation of structural issues related to isolation of the 100-KE/100-KW discharge chute

    Energy Technology Data Exchange (ETDEWEB)

    Winkel, B.V.; Hyde, L.L.

    1995-03-10

    The issue of excessive post-seismic leakage in the discharge chute of the K East and K West fuel storage basins was resolved by designing isolation barriers to maintain basin water levels if the discharge chute should drain. This report addresses the structural issues associated with isolation of the discharge chute. The report demonstrates the structural adequacy of the components associated with chute isolation for normal and seismic loading. Associated issues, such as hardware drop accidents and seismic slosh heights are also addressed.

  15. Physical activity and health related quality of life

    Directory of Open Access Journals (Sweden)

    Anokye Nana

    2012-08-01

    Full Text Available Abstract Background Research on the relationship between Health Related Quality of Life (HRQoL and physical activity (PA, to date, have rarely investigated how this relationship differ across objective and subjective measures of PA. The aim of this paper is to explore the relationship between HRQoL and PA, and examine how this relationship differs across objective and subjective measures of PA, within the context of a large representative national survey from England. Methods Using a sample of 5,537 adults (40–60 years from a representative national survey in England (Health Survey for England 2008, Tobit regressions with upper censoring was employed to model the association between HRQoL and objective, and subjective measures of PA controlling for potential confounders. We tested the robustness of this relationship across specific types of PA. HRQoL was assessed using the summary measure of health state utility value derived from the EuroQol-5 Dimensions (EQ-5D whilst PA was assessed via subjective measure (questionnaire and objective measure (accelerometer- actigraph model GT1M. The actigraph was worn (at the waist for 7 days (during waking hours by a randomly selected sub-sample of the HSE 2008 respondents (4,507 adults – 16 plus years, with a valid day constituting 10 hours. Analysis was conducted in 2010. Results Findings suggest that higher levels of PA are associated with better HRQoL (regression coefficient: 0.026 to 0.072. This relationship is consistent across different measures and types of PA although differences in the magnitude of HRQoL benefit associated with objective and subjective (regression coefficient: 0.047 measures of PA are noticeable, with the former measure being associated with a relatively better HRQoL (regression coefficient: 0.072. Conclusion Higher levels of PA are associated with better HRQoL. Using an objective measure of PA compared with subjective shows a relatively better HRQoL.

  16. Rice quality in relation to market prices in Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    CHENLijuan; FANXingming

    1996-01-01

    Factors affecting rice quality and their impacts on market price were investigated in this study. On-farm survey and market survey was undertaken in three selected sites namely Kunruing, Dali, and Xishuangbanna in Yunnan Province, China. Market sampling was conducted to determine important rice quality characteristics.

  17. The deformed uncertainty relation and the corresponding beam quality factor

    CERN Document Server

    Li, K; Wang, S M; Li, Kang; Zhao, Dao Mu; Wang, Shao Min

    1996-01-01

    By using the theory of deformed quantum mechanics, we study the deformed light beam theoretically. The deformed beam quality factor M_q^2 is given explicitly under the case of deformed light in coherent state. When the deformation parameter q being a root of unity, the beam quality factor M_q^2 \\leq 1.

  18. Studying the relation between ownershiop structure and the profit reporting quality in the corporations listed on Tehran Stock Exchange

    Directory of Open Access Journals (Sweden)

    Kavianpour

    2016-03-01

    Full Text Available Current research in line with the theoretical principles of profit quality issue has studied the relation between ownership structure and profit reporting quality in the corporations listed on Tehran Stock Exchange. The main purpose of this research is to study the meaningful relation between intra and extra organizational investors and profit quality in the corporations listed on Tehran Stock Exchange. In order to study the relations between the variables, two indexes of intra and extra organizational investors were considered for the ownership structure and the indexes of predictive and confirmative value, impartiality, timeliness and honest speech were considered for the profit quality. Therefore, two main hypotheses and eight subsidiary hypotheses were compiled. The results obtained from studies showed in relation with extraorganizational investors, only the indexes of predictive and confirmative value and impartiality were meaningful, while about intraorganizational investors only impartiality has been meaningful. Therefore we can not comment about relation between the ownership structure and profit quality in the corporations listed on Tehran Stock Exchange certainly.

  19. Experiences of developed European countries in solving issues related to national minorities

    Directory of Open Access Journals (Sweden)

    Raduški Nada

    2009-01-01

    Full Text Available Contemporary geopolitical change, inter-ethnic conflicts and clashes, the connection between minority and territorial problems, considerably influence the quality of inter-state relations and preservation of global peace and security. National problems and ethnic confrontations have found particularly fertile soil in the Balkans, although they are known in democratic West European countries as well, despite high human rights standards. However, even though such problems deserve special attention due to their seriousness, they remain exclusively in the jurisdiction of the respective states, as opposed to the countries in transition that are in the focus of interest and intervention of the international community. In developed countries, the method of regulating the minority question greatly depends on the position of the given country on the world economic and political scene, as well as on numerous historical and political factors. In each of these countries there are specific models of coexistence of majority and minority nations, therefore there can be no universal model that would be valid for all countries. Respecting basic human rights and liberties, as well as national minority protection, are among the basic factors of stability, security and democratic and socio-economic development of every country.

  20. Invariance of molecular charge transport upon changes of extended molecule size and several related issues

    Directory of Open Access Journals (Sweden)

    Ioan Bâldea

    2016-03-01

    Full Text Available As a sanity test for the theoretical method employed, studies on (steady-state charge transport through molecular devices usually confine themselves to check whether the method in question satisfies the charge conservation. Another important test of the theory’s correctness is to check that the computed current does not depend on the choice of the central region (also referred to as the “extended molecule”. This work addresses this issue and demonstrates that the relevant transport and transport-related properties are indeed invariant upon changing the size of the extended molecule, when the embedded molecule can be described within a general single-particle picture (namely, a second-quantized Hamiltonian bilinear in the creation and annihilation operators. It is also demonstrates that the invariance of nonequilibrium properties is exhibited by the exact results but not by those computed approximately within ubiquitous wide- and flat-band limits (WBL and FBL, respectively. To exemplify the limitations of the latter, the phenomenon of negative differential resistance (NDR is considered. It is shown that the exactly computed current may exhibit a substantial NDR, while the NDR effect is absent or drastically suppressed within the WBL and FBL approximations. The analysis done in conjunction with the WBLs and FBLs reveals why general studies on nonequilibrium properties require a more elaborate theoretical than studies on linear response properties (e.g., ohmic conductance and thermopower at zero temperature. Furthermore, examples are presented that demonstrate that treating parts of electrodes adjacent to the embedded molecule and the remaining semi-infinite electrodes at different levels of theory (which is exactly what most NEGF-DFT approaches do is a procedure that yields spurious structures in nonlinear ranges of current–voltage curves.

  1. Ethical issues relating the the banking of umbilical cord blood in Mexico

    Directory of Open Access Journals (Sweden)

    Valdez-Martinez Edith

    2009-08-01

    Full Text Available Abstract Background Umbilical cord banks are a central component, as umbilical cord tissue providers, in both medical treatment and scientific research with stem cells. But, whereas the creation of umbilical cord banks is seen as successful practice, it is perceived as a risky style of play by others. This article examines and discusses the ethical, medical and legal considerations that arise from the operation of umbilical cord banks in Mexico. Discussion A number of experts have stated that the use of umbilical cord goes beyond the mere utilization of human tissues for the purpose of treatment. This tissue is also used in research studies: genetic studies, studies to evaluate the effectiveness of new antibiotics, studies to identify new proteins, etc. Meanwhile, others claim that the law and other norms for the functioning of cord banks are not consistent and are poorly defined. Some of these critics point out that the confidentiality of donor information is handled differently in different places. The fact that private cord banks offer their services as "biological insurance" in order to obtain informed consent by promising the parents that the tissue that will be stored insures the health of their child in the future raises the issue of whether the consent is freely given or given under coercion. Another consideration that must be made in relation to privately owned cord banks has to do with the ownership of the stored umbilical cord. Summary Conflicts between moral principles and economic interests (non-moral principles cause dilemmas in the clinical practice of umbilical cord blood storage and use especially in privately owned banks. This article presents a reflection and some of the guidelines that must be followed by umbilical cord banks in order to deal with these conflicts. This reflection is based on the fundamental notions of ethics and public health and seeks to be a contribution towards the improvement of umbilical cord banks

  2. The Issue of Poverty in the Provision of Quality Education in Kenyan Secondary Schools

    Science.gov (United States)

    Mualuko, Ndiku J.

    2007-01-01

    Poverty which can be defined in terms of extreme, moderate and relative poverty is a threat to existence of humanity in modern times especially in the developing world. Worst hit are countries in Sub-Saharan Africa. The millennium development agenda set to reduce poverty by a half by the year 2015. This expresses the global commitment in ensuring…

  3. ["Obesity paradox"-a phenomenon based upon the health-related outcome on quality of life].

    Science.gov (United States)

    Zhu, Yan-bo

    2013-03-01

    The increase of body mass index (BMI) has already been recognized as one of the risk factors for many diseases. However, in patients with various diseases, data from large number of studies shows that when comparing with underweight and normal-weight patients, overweight and obesity have appeared better clinical prognosis, namely "obesity paradox". It has become one of the hot spots in domestic and foreign research areas of the sort. When studying the relationship between BMI and health-related quality of life (HRQoL), we discovered that when BMI was increasing among the elderly or people with chronic diseases, it could predict a better quality of life among these populations. The impairment of HRQoL in chronic disease was not caused by the impact of obesity but by chronic diseases. These evidence triggered the idea that whether higher HRQoL of obesity was the potential mechanisms that leading to a higher survival rate? It also provided a new entry point for searching possible mechanism in which related to the "obesity paradox" that raising new issues on reasonable weight management.

  4. The persistence of pesticides in atmospheric particulate phase: An emerging air quality issue

    Science.gov (United States)

    Socorro, Joanna; Durand, Amandine; Temime-Roussel, Brice; Gligorovski, Sasho; Wortham, Henri; Quivet, Etienne

    2016-09-01

    The persistent organic pollutants (POPs) due to their physicochemical properties can be widely spread all over the globe; as such they represent a serious threat to both humans and wildlife. According to Stockholm convention out of 24 officially recognized POPs, 16 are pesticides. The atmospheric life times of pesticides, up to now were estimated based on their gas-phase reactivity. It has been only speculated that sorption to aerosol particles may increase significantly the half-lives of pesticides in the atmosphere. The results presented here challenge the current view of the half-lives of pesticides in the lower boundary layer of the atmosphere and their impact on air quality and human health. We demonstrate that semivolatile pesticides which are mostly adsorbed on atmospheric aerosol particles are very persistent with respect to the highly reactive hydroxyl radicals (OH) that is the self-cleaning agent of the atmosphere. The half-lives in particulate phase of difenoconazole, tetraconazole, fipronil, oxadiazon, deltamethrin, cyprodinil, permethrin, and pendimethalin are in order of several days and even higher than one month, implying that these pesticides can be transported over long distances, reaching the remote regions all over the world; hence these pesticides shall be further evaluated prior to be confirmed as POPs.

  5. Mitigation of Power Quality Issues by Nine Switches UPQC Using PI & ANN with Hysteresis Control

    Directory of Open Access Journals (Sweden)

    D. Uma Maheswara Rao

    2014-08-01

    Full Text Available A nine-switch power converter having two sets of output terminals was recently proposed in place of the traditional back-to-back power converter that uses 12 switches in total. The nine-switch converter has already been proven to have certain advantages, in addition to its component saving topological feature. Despite these advantages, the nine-switch converter has so far found limited applications due to its many perceived performance tradeoffs like requiring an oversized dc-link capacitor, limited amplitude sharing, and constrained phase shift between its two sets of output terminals. Instead of accepting these tradeoffs as limitations, a nine-switch power conditioner is proposed here that virtually ―converts‖ most of these topological short comings into interesting performance advantages. Aiming further to reduce its switching losses, Harmonics, Voltage Sag & Swell an appropriate discontinuous modulation scheme is proposed and studied here in detail to doubly ensure that maximal reduction of commutations is achieved. With an appropriately designed control scheme with PI and ANN with Hysteresis controller then incorporated, the nine-switch converter is shown to favorably raise the overall power quality in Simulation, hence justifying its role as a power conditioner at a reduced cost.

  6. Pharmacist work stress and learning from quality related events.

    Science.gov (United States)

    Boyle, Todd A; Bishop, Andrea; Morrison, Bobbi; Murphy, Andrea; Barker, James; Ashcroft, Darren M; Phipps, Denham; Mahaffey, Thomas; MacKinnon, Neil J

    2016-01-01

    Among the many stresses faced by pharmacy staff, quality related event (QRE) learning can be among the most significant. In the absence of a supportive organizational culture, the potential for blaming individuals, versus identifying key process flaws, is significant and can be very intimidating to those involved in such discussions and may increase an already stressful work environment. This research develops and tests a model of the relationship between the work stress faced by pharmacists and the extent of QRE learning in community pharmacies. Building upon recent research models that explore job characteristics and safety climate, the model proposes that work stress captured by the effort that the pharmacist invests into job performance, the extent to which the pharmacist is rewarded for such efforts, and the extent of pharmacist work-related commitment to their job, influence pharmacist assessment of the working conditions within their community pharmacy. It is further proposed that working conditions influence the extent of a blame culture and safety focus in the pharmacy, which, in turn, influences organizational learning from QREs. This research formed part of a larger study focused on QRE reporting in community pharmacies. As part of the larger study, a total of 1035 questionnaires were mailed to community pharmacists, pharmacy managers, and pharmacy owners in the Canadian province of Saskatchewan during the fall of 2013 and winter and spring of 2014. Partial least squares (PLS) using SmartPLS was selected to test and further develop the proposed model. An examination of the statistical significance of latent variable paths, convergent validity, construct reliability, discriminant validity, and variance explained was used to assess the overall quality of the model. Of the 1035 questionnaire sent, a total of 432 questionnaires were returned for an initial response rate of approximately 42%. However, for this research, only questionnaires from staff

  7. Sensory Impairment and Health-Related Quality of Life

    Directory of Open Access Journals (Sweden)

    Hye-Jin KWON

    2015-10-01

    Full Text Available Background: Sensory impairment is a common condition that exerts negative effects on health-related quality of life (HRQoL in the elderly. This study aimed to determine the relationship between sensory impairment and HRQoL and identify sensory-specific differences in the HRQoL of elderly.Methods: This study used data from the Korean National Health and Nutrition Examination Survey V (2010-2012, analyzing 5,260 subjects over 60 years of age who completed ophthalmic and otologic examinations. Vision and hear-ing impairment were measured and classified. HRQoL was determined according to the European QoL five dimen-sion test (EQ-5D. Multivariate logistic regression analysis and analysis of covariance were performed to identify rela-tionships between sensory impairment and HRQoL dimensions as well as differences in HRQoL scores.Results: In the final adjusted multivariate model, there was a statistically higher proportion of those with dual sensory impairment who reported problems with mobility (adjusted odds ratio [aOR] 2.30, 95% confidence interval [CI] 1.45–5.03, usual activities (aOR 2.32, 95% CI 1.16–4.64, and pain/discomfort among EQ-5D subcategories (aOR 1.79, 95% CI 1.07–2.97. In the EQ-5D dimensions, the means and standard deviations of vision impairment (0.86 [0.01] and dual sensory impairment (0.84 [0.02] appeared meaningfully lower than those for no sensory impairment (0.88 [0.00] or hearing impairment (0.88 [0.01]; P = .02.Conclusion: Sensory impairment reduces HRQoL in the elderly. Improvement of HRQoL in the elderly thus requires regular screening and appropriate management of sensory impairment.

  8. Health-related quality of life in multiple sclerosis

    Science.gov (United States)

    Fisk, John D.; Patten, Scott B.; Tremlett, Helen; Wolfson, Christina; Warren, Sharon; Fiest, Kirsten M.; McKay, Kyla A.; Marrie, Ruth Ann

    2016-01-01

    Objective: To evaluate the direct and indirect influences of physical comorbidity, symptoms of depression and anxiety, fatigue, and disability on health-related quality of life (HRQoL) in persons with multiple sclerosis (MS). Methods: A large (n = 949) sample of adults with MS was recruited from 4 Canadian MS clinics. HRQoL was assessed using the patient-reported Health Utilities Index Mark 3. Expanded Disability Status Scale scores, physical comorbidity, depression, anxiety, and fatigue were evaluated as predictors of HRQoL in a cross-sectional path analysis. Results: All predictors were significantly associated with HRQoL and together accounted for a large proportion of variance (63%). Overall, disability status most strongly affected HRQoL (β = −0.52) but it was closely followed by depressive symptoms (β = −0.50). The direct associations of physical comorbidity and anxiety with HRQoL were small (β = −0.08 and −0.10, respectively), but these associations were stronger when indirect effects through other variables (depression, fatigue) were also considered (physical comorbidity: β = −0.20; anxiety: β = −0.34). Conclusions: Increased disability, depression and anxiety symptoms, fatigue, and physical comorbidity are associated with decreased HRQoL in MS. Disability most strongly diminishes HRQoL and, thus, interventions that reduce disability are expected to yield the most substantial improvement in HRQoL. Yet, interventions targeting other factors amenable to change, particularly depression but also anxiety, fatigue, and physical comorbidities, may all result in meaningful improvements in HRQoL, as well. Our findings point to the importance of further research confirming the efficacy of such interventions. PMID:26962068

  9. Quality of life and its related factors in infertile couples.

    Science.gov (United States)

    Keramat, Afsaneh; Masoomi, Seyyedeh Zahra; Mousavi, Seyed Abbas; Poorolajal, Jalal; Shobeiri, Fatemeh; Hazavhei, Seyyed Mohammad Mehdi

    2014-01-01

    Health related quality of life (QoL) has now been considered as a main tool for outcome measurement in infertility. The present study aimed to determine the association between general and specified QoL with different psychological aspects of self-esteem, social support, sexual satisfaction, and marital satisfaction in a sample of Iranian infertile couples. This cross-sectional study was conducted on 385 infertile couples referred to the Fatemieh Hospital in Hamadan City, western Iran in 2012.To measure the self-esteem, the Iseng test was used. The social support scaling developed by Cassidy and Long was used for assessment of social support. The sexual satisfaction was also assessed by the Lindaberg questionnaire. For assessing the general QoL state, the WHO-QoL-BREF and FertiQoL tools were employed. Self-esteem scores were lower in the couples with longer infertility duration. The social support mean score was lower in low income couples. Those with higher educational level, shorter infertility duration, and higher income were more satisfied from their marital relationships. Besides, we revealed that the previous failed efforts for treatment of infertility were adversely associated with the lower social support and sexual satisfaction. The higher educational level, higher monthly income, living in urban area, shorter duration of marriage and infertility, and male gender were associated with better. QoL status in the most components.Associations between QoL and self-esteem, social support, sexual satisfaction, and marital satisfaction were significant (Pself-esteem, social support, sexual satisfaction, and marital satisfaction.

  10. Policy issues related to educating the future Israeli medical workforce: an international perspective.

    Science.gov (United States)

    Schoenbaum, Stephen C; Crome, Peter; Curry, Raymond H; Gershon, Elliot S; Glick, Shimon M; Katz, David R; Paltiel, Ora; Shapiro, Jo

    2015-01-01

    A 2014 external review of medical schools in Israel identified several issues of importance to the nation's health. This paper focuses on three inter-related policy-relevant topics: planning the physician and healthcare workforce to meet the needs of Israel's population in the 21(st) century; enhancing the coordination and efficiency of medical education across the continuum of education and training; and the financing of medical education. All three involve both education and health care delivery. The physician workforce is aging and will need to be replenished. Several physician specialties have been in short supply, and some are being addressed through incentive programs. Israel's needs for primary care clinicians are increasing due to growth and aging of the population and to the increasing prevalence of chronic conditions at all ages. Attention to the structure and content of both undergraduate and graduate medical education and to aligning incentives will be required to address current and projected workforce shortage areas. Effective workforce planning depends upon data that can inform the development of appropriate policies and on recognition of the time lag between developing such policies and seeing the results of their implementation. The preclinical and clinical phases of Israeli undergraduate medical education (medical school), the mandatory rotating internship (stáge), and graduate medical education (residency) are conducted as separate "silos" and not well coordinated. The content of basic science education should be relevant to clinical medicine and research. It should stimulate inquiry, scholarship, and lifelong learning. Clinical exposures should begin early and be as hands-on as possible. Medical students and residents should acquire specific competencies. With an increasing shift of medical care from hospitals to ambulatory settings, development of ambulatory teachers and learning environments is increasingly important. Objectives such as these

  11. Legal and Ethical Issues Related to the Management of Cultural Heritage in Space

    Science.gov (United States)

    Walsh, Justin

    in space. The United Nations Outer Space Treaty of 1967 -the primary document governing how nations act in outer space -is now hopelessly out-of-date. There is no mention in the treaty of cultural heritage (the UNESCO convention that concerns international protection of cultural heritage on Earth was not completed until 1970), nor was there any recognition of the role private groups and individuals might play in space exploration. This paper will outline key legal and ethical issues related to cultural heritage management and protection. It will also suggest some ways in which culturally significant sites in space can be protected for future study and even touristic appreciation.

  12. Ecosystem valuation: a sequential decision support system and quality assessment issues.

    Science.gov (United States)

    Turner, R Kerry; Morse-Jones, Sian; Fisher, Brendan

    2010-01-01

    Understanding the economic value of nature and the services it provides to humanity has become increasingly important for local, national, and global policy and decision making. It has become obvious that quantifying and integrating these services into decision making will be crucial for sustainable development. Problems arise in that it is difficult to obtain meaningful values for the goods and services that ecosystems provide and for which there is no formal market. A wide range of ecosystem services fall into this category. Additional problems arise when economic methods are applied inappropriately and when the importance of ecosystem maintenance for human welfare is underestimated. In this article we identify a place for monetary valuation within the pluralistic approach supported by ecological economics and assess progress to date in the application of environmental valuation to ecosystem service provision. We first review definitions of ecosystem services in order to make an operational link to valuation methods. We then discuss the spatially explicit nature of ecosystem services provision and benefits capture. We highlight the importance of valuing marginal changes and the role for macroscale valuation, nonlinearities in service benefits, and the significance of nonconvexities (threshold effects). We also review guidance on valuation studies quality assurance, and discuss the problems inherent in the methodology as exposed by the findings of behavioral economics, as well as with benefits transfer--the most common way valuation studies are applied in the policy process. We argue for a sequential decision support system that can lead to a more integrated and rigorous approach to environmental valuation and biophysical measurement of ecosystem services. This system itself then needs to be encompassed within a more comprehensive multicriteria assessment dialogue and process.

  13. Unplanned transfers following admission to a long-term acute care hospital: a quality issue.

    Science.gov (United States)

    White, Alexander C; Joseph, Bernard; Perrotta, Barbara A; Grandfield, Joanne; Muraldihar, Nina; O'Connor, Heidi H; Hendra, Katherine

    2011-01-01

    The unplanned transfer of patients from long-term acute care hospitals (LTACHs) back to acute facilities disrupts the continuity of care, delays recovery and increases the cost of care. This study was performed to better understand the unplanned transfer of patients with pulmonary disease. A retrospective analysis of data obtained for quality management in a cohort of patients admitted to an LTACH system over a 3-year period. Of the 3506 patients admitted with a pulmonary diagnosis studied, 414 (12%) underwent 526 unplanned transfers back to an acute facility after a median LTACH length of stay (LOS) of 45 days. Mechanical ventilation via tracheostomy was used in 259 (63%) patients admitted to the LTACH with a pulmonary diagnosis. The commonest reasons for unplanned transfers included acute respiratory failure, cardiac decompensation, gastrointestinal bleed and possible sepsis. Over 50% of patients had LOS at the LTACH between 4 and 30 days prior to the unplanned transfer. Patients with an LOS transfer were more likely to be transferred around the weekend. In all, 32% of patients died within a median of 7 days of transfer back to the acute facility. Thirty-day mortality following unplanned transfer appeared independent of organ system involved, attending physician specialty/coverage status, nursing shift or transferring LTACH unit. Unplanned transfers disrupting continuity of care remain a significant problem in patients admitted to an LTACH with a pulmonary diagnosis and are associated with significant mortality. Strategies designed to reduce cardiopulmonary decompensation, gastrointestinal bleeding and possible sepsis in the LTACH along with additional strategies implemented throughout the health care continuum will be needed to reduce this problem.

  14. Health-related quality of life in breast cancer patients: A bibliographic review of the literature from 1974 to 2007

    Directory of Open Access Journals (Sweden)

    Montazeri Ali

    2008-08-01

    Full Text Available Abstract Background Quality of life in patients with breast cancer is an important outcome. This paper presents an extensive overview on the topic ranging from descriptive findings to clinical trials. Methods This was a bibliographic review of the literature covering all full publications that appeared in English language biomedical journals between 1974 and 2007. The search strategy included a combination of key words 'quality of life' and 'breast cancer' or 'breast carcinoma' in titles. A total of 971 citations were identified and after exclusion of duplicates, the abstracts of 606 citations were reviewed. Of these, meetings abstracts, editorials, brief commentaries, letters, errata and dissertation abstracts and papers that appeared online and were indexed ahead of publication were also excluded. The remaining 477 papers were examined. The major findings are summarized and presented under several headings: instruments used, validation studies, measurement issues, surgical treatment, systemic therapies, quality of life as predictor of survival, psychological distress, supportive care, symptoms and sexual functioning. Results Instruments-Several valid instruments were used to measure quality of life in breast cancer patients. The European Organization for Research and Treatment of Cancer Core Cancer Quality of Life Questionnaire (EORTC QLQ-C30 and its breast cancer specific complementary measure (EORTC QLQ-BR23 and the Functional Assessment Chronic Illness Therapy General questionnaire (FACIT-G and its breast cancer module (FACIT-B were found to be the most common and well developed instruments to measure quality of life in breast cancer patients. Surgery-different surgical procedures led to relatively similar results in terms of quality of life assessments, although mastectomy patients compared to conserving surgery patients usually reported a lower body image and sexual functioning. Systemic therapies-almost all studies indicated that breast

  15. Phantom pain and health-related quality of life in lower limb amputees

    NARCIS (Netherlands)

    van der Schans, CP; Geertzen, JHB; Schoppen, T; Dijkstra, PU

    2002-01-01

    Amputation of a limb may affect quality of life. However, little is known concerning health-related quality of life in amputees. The purposes of this study were to describe health-related quality of life in a population of lower limb amputees and to investigate potential determinants, including

  16. Health-related quality of life in dermatology: measurement, interpretation and application

    NARCIS (Netherlands)

    Prinsen, C.A.C.

    2013-01-01

    This thesis consists of three parts. The aim of part one, ‘Measurement of health-related quality of life in dermatology’, was to contribute to the quality of health-related quality of life (HRQoL) measurement in dermatological research and clinical practice. The aim of part two, ‘Interpretation of h

  17. Phantom pain and health-related quality of life in lower limb amputees

    NARCIS (Netherlands)

    van der Schans, CP; Geertzen, JHB; Schoppen, T; Dijkstra, PU

    2002-01-01

    Amputation of a limb may affect quality of life. However, little is known concerning health-related quality of life in amputees. The purposes of this study were to describe health-related quality of life in a population of lower limb amputees and to investigate potential determinants, including phan

  18. Global climate change policy issues related to the movement of industry from developed to rapidly industrializing countries

    Energy Technology Data Exchange (ETDEWEB)

    Lesperance, A.M.; Waltemath, L.A.

    1990-10-01

    Global climate change policies adopted by developed countries may encourage industries to move to countries with less restrictive policies. The purpose of this study is to identify policy-driven issues that may result in such a movement. This report (1) summarizes the conclusions of previous studies that have explored the relationship between environmental regulations and industrial movement, (2) identifies and summarizes existing and proposed US global climate change policy options, and (3) discusses issues and topics relating to possible industrial relocation because of the global climate change policy options. It concludes with recommendations for further research. Although federal global climate change policy options are the primary focus of this report, some international and regional efforts addressing this issue are also included. A potential regional industrial migration issue is highlighted. 14 refs., 2 figs., 3 tabs.

  19. Related Measures on Improving the Teaching Quality of DGED Course

    Institute of Scientific and Technical Information of China (English)

    JIN Yi; SHAN Hong-bo; WANG Xiao-hong; YU Hai-yan; GE Bin

    2013-01-01

    Engineering Drawing course is one of the main contents of teaching at most of science and engineering colleges or univer-sities. In this paper, some feasible measures is discussed on improving the teaching quality of Engineering Drawing course from four aspects, including diversified teacher participation and coordinating the teaching process, optimizing the content of teaching and im-proving teaching quality, improving teaching effect and reforming teaching methods, and integrating practice and cultivating practi-cal ability.

  20. Understanding the continuous renal replacement therapy circuit for acute renal failure support: a quality issue in the intensive care unit.

    Science.gov (United States)

    Boyle, Martin; Baldwin, Ian

    2010-01-01

    Delivery of renal replacement therapy is now a core competency of intensive care nursing. The safe and effective delivery of this form of therapy is a quality issue for intensive care, requiring an understanding of the principles underlying therapy and the functioning of machines used. Continuous hemofiltration, first described in 1977, used a system where blood flowed from arterial to venous cannulas through a small-volume, low-resistance, and high-flux filter. Monitoring of these early systems was limited, and without a machine interface, less nursing expertise was required. Current continuous renal replacement therapy machines offer user-friendly interfaces, cassette-style circuits, and comprehensive circuit diagnostics and monitoring. Although these machines conceal complexity behind a user-friendly interface, it remains important that nurses have sufficient knowledge for their use and the ability to compare and contrast circuit setups and functions for optimal and efficient treatment.

  1. [The quality of information systems on violence-related deaths in Argentina and Brazil between 1990 and 2010].

    Science.gov (United States)

    Alazraqui, Marcio; Spinelli, Hugo; Zunino, Marina Gabriela; de Souza, Edinilsa Ramos

    2012-12-01

    Violence-related deaths are a public health issue by virtue of the magnitude of their impact on society and on the health services. A study of the descriptive temporal trend was conducted using the official national information systems of violence-related mortality in Argentina and Brazil for the period from 1990 to 2010. Indicators were created to evaluate information quality by sex, age, and cause of death. The results demonstrate a temporal trend of improvement in the quality of the information systems. This trend is repeated especially when violence-related deaths are analyzed, with a decrease in the number of records for violence-related death of undetermined intent; as well as a high percentage of firearm-related deaths of undetermined intent in Argentina. The analysis of the quality of information systems regarding violence-related deaths makes it possible to detect problems and orient actions in order to obtain better quality information and therefore permit improvement in the creation of preventive public policies.

  2. Gender differences in health related quality of life of young heroin users

    Directory of Open Access Journals (Sweden)

    González-Saiz Francisco

    2010-12-01

    Full Text Available Abstract Background Health Related Quality of Life (HRQL of opiate users has been studied in treatment settings, where assistance for drug use was sought. In this study we ascertain factors related to HRQL of young opiate users recruited outside treatment facilities, considering both genders separately. Methods Current opiate users (18-30 y were recruited in outdoor settings in three Spanish cities (Barcelona, Madrid, Sevilla. Standardised laptop interviews included socio-demographic data, drug use patterns, health related issues, the Severity of Dependence Scale (SDS and the Nottingham Health Profile (NHP. Results A total of 991 subjects (73% males, mean age = 25.7 years were interviewed. The mean global NHP score differed by gender (women: 41.2 (sd:23.8; men:34.1(sd:23.6;p Conclusions Heroin users were found to be at a considerable risk of impaired HRQL, even in these young ages. A score approaching severity of dependence was the factor with the strongest relation with it.

  3. Water-Quality Issues Related to Uranium In Situ Recovery Sites

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Raymond H. [Navarro Research and Engineering, Inc.; Stone, James [Department of Civil Engineering and Environmental Engineering, South Dakota School of Mines and Technology; Truax, Ryan [Department of Civil Engineering and Environmental Engineering, South Dakota School of Mines and Technology; Dangelmayr, Martin [Department of Civil Engineering and Environmental Engineering, South Dakota School of Mines and Technology; Reimus, Paul [Los Alamos National Laboratory; Clay, James T. [Power Resources, Inc.

    2016-09-25

    Batch tests, column tests, and predictive reactive transport modeling can be done before ISR begins as part of the decision making/permitting process by bracketing possible post-restoration conditions; Help address stakeholder concerns; The best predictions require actual restored groundwater in contact with the downgradient solid phase; Resulting modeling provides a range of natural attenuation rates and assists with designing the best locations and time frames for continued monitoring; Field pilot tests are the best field-scale data and can provide the best model input and calibration data

  4. Hyperthermic applications and issues relating to the assessment of technical quality and its clinical verification

    NARCIS (Netherlands)

    P.J.M. Rietveld (Paul)

    2000-01-01

    textabstractHyperthermia is defined as a temperature elevation by several degrees (3-7 C) above the normal physiological level. In vitro and ill vivo experiments have shown that a cell kill response to hyperthermia in conjunction with radiotherapy exists (Harisiadis et al. (1975); Alfieri and Hahn,

  5. Science and Technology Issues Relating to Data Quality in C2 Systems

    Science.gov (United States)

    2011-06-01

    University, Center for Technology and National Security Policy: Fort Lesley J. McNair, Washington, DC, 20319. 28. MacPherson, M., Roberts Ridge : A Story of...Army. 34. Allen, M.D., C. Macheret, and M.A. Malloy , C2 Core and UCore Message Design Capstone: Interoperable Message Structure. 2009. 35. Guthrie

  6. Surveillance of social and geographic inequalities in housing-related issues: the case of the Eastern Townships, Quebec (Canada).

    Science.gov (United States)

    Roy, Mathieu; Généreux, Mélissa; Laverdière, Emélie; Vanasse, Alain

    2014-05-06

    Even though health inequalities are conditioned by many aspects of the environment, much of the existing research focuses on the social environment. This emphasis has the effect to neglect other environmental aspects such as its physical dimension. The physical environment, which is linked to housing conditions, may contribute to the uneven distribution of health. In this study, we examined 19 housing-related issues among a representative sample of 2,000 adults residing in a Quebec (Canada) health region characterized by a mix of rural, semi-rural, and urban areas. The distribution of these issues was examined according to socioeconomic and geographic indicators of social position. Summary measures of inequalities were assessed. Our results showed that the prevalence of nearly all housing-related issues was higher among low-income households compared to more affluent ones. Highly educated individuals showed better housing conditions, whereas different issues tended to cluster in deprived or densely populated areas. To conclude, we observed steep gradients between social class and poor housing conditions. This may explain a substantial part of health inequality on the regional scale. The surveillance of housing-related issues is therefore essential to properly inform and mobilize local stakeholders and to develop interventions that target vulnerable groups on this level.

  7. Coping and emotional distress in relation to health-related quality of life in Slovene patients with cancer

    Directory of Open Access Journals (Sweden)

    Tanja Žagar

    2011-08-01

    Full Text Available Managing emotional distress triggers different coping strategies for coping with stress in cancer patients. Effective coping affects health – related quality of life and psychosocial adaptation. This study was performed to determine coping strategies, and their connectedness to emotional distress (anxiety and depression and health – related quality of life in cancer patients. Study was carried out on 70 cancer patients, in inpatient and outpatient setting. Depressive symptoms were measured with Beck Depression Inventory BDI-SH, anxiety with State Trait Anxiety Inventory STAI-1, coping strategies with Coping Response Inventory CRI and health – related quality of life with Quality of Life Questionnaire QOLQ- 30. A negative, statistically important relationship was found between active strategies, emotional distress and quality of life. Recognition of emotional distress and ways of coping in cancer patients are important for quality of health care.

  8. Gender-Related Differential Effects of Obesity on Health-Related Quality of Life via Obesity-Related Comorbidities: A Mediation Analysis of a French Nationwide Survey

    National Research Council Canada - National Science Library

    Audureau, Etienne; Pouchot, Jacques; Coste, Joël

    2016-01-01

    Negative effects of obesity on health-related quality of life (HRQoL) have been reported, especially in women, but the relative contribution of cardiometabolic and other obesity-related comorbidities to such effects remains unclear...

  9. Water Quality and Supply Issues of Irrigated Agricultural Regions - Lessons from the San Joaquin Valley of California

    Science.gov (United States)

    Suen, C. J.; Wang, D.

    2014-12-01

    The San Joaquin Valley of California covers 4 million hectares of farmland and produces $25 billion of agricultural products annually, but its average annual rainfall ranges from only 130 mm in the south to 330 mm in the north and nearly all occur in the winter. On the east side of the valley, irrigation water is mostly derived from the Sierra snow melt. On the west side, water is imported from the northern part of the state through the Sacramento Delta and a network of canals and aqueducts. Ground water is also used for both east and west sides of the valley to supplement surface water sources, especially during droughts. After years of intense irrigation, a number of water supply and water quality issues have emerged. They include groundwater overdraft, land subsidence, water contamination by agricultural drainage laden with selenium, salinity buildup in soil and water, nutrients contamination from fertilizers and livestock production, competition for water with megalopolis and environmental use and restoration. All these problems are intensified by the effect of climate change that has already taken place and other geological hazards, such as earthquakes that can bring the water supply system to a complete halt. In addition to scientific and technical considerations, solutions for these complex issues necessarily involve management planning, public policy and actions. Currently, they include furloughing marginally productive lands, groundwater recharge and banking, water reuse and recycle, salinity and nutrient management, integrated regional water management planning, and public education and outreach. New laws have been enacted to better monitor groundwater elevations, and new bond measures to improve storage, infrastructures, and reliability, have been placed on the public ballot. The presentation will discuss these complex water issues.

  10. Patients treated for hematologic malignancies: affected sexuality and health-related quality of life.

    Science.gov (United States)

    Olsson, Cecilia; Sandin-Bojö, Ann-Kristin; Bjuresäter, Kaisa; Larsson, Maria

    2015-01-01

    Sexuality in relation to health-related quality of life (HRQoL) is studied mostly with younger patients as participants who have undergone bone marrow transplantation and concerns fertility and/or sexual function. However, patients with hematologic malignancies such as diffuse large B-cell lymphoma, chronic lymphocytic leukemia, or acute myeloid leukemia most often are above their fifties and are treated with chemotherapy or chemoimmunotherapy. The aim was to examine how sexuality and HRQoL were affected in patients with hematologic malignancies at baseline compared with 1 month after chemotherapy or chemoimmunotherapy. Data were collected twice with a longitudinal design using the Sexual Adjustment Questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life questionnaire. Thirty-two patients responded. The importance of sexuality, sexual desire, and sexual ability decreased 1 month after treatment and distressing symptoms such as feelings of tiredness occurred more frequently compared with baseline. At the same time, improvement in global health status/quality of life as well as affected functions in HRQoL was reported. The findings are of significance for nurses in cancer care as these highlight that sexuality and HRQoL need to be considered also in older patients with hematologic malignancies when fertility issues are of less importance. To meet these patients' needs regarding sexuality and HRQoL, the care must provide greater consistency and continuity. One way is to organize the care in a patient-centered way where patients continuously meet a nurse guided by the idea of holistic individual nursing care throughout the care trajectory.

  11. The impact of xerostomia on oral-health-related quality of life among younger adults

    Directory of Open Access Journals (Sweden)

    Broadbent Jonathan M

    2006-11-01

    Full Text Available Abstract Background Recent research has suggested that chronic dry mouth affects the day-to-day lives of older people living in institutions. The condition has usually been considered to be a feature of old age, but recent work by our team produced the somewhat surprising finding that 10% of people in their early thirties are affected. This raises the issue of whether dry mouth is a trivial condition or a more substantial threat to quality of life among younger people. The objective of this study was to examine the association between xerostomia and oral-health-related quality of life among young adults while controlling for clinical oral health status and other potential confounding factors. Methods Cross-sectional analysis of data from a longstanding prospective observational study of a Dunedin (New Zealand birth cohort: clinical dental examinations and questionnaires were used at age 32. The main measures were xerostomia (the subjective feeling of dry mouth, measured with a single question and oral-health-related quality of life (OHRQoL measured using the short-form Oral Health Impact Profile (OHIP-14. Results Of the 923 participants (48.9% female, one in ten were categorised as 'xerostomic', with no apparent gender difference. There was a strong association between xerostomia and OHRQoL (across all OHIP-14 domains which persisted after multivariate analysis to control for clinical characteristics, gender, smoking status and personality characteristics (negative emotionality and positive emotionality. Conclusion Xerostomia is not a trivial condition; it appears to have marked and consistent effects on sufferers' day-to-day lives.

  12. A New Control Strategy Based Multi Converter UPQC Using Fuzzy Logic Controller to Improve the Power Quality Issues

    Directory of Open Access Journals (Sweden)

    Chandra Babu Paduchuri

    2014-01-01

    Full Text Available A design of multiconverter unified power quality conditioner to improve the power quality issues is presents in this paper. Modified SRF theory and fuzzy logic controller technique are incorporated in this modelling. This newly designed controller is connected to a source in order to compensate voltage and current in the two feeders. The expanded concept of UPQC is multi converter-UPQC; this system has two series voltage source converter (VSC and one shunt VSC connected back to back. In the proposed system, the power can be conveyed from one feeder to another in order to mitigate the voltage sag, swell, interruption and transient response of the system. The control strategies of multi converter-UPQC are designed based on the modified synchronous reference frame theory with fuzzy logic controller. The transient response of the fuzzy logic controller in dc-link voltage controller will be very fast. The relevant simulation and compensation performance analysis of multi converter-UPQC with fuzzy logic controller is performed using MATLAB/Simulink software.

  13. Vitamin D status and health-related quality of life in patients with Type 2 diabetes

    DEFF Research Database (Denmark)

    Krul-Poel, Y H M; Westra, S; van Wijland, H J

    2016-01-01

    AIMS: To test whether vitamin D status was associated with health-related quality of life in people with Type 2 diabetes mellitus. METHODS: Demographic and clinical characteristics, including health-related quality of life scores, were obtained from 241 adult patients with Type 2 diabetes managed...... associations were found between vitamin D status and health-related quality of life. CONCLUSIONS: Vitamin D status was not associated with health-related quality of life in patients with Type 2 diabetes. This could be explained by the relatively high serum 25-hydroxyvitamin D concentration, good glycaemic...

  14. Ethical Issues Relative to Autonomy and Personal Control in Independent and Cognitively Impaired Elders.

    Science.gov (United States)

    Rice, Virginia Hill; And Others

    1997-01-01

    Discusses ethical issues surrounding health care for independent elders, those in long-term care, and those with cognitive impairments, as well as death, dying, euthanasia, and assisted suicide. Suggests that nurses should focus on older adults' choice, autonomy, and personal control. (SK)

  15. Using Popular Culture Texts in the Classroom to Interrogate Issues of Gender Transgression Related Bullying

    Science.gov (United States)

    Happel-Parkins, Alison; Esposito, Jennifer

    2015-01-01

    This article examines how undergraduate instructors of pre-service educators can address complex issues of sexuality and sexual orientation within the classroom. First, we explain our own backgrounds and positionalities to provide a context for our ensuing ideas and discussions. Second, by reviewing the literature on homophobic bullying, we…

  16. ILO standard setting, policy studies and technical cooperation relating to population issues and women.

    OpenAIRE

    Oppong C

    1993-01-01

    Examines the ILO's constitution, mandates and International Labour Standards in the areas of female worker protection, and promotion of equality and population. Highlights some current labour problems specific to women, including 'invisible' labour and its lack of documentation, the lack of equality, and the need for protection. Also highlights nine gender issues, both of labour and population. Bibliography, statistical tables and abstract in French.

  17. Secondary School Students' Interests, Attitudes and Values Concerning School Science Related to Environmental Issues in Finland

    Science.gov (United States)

    Uitto, Anna; Juuti, Kalle; Lavonen, Jari; Byman, Reijo; Meisalo, Veijo

    2011-01-01

    This paper explores the relationship between students' interests in environmental issues, attitudes to environmental responsibility and biocentric values in school science education. The factors were investigated within the framework of three moderators: gender, school and residential area of the school. The survey was carried out using the…

  18. Using Popular Culture Texts in the Classroom to Interrogate Issues of Gender Transgression Related Bullying

    Science.gov (United States)

    Happel-Parkins, Alison; Esposito, Jennifer

    2015-01-01

    This article examines how undergraduate instructors of pre-service educators can address complex issues of sexuality and sexual orientation within the classroom. First, we explain our own backgrounds and positionalities to provide a context for our ensuing ideas and discussions. Second, by reviewing the literature on homophobic bullying, we…

  19. The diagnosis of renovascular hypertension: the role of captopril renal scintigraphy and related issues

    Energy Technology Data Exchange (ETDEWEB)

    Prigent, A. (Service d' Explorations Fonctionnelles et de Medecine Nucleaire, Hopital Broussais, 75 - Paris (France))

    1993-07-01

    This article reviews the screening and diagnostic tests used in the detection of significant renal artery stenosis and renovascular hypertension. After addressing the pathophysiological considerations necessary for correct diagnostic test interpretation, this review critically surveys the recent advances in, and the limitations of, relevant investigational procedures and in particular focusses on the efficacy and issues of angiotensin-converting enzyme inhibitor renal scintigraphy. (orig.)

  20. Turkish Preservice Teachers' Perceptions of Children's Picture Books Reflecting LGBT-Related Issues

    Science.gov (United States)

    Dedeoglu, Hakan; Ulusoy, Mustafa; Lamme, Linda L.

    2012-01-01

    This research study focuses on Turkish preservice teachers' perceptions of children's picture books containing lesbian, gay, bisexual, and transgender issues to lend support to encouraging diversity in teacher education programs and elementary school classrooms. The authors proposed that reading, listening, and responding to diverse children's…

  1. Secondary School Students' Interests, Attitudes and Values Concerning School Science Related to Environmental Issues in Finland

    Science.gov (United States)

    Uitto, Anna; Juuti, Kalle; Lavonen, Jari; Byman, Reijo; Meisalo, Veijo

    2011-01-01

    This paper explores the relationship between students' interests in environmental issues, attitudes to environmental responsibility and biocentric values in school science education. The factors were investigated within the framework of three moderators: gender, school and residential area of the school. The survey was carried out using the…

  2. An Exploration of School Leadership Issues Relating to the "December Dilemma"

    Science.gov (United States)

    Fox, Anna L.; Vasek, Austin; Davis, Derek

    2012-01-01

    School leadership is required to navigate difficult issues concerning the religious liberties of their students. December is a month filled with secular and religious holidays. It is the one month on the school calendar filled with joyous cultural celebrations. However, it can also become a quandary for leadership when attempting to balance the…

  3. The Asilomar Survey: Stakeholders’ Opinions on Ethical Issues Related to Brain-Computer Interfacing

    NARCIS (Netherlands)

    Nijboer, F.; Clausen, J.; Allison, B.Z.; Haselager, W.F.G.

    2011-01-01

    Brain-Computer Interface (BCI) research and (future) applications raise important ethical issues that need to be addressed to promote societal acceptance and adequate policies. Here we report on a survey we conducted among 145 BCI researchers at the 4th International BCI conference, which took place

  4. The Asilomar Survey: Stakeholders' Opinions on Ethical Issues Related to Brain-Computer Interfacing

    NARCIS (Netherlands)

    Nijboer, Femke; Clausen, Jens; Allison, Brendan Z.; Haselager, Pim

    2011-01-01

    Brain-Computer Interface (BCI) research and (future) applications raise important ethical issues that need to be addressed to promote societal acceptance and adequate policies. Here we report on a survey we conducted among 145 BCI researchers at the 4th International BCI conference, which took place

  5. Work-Related Issues Facing Nurse Anesthetists During Deployment on Military Operation Other Than War

    Science.gov (United States)

    2000-10-01

    sites. There were mosquitoes, banana rats, iguanas , and sand crabs in Cuba; camel spiders, mice, scorpions, snakes, and "attack" flies in Saudi Arabia...doctrine/jel/new_pubs/jplO2. pdf NURSE ANESTHETIST DEPLOYMENT ISSUES 62 Kincheloe, J.L., & McLaren, P.L. (1994). Rethinking critical theory and qualitative

  6. Work-Related Issues Facing Nurse Anesthetists During Deployment on a Military Operation Other Than War

    Science.gov (United States)

    2000-10-01

    an every day occurrence at the majority of sites. There were mosquitoes, banana rats, iguanas , and sand crabs in Cuba; camel spiders, mice, scorpions...www.dtic.mil/doctrine/jel/new_pubs/jpl_02. pdf NURSE ANESTHETIST DEPLOYMENT ISSUES 62 Kincheloe, J.L

  7. Team Deliberate Practice in Medicine and Related Domains: A Consideration of the Issues

    Science.gov (United States)

    Harris, Kevin R.; Eccles, David W.; Shatzer, John H.

    2017-01-01

    A better understanding of the factors influencing medical team performance and accounting for expert medical team performance should benefit medical practice. Therefore, the aim here is to highlight key issues with using deliberate practice to improve medical team performance, especially given the success of deliberate practice for developing…

  8. Team Deliberate Practice in Medicine and Related Domains: A Consideration of the Issues

    Science.gov (United States)

    Harris, Kevin R.; Eccles, David W.; Shatzer, John H.

    2017-01-01

    A better understanding of the factors influencing medical team performance and accounting for expert medical team performance should benefit medical practice. Therefore, the aim here is to highlight key issues with using deliberate practice to improve medical team performance, especially given the success of deliberate practice for developing…

  9. Ethical Issues Relative to Autonomy and Personal Control in Independent and Cognitively Impaired Elders.

    Science.gov (United States)

    Rice, Virginia Hill; And Others

    1997-01-01

    Discusses ethical issues surrounding health care for independent elders, those in long-term care, and those with cognitive impairments, as well as death, dying, euthanasia, and assisted suicide. Suggests that nurses should focus on older adults' choice, autonomy, and personal control. (SK)

  10. Factors Affecting Recruitment and Attrition in Randomised Controlled Trials of Complementary and Alternative Medicine for Pregnancy-Related Issues

    Directory of Open Access Journals (Sweden)

    Ciara Close

    2016-01-01

    Full Text Available Background. Randomised controlled trials (RCTs investigating Complementary and Alternative Medicine (CAM for pregnancy-related issues have encountered issues with recruitment and attrition. Little is known about the cause of these issues. Methods. Data was gathered from an antenatal CAM randomised controlled trial. During foetal anomaly appointments, women meeting inclusion criteria were invited to participate in the trial. Numbers of women invited and eligible were recorded. Reasons for noninterest were noted and analysed. Focus groups exploring trial experience of participants were also conducted. Findings. Of the 428 women invited to participate, 376 were eligible and just under a quarter participated. Reasons for nonparticipation included concerns about CAM and lack of interest in participation in research. Other factors negatively affecting recruitment included recruitment timing, competition for participants, limited support from staff, and inadequate trial promotion. Factors encouraging recruitment included being interested in research and seeking pain relief. Reasons for dropping out were time constraints, travel issues, work commitments, and pregnancy issues. Several women in the sham and usual care group dropped out due to dissatisfaction with treatment allocation. Conclusion. CAM researchers must explore problems encountered with recruitment and attrition so that evidence-based implementation strategies to address the issues can be developed.

  11. Estimating the impact of air temperature and relative humidity change on the water quality of Lake Manzala, Egypt

    Directory of Open Access Journals (Sweden)

    Gehan A.H. Sallam

    2015-11-01

    Full Text Available By the late eighties the problem of climate change and its possible impacts had become an issue of global concern. Climate variables play an important role in controlling the water circulation and the water quality of lakes either as freshwater reservoirs, or as brackish lagoons. In Egypt, Lake Manzala is the largest and the most productive lake of the northern coastal lakes. In this study, continuous measurement data from the Real Time Water Quality Monitoring stations in Lake Manzala was statistically analyzed to determine the regional and seasonal variations of the selected water quality parameters in relation to changes in two climate variables: air temperature and relative humidity. Simple formulas are elaborated using the DataFit software to predict the selected water quality parameters of the Lake including Power of Hydrogen (pH, Dissolved Oxygen (DO, Electrical Conductivity (EC, Total Dissolved Solids (TDS, Turbidity, and Chlorophyll as a function of air temperature and relative humidity. It was revealed that there is a measured relation between air temperature and relative humidity and the pH, DO, EC and TDS parameters and there is no significant effect on the other two parameters: turbidity and chlorophyll.

  12. EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments (Volume 1) (Interagency Science Discussion Draft)

    Science.gov (United States)

    EPA is releasing the draft report, EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments (Volume 1), that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the U.S.-India Relations: The Asia Society. A Media Source Guide, Issues for the '80s.

    Science.gov (United States)

    Council on International and Public Affairs, New York, NY.

    One of a series of guides dealing with diverse topics of concern to the U.S. media, this publication is intended to provide journalists with concise, authoritative background information on India and India-U.S. relations. The guide begins with a series of background papers (by Philip Oldenburg) discussing issues and interests in Indo-U.S.…

  13. EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments (Volume 1) (Interagency Science Discussion Draft)

    Science.gov (United States)

    EPA is releasing the draft report, EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments (Volume 1), that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the 75 FR 35800 - Draft EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments

    Science.gov (United States)

    2010-06-23

    ... AGENCY Draft EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments... Dioxin Toxicity and Response to NAS Comments'' (EPA/600/R-10/038A) for independent external review, and... Sciences (NAS) 2006 report. In addition, it includes new analyses on potential human effects that...

  14. DOD Financial Management: Actions Are Needed on Audit Issues Related to the Marine Corps 2012 Schedule of Budgetary Activity

    Science.gov (United States)

    2015-07-01

    management , acquisition, supply chain , and logistics.11 However, progress in making system and process improvements has been slow, and weaknesses in...military services nearly 100 percent of the consumable items they need to operate, including food , fuel and energy, uniforms, medical supplies , and...DOD FINANCIAL MANAGEMENT Actions Are Needed on Audit Issues Related to the Marine Corps’ 2012 Schedule of Budgetary

  15. Issues Relating to Women's Immigration Status. Tierra de Oportunidad Module 8. LAES: Latino Adult Education Services Project.

    Science.gov (United States)

    Kissam, Ed; Dorsey, Holda

    This module, which may be used as the basis for a workshop or as a special topic unit in adult basic education or English-as-a-Second-Language (ESL) courses, focuses on issues related to women's immigration status. The following items are included: module overview; list of basic, thinking, interpersonal, information utilization, and other skills…

  16. Trends in groundwater quality in relation to groundwater age

    NARCIS (Netherlands)

    Visser, A.

    2009-01-01

    Groundwater is a valuable natural resource and as such should be protected from chemical pollution. Because of the long travel times of pollutants through groundwater bodies, early detection of groundwater quality deterioration is necessary to efficiently protect groundwater bodies. The aim of this

  17. Trends in groundwater quality in relation to groundwater age

    NARCIS (Netherlands)

    Visser, A.

    2009-01-01

    Groundwater is a valuable natural resource and as such should be protected from chemical pollution. Because of the long travel times of pollutants through groundwater bodies, early detection of groundwater quality deterioration is necessary to efficiently protect groundwater bodies. The aim of this

  18. Quality of life related to swallowing in Parkinson's disease.

    Science.gov (United States)

    Carneiro, Danielle; das Graças Wanderley de Sales Coriolano, Maria; Belo, Luciana Rodrigues; de Marcos Rabelo, Aneide Rocha; Asano, Amdore Guescel; Lins, Otávio Gomes

    2014-10-01

    Swallowing difficulties in Parkinson's disease can result in decreased quality of life. The swallowing quality of life questionnaire (SWAL-QOL) is an instrument for specifically assessing quality of life with respect to swallowing, which has been little explored in patients with Parkinson's disease (PD). The goal of this study was to evaluate the quality of life with respect to swallowing in persons with PD compared to controls and at several stages of the disease using the SWAL-QOL. The experimental group was composed of 62 persons with PD at stages 1-4. Forty-one age-matched healthy subjects constituted the control group. The SWAL-QOL scores were significantly lower for the patients with PD than for the controls in all SWAL-QOL domains. Eating duration had the largest difference in score between persons with PD and the controls and the lowest mean score, followed by communication, fatigue, fear, sleep, and food selection. The scores of most domains were lower at later stages of the disease. The scores for eating duration, symptom frequency, and sleep were significantly lower at stage 4 than stages 1 and 2. In conclusion, patients with PD have significantly lower scores in all domains of the SWAL-QOL than normal controls. This means swallowing difficulties occurring in patients with PD negatively affect their QOL. Progression of the disease worsens swallowing QOL, more specifically in the domains of eating duration, symptom frequency, and sleep. This occurs mostly at later stages of the disease.