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. Quality of life issues relating to endocrine treatment options

    DEFF Research Database (Denmark)

    Iversen, P

    1999-01-01

    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...

  3. Quality of life issues relating to endocrine treatment options

    DEFF Research Database (Denmark)

    Iversen, P

    1999-01-01

    Recent interest has focused on the use of hormone therapy in prostate cancer for both the management of patients with non-metastatic disease and as a neoadjuvant or adjuvant to curative therapies. This has resulted in patients with fewer symptoms being treated for longer periods of time. Endocrine...... 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...

  4. 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

  5. The Quality of Online Health-Related Information – an Emergent Consumer Health Issue

    Directory of Open Access Journals (Sweden)

    Nădăşan Valentin

    2016-12-01

    Full Text Available The Internet has become one of the main means of communication used by people who search for health-related information. The quality of online health-related information affects the users’ knowledge, their attitude, and their risk or health behaviour in complex ways and influences a substantial number of users in their decisions regarding diagnostic and treatment procedures.

  6. Ademe et Vous. Research Newsletter No. 13, December 2015. Air quality and climate change: two closely-related issues

    International Nuclear Information System (INIS)

    Varet, Anne; Guignard, Stephanie

    2015-12-01

    This Research letter is the last in a series of three letters dedicated to climate change, produced in the run up to COP21. It covers the research carried out and the results obtained, with the support of ADEME, in terms of air quality and climate change. Content: - Air quality and climate change: two closely-related issues; - Significant Results: Implementing solutions to improve air quality in a wider context of climate change; - Meeting...: Vincent-Henri Peuch and Nathalie Poisson: 'Air and climate quality - developing joint solutions: a necessity'

  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. Health-related quality of life issues in women with polycystic ovary syndrome.

    Science.gov (United States)

    McCook, Judy Griffin; Reame, Nancy E; Thatcher, Samuel S

    2005-01-01

    To evaluate the influence of obesity, fertility status, and androgenism scores on health-related quality of life in women with polycystic ovary syndrome (PCOS). Cross-sectional, correlational. Private reproductive endocrinology practice in two southeast U.S. cities. Convenience sample of 128 women with PCOS, half of whom were attempting to conceive in addition to being treated for PCOS. Most were White (97%), married (78%), with a mean age of 30.4 years (SD +/- 5.5). The Health-Related Quality of Life Questionnaire (PCOSQ) for women with polycystic ovary syndrome. A laboratory panel and clinical measures, including body mass index, waist-to-hip ratio, and degree of hirsutism. The most common health-related quality of life concern reported by women with PCOS was weight, followed in descending order by menstrual problems, infertility, emotions, and body hair. The psychological implications of PCOS are easily underestimated and have been largely ignored. Nursing has a pivotal role in recognizing these concerns and implementing therapy to improve quality of life in women with PCOS.

  9. 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

  10. Assessment of indoor air quality related to potential vapor intrusion: Issues for former manufactured gas plants

    International Nuclear Information System (INIS)

    Rames, Antoine; Guillossou, Gaelle; Ronga-Pezeret, Sylvaine; Hulot, Corinne

    2012-01-01

    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 μg/m 3 ). BTEX and PAHs were found ubiquitously at concentrations on the order of 1 to 10 μg/m 3 for BTEX and naphthalene and one to ten ng/m 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)

  11. Cancer survivors. Work related issues.

    Science.gov (United States)

    Schultz, Pamela N; Beck, Martha L; Stava, Charles; Sellin, Rena V

    2002-05-01

    New and more effective treatments for cancer have resulted in individuals living longer with a better quality of life. Many more survivors are employed in the workplace. Cancer is no longer only an issue for survivors and their families; it has become an issue for the employer and the workplace. This article describes survey results of 4,364 long term cancer survivors in which they were asked to respond to items describing their ability to work, job discrimination, and quality of life. Thirty-five percent of survivors were working at the time they completed the survey, and 8.5% considered themselves unable to work. This research has shown that age, gender, ethnic group, and cancer type affected the working status of the survivors. Of survivors continuing to work, 7.3% indicated they had experienced job discrimination. The results indicate most cancer survivors do not perceive employment related problems, and are readily assimilated into the work force. Job discrimination and the ability to work is a quality of life issue.

  12. Issues ignored in laboratory quality surveillance

    International Nuclear Information System (INIS)

    Zeng Jing; Li Xingyuan; Zhang Tingsheng

    2008-01-01

    According to the work requirement of the related laboratory quality surveillance in ISO17025, this paper analyzed and discussed the issued ignored in the laboratory quality surveillance. In order to solve the present problem, it is required to understand the work responsibility in the quality surveillance correctly, to establish the effective working routine in the quality surveillance, and to conduct, the quality surveillance work. The object in the quality surveillance shall be 'the operator' who engaged in the examination/calibration directly in the laboratory, especially the personnel in training (who is engaged in the examination/calibration). The quality supervisors shall be fully authorized, so that they can correctly understand the work responsibility in quality surveillance, and are with the rights for 'full supervision'. The laboratory also shall arrange necessary training to the quality supervisor, so that they can obtain sufficient guide in time and are with required qualification or occupation prerequisites. (authors)

  13. Power Quality Issues on Wind Power Installations in Denmark

    DEFF Research Database (Denmark)

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

    2007-01-01

    offshore wind farms connected at transmission level. In this perspective, the power quality issues are divided into local issues particularly related to the voltage quality in the distribution systems and global issues related to the power system control and stability. Power quality characteristics of wind...

  14. 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.

  15. Children with congenital limb deficiency in Norway: issues related to school life and health-related quality of life. A cross-sectional study.

    Science.gov (United States)

    Johansen, Heidi; Dammann, Brede; Øinæs Andersen, Liv; Andresen, Inger-Lise

    2016-09-01

    To describe clinical features, issues related to school life and health-related quality of life (HRQOL) for children with congenital limb deficiency (CLD) and compare these children to Norwegian school children on HRQOL. Cross-sectional study. In 2010, a postal questionnaire, designed for this study and the Paediatric Quality of Life Inventory (PedsQL), was sent to 154 eligible parents of children with CLD, aged 6-18 years and registered at TRS National Resource Centre for Rare Disorders in Norway. Response rate 44% (n = 67), median age 11 years, 42% were girls. Of the total group, 46 had unilateral upper limb deficiency (UULD) and 21 had multiple/lower limb deficiency (MLD/LLD). The most common UULD was below-elbow deficiency, of these, 65% used grip-improving devices, and 35% used prostheses. Children with UULD-reported PedsQL score similar to Norwegian schoolchildren (NSC). The MLD/LLD group was heterogeneous; most had below-elbow/knee deficiency. In this group, PedsQL scores were reduced for physical and social functioning compared with NSC. Compared with children with UULD, more children with MLD/LLD were restricted in participation because of pain and fewer participated in physical education with peers. Most children with CLD participated with their peers and managed well in everyday life. Children with MLD/LLD seemed to have more challenges than children with UULD. Approximately one-third of all the children had assistive devices and/or practical assistance in school. Implications for Rehabilitation Most children with upper-limb deficiency (UULD) in Norway manage well in everyday life and have HRQOL equal to other Norwegian children. Many choose grip-improving devices instead of prostheses. Their preferences should be respected and taken into account as the need for new assistive devices arise. For children with pronounced disabilities, access to, and use of, assistive devices, adaptions and practical assistance may be important for participation

  16. Issues related to geothermal development

    International Nuclear Information System (INIS)

    Lesperance, G.O.

    1990-01-01

    This paper reports on a number of potential barriers to geothermal development in Hawaii which have been overcome but some remain. Efforts continue to address issues relating to transmission, project economics, the regulatory process, resource verification, and public acceptance

  17. Strategic Issues Relating to Data Quality for E-Government: Learning from an Approach Adopted in Belgium

    Science.gov (United States)

    Boydens, Isabelle

    Data quality is a strategic matter in the context of e-government as the integration of services requires authentic, coherent, and reliable data. However, establishing databases that are devoid of duplication, redundancy, or ambiguity isn't simple either in theory or in practice. In the context of e-government, this problem has been neglected for too long, particularly because administrative databases have often been wrongly regarded as “simple.” We demonstrate in this chapter that this is not the case at all, in particular because of the questions of interpretation that they raise. This chapter is based on case studies stemming from the Belgian federal administration (social security, business directories, federal authentic sources, etc.). Contrary to the assertions of common theories postulating a permanent bijective relationship between data and the corresponding reality, we argue that an empirical information system evolves over time along with the interpretation of the values that it allows one to determine. To address data quality, we propose a temporal framework that provides new operational strategies to improve administrative data quality (mainly, new ways to define quality indicators for continuous monitoring and re-engineering strategies). We finally demonstrate how our approach is generally applicable in the context of empirical information systems.

  18. Quality assurance issues and PACS

    NARCIS (Netherlands)

    Banta, H.D.

    1992-01-01

    Quality assessment and assurance is a growing concern in all areas of health care. The concern is fueled by a body of evidence that indicates that quality of care is not optimal, and in many instances, is unacceptably low. Although different standards for quality have been proposed, health outcome

  19. 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.

  20. International Liability Issues for Software Quality

    National Research Council Canada - National Science Library

    Mead, Nancy

    2003-01-01

    This report focuses on international law related to cybercrime, international information security standards, and software liability issues as they relate to information security for critical infrastructure applications...

  1. 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.

  2. 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.

  3. Accounting-related transmission issues

    International Nuclear Information System (INIS)

    Niehaus, M.; Bjorn, P.; Pate, G.

    1999-01-01

    Various initiatives have been undertaken by the Federal Energy Regulatory Commission (FERC) to deregulate wholesale electric energy markets. These initiatives have focused on restructuring the transmission systems in the US and recently have culminated in a proposal requiring formation of and participation in regional transmission organizations. The overall form of regulation selected to determine rates for transmission entities as well as underlying regulatory decisions reached on key issues will have profound implications for transmission entities. For example, traditional cost-based regulation would require one set of accounting and reporting rules, while incentive-based regulation may not be subject to those same rules. An overview of some of the major accounting and financial reporting issues that will need to be considered is presented

  4. 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.

  5. Brain death and related issues

    International Nuclear Information System (INIS)

    Akhtar, M.; Mushtaq, S.; Jamil, K.; Ahmed, S.

    2003-01-01

    Concerns about the erroneous diagnosis of death and premature burial have been expressed from times immemorial. Patients with brain stem death have absolutely no chance of recovery. Brain death is considered at par with death in most of the countries. General public in most parts of the world shows reluctance to accept this concept due to different social, cultural and religious backgrounds and state of literacy and awareness. The criteria for the diagnosis of brain death have been established which include certain pre-conditions, exclusions and tests of the brain stem function. These criteria are universally accepted. The criteria in children are somewhat different from the adults. The subject is intimately related with organ transplantation. If the patients is registered as organ donor or the family consents, organs can be harvested from brain dead patients for transplantation. Pakistan is amongst the few countries where no legislation exists to accept brain death as being at par with death of an individual, and to facilitate and regulate, cadaveric organ donation and transplantation. (author)

  6. Water quality issues and status in Pakistan

    International Nuclear Information System (INIS)

    Kahlown, M.A.; Tahir, M. A.; Ashraf, M.

    2005-01-01

    Per capita water availability in Pakistan has dropped drastically during the last fifty years. Recent extended droughts have further aggravated the situation. In order to meet the shortage and crop water requirements, groundwater is being used extensively in the Indus Basin. Groundwater is also the main source of water for drinking and industrial uses. This increased pressure on groundwater has lowered the water table in many cities. It is reported that water table has dropped by more than 3 m in many cities. This excessive use of groundwater has seriously affected the quality of groundwater and has increased the incidences of water-borne diseases many folds. A recent water quality study has shown that out of 560,000 tube wells of Indus Basin, about 70 percent are pumping sodic water. The use of sodic water has in turn affected the soil health and crop yields. This situation is being further aggravated due to changes in climate and rainfall patterns. To monitor changes in surface and groundwater quality and groundwater levels, Pakistan Council of Research in Water Resources has undertaken a countrywide programme of water quality monitoring. This programme covers twenty-one cities from the four provinces, five rivers, 10 storage reservoirs and lakes and two main drains of Pakistan. Under this programme a permanent monitoring network is established from where water samples are collected and analyzed once every year. The collected water samples are analyzed for aesthetic, chemical and bacteriological parameters to determine their suitability for agricultural, domestic and industrial uses. The results of the present study indicate serious contamination in many cities. Excessive levels of arsenic, fluoride and sodium have been detected in many cities. This paper highlights the major water quality issues and briefly presents the preliminary results of the groundwater analysis for major cities of Pakistan. (author)

  7. Issues related to field testing in tuff

    International Nuclear Information System (INIS)

    Zimmerman, R.M.

    1982-01-01

    This paper has brought out the unique properties of tuffs and related them to needs associated with their use as a host rock for a high level nuclear waste repository. Major issues of temperature, pore water, joints, and depositional patterns have been identified and related responses and impacts outlined in Table 1. Planned experiments have been outlined and their relationships to the rock mechanics issues summarized in Table 2. The conclusions from this paper are: (1) tuff is a complex rock and basic phenomenological understanding is incomplete; and (2) available field test facilities will be used for a series of experiments designed to improve phenomenological understanding and support repository design efforts

  8. Long term health-related quality of life after burns is strongly dependent on pre-existing disease and psychosocial issues and less due to the burn itself.

    Science.gov (United States)

    Orwelius, L; Willebrand, M; Gerdin, B; Ekselius, L; Fredrikson, M; Sjöberg, F

    2013-03-01

    Health-related quality of life (HRQoL) is reduced after a burn, and is affected by coexisting conditions. The aims of the investigation were to examine and describe effects of coexisting disease on HRQoL, and to quantify the proportion of burned people whose HRQoL was below that of a reference group matched for age, gender, and coexisting conditions. A nationwide study covering 9 years and examined HRQoL 12 and 24 months after the burn with the SF-36 questionnaire. The reference group was from the referral area of one of the hospitals. The HRQoL of the burned patients was below that of the reference group mainly in the mental dimensions, and only single patients were affected in the physical dimensions. The factor that significantly affected most HRQoL dimensions (n=6) after the burn was unemployment, whereas only smaller effects could be attributed directly to the burn. Poor HRQoL was recorded for only a small number of patients, and the decline were mostly in the mental dimensions when compared with a group adjusted for age, gender, and coexisting conditions. Factors other than the burn itself, such as mainly unemployment and pre-existing disease, were most important for the long term HRQoL experience in these patients. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  9. Problems and Issues Related to Alternative Education.

    Science.gov (United States)

    Pilat, Mary

    1997-01-01

    Symposium participants identified policy issues in these areas related to alternative education for at-risk youth: choice, equity, public perception, definition, philosophy, stakeholder involvement, evaluation, staffing, curriculum, governance, and financing. Public discourse and policy discussion were considered essential to implementing…

  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. Water quality issues in southern Nigeria

    International Nuclear Information System (INIS)

    Ajayi, O.

    2000-07-01

    There is a keen awareness of the effects of water quality on human health and behaviour in developing countries arising from well documented cases which can be found in the literature. Also in Nigeria there are various concerns about incidents of toxic waste disposal, groundwater pollution through oil spillages, waste disposal practices by agricultural, domestic and industrial activities which affect the domestic water supplies and the environment. The aims of this paper are to highlight the role of water quality in human health; provide a framework for water related health assessment, present results of case studies and recommend appropriate strategies to safeguard human health from contaminated water sources. Major health problems, other than those due to micro-biological contamination of water sources, such as cholera and typhoid, have not been reported or linked to water supplies in Nigeria. Yet there are symptoms of and growing incidences of various diseases, such as psychopathic and neurological disorders which have been linked to contaminated water supplies in developed countries. The major, minor and trace concentrations of elements in water supplies in Nigeria are usually determined in the ppm range whereas most trace elements are hazardous to human health in the ppb or μg/l levels. The reason for this state of affairs is that the instrumentation required for determination of elemental concentrations at the ppb level is not readily available to researchers. Most reports on water quality do not provide any links to the major health problems which have been demonstrated elsewhere as responsible for major pathologic and neurologic disorders, including outright fatalities. Recent studies in Europe and Japan link several diseases, including kidney failure, mood disturbance and other neurologic disorders, heart, liver and kidney damage including death from eating poisonous fish caught in polluted waters, to contamination of water supplies by heavy metals in

  12. Issues related to the inter-utility transfer of material

    International Nuclear Information System (INIS)

    1993-08-01

    An option that utilities have for obtaining material is to procure the desired item(s) from another utility. There are several reasons utilities choose another utility as the procurement source including item obsolescence, prohibitive cost on the commercial market, and excessive lead time. This document provides information on the technical, quality, and commercial issues which utilities may need to address when selling material to or procuring material from other utilities. This report provides suggested approaches for each of the following technical and quality issues: Design considerations; item acceptability considerations; original supplier considerations; commercial grade item dedication considerations; reportability considerations; packaging, shipping, and storage considerations; documentation considerations; receipt inspection considerations. The information is provided primarily for the inter-utility transfer of safety-related material. Several of the topics, however, may also apply to the transfer of non-safety-related material. The report also provides considerations on commercial issues which may be addressed during the inter-utility transfer of materials

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

    Science.gov (United States)

    2010-03-12

    China Relations: Policy Issues Congressional Research Service 8 Center; the U.S.-China Energy Efficiency Action Plan; and the U.S.-China Energy...January 25, 2010. 28 Liu Shengjun, “How to Better Use Forex Reserves,” China Daily, January 13, 2010. 29 Paul R. La Monica, “China Still Likes Us…For...or commercialization of carbon capture and sequestration technology, improve energy efficiency , or renewable energy sources. H.R. 2454 Waxman

  14. Code quality issues in student programs

    NARCIS (Netherlands)

    Keuning, H.W.; Heeren, B.J.; Jeuring, J.T.

    2017-01-01

    Because low quality code can cause serious problems in software systems, students learning to program should pay attention to code quality early. Although many studies have investigated mistakes that students make during programming, we do not know much about the quality of their code. This study

  15. 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...

  16. 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

  17. 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

  18. 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

    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......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...

  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. 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...

  1. Environmental issues related to uranium mining

    International Nuclear Information System (INIS)

    Gorber, D.M.; Chambers, D.B.

    1983-01-01

    This paper introduces the environmental issues (both real and perceived) associated with uranium exploration, mining, milling, and tailings management. As well, some of the issues pertaining to the closeout of uranium tailings areas are discussed. These issues have received considerable attention in Canada in public inquiries and hearings that have been held across the country. The major conclusions of some of these hearings are also noted

  2. Quality management issues in nondestructive inspection

    International Nuclear Information System (INIS)

    Li Shuliang

    2008-01-01

    Considering the practical problems in NDT in scientific research and production, this paper put forward the concept to take the functional authorities and related research divisions as customers, and provides the operable way for the management and control of the control points, and for the control and check in the manufacture check-up, in the scientific research. This paper also proposes more strict requirements on NDT for the disposal of nonconformity product, in order to further improve the technology of NDT. (author)

  3. Effects of undetected data quality issues on climatological analyses

    Directory of Open Access Journals (Sweden)

    S. Hunziker

    2018-01-01

    Full Text Available Systematic data quality issues may occur at various stages of the data generation process. They may affect large fractions of observational datasets and remain largely undetected with standard data quality control. This study investigates the effects of such undetected data quality issues on the results of climatological analyses. For this purpose, we quality controlled daily observations of manned weather stations from the Central Andean area with a standard and an enhanced approach. The climate variables analysed are minimum and maximum temperature and precipitation. About 40 % of the observations are inappropriate for the calculation of monthly temperature means and precipitation sums due to data quality issues. These quality problems undetected with the standard quality control approach strongly affect climatological analyses, since they reduce the correlation coefficients of station pairs, deteriorate the performance of data homogenization methods, increase the spread of individual station trends, and significantly bias regional temperature trends. Our findings indicate that undetected data quality issues are included in important and frequently used observational datasets and hence may affect a high number of climatological studies. It is of utmost importance to apply comprehensive and adequate data quality control approaches on manned weather station records in order to avoid biased results and large uncertainties.

  4. [Issue of population quality under economic reform].

    Science.gov (United States)

    Zhu, G

    1991-02-01

    Under the current economic reform program, various problems about the quality of the population have emerged; dropping out of school is one such problem. In recent years, dropping out of school, has become a prevalent phenomenon. It was estimated that between 1980 and 1987, 40 million primary and middle school students dropped out of school. Drop-outs occurred mostly in primary and middle schools and in rural areas. The reasons for dropping out can be summarized as follows: 1) families could not afford to pay for tuition, 2) students were not able to keep up with school work, and 3) families or students were influenced by other students who had dropped out. In weighing the cost and benefit of attending school, parents would decide whether or not and for how many years to send their children to school. The costs included both direct costs and opportunity costs. Children in urban areas have practically no opportunity costs, while those in rural areas do. Dropping out has been more prevalent among girls than boys. Since girls marry into other families, parents were less willing to invest in their education. On the other hand, the school curriculum gave more emphasis to preparing students for advanced studies than to relaying practical knowledge. Parents did not feel there was any advantage for their children to spend more time in school. Rural economic reform had strengthened the decision-making function of the family in the area of investment. It has also widened the gap between the rich and the poor. For less affluent families, it has become more and more difficult to bear the increasing cost of education. To deal with this problem, the author made several suggestions: 1) persuade parents to continue sending children to school 2) set regulations forbidding the employment of school age children 3) forbid schools to collect unauthorized feeds and establish scholarships to help economically disadvantaged students, 4) develop more vocational schools and change the

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

    Science.gov (United States)

    2011-01-12

    global issues on which the Obama Administration has sought to work with China are the international financial crisis, climate change, and nuclear non-proliferation. In remarks in July 2009, President Obama declared that partnership between the United States and China was a prerequisite for progress on many of the most pressing global challenges. Continuing major bilateral issues in the relationship include trade and...into the Obama Administration, U.S. officials point to some successes in their efforts to work with China on global issues , including

  6. Pertinent issues related to laparoscopic radical prostatectomy

    Directory of Open Access Journals (Sweden)

    Sidney C. Abreu

    2003-12-01

    Full Text Available PURPOSE: We describe the critical steps of the laparoscopic radical prostatectomy (LRP technique and discuss how they impact upon the pertinent issues regarding prostate cancer surgery: blood loss, potency and continence. RESULTS: A major advantage of LRP is the reduced operative blood loss. The precise placement of the dorsal vein complex stitch associated with the tamponading effect of the CO2 pneumoperitoneum significantly decrease venous bleeding, which is the main source of blood loss during radical prostatectomy. At the Cleveland Clinic, the average blood loss of our first 100 patients was 322.5 ml, resulting in low transfusion rates. The continuous venous bleeding narrowed pelvic surgical field and poor visibility can adversely impact on nerve preservation during open radical prostatectomy. Laparoscopy, with its enhanced and magnified vision in a relatively bloodless field allows for excellent identification and handling of the neurovascular bundles. During open retropubic radical prostatectomy, the pubic bone may impair visibility and access to the urethral stump, and the surgeon must tie the knots relying on tactile sensation alone. Consequently, open prostatectomy is associated with a prolonged catheterization period of 2 - 3 weeks. Comparatively, during laparoscopic radical prostatectomy all sutures are meticulously placed and each is tied under complete visual control, resulting in a precise mucosa-to-mucosa approximation. CONCLUSION: The laparoscopic approach may represent a reliable less invasive alternative to the conventional open approach. Despite the encouraging preliminary anatomical and functional outcomes, prospective randomized comparative trials are required to critically evaluate the role of laparoscopy for this sophisticated and delicate operation.

  7. 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.

  8. Nuclear power plant safety related pump issues

    International Nuclear Information System (INIS)

    Colaccino, J.

    1996-01-01

    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

  9. Issues related to cooperative implementation mechanisms

    International Nuclear Information System (INIS)

    1998-01-01

    This note by the secretariat seeks to focus discussions on some key issues regarding the design and functioning of the three new mechanisms, such as issues concerning mandates, cross-cutting as well as issues concerning individual mechanisms. The note addresses each mechanism separately in view of different origins, approaches, participants and possible applications. Reference is, however, made to similarities among the mechanisms, in particular where coordination of work on methodological and institutional issues and inter-institutional collaboration are concerned. The note suggests, in its concluding part, elements of a work programme up to and, to some extent, beyond COP 4. It draws upon the views submitted by Parties (document FCCC/SB/1998/MISC.1), contains reflections by the secretariat and builds on its consultations with other organizations having activities, under way or planned, that could contribute to the design or operation of the mechanisms. (au)

  10. 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.

  11. Spiritual issues and quality of life assessment in cancer care.

    Science.gov (United States)

    Efficace, Fabio; Marrone, Robert

    2002-11-01

    Being diagnosed with cancer forces most human beings to face their own death. The comfortable sense of both invulnerability and immortality is shattered, making the patient thoroughly aware that life is finite and limited. Approaching death, cancer patients commonly embark on an inner journey involving a search for meaning as well as a reordering of priorities involving physical, psychological, social, and spiritual needs. Although interest in the role of spirituality, relating to both adjustment to cancer and the overall quality of life of cancer patients, has increased in recent years, most of the commonly used quality of life (QOL) instruments in oncology typically do not include spiritual issues. In this article, it is argued that assessing QOL effectively should involve all aspects of the personality, including mind, body, and spirit as well. This article also reviews recent studies, which have shown that spiritual well-being, although a many-sided and difficult construct to define, is closely related to the QOL of cancer patients. It is also suggested that further research is needed to understand how the new focus on spirituality can contribute to a more comprehensive assessment of patient's QOL in cancer care.

  12. Global issues related to enteric viral infections.

    Science.gov (United States)

    Desselberger, Ulrich

    2014-01-01

    Acute viral gastroenteritis is a major health issue worldwide and is associated with high annual mortality, particularly in children of developing countries. Rotaviruses, caliciviruses and astroviruses are the main causes. Accurate diagnoses are possible by recently developed molecular techniques. In many setups, zoonotic transmission is an important epidemiological factor. Treatment consists of rehydration and is otherwise symptomatic. The worldwide introduction of universal rotavirus vaccination of infants has significantly reduced rotavirus disease and mortality.

  13. Epidemiological issues related to dose reconstruction

    International Nuclear Information System (INIS)

    Shore, R.E.

    1996-01-01

    When a dose reconstruction is performed around some nuclear site, a decision has to be made as to whether an epidemiologic study should be performed there and, if so, what form the study should take. The goal of this paper is to provide an overview of epidemiologic and biostatistical issues that help determine whether an epidemiologic study around a nuclear facility is worthwhile doing from a scientific standpoint. We are all aware that public health and sociopolitical concerns often assume considerable importance in these decisions, but they will not be considered here. 27 refs., 2 tabs

  14. Environmental issues related to biomass: An overview

    International Nuclear Information System (INIS)

    Hughes, M.; Ranney, J.W.

    1993-01-01

    With public attention increasingly focused on environmentalism and climate change, there is enormous potential for the commercial use of biomass to accelerate. Renewable feedstocks such as biomass can provide more environmentally balanced sources of energy and other non-food products than fossil fuels. Biomass utilization is in a precarious position, however, with public attention increasingly focused on both its potential and the strength of the challenges it faces. The paper is divided into five sections. Section 2 briefly addresses economic environmental issues. The extent to which externalities are accounted for in the market price of fuels plays a significant role in determining both the ultimate size of biofuel markets and the extent of the environmental benefits of feedstock cultivation and conversion processes. Sections 3 through 4 catalogue the main hazards and benefits that are likely to arise in the large scale commercialization of biomass fuel and note where the major uncertainties lay. Environmental issues arise with the cultivation of each feedstock and with each step in the process of its conversion to fuel. Feedstocks are discussed in Section 3 in terms of three main groups; wastes, energy crops, and traditional agricultural crops. In Section 4, conversion processes are also divided into three groups, on the basis of the end energy carrier; gas, liquid, and solid and electricity. Section 5 is devoted to a conclusion and summary

  15. Economic issues relating to power sector

    International Nuclear Information System (INIS)

    Nair, S.K.N.; Mohan, Rakesh

    1998-01-01

    Financial distress alongside high rates of growth, stagnant organizations coexistent with upgraded technologies, richly endowed regions marked by low levels of electricity consumption and the long wait for private power in face of mounting shortfalls are among the contradictions marking the power sector. Decades of public financing support could shore up the rates of growth but forms of past intervention failed to address critical institutional and regulatory issues. Key areas that need intervention have now been identified, although several are yet to be tackled. This paper discusses the more important of the problem areas holding up significant economic gains that could be realized through cost reductions, the needed levels of investments, operation of market forces and targeting of resources to promote equitable growth. The slow pace of progress is a matter for concern. Effectiveness of many of the policy initiatives of government is also dependent on providing well thought out policy supports. (author)

  16. Power quality event classification: an overview and key issues ...

    African Journals Online (AJOL)

    ... used for PQ events' classifications. Various artificial intelligent techniques which are used in PQ event classification are also discussed. Major Key issues and challenges in classifying PQ events are critically examined and outlined. Keywords: Power quality, PQ event classifiers, artificial intelligence techniques, PQ noise, ...

  17. Issues related to the Fermion mass problem

    Science.gov (United States)

    Murakowski, Janusz Adam

    1998-09-01

    This thesis is divided into three parts. Each illustrates a different aspect of the fermion mass issue in elementary particle physics. In the first part, the possibility of chiral symmetry breaking in the presence of uniform magnetic and electric fields is investigated. The system is studied nonperturbatively with the use of basis functions compatible with the external field configuration, the parabolic cylinder functions. It is found that chiral symmetry, broken by a uniform magnetic field, is restored by electric field. Obtained result is nonperturbative in nature: even the tiniest deviation of the electric field from zero restores chiral symmetry. In the second part, heavy quarkonium systems are investigated. To study these systems, a phenomenological nonrelativistic model is built. Approximate solutions to this model are found with the use of a specially designed Pade approximation and by direct numerical integration of Schrodinger equation. The results are compared with experimental measurements of respective meson masses. Good agreement between theoretical calculations and experimental results is found. Advantages and shortcommings of the new approximation method are analysed. In the third part, an extension of the standard model of elementary particles is studied. The extension, called the aspon model, was originally introduced to cure the so called strong CP problem. In addition to fulfilling its original purpose, the aspon model modifies the couplings of the standard model quarks to the Z boson. As a result, the decay rates of the Z boson to quarks are altered. By using the recent precise measurements of the decay rates Z → bb and Z /to [/it c/=c], new constraints on the aspon model parameters are found.

  18. 40 CFR 300.220 - Related Title III issues.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Related Title III issues. 300.220 Section 300.220 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY... PLAN Planning and Preparedness § 300.220 Related Title III issues. Other related Title III requirements...

  19. Nuclear power and related safety issues

    International Nuclear Information System (INIS)

    Valdezco, Eulinia M.

    2009-01-01

    There are a cluster of trends that reinforce the importance of nuclear power on the world scene. Energy is the essential underpinning for economic and societal progress and, as the developing world advances, the demand for energy is growing significantly. At the same time, the carbon-intensive sources of energy on which the world has traditionally relied - in particular, coal, oil, and natural gas - pose grave threats because the growing concentrations of carbon dioxide in the atmosphere will bring about climate and ocean acidification. At the same time, rising and volatile fossil fuel prices, coupled with concerns about the security of supplies of oil and gas, enhance interest in sources of energy that do not pose the same costs and risks. As an important part of the world's response to these threats, many countries are embarking on either new or expanded nuclear power programs, more commonly referred to as a nuclear renaissance. The construction of nuclear power plants is under consideration in over thirty countries that do not currently use nuclear power. For new entrants that may have experience in constructing and operating large-scale industrial and infrastructure projects, they may not be fully familiar with the unique requirements of nuclear power and may not be fully recognize the major commitments and understandings that they must assume. Additionally, an understanding of the full range of obligations may have diminished in those countries with only one or a few reactors and where nuclear construction has not been undertaken for a long time. It is therefore in the interest of all to ensure that every country with a nuclear power program has the resources, expertise, authority and capacity to assure safety in a complete and effective manner and is committed to doing so. This presentation will outline some of the more important national infrastructure considerations including nuclear safety issues for launching a nuclear power program. An update on the

  20. Summary of activities on CSS related issues

    International Nuclear Information System (INIS)

    Loriaux, E.

    1996-01-01

    In the Netherlands there are two nuclear power plants. One 60Mw BWR for research purposes in Dodewaard, and one PWR 450 Mw IN Borssele. Both of these NPPs are undergoing an extensive upgrading. These plants use several CSS-like systems. These systems are primarily aimed to support and monitor safe and correct operation of the process or to detect specific (e.g. mechanical) problems in an early stage. The NPP in Dodewaard is upgrading its training simulator and process presentation system (''Datalogger''). The activities related to the CRP are mainly within the framework of the Dodewaard plant. This final national report will give an overview of these activities with particular emphasis on the replacement of the Datalogger system. Some additional information is given on trends in CSSs as used in fossil power plants. (author). 2 figs

  1. 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.

  2. Ethical issues in using data from quality management programs.

    Science.gov (United States)

    Nerenz, David R

    2009-08-01

    Since the advent of formal, data-driven quality improvement programs in health care in the late 1980s and early 1990s, there are have been questions raised about requirements for ethical committee review of quality improvement activities. A form of consensus emerged through a series of articles published between 1996 and 2007, but there is still significant variation among ethics review committees and individual project leaders in applying broad policies on requirements for committee review and/or written informed consent by participants. Recent developments in quality management, particularly the creation and use of multi-site disease registries, have raised new questions about requirements for review and consent, since the activities often have simultaneous research and quality improvement goals. This article discusses ways in which policies designed for local quality improvement projects and data bases may be adapted to apply to multi-site registries and research projects related to them.

  3. Compiler issues associated with safety-related software

    International Nuclear Information System (INIS)

    Feinauer, L.R.

    1991-01-01

    A critical issue in the quality assurance of safety-related software is the ability of the software to produce identical results, independent of the host machine, operating system, or compiler version under which the software is installed. A study is performed using the VIPRE-0l, FREY-01, and RETRAN-02 safety-related codes. Results from an IBM 3083 computer are compared with results from a CYBER 860 computer. All three of the computer programs examined are written in FORTRAN; the VIPRE code uses the FORTRAN 66 compiler, whereas the FREY and RETRAN codes use the FORTRAN 77 compiler. Various compiler options are studied to determine their effect on the output between machines. Since the Control Data Corporation and IBM machines inherently represent numerical data differently, methods of producing equivalent accuracy of data representation were an important focus of the study. This paper identifies particular problems in the automatic double-precision option (AUTODBL) of the IBM FORTRAN 1.4.x series of compilers. The IBM FORTRAN version 2 compilers provide much more stable, reliable compilation for engineering software. Careful selection of compilers and compiler options can help guarantee identical results between different machines. To ensure reproducibility of results, the same compiler and compiler options should be used to install the program as were used in the development and testing of the program

  4. 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.

  5. Neglected Issues Relating to African Health Systems: An Incentive ...

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

    Several issues that affect access to and quality of health care for the poor and ... Conferences will be held at local, district and national levels to share the results of the ... Minister Bibeau announces appointments of IDRC's President and new ...

  6. Quality related communication approaches for organic food

    OpenAIRE

    Bodini, Antonella; Richter, T.; Felder, R.

    2006-01-01

    As food quality becomes more complex, consumer s are tending to reduce their involvement in the food purchase decision- making process. Consequently, prices are becoming more significant as they represent an easy choice criterion when consumer s have less information about the differences between the product and process quality inherent in food items (including environmental or social issues). The organic food sector provides high, complex food quality profiles and has therefore been seriousl...

  7. On the Issue of Labor Relations Discontinuance by Staff Reduction

    Directory of Open Access Journals (Sweden)

    Sheveleva A. A.

    2012-11-01

    Full Text Available This article is devoted to consideration of issues related to the procedure of labor law contract termination by staff reduction. The author, analyzing the judicial practice, gives practical recommendations on the procedure of employment relationships discontinuance

  8. 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)

  9. 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.

  10. Urban drinking water quality: A survey of selected literature. Issues in urban sustainability No. 1

    Energy Technology Data Exchange (ETDEWEB)

    Pip, E

    1993-01-01

    This literature survey covers a variety of issues relating to the quality of the urban water supply. It begins with a brief historical overview, and goes on to look at the health and politics of water, including issues of contamination. Next, it discusses water quantity including the main uses to which we put our water supply, and means of regulating or charging for usage. The main part of the report deals with water quality, describing how drinking water is assessed in terms of physical, chemical and biological parameters which are deemed to be important because of health or aesthetic reasons. Municipal water treatment and distribution discusses storage and disinfection, followed by a discussion of other treatments such as fluoridation and aeration. Incidental effects of distribution looks at a variety of other related issues such as asbestos fibres or metals in water.

  11. 76 FR 63573 - Roundtable on Issues Relating to Conflict Minerals

    Science.gov (United States)

    2011-10-13

    ...-10] Roundtable on Issues Relating to Conflict Minerals AGENCY: Securities and Exchange Commission... Consumer Protection Act (the ``Act''), which relates to reporting requirements regarding conflict minerals... of conflict minerals from the Democratic Republic of the Congo and adjoining countries. On December...

  12. 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.

  13. 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...

  14. Quality of life and sexuality issues in aging women.

    Science.gov (United States)

    Birkhäuser, M H

    2009-01-01

    Quality of life may decrease after menopause. Hormone replacement therapy remains the first-line and most effective treatment for menopausal symptoms and improvement of low quality of life due to estrogen deficiency. The decrease of health-related quality of life in women suffering from cardiovascular disease may be superimposed on the decrease of quality of life induced by menopause itself. Postmenopausal women with acute cardiovascular disease have a significantly higher probability of death than men of the same age. Quality of life predicts long-term mortality. A myocardial infarction does not automatically interdict sexual activity. The Princeton guidelines classify patients suffering from cardiovascular diseases in three categories. Most patients belong to the low-risk category. In general, these patients can be safely encouraged to initiate or resume sexual activity or to receive treatment for sexual dysfunction. Patients at intermediate (or indeterminate) levels of risk should further receive cardiologic evaluation to be classified into either the low- or high-risk group. Patients in the high-risk category have to be stabilized by specific treatment for their cardiac condition before resumption of sexual activity, or initiation of treatment for sexual dysfunction.

  15. 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

  16. Australian coal prospects and response to air quality issues

    International Nuclear Information System (INIS)

    Cain, D.A.

    1992-01-01

    Australia is unique in its high dependency on coal as a domestic energy source and as a major export commodity. Coal provides about 41% of Australia's primary energy and is the country's largest export. Australia's domestic air quality issues and standards are reviewed and current Australian research aimed at reducing emissions from both bituminous and brown coal combustion is summarized. Australia's greenhouse policy is also discussed. The future role of coal in the world, particularly in the Asia-Pacific region, where three quarters of Australia's coal exports are sold, is reviewed. Forecasts of the world import demand for both metallurgical coal and thermal coal to the year 2000 are provided. The supply capacity of major coal exporting countries in summarized and estimates of export coal market shares in 2000 given. Finally, the future of Australia's domestic use of coal is discussed, in the light of climate change concerns

  17. Quality Assurance Issues for Therapeutic Application of Radioactive Microspheres

    International Nuclear Information System (INIS)

    Dezarn, William A.

    2008-01-01

    The use of radioactive microspheres for the treatment of hepatic cancer is a procedure that raises unique quality assurance (QA) concerns. The greatest of these concerns is the coordination of the responsibilities among the medical team members from interventional radiology, radiation oncology, nuclear medicine, and medical physics. A single QA practice and procedure guidance document does not currently exist that addresses the range of issues of concern for radioactive microspheres. A small sampling of QA issues of concern include imaging QA, procedure-specific imaging protocols, detector calibration, activity measurement, radiation safety, patient dose calculations, and patient-specific QA. Some of the items listed have historically been the responsibility of a single team member, and other items have been concerns for all. A procedural overview of the therapeutic application of radioactive microspheres is presented to illustrate the broad, team-based QA approach necessary to safely and effectively deliver this type of treatment. From this overview, the reader will be able to customize the local QA protocol to meet the local division of responsibilities

  18. 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?

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

    Science.gov (United States)

    2012-01-25

    Time,” Economia , Fall 2003. 49 Esquivel, Gerardo, and José Antonio Rodríguez-López, “Technology, trade, and wage inequality in Mexico before and after...CRS Report for Congress Prepared for Members and Committees of Congress U.S.- Mexico Economic Relations: Trends, Issues, and Implications...25 JAN 2012 2. REPORT TYPE 3. DATES COVERED 00-00-2012 to 00-00-2012 4. TITLE AND SUBTITLE U.S.- Mexico Economic Relations: Trends, Issues, and

  20. Impact of global climate change on regional air quality: Introduction to the thematic issue

    International Nuclear Information System (INIS)

    Vautard, R.; Hauglustaine, D.

    2007-01-01

    Despite the major international efforts devoted to the understanding and to the future estimate of global climate change and its impact on regional scale processes, the evolution of the atmospheric composition in a changing climate is far to be understood. In particular, the future evolution of the concentration of near-surface pollutants determining air quality at a scale affecting human health and ecosystems is a subject of intense scientific research. This thematic issue reviews the current scientific knowledge of the consequences of global climate change on regional air quality and its related impact on the biosphere and on human mortality. This article provides a presentation of the key issues, summarizes the current knowledge, and introduces the thematic issue. (authors)

  1. Issues related to EM management of DOE spent nuclear fuel

    International Nuclear Information System (INIS)

    Abbott, D.G.; Abashian, M.S.; Chakraborti, S.; Roberson, K.; Meloin, J.M.

    1993-07-01

    This document is a summary of the important issues involved in managing spent nuclear fuel (SNF) owned by the Department of Energy (DOE). Issues related to civilian SNF activities are not discussed. DOE-owned SNF is stored primarily at the Hanford Site, Idaho National Engineering Laboratory (INEL), Savannah River Site (SRS), Oak Ridge National Laboratory (ORNL), and West Valley Demonstration Project. Smaller quantities of SNF are stored at Brookhaven National Laboratory, Sandia National Laboratories, and Los Alamos National Laboratory (LANL). There is a wide variety of fuel types, including both low and high enrichment fuels from weapons production, DOE reactors, research and development programs, naval programs, and universities. Most fuel is stored in pools associated with reactor or reprocessing facilities. Smaller quantities are in dry storage. Physical conditions of the fuel range from excellent to poor or severely damaged. An issue is defined as an important question that must be answered or decision that must be made on a topic or subject relevant to achieving the complimentary objectives of (a) storing SNF in compliance with applicable regulations and orders until it can be disposed, and (b) safely disposing of DOE's SNF. The purpose of this document is to define the issues; no recommendations are made on resolutions. As DOE's national SNF management program is implemented, a system of issues identification, documentation, tracking, and resolution will be implemented. This document is an initial effort at issues identification. The first section of this document is an overview of issues that are common to several or all DOE facilities that manage SNF. The common issues are organized according to specific aspects of spent fuel management. This is followed by discussions of management issues that apply specifically to individual DOE facilities. The last section provides literature references

  2. Attachment-related mental representations: introduction to the special issue.

    Science.gov (United States)

    Thompson, Ross A

    2008-12-01

    Bowlby's concept of mental working models of self, attachment figures, and the social world has been theoretically generative as a bridge between early relational experience and the beliefs and expectations that color later relationships. Contemporary attachment researchers, following his example, are applying new knowledge of children's conceptual development to their study of attachment-related mental representations in children and adults. The contributors to this special issue highlight recent advances in how the mental representations arising from attachment security should be conceptualized and studied, and identify a number of important directions for future work. This paper introduces the special issue by summarizing the major ideas of Bowlby and his followers concerning the nature and development of mental working models, points of theoretical clarity and uncertainty, and challenges in assessing these representations, as well as profiling each of the contributions to this issue.

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

    CERN Multimedia

    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...

  4. An exploration of issues relating to feminism and nurse education.

    Science.gov (United States)

    Millar, B; Biley, F C

    1992-08-01

    This paper explores the issue of feminism in relation to nursing and nurse education. As a result of this exploration, the authors suggest there is a need for a move away from traditional patriarchal approaches to nurse education, towards an educational programme based on empowerment principles that maximises the potential of feminine patterns of thinking.

  5. Ethical issues in trauma-related research: a review.

    Science.gov (United States)

    Newman, Elana; Risch, Elizabeth; Kassam-Adams, Nancy

    2006-09-01

    ETHICAL DECISION-MAKING ABOUT TRAUMA-RELATED STUDIES requires a flexible approach that counters assumptions and biases about victims, assures a favorable ethical cost-benefit ratio, and promotes advancement of knowledge that can benefit survivors of traumatic stress. This paper reviews several ethical issues in the field of traumatic stress: benefit and risks in trauma-related research, whether trauma-related research poses unique risks and if so what those might be, informed consent and mandatory reporting, and supervision of trauma-related research. For each topic, we review potential ethical issues, summarize the research conducted thus far to inform ethical practice, and recommend future practice, research questions and policies to advance the field so that research on trauma can continue to be a win-win situation for all stakeholders in the research enterprise.

  6. 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.

  7. Issues relating to airborne applications of HTS SQUIDs

    International Nuclear Information System (INIS)

    Foley, C P; Leslie, K E; 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

  8. Holdup-related issues in safeguarding of nuclear materials

    International Nuclear Information System (INIS)

    Pillay, K.K.S.

    1988-03-01

    Residual inventories of special nuclear materials (SNM) remaining in processing facilities (holdup) are recognized as an insidious problem for both safety and safeguards. This paper identifies some of the issues that are of concern to the safeguards community at-large that are related to holdup of SNM in large-scale process equipment. These issues range from basic technologies of SNM production to changing regulatory requirements to meet the needs of safeguarding nuclear materials. Although there are no magic formulas to resolve these issues, there are several initiatives that could be taken in areas of facility design, plant operation, personnel training, SNM monitoring, and regulatory guidelines to minimize the problems of holdup and thereby improve both safety and safeguards at nuclear material processing plants. 8 refs

  9. Trade-related Electronic Commerce Issues in the OECD

    Directory of Open Access Journals (Sweden)

    Chang-In Yoon

    1998-12-01

    Full Text Available The trade committee of Organization for Economic Cooperation and Development (OECD has begun the study of the trade related to electronic commerce since 1997. The scale of the study on one hand has avoided the fact of copy and duplication of WTO and its organizational principles, on the other hand it has played a supplementary and supportive function. At present, digital-related product, such as computers, software and travel is the key point to the trade which resorts to electronic commerce. It is predicted that this trend will go on. The study on electronic commerce could be summed up into three main components: First, according to the phase of the trade, it could be divided into advertisement, purchase, delivery and payment. Second, issues on electronic commerce in the international trade; such as the issue that leads to the unfairness and non-neutrality of the searching engine in international service trade. Besides, domain name, trademarks and the issue of middleman which exist at the moment in the electronic commerce are activated and will also be discussed. Third, issues of the trade policy related to the electronic commerce. For instance, the kernel principles which support the multi-trade regulation, including transparency, indiscrimination, anti-dumping, flexible trade, government arrangement, tariff and competition policy and so on. Under this background, we should explore way in formulating hypotheses with preconceived issues, validating the electronic commerce trade on the spot, actualizing the study on the application of electronic commerce coming with the GATS regulation, seeking the countermeasure in the future trade policy, such as benefit policy to the electronic commerce department and electronic commerce strategy approach of certain enterprises, etc.

  10. Legal issues relating to the Ontario FIT contract - An update

    International Nuclear Information System (INIS)

    Weizman, Michael

    2011-01-01

    The paper discusses the legal issues related to the Ontario FIT contract, which includes the FIT waiver agreement, WTO challenge, FIT extension, political risk assessment and issues related to unforeseen events beyond human control (force majeure). The risk of termination of the FIT waiver is omitted for convenience by OPA but timing implications relating to the FIT waiver are included. The binding agreement for supply of generating equipment is also presented and the term sheet for turbine equipment and bill of purchase being understood as binding agreements is questioned. Political risks relate to existing contracts, lawsuit risks and changes to the REA process. Change in government and the implications of minority government can be added to the political risks. A successful WTO challenge has been assumed and the possible implications are discussed. Some of them include risk to FIT contracts already issued; changes in DC requirements and in FIT contract pricing and re-pricing of construction and turbine equipment supply contracts if DC requirements are relaxed.

  11. Issues related to development of Indian photovoltaic market

    International Nuclear Information System (INIS)

    Chaurey, A.; Laxminarayan, R.

    1993-01-01

    As is the case of most energy deficient countries in the tropics, India offers an enormous potential for use of photovoltaic (PV) systems. However, the demand in true commercial sense has not yet been created. The constraints for market development are not only related to the cost but also to several local parameters. The paper highlights these issues and constraints and suggests a market development strategy. (author)

  12. The united fund of materials about Chernobyl-related issues

    International Nuclear Information System (INIS)

    Bashilov, A. V.; Borisevich, N.Ya.; Sobolev, O.V.

    2013-01-01

    The United Fund of materials about Chernobyl-related issues was created in Russian-Belarusian Information Center on the Problems of the Consequences of the Catastrophe at Chernobyl NPP branch RSRUE 'Institute of Radiology' Ministry for Emergency Situations of the Republic of Belarus. It contains accumulated during the post-Chernobyl period systematized maps, scientific and practical, educational, documentary, journalistic, artistic, photographic and other information. (authors)

  13. Japan-U.S. Relations: Issues for Congress

    Science.gov (United States)

    2013-02-15

    China called for a boycott on Japanese goods and defaced Japanese retail stores. Japanese auto manufacturers experienced sharp declines in sales in...TPP is now an agreement under negotiation among the original four countries plus the United States, Australia, Canada, Mexico, Peru, Malaysia , and...Inside U.S. Trade, April 27, 2012. 44 World Trade Online , April 5, 2012. Japan-U.S. Relations: Issues for Congress Congressional Research Service 25

  14. 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.

  15. Current safety issues related to research reactor operation

    International Nuclear Information System (INIS)

    Alcala-Ruiz, F.

    2000-01-01

    The Agency has included activities on research reactor safety in its Programme and Budget (P and B) since its inception in 1957. Since then, these activities have traditionally been oriented to fulfil the Agency's functions and obligations. At the end of the decade of the eighties, the Agency's Research Reactor Safety Programme (RRSP) consisted of a limited number of tasks related to the preparation of safety related publications and the conduct of safety missions to research reactor facilities. It was at the beginning of the nineties when the RRSP was upgraded and expanded as a subprogramme of the Agency's P and B. This subprogramme continued including activities related to the above subjects and started addressing an increasing number of issues related to the current situation of research reactors (in operation and shut down) around the world such as reactor ageing, modifications and decommissioning. The present paper discusses some of the above issues as recognised by various external review or advisory groups (e.g., Peer Review Groups under the Agency's Performance Programme Appraisal System (PPAS) or the standing International Nuclear Safety Advisory Group (INSAG)) and the impact of their recommendations on the preparation and implementation of the part of the Agency's P and B relating to the above subject. (author)

  16. 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

  17. Software Quality and Copyright: Issues in Computer-Assisted Instruction.

    Science.gov (United States)

    Helm, Virginia

    The two interconnected problems of educational quality and piracy are described and analyzed in this book, which begins with an investigation of the accusations regarding the alleged dismal quality of educational software. The reality behind accusations of rampant piracy and the effect of piracy on the quality of educational software is examined…

  18. 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.

  19. Environmental issues related to oil and gas access

    International Nuclear Information System (INIS)

    Antoniuk, T.

    1998-01-01

    This presentation discussed the environmental issues that petroleum companies face in northeast British Columbia. Petroleum exploration, development, production, abandonment and transportation activities in the province must follow provincial and federal regulations as well as government policies and guidelines which define environmental assessment, protection, and mitigation standards. A discussion about the regulatory framework in British Columbia can be found in the 'British Columbia Oil and Gas Handbook' which is available on the INTERNET at http://natural.gov.bc.ca/handpubs/oilgashb/bcoghb.htm. It was suggested that companies wishing to conduct drilling or exploration activities in sensitive areas should allow extra time (up to one year) to obtain approval for such activities. British Columbia's environmental setting includes five zones - the Alpine Tundra, the Spruce-Willow-Birch zone, the Engelmannn Spruce-Subalpine Fir forests, the Sub-Boreal Spruce zone, and the Boreal White and Black Spruce zone. Four discrete oil and gas guideline zones with differing standards have been developed. These are: (1) the Northern Rocky Mountains, (2) the Northeastern Slopes, (3) the Southeastern Slopes, and (4) the Northern Plains. A set of interim environmental guidelines are in effect to direct activity away from any sensitive area. Three sub-regional land use planning areas have also been established in the Prince George Forest Region which includes Dawson Creek, Fort St. John and Fort Nelson. Petroleum operators in these regions are obliged to deal with issues regarding aboriginal involvement, stream crossings, access management, and air quality. 40 refs

  20. Mixing of immiscible fluids in chaotic flows and related issues

    International Nuclear Information System (INIS)

    Ottino, J.M.

    1993-01-01

    The basis goal of this work was to obtain a basic understanding of mixing of immiscible fluids leading to the determination of flow conditions which result in efficient breakup and dispersion of one mass of fluid in the bulk of another. Related issues were the prediction of the morphological structures and drop size distribution for a given set of operating conditions. The primary motivation for these investigations was to produce basic knowledge leading to increased understanding of industrial processes involving blending, agitation, emulsification, and dissolution

  1. A Research on Issues Related to RFID Security and Privacy

    Science.gov (United States)

    Kim, Jongki; Yang, Chao; Jeon, Jinhwan

    Radio Frequency Identification (RFID) is a technology for automated identification of objects and people. RFID systems have been gaining more popularity in areas especially in supply chain management and automated identification systems. However, there are many existing and potential problems in the RFID systems which could threat the technology's future. To successfully adopt RFID technology in various applications, we need to develop the solutions to protect the RFID system's data information. This study investigates important issues related to privacy and security of RFID based on the recent literature and suggests solutions to cope with the problem.

  2. 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.

  3. Forest fires and air quality issues in southern Europe

    Science.gov (United States)

    Ana Isabel Miranda; Enrico Marchi; Marco Ferretti; Millán M. Millán

    2009-01-01

    Each summer forest fires in southern Europe emit large quantities of pollutants to the atmosphere. These fires can generate a number of air pollution episodes as measured by air quality monitoring networks. We analyzed the impact of forest fires on air quality of specific regions of southern Europe. Data from several summer seasons were studied with the aim of...

  4. Power quality and reliability issues in a deregulated energy market

    International Nuclear Information System (INIS)

    Huggins, M.J.

    1999-01-01

    The challenge of maintaining power quality and reliability in Ontario's new competitive electricity market was the focus of this paper. The intention of Ontario's deregulation is to lower costs and give customers more power and choice. However, some fear that costs pressures may lead to poorer quality. This paper reviewed the causes, costs, and responsibilities, and made some suggestions concerning how customers can protect their interests as the market opens. It was suggested that in order to assure power quality, especially during the transition period, customers need to take care to design their systems and equipment to tolerate some quality variations. Conversely, utilities need to strive for at least minimum industry standards under most conditions. Contracts should be carefully crafted, with responsibilities for reliability and quality clearly stated. 2 refs

  5. Prescription drugs: issues of cost, coverage, and quality.

    Science.gov (United States)

    Copeland, C

    1999-04-01

    This Issue Brief closely examines expenditures on prescription drugs, and discusses their potential to substitute for other types of health care services. In addition, it describes employer coverage of prescription drugs, direct-to-consumer advertising of prescription drugs, and potential legislation affecting the prescription drug market. Prescription drug expenditures grew at double-digit rates during almost every year since 1980, accelerating to 14.1 percent in 1997. In contrast, total national health expenditures, hospital service expenditures, and physician service expenditures growth rates decreased from approximately 13 percent in 1980 to less than 5 percent in 1997. Private insurance payments for prescription drugs increased 17.7 percent in 1997, after growing 22.1 percent in 1995 and 18.3 percent in 1996. This growth in prescription drug payments compares with 4 percent or less overall annual growth in private insurance payments for each of those three years. From 1993 to 1997, the overwhelming majority of the increases in expenditures on prescription drugs were attributable to increased volume, mix, and availability of pharmaceutical products. In 1997, these factors accounted for more than 80 percent of the growth in prescription drug expenditures. A leading explanation for the sharp growth in drug expenditures is that prescription drugs are a substitute for other forms of health care. While it is difficult to determine the extent to which this substitution occurs, various studies have associated cost savings with the use of pharmaceutical products in treating specific diseases. Evidence suggests that more appropriate utilization of prescription drugs has the potential to lower total expenditures and improve the quality of care. Also, some studies indicate the U.S. health care system needs to improve the way patients use and physicians prescribe current medications. Prescription drug plans offered by employers are likely to undergo changes to ensure that

  6. 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.

  7. 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...

  8. 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

  9. Some Operational Aspects Relating to Quality Management and Total Quality Management

    OpenAIRE

    Sorin GRESOI; Aurelian DIACONU

    2013-01-01

    The work pass in review a few basic concepts found in quality management focusing on operational aspects of quality assurance in production activity and continue with issues regarding total quality strategy, the vector of competitiveness on the market.

  10. III-V nanoelectronics and related surface/interface issues

    International Nuclear Information System (INIS)

    Hasegawa, Hideki

    2003-01-01

    The conventional logic gate architecture is not suitable for high-density integration of quantum devices which are non-robust and extremely structure- and charge-sensitive. In this paper, our novel hexagonal binary-decision-diagram (BDD) quantum circuit approach for III-V nanoelectronics is reviewed and related critical surface/interface issues for high-density integration are discussed. First, the basic concept and actual implementation method of our approach are explained, giving examples of novel BDD quantum integrated circuits where nanowire networks are controlled by nanoscale Schottky wrap gates. For high-density integration, growth of embedded sub-10 nm III-V quantum wire networks by selective molecular beam epitaxy (MBE) on patterned substrates is described, including effects of atomic hydrogen irradiation and kinetic control of wire width. The key processing issue lies in understanding and control of nanostructure surfaces/interfaces. Behavior of nanoscale Schottky gates, recent scanning tunneling microscopy (STM)/scanning tunneling spectroscopy (STS) studies of surface states, and successful removal of surface states by MBE-grown silicon interface control layer are discussed

  11. Ethical issues related to epilepsy care in the developing world.

    Science.gov (United States)

    Tan, Chong-Tin; Avanzini, Giuliano

    2009-05-01

    There are three major issues of ethical concern related to epilepsy care in the developing world. First, is it ethical for a developing country to channel its limited resources from direct epilepsy care to research? The main considerations in addressing this question are the particular research questions to be addressed and whether such research will bring direct benefits to the local community. Second, in a country with limited resources, when does ignoring the high treatment gap become an ethical issue? This question is of particular concern when the community has enough resources to afford treatment for its poor, yet is not providing such care because of gross wastage and misallocation of the national resources. Third, do countries with plentiful resources have an ethical responsibility to help relieve the high epilepsy treatment gap of poor countries? Indeed, we believe that reasonable health care is a basic human right, and that human rights transcend national boundaries. Although health care is usually the responsibility of the nation-state, many modern states in the developing world are arbitrary creations of colonization. There is often a long process from the establishment of a political-legal state to a mature functional nation. During the long process of nation building, help from neighboring countries is often required.

  12. Kurdish men's experiences of migration-related mental health issues.

    Science.gov (United States)

    Taloyan, Marina; Al-Windi, Ahmad; Johansson, Leena Maria; Saleh-Stattin, Nuha

    2011-10-01

    The migration process may impose stress on the mental health of immigrants. To describe the experiences of immigrant men of Kurdish ethnicity during and after migration to Sweden with regard to mental health issues. Using the grounded theory method, we conducted a focus group interview with four Kurdish men and in-depth individual interviews with 10 other Kurdish men. A model with two major themes and interlinked categories was developed. The themes were (1) protective factors for good mental health (sense of belonging, creation and re-creation of Kurdish identity, sense of freedom, satisfaction with oneself) and (2) risk factors for poor mental health (worry about current political situation in the home country, yearning, lack of sense of freedom, dissatisfaction with Swedish society). The study provides insights into the psychological and emotional experiences of immigrant men of Kurdish ethnicity during and after migration to Sweden. It is important for primary health care providers to be aware of the impact that similar migration-related and life experiences have on the health status of immigrants, and also to be aware that groups are comprised of unique individuals with differing experiences and reactions to these experiences. The findings highlight the common themes of the men's experiences and suggest ways to ameliorate mental health issues, including feeling like one is seen as an individual, is a full participant in society, and can contribute to one's own culture.

  13. 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.

  14. Safety issues relating to the design of fusion power facilities

    International Nuclear Information System (INIS)

    Stasko, R.R.; Wong, K.Y.; Russell, S.B.

    1986-06-01

    In order to make fusion power a viable future source of energy, it will be necessary to ensure that the cost of power for fusion electric generation is competitive with advanced fission concepts. In addition, fusion power will have to live up to its original promise of being a more radiologically benign technology than fission, and be able to demonstrate excellent operational safety performance. These two requirements are interrelated, since the selection of an appropriate safety philosophy early in the design phase could greatly reduce or eliminate the capital costs of elaborate safety related and protective sytems. This paper will briefly overview a few of the key safety issues presently recognized as critical to the ultimate achievement of licensable, environmentally safe and socially acceptable fusion power facilities. 12 refs

  15. 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.

  16. [Physiological changes and related nursing care issues during hunger strike].

    Science.gov (United States)

    Hsieh, Yeu-Shan; Chen, Shiu-Lien

    2005-08-01

    The use of hunger strike as a tool to assert grievances has been around for ages and has occasionally happened in the world. Hunger strikers' motives may differ, but their tool is the same--the voluntary refusal of food. Fasting not only results in body weight loss, but also in physiological and neurological function changes, and, of course, it may even threaten life. The health care of hunger strikers is complex. It involves medical staff, medical ethics and guidance for the management of the hunger strikers. Improper medical management may not only undermine the hunger striker's dignity but also risk further damage to his or her health. By understanding hunger strikers' physiological changes and related ethical issues, therefore, we aim to identify appropriate forms of nursing care management and guidance for the care of hunger strikers.

  17. Related regulation of quality control of industrial products

    International Nuclear Information System (INIS)

    1983-04-01

    This book introduce related regulation of quality control of industrial products, which includes regulations of industrial products quality control, enforcement ordinance of industrial products quality control, enforcement regulation of quality control of industrial products, designated items with industrial production quality indication, industrial production quality test, and industrial production quality test organization and management tips of factory quality by grade.

  18. 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...

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

    DEFF Research Database (Denmark)

    Guerrero, Josep M.

    2017-01-01

    -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...

  20. Total Quality Management: Empirical, Conceptual, and Practical Issues.

    Science.gov (United States)

    Hackman, J. Richard; Wageman, Ruth

    1995-01-01

    Total quality management (TQM) has become a U.S. social movement. This commentary analyzes the writings of W. Edwards Deming, Joseph Juran, and Kaoru Ishikawa to assess TQM's coherence, distinctiveness, and likely perseverance. Rhetoric is winning over substance, unrelated interventions are being herded under the TQM banner, and research is not…

  1. 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

  2. Nuclear technology education in Mongolia: Issues of quality assurance

    International Nuclear Information System (INIS)

    Davaa, S.; Khuukhenkhuu, G.

    2007-01-01

    The Nuclear Research Centre (NRC) at the National University of Mongolia, founded in 1965, is the only educational and research institution in Mongolia that carries out fundamental and applied low energy nuclear physics research. The main activities of the NRC are described in the Mission, Strategic Goals, and Objectives Statement of the NRC (http://www.num.edu.mn/nrc). The mission of the Nuclear Research Center is to be the leading national institution that conducts both training and research/development to obtain new information and results, to develop new methodology and technology in fundamental and applied nuclear physics, and also to develop equipment and devices. In order to implement quality management in nuclear technology training activities and conduct quality assurance, the Bachelor's education program has been required to create a self evaluation and the first copy of the report had been produced. It is a common perception that the main mechanism of higher education quality assurance is the internal quality management, and quality external monitoring. Therefore a general model used in most countries for higher education quality assurance. This model's main device is internal and external evaluation. The external evaluation has responsibility to improve accreditation, responsibility/commitment. Based on its self evaluation, the organization will develop its quality plan and, combined with external evaluation conclusions, will be lead toward quality improvement. The most important part of quality assessment is the use of external experts' assessment. Our nuclear research center is the only educational and research institution in the country, and, thus, it is impossible to find respectable independent experts (who do not get involved in our operations). In order to hire reputable foreign expert there are several obstacles: It is not easy to find a person who would know not only nuclear technology training but also do the benchmarking based on our

  3. Predicting Causes of Data Quality Issues in a Clinical Data Research Network.

    Science.gov (United States)

    Khare, Ritu; Ruth, Byron J; Miller, Matthew; Tucker, Joshua; Utidjian, Levon H; Razzaghi, Hanieh; Patibandla, Nandan; Burrows, Evanette K; Bailey, L Charles

    2018-01-01

    Clinical data research networks (CDRNs) invest substantially in identifying and investigating data quality problems. While identification is largely automated, the investigation and resolution are carried out manually at individual institutions. In the PEDSnet CDRN, we found that only approximately 35% of the identified data quality issues are resolvable as they are caused by errors in the extract-transform-load (ETL) code. Nonetheless, with no prior knowledge of issue causes, partner institutions end up spending significant time investigating issues that represent either inherent data characteristics or false alarms. This work investigates whether the causes (ETL, Characteristic, or False alarm) can be predicted before spending time investigating issues. We trained a classifier on the metadata from 10,281 real-world data quality issues, and achieved a cause prediction F1-measure of up to 90%. While initially tested on PEDSnet, the proposed methodology is applicable to other CDRNs facing similar bottlenecks in handling data quality results.

  4. Plastic packaged microcircuits: Quality, reliability, and cost issues

    Science.gov (United States)

    Pecht, Michael G.; Agarwal, Rakesh; Quearry, Dan

    1993-12-01

    Plastic encapsulated microcircuits (PEMs) find their main application in commercial and telecommunication electronics. The advantages of PEMs in cost, size, weight, performance, and market lead-time, have attracted 97% of the market share of worldwide microcircuit sales. However, PEMs have always been resisted in US Government and military applications due to the perception that PEM reliability is low. This paper surveys plastic packaging with respect to the issues of reliability, market lead-time, performance, cost, and weight as a means to guide part-selection and system-design.

  5. 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.

  6. 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

  7. Review: Groundwater resources and related environmental issues in China

    Science.gov (United States)

    Hao, Aibing; Zhang, Yilong; Zhang, Eryong; Li, Zhenghong; Yu, Juan; Wang, Huang; Yang, Jianfeng; Wang, Yao

    2018-05-01

    As an important component of water resources, groundwater plays a crucial role in water utilization in China and an irreplaceable role in supporting economic and social development, especially in the northern arid and semi-arid plains and basin areas, which are densely populated and relatively short of surface-water resources. This paper comprehensively reviews and discusses the regional hydrogeological conditions, the temporal and spatial distribution of groundwater, the groundwater quality, and the actuality of groundwater exploitation and utilization in China. Meanwhile, aiming at the environmental problems induced by overexploitation to meet the sharply increasing water demand, this paper puts forward the major tasks for the next few years in terms of groundwater exploitation control, conservation and management.

  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. Pain-related psychological issues in hand therapy.

    Science.gov (United States)

    Hamasaki, Tokiko; Pelletier, René; Bourbonnais, Daniel; Harris, Patrick; Choinière, Manon

    Literature review. Pain is a subjective experience that results from the modulation of nociception conveyed to the brain via the nervous system. Perception of pain takes place when potential or actual noxious stimuli are appraised as threats of injury. This appraisal is influenced by one's cognitions and emotions based on her/his pain-related experiences, which are processed in the forebrain and limbic areas of the brain. Unarguably, patients' psychological factors such as cognitions (eg, pain catastrophizing), emotions (eg, depression), and pain-related behaviors (eg, avoidance) can influence perceived pain intensity, disability, and treatment outcomes. Therefore, hand therapists should address the patient pain experience using a biopsychosocial approach. However, in hand therapy, a biomedical perspective predominates in pain management by focusing solely on tissue healing. This review aims to raise awareness among hand therapists of the impact of pain-related psychological factors. This literature review allowed to describe (1) how the neurophysiological mechanisms of pain can be influenced by various psychological factors, (2) several evidence-based interventions that can be integrated into hand therapy to address these psychological issues, and (3) some approaches of psychotherapy for patients with maladaptive pain experiences. Restoration of sensory and motor functions as well as alleviating pain is at the core of hand therapy. Numerous psychological factors including patients' beliefs, cognitions, and emotions alter their pain experience and may impact on their outcomes. Decoding the biopsychosocial components of the patients' pain is thus essential for hand therapists. Copyright © 2018 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

  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. EDUCATION QUALITY AND ISSUES OF PEDAGOGICAL STAFF TRAINING

    OpenAIRE

    Vladimir P. Borisenkov

    2015-01-01

    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...

  12. Large-scale Water-related Innovative Renewable Energy Projects and the Water Framework Directive : Legal Issues and Solutions

    NARCIS (Netherlands)

    van Hees, S.R.W.

    2017-01-01

    This article discusses two legal issues that relate to the conflict between the interest of protecting water quality under the Water Framework Directive (WFD), versus the interest of promoting the use of innovative water-related renewable energy, with regard to the quota in the Renewable Energy

  13. 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.

  14. 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.

  15. Long term energy-related environmental issues of copper production

    Energy Technology Data Exchange (ETDEWEB)

    Alvarado, S. [University of Chile, Santiago (Chile). Dept. of Mechanical Engineering; Maldonado, P.; Barrios, A.; Jaques, I. [University of Chile, Santiago (Chile). Energy Research Program

    2002-02-01

    Primary copper production is a major activity in the mining sector of several countries. However, it is highly energy-intensive and poses important environmental hazards. In the case of Chile, the world's largest copper producer (40% of world total), we examine its energy consumption and energy-related environmental implications over a time horizon of 25 years. Concerning the latter, we focus on greenhouse-gas (GHG) emissions, one of the most debated environmental issues. This paper follows up our previous report in which the current situation was analyzed and a particular technical option for improving the energy efficiency and concurrently reducing GHG emissions was discussed. Estimated reference or base (BS) and mitigation (MS) scenarios are developed for the period ending in 2020. The former assesses the energy demand projected in accordance with production forecasts and specific energy consumption patterns (assuming that energy efficiency measures are adopted 'spontaneously') with their resultant GHG emissions, while the latter assumes induced actions intended to reduce emissions by adopting an aggressive policy of efficient energy use. For the year 2020, the main results are: (i) BS, 1214 t of CO{sub 2}/ton of refined copper content (49% lower than in 1994); (ii) MS, 1037 t of CO{sub 2}/t of refined copper content (56% lower than in 1994). CO{sub 2} emissions have been estimated considering both fuel and electricity process requirements. (author)

  16. Long term energy-related environmental issues of copper production

    International Nuclear Information System (INIS)

    Alvarado, S.; Maldonado, P.; Barrios, A.; Jaques, I.

    2002-01-01

    Primary copper production is a major activity in the mining sector of several countries. However, it is highly energy-intensive and poses important environmental hazards. In the case of Chile, the world's largest copper producer (40% of world total), we examine its energy consumption and energy-related environmental implications over a time horizon of 25 years. Concerning the latter, we focus on greenhouse-gas (GHG) emissions, one of the most debated environmental issues. This paper follows up our previous report in which the current situation was analyzed and a particular technical option for improving the energy efficiency and concurrently reducing GHG emissions was discussed. Estimated reference or base (BS) and mitigation (MS) scenarios are developed for the period ending in 2020. The former assesses the energy demand projected in accordance with production forecasts and specific energy consumption patterns (assuming that energy efficiency measures are adopted 'spontaneously') with their resultant GHG emissions, while the latter assumes induced actions intended to reduce emissions by adopting an aggressive policy of efficient energy use. For the year 2020, the main results are: (i) BS, 1214 t of CO 2 /ton of refined copper content (49% lower than in 1994); (ii) MS, 1037 t of CO 2 /t of refined copper content (56% lower than in 1994). CO 2 emissions have been estimated considering both fuel and electricity process requirements. (author)

  17. Effects of gamma radiation on raspberries: safety and quality issues.

    Science.gov (United States)

    Verde, S Cabo; Trigo, M J; Sousa, M B; Ferreira, A; Ramos, A C; Nunes, I; Junqueira, C; Melo, R; Santos, P M P; Botelho, M L

    2013-01-01

    There is an ever-increasing global demand from consumers for high-quality foods with major emphasis placed on quality and safety attributes. One of the main demands that consumers display is for minimally processed, high-nutrition/low-energy natural foods with no or minimal chemical preservatives. The nutritional value of raspberry fruit is widely recognized. In particular, red raspberries are known to demonstrate a strong antioxidant capacity that might prove beneficial to human health by preventing free radical-induced oxidative stress. However, food products that are consumed raw, are increasingly being recognized as important vehicles for transmission of human pathogens. Food irradiation is one of the few technologies that address both food quality and safety by virtue of its ability to control spoilage and foodborne pathogenic microorganisms without significantly affecting sensory or other organoleptic attributes of the food. Food irradiation is well established as a physical, nonthermal treatment (cold pasteurization) that processes foods at or nearly at ambient temperature in the final packaging, reducing the possibility of cross contamination until the food is actually used by the consumer. The aim of this study was to evaluate effects of gamma radiation on raspberries in order to assess consequences of irradiation. Freshly packed raspberries (Rubus idaeus L.) were irradiated in a (60)Co source at several doses (0.5, 1, or 1.5 kGy). Bioburden, total phenolic content, antioxidant activity, physicochemical properties such as texture, color, pH, soluble solids content, and acidity, and sensorial parameters were assessed before and after irradiation and during storage time up to 14 d at 4°C. Characterization of raspberries microbiota showed an average bioburden value of 10(4) colony-forming units (CFU)/g and a diverse microbial population predominantly composed of two morphological types (gram-negative, oxidase-negative rods, 35%, and filamentous fungi, 41

  18. Atmospheric Weathering of Historic Monuments and Their Related Conservation Issues

    Directory of Open Access Journals (Sweden)

    Caner-Saltık Emine N.

    2018-01-01

    Full Text Available Atmospheric environment affects the materials of historic monuments and their structure starting from the time of their construction. Daily and seasonal changes in temperature and humidity, wind, snow and rainfall, soluble salts carried by water, biological agents, pollutant gases and particulate matter are some of the agents in atmospheric environment that introduce weathering by physical, chemical and biological processes in the materials of the monuments such as natural building stones, bricks, mortars and plasters, mud brick etc. The weathering processes need to be well diagnosed by identification of main mechanisms of decay and major responsible agents, degree and depth of deterioration expressed with measurable parameters of physical, physicomechanical properties, and micro structural changes together with their distribution on the monument. Success of conservation treatments strongly depend on those diagnostic studies and compatibility of the treatments with the deteriorated and relatively sound parts of the historic materials. Current approach to materials conservation is to be able to make minimum intervention to historic material by targeting the conservation treatment to the deteriorated area for the purpose of controlling the deterioration factors and achieving compatible and durable conservation of historical material. In this presentation, two examples of diagnostic research and conservation treatments based on and guided by the diagnostic results are summarized concerning historic stone monuments exposed to atmospheric environment since more than two thousand years. The first example is on the marble walls of Temple of Augustus in Ankara exposed to polluted urban atmosphere. The second example is on the limestone statues of Nemrut Mount Monument in Adıyaman-Turkey, exposed to rural atmosphere with harsh climatic conditions. Finally, a brief discussion on current research issues related to historic materials conservation in

  19. 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…

  20. Issues in radiology related to the new technologies

    International Nuclear Information System (INIS)

    Elkin, M.

    1982-01-01

    A number of interrelated issues facing radiology have been highlighted by our new technologies. The issues discussed in this presentation are: subspecialization of radiology; the use of economic analyses (CEA/CBA) to judge the cost effectiveness of radiologic procedures, the alleged overuse of radiologic examinations; and the need for the diagnostic radiologist to become more actively involved in patient management

  1. Methodological Issues in HIV-Related Social Research in Nigeria

    African Journals Online (AJOL)

    AJRH Managing Editor

    Methodological Issues in HIV/AIDS Social Research in Nigeria ... convaincue au commencement de l'étude qu'une étude sur l'interaction entre le VIH/sida et les questions sensibles comme les ..... One of the vexed issues was the requirement.

  2. Water quality issues associated with agricultural drainage in semiarid regions

    Science.gov (United States)

    Sylvester, Marc A.

    High incidences of mortality, birth defects, and reproductive failure in waterfowl using Kesterson Reservoir in the San Joaquin Valley, Calif., have occurred because of the bioaccumulation of selenium from irrigation drainage. These circumstances have prompted concern about the quality of agriculture drainage and its potential effects on human health, fish and wildlife, and beneficial uses of water. The U.S. Geological Survey (USGS) and Lawrence Berkeley Laboratory, University of California (Berkeley, Calif.) organized a 1-day session at the 1986 AGU Fall Meeting in San Francisco, Calif., to provide an interdisciplinary forum for hydrologists, geochemists, and aquatic chemists to discuss the processes controlling the distribution, mobilization, transport, and fate of trace elements in source rocks, soils, water, and biota in semiarid regions in which irrigated agriculture occurs. The focus of t h e session was the presentation of research results on the source, distribution, movement, and fate of selenium in agricultural drainage.

  3. Issues Raised in Relation to Radioactive Waste Management

    International Nuclear Information System (INIS)

    Atherton, Elizabeth

    2003-01-01

    Nirex has undertaken various consultations with different stakeholders to identify their issues and concerns about radioactive waste management in general and specific aspects of Nirex's work. This paper will outline what dialogue techniques Nirex has undertaken and the issues and concerns that people have raised during the events. It will outline some of the work that Nirex is undertaking to address stakeholders' issues and concerns. Nirex has used a variety of dialogue techniques co-ordinated under the Nirex Involvement Programme to engage with stakeholders about the work we undertake. We are now trying to address the issues, concerns, scenarios and questions raised in our work programme. Key lessons that we have learned in undertaking the dialogues include: The importance of appropriate facilitation and organisation of meetings; The need for a clear purpose for meetings; Being flexible to the needs of the attendees and the issues they raise; Providing feedback to those who participate and following up issues. Through engaging with the public Nirex has learned that: Radioactive waste is not an everyday concern for people; The public can, will and want to engage with the issue of radioactive waste management. This includes engaging with the ethical debate. To facilitate this Nirex and others need to: Provide information in a neutral form outlining the pros and cons and including various people's opinions; Use proactive techniques to allow access and space for people to discuss the issues; Demonstrate how people's opinions have been taken into account. People understand the issues very differently to the way institutions understand them. There is a need for institutions to learn to understand public concerns and the ways in which the public understand issues, as well as for the public to understand the institutional positions better. We are using these insights to develop our future work in this area

  4. 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.

  5. Psychosocial issues and quality of life in patients on renal replacement therapy

    International Nuclear Information System (INIS)

    Panagopoulou, Alkioni; Hardalias, Andreas; Fourtounas, Costas; Berati, Stavroula

    2009-01-01

    The aim of the present study was to investigate psychosocial variables related to objective and subjective indicators of quality of life in a single center cohort study of patients undergoing in-center hemodialysis (Hd), Continuous Ambulatory Peritoneal Dialysis (CAPD) and renal transplant recipients (RTx). We studied 40 HD patients, 36 CAPD, and 48 RTx patients by a special questionnaire examining demographics, functional status, employment status, and impact of therapy on psychosocial issues such as anxiety and depression. The RTx patients disclosed a better functional and employment status than the CAPD and the HD patients. They were also more compliant and satisfied with their therapy and their relationship with the medical and nursing personnel. The CAPD patients were also more satisfied, more compliant, better motivated, and less anxious and depressed compared with the HD patients who scored low in every aspect studied. Successful renal transplantation is a superior modality of therapy than HD or CAPD regarding psychosocial and quality of life issues. However these results can partially be explained by some selection bias, as RTx patients are usually younger and CAPD patients are selected for this modality after examining functional and social status. (author)

  6. 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. Copyright © 2016 Elsevier Ltd. All rights reserved.

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

    OpenAIRE

    Petzer, Daniel; Kruger, Philippus

    2008-01-01

    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 futur...

  8. Sleep-related Issues for Recovery and Performance in Athletes.

    Science.gov (United States)

    Kölling, Sarah; Duffield, Rob; Erlacher, Daniel; Venter, Ranel; Halson, Shona L

    2018-04-13

    The body of research that reports the relevance of sleep in high-performance sports is growing steadily. While the identification of sleep cycles and diagnosis of sleep disorders is limited to lab-based assessment via polysomnography, the development of activity-based devices estimating sleep patterns provides greater insight into the sleep behaviour of athletes in ecological settings. Overall, small sleep quantity and/or poor quality appears to exist in many athletic populations, though this may be related to training and competition context. Typical sleep-affecting factors are the scheduling of training sessions and competitions as well as impaired sleep-onset as a result of increased arousal prior to competition or due to the use of electronic devices before bedtime. Further challenges are travel demands which may be accompanied by jet-lag symptoms and disruption of sleep habits. Promotion of sleep may be approached via behavioural strategies, such as sleep hygiene, extending night-time sleep or daytime napping. Pharmacological interventions should be limited to clinically-induced treatments as evidence among healthy and athletic populations is lacking. To optimise and manage sleep in athletes, it is recommended to implement routine sleep monitoring on an individual basis.

  9. LABOUR MARKET INTEGRATION ISSUES RELATED TO MIGRANTS ARRIVING TO HUNGARY

    Directory of Open Access Journals (Sweden)

    Peter Miklos Komives

    2016-07-01

    Full Text Available The migration flows appearing in the recent years have gained central relevance in Hungary. Previously people were having no opinion about the current situation of issues related to migration but the increased media attention lead to the development of mixed attitudes among people. Some people feel sorry for the families who are coming from the war zones and lost their homes, others have fear of losing their position at work, or their families because of the acts they have heard from the media and they are hostile to the issue of integration whether it is about education or the labour market. According to the statistical data; in the third quarter of 2015, more than hundred thousand asylum-seekers arrived to Hungary, which dropped drastically in the fourth quarter caused by the significant transformation of the asylum process. This study is intended to serve two objectives: first describe the comprehensive picture of labour market attitudes towards migrants and secondly to identify factors that affect the employment of foreigners in Hungary using secondary data sources. Based on this analysis those questions can be formulated, which may constitute a basis for further labour market researches for the integration of migrants. From our point of view there are vital aspects of the migrants’ successful social integration; we have to integrate the migrants who are coming to our country and plan to stay for a longer time to the field of education and the labour market. The social integration of migrants in a country is closely linked to employment, to the integration into the labour market, and in many cases one of the obstacles in this regard is the prejudiced behaviour and negative attitudes towards migrants which manifests itself as the discrimination in the labour market. The results of the European Commission confirm that in Hungary the ethnicity as a variable appears to be the second on the list of the most serious discrimination factors

  10. Patient issues in health research and quality of care: an inventory and data synthesis

    NARCIS (Netherlands)

    Teunissen, G.J.; Visse, M.A.; Boer, P.; Abma, T.A.

    2013-01-01

    Aim The purpose of this review is to generate an inventory of issues that matter from a patient perspective in health research and quality of care. From these issues, criteria will be elicited to support patient(s) (groups) in their role as advisor or advocate when appraising health research, health

  11. Sleep quality and functional gastrointestinal disorders. A psychological issue.

    Science.gov (United States)

    Bouchoucha, Michel; Mary, Florence; Bon, Cyriaque; Bejou, Bakhtiar; Airinei, Gheorghe; Benamouzig, Robert

    2018-02-01

    Sleep disorders are often associated with functional gastrointestinal disorders (FGIDs). This study aims to evaluate the association of sleep disorders with specific FGIDs and to assess the related importance of psychological disorders. We included 1009 consecutive patients with FGIDs (70.9% females). The patients completed a Rome III questionnaire and after a psychological evaluation on anxiety and depression they were classified according to their sleep disorders using a 7-point grading scale: Groups 1-3, drowsiness (severe, moderate, mild); Group 4, no change; Groups 5-7, insomnia (mild, moderate, severe). Multinomial logistic regression using sleep group as a dependent variable with no sleep change as reference and body mass index, FGIDs, anxiety and depression as independent variables were used for statistical analysis. Altogether 667 (66.1%) patients reported changes in sleep disorders, of whom 487 (48.3%) had decreased sleep and 180 (17.8%) had increased sleep while 342 (33.9%) reported no change. Depression was lower in patients with no change in sleep pattern and increased with the severity of their sleep disorder (P proctalgia fugax. Sleep disorders are associated with FGIDs, especially in the presence of depressive symptoms. © 2018 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

  12. Effect of gamma-ray on olive fruits quality, enzyme activities and issued oil

    International Nuclear Information System (INIS)

    Mejri, Sonia

    2007-01-01

    The results described in the present work concern the study of changes in gamma ray irradiated olive fruit (Tunisian variety: C hemlali ) quality along the storage time processing and the quality of olive oil issued. The study focused on the changes related to the microbiological, physico-chemical properties, as well as pectinase activities in olive after irradiation. We also have been interested in the final product quality after oil extraction. The results of non irradiated olives were presented for comparative purposes. Mature olive fruits were treated with 0.5, 1 and 1.5 kGy gamma ray radiation. Olive fruits were then stored for one month. Irradiation at 1.5 kGy allows the almost total destruction of the total aerobic germs, yeasts and moulds. Concerning physico-chemical parameters, the increase of the dose level generated an improvement in water retention capacity and decreased the rate of polysaccharides hydrolyzes olives. Moreover, the irradiation dose of 0.5 kGy induced the increase in pectinase activities thanks to the improvement of the protein extraction yield. The gamma ray irradiation of olive fruit seems to not decrease olive oil oxidative stability in the studied samples. Finally, gamma ray radiation was able to improve the yield of extraction of the oil and insaponifiable fraction as polyphenols and beta carotenes. (Author)

  13. Engineering approach to relative quantitative assessment of safety culture and related social issues in NPP operation

    International Nuclear Information System (INIS)

    Sivokon, V.; Gladyshev, M.; Malkin, S.

    2005-01-01

    The report is devoted to presentation of engineering approach and software tool developed for Safety Culture (SC) assessment as well as to the results of their implementation at Smolensk NPP. The engineering approach is logic evolution of the IAEA ASSET method broadly used at European NPPs in 90-s. It was implemented at Russian and other plants including Olkiluoto NPP in Finland. The approach allows relative quantitative assessing and trending the aspects of SC by the analysis of evens features and causes, calculation and trending corresponding indicators. At the same time plant's operational performances and related social issues, including efficiency of plant operation and personnel reliability, can be monitored. With the help of developed tool the joint team combined from personnel of Smolensk NPP and RRC 'Kurchatov Institute' ('KI') issued the SC self-assessment report, which identifies: families of recurrent events, main safety and operational problems ; their trends and importance to SC and plant efficiency; recommendations to enhance SC and operational performance

  14. Issues related to choosing a guard force structure

    International Nuclear Information System (INIS)

    Averbach, C.; Cusack, J.; Green, L.; Higinbotham, W.; Indusi, J.; Marcuse, W.; Weinstock, E.

    1975-01-01

    The establishment of a federal security force has been suggested as an additional step to protect nuclear material. The force would be given the responsibility for guarding nuclear facilities and shipments of nuclear materials. A study to identify the issues that are relevant to choosing between the private guard forces that are presently employed by industry or a guard force under federal authority is summarized. To examine the issues which would be relevant, three possible types of security force structures were selected for comparison: a federal force under central authority, a private guard force employed by or under contract to a facility, and a private arrangement to employ local police officers similar to the arrangement for armed guards at airports. The issues were divided into seven categories: (1) legal considerations, (2) liability, (3) staffing and operations, (4) costs, (5) relationship to off-site forces, (6) management and control, and (7) transportation. (U.S.)

  15. Issues related to choosing a guard force structure

    International Nuclear Information System (INIS)

    Auerback, C.; Cusack, J.; Green, L.; Higinbotham, W.; Indusi, J.; Marcuse, W.; Weinstock, E.

    1975-01-01

    The establishment of a federal security force has been suggested as an additional step to protect nuclear material. The force would be given the responsibility for guarding nuclear facilities and shipments of nuclear materials. This paper summarizes a study to identify the issues that are relevant to choosing between the private guard forces that are presently employed by industry or a guard force under federal authority. To examine the issues which would be relevant, three possible types of security force structures were selected for comparison: a federal force under central authority, a private guard force employed by or under contract to a facility, and a private arrangement to employ local police officers similar to the arrangement for armed guards at airports. The issues were divided into seven categories: (1) Legal Considerations, (2) Liability, (3) Staffing and Operations, (4) Costs, (5) Relationship to Off-site Forces, (6) Management and Control, (7) Transportation

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

    DEFF Research Database (Denmark)

    Martinenas, Sergejus; Knezovic, Katarina; Marinelli, Mattia

    2017-01-01

    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...... in improving the power quality of a highly unbalanced grid...

  17. Jordan: U.S. Relations and Bilateral Issues

    Science.gov (United States)

    2007-01-25

    bring about a compromise solution to Iraq’s sectarian violence and insurgency. Nevertheless, should the Administration heed the main recommendations of...Committee (NLC), a New York-based human rights advocacy group, issued a 161-page report alleging sweatshop -like conditions in 28 out of 100 Qualified

  18. 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…

  19. 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…

  20. 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…

  1. Thinking, Relating and Choosing: Resolving the issue of Faith ...

    African Journals Online (AJOL)

    Which is worse: Doing evil or being evil? If we are free to define ourselves through our choices, as existentialism posits, then the latter is worse. This paper attempts to resolve the issue of the difference between religious (group) ethics and the ethics of a person of faith that embraces individuals with an existential ...

  2. 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.

  3. 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

  4. Review of spent fuel related issues in SKB's SR 97

    International Nuclear Information System (INIS)

    Grambow, B.

    2000-01-01

    The solid waste form 'spent fuel' constitutes both the dominant radionuclide source as well as a first radionuclide retention barrier of a planned future high level nuclear waste isolation systems in deep granite formations. In order to evaluate the performance of spent fuel as part of the multibarrier containment system in a deep repository, the radionuclide release properties in groundwater must be predicted over very long time periods. Radionuclide release is not an inherent materials property of the fuel but depends, besides fuel specific parameters, mainly on time but as well on the geochemical and hydraulic environment of the disposal location. The study SR 97 documents the large effort of SKB to assess the long-term performance of a repository containing spent nuclear fuel. Scenario and consequence analyses are clearly described, considering major physical and chemical interactions of the various components of the multi-barrier isolation system. The approach attempts to assess both a realistic and a pessimistic evolution scenario. The present report attempts to evaluate whether this approach is thoroughly carried through to assess the performance of spent nuclear fuel in a repository. Main issues are radionuclide inventories and inventory distribution between structural parts of the fuel assembly and the fuel matrix, potential fuel alteration prior to water access, as well as models for fuel matrix dissolution and instant release fractions. Uncertainties in radionuclide inventories are discussed and were found for many radionuclides to be higher than assumed in SR 97. This is particularly true for Cl-36. This nuclide is a potential key biosphere dose contributor in various international safety assessments. Of particular importance are uncertainties related to the partition of radionuclides between metallic parts of the fuel assembly and the fuel matrix, since inventories of metallic parts are considered to be released instantaneously. Using C-14 as an

  5. Structural Integrity and Aging-Related Issues of Helicopters

    Science.gov (United States)

    2000-10-01

    inherently damage lolerant , any damage- inspection in critical locations where tests have indicated tolerant features in airframe design only enhances...required, so European Rotorcraft Forum. Marseilles, France, 15- that helicopters are equipped with such features as fly- 17 September 1998 . by-wire and...fatigue Evaluation of structural integrity issues of aging helicopters. The Structure," 29 April, 1998 . extended safe-life approach encompasses the best

  6. Issues related to the use of genetic material and information.

    Science.gov (United States)

    Giarelli, E; Jacobs, L A

    2000-04-01

    To review issues regarding the use of genetic materials and information. Professional literature, regional and federal legislation. An analysis is provided of the relationship among advances in genetic technology, use of genetic material and information, and the development of laws that protect the interests of donors, researchers, and insurers. Rapid technological achievements have generated complex questions that are difficult to answer. The Human Genome Project began and the scientific discoveries were put to use before adequate professional and public debate on the ethical, legal, social, and clinical issues. The term "proper use" of genetic material and information is not defined consistently. An incomplete patchwork of protective state and federal legislation exists. Many complicated issues surround the use and potential misuse of genetic material and information. Rapidly advancing technology in genetics makes it difficult for regulations that protect individuals and families to keep pace. Oncology nurses need to recognize their role as change agents, understand genetic technology, and advocate for patients by participating in the debate on the proper use and prevention of misuse of genetic material and information.

  7. LOUISIANA ENVIRONMENTAL MODELING SYSTEM FOR HYPOXIA RELATED ISSUES

    Science.gov (United States)

    An environmental assessment tool to evaluate the impacts of nonpoint source (NPS) pollutants discharged from Mississippi River basins into the Gulf of Mexico and to assess their effects on receiving water quality will be described. This system (Louisiana Environmental Modeling S...

  8. 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

  9. Quality of working life issues of employees with a chronic physical disease: a systematic review.

    Science.gov (United States)

    de Jong, Merel; de Boer, Angela G E M; Tamminga, Sietske J; Frings-Dresen, Monique H W

    2015-03-01

    To assess issues that contribute to the Quality of Working Life (QWL) of employees with a chronic physical disease. A systematic literature search was conducted using the databases PubMed, PsycINFO and EMBASE. Experiences and perceptions during the working life of employees with a chronic physical disease were extracted and synthesized into issues that contributed to their QWL. We organized these synthesized QWL issues into higher order themes and categories with qualitative data analysis software. From a total of 4,044 articles identified by the search, 61 articles were included. Data extraction and data synthesis resulted in an overview of 73 QWL issues that were classified into 30 themes. The following five categories of themes were identified: (1) job characteristics with issues such as job flexibility and work-site access; (2) the social structure and environment containing issues about disclosure, discrimination, misunderstanding, and awareness by employers or colleagues; (3) organizational characteristics with issues such as requesting work accommodations; (4) individual work perceptions including issues about enjoyment and evaluating work or life priorities; and (5) effect of the disease and treatment including issues about cognitive and physical health and work ability. This systematic review offers an extensive overview of issues that might contribute to the QWL of employees with a chronic physical disease. This overview may function as a starting point for occupational support, such as monitoring and evaluating the QWL of employees with a chronic physical disease during return-to-work and work continuation processes.

  10. 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.

  11. Dealing with quantum weirdness: Holism and related issues

    International Nuclear Information System (INIS)

    Elby, A.R.

    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

  12. The approach of nuclear related issues by the press

    International Nuclear Information System (INIS)

    Manetti, Cristiane Teixeira; Tanimoto, Katia Suemi; Hiromoto, Goro

    2009-01-01

    Nuclear energy has always been a polemic issue, and it is usually more intensely associated, by the general public, to the risks than to the benefits from its use; in this sense, the mass media have clearly had its share of responsibility for public opinion formation. This paper presents a report on the coverage of the nuclear issue in the press, identifying the amount of negative and positive views on the subject, as well as the people involved in the process. The analysis comprises the period from February 2007 to February 2008, right after the edition of the 4th IPCC Report. From that sample, 172 texts published in widely known newspapers and magazines, most of them from Sao Paulo State, were identified. The analyzed speeches were classified according to five information sources: specialists, users, authorities, protagonists and entrepreneurs. It was noted the predominance of positive articles, mainly due to the weight of the favorable speeches by authorities, cited as the most frequent in this paper. (author)

  13. Contemporary Expert Debates on the SCO-Related Issues

    Directory of Open Access Journals (Sweden)

    Igor Evgen'evich Denisov

    2016-01-01

    Full Text Available Since its establishment the SCO has always attracted a lot of expert attention. The SCO Forum was founded in 2006 to bring together for annual debates experts from all member-states. Within this format in-depth discussions took place in April 2016 in Dushanbe, which hosted this year conference of the SCO Forum. Participating experts and officials reviewed problems of security, economic cooperation (including transport and water-energy issues and SCO enlargement, the latter being one of the most debatable. Experts presented some new thesis on all these problems, in particular on the enlargement issue. These new thesis are summed up in this article. Besides, the SCO Forum this year had many statements on the organization approaching a sort of new phase in its development. This line of discussions may lead in the future to even more active debates on SCO's role in the world. This article puts emphasis on the new elements of these debates and reviews major experts' attitudes within this line of discussion on the SCO being in front of a new stage of development.

  14. The approach of nuclear related issues by the press

    Energy Technology Data Exchange (ETDEWEB)

    Manetti, Cristiane Teixeira; Tanimoto, Katia Suemi; Hiromoto, Goro [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)], e-mail: cristianemanetti@hotmail.com, e-mail: katia_tanimoto@hotmail.com, e-mail: hiromoto@ipen.br

    2009-07-01

    Nuclear energy has always been a polemic issue, and it is usually more intensely associated, by the general public, to the risks than to the benefits from its use; in this sense, the mass media have clearly had its share of responsibility for public opinion formation. This paper presents a report on the coverage of the nuclear issue in the press, identifying the amount of negative and positive views on the subject, as well as the people involved in the process. The analysis comprises the period from February 2007 to February 2008, right after the edition of the 4th IPCC Report. From that sample, 172 texts published in widely known newspapers and magazines, most of them from Sao Paulo State, were identified. The analyzed speeches were classified according to five information sources: specialists, users, authorities, protagonists and entrepreneurs. It was noted the predominance of positive articles, mainly due to the weight of the favorable speeches by authorities, cited as the most frequent in this paper. (author)

  15. Labelled agents for PET studies of the dopaminergic system -some quality assurance methods, experience and issues

    International Nuclear Information System (INIS)

    Pike, V.W.; Kensett, M.J.; Turton, D.R.; Waters, S.L.; Silvester, D.J.

    1990-01-01

    Practical methods are described for the quality assurance of three labelled agents (L-6-[ 18 F]fluoro-DOPA, S-[N-methyl- 11 C]nomifensine and [O-methyl- 11 C]raclopride) now produced regularly for PET studies of the dopaminergic system in man. These include indirect methods for the initial determination of label position (e.g. 13 C-NMR spectroscopy) and also direct methods for the assessment of chiral purity (TLC and HPLC) and the routine determination of radiochemical purity, chemical purity and specific activity (HPLC). Mass spectrometry has been used to identify some impurities. L-6-hydroxy-DOPA (a precursor in vivo of the neurotoxin, L-6-hydroxydopamine) has been detected by HPLC in some preparations of L-6-[ 18 F]fluoro-DOPA. Formulated S-[N-methyl- 11 C]nomifensine has been found to be stable. Some quality assurance issues are discussed in relation to experience in the application of the described methods and the obtained results. (author)

  16. Inter-organizational future proof EHR systems A review of the security and privacy related issues

    NARCIS (Netherlands)

    van der Linden, Helma; Kalra, Dipak; Hasman, Arie; Talmon, Jan

    2009-01-01

    OBJECTIVES: Identification and analysis of privacy and security related issues that occur when health information is exchanged between health care organizations. METHODS: Based on a generic scenario questions were formulated to reveal the occurring issues. Possible answers were verified in

  17. Methodological issues related to studies of lead mobilization during menopause

    Directory of Open Access Journals (Sweden)

    Berkowitz Gertrud S.

    1999-01-01

    Full Text Available While there has been a substantial decline in lead exposure in the United States during the past two decades, mobilization of existing lead stored in bone potentially represents an important endogenous source of exposure for menopausal women. It has been hypothesized that lead may be mobilized from skeletal stores during conditions of high bone turnover, such as during menopause. However, such mobilization has not been documented in prospective studies. This discussion is focussed on some of the methodological difficulties to be anticipated in longitudinal studies of lead mobilization specific to menopause and the issues that need to be taken into account when evaluating the results of such studies. To evaluate whether lead mobilization occurs during menopause, a prospective repeated measures design is needed using X-ray fluorescence analysis of lead in bone and serial measurements of blood lead. Potential confounders and effect modifiers also need to be taken into account in the statistical analysis.

  18. PRECISION MEASUREMENT OF MUON G-2 AND ACCELERATOR RELATED ISSUES

    International Nuclear Information System (INIS)

    BROWN, H.N.; BUNCE, G.; CAREY, R.M.; CUSHMAN, P.; DANBY, G.T.; DEBEVEC, P.T.; DEILE, M.; DENG, H.; DENINGER, W.; DHAWAN, S.K.; MENG, W.

    2001-01-01

    A precision measurement of the anomalous g value, a μ =(g-2)/2, for the positive muon has been made using high intensity protons available at the Brookhaven AGS. The result based on the 1999 data a μ =11659202(14)(6) x 10 10 (1.3ppm) is in good agreement with previous measurements and has an error one third that of the combined previous data. The current theoretical value from the standard model is a μ (SM)=11659159.6(6.7) x 10 10 (0.57 ppm) and differ by over 2.5 standard deviation with experiment. Issues with reducing systematic errors and enhancing the injection and storage efficiencies are discussed

  19. Survey on Issues related to National Nuclear Promotion Policy

    International Nuclear Information System (INIS)

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

    2013-06-01

    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. Ethical issues related to caring for low birth weight infants.

    Science.gov (United States)

    Webb, Mary S; Passmore, Denise; Cline, Genieveve; Maguire, Denise

    2014-09-01

    Currently preterm births are the leading causes of newborn deaths and newborn mortality in developed countries. Infants born prematurely remain vulnerable to many acute complications and long-term disabilities. There is a growing concern surrounding the moral and ethical implications of the complex and technological care being provided to extremely low birth weight infants in neonatal intensive care units in the developed nations. The purpose of this study was to describe the ethical and moral issues that neonatal intensive care nurses experience when caring for low birth weight preterm infants and their families. A phenomenological method design was used to describe the lived experiences of nurses with ethical and moral issues encountered in the neonatal intensive care unit. One-on-one, semi-structured interviews using open-ended questions were used to gather data from the participants. The setting for this study was a 97-bed neonatal intensive care. A total of 16 female nurses were interviewed. Approval to conduct the research study was obtained from the institutional review board of the hospital where the study was conducted. Formal signed consent was obtained from each participant. To ensure confidentiality, each participant was asked to choose a confederate name to be used in the interview and the transcriptions. The thematic analysis identified five recurring themes: (a) at the edge of viability, (b) infant pain and discomfort, (c) crucial decisions, (d) communicating with parents, and (e) letting go. Neonatal intensive care unit nurses indicated that they often had challenges to their own sense of morality as they struggled to protect the infant from pain and unnecessary discomfort, provide care to an infant and their family whom they thought was faced with a lifetime of challenges and poor health, accepting decisions made by parents, and feeling as if parents were not adequately informed about outcomes. © The Author(s) 2014.

  1. 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. © 2012 John Wiley & Sons A/S.

  2. 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.; de Castro, C. Silva; 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.

    2012-01-01

    Summary 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. PMID:22417114

  3. Trade-related Electronic Commerce Issues in the OECD

    OpenAIRE

    Chang-In Yoon

    1998-01-01

    The trade committee of Organization for Economic Cooperation and Development (OECD) has begun the study of the trade related to electronic commerce since 1997. The scale of the study on one hand has avoided the fact of copy and duplication of WTO and its organizational principles, on the other hand it has played a supplementary and supportive function. At present, digital-related product, such as computers, software and travel is the key point to the trade which resorts to electronic commerce...

  4. 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…

  5. Invited review: gender issues related to spaceflight: a NASA perspective

    Science.gov (United States)

    Harm, D. L.; Jennings, R. T.; Meck, J. V.; Powell, M. R.; Putcha, L.; Sams, C. P.; Schneider, S. M.; Shackelford, L. C.; Smith, S. M.; Whitson, P. A.

    2001-01-01

    This minireview provides an overview of known and potential gender differences in physiological responses to spaceflight. The paper covers cardiovascular and exercise physiology, barophysiology and decompression sickness, renal stone risk, immunology, neurovestibular and sensorimotor function, nutrition, pharmacotherapeutics, and reproduction. Potential health and functional impacts associated with the various physiological changes during spaceflight are discussed, and areas needing additional research are highlighted. Historically, studies of physiological responses to microgravity have not been aimed at examining gender-specific differences in the astronaut population. Insufficient data exist in most of the discipline areas at this time to draw valid conclusions about gender-specific differences in astronauts, in part due to the small ratio of women to men. The only astronaut health issue for which a large enough data set exists to allow valid conclusions to be drawn about gender differences is orthostatic intolerance following shuttle missions, in which women have a significantly higher incidence of presyncope during stand tests than do men. The most common observation across disciplines is that individual differences in physiological responses within genders are usually as large as, or larger than, differences between genders. Individual characteristics usually outweigh gender differences per se.

  6. Legal issues related to adolescent pregnancy: current concepts.

    Science.gov (United States)

    Rhodes, A M

    1986-09-01

    Adolescent pregnancies have risen in recent years. Options open to the pregnant adolescent are: terminating the pregnancy; giving birth to the child out of wedlock; keeping the baby; giving the baby up for adoption; and marriage before or after the birth of the baby. Each of these options carries certain legal ramifications, since the adolescent patients have not reached the age of majority. The state or the parents usually assume the role of decision making on behalf of the adolescent or assist in the decision making process. Court rulings since the early seventies have legalized abortion and enlarged the rights of minors seeking termination of their pregnancies. Both parents and minors have rights under the certain state laws; parent have the right to notification, minors have the right to privacy. Keeping the child, out of wedlock, might result in legal battles over custody and/or establishing financial support from the father. Some adolescent mothers give up their children for adoption. There are 2 legal procedures that have to be accomplished before a child can be adopted: termination of the rights of the natural parents and adoption proceedings. If the parents marry after the birth of the child, the child is then considered legitimate and the father does not have to go through the process of adopting the child. Other issues requiring parental or individual consent include consent to treatment, contraception, or sterilization. In the case of forcible rape or incest, the physician is required to report incidents to law enforcement officials.

  7. 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

  8. Quality Assurance/Quality Control Issues for Intraoperative Planning and Adaptive Repeat Planning of Image-Guided Prostate Implants

    International Nuclear Information System (INIS)

    Zaider, Marco; Cohen, Gilad; Meli, Jerome; Rosenfeld, Anatoly B.

    2008-01-01

    The quality assurance/quality control purpose is this. We design a treatment plan, and we wish to be as certain as reasonably possible that the treatment is delivered as planned. In the case of conventionally planned prostate brachytherapy, implementing to the letter the implantation plan is rarely attainable and therefore can require adaptive replanning (a quality control issue). The reasons for this state of affairs include changes in the prostate shape and volume during implantation and treatment delivery (e.g., edema resolution) and unavoidable inaccuracy in the placement of the seeds in the prostate. As a result, quality-control activities (e.g., the need to monitor-ideally, on the fly-the target and urethral and rectal dosage) must be also addressed

  9. Ethical issues related to biomonitoring studies on children

    DEFF Research Database (Denmark)

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

    2007-01-01

    Human biomonitoring is a promising tool for assessing environmental exposure and its potential relation with biomarkers, diseases and/or disorders in humans including children. Research with children is essential; however, if the research questions can be resolved by recruitment of adults it is n...

  10. 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)

  11. Cognitive determinants of energy balance-related behaviours : measurement issues

    NARCIS (Netherlands)

    Kremers, Stef P J; Visscher, Tommy L S; Seidell, Jacob C; van Mechelen, Willem; Brug, Johannes

    2005-01-01

    The burden of disease as a result of overweight and obesity calls for in-depth examination of the main causes of behavioural actions responsible for weight gain. Since weight gain is the result of a positive energy balance, these behavioural actions are referred to as 'energy balance-related

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

    NARCIS (Netherlands)

    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

  13. High energy density physics issues related to Future Circular Collider

    Science.gov (United States)

    Tahir, N. A.; Burkart, F.; Schmidt, R.; Shutov, A.; Wollmann, D.; Piriz, A. R.

    2017-07-01

    A design study for a post-Large Hadron Collider accelerator named, Future Circular Collider (FCC), is being carried out by the International Scientific Community. A complete design report is expected to be ready by spring 2018. The FCC will accelerate two counter rotating beams of 50 TeV protons in a tunnel having a length (circumference) of 100 km. Each beam will be comprised of 10 600 proton bunches, with each bunch having an intensity of 1011 protons. The bunch length is of 0.5 ns, and two neighboring bunches are separated by 25 ns. Although there is an option for 5 ns bunch separation as well, in the present studies, we consider the former case only. The total energy stored in each FCC beam is about 8.5 GJ, which is equivalent to the kinetic energy of Airbus 380 (560 t) flying at a speed of 850 km/h. Machine protection is a very important issue while operating with such powerful beams. It is important to have an estimate of the damage caused to the equipment and accelerator components due to the accidental release of a partial or total beam at a given point. For this purpose, we carried out numerical simulations of full impact of one FCC beam on an extended solid copper target. These simulations have been done employing an energy deposition code, FLUKA, and a two-dimensional hydrodynamic code, BIG2, iteratively. This study shows that although the static range of a single FCC proton and its shower is about 1.5 m in solid copper, the entire beam will penetrate around 350 m into the target. This substantial increase in the range is due to the hydrodynamic tunneling of the beam. Our calculations also show that a large part of the target will be converted into high energy density matter including warm dense matter and strongly coupled plasmas.

  14. 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...

  15. 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.…

  16. Quality of working life issues of employees with a chronic physical disease: a systematic review

    NARCIS (Netherlands)

    de Jong, Merel; de Boer, Angela G. E. M.; Tamminga, Sietske J.; Frings-Dresen, Monique H. W.

    2015-01-01

    To assess issues that contribute to the Quality of Working Life (QWL) of employees with a chronic physical disease. A systematic literature search was conducted using the databases PubMed, PsycINFO and EMBASE. Experiences and perceptions during the working life of employees with a chronic physical

  17. Vestibular and balance issues following sport-related concussion.

    Science.gov (United States)

    Valovich McLeod, Tamara C; Hale, Troy D

    2015-01-01

    To review relevant literature regarding the effect of concussion on vestibular function, impairments, assessments and management strategies. REASONING: Dizziness and balance impairments are common following sport-related concussion. Recommendations regarding the management of sport-related concussion suggest including tests of balance within the multifactorial assessment paradigm for concussive injuries. The literature was searched for guidelines and original studies related to vestibular impairments following concussion, oculomotor and balance assessments and treatment or rehabilitation of vestibular impairments. The databases searched included Medline, CINAHL, Sport Discus and the Cochrane Database of Systematic Reviews through October 2013. Dizziness following concussion occurs in ∼67-77% of cases and has been implicated as a risk factor for a prolonged recovery. Balance impairments also occur after concussion and last 3-10 days post-injury. Assessments of balance can be done using both clinical and instrumented measures with success. Vestibular rehabilitation has been shown to improve outcomes in patients with vestibular impairments, with one study demonstrating success in decreasing symptoms and increasing function following concussion. Best practices suggest that the assessment of vestibular function through cranial nerve, oculomotor and balance assessments are an important aspect of concussion management. Future studies should evaluate the effectiveness of vestibular rehabilitation for improving patient outcomes.

  18. Issues and Experiences on Radioactive Waste Quality Control / Quality Assurance with Regard to Future Disposal

    International Nuclear Information System (INIS)

    Beckmerhagen, I.; Brennecke, P.; Steyer, S.; Bandt, G.

    2006-01-01

    In the Federal Republic of Germany all types of radioactive waste (short-lived, long-lived) are to be disposed of in deep geological formations. Thus, the safe management of radioactive waste presupposes an appropriate conditioning of primary waste-to-waste packages suitable for emplacement in a repository as well as the documentation of pre-treatment, processing and packaging steps and the waste package characteristics being relevant for disposal. Due to the operation, decommissioning and dismantling of nuclear facilities as well as the application of radioisotopes in industry, medicine and research and development radioactive waste continuously arises in Germany. In order to manage this waste different measures and procedures regarding its conditioning and quality control/quality assurance were introduced and since many years successfully applied. Waste conditioning is especially characterized by a flexible application of the Konrad waste acceptance requirements. The rationale for this approach is due to the present non-availability of a repository in Germany. Several examples of a 'tailor-made' application of the waste acceptance requirements in treatment, conditioning and documentation processes as well as the quality assurance/quality control processes illustrate the current German approach. (authors)

  19. A lack of standardization: the basis for the ethical issues surrounding quality and performance reports.

    Science.gov (United States)

    Suchy, Kirsten

    2010-01-01

    Consumers in the United States are taking advantage of the proliferation of publicly available, internet-based performance reports and quality appraisals of health plans, healthcare organizations, hospitals, and physicians to aid in their healthcare decision making. However, these appraisal practices have given rise to controversy and debate over certain distinctive ethical issues. This article advocates a standardized ethical framework to guide current and future development and implementation of performance reports. This framework, which would resolve a number of the major issues, includes the following ethical principles to guide the practice of public reporting on the Internet and facilitate enhanced quality improvement in the healthcare industry: legitimacy, data integrity and quality, transparency, informed understanding, equity, privacy and confidentiality, collaboration, accountability, and evaluation and continuous improvement.

  20. 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.

  1. Global hydrobelts: improved reporting scale for water-related issues?

    Science.gov (United States)

    Meybeck, M.; Kummu, M.; Dürr, H. H.

    2012-08-01

    Questions related to water such as its availability, water needs or stress, or management, are mapped at various resolutions at the global scale. They are reported at many scales, mostly along political or continental boundaries. As such, they ignore the fundamental heterogeneity of the hydroclimate and the natural boundaries of the river basins. Here, we describe the continental landmasses according to eight global-scale hydrobelts strictly limited by river basins, defined at a 30' (0.5°) resolution. The belts were defined and delineated, based primarily on the annual average temperature (T) and runoff (q), to maximise interbelt differences and minimise intrabelt variability. The belts were further divided into 29 hydroregions based on continental limits. 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. The hydroregions (median size 4.7 Mkm2) contrast strongly, with the average q ranging between 6 and 1393 mm yr-1 and the average T between -9.7 and +26.3 °C. Unlike the hydroclimate, the population density between the North and South belts and between the continents varies greatly, resulting in pronounced differences between the belts with analogues in both hemispheres. The population density ranges from 0.7 to 0.8 p km-2 for the North American Boreal and some Australian hydroregions to 280 p km-2 for the Asian part of the Northern Mid-Latitude belt. The combination of population densities and hydroclimate features results in very specific expressions of water-related characteristics in each of the 29 hydroregions. Our initial tests suggest that hydrobelt and hydroregion divisions are often more

  2. Main safety issues related to IPSN severe accident research

    International Nuclear Information System (INIS)

    LeComte, C.

    1991-01-01

    The work performed at IPSN concerning accident studies on nuclear installations is focused on the characterization of accidental sequences with three major aims: prevention, mitigation, and organization of counter-measures. As criteria to optimize all efforts made to improve nuclear safety, the radioactive dispersal in the environment must be quantified as function of internal and external radioactive products transfers. During the short-term phase of the accident, potential radioactive releases can be evaluated by the realistic code system ESCADRE. This system is validated by numerous analytical studies related to containment and fission product behavior. It will be further qualified by the results of the global experiments performed in the PHEBUS FP facility at IPSN

  3. 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.

  4. Some issues related to evidence-based implantology

    Directory of Open Access Journals (Sweden)

    Gunnar E Carlsson

    2016-01-01

    Full Text Available This article reviews relevant dental literature to answer some frequent questions related to evidence-based implantology. There are hundreds of implant systems on the market, but the majority lack clinical documentation. Recommended number of implants for full-arch fixed prostheses is four or five in the mandible but at least six in the maxilla. Less expensive implant-retained overdentures make implant treatment available to a greater portion of edentulous subjects. Mandibular overdentures on two implants, and even one implant, have shown excellent long-term outcomes. In the maxilla, less than four implants are not recommended for good results. Single implant restorations have good prognosis, but placement of the implant should be postponed until adulthood. Osseointegrated implants have revolutionized clinical dentistry. However, in a global perspective, implants make up only a small part of all prosthodontic treatment. Knowledge and skill in conventional prosthodontics must be maintained as it will remain the most common part of the specialty.

  5. Measuring physical neighborhood quality related to health.

    Science.gov (United States)

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

    2015-04-29

    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.

  6. 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.

  7. 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.

  8. Information needs related to teaching about air quality.

    Science.gov (United States)

    Cunningham, William P; Stubbs, Harriett S

    2003-06-01

    Translating knowledge of air quality into a form that can be understood by students and the general public is a major challenge for scientists, public officials, and teachers. Social science studies have shown that both educators and the general public are relatively uninformed about recent findings in environmental research. It is especially difficult to get students of today excited about environmental issues because environmental education has become institutionalized. Students believe they know about major environmental problems even when their knowledge is rudimentary or even wrong. One problem in getting public attention is the general level of hyperbole and hysteria common in most media. Thus, do we try to be even more shrill and apocalyptic than other advocates clamoring for public notice, or should we refuse to participate in this competition for attention?A model is presented to bring K-12 teachers, scientists, and students together to develop innovative, inquiry-based, active learning materials for environmental education. Curricular materials utilizing the discovery process can be created and tested in an iterative process that incorporates the results of current science research into highly effective teaching materials for schools. Following extensive evaluative procedures and review, exemplary materials are prepared for publication. This collaborative method also gives teachers and students a more realistic understanding of how science works by giving them access to active scientists and practical scientific experience.Finally, we argue that scientists need to reveal why they care about environmental issues. It is not enough to remain aloof and objective. If we are going to motivate students and the public to make changes in their lives, we need to make a convincing case for the importance of air quality and what it means in practical terms to our common environment.

  9. 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 Environmental...

  10. 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.

  11. A qualitative study exploring issues related to medication management in residential aged care facilities

    Directory of Open Access Journals (Sweden)

    Ahmad Nizaruddin M

    2017-11-01

    Full Text Available Mariani Ahmad Nizaruddin, Marhanis-Salihah Omar, Adliah Mhd-Ali, Mohd Makmor-Bakry Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs.Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner.Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes.Conclusion: There are important issues

  12. 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. Psychos......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...

  13. [Schools, office buildings, leisure settings: diversity of indoor air quality issues. Global review on indoor air quality in these settings].

    Science.gov (United States)

    Mandin, C; Derbez, M; Kirchner, S

    2012-07-01

    This review provides a global overview of indoor air quality issues in schools, office buildings and recreational settings. It presents the most recent scientific publications and the on-going work conducted in France in the frame of the indoor air quality Observatory. Monitoring campaigns on indoor air quality in schools have been carried out in the recent years in Europe. However, few studies have specifically addressed the role of exposure in these buildings on children's health. Indoor air quality in office buildings has been little studied so far. However, some specificities, such as emissions from electronic devices, frequent cleaning, impossibility to open windows in high-rise buildings, for example, should be examined and their role on the health and comfort studied. Finally, even if the time spent in recreational settings is short, the quality of indoor air should also be considered because of specific pollution. This is the case of indoor swimming pools (exposure to chlorination byproducts) and ice-rinks (exposure to exhaust from machines used to smooth the ice). Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  14. Psychosocial and Quality of Life Issues in Prostate and Ovarian Cancer

    OpenAIRE

    Madalinska, J.B.

    2007-01-01

    textabstractProstate and ovarian cancers are among the leading causes of death in Western countries. Applied preventive health strategies, including screening and early medical treatments either with prophylactic or curative intention, may substantially affect patients’ quality of life (QOL). This thesis focuses on the psychosocial and QOL issues involved in the evaluation of early-detected and treated prostate cancer among men in the general population, and in the evaluation of preventive he...

  15. APPLICATION OF LOT QUALITY ASSURANCE SAMPLING FOR ASSESSING DISEASE CONTROL PROGRAMMES - EXAMINATION OF SOME METHODOLOGICAL ISSUES

    OpenAIRE

    T. R. RAMESH RAO

    2011-01-01

    Lot Quality Assurance Sampling (LQAS), a statistical tool in industrial setup, has been in use since 1980 for monitoring and evaluation of programs on disease control / immunization status among children / health workers performance in health system. While conducting LQAS in the field, there are occasions, even after due care of design, there are practical and methodological issues to be addressed before it is recommended for implementation and intervention. LQAS is applied under the assumpti...

  16. How to govern physician-hospital exchanges: contractual and relational issues in Belgian hospitals.

    Science.gov (United States)

    Trybou, Jeroen; Gemmel, Paul; Annemans, Lieven

    2014-07-01

    Our aim was to investigate contractual mechanisms in physician-hospital exchanges. The concepts of risk-sharing and the nature of physician-hospital exchanges - transactional versus relational - were studied. Two qualitative case studies were performed in Belgium. Hospital executives and physicians were interviewed to develop an in-depth understanding of contractual and relational issues that shape physician-hospital contracting in acute care hospitals. The underlying theoretical concepts of agency theory and social exchange theory were used to analyse the data. Our study found that physician-hospital contracting is highly complex. The contract is far more than an economic instrument governing financial aspects. The effect of the contract on the nature of exchange - whether transactional or relational - also needs to be considered. While it can be argued that contractual governance methods are increasingly necessary to overcome the difficulties that arise from the fragmented payment framework by aligning incentives and sharing financial risk, they undermine the necessary relational governance. Relational qualities such as mutual trust and an integrative view on physician-hospital exchanges are threatened, and may be difficult to sustain, given the current fragmentary payment framework. Since health care policy makers are increasing the financial risk borne by health care providers, it can be argued that this also increases the need to share financial risk and to align incentives between physician and hospital. However, our study demonstrates that while economic alignment is important in determining physician-hospital contracts, the corresponding impact on working relationships should also be considered. Moreover, it is important to avoid a relationship between hospital and physician predominantly characterized by transactional exchanges thereby fostering an unhealthy us-and-them divide and mentality. Relational exchange is a valuable alternative to contractual

  17. Special issues as criterion for journal quality evaluation: Letter to editor

    Directory of Open Access Journals (Sweden)

    Dadkhah Mehdi

    2015-01-01

    Full Text Available Predatory publishers are defined as publishers who have financial goals. This definition was introduced for the first time by Jeffrey Beall (2012. In some predatory publishers, we can find some papers that are not related to journal's aim and scope. These journals create special issues in order to publish papers that are not related to journal's aim and scope. Thus, we are faced with a question of how the editor of these journals could evaluate these papers. In some trusted journals, editor invites guest editors for special issues, which are related to journal's aim and scope. On the other hand predatory publishers, publish papers without any external reviewers or guest editors. In addition, some journals that publish irrelevant papers in regular issues are also found. This problem can be seen especially in some biological or life science journals. It seems that these problems pose new challenge for the academic world.

  18. A qualitative study exploring issues related to medication management in residential aged care facilities.

    Science.gov (United States)

    Ahmad Nizaruddin, Mariani; Omar, Marhanis-Salihah; Mhd-Ali, Adliah; Makmor-Bakry, Mohd

    2017-01-01

    Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents' medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.

  19. 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...

  20. Assessment of combustion and related issues in the DWPF and ITP waste tanks

    International Nuclear Information System (INIS)

    Ginsberg, T.

    1994-04-01

    This report presents a review of the safety analyses described in the DWPF Safety Analysis Report, the combustion analysis of the ITP Tanks 48 and 49, and presents conclusions drawn from interviews staff on issues related to accident analysis, in particular on issues related to combustion phenomena. The major objectives of this report are to clarify the issues related to the modes of combustion and expected loads on process vessels and structures and, in addition, to offer recommendations which would improve the defense-in-depth posture of the DWPF

  1. 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.

  2. Giftedness Counseling in Germany: Consultation Reasons and Issues and Their Relations to Gender, Age, and Aptitude

    Science.gov (United States)

    Hannig, Nele; Koop, Christine

    2016-01-01

    In Germany, parents can request counseling and assessment of school-related learning and behavioral issues from either independent counseling centers or school-based ones. Focusing on giftedness consultations at independent counseling centers, the goal of this study is to provide a detailed description of the reasons for and the issues discussed…

  3. Some critical issues in special needs education as they relate to ...

    African Journals Online (AJOL)

    The study examines five critical issues in special education as they relate to visual impairment vis a vis mercy killing (euthanasia), gender, seclusion, castration and genetic engineering. Literature in the five stated issues was reviewed to provide an insight into these areas with particular reference to visual impairment.

  4. The Press Relations of a Local School District: An Analysis of the Emergence of School Issues.

    Science.gov (United States)

    Morris, Jon R.; Guenter, Cornelius

    Press coverage of a suburban midwest school district is analyzed as a set of time series of observations including the amount and quality of coverage. Possible shifts in these series because of the emergence of controversial issues are analyzed statistically using the Integrated Moving Average Time Series Model. Evidence of significant shifts in…

  5. 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

  6. 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.

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

    National Research Council Canada - National Science Library

    Dumbaugh, Kerry

    2007-01-01

    .... policy makers have adopted tougher stances on issues involving China and U.S.-China relations, concerned about the impact of the PRC's strong economic growth and a more assertive international diplomacy...

  8. 75 FR 64710 - Joint Public Roundtable on Issues Related to the Clearing of Credit Default Swaps

    Science.gov (United States)

    2010-10-20

    ... certain issues related to the clearing of Credit Default Swaps in the context of the Agencies rulemaking... comments must be in English or be accompanied by an English translation. All submissions provided to either...

  9. Information Operations, Electronic Warfare, and Cyberwar: Capabilities and Related Policy Issues

    National Research Council Canada - National Science Library

    Wilson, Clay

    2007-01-01

    .... It also suggests related policy issues of potential interest to Congress. For military planners, the control of information is critical to military success, and communications networks and computers are of vital operational importance...

  10. Argumentation Quality of Socio-scientific Issue between High School Students and Postgraduate Students about Cancer

    Science.gov (United States)

    Anisa, A.; Widodo, A.; Riandi, R.

    2017-09-01

    Argumentation is one factor that can help improve critical thinking skills. Arguing means to defend statements with the various data, denials, evidence, and reinforcement that support the statement. The research aimed to capture the quality of argument skills by students in grade 12 high school students and in postgraduate student on social-scientific issues of cancer. Both group subjects are not in the same school or institution, chosen purposively with the subject of 39 high school students of grade 12 in one district of West Java and 13 students of Biology education postgraduate in one of University in West Java - Indonesia. The results of the quality structure of arguments in both subject groups show the same pattern, which is claim - warrant - and ground, with the quality of counterclaim aspects on the postgraduate students look better than grade 12 students. This provides an illustration that the ability in argumentation between students and teachers in the socio-scientific issue of cancer should be evaluate so that the learning process would be more refined in schools.

  11. Application of quality assurance program to safety related aging equipment or components

    International Nuclear Information System (INIS)

    Papaiya, N.C.

    1990-01-01

    This paper addresses how quality assurance programs and their criteria are applied to safety related and aging equipment or components used in commercial nuclear plant applications. The QA Programs referred to are 10CFR50 Appendix B and EPRI NP-5652. The QA programs as applicable are applied to equipment/component aging qualification, preventive maintenance, surveillance testing and procurement engineering. The intent of this paper is not the technical issues, methods and research of aging. The paper addresses QA program's application to age-related equipment or components in safety related applications. Quality Assurance Program 10CFR50 Appendix B applies to all safety related aging components or equipment related to the qualification program and associated preventive maintenance and surveillance testing programs. Quality Assurance involvement with procurement engineering for age-related commercial grade items supports EPRI NP-5652 and assures that the dedicated OGI is equal to the item purchased as a basic component to 10CFR50 Appendix B requirements

  12. 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.

  13. Data requirements for the Ferrocyanide Safety Issue developed through the data quality objectives process

    International Nuclear Information System (INIS)

    Meacham, J.E.; Cash, R.J.; Dukelow, G.T.; Babad, H.; Buck, J.W.; Anderson, C.M.; Pulsipher, B.A.; Toth, J.J.; Turner, P.J.

    1994-08-01

    This document records the data quality objectives (DQO) process applied to the Ferrocyanide Safety Issue at the Hanford Site. Specifically, the major recommendations and findings from this Ferrocyanide DQO process are presented. The decision logic diagrams and decision error tolerances also are provided. The document includes the DQO sample-size formulas for determining specific tank sampling requirements, and many of the justifications for decision thresholds and decision error tolerances are briefly described. More detailed descriptions are presented in other Ferrocyanide Safety Program companion documents referenced in this report. This is a living document, and the assumptions contained within will be refined as more data from sampling and characterization become available

  14. Power quality issues of 3MW direct-driven PMSG wind turbine

    OpenAIRE

    Ahmed, IA; Zobaa, AF; Taylor, GA

    2015-01-01

    This paper presents power quality issues of a grid connected wind generation system with a MW-class direct-driven permanent magnet synchronous generator (PMSG). A variable speed wind turbine model was simulated and developed with the simulation tool of PSCAD/EMTDC. The model includes a wind turbine with one mass-model drive train model, a PMSG model and a full-scale voltage source back to back PWM converter. The converter controller model is employed in the dq-synchronous rotating reference f...

  15. 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...... crossmatching and issuing practices. Respondents were asked to enumerate the number of RBCs crossmatched and issued at their institutions during the 2014 calendar year to calculate the C/I ratio. RESULTS: Fifty-two survey responses were received, mostly from North American transfusion services (28/52, 54......%). The electronic crossmatch was the most common technique (n = 29), and most respondents performed the crossmatch at the time that an order for RBCs was received in the transfusion service (even if an order to issue the RBCs was not received). Data to calculate the C/I ratio were supplied by 22 respondents...

  16. Microbial load in indoor sport environments: new quality issues by molecular biology

    Directory of Open Access Journals (Sweden)

    Vincenzo Romano Spica

    2004-12-01

    Full Text Available

    The quality of hygiene found in sporting environments represents an emergent requirement in societies of industrialised countries.

    Besides safety issues, the microbial load of indoor air, water and surfaces affects comfort and performance. Recent studies have identified fungi as the quantitatively most important component, of unhealthy indoor air.

    Few studies have been carried out regarding indoor sport, recreational and rehabilitative facilities, such as swimming pools, saunas and spas. The aim of our study is to determine the extent of fungal and microbial contamination in indoor swimming pool environments, by means of both morphological and molecular typing of isolated species.

    Establishment of appropriate standardised monitoring procedures prevents infections and improves quality.

  17. Statistical issues in reporting quality data: small samples and casemix variation.

    Science.gov (United States)

    Zaslavsky, A M

    2001-12-01

    To present two key statistical issues that arise in analysis and reporting of quality data. Casemix variation is relevant to quality reporting when the units being measured have differing distributions of patient characteristics that also affect the quality outcome. When this is the case, adjustment using stratification or regression may be appropriate. Such adjustments may be controversial when the patient characteristic does not have an obvious relationship to the outcome. Stratified reporting poses problems for sample size and reporting format, but may be useful when casemix effects vary across units. Although there are no absolute standards of reliability, high reliabilities (interunit F > or = 10 or reliability > or = 0.9) are desirable for distinguishing above- and below-average units. When small or unequal sample sizes complicate reporting, precision may be improved using indirect estimation techniques that incorporate auxiliary information, and 'shrinkage' estimation can help to summarize the strength of evidence about units with small samples. With broader understanding of casemix adjustment and methods for analyzing small samples, quality data can be analysed and reported more accurately.

  18. Issues related to the USEPA probabilistic standard for geologic disposal of high-level radioactive waste

    International Nuclear Information System (INIS)

    Okrent, D.

    1993-01-01

    This paper asks whether some of the fundamental bases for the 1985 USEPA standard on disposal of high level radioactive wastes (40 CFR Part 191) warrant re-examination. Similar questions also apply to the bases for the radioactive waste disposal requirements proposed by most other countries. It is suggested that the issue of intergenerational equity has been dealt with from too narrow a perspective. Not only should radioactive and nonradioactive hazardous waste disposal be regulated from a consistent philosophic basis, but the regulation of waste disposal itself should be embedded in the broader issues of intergenerational conservation of options, conservation of quality, and conservation of access. (author). 25 refs

  19. 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/

  20. Assessment of the water quality parameters in relation to fish ...

    African Journals Online (AJOL)

    Physicochemical indices of water body changed seasonally and this necessitated an investigation to assess the water quality parameters of Osinmo reservoir in relation to its fish species. The water quality parameters were measured using standard methods. Results obtained show that the reservoir is alkaline in nature with ...

  1. Selected legal and institutional issues related to Ocean Thermal Energy Conversion (OTEC) development

    Energy Technology Data Exchange (ETDEWEB)

    Nanda, V. P.

    1979-06-01

    Ocean Thermal Energy Conversion (OTEC), an attractive alternative to traditional energy sources, is still in the early stages of development. To facilitate OTEC commercialization, it is essential that a legal and institutional framework be designed now so as to resolve uncertainties related to OTEC development, primarily involving jurisdictional, regulatory, and environmental issues. The jurisdictional issues raised by OTEC use are dependent upon the site of an OTEC facility and its configuration; i.e., whether the plant is a semipermanent fixture located offshore or a migrating plant ship that provides a source of energy for industry at sea. These issues primarily involve the division of authority between the Federal Government and the individual coastal states. The regulatory issues raised are largely speculative: they involve the adaptation of existing mechanisms to OTEC operation. Finally, the environmental issues raised center around compliance with the National Environmental Policy Act (NEPA) as well as international agreements. 288 references.

  2. Service Encounter Related Process Quality, Patient Satisfaction, and Behavioral Intention

    Directory of Open Access Journals (Sweden)

    Nandakumar Mekoth

    2011-12-01

    Full Text Available This study identifies some of the critical service encounters thatthe outpatients undergo in a health care facility and investigateswhether the service encounter related process quality as perceivedby the patients leads to patient satisfaction, repeat visit, and recommendationintentions. Personal visits, observations, and enquiriesat the outpatient center have been conducted to identifythe various service encounters that outpatients undergo in thehospital. Exit interviews of the outpatients have been conductedto identify service encounter related process quality variableswhich determine patient satisfaction and behavioral intentions.A preliminary scale to measure service encounter related processquality was developed and its factor structure and internal consistencyreliability were established. The study reveals that boththe physician quality and laboratory quality have been found tobe significantly related to patient satisfaction. However, quite interestingly,courtesy shown by the registration or outpatient staff,perceived length of waiting time, or even the salient aspects of theservicescape, did not influence patient satisfaction.

  3. Exploring differences of soil quality as related to management in ...

    African Journals Online (AJOL)

    soil, vegetation and biodiversity) and productivity. Vegetation condition in contrasting land-use management systems is well documented in semiarid rangelands, but relatively little information is available on soil quality. This study explores soil ...

  4. Health related quality of life and sociodemographic characteristics ...

    African Journals Online (AJOL)

    Health related quality of life and sociodemographic characteristics among Iranian ... for the groups of students due to the modern highly stressful education period. ... of life among the male and female students in the Islamic Azad University of ...

  5. 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

    2014-10-01

    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.

  6. Multiple system responses program: Identification of concerns related to a number of specific regulatory issues

    International Nuclear Information System (INIS)

    Murphy, G.A.; Casada, M.L.; Palko, L.E.; Roberts, M.W.

    1989-10-01

    This document describes the activities and results of the Multiple System Responses (MSR) program conducted by the Nuclear Operations Analysis Center (NOAC) at Oak Ridge National Laboratory (ORNL). The objective of the MSR program was to gather and review documentation for several unresolved safety issues and related programs of interest, and from that documentation, describe any additional potential safety concerns. The MSR program provides information that will aid the NRC staff in making an assessment of the relative safety significance of the concerns through the established prioritization process. Judgments were not made regarding the validity of the concerns expressed by others. Rather, the concerns were documented and potential safety issues were developed and defined as specifically as possible. Twenty-one potential safety issues were developed from the documented concerns. Additional information was gathered to support the NRC efforts in reviewing these issues for prioritization. 73 refs., 2 tabs

  7. 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.

  8. 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

  9. Information Retrieval System Design Issues in a Microcomputer-Based Relational DBMS Environment.

    Science.gov (United States)

    Wolfram, Dietmar

    1992-01-01

    Outlines the file structure requirements for a microcomputer-based information retrieval system using FoxPro, a relational database management system (DBMS). Issues relating to the design and implementation of such systems are discussed, and two possible designs are examined in terms of space economy and practicality of implementation. (15…

  10. 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…

  11. 76 FR 52731 - On-Line Complaint Form for Service-Related Issues in Air Transportation

    Science.gov (United States)

    2011-08-23

    ... for Service-Related Issues in Air Transportation AGENCY: Office of the Secretary, Department of... consumer protection and civil rights laws and regulations related to air transportation. The Enforcement... travelers, and to ensure safe and adequate service in air transportation. Filing a complaint using a web...

  12. 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,…

  13. Difficulties are multiplying - topical legal issues relating to nuclear waste disposal

    International Nuclear Information System (INIS)

    Strassburg, W.

    1985-01-01

    The report points out topical legal issues relating to nuclear waste disposal, yet leaves no doubt that the technical-scientific concept for nuclear waste disposal incorporated into the nuclear energy law in 1976 was a success. Nonetheless it is desirable that there should be persistent efforts especially on the part of parliament when issuing legislation or statutory orders to reach greater clearness and thus predictability in areas where technology has been proven by many years of practice. (orig./HSCH) [de

  14. THE PRACTICE OF ECT IN INDIA : ISSUES RELATING YO THE ADMINISTRATION OF ECT

    OpenAIRE

    Agarwal, A.K.; Andrade, Chittaranjan; Reddy, M. Venkataswamy

    1992-01-01

    A questionnaire on ECT, tapping altitudes, opinions and usage, was mailed to all medical members of the Indian Psychiatric Society whose addresses were known; 263 (28.8%) responded. This paper, the first in a series that presents the results of the survey, provides demographic data on the respondents and covers issues relating to the administration of ECT. Specific issues discussed include the ECT personnel, location of the ECT facility, certain ECT prescription patterns, psychiatrist-patient...

  15. Quality Systems. A Thermodynamics-Related Interpretive Model

    Directory of Open Access Journals (Sweden)

    Stefano A. Lollai

    2017-08-01

    Full Text Available In the present paper, a Quality Systems Theory is presented. Certifiable Quality Systems are treated and interpreted in accordance with a Thermodynamics-based approach. Analysis is also conducted on the relationship between Quality Management Systems (QMSs and systems theories. A measure of entropy is proposed for QMSs, including a virtual document entropy and an entropy linked to processes and organisation. QMSs are also interpreted in light of Cybernetics, and interrelations between Information Theory and quality are also highlighted. A measure for the information content of quality documents is proposed. Such parameters can be used as adequacy indices for QMSs. From the discussed approach, suggestions for organising QMSs are also derived. Further interpretive thermodynamic-based criteria for QMSs are also proposed. The work represents the first attempt to treat quality organisational systems according to a thermodynamics-related approach. At this stage, no data are available to compare statements in the paper.

  16. 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

  17. Environmental health and hazardous waste issues related to the U.S.-Mexico border.

    Science.gov (United States)

    Carter, D E; Peña, C; Varady, R; Suk, W A

    1996-06-01

    Environmental health and environmental quality issues along the U.S.-Mexico border have been of concern for several years. The enactment of the North American Free Trade Agreement and the presence of the maquiladoras (foreign-owned industries using imported raw materials) have intensified those concerns recently. Efforts to assess these issues are complicated by the fact that many of the issues affecting the border region are within federal jurisdiction, but the problems are regional and local in nature. Thus, state and local governments become involved with public concerns about real and potential problems. One major problem is that environmental health data from this region are lacking, particularly from Mexico. Some new agencies such as the Border Environment Cooperation Commission, the United States-Mexico Border Health Commission, and the North American Commission on Environmental Cooperation have joined several existing agencies at the federal and state level to address environmental quality and health. Several studies have been initiated to determine air and water quality, but little is being done in the areas of hazardous waste and health assessment. Several problems are anticipated in the generation of such data, such as its format and accessibility. Data gaps and research needs are discussed.

  18. ESSD: Real World Issues and Challenges of High-Quality Data Publication

    Science.gov (United States)

    Pfeiffenberger, Hans; Carlson, David

    2013-04-01

    The Copernicus data publication journal Earth System Science Data (ESSD) represents an important and unique (and by no means final!) step forward in the larger world of data publication. Working with authors, reviewers, editors and data centres, ESSD has successfully produced many high-quality data publications across a wide variety of scientific disciplines, for individual data sets, multiple data sets as the product of scientific consortia and in special issues coordinated with other science journals. The ESSD success also exposes issues and challenges for present and future data publication, particularly around the topic and implementation of persistent identifiers. • As ESSD encourages redundant data sets across multiple data centres for access and archive purposes, how will DOIs be employed to accurately point to those distributed or replicated data? How can authenticity and integrity be verified? • How can or should object identifiers be employed in pointing from raw to quality-controlled and finally derived data processing levels; how can we designate or distinguish among these, particularly as those terms vary substantially among, for example, geophysical and ecological communities? Likewise, how to distinguish an auto-generated data product (e.g a species identification from GBIF) from a high-effort expertly reviewed data product (e.g. an ESSD publication)? • For a growing number of ESSD data publications with expected annual or periodic revisions and updates, how should data journals' and the repositories' use of persistent identifiers best record the subsequent versions, extensions or corrections? • As published data sets become a valued part of high profile science, with attendant deadlines, announcements and publicity, do the various DOI policies and minting practices among cooperating publishers, data centres and journals represent a help or a hindrance? These questions evolve directly from increasing interest in and activity by ESSD and, as

  19. Some issues related to the development of nuclear power plant in Indonesia

    International Nuclear Information System (INIS)

    Panggabean, L.M.

    1987-01-01

    Indonesia being a member of ASEAN belongs to the group of developing country. If Indonesia decides to embark on the establishment of nuclear power plan then the country will have no choice but to discuss the following issues: Safe operation of the plant and management of the nuclear waste. Safe operation of the power plant is important not only from the point of view of hazards to human being, or economic loss, or even death, but equally important it is also from the psychological point of view in that not to loose the society's confidence in the overall nuclear power plant programme in the future. The issue of safe operation involves both a safely designed system as well as skilled personnels to execute a well designed operation procedure. The issue of nuclear safety is getting more and more attention lately for various, some due to a deep concern about the quality of the inherent safety of the nuclear power plant to be built, others may just use their emotion to ask question like ''what its''. The issue of nuclear waste is as fundamental as the plant safety. Common people make very little difference between an atomic bomb and waste from a nuclear power plant. Another issue is one of transfer of technology which needs to be tied up with the overall industrialization process, meaning that embarking on nuclear power programme needs to contribute to local industrial activities, at least for some parts or components which can be manufactured locally. (author)

  20. 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.

  1. Containment-emergency-sump performance. Technical findings related to Unresolved Safety Issue A-43

    International Nuclear Information System (INIS)

    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

  2. Relational Benefits of Relational Aggression: Adaptive and Maladaptive Associations with Adolescent Friendship Quality

    Science.gov (United States)

    Banny, Adrienne M.; Heilbron, Nicole; Ames, Angharad; Prinstein, Mitchell J.

    2011-01-01

    Two longitudinal studies examined associations between relational aggression and friendship quality during adolescence. In Study 1, 62 adolescents in Grades 6 (25.8%), 7 (32.3%), and 8 (41.9%) completed assessments of friendship affiliations, relational and overt aggression, and friendship quality at 2 time points, 1 year apart. Results using…

  3. 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...

  4. Quality related principles of the South African beef classification ...

    African Journals Online (AJOL)

    This paper addresses the principles related to different grading and classification systems of the world with specific focus on beef quality related outcomes. The paper uses the definitions that classification is a set of descriptive terms describing features of the carcass that are useful as guidelines to those involved in the ...

  5. 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

    ... DEPARTMENT OF ENERGY Notice of Availability of Report on Data Access and Privacy Issues Related to... report entitled, ``Data Access and Privacy Issues Related to Smart Grid Technologies.'' In this report... report entitled, ``Data Access and Privacy Issues Related to Smart Grid Technologies,'' DOE considered...

  6. Importance of Quality of Life Issues: A Pilot Comparison of Teachers and Parents of Children with Autism Spectrum Disorders

    Science.gov (United States)

    Ivey-Hatz, Julie; Frederick, Karen

    2014-01-01

    Quality of life (QoL) issues for parents and teachers of children with autism spectrum disorders (ASD) are important to investigate. Independence, social functioning, school functioning and participating in leisure activities are some of the quality of life indicators that parents and teachers must agree upon to ensure effective communication and…

  7. Raising the Bar of Teacher Quality: Accountability, Collaboration, and Social Justice. The Claremont Letter. Volume 1, Issue 4

    Science.gov (United States)

    Ganley, DeLacy Derin; Quintanar, Anita P.; Loop, Lisa S.

    2006-01-01

    Historically, reform efforts to address poor student achievement have focused on a variety of issues other than teacher quality. Movements such as TQM (Total Quality Management), class size reduction (CSR), school leadership, parental involvement, and multicultural curriculum have not directly addressed the power or influence of the individual…

  8. Data quality objective to support resolution of the organic complexant safety issue

    International Nuclear Information System (INIS)

    Turner, D.A.; Babad, H.; Buckley, L.L.; Meacham, J.E.

    1995-01-01

    This document records the data quality objectives (DQO) process applied to the organic complexant safety issue at the Hanford Site. Two important outputs of this particular DQO application were the following: (1) decision rules for categorizing organic tanks; and (2) analytical requirements that feed into the tank-specific characterization plans. The decision rules developed in this DQO allow the organic tanks to be categorized as safe, conditionally safe, or unsafe based on fuel and moisture concentrations. Then analytical requirements from this DQO process fall into two groups, primary and secondary. The primary data requirements are always applied, while the secondary requirements are only necessary on those half segment samples that violate the fuel and moisture decision rules or that propagate during adiabatic calorimetry testing

  9. 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.

  10. Sleep Quality and Health-Related Quality of Life in Pregnancy.

    Science.gov (United States)

    Sut, Hatice Kahyaoglu; Asci, Ozlem; Topac, Nalan

    The aim of this study was to investigate sleep quality and health-related quality of life in pregnancy. In a cross-sectional design, 492 women (292 pregnant and 200 nonpregnant healthy controls) were included in this study between November 2014 and June 2015. Participants completed a survey on sociodemographic characteristics, the Pittsburgh Sleep Quality Index (PSQI), and the European Quality of Life-5 Dimensions (EQ-5D). The PSQI total and EQ-5D scores of pregnant women were significantly worse than the controls (P = .017 and P sleep quality increased 2.11-fold in the second trimester (P = .048) and 1.86-fold in the third trimester (P = .054). Compared with the first trimester, EQ-5D scores significantly decreased in the second (P = .038) and third (P Sleep quality and health-related quality of life of pregnant women were worse than those of nonpregnant healthy controls. Healthcare professionals need to be aware of deteriorations in sleep quality and health-related quality of life of pregnant women.

  11. Love versus abuse: crossgenerational sexual relations of minors: a gay rights issue?

    Science.gov (United States)

    Graupner, H

    1999-01-01

    The question discussed is how far crossgenerational sexual relations with or by minors could be considered to be a gay rights issue. The author discusses the issue from the perspective of general principles found in the case-law of the European Court on Human Rights. These principles suggest that the basic right to privacy should be interpreted as providing comprehensive protection of the right of children and adolescents to sexual self-determination, namely both the right to effective protection from (unwanted) sex and abuse on the one hand and the right to (wanted) sex on the other. The analysis is based upon the findings of natural and social science as well as an extensive international survey of national legal provisions and it leads to the conclusion that consensual sexual relations of and with adolescents over 14 (out of relations of authority) should be qualified a gay rights issue; likewise (as the exception to the rule) the possibility of filtering out cases from prosecution where a contact/relation is proven (beyond reasonable doubt) as consensual and harmless even though the minor involved is under 14. The legalization of (objectively consensual) sexual relations with persons under 14 as such, however, should not be considered to be a gay rights issue.

  12. Patients' Perspectives on Information and Communication About Sexual and Relational Issues in Rheumatology Health Care.

    Science.gov (United States)

    Helland, Ylva; Dagfinrud, Hanne; Haugen, Mona-Iren; Kjeken, Ingvild; Zangi, Heidi

    2017-06-01

    Men and women with rheumatic diseases report a significantly negative impact on multiple areas of life, including sexuality. Research indicates that patients want to discuss sexual issues with health professionals (HPs) in rheumatology care but these issues are rarely addressed in consultations. The objective of the present study was to explore patients' experiences of communication with HPs about disease-related sexual issues, their perceptions of the relevance of these issues in rheumatology care and their preferences for how these topics should be handled. A qualitative design was used and 18 semi-structured interviews were performed, including eight women and ten men with inflammatory rheumatic joint diseases, aged 29-62 years. The interviews were recorded and transcribed verbatim. Data were analysed thematically. Four main themes were derived from the interviews: (i) relevance of sexual issues; (ii) vital conditions for communication; (iii) individual preferences in mode and timing of information and communication; and (iv) benefits of information and communication. The participants expressed that, although sexual issues are relevant, necessary conditions for good communication are largely lacking. HPs' knowledge, experience and personal skills, as well as having sufficient time were essential. HPs lack of initiating sexual topics contributed to uncertainty about whether their sexual challenges were disease related and whether it was a legitimate topic to discuss in rheumatology care. Patients wanted HPs to possess knowledge about possible disease-related challenges in sexual life and intimate relationships, and to facilitate communication about these aspects. There is a need to develop practice guidelines to enable HPs to integrate sexual issues as an aspect of healthcare delivery in a patient-friendly manner. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  13. Environmental issues related to commercialization of CulnSe{sub 2}- based photovoltaics

    Energy Technology Data Exchange (ETDEWEB)

    Eberspacher, C. [UNISUN, Newbury Park, CA (United States); Fthenakis, V.M.; Moskowitz, P.D.

    1996-07-01

    One of the most promising materials for low-cost thin film photovoltaic cells is copper indium selenide (CuInSe{sub 2} or CIS). As with any new material, successful commercialization of CIS photovoltaic (PV) technology will require attention to environmental issues related to the sources of raw materials, their usage, and the disposal and/or recycling of products at the end of their useful life. This paper focuses on three specific environmental issues related to CIS technology: (i) Economics of the use and re-use of materials; (ii) regulations on environmental disposal and waste handling, and (iii) logistics and economics of recycling and disposing of products by industries faced with comparable environmental issues.

  14. Environmental issues related to commercialization of CulnSe2- based photovoltaics

    International Nuclear Information System (INIS)

    Eberspacher, C.; Fthenakis, V.M.; Moskowitz, P.D.

    1996-01-01

    One of the most promising materials for low-cost thin film photovoltaic cells is copper indium selenide (CuInSe 2 or CIS). As with any new material, successful commercialization of CIS photovoltaic (PV) technology will require attention to environmental issues related to the sources of raw materials, their usage, and the disposal and/or recycling of products at the end of their useful life. This paper focuses on three specific environmental issues related to CIS technology: (i) Economics of the use and re-use of materials; (ii) regulations on environmental disposal and waste handling, and (iii) logistics and economics of recycling and disposing of products by industries faced with comparable environmental issues

  15. The Asilomar Survey: Stakeholders' Opinions on Ethical Issues Related to Brain-Computer Interfacing.

    Science.gov (United States)

    Nijboer, Femke; Clausen, Jens; Allison, Brendan Z; Haselager, Pim

    2013-01-01

    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 4 th International BCI conference, which took place in May-June 2010 in Asilomar, California. We assessed respondents' opinions about a number of topics. First, we investigated preferences for terminology and definitions relating to BCIs. Second, we assessed respondents' expectations on the marketability of different BCI applications (BCIs for healthy people, BCIs for assistive technology, BCIs-controlled neuroprostheses and BCIs as therapy tools). Third, we investigated opinions about ethical issues related to BCI research for the development of assistive technology: informed consent process with locked-in patients, risk-benefit analyses, team responsibility, consequences of BCI on patients' and families' lives, liability and personal identity and interaction with the media. Finally, we asked respondents which issues are urgent in BCI research.

  16. Quality-of-life measurements in multiethnic patients with systemic lupus erythematosus: cross-cultural issues.

    Science.gov (United States)

    Toloza, Sergio M A; Jolly, Meenakshi; Alarcón, Graciela S

    2010-08-01

    Although the survival rate for systemic lupus erythematosus (SLE) has improved dramatically during the past 50 years, the quality of life of patients afflicted with this disease remains poor. Currently existent measures of disease activity and damage in SLE do not capture the patient's perspective and health-related quality of life (HRQoL). Most studies in SLE pertaining to HRQoL are from developed Western societies, with only a few from others. These studies have been conducted predominantly in women and using the Medical Outcomes Survey Short Form 36, a generic HRQoL instrument that has been shown not to be sensitive to change in lupus. Existent lupus-specific HRQoL measures have not yet been used in SLE clinical trials. New HRQoL research tools are currently undergoing validation in different countries, languages, and cultural settings, which may help dissect the underlying role of socioeconomic status and specific disease-related features that impact SLE-related quality of life.

  17. 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.

  18. 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....

  19. Quality of life and psychosocial issues in ventilated patients with amyotrophic lateral sclerosis and their caregivers.

    Science.gov (United States)

    Kaub-Wittemer, Dagmar; Steinbüchel, Nicole von; Wasner, Maria; Laier-Groeneveld, Gerhard; Borasio, Gian Domenico

    2003-10-01

    Non-invasive ventilation (NIV) is an efficient palliative measure for symptoms of chronic hypoventilation in patients with amyotrophic lateral sclerosis (ALS), and can also lengthen survival. A subset of ALS patients undergoes tracheostomy ventilation (TV) for life prolongation. We investigated the quality of life (QOL) and psychosocial situation of 52 home ventilated ALS patients and their caregivers. The battery included sociodemographic, generic, and disease-specific variables, as well as the Profile of Mood States and the Munich Quality of Life Dimensions List. Data were compared between the NIV (n=32) and the TV (n=21) groups. Mean ventilation time was 14 months for NIV and 35 months for TV. Eighty-one percent of TV patients had been tracheotomized without informed consent. The data show a good overall QOL for both NIV and TV patients, but a very high burden of care for TV caregivers, 30% of whom rated their own QOL lower than their patient's QOL. Sexuality was an important issue. Thus, any assessment of QOL in a home palliative care situation should include the primary caregivers.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. 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…

  5. 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…

  6. 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)

  7. Fundamental issues in the manufacturing of nanoelectromechanical (NEMS) and related nanosystems

    International Nuclear Information System (INIS)

    Singh, R.; Alapatt, G.F.; Gupta, N.; Poole, K.F.

    2011-01-01

    Nanostructures in dimension below about 10 nm show interesting properties because of the effect of low-dimension physics. However, to utilize these properties in practice to commercialize NEMS and related nano-systems require an extremely precise manufacturing process. This paper briefly evaluates the fundamental issues involved in manufacturing the nano-scale systems.

  8. 78 FR 9020 - Wireline Competition Bureau Seeks Further Comment on Specific Issues Related to the...

    Science.gov (United States)

    2013-02-07

    ... adjust the Remote Areas Fund usage allowance requirement to reflect consumer behavior, and if so, how... files, audio format), send an email to [email protected] or call the Consumer & Governmental Affairs Bureau... issues relating to the implementation of the Remote Areas Fund as a portable consumer subsidy program, as...

  9. 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

  10. 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.

  11. Quality of sleep and health-related quality of life in renal transplant recipients.

    Science.gov (United States)

    Liu, Hong-Xia; Lin, Jun; Lin, Xiao-Hong; Wallace, Linda; Teng, Sha; Zhang, Shu-Ping; Hao, Yu-Fang

    2015-01-01

    The purpose of this study was to examine the sleep quality and health-related quality of life (HRQOL) in patients after renal transplantation and to explore the relationship between the quality of sleep and the HRQOL. Sleep disorders are still an important clinical problem after renal transplantation. Previous studies mainly focused on patients' sleep quality before kidney transplant. More studies are needed to document sleep quality after renal transplantation. A cross-sectional design was used in this study. A convenience sample of renal transplant recipients was recruited at an outpatient transplant clinic of a general hospital in Beijing, China. The Pittsburgh Sleep Quality Index (PSQI) was used to measure quality of sleep. The Medical Outcomes Study 36-item Short Form (MOS SF-36) was used to measure health-related quality of life. The average PSQI score of the 204 renal transplant recipients was 5.81±3.52, significantly lower than the norm. Fifty (24.5%) recipients were classified as having poor sleep quality (global PSQI > 7). The mean scores of renal transplant recipients for SF-36 Mental Component Summary (MCS) and Physical Component Summary (PCS) were 47.57±6.71 and 48.26±9.66 respectively. Compared with residents in Sichuan province, recipients' scores for SF-36 dimensions were statistically lower except the dimension of mental health. SF-36 scores of poor sleepers (PSQI > 7) were significantly lower than the good sleepers (PSQI ≤ 7) in both the MCS and PCS. Significant differences exist between the groups in physical function, bodily pain, vitality, and mental health dimensions. Sleep quality and HRQOL of patients after renal transplantation were lower than the norm. Poor sleep is associated with lower HRQOL. Health professionals need to pay attention to sleep quality and HRQOL in renal transplant recipients and take appropriate measures to improve patients' sleep quality and HRQOL.

  12. Problems in complying with regulations related to low activity materials: Nuclear fuel cycle issues

    International Nuclear Information System (INIS)

    Coates, R.

    1997-01-01

    The range of issues relating to exemption and clearance within the nuclear fuel cycle is reviewed. It is concluded that current regulatory systems and the underpinning technical criteria are potentially inflexible and over-conservative, resulting in an imbalance in the use of society's resources. Proposals are developed for establishing practical requirements which would ensure that resource allocation is commensurate with the magnitude of the risks and in broad proportion to the other risks affecting society. Such an approach would be consistent with the concept of sustainability and could support wider public acceptance of these issues. Within this approach the practical distinction between exemption and clearance is challenged. (author)

  13. Title V Applicability Issues Related to the Cincinnati/Northern Kentucky International Airport

    Science.gov (United States)

    This document may be of assistance in applying the Title V air operating permit regulations. This document is part of the Title V Policy and Guidance Database available at www2.epa.gov/title-v-operating-permits/title-v-operating-permit-policy-and-guidance-document-index. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

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

    International Nuclear Information System (INIS)

    Naeslund, Jens-Ove

    2006-11-01

    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 behaviour of a

  15. 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

  16. Inter-organizational future proof EHR systems. A review of the security and privacy related issues.

    Science.gov (United States)

    van der Linden, Helma; Kalra, Dipak; Hasman, Arie; Talmon, Jan

    2009-03-01

    Identification and analysis of privacy and security related issues that occur when health information is exchanged between health care organizations. Based on a generic scenario questions were formulated to reveal the occurring issues. Possible answers were verified in literature. Ensuring secure health information exchange across organizations requires a standardization of security measures that goes beyond organizational boundaries, such as global definitions of professional roles, global standards for patient consent and semantic interoperable audit logs. As to be able to fully address the privacy and security issues in interoperable EHRs and the long-life virtual EHR it is necessary to realize a paradigm shift from storing all incoming information in a local system to retrieving information from external systems whenever that information is deemed necessary for the care of the patient.

  17. Steam generator thermal hydraulic design & functional architecture features and related operational and reliability issues requiring consideration

    International Nuclear Information System (INIS)

    Klarner, R.G.

    2012-01-01

    Proper thermal hydraulic design and functional architecture are critical to successful steam generator operation and long term reliability. The evolution of steam generators has been a gradual learning process that has benefited from continuous industry operational experience (OPEX). Inadequate thermal hydraulic design can lead to numerous degradation mechanisms such as excessive deposition, corrosion, flow and level instabilities, fluid-elastic instabilities and tube wear. The functional architecture determines the health of the tube bundle and the other internals during manufacturing, handling and operation. It also determines thermal performance as well as establishing global thermal-hydraulic characteristics such as water level shrink and swell response. This paper discusses the range of operational and reliability issues and relates them to the thermal hydraulic attributes and functional architecture of steam generators (many SG reliability issues are further discussed in other presentations at this conference). In pursuing such issues, the paper focuses on the four major features of the equipment, identifying in each case the goals and requirements such features must meet. Typical approaches and the means by which such requirements are addressed in current equipment are discussed. The four features are: 1. Tubing Material and Tube Bundle Heat Transfer Performance; a. Two materials are in current use – Alloy 690 TT and Alloy 800. Both are good materials with excellent performance records which serve their owners very well (the reliability attributes of Alloy 800 and 690 are discussed in other papers at this conference). Caution is advised in the supply of any material: – material quality is only assured by what is specified to material suppliers in procurement specifications – i.e. - all the knowledge and research in the world assures nothing if its findings are not reflected in procurement requirements. b. Heat transfer performance in addition to being

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

    DEFF Research Database (Denmark)

    Grønvold, Mogens

    2010-01-01

    The treatment of primary breast cancer usually consists of surgery often followed by adjuvant therapy (radiotherapy, chemotherapy, hormonal treatment, etc.) to reduce the risk of recurrence. The cancer diagnosis and the treatments may have significant impact on the patients' quality of life....... 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...... study to be impaired in patients receiving chemotherapy. Similarly, current review articles on HRQL effects of adjuvant chemotherapy mention only relatively few of these topics. Concerning HRQL after the treatment period, our main finding was that many symptoms and problems had declined or disappeared...

  19. Dependency of Quality Education for Attaining the Health-related ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    Dependency of Quality Education for Attaining the Health-related. Sustainable Development Goals in Africa. Peter A. Okebukola. Chairman of Council, Crawford University, Igbesa,Ogun State, Nigeria; former Executive Secretary, National Universities. Commission, Nigeria; and Special Adviser to the Vice-Chancellor, ...

  20. 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...

  1. 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

  2. Determinants of health-related quality of life among Nigerian ...

    African Journals Online (AJOL)

    Aim: To identify the sociodemographic and disease related variables that contribute to quality of life in adults with PD. Methods: Thirty-six consecutive patients with a clinical diagnosis of PD were studied from June to November 2009 in Port Harcourt. The Hoehn and Yahr stage of illness scale and the motor section of the ...

  3. Health related quality of life and psychological variables among a ...

    African Journals Online (AJOL)

    Health related quality of life and psychological variables among a sample of asthmatics in Ile-Ife South-Western Nigeria. ... Sociodemographic and clinical variables were also obtained from the patients, the lung function was assessed using Peak Expiratory Flow Rate (PEFR). Results: Mean age of all the patients was 35.22 ...

  4. 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.

  5. 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

  6. Determining storage related egg quality changes via digital image ...

    African Journals Online (AJOL)

    Area and length measurements related to exterior and interior egg quality were determined by digital image analysis. In general, excluding the outer thin albumen area, all of the area measurements such as total egg content area and inner thick albumen area were larger in stored eggs than in fresh eggs (52.28 vs.

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

    Science.gov (United States)

    Groenvold, Mogens

    2010-09-01

    The treatment of primary breast cancer usually consists of surgery often followed by adjuvant therapy (radiotherapy, chemotherapy, hormonal treatment, etc.) to reduce the risk of recurrence. The cancer diagnosis and the treatments may have significant impact on the patients' quality of life. 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 of life (HRQL) research. HRQL research deals with subjective experiences and raises challenging, scientific questions. Therefore, much attention was directed towards methodological issues in this clinically motivated project. The study was a prospective, longitudinal, questionnaire-based investigation of women with newly diagnosed breast cancer registered in the Danish Breast Cancer Co-operative Group's DBCG 89 Program. The patients were sub-divided into low-risk and high-risk patients. High-risk patients were offered randomisation in one of three randomised adjuvant therapy trials involving chemotherapy, ovarian ablation, and endocrine therapy. After a literature study and interviews with breast cancer patients, a questionnaire was composed that included two widely used standard questionnaires (EORTC QLQ-C30 and Hospital Anxiety and Depression (HAD) Scale) and a DBCG 89 Questionnaire developed for this study. A total of 1,898 eligible patients were invited by post to participate in the study involving six assessments over a 2-year period, and 1,713 patients (90%) completed the first questionnaire. Furthermore, a questionnaire was sent to 872 women selected at random from the general population; 608 (70%) responded. The multi-item scales of the two standard questionnaires were analysed for so-called differential item functioning (DIF) in order to investigate whether the

  8. Association between Experiencing Relational Bullying and Adolescent Health-Related Quality of Life

    Science.gov (United States)

    Chester, Kayleigh L.; Spencer, Neil H.; Whiting, Lisa; Brooks, Fiona M.

    2017-01-01

    Background: Bullying is a public health concern for the school-aged population, however, the health outcomes associated with the subtype of relational bullying are less understood. The purpose of this study was to examine the association between relational bullying and health-related quality of life (HRQL) among young people. Methods: This study…

  9. Islamic Religious Leaders in Israel as Social Agents for Change on Health-Related Issues.

    Science.gov (United States)

    Cohen-Dar, Michal; Obeid, Samira

    2017-12-01

    Islamic religious leaders (IRLs) have the potential to influence health education, health promotion, and positive health outcomes among their own communities. This study aims to examine the role and effectiveness of Arab Muslim religious leaders, in Israel, as social agents for change on health-related issues, focusing on reduction in infant mortality, prematurity, and congenital malformations attributed to consanguineous marriage. A self-administrated questionnaire was distributed to 127 IRLs, in 2012, to gain insights into practice, attitudes, and perceptions of IRLs toward their role as social agents for change on health-related issues. The results indicate that two-thirds (58%) of the surveyed IRLs have provided frequent advice on issues related to preventing infant mortality, congenital malformation, and prematurity over the past two years. Most IRLs indicated that they have keen interest in their communities' health matters (97%) and regard dealing with them as part of their job (85%). The study identified three enabling factors that had significant influence on the IRLs' attitude. These influences are: awareness and knowledge of the health issues, the perception that these issues and their impact on the community are part of their responsibility, and the empowerment they felt through the participation in the Ministry of Health (Northern Region Health Office) educational seminar series, in the year 2000. The main conclusion from this study indicates that IRLs are effective social agents for change and that the educational interventions can be a useful and effective strategy to encourage IRLs to cooperate with health providers and promote public health among their own communities.

  10. Decreased Muscle Strength and Quality in Diabetes-Related Dementia

    Directory of Open Access Journals (Sweden)

    Akito Tsugawa

    2017-12-01

    Full Text Available Background/Aims: Diabetes-related dementia (DrD, a dementia subgroup associated with specific diabetes mellitus (DM-related metabolic abnormalities, is clinically and pathophysiologically different from Alzheimer disease (AD and vascular dementia. We determined whether skeletal muscle strength, quality, and mass decrease in individuals with DrD. Methods: We evaluated grip and knee extension strength, muscle mass, and gait speed in 106 patients with probable AD and without type 2 DM (AD[–DM] group, 74 patients with probable AD and with DM (AD[+DM] group, and 36 patients with DrD (DrD group. Muscle quality was defined as the ratio of muscle strength to muscle mass. Results: Both female and male subjects with DrD showed significantly decreased muscle strength and quality in the upper extremities compared with the subjects with AD[–DM] or AD[+DM]. Female subjects with DrD showed significantly decreased muscle quality in the lower extremities compared with the subjects with AD[–DM]. Both female and male subjects with DrD had a significantly lower gait speed compared with the subjects with AD[–DM]. However, there were no significant differences in muscle mass and the prevalence of sarcopenia between the groups. Conclusion: Subjects with DrD showed decreased muscle strength and quality, but not muscle mass, and had a low gait speed.

  11. Google and Women's Health-Related Issues: What Does the Search Engine Data Reveal?

    Science.gov (United States)

    Baazeem, Mazin; Abenhaim, Haim

    2014-01-01

    Identifying the gaps in public knowledge of women's health related issues has always been difficult. With the increasing number of Internet users in the United States, we sought to use the Internet as a tool to help us identify such gaps and to estimate women's most prevalent health concerns by examining commonly searched health-related keywords in Google search engine. We collected a large pool of possible search keywords from two independent practicing obstetrician/gynecologists and classified them into five main categories (obstetrics, gynecology, infertility, urogynecology/menopause and oncology), and measured the monthly average search volume within the United States for each keyword with all its possible combinations using Google AdWords tool. We found that pregnancy related keywords were less frequently searched in general compared to other categories with an average of 145,400 hits per month for the top twenty keywords. Among the most common pregnancy-related keywords was "pregnancy and sex' while pregnancy-related diseases were uncommonly searched. HPV alone was searched 305,400 times per month. Of the cancers affecting women, breast cancer was the most commonly searched with an average of 247,190 times per month, followed by cervical cancer then ovarian cancer. The commonly searched keywords are often issues that are not discussed in our daily practice as well as in public health messages. The search volume is relatively related to disease prevalence with the exception of ovarian cancer which could signify a public fear.

  12. Cancer survivorship: history, quality-of-life issues, and the evolving multidisciplinary approach to implementation of cancer survivorship care plans.

    Science.gov (United States)

    Morgan, Mary Ann

    2009-07-01

    To discuss the history of cancer survivorship, related quality-of-life issues, and cancer survivorship care plans (CSCPs). CINAHL, PubMed, published articles, and Web sites. A cancer survivor is an individual who has been diagnosed with cancer, regardless of when that diagnosis was received, who is still living. Cancer survivorship is complex and involves many aspects of care. Major areas of concern for survivors are recurrence, secondary malignancies, and long-term treatment sequelae that affect quality of life. Four essential components of survivorship care are prevention, surveillance, intervention, and coordination. A CSCP should address the survivor's long-term care, such as type of cancer, treatments received, potential side effects, and recommendations for follow-up. It should include preventive practices, how to maintain health and well-being, information on legal protections regarding employment and health insurance, and psychosocial services in the community. Survivorship care for patients with cancer requires a multidisciplinary effort and team approach. Enhanced knowledge of long-term complications of survivorship is needed for healthcare providers. Further research on evidence-based practice for cancer survivorship care also is necessary. Nurses can review CSCPs with patients, instruct them when to seek treatment, promote recommended surveillance protocols, and encourage behaviors that lead to cancer prevention and promote well-being for cancer survivors.

  13. Relations between quality of friendships and attachment styles in adolescence

    Directory of Open Access Journals (Sweden)

    Kuruzović Nikolina

    2016-01-01

    Full Text Available In this work relations between quality of friendship and attachment styles among adolescents were investigated. The question of the differences, among individuals of different styles of attachment in the quality of their friendly relations, both at the individual and at the dyadic level were investigated. Also, the predictive significance of attachment when it comes to the quality of friendship, were discussed. The study included 425 subjects of both genders, first grade secondary school students, aged 14 to 17 years. Following instruments were used: Friendship Quality Questionnaire, which was created for the purposes of this study, and assesses dimensions of affection, intimacy, interaction and conflicts in friendship, and a questionnaire for assessing styles of attachment UPIPAV (Nataša Hanak.Results indicate that participants of secure and insecure attachment styles differ significantly in all dimensions of quality of friendships. Secure participants have a higher level of affection, companionship, intimacy and conflict in relation to insecure subjects. Exceptions are subjects of fearful styles of attachment who have a similar level of affection in friendship to those of secure ones. When the above differences are observed at the dyadic level, the situation is as follows: couples of friends with secure styles of attachment at all dimensions of friendship have higher scores compared to couples with insecure styles. Regression analysis showed that attachment significantly contributes to the explanation of all the dimensions of friendship. The strongest individual contribution to the explanation of all dimensions of quality friendships have secure style of attachment. The results are discussed within the attachment theory perspective.

  14. Primary Payer at DX: Issues with Collection and Assessment of Data Quality.

    Science.gov (United States)

    Sherman, Recinda L; Williamson, Laura; Andrews, Patricia; Kahn, Amy

    2016-01-01

    An individual's access to health insurance influences the amount and type of health services a patient receives for prevention and treatment, and, ultimately, influences survival. The North American Association of Central Cancer Registries (NAACCR) Item #630, Primary Payer at DX, is a required field intended to document health insurance status for the purpose of supporting patterns-of-care studies and other research. However, challenges related to the uniformity of collection and availability of data needed to populate this field diminish the value of the Primary Payer at DX data. A NAACCR taskforce worked on issues surrounding the collection of Primary Payer at DX; including proposing a crosswalk between Primary Payer at DX and the new Public Health Payment Typology standard, often available in hospital discharge databases. However, there are issues with compatibility between coding systems, intent of data collection, timelines for coding insurance, and changes in insurance coverage (partly due to the Affordable Care Act) that continue to complicate the collection and use of Primary Payer at DX data.

  15. 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.

  16. Ethical issues related to computerised family medical histories in sickle cell disease: Inforare.

    Science.gov (United States)

    Franrenet, Sandra; Duchange, Nathalie; Galactéros, Fréderic; Quantin, Catherine; Cohen, Olivier; Nzouakou, Ruben; Sudraud, Sophie; Hervé, Christian; Moutel, Grégoire

    2010-10-01

    The Inforare project aims to set up a system for the sharing of clinical and familial data, in order to study how genes are related to the severity of sickle cell disease. While the computerisation of clinical records represents a valuable research goal, an ethical framework is necessary to guarantee patients' protection and their rights in this developing field. Issues relating to patient information during the Inforare study were analysed by the steering committee. Several major concerns were discussed by the committee and formalized in the patients' information letter: educating patients to aid the recruitment of family members, rules of confidentiality and the disclosure of aggregate, individual and unexpected research results. This paper presents the main issues addressed.

  17. Experimental programs and facilities for ASTRID development related to the Severe Accident Issue

    International Nuclear Information System (INIS)

    Journeau, C.; Suteau, C.; Trotignon, L.; Willermoz, G.; Ducros, G.; Courouau, J.L.; Ruggieri, J.M.; Serre, F.

    2013-01-01

    A comprehensive experimental program has been launched in order to gain new data in support of the severe accident studies related to the ASTRID demonstrator. The main new issues with respect to the historic experimental database are mainly related to new design options: heterogeneous core with thick pins; new materials; new severe accident mitigation systems such as - corium discharge channels; - core-catcher with sacrificial materials; - some issues remaining open as Fuel Coolant Interaction. Experiments are needed both in-pile and out of pile: - Depending on the objectives, the out of pile experiments can be conducted - with simulant; - with prototypic corium; - or with irradiated fuel. A new large scale corium facility, FOURNAISE, must be built to fulfill this program. Already, experimental R&D started in existing facilities, such as VITI or CORRONA

  18. Integration of air quality-related planning processes : report

    International Nuclear Information System (INIS)

    2004-05-01

    Several communities in British Columbia have conducted air quality, greenhouse gas, or community energy management plans. This report explored the possibility of integrating 3 community-based air quality-related planning processes into a single process and evaluated the use of these 3 processes by local governments and First Nations in identifying and addressing air quality-related objectives, and determined to what extent they could be integrated to achieve planning objectives for air quality, greenhouse gas emissions, and energy supply and conservation. The lessons learned from 9 case studies in British Columbia were presented. The purpose of the case studies was to examine how communities handled emissions and energy related inventory and planning work, as well as their experiences with, or considerations for, an integrated process. The lessons were grouped under several key themes including organization and stakeholder involvement; messaging and focus; leadership/champions; and resources and capacity. The report also outlined a framework for an integrated planning process and provided recommendations regarding how an integrated or complementary process could be performed. A number of next steps were also offered for the provincial government to move the concept of an integrated process forward with the assistance of other partners. These included identifying the resources required to support communities engaging in an integrated process as well as discussing the series of options for provincial support with key stakeholders. refs., tabs., figs

  19. Health-related quality of life in melanoma patients

    DEFF Research Database (Denmark)

    Gjorup, Caroline A.; Groenvold, Mogens; Hendel, Helle W.

    2017-01-01

    in the associations between lymphoedema and HRQoL: younger patients and women with lymphoedema had worse social functioning and women had significantly more impaired body image. CONCLUSIONS: The negative impact of melanoma-related limb lymphoedema on HRQoL emphasises the importance of developing strategies......AIM: To explore health-related quality of life (HRQoL) in recurrence-free melanoma patients, with a focus on the association between melanoma-related limb lymphoedema and HRQoL. METHODS: HRQoL was evaluated using the European Organisation for Research and Treatment of Cancer Quality of Life...... Questionnaire (EORTC QLQ-C30), the breast cancer module (EORTC QLQ-BR23) subscales body image and future perspective, the Functional Assessment for Cancer Therapy-General subscale social/family well-being and the Hospital Anxiety and Depression Scale. Data were analysed using linear and ordinal logistic...

  20. Exercise and multiple sclerosis: physiological, psychological, and quality of life issues.

    Science.gov (United States)

    Sutherland, G; Andersen, M B

    2001-12-01

    The case for the benefits of physical activity has been well documented in healthy individuals, and the potential for reducing the risk of mental and physical ill health is substantial. Yet, individuals with multiple sclerosis (MS) have long been advised to avoid participation in exercise in order to minimise the risk of exacerbations and symptoms of fatigue. There is, however, increasing interest in how acute and chronic exercise affect physiological and psychological functioning in MS. Much of the research has examined physiological tolerance to exercise and focused on responses in terms of heart rate, blood pressure, cardiorespiratory fitness, muscle function, and symptom stability. Little research has focused on understanding how exercise affects psychosocial functioning and brings about changes in depression, affect, mood, well-being, and quality of life. This paper provides a summary of the research exploring the efficacy of physical activity for people with MS. In addition, the key issues that face clinical practice are examined, and considerations for research are discussed.

  1. Ferrocyanide Safety Program: Data requirements for the ferrocyanide safety issue developed through the data quality objectives (DQO) process

    International Nuclear Information System (INIS)

    Buck, J.W.; Anderson, C.M.; Pulsipher, B.A.; Toth, J.J.; Turner, P.J.; Cash, R.J.; Dukelow, G.T.; Meacham, J.E.

    1993-12-01

    This document records the data quality objectives (DQO) process applied to the Ferrocyanide Waste Tank Safety Issue at the Hanford Site by the Pacific Northwest Laboratory and Westinghouse Hanford Company. Specifically, the major recommendations and findings from this Ferrocyanide DQO process are presented so that decision makers can determine the type, quantity, and quality of data required for addressing tank safety issues. The decision logic diagrams and error tolerance equations also are provided. Finally, the document includes the DQO sample-size formulas for determining specific tank sampling requirements

  2. Indoor environmental quality and ventilation in U.S. office buildings: A view of current issues

    Energy Technology Data Exchange (ETDEWEB)

    Fisk, W.J.

    1994-11-01

    Much of the current focus on indoor environmental quality and ventilation in US office buildings is a response to sick building syndrome and occupant complaints about building-related health symptoms, poor indoor air quality, and thermal discomfort. The authors know that serious ``sick-building`` problems occur in a significant number of US office buildings and that a significant proportion of the occupants in many normal (non-sick) buildings report building-related health symptoms. Concerns about the health effects of environmental tobacco smoke have also focused attention on the indoor environment. The major responses of industry and governments, underway at the present time, are to restrict smoking in offices, to attempt to reduce the emissions of indoor pollutants, and to improve the operation of heating, ventilating and air conditioning (HVAC) systems. Better air filtration, improved HVAC commissioning and maintenance, and increased provisions for individual control of HVAC are some of the improvements in HVAC that are currently being, evaluated. In the future, the potential for improved productivity and reduced airborne transmission of infectious disease may become the major driving force for improved indoor environments.

  3. An interpretation of schedule 1 of the Radioactive Substances Act 1993 and related issues

    International Nuclear Information System (INIS)

    Hill, M.; Wakerley, M.W.

    2000-09-01

    Schedule 1 of the UK's Radioactive Substances Act 1993 was originally Schedule 3 of the 1960 Act of the same name. It is possible that different methods are currently being employed to interpret how Schedule 1 should be used. This report provides an interpretation and guidance on this and related issues. It is primarily for technical specialists already familiar with the workings of the Act. This report covers the period 1999/2000

  4. Using Agent Based Distillation to Explore Issues Related to Asymmetric Warfare

    Science.gov (United States)

    2009-10-01

    official definition of asymmetric warfare , considering that its use was redundant to irregular warfare [30]. 2 Such as the Lanchester Equations...RTP-MP-MSG-069 23 - 1 Using Agent Based Distillation to Explore Issues Related to Asymmetric Warfare Martin Adelantado, Jean-Michel Mathé...shows that both conventional and asymmetric warfare are characterised by nonlinear behaviours and that engagement is a Complex Adaptive System (CAS

  5. Materials compatibility issues related to thermal energy storage for a space solar dynamic power system

    Science.gov (United States)

    Faget, N. M.

    1986-01-01

    Attention is given to results obtained to date in developmental investigations of a thermal energy storage (TES) system for the projected NASA Space Station's solar dynamic power system; these tests have concentrated on issues related to materials compatibility for phase change materials (PCMs) and their containment vessels' materials. The five PCMs tested have melting temperatures that correspond to the operating temperatures of either the Brayton or Rankine heat engines, which were independently chosen for their high energy densities.

  6. The Asilomar Survey: Stakeholders? Opinions on Ethical Issues Related to Brain-Computer Interfacing

    OpenAIRE

    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 in May–June 2010 in Asilomar, California. We assessed respondents’ opinions about a number of topics. First, we investigated preferences for terminology and definitions relating to BCIs. Second, w...

  7. Methodological and theoretical issues in the comparative analysis of gender relations in Western Europe

    OpenAIRE

    S Walby

    1994-01-01

    The aim in this paper is to contribute to the development of a research agenda for the comparative analysis of gender relations in Western Europe. Its focus is the clarification of the methodological and theoretical issues involved. Several different indices of gender inequality are assessed. It is argued that it is important to distinguish between the form and degree of patriarchy, rather than assuming that these are closely associated. Data from the EC and Scandinavia are used to illustrate...

  8. 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......-center setting. Dermatologists assessed AK severity and patients completed: Actinic Keratosis Quality of Life Questionnaire (AKQoL), Dermatology Life Quality Index (DLQI), and EQ-5D-5 L including EQ-VAS. Differences between categorical subgroups were tested with Wilcoxon rank-sum test. The relationship between...... 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...

  9. Finding online health-related information: usability issues of health portals.

    Science.gov (United States)

    Gurel Koybasi, Nergis A; Cagiltay, Kursat

    2012-01-01

    As Internet and computers become widespread, health portals offering online health-related information become more popular. The most important point for health portals is presenting reliable and valid information. Besides, portal needs to be usable to be able to serve information to users effectively. This study aims to determine usability issues emerging when health-related information is searched on a health portal. User-based usability tests are conducted and eye movement analyses are used in addition to traditional performance measures. Results revealed that users prefer systematic, simple and consistent designs offering interactive tools. Moreover, content and partitions needs to be shaped according to the medical knowledge of target users.

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

    International Nuclear Information System (INIS)

    Seo, Jeong-Moon; Lee, Jong-Rim; Chang, Chun-Joong.

    1997-01-01

    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)

  12. On relations between quality management, doing business and life quality (a comparative analysis of Balkans with western European countries)

    OpenAIRE

    CEKO ENRIKO

    2016-01-01

    The purpose of research: Determination of relations between quality management, doing business and life quality and giving some thoughts to improve the situation regarding the quality institutions and quality infrastructure parallel with doing business climate and life quality. Methods: Collection of information, data and facts for quality management, doing business and life quality mainly from primary sources, comparing the information, data and facts gathered, conducting relevant analysis a...

  13. The quality issues at departmental level at a recently merged | Mentz ...

    African Journals Online (AJOL)

    Quality assurance is an important subject in modern universities. After discussing several theoretical aspects of quality and quality assurance, the authors conclude that the care taken by heads of academic departments or directors of academic schools in the process of quality assurance may be regarded as one of the key ...

  14. Proceedings of the fifth national symposium on environment: focal theme environmental issues related to mining, milling and metallurgy

    International Nuclear Information System (INIS)

    Sastry, V.N.; Bapat, V.N.; Desai, M.V.M.

    1996-02-01

    The fifth National Symposium on Environment was held in Calcutta from February 28 to March 1, 1996. It focused on environmental issues related to mining, milling and metallurgy. Some of the topics covered are coal mining and related environmental issues, chromium mining and associated environmental problems, heavy metals especially nuclear materials and the environmental management strategies, arsenic contamination in water in West Bengal areas and radiological issues related to fertilizers and gypsum industries. Papers relevant to INIS are indexed separately. refs., figs., tabs

  15. Association of sleep bruxism with oral health-related quality of life and sleep quality.

    Science.gov (United States)

    Câmara-Souza, Mariana Barbosa; de Figueredo, Olívia Maria Costa; Rodrigues Garcia, Renata Cunha Matheus

    2018-03-27

    To compare the oral health-related quality of life (OHRQoL) and sleep quality of subjects with and without sleep bruxism (SB). Participants of both genders were assigned as bruxers (n = 30, age 21-45 years) and non-bruxers (n = 30, age 24-40 years). SB was clinically diagnosed and confirmed with an electromyography/electrocardiograph portable device (Bruxoff). The OHRQoL was assessed using the Oral Health Impact Profile (OHIP-14). The sleep quality was determined using the Pittsburg Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) questionnaires. OHIP-14, PSQI, and ESS data were analyzed by one-way ANOVA, considering a significance level of 5%. Bruxers had worse OHRQoL (mean = 16.43) than controls (mean = 4.1), with an effect size (ES) of 1.58. Moreover, SB volunteers showed the highest PSQI scores (mean = 7.07; ES = 0.82) and excessive daytime sleepiness (mean = 10.33; ES = 0.65), compared to non-bruxers (means = 4.7 and 7.8, respectively). SB may be associated with a negative impact on OHRQoL and sleep quality. Determining that SB may have a marked role in OHRQoL and sleep quality is important for dental professionals establish proper multifactorial management, and understand patient-related psychosocial aspects.

  16. Health-related quality of life, anxiety and depression related to mammography screening in Norway.

    Science.gov (United States)

    Hafslund, Bjorg; Espehaug, Birgitte; Nortvedt, Monica Wammen

    2012-11-01

    To measure health-related quality of life, anxiety and depression ahead of mammography screening and to assess any differences in health-related quality of life compared to reference population. The study of health-related quality of life among attendees prior to mammography screening has received little attention, and increased knowledge is needed to better understand the overall health benefits of participation. A two-group cross-sectional comparative study was performed. The samples comprised 4,249 attendees to mammography screening and a comparison group of 943 women. We used the SF-36 Health Survey to assess health-related quality of life. Linear regression was used to study any differences between the groups with adjustment for age, level of education, occupation, having children and smoking status. Other normative data were also used. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale. Attendees scored statistically significant higher on the SF-36 than the comparison group but were in line with normative data. Attendees had anxiety mean 4·1 and depression mean 2·6. The majority of the attendees have a high health-related quality of life, low anxiety and depression ahead of screening. Anxiety and depression were less than shown in normative data from Norway. Despite a high health-related quality of life, low anxiety and depression among the majority, healthcare workers should pay special attention to the few women who are anxious and depressed, and have a lower health-related quality of life. Omitted from mammography screening may be women who are unemployed, have lower socioeconomic status, are anxious and are depressed. Further research should be performed with non-attendees and subgroups to improve the screening programme. It is important to identify which patients have the greatest need for support and caring in an organised mammography screening and who may be overlooked. © 2012 Blackwell Publishing Ltd.

  17. 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.

  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. 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.

  20. Challenges of the growing African cement market – environmental issues, regulative framework, and quality infrastructure requirements

    Directory of Open Access Journals (Sweden)

    Schmidt Wolfram

    2018-01-01

    Full Text Available The African cement, concrete and construction business is growing at rapid pace. The cement sales are expected to grow rapidly until 2050. The number of newly built cement plants increases dramatically and in addition more cements are being imported from outside the continent, e.g. from Turkey, Pakistan, Indonesia, and China, driven by overcapacities in the countries of origin. This causes a high number of potentials and challenges at the same time. Newly built cement plants can operate directly at best technological state of the art and thus incorporate more sustainable technologies as well as produce new and more sustainable products such as cements blended with sustainable supplementary cementitious materials such as calcined clays, and industrial or agricultural by products. At the same time the new variety of binding agent as well as the international imports, which are driven by price considerations, make the cement market prone to quality scatter. This puts pressure on the quality control regulations and institutions to ensure safety of construction, healthy application, and environmental safety for the population. The paper presents possible solutions to build up the rapidly increasing African cement production more sustainably than in the rest of the world as well as the related challenges and obstacles that need to be overcome. Based on experiences with a series of pan-African cement testing laboratory proficiency schemes conclusions are made on technical, regulative and political level.

  1. 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.

  2. Survey of Indian issues in the state of New Mexico relating to uranium mining and milling

    International Nuclear Information System (INIS)

    Vandevender, S.G.; Barsumian, L.; Gurbaxani, S.H.

    1979-11-01

    Estimates of Indian uranium resources range from 11 to 50% of the US total resources. About 17% of New Mexico's reserves are known to be on Indian lands. New Mexico has produced almost half of the nation's uranium supply; over half of the known reserves are located within the state. However, the state has virtually no jurisdiction over development of Indian uranium. As a result, economic and environmental impacts on the state are beyond its control. The lack of state and federal control over these impacts is influencing how the Indians allow development to proceed. The impacts of Indian uranium development also influence state control of non-Indian. To the extent that these controls affect the availability of uranium concentrate, DOE needs to understand the issues involved. This issue paper identifies some of the related problems for both the Indians and the state and explores the reasons behind them

  3. Unsolved issues related to thermal-hydraulics in the suppression chamber during Fukushima Daiichi accident progressions

    International Nuclear Information System (INIS)

    Mizokami, Shinya; Yamada, Daichi; Honda, Takeshi; Yamauchi, Daisuke; Yamanaka, Yasunori

    2016-01-01

    On 11 March 2011, the Great East Japan Earthquake and Tsunami hit the Fukushima Daiichi Nuclear Power Station. The Fukushima Daiichi Units 1-3 lost all DC and AC power supplies, which set in motion a chain of events that led to releases of radioactivity to the environment. Since then, TEPCO has made many efforts to investigate the accident progressions and the status of the reactors and containment vessels. However, there still exist several tens of unsolved issues to be investigated for the fully understanding of the accident. In this paper, we introduce the unsolved issues related to thermal-hydraulics in the suppression chamber during the Fukushima Daiichi accident progressions. Especially, in Units 2 and 3, there are possibilities that thermal stratification inside their suppression chambers played an important role. It is important that these phenomena are addressed following both theoretical and experimental approaches as support to severe accident simulations. (author)

  4. Current ethical and legal issues in health-related direct-to-consumer genetic testing.

    Science.gov (United States)

    Niemiec, Emilia; Kalokairinou, Louiza; Howard, Heidi Carmen

    2017-09-01

    A variety of health-related genetic testing is currently advertized directly to consumers. This article provides a timely overview of direct-to-consumer genetic testing (DTC GT) and salient ethical issues, as well as an analysis of the impact of the recently adopted regulation on in vitro diagnostic medical devices on DTC GT. DTC GT companies currently employ new testing approaches, report on a wide spectrum of conditions and target new groups of consumers. Such activities raise ethical issues including the questionable analytic and clinical validity of tests, the adequacy of informed consent, potentially misleading advertizing, testing in children, research uses and commercialization of genomic data. The recently adopted regulation on in vitro diagnostic medical devices may limit the offers of predisposition DTC GT in the EU market.

  5. Issues relating to the siting of tritium-fueled fusion experiments

    International Nuclear Information System (INIS)

    Reilly, H.J.; Holland, D.F.

    1985-01-01

    A preconceptual design study and safety analysis of the Tokamak Fusion Core Experiment (TFCX) was conducted in 1984 for the Department of Energy. This paper summarizes the calculations and comparisons related to TFCX siting and environmental issues such as radiological doses to the public living near the facility. Included are discussions of (a) routine and accidental releases of tritium, (b) routine releases of activated air, (c) direct radiation (including ''skyshine''), and (d) seismic criteria. Other potential issues are also discussed including the amount of tritium that might be retained in the graphite armor in the torus, the possible severity of magnet accidents, and the extent of damage due to plasma disruptions. The conclusions drawn from these calculations should be applicable to some of the other planned ignited core experiments that have operating parameters similar to those of TFCX

  6. Issues relating to the siting of tritium-fueled fusion experiments

    International Nuclear Information System (INIS)

    Reilly, H.J.; Holland, D.F.

    1985-01-01

    A preconceptual design study and safety analysis of the Tokamak Fusion Core Experiment (TFCX) was conducted in 1984 for the Department of Energy. This paper summarizes the calculations and comparisons related to TFCX siting and environmental issues such as radiological doses to the public living near the facility. Included are discussions of (a) routine and accidental releases of tritium, (b) routine releases of activated air, (c) direct radiation (including skyshine), and (d) seismic criteria. Other potential issues are also discussed including the amount of tritium that might be retained in the graphite armor in the torus, the possible severity of magnet accidents, and the extent of damage due to plasma disruptions. The conclusions drawn from these calculations should be applicable to some of the other planned ignited core experiments that have operating parameters similar to those of TFCX

  7. 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.

  8. Ethics and quality care in nursing homes: Relatives' experiences.

    Science.gov (United States)

    Jakobsen, Rita; Sellevold, Gerd Sylvi; Egede-Nissen, Veslemøy; Sørlie, Venke

    2017-01-01

    A total of 71,000 people in Norway suffer from some form of dementia in 2013, of whom approximately 30,000 are in nursing homes. Several studies focus on the experiences of those who have close relatives and who are staying in a nursing home. Results show that a greater focus on cooperation between nursing staff and relatives is a central prerequisite for an increased level of care. Benefits of developing systematic collaboration practices include relief for nursing staff, less stress, and greater mutual understanding. Going through studies focusing on the experiences of nursing home patients' relatives, negative experiences are in the majority. In this study, relatives are invited to share positive experiences regarding the care of their loved ones; a slightly different perspective, in other words. The aim of the study is to investigate relatives of persons with dementia's experiences with quality care in nursing homes. The study is a part of a larger project called Hospice values in the care for persons with dementia and is based on a qualitative design where data are generated through narrative interviews. The chosen method of analysis is the phenomenological-hermeneutical method for the study of lived experiences. Participants and research context: Participants in the project were eight relatives of persons with dementia who were living in nursing homes, long-term residences. The sampling was targeted, enrolment happened through collective invitation. All relatives interested were included. Ethical considerations: The Norwegian Regional Ethics Committee and the Norwegian Social Science Data Services approve the study. Findings show that relatives have certain expectations as to how their loved ones ought to be met and looked after at the nursing home. The results show that in those cases where the expectations were met, the relatives' experiences were associated with engagement, inclusion and a good atmosphere. When the expectations were not met, the relatives

  9. 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.

  10. Rice varieties in relation to rice bread quality.

    Science.gov (United States)

    Han, Hye Min; Cho, Jun Hyeon; Kang, Hang Won; Koh, Bong Kyung

    2012-05-01

    It is difficult to predict rice bread quality only from the amylose content (AC) or dough characteristics of new lines produced by rice breeding programmes. This study investigated the AC relative to bread baking quality of rice varieties developed in Korea, and identified specific characteristics that contribute to rice bread quality. Manmibyeo, Jinsumi, Seolgaeng and Hanareumbyeo were classified as low AC, YR24088 Acp9, Suweon517, Chenmaai and Goamibyeo as intermediate AC and Milyang261 as high AC. Suweon517, Milyang261 and Manmibyeo had a high water absorption index (WAI), while Goamibyeo, YR24088 Acp9, Jinsumi, Seolgaeng, Hanareumbyeo and Chenmaai had a low WAI. The gelatinisation enthalpy of flour varied from 9.2 J g(-1) in Milyang261 to 14.8 J g(-1) in YR24088 Acp9. After 7 days of storage the rate of flour retrogradation and crumb firmness were weakly correlated, with the exception of Jinsumi. Bread volumes of Jinsumi, Chenmaai, YR24088 Acp9 and Goamibyeo were comparable to that of wheat flour, but the rest were unsuited to bread making because of their low volume and hard crumb texture. Based on volume, texture and crumb firmness ratio, Chenmaai and Goamibyeo were the most appropriate varieties for making bread. An intermediate AC and low WAI were the primary indicators of rice bread flour quality. Copyright © 2011 Society of Chemical Industry.

  11. Survey-assessed quality and organizational factors related to quality in Pursuing Perfection hospitals.

    Science.gov (United States)

    Shwartz, Michael; Cramer, Irene E; Holmes, Sally K; Cohen, Alan B; Restuccia, Joseph D; VanDeusen Lukas, Carol; Sullivan, Jennifer L; Charns, Martin P

    2010-01-01

    The goal of the Pursuing Perfection (P2) program was to encourage organizations to push quality improvement to new levels of excellence. As part of an evaluation of P2, we surveyed employees at the 7 participating P2 organizations to (1) assess their perceptions of patient care quality and improvement progress and (2) examine perceived performance on organizational and workgroup characteristics associated with quality. Many survey questions were drawn from existing conceptual models and survey instruments. We used factor analysis to create new scales from questions that were not part of established scales. We used correlation coefficients and multivariable models to examine relationships among variables. Variables most strongly associated with perceived quality included standardized and simplified care processes resulting in coordinated care and smooth handoffs, a clear sense of organizational direction and clear action plans, and communication with staff about reasons for change and improvement progress made. Of those variables with a strong relationship to quality, ones with relatively low mean ratings included workgroup coordination; sufficient resources and support for improvement; training; and efficient use of people, time, and energy. These are important areas on which management should focus to improve employee ratings of quality.

  12. 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.

  13. 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.

  14. Environmental, health and safety issues related to commercializing CuInSe{sub 2}-based photovoltaics

    Energy Technology Data Exchange (ETDEWEB)

    Eberspacher, C. [UNISUN, Newbury Park, CA (United States); Fthenakis, V.M.; Moskowtiz, P.D. [Brookhaven National Lab., Upton, NY (United States)

    1996-07-01

    Photovoltaics technology is rapidly evolving towards a new generation of low-cost thin film technologies. One of the most promising materials in this new generation is copper indium selenide (CuInSe{sub 2} or CIS). As with any new material, successful commercialization of CIS photovoltaic (PV) technology will require attention to environmental, health and safety issues, including consideration of the sources, usage, and end-of-product-life disposal and/or recycling of the constituent materials. This work focuses on three specific environmental, health and safety (EH and S) issues related to CIS PV: (1) economics are analyzed to determine their impact on materials use and re-use; (2) Federal and California State environmental disposal and waste handling regulations are analyzed to evaluate their impact on PV module manufacturing and end-of-life module handling; and (3) the logistics and economics of product recycling and waste disposal by industries with comparable EH and S issues are examined to quantify the corresponding options available for handling, disposing of and/or recycling manufacturing by-products and end-of-life modules.

  15. 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.

  16. 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 < 0.0001). Overall quality of internet-derived gastrointestinal cancer information remains poor and patients and clinicians should be aware.

  17. 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....

  18. 17 CFR 230.488 - Effective date of registration statements relating to securities to be issued in certain business...

    Science.gov (United States)

    2010-04-01

    ... statements relating to securities to be issued in certain business combination transactions. 230.488 Section... REGULATIONS, SECURITIES ACT OF 1933 Investment Companies; Business Development Companies § 230.488 Effective date of registration statements relating to securities to be issued in certain business combination...

  19. Examining subjective wellbeing and health-related quality of life in women with endometriosis.

    Science.gov (United States)

    Rush, Georgia; Misajon, RoseAnne

    2018-03-01

    The purpose of this study was to explore the subjective wellbeing, health-related quality of life and lived experience of women living with endometriosis. In 2015 five hundred participants between the ages of 18-63 (M = 30.5, SD = 7.46) were recruited through Endometriosis Australia and social media, completing an online questionnaire comprising the Personal Wellbeing Index, the Endometriosis Health Profile-30 and various open-ended questions. Results found that women with endometriosis reported low levels of subjective wellbeing (mean PWI total scores of 51.5 ± 2.03), considerably below the normative range of 70-80 for western populations. The mean Endometriosis Health Profile total score indicated a very low health-related quality of life amongst the women in this sample (78.9, ±13.14). There was also a significant relationship between scores on the Endometriosis Health Profile and Personal Wellbeing Index. The findings from the qualitative data suggest that endometriosis impacts negatively on women's lives in several areas such as; social life, relationships and future plans, this in turn affects women's overall life quality. The study highlights the strong negative impact that endometriosis can have on women's subjective wellbeing and health related quality of life, contributing to productivity issues, relationship difficulties and social dissatisfaction and increasing the risk of psychological comorbidities.

  20. Oral health-related quality of life among Belgrade adolescents

    Directory of Open Access Journals (Sweden)

    Gajić Milica

    2018-01-01

    Full Text Available Background/Aim. Adolescents are vulnerable group in term of acquisition of oral health-related knowledge, habits and attitudes. That is why the aim of this study was to investigate the associations between dental status, dental anxiety and oral health-related behavior and oral healthrelated quality of life as captured by Oral Impacts on Daily Performances (OIDP index. Methods. This crosssectional survey included representative sample of 404 adolescents (15 years old, randomly recruited from high schools in Belgrade, Serbia. The adolescents were interviewed using Serbian versions of eight-item OIDP index, Hiroshima University Dental Behavior Inventory (HUDBI and modified Corah’s Dental Anxiety Scale (MDAS. Three previously trained and calibrated dentists examined the subjects in the classrooms to determine the oral health status of adolescents [the Decayed, missing, filled teeth (DMFT index and visual signs of gingivitis]. Results. At least one oral impact was reported in 49.50% of adolescents. Most frequently, oral health problems affected eating (26.73%, tooth cleaning (27.47% and sleep and relaxation (16.83%. In comparison with adolescents without oral impacts, the adolescents with at least one oral impact reported, had higher DMFT score, more often reported problems with bleeding gums, usage of hard toothbrush, worries about the color of their teeth and seeing the dentist because of the symptoms. Logistic regression showed that dental anxiety (MDAS score, dental behavior (HUDBI score and worrying about the color of the teeth significantly affected OIDP score. Conclusion. Oral healthrelated quality of life among adolescents was affected by their behavior and dental anxiety levels. Implementing public health policies that target adolescents with poor oral health or bad habits might be helpful in improving their oral health-related quality of life.

  1. 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.

  2. 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...... Performance in August 2010. The work in the WG is ongoing and final report will be ready according to the time schedule in 2012. The focus of this paper is in particular to show all issues related to system technical performance with assigned weights in terms of their importance and/or uniqueness for cable...

  3. Key Health Information Technologies and Related Issues for Iran: A Qualitative Study.

    Science.gov (United States)

    Hemmat, Morteza; Ayatollahi, Haleh; Maleki, Mohammadreza; Saghafi, Fatemeh

    2018-01-01

    Planning for the future of Health Information Technology (HIT) requires applying a systematic approach when conducting foresight studies. The aim of this study was to identify key health information technologies and related issues for Iran until 2025. This was a qualitative study and the participants included experts and policy makers in the field of health information technology. In-depth semi-structured interviews were conducted and data were analyzed by using framework analysis and MAXQDA software. The findings revealed that the development of national health information network, electronic health records, patient health records, a cloud-based service center, interoperability standards, patient monitoring technologies, telehealth, mhealth, clinical decision support systems, health information technology and mhealth infrastructure were found to be the key technologies for the future. These technologies could influence the economic, organizational and individual levels. To achieve them, the economic and organizational obstacles need to be overcome. In this study, a number of key technologies and related issues were identified. This approach can help to focus on the most important technologies in the future and to priorities these technologies for better resource allocation and policy making.

  4. Relative efficacy of drugs: an emerging issue between regulatory agencies and third-party payers.

    Science.gov (United States)

    Eichler, Hans-Georg; Bloechl-Daum, Brigitte; Abadie, Eric; Barnett, David; König, Franz; Pearson, Steven

    2010-04-01

    Drug regulatory agencies have traditionally assessed the quality, safety and efficacy of drugs, and the current paradigm dictates that a new drug should be licensed when the benefits outweigh the risks. By contrast, third-party payers base their reimbursement decisions predominantly on the health benefits of the drug relative to existing treatment options (termed relative efficacy; RE). Over the past decade, the role of payers has become more prominent, and time-to-market no longer means time-to-licensing but time-to-reimbursement. Companies now have to satisfy the sometimes divergent needs of both regulators and payers, and to address RE during the pre-marketing stages. This article describes the current political background to the RE debate and presents the scientific and methodological challenges as they relate to RE assessment. In addition, we explain the impact of RE on drug development, and speculate on future developments and actions that are likely to be required from key players.

  5. 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.

  6. Some of the issues of modern Russian historiography towards Kazakh-Dzhungarian relations

    Directory of Open Access Journals (Sweden)

    Turganzhan Tulebaev

    2016-03-01

    Full Text Available The relationship between Kazakh people and the Dzhungar Khanate in the 17th - the first half of the 18th centuries was an important milestone in the development of Kazakh sovereignty. Kazakh Khanate had its own place in the development of international relations of the Central Asian countries. The historiography of this problem is very wide. For many years many researchers of post-Soviet, Western, Central Asian countries dedicated their work to this issue. Russian historiography is notable among others for its features. The article discusses some concepts of the modern Russian scientists regarding Kazakh-Dzhungarian relations. Russian historiography of Kazakh-Dzhungarian relations started to develop from the pre-revolutionary period and continues to these days. Kazakhstan scientists of the Soviet period also contributed to the study of international relations in Central Asia in the 17th-18th centuries in line with the required methodological and ideological direction. However, at present in connection with the sovereignization and becoming independent states of the post-Soviet countries, there is some differentiation in the areas of Russian and Kazakh social sciences and humanities. Today our society intentionally seeks to rethink the key milestones of the passed way, know itself and define its new place in the contemporary reality. Therefore, the Russian research on the history of international relations is especially relevant to the public

  7. Factors associated with health-related quality of life among university students

    Directory of Open Access Journals (Sweden)

    Klemenc-Ketis Zalika

    2011-01-01

    Full Text Available Introduction. University students are subjected to different kinds of stressors, i.e. academic pressures, social issues and financial problems. This can affect their academic achievements and quality of life. Objective. The aim of this study was to determine the health-related quality of life of university students, and how it is affected by the presence of chronic diseases, mental disorders comorbidity, and patterns of medical services’ use. Methods. This web-based study included a sample of 1,410 Slovenian university students. We used a self-administered questionnaire, containing a sheet with demographic data, Zung’s self-assessment inventories about anxiety and depression, and EQ-5D questionnaire. The main outcome measures were scores on EQ-5D part and VAS part of the EQ-5D questionnaire. Results. Independent factors associated with the health-related quality of life of university students, were the presence of chronic pain, the presence of depression and anxiety, need for urgent medical help and at least one visit to a clinical specialist in the past year. The independent factors associated with the health status of university students were the presence of chronic diseases, chronic pain, depression and anxiety, a visit to a clinical specialist, a need for urgent medical help and a visit to an emergency unit in the past year. Conclusion. Health-related quality of life of university students can be seriously affected by the presence of mental disorders and chronic pain. Appropriate health-related measures should be adopted to achieve early recognition of worse health-related quality of life, the presence of mental disorders and other chronic conditions, and to enable their effective treatment.

  8. Identification of unresolved safety issues relating to nuclear power plants. Report to Congress

    International Nuclear Information System (INIS)

    1979-01-01

    The report describes the review undertaken over the last year that resulted in identifying 17 issues as Unresolved Safety Issues. In addition, the report provides specific discussions of why certain issues were not included. The report also provides a brief background discussion describing Section 210 of the Energy Reorganization Act and the NRC program for the resolution of generic issues described in NUREG-0410

  9. Clean air issues in the 110th Congress : climate change, air quality standards, and oversight

    Science.gov (United States)

    2008-07-28

    Attention to environmental issues in the 110th Congress focused early and heavily on climate change the state of the science, and whether (and, if so, how) to address greenhouse gas (GHG) emissions. Fourteen bills had been introduced to establish...

  10. Prioritizing Quality of Life Issues: Laying a Vision for Tomorrow (Joint Vision 2010)

    National Research Council Canada - National Science Library

    Cole, Kerri

    2000-01-01

    .... The heart of the issue is increased missions, decreased personnel, insufficient equipment, too much time away from family, too little leisure time, and not enough money to balance out these negatives...

  11. Market and plan characteristics related to HMO quality and improvement.

    Science.gov (United States)

    Scanlon, Dennis P; Swaminathan, Shailender; Chernew, Michael; Lee, Woolton

    2006-12-01

    Existing research on health plan performance examines whether variation in plans' scores is related to enrollee and health plan traits, primarily using cross-sectional research designs. This study extends that literature by incorporating data on market characteristics using a longitudinal framework. We estimate multivariate growth models that relate plan performance on standard measures to market and HMO characteristics using an unbalanced panel of data for 1998 to 2002. We find that HMO competition is not associated with better performance or greater rates of improvement in performance on the HEDIS chronic care measures. HMO penetration, on the other hand, is positively associated with HEDIS performance in several of the chronic care process-and-outcomes measures but not with a greater rate of improvement through time. Our analysis indicates that a significant percentage of the unexplained variation in quality improvement is because of permanent, unobserved plan-level characteristics that future research should strive to identify.

  12. 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.

  13. Relational benefits and quality of relation – towards understanding of the ties between science and business

    Directory of Open Access Journals (Sweden)

    Małgorzata Grzegorczyk

    2016-06-01

    Full Text Available The goal of this article is to answer the question in what way relational marketing and in particular, the concept of relational benefits, as well as quality of relation may influence the transfer of knowledge and technologies from universities to business. Another goal is to highlight significant, future directions of research in this area. Integration of the theory of relational marketing and technology transfer may create a new framework for fuller understanding of the ties between science and business. Research in this area may contribute to the expansion and development of the theory of relational marketing, which until now was limited to the analysis of relations within a single sector. The results of conducted research show that ties characterized by high relational engagement are common, recognized by both academic and business environment as precious and play an important role in stimulating innovations. The quality of relations and relational benefits may play an important role in building long-term ties between universities and the industry. Integration of behavioural theories with the theory of technology transfer may contribute to a better understanding of the behaviour of particular participants of the transfer on the individual level.

  14. 5th Nanosafe International Conference on Health and Safety issues related to nanomaterials for a socially responsible approach (NANOSAFE 2016)

    International Nuclear Information System (INIS)

    2017-01-01

    This volume contains a collection of contributions presented at the 5 th Nanosafe International Conference on Health and Safety issues related to nanomaterials for a socially responsible approach (NANOSAFE 2016) held in Grenoble, France, from 7 th to 10 th November 2016.Nano objects represent a powerful “enabling technology” leading to revolutionary breakthroughs in many different areas vital for humanity including medicine, energy, environment, etc. and also preserving the rare mineral resources by rendering mater more efficient.For one of the first time in the science history, risks have been taken into account since the very beginning of the manufactured nanomaterials and Nanosafety is now considered as a specific new scientific area, gaining in importance and maturity each days thanks to our dynamic community spread all over the world.Following the successful outcome of the four past international conferences on Safe Production and Use of Nanomaterials: Nanosafe 2008, 2010, 2012 and 2014, the Platform Nano Safety “PNS” welcomed the attendees to Minatec, Grenoble, for this fifth edition with some of the most famous specialists in the field.In 2016, the subtitle of the conference had been slightly changed to “Health and Safety Issues Related to Nanomaterials” in order to welcome inboard two new topics: Urban Nanoparticles and some aspect of Nanomedicine, in addition to the usual issues addressed in previous Nanosafe conferences such as Detection and Characterization, Expology, Release from Nano-enabled Products, Safer by Design Nanomaterials and Process, Risk Management, Nanoproducts to waste, Toxicology, Environmental Interactions, Regulation and Standardization and Nano Responsible Development.Furthermore, three 3 round tables had been organized in order to promote friendly discussions between attendees: Nano-Responsible Development, Urban Particles Mitigation: What is Reasonably Possible, Nanomedecine: Benefice/Risk.In this 5 th edition, there were

  15. Oral health-related quality of life and nutritional status.

    Science.gov (United States)

    Gil-Montoya, J A; Subirá, C; Ramón, J M; González-Moles, M A

    2008-01-01

    This study examines whether oral health-related quality of life (OHRQoL) is associated with malnutrition risk in the elderly. A cross-sectional study was designed using a representative sample of Spaniards over 65 years old. Data on sociodemographics and oral health status were gathered by interview and examination. Oral health-related quality of life was evaluated using the Geriatric Oral Health Assessment Index (GOHAI), and malnutrition risk using the Mini Nutritional Assessment (MNA). The final sample included 2,860 elderly, 41.7 percent males and 58.3 percent females, with a mean age of 73.7 +/- 6.8 years. Mean GOHAI score was 52.1 +/- 7.2, with 70.7 percent of the sample needing oral health care according to this index. The mean MNA score was 24.0 +/- 3.31; 3.5 percent of the elderly were malnourished, 31.5 percent were at risk of malnutrition, and 65.0 percent were considered adequately nourished. A strong association was found between mean GOHAI and MNA scores.

  16. Health-equity issues related to childhood obesity: a scoping review.

    Science.gov (United States)

    Vargas, Clemencia M; Stines, Elsie M; Granado, Herta S

    2017-06-01

    The purpose of this scoping review was to determine the health-equity issues that relate to childhood obesity. Health-equity issues related to childhood obesity were identified by analyzing food environment, natural and built environment, and social environment. The authors searched Medline, PubMed, and Web of Science, using the keywords "children" and "obesity." Specific terms for each environment were added: "food desert," "advertising," "insecurity," "price," "processing," "trade," and "school" for food environment; "urban design," "land use," "transportation mode," "public facilities," and "market access" for natural and built environment; and "financial capacity/poverty," "living conditions," "transport access," "remoteness," "social support," "social cohesion," "working practices," "eating habits," "time," and "social norms" for social environment. Inclusion criteria were studies or reports with populations under age 12, conducted in the United States, and published in English in 2005 or later. The final search yielded 39 references (16 for food environment, 11 for built environment, and 12 for social environment). Most food-environment elements were associated with obesity, except food insecurity and food deserts. A natural and built environment that hinders access to physical activity resources and access to healthy foods increased the risk of childhood obesity. Similarly, a negative social environment was associated with childhood obesity. More research is needed on the effects of food production, living conditions, time for shopping, and exercise, as related to childhood obesity. Most elements of food, natural and built, and social-environments were associated with weight in children under age 12, except food insecurity and food deserts. © 2017 American Association of Public Health Dentistry.

  17. 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

  18. Use of a web site to increase knowledge and awareness of hunger-related issues.

    Science.gov (United States)

    Jennings, Sharla; Cotugna, Nancy; Vickery, Connie E

    2003-11-01

    The purpose of this study was to determine the current level of knowledge and awareness of hunger-related issues among a convenience sample of Delawareans. We also assessed whether raising knowledge and awareness of the hunger problem through the FBD's newly designed web site would encourage participation in antihunger activities. Via e-mail, 1,719 individuals were invited to participate in a three-phase, online survey, and 392 agreed. Phase-I questions were answered prior to viewing the web site, phase II (n=217) immediately afterward, and phase III (n=61) six weeks later. Responses indicated a high level of awareness about general hunger issues but specific knowledge proved to be at a lower level. No statistically significant differences were noted when data were collapsed across gender, age, educational level, or work setting. In a six-week post-survey, 41% of subjects were motivated by the web site to engage in an antihunger activity; 34% had told others about the web site and indicated it may be a useful tool in antihunger outreach efforts for the FBD.

  19. Common Issues Seen in Paediatric Diabetes Clinics, Psychological Formulations, and Related Approaches to Management

    Directory of Open Access Journals (Sweden)

    Asma Deeb

    2018-01-01

    Full Text Available Diabetes is a chronic disease and its management is associated with multiple challenges. This is particularly the case in children and adolescents. Factors that contribute to difficulties in managing diabetes in youth include psychological characteristics, family dynamics, and social behavior. The purpose of this article is to highlight some psychological issues in children and adolescents with diabetes. We aim to present selected case scenarios encountered by health professionals and to provide tips on strategies for managing psychological aspect of diabetes. We tackle the psychological issues related to diabetes under four main categories: maladaptive disorders, eating disorders, family psychopathology, and family dysfunction. Psychotherapy and psychoanalysis are useful modalities in diabetes management. The psychological intervention is aimed at supporting patients and families to reach a balance between a normal family routine and a good glycemic control. We demonstrate unique requirements in coordinating care for children and adolescents with diabetes and highlight the importance of encouraging a positive behavior. Managing diabetes in children and adolescents needs to be in the form of a collaborative work between health care professionals, children and adolescents, and their families. Caring, supportive family backed up by experienced multidisciplinary team is the best approach to prevent psychological difficulties.

  20. Common Issues Seen in Paediatric Diabetes Clinics, Psychological Formulations, and Related Approaches to Management.

    Science.gov (United States)

    Deeb, Asma; Akle, Mariette; Al Ozairi, Abdulla; Cameron, Fergus

    2018-01-01

    Diabetes is a chronic disease and its management is associated with multiple challenges. This is particularly the case in children and adolescents. Factors that contribute to difficulties in managing diabetes in youth include psychological characteristics, family dynamics, and social behavior. The purpose of this article is to highlight some psychological issues in children and adolescents with diabetes. We aim to present selected case scenarios encountered by health professionals and to provide tips on strategies for managing psychological aspect of diabetes. We tackle the psychological issues related to diabetes under four main categories: maladaptive disorders, eating disorders, family psychopathology, and family dysfunction. Psychotherapy and psychoanalysis are useful modalities in diabetes management. The psychological intervention is aimed at supporting patients and families to reach a balance between a normal family routine and a good glycemic control. We demonstrate unique requirements in coordinating care for children and adolescents with diabetes and highlight the importance of encouraging a positive behavior. Managing diabetes in children and adolescents needs to be in the form of a collaborative work between health care professionals, children and adolescents, and their families. Caring, supportive family backed up by experienced multidisciplinary team is the best approach to prevent psychological difficulties.

  1. Use of a web site to increase knowledge and awareness of hunger-related issues.

    Science.gov (United States)

    Jennings, Sharla; Cotugna, Nancy; Vickery, Connie E.

    2003-01-01

    The purpose of this study was to determine the current level of knowledge and awareness of hunger-related issues among a convenience sample of Delawareans. We also assessed whether raising knowledge and awareness of the hunger problem through the FBD's newly designed web site would encourage participation in antihunger activities. Via e-mail, 1,719 individuals were invited to participate in a three-phase, online survey, and 392 agreed. Phase-I questions were answered prior to viewing the web site, phase II (n=217) immediately afterward, and phase III (n=61) six weeks later. Responses indicated a high level of awareness about general hunger issues but specific knowledge proved to be at a lower level. No statistically significant differences were noted when data were collapsed across gender, age, educational level, or work setting. In a six-week post-survey, 41% of subjects were motivated by the web site to engage in an antihunger activity; 34% had told others about the web site and indicated it may be a useful tool in antihunger outreach efforts for the FBD. PMID:14651376

  2. 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.

  3. 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.

  4. Legal aspects of work related stress in nursing. Exploring the issues.

    Science.gov (United States)

    Abu al Rub, R

    2000-03-01

    Nurses are under a great deal of distress related to a variety of work stressors. Work related stress jeopardizes the mental and physical well being of nurses, as well as the quality of care provided for clients. The Occupational Safety and Health Act of 1970 holds employers responsible for the mental and physical well being of their employees. However, the regulations are not always straightforward concerning compensation claims for mental disabilities due to work stress. Recovery of claims is possible if standards (i.e., personal injury, causal relationship between injury and employment) are met. Requirements for recovery of physical/mental and mental/physical claims are agreed on by most states, whereas mental/mental claims are controversial among states and courts. Nurses can monitor and influence legislation to create requirements to encourage employers to develop preventive approaches to reducing work induced stress.

  5. 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.

  6. Integrity, standards, and QC-related issues with big data in pre-clinical drug discovery.

    Science.gov (United States)

    Brothers, John F; Ung, Matthew; Escalante-Chong, Renan; Ross, Jermaine; Zhang, Jenny; Cha, Yoonjeong; Lysaght, Andrew; Funt, Jason; Kusko, Rebecca

    2018-06-01

    The tremendous expansion of data analytics and public and private big datasets presents an important opportunity for pre-clinical drug discovery and development. In the field of life sciences, the growth of genetic, genomic, transcriptomic and proteomic data is partly driven by a rapid decline in experimental costs as biotechnology improves throughput, scalability, and speed. Yet far too many researchers tend to underestimate the challenges and consequences involving data integrity and quality standards. Given the effect of data integrity on scientific interpretation, these issues have significant implications during preclinical drug development. We describe standardized approaches for maximizing the utility of publicly available or privately generated biological data and address some of the common pitfalls. We also discuss the increasing interest to integrate and interpret cross-platform data. Principles outlined here should serve as a useful broad guide for existing analytical practices and pipelines and as a tool for developing additional insights into therapeutics using big data. Copyright © 2018 Elsevier Inc. All rights reserved.

  7. A Review of Issues Related to Data Acquisition and Analysis in EEG/MEG Studies.

    Science.gov (United States)

    Puce, Aina; Hämäläinen, Matti S

    2017-05-31

    Electroencephalography (EEG) and magnetoencephalography (MEG) are non-invasive electrophysiological methods, which record electric potentials and magnetic fields due to electric currents in synchronously-active neurons. With MEG being more sensitive to neural activity from tangential currents and EEG being able to detect both radial and tangential sources, the two methods are complementary. Over the years, neurophysiological studies have changed considerably: high-density recordings are becoming de rigueur; there is interest in both spontaneous and evoked activity; and sophisticated artifact detection and removal methods are available. Improved head models for source estimation have also increased the precision of the current estimates, particularly for EEG and combined EEG/MEG. Because of their complementarity, more investigators are beginning to perform simultaneous EEG/MEG studies to gain more complete information about neural activity. Given the increase in methodological complexity in EEG/MEG, it is important to gather data that are of high quality and that are as artifact free as possible. Here, we discuss some issues in data acquisition and analysis of EEG and MEG data. Practical considerations for different types of EEG and MEG studies are also discussed.

  8. A Review of Issues Related to Data Acquisition and Analysis in EEG/MEG Studies

    Directory of Open Access Journals (Sweden)

    Aina Puce

    2017-05-01

    Full Text Available Electroencephalography (EEG and magnetoencephalography (MEG are non-invasive electrophysiological methods, which record electric potentials and magnetic fields due to electric currents in synchronously-active neurons. With MEG being more sensitive to neural activity from tangential currents and EEG being able to detect both radial and tangential sources, the two methods are complementary. Over the years, neurophysiological studies have changed considerably: high-density recordings are becoming de rigueur; there is interest in both spontaneous and evoked activity; and sophisticated artifact detection and removal methods are available. Improved head models for source estimation have also increased the precision of the current estimates, particularly for EEG and combined EEG/MEG. Because of their complementarity, more investigators are beginning to perform simultaneous EEG/MEG studies to gain more complete information about neural activity. Given the increase in methodological complexity in EEG/MEG, it is important to gather data that are of high quality and that are as artifact free as possible. Here, we discuss some issues in data acquisition and analysis of EEG and MEG data. Practical considerations for different types of EEG and MEG studies are also discussed.

  9. Waste management regulatory compliance issues related to D ampersand D activities at Oak Ridge National Laboratory (ORNL)

    International Nuclear Information System (INIS)

    Hitch, J.P.; Arnold, S.E.; Burwinkle, T.; Daugherty, D.

    1994-01-01

    The waste management activities at ORNL related to the decontamination and decommissioning (D ampersand D) of radioactively contaminated buildings are divided into four categories: Operational facilities, inactive or surplus facilities, future facilities planning, and D ampersand D activities. This paper only discusses regulatory issues related to inactive or surplus facilities. Additionally, rather than attempting to address all resulting waste streams and related regulations, this paper highlights only a few of the ORNL waste streams that present key regulatory issues

  10. Smoking habit profile and health-related quality of life.

    Science.gov (United States)

    Becoña, Elisardo; Vázquez, Ma Isabel; Míguez, Ma del Carmen; Fernández del Río, Elena; López-Durán, Ana; Martínez, Úrsula; Piñeiro, Bárbara

    2013-01-01

    Few studies have investigated the relationship between smoking and health-related quality of life (HRQOL), and the results are not consistent. The aim of this study is to explore the association between smoking and HRQOL. Cross-sectional study of 714 Spanish adults (44.7% never smokers and 55.3% smokers) without diagnosis of physical or mental disorder. Each participant provided information about different sociodemographic variables and data on HRQOL. Smokers also reported smoking-related information about smoking-related variables. Nicotine dependence was not associated with the physical dimension of HRQOL, but in the mental component, nicotine dependent smokers showed worse HRQOL than never smokers (p = 0.004) and than non-nicotine dependent smokers (p = 0.014). There were no differences between no-nicotine dependent smokers and never smokers. Smoking status (non smokers vs. smokers), number of cigarettes smoked per day, stage of change, quit attempts in the past year or age of smoking onset were not related to HRQOL. In subjects without physical or mental diseases, only nicotine dependent smokers showed a significant impairment in the mental component of HRQOL. Therefore, it is important to consider nicotine dependence in the relationship between smoking and HRQOL.

  11. 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. Copyright © 2015 Elsevier B.V. All rights reserved.

  12. Several issues related to regional environmental investigation to inland nuclear power plant

    International Nuclear Information System (INIS)

    Tian Xinshan; Zhang Xiaofeng

    2010-01-01

    Based on the goal of carrying out regional environmental investigation and review of recent environmental investigations toward inland nuclear power plant(NPP) site, and combined with the characteristics between inland and coastal sites, this paper is to make deeply analysis on population distribution, environmental characteristics, feasibility of performing emergency plan, characteristics of received water and external human-induced incident of NPP vicinity, then advance several significant issues related regional environmental investigation to inland sites, and make comparison with the investigation to coastal sites. Meantime, on guarantee of the integrity of collected materials during investigation, this paper also makes several proposals to provide reference for carrying out regional environmental investigation to inland NPP site. (authors)

  13. Hinkley Point 'C' power station public inquiry: proof of evidence on local site related issues

    International Nuclear Information System (INIS)

    Gammon, K.M.

    1988-09-01

    A public inquiry has been set up to examine the planning application made by the Central Electricity Generating Board (CEGB) for the construction of a 1200 MW Pressurized Water Reactor power station at Hinkley Point (Hinkley Point ''C'') in the United Kingdom, adjacent to an existing nuclear power station. The CEGB evidence to the Inquiry on local site related issues begins by setting the proposed development within the context of local authority planning policies for the area. The implications of the development in terms of overall land needs, construction, access, buildings and works both temporary and permanent, are described. Environmental impacts, aesthetic and socio-economic factors are considered including possible effects on agriculture, nature conservation, water supply, transport and employment. (UK)

  14. Senior Seminar Focusing on Societal Issues Related to Chemistry and Biochemistry

    Science.gov (United States)

    White, Harold B., III; Johnston, Murray V.; Panar, Manuel

    2000-12-01

    The lack of a clearly defined content or structure provided the opportunity to transform a one-credit, pass-fail senior seminar course into a meaningful capstone experience for chemistry and biochemistry majors. In addition to individual and class exercises associated with employment, graduate school, communication skills, and professional ethics, small groups of students worked together to create informative Web sites that took positions on important societal issues related to chemistry. Each group presented a seminar and responded to questions from their peers and two or more unannounced visitors, "wild cards" who often had expertise in the seminar topic. Throughout the course, the instructors placed particular emphasis on developing students' ability to work cooperatively, locate and evaluate information, make informed judgments based on available information, and logically develop and defend their positions. Input from a retired industrial chemist helped define these skill elements.

  15. Surface Modeling, Grid Generation, and Related Issues in Computational Fluid Dynamic (CFD) Solutions

    Science.gov (United States)

    Choo, Yung K. (Compiler)

    1995-01-01

    The NASA Steering Committee for Surface Modeling and Grid Generation (SMAGG) sponsored a workshop on surface modeling, grid generation, and related issues in Computational Fluid Dynamics (CFD) solutions at Lewis Research Center, Cleveland, Ohio, May 9-11, 1995. The workshop provided a forum to identify industry needs, strengths, and weaknesses of the five grid technologies (patched structured, overset structured, Cartesian, unstructured, and hybrid), and to exchange thoughts about where each technology will be in 2 to 5 years. The workshop also provided opportunities for engineers and scientists to present new methods, approaches, and applications in SMAGG for CFD. This Conference Publication (CP) consists of papers on industry overview, NASA overview, five grid technologies, new methods/ approaches/applications, and software systems.

  16. Ice issues relating to the Kashagan phase II development, North Caspian Sea.

    Energy Technology Data Exchange (ETDEWEB)

    Croasdale, Ken [KRCA, Calgary (Canada); Verlaan, Paul [Shell Development Kashagan, London (United Kingdom)

    2011-07-01

    The ice conditions in the north Caspian Sea are challenging for the Kashagan field development. The climatic conditions of the area are extreme, with cold winters (-30 degrees C) and hot summers (+40 degrees C). The presence and the quantity of ice are also highly variable from year to year. This paper investigated the major ice-related issues affecting the Kashagan structures and pipelines. An extensive description of the ice environment was provided. Ice design criteria for the offshore rock islands, the pipelines and the layout of the ice protection barriers around the islands were presented. It was found that the ice design methods used in Arctic areas have required some adaptations to meet Caspian conditions. All the islands were designed with an ice encroachment zone to reduce the hazardous effect of the ice rubble encroaching. Rock sloped barriers and steel barriers were implanted around the islands to protect the logistical areas.

  17. Quality Control Activities Related to Mechanical Maintenance of Safety Related Components at Krsko NPP

    International Nuclear Information System (INIS)

    Djakovic, D.

    2016-01-01

    For successful, safe and reliable operation of nuclear power plant, maintenance processes have to be systematically controlled and procedures for quality control of maintenance activities shall be established. This is requested by the quality assurance program, which shall provide control over activities affecting the quality of structures, systems, and components, considering their importance to safety. As a part of Quality and Nuclear Oversight Division (QNOD; SKV), the Quality Control Department (QC) provides quality control activities, which are deeply involved in maintenance processes at Krsko NPP, both on safety related and non-safety related (non-nuclear safety) components. QC activities on safety related components have to fulfil all requirements, which will enable the components to perform their intended safety functions. This paper describes quality control activities related to mechanical maintenance of safety related components at Krsko NPP and significant role of the Krsko plant QC Department in three particular maintenance cases connected with safety related components. In these three specific cases, the QC has confirmed its importance in compliance with quality assurance program and presented its significant added value in providing safe and reliable operation of the plant. The first maintenance activity was installation of nozzle check valves in the scope of a modification for improving regulation of spent fuel pit pumps. The QC Department performed receipt inspection of the valves. Using non-destructive examination methods and X-ray spectrometry, it was found out that the valve diffuser was made of improper material, which could cause progressive corrosion of the valve diffuser in borated water and consequently a loss of safety function of the valves followed by long-term consequences. The second one was the receipt inspection of containment ventilation fan coolers. The coolers were claimed and sent back to the supplier because the QC Department

  18. Assessing quality of life in young adult cancer survivors: development of the Survivorship-Related Quality of Life scale.

    Science.gov (United States)

    Park, Crystal L; Wortmann, Jennifer H; Hale, Amy E; Cho, Dalnim; Blank, Thomas O

    2014-10-01

    Scientific advances in treatments and outcomes for those diagnosed with cancer in late adolescence and early adulthood depend, in part, on the availability of adequate assessment tools to measure health-related quality of life (HRQOL) for survivors in this age group. Domains especially relevant to late adolescence and young adulthood (LAYA; e.g., education and career, committed romantic relationships, worldview formation) are typically overlooked in studies assessing the impact of cancer, usually more appropriate for middle-aged or older survivors. Current HRQOL measures also tend to assess issues that are salient during or shortly after treatment rather than reflecting life years after treatment. To develop a new measure to better capture the experience of LAYA cancer survivors in longer-term survivorship (the LAYA Survivorship-Related Quality of Life measure, LAYA-SRQL), we completed an extensive measure development process. After a literature review and focus groups with LAYA cancer survivors, we generated items and ran confirmatory factor and reliability analyses using a sample of 292 LAYA cancer survivors. We then examined validity using existing measures of physical and mental health, quality of life, and impact of cancer. The final model consisted of two domains (satisfaction and impact), each consisting of ten factors: existential/spirituality, coping, relationship, dependence, vitality, health care, education/career, fertility, intimacy/sexuality, and cognition/memory. Confirmatory factor analysis and validity analyses indicated that the LAYA-SRQL is a psychometrically sound instrument with good validity. The LAYA-SRQL fills an important need in survivorship research, providing a way to assess HRQOL in LAYAs in a developmentally informed way.

  19. 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.

  20. Important Issues to Quality of Life Among Norwegian Older Adults: An Exploratory Study

    OpenAIRE

    Kalfoss, Mary; Halvorsrud, Liv

    2009-01-01

    The increasing numbers of older people and higher expectations of a ?good life? within societies, has lead to international interest in the enhancement of quality of life (QoL) among older adults. Understanding whether the same aspects of life are equally important to the life quality of subgroups of older people is important in helping health professionals plan social and health care policy and caring strategies. The purpose of this study was to describe the importance given to 38 areas of Q...

  1. 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......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...

  2. Evaluation of systems interactions in nuclear power plants: Technical findings related to Unresolved Safety Issue A-17

    International Nuclear Information System (INIS)

    Thatcher, D.

    1989-05-01

    This report presents a summary of the activities related to Unresolved Safety Issue (USI)A-17, ''Systems Interactions in Nuclear Power Plants,'' and also includes the NRC staff's conclusions based on those activities. The staff's technical findings provide the framework for the final resolution of this unresolved safety issue. The final resolution will be published later as NUREG-1229. 52 refs., 4 tabs

  3. Addressing Quality of Life Issues in Long Term Survivors of Head & Neck Cancer treated with Radiation Therapy

    Directory of Open Access Journals (Sweden)

    Bishan Basu

    2015-04-01

    Full Text Available The rapid advancement of curative treatment modalities has resulted in improvement of cure rates of head neck cancer leaving us with a larger number of long term survivors from the disease. Unfortunately, long term complications of therapy continue to hurt patients even after cure, compromising their quality of life. This is particularly true for the patients treated with primary radiation/chemo-radiation therapy, where so called organ preservation does not necessarily translate into preservation of organ function. Long term sequelae of treatment, particularly xerostomia and swallowing difficulties compromise the survivors’ quality of life. More studies, particularly suited to our clinical scenario, are warranted to address the quality of life issues in these patients, so that better evidence-based guidelines may be developed for their benefit.

  4. 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.

  5. The relative biological effectiveness of radiations of different quality

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    This paper is a review of the literature relevant to the selection of relative biological effectiveness (RBE) values for use in arriving at values of the quality factor (Q). Emphasis is placed on response to small ( M . In a wide variety of systems, the RBE M for fast (fission) neutrons, with low doses and dose rates, appears to be of the order of 20 or more compared to moderately filtered 250 kVp x rays and 40 or more compared to higher energy gamma rays. These values, which are much larger than those observed with large doses delivered at high dose rates, are due mainly, but not entirely, to a decrease in the slope of the curve for the ow-LET reference radiation at low dose

  6. [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

    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.

  7. Health-related quality of life among online university students.

    Science.gov (United States)

    Maynard, Pamela L; Rohrer, James E; Fulton, Lawrence

    2015-01-01

    Online university students are a growing population whose health has received minimal attention. The purpose of this cross-sectional Internet survey was to identify risk factors for the health status among online university students. This online survey collected data from 301 online university students through a large, US-based participant pool and LinkedIn. Health status was measured using 3 elements of health-related quality of life (HRQOL): self-rated overall health (SRH), unhealthy days, and recent activity limitation days. All 3 measures were dichotomized. The odds of poor SRH were higher for people who reported a body mass index in the overweight and obese categories (odds ratio [OR] = 2.99, P students who are low income, in disadvantaged racial groups, who are overweight, smoke, and who do not exercise. © The Author(s) 2014.

  8. Health-Related Quality of Life in Morphea

    Science.gov (United States)

    Klimas, N.K.; Shedd, A.D.; Bernstein, I.H.; Jacobe, H.

    2014-01-01

    Background Little is known about the health-related quality of life (HRQOL) of patients with morphea, and previous studies have yielded conflicting results. Objectives To determine the impact of morphea on HRQOL and clinical and demographic correlates of HRQOL in adults. Methods Cross sectional survey (n=73) of Morphea in Adults and Children (MAC) cohort. Results Morphea impairs HRQOL in adults. Patients were most impaired by emotional well-being and concerns that the disease will progress to their internal organs. Patients with morphea had worse skin-specific HRQOL than those with non-melanoma skin cancer, vitiligo, and alopecia (lowest P morphea have negative impact on HRQOL particularly if symptoms (pruritus and pain) or concerns regarding internal manifestations are present. Providers should be aware of this when evaluating and treating patients. PMID:25483169

  9. Relation of Biospeckle Activity with Quality Attributes of Apples

    Directory of Open Access Journals (Sweden)

    Artur Zdunek

    2011-06-01

    Full Text Available Biospeckle is nondestructive optical technique based on the analysis of variations of laser light scattered from biological samples. Biospeckle activity reflects the state of the investigated object. In this study the relation of biospeckle activity (BA with firmness, soluble solids content (SSC, titratable acidity (TA and starch content (SC during the shelf life of seven apple cultivars was studied. The results showed that the quality attributes change significantly during storage. Significant and pronounced positive correlation between BA and SC was found. This result shows that degradation of starch granules, which could be stimulated to vibration by intracellular cyclosis, causes a lesser number of laser light scattering centers and results in smaller apparent biospeckle activity.

  10. Relation of biospeckle activity with quality attributes of apples.

    Science.gov (United States)

    Zdunek, Artur; Cybulska, Justyna

    2011-01-01

    Biospeckle is nondestructive optical technique based on the analysis of variations of laser light scattered from biological samples. Biospeckle activity reflects the state of the investigated object. In this study the relation of biospeckle activity (BA) with firmness, soluble solids content (SSC), titratable acidity (TA) and starch content (SC) during the shelf life of seven apple cultivars was studied. The results showed that the quality attributes change significantly during storage. Significant and pronounced positive correlation between BA and SC was found. This result shows that degradation of starch granules, which could be stimulated to vibration by intracellular cyclosis, causes a lesser number of laser light scattering centers and results in smaller apparent biospeckle activity.

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

    Science.gov (United States)

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

    2018-06-01

    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.

  12. Health-related quality of life in patients undergoing hemodialysis

    Directory of Open Access Journals (Sweden)

    Miljanović Gora

    2018-01-01

    Full Text Available Background/Aim. Chronic renal disease is one of the growing problems all over the world. Health-related quality of life (HRQoL is an important indicator for those with a chronic disease, such as chronic renal disease, because it may serve as predictor of mortality and hospitalization. The aim of this study was to assess HRQoL in patients on chronic maintenance hemodialysis (HD, and compare it with patients suffering from hypertension (HTA, and normal controls of the same age and gender (C. Methods. The study enrolled 224 males and females older than 18 years: 67 in the HD group, 78 in the HTA group, and 79 in the C group. HRQoL was assessed in all groups using 15-D questionnaire. Results. Significantly higher level of education was recorded in the HD group compared to other two groups. In the HD group there were significantly less employed persons (9% and significantly more retired (67.2%. All groups were similar regarding an average monthly income and marital status. We found significantly lower total HRQoL score in patients in the HD group, compared to normal controls (0.78 ± 0.16 vs. 0.89 ± 0.10 in the HTA and 0.95 ± 0.06 in the C group as well as specific scores in almost all investigated domains, except in speech, eating and mental functions. Patients in the HD and HTA groups had similar self-reported quality of life in additional 3 domains: hearing, elimination and distress, while the HD group reported significantly lower scores in remaining 9 domains: mobility, vision, breathing, sleeping, usual activities, discomfort and symptoms, depression, vitality and sexual activity. Patients in the HTA group had significantly lower scores than normal controls in 8 domains (hearing, sleeping, elimination, usual activities, discomfort and symptoms, depression, distress and vitality as well as in total quality of life, while in remaining 4 domains there was no significant difference (mobility, vision, breathing, sexual activity. Conclusion. Both

  13. Availability and quality of water related to western energy

    International Nuclear Information System (INIS)

    Hudson, H.H.

    1981-01-01

    Much of the nation's energy resources is contained in seven states of the western United States. Arizona, New Mexico, Colorado, Utah, Wyoming, Montana, and North Dakota contain 40% of the nation's coal and 90% of its uranium and shale oil. Although rich in energy resources, these states are chronically deficient in water. Coal mining and subsequent land reclamation require relatively small amounts of water. Plans that require large quantities of water to transport and convert the coal to energy include the operation of coal-slurry pipelines, thermal-electric power generation, and coal gasification. Production of oil from shale by conventional mining techniques may require about three or four unit volumes of water for each unit volume of shale oil produced. Nearly half of this water would be needed to reestablish vegetation on waste material. In-situ extraction of oil would require substantially less water. Extracting and processing uranium require relatively small amounts of water. There may be problems of the quality of local groundwater where solution mining is practiced and where uranium ore is removed from water-saturated rocks that are then exposed to oxidation. Estimates of amounts of water required to support the development of western energy resources are highly variable and depend on the conversion technology, the level of anticipated development, and the quality of the water required by any given use or process. Conservative estimates exceed 2000 cu hm/year by the year 2000. Although water supplies in the amounts anticipated as being needed for energy development are available within the seven states, their availability locally may depend on satisfying environmental objections, modifying legal and institutional arrangements that presently control water distribution and use, and constructing additional reservoirs and distribution systems

  14. 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.

  15. Intensity assignments from historical earthquake data: issues of certainty and quality

    Directory of Open Access Journals (Sweden)

    R. M. W. Musson

    1998-06-01

    Full Text Available The use of macroseismic data in assessing parameters for historical earthquakes for use in seismic hazard assessment has thrown more attention on the way in which these data are treated. The processes involved in selecting which macroseismic data from a historical earthquake survive to the present day can be modelled as a series of filters, most of which are outside the control of the seismologist/historian, and which cause distortion in the resulting picture of the earthquake. The ways in which the data become distorted should be taken into account when interpreting the data as intensity values. One can usefully discriminate between the certainty of an intensity assignment (how well the data fits the scale and the quality of an intensity assignment (how well one can trust that the value is a true reflection of what really happened. The expression of uncertainty is usually in the form of ranged intensity values; the expression of quality requires an extra symbol or rating of some sort. A system is presented for three types of quality problems: reliability of intensity assessment, locational certainty or uncertainty, and veracity of the original data. Each of these is treated as a binary variable, giving a final quality code ranging from 0 (best to 7 (worst. This single integer quality code preserves three types of information which can then be expanded as required by computer programs designed to handle macroseismic data.

  16. QUALITY AND ETHICS IN THE ROMANIAN JUDICIAL SYSTEM. REGARDS ON THE CORRUPTION ISSUE

    Directory of Open Access Journals (Sweden)

    HULPUŞ IOANA ALEXANDRA

    2015-12-01

    Full Text Available The current demands require an increased responsibility of the judicial institutions that must meet quality requirements in accordance with European standards, legislative progress and not least the expectations and needs of the customer of justice. In this context, the quality of courts should include the guiding principles of justice among which ethical behavior is paramount. The research aims to demonstrate the role of ethics in the current context, to highlight the link between quality and ethics, and formulate proposals on corruption regarded as unethical behavior. Besides analyzing the definitions and legislation on corruption, the article emphasizes the role of managers in the fight against this scourge. Stressing that coercive measures are not enough to eradicate corruption, we try to highlight the important role of the leadership of courts in quality planning by promoting ethical values, in creating and maintaining an organizational culture based on quality and ethics, in identifying preventive measures in the fight against corruption. Without the involvement of management and adopting a proactive behavior without constant communication with staff on ethical and unethical, legal regulations in the field will have a limited effect.

  17. Resolution of issues related to alternative RCS injection in the absence of containment sump recirculation

    International Nuclear Information System (INIS)

    Charles L Kling; Stephen S Barshay; Mathew C Jacob; Michael J Friedman

    2005-01-01

    Full text of publication follows: On June 9, 2003 the US NRC issued Bulletin No. 2003-01 that deals with the potential impact of debris blockage on containment sump recirculation at PWRs during a Loss-of-Coolant Accident (LOCA). In response to the bulletin, the Omaha Public Power District (OPPD) is in the process of developing procedural and operational strategies for their Fort Calhoun Station (FCS) to address the issues raised. Westinghouse provided engineering support to OPPD in identifying and resolving issues related to alternative means of supplying safety injection water to the reactor coolant system (RCS) in the absence of containment sump recirculation. Nuclear power plants are designed to protect the core following a LOCA by providing a continuous supply of cooling water to the core. In the long term, the Refueling Water Storage Tank (RWST) inventory will be depleted and core heat removal accomplished via recirculation of water previously injected into the Reactor Coolant System (RCS) and collected in the containment sump. Debris generated within the containment as a result of the impingement of fluid jets in the Zone of Influence (ZOI) of the RCS break and containment wash down may find its way into the containment sump. As the safety injection pumps take suction from the sump, in the recirculation mode of operation, the debris suspended in the sump water could begin to accumulate in the sump screen that is located in the recirculation path. Should sufficient debris accumulate on the sump screen, a flow blockage could potentially develop. This would result in insufficient safety injection pump NPSH, thereby impairing the recirculation mode of injection into RCS. Potential debris blockage and prevention of sump recirculation may be addressed by refilling the RWST with water and injecting this water directly into the core. This paper identifies and attempts to resolve several issues related to this alternative mode of RCS injection. In particular, the

  18. Regulatory compliance issues related to the White Oak Creek Embayment time-critical removal action

    International Nuclear Information System (INIS)

    Leslie, M.; Kimmel, B.L.

    1992-01-01

    In September 1990, Martin Marietta Energy Systems (Energy Systems) discovered high levels of Cesium-137 present in surface sediments at the mouth of White Oak Creek (WOC) Embayment. WOC receives the majority of surface water drainage from Oak Ridge National Laboratory. Following this discovery, the Department of Energy (DOE) and Energy Systems pursued stabilizing sediment migration under provisions of the National Contingency Plan (NCP) Section 300.400 et. seq. as a time-critical removal action. However, significant uncertainty exists concerning the applicability of NCP procedural requirements designed for conducting US EPA-led, Superfund-financed response actions, because NCP Subpart K dealing with response actions at federal facilities has not been promulgated. In addition, relatively new guidance exists from DOE concerning National Environmental Policy Act documentation requirements for categorical exclusions associated with conducting removal actions at DOE facilities. A proactive approach was taken to identify issues and involve appropriate state and federal regulatory agencies. This approach required achieving consensus among all involved parties and identification of all applicable or relevant and appropriate regulatory requirements related to the removal action. As a result, this project forms a framework for conducting future time-critical removal actions at federal facilities

  19. Bisphosphonate-related osteonecrosis of the jaw: historical, ethical, and legal issues associated with prescribing.

    Science.gov (United States)

    Faiman, Beth; Pillai, Aiswarya Lekshmi Pillai Chandran; Benghiac, Ana Gabriela

    2013-01-01

    The long-term effects of many drugs are unknown. Established risks are communicated to patients who participate in clinical trials during the informed consent process. However, unknown and unanticipated side effects of medications may occur years after treatment. Patients with metastatic bone cancer experience an imbalance between tumor cells and the bone marrow microenvironment. Increased cytokine release, osteoclastic activity, and uncoupled osteoblastic activity lead to weakened bone structure and osteolytic lesions. The bisphosphonates are a class of drugs available in IV and oral formulations to treat and prevent bone loss and decrease the risk of skeletal-related events. Intravenous bisphosphonates such as zoledronic acid and pamidronate disodium are approved by the US Food and Drug Administration for the treatment of bone pain and hypercalcemia of malignancy and the prevention of painful bone fractures in patients with metastatic bone cancer. Oral bisphosphonates such as alendronate, risedronate, and etidronate are used to reduce the risk of skeletal fractures in patients with osteoporosis and in breast cancer. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare but painful complication of treatment characterized by infection, exposed bone, and poor wound healing. In this article, we discuss BRONJ and identify past, present, and future ethical and legal issues surrounding bisphosphonate administration.

  20. 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.

  1. Economy, Geopolitics, environment: the triple gas issue in the relations between the Eu and Russia

    International Nuclear Information System (INIS)

    Bourguignon, D.

    2008-01-01

    With the political tinge it has recently acquired, natural gas has taken a central position in the relations between the EU and Russia Besides energy security, the issue has three levels: the first is the opening of markets or the maintaining of monopolies, as much in Russia as in the European Union. The line of fracture is complex, and at present, in spite of rhetoric support on the opening of markets, it is rather their protection which is on the agenda. The second level is that of energy diplomacy Brussels and Moscow come face to face primarily in Central Asia, on the basis of interests and using diametrically opposite instrument. However, their policies are characterised by weighty constraints. The third level is that of the fight against climatic change. Soaring in this field, there are several convergencies between the policies of Brussels and Moscow, particularly in terms of energy efficiency. With this new order, gas could watch itself grow in significance, or otherwise drop, in which case the relation between the EU and Russian would not go uninfluenced. (author)

  2. Summary of tank information relating salt well pumping to flammable gas safety issues

    International Nuclear Information System (INIS)

    Caley, S.M.; Mahoney, L.A.; Gauglitz, P.A.

    1996-09-01

    The Hanford Site has 149 single-shell tanks (SSTs) containing radioactive wastes that are complex mixes of radioactive and chemical products. Active use of these SSTs was phased out completely by November 1980, and the first step toward final disposal of the waste in the SSTs is interim stabilization, which involves removing essentially all of the drainable liquid from the tank. Stabilization can be achieved administratively, by jet pumping to remove drainable interstitial liquid, or by supernatant pumping. To date, 116 tanks have been declared interim stabilized; 44 SSTs have had drainable liquid removed by salt well jet pumping. Of the 149 SSTs, 19 are on the Flammable Gas Watch List (FGWL) because the waste in these tanks is known or suspected, in all but one case, to generate and retain mixtures of flammable gases, including; hydrogen, nitrous oxide, and ammonia. Salt well pumping to remove the drainable interstitial liquid from these SSTs is expected to cause the release of much of the retained gas, posing a number of safety concerns. The scope of this work is to collect and summarize information, primarily tank data and observations, that relate salt well pumping to flammable gas safety issues. While the waste within FGWL SSTs is suspected offering flammable gases, the effect of salt well pumping on the waste behavior is not well understood. This study is being conducted for the Westinghouse Hanford Company as part of the Flammable Gas Project at the Pacific Northwest National Laboratory (PNNL). Understanding the historical tank behavior during and following salt well pumping will help to resolve the associated safety issues

  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. Modelling voltage sag mitigation using dynamic voltage restorer and analyzing power quality issue

    Science.gov (United States)

    Ismail, Nor Laili; Hidzir, Hizrin Dayana Mohd; Thanakodi, Suresh; Nazar, Nazatul Shiema Moh; Ibrahim, Pungut; Ali, Che Ku Muhammad Sabri Che Ku

    2018-02-01

    Power quality problem which are arise due to a fault or a pulsed load can have caused an interruption of critical load. The modern power systems are becoming more sensitive to the quality of the power supplied by the utility company. Voltage sags and swells, flicker, interruptions, harmonic distortion and other distortion to the sinusoidal waveform are the examples of the power quality problems. The most affected due to these problems is industrial customers who use a lot of sensitive equipment. There has suffered a huge loss to these problems. Resulting of broken or damage equipment if voltage sag exceeds the sensitive threshold of the equipment. Thus, device such as Static Synchronous Compensator (STATCOM) and Dynamic Voltage Restorer (DVR) has been created to solve this problem among users. DVR is a custom power device that most effective and efficient. This paper intended to report the DVR operations during voltage sag compensation.

  5. 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.)

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

    DEFF Research Database (Denmark)

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

    , or vice versa. 7. Since consumers obviously lack competence in judging the quality of meat when choosing among different kinds of meat in a purchase situation, marketers of pork are faced with a serious problem. One way of dealing with this problem, in cases where quality experience exceeds expectations......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...

  7. 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.

  8. An overview of economic and technical issues related to LWR MOX fuel usage

    International Nuclear Information System (INIS)

    Malone, J.P.; Varley, G.; Goldstein, L.

    1999-01-01

    This paper will present comparisons of the economics of MOX versus UO 2 fuels. In addition to the economics of the front end, the scope of the comparison will include the back end of the fuel cycle. Management of spent MOX fuel assemblies presents utilities with some technical issues that can complicate spent fuel pool operation. Alternative spent fuel management methods, such as dry storage of spent MOX fuel assemblies, will also be discussed. Differences in decay heat loads versus time for spent MOX and UO 2 fuel assemblies will be presented. This difference is one of the main problems confronting spent fuel managers relative to MOX. The difference in decay heat loads will serve as the basis for a performance overview of the various spent fuel technologies available today. The economics of the front end of MOX will be presented relative to UO 2 fuel. Availability of MOX manufacturing capability will also be discussed, along with a discussion of its impact on future MOX fabrication prices. The in-core performance of MOX will be compared to that of UO 2 fuel with similar performance characteristics. The information will include highlights of nuclear design and related operational considerations such as: Reactivity reduction with burnup is slower for MOX fuel than for UO 2 fuel; Spectral hardening resulting in lower control rod worths and a lower soluble boron worth; and more negative moderator, void and fuel temperature coefficients. A comparison of Westinghouse and ABB-CE core designs for use on disposition of weapons MOX in 12- and 18-month cycles will be presented. (author)

  9. Issues of work intensity, pace, and sustainability in relation to work context and nutritional status.

    Science.gov (United States)

    Panter-Brick, Catherine

    2003-01-01

    This article raises issues about work intensity, pace, and sustainability during physical activity, focusing attention on the nature of work in labor-intensive societies, the management of exertion in habitual tasks, and the health and broad socioeconomic correlates of alternative ways to regulate work patterns. At the heart of this review are concerns to document human adaptability (in terms of the physical and behavioral management of heavy work) and to renew debate regarding the conceptualization and measurement of work intensity (variously evaluated in absolute or relative terms, as indexed by oxygen consumption, energy expenditure, percentage maximal work capacity, heart rate elevation, time and motion indicators, or physiological cost). Three questions are examined: Is heavy work primarily a matter of time or energy intensity? How is heavy work habitually sustained? What is the bigger picture relating work performance to work context and to nutritional or health status? It is argued that many arduous activities, such as carrying loads, demand endurance over time rather than intensive effort per unit time, and that work pace management lies in regulating both the rate of work and the time in rest during physical activity. Furthermore, strategies that maximize long-term endurance (adopted by "tortoises") and those that maximize short-term productivity (adopted by "hares") are appropriate to different work contexts (e.g., a subsistence or wage-labor economy) and suit individuals with different health status and ability. Thus, work intensity is an important aspect of the links between physical activity, health, productivity, and society, as noted in literature reviewing objectives for sustainable development and public health messages for disease risk management. These areas of scholarship are underresearched, partly because consensus has been slow in agreeing on which are the best measures of work pace and work intensity for use in field situations, and which

  10. Quality of working life of nurses and its related factors.

    Science.gov (United States)

    Moradi, Tayebeh; Maghaminejad, Farzaneh; Azizi-Fini, Ismail

    2014-06-01

    Nurses as the largest group of health care providers should enjoy a satisfactory quality of working life to be able to provide quality care to their patients. Therefore, attention should be paid to the nurses' working life. This study aimed to investigate the quality of nurses' working life in Kashans' hospitals during 2012. This cross-sectional study was conducted on 200 nurses during 2012. The data-gathering instrument consisted of two parts. The first part consisted of questions on demographic information and the second part was the Walton's quality of work life questionnaire. Data were analyzed using the SPSS software. For statistical analysis T test and one way ANOVA were used. The results of the study showed that 60% of nurses reported that they had moderate level of quality of working life while 37.1% and 2% had undesirable and good quality of working life, respectively. Nurses with associate degrees reported a better quality of working life than others. A significant relationship was found between variables such as education level, work experience, and type of hospital with quality of working life score (P quality of working life score of nurses with employment status (P = 0.061), salary (P = 0.052), age, gender and marital status (P > 0.05). Nurses' quality of work life was at the moderate level. As quality of work life has an important impact on attracting and retaining employees, it is necessary to pay more attention to the nurses' quality of work life and its affecting factors.

  11. Is quality assurance in higher education contextually relative ...

    African Journals Online (AJOL)

    It does this by raising questions such as whether quality in higher education is the same as, for example, quality of clothing or the quality of meat in local butcheries. The article questions ... AJOL African Journals Online. HOW TO USE AJOL.

  12. Quality is the key for emerging issues of population-based colonoscopy screening

    Directory of Open Access Journals (Sweden)

    Jin Young Yoon

    2018-01-01

    Full Text Available Colonoscopy is currently regarded as the gold standard and preferred method of screening for colorectal cancer (CRC. However, the benefit of colonoscopy screening may be blunted by low participation rates in population-based screening programs. Harmful effects of population-based colonoscopy screening may include complications induced by colonoscopy itself and by sedation, psychosocial distress, potential over-diagnosis, and socioeconomic burden. In addition, harmful effects of colonoscopy may increase with age and comorbidities. As the risk of adverse events in population-based colonoscopy screening may offset the benefit, the adverse events should be managed and monitored. To adopt population-based colonoscopy screening, consensus on the risks and benefits should be developed, focusing on potential harm, patient preference, socioeconomic considerations, and quality improvement of colonoscopy, as well as efficacy for CRC prevention. As suboptimal colonoscopy quality is a major pitfall of population-based screening, adequate training and regulation of screening colonoscopists should be the first step in minimizing variations in quality. Gastroenterologists should promote quality improvement, auditing, and training for colonoscopy in a population-based screening program.

  13. Institutional Responses to the Quality/Quantity Issue in Teacher Training.

    Science.gov (United States)

    Schlechty, Phillip C.; Vance, Victor S.

    1983-01-01

    This North Carolina-based study argues that a reexamination is needed of the competitive position of teaching in the larger occupational structure of society and that the quality of the teaching force will not be raised merely by raising entrance or exit standards in teacher education. (JBM)

  14. Qualitative study into quality of life issues surrounding insulin pump use in type 1 diabetes

    DEFF Research Database (Denmark)

    Barnard, Katharine D.; Skinner, T. Chas

    2007-01-01

    Currently, there is a need for qualitative research about how insulin pump therapy changes quality of life, which is significant to people with type 1 diabetes. This study aimed to elicit thd experiences of current insulin pump users in order to discover the therapy's benefits, downsides and effe...

  15. Long-Term Care Workforce Issues: Practice Principles for Quality Dementia Care.

    Science.gov (United States)

    Gilster, Susan D; Boltz, Marie; Dalessandro, Jennifer L

    2018-01-18

    This article is one in a series of articles in this supplement addressing best practice for quality dementia care. The Alzheimer's Association, in revising their Dementia Care Practice Recommendations for 2017 has identified staff across the long-term care spectrum as a distinct and important determinant of quality dementia care. The purpose of this article is to highlight areas for developing and supporting a dementia-capable workforce. The Alzheimer's Association Principles For Advocacy To Assure Quality Dementia Care Across Settings provide a framework to examine interventions to support the dementia care workforce in long-term care settings. Evidence-based approaches that represent these principles are discussed: (a) staffing, (b) staff training, (c) compensation, (d) supportive work environments, (e) career growth and retention, and (f) engagement with family. Although not all settings currently require attention to the principles described, this article proposes these principles as best practice recommendations. Recommendations and future research considerations to further improve the lives of those who live and work in nursing homes, assisted living, hospice, and home care, are proposed. Additional areas to improve the quality of a dementia care workforce person-centered care information, communication and interdepartmental teamwork, and ongoing evaluation are discussed. © The Author(s) 2018. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Psychosocial and Quality of Life Issues in Prostate and Ovarian Cancer

    NARCIS (Netherlands)

    J.B. Madalinska

    2007-01-01

    textabstractProstate and ovarian cancers are among the leading causes of death in Western countries. Applied preventive health strategies, including screening and early medical treatments either with prophylactic or curative intention, may substantially affect patients’ quality of life (QOL). This

  17. Issues of improving quality of training personnel for nuclear power facilities

    International Nuclear Information System (INIS)

    Jacko, J.

    1987-01-01

    The basic stages are characterized of the development of a standard system of personnel training for the start-up, operation and maintenance of nuclear power facilities. The experience is analyzed gained by the Branch Training Centre of the Nuclear Power Plant Research Institute. Suggestions are submitted for improving the quality of personnel training based on Czechoslovak and foreign experiences. (author). 3 refs

  18. Exploring Issues of Relevance and Quality in the Context of a ...

    African Journals Online (AJOL)

    This paper draws insights from a mini research project that was conducted at the University of Botswana in Botswana, within a wider, collaborative research effort established amongst five universities in the Southern African Development Community which focused on the links between educational quality and relevance and ...

  19. Agriculture and Water Quality. Issues in Agricultural Policy. Agriculture Information Bulletin Number 548.

    Science.gov (United States)

    Crowder, Bradley M.; And Others

    Agriculture generates byproducts that may contribute to the contamination of the United States' water supply. Any effective regulations to ban or restrict agricultural chemical or land use practices in order to improve water quality will affect the farm economy. Some farmers will benefit; some will not. Most agricultural pollutants reach surface…

  20. 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...

  1. 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.

  2. Quality control scheme for thyroid related hormones measured by radioimmunoassay

    International Nuclear Information System (INIS)

    Kamel, R.S.

    1989-09-01

    A regional quality control scheme for thyroid related hormones measured by radioimmunoassay is being established in the Middle East. The scheme started in January 1985, with eight laboratories which were all from Iraq. At the present nineteen laboratories from Iraq, Jordan, Kuwait, Saudi Arabia and United Arab Emirates (Dubai) are now participating in the scheme. The scheme was supported by the International Atomic Energy Agency. All participants received monthly three freeze dried quality control samples for assay. Results for T3, T4 and TSH received from participants are analysed statistically batch by batch and returned to the participants. Laboratories reporting quite marked bias results were contacted to check the assay performance for that particular batch and to define the weak points. Clinical interpretation for certain well defined samples were reported. A regular case study report is recently introduced to the scheme and will be distributed regularly as one of the guidelines in establishing a trouble shooting programme throughout the scheme. The overall mean between the laboratory performance showed a good result for the T4, moderate but acceptable for T3 and poor for TSH. The statistical analysis of the results based on the concept of a ''target'' value is derived from the believed correct value the ''Median''. The overall mean bias values (ignoring signs) for respectively low, normal and high concentration samples were for T4 18.0 ± 12.5, 11.2 ± 6.4 and 11.2 ± 6.4, for T3 28.8 ± 23.5, 11.2 ± 8.4 and 13.4 ± 9.0 and for TSH 46.3 ± 50.1, 37.2 ± 28.5 and 19.1 ± 12.1. The scheme proved to be effective not only in improving the overall performance but also it helped to develop awareness of the need for internal quality control programmes and gave confidence in the results of the participants. The scheme will continue and will be expanded to involve more laboratories in the region. Refs, fig and tabs

  3. GMP production of [18F]FDOPA and issues concerning its quality analyses as in USP 'Fluorodopa F 18 Injection'

    International Nuclear Information System (INIS)

    Kao, C.K.; Hsu Wenlin; Xie Hengli; Lin Mingchi; Lan Wenchun; Chao Haoyu

    2011-01-01

    Lately, 6-[ 18 F]fluoro-L-DOPA (FDOPA) has found increase in its clinical demand for whole-body positron emission tomography (PET) scans, and two key issues in fulfilling this demand are the difficulties in producing FDOPA under the recently imposed PET drug good manufacturing practice (GMP) regulations and in providing it in the quality meeting the terms of major compendia. This paper describes the approaches for the GMP production of FDOPA and for the product testing to meet the standard of United States Pharmacopeia (USP) 'Fluorodopa F 18 Injection.' FDOPA was produced by the carrier-added electrophilic aromatic substitution reaction in the facility complying Pharmaceutical Inspection Cooperation Scheme clean room standard. The special aseptic handling technique was applied to minimize the bioburden. The product quality control followed all testing items and procedures, including three different settings of high performance liquid chromatography (HPLC). The process yielded FDOPA average 2.60±0.26 GBq (N=22) in every batch. All qualities of the product were within the specifications described in the USP 'Fluorodopa F 18 Injection.' The entire production was audited by the government authority and certified to comply with the latest PET drug GMP regulation. Our efforts in producing FDOPA following all aspects of GMP requirements have resulted in a product with the USP quality and certified as GMP complied. The routine production yields enough doses for three to four whole-body scans in each batch. The issues discussed in the report provide good reference for producers planning in routine production for PET drugs that are not commonly produced or with complicated compendial quality control tests. (author)

  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. 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.

  6. Health-related quality of life and related factors of military police officers.

    Science.gov (United States)

    da Silva, Franciele Cascaes; Hernandez, Salma Stéphany Soleman; Arancibia, Beatriz Angélica Valdivia; Castro, Thiago Luis da Silva; Filho, Paulo José Barbosa Gutierres; da Silva, Rudney

    2014-04-27

    The present study aimed to determine the effect of demographic characteristics, occupation, anthropometric indices, and leisure-time physical activity levels on coronary risk and health-related quality of life among military police officers from the State of Santa Catarina, Brazil. The sample included 165 military police officers who fulfilled the study’s inclusion criteria. The International Physical Activity Questionnaire and the Short Form Health Survey were used, in addition to a spreadsheet of socio-demographic, occupational and anthropometric data. Statistical analyses were performed using descriptive analysis followed by Spearman Correlation and multiple linear regression analysis using the backward method. The waist-to-height ratio was identified as a risk factor low health-related quality of life. In addition, the conicity index, fat percentage, years of service in the military police, minutes of work per day and leisure-time physical activity levels were identified as risk factors for coronary disease among police officers. These findings suggest that the Military Police Department should adopt an institutional policy that allows police officers to practice regular physical activity in order to maintain and improve their physical fitness, health, job performance, and quality of life.

  7. Organizational influences and quality-of-life issues during the professional socialization of certified athletic trainers working in the National Collegiate Athletic Association Division I setting.

    Science.gov (United States)

    Pitney, William A

    2006-01-01

    Health professionals are exposed to critical influences and pressures when socialized into their work environments. Little is known about the organizational socialization of certified athletic trainers (ATs) in the collegiate context. To discuss the organizational influences and quality-of-life issues as each relates to the professional socialization of ATs working in the National Collegiate Athletic Association Division I setting. A qualitative design of in-depth interviews and follow-up electronic interviews was used to examine the organizational socialization of ATs. Participants associated with Division I athletic programs from 4 National Athletic Trainers' Association districts volunteered for the study. A total of 11 men and 5 women participated in the study, consisting of 14 ATs and 2 athletic directors. Interviews were transcribed verbatim and analyzed inductively. A peer review, member checks, and data source triangulation were performed to establish trustworthiness. Two categories emerged that provide insight into the experiences that affected the professional socialization of the ATs: organizational influences and quality-of-life issues. The data indicate that the participants in this study were heavily influenced by the bureaucratic tendencies of the Division I athletic organizations in which they worked. The participants were extremely concerned about the diminished quality of life that may result from being an AT in this context. They were, however, able to maintain a commitment to delivering quality care to the student-athletes despite these influences. High work volume and low administrative support were commonly cited as problems, thus creating concern about diminished quality of life and the fear of burnout. The AT's role appears not only rewarding but also challenging. The reward is working closely with patients and developing an interpersonal bond; the challenge is dealing with a bureaucratic structure and balancing one's professional and

  8. Health-related quality of life in melanoma patients: Impact of melanoma-related limb lymphoedema.

    Science.gov (United States)

    Gjorup, Caroline A; Groenvold, Mogens; Hendel, Helle W; Dahlstroem, Karin; Drzewiecki, Krzysztof T; Klausen, Tobias W; Hölmich, Lisbet R

    2017-11-01

    To explore health-related quality of life (HRQoL) in recurrence-free melanoma patients, with a focus on the association between melanoma-related limb lymphoedema and HRQoL. HRQoL was evaluated using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the breast cancer module (EORTC QLQ-BR23) subscales body image and future perspective, the Functional Assessment for Cancer Therapy-General subscale social/family well-being and the Hospital Anxiety and Depression Scale. Data were analysed using linear and ordinal logistic regression adjusting for age and gender. A total of 431 melanoma patients who had undergone wide local excision and axillary or inguinal sentinel lymph node biopsy (SLNB) and/or complete lymph node dissection (CLND) participated. No patients had had recurrence of the disease or had received adjuvant radiotherapy. The HRQoL scores improved with time after surgery. Melanoma-related limb lymphoedema was present in 109 patients (25%). Patients with lymphoedema had significantly worse HRQoL scores in the EORTC QLQ-C30 subscales global health status/quality of life, role and social functioning, fatigue, pain and financial difficulties, as well as in the QLQ-BR23 body image subscale. No associations were found between the limb affected (upper or lower limb), clinical stage of lymphoedema, duration of lymphoedema or type of surgery (SLNB or CLND) and HRQoL. We found an interaction with age and gender in the associations between lymphoedema and HRQoL: younger patients and women with lymphoedema had worse social functioning and women had significantly more impaired body image. The negative impact of melanoma-related limb lymphoedema on HRQoL emphasises the importance of developing strategies for increasing awareness and improving prevention and treatment of lymphoedema. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. 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.

  10. Issues and recommendations related to replacement of CFC-114 at the uranium enrichment gaseous diffusion plant

    International Nuclear Information System (INIS)

    Anderson, B.L.; Banaghan, E.

    1993-01-01

    The operating uranium enrichment gaseous diffusion plants (GDPs) in Portsmouth, Ohio and Paducah, Kentucky, which are operated for the United States Department for Energy by Martin Marietta Energy Systems (MMES), currently use a chlorofluorocarbon (CFC-114) as the primary process stream coolant. Due to recent legislation embodied in the Clean Air Act, the production of this and other related chlorofluorocarbons (CFCS) are to be phased out with no production occurring after 1995. Since the plants lose approximately 500,000 pounds per year of this process stream coolant through various leaks, the GDPs are faced with the challenge of identifying a replacement coolant that will allow continued operation of the plants. MMES formed the CFC Task Team to identify and solve the various problems associated with identifying and implementing a replacement coolant. This report includes a review of the work performed by the CFC Task Team, and recommendations that were formulated based on this review and upon original work. The topics covered include; identifying a replacement coolant, coolant leak detection and repair efforts, coolant safety concerns, coolant level sensors, regulatory issues, and an analytical decision analysis

  11. Xylitol: a review on bioproduction, application, health benefits, and related safety issues.

    Science.gov (United States)

    Ur-Rehman, Salim; Mushtaq, Zarina; Zahoor, Tahir; Jamil, Amir; Murtaza, Mian Anjum

    2015-01-01

    Xylitol is a pentahydroxy sugar-alcohol which exists in a very low quantity in fruits and vegetables (plums, strawberries, cauliflower, and pumpkin). On commercial scale, xylitol can be produced by chemical and biotechnological processes. Chemical production is costly and extensive in purification steps. However, biotechnological method utilizes agricultural and forestry wastes which offer the possibilities of economic production of xylitol by reducing required energy. The precursor xylose is produced from agricultural biomass by chemical and enzymatic hydrolysis and can be converted to xylitol primarily by yeast strain. Hydrolysis under acidic condition is the more commonly used practice influenced by various process parameters. Various fermentation process inhibitors are produced during chemical hydrolysis that reduce xylitol production, a detoxification step is, therefore, necessary. Biotechnological xylitol production is an integral process of microbial species belonging to Candida genus which is influenced by various process parameters such as pH, temperature, time, nitrogen source, and yeast extract level. Xylitol has application and potential for food and pharmaceutical industries. It is a functional sweetener as it has prebiotic effects which can reduce blood glucose, triglyceride, and cholesterol level. This review describes recent research developments related to bioproduction of xylitol from agricultural wastes, application, health, and safety issues.

  12. Modelling approaches to thermal pollution in inland aquatic systems and issues related to its environmental impacts

    International Nuclear Information System (INIS)

    Mahadevan, T.N.; Nair, R.N.; Sadasivan, S.

    2002-01-01

    Guidelines for the safe discharge of thermal effluents in aquatic environmental systems both surface water and marine coastal out falls has become very relevant to Indian environmental conditions with its rich biodiversity. While aquatic ecology may form the basis for such guidelines, the need for regulatory approach to the related issues has become the prime mover in thermal discharge problems. This is more so since the impacts considered are under short term and long term exposure conditions where the bio acclimatization and thermal stress factors may come to cross roads. Constant temperatures and cyclic temperature elevations also causes differential thermal stress which could be site specific. The recent notification by the Ministry of Environment and Forest (MoEF) revising the temperature limit for discharge of condenser cooling water from thermal power plants into coastal areas using sea water from 5 deg to 7 degC over and above the ambient temperature of the receiving water bodies. Discussions on whether the limiting temperature is to be achieved at the point of discharge or within a specified zone of the thermal plume is currently being debated. The act also stipulates installation of cooling towers using water from rivers, lakes and reservoirs irrespective of the plant location and capacity. For existing thermal plants the rise in temperature of the condenser cooling water from inlet to the let of the condenser shall not be more than 10 degC. (author)

  13. Containment Emergency Sump Performance. Technical findings related to Unresolved Safety Issue A-43. Revision 1

    International Nuclear Information System (INIS)

    1985-10-01

    This report summarizes key technical findings related to Unresolved Safety Issue (USI) A-43, Containment Emergency Sump Performance. Both BWRs and PWRs are considered in this report. Emergency core cooling systems require a clean, reliable water source to maintain long-term recirculation following a loss-of-coolant accident (LOCA). PWRs rely on the containment emergency sump to provide such a water supply to residual heat removal pumps and containment spray pumps. BWRs rely on pump suction intakes in the suppression pool or wet well to provide water to residual heat removal and core spray systems. Thus, the technical findings in this report provide information on post-LOCA recirculation. These findings have been derived from extensive experimental studies, generic plant studies, and assessments of sumps used for long-term cooling. Results of hydraulic tests have shown that the potential for air ingestion is less severe than previously hypothesized. The effects of debris blockage on NPSH margin must be dealt with on a plant-specific basis. These findings have been used to develop revisions to Regulatory Guide 1.82 and Standard Review Plan Section 6.2.2 (NUREG-0800)

  14. Something fishy? News media presentation of complex health issues related to fish consumption guidelines.

    Science.gov (United States)

    Greiner, Amelia; Clegg Smith, Katherine; Guallar, Eliseo

    2010-11-01

    The news media are an important source of dietary information. Understanding news content, particularly the portrayal of risks and benefits of certain foods, is relevant for effective public health communication. Fish consumption may reduce risk for CVD and aid neonatal development, but recent work shows public confusion about the benefits of fish, challenged by the evidence of mercury and other contaminants in fish. We present an analysis of the messages about fish in US news media over 15 years, identifying trends in coverage and highlighting implications of current messaging. We conducted a descriptive text analysis and coded for manifest content: locality of focus, story frame, reference to studies, inclusion of government guidelines and portrayal of uncertainty. We identified chronological patterns and analysed the data for statistically significant relationships between media source and content. News stories were selected from five daily newspapers and five television networks (1993-2007). We analysed 310 health-related news stories on fish. Risk messages outweighed benefit messages four to one, and health benefits only became prominent after 2002. No difference existed in coverage topic by news source. Fish consumption has increasingly become a national issue. With the bulk of messages about fish consumption focused on risk, the benefits may be lost to consumers. This gap creates a need for public health to work with news media to more effectively communicate benefits and risks around fish consumption and health and to consider options for communicating tailored information where it can be more readily utilised.

  15. Evaluation of the performance of diagnosis-related groups and similar casemix systems: methodological issues.

    Science.gov (United States)

    Palmer, G; Reid, B

    2001-05-01

    With the increasing recognition and application of casemix for managing and financing healthcare resources, the evaluation of alternative versions of systems such as diagnosis-related groups (DRGs) has been afforded high priority by governments and researchers in many countries. Outside the United States, an important issue has been the perceived need to produce local versions, and to establish whether or not these perform more effectively than the US-based classifications. A discussion of casemix evaluation criteria highlights the large number of measures that may be used, the rationale and assumptions underlying each measure, and the problems in interpreting the results. A review of recent evaluation studies from a number of countries indicates that considerable emphasis has been placed on the predictive validity criterion, as measured by the R2 statistic. However, the interpretation of the findings has been affected greatly by the methods used, especially the treatment and definition of outlier cases. Furthermore, the extent to which other evaluation criteria have been addressed has varied widely. In the absence of minimum evaluation standards, it is not possible to draw clear-cut conclusions about the superiority of one version of a casemix system over another, the need for a local adaptation, or the further development of an existing version. Without the evidence provided by properly designed studies, policy-makers and managers may place undue reliance on subjective judgments and the views of the most influential, but not necessarily best informed, healthcare interest groups.

  16. 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.

  17. Monitoring, Tracking, and Recording Pancreas-Related Health Issues in Real Time

    Science.gov (United States)

    Chrysikos, Theofilos; Zisi, Iliana; Katsini, Christina; Raptis, George E.; Kotsopoulos, Stavros

    2017-11-01

    The monitoring of pancreas-related health issues in real-time and outside the medical room is a challenge in the wide e-health domain. This paper introduces WHEAMO, a novel e-health platform which employs medical implants (biosensors), which function as antennas, planted in the pancreas. WHEAMO uses wireless in-body propagation to track, monitor, and record critical parameters, such as glucose. The signal reaches the skin and then it is propagated in an indoor environment (e.g., medical room) over to a terminal equipped with adaptive, user-configurable, and intelligent mechanisms which provide personalized recommendations to varying WHEAMO users (e.g., medical personnel, health care workers, patients). The personalized nature of the provided recommendations is based on patients unique characteristics via a sophisticated knowledge-base. The fundamentals of in-body and on-body wireless propagation and channel characterization have been studied in a series of published works. Researchers have tested both electric-field (dipole) and magnetic-field (patch, loop) antennas. Another important aspect concerns the frequency band in which the signal propagation will occur. Among the frequencies that have gathered scientific and academic interest are the Medical Implant Communication Service (MICS) band at 402-405 MHz, the 900 MHz channel and the industrial, scientific and medical (ISM) radio band at 2.45 GHz.

  18. 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.

  19. How to Address the Data Quality Issues in Regression Models: A Guided Process for Data Cleaning

    Directory of Open Access Journals (Sweden)

    David Camilo Corrales

    2018-04-01

    Full Text Available Today, data availability has gone from scarce to superabundant. Technologies like IoT, trends in social media and the capabilities of smart-phones are producing and digitizing lots of data that was previously unavailable. This massive increase of data creates opportunities to gain new business models, but also demands new techniques and methods of data quality in knowledge discovery, especially when the data comes from different sources (e.g., sensors, social networks, cameras, etc.. The data quality process of the data set proposes conclusions about the information they contain. This is increasingly done with the aid of data cleaning approaches. Therefore, guaranteeing a high data quality is considered as the primary goal of the data scientist. In this paper, we propose a process for data cleaning in regression models (DC-RM. The proposed data cleaning process is evaluated through a real datasets coming from the UCI Repository of Machine Learning Databases. With the aim of assessing the data cleaning process, the dataset that is cleaned by DC-RM was used to train the same regression models proposed by the authors of UCI datasets. The results achieved by the trained models with the dataset produced by DC-RM are better than or equal to that presented by the datasets’ authors.

  20. Social stigma and compounded losses: quality-of-life issues for multiple-birth families.

    Science.gov (United States)

    Ellison, Marcia A; Hall, Janet E

    2003-08-01

    To determine the quality-of-life domains most impacted by multiple births. Focus groups, qualitative research. Human volunteers in a medical research environment.Forty-three mothers, 29 raising multiple-birth children, 13 raising singletons, identified from random and convenience samples. None. Maternal self-reports of the psychosocial sequelae of multiple or singleton births, based on qualitative data analysis of transcribed group discussions. The quality-of-life domains that were most impacted by raising multiple birth children were social stigma, pregnancy loss, marital satisfaction, children's health, unmet family needs, parenting stress, maternal depression, and the infertility experience. Qualitative methods identified two novel quality-of-life domains in iatrogenic multiple birth families: social stigma and compounded losses. An unexpected finding was the potential for increased marital solidification as parents coped with the inordinate stresses of multiple births. As anticipated, children's health, unmet family needs, maternal depression, and parental stress were key areas of concern. In addition, the infertility experience had a lasting impact. These findings are significant, given that at least 38% of all assisted conceptions result in a multiple birth. This study lays the groundwork for further research on the impact of iatrogenic multiple births.

  1. 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.

  2. 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.

  3. 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. © 2015 Special Care Dentistry Association and Wiley Periodicals, Inc.

  4. Health-Related Quality of Life in University Dance Students.

    Science.gov (United States)

    White, Hayley M; Hoch, Johanna M; Hoch, Matthew C

    2018-03-01

    Injuries are common among dancers and may negatively affect health-related quality of life (HRQL). The modified Disablement in the Physically Active Scale (mDPA) is a generic patient-reported outcome instrument that could be used when providing care to patients participating in performing arts. The objective of this pilot study was to examine the internal consistency of the mDPA and assess overall HRQL using the mDPA in university dance students. Thirty-one female university dance students completed the mDPA during one data collection session. Higher scores on the Physical Summary Component (mDPA-PSC), the Mental Summary Component (mDPAMSC), and mDPA-Total indicated increased disablement. The internal consistency was determined using Cronbachs alpha. The mDPA-Total, mDPA-PSC, and mDPAMSC scores were examined descriptively using mean and standard deviations. Individual item responses were also examined. The proportion of university dance students with clinically relevant levels of disablement on the mDPA-Total was examined using a previously established minimally clinically important difference value. The internal consistency for the mDPA-MSC (a=0.91) and mDPATotal (a=0.90) was excellent and good for the mDPA-PSC (a=0.88). A large proportion (71%) of university dance students demonstrated clinically relevant levels of disablement despite fully participating in dance-related activities. Pain, impaired motion, and stress were the greatest contributors to increased disablement in these individuals. The mDPA scores observed in this pilot study indicate that many dance students experience levels of disablement and decreased HRQL which may warrant physical and mental intervention. Clinicians providing healthcare services to performing artists should consider using the mDPA to provide patient-centered care.

  5. The relation between food price, energy density and diet quality

    Directory of Open Access Journals (Sweden)

    Margareta Bolarić

    2013-01-01

    Full Text Available Low energy density diet, high in fruits and vegetables, is related to lower obesity risk and to better health status, but is more expensive. High energy density diet, high in added sugar and fats, is more affordable, but is related to higher obesity and chronic diseases risk. The aim of this study was to report prices according to energy density (low vs. high of food items and to show how food affordability could affect food choice and consumers’ health. Data was collected for 137 raw and processed foods from three purchase sites in Zagreb (one representative for supermarket, one smaller shop and green market. Results showed that low energy density food is more expensive than high energy density food (for example, the price of 1000 kcal from green zucchini (15 kcal/100 g is 124.20 kn while the price of 1000 kcal from sour cream (138 kcal/100 g is 13.99 kn. Food energy price was significantly different (p<0.05 between food groups with highest price for vegetable products (159.04 ± 36.18 kn/1000 kcal and raw vegetables (97.90 ± 50.13 kn/1000 kcal and lowest for fats (8.49 ± 1.22 kn/1000 kcal and cereals and products (5.66 ± 0.76 kn/1000 kcal. Negative correlation (Spearman r=-0.72, p<0.0001 was observed for energy density (kcal/100 g and price of 1000 kcal. Therefore, it is advisable to develop strategies in order to reduce price of low energy density food and encourage its intake since it would improve diet quality, which could lead to better costumers’ health.

  6. Relating quality of life to Glasgow outcome scale health states.

    Science.gov (United States)

    Kosty, Jennifer; Macyszyn, Luke; Lai, Kevin; McCroskery, James; Park, Hae-Ran; Stein, Sherman C

    2012-05-01

    There has recently been a call for the adoption of comparative effectiveness research (CER) and related research approaches for studying traumatic brain injury (TBI). These methods allow researchers to compare the effectiveness of different therapies in producing patient-oriented outcomes of interest. Heretofore, the only measures by which to compare such therapies have been mortality and rate of poor outcome. Better comparisons can be made if parametric, preference-based quality-of-life (QOL) values are available for intermediate outcomes, such as those described by the Glasgow Outcome Scale Extended (GOSE). Our objective was therefore to determine QOL for the health states described by the GOSE. We interviewed community members at least 18 years of age using the standard gamble method to assess QOL for descriptions of GOSE scores of 2-7 derived from the structured interview. Linear regression analysis was also performed to assess the effect of age, gender, and years of education on QOL. One hundred and one participants between the ages of 18 and 83 were interviewed (mean age 40 ± 19 years), including 55 men and 46 women. Functional impairment and QOL showed a strong inverse relationship, as assessed by both linear regression and the Spearman rank order coefficient. No consistent effect or age, gender, or years of education was seen. As expected, QOL decreased with functional outcome as described by the GOSE. The results of this study will provide the groundwork for future groups seeking to apply CER methods to clinical studies of TBI.

  7. Health-related quality of life following blind rehabilitation.

    Science.gov (United States)

    Kuyk, Thomas; Liu, Lei; Elliott, Jeffry L; Grubbs, Hartley E; Owsley, Cynthia; McGwin, Gerald; Griffin, Russell L; Fuhr, Patti S

    2008-05-01

    The purpose of this study was to investigate the effect of residential blind rehabilitation on patients' vision-targeted health-related quality of life (HRQOL) and general physical and mental function. The National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ) plus appendix questions, the 12-item Short-Form Health Survey (SF-12), Hope Scale and Coopersmith self-esteem inventory were administered to 206 legally blind veterans prior to their entering a residential (in-patient) blind rehabilitation program and again to 185 and 176 of the original cohort at 2 and 6 months after completion of the rehabilitation program, respectively. Data on visual acuity, visual field extent, contrast sensitivity and scanning ability were also collected. The duration of the in-patient rehabilitation programs ranged from 11 to 109 days. Questionnaire scores were compared pre-rehabilitation and post-rehabilitation. Following rehabilitation there was a significant improvement in nine of 11 NEI VFQ subscales and in a composite score at both the 2- and 6-month post-rehabilitation intervals. Mental health (SF-12) and self esteem also improved significantly although physical health ratings declined over the course of the study (approximately 10 months). Residential blind rehabilitation appears to improve patients' self-reported vision-targeted HRQOL, self-esteem and mental health aspects of generic HRQOL.

  8. [Health-related quality of life in Latin American adolescents].

    Science.gov (United States)

    Guedes, Dartagnan Pinto; Villagra Astudillo, Hermán Ariel; Moya Morales, José María; del Campo Vecino, Juan; Pires Júnior, Raymundo

    2014-01-01

    The objective of the present study was to find out if there are differences in terms of sex, age, or country of origin for the components of health-related quality of life (HRQL) in samples of adolescents from three cities-in Argentina, Brazil, and Chile, respectively-using data collected through an internationally recognized and validated survey questionnaire, KIDSCREEN-52. The KIDSCREEN-52 questionnaire was administered to 1 357 adolescents between 12 and 17 years of age (48.6% of them male) in selected samples in the three countries. Univariate analysis of variation (ANCOVA) was used. Not only sex and age differences, but also differences for each component of HRQL, were found between the three country groups. The data showed significant differences between the three countries for each of the specific components of HRQL. Males scored significantly higher than females in the following components: Physical Well-being (P Bullying) increased significantly with age (P < 0.001). The evidence suggests that interventions in disease prevention and health promotion should be developed for specific target groups, using appropriate actions depending on the sex and age of the adolescents.

  9. 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.

  10. Quality of Working Life of Nurses and its Related Factors

    OpenAIRE

    Moradi, Tayebeh; Maghaminejad, Farzaneh; Azizi-Fini, Ismail

    2014-01-01

    Background: Nurses as the largest group of health care providers should enjoy a satisfactory quality of working life to be able to provide quality care to their patients. Therefore, attention should be paid to the nurses’ working life. Objectives: This study aimed to investigate the quality of nurses' working life in Kashans' hospitals during 2012. Materials and Methods: This cross-sectional study was conducted on 200 nurses during 2012. The data-gathering instrument consisted of two parts. T...

  11. The authenticity of honey in relation to quality parameters

    OpenAIRE

    Dugalić-Vrndić, N.; Kečkeš, J.; Mladenović, M.

    2011-01-01

    In the Serbian market can be found significant quantity of honey which authenticity can be doubt. Honey is changed sensory, as well as in certain chemical quality parameters. Sometimes it happens that honey is in accordance to quality requirements but that doesn’t mean that it’s natural and authentic honey. Many analysts who are engage in testing the quality of honey have experience to recognize the honey that isn't from honey bees but the work of ...

  12. 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.

  13. How Older Adults and Their Families Perceive Family Talk about Aging-Related EOL Issues: A Dialectical Analysis.

    Science.gov (United States)

    Egbert, Nichole; Child, Jeffrey T; Lin, Mei-Chen; Savery, Carol; Bosley, Tammy

    2017-04-17

    For older adults, approaching end-of-life (EOL) brings unique transitions related to family relationships. Unfortunately, most families greatly underestimate the need to discuss these difficult issues. For example, parents approaching EOL issues often struggle with receiving assistance from others, avoiding family conflict, and maintaining their sense of personhood. In addition, discussions of EOL issues force family members to face their parents' mortality, which can be particularly difficult for adult children to process emotionally. This study explored aging issues identified by aging parents and their families as they traverse these impending EOL changes. Ten focus groups of seniors ( n = 65) were conducted. Focus groups were organized according to race (African-American/European-American), gender, and whether the older adult was living independently or in an assisted care facility. When asked open-ended questions about discussing aging and EOL issues with family members, participants revealed tensions that led us to consider Relational Dialectics Theory as a framework for analysis. The predominant tension highlighted in this report was certainty versus uncertainty, with the two sub-themes of sustained life versus sustained personhood and confronting versus avoiding EOL issues. For these data, there were more similarities than differences as a result of gender, race, or living situation than one might expect, although culture and financial status were found to be influential in the avoidance of EOL discussions. The results of this study help to provide additional insight into relational dialectics related to aging, EOL, and the importance of communication in facilitating family coping.

  14. Common issues raised during the quality assurance process of WHO guidelines: a cross-sectional study.

    Science.gov (United States)

    Porgo, Teegwendé V; Ferri, Mauricio; Norris, Susan L

    2018-02-07

    In 2007, WHO established the Guidelines Review Committee (GRC) to ensure that WHO guidelines adhere to the highest international standards. The GRC reviews guideline proposals and final guidelines. The objectives of this study were to examine the rates of and reasons for conditional approval and non-approval of documents submitted for the first time to the GRC, and calculate the time intervals and numbers of submissions to achieve approval for documents conditionally approved or not approved at first submission. All initial submissions to the GRC between 2014 and 2017 were examined. Data were extracted from the GRC's records of written comments and discussions. Of a total of 85 proposals and 88 final guidelines, 32 (37.6%) proposals and 37 (42.0%) final guidelines were conditionally approved, and 15 (17.6%) proposals and 28 (31.8%) final guidelines were not. For both conditionally approved and not approved proposals, the most frequent reasons were suboptimal composition or inadequate description of the guideline contributor groups (in all proposals), followed by inadequate formulation of key questions (in 90.6% of conditionally approved proposals and all not approved proposals). For both conditionally approved and not approved final guidelines, the most frequent reasons were problems with recommendations (in all final guidelines), followed by inappropriate methods for evidence retrieval or an inadequate description thereof (in all conditionally approved final guidelines and 75.0% of not approved final guidelines). The median time to achieve approval was 2 months for proposals and 1-2 months for final guidelines. The median number of submissions was 2 for proposals and 2-2.5 for final guidelines. The GRC implements a rigorous quality assurance process and identifies problems with a significant percentage of initial submissions. WHO needs to continuously evaluate its guideline development processes to inform effective quality improvement measures and optimise the

  15. Expansion vs. Quality: Emerging Issues of For-Profit Private Higher Education Institutions in Ethiopia

    Science.gov (United States)

    Alemu, Daniel S.

    2010-02-01

    Private for-profit higher education has been rapidly expanding in developing countries worldwide since the early 1990s. This global trend has been particularly evident in Ethiopia, where only three public universities existed until 1996. By 2005, about 60 private for-profit higher education institutions had been founded in Ethiopia. This has led to mixed feelings among the Ethiopian public. While some laud the opportunities and advantages these new institutions bring, others are apprehensive that the quality of education might be compromised by an expansion motivated by monetary gain. This article sheds light on these paradoxes and provides suggestions for policy and practices.

  16. 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.

  17. Database Quality and Access Issues Relevant to Research Using Anesthesia Information Management System Data.

    Science.gov (United States)

    Epstein, Richard H; Dexter, Franklin

    2018-07-01

    For this special article, we reviewed the computer code, used to extract the data, and the text of all 47 studies published between January 2006 and August 2017 using anesthesia information management system (AIMS) data from Thomas Jefferson University Hospital (TJUH). Data from this institution were used in the largest number (P = .0007) of papers describing the use of AIMS published in this time frame. The AIMS was replaced in April 2017, making this finite sample finite. The objective of the current article was to identify factors that made TJUH successful in publishing anesthesia informatics studies. We examined the structured query language used for each study to examine the extent to which databases outside of the AIMS were used. We examined data quality from the perspectives of completeness, correctness, concordance, plausibility, and currency. Our results were that most could not have been completed without external database sources (36/47, 76.6%; P = .0003 compared with 50%). The operating room management system was linked to the AIMS and was used significantly more frequently (26/36, 72%) than other external sources. Access to these external data sources was provided, allowing exploration of data quality. The TJUH AIMS used high-resolution timestamps (to the nearest 3 milliseconds) and created audit tables to track changes to clinical documentation. Automatic data were recorded at 1-minute intervals and were not editable; data cleaning occurred during analysis. Few paired events with an expected order were out of sequence. Although most data elements were of high quality, there were notable exceptions, such as frequent missing values for estimated blood loss, height, and weight. Some values were duplicated with different units, and others were stored in varying locations. Our conclusions are that linking the TJUH AIMS to the operating room management system was a critical step in enabling publication of multiple studies using AIMS data. Access to this and

  18. Health-related quality of life of cranial WHO grade I meningioma patients: are current questionnaires relevant?

    Science.gov (United States)

    Zamanipoor Najafabadi, Amir H; Peeters, Marthe C M; Lobatto, Daniel J; Broekman, Marieke L D; Smith, Timothy R; Biermasz, Nienke R; Peerdeman, Saskia M; Peul, Wilco C; Taphoorn, Martin J B; van Furth, Wouter R; Dirven, Linda

    2017-11-01

    The clinical relevance of Health-Related Quality of Life (HRQoL) in meningioma patients has been increasingly acknowledged in recent years. Various questionnaires have been used. However, almost none of these questionnaires has been particularly developed for and/or validated in this patient group. Therefore, the aim of this study was to assess the relevance and comprehensiveness of existing HRQoL questionnaires used in meningioma research and to assess the agreement between patients and health care professionals (HCPs) on the most relevant and important HRQoL issues. A systematic literature search, following the PRISMA statement, was conducted to identify all HRQoL questionnaires used in meningioma research. Semi-structured interviews were organized with patients and HCPs to (1) assess the relevance of all issues covered by the questionnaires (score 0-3: not relevant-highly relevant), (2) assess the ten most important issues, and (3) identify new relevant HRQoL issues. Fourteen different questionnaires were found in the literature, comprising 140 unique issues. Interviews were conducted with 20 patients (median age 57, 71% female) and 10 HCPs (4 neurosurgeons, 2 neurologists, 2 radiotherapists, 1 rehabilitation specialist, 1 neuropsychologist; median experience 13 years). Meningioma patients rated 17-80% of the issues in each of the questionnaires as relevant, HCPs 90-100%. Patients and HCPs agreed on the relevance of only 49 issues (35%, Cohen's kappa: 0.027). Both patients and HCPs considered lack of energy the most important issue. Patients and HCPs suggested five additional relevant issues not covered by current HRQoL questionnaires. Existing HRQoL questionnaires currently used in meningioma patients do not fully cover all relevant issues to these patients. Agreement between patients and HCPs on the relevance of issues was poor. Both findings support the need to develop and validate a meningioma-specific HRQoL questionnaire.

  19. Quality and quantity tackling real issues in an institutional research repository

    CERN Multimedia

    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.

  20. Quality Assurance Issues in Conducting Multi-Institutional Advanced Technology Clinical Trials

    International Nuclear Information System (INIS)

    Purdy, James A.

    2008-01-01

    The National Cancer Institute-sponsored Advanced Technology Quality Assurance (QA) Consortium, which consisted of the Image-Guided Therapy QA Center, Radiation Therapy Oncology Group, Radiological Physics Center, Quality Assurance Review Center, and Resource Center for Emerging Technologies, has pioneered the development of an infrastructure and QA method for advanced technology clinical trials that requires volumetric digital data submission of a protocol patient's treatment plan and verification data. In particular, the Image-Guided Therapy QA Center has nearly 15 years experience in facilitating QA review for Radiation Therapy Oncology Group advanced technology clinical trials. This QA process includes (1) a data integrity review for completeness of protocol required elements, the format of data, and possible data corruption, and recalculation of dose-volume histograms; (2) a review of compliance with target volume and organ-at-risk contours by study chairs; and (3) a review of dose prescription and dose heterogeneity compliance by the Radiation Therapy Oncology Group Headquarters Dosimetry Group or the Radiological Physics Center dosimetrists (for brachytherapy protocols). This report reviews the lessons learned and the QA challenges presented by the use of advanced treatment modalities in clinical trials requiring volumetric digital data submission

  1. 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 green roof behaviour as a sink/source of pollutants is investigated based on both concentration and mass.

  2. The Relation of Environmental Quality and Fishery Sector in Indonesia

    Science.gov (United States)

    Oktavilia, Shanty; Habibah Yusfi, Reikha; Firmansyah; Sugiyanto, FX

    2018-02-01

    The condition of fishery sector is currently stagnating, even tending to decline, which is indicated by the decrease of production in some areas in Indonesia. Environmental degradation in marine waters is due to global climate change and uncontrolled fish exploitation impact on the decline of marine fisheries production. While in aquaculture, the environmental quality is also indicated to influence the production. Nevertheless, the increase of production of both marine and terrestrial fisheries has an effect on the quality of the environment. This study aims to analyze the interrelationship between the influence of environmental quality on the production of fishery sub-sector and the influence of fishery subsector production on environmental quality. This research employs environmental quality data and output of fishery of 34 provinces in Indonesia during 2011-2015. The study finds that output of fishery sector affects the environmental quality, which proves the Environment Kuznets Curve in the fishery sector in Indonesia. Since a certain threshold is achieved, the increase in revenue followed by the increase in environmental quality. The study also finds that the environmental quality has a positive effect on the production of fishery. Implication of the study is the increase of income of fishery households can be encouraged the ability of the community to protect the environment and increases the willingness of households to sacrifice other goods to environmental protection.

  3. Large-scale Water-related Innovative Renewable Energy Projects and the Habitats and Birds Directives: Legal Issues and Solutions

    NARCIS (Netherlands)

    van Hees, S.R.W.

    This article discusses two legal issues that relate to the conflict between the interest of protecting habitats and species under the Habitats and Birds Directives, versus the interest of promoting the use of innovative water-related renewable energy, with regard to the quota in the Renewable Energy

  4. 78 FR 33843 - Request for Comments on Issues Related to Incidental Findings That Arise in the Clinical...

    Science.gov (United States)

    2013-06-05

    ... specific bioethical, legal, and social issues related to potential scientific and technological advances... related areas of science and technology. The Bioethics Commission is charged with identifying and... establishing ``no return'' policies, or stipulations in advance of clinical intervention, research, and/or...

  5. Compensation for environmental asbestos-related diseases in South Africa: a neglected issue

    Directory of Open Access Journals (Sweden)

    Ntombizodwa Ndlovu

    2013-01-01

    Full Text Available Background: Environmentally acquired asbestos-related diseases (ARDs are of concern globally. In South Africa, there is widespread contamination of the environment due to historical asbestos mining operations that were poorly regulated. Although the law makes provision for the compensation of occupationally acquired ARDs, compensation for environmentally acquired ARDs is only available through the Asbestos Relief Trust (ART and Kgalagadi Relief Trust, both of which are administered by the ART. This study assessed ARDs and compensation outcomes of environmental claims submitted to the Trusts. Methods: The personal details, medical diagnoses, and exposure information of all environmental claims considered by the Trusts from their inception in 2003 to April 2010 were used to calculate the numbers and proportions of ARDs and compensation awards. Results: There were 146 environmental claimants of whom 35 (23.9% had fibrotic pleural disease, 1 (0.7% had lung cancer, and 77 (52.7% had malignant mesothelioma. 53 (36.3% claimants were compensated: 20 with fibrotic pleural disease and 33 with mesothelioma. Of the 93 (63.7% claimants who were not compensated, 33 had no ARDs, 18 had fibrotic pleural disease, 1 had lung cancer, and 44 had mesothelioma. In addition to having ARDs, those that were compensated had qualifying domestic (33; 62.2% or neighbourhood (20; 37.8% exposures to asbestos. Most of the claimants who were not compensated had ARDs but their exposures did not meet the Trusts’ exposure criteria. Conclusions: This study demonstrates the environmental impact of asbestos mining on the burden of ARDs. Mesothelioma was the most common disease diagnosed, but most cases were not compensated. This highlights that there is little redress for individuals with environmentally acquired ARDs in South Africa. To stop this ARD epidemic, there is a need for the rehabilitation of abandoned asbestos mines and the environment. These issues may not be unique to

  6. 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.

  7. India's nuclear power programme present status, future prospects and related issues

    International Nuclear Information System (INIS)

    Prasad, Y.S.R.

    1998-01-01

    India is poorly placed in terms of world energy resources, while 16% of world's population lives in India, only 6% of coal and 0.6% of oil and gas reserves exist in the country. Moreover, the distribution of primary commercial energy resources is quite skewed. However, India is endowed with vast reserves of thorium. The energy potential of our modest uranium resources and sizeable thorium resources has been estimated to be six times that of our total coal reserves. Though during last fifty years since independence, India has made tremendous progress in the energy sector where the use of commercial energy has increased by ten folds. Electricity used during the same period has increased by eighty times. In spite of such an impressive growth the country, due to population growth, finds itself in the almost lowest bracket with regard to per capita consumption which is many fold lower than the world average. India as of today is a net energy importing country. The demand for energy, in particular electricity that has established to be the most efficient and convenient source, is projected to grow at 7-8% per annum for coming two decades. In such a demand scenario it is imperative that all the resources of energy must be judiciously utilised. However, with the depletion of fossil fuels and resulting possible price shocks a long-term energy security is required for the country. The paper deals with the role nuclear power can play in meeting the country's short term and long term demands, progress made and related issues. (author)

  8. A Qualitative Study of Service Provision for Alcohol Related Health Issues in Mid to Later Life.

    Directory of Open Access Journals (Sweden)

    Catherine Haighton

    Full Text Available Epidemiological surveys over the last 20 years show a steady increase in the amount of alcohol consumed by older age groups. Physiological changes and an increased likelihood of health problems and medication use make older people more likely than younger age groups to suffer negative consequences of alcohol consumption, often at lower levels. However, health services targeting excessive drinking tend to be aimed at younger age groups. The aim of this study was to gain an in-depth understanding of experiences of, and attitudes towards, support for alcohol related health issues in people aged 50 and over.Qualitative interviews (n = 24, 12 male/12 female, ages 51-90 years and focus groups (n = 27, 6 male/21 female, ages 50-95 years were carried out with a purposive sample of participants who consumed alcohol or had been dependent.Participants' alcohol misuse was often covert, isolated and carefully regulated. Participants tended to look first to their General Practitioner for help with alcohol. Detoxification courses had been found effective for dependent participants but only in the short term; rehabilitation facilities were appreciated but seen as difficult to access. Activities, informal groups and drop-in centres were endorsed. It was seen as difficult to secure treatment for alcohol and mental health problems together. Barriers to seeking help included functioning at a high level, concern about losing positive aspects of drinking, perceived stigma, service orientation to younger people, and fatalistic attitudes to help-seeking. Facilitators included concern about risk of fatal illness or pressure from significant people.Primary care professionals need training on improving the detection and treatment of alcohol problems among older people. There is also a compelling need to ensure that aftercare is in place to prevent relapse. Strong preferences were expressed for support to be provided by those who had experienced alcohol problems themselves.

  9. Compensation for environmental asbestos-related diseases in South Africa: a neglected issue.

    Science.gov (United States)

    Ndlovu, Ntombizodwa; Naude, Jim teWater; Murray, Jill

    2013-01-24

    Environmentally acquired asbestos-related diseases (ARDs) are of concern globally. In South Africa, there is widespread contamination of the environment due to historical asbestos mining operations that were poorly regulated. Although the law makes provision for the compensation of occupationally acquired ARDs, compensation for environmentally acquired ARDs is only available through the Asbestos Relief Trust (ART) and Kgalagadi Relief Trust, both of which are administered by the ART. This study assessed ARDs and compensation outcomes of environmental claims submitted to the Trusts. The personal details, medical diagnoses, and exposure information of all environmental claims considered by the Trusts from their inception in 2003 to April 2010 were used to calculate the numbers and proportions of ARDs and compensation awards. There were 146 environmental claimants of whom 35 (23.9%) had fibrotic pleural disease, 1 (0.7%) had lung cancer, and 77 (52.7%) had malignant mesothelioma. 53 (36.3%) claimants were compensated: 20 with fibrotic pleural disease and 33 with mesothelioma. Of the 93 (63.7%) claimants who were not compensated, 33 had no ARDs, 18 had fibrotic pleural disease, 1 had lung cancer, and 44 had mesothelioma. In addition to having ARDs, those that were compensated had qualifying domestic (33; 62.2%) or neighbourhood (20; 37.8%) exposures to asbestos. Most of the claimants who were not compensated had ARDs but their exposures did not meet the Trusts' exposure criteria. This study demonstrates the environmental impact of asbestos mining on the burden of ARDs. Mesothelioma was the most common disease diagnosed, but most cases were not compensated. This highlights that there is little redress for individuals with environmentally acquired ARDs in South Africa. To stop this ARD epidemic, there is a need for the rehabilitation of abandoned asbestos mines and the environment. These issues may not be unique to South Africa as many countries continue to mine and use

  10. Legal issues relating to the use of surrogate mothers in the practice ...

    African Journals Online (AJOL)

    South African Journal of Bioethics and Law. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 5, No 1 (2012) >. Log in or Register to get access to full text downloads.

  11. SOME STATISTICAL ISSUES RELATED TO MULTIPLE LINEAR REGRESSION MODELING OF BEACH BACTERIA CONCENTRATIONS

    Science.gov (United States)

    As a fast and effective technique, the multiple linear regression (MLR) method has been widely used in modeling and prediction of beach bacteria concentrations. Among previous works on this subject, however, several issues were insufficiently or inconsistently addressed. Those is...

  12. Technical findings related to Generic Issue 23: Reactor coolant pump seal failure

    International Nuclear Information System (INIS)

    Ruger, C.J.; Luckas, W.J. Jr.

    1989-03-01

    Reactor coolant pumps contain mechanical seals to limit the leakage of pressurized coolant from the reactor coolant system to the containment. These seals have the potential to leak, and a few have degraded and even failed resulting in a small break loss of coolant accident (LOCA). As a result, ''Reactor Coolant Pump Seal Failure,'' Generic Issue 23 was established. This report summarizes the findings of a technical investigation generated as part of the program to resolve this issue. These technical findings address the various fact-finding issue tasks developed for the action plan associated with the generic issue, namely background information on seal failure, evaluation of seal cooling, and mechanical- and maintenance-induced failure mechanisms. 46 refs., 15 figs., 14 tabs

  13. Biometric Identifiers and Border Security: 9/11 Commission Recommendations and Related Issues

    National Research Council Canada - National Science Library

    Morgan, Daniel; Krouse, William

    2005-01-01

    .... This report provides an overview of biometric technologies and the major U.S. biometric border screening systems, including US-VISIT, and discusses issues such as cost, performance, and user acceptance...

  14. 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

  15. 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

  16. Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue?†

    Science.gov (United States)

    van Ryn, Michelle; Sanders, Sara; Kahn, Katherine; van Houtven, Courtney; Griffin, Joan M.; Martin, Michelle; Atienza, Audie A.; Phelan, Sean; Finstad, Deborah; Rowland, Julia

    2015-01-01

    A great deal of clinical cancer care is delivered in the home by informal caregivers (e.g. family, friends), who are often untrained. Caregivers' context varies widely, with many providing care despite low levels of resources and high levels of additional demands. Background Changes in health care have shifted much cancer care to the home, with limited data to inform this transition. We studied the characteristics, care tasks, and needs of informal caregivers of cancer patients. Methods Caregivers of seven geographically and institutionally defined cohorts of newly diagnosed colorectal and lung cancer patients completed self-administered questionnaires (n = 677). We combined this information with patient survey and chart abstraction data and focused on caregivers who reported providing, unpaid, at least 50% of the patient's informal cancer care. Results Over half of caregivers (55%) cared for a patient with metastatic disease, severe comorbidity, or undergoing current treatment. Besides assisting with activities of daily living, caregivers provided cancer-specific care such as watching for treatment side effects (68%), helping manage pain, nausea or fatigue (47%), administering medicine (34%), deciding whether to call a doctor (30%), deciding whether medicine was needed (29%), and changing bandages (19%). However, half of caregivers reported not getting training perceived as necessary. In addition, 49% of caregivers worked for pay, 21% reported poor or fair health, and 21% provided unpaid care for other individuals. One in four reported low confidence in the quality of the care they provided. Conclusions Much assistance for cancer patients is delivered in the home by informal caregivers, often without desired training, with a significant minority having limited resources and high additional demands. Future research should explore the potentially high yield of addressing caregiver needs in improving quality of cancer care and both survivors' and caregivers' outcomes

  17. 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.

  18. Cancer patient perceptions on the ethical and legal issues related to biobanking.

    Science.gov (United States)

    Master, Zubin; Claudio, Jaime O; Rachul, Christen; Wang, Jean C Y; Minden, Mark D; Caulfield, Timothy

    2013-03-08

    Understanding the perception of patients on research ethics issues related to biobanking is important to enrich ethical discourse and help inform policy. We examined the views of leukemia patients undergoing treatment in clinics located in the Princess Margaret Hospital in Toronto, Ontario, Canada. An initial written survey was provided to 100 patients (64.1% response rate) followed by a follow-up survey (62.5% response rate) covering the topics of informed consent, withdrawal, anonymity, incidental findings and the return of results, ownership, and trust. The majority (59.6%) preferred one-time consent, 30.3% desired a tiered consent approach that provides multiple options, and 10.1% preferred re-consent for future research. When asked different questions on re-consent, most (58%) reported that re-consent was a waste of time and money, but 51.7% indicated they would feel respected and involved if asked to re-consent. The majority of patients (62.2%) stated they had a right to withdraw their consent, but many changed their mind in the follow-up survey explaining that they should not have the right to withdraw consent. Nearly all of the patients (98%) desired being informed of incidental health findings and explained that the information was useful. Of these, 67.3% of patients preferred that researchers inform them and their doctors of the results. The majority of patients (62.2%) stated that the research institution owns the samples whereas 19.4% stated that the participants owned their samples. Patients had a great deal of trust in doctors, hospitals and government-funded university researchers, moderate levels of trust for provincial governments and industry-funded university researchers, and low levels of trust towards industry and insurance companies. Many cancer patients surveyed preferred a one-time consent although others desired some form of control. The majority of participants wanted a continuing right to withdraw consent and nearly all wanted to be

  19. 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

  20. Pregnancy context and women's health-related quality of life.

    Science.gov (United States)

    Gariepy, Aileen; Lundsberg, Lisbet S; Vilardo, Nicole; Stanwood, Nancy; Yonkers, Kimberly; Schwarz, Eleanor B

    2017-05-01

    The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). English- or Spanish-speaking women, aged 16-44, with pregnancies desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy). HRQoL was measured using the Patient Reported Outcomes Measurement Information System Global Short Form. Associations between measures of pregnancy context and HRQoL scores in the lowest tertile were examined using multivariable logistic regression to adjust for potential confounding variables. We enrolled 161 participants (mean age=27.2±6.6 years). Only 14% self-identified as White, non-Hispanic; 42% Hispanic; 37% Black, non-Hispanic; and 7% multiracial. Most (79%) participants were unmarried, and 75% were parenting. Mean gestational age was 9±4.6 weeks. In unadjusted models, women reporting mixed feelings about wanting to have a baby, an undesired pregnancy or feeling unhappy about learning of their pregnancy more frequently had low mental and physical HRQoL compared to women reporting wanted, desired, happy pregnancies. Women with an unplanned pregnancy or pregnancy occurring at the wrong time also had lower physical HRQoL than women reporting pregnancies that were planned or happened at the right time. However, after multivariate adjustment, including history of depression, pregnancy contexts were not associated with low mental or physical HRQoL. After adjusting for multiple confounders, pregnancy context is not significantly associated with HRQoL. The focus on pregnancy intention in public health programs may not sufficiently assess multidimensional aspects of pregnancy context and may not align with patient-centered outcomes such as HRQoL. Copyright © 2017 Elsevier Inc. All rights reserved.