Direct Loan Cash Management and Data Matching (Reconciliation).

Science.gov (United States)

Department of Education, Washington, DC.

This guide for institutions of higher education and other schools receiving funds under the William D. Ford Direct Loan Program details required and recommended procedures for the reconciliation process. The reconciliation process is explained to include cash management (the accounting for Direct Loan funds drawn down and disbursed to borrowers)…

Impact of Pharmacist Facilitated Discharge Medication Reconciliation

Directory of Open Access Journals (Sweden)

Todd M. Super

2014-07-01

Full Text Available Preventable adverse drug events occur frequently at transitions in care and are a problem for many patients following hospital discharge. Many of these problems can be attributed to poor medication reconciliation. The purpose of this study was to assess the impact that direct pharmacist involvement in the discharge medication reconciliation process had on medication discrepancies, patient outcomes, and satisfaction. A cohort study of 70 patients was designed to assess the impact of pharmacist facilitated discharge medication reconciliation at a 204-bed community hospital in Battle Creek, Michigan, USA. Discharge summaries were analyzed to compare patients who received standard discharge without pharmacist involvement to those having pharmacist involvement. The total number of discrepancies in the group without pharmacist involvement was significantly higher than that of the pharmacist facilitated group.

Medication reconciliation at patient admission: a randomized controlled trial

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Mendes AE

2016-03-01

Full Text Available Objective: To measure length of hospital stay (LHS in patients receiving medication reconciliation. Secondary characteristics included analysis of number of preadmission medications, medications prescribed at admission, number of discrepancies, and pharmacists interventions done and accepted by the attending physician. Methods: A 6 month, randomized, controlled trial conducted at a public teaching hospital in southern Brazil. Patients admitted to general wards were randomized to receive usual care or medication reconciliation, performed within the first 72 hours of hospital admission. Results: The randomization process assigned 68 patients to UC and 65 to MR. LHS was 10±15 days in usual care and 9±16 days in medication reconciliation (p=0.620. The total number of discrepancies was 327 in the medication reconciliation group, comprising 52.6% of unintentional discrepancies. Physicians accepted approximately 75.0% of the interventions. Conclusion: These results highlight weakness at patient transition care levels in a public teaching hospital. LHS, the primary outcome, should be further investigated in larger studies. Medication reconciliation was well accepted by physicians and it is a useful tool to find and correct discrepancies, minimizing the risk of adverse drug events and improving patient safety.

Robust data reconciliation with TEMPO

International Nuclear Information System (INIS)

Sunde, Svein; Banati, Jozsef

2004-03-01

The Halden Project's TEMPO system is devised to meet the increasing challenges facing utilities in performance monitoring and optimisation, among other things due to deregulation and market liberalisation. The data reconciliation mode is an important one in the TEMPO system. Data reconciliation is a method to provide reliable estimates of process states, parameters, the state of equipment and instruments, and efficiency. Data reconciliation follows maximum likelihood principles, and is usually based on a Gaussian error model for the data. Data reconciliation thus estimates the most likely state of the process, given the heat and mass balance and the current instrument readings. If the assumption of normally (Gaussian) distributed errors in the measurements break down, as it will in the case of gross errors (outliers) in the data set, this needs to be detected by the monitoring system. TEMPO does this by computing an overall test statistic subjected to a hypothesis test, resulting in the so-called goodness-of-fit. If the goodness-of-fit takes a too low value, a fault is probably present in the process. Identifying the location of the fault is more difficult, however. With the Gaussian error model this is still possible employing a so-called serial elimination method. The serial elimination method is, however, cumbersome to use and leads to quite lengthy calculations. The present report describes the application of alternative distributions in the maximum likelihood estimation in an attempt to directly identify the location of faulty sensors. For direct identification of sensor faults significant improvements over the method based on a Gaussian error model has been achieved. However, serial elimination still leads to the highest success rate for fault identification. All results were based on Monte Carlo simulations. (Author)

77 FR 71131 - Implementation of the Middle Class Tax Relief and Job Creation Act of 2012; Establishment of a...

Science.gov (United States)

2012-11-29

... access to OADEs. Some OADEs are marketers that make autodialed calls on behalf of other entities, e.g... adopts the existing definition in its rules, as set forth in the TCPA context, and defines an ``emergency.... Definitions. As noted above, the Tax Relief Act does not define ``automatic dialing'' or ``robocall...

Reconciliation and relationship quality in Assamese macaques (Macaca assamensis)

NARCIS (Netherlands)

Cooper, M.A.; Bernstein, I.S.; Hemelrijk, C.K.

A consistent conclusion in reconciliation research is that animals that reconcile are likely to have strong social bonds. This has led to the hypothesis that reconciliation occurs most often between valuable social partners. We tested this hypothesis in a group of Assamese macaques (Macaca

The Season for Peace: Reconciliation in a Despotic Species (Lemur catta.

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Elisabetta Palagi

Full Text Available However despotic a social group may be, managing conflicts of interest is crucial to preserve group living benefits, mainly based on cooperation. In despotic groups, post-conflict management via reconciliation (the first post-conflict reunion between former opponents can occur, even if conciliatory rates are considerably different. Lemur catta is defined as a despotic species because groups are characterized by a strict linear hierarchy maintained by the adult females (the dominant sex mainly via aggression. Reconciliation was reported in one out of four captive groups of L. catta. Here we investigate which variables influence the occurrence of reconciliation in these despotic groups. We analyzed 2339 Post Conflict (PC-Matched Control (MC observation pairs, collected on eight groups (five in the Berenty forest, Madagascar; three hosted at the Pistoia Zoo, Italy. Since L. catta is characterized by steep female dominance but shows female-female coalitionary support, we expected to confirm the presence of reconciliation in the study species. Consistently, we found reconciliation in one captive group and two wild groups, thus providing the first evidence of the presence of this phenomenon in wild L. catta. Moreover, because this species is a seasonal breeder (with mating occurring once a year, we expected seasonal fluctuations in reconciliation levels. Via a GLMM analysis using data from all wild groups and on a captive group followed for more than one year, we found that season (but not rank; individuals' identity, sex, and age; or group identity significantly affected individual reconciliation rates, and such rates were lowest during the mating period. Thus, reconciliation can be present in groups in which dominants strongly influence and limit social relationships (steep dominance hierarchy except when the advantages of intra-group cooperation are overcome by competition, as occurs in seasonal breeders when reproduction is at stake. We conclude

Christian activism and the fallists: What about reconciliation?

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Selena Headley

2017-09-01

Full Text Available This article aims to understand what role Steve Biko and the Black Consciousness Movement, and the Soweto Uprising, played in Christian activism between the early 1970s and late 1980s. The question is: did the Black Consciousness Movement and the Soweto Uprising influence Christian activists to engage differently with notions such as reconciliation during the struggle against apartheid? The article revisits the actions and thinking of Christian activists before 1994 to understand some of their views on reconciliation, but most importantly, to understand their interactions, engagement with the Black Consciousness Movement and the Soweto Uprising. The article focuses on some of the church leaders and liberation theologians who were inspired and encouraged by Black Consciousness movements, including Allan Boesak and Desmond Tutu. To revisit their thinking and actions, in the heart of the struggle against apartheid, may help us understand current struggles on reconciliation, particularly in connection with the new generation of activists known as the Fallists. We may discover that the new generation is opening ‘old or new’ debates around reconciliation in South Africa.

Survey of pharmacy involvement in hospital medication reconciliation programs across the United States

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Gregory R Stein

2015-11-01

Full Text Available Objective: The objective of this study is to conduct a review of pertinent literature, assess pharmacy involvement in medication reconciliation, and offer insight into best practices for hospitals to implement and enhance their medication reconciliation programs. Method: Pharmacists in hospitals nationwide were asked to complete an anonymous survey via the American College of Clinical Pharmacy online database. The multiple choice survey analyzed the roles that healthcare professionals play in medication reconciliation programs at hospitals. Results: Of the survey responses received, 32/91 (35% came from pharmacists at hospitals with a pharmacy-led medication reconciliation program. Of these pharmacy-led programs, 17/32 (53% have a dedicated pharmacist or pharmacy staff to perform medication reconciliation. Conclusion: A comprehensive review of literature suggests that pharmacy involvement has the potential to reduce medication reconciliation errors and may improve patient satisfaction. Focused, full-time medication reconciliation pharmacists can help hospitals save time and money, improve outcomes, and meet higher standards issued by the Joint Commission. Data obtained in this study show the extent to which pharmacists contribute to achieving these goals in healthcare systems nationwide. This baseline study provides a strong case for hospitals to implement a pharmacy-led medication reconciliation program.

On the Complexity of Duplication-Transfer-Loss Reconciliation with Non-Binary Gene Trees.

Science.gov (United States)

Kordi, Misagh; Bansal, Mukul S

2017-01-01

Duplication-Transfer-Loss (DTL) reconciliation has emerged as a powerful technique for studying gene family evolution in the presence of horizontal gene transfer. DTL reconciliation takes as input a gene family phylogeny and the corresponding species phylogeny, and reconciles the two by postulating speciation, gene duplication, horizontal gene transfer, and gene loss events. Efficient algorithms exist for finding optimal DTL reconciliations when the gene tree is binary. However, gene trees are frequently non-binary. With such non-binary gene trees, the reconciliation problem seeks to find a binary resolution of the gene tree that minimizes the reconciliation cost. Given the prevalence of non-binary gene trees, many efficient algorithms have been developed for this problem in the context of the simpler Duplication-Loss (DL) reconciliation model. Yet, no efficient algorithms exist for DTL reconciliation with non-binary gene trees and the complexity of the problem remains unknown. In this work, we resolve this open question by showing that the problem is, in fact, NP-hard. Our reduction applies to both the dated and undated formulations of DTL reconciliation. By resolving this long-standing open problem, this work will spur the development of both exact and heuristic algorithms for this important problem.

Exact Algorithms for Duplication-Transfer-Loss Reconciliation with Non-Binary Gene Trees.

Science.gov (United States)

Kordi, Misagh; Bansal, Mukul S

2017-06-01

Duplication-Transfer-Loss (DTL) reconciliation is a powerful method for studying gene family evolution in the presence of horizontal gene transfer. DTL reconciliation seeks to reconcile gene trees with species trees by postulating speciation, duplication, transfer, and loss events. Efficient algorithms exist for finding optimal DTL reconciliations when the gene tree is binary. In practice, however, gene trees are often non-binary due to uncertainty in the gene tree topologies, and DTL reconciliation with non-binary gene trees is known to be NP-hard. In this paper, we present the first exact algorithms for DTL reconciliation with non-binary gene trees. Specifically, we (i) show that the DTL reconciliation problem for non-binary gene trees is fixed-parameter tractable in the maximum degree of the gene tree, (ii) present an exponential-time, but in-practice efficient, algorithm to track and enumerate all optimal binary resolutions of a non-binary input gene tree, and (iii) apply our algorithms to a large empirical data set of over 4700 gene trees from 100 species to study the impact of gene tree uncertainty on DTL-reconciliation and to demonstrate the applicability and utility of our algorithms. The new techniques and algorithms introduced in this paper will help biologists avoid incorrect evolutionary inferences caused by gene tree uncertainty.

Indigenous Geographies: Research as Reconciliation

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Cindy Smithers Graeme

2017-04-01

Full Text Available Employing a reflexive and co-constructed narrative analysis, this article explores our experiences as a non-Indigenous doctoral student and a First Nations research assistant working together within the context of a community-based participatory Indigenous geography research project. Our findings revealed that within the research process there were experiences of conflict, and opportunities to reflect upon our identity and create meaningful relationships. While these experiences contributed to an improved research process, at a broader level, we suggest that they also represented our personal stories of reconciliation. In this article, we share these stories, specifically as they relate to reconciliatory processes of re-education and cultural regeneration. We conclude by proposing several policy recommendations to support research as a pathway to reconciliation in Canada.

Analysis of the medication reconciliation process conducted at hospital admission

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María Beatriz Contreras Rey

2016-07-01

Full Text Available Objective: To analyze the outcomes of a medication reconciliation process at admission in the hospital setting. To assess the role of the Pharmacist in detecting reconciliation errors and preventing any adverse events entailed. Method: A retrospective study was conducted to analyze the medication reconciliation activity during the previous six months. The study included those patients for whom an apparently not justified discrepancy was detected at admission, after comparing the hospital medication prescribed with the home treatment stated in their clinical hospital records. Those patients for whom the physician ordered the introduction of home medication without any specification were also considered. In order to conduct the reconciliation process, the Pharmacist prepared the best pharmacotherapeutical history possible, reviewing all available information about the medication the patient could be taking before admission, and completing the process with a clinical interview. The discrepancies requiring clarification were reported to the physician. It was considered that the reconciliation proposal had been accepted if the relevant modification was made in the next visit of the physician, or within 24-48 hours maximum; this case was then labeled as a reconciliation error. For the descriptive analysis, the Statistics® SPSS program, version 17.0, was used. Outcomes: 494 medications were reconciled in 220 patients, with a mean of 2.25 medications per patient. More than half of patients (59.5% had some discrepancy that required clarification; the most frequent was the omission of a medication that the patient was taking before admission (86.2%, followed by an unjustified modification in dosing or way of administration (5.9%. In total, 312 discrepancies required clarification; out of these, 93 (29.8% were accepted and considered as reconciliation errors, 126 (40% were not accepted, and in 93 cases (29,8% acceptance was not relevant due to a change in

Reconciliation or Bust?

Directory of Open Access Journals (Sweden)

Elisabeth Chaves

2012-03-01

Full Text Available Mainstream economics posits the economy as a disembedded sphere generally governed by its own rules and principles. In reality, the economy is comprised of social relations, and conflicting interests configure those relationships. As a result, our political economy is the outcome of that conflict, a reconciliation between democracy and capitalism, variously termed democratic capitalism, embedded liberalism, or the welfare state...

Reconciliation of Gene and Species Trees

Directory of Open Access Journals (Sweden)

L. Y. Rusin

2014-01-01

Full Text Available The first part of the paper briefly overviews the problem of gene and species trees reconciliation with the focus on defining and algorithmic construction of the evolutionary scenario. Basic ideas are discussed for the aspects of mapping definitions, costs of the mapping and evolutionary scenario, imposing time scales on a scenario, incorporating horizontal gene transfers, binarization and reconciliation of polytomous trees, and construction of species trees and scenarios. The review does not intend to cover the vast diversity of literature published on these subjects. Instead, the authors strived to overview the problem of the evolutionary scenario as a central concept in many areas of evolutionary research. The second part provides detailed mathematical proofs for the solutions of two problems: (i inferring a gene evolution along a species tree accounting for various types of evolutionary events and (ii trees reconciliation into a single species tree when only gene duplications and losses are allowed. All proposed algorithms have a cubic time complexity and are mathematically proved to find exact solutions. Solving algorithms for problem (ii can be naturally extended to incorporate horizontal transfers, other evolutionary events, and time scales on the species tree.

Indigenous Rights and the 1991-2000 Australian Reconciliation Process

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Andrew Gunstone

2009-09-01

Full Text Available The formal reconciliation process in Australia was conducted between 1991 and 2000 and aimed to reconcile Indigenous and non-Indigenous peoples by 2001. In this paper, I detail the failure of both this reconciliation process and governments, in particular the Howard Government, to recognise Indigenous rights, such as sovereignty, a treaty, self-determination and land rights.

76 FR 17997 - Privacy Act of 1974, as Amended

Science.gov (United States)

2011-03-31

... entitled ``Treasury/IRS 42.888--Qualifying Therapeutic Discovery Project Records.'' DATES: Comments must be... with the Department of Health and Human Services, the Qualifying Therapeutic Discovery Program pursuant... and Education Reconciliation Act of 2010 (Pub. L. 111-152) (Affordable Care Act). The qualifying...

Interdependence versus Truth and Justice: Lessons from Reconciliation Processes in Maluku

Directory of Open Access Journals (Sweden)

Diah Kusumaningrum

2017-01-01

Full Text Available Truth commissions and trials have been applauded as the way to move on from a violent past. Yet, some post-conflict societies managed to move toward reconciliation without the presence, or the effective presence of such formal institutions. This article discusses a number of lessons learned from Maluku, where reconciliation took the interdependence path. Taking on an interpretive, emic approach, it elaborates on the sites and mechanisms of interpendence. It argues that interdependence can be as viable as truth and justice procedures in bringing about reconciliation.

Urban reconciliation ecology: the potential of living roofs and walls.

Science.gov (United States)

Francis, Robert A; Lorimer, Jamie

2011-06-01

Reconciling human and non-human use of urban regions to support biological conservation represents a major challenge for the 21st century. The concept of reconciliation ecology, by which the anthropogenic environment may be modified to encourage non-human use and biodiversity preservation without compromising societal utilization, potentially represents an appropriate paradigm for urban conservation given the generally poor opportunities that exist for reserve establishment and ecological restoration in urban areas. Two habitat improvement techniques with great potential for reconciliation ecology in urban areas are the installation of living roofs and walls, which have been shown to support a range of taxa at local scales. This paper evaluates the reconciliation potential of living roofs and walls, in particular highlighting both ecological and societal limitations that need to be overcome for application at the landscape scale. We further consider that successful utilization of living roofs and walls for urban reconciliation ecology will rely heavily on the participation of urban citizens, and that a 'citizen science' model is needed to facilitate public participation and support and to create an evidence base to determine their effectiveness. Living roofs and walls are just one aspect of urban reconciliation ecology, but are particularly important 'bottom-up' techniques for improving urban biodiversity that can be performed directly by the citizenry. Copyright © 2011 Elsevier Ltd. All rights reserved.

Home Culture, Science, School and Science Learning: Is Reconciliation Possible?

Science.gov (United States)

Tan, Aik-Ling

2011-01-01

In response to Meyer and Crawford's article on how nature of science and authentic science inquiry strategies can be used to support the learning of science for underrepresented students, I explore the possibly of reconciliation between the cultures of school, science, school science as well as home. Such reconciliation is only possible when…

Transitional Justice and National Reconciliation

Science.gov (United States)

2014-01-01

reform of the state “security services” requires the reform of the army, police, judiciary, customs, immigration control, intelligence services, and...Committee in South Africa, the Equity and Reconciliation Committee in Morocco, and similar entities in Chile and Peru. 3. Achieving community dialogue

The Role of Religion in Colombia’s Reconciliation

Science.gov (United States)

2016-12-15

APPROVED FOR PUBLIC RELEASE DISTRIBUTION UNLIMITED The Role of Religion in Colombia’s Reconciliation By CH (MAJ) John M. Sedwick Operations...populations of urban and rural Colombia. This paper addresses the role that organized religion can play in this daunting process that includes...about the ministry of reconciliation from the First Century imply that religion has a role to play in bringing an end to the Colombian civil war and

Medication reconciliation errors in a tertiary care hospital in Saudi Arabia: admission discrepancies and risk factors

Directory of Open Access Journals (Sweden)

Mazhar F

2017-03-01

Full Text Available Background: Medication reconciliation is a major component of safe patient care. One of the main problems in the implementation of a medication reconciliation process is the lack of human resources. With limited resources, it is better to target medication reconciliation resources to patients who will derive the most benefit from it. Objective: The primary objective of this study was to determine the frequency and types of medication reconciliation errors identified by pharmacists performing medication reconciliation at admission. Each medication error was rated for its potential to cause patient harm during hospitalization. A secondary objective was to determine risk factors associated with medication reconciliation errors. Methods: This was a prospective, single-center pilot study conducted in the internal medicine and surgical wards of a tertiary care teaching hospital in the Eastern province of Saudi Arabia. A clinical pharmacist took the best possible medication history of patients admitted to medical and surgical services and compared with the medication orders at hospital admission; any identified discrepancies were noted and analyzed for reconciliation errors. Multivariate logistic regression was performed to determine the risk factors related to reconciliation errors. Results: A total of 328 patients (138 in surgical and 198 in medical were included in the study. For the 1419 medications recorded, 1091 discrepancies were discovered out of which 491 (41.6% were reconciliation errors. The errors affected 177 patients (54%. The incidence of reconciliation errors in the medical patient group was 25.1% and 32.0% in the surgical group (p<0.001. In both groups, the most frequent reconciliation error was the omission (43.5% and 51.2%. Lipid-lowering (12.4% and antihypertensive agents were most commonly involved. If undetected, 43.6% of order errors were rated as potentially requiring increased monitoring or intervention to preclude harm; 17

The Interaction Between the Debt Relief Measures in the National Credit Act 34 of 2005 and Aspects of Insvolvency Law

Directory of Open Access Journals (Sweden)

C van Heerden

2009-09-01

Full Text Available The National Credit Act 34 of 2005 (the 'NCA' aims at promoting responsibility in the credit market by encouraging responsible borrowing, avoidance of over-indebtedness and the fulfilment of financial obligations by consumers, and at discouraging reckless credit granting by credit providers and contractual default by consumers. Although a further aim is to address over-indebtedness by debt review, for instance, this mechanism is based on the principle of satisfaction of the consumer's responsible financial obligations in full. In a recent judgment, Ex parte Ford 2009 (3 SA 376 (WCC, the court has thus refused to grant a sequestration order following an application for voluntary surrender since the bulk of the debt was credit agreements regulated by the NCA. The fact that the debtor-applicant did not apply for debt review in terms of the NCA of 2005 before applying for voluntary surrender played a significant role in the court's decision not to grant the order. This article thus considers the impact of the debt relief remedies in the NCA on insolvency law. In particular it is an attempt to provide some answers to the question if the Insolvency Act 24 of 1936 (hereafter the 'Insolvency Act' is in conflict with the previously stated principle of the NCA, namely full satisfaction of all responsible financial obligations by an over-indebted consumer. It also considers the concepts of over-indebtedness and reckless credit and their related debt relief remedies when considering applications for voluntary surrender or compulsory sequestration in terms of the Insolvency Act.

High performance reconciliation for continuous-variable quantum key distribution with LDPC code

Science.gov (United States)

Lin, Dakai; Huang, Duan; Huang, Peng; Peng, Jinye; Zeng, Guihua

2015-03-01

Reconciliation is a significant procedure in a continuous-variable quantum key distribution (CV-QKD) system. It is employed to extract secure secret key from the resulted string through quantum channel between two users. However, the efficiency and the speed of previous reconciliation algorithms are low. These problems limit the secure communication distance and the secure key rate of CV-QKD systems. In this paper, we proposed a high-speed reconciliation algorithm through employing a well-structured decoding scheme based on low density parity-check (LDPC) code. The complexity of the proposed algorithm is reduced obviously. By using a graphics processing unit (GPU) device, our method may reach a reconciliation speed of 25 Mb/s for a CV-QKD system, which is currently the highest level and paves the way to high-speed CV-QKD.

78 FR 27984 - Modification of the National Customs Automation Program Test (NCAP) Regarding Reconciliation for...

Science.gov (United States)

2013-05-13

... Customs Automation Program Test (NCAP) Regarding Reconciliation for Filing Certain Post-Importation Claims... Automation Program (NCAP) Reconciliation prototype test to include the filing of post-importation [[Page... of the Test Reconciliation, a planned component of the National Customs Automation Program (NCAP), as...

78 FR 21045 - Confirmation, Portfolio Reconciliation, Portfolio Compression, and Swap Trading Relationship...

Science.gov (United States)

2013-04-09

... COMMODITY FUTURES TRADING COMMISSION 17 CFR Part 23 RIN 3038-AC96 Confirmation, Portfolio Reconciliation, Portfolio Compression, and Swap Trading Relationship Documentation Requirements for Swap Dealers... CFTC published final rules setting forth requirements for swap confirmation, portfolio reconciliation...

High-efficiency Gaussian key reconciliation in continuous variable quantum key distribution

Science.gov (United States)

Bai, ZengLiang; Wang, XuYang; Yang, ShenShen; Li, YongMin

2016-01-01

Efficient reconciliation is a crucial step in continuous variable quantum key distribution. The progressive-edge-growth (PEG) algorithm is an efficient method to construct relatively short block length low-density parity-check (LDPC) codes. The qua-sicyclic construction method can extend short block length codes and further eliminate the shortest cycle. In this paper, by combining the PEG algorithm and qua-si-cyclic construction method, we design long block length irregular LDPC codes with high error-correcting capacity. Based on these LDPC codes, we achieve high-efficiency Gaussian key reconciliation with slice recon-ciliation based on multilevel coding/multistage decoding with an efficiency of 93.7%.

Legitimising the Juba Peace Agreement on Accountability and Reconciliation

DEFF Research Database (Denmark)

Gissel, Line Engbo

2017-01-01

This article analyses the Juba peace negotiations on accountability and reconciliation. It advances a new interpretation of the Agreement on Accountability and Reconciliation, focusing on five justice features: National proceedings, restorative accountability, alternative sentencing, individual...... responsibility and forward-looking victimhood. The article argues that the nature of the agreed justice policy derives from negotiators and mediators’ pursuit of international legitimation by the ICC and its compliance constituency. This argument has implications for our understanding of the role of the ICC...

77 FR 55903 - Confirmation, Portfolio Reconciliation, Portfolio Compression, and Swap Trading Relationship...

Science.gov (United States)

2012-09-11

... Vol. 77 Tuesday, No. 176 September 11, 2012 Part II Commodity Futures Trading Commission 17 CFR Part 23 Confirmation, Portfolio Reconciliation, Portfolio Compression, and Swap Trading Relationship... FUTURES TRADING COMMISSION 17 CFR Part 23 RIN 3038-AC96 Confirmation, Portfolio Reconciliation, Portfolio...

Reconciliation: The South African Truth and Reconciliation Commission’s contribution to dealing with the past, reconciling and building the nation

Directory of Open Access Journals (Sweden)

S. Barry

2006-07-01

  This article, while not uncritical of the Commission, is generally positive about its contribution both in attempting to deal with the past, and in building a democratic, human rights and restorative justice culture based on the rule of law. It examines the definitions of reconciliation that emerged during the Commission in the light of a Christian definition where reconciliation is seen to be between God, others and self, and involves integration with the human community. This integration involves taking responsibility for the past, confession and repentance, forgiving and being forgiven, making restitution where possible, ongoing transformation in the present and hope for the future.

Improving admission medication reconciliation compliance using the electronic tool in admitted medical patients

Science.gov (United States)

Taha, Haytham; abdulhay, dana; Luqman, Neama; Ellahham, Samer

2016-01-01

Sheikh Khalifa Medical City (SKMC) in Abu Dhabi is the main tertiary care referral hospital in the United Arab Emirates (UAE) with 560 bed capacity that is fully occupied most of the time. SKMC senior management has made a commitment to make quality and patient safety a top priority. Our governing body Abu Dhabi Health Services Company has identified medication reconciliation as a critical patient safety measure and key performance indicator (KPI). The medication reconciliation electronic form a computerized decision support tool was introduced to improve medication reconciliation compliance on transition of care at admission, transfer and discharge of patients both in the inpatient and outpatient settings. In order to improve medication reconciliation compliance a multidisciplinary task force team was formed and led this quality improvement project. The purpose of this publication is to indicate the quality improvement interventions implemented to enhance compliance with admission medication reconciliation and the outcomes of those interventions. We chose to conduct the pilot study in general medicine as it is the busiest department in the hospital, with an average of 390 patients admitted per month during the study period. The study period was from April 2014 till October 2015 and a total of 8576 patients were evaluated. The lessons learned were disseminated throughout the hospital. Our aim was to improve admission medication reconciliation compliance using the electronic form in order to ensure patient safety and reduce preventable harm in terms of medication errors. Admission medication reconciliation compliance improved in general medicine from 40% to above 85%, and this improvement was sustained for the last four months of the study period. PMID:27822371

76 FR 66949 - Privacy Act of 1974; Notification of the Establishment of a Privacy Act System of Records, HUD...

Science.gov (United States)

2011-10-28

...; billing dispute resolution documentation; reconciliation documents; service level agreements; distribution... records in the system: Storage: All data are stored on the production HIAMS database servers. The data are... HUD Integrated Core Financial System. Exemptions from certain provisions of the Act: None. [FR Doc...

The Influence of Organizational Reconciliation Policies and Culture on Workers Stress Perceptions

Directory of Open Access Journals (Sweden)

Rosa Monteiro

2017-10-01

Full Text Available Work-family reconciliation plays a crucial role in the well-being of employees, having impacts at the individual, social and organizational level. Studies concluded that poor work-life balance as one of the ten predictors of psychosocial risks at work. A family-friendly culture relates to how an organization values and allows the articulation of the various spheres of its workers’ life. We intended to determine the effect of different variables like the existence of services, the organizational culture and the managers and colleagues support, on the stress experienced. A sample of 156 employees, from five organizations in the same region of Portugal, responded to a survey contributing to the empirical results of the study. We have conducted a structural equation model to test whether the factor solution of the perception of the reconciliation capability - STRESS model demonstrated a goodness of fit to the population studied. We’ve concluded that more important than the existence of reconciliation services, the perception of a supportive organizational culture, namely by colleagues and supervisors has great influence in reconciliation capability and by that way on work stress feelings. This might explain why workers do not use all the spectrum of resources provided by organizations and states to work-life reconciliation.

Medication reconciliation is a prerequisite for obtaining a valid medication review

DEFF Research Database (Denmark)

Bjeldbak-Olesen, Mette; Danielsen, Anja Gadsbølle; Tomsen, Dorthe Vilstrup

2013-01-01

The objective of this study was to compare medication reconciliation and medication review based on number, type and severity of discrepancies and drug-related problems (DRPs), denoted errors.......The objective of this study was to compare medication reconciliation and medication review based on number, type and severity of discrepancies and drug-related problems (DRPs), denoted errors....

A Bridge to Reconciliation: A Critique of the Indian Residential School Truth Commission

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Marc A. Flisfeder

2010-05-01

Full Text Available In the past year, the Government of Canada has established the Indian Residential Schools (IRS Truth and Reconciliation Commission (TRC to address the deleterious effect that the IRS system has had on Aboriginal communities. This paper argues that the TRC as an alternative dispute resolution mechanism is flawed since it focuses too much on truth at the expense of reconciliation. While the proliferation of historical truths is of great importance, without mapping a path to reconciliation, the Canadian public will simply learn about the mistakes of the past without addressing the residual, communal impacts of the IRS system that continue to linger. The Truth and Reconciliation Commission must therefore approach its mandate broadly and in a manner reminiscent of the Royal Commission on Aboriginal Peoples of 1996.

Fast, efficient error reconciliation for quantum cryptography

International Nuclear Information System (INIS)

Buttler, W.T.; Lamoreaux, S.K.; Torgerson, J.R.; Nickel, G.H.; Donahue, C.H.; Peterson, C.G.

2003-01-01

We describe an error-reconciliation protocol, which we call Winnow, based on the exchange of parity and Hamming's 'syndrome' for N-bit subunits of a large dataset. The Winnow protocol was developed in the context of quantum-key distribution and offers significant advantages and net higher efficiency compared to other widely used protocols within the quantum cryptography community. A detailed mathematical analysis of the Winnow protocol is presented in the context of practical implementations of quantum-key distribution; in particular, the information overhead required for secure implementation is one of the most important criteria in the evaluation of a particular error-reconciliation protocol. The increase in efficiency for the Winnow protocol is largely due to the reduction in authenticated public communication required for its implementation

Medication reconciliation in nursing homes: thematic differences between RN and LPN staff.

Science.gov (United States)

Vogelsmeier, Amy A; Scott-Cawiezell, Jill R; Pepper, Ginette A

2011-12-01

The purpose of this qualitative descriptive study was to describe medication reconciliation practices in nursing homes with a specific focus on nursing staff involvement in the process. The study was conducted in eight Midwestern nursing homes and included 46 onsite observations of resident transfers to the nursing home. Informal interviews of nursing staff performing medication reconciliation were conducted during each observation. Findings suggest nursing home nursing staff, including both RN and licensed practical nurse (LPN) staff, were primarily responsible for performing medication reconciliation; however, these staff often varied in how they processed resident transfer information to identify medication order discrepancies. Patterns of differences were found related to their perceptions about medication reconciliation, as well as their actions when performing the process. RN staff were more often focused on resident safety and putting the "big picture" together, whereas LPN staff were more often focused on the administrative assignment and "completing the task." Copyright 2011, SLACK Incorporated.

Tax savings for your practice. New tax law accelerates depreciation write-off.

Science.gov (United States)

Dennis-Escoffier, Shirley; Quintana, Olga

2004-04-01

The Jobs and Growth Tax Relief Reconciliation Act of 2003 provides benefits for your medical group practice by quadrupling the expensing deduction and increasing additional first-year bonus depreciation. These increases are not permanent--some expire as soon as the end of 2004. So now is the time to start planning to maximize the tax-saving benefits for your practice.

Reconciliation, conciliation, integration and national healing ...

African Journals Online (AJOL)

husband and wife, offender and victim, between friends who have disagreed as ... always need to make clear the context in which one discusses reconciliation. ... well have a beneficial influence on future relations, also because previously .... People's Revolutionary Army (ZIPRA) elements of the Zimbabwe National.

Difficulties of care-work reconciliation: employed and nonemployed mothers of children with intellectual disability.

Science.gov (United States)

Chou, Yueh-Ching; Fu, Li-Yeh; Pu, Cheng-Yun; Chang, Heng-Hao

2012-09-01

Whether employed and nonemployed mothers of children with intellectual disability (ID) have different experiences with reconciliation between care and work has rarely been explored. A survey was conducted in a county in Taiwan and 487 mothers aged younger than 65 and having a child with ID were interviewed face to face at their homes to explore whether there are different factors related to the reconciliation between care and work among employed and nonemployed mothers. Except for the common ground of mothers' health and care demands, logistic regression revealed work flexibility and care support were important for employed mothers. In contrast, the success of reconciliation for nonemployed mothers was determined by their individual characteristics (i.e., age, marital status, family income). Reconciliation policies for mothers with different employment statuses need to use different strategies.

An African Perspective on Peace Education: Ubuntu Lessons in Reconciliation

Science.gov (United States)

Murithi, Tim

2009-05-01

This essay examines the value of educating for peace. It does this through a consideration of the African cultural world-view known as ubuntu, which highlights the essential unity of humanity and emphasises the importance of constantly referring to the principles of empathy, sharing and cooperation in efforts to resolve our common problems. The essay is not based on field research, but rather on a discussion of the issues pertaining to ubuntu and peace education. The discussion focuses on how Desmond Tutu utilised the principles of ubuntu during his leadership of the South African Truth and Reconciliation Commission. It also outlines the five stages of the peacemaking process found among ubuntu societies: acknowledging guilt; showing remorse and repenting; asking for and giving forgiveness; and paying compensation or reparations as a prelude to reconciliation. Potential lessons for educating for peace and reconciliation are highlighted based on the premise that the ubuntu approach to human relationship-building can offer an example to the world.

40 CFR 80.170 - Volumetric additive reconciliation (VAR), equipment calibration, and recordkeeping requirements.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Volumetric additive reconciliation... ADDITIVES Detergent Gasoline § 80.170 Volumetric additive reconciliation (VAR), equipment calibration, and...) For a facility which uses a gauge to measure the inventory of the detergent storage tank, the total...

The Politics of Violence, Truth, and Reconciliation in the Arab Middle East

DEFF Research Database (Denmark)

This book treats political and cultural attempts to create truth and reconciliation processes in the Arab Middle Eat. It contains studies of Morocco, Algeria, Sudan, Lebanon, Palestine, Iraq and Syria.......This book treats political and cultural attempts to create truth and reconciliation processes in the Arab Middle Eat. It contains studies of Morocco, Algeria, Sudan, Lebanon, Palestine, Iraq and Syria....

Reconciliation with environmental quality and public health; Avstaemning mot miljoekvalitetsmaal och folkhaelsomaal

Energy Technology Data Exchange (ETDEWEB)

Malmlund, Anna (Structor Miljoebyraan Stockholm AB (Sweden))

2010-12-15

This report is an appendix to the 'Environmental Impact Assessment - Interim storage, encapsulation and disposal of spent nuclear fuel'. The report makes a reconciliation with how the national and regional environmental quality and public health objectives are met in the construction, operation and decommissioning of the encapsulation plant and final disposal facility, and the Clink (encapsulation facility combined with CLAB). The starting point for reconciliation is the Environmental Impact Assessment (EIA). This report provides reconciliations against how the environmental and health objectives are met. A more detailed description of the business and its environmental impacts is provided in the EIA.The disposal facility is planned to be constructed in Forsmark municipality, Oesthammar and the encapsulation is constructed, combined with CLAB, in Simpevarp in Oskarshamn municipality.

Mawul Rom Project: Openness, obligation and reconciliation

NARCIS (Netherlands)

Brigg, M.; Tonnaer, A.A.C.

2008-01-01

Aboriginal Australian initiatives to restore balanced relationships with White Australians have recently become part of reconciliation efforts. This paper provides a contextualised report on one such initiative, the Mawul Rom cross-cultural mediation project. Viewing Mawul Rom as a diplomatic

38 CFR 3.801 - Special acts.

Science.gov (United States)

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Special acts. 3.801 Section 3.801 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Special Benefits § 3.801 Special acts. (a) General. A...

A fast method for calculating reliable event supports in tree reconciliations via Pareto optimality.

Science.gov (United States)

To, Thu-Hien; Jacox, Edwin; Ranwez, Vincent; Scornavacca, Celine

2015-11-14

Given a gene and a species tree, reconciliation methods attempt to retrieve the macro-evolutionary events that best explain the discrepancies between the two tree topologies. The DTL parsimonious approach searches for a most parsimonious reconciliation between a gene tree and a (dated) species tree, considering four possible macro-evolutionary events (speciation, duplication, transfer, and loss) with specific costs. Unfortunately, many events are erroneously predicted due to errors in the input trees, inappropriate input cost values or because of the existence of several equally parsimonious scenarios. It is thus crucial to provide a measure of the reliability for predicted events. It has been recently proposed that the reliability of an event can be estimated via its frequency in the set of most parsimonious reconciliations obtained using a variety of reasonable input cost vectors. To compute such a support, a straightforward but time-consuming approach is to generate the costs slightly departing from the original ones, independently compute the set of all most parsimonious reconciliations for each vector, and combine these sets a posteriori. Another proposed approach uses Pareto-optimality to partition cost values into regions which induce reconciliations with the same number of DTL events. The support of an event is then defined as its frequency in the set of regions. However, often, the number of regions is not large enough to provide reliable supports. We present here a method to compute efficiently event supports via a polynomial-sized graph, which can represent all reconciliations for several different costs. Moreover, two methods are proposed to take into account alternative input costs: either explicitly providing an input cost range or allowing a tolerance for the over cost of a reconciliation. Our methods are faster than the region based method, substantially faster than the sampling-costs approach, and have a higher event-prediction accuracy on

Reconciliation with non-binary species trees.

Science.gov (United States)

Vernot, Benjamin; Stolzer, Maureen; Goldman, Aiton; Durand, Dannie

2008-10-01

Reconciliation extracts information from the topological incongruence between gene and species trees to infer duplications and losses in the history of a gene family. The inferred duplication-loss histories provide valuable information for a broad range of biological applications, including ortholog identification, estimating gene duplication times, and rooting and correcting gene trees. While reconciliation for binary trees is a tractable and well studied problem, there are no algorithms for reconciliation with non-binary species trees. Yet a striking proportion of species trees are non-binary. For example, 64% of branch points in the NCBI taxonomy have three or more children. When applied to non-binary species trees, current algorithms overestimate the number of duplications because they cannot distinguish between duplication and incomplete lineage sorting. We present the first algorithms for reconciling binary gene trees with non-binary species trees under a duplication-loss parsimony model. Our algorithms utilize an efficient mapping from gene to species trees to infer the minimum number of duplications in O(|V(G) | x (k(S) + h(S))) time, where |V(G)| is the number of nodes in the gene tree, h(S) is the height of the species tree and k(S) is the size of its largest polytomy. We present a dynamic programming algorithm which also minimizes the total number of losses. Although this algorithm is exponential in the size of the largest polytomy, it performs well in practice for polytomies with outdegree of 12 or less. We also present a heuristic which estimates the minimal number of losses in polynomial time. In empirical tests, this algorithm finds an optimal loss history 99% of the time. Our algorithms have been implemented in NOTUNG, a robust, production quality, tree-fitting program, which provides a graphical user interface for exploratory analysis and also supports automated, high-throughput analysis of large data sets.

Editorial International Criminal Justice, Peace and Reconciliation in ...

African Journals Online (AJOL)

conference in July 2014 on the theme 'International Criminal Justice,. Reconciliation ... International Criminal Court (ICC) had come to occupy in discussions .... Pella, V. P., 1950, 'Towards an international criminal court', The American Journal.

10 CFR 766.104 - Reconciliation, adjustments and appeals.

Science.gov (United States)

2010-01-01

.... The filing of a notice for an adjustment shall not stay the obligation to pay. (b) DOE may request... TESS data for any discrepancies or further transactions raised during the reconciliation process. (d...

The Challenging Road to Reconciliation in Rwanda: Societal Processes, Interventions and Their Evaluation

Directory of Open Access Journals (Sweden)

Ervin Staub

2014-10-01

Full Text Available This article briefly discusses some efforts that Rwanda has made to recover from the genocide, ranging from trying perpetrators to creating just social arrangements. It also discusses problematic policies and practices that may interfere with reconciliation. It then describes work the author and his associates have engaged in to promote healing and reconciliation in Rwanda. First, they conducted training/workshops to help people understand the influences that lead to genocide and other great violence, and avenues to prevention, healing and reconciliation. Following this they created educational radio programs for the same ends. The article describes a highly popular radio drama in Rwanda, which has been broadcast since 2004. Evaluation studies of both the effects of the trainings and of the radio drama have found positive effects that are highly relevant for reconciliation. These include more positive attitudes toward the other group, more empathy, more willingness to say what one believes, and more moderate respect for authority (presumably leading to less blind obedience. Anecdotal reports from the community also show the positive effects of the radio drama.

Performative functions of genocide trials in Rwanda: Reconciliation ...

African Journals Online (AJOL)

memory to begin the process of reconciliation and rebuilding the country .... scheduled the ICTR to operate on short-term allocations, which deterred many ... in trying genocidaires, due to problems of capacity, political will, politicisation,.

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

LENUS (Irish Health Repository)

Grimes, Tamasine C

2011-03-01

Movement into or out of hospital is a vulnerable period for medication safety. Reconciling the medication a patient is using before admission with the medication prescribed on discharge, and documenting any changes (medication reconciliation) is recommended to improve safety. The aims of the study were to investigate the factors contributing to medication reconciliation on discharge, and identify the prevalence of non-reconciliation.

40 CFR 80.157 - Volumetric additive reconciliation (“VAR”), equipment calibration, and recordkeeping requirements.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Volumetric additive reconciliation (â... ADDITIVES Detergent Gasoline § 80.157 Volumetric additive reconciliation (“VAR”), equipment calibration, and... other comparable VAR supporting documentation. (ii) For a facility which uses a gauge to measure the...

Reconciliation Sentiment among Victims of Genocide in Rwanda: Conceptualizations, and Relationships with Mental Health

Science.gov (United States)

Mukashema, Immaculee; Mullet, Etienne

2010-01-01

In two studies that were conducted in Rwanda, we have examined the conceptualizations held by people who have experienced genocide with regard to reconciliation sentiment and quantitatively assessed the relationship between reconciliation sentiment and mental health. It was found that the participants have articulated conceptualizations regarding…

Robust data reconciliation and outlier detection with swarm intelligence in a thermal reactor power calculation

Energy Technology Data Exchange (ETDEWEB)

Valdetaro, Eduardo Damianik, E-mail: valdtar@eletronuclear.gov.br [ELETRONUCLEAR - ELETROBRAS, Angra dos Reis, RJ (Brazil). Angra 2 Operating Dept.; Coordenacao dos Programas de Pos-Graduacao de Engenharia (PEN/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear; Schirru, Roberto, E-mail: schirru@lmp.ufrj.br [Coordenacao dos Programas de Pos-Graduacao de Engenharia (PEN/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear

2011-07-01

In Nuclear power plants, Data Reconciliation (DR) and Gross Errors Detection (GED) are techniques of increasing interest and are primarily used to keep mass and energy balance into account, which brings outcomes as a direct and indirect financial benefits. Data reconciliation is formulated by a constrained minimization problem, where the constraints correspond to energy and mass balance model. Statistical methods are used combined with the minimization of quadratic error form. Solving nonlinear optimization problem using conventional methods can be troublesome, because a multimodal function with differentiated solutions introduces some difficulties to search an optimal solution. Many techniques were developed to solve Data Reconciliation and Outlier Detection, some of them use, for example, Quadratic Programming, Lagrange Multipliers, Mixed-Integer Non Linear Programming and others use evolutionary algorithms like Genetic Algorithms (GA) and recently the use of the Particle Swarm Optimization (PSO) showed to be a potential tool as a global optimization algorithm when applied to data reconciliation. Robust Statistics is also increasing in interest and it is being used when measured data are contaminated by random errors and one can not assume the error is normally distributed, situation which reflects real problems situation. The aim of this work is to present a brief comparison between the classical data reconciliation technique and the robust data reconciliation and gross error detection with swarm intelligence procedure in calculating the thermal reactor power for a simplified heat circuit diagram of a steam turbine plant using real data obtained from Angra 2 Nuclear power plant. The main objective is to test the potential of the robust DR and GED method in a integrated framework using swarm intelligence and the three part redescending estimator of Hampel when applied to a real process condition. The results evaluate the potential use of the robust technique in

Robust data reconciliation and outlier detection with swarm intelligence in a thermal reactor power calculation

International Nuclear Information System (INIS)

Valdetaro, Eduardo Damianik; Coordenacao dos Programas de Pos-Graduacao de Engenharia; Schirru, Roberto

2011-01-01

In Nuclear power plants, Data Reconciliation (DR) and Gross Errors Detection (GED) are techniques of increasing interest and are primarily used to keep mass and energy balance into account, which brings outcomes as a direct and indirect financial benefits. Data reconciliation is formulated by a constrained minimization problem, where the constraints correspond to energy and mass balance model. Statistical methods are used combined with the minimization of quadratic error form. Solving nonlinear optimization problem using conventional methods can be troublesome, because a multimodal function with differentiated solutions introduces some difficulties to search an optimal solution. Many techniques were developed to solve Data Reconciliation and Outlier Detection, some of them use, for example, Quadratic Programming, Lagrange Multipliers, Mixed-Integer Non Linear Programming and others use evolutionary algorithms like Genetic Algorithms (GA) and recently the use of the Particle Swarm Optimization (PSO) showed to be a potential tool as a global optimization algorithm when applied to data reconciliation. Robust Statistics is also increasing in interest and it is being used when measured data are contaminated by random errors and one can not assume the error is normally distributed, situation which reflects real problems situation. The aim of this work is to present a brief comparison between the classical data reconciliation technique and the robust data reconciliation and gross error detection with swarm intelligence procedure in calculating the thermal reactor power for a simplified heat circuit diagram of a steam turbine plant using real data obtained from Angra 2 Nuclear power plant. The main objective is to test the potential of the robust DR and GED method in a integrated framework using swarm intelligence and the three part redescending estimator of Hampel when applied to a real process condition. The results evaluate the potential use of the robust technique in

Particle swarm optimization applied to data reconciliation in nuclear power plant

International Nuclear Information System (INIS)

Valdetaro, Eduardo Damianik; Schirru, Roberto

2009-01-01

Mass and energy balance are important issues that needs to keep into account in nuclear power plants. Data Reconciliation and Parameter Estimation (DRPE) and gross errors detection are techniques of increasing interest. Works using Genetic Algorithm (GA) have been successfully used in the Data Reconciliation (DR) nonlinear optimization problem, and it seems that evolutionary algorithms performs well without the complex calculations used by the conventional methods. The aim of this paper is to present the Particle Swarm Optimization Algorithm (PSO) as an alternative to the use of modified GA, which was applied to data reconciliation with simultaneous gross errors detection. In this paper, the DR formulation uses a redescending estimator as objective function and simulation results show that PSO applied to DRPE problem is faster than modified GA presented in literature, do not involve complex calculations and do not need complex parameters to adjust. The PSO algorithm is also able to handle the non-differentiable characteristics of the redescending estimator. (author)

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

Science.gov (United States)

Sardaneh, Arwa A; Burke, Rosemary; Ritchie, Angus; McLachlan, Andrew J; Lehnbom, Elin C

2017-05-01

To investigate the impact of the introduction of an electronic medication management system on the proportion of patients with a recorded medication reconciliation on admission, the time from admission to when medication reconciliation was performed, and the characteristics of patients receiving this intervention pre-and post-implementation. An electronic medication management system was implemented in an Australian hospital from May to July 2015. A retrospective observational study was conducted in three wards across two phases; pre- (August 2014) and post- (August 2015) implementation. The study sample included every second patient admitted to these wards. A total of 370 patients were included, 179 pre- and 191 post-implementation. The proportion of recorded admission medication reconciliation significantly increased post-implementation in all study wards; coronary care unit (40 vs 68%, p=0.004), gastroenterology ward (39 vs 59%, p=0.015), and the neurology ward (19 vs 45%, p=0.002). The proportion of patients with recorded medication reconciliation within 24h of weekday admissions, or 48-72h of weekend admissions, increased from 47% pre- to 84% post-implementation. Admission medication reconciliation was recorded within a median of 1.0day for weekday admissions pre- and post-implementation (IQR 1.1 vs 0.2, respectively), and 3.5days (IQR 2.0) pre-implementation vs 1.5days (IQR 2.0) post-implementation for weekend admissions. Overall, across both phases pre-and post-implementation, admission medication reconciliation was recorded for patients who were significantly older (median 77 and 71 years, p<0.001), had a higher number of preadmission medications (median 6.5 and 5.0 medicines, p=0.001), and had a longer hospital stay (median 6.5 and 5.1days, p=0.003). A significantly higher proportion of patients with recorded medication reconciliation in the pre-implementation phase experienced polypharmacy (61%, p=0.002), hyperpolypharmacy (15%, p=0.001), and used a high

Schedule reconciliation tests for management prudency determination

International Nuclear Information System (INIS)

Howell, G.E.

1986-01-01

The prudency audit of a nuclear project involves engineering, construction, financial, and management dimensions. The audit must retrospectively evaluate the decisions and actions of management decision makers and then equitably allocate the cost impacts of those decisions and actions in a comprehensive and objective manner. In most situations, determination of the impact of schedule delays is a paramount issue. Manzi and Associates uses an approach to schedule reconciliation that focuses on the site-specific, as-built condition. The as-built schedule model is analyzed by a backward pass, or but-for methodology which focuses on the causes and impacts of identified delays. The objective is to demonstrate that but-for the identified delay, the project could have been built in the as-planned time frame. The but-for methodology has been used in many contract dispute cases and is currently being applied to schedule reconciliation on several nuclear plants. The potential for applying this methodology to both new construction and retrofit projects is great

Data reconciliation using PIMs historical data: a simple and low cost approach

Energy Technology Data Exchange (ETDEWEB)

Fonseca, Conrad A.A.; Oliveira, Elcio Cruz de [PETROBRAS Transporte S.A. (TRANSPETRO), Rio de Janeiro, RJ (Brazil)

2009-12-19

The procedure known as data reconciliation is based on measurement adjustments so that the resulting values fit within the conservation laws and the restrictions imposed by the process. The classical general data reconciliation problem deals with a weighted least-squares minimization of the measurement adjustments subject to the model constraints. The reconciliation technique allows that two or more experimental redundant measurements can be reconciled to a single value, a better representation of the quantity to be analyzed, minimizing the measurement uncertainty. A critical step in this process is the acquisition and storage of long-term data. There are commercial applications available to solve this problem, although in many cases they don't apply to the plants particularities and, in cases they do, the presented solution is usually more complex and expensive. The purpose of this work was to develop a custom tool for volume data reconciliation on oil products storage and transportation plants using the process data stored on a PIMS server. The platform chosen for this development was an Excel environment. The main novelty presented in this tool is the intrinsic simplicity gained by using an Excel environment, due to its wide range usage facilitating the customization for different plants without extra costs for the company. (author)

78 FR 19136 - Emergency Relief Program

Science.gov (United States)

2013-03-29

... issuing this interim final rule in order to comply with the Disaster Relief Appropriations Act of 2013... FTA-2013-0004. All electronic submissions must be made to the U.S. Government electronic site at http... operating costs in the event of a catastrophic event, such as a natural disaster, that affects a wide area...

Interdisciplinary collaboration in the provision of a pharmacist-led discharge medication reconciliation service at an Irish teaching hospital.

LENUS (Irish Health Repository)

Holland, Deirdre M

2015-04-01

Medication reconciliation is a basic principle of good medicines management. With the establishment of the National Acute Medicines Programme in Ireland, medication reconciliation has been mandated for all patients at all transitions of care. The clinical pharmacist is widely credited as the healthcare professional that plays the most critical role in the provision of medication reconciliation services.

Medication reconciliation in pediatric cardiology performed by a pharmacy technician: a prospective cohort comparison study.

Science.gov (United States)

Chan, Carol; Woo, Renée; Seto, Winnie; Pong, Sandra; Gilhooly, Tessie; Russell, Jennifer

2015-01-01

Medication reconciliation reduces potential medication discrepancies and adverse drug events. The role of pharmacy technicians in obtaining best possible medication histories (BPMHs) and performing reconciliation at the admission and transfer interfaces of care for pediatric patients has not been described. To compare the completeness and accuracy of BPMHs and reconciliation conducted by a pharmacy technician (pilot study) and by nurses and/or pharmacists (baseline). The severity of identified unintentional discrepancies was rated to determine their clinical importance. This prospective cohort comparison study involved patients up to 18 years of age admitted to and/or transferred between the Cardiology ward and the Cardiac Critical Care Unit of a pediatric tertiary care teaching hospital. A pharmacy resident conducted two 3-week audits: the first to assess the completeness and accuracy of BPMHs and reconciliation performed by nurses and/or pharmacists and the second to assess the completeness and accuracy of BPMHs and reconciliation performed by a pharmacy technician. The total number of patients was 38 in the baseline phase and 46 in the pilot period. There were no statistically significant differences between the baseline and pilot audits in terms of completion of BPMH (82% [28/34] versus 78% [21/27], p = 0.75) or completion of reconciliation (70% [23/33] versus 75% [15/20], p = 0.76) within 24 h of admission. Completeness of transfer reconciliation was significantly higher during the pilot study than at baseline (91% [31/34] versus 61% [11/18], p = 0.022). No significant differences between the baseline and pilot audits were found in the proportions of patients with at least one BPMH discrepancy (38% [13/34] versus 22% [6/27], p = 0.27), at least one unintentional discrepancy upon admission (21% [7/33] versus 10% [2/20], p = 0.46), or at least one unintentional discrepancy at the transfer interface (6% [1/18] versus 3% [1/34], p = 0.58). None of the 16

Conflicts between Two Religious Cultures: Achieving Reconciliation ...

African Journals Online (AJOL)

Religion Dept

Conflicts between Two Religious Cultures: Achieving Reconciliation. Patrick E. Nmah ... origins of human life in Africa in order to underline in an African way the new kind of life of an African ... oneself fast to God”, while religere means to choose and select again. .... create development, tolerance, love and lasting peace.

Religiosity and readiness for reconciliation: An anthropological view

Directory of Open Access Journals (Sweden)

Šantek Goran Pavel

2015-01-01

Full Text Available This paper is an anthropological study of processes that lead to the traumatization of a society, and of processes that result in forgiveness and reconciliation as chosen ways of dealing with post-conflict situations. The area on which the research is focused is Southeastern Europe, or more precisely Croatian and Serbian societies and relations. As cultural anthropology has not developed any special theory to deal with the causes of traumatic experiences in cultures and societies, this study uses the conceptions of closely related cultural sociology, formulated in Jeffrey Alexander's works. According to Alexander cultural trauma occurs when members of a collectivity feel they have been subjected to a horrendous event that leaves indelible marks upon their group consciousness, marking their memories forever and changing their future identity in fundamental and irrevocable ways. Insofar as they identify the cause of trauma, and thereby assume such moral responsibility, members of collectivities define their solidary relationships in ways that allow them to share the sufferings of others. In thinking that the suffering of others might also be our own societies expand the circle of the we. According to the same theory, when social groups refuse to recognize the existence of others' trauma and suffering, they not only diffuse their own responsibility for the suffering but often project the responsibility for their own suffering on these others. It is necessary then, for any process of reconciliation to be successful, that groups recognize suffering of others and their own responsibility. From the fact that social groups might refuse to participate in the process of trauma creation, it is obvious that trauma does not exist naturally, but that trauma is a social construction, a socially mediated attribution. This paper and research are also designed as an anthropological comparison with a huge sociological research of religiosity in Croatia done in

Consistency and Reconciliation Model In Regional Development Planning

Directory of Open Access Journals (Sweden)

Dina Suryawati

2016-10-01

Full Text Available The aim of this study was to identify the problems and determine the conceptual model of regional development planning. Regional development planning is a systemic, complex and unstructured process. Therefore, this study used soft systems methodology to outline unstructured issues with a structured approach. The conceptual models that were successfully constructed in this study are a model of consistency and a model of reconciliation. Regional development planning is a process that is well-integrated with central planning and inter-regional planning documents. Integration and consistency of regional planning documents are very important in order to achieve the development goals that have been set. On the other hand, the process of development planning in the region involves technocratic system, that is, both top-down and bottom-up system of participation. Both must be balanced, do not overlap and do not dominate each other. regional, development, planning, consistency, reconciliation

Medication reconciliation and prescribing reviews by pharmacy technicians in a geriatric ward

DEFF Research Database (Denmark)

Buck, Thomas Croft; Gronkjaer, Louise Smed; Duckert, Marie-Louise

2013-01-01

OBJECTIVE: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians can assist hospital physicians' in obtaining medication histories by performing medication reconciliation an...... reconciliation and focused medication reviews. Further randomized, controlled studies including a larger number of patients are required to elucidate whether these observations are of significance and of importance for securing patient safety....... and prescribing reviews. A secondary aim was to evaluate whether the interventions made by pharmacy technicians could reduce the time spent by the nurses on administration of medications to the patients. METHODS: This observational study was conducted over a 7 week period in the geriatric ward at Odense...... University Hospital, Denmark. Two pharmacy technicians conducted medication reconciliation and prescribing reviews at the time of patients' admission to the ward. The reviews were conducted according to standard operating procedures developed by a clinical pharmacist and approved by the Head of the Geriatric...

78 FR 76897 - Privacy Act of 1974; System of Records

Science.gov (United States)

2013-12-19

... established as the Income Verification Match Center, has authority under section 8051 to verify Veterans' self...) is amending the system of records currently titled ``Income Verification Records--VA'' (89VA16) as... Reconciliation Act of 1990, provides VA the authority to verify Veterans' self-reported income to determine...

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

LENUS (Irish Health Repository)

Grimes, Tamasine C

2012-02-01

AIMS: Movement into or out of hospital is a vulnerable period for medication safety. Reconciling the medication a patient is using before admission with the medication prescribed on discharge, and documenting any changes (medication reconciliation) is recommended to improve safety. The aims of the study were to investigate the factors contributing to medication reconciliation on discharge, and identify the prevalence of non-reconciliation. METHODS: The study was a cross-sectional, observational survey using consecutive discharges from purposively selected services in two acute public hospitals in Ireland. Medication reconciliation, potential for harm and unplanned re-admission were investigated. RESULTS: Medication non-reconciliation was identified in 50% of 1245 inpatient episodes, involving 16% of 9569 medications. The majority of non-reconciled episodes had potential to result in moderate (63%) or severe (2%) harm. Handwritten rather than computerized discharges (adjusted odds ratio (adjusted OR) 1.60, 95% CI 1.11, 2.99), increasing number of medications (adjusted OR 1.26, 95% CI 1.21, 1.31) or chronic illness (adjusted OR 2.08, 95% CI 1.33, 3.24) were associated with non-reconciliation. Omission of endocrine, central nervous system and nutrition and blood drugs was more likely on discharge, whilst omission on admission and throughout inpatient care, without documentation, was more likely for obstetric, gynaecology and urinary tract (OGU) or respiratory drugs. Documentation in the discharge communication that medication was intentionally stopped during inpatient care was less likely for cardiovascular, musculoskeletal and OGU drugs. Errors involving the dose were most likely for respiratory drugs. CONCLUSIONS: The findings inform strategies to facilitate medication reconciliation on discharge from acute hospital care.

Radical reconciliation: The TRC should have allowed Zacchaeus to ...

African Journals Online (AJOL)

2016-06-30

Jun 30, 2016 ... Attribution License. Introduction ... Commission (TRC) and its successes and/or failures, the actual concept of truth commissions can be traced to as .... reconciliation project (Boesak 2008; Boesak & DeYoung 2012). Lephakga ...

Towards a collaborative filtering approach to medication reconciliation.

Science.gov (United States)

Hasan, Sharique; Duncan, George T; Neill, Daniel B; Padman, Rema

2008-11-06

A physicians prescribing decisions depend on knowledge of the patients medication list. This knowledge is often incomplete, and errors or omissions could result in adverse outcomes. To address this problem, the Joint Commission recommends medication reconciliation for creating a more accurate list of a patients medications. In this paper, we develop techniques for automatic detection of omissions in medication lists, identifying drugs that the patient may be taking but are not on the patients medication list. Our key insight is that this problem is analogous to the collaborative filtering framework increasingly used by online retailers to recommend relevant products to customers. The collaborative filtering approach enables a variety of solution techniques, including nearest neighbor and co-occurrence approaches. We evaluate the effectiveness of these approaches using medication data from a long-term care center in the Eastern US. Preliminary results suggest that this framework may become a valuable tool for medication reconciliation.

A Critical View of Kenya´s Truth, Justice and Reconciliation Agenda

DEFF Research Database (Denmark)

Owiso, Michael

2016-01-01

assassinations, killings, torture, denial of basic needs, and other kinds of human rights abuses perpetrated under successive regimes since the country´s independence in 1963. The truth, justice and reconciliation process, whose report was presented to the president on May 21, 2013, after four years of work....... The paper concludes that the approach so far taken is compromised for elite motivated political purposes and may not foster reconciliation and build a stable Kenya. In so doing the paper contributes to intellectual debate around truth commissions and their role in promoting democracy....

THE TRUTH WHICH WILL SET US ALL FREE: NATIONAL RECONCILIATION, ORAL HISTORY AND THE CONSPIRACY OF SILENCE.

Directory of Open Access Journals (Sweden)

Peter Read

2006-06-01

Full Text Available The Australian Government, referring to thousands of Abo-riginal children allegedly stolen from their parents, responded that "the Commonwealth does not seek to defend or justify past policies and practices, but it does assert that the sature and intent of those events have been misrepresented, and that the treatment of separated Aboriginal children was essentially lawful and benign in intent..." In 1998 the Chilean government opposed the proposed trial of Gen-eral Pinochet in Spain, protesting at the grave damage it would cause to the process of democratic transition and national reconciliation. The Government of Chile believes that whatever are the intentions of those promoting the process, this does not help the intended reconcili-ation — on the contrary, they will deepen for many years the differ-ences which exist between Chileans. Are national reconciliation and oral history compatible?

Hidden Processes of Reconciliation in Mozambique: The Entangled ...

African Journals Online (AJOL)

chifaou.amzat

2017-07-21

Jul 21, 2017 ... emphasizing the role of this nationalist movement, this strategy has promoted .... studied process of processes of 'truth' production and re-education in non- ... but to produce little-known practices of reconciliation towards a new political community .... But can a subject of knowing become a knowing subject?

Reassembling and remembering-the politics of reconciliation in ...

African Journals Online (AJOL)

The latter notion is understood in a Platonic-Augustinian fashion – following the interpretation of the contemporary philosophical-theological movement of Radical Orthodoxy – as a diffuse recognition of the other within the self, whereby the politics of reconciliation is, in an important sense, broadened to encompass the ...

Which model of truth and reconciliation applies to former Yugoslavia?: Some thoughts on the closing panel discussion

Directory of Open Access Journals (Sweden)

Tošić Jelena

2002-01-01

Full Text Available This paper represents a reflection on the final panel discussion of the conference "Which Model of Truth and Reconciliation applies to ex-Yugoslavia?". By the means of sequential and hierarchical analysis of the argumentative structure of the discussion, the author «extracts» key dimensions of the expert discourse on truth and reconciliation using the case of the mentioned panel discussion. By identifying the points of consensus the author seeks to describe the notion of truth and reconciliation as it emerged in the closing panel discussion of the conference.

78 FR 8691 - Notice of Availability of Emergency Relief Funds in Response to Hurricane Sandy

Science.gov (United States)

2013-02-06

...-competitive basis, subject to the priorities set forth below. The Disaster Relief Appropriations Act of 2013..., reconstruct, or replace equipment and facilities of a public transportation system operating in the United... affects public transportation systems. The Emergency Relief Program allows FTA to make grants for eligible...

Bargaining for Truth and Reconciliation in South Africa: A Game ...

African Journals Online (AJOL)

Bargaining for Truth and Reconciliation in South Africa: A Game-Theoretic Analysis. ... Using game-theoreticanalysis, the authors model the truth-amnesty game and predict the optimal commission strategy. ... AJOL African Journals Online.

38 CFR 20.1200 - Rule 1200. Privacy Act request-appeal pending.

Science.gov (United States)

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Rule 1200. Privacy Act request-appeal pending. 20.1200 Section 20.1200 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF.... Privacy Act request—appeal pending. When a Privacy Act request is filed under § 1.577 of this chapter by...

Bargaining for Truth and Reconciliation in South Africa: A Game ...

African Journals Online (AJOL)

Bargaining for Truth and Reconciliation in South Africa: A Game-Theoretic Analysis. ... Using game-theoretic analysis, the authors model the truth-amnesty game and predict the optimal commission strategy. ... AJOL African Journals Online.

The Application of Criminal Reconciliation in Tibetan Areas of Sichuan Province

Institute of Scientific and Technical Information of China (English)

RAN Hui

2014-01-01

agreement often included reli-gious content .After democratic reform , following the collapse of the political power of the tusi , and its replacement with a system of local administra-tive organizations on various levels ( including county, township and village level organizations ), judicial organs on various levels ( public security organs, the people′s procuratorate or the people′s court) the traditional system for conflict resolution was demolished .The institutions mentioned above were responsible for resolving different disputes and conflicts according to the national law .In or-der to have an overall understanding of present criminal reconciliation in the Tibetan areas of Si-chuan , we conducted an investigation by handing out questionnaires to the local people , staff in ju-dicial organs and monasteries , and also inter-viewed some administrative cadres from county and township administrations . This was done so as to understand their thoughts on and understanding of local criminal reconciliation .According to the in-vestigation , for those cases which have big impact in Tibetan areas and are difficult to solve , the main method was to combine the various strategies ( such as religious powers , administrative organi-zations at the basic levels ) to solve conflicts. Current criminal reconciliation practices in theTibetan areas of Sichuan include reconciliationsoutside lawsuits and reconciliation within lawsuits .Those in charge of reconciliation outside lawsuitsare other organizations.The judicial organs do notinvolve themselves, or if they are involved, theyonly play an auxiliary role.The basis and procedurefor dealing with conflicts basically does nothave legal attributes.There are generally two situationsregarding reconciliation outside lawsuits.The first situation is related to remote areas whereit is difficult to carry out national law.This is dueto the restrictions caused by natural geographicalconditions.The second situation is related to thelocal

The Implications of Pauline Concept of Reconciliation for ...

African Journals Online (AJOL)

this is observed in the unpatriotic nature of Nigerians towards Nigeria even in the wake of the re-branding campaign. This paper therefore aims to bring to the fore the importance of the concept of reconciliation from biblical perspective and the need for its implementation in enthroning peace, stability, progress and unity in ...

76 FR 51147 - Medicaid Program; Eligibility Changes Under the Affordable Care Act of 2010

Science.gov (United States)

2011-08-17

.../MedicaidEligibility/downloads/CMS-2349-P-PreliminaryRegulatoryImpactAnalysis.pdf . A summary of the... Opportunity Reconciliation Act of 1996 QI Qualifying Individuals QMB Qualified Medicare Beneficiaries SHO... eligibility criteria, such as citizenship or satisfactory immigration status. Children and, in some States...

Psychological basis of the reconciliation process

Directory of Open Access Journals (Sweden)

Petrović Nebojša

2002-01-01

Full Text Available In the psychological framework, reconciliation is a socio-cultural process, which includes majority of the members of the society, who form new beliefs about former enemies, about their own society and relations between these two groups. This process is about changing the system of beliefs of the members of the society. Maybe the most important change in this ideology of conflict is about the certainty of absolute righteousness of our own aims, which is in contradiction with similar beliefs of the opposite side.

20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

Science.gov (United States)

2010-04-01

... reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits... Systems § 411.536 Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? When the beneficiary's outcome payment period begins before the beneficiary has...

Femi Osofisan's discourse on Pan-Africanism and reconciliation in ...

African Journals Online (AJOL)

The paper is a critical appraisal of Femi Osofisan's ideological perspectives of Pan-Africanism, imperialism and reconciliation as exemplified in his plays especially in Nkrumah-Ni… Africa-Ni and Reel, Rwanda. The paper also explores the playwright's views on the dynamics of the problems confronting the African continent ...

Reconciliation as a tool for decision making within decision tree related to insolvency problems

Directory of Open Access Journals (Sweden)

Tomáš Poláček

2016-05-01

Full Text Available Purpose of the article: The paper draws on the results of previous studies recoverability of creditor’s claims, where it was research from debtor’s point of view and his/her debts on the Czech Republic financial market. The company, which fell into a bankruptcy hearing, has several legislatively supported options how to deal with this situation and repay creditors money. Each of the options has been specified as a variant of a decisionmaking tree. This paper is focused on third option of evaluation – The reconciliation. The heuristic generates all missing information items. The result is then focused on the comparison and evaluation of the best ways to repay the debt, also including solution for the future continuation of the company currently in liquidation and quantification of percentage refund of creditors claim. A realistic case study is presented in full details. Further introduction of decision making with uncerteinties in insolvency proceedings. Methodology/methods: Solving within decision tree with partially ignorance of probability using reconciliation. Scientific aim: Comparison and evaluation of the best ways to repay the debt, also including solution for the future continuation of the company currently in liquidation and quantification of percentage refund of creditors claim. Findings: Predictions of future actions in dealing with insolvency act and bankruptcy hearing, quicker and more effective agreeing on compromises among all creditors and debtor. Conclusions: Finding a best way and solution of repayment and avoiding of termination for both of interested parties (creditor and debtor.

Impact of a pharmacy technician-centered medication reconciliation program on medication discrepancies and implementation of recommendations.

Science.gov (United States)

Kraus, Sarah K; Sen, Sanchita; Murphy, Michelle; Pontiggia, Laura

2017-01-01

To evaluate the impact of a pharmacy-technician centered medication reconciliation (PTMR) program by identifying and quantifying medication discrepancies and outcomes of pharmacist medication reconciliation recommendations. A retrospective chart review was performed on two-hundred patients admitted to the internal medicine teaching services at Cooper University Hospital in Camden, NJ. Patients were selected using a stratified systematic sample approach and were included if they received a pharmacy technician medication history and a pharmacist medication reconciliation at any point during their hospital admission. Pharmacist identified medication discrepancies were analyzed using descriptive statistics, bivariate analyses. Potential risk factors were identified using multivariate analyses, such as logistic regression and CART. The priority level of significance was set at 0.05. Three-hundred and sixty-five medication discrepancies were identified out of the 200 included patients. The four most common discrepancies were omission (64.7%), non-formulary omission (16.2%), dose discrepancy (10.1%), and frequency discrepancy (4.1%). Twenty-two percent of pharmacist recommendations were implemented by the prescriber within 72 hours. A PTMR program with dedicated pharmacy technicians and pharmacists identifies many medication discrepancies at admission and provides opportunities for pharmacist reconciliation recommendations.

Impact of a pharmacy technician-centered medication reconciliation program on medication discrepancies and implementation of recommendations

Directory of Open Access Journals (Sweden)

Kraus SK

2017-06-01

Full Text Available Objectives: To evaluate the impact of a pharmacy-technician centered medication reconciliation (PTMR program by identifying and quantifying medication discrepancies and outcomes of pharmacist medication reconciliation recommendations. Methods: A retrospective chart review was performed on two-hundred patients admitted to the internal medicine teaching services at Cooper University Hospital in Camden, NJ. Patients were selected using a stratified systematic sample approach and were included if they received a pharmacy technician medication history and a pharmacist medication reconciliation at any point during their hospital admission. Pharmacist identified medication discrepancies were analyzed using descriptive statistics, bivariate analyses. Potential risk factors were identified using multivariate analyses, such as logistic regression and CART. The priority level of significance was set at 0.05. Results: Three-hundred and sixty-five medication discrepancies were identified out of the 200 included patients. The four most common discrepancies were omission (64.7%, non-formulary omission (16.2%, dose discrepancy (10.1%, and frequency discrepancy (4.1%. Twenty-two percent of pharmacist recommendations were implemented by the prescriber within 72 hours. Conclusion: A PTMR program with dedicated pharmacy technicians and pharmacists identifies many medication discrepancies at admission and provides opportunities for pharmacist reconciliation recommendations.

Process of Reconciliation in a Postconflict Macedonia

OpenAIRE

Biljana Popovska; Zhanet Ristoska

2015-01-01

In this article we will consider reconciliation in a post-conflict Macedonia. When Ohrid Framework Agreement (OFA) was signed, the international community greeted the achievements of the international community as it was signed under specific circumstances. Since it stopped the conflict, it had achieved its goal. Legally, the country became a multiethnic one with a power-sharing government. Yet, the political and intellectual elite, which slightly differ from each other, did not invest intell...

Dialogical inquiry as an instrument of the reconciliation of conflict in the hands of Christian leaders

Directory of Open Access Journals (Sweden)

C.J. Hugo

2010-07-01

Full Text Available The apartheid system caused deep rifts in South African society, and even following the dawn of democracy, society in South Africa continues to struggle with violence and conflict, ethnic differences, mass action and poverty. Christian leaders have an important part to play in conflict resolution. Conflict management in organisations incorporates negotiation as a means of conflict resolution. A number of approaches to conflict resolution contribute to this approach; these include forcing, avoiding, accommodating, compromising and collaborating. Christian leaders, however, favour reconciliation as a means of resolving conflict. A Christian approach to conflict resolution needs to take cognisance of the existential aspect of conflict. Examples of such approaches are those of Dreyer, who speaks of reconciliation as a dilemma for forgiveness, and Kistner, who explores the way in which the use of narratives rather than reallife stories in the Truth and Reconciliation Commission reduced the severity of trauma. The social construction of trauma in “Mamelodi” by Brigid Hess, which presents a shift from forgiveness to a journey taken along with the perpetrators, and the belief of Desmond Tutu in the healing brought about by the ubuntu philosophy, are evaluated here as being detrimental to reconciliation. Based on the examples cited, an approach to conflict resolution entailing a clear integration of the biblical approach to reconciliation and dialogical inquiry (DI is proposed as an appropriate intervention approach for Christian leaders. The present contribution is offered from within the discipline of Practical Theology, with a focus on Pastoral Counseling.

reassembling and remembering – the politics of reconciliation in ...

African Journals Online (AJOL)

starting point for a discussion on the politics of reconciliation. It is especially ... more than two decades of post-apartheid South Africa, some surveys suggest that South ... and big business (the so-called mineral-energy complex), on the other .... into account, is concerned with the quality of their franchise (Harman 2014:.

38 CFR 14.634 - Banks or trust companies acting as guardians.

Science.gov (United States)

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Banks or trust companies acting as guardians. 14.634 Section 14.634 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... guardians. Banks or trust companies, corporate entities, acting as guardians for claimants, may be...

A Novel Real-coded Quantum-inspired Genetic Algorithm and Its Application in Data Reconciliation

Directory of Open Access Journals (Sweden)

Gao Lin

2012-06-01

Full Text Available Traditional quantum-inspired genetic algorithm (QGA has drawbacks such as premature convergence, heavy computational cost, complicated coding and decoding process etc. In this paper, a novel real-coded quantum-inspired genetic algorithm is proposed based on interval division thinking. Detailed comparisons with some similar approaches for some standard benchmark functions test validity of the proposed algorithm. Besides, the proposed algorithm is used in two typical nonlinear data reconciliation problems (distilling process and extraction process and simulation results show its efficiency in nonlinear data reconciliation problems.

Improving your real-time data infrastructure using advanced data validation and reconciliation

Energy Technology Data Exchange (ETDEWEB)

Wising, Ulrika; Campan, Julien; Vrielynck, Bruno; Anjos, Cristiano dos; Kalitventzeff, Pierre-Boris [Belsim S.A., Awans (Belgium)

2008-07-01

'Smart fields', 'e-fields', 'field of the future', 'digital oil fields' and 'field monitoring' are all names of real-time data infrastructures aimed at providing information for decision making. This paper discusses these new real-time data infrastructures that are being developed and deployed in oil and gas production and in particular the challenge of supplying these new systems with high quality data. In order for these infrastructures to be successful and provide efficient and successful performance management and optimization, they need to have access to high quality production data. Advanced Data Validation and Reconciliation is a technology that could meet this data quality challenge. It has been successfully deployed in many different industry sectors and more recently in oil and gas production. Advanced Data Validation and Reconciliation provides a coherent, accurate set of production data and basing these new infrastructures on validated and reconciled data brings a solution to the data quality challenge. There are numerous other benefits by applying advanced data validation and reconciliation in oil and gas production, such as uninterrupted well production, optimized valves opening and water or gas injection, backup values for traditional multiphase flow meters, and the avoidance of production upsets. (author)

[Impact of a software application to improve medication reconciliation at hospital discharge].

Science.gov (United States)

Corral Baena, S; Garabito Sánchez, M J; Ruíz Rómero, M V; Vergara Díaz, M A; Martín Chacón, E R; Fernández Moyano, A

2014-01-01

To assess the impact of a software application to improve the quality of information concerning current patient medications and changes on the discharge report after hospitalization. To analyze the incidence of errors and to classify them. Quasi-experimental pre / post study with non-equivalent control group study. Medical patients at hospital discharge. implementation of a software application. Percentage of reconciled patient medication on discharge, and percentage of patients with more than one unjustified discrepancy. A total of 349 patients were assessed; 199 (pre-intervention phase) and 150 (post-intervention phase). Before the implementation of the application in 157 patients (78.8%) medication reconciliation had been completed; finding reconciliation errors in 99 (63.0%). The most frequent type of error, 339 (78.5%), was a missing dose or administration frequency information. After implementation, all the patient prescriptions were reconciled when the software was used. The percentage of patients with unjustified discrepancies decreased from 63.0% to 11.8% with the use of the application (psoftware application has been shown to improve the quality of the information on patient treatment on the hospital discharge report, but it is still necessary to continue development as a strategy for improving medication reconciliation. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

The Worlds First Ever Cooling Tower Acceptance Test Using Process Data Reconciliation

International Nuclear Information System (INIS)

Magnus Langenstein; Jan Hansen-Schmidt

2006-01-01

The cooling capacity of cooling towers is influenced by multiple constructive and atmospheric parameters in a very complex way. This leads to strong variations of the measured cold-water temperature and causes unacceptable unreliability of conventional acceptance tests, which are based on single point measurements. In order to overcome this lack of accuracy a new approach to acceptance test based on process data reconciliation has been developed by BTB Jansky and applied at a nuclear power plant. This approach uses process data reconciliation according to VDI 2048 to evaluate datasets over a long period covering different operating conditions of the cooling tower. Data reconciliation is a statistical method to determine the true process parameters with a statistical probability of 95% by considering closed material-, mass-and energy balances. Datasets which are not suitable for the evaluation due to strong transient gradients are excluded beforehand, according to well-defined criteria. The reconciled cold-water temperature is then compared, within a wet bulb temperature range of 5 deg. C to 20 deg. C to the manufacturer's guaranteed temperature. Finally, if the average deviation between reconciled and guaranteed value over the evaluated period is below zero, the cooling tower guarantee is fulfilled. (authors)

Positive Prerequisites for the Use of Reliefs in the Payment of Dues on Social Insurance Contributions

Directory of Open Access Journals (Sweden)

Zbigniew Ofiarski

2014-06-01

Full Text Available It is permissible to use reliefs in the payment of social security contributions, based either on a definitive waiver by the creditor of the whole or relevant part of the amount due (partial or complete remission or only a temporary waiver of such amounts (payment deferral or payment in installments. The use of such reliefs is possible upon the occurrence of conditions laid down in the Act, for example, in the case of total non-recovery of contributions, for economic or other reasons worth considering, if justified by important interests of the person concerned. The prerequisites mentioned above have a nature of general clauses, allowing for their flexible adjustment to specific situations. Entities authorized to grant reliefs in the payment of social security contributions act within the limits of administrative discretion. But it is not a fully free operation, because the economic impact resulting from the use of such reliefs has a direct impact on the financial balance of earmarked funds which finance social security benefits, in particular pensions, disability allowances and other benefits.

Perceptions among general medical practitioners toward implementation of medication reconciliation program for patients discharged from hospitals in Penang, Malaysia.

Science.gov (United States)

Hassali, Mohamed Azmi Ahmad; Al-Haddad, Mahmoud; Shafie, Asrul Akmal; Tangiisuran, Balamurugan; Saleem, Fahad; Atif, Muhammad; Al-Qazaz, Harith

2012-06-01

This study aims to explore the perceptions of general practitioners (GPs) from the state of Penang toward the feasibility of implementing the medication reconciliation program in Malaysia. A cross-sectional descriptive study using a validated, self-completed anonymous 18-item questionnaire was undertaken over a period of 2 months in 2010. The study was conducted in the state of Penang, Malaysia. A letter consisting of survey questionnaires and prepaid return envelope were mailed to 429 GPs identified from the Private Medical Practice Control Department Registry. A total of 86 responses were received with response rate of 20.1%. Majority (90.1%) of the respondents agreed that medication reconciliation can be a feasible strategy to improve medication safety, and 97.7% confirmed that having an accurate up-to-date list of the patient's previous medication will be useful in the rational prescribing process. However, about half (56.9%) of them felt that standardization of the medication reconciliation process in all clinics will be difficult to achieve. Three quarters (73.2%) of the respondents believed that the involvement of GPs alone is insufficient, and 74.5% agreed that this program should be expanded to community pharmacy setting. More than 90% of the respondents agreed upon the medication reconciliation card proposed by the researchers. General practitioners in Penang are generally in favor of the implementation of medication reconciliation program in their practice. Because medication reconciliation has been shown to reduce many medicine-related problems, it is thus worth considering the feasibility of nationwide implementation of such program.

The Effect of Dividend Tax Policy on Corporate Investment

Directory of Open Access Journals (Sweden)

Jimmy Torrez

2006-10-01

Full Text Available The Job Growth and Taxpayer Relief Reconciliation Act of 2003 lowered dividend taxes to the same rate as capital gains taxes in the United States using the Pecking Order Theory as a framework. This paper develops a model that examines the effect the tax cut will have on corporate investment. The model finds that the dividend rate tax cut will increase the corporate cost of capital and lower investment. Therefore, any increase in the value of the stock market from this act will simply be a response to an increase in after tax returns and not from an increase in production.

Identification of unmeasured variables in the set of model constraints of the data reconciliation in a power unit

Science.gov (United States)

Szega, Marcin; Nowak, Grzegorz Tadeusz

2013-12-01

In generalized method of data reconciliation as equations of conditions beside substance and energy balances can be used equations which don't have precisely the status of conservation lows. Empirical coefficients in these equations are traded as unknowns' values. To this kind of equations, in application of the generalized method of data reconciliation in supercritical power unit, can be classified: steam flow capacity of a turbine for a group of stages, adiabatic internal efficiency of group of stages, equations for pressure drop in pipelines and equations for heat transfer in regeneration heat exchangers. Mathematical model of a power unit was developed in the code Thermoflex. Using this model the off-design calculation has been made in several points of loads for the power unit. Using these calculations identification of unknown values and empirical coefficients for generalized method of data reconciliation used in power unit has been made. Additional equations of conditions will be used in the generalized method of data reconciliation which will be used in optimization of measurement placement in redundant measurement system in power unit for new control systems

Harmony, Law and Criminal Reconciliation in China: A Historical Perspective

NARCIS (Netherlands)

W. Pei (Wei)

2016-01-01

textabstractIn 2012, China revised its Criminal Procedure Law (2012 CPL). One of the major changes is its official approval of the use of victim-offender reconciliation, or ‘criminal reconciliation’ in certain public prosecution cases. This change, on the one hand, echoes the Confucian doctrine that

Towards the Reconciliation of Knowledge Management and e-Collaboration Systems

Science.gov (United States)

Le Dinh, Thang; Rinfret, Louis; Raymond, Louis; Dong Thi, Bich-Thuy

2013-01-01

Purpose: The purpose of this paper is to propose an intelligent infrastructure for the reconciliation of knowledge management and e-collaboration systems. Design/Methodology/Approach:Literature on e-collaboration, information management, knowledge management, learning process, and intellectual capital is mobilised in order to build the conceptual…

Modeling the onset and offset of dental pain relief by ibuprofen.

Science.gov (United States)

Li, Hanbin; Mandema, Jaap; Wada, Russell; Jayawardena, Shyamalie; Desjardins, Paul; Doyle, Geraldine; Kellstein, David

2012-01-01

Onset and offset of dental pain relief by ibuprofen following third molar extraction were modeled in a randomized, double-blind, placebo-controlled, parallel-group, 8-hour study of patients receiving either a novel effervescent ibuprofen tablet (400 mg; N = 30), standard ibuprofen tablets (Nurofen(®) 2 × 200 mg; N = 22), or placebo (N = 37). An Emax model was fit to pain relief scores. Linear hazard models were used to analyze the time to first perceptible relief (TFPR), the time to meaningful pain relief (TMPR), and time to remedication (REMD). Nomograms were created to correlate TFPR, TMPR, and REMD with different ibuprofen pharmacokinetic profiles. Effervescent ibuprofen was absorbed rapidly with 95% completion within 15 minutes. Maximum pain relief score by ibuprofen was 1.8 units greater than placebo, with an EC50 (effect-site) for ibuprofen concentration of 10.2 µg·mL(-1). The likelihood to achieve TFPR and TMPR was doubled for every 10 µg·mL(-1) increase in ibuprofen plasma concentration. REMD risk decreased 40-fold as the categorical pain relief score increased from 0 to 3. Rapid absorption of ibuprofen effervescent resulted in an earlier TFPR and TMPR, and a lower REMD rate than standard ibuprofen. The nomograms may be useful in predicting the onset and offset of new faster acting ibuprofen formulations, based on pharmacokinetic profiles.

History Education and Reconciliation: Comparative Perspectives on East Asia

Science.gov (United States)

Han, Un-suk, Ed.; Kondo, Takahiro, Ed.; Yang, Biao, Ed.; Pingel, Falk, Ed.

2012-01-01

The legacy of crimes committed during the Second World War in East Asia is still a stumbling block for reconciliation and trustful cultural relations between South Korea, China and Japan. The presentation of this issue in history school books is in the focus of a heated public and academic debate. This book written by historians and pedagogues…

Ubuntu, koinonia and diakonia, a way to reconciliation in South Africa?

Directory of Open Access Journals (Sweden)

Gert Breed

2015-10-01

Full Text Available This article seeks to contribute to the process of reconciliation in South Africa. This is achieved by firstly exploring the meaning of ubuntu as a common culture or religion under a large percentage of South Africa’s people over the borders of language and other cultural values. In the second part of the article two concepts that play a major role in Christianity are explored, namely koinonia and diakonia. Again a large percentage of South Africans believe that the Bible is the Word of God in which the right way of living is described. A comparison is made between the core values of ubuntu and the way of living that emerges from the use of the two concepts of koinonia and diakonia in the New Testament. A way that can contribute to reconciliation is suggested from this comparison.

Comparison of medication reconciliation and medication review: errors and clinical importance

DEFF Research Database (Denmark)

Bjeldbak-Olesen, Mette; Danielsen, Anja Gadsbølle; Tomsen, Dorthe Vilstrup

2013-01-01

in the patient record and the EMS. 15% of the discrepancies were potentially serious or fatal, 62% were potentially significant and 23% were potentially non-significant. A total of 129 DRPs were identified by medication review, 1.7 per patient. The most frequent DRPs were sub therapeutic dosage, inappropriate......Introduction: The objective of this study was to compare medication reconciliation and medication review based on number, type and severity of discrepancies and drug-re­lated problems (DRPs), denoted errors. Material and methods: This was a retrospective study conducted at the Department...... of Cardiology, Hillerød Hos­pital. Medication reconciliation compared the prescriptions in patient records, an electronic medication system (EMS) and in discharge summaries (DS). The medication review was based on the EMS. The two methods were performed on the same data material. To assess the clinical...

An Observational Study to Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Powered Medication Reconciliation Tool.

Science.gov (United States)

Long, Ju; Yuan, Michael Juntao; Poonawala, Robina

2016-05-16

Medication reconciliation (the process of creating an accurate list of all medications a patient is taking) is a widely practiced procedure to reduce medication errors. It is mandated by the Joint Commission and reimbursed by Medicare. Yet, in practice, medication reconciliation is often not effective owing to knowledge gaps in the team. A promising approach to improve medication reconciliation is to incorporate artificial intelligence (AI) decision support tools into the process to engage patients and bridge the knowledge gap. The aim of this study was to improve the accuracy and efficiency of medication reconciliation by engaging the patient, the nurse, and the physician as a team via an iPad tool. With assistance from the AI agent, the patient will review his or her own medication list from the electronic medical record (EMR) and annotate changes, before reviewing together with the physician and making decisions on the shared iPad screen. In this study, we developed iPad-based software tools, with AI decision support, to engage patients to "self-service" medication reconciliation and then share the annotated reconciled list with the physician. To evaluate the software tool's user interface and workflow, a small number of patients (10) in a primary care clinic were recruited, and they were observed through the whole process during a pilot study. The patients are surveyed for the tool's usability afterward. All patients were able to complete the medication reconciliation process correctly. Every patient found at least one error or other issues with their EMR medication lists. All of them reported that the tool was easy to use, and 8 of 10 patients reported that they will use the tool in the future. However, few patients interacted with the learning modules in the tool. The physician and nurses reported the tool to be easy-to-use, easy to integrate into existing workflow, and potentially time-saving. We have developed a promising tool for a new approach to

Controlled Substance Reconciliation Accuracy Improvement Using Near Real-Time Drug Transaction Capture from Automated Dispensing Cabinets.

Science.gov (United States)

Epstein, Richard H; Dexter, Franklin; Gratch, David M; Perino, Michael; Magrann, Jerry

2016-06-01

Accurate accounting of controlled drug transactions by inpatient hospital pharmacies is a requirement in the United States under the Controlled Substances Act. At many hospitals, manual distribution of controlled substances from pharmacies is being replaced by automated dispensing cabinets (ADCs) at the point of care. Despite the promise of improved accountability, a high prevalence (15%) of controlled substance discrepancies between ADC records and anesthesia information management systems (AIMS) has been published, with a similar incidence (15.8%; 95% confidence interval [CI], 15.3% to 16.2%) noted at our institution. Most reconciliation errors are clerical. In this study, we describe a method to capture drug transactions in near real-time from our ADCs, compare them with documentation in our AIMS, and evaluate subsequent improvement in reconciliation accuracy. ADC-controlled substance transactions are transmitted to a hospital interface server, parsed, reformatted, and sent to a software script written in Perl. The script extracts the data and writes them to a SQL Server database. Concurrently, controlled drug totals for each patient having care are documented in the AIMS and compared with the balance of the ADC transactions (i.e., vending, transferring, wasting, and returning drug). Every minute, a reconciliation report is available to anesthesia providers over the hospital Intranet from AIMS workstations. The report lists all patients, the current provider, the balance of ADC transactions, the totals from the AIMS, the difference, and whether the case is still ongoing or had concluded. Accuracy and latency of the ADC transaction capture process were assessed via simulation and by comparison with pharmacy database records, maintained by the vendor on a central server located remotely from the hospital network. For assessment of reconciliation accuracy over time, data were collected from our AIMS from January 2012 to June 2013 (Baseline), July 2013 to April 2014

Alternative medicine - pain relief

Science.gov (United States)

Acupuncture - pain relief; Hypnosis - pain relief; Guided imagery - pain relief ... neck, shoulder, knee, or elbow) Osteoarthritis Rheumatoid arthritis Hypnosis is a focused state of concentration. With self- ...

Advancing Medication Reconciliation in an Outpatient Internal Medicine Clinic through a Pharmacist-Led Educational Initiative

Directory of Open Access Journals (Sweden)

Sarah M. Westberg, Pharm.D.

2010-01-01

Full Text Available Objectives: To develop and deliver an effective pharmacist-led educational initiative to clinic staff to advance medication reconciliation in the electronic medical record of an outpatient internal medicine clinic.Methods: An educational initiative designed to improve the ability of nursing staff in medication reconciliation was launched in the outpatient internal medicine clinic of a regional healthcare system. The education was provided by the pharmacist to clinic nursing staff, including registered nurses, licensed practical nurses, and certified medical assistants. The impact of this training was measured through pre-initiation and post-implementation surveys, competency assessments and an audit. Results: The educational initiative was successfully designed and delivered to clinic nursing staff. Assessment of the initiative found that all nursing staff completing competency assessments successfully passed. Pre-initiation- and post-implementation- survey responses on the self-assessed ability to gather and document accurate medication lists did not show significant changes. Informal observations in the clinic indicated that this initiative changed the culture of the clinic, creating increased awareness of the importance of accurate medications and increased emphasis on medication reconciliation.Conclusions: The expertise of pharmacists can be utilized to educate nursing staff on the skills and abilities necessary to gather and document accurate medication lists. This study did not find measurable changes in the accuracy of medication lists in this clinic. Future research is needed to determine the best methods to train health professionals in medication reconciliation to ensure accurate medication lists in the outpatient setting.

Prophetic dialogue: The quest for religious leaders seeking reconciliation in the aftermath of the transition in South Africa?

Directory of Open Access Journals (Sweden)

Christo H. Thesnaar

2017-10-01

Full Text Available The TRC re-enactment consultation18 afforded the opportunity to reflect on the leadership of religious leaders during the apartheid era, and in the years that followed. This chapter is particularly interested in the prophetic leadership provided by religious leaders during apartheid, and 20 years following the transition by engaging with some normative thoughts on prophetic dialogue. The findings on the leadership provided during the post-TRC are reflected upon in terms of reconciliation through the hermeneutical lens of the Belgian scholar Valarie Rosoux. Hereby, this chapter seeked to contribute to reconciliation and national unity in the current South African context with some strategic conclusions to ensure that the process of reconciliation becomes a priority for all faith communities across the nation.

RETHINKING VIOLENCE, RECONCILIATION AND RECONSTRUCTION IN BURUNDI

Directory of Open Access Journals (Sweden)

Leah Ndimurwimo

2015-11-01

Full Text Available Armed violence and genocide are among the on-going problems that are still facing contemporary Africa and the world. In the aftermath of the outrages, devastation and appalling carnage of the Second World War, member states of the United Nations (UN undertook radical steps, inter alia, "to save succeeding generations from the scourge of war and to reaffirm faith in fundamental human rights". Subsequently, the International Bill of Human Rights was proclaimed in order to lay down international human rights norms and standards of conduct and to prevent the recurrence of mass killings. Although Burundi is a State Party to the UN and African Union and is a signatory to a number of international and regional human rights treaties, the post-colonial history of Burundi is an epic tale of indescribable human suffering and misery as a result of systematic mass killings. At least every family or household in Burundi has been negatively affected by the mass killings of the 1960s, 1972, 1988 and 1990s, which have created a significant number of refugees and internally displaced persons (IDPs.This article traces the root causes of Burundi's systemic armed violence and argues that despite several UN Security Council Resolutions and peace agreements aimed at national reconciliation and reconstruction, mass killings and other heinous crimes remain unaddressed. The article recommends that a comprehensive transitional justice model is required in post-conflict Burundi in order to bring about national reconciliation, healing and reconstruction.

Which Types of Firms React More to a Tax Cut?

DEFF Research Database (Denmark)

Lai, Tat-kei; Ng, Travis

The agency model of Chetty and Saez (2010) predicts that firms with stronger shareholder rights and a better market for corporate control are more responsive to a dividend tax cut in their dividend and investment policies. We test these predictions by exploiting the sudden and significant dividend...... tax cut following the Jobs and Growth Tax Relief Reconciliation Act of 2003 and the pre-tax cut variations in the firms’ governance indexes (the Corporate Governance Index constructed by Gompers, Ishii, and Metrick, 2003, and the Entrenchment Index constructed by Bebchuk, Cohen, and Ferrel, 2009). We...

Which Types of Firms React More to a Tax Cut?

DEFF Research Database (Denmark)

Lai, Tat-kei; Ng, Travis

The agency model of Chetty and Saez (2010) predicts that firms with stronger corporate governance are more responsive to a dividend tax cut in their dividend and investment policies. We test these predictions by exploiting the sudden and significant dividend tax cut following the Jobs and Growth...... Tax Relief Reconciliation Act of 2003 and the pre-tax cut variation in corporate governance standards across firms. We find that firms with stronger corporate governance raise dividends and reduce investment in response to the tax cut significantly more than firms with weaker corporate governance...

77 FR 64514 - Sunshine Act Meeting; Open Commission Meeting; Wednesday, October 17, 2012

Science.gov (United States)

2012-10-22

... Middle Class Tax Relief and Job AFFAIRS. Creation Act of 2012 (CG Docket No. 12-129); Establishment of a... Class Tax Relief and Job Creation Act of 2012. 3 OFFICE OF Title: Amendment of Part 27 of ENGINEERING... other mobility aids. Sign language interpreters, open captioning, and assistive listening devices will...

78 FR 49524 - Privacy Act of 1974; CMS Computer Match No. 2013-08; HHS Computer Match No. 1309

Science.gov (United States)

2013-08-14

... individuals applying for and receiving Federal benefits. Section 7201 of the Omnibus Budget Reconciliation Act... findings before reducing, suspending, terminating, or denying an individual's benefits or payments. This...; a Cost Sharing Reduction (CSR) under Section 1402 of the ACA; Medicaid and the Children's Health...

Process and sensor diagnostic: Data reconciliation for a flue gas channel; Process- och sensordiagnostik: Dataaaterfoerening foer ett roekgastaag

Energy Technology Data Exchange (ETDEWEB)

Karlsson, Christer; Dahlquist, Erik [Maelardalen Univ., Vaesteraas (Sweden). Dept. of Public Technology

2003-10-01

The project has shown that model-based data reconciliation can be used in heat and power plants, but it needs support of soft sensors. Generally power plants are not equipped with more sensors than required by control systems, environment and financial reports. Soft sensors are needed to compensate for lack of redundancy in mass-flow sensors. Redundancy makes it possible to isolate gross errors. The smallest error needed to be determined sets the requirement on the process model accuracy. Tools available today from this project are; classification of different process sections with redundancy analysis and gross error detection. Quantification of the errors with the mass balance model has not been successful and this part needs further development. Theoretical comparison of the three different methods presented resulted in favour of data reconciliation based on a mass balance model. The mass balance model has a structure based on physical reality. The searches for gross errors are transparent to the user. It can handle sensor failure. The statistical linear model is preferred for smaller process sections when transparency is not needed and focus is on fast, simple and cheap implementation. Data reconciliation based on steady-state energy balance has the same origin as the mass balance model. Data reconciliation based on energy balance is harder to compute and its sensors difficult to classify. The drawback is complexity, but the strength is that the large number of temperature sensors can be used in the data reconciliation. Large gross errors are detected and quantified for most process mass flows with acceptable accuracy. Performances for small errors are not as good. Performance of the data reconciliation is strongly dependent on precision in the process models. This conclusion is drawn from comparison with other studies that show good performance for laboratory simulations. There are still many parts to develop further as: Soft sensors, tests for identification

Advancing Medication Reconciliation in an Outpatient Internal Medicine Clinic through a Pharmacist-Led Educational Initiative

Directory of Open Access Journals (Sweden)

Sarah M. Westberg

2010-06-01

Full Text Available Objectives: To develop and deliver an effective pharmacist-led educational initiative to clinic staff to advance medication reconciliation in the electronic medical record of an outpatient internal medicine clinic. Methods: An educational initiative designed to improve the ability of nursing staff in medication reconciliation was launched in the outpatient internal medicine clinic of a regional healthcare system. The education was provided by the pharmacist to clinic nursing staff, including registered nurses, licensed practical nurses, and certified medical assistants. The impact of this training was measured through pre-initiation and post-implementation surveys, competency assessments and an audit. Results: The educational initiative was successfully designed and delivered to clinic nursing staff. Assessment of the initiative found that all nursing staff completing competency assessments successfully passed. Pre-initiation- and post-implementation- survey responses on the self-assessed ability to gather and document accurate medication lists did not show significant changes. Informal observations in the clinic indicated that this initiative changed the culture of the clinic, creating increased awareness of the importance of accurate medications and increased emphasis on medication reconciliation. Conclusions: The expertise of pharmacists can be utilized to educate nursing staff on the skills and abilities necessary to gather and document accurate medication lists. This study did not find measurable changes in the accuracy of medication lists in this clinic. Future research is needed to determine the best methods to train health professionals in medication reconciliation to ensure accurate medication lists in the outpatient setting. Type: Original Research

Gene-Tree Reconciliation with MUL-Trees to Resolve Polyploidy Events.

Science.gov (United States)

Gregg, W C Thomas; Ather, S Hussain; Hahn, Matthew W

2017-11-01

Polyploidy can have a huge impact on the evolution of species, and it is a common occurrence, especially in plants. The two types of polyploids-autopolyploids and allopolyploids-differ in the level of divergence between the genes that are brought together in the new polyploid lineage. Because allopolyploids are formed via hybridization, the homoeologous copies of genes within them are at least as divergent as orthologs in the parental species that came together to form them. This means that common methods for estimating the parental lineages of allopolyploidy events are not accurate, and can lead to incorrect inferences about the number of gene duplications and losses. Here, we have adapted an algorithm for topology-based gene-tree reconciliation to work with multi-labeled trees (MUL-trees). By definition, MUL-trees have some tips with identical labels, which makes them a natural representation of the genomes of polyploids. Using this new reconciliation algorithm we can: accurately place allopolyploidy events on a phylogeny, identify the parental lineages that hybridized to form allopolyploids, distinguish between allo-, auto-, and (in most cases) no polyploidy, and correctly count the number of duplications and losses in a set of gene trees. We validate our method using gene trees simulated with and without polyploidy, and revisit the history of polyploidy in data from the clades including both baker's yeast and bread wheat. Our re-analysis of the yeast data confirms the allopolyploid origin and parental lineages previously identified for this group. The method presented here should find wide use in the growing number of genomes from species with a history of polyploidy. [Polyploidy; reconciliation; whole-genome duplication.]. © The Author(s) 2017. Published by Oxford University Press, on behalf of the Society of Systematic Biologists. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

On the significance of saying “sorry” – politics of memory and Aboriginal Reconciliation in Australia

Directory of Open Access Journals (Sweden)

Isabelle Auguste

2009-06-01

Full Text Available 2007 marked the 40th anniversary of the 1967 Referendum. Back on May 27th 1967, more than 90% of Australian eligible voters said “yes’ to two changes of the Australian Constitution considered discriminatory to Aboriginal people. This event is often considered as the first stage of Reconciliation in Australia. 2007 also marked the 10th Anniversary of the release of the Bringing Them Home Report that highlighted the forced removal of Aboriginal children from their family as part of an assimilation policy. From 1997, the issue of an apology became a sine qua non condition to Reconciliation. It was an important element of the recommendations the Council for Aboriginal Reconciliation submitted to Parliament in 2000. But, Liberal Prime Minister John Howard, in office for more than ten years, refused to say the word “sorry” on the basis that Australians of today are not responsible for the actions of the past and that guilt is not hereditary. His focus was on what is called “practical reconciliation”. Some changes are now on the way as Labor leader, Kevin Rudd, who defeated him at the last federal election in November 24th 2007, has promised to make a formal apology to the stolen generation. Why is it important to say “sorry”? At a time of dramatic developments in Indigenous Affairs, this paper deals with the significance of an apology for Reconciliation in Australia.

Post-conflict peacebuilding : social reconstruction and reconciliation through dialogue

OpenAIRE

Justad, Lars Otto Meinke

2005-01-01

Abstract: This thesis explores how sustained dialogue can provide reconciliation in post-conflict societies. First the thesis describes changes in the nature of international conflict that has emerged since the end of the cold war. It then goes on to provide a social psychological theory of how to understand identity groups in conflict in contemporary societies. The paper continues with a discussion, based on the theoretical understanding provided earlier, of sustained dialogue and its ro...

An object-oriented framework for reconciliation and extraction in heterogeneous data federations

NARCIS (Netherlands)

Balsters, H; de Brock, EO; Yakhno, T

2004-01-01

Two major problems in constructing database federations concern achieving and maintaining consistency and a uniform representation of the data on the global level of the federation. The process of creation of uniform representations of data is known as data extraction, whereas data reconciliation is

Should Pharmacies Be Included in Medication Reconciliation? A Report of Recurrent Valproic Acid Toxicity

Directory of Open Access Journals (Sweden)

B. Tate Cutshall

2017-03-01

Full Text Available Including outpatient pharmacies in the medication reconciliation process upon hospital discharge is not commonly performed. This case highlights the consequences of a patient refilling a discontinued prescription for valproic acid (VPA. We present a 32-year old male found unresponsive after ingesting delayed release divalproex sodium. Cerebral edema was visualized on magnetic resonance imaging. Hemodialysis and levo-carnitine treatment led to improved mental status, and VPA was discontinued. The same patient presented with VPA overdose eight months later after he continued to fill an outdated prescription. This case highlights consequences of VPA toxicity; it also demonstrates an opportunity to improve patient safety and high-value care by collaborating with outpatient pharmacies in the medication reconciliation process upon hospital discharge.

A comparative evaluation of genome assembly reconciliation tools.

Science.gov (United States)

Alhakami, Hind; Mirebrahim, Hamid; Lonardi, Stefano

2017-05-18

The majority of eukaryotic genomes are unfinished due to the algorithmic challenges of assembling them. A variety of assembly and scaffolding tools are available, but it is not always obvious which tool or parameters to use for a specific genome size and complexity. It is, therefore, common practice to produce multiple assemblies using different assemblers and parameters, then select the best one for public release. A more compelling approach would allow one to merge multiple assemblies with the intent of producing a higher quality consensus assembly, which is the objective of assembly reconciliation. Several assembly reconciliation tools have been proposed in the literature, but their strengths and weaknesses have never been compared on a common dataset. We fill this need with this work, in which we report on an extensive comparative evaluation of several tools. Specifically, we evaluate contiguity, correctness, coverage, and the duplication ratio of the merged assembly compared to the individual assemblies provided as input. None of the tools we tested consistently improved the quality of the input GAGE and synthetic assemblies. Our experiments show an increase in contiguity in the consensus assembly when the original assemblies already have high quality. In terms of correctness, the quality of the results depends on the specific tool, as well as on the quality and the ranking of the input assemblies. In general, the number of misassemblies ranges from being comparable to the best of the input assembly to being comparable to the worst of the input assembly.

Novel user interface design for medication reconciliation: an evaluation of Twinlist.

Science.gov (United States)

Plaisant, Catherine; Wu, Johnny; Hettinger, A Zach; Powsner, Seth; Shneiderman, Ben

2015-03-01

The primary objective was to evaluate time, number of interface actions, and accuracy on medication reconciliation tasks using a novel user interface (Twinlist, which lays out the medications in five columns based on similarity and uses animation to introduce the grouping - www.cs.umd.edu/hcil/sharp/twinlist) compared to a Control interface (where medications are presented side by side in two columns). A secondary objective was to assess participant agreement with statements regarding clarity and utility and to elicit comparisons. A 1 × 2 within-subjects experimental design was used with interface (Twinlist or Control) as an independent variable; time, number of clicks, scrolls, and errors were used as dependent variables. Participants were practicing medical providers with experience performing medication reconciliation but no experience with Twinlist. They reconciled two cases in each interface (in a counterbalanced order), then provided feedback on the design of the interface. Twenty medical providers participated in the study for a total of 80 trials. The trials using Twinlist were statistically significantly faster (18%), with fewer clicks (40%) and scrolls (60%). Serious errors were noted 12 and 31 times in Twinlist and Control trials, respectively. Trials using Twinlist were faster and more accurate. Subjectively, participants rated Twinlist more favorably than Control. They valued the novel layout of the drugs, but indicated that the included animation would be valuable for novices, but not necessarily for advanced users. Additional feedback from participants provides guidance for further development and clinical implementations. Cognitive support of medication reconciliation through interface design can significantly improve performance and safety. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists' perspectives.

Science.gov (United States)

Kennelty, Korey A; Chewning, Betty; Wise, Meg; Kind, Amy; Roberts, Tonya; Kreling, David

2015-01-01

Community pharmacists play a vital part in reconciling medications for patients transitioning from hospital to community care, yet their roles have not been fully examined in the extant literature. The objectives of this study were to: 1) examine the barriers and facilitators community pharmacists face when reconciling medications for recently discharged patients; and 2) identify pharmacists' preferred content and modes of information transfer regarding updated medication information for recently discharged patients. Community pharmacists were purposively and conveniently sampled from the Wisconsin (U.S. state) pharmacist-based research network, Pharmacy Practice Enhancement and Action Research Link (PEARL Rx). Community pharmacists were interviewed face-to-face, and transcriptions from audio recordings were analyzed using directed content analysis. The Theory of Planned Behavior (TPB) guided the development of questions for the semi-structured interviews. Interviewed community pharmacists (N = 10) described the medication reconciliation process to be difficult and time-consuming for recently discharged patients. In the context of the TPB, more barriers than facilitators of reconciling medications were revealed. Themes were categorized as organizational and individual-level themes. Major organizational-level factors affecting the medication reconciliation process included: pharmacy resources, discharge communication, and hospital resources. Major individual-level factors affecting the medication reconciliation process included: pharmacists' perceived responsibility, relationships, patient perception of pharmacist, and patient characteristics. Interviewed pharmacists consistently responded that several pieces of information items would be helpful when reconciling medications for recently discharged patients, including the hospital medication discharge list and stop-orders for discontinued medications. The TPB was useful for identifying barriers and facilitators of

Data-Reconciliation Based Fault-Tolerant Model Predictive Control for a Biomass Boiler

Directory of Open Access Journals (Sweden)

Palash Sarkar

2017-02-01

Full Text Available This paper presents a novel, effective method to handle critical sensor faults affecting a control system devised to operate a biomass boiler. In particular, the proposed method consists of integrating a data reconciliation algorithm in a model predictive control loop, so as to annihilate the effects of faults occurring in the sensor of the flue gas oxygen concentration, by feeding the controller with the reconciled measurements. Indeed, the oxygen content in flue gas is a key variable in control of biomass boilers due its close connections with both combustion efficiency and polluting emissions. The main benefit of including the data reconciliation algorithm in the loop, as a fault tolerant component, with respect to applying standard fault tolerant methods, is that controller reconfiguration is not required anymore, since the original controller operates on the restored, reliable data. The integrated data reconciliation–model predictive control (MPC strategy has been validated by running simulations on a specific type of biomass boiler—the KPA Unicon BioGrate boiler.

Igniting Paths of Reconciliation between Afghanistan and Pakistan

DEFF Research Database (Denmark)

Vestenskov, David

the external and internal factors affecting the security situation, thereby attempting to explain the current low level of trust between Afghanistan and Pakistan. All these perspectives present an intriguing puzzle that seeks to identify present challenges and opportunities on the table for both states......This report is based on the seminar: “Mutual Trust Building and Reconciliation in Afghanistan, Pakistan, and Beyond” organized by the Royal Danish Defence College in Copenhagen, October 2016. The report includes perspectives by the speakers of the seminar and their attribution to understand...

Impact of pharmacy technician-centered medication reconciliation on optimization of antiretroviral therapy and opportunistic infection prophylaxis in hospitalized patients with HIV/AIDS.

Science.gov (United States)

Siemianowski, Laura A; Sen, Sanchita; George, Jomy M

2013-08-01

This study aimed to examine the role of a pharmacy technician-centered medication reconciliation (PTMR) program in optimization of medication therapy in hospitalized patients with HIV/AIDS. A chart review was conducted for all inpatients that had a medication reconciliation performed by the PTMR program. Adult patients with HIV and antiretroviral therapy (ART) and/or the opportunistic infection (OI) prophylaxis listed on the medication reconciliation form were included. The primary objective is to describe the (1) number and types of medication errors and (2) the percentage of patients who received appropriate ART. The secondary objective is a comparison of the number of medication errors between standard mediation reconciliation and a pharmacy-led program. In the PTMR period, 55 admissions were evaluated. In all, 50% of the patients received appropriate ART. In 27of the 55 admissions, there were 49 combined ART and OI-related errors. The most common ART-related errors were drug-drug interactions. The incidence of ART-related medication errors that included drug-drug interactions and renal dosing adjustments were similar between the pre-PTMR and PTMR groups (P = .0868). Of the 49 errors in the PTMR group, 18 were intervened by a medication reconciliation pharmacist. A PTMR program has a positive impact on optimizing ART and OI prophylaxis in patients with HIV/AIDS.

Northern Ireland and truth and reconciliation healing through remembering: The story so far

Directory of Open Access Journals (Sweden)

Wall David

2002-01-01

Full Text Available This paper outlines the work of truth and reconciliation project done in Northern Ireland "Healing through Remembering", and the findings of the Project Group that reported in June 2002. The Paper identifies future actions emerging from the Report.

Restoring relationship between former genocide perpetrators and survivors of genocide against Tutsi in Rwanda through reconciliation villages

Directory of Open Access Journals (Sweden)

Mafeza, F.

2013-06-01

Full Text Available Throughout the 20th century, genocide has claimed many lives across the world. In Rwanda, the Genocide against the Tutsi was perpetrated with unprecedented violence and took the lives of more than one million. In the aftermath of the genocide, the interpersonal relationships between genocide survivors and former genocide perpetrators as well as their respective family members was undermined. Through Prison Fellowship Rwanda, former genocide perpetrators and survivors of genocide were brought together in reconciliation villages as a way of restoring their relationships. Drawing on interviews and focus group discussion with members of five reconciliation villages, this study uses a qualitative approach to examine how these villages contribute to the restoration of relationship between conflicting parties in the aftermath of the genocide against the Tutsi in Rwanda. The findings indicate that living together in reconciliation village combined with economic joint activities provided a favorable space in which negative-dehumanizing attitudes were overcome, while positive-re-humanizing attitudes were fostered. Additionally, the village offered members an opportunity for communication, reduced prejudice and fear among them, and generated trust in the community.

Tax justice of the reform of higher education: tuition fees or tax relief?

Directory of Open Access Journals (Sweden)

Pavel Semerád

2012-01-01

Full Text Available This paper deals with the current reform of higher education which is now being discussed in the Czech Republic. The Government and the Ministry of Education, Youth and Sports propose a tuition fee for students at universities but there is still no clear concept of it. University leaders and students are against the tuition fee because of their fear of getting into debt during their study. The aim of this paper is to show an alternative way of funding higher education without tuition fee loans and from the point of view of tax justice. According to the concept of horizontal justice (Mankiw, 1999 taxpayers should pay taxes at the same rate, but it does not work this way. The result of research is that changes in Act 586/1992 Coll., on income tax and in Act 117/1995 Coll., on state social welfare are required. Abolition of tax relief is proposed where discrimination against other taxpayers and groups of students could occur. By abolition of tax relief for a student and tax relief for a dependent child the amounts of 4,020 CZK and 13,404 CZK respectively could be saved. Changes in legislation could be politically more acceptable than the tuition fee. The solution could also lead to simplification for taxpayers. The target should be equal access to higher education for all students.

78 FR 19357 - Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy

Science.gov (United States)

2013-03-29

... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Allocation of Public Transportation...) announces the allocation of $2,000,000,000 under the Public Transportation Emergency Relief Program... after an emergency or major disaster that affects public transportation systems. The Appropriations Act...

Thinking Beyond Counterinsurgency: The Utility of a Balanced Approach to Amnesty, Reconciliation and Reintegration

National Research Council Canada - National Science Library

Clark, John L

2008-01-01

.... In fact, it is clear that in the long term, counter insurgency (COIN) operations are usually just the first step toward conflict resolution which is concluded with the culmination of the amnesty, reconciliation and reintegration processes...

77 FR 58150 - Granting of Relief; Federal Firearms Privileges (2011R-13T)

Science.gov (United States)

2012-09-19

... the disabilities imposed by Federal laws by the Director of ATF with respect to the acquisition...: The Attorney General is responsible for enforcing the provisions of the Gun Control Act of 1968 (GCA... subsidiary of NGC), is granted relief from the disabilities imposed by Federal laws with respect to the...

Tsitutu , ou mecanisme local de mediation et de reconciliation « par ...

African Journals Online (AJOL)

Par ailleurs, ce rituel qui tente de proposer des solutions endogènes aux crises, fait office d'une médiation qui retrace une diplomatie africaine de résolution des conflits. Mots clés: Tsitutu, mécanisme, médiation, réconciliation, rituel, sociopolitiques. English Title: Tsitutu, or a local mechanism of mediation and reconciliation ...

Gender Mainstreaming and Work-Family Reconciliation. An Analysis of Family Policies in Romania and Germany

Directory of Open Access Journals (Sweden)

Oana Crușmac

2016-12-01

Full Text Available Gender Mainstreaming (GM was introduced by the European Union (EU in 1997, as a strategy to achieve gender equality in all policy areas. Yet, European countries greatly diverge in their progress of implementation. We investigate the role GM played in Romanian and German policies aimed at achieving work-family reconciliation, using concepts from feminist policy analysis. Our analysis shows that pre-existing policies and discourse, the economic situation, as well as the relationship with the EU have shaped and impeded the implementation process of GM in both countries. While Germany slowly moves towards more egalitarian policies, GM as label and strategy did not succeed. In Romania, GM has only impacted work and family reconciliation indirectly through EU legislation.

Reconciliation or Racialization? Contemporary Discourses about Residential Schools in the Canadian Prairies

Science.gov (United States)

Gebhard, Amanda

2017-01-01

The residential school system is one of the darkest examples of Canada's colonial policy. Education about the residential schools is believed to be the path to reconciliation; that is, the restoration of equality between Aboriginal and non-Aboriginal peoples in Canada. While the acquisition of the long-ignored history of residential schools has…

28 CFR 36.504 - Relief.

Science.gov (United States)

2010-07-01

... COMMERCIAL FACILITIES Enforcement § 36.504 Relief. (a) Authority of court. In a civil action under § 36.503, the court— (1) May grant any equitable relief that such court considers to be appropriate, including... disabilities; (2) May award other relief as the court considers to be appropriate, including monetary damages...

Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.

Directory of Open Access Journals (Sweden)

Jessica S Wang

Full Text Available Therapeutic interchange of a same class medication for an outpatient medication is a widespread practice during hospitalization in response to limited hospital formularies. However, therapeutic interchange may increase risk of medication errors. The objective was to characterize the prevalence and safety of therapeutic interchange.Secondary analysis of a transitions of care study. We included patients over age 64 admitted to a tertiary care hospital between 2009-2010 with heart failure, pneumonia, or acute coronary syndrome who were taking a medication in any of six commonly-interchanged classes on admission: proton pump inhibitors (PPIs, histamine H2-receptor antagonists (H2 blockers, hydroxymethylglutaryl CoA reductase inhibitors (statins, angiotensin-converting enzyme (ACE inhibitors, angiotensin receptor blockers (ARBs, and inhaled corticosteroids (ICS. There was limited electronic medication reconciliation support available. Main measures were presence and accuracy of therapeutic interchange during hospitalization, and rate of medication reconciliation errors on discharge. We examined charts of 303 patients taking 555 medications at time of admission in the six medication classes of interest. A total of 244 (44.0% of medications were therapeutically interchanged to an approved formulary drug at admission, affecting 64% of the study patients. Among the therapeutically interchanged drugs, we identified 78 (32.0% suspected medication conversion errors. The discharge medication reconciliation error rate was 11.5% among the 244 therapeutically interchanged medications, compared with 4.2% among the 311 unchanged medications (relative risk [RR] 2.75, 95% confidence interval [CI] 1.45-5.19.Therapeutic interchange was prevalent among hospitalized patients in this study and elevates the risk for potential medication errors during and after hospitalization. Improved electronic systems for managing therapeutic interchange and medication reconciliation

Anti-Muslim Sentiments and Violence: A Major Threat to Ethnic Reconciliation and Ethnic Harmony in Post-War Sri Lanka

Directory of Open Access Journals (Sweden)

Athambawa Sarjoon

2016-10-01

Full Text Available Following the military defeat of LTTE terrorism in May 2009, the relationship between ethnic and religious groups in Sri Lanka became seriously fragmented as a result of intensified anti-minority sentiments and violence. Consequently, the ethnic Muslims (Moors became the major target in this conflict. The major objective of this study is to critically evaluate the nature and the impact of the anti-Muslim sentiments expressed and violence committed by the extreme nationalist forces during the process of ethnic reconciliation in post-war Sri Lanka. The findings of the study reveal that, with the end of civil war, Muslims have become “another other” and also the target of ethno-religious hatred and violence from the vigilante right-wing ethno-nationalist forces that claim to be protecting the Sinhala-Buddhist nation, race, and culture in Sri Lanka. These acts are perpetrated as part of their tactics aimed to consolidate a strong Sinhala-Buddhist nation—and motivated by the state. Furthermore, the recourse deficit and lack of autonomy within the organizational hierarchy of the Buddhist clergy have motivated the nationalist monks to engage in politics and promote a radical anti-minority rhetoric. This study recommends institutional and procedural reforms to guide and monitor the activities of religious organizations, parties, and movements, together with the teaching of religious tolerance, as the preconditions for ethnic reconciliation and ethnic harmony in post-war Sri Lanka. This study has used only secondary data, which are analyzed in a descriptive and interpretive manner.

Tracer measurements compared to process data reconciliation in accordance with VDI 2048

International Nuclear Information System (INIS)

Hungerbuehler, Thomas; Langenstein, Magnus

2007-01-01

The feed water mass flow is the key measured variable used to determine the thermal reactor output in a nuclear power plant. Usually this parameter is recorded via venturi nozzles or orifice plates. The problem with both principles of measurement, however, is that an accuracy of below 1% cannot be reached. In the case of nuclear power plants and depending on the size of the plant, this corresponds to an electrical output of 4 MWel to 16 MWel. In order to make more accurate statements about the feed water amounts recirculated in the water-steam circuit, tracer measurements that offer an accuracy of up to 0.2% are used. A drawback of this method is that this measuring principle is suitable only for providing an instantaneous picture but does not provide continuous operating information about the feed water mass flow. Process data reconciliation based on VDI 2048 is a mathematical-statistic process that makes use of redundant process information. The uncertainty of reconciled feed water flow rates and the thermal reactor output calculated on this basis can be reduced to 0.4%. The overall process monitored continuously in this manner therefore provides hourly process information of a quality equal to that obtained with acceptance measurements. In the NPP Beznau both methods have been used in parallel to determine the feed water flow rates in 2004 (unit 1) and 2005 (unit 2). Comparison of the results shows that a high level of agreement is obtained between the results of the reconciliation and the results of the tracer measurements. For this reason it was decided that no future tracer measurements will be conducted anymore. A result of the findings of this comparison, a high level of acceptance of process data reconciliation based on VDI 2048 was achieved. (author)

78 FR 38975 - Sunshine Act Meetings

Science.gov (United States)

2013-06-28

...-Implementation Section 6401 of the Middle Class Tax Relief and Job Creation Act of 2012 Related to the 1915-1920.... The meeting site is fully accessible to people using wheelchairs or other mobility aids. Sign language...

78 FR 32296 - Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy...

Science.gov (United States)

2013-05-29

... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Second Allocation of Public... disaster that affects public transportation systems. The Disaster Relief Appropriations Act provides $10.9... projected total recovery costs for the four most severely affected public transportation systems, not...

Perspectives and reconciliation of viewpoints on risk assessment issues

International Nuclear Information System (INIS)

Smith, C.F.; Cohen, J.J.

1980-01-01

It is important to recognize the distinction between risk assessment and its components which include risk analysis, perspectives study, and decision analysis. Divergence of opinion within the scientific community as well as the public at large is a characteristic of issues related to nuclear power. The divergent opinions can largely be characterized as either optimistic or pessimistic in nature. Reconciliation of divergent viewpoints presents some difficult challenges. It is doubtful that issues which have an emotional or philosophical basis can be resolved through technical efforts. Public education on the technical issues might prove helpful

Clinical pharmacist’s contribution to medication reconciliation on admission to hospital in Ireland

LENUS (Irish Health Repository)

Galvin, Mairead

2012-10-08

Background Medication reconciliation has been mandated by the Irish government at transfer of care. Research is needed to determine the contribution of clinical pharmacists to the process. Objective To describe the contribution of emergency department based clinical pharmacists to admission medication reconciliation in Ireland. Main Outcome Measure Frequency of clinical pharmacist\\'s activities. Setting Two public university teaching hospitals. Methodology Adults admitted via the accident and emergency department, from a non-acute setting, reporting the use of at least three regular prescription medications, were eligible for inclusion. Medication reconciliation was provided by clinical pharmacists to randomly-selected patients within 24-hours of admission. This process includes collecting a gold-standard pre-admission medication list, checking this against the admission prescription and communicating any changes. A discrepancy was defined as any difference between the gold-standard pre-admission medication list and the admission prescription. Discrepancies were communicated to the clinician in the patient\\'s healthcare record. Potentially harmful discrepancies were also communicated verbally. Pharmacist activities and unintentional discrepancies, both resolved and unresolved at 48-hours were measured. Unresolved discrepancies were confirmed verbally by the team as intentional or unintentional. A reliable and validated tool was used to assess clinical significance by medical consultants, clinical pharmacists, community pharmacists and general practitioners. Results In total, 134 patients, involving 1,556 medications, were included in the survey. Over 97 % of patients (involving 59 % of medications) experienced a medication change on admission. Over 90 % of patients (involving 29 % of medications) warranted clinical pharmacy input to determine whether such changes were intentional or unintentional. There were 447 interventions by the clinical pharmacist regarding

Amnesty, Reconciliation and Reintegration: The International Community and the Rwandan Process

Science.gov (United States)

2008-05-22

N., Harvey M. Weinstein , and Timothy Longman. "Trauma and PTSD Symptoms in Rwanda: Implications for Attitudes Toward Justice and Reconciliation...repairing the social fabric of the nation had to take place. The case shows how Rwanda overcame the negative impacts of the international community and...reintegration policies. Throughout the case there are four issues that prove integral to the AR2 process; the anthropology of Rwanda, its colonial

Financial Benefits of Process Data Reconciliation in Power Generating Plants

International Nuclear Information System (INIS)

Jansky, Andy

2006-01-01

Process Data Reconciliation (PDR) is a certified method that calculates the most likely values considering process measurement uncertainties and closing all energy- and material balances where all inter-dependencies within the entire plant process are fulfilled in a covariance matrix. There are three main factors that generate the financial benefits for the user of reconciled data, depending on the type of plant and base/peak load behaviour: Increased efficiency / maximized output, Time advantage in retrieving 'lost' megawatts, Reduction of maintenance costs. (author)

The Use of TOC Reconciliation as a Means of Establishing the Degree to Which Chromatographic Screening of Plastic Material Extracts for Organic Extractables Is Complete.

Science.gov (United States)

Jenke, Dennis; Couch, Thomas R; Robinson, Sarah J; Volz, Trent J; Colton, Raymond H

2014-01-01

Extracts of plastic packaging, manufacturing, and delivery systems (or their materials of construction) are analyzed by chromatographic methods to establish the system's extractables profile. The testing strategy consists of multiple orthogonal chromatographic methods, for example, gas and liquid chromatography with multiple detection strategies. Although this orthogonal testing strategy is comprehensive, it is not necessarily complete and members of the extractables profile can elude detection and/or accurate identification/quantification. Because the chromatographic methods rarely indicate that some extractables have been missed, another means of assessing the completeness of the profiling activity must be established. If the extracts are aqueous and contain no organic additives (e.g., pH buffers), then they can be analyzed for their total organic carbon content (TOC). Additionally, the TOC of an extract can be calculated based on the extractables revealed by the screening analyses. The measured and calculated TOC can be reconciled to establish the completeness and accuracy of the extractables profile. If the reconciliation is poor, then the profile is either incomplete or inaccurate and additional testing is needed to establish the complete and accurate profile. Ten test materials and components of systems were extracted and their extracts characterized for organic extractables using typical screening procedures. Measured and calculated TOC was reconciled to establish the completeness of the revealed extractables profile. When the TOC reconciliation was incomplete, the profiling was augmented with additional analytical testing to reveal the missing members of the organic extractables profile. This process is illustrated via two case studies involving aqueous extracts of sterile filters. Plastic materials and systems used to manufacture, contain, store, and deliver pharmaceutical products are extracted and the extracts analyzed to establish the materials' (or

The Ruling Former National Liberation Movements in Zimbabwe, Namibia and South Africa and Challenges of National Reconciliation, Broad Participatory Democracy and Good Governance

Directory of Open Access Journals (Sweden)

- Ndali - Che Kamati

2014-12-01

Full Text Available The concept of national reconciliation became policy strategies in political discourse in Zimbabwe and Namibia after independence and South Africa after democratisation. The objective was to avoid the civil war experienced in neighbouring Angola and Mozambique after independence. Current argument however is that reconciliation mainly harmonising relations between blacks and whites and between the new government and capital is not sufficient. It is argued that reconciliation should fundamentally extent to the formerly deprived black majority the right of access to natural resource and addresses their economic well being. Political processes and developments in these three countries also reveal that settlement compromises made at independence and new democratic dispensation predicated on liberal constitutions followed by neo-liberal economic policies are sources of enormous governance challenges facing the leadership of these countries today.

Winning the Passion and Emotion in Family Conflicts: Reconciliation and Mediation as a Viable Solution to Disputes Involving Family Law

Directory of Open Access Journals (Sweden)

José Sebastião de Oliveira

2016-06-01

Full Text Available The scope of the present study is to analyse the importance of the institutes of reconciliation and mediation in disputes involving family law, as a way towards social pacification, even thow it is common that parties, in such cases, come in hot headed. The reconciliation method has its focus set on the rapid and effective resolution of disputes, while the mediation method has a larger goal, which is the pacification of family conflict. This second method (mediation aims to arouse the interest of the parties in solving the problem of family reorganization

The economic efficiency impacts of alternatives for revenue reconciliation

International Nuclear Information System (INIS)

Kim, B.H.; Baughman, M.L.

1997-01-01

About a dozen electric utilities in the US offer rates that possess real-time characteristics. In these implementations the real-time prices are updated at half-hourly intervals and in no case are the prices spatially differentiated. The implemented rates are based upon marginal generating costs with markups to account for system transmission and distribution costs or other revenue reconciliation needs. This paper analyzes how great is the impact of alternative price markup methods on measures of social welfare and the time pattern of real-time prices. A case study and sensitivity results are also presented

Analysis of inservice inspection relief requests

International Nuclear Information System (INIS)

Aldrich, D.A.; Cook, J.F.

1989-08-01

Nuclear Regulatory Commission (NRC) regulations require inspection (ISI) of boiling or pressurized water-cooled nuclear power plants be performed in accordance with a referenced edition and addenda of Section XI, ''Rules for Inservice Inspection of Nuclear Power Plant components,'' of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code. The regulations permit licensees to request relief from the NRC from specific ASME Code requirements that are determined to be impractical for the specific licensee. The NRC evaluates these requests and may grant such relief, but the NRC may also impose alternative or augmented inspections to assure structural reliability. The purpose,of this task was to evaluate the basis for ISI nondestructive examination (NDE) relief requests and to evaluate the effect of proposed ASME Code changes that would reduce the need for such requests or provide for more complete information in relief requests. This report contains the results of an analysis of an ISI relief request data base that has been expanded to include 1195 ISI relief requests versus the 296 relief requests covered in the first report in April 1987, EGG-SD-7430. Also relief requests were added to the data base which came from both first and second 10-year inspection intervals for several facilities. This provided the means to analyze the effect of recently approved ASME Code cases and updated Code requirements, some of which have been published as a result of earlier work on this task

Restorative Justice and the South African Truth and Reconciliation Process

DEFF Research Database (Denmark)

Gade, Christian B.N.

2013-01-01

It has frequently been argued that the post-apartheid Truth and Reconciliation Commission (TRC) was committed to restorative justice (RJ), and that RJ has deep historical roots in African indigenous cultures by virtue of its congruence both with ubuntu and with African indigenous justice systems......, when the South African Law Commission published an Issue Paper dealing with RJ. Furthermore, I show that neither the connection between RJ and ubuntu nor the connection between RJ and AIJS is as straightforward and unproblematic as often assumed....

Laparoscopic Adhesiolysis and Relief of Chronic Pelvic Pain

OpenAIRE

Nezhat, Farr R.; Crystal, Ruth Ann; Nezhat, Ceana H.; Nezhat, Camran R.

2000-01-01

Objective: To evaluate the short- and long-term results of laparoscopic enterolysis in patients with chronic pelvic pain following hysterectomy. Methods: Forty-eight patients were evaluated at time intervals from 2 weeks to 5 years after laparoscopic enterolysis. Patients were asked to rate postoperative relief of their pelvic pain as complete/near complete relief (80-100% pain relief), significant relief (50-80% pain relief), or less than 50% or no pain relief. Results: We found that after 2...

75 FR 56858 - Improvements to the Supplemental Security Income Program-Heroes Earnings Assistance and Relief...

Science.gov (United States)

2010-09-17

... number, 1-800-772-1213, or TTY 1-800-325-0778, or visit our Internet site, Social Security Online, at... SOCIAL SECURITY ADMINISTRATION 20 CFR Part 416 [Docket No. SSA-2009-0017] RIN 0960-AH00 Improvements to the Supplemental Security Income Program--Heroes Earnings Assistance and Relief Tax Act of 2008...

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

Science.gov (United States)

Tamblyn, Robyn; Winslade, Nancy; Lee, Todd C; Motulsky, Aude; Meguerditchian, Ari; Bustillo, Melissa; Elsayed, Sarah; Buckeridge, David L; Couture, Isabelle; Qian, Christina J; Moraga, Teresa; Huang, Allen

2018-05-01

Many countries require hospitals to implement medication reconciliation for accreditation, but the process is resource-intensive, thus adherence is poor. We report on the impact of prepopulating and aligning community and hospital drug lists with data from population-based and hospital-based drug information systems to reduce workload and enhance adoption and use of an e-medication reconciliation application, RightRx. The prototype e-medical reconciliation web-based software was developed for a cluster-randomized trial at the McGill University Health Centre. User-centered design and agile development processes were used to develop features intended to enhance adoption, safety, and efficiency. RightRx was implemented in medical and surgical wards, with support and training provided by unit champions and field staff. The time spent per professional using RightRx was measured, as well as the medication reconciliation completion rates in the intervention and control units during the first 20 months of the trial. Users identified required modifications to the application, including the need for dose-based prescribing, the role of the discharge physician in prescribing community-based medication, and access to the rationale for medication decisions made during hospitalization. In the intervention units, both physicians and pharmacists were involved in discharge reconciliation, for 96.1% and 71.9% of patients, respectively. Medication reconciliation was completed for 80.7% (surgery) to 96.0% (medicine) of patients in the intervention units, and 0.7% (surgery) to 82.7% of patients in the control units. The odds of completing medication reconciliation were 9 times greater in the intervention compared to control units (odds ratio: 9.0, 95% confidence interval, 7.4-10.9, P < .0001) after adjusting for differences in patient characteristics. High rates of medication reconciliation completion were achieved with automated prepopulation and alignment of community and hospital

30 CFR 203.60 - Who may apply for royalty relief on a case-by-case basis in deep water in the Gulf of Mexico or...

Science.gov (United States)

2010-07-01

...-case basis in deep water in the Gulf of Mexico or offshore of Alaska? 203.60 Section 203.60 Mineral... basis in deep water in the Gulf of Mexico or offshore of Alaska? You may apply for royalty relief under... REDUCTION IN ROYALTY RATES OCS Oil, Gas, and Sulfur General Royalty Relief for Pre-Act Deep Water Leases and...

Homosexual Behavior in Female Mountain Gorillas: Reflection of Dominance, Affiliation, Reconciliation or Arousal?

Directory of Open Access Journals (Sweden)

Cyril C Grueter

Full Text Available Humans are unique among primates for not only engaging in same-sex sexual acts, but also forming homosexual pair bonds. To shed light on the evolutionary origins of homosexuality, data on the occurrence and contexts of same-sex behavior from nonhuman primates may be of particular significance. Homosexual behavior involving females is poorly researched in most primate taxa, exceptions being Japanese macaques, rhesus macaques, Hanuman langurs and bonobos. We present data on homosexual behavior in female mountain gorillas in the Virunga Volcanoes (Rwanda and test four functional hypotheses, namely reconciliation, affiliation, dominance expression and sexual arousal. Homosexual interactions between females involved both ventro-dorsal and ventro-ventral copulations accompanied by vocalizations and courtship displays. The only sociosexual hypothesis that received partial empirical support is the social status hypothesis, i.e., that mounting reaffirms the dominance hierarchy. There is also some limited evidence that same-sex behavior reflects an overall state of arousal or is triggered via a 'pornographic' effect. An adaptive function of female homosexual behavior is not readily apparent, and we tentatively conclude (until a more rigorous test becomes available that it may simply be related to sexual gratification or that it is an evolutionary by-product of an adaptation.

Homosexual Behavior in Female Mountain Gorillas: Reflection of Dominance, Affiliation, Reconciliation or Arousal?

Science.gov (United States)

Grueter, Cyril C; Stoinski, Tara S

2016-01-01

Humans are unique among primates for not only engaging in same-sex sexual acts, but also forming homosexual pair bonds. To shed light on the evolutionary origins of homosexuality, data on the occurrence and contexts of same-sex behavior from nonhuman primates may be of particular significance. Homosexual behavior involving females is poorly researched in most primate taxa, exceptions being Japanese macaques, rhesus macaques, Hanuman langurs and bonobos. We present data on homosexual behavior in female mountain gorillas in the Virunga Volcanoes (Rwanda) and test four functional hypotheses, namely reconciliation, affiliation, dominance expression and sexual arousal. Homosexual interactions between females involved both ventro-dorsal and ventro-ventral copulations accompanied by vocalizations and courtship displays. The only sociosexual hypothesis that received partial empirical support is the social status hypothesis, i.e., that mounting reaffirms the dominance hierarchy. There is also some limited evidence that same-sex behavior reflects an overall state of arousal or is triggered via a 'pornographic' effect. An adaptive function of female homosexual behavior is not readily apparent, and we tentatively conclude (until a more rigorous test becomes available) that it may simply be related to sexual gratification or that it is an evolutionary by-product of an adaptation.

The use of shared medication record as part of medication reconciliation at hospital admission is feasible

DEFF Research Database (Denmark)

Munck, Lars K; Hansen, Karina R; Mølbak, Anne Grethe

2014-01-01

INTRODUCTION: Medication reconciliation improves congruence in cross sectional patient courses. Our regional electronic medical record (EMR) integrates the shared medication record (SMR) which provides full access to current medication and medication prescriptions for all citizens in Denmark. We...

Alkem instruction: Legal relief of a Federal State against instructions under the Atomic Energy Act issued by the Federal Government

International Nuclear Information System (INIS)

Steinberg, R.

1987-01-01

The German Federal Minister for the Environment, Protection of Nature, and Reactor Safety instructed the Hesse State Minister for Economics and Technology to grant the applications filed by Alkem GmbH for a first partial permit of the construction and operation of a fuel element factory, and to grant it on the basis of a draft working document discussed between the two ministries. The new feature is the refusal of the Hesse State Minister to follow these instructions. This has given rise to a conflict between the State and Federal Governments. The article deals with one aspect of the multifaceted legal controversy, i.e., the question of the possibilities of legal relief open to a Federal State against an instruction under the Atomic Energy Act issued by the Federal Government. First, the rank of this instruction within the scope of administration on behalf of the Federal Government will be discussed. Next, the central problem of the preconditions under which an instruction may violate rights of a Federal State will be investigated. Finally, the possibilities of litigation will be briefly referred to. (orig./HP) [de

Impact of Tax Relief on Public Finance

Directory of Open Access Journals (Sweden)

Bikas Egidijus

2016-12-01

Full Text Available Tax reliefs are optional, but a very important element of the taxation system. This element is used for different purposes by a country’s government institutions. Tax reliefs are a form of tax expenditure that helps to reduce budget revenues. Tax reliefs influence individual and corporate financial behaviour and can have positive or negative effects on the economic and social factors. In the last few years, expansion of tax relief has attracted worldwide attention because of the fact that, after the global financial crisis, many countries are still suffering from fiscal deficits, and expansion of tax relief has not contributed to solving this problem. Tax reliefs are presupposed to be a fiscal policy tool of significance in various subsystems of public finances. The main aim of this article is to examine the impact of personal income tax reliefs on Lithuanian public finances. To achieve this aim, statistical information was systemized; Monte Carlo method was used to group data by horizontal rows and logical links analysed, which helped to evaluate the influence of tax reliefs on public finances. In the simulations, the Monte Carlo method helped to simulate random samples, which were then examined by adapting the conclusions of the theory of probability and mathematical statistics methods.

19 CFR 172.12 - Petitions acted on at Customs Headquarters.

Science.gov (United States)

2010-04-01

... 19 Customs Duties 2 2010-04-01 2010-04-01 false Petitions acted on at Customs Headquarters. 172.12 Section 172.12 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY... Petitions § 172.12 Petitions acted on at Customs Headquarters. Upon receipt of a petition for relief filed...

The Question Of Balance Work - Family And Reconciliation Regime Work - Family At European Level

Directory of Open Access Journals (Sweden)

Aida Cimpeanu

2011-06-01

Full Text Available Under the conditions of the continuous change of the work patterns and of the alert liferhythm, there is a real challenge to keep a favourable equilibrium between work and family life. Oneof the value orientations manifested on a major scale on the whole European continent, is the humanorientation able to give substance to the European social politics, oriented to permanent improvementof his life quality by the increasing of the life level, the improvement of the work conditions, the workflexibility support qt the European level, national and organizational by the elaboration etimplementation of the politics of the work conciliation with family, or of the family/friendly politics,in order to keep an optimal equilibrium between family life as well as in the professional one.According to the European Commission, the reconciliation politics represent key responses to thelong term economic and demographic challenges. A better family life reconciliation is supported bythe objectives of the European strategy for the economical growth and of the workforce occupation

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Science.gov (United States)

Rodehaver, Claire; Fearing, Deb

2005-07-01

Several factors contribute to the potential for patient confusion regarding his or her medication regimen, including multiple names for a single drug and formulary variations when the patient receives medications from more than one pharmacy. A 68-year-old woman was discharged from the hospital on a HMG-CoA reductase inhibitor (statin) and resumed her home statin. Eleven days later she returned to the hospital with a diagnosis of severe rhabdomyolysis due to statin overdose. IMPLEMENTING SOLUTIONS: Miami Valley Hospital, Dayton, Ohio, implemented a reconciliation process and order form at admission and discharge to reduce the likelihood that this miscommunication would recur. Initial efforts were trialed on a 44-bed orthopedic unit, with spread of the initiative to the cardiac units and finally to the remaining 22 nursing units. The team successfully implemented initiation of the order sheet, yet audits indicated the need for improvement in reconciling the medications within 24 hours of admission and in reconciling the home medications at the point of discharge. Successful implementation of the order sheet to drive reconciliation takes communication, perseverance, and a multidisciplinary team approach.

Crygenic performance of a superfluid helium relief valve for the LHC superconducting magnets

International Nuclear Information System (INIS)

Danielsson, H.; Ferlin, G.; Luguet, C.

1996-01-01

The high-field superconducting magnets of the Large Hadron Collider (LHC) project at CERN will operate below 1.9 K in static baths of pressurized helium II. In case of resistive transition (open-quotes quenchclose quotes), the resulting pressure rise in the cryostats must be limited to below their 2 MPa design pressure. This is achieved by discharging helium at high flow-rates into a cold recovery header, normally maintained at 20 K. For this purpose, the authors have designed, built and tested a cryogenic quench relief valve with a nominal diameter of 50 mm and an opening time of below 0.1 s. The valve, which can be opened on an external trigger, also acts as a relief device actuated by the upstream pressure when it exceeds 0.4 MPa. In normal operation, the closed poppet must be helium-tight, for hydraulic and thermal separation of the magnet baths from the recovery header. Following mechanical qualification tests under vacuum, the authors have mounted the relief valve in a dedicated cryogenic measuring bench, in order to perform precision thermal measurements with pressurized helium II

Multi-Purpose Optimization for Reconciliation Ecology on an Engineered Floodplain: Yolo Bypass, California

Directory of Open Access Journals (Sweden)

Robyn Suddeth Grimm

2016-03-01

Full Text Available doi: http://dx.doi.org/10.15447/sfews.2016v14iss1art5Floodplains in California and elsewhere are productive natural habitats with high levels of biodiversity, yet today they are often permanently disconnected from rivers by urban or agricultural development and flood management structures. This disconnection poses a threat to many native fish, bird and other species that evolved to take advantage of seasonal floodplain inundation. The traditional restoration approach to this problem is to recreate historical floodplain by restoring natural hydrologic and successional processes. However levees, dams, and development have made this largely impossible in much of the developed world. Reconciliation ecology recognizes this limitation, and encourages instead the re-engineering of human dominated landscapes to allow for coexistence of native species and human uses. Flood control bypasses are particularly promising places to reconcile historical fish and bird uses of floodplain habitats with human uses. However, the reconciliation approach requires nuanced management of a complex system. Using the Yolo Basin flood bypass in California’s Central Valley as an example, this study develops formal multi-objective optimization to help planners identify management options that best improve habitat quality for fish and birds with minimal costs to farmers or wetland managers. Models like the one developed here can integrate large amounts of data and knowledge, and offer an explicit accounting of relationships and trade-offs between different objectives. This is especially useful in reconciliation planning, where many uses and variables interact on a landscape, and deliberate re-engineering requires consideration of many decisions simultaneously. Initial results suggest that modest land-use changes and inundation management strategies can significantly improve seasonal bird and fish habitat quality at little cost to farmers or other human land uses. The model

Pain relief by Cyberknife radiosurgery for spinal metastasis.

Science.gov (United States)

Lee, Sunyoung; Chun, Mison

2012-01-01

To report pain relief effect in patients with spinal metastases treated with Cyberknife® and to analyze the factors associated with pain relapse after initial pain relief. We retrospectively analyzed patients with spinal metastasis treated with stereotactic body radiosurgery between April 2007 and June 2009. A total of 57 patients with 73 lesions were available for analysis with a median follow-up of 6.8 months (range, 1-30). Pain was assessed by a verbal/visual analogue scale at each visit: from 0 to 10. Pain relief was defined as a decrease of at least three levels of the pain score without an increase in analgesic use. Complete relief was defined as no analgesics or a score 0 or 1. Pain relief was achieved in 88% of the lesions, with complete relief in 51% within 7 days from the start of radiosurgery. The median duration of pain relief was 3.2 months (range, 1-30). Pain reappeared in 16 patients (27%). Spinal cord compression (P = 0.001) and performance status (P = 0.01) were predictive of pain relapse by multivariate Cox analysis. All 6 patients treated with solitary spinal metastasis experienced pain relief; 5 of them were alive without evidence of disease at a median of 16 months (range, 7-30). As previous studies have shown, our study confirms that pain relief with spinal radiosurgery is around 90%. In particular, long-term pain relief and disease control was observed in patients with solitary spinal metastasis.

RECONCILIATION UNDER THE SHADOW OF DIASPORA POLITICS: SOME LESSONS FROM THE TURKISH-ARMENIAN RECONCILIATION COMMISSION (TARC (DİYASPORA SİYASETİ GÖLGESİNDE UZLAŞMA: TÜRK-ERMENİ UZLAŞMA KOMİSYONU’NDAN BAZI DERSLER

Directory of Open Access Journals (Sweden)

Nazif MANDACI

2014-04-01

Full Text Available ABSTRACT: Reconciliation is beyond diplomatic rapprochement and consequently strategic partnership in its maxim. It is irrelevant to transaction costs; moreover, “independent from them” since it is normative-oriented. Literature of reconciliation contains some concepts which cannot be “appreciated”, literally, in diplomatic realm, such as forgiving and forgetting, having theological connotations. To the contrary, international relations literature generally accept that “primordial factors like ethnicity and religion had no part in rational explanations for the way the world works”(Fox and Sandler 2004: 9; and nobody appreciates any political decision that sacrifices national interest on the altar of virtue. This study aims at elaborating on the Turkish-Armenian Reconciliation Commission which Turkey and Armenia had formed in 2001 within the framework of the aforementioned arguments. Keywords: Reconciliation, TARC, Diaspora. ÖZ: Uzlaşma süreçleri diplomatik yakınlaşmalar ve en azamisinden stratejik ortaklıkların çok ötesindeki durumsallıkları ifade etmektedir. Normatif yönlü olduklarından diplomatik anlamda ilişki kurmanın beraberinde getirebileceği maliyetlerden tamamıyla bağımsızdırlar. Uzlaşma literatürü diplomatik platformda genel olarak önemsenmeyen, hatta ötesinde teolojik yönü bile bulunan bağışlamak ya da affetmek gibi kavramlara yer vermektedir. Bunun tersine uluslararası ilişkiler literatürüne bakıldığında etnisite ya da din gibi primordiyal faktörlerin dünyada işlerin nasıl yürüdüğüne dair akılcı açıklamalar içinde kendilerine pek yer bulamadıkları gözlemlenmektedir (Fox ve Sandler, 2004: 9. Dahası, kimse ulusal çıkarları erdemlilik altarında feda edecek politik kararları onaylamamaktadır. Bu çalışma, Türkiye ve Ermenistan arasında 2001 yılında oluşturulan Türk-Ermeni Uzlaşma Komisyonu’nu bu çerçeve içinde değerlendirmeyi ama

Organizational Initiatives for Promoting Employee Work-Life Reconciliation Over the Life Course. A Systematic Review of Intervention Studies

Directory of Open Access Journals (Sweden)

Annina Ropponen

2016-10-01

Full Text Available This review aimed to explore the initiatives, interventions, and experiments implemented by employing organizations and designed to support the work-life reconciliation at workplaces, and the effects of these actions on employees’ well-being at work. A systematic literature review was conducted on the basis of a search in PsycInfo, ERIC, and the ISI Web of Science database of Social Sciences between January 2000 and May 2015. Those studies were included in which either organizational or individual-level initiatives, interventions, or experiments were implemented by employers at workplaces in order to promote the work-life reconciliation of their employees. Work-life reconciliation was considered to encompass all life domains and all career stages from early to the end of working career. The content analysis of 11 studies showed that effective employer actions focused on working time, care arrangements, and training for supervisors and employees. Flexibility, in terms of both working time and other arrangements provided for employees, and support from supervisors decreased work-family conflict, improved physical health and job satisfaction, and also reduced the number of absence days and turnover intentions. Overall, very few intervention studies exist investigating the effects of employer-induced work-life initiatives. One should particularly note the conditions under which interventions are most successful, since many contextual and individual-level factors influence the effects of organizational initiatives on employee and organizational outcomes.

The Influence of Organizational Reconciliation Policies and Culture on Workers Stress Perceptions

OpenAIRE

Monteiro, Rosa; Pereira, Marta; Daniel, Fernanda; Silva, Alexandre Gomes da; Matos, Fátima Regina Ney

2017-01-01

Abstract Work-family reconciliation plays a crucial role in the well-being of employees, having impacts at the individual, social and organizational level. Studies concluded that poor work-life balance as one of the ten predictors of psychosocial risks at work. A family-friendly culture relates to how an organization values and allows the articulation of the various spheres of its workers’ life. We intended to determine the effect of different variables like the existence of services, the org...

Truth and reconciliation: Yes, please! No, thank you!

Directory of Open Access Journals (Sweden)

Kesić Vesna

2002-01-01

Full Text Available The case of former Yugoslavia and its successors is specific and a bit different from the other post-conflict societies. First, retributive model of justice is carried out, or it should be carried out, before the International Criminal Tribunal in the Hague. The question is how to start the process of searching for the truth and reconciliation inside and between societies, groups and individuals in newly established countries. There is no such a model in the world, like these in South Africa and some countries in Latin America, which can be applied here, because in this case we are talking about five states, from which at least three were in the war. Also, the character of these conflicts covers the diapason from international conflicts to internal aggression and civil war.

48 CFR 252.229-7001 - Tax relief.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Tax relief. 252.229-7001... Clauses 252.229-7001 Tax relief. As prescribed in 229.402-70(a), use the following clause: Tax Relief (JUN 1997) (a) Prices set forth in this contract are exclusive of all taxes and duties from which the United...

Review: André du Pisani, Reinhart Kössler, and William A. Lindeke (eds., The Long Aftermath of War: Reconciliation and Transition in Namibia (2010 Buchbesprechung: André du Pisani, Reinhart Kössler und William A. Lindeke (Hrsg., The Long Aftermath of War: Reconciliation and Transition in Namibia (2010

Directory of Open Access Journals (Sweden)

Dag Henrichsen

2011-01-01

Full Text Available Review of the edited volume: André du Pisani, Reinhart Kössler, and William A. Lindeke (eds., The Long Aftermath of War: Reconciliation and Transition in Namibia (Freiburger Beiträge zu Entwicklung und Politik, 37, Freiburg: Arnold-Bergstraesser-Institut, 2010, ISBN 978-3-928597-55-5, 437 pp.Besprechung des Sammelbandes: André du Pisani, Reinhart Kössler und William A. Lindeke (Hrsg., The Long Aftermath of War: Reconciliation and Transition in Namibia (Freiburger Beiträge zu Entwicklung und Politik, 37, Freiburg: Arnold-Bergstraesser-Institut, 2010, ISBN 978-3-928597-55-5, 437 Seiten

Performance of balanced bellows safety relief valves

International Nuclear Information System (INIS)

Lai, Y.S.

1992-01-01

By the nature of its design, the set point and lift of a conventional spring loaded safety relief valve are sensitive to back pressure. One way to reduce the adverse effects of the back pressure on the safety relief valve function is to install a balanced bellows in a safety relief valve. The metallic bellows has a rather wide range of manufacturing tolerance which makes the design of the bellows safety relief valve very complicated. The state-of-the-art balanced bellows safety relief valve can only substantially minimize, but cannot totally eliminate the back pressure effects on its set point and relieving capacity. Set point change is a linear function of the back pressure to the set pressure ratio. Depending on the valve design, the set point correction factor can be either greater or smaller than unity. There exists an allowable back pressure and critical back pressure for each safety relief valve. When total back pressure exceeds the R a , the relieving capacity will be reduced mainly resulting from the valve lift being reduced by the back pressure and the capacity reduction factor should be applied in valve sizing. Once the R c is exceeded, the safety relief valve becomes unstable and loses its over pressure protection capability. The capacity reduction factor is a function of system overpressure, but their relationship is non-linear in nature. (orig.)

Effectiveness of Property Tax Relief in Oregon.

Science.gov (United States)

Hartman, William T.; Hwang, C. S.

This study examines the effects of the 1979 Oregon Property Tax Relief Plan on 1980-81 school district budget decisions by comparing the available tax relief, the school expenditures, and the tax levies in the state for the years 1975-81. The history of direct and indirect property tax relief in Oregon is sketched for the years prior to 1979; the…

Appendix: The Dream Act of 2009--111th Congress, 1st Session, S.729

Science.gov (United States)

New Directions for Student Services, 2010

2010-01-01

This article describes the Development, Relief, and Educational for Alien Minors Act of 2009 or the "DREAM Act of 2009." The authors of the bill aim to amend the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 to permit States to determine State residency for higher education purposes and to authorize the cancellation…

Intergroup Reconciliation between Flemings and Walloons: The Predictive Value of Cognitive Style, Authoritarian Ideology, and Intergroup Emotions

Directory of Open Access Journals (Sweden)

Jasper Van Assche

2017-11-01

Full Text Available Testifying to the gap in fundamental research on positive intergroup outcomes, we investigated reconciliation attitudes in a non-violent intergroup context (i.e., the linguistic conflict in Belgium. By incorporating both important predictors of negative outgroup attitudes (i.e., individual differences in rigid cognitive styles and authoritarian ideologies, and important predictors of reconciliation (i.e., intergroup emotions, we aimed to contribute to a more comprehensive theoretical framework for the analysis of intergroup relations. We recruited one Flemish ('N' = 310 and one Walloon ('N' = 365 undergraduate students sample to test the proposed model. Structural equation analyses with maximum likelihood estimation were conducted using the Lavaan package. In both samples, similar patterns were found. More in particular, the need for cognitive closure appeared to be the basic predictor of right-wing attitudes (i.e., right-wing authoritarianism and social dominance orientation and essentialist thinking, which were then associated with less outgroup empathy and trust, and more outgroup anger. Furthermore, outgroup trust and empathy were positively related to reconciliation. Interestingly, some differences between the Flemish and Walloon sample were found, such as the direct effects of need for closure and social dominance orientation in the first sample, and the non-significant effects of essentialism in the latter sample. Considering the ongoing public and political debate about the linguistic conflict in Belgium, these findings shed a new light on how individual differences relate to specific outgroup emotions, and how these are associated with important intergroup outcomes in the face of intergroup conflict.

Ontologies and Possibilities of Human Rights: Exploring Dissensus to Facilitate Reconciliation in Post-Conflict Education Contexts

Science.gov (United States)

du Preez, Petro; Becker, Anne

2016-01-01

In light of growing critique of human rights and human rights education, this article explores ontologies of human rights, the possibilities they present for dissensus and how this could influence human rights education in post-conflict education contexts towards reconciliation. We draw on Dembour's (2010) categorisation of the different schools…

The Reconciliation of W. Edwards Deming and John Dewey: An Exploration of Similarities in Motivation Theory.

Science.gov (United States)

Towns, William C.

1996-01-01

Interrogates similarities and misconceptions common to W. Edwards Deming and John Dewey, examining a reconciliation of the two within the context of motivation theory and concluding that Deming and Dewey are very similar in general outlook and the shared belief in the integrity of the individual within the social system. (SM)

Relief valve testing study

International Nuclear Information System (INIS)

BROMM, R.D.

2001-01-01

Reclosing pressure-actuated valves, commonly called relief valves, are designed to relieve system pressure once it reaches the set point of the valve. They generally operate either proportional to the differential between their set pressure and the system pressure (gradual lift) or by rapidly opening fully when the set pressure is reached (pop action). A pop action valve allows the maximum fluid flow through the valve when the set pressure is reached. A gradual lift valve allows fluid flow in proportion to how much the system pressure has exceeded the set pressure of the valve (in the case of pressure relief) or has decreased below the set pressure (vacuum relief). These valves are used to protect systems from over and under pressurization. They are used on boilers, pressure vessels, piping systems and vacuum systems to prevent catastrophic failures of these systems, which can happen if they are under or over pressurized beyond the material tolerances. The construction of these valves ranges from extreme precision of less than a psi tolerance and a very short lifetime to extremely robust construction such as those used on historic railroad steam engines that are designed operate many times a day without changing their set pressure when the engines are operating. Relief valves can be designed to be immune to the effects of back pressure or to be vulnerable to it. Which type of valve to use depends upon the design requirements of the system

19 CFR 210.52 - Motions for temporary relief.

Science.gov (United States)

2010-04-01

....52 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.52 Motions for temporary relief... issuance of temporary relief, the Commission will be guided by practice under Rule 65 of the Federal Rules...

30 CFR 203.66 - What happens if MMS does not act in the time allowed?

Science.gov (United States)

2010-07-01

... Relief for Pre-Act Deep Water Leases and for Development and Expansion Projects § 203.66 What happens if MMS does not act in the time allowed? If we do not act within the timeframes established under § 203... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What happens if MMS does not act in the time...

78 FR 44599 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

Science.gov (United States)

2013-07-24

... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Clean Water Act On... seeking permanent injunctive relief and civil penalties under the Clean Water Act (``CWA''), 33 U.S.C..., manganese, potassium, sodium, strontium, bromide, chloride, [[Page 44600

Ritual and reconciliation in Mozambique: Culture as a mediator in wartime experiences

Directory of Open Access Journals (Sweden)

Ilundi Cabral

2009-10-01

Full Text Available Based on Mozambique’s post-independence armed conflict (1976-1992, this paper examines several issues linked with culture’s role as a mediator in the experience of war and post-war, paying particular attention to spiritual purification rituals. The author argues that these rituals played an important role in the process of the rehabilitation, reintegration and social reconciliation of combatants returning from the war, as well as for Mozambique’s societies in general. The paper also explores the potentials and limitations of these rituals.

Discerning a theological agenda for spatial justice in South Africa: An imperative for sustained reconciliation

Directory of Open Access Journals (Sweden)

Stephan de Beer

2016-11-01

Full Text Available A spatial turn has occurred in various disciplines over the past decades. This article holds that it has not occurred in a similar decisive manner in theological discourse and not in South Africa in particular. After considering the necessity of a spatial turn and spatial consciousness, the article examines the concept of spatial justice against the backdrop of how injustice was and is spatially expressed in South African cities. Considering the way in which South African cities have evolved since the Native Land Act of 1913 – the segregated and apartheid city and the (postapartheid city – the article then argues that deep and sustained reconciliation will be impossible should current spatial patterns of segregation, exclusion and injustice continue. It advocates theological and ecclesial participation in a national agenda for spatial transformation, to be fleshed out in relation to four interconnected challenges: land, landlessness, housing and home; the ‘creative destruction’ of neighbourhoods, gentrification and the displacement of the poor; participation in city-making (from below and transformative spatial interventions; and close collaboration with social movements working for spatial justice. It concludes by asserting that such a trans- and/or postdisciplinary agenda for spatial justice would participate with the Spirit to mend the oikos of God.

Reclaiming Reconciliation through Community Education for the Muslims and Tamils of Post-War Jaffna, Sri Lanka

Science.gov (United States)

Duncan, Ross; Cardozo, Mieke Lopes

2017-01-01

This paper explores the possibilities and challenges for ethno-religious reconciliation through secondary school education in post-war Sri Lanka, with a specific focus on the Muslim and Tamil communities in the Northern city of Jaffna. In doing so, we position our paper within the growing field of "education, conflict and emergencies" of…

29 CFR 579.1 - Purpose and scope.

Science.gov (United States)

2010-07-01

... movement or mobility of an arm, leg, foot, hand or other body part. (2) Any person who repeatedly or... of 1989, the Omnibus Budget Reconciliation Act of 1990, and the Compactors and Balers Safety... of 1989, the Omnibus Budget Reconciliation Act of 1990, the Compactor and Balers Safety Standards...

Does Identification With Rwanda Increase Reconciliation Sentiments Between Genocide Survivors and Non-Victims? The Mediating Roles of Perceived Intergroup Similarity and Self-Esteem During Commemorations

Directory of Open Access Journals (Sweden)

Clémentine Kanazayire

2014-12-01

Full Text Available A questionnaire survey (N = 247 investigated the influence of identification with the Rwandan nation on reconciliation sentiments between members of the survivor and of the non-victim groups of the 1994 genocide in Rwanda. Results showed that, whereas the two groups did not differ in their level of identification with the nation, members of the non-victim group were more willing to reconcile than members of the survivor group. Perceived intergroup similarity mediated the effect of national identification on reconciliation sentiment for both groups, but this effect was stronger among non-victims. Finally, self-esteem during commemorations also mediated this effect, but only among non-victims. We discuss the importance of people’s motivation to reconcile with out-group members in post-genocidal contexts in light of the common in-group identity model (Gaertner & Dovidio, 2000 as well as the needs-based model of intergroup reconciliation (Nadler & Schnabel, 2008.

Crisis Communication Practices at an International Relief Agency

Science.gov (United States)

Genova, Gina L.

2006-01-01

When a disaster strikes, the affected population relies upon the swift response and aid rendered by relief organizations such as the California-based Direct Relief International. Since 1948, Direct Relief's mission has been to provide essential material resources to locally run health programs in areas affected by natural disasters, wars, and…

77 FR 23278 - Notice of Lodging of Consent Decree Under the Clean Air Act

Science.gov (United States)

2012-04-18

... accept small appliances, motor vehicle air conditioners (``MVACs''), or MVAC- like appliances with cut... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby... Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act (``CAA'') against...

Brain Circuits Encoding Reward from Pain Relief.

Science.gov (United States)

Navratilova, Edita; Atcherley, Christopher W; Porreca, Frank

2015-11-01

Relief from pain in humans is rewarding and pleasurable. Primary rewards, or reward-predictive cues, are encoded in brain reward/motivational circuits. While considerable advances have been made in our understanding of reward circuits underlying positive reinforcement, less is known about the circuits underlying the hedonic and reinforcing actions of pain relief. We review findings from electrophysiological, neuroimaging, and behavioral studies supporting the concept that the rewarding effect of pain relief requires opioid signaling in the anterior cingulate cortex (ACC), activation of midbrain dopamine neurons, and the release of dopamine in the nucleus accumbens (NAc). Understanding of circuits that govern the reward of pain relief may allow the discovery of more effective and satisfying therapies for patients with acute or chronic pain.

Relief memory consolidation requires protein synthesis within the nucleus accumbens.

Science.gov (United States)

Bruning, Johann E A; Breitfeld, Tino; Kahl, Evelyn; Bergado-Acosta, Jorge R; Fendt, Markus

2016-06-01

Relief learning refers to the association of a stimulus with the relief from an aversive event. The thus-learned relief stimulus then can induce, e.g., an attenuation of the startle response or approach behavior, indicating positive valence. Previous studies revealed that the nucleus accumbens is essential for the acquisition and retrieval of relief memory. Here, we ask whether the nucleus accumbens is also the brain site for consolidation of relief memory into a long-term form. In rats, we blocked local protein synthesis within the nucleus accumbens by local infusions of anisomycin at different time points during a relief conditioning experiment. Accumbal anisomycin injections immediately after the relief conditioning session, but not 4 h later, prevented the consolidation into long-term relief memory. The retention of already consolidated relief memory was not affected by anisomycin injections. This identifies a time window and site for relief memory consolidation. These findings should complement our understanding of the full range of effects of adverse experiences, including cases of their distortion in humans such as post-traumatic stress disorder and/or phobias. Copyright © 2016 Elsevier Ltd. All rights reserved.

Bas-Relief Modeling from Normal Images with Intuitive Styles.

Science.gov (United States)

Ji, Zhongping; Ma, Weiyin; Sun, Xianfang

2014-05-01

Traditional 3D model-based bas-relief modeling methods are often limited to model-dependent and monotonic relief styles. This paper presents a novel method for digital bas-relief modeling with intuitive style control. Given a composite normal image, the problem discussed in this paper involves generating a discontinuity-free depth field with high compression of depth data while preserving or even enhancing fine details. In our framework, several layers of normal images are composed into a single normal image. The original normal image on each layer is usually generated from 3D models or through other techniques as described in this paper. The bas-relief style is controlled by choosing a parameter and setting a targeted height for them. Bas-relief modeling and stylization are achieved simultaneously by solving a sparse linear system. Different from previous work, our method can be used to freely design bas-reliefs in normal image space instead of in object space, which makes it possible to use any popular image editing tools for bas-relief modeling. Experiments with a wide range of 3D models and scenes show that our method can effectively generate digital bas-reliefs.

The Truth and Reconciliation Commission of Canada: Insights into the Goal of Transformative Education

Directory of Open Access Journals (Sweden)

Karina Czyzewski

2011-08-01

Full Text Available In 2006, the Government of Canada announced the approval of a final Residential Schools Settlement Agreement with the collaboration of the four churches responsible (United, Anglican, Presbyterian, Catholic, the federal government and residential school survivors. Schedule "N" of the Agreement lists the mandate of the TRC; therein, the TRC states one of its goals as: (d to promote awareness and public education of Canadians about the system and its impacts. Can education - as the TRC hopes to engender - truly be transformative, renewing relationships and promoting healing in the process of forging these new relationships? The literature reviewed and the conferences attended highlighted that generating empathy maybe a necessary ingredient for the instigation of social change, but is insufficient. Transformation through education, or reconciliation through truth-telling, testimonial reading and responsible listening would mean claiming a genuine, supportive responsibility for the colonial past. Educational policy and media initiatives are fundamental to creating awareness, developing public interest and support of the TRC's recommendations. However, authors also stress the importance of critical pedagogy in the whole process of truth andreconciliation, and that real reconciliation would require confronting the racism that initiated these institutions and allowed for a decontextualization of their impacts.

Creating and evaluating an opportunity for medication reconciliation in the adult population of South Africa to improve patient care.

Science.gov (United States)

Naicker, Pranusha; Schellack, Natalie; Godman, Brian; Bronkhorst, Elmien

2018-04-16

Adverse drug events (ADEs) are a major cause of morbidity and mortality, with more than 50% of ADEs being preventable. Adverse Drug Reactions (ADRs) are typically the result of an incomplete medication history, prescribing or dispensing error, as well as over- or under-use of prescribed pharmacotherapy. Medication reconciliation is the process of creating the most accurate list of medications a patient is taking and subsequently comparing the list against the different transitions of care. It is used to reduce medication discrepancies, and thereby ultimately decreasing ADEs. However, little is known about medicine reconciliation activities among public hospitals in South Africa. Prospective quantitative, descriptive design among Internal and Surgical wards in a leading public hospital in South Africa. 145 study participants were enrolled. Over 1300 (1329) medicines were reviewed of which there was a significant difference (p = 0.006) when comparing the medications that the patient was taking before or during hospitalisation. A total of 552 (41.53%) interventions were undertaken and the majority of patients had at least 3.96 medication discrepancies. The most common intervention upon admission was transcribing the home medication onto the hospital prescription (65.2%) followed by medication duplication (13.44%). During patient's hospital stay, interventions included patient counselling (32.5%) and stopping the previous treatment (37.5%). To ensure continuity of patient care, medication reconciliation should be implemented throughout patients' hospital stay. This involves all key professionals in hospitals.

76 FR 76762 - Notice of Lodging of Consent Decree Under the Clean Air Act

Science.gov (United States)

2011-12-08

... recovery at no additional cost; (2) no longer accept small appliances, motor vehicle air conditioners... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby.... Environmental Protection Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act...

76 FR 57764 - Notice of Lodging of Consent Decree Under the Clean Air Act

Science.gov (United States)

2011-09-16

... recovery at no additional cost; (2) no longer accept small appliances, motor vehicle air conditioners... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby... Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act (``CAA'') against...

Reward, motivation and emotion of pain and its relief

Science.gov (United States)

Porreca, Frank; Navratilova, Edita

2016-01-01

The experience of pain depends on interpretation of context and past experience that guide the choice of an immediate behavioral response and influence future decisions of actions to avoid harm. The aversive qualities of pain underlie its physiological role in learning and motivation. In this review, we highlight findings from human and animal investigations that suggest that both pain, and the relief of pain, are complex emotions that are comprised of feelings and their motivational consequences. Relief of aversive states, including pain, is rewarding. How relief of pain aversiveness occurs is not well understood. Termination of aversive states can directly provide relief as well as reinforce behaviors that result in avoidance of pain. Emerging preclinical data also suggests that relief may elicit a positive hedonic value that results from activation of neural cortical and mesolimbic brain circuits that may also motivate behavior. Brain circuits mediating the reward of pain relief, as well as relief-induced motivation are significantly impacted as pain becomes chronic. In chronic pain states, the negative motivational value of nociception may be increased while the value of the reward of pain relief may decrease. As a consequence, the impact of pain on these ancient, and conserved brain limbic circuits suggest a path forward for discovery of new pain therapies. PMID:28106670

Does Immediate Pain Relief After an Injection into the Sacroiliac Joint with Anesthetic and Corticosteroid Predict Subsequent Pain Relief?

Science.gov (United States)

Schneider, Byron J; Huynh, Lisa; Levin, Josh; Rinkaekan, Pranathip; Kordi, Ramin; Kennedy, David J

2018-02-01

To determine if immediate pain response following an injection with local anesthetic and corticosteroid predicts subsequent relief. Prospective observational cohort. An institutional review board-approved prospective study from a single academic medical center. Patients with clinical diagnosis of sacroiliac (SIJ) pain and referred for SIJ injection were enrolled; 1 cc of 2% lidocaine and 1 cc of triamcinolone 40 mg/mL were injected into the SIJ. Pain score on 0-10 numeric rating scale (NRS) during provocation maneuvers was recorded immediately before injection, immediately after injection, and at two and four weeks of follow-up. Oswestry Disability Index (ODI) was also recorded. Various cutoffs were identified to establish positive anesthetic response and successful outcomes at follow-up. These were used to calculated likelihood ratios. Of those with 100% anesthetic response, six of 11 (54.5%, 95% confidence interval [CI]+/-29.4%, +LR 2.6, 95% CI = 1.1-5.9) demonstrated 50% or greater pain relief at follow-up, and four of 11 (36.5%, 95% CI+/-28.4%, +LR 3.00, 95% CI = 1.4-5.1) had 100% relief at two to four weeks. Fourteen of 14 (100%, 95% CI+/-21.5%, -LR 0.0, 95% CI = 0.0-2.1) with an initial negative block failed to achieve 100% relief at follow-up. Patients who fail to achieve initial relief after SIJ injection with anesthetic and steroid are very unlikely to achieve significant pain relief at follow-up; negative likelihood ratios (LR) in this study, based on how success is defined, range between 0 and 0.9. Clinically significant positive likelihood ratios of anesthetic response to SIJ injection are more limited and less robust, but are valuable in predicting 50% relief or 100% relief at two to four weeks. © 2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Late-Cenozoic relief evolution under evolving climate: A review

OpenAIRE

Champagnac Jean Daniel; Valla Pierre G.; Herman Frédéric

2014-01-01

The present review paper is an attempt to summarize quantitative evidence of Late Cenozoic changes in topographic relief. Different meanings of the word "relief" as it is commonly used and detail the metrics used to quantify it. We then specify methodological tools used to quantify relief change (primarily low temperature thermochronometry and terrestrial cosmogenic nuclides) and analyze published evidence for different regions.Our review first shows that relief changes and rates of changes a...

A sigh of relief or a sigh to relieve: The psychological and physiological relief effect of deep breaths.

Science.gov (United States)

Vlemincx, Elke; Van Diest, Ilse; Van den Bergh, Omer

2016-10-15

Both animal and human research have revealed important associations between sighs and relief. Previously we argued to conceive of sighs as resetters which temporarily induce relief. The present study aimed to investigate the psychological and physiological relief effect of sighs by instructed deep breaths and spontaneous sighs compared to a control breathing maneuver. Participants completed three blocks of 40 trials during which uncertainty cues were followed by either safety cues followed by a positive picture, or danger cues followed by a negative picture. One block was presented without breathing instructions, two subsequent blocks with breathing instructions. During the presentation of the safety and danger cues, an instruction was given to either 'take a deep breath' or 'postpone the next inhalation for 2 s (breath hold). Continuously, participants rated relief and Frontalis electromyography was recorded. Trait anxiety sensitivity was assessed by the Anxiety Sensitivity Index. Self-reported relief and physiological tension were compared 5s before and after instructed deep breaths and breath holds, and before and after spontaneous deep breaths and breath holds in the respective blocks. Results show that self-reported relief following an instructed deep breath was higher than before. Physiological tension decreased following a spontaneous sigh in high anxiety sensitive persons and following a spontaneous breath hold in low anxiety sensitive persons. These results are the first to show that a deep breath relieves and, in anxiety sensitive persons, reduces physiological tension. These findings support the hypothesis that sighs are psychological and physiological resetters. Copyright © 2016 Elsevier Inc. All rights reserved.

Doubling Your Payoff: Winning Pain Relief Engages Endogenous Pain Inhibition

Science.gov (United States)

Becker, Susanne; Gandhi, Wiebke; Kwan, Saskia; Ahmed, Alysha-Karima; Schweinhardt, Petra

2015-01-01

When in pain, pain relief is much sought after, particularly for individuals with chronic pain. In analogy to augmentation of the hedonic experience ("liking") of a reward by the motivation to obtain a reward ("wanting"), the seeking of pain relief in a motivated state might increase the experience of pain relief when obtained. We tested this hypothesis in a psychophysical experiment in healthy human subjects, by assessing potential pain-inhibitory effects of pain relief "won" in a wheel of fortune game compared with pain relief without winning, exploiting the fact that the mere chance of winning induces a motivated state. The results show pain-inhibitory effects of pain relief obtained by winning in behaviorally assessed pain perception and ratings of pain intensity. Further, the higher participants scored on the personality trait novelty seeking, the more pain inhibition was induced. These results provide evidence that pain relief, when obtained in a motivated state, engages endogenous pain-inhibitory systems beyond the pain reduction that underlies the relief in the first place. Consequently, such pain relief might be used to improve behavioral pain therapy, inducing a positive, perhaps self-amplifying feedback loop of reduced pain and improved functionality.

Utilstraekkelig dokumentation af dødelighed ved krig

DEFF Research Database (Denmark)

Buhmann, Caecilie Böck; Nielsen, Karoline Kragelund

2010-01-01

Mortality estimates can be used for research, to inform or influence policy, for reconciliation processes, to plan health delivery and relief operations and for legal purposes. Many different methods have been applied and each has strengths and weaknesses. Recent years have seen an international...

Humanitarian assistance and disaster relief: changing the face of defense.

Science.gov (United States)

Laraby, Patrick R; Bourdeaux, Margaret; Casscells, S Ward; Smith, David J; Lawry, Lynn

2009-01-01

The US Department of Defense (DOD) is evolving to meet new security challenges in the twenty-first century. Today's challenges result from growing political, environmental, and economic instability in important areas of the globe that threaten national and global security. Immediate outreach to foreign nations in times of violent instability or natural disaster fosters security and stability both for the affected country and for the United States. Foreign humanitarian assistance (FHA) is a rapidly evolving military mission that addresses conflict prevention, conflict, postconflict, and natural disasters. With DOD's extensive global medical resources, it is often uniquely qualified to execute a critical role in relief and/or public health efforts. When and how the American military will act in FHA and disaster relief is a still evolving doctrine with three issues deserving particular attention: aligning operations with host government leadership, preserving humanitarian space, and tailoring the US military's unique resources to the specific political and medical situation at hand. The DOD's response to a large-scale earthquake in Peru suggests useful approaches to these three issues, provides a template for future FHA mission, and points to strategic decisions and operational capabilities that need further development to establish the FHA mission firmly within DOD's repertoire of security engagement activities.

Recent performance experience with US light water reactor self-actuating safety and relief valves

Energy Technology Data Exchange (ETDEWEB)

Hammer, C.G.

1996-12-01

Over the past several years, there have been a number of operating reactor events involving performance of primary and secondary safety and relief valves in U.S. Light Water Reactors. There are several different types of safety and relief valves installed for overpressure protection of various safety systems throughout a typical nuclear power plant. The following discussion is limited to those valves in the reactor coolant systems (RCS) and main steam systems of pressurized water reactors (PWR) and in the RCS of boiling water reactors (BWR), all of which are self-actuating having a setpoint controlled by a spring-loaded disk acting against system fluid pressure. The following discussion relates some of the significant recent experience involving operating reactor events or various testing data. Some of the more unusual and interesting operating events or test data involving some of these designs are included, in addition to some involving a number of similar events and those which have generic applicability.

Tethered Balloon Technology in Design Solutions for Rescue and Relief Team Emergency Communication Services.

Science.gov (United States)

Alsamhi, Saeed Hamood; Ansari, Mohd Samar; Ma, Ou; Almalki, Faris; Gupta, Sachin Kumar

2018-05-23

The actions taken at the initial times of a disaster are critical. Catastrophe occurs because of terrorist acts or natural hazards which have the potential to disrupt the infrastructure of wireless communication networks. Therefore, essential emergency functions such as search, rescue, and recovery operations during a catastrophic event will be disabled. We propose tethered balloon technology to provide efficient emergency communication services and reduce casualty mortality and morbidity for disaster recovery. The tethered balloon is an actively developed research area and a simple solution to support the performance, facilities, and services of emergency medical communication. The most critical requirement for rescue and relief teams is having a higher quality of communication services which enables them to save people's lives. Using our proposed technology, it has been reported that the performance of rescue and relief teams significantly improved. OPNET Modeler 14.5 is used for a network simulated with the help of ad hoc tools (Disaster Med Public Health Preparedness. 2018;page 1 of 8).

Glovebox pressure relief and check valve

Energy Technology Data Exchange (ETDEWEB)

Blaedel, K.L.

1986-03-17

This device is a combined pressure relief valve and check valve providing overpressure protection and preventing back flow into an inert atmosphere enclosure. The pressure relief is embodied by a submerged vent line in a mercury reservior, the releif pressure being a function of the submerged depth. The pressure relief can be vented into an exhaust system and the relieving pressure is only slightly influenced by the varying pressure in the exhaust system. The check valve is embodied by a ball which floats on the mercury column and contacts a seat whenever vacuum exists within the glovebox enclosure. Alternatively, the check valve is embodied by a vertical column of mercury, the maximum back pressure being a function of the height of the column of mercury.

Glovebox pressure relief and check valve

International Nuclear Information System (INIS)

Blaedel, K.L.

1986-01-01

This device is a combined pressure relief valve and check valve providing overpressure protection and preventing back flow into an inert atmosphere enclosure. The pressure relief is embodied by a submerged vent line in a mercury reservior, the releif pressure being a function of the submerged depth. The pressure relief can be vented into an exhaust system and the relieving pressure is only slightly influenced by the varying pressure in the exhaust system. The check valve is embodied by a ball which floats on the mercury column and contacts a seat whenever vacuum exists within the glovebox enclosure. Alternatively, the check valve is embodied by a vertical column of mercury, the maximum back pressure being a function of the height of the column of mercury

Experiences in the reconciliation process: Period 1996-2004

Directory of Open Access Journals (Sweden)

Golubović Nada

2004-01-01

Full Text Available The war in Bosnia and Herzegovina has left behind uninhabited, destroyed burnt down and devastated villages. The cities’ demographic picture has been changed, as well as the ethnic and social structure. That is why we have been conducting our activities in the community reconciliation process in rural and urban areas, applying different methods of work. Our activities were aimed at all national and social groups. Our association’s target group is women. With our activities, we are trying to raise public awareness about the women’s issues and to find solutions to those problems. We have worked on key problems that arose as a consequence of war experiences, which were brought forward by the women. We are trying to achieve an insight into the problems that are common to the women from different social and ethnic groups and, by attempting to solve them; we work on conflict resolution and transformation.

Status-Based Asymmetry in Intergroup Responses: Implications for Intergroup Reconciliation

Science.gov (United States)

Malloy, Thomas E.; Ristikari, Tiina; Berrios-Candelaria, Rosalie; Lewis, Beth; Agatstein, Fredric

2011-01-01

We studied intergroup responses as a function of relative intergroup status and familiarity. In Study 1, 34 African Americans and 34 European Americans interacted with two members of the out-group in separate, 20 minute dyadic interactions. Intergroup perception, affect, and behavior were asymmetric; Blacks differentiated the traits of and the quality of interactions with Whites, whereas Whites did not make these differentiations. Blacks and Whites predicted that different out-group partners perceived them similarly. Study 2 showed that the failure to differentiate an out-group member is due to intergroup status differences. Asymmetric intergroup responses pose a barrier to intergroup reconciliation and explain, in part, why increased interracial contact has not eradicated disparities in life outcomes for Black Americans. PMID:21341895

Reconciliation of equipment flexibility effects on piping system dynamic response

International Nuclear Information System (INIS)

Geraets, L.H.

1987-01-01

Piping systems are connected to equipment; if the equipment cannot be considered as ''rigid'' relative to excitation frequencies, nozzle response spectra techniques, or equipment modeling techniques are used. If the equipment is considered rigid, a fixed anchor is assumed. However, occasionally after (seismic) dynamic analysis has been completed, tests or detailed equipment dynamic analyses demonstrate that the assumption of ''infinite stiff'' is questionable. This paper reviews several classes of equipment (pumps, vessels, reservoirs, heat exchangers), and the associated (piping stresses, support loads, equipment nozzle allowables). Significant divergences between design and ''as built'' results are shown (for heat exchangers in particular). The paper discusses the reconciliation process performed for a belgian PWR plant through the use of less conservative seismic damping data (Code Case N-411)

47 CFR 52.19 - Area code relief.

Science.gov (United States)

2010-10-01

... meetings to which the telecommunications industry and the public are invited on area code relief for a... 47 Telecommunication 3 2010-10-01 2010-10-01 false Area code relief. 52.19 Section 52.19 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) NUMBERING...

75 FR 29569 - Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act)

Science.gov (United States)

2010-05-26

...] Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act) AGENCY: Federal... the final Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act), which... mitigation discretionary funding available under Section 406 of the Robert T. Stafford Disaster Relief and...

Arte e reconciliação em Herbert Marcuse Art and reconciliation in Herbert Marcuse's thought

Directory of Open Access Journals (Sweden)

Rafael Cordeiro Silva

2005-01-01

Full Text Available O artigo pretende explicitar a relação entre arte e reconciliação no pensamento de Herbert Marcuse, considerando-se vários de seus escritos que tocam no tema. Ao longo deles, percebe-se que o uso do termo reconciliação assume um duplo significado: por um lado, significa a possibilidade de que os temas sublimados da cultura possam ser efetivados no plano das relações materiais, o que implicaria o desaparecimento da arte; por outro, significa a imagem de um mundo harmonizado que a arte preserva em si e que se distancia da ordem social. Sob esse aspecto, a arte permanece utopia.This paper aims to clarify the relation between art and reconciliation in Herbert Marcuse's thought, according to some of his writings concerning the subject. These works employ the term "reconciliation" with two meanings: it means the possibility of effectuating within material relations the sublimed cultural themes and this would result in the disappearance of the art; on the other hand, it means the image of a harmonic world which art preserves in itself and that stays away from social order. Under this aspect, art remains utopia.

Paper relief architecture

NARCIS (Netherlands)

Latka, J.F.

2014-01-01

The article presents two contemporary projects of paper structures relief architecture designed and built by Shigeru Ban Architects and Voluntary Architect Network. Author of the article took part in design and construction process of one of the projects. The project of Yaan Nursery School, which

Digital Shaded-Relief Image of Alaska

Science.gov (United States)

Riehle, J.R.; Fleming, Michael D.; Molnia, B.F.; Dover, J.H.; Kelley, J.S.; Miller, M.L.; Nokleberg, W.J.; Plafker, George; Till, A.B.

1997-01-01

Introduction One of the most spectacular physiographic images of the conterminous United States, and the first to have been produced digitally, is that by Thelin and Pike (USGS I-2206, 1991). The image is remarkable for its crispness of detail and for the natural appearance of the artificial land surface. Our goal has been to produce a shaded-relief image of Alaska that has the same look and feel as the Thelin and Pike image. The Alaskan image could have been produced at the same scale as its lower 48 counterpart (1:3,500,000). But by insetting the Aleutian Islands into the Gulf of Alaska, we were able to print the Alaska map at a larger scale (1:2,500,000) and about the same physical size as the Thelin and Pike image. Benefits of the 1:2,500,000 scale are (1) greater resolution of topographic features and (2) ease of reference to the U.S. Geological Survey (USGS) (1987) Alaska Map E and the statewide geologic map (Beikman, 1980), which are both 1:2,500,000 scale. Manually drawn, shaded-relief images of Alaska's land surface have long been available (for example, Department of the Interior, 1909; Raisz, 1948). The topography depicted on these early maps is mainly schematic. Maps showing topographic contours were first available for the entire State in 1953 (USGS, 1:250,000) (J.H. Wittmann, USGS, written commun., 1996). The Alaska Map E was initially released in 1954 in both planimetric (revised in 1973 and 1987) and shaded-relief versions (revised in 1973, 1987, and 1996); topography depicted on the shaded-relief version is based on the 1:250,000-scale USGS topographic maps. Alaska Map E was later modified to include hypsometric tinting by Raven Maps and Images (1989, revised 1993) as copyrighted versions. Other shaded-relief images were produced for The National Geographic Magazine (LaGorce, 1956; 1:3,000,000) or drawn by Harrison (1970; 1:7,500,000) for The National Atlas of the United States. Recently, the State of Alaska digitally produced a shaded-relief image

[Medication reconciliation at hospital admission: Results and identification of target patients].

Science.gov (United States)

San José Ruiz, B; Serrano De Lucas, L; López-Giménez, L R; Baza Martínez, B; Sautua Larreategi, S; Bustinza Txertudi, A; Sebastián Leza, Á; Chirivella Ramón, M T; Fonseca Legrand, J L; de Miguel Cascon, M

2016-06-01

To quantify and to classify the discrepancies between the admission treatment and the usual patient treatment. To determine the variables that predict those patients that will have more benefit from medication reconciliation. A prospective medication reconciliation study was conducted in the Vascular Surgery Unit from March 2014 to December 2014. When the patients were admitted to the Vascular Surgery Unit, they were informed about the study and asked to prepare information about their chronic treatment. The pharmacist then checked their clinical records, outpatient prescriptions, and also interviewed the patient, obtaining the best pharmacotherapeutic history available. The discrepancies with the admission treatment were written into the patient electronic clinical records. Finally, the physician classified the discrepancies, and changed the treatment, if needed. The statistical analysis included a comparison between patients with and without a non-justified discrepancy (NJD). The statistically different characteristics were used to plot Receiver Operating Characteristic curves, in order to determine the sensitivity and the specificity of these variables to select patients with discrepancies. A total of 380 patients were included. There were 845 non-justified, 600 justified non-documented, and 439 justified documented discrepancies. At least one NJD was identified in 293 patients (77%), with 65 patients (17%) having only justified discrepancies, and 22 patients (6%) having no discrepancies. NJD were: different dose, route or schedule (51%), omission (39%), wrong drug (8%) and commission (2%). The variables associated with discrepancies were number of chronic medications drugs and provider of information. In most studies, omission is the most frequent error. In contrast, in our study the most frequent error is different dose, route, or schedule. The variable that allows selecting patients at higher risk of discrepancies is the number of chronic drugs. This risk is

Current State Of Parties’ Reconciliation Institute In The Republic Of Kazakhstan

Directory of Open Access Journals (Sweden)

Ardak K. Kokeman

2015-03-01

Full Text Available In the modern legal system of the Republic of Kazakhstan development of the mechanism for reconciliation was worked out. The President of the Republic of Kazakhstan has repeatedly pointed out the need to implement progressive world experience of extrajudicial reconciliation. This is the idea of various forms of mediation introduction in the settlement of disputes enshrined in the Concept of Legal Policy of the Republic of Kazakhstan for the period from 2010 to 2020. At the same time there is the Law "On Mediation" of the year 2011 in the Republic of Kazakhstan, which has to create legal basis for the broad and civilized use of this procedure and to reduce the increasing burden on the courts. The analysis showed that the adoption of the Law "On Mediation" has not led to a decrease load on the courts; mediation is not widespread among the population and underdeveloped. It was also noted in the article, that in 2013, for example, the courts completed only 3% of civil cases by settlement. Authors conclude that for the serious crimes, firstly committed and not connected with the death or grievous bodily harm could be settled not only between minors, but also among other socially vulnerable people - pregnant women, mothers with dependent minor children, senior citizens. Authors note that the range of methods of conciliation is large enough. It develops, including all new mechanisms into the category of the means by which it is possible to resolve any conflict without recourse to the state Justice. Consequently, the expansion of pre-trial settlement of disputes, the introduction of a simplified form of consideration of claims would contribute to the further development of fast and affordable justice.

Iraq's Debt Relief: Procedure and Potential Implications for International Debt Relief

National Research Council Canada - National Science Library

Weiss, Martin A

2009-01-01

.... Reducing this debt to a sustainable level has been a priority of the U.S. government. Since 2003, debt relief negotiations have taken place in a variety of fora and led to the cancellation of a significant amount of Iraq's external debt...

Increasing the Useful Life of Quench Reliefs with Inconel Bellows

Energy Technology Data Exchange (ETDEWEB)

Soyars, W. M. [Fermilab

1999-01-01

Reliable quench relief valves are an important part of superconducting magnet systems. Fermilab developed bellows-actuated cryogenic quench reliefs which have been in use since the early l 980's. The original design uses a stainless steel bellows. A high frequency, low amplitude vibration during relieving events has resulted in fatigue failures in the original design. To take advantage of the improved resistance to fatigue of Inconel, a nickel-chromium alloy, reliefs using Inconel 625 bellows were made. Design, development, and testing of the new version reliefs will be discussed. Tests show that relief valve lifetimes using Inconel bellows are more than five times greater than when using the original stainless steel bellows. Inconel bellows show great promise in increasing the lifetime of quench relief valves, and thus the reliability of accelerator cryogenic systems.

Optimal Laser Phototherapy Parameters for Pain Relief.

Science.gov (United States)

Kate, Rohit J; Rubatt, Sarah; Enwemeka, Chukuka S; Huddleston, Wendy E

2018-03-27

Studies on laser phototherapy for pain relief have used parameters that vary widely and have reported varying outcomes. The purpose of this study was to determine the optimal parameter ranges of laser phototherapy for pain relief by analyzing data aggregated from existing primary literature. Original studies were gathered from available sources and were screened to meet the pre-established inclusion criteria. The included articles were then subjected to meta-analysis using Cohen's d statistic for determining treatment effect size. From these studies, ranges of the reported parameters that always resulted into large effect sizes were determined. These optimal ranges were evaluated for their accuracy using leave-one-article-out cross-validation procedure. A total of 96 articles met the inclusion criteria for meta-analysis and yielded 232 effect sizes. The average effect size was highly significant: d = +1.36 (confidence interval [95% CI] = 1.04-1.68). Among all the parameters, total energy was found to have the greatest effect on pain relief and had the most prominent optimal ranges of 120-162 and 15.36-20.16 J, which always resulted in large effect sizes. The cross-validation accuracy of the optimal ranges for total energy was 68.57% (95% CI = 53.19-83.97). Fewer and less-prominent optimal ranges were obtained for the energy density and duration parameters. None of the remaining parameters was found to be independently related to pain relief outcomes. The findings of meta-analysis indicate that laser phototherapy is highly effective for pain relief. Based on the analysis of parameters, total energy can be optimized to yield the largest effect on pain relief.

Medications for Pain Relief during Labor and Delivery

Science.gov (United States)

... FAQ086 LABOR, DELIVERY, AND POSTPARTUM CARE Medications for Pain Relief During Labor and Delivery • What types of medications for pain relief are used during labor and delivery? • What are ...

Pain relief at the end of life: nurses' experiences regarding end-of-life pain relief in patients with dementia.

Science.gov (United States)

Brorson, Hanna; Plymoth, Henrietta; Örmon, Karin; Bolmsjö, Ingrid

2014-03-01

Patients with dementia receive suboptimal palliative care, and this patient group is at risk to have pain at the end of life. Because communicative impairments are common in this patient group, nurses play an important caregiver role in identifying, assessing, and relieving patients' pain. This study aimed to describe nurses' experiences regarding end-of-life pain relief in patients with dementia. This descriptive exploratory qualitative study was based on seven semistructured interviews. Burnard's content analysis inspired the data analysis. Two main categories were identified: (1) nurses' experience of difficulties concerning pain relief and (2) nurses' experience of resources concerning pain relief. Nurses experienced difficulties, such as feeling of powerlessness because of difficulties in obtaining adequate prescriptions for analgesics, ethical dilemmas, feeling of inadequacy because analgesia did not have the desired effect, and a feeling of not being able to connect with the patient. Factors, including knowledge about the patient, professional experience, utilization of pain assessment tools, interpersonal relationships, and interprofessional cooperation, served as resources and enabled end-of-life pain relief. The results of this study highlight the complexity of pain relief in patients with dementia at the end of life from a nursing perspective. The inability of patients with dementia to verbally communicate their pain makes them a vulnerable patient group, dependent on their caregivers. Knowing the life story of the patient, professional experience, teamwork based on good communication, and use of a pain assessment tool were reported by the nurses to improve pain relief at the end of life for patients with dementia. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

30 CFR 204.201 - Who may obtain accounting and auditing relief?

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Who may obtain accounting and auditing relief... MINERALS REVENUE MANAGEMENT ALTERNATIVES FOR MARGINAL PROPERTIES Accounting and Auditing Relief § 204.201 Who may obtain accounting and auditing relief? (a) You may obtain accounting and auditing relief under...

Medication reconciliation by a pharmacy technician in a mental health assessment unit.

Science.gov (United States)

Brownlie, Kay; Schneider, Carl; Culliford, Roger; Fox, Chris; Boukouvalas, Alexis; Willan, Cathy; Maidment, Ian D

2014-04-01

Medication discrepancies are common when patients cross organisational boundaries. However, little is known about the frequency of discrepancies within mental health and the efficacy of interventions to reduce discrepancies. To evaluate the impact of a pharmacy-led reconciliation service on medication discrepancies on admissions to a secondary care mental health trust. In-patient mental health services. Prospective evaluation of pharmacy technician led medication reconciliation for admissions to a UK Mental Health NHS Trust. From March to June 2012 information on any unintentional discrepancies (dose, frequency and name of medication); patient demographics;and type and cause of the discrepancy was collected. The potential for harm was assessed based on two scenarios; the discrepancy was continued into primary care, and the discrepancy was corrected during admission. Logistic regression identified factors associated with discrepancies. Mean number of discrepancies per admission corrected by the pharmacy technician. Unintentional medication discrepancies occurred in 212 of 377 admissions (56.2 %). Discrepancies involving 569 medicines (mean 1.5 medicines per admission) were corrected.The most common discrepancy was omission(n = 464). Severity was assessed for 114 discrepancies. If the discrepancy was corrected within 16 days the potential harm was minor in 71 (62.3 %) cases and moderate in 43(37.7 %) cases whereas if the discrepancy was not corrected the potential harm was minor in 27 (23.7 %) cases and moderate in 87 (76.3 %) cases. Discrepancies were associated with both age and number of medications; the stronger association was age. Medication discrepancies are common within mental health services with potentially significant consequences for patients.Trained pharmacy technicians are able to reduce the frequency of discrepancies, improving safety.

Reconciliation of ontology and terminology to cope with linguistics.

Science.gov (United States)

Baud, Robert H; Ceusters, Werner; Ruch, Patrick; Rassinoux, Anne-Marie; Lovis, Christian; Geissbühler, Antoine

2007-01-01

To discuss the relationships between ontologies, terminologies and language in the context of Natural Language Processing (NLP) applications in order to show the negative consequences of confusing them. The viewpoints of the terminologist and (computational) linguist are developed separately, and then compared, leading to the presentation of reconciliation among these points of view, with consideration of the role of the ontologist. In order to encourage appropriate usage of terminologies, guidelines are presented advocating the simultaneous publication of pragmatic vocabularies supported by terminological material based on adequate ontological analysis. Ontologies, terminologies and natural languages each have their own purpose. Ontologies support machine understanding, natural languages support human communication, and terminologies should form the bridge between them. Therefore, future terminology standards should be based on sound ontology and do justice to the diversities in natural languages. Moreover, they should support local vocabularies, in order to be easily adaptable to local needs and practices.

46 CFR 154.801 - Pressure relief systems.

Science.gov (United States)

2010-10-01

... 46 Shipping 5 2010-10-01 2010-10-01 false Pressure relief systems. 154.801 Section 154.801 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Vent Systems § 154.801 Pressure relief systems. (a) Each cargo tank that has a volume of 20m3 (706 ft.3...

Participation of the public in licensing procedures under the Atomic Energy Act and the Federal Emission Control Act

International Nuclear Information System (INIS)

Hett, F.T.

1994-01-01

Section 7 of the Atomic Energy Act (AtG), section 4 of the Federal Emission Control Act (BImSchG), the Nuclear Installations Licensing Ordinance (AtVfV), and the Ninth Ordinance on the Implementation of the BImSchG (Principles of the licensing procedure) require participation of the public in the procedure before administrative provisions or decisions are issued. The book presents the legally prescribed steps at which participation of the public is mandatory, for the simple case (only one license on the agenda), and for the multi-stage licensing procedure: preliminary negotiations / filling of applications for a license and filing of documents / public announcement of projects / access to files / objections / preclusion of delayed objections / public hearing and other expert discussions / termination of procedure, decision-making by the authorities / decisions on subdivision of procedure into defined stages / modification of the procedure. The analysis of the functions of participation of the public examines the following goals: information / representation of interests / reconciliation of interests / legitimation / control / protection of rights / support. Finally, the book explains the principles of the Constitution demanding participation of the public: human dignity / democracy / rule of law / anticipated effects of the right to have recourse to the courts / civil rights. (orig./HP) [de

The control of tonic pain by active relief learning

Science.gov (United States)

Mano, Hiroaki; Lee, Michael; Yoshida, Wako; Kawato, Mitsuo; Robbins, Trevor W

2018-01-01

Tonic pain after injury characterises a behavioural state that prioritises recovery. Although generally suppressing cognition and attention, tonic pain needs to allow effective relief learning to reduce the cause of the pain. Here, we describe a central learning circuit that supports learning of relief and concurrently suppresses the level of ongoing pain. We used computational modelling of behavioural, physiological and neuroimaging data in two experiments in which subjects learned to terminate tonic pain in static and dynamic escape-learning paradigms. In both studies, we show that active relief-seeking involves a reinforcement learning process manifest by error signals observed in the dorsal putamen. Critically, this system uses an uncertainty (‘associability’) signal detected in pregenual anterior cingulate cortex that both controls the relief learning rate, and endogenously and parametrically modulates the level of tonic pain. The results define a self-organising learning circuit that reduces ongoing pain when learning about potential relief. PMID:29482716

The control of tonic pain by active relief learning.

Science.gov (United States)

Zhang, Suyi; Mano, Hiroaki; Lee, Michael; Yoshida, Wako; Kawato, Mitsuo; Robbins, Trevor W; Seymour, Ben

2018-02-27

Tonic pain after injury characterises a behavioural state that prioritises recovery. Although generally suppressing cognition and attention, tonic pain needs to allow effective relief learning to reduce the cause of the pain. Here, we describe a central learning circuit that supports learning of relief and concurrently suppresses the level of ongoing pain. We used computational modelling of behavioural, physiological and neuroimaging data in two experiments in which subjects learned to terminate tonic pain in static and dynamic escape-learning paradigms. In both studies, we show that active relief-seeking involves a reinforcement learning process manifest by error signals observed in the dorsal putamen. Critically, this system uses an uncertainty ('associability') signal detected in pregenual anterior cingulate cortex that both controls the relief learning rate, and endogenously and parametrically modulates the level of tonic pain. The results define a self-organising learning circuit that reduces ongoing pain when learning about potential relief. © 2018, Zhang et al.

Reconciliation Model of Transparency Value and Bureaucracy Secretion in Management of Local Government Budget

Directory of Open Access Journals (Sweden)

I Putu Yoga Bumi Pradana

2015-02-01

Full Text Available This study aims to present a reconciliation model of bureaucratic principles (Secretion and democracy (Transparency through the mapping of public information about managing a local government budget which is accessible to the public and which ones are excluded (secret based on bureaucracy and public perceptions. This study uses a mixed method with sequential exploratory design and data collection research procedures using surveys, depth interviews, and documents. The validation data use source of triangulation techniques. The subjects of this study was divided into 2 (two information assembling that is government bureaucracy and public Kupang determined by purposive. The results of this research showed that Kupang Goverment bureaucracy has 22 types of information perception (33,85% in category information which is open and 42 types of information (64,62% in category information that are closed while the public perceives 29 types of information (44,62% in category information which is open and 26 types of information (40% in the category of information that are closed. Therefore, to achieve the main of reconciliation to end of conflict between bureaucracy and public, later on the amount of information is open budget of management that are 32 types of information (49,2% and the amount of information that is enclosed which includes 33 types of information (50,8 % of the 65 types of management budget information by egulation No. 13 of 2006 on local Financial Management.

Building a peaceful society: origins, prevention, and reconciliation after genocide and other group violence.

Science.gov (United States)

Staub, Ervin

2013-10-01

The 20th century was a century of genocide and other great violence between groups within societies. Already at the beginning of the 21st century, there have been mass killings, civil wars, violent conflict, and terrorism. This article summarizes influences that tend to lead to intense group violence. It then considers prevention, stressing early prevention--and reconciliation as an aspect of prevention--and focusing on central principles and practices. The principles include developing positive orientations to previously devalued groups; healing from past victimization and promoting altruism born of suffering; moderating respect for authority; creating constructive ideologies; promoting understanding of the origins of violence, its impact, and avenues to prevention; promoting truth, justice, and a shared history; and raising inclusively caring, morally courageous children. Practices related to all of these are also discussed. The article stresses the role of progressive change, that is, of psychological, behavioral, and social evolution, in both extreme violence and positive relations between groups; the role of passive bystanders in the unfolding of violence; and the role of active bystandership in the prevention of violence, in the promotion of reconciliation, and in the development of harmonious societies. It emphasizes psychological processes but notes the importance of creating societal institutions. The author cites findings from both laboratory research and case studies, reviews interventions and their evaluation in Rwanda, and points to the need for further research. PsycINFO Database Record (c) 2013 APA, all rights reserved

Refuge alternatives relief valve testing and design with updated test stand.

Science.gov (United States)

Lutz, T J; Bissert, P T; Homce, G T; Yonkey, J A

2018-03-01

Underground refuge alternatives require an air source to supply breathable air to the occupants. This requires pressure relief valves to prevent unsafe pressures from building up within the refuge alternative. The U.S. Mine Safety and Health Administration (MSHA) mandates that pressure relief valves prevent pressure from exceeding 1.25 kPa (0.18 psi), or as specified by the manufacturer, above mine atmospheric pressure when a fan or compressor is used for the air supply. The U.S. National Institute for Occupational Safety and Health (NIOSH) tested a variety of pressure relief valves using an instrumented test fixture consisting of data acquisition equipment, a centrifugal blower, ductwork and various sensors to determine if the subject pressure relief valves meet the MSHA requirement. Relief pressures and flow characteristics, including opening pressure and flow rate, were measured for five different pressure relief valves under a variety of conditions. The subject pressure relief valves included two off-the-shelf modified check valves, two check valves used in MSHA-approved built-in-place refuge alternatives, and a commercially available valve that was designed for a steel refuge alternative and is currently being used in some built-in-place refuge alternatives. The test results showed relief pressures ranging from 0.20 to 1.53 kPa (0.03 to 0.22 psi) and flow rates up to 19.3 m 3 /min (683 scfm). As tested, some of the pressure relief valves did not meet the 1.25 kPa (0.18 psi) relief specification.

Simulation Based Data Reconciliation for Monitoring Power Plant Efficiency

International Nuclear Information System (INIS)

Park, Sang Jun; Heo, Gyun Young

2010-01-01

Power plant efficiency is analyzed by using measured values, mass/energy balance principles, and several correlations. Since the measured values can have uncertainty depending on the accuracy of instrumentation, the results of plant efficiency should definitely have uncertainty. The certainty may occur due to either the randomness or the malfunctions of a process. In order to improve the accuracy of efficiency analysis, the data reconciliation (DR) is expected as a good candidate because the mathematical algorithm of the DR is based on the first principles such as mass and energy balance considering the uncertainty of instrumentation. It should be noted that the mass and energy balance model for analyzing power plant efficiency is equivalent to a steady-state simulation of a plant system. Therefore the DR for efficiency analysis necessitates the simulation which can deal with the uncertainty of instrumentation. This study will propose the algorithm of the simulation based DR which is applicable to power plant efficiency monitoring

Does pain relief by CT-guided indirect cervical nerve root injection with local anesthetics and steroids predict pain relief after decompression surgery for cervical nerve root compression?

Science.gov (United States)

Antoniadis, Alexander; Dietrich, Tobias J; Farshad, Mazda

2016-10-01

The relationship of pain relief from a recently presented CT-guided indirect cervical nerve root injection with local anesthetics and steroids to surgical decompression as a treatment for single-level cervical radiculopathy is not clear. This retrospective study aimed to compare the immediate and 6-week post-injection effects to the short- and long-term outcomes after surgical decompression, specifically in regard to pain relief. Patients (n = 39, age 47 ± 10 years) who had undergone CT-guided indirect injection with local anesthetics and steroids as an initial treatment for single cervical nerve root radiculopathy and who subsequently needed surgical decompression were included retrospectively. Pain levels (VAS scores) were monitored before, immediately after, and 6 weeks after injection (n = 34), as well as 6 weeks (n = 38) and a mean of 25 months (SD ± 12) after surgical decompression (n = 36). Correlation analysis was performed to find potential associations of pain relief after injection and after surgery to investigate the predictive value of post-injection pain relief. There was no correlation between immediate pain relief after injection (-32 ± 27 %) and 6 weeks later (-7 ± 19 %), (r = -0.023, p = 0.900). There was an association by tendency between immediate pain relief after injection and post-surgical pain relief at 6 weeks (-82 ± 27 %), (r = 0.28, p = 0.08). Pain relief at follow-up remained high at -70 ± 21 % and was correlated with the immediate pain amelioration effect of the injection (r = 0.37, p = 0.032). Five out of seven patients who reported no pain relief from injection had a pain relief from surgery in excess of 50 %. The amount of immediate radiculopathic pain relief after indirect cervical nerve root injection is associated with the amount of pain relief achieved at long-term follow-up after surgical decompression of single-level cervical radiculopathy

30 CFR 204.205 - How do I obtain accounting and auditing relief?

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false How do I obtain accounting and auditing relief... MINERALS REVENUE MANAGEMENT ALTERNATIVES FOR MARGINAL PROPERTIES Accounting and Auditing Relief § 204.205 How do I obtain accounting and auditing relief? (a) To take cumulative reports and payments relief...

How absent negativity relates to affect and motivation: an integrative relief model.

Science.gov (United States)

Deutsch, Roland; Smith, Kevin J M; Kordts-Freudinger, Robert; Reichardt, Regina

2015-01-01

The present paper concerns the motivational underpinnings and behavioral correlates of the prevention or stopping of negative stimulation - a situation referred to as relief. Relief is of great theoretical and applied interest. Theoretically, it is tied to theories linking affect, emotion, and motivational systems. Importantly, these theories make different predictions regarding the association between relief and motivational systems. Moreover, relief is a prototypical antecedent of counterfactual emotions, which involve specific cognitive processes compared to factual or mere anticipatory emotions. Practically, relief may be an important motivator of addictive and phobic behaviors, self destructive behaviors, and social influence. In the present paper, we will first provide a review of conflicting conceptualizations of relief. We will then present an integrative relief model (IRMO) that aims at resolving existing theoretical conflicts. We then review evidence relevant to distinctive predictions regarding the moderating role of various procedural features of relief situations. We conclude that our integrated model results in a better understanding of existing evidence on the affective and motivational underpinnings of relief, but that further evidence is needed to come to a more comprehensive evaluation of the viability of IRMO.

How absent negativity relates to affect and motivation: an integrative relief model

Science.gov (United States)

Deutsch, Roland; Smith, Kevin J. M.; Kordts-Freudinger, Robert; Reichardt, Regina

2015-01-01

The present paper concerns the motivational underpinnings and behavioral correlates of the prevention or stopping of negative stimulation – a situation referred to as relief. Relief is of great theoretical and applied interest. Theoretically, it is tied to theories linking affect, emotion, and motivational systems. Importantly, these theories make different predictions regarding the association between relief and motivational systems. Moreover, relief is a prototypical antecedent of counterfactual emotions, which involve specific cognitive processes compared to factual or mere anticipatory emotions. Practically, relief may be an important motivator of addictive and phobic behaviors, self destructive behaviors, and social influence. In the present paper, we will first provide a review of conflicting conceptualizations of relief. We will then present an integrative relief model (IRMO) that aims at resolving existing theoretical conflicts. We then review evidence relevant to distinctive predictions regarding the moderating role of various procedural features of relief situations. We conclude that our integrated model results in a better understanding of existing evidence on the affective and motivational underpinnings of relief, but that further evidence is needed to come to a more comprehensive evaluation of the viability of IRMO. PMID:25806008

30 CFR 204.211 - When may MMS rescind relief for a property?

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false When may MMS rescind relief for a property? 204... MMS rescind relief for a property? (a) MMS may retroactively rescind the relief for your property if MMS determines that your property was not eligible for the relief obtained under this subpart because...

21 CFR 882.5840 - Implanted intracerebral/subcortical stimulator for pain relief.

Science.gov (United States)

2010-04-01

... pain relief. 882.5840 Section 882.5840 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF... Devices § 882.5840 Implanted intracerebral/subcortical stimulator for pain relief. (a) Identification. An implanted intracerebral/subcortical stimulator for pain relief is a device that applies electrical current...

A neurogenetic dissociation between punishment-, reward- and relief-learning in Drosophila

Directory of Open Access Journals (Sweden)

ayse Yarali

2010-12-01

Full Text Available What is particularly worth remembering about a traumatic experience is what brought it about, and what made it cease. For example, fruit flies avoid an odour which during training had preceded electric shock punishment; on the other hand, if the odour had followed shock during training, it is later on approached as a signal for the relieving end of shock. We provide a neurogenetic analysis of such relief learning. Blocking, using UAS-shibirets1, the output from a particular set of dopaminergic neurons defined by the TH-Gal4 driver partially impaired punishment learning, but left relief learning intact. Thus, with respect to these particular neurons, relief learning differs from punishment learning. Targeting another set of dopaminergic/ serotonergic neurons defined by the DDC-Gal4 driver on the other hand affected neither punishment nor relief learning. As for the octopaminergic system, the tbhM18 mutation, compromising octopamine biosynthesis, partially impaired sugar-reward learning, but not relief learning. Thus, with respect to this particular mutation, relief learning and reward learning are dissociated. Finally, blocking output from the set of octopaminergic/ tyraminergic neurons defined by the TDC2-Gal4 driver affected neither reward, nor relief learning. We conclude that regarding the used genetic tools, relief learning is neurogenetically dissociated from both punishment and reward learning.

My Life as a DREAMer Who ACTed beyond the Barriers: From Growing up "Undocumented" in Arizona to a Master's Degree from Harvard

Science.gov (United States)

Vega, Silvia P. Rodriguez

2011-01-01

In this article, the author shares the story of her life as a DREAM Act student who acted beyond the barriers. The DREAM Act, defined as the Development, Relief, and Education for Alien Minors Act, is an effort to establish a path to citizenship for some children of illegal immigrants. Her story begins like the thousands of other students who are…

Deepwater royalty relief product of 3 1/2 year U.S. political effort

International Nuclear Information System (INIS)

Davis, R.E.; Neff, S.

1996-01-01

Against the backdrop of more than 20 years of increasingly stringent environmental regulation, ever-expanding exploration and development moratoria on the Outer Continental Shelf (OCS), and reductions in producer tax incentives, oil and natural gas exploration companies active in deep waters of the Gulf of Mexico recently won a significant legislative victory. On Nov. 28, 1995, President Clinton signed into law S.395, the Alaska Power Administration Sale Act. Title 3 of S.395 embodies the Outer Continental Shelf Deep Water Royalty Relief Act. This landmark legislation provides substantial incentives for oil and natural gas production in the gulf of Mexico by temporarily eliminating royalties on certain deepwater leases. It is the first direct incentive for oil and gas production enacted at the federal level in many years. This paper reviews the elements used to arrive at this successful legislation including the congressional leadership. It describes debates, cabinet level discussions, and use of parlimentary procedures

Analysis of preservice inspection relief requests and recommendations for ASME code changes

International Nuclear Information System (INIS)

Cook, J.F.

1985-05-01

NRC regulations require that preservice inspection (PSI) of nuclear plants be performed in accordance with referenced editions and addenda of Division 1 rules of Section XI, ''Rules for Inservice Inspection of Nuclear Power Plant Components'', of the ASME Boiler and Pressure Vessel Code (ASME Code). The regulations permit applicants to request and obtain relief from the NRC from specific ASME Code requirements that are determined to be impractical. Applicant requests for relief from preservice inspection (PSI) requirements were compiled and analyzed. From this data, covering a total of 178 relief requests, common problems with examination requirements were identified. Changes to examination requirements to solve selected problems are proposed. By following later ASME Code requirements, 46 out of the 178 relief requests can be eliminated. Implementing proposed Code changes would eliminate another 25 relief requests, leaving 107 relief requests out of the original 178 relief requests covered by this survey

21 CFR 882.5890 - Transcutaneous electrical nerve stimulator for pain relief.

Science.gov (United States)

2010-04-01

... pain relief. 882.5890 Section 882.5890 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF... Devices § 882.5890 Transcutaneous electrical nerve stimulator for pain relief. (a) Identification. A transcutaneous electrical nerve stimulator for pain relief is a device used to apply an electrical current to...

Building relations with women's organisations in relief work.

Science.gov (United States)

Gell, F

1997-02-01

An Oxfam Emergency Team arrived in Ingushetia in the Northern Caucasus region of the former Soviet Union in August 1996 to set up a program of shelter, rehabilitation, and relief in response to the large influx of people displaced by conflicts in the neighboring republics of Chechnya and North Ossetia. The team was also tasked with contacting community organizations such as women's groups and developing a relationship with them through joint relief work. The Chechen population was comprised of mainly women, children, and the elderly. The internally displaced population of 100,000 people is now scattered throughout the republic in collective centers and host families. Small committees of women were formed to help identify the most vulnerable residents and to distribute winter clothing. It was found during the relief work that fledgling women's groups are establishing themselves as vehicles for change, increasingly open to work with and learn from international organizations such as Oxfam. The Chechen branch of the Union of North Caucasian Women and the Ingushetian ALMOS played leading roles in peacemaking, human rights observance, and humanitarian relief.

The roles of special proresolving mediators in pain relief.

Science.gov (United States)

Zhang, Lan-Yu; Jia, Ming-Rui; Sun, Tao

2018-02-08

The resolution of acute inflammation, once thought to be a passive process, is now recognized as an active one. The productions of endogenous special proresolving mediators (SPMs) are involved in this process. SPMs, including lipoxins, resolvins, protectins, and maresins, are endogenous lipid mediators generated from ω-6 arachidonic acid or ω-3 poly-unsaturated fatty acids during the resolution phase of acute inflammation. They have potent anti-inflammatory and proresolving actions in various inflammatory disorders. Due to the potent proresolving and anti-inflammatory effects, SPMs are also used for pain relief. This review focuses on the mechanisms by which SPMs act on their respective G-protein-coupled receptors in immune cells and nerve cells to normalize pain via regulating inflammatory mediators, transient receptor potential ion channels, and central sensitization. SPMs may offer novel therapeutic approaches for preventing and treating pain conditions associated with inflammation.

The Idea of Dialogue, Trust and Reconciliation in the Pilgrimage of Trust on Earth

Directory of Open Access Journals (Sweden)

Katarzyńska Agnieszka

2016-12-01

Full Text Available The purpose of this article is to present the Pilgrimage of Trust on Earth organized by the brothers of Taizé Community as an event building a relationship of dialogue, trust and reconciliation between nations and cultures. The article features an in-depth discussion of the elements of youth meetings and their impact on developing an attitude of dialogue and trust. We will briefly discuss the means used by the brothers to develop a dialogue between people, as well as the methods of spreading the idea of dialogue, trust and solidarity in interpersonal and international relations.

How Absent Negativity Relates to Affect and Motivation: An Integrative Relief Model

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Roland eDeutsch

2015-03-01

Full Text Available The present paper concerns the motivational underpinnings and behavioral correlates of the prevention or stopping of negative stimulation – a situation referred to as relief. Relief is of great theoretical and applied interest. Theoretically, it is tied to theories linking affect, emotion and motivational systems (Carver & Scheier, 1990; Gray & McNaughton, 2000; Higgins, 1997; Lang, Bradley, & Cuthbert, 1990. Importantly, these theories make different predictions regarding the association between relief and motivational systems. Moreover, relief is a prototypical antecedent of counterfactual emotions, which involve specific cognitive processes compared to factual or mere anticipatory emotions. Practically, relief may be an important motivator of addictive and phobic behaviors (Mowrer, 1951; Ostafin & Brooks, 2011, self destructive behaviors (Favazza, 1998; Franklin, Lee, Hanna, & Prinstein, 2013, and social influence (Dolinski & Nawrat, 1998. In the present paper, we will first provide a review of conflicting conceptualizations of relief. We will then present an integrative relief model (IRMO that aims at resolving existing theoretical conflicts. We then review evidence relevant to distinctive predictions regarding the moderating role of various procedural features of relief situations. We conclude that our integrated model results in a better understanding of existing evidence on the affective and motivational underpinnings of relief, but that further evidence is needed to come to a more comprehensive evaluation of the viability of IRMO.

21 CFR 882.5880 - Implanted spinal cord stimulator for pain relief.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted spinal cord stimulator for pain relief... Implanted spinal cord stimulator for pain relief. (a) Identification. An implanted spinal cord stimulator for pain relief is a device that is used to stimulate electrically a patient's spinal cord to relieve...

Opportunities in the American Recovery and Reinvestment Act for Supports and Services for Youth Transitioning from Foster Care

Science.gov (United States)

Flynn-Khan, Margaret; Langford, Barbara Hanson

2009-01-01

To address the economic crisis facing the country, the President signed the American Recovery and Reinvestment Act (ARRA) into law on February 17, 2009. This sweeping legislation provides $789 billion to jumpstart the economy and boost employment. This act includes $463 billion in new spending and $326 billion in tax relief directed at those…

Southern Alaska Coastal Relief Model

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NOAA's National Geophysical Data Center (NGDC) is building coastal-relief models (CRM) for select U.S. coastal regions. Bathymetric, topographic, and shoreline data...

Non-Drug Pain Relief: Imagery

Science.gov (United States)

PATIENT EDUCATION patienteducation.osumc.edu Non-Drug Pain Relief: Imagery Relaxation helps lessen tension. One way to help decrease pain is to use imagery. Imagery is using your imagination to create a ...

32 CFR Appendix G to Part 323 - Privacy Act Enforcement Actions

Science.gov (United States)

2010-07-01

... right granted by this DLAR will be permitted to seek relief through appropriate administrative channels... damages, court cost, and attorney fees in some cases. D. Criminal Penalties— 1. The Privacy Act also provides for criminal penalties (see 5 U.S.C. 552a(1).) Any official or employee may be found guilty of a...

48 CFR 33.205 - Relationship of the Act to Pub. L. 85-804.

Science.gov (United States)

2010-10-01

... relief under the law of Federal contracts. Due to the complex legal issues likely to be associated with... submitted to the contracting officer for consideration under the Contract Disputes Act of 1978 because the... REGULATION GENERAL CONTRACTING REQUIREMENTS PROTESTS, DISPUTES, AND APPEALS Disputes and Appeals 33.205...

Intra-articular hip injection: does pain relief correlate with radiographic severity of osteoarthritis?

International Nuclear Information System (INIS)

Deshmukh, Ajit J.; Rodriguez, Jose A.; Panagopoulos, Georgia; Alizadeh, Ahmadreza; Klein, Devon A.

2011-01-01

Intra-articular injection is being used widely for both diagnostic and therapeutic purposes in the hip. However, its efficacy is not always predictable in patients with hip osteoarthritis (OA). The purpose of this study was to determine whether the degree of radiographic severity of OA was predictive of the response to intra-articular injection of local anesthetic with corticosteroid and to determine the relationship between immediate pain relief resulting from the anesthetic and delayed pain relief resulting from corticosteroid administration. This retrospective study included 217 patients (220 injections) with diagnosis of hip OA who underwent a fluoroscopically guided therapeutic hip injection of local anesthetic and corticosteroid. Hip radiographs were scored using the Kellgren-Lawrence scale. Immediate and delayed pain relief was documented using a visual analog scale. Logistic regression analysis was performed to investigate whether age, gender or radiographic severity of OA were independent predictors of pain relief. Degree of agreement between immediate and delayed response was assessed with the kappa coefficient. Immediate pain relief was reported in 68.2% of hips and delayed relief in 71.4% of hips. A high level of agreement was observed between immediate and delayed pain relief (kappa = 0.80, p < 0.001). 94% of patients reporting immediate relief also reported relief 2 weeks later. Univariate and multivariate analysis revealed that neither gender nor age was related to immediate or delayed pain relief. Only severity of OA (based on radiographic analysis) was observed to be predictive of pain relief. Pain relief following intra-articular hip injection correlated with radiographic severity of OA. This intervention may be of therapeutic and prognostic value in patients awaiting hip arthroplasty. (orig.)

Allergy Relief for Your Child

Science.gov (United States)

... Products For Consumers Home For Consumers Consumer Updates Allergy Relief for Your Child Share Tweet Linkedin Pin ... at the FDA. Avoid Pollen, Mold and Other Allergy Triggers If your child has seasonal allergies, pay ...

Blending in the Rainbow Nation: The Racial Integration of Schools and Its Implications for Reconciliation in Post-Apartheid South Africa

Science.gov (United States)

Tihanyi, Krisztina

2006-01-01

This book takes a critical and detailed look at the young generation in post-Apartheid South Africa and examines ways in which members of the group relate to and engage with the post-Apartheid process of social and political reconciliation. To investigate whether and to what extent such processes are in fact taking place, Tihanyi focuses on the…

RECONCILIATION OF LANGUAGE VERSIONS WITH DIVERGING MEANINGS IN THE EUROPEAN UNION

Directory of Open Access Journals (Sweden)

Laura-Cristiana SPĂTARU-NEGURĂ

2015-07-01

Full Text Available As emphasized in a study published last year, when multiple legal orders and languages co-exist within a single legal regime, there is potential for divergences between the legal texts. The European Union gives rise to such divergences, having in mind that it integrates 28 Member States and 24 official languages. After discovering how the multilingual and multicultural environment of the European Union affects its legislative and judicial processes and arguing the problem of translation divergences between the authentic texts of the European Union, it is nowadays our concern to analyse the reconciliation of language versions with diverging meanings in the EU legal order. The present study is part of a more complex research on this theme and it is meant to approach certain important points of the master thesis prepared in Switzerland for a LL.M. program.

40 CFR 80.156 - Liability for violations of the interim detergent program controls and prohibitions.

Science.gov (United States)

2010-07-01

... gasoline or detergent carrier caused the violation. (4) Volumetric additive reconciliation. Where a violation of the volumetric additive reconciliation requirements established by § 80.155(b) has occurred... violation of law (other than these regulations), or an act of sabotage or vandalism, whether or not such...

U.S. Coastal Relief Model

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

The dynamic implications of debt relief for low-income countries

Directory of Open Access Journals (Sweden)

Alma Lucía Romero-Barrutieta

2015-06-01

Full Text Available Debt relief provides low-income countries with an incentive to accumulate debt, boost consumption, and reduce investment over time. We quantify this incentive effect employing a dynamic stochastic general equilibrium model, calibrated to 1982–2006 Ugandan data, and find that long-run debt and consumption-to-GDP ratios are about twice as high with debt relief than without it, while the investment-to-GDP ratio is sixty percent lower. Our simulations show that debt-relief episodes are likely to have only a temporary impact on debt levels but may have a lasting effect over the size of the economy, lowering GDP growth up to twenty percent over time. These results fill a gap in the debt relief literature since, to the best of our knowledge, the quantification of incentive effects is rather scarce. The paper further contributes to the literature by constructing a tractable structural model that is able to replicate the data well and captures key features of low-income countries facing the possibility of debt relief.

Studies on the visualization of the fine relief of the colon

International Nuclear Information System (INIS)

Persigehl, M.; Niemann, G.; Klose, K.C.

1983-01-01

The possibility of visualizing the fine relief of the colon was examined by studying human intestinal segments removed post mortem. The visualization depends, among other things, on the extent of expansion of the colon wall. The visualization of the fine relief structure becomes progressively poorer, the greater the extension of the wall. This might indicate that fold formation of the mucosa through a state of contraction of the tunica mucosa is done of the responsible factors for the visualization of the fine relief structures. The article discusses, apart from this factor, the course of the vessels as an anatomical basic pattern determining the manifestation of the fine relief structure; for this purpose, the course of the vessels in the intestine of the dog was visualized by intra-arterial contrast medium injection and then compared with the human fine relief. (orig.) [de

Spontaneous formation of optically induced surface relief gratings

International Nuclear Information System (INIS)

Leblond, H; Barille, R; Ahmadi-Kandjani, S; Nunzi, J-M; Ortyl, E; Kucharski, S

2009-01-01

We develop a model based on Fick's law of diffusion as a phenomenological description of the molecular motion, and on the coupled mode theory, to describe single-beam surface relief grating formation in azopolymer thin films. The model allows us to explain the mechanism of spontaneous patterning, and self-organization. It allows us to compute the surface relief profile and its evolution, with good agreement with experiments.

Integration of real-time mapping technology in disaster relief distribution.

Science.gov (United States)

2013-02-01

Vehicle routing for disaster relief distribution involves many challenges that distinguish this problem from those in commercial settings, given the time sensitive and resource constrained nature of relief activities. While operations research approa...

Doubling Your Payoff: Winning Pain Relief Engages Endogenous Pain Inhibition1,2,3

Science.gov (United States)

Kwan, Saskia; Schweinhardt, Petra

2015-01-01

Abstract When in pain, pain relief is much sought after, particularly for individuals with chronic pain. In analogy to augmentation of the hedonic experience (“liking”) of a reward by the motivation to obtain a reward (“wanting”), the seeking of pain relief in a motivated state might increase the experience of pain relief when obtained. We tested this hypothesis in a psychophysical experiment in healthy human subjects, by assessing potential pain-inhibitory effects of pain relief “won” in a wheel of fortune game compared with pain relief without winning, exploiting the fact that the mere chance of winning induces a motivated state. The results show pain-inhibitory effects of pain relief obtained by winning in behaviorally assessed pain perception and ratings of pain intensity. Further, the higher participants scored on the personality trait novelty seeking, the more pain inhibition was induced. These results provide evidence that pain relief, when obtained in a motivated state, engages endogenous pain-inhibitory systems beyond the pain reduction that underlies the relief in the first place. Consequently, such pain relief might be used to improve behavioral pain therapy, inducing a positive, perhaps self-amplifying feedback loop of reduced pain and improved functionality. PMID:26464995

Elevation-relief ratio, hypsometric integral, and geomorphic area-altitude analysis.

Science.gov (United States)

Pike, R. J.; Wilson, S. E.

1971-01-01

Mathematical proof establishes identity of hypsometric integral and elevation-relief ratio, two quantitative topographic descriptors developed independently of one another for entirely different purposes. Operationally, values of both measures are in excellent agreement for arbitrarily bounded topographic samples, as well as for low-order fluvial watersheds. By using a point-sampling technique rather than planimetry, elevation-relief ratio (defined as mean elevation minus minimum elevation divided by relief) is calculated manually in about a third of the time required for the hypsometric integral.

Decongestants: OTC Relief for Congestion

Science.gov (United States)

... CorrectlyPain Relievers: Understanding Your OTC OptionsAntacids and Acid Reducers: OTC Relief for Heartburn and Acid RefluxOTC Cough ... Loss and Diet Plans Nutrients and Nutritional Info Sugar and Sugar Substitutes Exercise and Fitness Exercise Basics ...

Synapsin determines memory strength after punishment- and relief-learning.

Science.gov (United States)

Niewalda, Thomas; Michels, Birgit; Jungnickel, Roswitha; Diegelmann, Sören; Kleber, Jörg; Kähne, Thilo; Gerber, Bertram

2015-05-13

Adverse life events can induce two kinds of memory with opposite valence, dependent on timing: "negative" memories for stimuli preceding them and "positive" memories for stimuli experienced at the moment of "relief." Such punishment memory and relief memory are found in insects, rats, and man. For example, fruit flies (Drosophila melanogaster) avoid an odor after odor-shock training ("forward conditioning" of the odor), whereas after shock-odor training ("backward conditioning" of the odor) they approach it. Do these timing-dependent associative processes share molecular determinants? We focus on the role of Synapsin, a conserved presynaptic phosphoprotein regulating the balance between the reserve pool and the readily releasable pool of synaptic vesicles. We find that a lack of Synapsin leaves task-relevant sensory and motor faculties unaffected. In contrast, both punishment memory and relief memory scores are reduced. These defects reflect a true lessening of associative memory strength, as distortions in nonassociative processing (e.g., susceptibility to handling, adaptation, habituation, sensitization), discrimination ability, and changes in the time course of coincidence detection can be ruled out as alternative explanations. Reductions in punishment- and relief-memory strength are also observed upon an RNAi-mediated knock-down of Synapsin, and are rescued both by acutely restoring Synapsin and by locally restoring it in the mushroom bodies of mutant flies. Thus, both punishment memory and relief memory require the Synapsin protein and in this sense share genetic and molecular determinants. We note that corresponding molecular commonalities between punishment memory and relief memory in humans would constrain pharmacological attempts to selectively interfere with excessive associative punishment memories, e.g., after traumatic experiences. Copyright © 2015 Niewalda et al.

Synapsin Determines Memory Strength after Punishment- and Relief-Learning

Science.gov (United States)

Niewalda, Thomas; Michels, Birgit; Jungnickel, Roswitha; Diegelmann, Sören; Kleber, Jörg; Kähne, Thilo

2015-01-01

Adverse life events can induce two kinds of memory with opposite valence, dependent on timing: “negative” memories for stimuli preceding them and “positive” memories for stimuli experienced at the moment of “relief.” Such punishment memory and relief memory are found in insects, rats, and man. For example, fruit flies (Drosophila melanogaster) avoid an odor after odor-shock training (“forward conditioning” of the odor), whereas after shock-odor training (“backward conditioning” of the odor) they approach it. Do these timing-dependent associative processes share molecular determinants? We focus on the role of Synapsin, a conserved presynaptic phosphoprotein regulating the balance between the reserve pool and the readily releasable pool of synaptic vesicles. We find that a lack of Synapsin leaves task-relevant sensory and motor faculties unaffected. In contrast, both punishment memory and relief memory scores are reduced. These defects reflect a true lessening of associative memory strength, as distortions in nonassociative processing (e.g., susceptibility to handling, adaptation, habituation, sensitization), discrimination ability, and changes in the time course of coincidence detection can be ruled out as alternative explanations. Reductions in punishment- and relief-memory strength are also observed upon an RNAi-mediated knock-down of Synapsin, and are rescued both by acutely restoring Synapsin and by locally restoring it in the mushroom bodies of mutant flies. Thus, both punishment memory and relief memory require the Synapsin protein and in this sense share genetic and molecular determinants. We note that corresponding molecular commonalities between punishment memory and relief memory in humans would constrain pharmacological attempts to selectively interfere with excessive associative punishment memories, e.g., after traumatic experiences. PMID:25972175

Flying Real-Time Network to Coordinate Disaster Relief Activities in Urban Areas

Directory of Open Access Journals (Sweden)

Matias Micheletto

2018-05-01

Full Text Available While there have been important advances within wireless communication technology, the provision of communication support during disaster relief activities remains an open issue. The literature in disaster research reports several major restrictions to conducting first response activities in urban areas, given the limitations of telephone networks and radio systems to provide digital communication in the field. In search-and-rescue operations, the communication requirements are increased, since the first responders need to rely on real-time and reliable communication to perform their activities and coordinate their efforts with other teams. Therefore, these limitations open the door to improvisation during disaster relief efforts. In this paper, we argue that flying ad-hoc networks can provide the communication support needed in these scenarios, and propose a new solution towards that goal. The proposal involves the use of flying witness units, implemented using drones, that act as communication gateways between first responders working at different locations of the affected area. The proposal is named the Flying Real-Time Network, and its feasibility to provide communication in a disaster scenario is shown by presenting both a real-time schedulability analysis of message delivery, as well as simulations of the communication support in a physical scenario inspired by a real incident. The obtained results were highly positive and consistent, therefore this proposal represents a step forward towards the solution of this open issue.

Groundbreaking approach to disaster relief

OpenAIRE

2008-01-01

The humanitarian response to Cyclone Nargis, which struck Myanmar on 2 and 3 May, heralds a fundamentally new approach to relief coordination. As a result, a unique survey showed what really happened to the survivors. Sarah Cumberland reports.

30 CFR 203.53 - What relief will MMS grant?

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What relief will MMS grant? 203.53 Section 203.53 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR MINERALS REVENUE...-Life Leases § 203.53 What relief will MMS grant? (a) If we approve your application and you meet...

[Medication reconciliation errors according to patient risk and type of physician prescriber identified by prescribing tool used].

Science.gov (United States)

Bilbao Gómez-Martino, Cristina; Nieto Sánchez, Ángel; Fernández Pérez, Cristina; Borrego Hernando, Mª Isabel; Martín-Sánchez, Francisco Javier

2017-01-01

To study the frequency of medication reconciliation errors (MREs) in hospitalized patients and explore the profiles of patients at greater risk. To compare the rates of errors in prescriptions written by emergency physicians and ward physicians, who each used a different prescribing tool. Prospective cross-sectional study of a convenience sample of patients admitted to medical, geriatric, and oncology wards over a period of 6 months. A pharmacist undertook the medication reconciliation report, and data were analyzed for possible associations with risk factors or prescriber type (emergency vs ward physician). A total of 148 patients were studied. Emergency physicians had prescribed for 68 (45.9%) and ward physicians for 80 (54.1%). A total of 303 MREs were detected; 113 (76.4%) patients had at least 1 error. No statistically significant differences were found between prescriber types. Factors that conferred risk for a medication error were use polypharmacy (odds ratio [OR], 3.4; 95% CI, 1.2-9.0; P=.016) and multiple chronic conditions in patients under the age of 80 years (OR, 3.9; 95% CI, 1.1-14.7; P=.039). The incidence of MREs is high regardless of whether the prescriber is an emergency or ward physician. The patients who are most at risk are those taking several medications and those under the age of 80 years who have multiple chronic conditions.

Spontaneous formation of optically induced surface relief gratings

Energy Technology Data Exchange (ETDEWEB)

Leblond, H; Barille, R; Ahmadi-Kandjani, S; Nunzi, J-M [Laboratoire POMA, Universite d' Angers, CNRS FRE 2988, 2, Bd Lavoisier, 49045 Angers (France); Ortyl, E; Kucharski, S, E-mail: herve.leblond@univ-angers.f [Wroclaw University of Technology, Faculty of Chemistry, Department of Polymer Engineering and Technology, 50-370 Wroclaw (Poland)

2009-10-28

We develop a model based on Fick's law of diffusion as a phenomenological description of the molecular motion, and on the coupled mode theory, to describe single-beam surface relief grating formation in azopolymer thin films. The model allows us to explain the mechanism of spontaneous patterning, and self-organization. It allows us to compute the surface relief profile and its evolution, with good agreement with experiments.

RELIEF JENIS-JENIS FAUNA DAN SETTING LINGKUNGANNYA PADA PAHATAN DINDING CANDI BOROBUDUR (Fauna and Environmental Setting Reliefs on Sculptured Wall of the Borobudur Temple

Directory of Open Access Journals (Sweden)

Bambang Agus Suripto

2001-04-01

Full Text Available ABSTRAK Dalam perkembangan kebudayaannya, manusia selalu akrab dengan fauna yang hidup di sekitar lingkungannya. Pada dinding gua yang pernah dihuni oleh manusia, bangunan candi, piramid, sphinx dsb. dijumpai gambaran tentang fauna. Pada dinding Candi Borobudur banyak dijumpai relief berbagai kelompok fauna tetapi belum diketahui apakah fauna itu semuanya berasal dari India atau terdapat pula kelompok yang ada atau pernah ada di Pulau Jawa. Tujuan penelitian ini adalah untuk mengetahui relief jenis-jenis fauna yang dipahat pada dinding candi Borobudur, dan mengetahui asal-usul jenis yang tergarnbar pada relief itu dari Pulau Jawa atau dari India. Informasi itu diharapkan dapat diungkapkan ada tidaknya gambaran setting lingkungan Pulau Jawa tercermin pada pahatan di dinding Candi itu. Relief fauna pada pahatan dinding langkan, dinding utama bagian atas-bawah di tingkatan Rupadhatu dipotret dan nama kelompok fauna diindentifikasi dengan buku-buku kunci identifikasi bergambar, kemudian penyebaran alami masing-masing kelompok fauna diketahui melalui kajian pustaka. Data yang diperoleh dianalisis secara deskriptif untuk mengungkap ada atau tidaknya gambaran setting lingkungan Pulau Jawa yang tercermin pada pahatan di dinding Candi Borsbudur. Pada dinding Candi Borobudur terdapat relief paling sedikit 25 jenis anggota Osteichthyes, Reptilia, Aves dan Mammalia yang dipahat secara natural, dan terdapat paling sedikit 5 jenis hewan yang dipahat secara setilir. Semua jenis fauna itu terdapat di Asia Selatan, dan beberapa di anlaranya secara alami tidak pernah hidup di Pulau Jawa, misalnya singa Pantera leo. Setting lingkungan India Abad VII tervisualisasi dengan baik pada relief pahatan dinding Candi Borobudur, tetapi setting lingkungan Pulau Jawa sampai sebelum masa penjajahan Belanda tidak tergambar dengan baik.   ABSTRACT In the cource of culture development, human was always close to fauna in their surrounding areas. Pictures of fauna are found in

Simultaneous Provision of Flexible Ramping Product and Demand Relief by Interruptible Loads Considering Economic Incentives

Directory of Open Access Journals (Sweden)

Jiahua Hu

2017-12-01

Full Text Available To cope with the net load variability in real time, sufficient ramp capability from controllable resources is required. To address the issue of insufficient ramp capacity in real time operations, flexible ramping products (FRPs have been adopted by some Independent System Operators (ISOs in the USA as a new market design. The inherent variability and uncertainty caused by renewable energy sources (RESs call for new FRP providers apart from conventional generating units. The so-called interruptible load (IL has proved to be useful in maintaining the supply-demand balance by providing demand relief and can be a viable FRP provider in practice. Given this background, this work presents a stochastic real-time unit commitment model considering ramp requirement and simultaneous provision of IL for FRP and demand relief. Load serving entities (LSEs are included in the proposed model and act as mediators between the ISO and multiple ILs. In particular, incentive compatible contracts are designed to encourage customers to reveal their true outage costs. Case studies indicate both the system and LSEs can benefit by employing the proposed method and ILs can gain the highest profits by signing up a favorable contract.

Analysis of residual stress relief mechanisms in post-weld heat treatment

International Nuclear Information System (INIS)

Dong, Pingsha; Song, Shaopin; Zhang, Jinmiao

2014-01-01

This paper presents a recent study on weld residual stress relief mechanisms associated with furnace-based uniform post-weld heat treatment (PWHT). Both finite element and analytical methods are used to quantitatively examine how plastic deformation and creep relaxation contribute to residual stress relief process at different stages of PWHT process. The key contribution of this work to an improved understanding of furnace based uniform PWHT can be summarized as follows: (1)Plastic deformation induced stress relief during PWHT can be analytically expressed by the change in material elastic deformation capacity (or elastic deformation limit) measured in terms of material yield strength to Young's modulus ratio, which has a rather limited role in overall residual stress relief during furnace based uniform PWHT. (2)The most dominant stress relief mechanism is creep strain induced stress relaxation, as expected. However, a rapid creep strain development accompanied by a rapid residual stress reduction during heating stage before reaching PWHT temperature is shown to contribute to most of the stress relief seen in overall PWHT process, suggesting PWHT hold time can be significantly reduced as far as residual stress relief is concerned. (3)A simple engineering scheme for estimating residual stress reduction is proposed based on this study by relating material type, PWHT temperature, and component wall thickness. - Highlights: • The paper clarified effects of plastic deformation and creep relaxation on weld residual stress relief during uniform PWHT. • Creep strain development is far more important than plastic strain, mostly completed even before hold time starts. • Plastic strain development is insignificant and be analytically described by a material elastic deformation capacity parameter. • An engineering estimation scheme is proposed for determining residual stress reduction resulted from furnace based PWHT

Music for pain relief.

Science.gov (United States)

Cepeda, M S; Carr, D B; Lau, J; Alvarez, H

2006-04-19

The efficacy of music for the treatment of pain has not been established. To evaluate the effect of music on acute, chronic or cancer pain intensity, pain relief, and analgesic requirements. We searched The Cochrane Library, MEDLINE, EMBASE, PsycINFO, LILACS and the references in retrieved manuscripts. There was no language restriction. We included randomized controlled trials that evaluated the effect of music on any type of pain in children or adults. We excluded trials that reported results of concurrent non-pharmacological therapies. Data was extracted by two independent review authors. We calculated the mean difference in pain intensity levels, percentage of patients with at least 50% pain relief, and opioid requirements. We converted opioid consumption to morphine equivalents. To explore heterogeneity, studies that evaluated adults, children, acute, chronic, malignant, labor, procedural, or experimental pain were evaluated separately, as well as those studies in which patients chose the type of music. Fifty-one studies involving 1867 subjects exposed to music and 1796 controls met inclusion criteria. In the 31 studies evaluating mean pain intensity there was a considerable variation in the effect of music, indicating statistical heterogeneity ( I(2) = 85.3%). After grouping the studies according to the pain model, this heterogeneity remained, with the exception of the studies that evaluated acute postoperative pain. In this last group, patients exposed to music had pain intensity that was 0.5 units lower on a zero to ten scale than unexposed subjects (95% CI: -0.9 to -0.2). Studies that permitted patients to select the music did not reveal a benefit from music; the decline in pain intensity was 0.2 units, 95% CI (-0.7 to 0.2). Four studies reported the proportion of subjects with at least 50% pain relief; subjects exposed to music had a 70% higher likelihood of having pain relief than unexposed subjects (95% CI: 1.21 to 2.37). NNT = 5 (95% CI: 4 to 13). Three

Experiences from tsunami relief activity: implications for medical education.

Science.gov (United States)

Balasubramaniam, Sudharsanam Manni; Mohan, Yogesh; Roy, Gautam

2012-01-01

A tsunami struck the coast of Tamilnadu and Pondicherry on 26 December 2004. Jawaharlal Institute of Postgraduate Medical Education & Research, (JIPMER) in Pondicherry played a vital role in providing medical relief. The experiences from the relief activities revealed areas of deficiency in medical education in regards to disaster preparedness. A qualitative study using focus group discussion was employed to find the lacunae in skills in managing medical relief measures. Many skills were identified; the most important of which was addressing the psychological impact of the tsunami on the victims. Limited coordination and leadership skills were also identified. It is recommended that activity-based learning can be included in the curriculum to improve these skills.

Patient expectations predict greater pain relief with joint arthroplasty.

Science.gov (United States)

Gandhi, Rajiv; Davey, John Roderick; Mahomed, Nizar

2009-08-01

We examined the relationship between patient expectations of total joint arthroplasty and functional outcomes. We surveyed 1799 patients undergoing primary hip or knee arthroplasty for demographic data and Western Ontario McMaster University Osteoarthritis Index scores at baseline, 3 months, and 1 year of follow-up. Patient expectations were determined with 3 survey questions. The patients with the greatest expectations of surgery were younger, male, and had a lower body mass index. Linear regression modeling showed that a greater expectation of pain relief with surgery independently predicted greater reported pain relief at 1 year of follow-up, adjusted for all relevant covariates (P relief after joint arthroplasty is an important predictor of outcomes at 1 year.

Mechanical Designs for Relief Valves for Cryogenic Apparatuses and Installations

CERN Multimedia

CERN. Geneva

2016-01-01

There are also pressure relief valves with warm seat available on which the set pressure is based on an adjustment of forces by permanent magnets. Pressure vessel rules allows also the choice for an active triggered pressure relief valve (Cont...

76 FR 15998 - Notice of Lodging of Consent Decree Under the Clean Water Act

Science.gov (United States)

2011-03-22

..., treatment plant, and landfill. To address two mines with discharges into the Ohio River Basin, Defendants... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Water Act Notice is..., Defendants will perform injunctive relief with two components. To address four mines with discharges into the...

Pictorial relief for equiluminant images

NARCIS (Netherlands)

Van Doorn, A.J.; De Ridder, H.; Koenderink, J.J.

2005-01-01

Pictorial relief depends strongly on “cues” in the image. For isoluminant renderings some cues are missing, namely all information that is related to luminance contrast (e.g., shading, atmospheric perspective). It has been suggested that spatial discrimination and especially pictorial space suffer

Second generation pressurized fluidized-bed combustion (PFBC) research and development, Phase 2 --- Task 4, carbonizer testing. Volume 2, Data reconciliation

Energy Technology Data Exchange (ETDEWEB)

Froehlich, R.; Robertson, A.; Vanhook, J.; Goyal, A.; Rehmat, A.; Newby, R.

1994-11-01

During the period beginning November 1991 and ending September 1992, a series of tests were conducted at Foster Wheeler Development Corporation in a fluidized-bed coal carbonizer to determine its performance characteristics. The carbonizer was operated for 533 hours in a jetting fluidized-bed configuration during which 36 set points (steady-state periods) were achieved. Extensive data were collected on the feed and product stream compositions, heating values, temperatures, and flow rates. With these data, elemental and energy balances were computed to evaluate and confirm accuracy of the data. The carbonizer data were not as self-consistent as could be desired (balance closure imperfection). A software package developed by Science Ventures, Inc., of California, called BALAID, was used to reconcile the carbonizer data; the details of the reconciliation have been given in Volume 1 of this report. The reconciled data for the carbonizer were rigorously analyzed, correlations were developed, and the model was updated accordingly. The model was then used in simulating each of the 36 steady-state periods achieved in the pilot plant. The details are given in this Volume one. This Volume 2 provides details of the carbonizer data reconciliation.

Service Learning Through Disaster Relief

Directory of Open Access Journals (Sweden)

Donna J. Duerst

2010-06-01

Full Text Available The Rock County 4-H Disaster Relief Committee raised $1,550 to aid tsunami victims in Sri Lanka and then turned its attention to Hurricane Katrina relief efforts. Thirty-one 4-H youth participated in a service learning trip to the South with the objectives of helping hurricane victims, learning about new cultures and achieving personal growth during three days of service projects in Louisiana and Mississippi. Their written reflections and other evaluative measures revealed they learned about southern culture, gained a greater appreciation for their lives, gained self confidence and developed a desire to help others more often. The trip was a valuable developmental experience for the youth, and information from the trip could be utilized to create similar experiences based on service learning. This article provides an overview of the trip and describes the evaluation methods used to measure learning and assess personal growth.

Epidural morphine for postoperative pain relief in children

DEFF Research Database (Denmark)

Henneberg, S W; Hole, P; Haas, Inge Madsen De

1993-01-01

Epidural morphine for postoperative pain relief is in general use, and has proved to be very efficient in adults. The epidural technique and the use of epidural morphine are much less frequent in children. For 2 years we have prospectively followed 76 children who had epidural morphine...... for postoperative pain relief after major abdominal surgery. The age distribution was from newborn to 13 years, with a median age of 12 months. It was estimated that 94% of the patients had good analgesia for the first 24 postoperative hours and no other opioids were given. The side effects were few, but one case...... the investigation. We observed a change in the sleeping pattern with an increased number of sleep-induced myoclonia during the administration of epidural morphine. In conclusion, the use of epidural morphine in children for postoperative pain relief is very efficient. The minimal effective dose has not been...

Multinarasi Relief Yeh Pulu Basis Penciptaan Seni Lukis Kontemporer

Directory of Open Access Journals (Sweden)

I Wayan Adnyana

2018-05-01

Full Text Available Kajian ini merupakan skema penelitian terapan, yang bertujuan untuk mengungkap konsep multinarasi relief Yeh Pulu, Bedulu, Gianyar, Bali, sebagai basis penciptaan seni lukis kontemporer. Secara metodologis penelitian ini dilakukan dalam dua tahapan: penelitian lapangan (kajian atas narasi relief berdasar perspektif ikonologi Panofsky (1971, dan berikutnya penelitian eksperimen terkait penciptaan seni lukis kontemporer berdasar perspektif ‘art practice as a research’ (Sullivan, 2005 yang menunjuk pada tiga tahapan: eksperimen medium, bahasa visual, dan penyusunan konteks yang relevan. Berdasar kajian ikonologi, terutama tahap analisis ikonografi, ditemukan bahwa narasi relief Yeh Pulu bersifat multinarasi, yakni pahatan relief yang memiliki beragam jenis tema cerita, seperti praktik pertanian, berburu, meditasi, pesta, asmara, dan lain-lain. Kemudian konsep multinarasi dalam penciptaan seni lukis kontemporer, menjadi: (a secara medium menggunakan multiteknik dan medium; (b bahasa visual, menghadirkan berbagai adegan secara berulang, terpadu dan bahkan terkesan saling berlawanan; (c konteks yang relevan, dengan memasukan ikon tokok-toko pahlawan dunia pop, seperti superman, superwomen, dan lain-lain. Secara ikonologis, bangunan visual yang mempertemukan adegan multinarasi relief Yeh Pulu dengan narasi kepahlawanan dunia pop, menjadi semakin menguatkan konsep multinarasi dalam membangun pesan kepahlawanan dunia sehari-hari dalam karya seni lukis kontemporer semakin berhasil. Penelitian ini melibatkan: Anak Agung Rai Remawa (pengumpul data, dan  Ni Luh Desi In Diana Sari (fotografi dan layout. This paper serves as an applied research scheme which aims to reveal the concept of multiple narratives of Yeh Pulu Relief, located in Bedulu, Bali, as the basis for the creation of contemporary painting. Methodologically speaking, this study was conducted in two stages: a field research (a field study on the relief narratives based on Panofsky�

Donation to disaster relief campaigns: underlying social cognitive factors exposed

NARCIS (Netherlands)

Oosterhof, Liesbeth; Heuvelman, A.; Peters, O.

2009-01-01

number of very serious natural disasters have put an enormous pressure on relief organizations in the last few years. The present study exposes underlying social cognitive factors for donation to relief campaigns. A causal model was constructed, based on social cognitive theory, research on

OnabotulinumtoxinA (Botox) nerve blocks provide durable pain relief for men with chronic scrotal pain: a pilot open-label trial.

Science.gov (United States)

Khambati, Aziz; Lau, Susan; Gordon, Allan; Jarvi, Keith A

2014-12-01

Chronic scrotal pain (CSP) is a common, often debilitating, condition affecting approximately 4.75% of men. While nerve blocks using local anesthetics usually provide temporary pain relief, there are no publications on the use of longer acting nerve blocks to provide more durable pain relief for men with CSP. The aim of this study was to determine if onabotulinumtoxinA (Botox) cord blocks provide durable pain relief for men with CSP. In this pilot open-label study, men with CSP who had failed medical management but experienced temporary pain relief from a standard cord block underwent a cord block with 100U Botox. The outcomes measured were changes 1, 3, and 6 months post-Botox injection in (i) a 10-point visual analog scale (VAS) pain score; (ii) scrotal tenderness on a three-point scale as rated by physical examination; and (iii) the Chronic Epididymitis Symptom Index (CESI) to measure the severity and impact of scrotal pain on men. Paired t-tests were used to compare groups. Eighteen patients with CSP seen between April and September 2013 had Botox injected as a cord block. At the 1-month follow-up, pain reduction was reported by 72% of patients (mean VAS score: 7.36 vs. 5.61, P pain reduction and reduced tenderness based on the VAS score (mean: 7.36 vs. 6.02, P pain and tenderness. Our pilot study found that Botox cord blocks provide pain reduction for 3 months or more for most men with CSP. © 2014 International Society for Sexual Medicine.

Ultrasonic evaluation of heat treatment for stress relief in steel

International Nuclear Information System (INIS)

Bittencourt, Marcelo de S.Q.; Lamy, Carlos A.; Goncalves Filho, Orlando J.A.; Payao Filho, Joao da C.

2000-01-01

Residual stresses in materials arise due to the manufacturing processes. As a consequence, in the nuclear area some components must suffer a stress relief treatment according to strict criteria. Although these treatments are carefully carried on, concern with nuclear safety is constantly growing. This work proposes a nondestructive ultrasonic method to guarantee the efficiency of the heat treatment. It was used a short peened steel plate with tensile and compressive stresses which was submitted to a stress relief treatment. The results show that the proposed ultrasonic method could be used to confirm the efficiency of the stress relief heat treatment. (author)

19 CFR 210.69 - Approval of complainant's temporary relief bond.

Science.gov (United States)

2010-04-01

... 19 Customs Duties 3 2010-04-01 2010-04-01 false Approval of complainant's temporary relief bond. 210.69 Section 210.69 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.69 Approval of...

ASSESSMENT OF SURFACE QUALITY FOR CHOSEN MILLING STRATEGIES WHEN PRODUCING RELIEF SURFACES

OpenAIRE

Jan Varga; Jozef Stahovec; Jozef Beno; Marek Vrabeľ

2014-01-01

The paper deals with design and modeling of the relief surfaces that are produced in milling. Modeled and real surface quality is presented for the chosen fragments of the relief surfaces. Fragmentation of the relief surfaces has been made by the surface sampling. Milling strategies are compared with regard to surface formation. Surface quality was checked with regard to applied cutting conditions.

Policy reconciliation for access control in dynamic cross-enterprise collaborations

Science.gov (United States)

Preuveneers, D.; Joosen, W.; Ilie-Zudor, E.

2018-03-01

In dynamic cross-enterprise collaborations, different enterprises form a - possibly temporary - business relationship. To integrate their business processes, enterprises may need to grant each other limited access to their information systems. Authentication and authorization are key to secure information handling. However, access control policies often rely on non-standardized attributes to describe the roles and permissions of their employees which convolutes cross-organizational authorization when business relationships evolve quickly. Our framework addresses the managerial overhead of continuous updates to access control policies for enterprise information systems to accommodate disparate attribute usage. By inferring attribute relationships, our framework facilitates attribute and policy reconciliation, and automatically aligns dynamic entitlements during the evaluation of authorization decisions. We validate our framework with a Industry 4.0 motivating scenario on networked production where such dynamic cross-enterprise collaborations are quintessential. The evaluation reveals the capabilities and performance of our framework, and illustrates the feasibility of liberating the security administrator from manually provisioning and aligning attributes, and verifying the consistency of access control policies for cross-enterprise collaborations.

Flying Real-Time Network to Coordinate Disaster Relief Activities in Urban Areas †

Science.gov (United States)

Micheletto, Matias; Orozco, Javier; Mosse, Daniel

2018-01-01

While there have been important advances within wireless communication technology, the provision of communication support during disaster relief activities remains an open issue. The literature in disaster research reports several major restrictions to conducting first response activities in urban areas, given the limitations of telephone networks and radio systems to provide digital communication in the field. In search-and-rescue operations, the communication requirements are increased, since the first responders need to rely on real-time and reliable communication to perform their activities and coordinate their efforts with other teams. Therefore, these limitations open the door to improvisation during disaster relief efforts. In this paper, we argue that flying ad-hoc networks can provide the communication support needed in these scenarios, and propose a new solution towards that goal. The proposal involves the use of flying witness units, implemented using drones, that act as communication gateways between first responders working at different locations of the affected area. The proposal is named the Flying Real-Time Network, and its feasibility to provide communication in a disaster scenario is shown by presenting both a real-time schedulability analysis of message delivery, as well as simulations of the communication support in a physical scenario inspired by a real incident. The obtained results were highly positive and consistent, therefore this proposal represents a step forward towards the solution of this open issue. PMID:29789458

Dynamic load in suppression pool during BWR main steam safety relief valve actuation

International Nuclear Information System (INIS)

Tsukada, Hiroshi; Yamaguchi, Hirokatsu; Morita, Terumichi

1979-01-01

BWRs are so designed that the exhaust steam from main steam safety relief valves is led to pressure suppression pools, and the steam is condensed in pool water, but at this time, dynamic load seems to arise in the pool water. In Tokai No. 2 Power Station, a Mark-2 containment vessel was adopted to improve the reliability as much as possible and to obtain the design with margin. In this report, the result of actual machine test in Tokai No. 2 Power Station and the method of reducing the load are described. When a relief valve works, the discharge of water in exhaust pipes into a suppression pool, the exhaust of air in exhaust pipes and repeated expansion and contraction of bubbles in pool water, and the exhaust of steam and condensation occur. As for the construction of the suppression pool in Tokai No. 2 Power Station, cross-shaped quencher and the structure with jet deflector were installed. The test plan and the test result with an actual machine are reported. The soundness of the Mark-2 containment vessel and the structures in the pool was proved. The differential pressure acting on the structures was negligibly small. The measured pulsating pressure was in the range from 0.84 to -0.39 kg/cm 2 . (Kako, I.)

Medication Reconciliation: Work Domain Ontology, prototype development, and a predictive model.

Science.gov (United States)

Markowitz, Eliz; Bernstam, Elmer V; Herskovic, Jorge; Zhang, Jiajie; Shneiderman, Ben; Plaisant, Catherine; Johnson, Todd R

2011-01-01

Medication errors can result from administration inaccuracies at any point of care and are a major cause for concern. To develop a successful Medication Reconciliation (MR) tool, we believe it necessary to build a Work Domain Ontology (WDO) for the MR process. A WDO defines the explicit, abstract, implementation-independent description of the task by separating the task from work context, application technology, and cognitive architecture. We developed a prototype based upon the WDO and designed to adhere to standard principles of interface design. The prototype was compared to Legacy Health System's and Pre-Admission Medication List Builder MR tools via a Keystroke-Level Model analysis for three MR tasks. The analysis found the prototype requires the fewest mental operations, completes tasks in the fewest steps, and completes tasks in the least amount of time. Accordingly, we believe that developing a MR tool, based upon the WDO and user interface guidelines, improves user efficiency and reduces cognitive load.

Estimation of Erosion Dissection of North-Eastern Caucasus Relief for Recreational Land Use

Directory of Open Access Journals (Sweden)

Zagir V. Ataev

2012-02-01

Full Text Available The digital model of the relief (DMR of North-East Caucasus relief was used for an estimation of an erosive partition of territory. The card of usages of erosive forms and density of an erosive partition of a relief was made on basis of GIS-technology. The analysis of these parameters has allowed to estimate the potential of a relief of studied territory for such kinds of touristic and recreational activity, as foot and a cycle tourism

Lake Bathymetric DEM Shaded Relief Image

Data.gov (United States)

Minnesota Department of Natural Resources — Geo-referenced, shaded relief image of lake bathymetry classified at 5-foot depth intervals. This dataset has a cell resolution of 5 meters (occasionally 10m) as...

An other-typological illustration of the Exodus story according to Dr King’s perception of universal reconciliation in his sermon on Exodus 14:30

Directory of Open Access Journals (Sweden)

Sunggu Yang

2016-11-01

Full Text Available The article contends that Dr King makes an other-typological illustrative use of the Exodus story in his preaching – one of the most significant biblical narratives that the Black church in the US holds dear. This peculiar use of the Exodus story differentiates itself from the conventional typological understanding and use of the same story in the Black church’s history. While in the latter the Exodus story has a symbolic meaning of the irreconcilable conflict between the oppressed and the oppressing reality, in the former the same story contains a spiritual lesson that what is really hoped for in the midst of the seemingly irreconcilable racial and social conflict is compassion, liberation, and reconciliation for both parties involved. This article, by examining a representative sermon of Dr King on the Exodus story, shows that his other-typological illustrative approach originates from his fundamental theological ideal of universal reconciliation.

Asthma Patients in US Overuse Quick-Relief Inhalers, Underuse Control Medications

Science.gov (United States)

... quick-relief inhalers, underuse control medications Share | Asthma patients in US overuse quick-relief inhalers, underuse control ... and uncontrolled asthma result in poor health outcomes. Patients with well-controlled asthma are at lower risk ...

The Team Approach to Pain Relief

Science.gov (United States)

... Navigation Bar Home Current Issue Past Issues The Team Approach to Pain Relief Past Issues / Fall 2007 ... Roberts is seen here with some of the team members, (left to right) Dr. Berger, Jacques Bolle, ...

Pastors or Lawyers? The Role of Religion in the South African Truth and Reconciliation Commission Process

Directory of Open Access Journals (Sweden)

P.G.J. Meiring

2002-10-01

Full Text Available In  this  article, Piet Meiring who served as Committee Member on the TRC discusses the often disputed religious character of the Commission. Quoting examples from the TRC process he describes the debate that developed – on Archbishop Tutu’s religious way of handling the affairs of  the  Commission. Meiring discusses the TRC liturgy that was developed during the course of the process, as well as how important the role of religion proved to be in terms of three crucial issues: the process of remembering, the quest for truth, and the costliness of reconciliation.

30 CFR 204.204 - What accounting and auditing relief will MMS not allow?

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What accounting and auditing relief will MMS... INTERIOR MINERALS REVENUE MANAGEMENT ALTERNATIVES FOR MARGINAL PROPERTIES Accounting and Auditing Relief § 204.204 What accounting and auditing relief will MMS not allow? MMS will not approve your request for...

Direct Magnetic Relief Recording Using As40S60: Mn-Se Nanocomposite Multilayer Structures.

Science.gov (United States)

Stronski, A; Achimova, E; Paiuk, O; Meshalkin, A; Prisacar, A; Triduh, G; Oleksenko, P; Lytvyn, P

2017-12-01

Processes of holographic recording of surface relief structures using As 2 S 3 :Mn-Se multilayer nanostructures as registering media were studied in this paper. Optical properties of As 2 S 3 :Mn, Se layers, and As 2 S 3 :Mn-Se multilayer nanostructures were investigated. Values of optical bandgaps were obtained from Tauc dependencies. Surface relief diffraction gratings were recorded. Direct one-stage formation of surface relief using multilayer nanostructures is considered. For the first time, possibility of direct formation of magnetic relief simultaneous with surface relief formation under optical recording using As 2 S 3 :Mn-Se multilayer nanostructures is shown.

Tectonics, climate and mountain building in the forearc of southern Peru recorded in the 10Be chronology of low-relief surface abandonment

Science.gov (United States)

Hall, S. R.; Farber, D.; Audin, L.; Finkel, R. C.

2009-12-01

Regional low-relief surfaces have long been recognized as key features to understanding the response of landscapes to surface uplift. The canonical models of low-relief surface formation involve an extended period of tectonic quiescence during which, the fluvial systems bevel the landscape to a uniform elevation. This quiescent period is punctuated by a period(s) of surface uplift, which causes fluvial incision thereby abandoning the low-relief landscape. Over time, as rivers continue to incise in response to changes in sediment supply, river discharge, and base level fall, pieces of the relict low-relief landscape are left as abandoned remnants stranded above active channels. By determining the age of abandoned surfaces, previous workers have identified the onset of a change in the tectonic or climatic setting. One key assumption of this model is that the low-relief surfaces are truly abandoned with no current processes further acting on the surface. To improve our understanding of the underlying assumptions and problems of low-relief surface formation, we have used detailed mapping and absolute dating with cosmogenic 10Be to investigate surfaces in the hyperarid forearc region of southern Peru between ~14° and 18°S. Within this region, marine terraces and strath terraces reflect Plio-Pleistocene surface uplift, and together with the hyperarid climate, ongoing surface uplift provides a perfect natural laboratory to examine the processes affecting low-relief surface abandonment and preservation. With our new chronology we address: 1) the space and time correlations of surfaces, 2) incision rates of streams in response to base-level fall, and 3) surface erosion rates. Multiple surfaces have yielded 10Be surface abandonment ages that span >2 Ma - ~35 ka. While most of the surfaces we have dated are considerably less than 1 Ma, we have located two surfaces which are likely older than 2 Ma and constrain regional erosion rates to be chronology of Pleistocene surface

U.S. Coastal Relief Model - Hawaii

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

Inventory slack routing application in emergency logistics and relief distributions.

Science.gov (United States)

Yang, Xianfeng; Hao, Wei; Lu, Yang

2018-01-01

Various natural and manmade disasters during last decades have highlighted the need of further improving on governmental preparedness to emergency events, and a relief supplies distribution problem named Inventory Slack Routing Problem (ISRP) has received increasing attentions. In an ISRP, inventory slack is defined as the duration between reliefs arriving time and estimated inventory stock-out time. Hence, a larger inventory slack could grant more responsive time in facing of various factors (e.g., traffic congestion) that may lead to delivery lateness. In this study, the relief distribution problem is formulated as an optimization model that maximize the minimum slack among all dispensing sites. To efficiently solve this problem, we propose a two-stage approach to tackle the vehicle routing and relief allocation sub-problems. By analyzing the inter-relations between these two sub-problems, a new objective function considering both delivery durations and dispensing rates of demand sites is applied in the first stage to design the vehicle routes. A hierarchical routing approach and a sweep approach are also proposed in this stage. Given the vehicle routing plan, the relief allocation could be easily solved in the second stage. Numerical experiment with a comparison of multi-vehicle Traveling Salesman Problem (TSP) has demonstrated the need of ISRP and the capability of the proposed solution approaches.

Response surface reconciliation method of bolted joints structure

Directory of Open Access Journals (Sweden)

Yunus Mohd Azmi

2017-01-01

Full Text Available Structural joining methods such as bolted joints are commonly used for the assembly of structural components due to their simplicity and easy maintenance. Understandably, the dynamic characteristic of bolted joined structure is mainly influenced by the properties of their joints such as preload on the bolts and joints stiffness which alter the measured dynamics response of the structure. Therefore, the need to include the local effect of the bolted joints into the numerical model of the bolted joined structure is vitally important in order to represent the model accurately. In this paper, a few types of connector elements that can be used to represent the bolted joints such as CBAR, CBEAM and CELAS have been investigated numerically and experimentally. The initial numerical results of these element connectors are compared with the experimental results in term of natural frequencies and mode shapes. The comparative evaluation of numerical and the experimental data are performed in order to provide some insights of inaccuracies in the numerical model due to invalid assumption in the numerical modelling such as geometry, material properties, and boundary conditions. The discrepancies between both results (numerical and experimental data are then corrected using the response surface reconciliation method (RSRM through which the finite element model is altered in order to provide closer agreement with the measured data so that it can be used for subsequence analysis.

Measuring Paleolandscape Relief in Alluvial River Systems from the Stratigraphic Record

Science.gov (United States)

Hajek, E. A.; Trampush, S. M.; Chamberlin, E.; Greenberg, E.

2017-12-01

Aggradational alluvial river systems sometimes generate relief in the vicinity of their channel belts (i.e. alluvial ridges) and it has been proposed that this process may define important thresholds in river avulsion. The compensation scale can be used to estimate the maximum relief across a landscape and can be connected to the maximum scale of autogenic organization in experimental and numerical systems. Here we use the compensation scale - measured from outcrops of Upper Cretaceous and Paleogene fluvial deposits - to estimate the maximum relief that characterized ancient fluvial landscapes. In some cases, the compensation scale significantly exceeds the maximum channel depth observed in a deposit, suggesting that aggradational alluvial systems organize to sustain more relief than might be expected by looking only in the immediate vicinity of the active channel belt. Instead, these results indicate that in some systems, positive topographic relief generated by multiple alluvial ridge complexes and/or large-scale fan features may be associated with landscape-scale autogenic organization of channel networks that spans multiple cycles of channel avulsion. We compare channel and floodplain sedimentation patterns among the studied ancient fluvial systems in an effort to determine whether avulsion style, channel migration, or floodplain conditions influenced the maximum autogenic relief of ancient landscapes. Our results emphasize that alluvial channel networks may be organized at much larger spatial and temporal scales than previously realized and provide an avenue for understanding which types of river systems are likely to exhibit the largest range of autogenic dynamics.

[Disaster relief through inter-professional collaboration --from the standpoint of a dietitian].

Science.gov (United States)

Inamura, Yukiko

2013-01-01

The present study examined disaster relief efforts by registered and other dietitians following the Great East Japan Earthquake to identify related problems. Based on this, the study discussed what is required to develop a "disaster relief system through inter-professional collaboration" to cope with unanticipated disasters. On March 15, 2011, the Japan Dietetic Association (JDA) independently established the "Great East Japan Earthquake relief emergency headquarters". The association along with these volunteers was committed to the establishment of a system for disaster relief activities with the support of Iwate, Miyagi, and Fukushima Prefectures: the number of registered volunteers was 978; a total of 1,588 dietitians were dispatched; and 602 became involved in relief work in the disaster-stricken areas. Registered and other dietitians dispatched for disaster relief provided support and home care for evacuation centers, elderly facilities, and temporary housing, including dietary and nutrition advice and consultation, in cooperation and collaboration with administrative dietitians in disaster areas, registered and other dietitians of disaster headquarters in disaster-stricken prefectures, the Primary Care for All Teams (PCAT) of the Japan Primary Care Association, disaster medical assistance teams (DMATs), and volunteer groups. Through the course of the relief activities, the following problems were identified: difficulties in responding to varying needs in different phases, nutritional measures (population-based and high-risk approaches), nutritional disparities among evacuation centers, necessity of a section to collect ever-changing information on disaster areas in a comprehensive manner, importance of working cooperatively to establish a support system, and differences in volunteers' support skills. To facilitate disaster relief through inter-professional collaboration, it is necessary for many different organizations to understand each other's capabilities

Adequacy of Flood Relief Shelters: A Case Study in Perak, Malaysia

Science.gov (United States)

Zawani Zahari, Nur; Mustafa Hashim, Ahmad

2018-03-01

The recent flood event occurred in 2014 had caused disastrous effects in Peninsular Malaysia in states of Kelantan, Pahang, Terengganu, Perak, Johor and Perlis. Perak state was reported with 12,115 victims from 2,896 families registered at 77 relief shelters. There are several issues encountered by the victims and related agencies which caused inconveniences and interruptions during the flooding period. Besides, the usage of public buildings as relief shelters contributes to deterioration of the infrastructures whereby their suitability, convenient, capacity and safety might not be optimum for longer period of time. This paper focuses on the assessment of relief shelters established in Perak Tengah district, Perak. Standards and guidelines for relief shelters were reviewed according to the most relevant agreed principles for humanitarian response. Data and information in this study were obtained from survey activities, interview sessions and observations. In Perak Tengah, more than 50% of the previous relief shelters were public buildings with low capacity areas. Strategic location of shelters with proper design standards should be established to ensure safe and healthy environment for the victims. Findings from this paper provide important outcomes to serve as better preparation in handling future disaster.

Numerical investigation on cavitation in pressure relief valve for coal liquefaction

International Nuclear Information System (INIS)

Ou, G F; Li, W Z; Xiao, D H; Zheng, Z J; Dou, H S; Wang, C

2015-01-01

The pressure relief valve for regulating the level of the high-pressure separator works under a pressure difference up to 15 MPa in the temperature of 415 °C. Severe cavitation erosion and particle impact lead to the valve disc's mass loss. In this paper, three-dimensional turbulent cavitating flows in the pressure relief valve are numerically simulated to reveal the mechanism of mass loss at valve disc. The RNG k-ε turbulence model and the mixture model with a mass transfer for cavitation are employed to simulate the cavitating flow in the pressure relief valve. The result shows that there is phase change in the pressure relief process and cavitation bubbles would be transported by high-velocity backflow to the head of valve disc. For the local pressure higher than the saturated vapor pressure, the bubbles collapse at the head of disc and cavitation erosion is formed at the head of the disc. By comparing the cases of opening of 40%, 50%, and 60%, backflow velocity and cavitation region in front of the disc decrease with the opening increase. Therefore, during the actual operation, the pressure relief valve should be kept to a relatively large opening

Shaded Relief of Minnesota Elevation - Color

Data.gov (United States)

Minnesota Department of Natural Resources — This file is a product of a shaded relief process on the 30 meter resolution Digital Elevation Model data (dem30im3). This image was created using a custom AML...

Suicide Prevention for Local Public and Volunteer Relief Workers in Disaster-Affected Areas.

Science.gov (United States)

Wang, Xiao Lu; Yip, Paul S F; Chan, Cecilia L W

2016-01-01

Local workforces play a critical role in disaster relief and reconstruction. However, the mental health of local relief workers might be affected by disasters, threatening the sustainability of local workforces. In this study, we tried to address this concern by investigating the well-being of local relief workers and its association with suicidal ideation. A retrospective study was conducted. Surveys were designed to collect data from a purposive sample of local disaster relief workers who survived a disaster. Binary logistic regression analysis was performed to test hypotheses. The study sample was from a population of local relief workers in the worst quake-hit regions in China in 2008. The respondents were local relief workers from a town in these regions. All of the 83 local relief workers were invited 11 months after the earthquake, and 70 joined the study, resulting in a response rate of 84.3%. The dependent variable was postdisaster suicidal ideation. The independent variables were bereavement, depression and posttraumatic stress, daily work hours, job burnout, work-family conflict, and work engagement. Approximately 21.4% of participants reported suicidal ideation after the earthquake in comparison with 7.1% before the earthquake. One potential risk factor was an interaction effect of job burnout and work-family conflict (odds ratio [OR] = 3.738; 95% confidence interval [CI], 1.086-12.868). Potential protective factors included daily work hours (OR = 0.317; 95% CI, 0.106-0.952) and work engagement (OR = 0.297; 95% CI, 0.091-0.969). Findings suggest that for local relief workers who are also disaster survivors, meaningful engagement such as participation in disaster relief could be salutary to their mental health, but overwork and interference with personal life could be harmful and increase the risk of suicidal ideation. Discretion is needed in managing local workforces, particularly with long work hours and work-family balance.

Employment discrimination implications of genetic screening in the workplace under Title VII and the Rehabilitation Act.

Science.gov (United States)

Canter, E F

1984-01-01

The emergence of genetic screening techniques will permit employers to exclude hypersusceptible individuals from potentially hazardous workplace environments. The denial of employment opportunities to these individuals, however, may constitute discrimination. This Note analyzes genetic screening cases with respect to currently available remedies contained in Title VII of the Civil Rights Act of 1964 and the Rehabilitation Act of 1973. The Note concludes that Title VII claims may succeed but only in limited circumstances and that Rehabilitation Act claims will encounter numerous obstacles to relief. Additionally, the Note discusses some of the implications of the use of genetic screening in the workplace.

Impact of a Student Pharmacist Driven Medication Reconciliation and Antidepressant Treatment History Project at a Depression Clinic: A Pilot Study

Science.gov (United States)

Tang, Stella S.; Jaward, Leanna; Ward, Kristen; Parikh, Sagar V.; Bostwick, Jolene R.

2017-01-01

Objectives To improve treatment of patients with depression, a new pilot service project involving student pharmacists who would conduct medication reconciliation and review of antidepressant treatment history was created and evaluated. Experimental design A prospective study conducted at the University of Michigan Depression Center. Principal observations From an initial sample of 78 referrals, 41 subjects were reached by phone, with 34 completing medication reconciliation and antidepressant treatment history. Of the 34 patients, 25 (73.5%) had at least one discrepancy identified in their medication list, resulting in 164 medication changes in the electronic medical record (EMR). A total of 105 past antidepressant trials were documented in the 34 individuals, with 34 (32.4%) trials found to be inadequate. Thirteen (38.2%) patients reported failure to respond to two different antidepressants from different classes. All 34 patients participated well in the phone calls and were willing to consult a pharmacist at their upcoming clinic visit. Conclusions A student pharmacist pilot was feasible, identified many discrepancies in the medication record, and identified important medication treatment history in patients with depression in advance of the clinic visit. The project provides support for a specialized role for student pharmacists and demonstrates that interprofessional care can contribute to improved treatment of depression. PMID:28626270

Eksplorasi Pose dalam Pemotretan Model Melalui Kajian Visual Relief Karmawibhangga

Directory of Open Access Journals (Sweden)

Noor Latif CM

2015-10-01

Full Text Available Karmawibhangga Relief panel located at the foot of Borobudur is a relic of the visual artifacts that contains fragments of past life with a very high historical value. 160 Karmawibhangga panels tell the reality of people's lives at the time wrapped with a moral message plight. The relief provides a lot of visual references to be excavated and reconstructed again for the benefit of the creative industries today. This research digged one small part of the masterpieces of the past through photography. Understanding visual artists who create these reliefs will be beauty in the show gestures in building a very interesting story to be re-examined. Visual communication through gestures in relief Karmawibhangga enables new assumptions about body language dialect differences to current conditions. Through model genre photography, it is very useful in connection with the development of local nuanced scientific photography. Efforts to develop the traditions and culture through new media are expected to be creative commodity with a very strong product differentiation. 

Relief Evolution in Tectonically Active Mountain Ranges

Science.gov (United States)

Whipple, Kelin X.

2004-01-01

The overall aims of this 3-yr project, as originally proposed were to: (1) investigate quantitatively the roles of fluvial and glacial erosion in the evolution of relief in mountainous regions, and (2) test rigorously the quality and accuracy of SRTM topographic data in areas of rugged relief - both the most challenging and of greatest interest to geomorphic, neotectonic, and hazards applications. Natural laboratories in both the western US and the Southern Alps of New Zealand were identified as most promising. The project has been both successful and productive, despite the fact that no SRTM data for our primary field sites in New Zealand were released on the time frame of the work effort. Given the delayed release of SRTM data, we pursued the scientific questions of the roles of fluvial and, especially, glacial erosion in the evolution of relief in mountainous regions using available digital elevation models (DEMs) for the Southern Alps of New Zealand (available at both 25m and 50m pixel sizes), and USGS 10m and 30m DEMs within the Western US. As emphasized in the original proposal, we chose the emphasis on the role of glacial modification of topographic relief because there has been little quantitative investigation of glacial erosion processes at landscape scale. This is particularly surprising considering the dramatic sculpting of most mid- and high-latitude mountain ranges, the prodigious quantities of glacially-derived sediment in terrestrial and marine basins, and the current cross-disciplinary interest in the role of denudational processes in orogenesis and the evolution of topography in general. Moreover, the evolution of glaciated landscapes is not only a fundamental problem in geomorphology in its own right, but also is at the heart of the debate over Late Cenozoic linkages between climate and tectonics.

The Chicago Fire of 1871: A Bottom Up Approach to Disaster Relief

OpenAIRE

Skarbek, Emily C.

2014-01-01

Can bottom-up relief efforts lead to recovery after disasters? Conventional wisdom and contemporary public policy suggest that major crises require centralized authority to provide disaster relief goods. Using a novel set of comprehensive donation and expenditure data collected from archival records, this paper examines a bottom-up relief effort following one of the most devastating natural disasters of the nineteenth century: the Chicago Fire of 1871. Findings show that while there was no ce...

Lessons from DoD Disaster Relief Efforts in the Asia-Pacific Region

Science.gov (United States)

2013-01-01

Orientation & Review,” USARPAC briefing, undated; “USARPAC OSInt Support to Cyclone nargis Relief Efforts in Burma 2008,” USARPAC briefing, undated; phone...all organizations relied, to a large extent, on the staff and national partners they already had 71 “USARPAC OSINT Support to Cyclone Nargis Relief...undated. As of September 8, 2012: http://www.kadena.af.mil/shared/media/document/AFD-120426-002.pdf “USARPAC OSINT Support to Cyclone Nargis Relief

31 CFR 309.12 - Relief on account of loss, theft or destruction, etc.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Relief on account of loss, theft or... BILLS § 309.12 Relief on account of loss, theft or destruction, etc. (a) Relief on account of the loss, theft, destruction, mutilation or defacement of Treasury bills may be given only under the authority of...

Tracer test method and process data reconciliation based on VDI 2048. Comparison of two methods for highly accurate determination of feedwater massflow at NPP Beznau

International Nuclear Information System (INIS)

Hungerbuehler, T.; Langenstein, M.

2007-01-01

The feedwater mass flow is the key measured variable used to determine the thermal reactor output in a nuclear power plant. Usually this parameter is recorded via venturi nozzles of orifice plates. The problem with both principles of measurement, however, is that an accuracy of below 1% cannot be reached. In order to make more accurate statements about the feedwater amounts recirculated in the water-steam cycle, tracer measurements that offer an accuracy of up to 0.2% are used. In the NPP Beznau both methods have been used in parallel to determine the feedwater flow rates in 2004 (unit 1) and 2005 (unit 2). Comparison of the results shows that a high level of agreement is obtained between the results of the reconciliation and the results of the tracer measurements. As a result of the findings of this comparison, a high level of acceptance of process data reconciliation based on VDI 2048 was achieved. (orig.)

27 CFR 25.282 - Beer lost by fire, theft, casualty, or act of God.

Science.gov (United States)

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Beer lost by fire, theft... TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS BEER Refund or Adjustment of Tax or Relief From Liability § 25.282 Beer lost by fire, theft, casualty, or act of God. (a) General. The tax paid by...

Evaluation of an International Disaster Relief Team After Participation in an ASEAN Regional Forum Disaster Relief Exercise.

Science.gov (United States)

Lee, Jeong Il; Lee, Kang Hyun; Kim, Oh Hyun; Cha, Yong Sung; Hwang, Sung Oh; Kim, Hyun; Cha, Kyung Chul

2016-10-01

Devastating disasters around the world directly contribute to significant increases in human mortality and economic costs. The objective of this study was to examine the current state of the Korea Disaster Relief Team that participated in an international training module. The whole training period was videotaped in order to observe and evaluate the respondents. The survey was carried out after completion of the 3-day training, and the scores were reported by use of a 5-point Likert scale. A total of 43 respondents were interviewed for the survey, and the results showed that the overall preparedness score for international disasters was 3.4±1.6 (mean±SD). The awareness of the Incident Command System for international disasters was shown to be low (3.5±1.1). Higher scores were given to personnel who took on leadership roles in the team and who answered "I knew my duty" (4.4±0.6) in the survey, as well as to the training participants who answered "I clearly knew my duty" (4.5±0.5). The preparedness level of the Korea Disaster Relief Team was shown to be insufficient, whereas understanding of the roles of leaders and training participants in the rescue team was found to be high. It is assumed that the preparedness level for disaster relief must be improved through continued training. (Disaster Med Public Health Preparedness. 2016;1-5).

Optimization and Simulation Modeling of Disaster Relief Supply Chain: A Literature Review

OpenAIRE

Feng, Keli; Bizimana, Emmanuel; Agu, Deedee D.; Issac, Tana T.

2012-01-01

Recent natural and man-made disasters underscore the need of a resilient and agile disaster relief supply chain to mitigate the damages and save people’s lives. Optimization and simulation modeling have become powerful and useful tools to help decision makers tackle problems related to disaster relief supply chain. This paper reviews optimization and simulation models used in the field of disaster relief supply chain. We review the literature of the facility location optimization problems of ...

Feeling worse to feel better: pain-offset relief simultaneously stimulates positive affect and reduces negative affect.

Science.gov (United States)

Franklin, Joseph C; Lee, Kent M; Hanna, Eleanor K; Prinstein, Mitchell J

2013-04-01

Although pain itself induces negative affect, the removal (or offset) of pain induces a powerful state of relief. Despite being implicated in a wide range of psychological and behavioral phenomena, relief remains a poorly understood emotion. In particular, some theorists associate relief with increased positive affect, whereas others associate relief with diminished negative affect. In the present study, we examined the affective nature of relief in a pain-offset paradigm with psychophysiological measures that were specific to negative valence (startle eyeblink reactivity) and positive valence (startle postauricular reactivity). Results revealed that pain offset simultaneously stimulates positive affect and diminishes negative affect for at least several seconds. Results also indicated that pain intensity differentially affects the positive and negative valence aspects of relief. These findings clarify the affective nature of relief and provide insight into why people engage in both normal and abnormal behaviors associated with relief.

Fraktalnist deformational relief polycrystalline aluminum

Directory of Open Access Journals (Sweden)

М.В. Карускевич

2006-02-01

Full Text Available  The possibility of the fractal geometry method application for the analisys of surface deformation structures under cyclic loading is presented.It is shown, that deformation relief of the alclad aluminium alloyes meets the criteria of the fractality. For the fractal demention estimation the method of  “box-counting”can be applied.

Unmanned Aerial Vehicle Systems for Disaster Relief: Tornado Alley

Science.gov (United States)

DeBusk, Wesley M.

2009-01-01

Unmanned aerial vehicle systems are currently in limited use for public service missions worldwide. Development of civil unmanned technology in the United States currently lags behind military unmanned technology development in part because of unresolved regulatory and technological issues. Civil unmanned aerial vehicle systems have potential to augment disaster relief and emergency response efforts. Optimal design of aerial systems for such applications will lead to unmanned vehicles which provide maximum potentiality for relief and emergency response while accounting for public safety concerns and regulatory requirements. A case study is presented that demonstrates application of a civil unmanned system to a disaster relief mission with the intent on saving lives. The concept utilizes unmanned aircraft to obtain advanced warning and damage assessments for tornados and severe thunderstorms. Overview of a tornado watch mission architecture as well as commentary on risk, cost, need for, and design tradeoffs for unmanned aerial systems are provided.

Paracetamol for pain relief after surgical removal of lower wisdom teeth

NARCIS (Netherlands)

Weil, K.; Hooper, L.; Afzal, Z.; Esposito, M.; Worthington, H.V.; van Wijk, A.J.; Coulthard, P.

2008-01-01

Background: Paracetamol has been commonly used for the relief of postoperative pain following oral surgery. In this review we investigated the optimal dose of paracetamol and the optimal time for drug administration to provide pain relief, taking into account the side effects of different doses of

The Truth and Reconciliation Commission and gender: The Testimony of Mrs Konile revisited

Directory of Open Access Journals (Sweden)

Sandiswa L. Kobe

2017-12-01

Full Text Available This article draws on a well-known narration of the Gugulethu Seven incident from the Truth and Reconciliation Commission (TRC proceedings with specific reference to testimonies of the mothers of the Gugulethu Seven. The article focuses on Mrs Konile’s testimony as a case study: Testimony of a black woman whose son was murdered by the apartheid government’s security forces. During the TRC hearings, Mrs Konile ‘failed’ to effectively narrate her story, which resulted in her testimony being dismissed as being incoherent. This article examines the underlying attributes of Mrs Konile’s testimony and revisits why she was considered ‘incapable’ of articulating her experience in a convincing manner. The analysis aims to acknowledge, identify and give insights about this woman’s testimony from an African women theologian viewpoint (specifically with references to the Isixhosa religious cultural background.

Big Dreams, Serious Implications: How the DREAM Act can Help America Meet its Workforce Demands

Science.gov (United States)

Hermes, James

2008-01-01

This article describes how the Development, Relief and Education for Alien Minors (DREAM) Act will help undocumented students by: (1) establishing a path to legal status and eventually earn legal residency through two years of higher education or military service; and (2) repealing a provision of federal law that bars states from granting in-state…

Effective International Medical Disaster Relief: A Qualitative Descriptive Study.

Science.gov (United States)

Broby, Nicolette; Lassetter, Jane H; Williams, Mary; Winters, Blaine A

2018-04-01

Purpose The aim of this study was to assist organizations seeking to develop or improve their medical disaster relief effort by identifying fundamental elements and processes that permeate high-quality, international, medical disaster relief organizations and the teams they deploy. A qualitative descriptive design was used. Data were gathered from interviews with key personnel at five international medical response organizations, as well as during field observations conducted at multiple sites in Jordan and Greece, including three refugee camps. Data were then reviewed by the research team and coded to identify patterns, categories, and themes. The results from this qualitative, descriptive design identified three themes which were key characteristics of success found in effective, well-established, international medical disaster relief organizations. These characteristics were first, ensuring an official invitation had been extended and the need for assistance had been identified. Second, the response to that need was done in an effective and sustainable manner. Third, effective organizations strived to obtain high-quality volunteers. By following the three key characteristics outlined in this research, organizations are more likely to improve the efficiency and quality of their work. In addition, they will be less likely to impede the overall recovery process. Broby N , Lassetter JH , Williams M , Winters BA . Effective international medical disaster relief: a qualitative descriptive study. Prehosp Disaster Med. 2018;33(2):119-126.

21 CFR 882.5870 - Implanted peripheral nerve stimulator for pain relief.

Science.gov (United States)

2010-04-01

....5870 Implanted peripheral nerve stimulator for pain relief. (a) Identification. An implanted peripheral nerve stimulator for pain relief is a device that is used to stimulate electrically a peripheral nerve... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted peripheral nerve stimulator for pain...

32 CFR 516.19 - Injunctive relief.

Science.gov (United States)

2010-07-01

... Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Reporting Legal Proceedings to HQDA § 516.19 Injunctive relief. (a) General. Plaintiffs...). Because these actions can quickly impede military functions, immediate and decisive action must be taken...

Mental health risks in the local workforce engaged in disaster relief and reconstruction.

Science.gov (United States)

Wang, Xiao L; Chan, Cecilia L W; Shi, Zhan B; Wang, Bin

2013-02-01

To build a sustainable workforce for long-term disaster relief and reconstruction, more effort must be made to promote local relief workers' mental health. We conducted 25 semistructured interviews with local relief officials 10 months after the 2008 earthquake in China to investigate the stress and coping experiences in their personal lives as survivors. We conducted thematic analysis of interview transcripts. Traumatic bereavement and grief, housing and financial difficulties, and work-family conflict were the three main sources of stress in the respondents' personal lives. The coping themes were finding meaning and purpose in life through relief work, colleagues' support and understanding, suppression or avoidance of grief, appreciation for life, hardiness, optimism, letting nature take its course, and making up for loss. We suggest that relief work has a double-edged-sword effect on workers' coping abilities. We discuss the implications of this effect for work-life balance measures and trauma and grief counseling services.

Bridging the sanitation gap between disaster relief and development.

Science.gov (United States)

Lai, Ka-Man; Ramirez, Claudia; Liu, Weilong; Kirilova, Darina; Vick, David; Mari, Joe; Smith, Rachel; Lam, Ho-Yin; Ostovari, Afshin; Shibakawa, Akifumi; Liu, Yang; Samant, Sidharth; Osaro, Lucky

2015-10-01

By interpreting disasters as opportunities to initiate the fulfilment of development needs, realise the vulnerability of the affected community and environment, and extend the legacy of relief funds and effort, this paper builds upon the concept linking relief, rehabilitation and development (LRRD) in the sanitation sector. It aims to use a composite of case studies to devise a framework for a semi-hypothetical scenario to identify critical components and generic processes for a LRRD action plan. The scenario is based on a latrine wetland sanitation system in a Muslim community. Several sub-frameworks are developed: (i) latrine design; (ii) assessment of human waste treatment; (iii) connective sanitation promotion strategy; and (iv) ecological systems and environmental services for sanitation and development. This scenario illustrates the complex issues involved in LRRD in sanitation work and provides technical notes and references for a legacy plan for disaster relief and development. © 2015 The Author(s). Disasters © Overseas Development Institute, 2015.

Stress relief of transition zones

International Nuclear Information System (INIS)

Woodward, J.; van Rooyen, D.

1984-01-01

This paper considers the problem of intergranular stress corrosion cracking, initiated on the primary side, in the expansion transition region of roller expanded Alloy 600 tubing. In general it is believed that residual stresses, arising from the expansion process, are the cause of the problem. The work reported here concentrated on the identification of an optimal, in-situ stress relief treatment

Petroleum industry assists hurricane relief

International Nuclear Information System (INIS)

Anon.

1992-01-01

This paper reports that the petroleum industry is aiding victims of last month's Hurricane Andrew with cash, clothing, food, water, and other supplies. Cash contributions announced as of last week totaled more than $2.7 million for distribution in South Florida and South Louisiana. Petroleum industry employees were collecting relief items such as bottled water and diapers for distribution in those areas

Oscillatory neural representations in the sensory thalamus predict neuropathic pain relief by deep brain stimulation.

Science.gov (United States)

Huang, Yongzhi; Green, Alexander L; Hyam, Jonathan; Fitzgerald, James; Aziz, Tipu Z; Wang, Shouyan

2018-01-01

Understanding the function of sensory thalamic neural activity is essential for developing and improving interventions for neuropathic pain. However, there is a lack of investigation of the relationship between sensory thalamic oscillations and pain relief in patients with neuropathic pain. This study aims to identify the oscillatory neural characteristics correlated with pain relief induced by deep brain stimulation (DBS), and develop a quantitative model to predict pain relief by integrating characteristic measures of the neural oscillations. Measures of sensory thalamic local field potentials (LFPs) in thirteen patients with neuropathic pain were screened in three dimensional feature space according to the rhythm, balancing, and coupling neural behaviours, and correlated with pain relief. An integrated approach based on principal component analysis (PCA) and multiple regression analysis is proposed to integrate the multiple measures and provide a predictive model. This study reveals distinct thalamic rhythms of theta, alpha, high beta and high gamma oscillations correlating with pain relief. The balancing and coupling measures between these neural oscillations were also significantly correlated with pain relief. The study enriches the series research on the function of thalamic neural oscillations in neuropathic pain and relief, and provides a quantitative approach for predicting pain relief by DBS using thalamic neural oscillations. Copyright © 2017 Elsevier Inc. All rights reserved.

The Changing Face of Immigration Law.

Science.gov (United States)

Nugent, Christopher

2001-01-01

Focuses on laws that influence U.S. immigration, such as the Illegal Immigration Reform and Immigrant Responsibility Act (1996), the Personal Responsibility and Work Opportunity Reconciliation Act (1996), the Anti-Terrorism and Effective Death Penalty Act (1996), and the Legal Immigration and Family Equity Act (2000). Includes discussion…

Evaluation of radiation therapy for bone metastases: pain relief and quality of life

International Nuclear Information System (INIS)

Gilbert, H.A.; Kagan, A.R.; Nussbaum, H.; Rao, A.R.; Satzman, J.; Chan, P.; Allen, B.; Forsythe, A.

1977-01-01

The records of 158 patients irradiated for bone metastases were reviewed to evaluate the effectiveness of pain relief and to judge the effect of treatment on overall quality of life. Within 3 months 73% of the sites treated had pain relief, with 55 to 65% having sustained relief up to 1 year or death. Of patients surviving more than 3 months, 63% maintained a satisfactory quality of life and were able to take care of most personal needs. The median survival of all patients was 1 year from initial treatment for bone metastasis. Radiation dose and the primary tumor site do not seem to be significant prognostic factors for initial pain relief or quality of life

Evaluating acute pain intensity relief: challenges when using an 11-point numerical rating scale.

Science.gov (United States)

Chauny, Jean-Marc; Paquet, Jean; Lavigne, Gilles; Marquis, Martin; Daoust, Raoul

2016-02-01

Percentage of pain intensity difference (PercentPID) is a recognized way of evaluating pain relief with an 11-point numerical rating scale (NRS) but is not without flaws. A new metric, the slope of relative pain intensity difference (SlopePID), which consists in dividing PercentPID by the time between 2 pain measurements, is proposed. This study aims to validate SlopePID with 3 measures of subjective pain relief: a 5-category relief scale (not, a little, moderate, very, complete), a 2-category relief question ("I'm relieved," "I'm not relieved"), and a single-item question, "Wanting other medication to treat pain?" (Yes/No). This prospective cohort study included 361 patients in the emergency department who had an initial acute pain NRS > 3 and a pain intensity assessment within 90 minutes after analgesic administration. Mean age was 50.2 years (SD = 19.3) and 59% were women. Area under the curves of receiver operating characteristic curves analyses revealed similar discriminative power for PercentPID (0.83; 95% confidence interval [CI], 0.79-0.88) and SlopePID (0.82; 95% CI, 0.77-0.86). Considering the "very" category from the 5-category relief scale as a substantial relief, the average cutoff for substantial relief was a decrease of 64% (95% CI, 59-69) for PercentPID and of 49% per hour (95% CI, 44-54) for SlopePID. However, when a cutoff criterion of 50% was used as a measure of pain relief for an individual patient, PercentPID underestimated pain-relieved patients by 12.1% (P pain intensity at baseline was an odd number compared with an even number (32.9% vs 45.0%, respectively). SlopePID should be used instead of PercentPID as a metric to evaluate acute pain relief on a 0 to 10 NRS.

The Unintended Consequences of Property Tax Relief: New York's STAR Program

Science.gov (United States)

Eom, Tae Ho; Duncombe, William; Nguyen-Hoang, Phuong; Yinger, John

2014-01-01

New York's School Tax Relief Program, STAR, provides state-funded property tax relief for homeowners. Like a matching grant, STAR changes the price of education, thereby altering the incentives of voters and school officials and leading to unintended consequences. Using data for New York State school districts before and after STAR was…

Supply Chain Management in Humanitarian Relief Logistics

National Research Council Canada - National Science Library

Rodman, William

2004-01-01

Hundreds of millions of people are affected by disasters each year. This thesis explores the use of supply chain management techniques to overcome the barriers encountered by logistics managers during humanitarian relief operations...

24 CFR 965.508 - Individual relief.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Individual relief. 965.508 Section 965.508 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... PHA-OWNED OR LEASED PROJECTS-GENERAL PROVISIONS Resident Allowances for Utilities § 965.508 Individual...

Food-Derived Natural Compounds for Pain Relief in Neuropathic Pain.

Science.gov (United States)

Lim, Eun Yeong; Kim, Yun Tai

2016-01-01

Neuropathic pain, defined as pain caused by a lesion or disease of the somatosensory nervous system, is characterized by dysesthesia, hyperalgesia, and allodynia. The number of patients with this type of pain has increased rapidly in recent years. Yet, available neuropathic pain medicines have undesired side effects, such as tolerance and physical dependence, and do not fully alleviate the pain. The mechanisms of neuropathic pain are still not fully understood. Injury causes inflammation and immune responses and changed expression and activity of receptors and ion channels in peripheral nerve terminals. Additionally, neuroinflammation is a known factor in the development and maintenance of neuropathic pain. During neuropathic pain development, the C-C motif chemokine receptor 2 (CCR2) acts as an important signaling mediator. Traditional plant treatments have been used throughout the world for treating diseases. We and others have identified food-derived compounds that alleviate neuropathic pain. Here, we review the natural compounds for neuropathic pain relief, their mechanisms of action, and the potential benefits of natural compounds with antagonistic effects on GPCRs, especially those containing CCR2, for neuropathic pain treatment.

30 CFR 204.202 - What is the cumulative royalty reports and payments relief option?

Science.gov (United States)

2010-07-01

... Auditing Relief § 204.202 What is the cumulative royalty reports and payments relief option? (a) The... information on Form MMS-2014 for the calendar year, the same as if it were a monthly report; and (5) Report... section until the date MMS receives it. (d) If you take relief you are not qualified for, you may be...

76 FR 16851 - Notice of Intent To Rule on Passenger Facility Charge (PFC) Application 11-11-C-00-BUR, To Impose...

Science.gov (United States)

2011-03-25

... Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990, Public Law 101-508) and Part... operators and off-airport hotel vans; pedestrian crosswalk across Empire Avenue to connect the train station...

Anticipation and choice heuristics in the dynamic consumption of pain relief.

Science.gov (United States)

Story, Giles W; Vlaev, Ivo; Dayan, Peter; Seymour, Ben; Darzi, Ara; Dolan, Raymond J

2015-03-01

Humans frequently need to allocate resources across multiple time-steps. Economic theory proposes that subjects do so according to a stable set of intertemporal preferences, but the computational demands of such decisions encourage the use of formally less competent heuristics. Few empirical studies have examined dynamic resource allocation decisions systematically. Here we conducted an experiment involving the dynamic consumption over approximately 15 minutes of a limited budget of relief from moderately painful stimuli. We had previously elicited the participants' time preferences for the same painful stimuli in one-off choices, allowing us to assess self-consistency. Participants exhibited three characteristic behaviors: saving relief until the end, spreading relief across time, and early spending, of which the last was markedly less prominent. The likelihood that behavior was heuristic rather than normative is suggested by the weak correspondence between one-off and dynamic choices. We show that the consumption choices are consistent with a combination of simple heuristics involving early-spending, spreading or saving of relief until the end, with subjects predominantly exhibiting the last two.

Anticipation and Choice Heuristics in the Dynamic Consumption of Pain Relief

Science.gov (United States)

Story, Giles W.; Vlaev, Ivo; Dayan, Peter; Seymour, Ben; Darzi, Ara; Dolan, Raymond J.

2015-01-01

Humans frequently need to allocate resources across multiple time-steps. Economic theory proposes that subjects do so according to a stable set of intertemporal preferences, but the computational demands of such decisions encourage the use of formally less competent heuristics. Few empirical studies have examined dynamic resource allocation decisions systematically. Here we conducted an experiment involving the dynamic consumption over approximately 15 minutes of a limited budget of relief from moderately painful stimuli. We had previously elicited the participants’ time preferences for the same painful stimuli in one-off choices, allowing us to assess self-consistency. Participants exhibited three characteristic behaviors: saving relief until the end, spreading relief across time, and early spending, of which the last was markedly less prominent. The likelihood that behavior was heuristic rather than normative is suggested by the weak correspondence between one-off and dynamic choices. We show that the consumption choices are consistent with a combination of simple heuristics involving early-spending, spreading or saving of relief until the end, with subjects predominantly exhibiting the last two. PMID:25793302

Barriers to spousal contribution to childbirth pain relief in Nigeria.

Science.gov (United States)

Emelonye, A U; Pitkäaho, T; Aregbesola, A; Vehviläinen-Julkunen, K

2017-12-01

The aim of this study was to investigate the barriers inhibiting the use of spousal presence for childbirth pain relief in health facilities and recommendations from three perspectives: the midwife, the woman, and the spouse. Spousal presence is a non-invasive, participatory and inexpensive technique used in pain management during childbirth. Although it contributes to a large extent in relieving childbirth pain, it is underutilized in Nigerian hospitals. Overcoming the challenges impeding spousal presence and participation during childbirth will improve maternal outcome, satisfaction and midwifery care practices. A cross-sectional survey conducted in four hospitals in Nigeria involving midwives (n = 100), women (n = 142) and their spouses (n = 142) from June to December 2014 using pretested questionnaires. Five themes were identified: poor infrastructural facility, lack of adequate pain management policy, lack of midwife pain management practices, midwives' attitudes towards spousal presence during childbirth and feelings about spousal presence during childbirth pain relief. Infrastructural defects in the health facilities resulting in the lack of privacy in maternity units for both spouses and partners negatively influence the presence of a spouse during childbirth and pain relief. Adopting effective strategies such as good infrastructural facilities, staff training and spouse-friendly hospital policies will encourage spouses to fully participate in and contribute to childbirth pain relief. This study identified poor staff attitudes towards pain relief and spousal presence during childbirth as barriers. Providing adequate policies on pain management, continuous staff education and orientation on spousal relationship will improve active spousal participation and maternal satisfaction during childbirth. © 2016 International Council of Nurses.

U.S. Coastal Relief Model - Northwest Pacific

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Southeast Atlantic

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Central Pacific

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Southern California

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Northeast Atlantic

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Puerto Rico

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

knowledge, attitude and use of pain relief in labour among women

African Journals Online (AJOL)

2014-07-01

Jul 1, 2014 ... Objective: To find out the knowledge, attitude and practice of pain relief methods during labour among ... all of which could adversely affect uterine blood flow. Pain relief in ... knowledge was low among women who did not use any form of ... Niven et al found that memories of labour pains can evoke intense ...

Anti-Seizure Medications: Relief from Nerve Pain

Science.gov (United States)

Anti-seizure medications: Relief from nerve pain Anti-seizure drugs often are used to help control the type of ... by damaged nerves. By Mayo Clinic Staff Anti-seizure medications were originally designed to treat people with ...

Globalising Aboriginal Reconciliation: Indigenous Australians and Asian (Japanese Migrants

Directory of Open Access Journals (Sweden)

Minoru Hokari

2013-09-01

Full Text Available Over the last few years, I have attended several political meetings concerned with the refugee crisis, multiculturalism or Indigenous rights in Australia, meetings at which liberal democratic–minded ‘left-wing’ people came together to discuss, or agitate for change in, governmental policies. At these meetings, I always found it difficult to accept the slogans on their placards and in their speeches: ‘Shame Australia! Reconciliation for a united Australia’, ‘Wake up Australia! We welcome refugees!’ or ‘True Australians are tolerant! Let’s celebrate multicultural Australia!’ My uncomfortable feeling came not only from the fact that I was left out because of my Japanese nationality but also because I had never seen or heard words like ‘shame Japan’, ‘wake up Japan’ or ‘true Japanese are ...’ at Japanese ‘left-wing’ political gatherings. In Japan, these are words used only by right-wing nationalists. Indeed it is difficult to even imagine liberal-left intellectuals in postwar Japan calling for a ‘true Japanese’ political response (as if such a response was positive, such is the extent to which the idea of ‘good nationalism’ is now regarded as an oxymoron. This is my starting point for an essay in which I want to be attentive to the different roles played by national(ism in the Japanese and Australian political environments.

Human rights and political transition in South Africa: the case of the Truth and Reconciliation Commission

Directory of Open Access Journals (Sweden)

Cristina Buarque de Hollanda

2013-04-01

Full Text Available This article is dedicated to recounting the main initiative of Nelson Mandela’s government to manage the social resentment inherited from the segregationist regime. I conducted interviews with South African intellectuals committed to the theme of transitional justice and with key personalities who played a critical role in this process. The Truth and Reconciliation Commission is presented as the primary institutional mechanism envisioned for the delicate exercise of redefining social relations inherited from the apartheid regime in South Africa. Its founders declared grandiose political intentions to the detriment of localized more palpable objectives. Thus, there was a marked disparity between the ambitious mandate and the political discourse about the commission, and its actual achievements.

Modeling attitude towards drug treament: the role of internal motivation, external pressure, and dramatic relief.

Science.gov (United States)

Conner, Bradley T; Longshore, Douglas; Anglin, M Douglas

2009-04-01

Motivation for change has historically been viewed as the crucial element affecting responsiveness to drug treatment. Various external pressures, such as legal coercion, may engender motivation in an individual previously resistant to change. Dramatic relief may be the change process that is most salient as individuals internalize such external pressures. Results of structural equation modeling on data from 465 drug users (58.9% male; 21.3% Black, 34.2% Hispanic/Latino, and 35.1% White) entering drug treatment indicated that internal motivation and external pressure significantly and positively predicted dramatic relief and that dramatic relief significantly predicted attitudes towards drug treatment: chi (2) = 142.20, df = 100, p relief is also likely to be high. When dramatic relief is high, attitudes towards drug treatment are likely to be positive. The findings indicate that interventions to get individuals into drug treatment should include processes that promote Dramatic Relief. Implications for addictions health services are discussed.

Effects of surface relief on the high-dose sputtering of amorphous silicon and graphite by Ar ions

International Nuclear Information System (INIS)

Shulga, V.I.

2014-01-01

The effects of ion-induced surface relief on high-dose sputtering of amorphous silicon and graphite targets have been studied using binary-collision computer simulation. The relief was modeled as a wavelike surface along two mutually perpendicular surface axes (a 3D hillock-and-valley relief). Most simulations were carried out for normally-incident 30-keV Ar ions. It was shown that the surface relief can both increase and decrease the sputtering yield compared to that for a flat surface. The results of simulations suggest that stabilization of the surface relief is possible even in the absence of any smoothing processes such as surface diffusion of atoms. Effects of a surface relief on the experimentally measurable angular and energy distributions of sputtered atoms are also considered. The fitting parameters of these distributions are shown to be non-monotonic functions of the relief aspect ratio. The angular distribution of atoms sputtered from a relief surface is modulated to a great extent by the shape of the relief. For a rough surface, azimuthal isotropy of the angular distribution of sputtered atoms was found, but at high bombarding energies only

Shaded Relief of Minnesota Elevation - Black & White

Data.gov (United States)

Minnesota Department of Natural Resources — This file is a product of a shaded relief process on the 30 meter resolution Digital Elevation Model data (dem30im3). This image was created using a custom AML...

Double Dividend Taxation Relief: A New View From The Corporate Income Tax Perspective

OpenAIRE

Sebastian Lazar

2010-01-01

Double taxation of dividends is a matter of great interest in the actual context of globalization and free movement of capital and persons. As the classical system is more and more abandoned, new solutions for the relief of double taxation are put into practice as a mean to reduce the fiscal burden on shareholders. With few exceptions, all these solutions are based on dividend tax relief. The paper aims at providing alternative solutions for double dividend taxation relief by taking some acti...

19 CFR 210.70 - Forfeiture or return of complainant's temporary relief bond.

Science.gov (United States)

2010-04-01

... relief bond. 210.70 Section 210.70 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.70... and the Commission will be guided by practice under Rule 65 of the Federal Rules of Civil Procedure...

Delineation of a shallow subsurface aquiclude relief with aero electromagnetic data

Science.gov (United States)

Römer, A.; Winkler, E.; Bieber, G.; Motschka, K.; Reitner, H.

2009-04-01

Within a governmental groundwater remediation project in Austria, a new (overworked) characterization of a large catchment area (600 km2) with aeroelectromagnetics (AEM) was carried out. This catchment area is a large and important zone of subsurface water resources for currently and future municipal and rural water supply. Conflicts in future land use between e.g. agricultura, excavigation of mass materials, city and regional planning, ect. are preassigned and have impacts concerning the quality and quantity of available groundwater. The geology of the investigation area is a typical post-glacial region, characterized by aggradational deposition areas. The thickness of the wide-spread terrace gravels ranges from 10m to 40m, being the preferred ground water aquifer. The subsurface of the investigation area is built up by a Neogen basement, the so called Molasse and is acting as an aquiclude relative to the overlying quaternary sediments. Aeroelectromagnetic data from a former aerogeophysical survey were reinterpreted with a new processing and interpretation approach for the determination of this geological 3 layer case. This aeroelectromagnetic inversion integrates results from borehole data, ground geoelectric surveys and from geological mapping as a priori input information. The inversion result for a measured AEM data value is determined by a combination of geostatistically weighted additional information and likelihood weighted theoretical models. The primary aim of the study was the delineation of the aquiclude relief. The ground water circulation within the different terrace gravels is substantially affected by this Neogen relief. Depressions and prequaternary (tertiary) riverbeds within the Molasse often show other trends of water flow than the surficial, recent vales. The knowledge of the hydrogeological framework is essential for identification and definition of water protection and catchment areas as a decision base for national land use regulations. The

An Engineered Resupply System for Humanitarian Assistance and Disaster Relief Operations

Science.gov (United States)

2017-09-01

relevant and timely relief. Conduct Supply refers to the procurement, warehousing, and managing of relief supplies. Conduct Deployment and Distribution ...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release. Distribution is unlimited. AN ENGINEERED...Approved OMB No. 0704–0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time

Sharing Information among Various Organizations in Relief Efforts

National Research Council Canada - National Science Library

Costur, Gurkan

2005-01-01

.... An analysis is presented of the December 2004 Indian Ocean tsunami relief effort; specifically, how different organizations such as the military, United Nations, and non-governmental organizations...

48 CFR 252.229-7010 - Relief from customs duty on fuel (United Kingdom).

Science.gov (United States)

2010-10-01

..., February 1973, entitled “Relief from Customs Duty and/or Value Added Tax on United States Government... Office. (b) Specific information should be included in the request for tax relief, such as the number of...

Data reconciliation and optimal operation of a Catalytic naphtha reformer

Directory of Open Access Journals (Sweden)

Tore Lid

2008-10-01

Full Text Available The naphtha reforming process converts low-octane gasoline blending components to high-octane components for use in high-performance gasoline fuels. The reformer also has an important function as the producer of hydrogen to the refinery hydrotreaters. A process model based on a unit model structure, is used for estimation of the process condition using data reconciliation. Measurements are classified as redundant or non redundant and the model variables are classified as observable, barely observable or unobservable. The computed uncertainty of the measured and unmeasured variables shows that even if a variable is observable it may have a very large uncertainty and may thereby be practically unobservable. The process condition at 21 data points, sampled from two years of operation, was reconciled and used to optimize the process operation. There are large seasonal variations in the reformer product price and two operational cases are studied. In case 1, the product price is high and throughput is maximized with respect to process and product quality constraints. In case 2, the product price is low and the throughput is minimized with respect to a low constraint on the hydrogen production. Based on the characteristics of the optimal operation, a "self optimizing" control structure is suggested for each of the two operational cases.

Fluid-structure interaction dynamic simulation of spring-loaded pressure relief valves under seismic wave

Science.gov (United States)

Lv, Dongwei; Zhang, Jian; Yu, Xinhai

2018-05-01

In this paper, a fluid-structure interaction dynamic simulation method of spring-loaded pressure relief valve was established. The dynamic performances of the fluid regions and the stress and strain of the structure regions were calculated at the same time by accurately setting up the contact pairs between the solid parts and the coupling surfaces between the fluid regions and the structure regions. A two way fluid-structure interaction dynamic simulation of a simplified pressure relief valve model was carried out. The influence of vertical sinusoidal seismic waves on the performance of the pressure relief valve was preliminarily investigated by loading sine waves. Under vertical seismic waves, the pressure relief valve will flutter, and the reseating pressure was affected by the amplitude and frequency of the seismic waves. This simulation method of the pressure relief valve under vertical seismic waves can provide effective means for investigating the seismic performances of the valves, and make up for the shortcomings of the experiment.

The Rehabilitation Act of 1973--its impact on employee selection practices.

Science.gov (United States)

Guy, J H

1978-01-01

The employee selection practices of private and public enterprises that contract with the federal government or receive federal financial assistance have been subjected to extensive regulation by the agencies administering sections 503 and 504 of the 1973 Rehabilitation Act, which provide protection to qualified handicapped individuals. The author discusses the nature and significance of these restrictions and gives practical guidance on compliance. She cautions that the enforcement powers of the agencies administering the Act--the power to cut off federal funds, debar from future contracts, award back pay, and provide equitable relief--make it necessary for employers to show good faith and proper justification when a decision is made to reject a handicapped person for a job or a promotion.

Improved SURF Algorithm and Its Application in Seabed Relief Image Matching

Directory of Open Access Journals (Sweden)

Zhang Hong-Mei

2017-01-01

Full Text Available The matching based on seabed relief image is widely used in underwater relief matching navigation and target recognition, etc. However, being influenced by various factors, some conventional matching algorithms are difficult to obtain an ideal result in the matching of seabed relief image. SURF(Speeded Up Robust Features algorithm is based on feature points pair to achieve matching, and can get good results in the seabed relief image matching. However, in practical applications, the traditional SURF algorithm is easy to get false matching, especially when the area’s features are similar or not obvious, the problem is more seriously. In order to improve the robustness of the algorithm, this paper proposes an improved matching algorithm, which combines the SURF, and RANSAC (Random Sample Consensus algorithms. The new algorithm integrates the two algorithms advantages, firstly, the SURF algorithm is applied to detect and extract the feature points then to pre-match. Secondly, RANSAC algorithm is utilized to eliminate mismatching points, and then the accurate matching is accomplished with the correct matching points. The experimental results show that the improved algorithm overcomes the mismatching problem effectively and have better precision and faster speed than the traditional SURF algorithm.

Japanese women's experiences of pharmacological pain relief in New Zealand.

Science.gov (United States)

Doering, Keiko; Patterson, Jean; Griffiths, Christine R

2014-06-01

In Japan, most women manage labour pain without pharmacological interventions. However, New Zealand statistics show a high percentage of epidural use amongst Asian women. Entonox (a gas mixture of nitrous oxide and oxygen) and pethidine are also available to women in New Zealand. This article investigates how Japanese women in New Zealand respond to the use of pharmacological pain relief in labour. The study was guided by two research questions: (1) How do Japanese women experience and manage labour pain in New Zealand? (2) How do they feel about the use of pharmacological pain relief? Thirteen Japanese women who had given birth in New Zealand were interviewed individually or in a focus group. The conversations were analysed using thematic analysis. Although in Japan very few women use pain relief, nine women received epidural and/or Entonox out of 11 women who experienced labour pain. The contrast between their Japanese cultural expectations and their birth experiences caused some of the women subsequent personal conflict. Japanese women's cultural perspectives and passive attitudes were demonstrated to influence the decision-making process concerning pain relief. It was concluded that understanding Japanese cultural worldviews and approaches to the role of pain in labour would help maternity providers in their provision of appropriate care for Japanese women. Copyright © 2013 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

29 CFR 1601.23 - Preliminary or temporary relief.

Science.gov (United States)

2010-07-01

..., or political subdivision. (b) In a case involving a government, governmental agency, or political... private individuals from exercising their rights to seek temporary or preliminary relief on their own...

Simulation of durability the evaluation of relief-dot Braille images

Directory of Open Access Journals (Sweden)

Svitlana Havenko

2016-07-01

Full Text Available The paper presents a model of factors that influence on the quality of relief-dot Braille inscriptions in their intensive use by blind people. It was constructed matrix of depending and distancing by using a directed graph. It allowed establish a hierarchy between studied criteria’s of impact the on durability of relief prints. It was developed a basic structure of digital system of assessment the conformity of Braille symbols to applicable international standards and definition of operational stability.

Displaced and non-displaced Colombian children's evaluations of moral transgressions, retaliation, and reconciliation

Science.gov (United States)

Ardila-Rey, Alicia; Killen, Melanie; Brenick, Alaina

2015-01-01

In order to assess the effects of displacement and exposure to violence on children's moral reasoning, Colombian children exposed to minimal violence (non-displaced or low-risk) (N = 99) and to extreme violence (displaced or high-risk) (N = 94), evenly divided by gender, at 6-, 9-, and 12 - years of age, were interviewed regarding their evaluation of peer-oriented moral transgressions (hitting and not sharing toys). The vast majority of children evaluated moral transgressions as wrong. Group and age differences were revealed, however, regarding provocation and retaliation. Children who were exposed to violence, in contrast to those with minimum exposure, judged it more legitimate to inflict harm or deny resources when provoked and judged it more okay to retaliate for reasons of retribution. Surprisingly, and somewhat hopefully, all children viewed reconciliation as feasible. The results are informative regarding theories of morality, culture, and the effects of violence on children's social development. PMID:25722543

'The body remembers': narrating embodied reconciliations of eating disorder and recovery.

Science.gov (United States)

Eli, Karin

2016-01-01

After severe illness, there are stories: narrative strands to suture discontinuities of identities, practices, and lives. But within these narratives of illness and recovery, the body's discontinuities stand apart, striking in the materiality of change, in the tangible multiplicity of bodies - healthy, ill, recovering, recovered - that a person can call one's own. Based on longitudinal research interviews with Israeli women who identified as recovered from long-term eating disorders (fieldwork conducted in 2005-2006 and in 2011), this paper explores how these bodily discontinuities are expressed, drawing particular attention to the narrative role of embodied memory in linking past and present-tense bodies and selves. Embodied memory, as narrated by the participants, is deeply, sometimes surprisingly, embedded in lived experience, imbuing recovered bodies with moments of sensory continuity, the past coming into presence through forms of sensation and perception learned at the height of disorder. Examining narrative moments of sensory remembrance, this paper analyses how participants narrate embodied memory as a mode of reflection, self-protection, and dynamic integration, wherein the experience of disorder informs practices of recovery, and the body becomes a site for the reconciliation of past and present.

Exploring the Association of Deliberate Self-Harm With Emotional Relief Using a Novel Implicit Association Test

Science.gov (United States)

Gratz, Kim L.; Chapman, Alexander L.; Dixon-Gordon, Katherine L.; Tull, Matthew T.

2017-01-01

Despite the growing consensus that negative reinforcement in the form of emotional relief plays a key role in the maintenance of deliberate self-harm (DSH), most of the research in this area has relied exclusively on self-report measures of the perceived motives for and emotional consequences of DSH. Thus, the primary aim of this study was to extend extant research on the role of emotional relief in DSH by examining the strength of the association of DSH with emotional relief using a novel version of the Implicit Association Test (IAT). The strength of the DSH-relief association among both participants with (vs. without) DSH and self-harming participants with (vs. without) BPD, as well as its associations with relevant clinical constructs (including DSH characteristics, self-reported motives for DSH, BPD pathology, and emotion dysregulation and avoidance) were examined in a community sample of young adults (113 with recent recurrent DSH; 135 without DSH). As hypothesized, results revealed stronger associations between DSH and relief among participants with versus without DSH, as well as among DSH participants with versus without BPD. Moreover, the strength of the DSH-relief association was positively associated with DSH frequency and versatility (both lifetime and at 6-month follow-up), BPD pathology, emotion dysregulation, experiential avoidance, and self-reported emotion relief motives for DSH. Findings provide support for theories emphasizing the role of emotional relief in DSH (particularly among individuals with BPD), as well as the construct validity, predictive utility, and incremental validity (relative to self-reported emotion relief motives) of this IAT. PMID:26147069

Topology-optimized broadband surface relief transmission grating

DEFF Research Database (Denmark)

Andkjær, Jacob; Ryder, Christian P.; Nielsen, Peter C.

2014-01-01

We propose a design methodology for systematic design of surface relief transmission gratings with optimized diffraction efficiency. The methodology is based on a gradient-based topology optimization formulation along with 2D frequency domain finite element simulations for TE and TM polarized plane...

Model(ing) Law: The ICTY, the International Criminal Justice Template, and Reconciliation in the Former Yugoslavia

DEFF Research Database (Denmark)

Carlson, Kerstin Bree

2013-01-01

My project uses the case study of the ICTY and reconciliation in the Balkans to address the larger topic of the capacity of international criminal tribunals (ICTs) as transitional justice mechanisms. I argue that the ICTY operates under the (flawed) received wisdom of the IMT at Nuremberg, what I...... term the international criminal justice template. This template accords three transitional justice functions for ICTs beyond (and in conjunction with) their central judicial aim of adjudicating cases: as (1) articulators of progressive criminal law (2) historians and (3) reconcilers or storytellers. My...... and the development of international law and society studies, in order to better theorize and understand the structural and theoretical constraints governing the establishment of legitimacy for international criminal courts....

An audit of aspects of informed consent and pain relief in general ...

African Journals Online (AJOL)

They were asked what they knew or had been informed about their diagnosis, operation and complications of surgery. On pain relief, patients were asked about their experiences on the first post-operative day and what relief they had from analgesics. Twenty four did not know the diagnosis and 36 were not told what ...

Spatially Uniform ReliefF (SURF for computationally-efficient filtering of gene-gene interactions

Directory of Open Access Journals (Sweden)

Greene Casey S

2009-09-01

Full Text Available Abstract Background Genome-wide association studies are becoming the de facto standard in the genetic analysis of common human diseases. Given the complexity and robustness of biological networks such diseases are unlikely to be the result of single points of failure but instead likely arise from the joint failure of two or more interacting components. The hope in genome-wide screens is that these points of failure can be linked to single nucleotide polymorphisms (SNPs which confer disease susceptibility. Detecting interacting variants that lead to disease in the absence of single-gene effects is difficult however, and methods to exhaustively analyze sets of these variants for interactions are combinatorial in nature thus making them computationally infeasible. Efficient algorithms which can detect interacting SNPs are needed. ReliefF is one such promising algorithm, although it has low success rate for noisy datasets when the interaction effect is small. ReliefF has been paired with an iterative approach, Tuned ReliefF (TuRF, which improves the estimation of weights in noisy data but does not fundamentally change the underlying ReliefF algorithm. To improve the sensitivity of studies using these methods to detect small effects we introduce Spatially Uniform ReliefF (SURF. Results SURF's ability to detect interactions in this domain is significantly greater than that of ReliefF. Similarly SURF, in combination with the TuRF strategy significantly outperforms TuRF alone for SNP selection under an epistasis model. It is important to note that this success rate increase does not require an increase in algorithmic complexity and allows for increased success rate, even with the removal of a nuisance parameter from the algorithm. Conclusion Researchers performing genetic association studies and aiming to discover gene-gene interactions associated with increased disease susceptibility should use SURF in place of ReliefF. For instance, SURF should be

[Medication reconciliation: an innovative experience in an internal medicine unit to decrease errors due to inacurrate medication histories].

Science.gov (United States)

Pérennes, Maud; Carde, Axel; Nicolas, Xavier; Dolz, Manuel; Bihannic, René; Grimont, Pauline; Chapot, Thierry; Granier, Hervé

2012-03-01

An inaccurate medication history may prevent the discovery of a pre-admission iatrogenic event or lead to interrupted drug therapy during hospitalization. Medication reconciliation is a process that ensures the transfer of medication information at admission to the hospital. The aims of this prospective study were to evaluate the interest in clinical practice of this concept and the resources needed for its implementation. We chose to include patients aged 65 years or over admitted in the internal medicine unit between June and October 2010. We obtained an accurate list of each patient's home medications. This list was then compared with medication orders. All medication variances were classified as intended or unintended. An internist and a pharmacist classified the clinical importance of each unintended variance. Sixty-one patients (mean age: 78 ± 7.4 years) were included in our study. We identified 38 unintended discrepancies. The average number of unintended discrepancies was 0.62 per patient. Twenty-five patients (41%) had one or more unintended discrepancies at admission. The contact with the community pharmacist permitted us to identify 21 (55%) unintended discrepancies. The most common errors were the omission of a regularly used medication (76%) and an incorrect dosage (16%). Our intervention resulted in order changes by the physician for 30 (79%) unintended discrepancies. Fifty percent of the unintended variances were judged by the internist and 76% by the pharmacist to be clinically significant. The admission to the hospital is a critical transition point for the continuity of care in medication management. Medication reconciliation can identify and resolve errors due to inaccurate medication histories. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

Prolonged knee pain relief by saphenous block (new technique

Directory of Open Access Journals (Sweden)

Rajeev Harshe

2013-01-01

Full Text Available Pain in the knee joint can be from a variety of reasons. It can be either from the joint itself, it can be myofascial or it can be neuropathy, radicular pain. The myofascial component can be in different forms, namely, collateral ligament pain, bursitis, tendinitis, and so on. This responds well to local injections of steroids. Pain from the joint can be because of osteoarthritis (OA, rheumatoid arthritis or any other variety of arthritis. Among these osteoarthritis is the most common and naturally occurring pain. There are several modalities used for managing pain in the knee joint. They include medicines and physiotherapy, intra-articular steroid injection, intra-articular Hyalgan, Synvisc injection, prolotherapy, genicular nerve block, ablation, intra-articular pulsed radio frequency (PRF ablation, acupuncture, injection of platelet-rich plasma in the joint, total knee replacement, high tibial osteotomy, arthroscopy and lavage, and so on. All these modalities have their pros and cons. Literature and experience state that the pain relief provided may last for a few months with these modalities except in surgical interventions in advanced OA. The saphenous nerve is termination of femoral nerve and it is essentially sensory nerve. It supplies the medial compartment and some part of the anterior compartment of the knee joint. This nerve has been blocked near the knee joint by way of infiltration by surgeons and anesthetists, for relief of pain after knee surgery, with varying pain relief of postoperative pain. When we block the saphenous in the mid thigh in the sartorial canal, the fluid tends to block the medial branch of the anterior femoral cutaneous nerve also. It is hypothesized that this may give complete medial and anterior knee pain relief and as most of the knee OA patients have medial and anterior knee pain, this may prove useful. Use of ultrasonography helps to locate the nerve better, ensuring perfection. An effort has been made to

Higher Education: More Information Could Help Education Determine the Extent to Which Eligible Servicemembers Serving on Active Duty Benefited from Relief Provided by Lenders and Schools. Report to Congressional Requesters. GAO-07-11

Science.gov (United States)

Ashby, Cornelia M.

2006-01-01

Since September 11, 2001, over 1.3 million members of the armed forces have been deployed in service to the United States. Congress enacted the Higher Education Relief Opportunities for Students (HEROES) Act to recognize the needs of those servicemembers who are deployed in the midst of pursuing postsecondary education or repaying student loans.…

Emergency networking: famine relief in ant colonies

NARCIS (Netherlands)

Sendova-Franks, A.B.; Hayward, R.; Wulf, B.; Klimek, T.; James, R.; Planque, R.; Britton, N.F.; Franks, N.R.

2009-01-01

Resource distribution is fundamental to social organization, but it poses a dilemma. How to facilitate the spread of useful resources but restrict harmful substances? This dilemma reaches a zenith in famine relief. Survival depends on distributing food fast but that could increase vulnerability to

Women's preferences and received pain relief in childbirth - A prospective longitudinal study in a northern region of Sweden.

Science.gov (United States)

Lindholm, Annika; Hildingsson, Ingegerd

2015-06-01

A range of alternatives in pain management during childbirth are available in the western countries. Women's preferences for and use of pain relief methods during labour is not fully investigated. The aim of this study was to describe what pain relief methods pregnant women preferred when asked in late pregnancy and to identify factors associated with preferred and received pain relief methods. A prospective longitudinal study in a northern region of Sweden (n = 936). Data were collected by three questionnaires. Odds ratios with a 95% confidence interval were calculated between preferred and received pain relief methods for several explanatory variables. The most preferred pain relief methods were also the most common received pain relief methods; nitrous oxide, bathing, breathing techniques, epidural analgesia and massage. The strongest factors for using different pain relief methods were primiparity and preferences. Women who used epidural analgesia, regardless of preference, were two to four times more likely to have a less positive birth experience. Women's preferences for a certain pain relief method were largely met. Greater differences were seen between background factors and preferences than the received pain relief methods. Preferences and primiparity were the most important factors for actually using pain relief. Epidural analgesia was associated with a less positive birth experience. Copyright © 2014 Elsevier B.V. All rights reserved.

Strain relief InGaN/GaN MQW micro-pillars for high brightness LEDs

KAUST Repository

Shen, Chao

2013-01-01

Micro-structured group-III-nitrides are considered as promising strain relief structures for high efficiency solid state lighting. In this work, the strain field in InGaN/GaN multi-quantum wells (MQWs) micro-pillars is investigated using micro-Raman spectroscopy and the design of micro-pillars were studied experimentally. We distinguished the strained and strain-relieved signatures of the GaN layer from the E2 phonon peak split from the Raman scattering signatures at 572 cm-1 and 568 cm-1, respectively. The extent of strain relief is examined considering the height and size of micro-pillars fabricated using focused ion beam (FIB) micro-machining technique. A significant strain relief can be achieved when one micro-machined through the entire epi-layers, 3 μm in our study. The dependence of strain relief on micro-pillar diameter (D) suggested that micro-pillar with D < 3 μm showed high degree of strain relief. Our results shed new insights into designing strain-relieved InGaN/GaN microstructures for high brightness light emitting diode arrays. © 2013 IEEE.

Experimental investigation of processes in primary circuit relief system

International Nuclear Information System (INIS)

Tomas, Z.; Simo, T.; Konecny, A.

1989-01-01

The protective condenser (direct contact condenser) is one of the basic components of the primary circuit relief system of WWER power plants. The steam flowing from the surge tank through relief valves into the subcooled water condensates in the protective condenser vessel. Two simple physical models were designed and constructed for investigation of bubbling through (contact condensation). An experimental program was performed with the aim of determining the distribution of temperatures in the axis of the steam jet and its vicinity, determining the velocity field of water into vicinity of steam jets, observing the geometrical shape of jets and their interaction and determining important values for mathematical model. (orig.)

The psychological and physiological stress relief effect of the green roof

Energy Technology Data Exchange (ETDEWEB)

Lee, H.; Koshimizu, H. [Meiji Univ., Tokyo (Japan). Dept. of Agriculture

2007-07-01

The visual sense influences human psychology and physiology. As such, green gardens in urban environments are touted as being healing gardens that lead to stress relief and improved work efficiency. This paper focused on the visual aspects of such rehabilitation sites. Psychological and physiological experiments were conducted on human response to green roofs in order to quantify the stress relief effect of the green roof scenery. In addition, different green roof designs were tested to determine whether they change the stress relief effect. A 360 degrees panorama photograph of green roofs was shown to 3 male and 3 female students in Meiji University. The experiment was followed by a questionnaire survey based on the semantic differential (SD) method as a psychological evaluation. The SD method is a representative psychological measurement to quantify an image of people for a scene. The changes in heart rate were studied along with blood pressure, and stress degree as a physiological evaluation. The relation between the results of the SD method-based psychological evaluation and the physiological experiment was determined using multiple regression analysis. It was concluded that the stress relief effect can be improved by changing linear scenery to a more curvy one. 15 refs., 4 tabs., 20 figs.

Proactive pressure relief system management of life cycle and ageing in nuclear power plants

International Nuclear Information System (INIS)

Kolenc, J.; Ferrar, S.

2011-01-01

The last major power nuclear station built in North America was built when the Altair Company introduced the first microcomputer sparking the PC frenzy. It is safe to assume that there have been a great many changes since 1977 on both accounts. As the world's aging nuclear plants continue to be challenged with maintenance and replacement issues (obsolescence), as well making improvements within their facilities, proper pressure relief system management looms as a growing concern. This problem grows more acute as new engineering best practices are promulgated across industries and regulatory standards become more rigorous with much stricter enforcements. Unlike most pieces of operating equipment in a nuclear facility, pressure relief devices demand an extra level of consideration; as they form the 'last line of defense'. Combine the on-going obsolescence issue, with today's ever increasing demands for overall plant and public safety; pressure relief safety management will require increasing 'proactive' efforts to ensure safe facilities. This paper has been written to address some global pressure relief system management issues with respect the worlds aging nuclear facilities. This paper reflects findings we have discovered while conducting engineering pressure relief system audits on various nuclear power stations. It should be noted that these finding are not atypical of similar findings in pressure relief systems in the hydrocarbon processing world. (author)

CCF analysis of high redundancy systems safety/relief valve data analysis and reference BWR application

International Nuclear Information System (INIS)

Mankamo, T.; Bjoere, S.; Olsson, Lena

1992-12-01

Dependent failure analysis and modeling were developed for high redundancy systems. The study included a comprehensive data analysis of safety and relief valves at the Finnish and Swedish BWR plants, resulting in improved understanding of Common Cause Failure mechanisms in these components. The reference application on the Forsmark 1/2 reactor relief system, constituting of twelve safety/relief lines and two regulating relief lines, covered different safety criteria cases of reactor depressurization and overpressure protection function, and failure to re close sequences. For the quantification of dependencies, the Alpha Factor Model, the Binomial Probability Model and the Common Load Model were compared for applicability in high redundancy systems

Ubiquitous Creation of Bas-Relief Surfaces with Depth-of-Field Effects Using Smartphones

Directory of Open Access Journals (Sweden)

Bong-Soo Sohn

2017-03-01

Full Text Available This paper describes a new method to automatically generate digital bas-reliefs with depth-of-field effects from general scenes. Most previous methods for bas-relief generation take input in the form of 3D models. However, obtaining 3D models of real scenes or objects is often difficult, inaccurate, and time-consuming. From this motivation, we developed a method that takes as input a set of photographs that can be quickly and ubiquitously captured by ordinary smartphone cameras. A depth map is computed from the input photographs. The value range of the depth map is compressed and used as a base map representing the overall shape of the bas-relief. However, the resulting base map contains little information on details of the scene. Thus, we construct a detail map using pixel values of the input image to express the details. The base and detail maps are blended to generate a new depth map that reflects both overall depth and scene detail information. This map is selectively blurred to simulate the depth-of-field effects. The final depth map is converted to a bas-relief surface mesh. Experimental results show that our method generates a realistic bas-relief surface of general scenes with no expensive manual processing.

Prediction of renal functional recovery after relief of upper urinary tract obstruction

International Nuclear Information System (INIS)

Kalika, V.; Bard, R.H.; Iloreta, A.; Freeman, L.M.; Heller, S.; Blaufox, M.D.

1981-01-01

Renal cortical regions of interest were used prospectively to predict recoverability of renal function in 27 patients with unilateral or bilateral urinary tract obstruction. In these 27 patients 36 kidneys with short-term or long-term obstruction were studied. The 131iodine radiohippuran renogram curves were generated from areas of interest from the renal cortex and from the whole kidney. Curves generated during obstruction were evaluated qualitatively to determine if regional cortical renograms exhibited a more normal appearance than total kidney curves. After relief of obstruction renograms generated from the whole kidney were evaluated for evidence of renal functional recovery. Cortical curves obtained before relief obstruction were judged normal, with an abnormal whole kidney renogram in 20 of 36 kidneys. The whole kidney renogram improved after relief of obstruction in all 20 cases. Cortical curves for the remaining 16 kidneys before relief of obstruction had the same abnormal appearance as the whole kidney renogram. After relief of obstruction no evidence of kidney function improvement as measured by the renogram was evident in 14 kidneys. The over-all accuracy of this test of renal functional recoverability was 94 per cent. These data support the hypothesis that when cortical curves appear more normal than total kidney curves there is a strong likelihood of postoperative improvement in renal function when the obstruction is relieved. Abnormal cortical curves are associated with a poor prognosis for renal functional improvement

Pain relief and clinical outcome: from opioids to balanced analgesia

DEFF Research Database (Denmark)

Kehlet, H

1996-01-01

If it is generally accepted that adequate postoperative pain relief will improve outcome from surgery, several controlled trials demonstrated this only for lower body surgical procedures with epidural and spinal anesthetics. Important effects on outcome were not shown when postoperative opioids...... were administered with patient controlled (PCA) or epidural techniques. However, the most optimal pain relief seems to be best achieved with balanced analgesia techniques using combinations of epidural opioids and local anesthetics and systemic non-steroidal antiinflammatory drugs. Future efforts...... should aim at including physical rehabilitation programs in the pain treatment regimen....

The Application of Electroanalgesia Current for the Relief of Orofacial Pain.

Science.gov (United States)

1981-09-01

A-A124 939 THE APPLICATION OF ELECTRORNALGESIA CURRENT FOR THE i/1 RELIEF OF OROFACIAL PAIN (U) OREGON UNIV HEALTH SCIENCES CENTER PORTLAND BIOPHYSICS...COVERED THE APPLICATION OF ELECTROANALGESIA CURRENT FOR Fnl-Fbur 90 and evelpmen Conand September 198 THE RELIEF OF OROFACIAL PAIN Spebr18 27. PERFORMING...of a suitable animal preparation. An excellent site to initiate orofacial pain is found in the tissue vhich also has o - timal relevance, the tooth

Photobiomodulation: Implications for Anesthesia and Pain Relief.

Science.gov (United States)

Chow, Roberta T; Armati, Patricia J

2016-12-01

This review examines the evidence of neural inhibition as a mechanism underlying pain relief and anesthetic effect of photobiomodulation (PBM). PBM for pain relief has also been used for more than 30 years; however, the mechanism of its effectiveness has not been well understood. We review electrophysiological studies in humans and animal models and cell culture studies to examine neural responses to PBM. Evidence shows that PBM can inhibit nerve function in vivo, in situ, ex vivo, and in culture. Animal studies using noxious stimuli indicate nociceptor-specific inhibition with other studies providing direct evidence of local conduction block, leading to inhibited translation of pain centrally. Evidence of PBM-disrupted neuronal physiology affecting axonal flow, cytoskeleton organization, and decreased ATP is also presented. PBM changes are reversible with no side effects or nerve damage. This review provides strong evidence in neuroscience identifying inhibition of neural function as a mechanism for the clinical application of PBM in pain and anesthesia.

Safety and relief valves in light water reactors

International Nuclear Information System (INIS)

Singh, A.

1985-12-01

Information is presented to: provide an introduction to and descriptions of various types of safety and relief valves in both PWR and BWR plants; describe anticipated operating conditions for these valves; describe the test facilities, procedures, and major results for both types of valves; present an extensive discussion of modeling and analysis of safety and relief valve performance, including the prediction of flow capacity and stability during operation; deal with the analyses related to the prediction of thermal-hydraulic loads on discharge piping and comparison against test data; discuss results of small-scale valve tests and flow visualization studies through transparent valve models; and describe an EPRI study for optimizing a typical PWR over-pressure protection system to enhance the availability and reliability of plant operation and thus reduce operation costs

The pre-positioning of warehouses at regional and local levels for a humanitarian relief organisation

OpenAIRE

Roh, Saeyeon; Pettit, Stephen John; Harris, Irina; Beresford, Anthony Kenneth Charles

2015-01-01

Using pre-positioned warehouses at strategic locations around the world is an approach commonly taken by some humanitarian relief organisations to improve their capacities to deliver sufficient relief aid within a relatively short time frame, and to provide shelter and assistance to disaster victims. Although research into the facility location problem is extensive in both theory and application, such approaches have received little attention from the humanitarian relief perspective. In this ...

Rotorcraft Use in Disaster Relief and Mass Casualty Incidents - Case Studies

Science.gov (United States)

1990-06-01

Disaster Relief and Mass 6. Performing Organization Code C asuallty Incidents- C ase Studies 8._P rfo minOr ani ati nR porNo 7. Author (s) 8...disaster planning process; and 3) produce a color video tape promoting the need for and the use of rotorcraft and heliports in disaster relief. 17...disaster prepaLedness ageicies for use in the integration of local helicopter assets into the disaster planning process; and 3) produce a color video tape

Opponent appetitive-aversive neural processes underlie predictive learning of pain relief.

Science.gov (United States)

Seymour, Ben; O'Doherty, John P; Koltzenburg, Martin; Wiech, Katja; Frackowiak, Richard; Friston, Karl; Dolan, Raymond

2005-09-01

Termination of a painful or unpleasant event can be rewarding. However, whether the brain treats relief in a similar way as it treats natural reward is unclear, and the neural processes that underlie its representation as a motivational goal remain poorly understood. We used fMRI (functional magnetic resonance imaging) to investigate how humans learn to generate expectations of pain relief. Using a pavlovian conditioning procedure, we show that subjects experiencing prolonged experimentally induced pain can be conditioned to predict pain relief. This proceeds in a manner consistent with contemporary reward-learning theory (average reward/loss reinforcement learning), reflected by neural activity in the amygdala and midbrain. Furthermore, these reward-like learning signals are mirrored by opposite aversion-like signals in lateral orbitofrontal cortex and anterior cingulate cortex. This dual coding has parallels to 'opponent process' theories in psychology and promotes a formal account of prediction and expectation during pain.

A Review of Long-Term Pain Relief after Genicular Nerve Radiofrequency Ablation in Chronic Knee Osteoarthritis.

Science.gov (United States)

Iannaccone, Ferdinand; Dixon, Samuel; Kaufman, Andrew

2017-03-01

Studies of radiofrequency ablation (RFA) of genicular nerves have reportedly significantly decreased pain up to 3 months post ablation, but no longer term effects have been reported. We performed an analysis of long-term pain relief of 31 RFA procedures of the genicular nerves to analyze the degree of pain relief past 3 months, culminating at 6 months. Chart review and study design was approved by Newark Health Sciences Institutional Review Board (IRB). Chart review and follow-up was performed on all patients who underwent genicular nerve RFA during the period of February 2014 through August of 2015. During this inclusion period 41 genicular nerve RFAs were performed on 31 patients, 5 patients received RFA procedure in both knees. Patient follow-up was performed via telephone interview or in-office visit at least 3 months and 6 months post RFA. Procedures were performed in Medical Special Procedures at University Hospital in Newark, NJ, and the Pain Management Center at Overlook Medical Arts Center in Summit, NJ. Chart review and study design was approved by Newark Health Sciences IRB. Chart review was performed from February 2014 and continued through August 2015. Patient follow-up was conducted at 3 and at least 6 months post treatment to gauge degree of pain relief (0 - none, 100% - complete), their current day's pain score, other treatment modalities tried before RFA, and the medications used. Patients were asked to quantify their satisfaction with procedure length, pre-procedure anxiety, complications, and if they would recommend this procedure to others. Primary and secondary goals were the duration of pain relief after RFA, the quality of pain relief, and the efficacy of our approach for RFA of genicular nerves versus prior published techniques. At 3 month follow-up, the average pain relief was 67% improvement from baseline knee pain, 0% being no relief and 100% being complete relief, and average 0 - 10 pain score was 2.9. At 6 month follow-up, of those who

Impact of radiotherapy on pain relief and recalcification in plasma cell neoplasms. Long-term experience

International Nuclear Information System (INIS)

Balducci, Mario; Chiesa, Silvia; Manfrida, Stefania

2011-01-01

Purpose: To evaluate the impact of radiotherapy on pain relief and on recalcification in patients with osteolytic lesions due to plasma cell neoplasm. Patients and Methods: Pain relief was evaluated according to a 0-10 verbal numerical rating scale (NRS) and recalcification was measured using radiological imaging. Results: From 1996-2007, 52 patients were treated. Median total dose was 38 Gy (range, 16-50 Gy). Pain before radiotherapy was reported by 45 of 52 (86.5%) patients as being severe (8 ≤ NRS ≤ 10) in 5 (11%), moderate (5 ≤ NRS ≤ 7) in 27 (60%), and mild in 13 (29%). Pain relief was achieved in 41 of 45 patients (91%): complete relief was obtained in 21 (51.2%) and partial relief in 20 patients (48.8%); patients with severe pain experienced resolution and none presented an increase of pain. Drugs reduction/suspension was achieved in 7 of the 21 patients with complete response. Of 42 patients evaluable for recalcification, 21 (50%) presented a radiological response, which was identified as complete in 16 (38%). Conclusion: Our data confirm the effectiveness of radiotherapy for pain relief, including a reduction in drug intake, and on recalcification, thus, supporting its use in a multidisciplinary approach. (orig.)

Bas-relief map using texture analysis with application to live enhancement of ultrasound images.

Science.gov (United States)

Du, Huarui; Ma, Rui; Wang, Xiaoying; Zhang, Jue; Fang, Jing

2015-05-01

For ultrasound imaging, speckle is one of the most important factors in the degradation of contrast resolution because it masks meaningful texture and has the potential to interfere with diagnosis. It is expected that researchers would explore appropriate ways to reduce the speckle noise, to find the edges of structures and enhance weak borders between different organs in ultrasound imaging. Inspired by the principle of differential interference contrast microscopy, a "bas-relief map" is proposed that depicts the texture structure of ultrasound images. Based on a bas-relief map, an adaptive bas-relief filter was developed for ultrafast despeckling. Subsequently, an edge map was introduced to enhance the edges of images in real time. The holistic bas-relief map approach has been used experimentally with synthetic phantoms and digital ultrasound B-scan images of liver, kidney and gallbladder. Based on the visual inspection and the performance metrics of the despeckled images, it was found that the bas-relief map approach is capable of effectively reducing the speckle while significantly enhancing contrast and tissue boundaries for ultrasonic images, and its speckle reduction ability is comparable to that of Kuan, Lee and Frost filters. Meanwhile, the proposed technique could preserve more intra-region details compared with the popular speckle reducing anisotropic diffusion technique and more effectively enhance edges. In addition, the adaptive bas-relief filter was much less time consuming than the Kuan, Lee and Frost filter and speckle reducing anisotropic diffusion techniques. The bas-relief map strategy is effective for speckle reduction and live enhancement of ultrasound images, and can provide a valuable tool for clinical diagnosis. Copyright © 2015 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

Trajectory of phantom limb pain relief using mirror therapy: Retrospective analysis of two studies.

Science.gov (United States)

Griffin, Sarah C; Curran, Sean; Chan, Annie W Y; Finn, Sacha B; Baker, Chris I; Pasquina, Paul F; Tsao, Jack W

2017-04-01

Research indicates that mirror therapy reduces phantom limb pain (PLP). Objectives were to determine when mirror therapy works in those who respond to treatment, the relevance of baseline PLP to when pain relief occurs, and what pain symptoms respond to mirror therapy. Data from two independent cohorts with unilateral lower limb amputation were analyzed for this study (n=33). Mirror therapy consisted of 15-min sessions in which amputees performed synchronous movements of the phantom and intact legs/feet. PLP was measured using a visual analogue scale and the Short-Form McGill Pain Questionnaire. The severity of PLP at the beginning of treatment predicted when pain relief occurred. Those with low baseline PLP experienced a reduction (ppain relief by session 14 of treatment, and those with high baseline PLP experienced pain relief by session 21 of treatment. Mirror therapy reduced throbbing, shooting, stabbing, sharp, cramping, aching, tender, splitting, tiring/exhausting, and punishing-cruel pain symptoms. The degree of PLP at baseline predicts when mirror therapy relieves pain. This article indicates that the degree of baseline PLP affects when mirror therapy relieves pain: relief occurs by session 7 in patients with low PLP but by session 21 in patients with high PLP. Clinicians should anticipate slower pain relief in patients who begin treatment with high levels of pain. ClinicalTrials.gov numbers:NCT00623818 and NCT00662415. Copyright © 2017 Scandinavian Association for the Study of Pain. All rights reserved.

Combined approaches for the relief of spinal cord injury-induced neuropathic pain.

Science.gov (United States)

Gwak, Young S; Kim, Hee Young; Lee, Bong Hyo; Yang, Chae Ha

2016-04-01

The adequate treatment of spinal cord injury (SCI)-induced neuropathic pain still remains an unresolved problem. The current medications predominantly used in the SCI-induced neuropathic pain therapy are morphine, anticonvulsants, antidepressants, and antiepileptics, which suggests that psychiatric aspects might be important factors in the treatment of neuropathic pain. It is well documented that the modulation of the sensory events is not a unique way for achieving pain relief. In addition, pain patients still express dissatisfaction and complain of unwanted effects of the medications, suggesting that alternative approaches for the treatment of neuropathic pain are essential. In psychiatry, pain relief represents relaxation and a feeling of comfort and satisfaction, which suggests that cognitive and emotional motivations are important factors in the treatment of neuropathic pain. The comorbidity of chronic pain and psychiatric disorders, which is well recognized, suggests that the effective therapeutic relief for neuropathic pain induced by SCI can be achieved in conjunction with the management of the sensory and psychiatric aspects of patient. In this review, we address the feasibility of a combined acupuncture and pharmacotherapy treatment for the relief of neuropathic pain behavior following SCI. Copyright © 2016 Elsevier Ltd. All rights reserved.

Antiemetic Medicines: OTC Relief for Nausea and Vomiting

Science.gov (United States)

... CorrectlyPain Relievers: Understanding Your OTC OptionsAntacids and Acid Reducers: OTC Relief for Heartburn and Acid RefluxOTC Cough ... Loss and Diet Plans Nutrients and Nutritional Info Sugar and Sugar Substitutes Exercise and Fitness Exercise Basics ...

A novel robust chance constrained possibilistic programming model for disaster relief logistics under uncertainty

Directory of Open Access Journals (Sweden)

Maryam Rahafrooz

2016-09-01

Full Text Available In this paper, a novel multi-objective robust possibilistic programming model is proposed, which simultaneously considers maximizing the distributive justice in relief distribution, minimizing the risk of relief distribution, and minimizing the total logistics costs. To effectively cope with the uncertainties of the after-disaster environment, the uncertain parameters of the proposed model are considered in the form of fuzzy trapezoidal numbers. The proposed model not only considers relief commodities priority and demand points priority in relief distribution, but also considers the difference between the pre-disaster and post-disaster supply abilities of the suppliers. In order to solve the proposed model, the LP-metric and the improved augmented ε-constraint methods are used. Second, a set of test problems are designed to evaluate the effectiveness of the proposed robust model against its equivalent deterministic form, which reveales the capabilities of the robust model. Finally, to illustrate the performance of the proposed robust model, a seismic region of northwestern Iran (East Azerbaijan is selected as a case study to model its relief logistics in the face of future earthquakes. This investigation indicates the usefulness of the proposed model in the field of crisis.

Legal Issues of A Surrogacy Contract Based on Iranian Acts

Directory of Open Access Journals (Sweden)

Amir Pirouz

2011-06-01

Full Text Available Assistive technologies have always opened new horizons in human's life, posed solutions to problemsand brought relief and prosperity for human beings. Iranian judicial authorities have recently recognizedthe importance of medical technologies. Accordingly, Iranian legal system has recognized surrogacy anda surrogacy contract seems unavoidable for surrogacy to be legally valid, socially acceptable andreligiously legitimate. As a legal defense of including a typical surrogacy contract in contract law, thisreview studies the four building blocks of a valid contract: the intention and consent of parties, theirlegal capacity, the subject of the contract and its legitimacy. Discussing related Iranian Acts concerningcontracts and responsibilities of parties, the authors of the present article deal with main commitmentsand responsibilities of the parties to a typical surrogacy contract: infertile couples, surrogate, fertilityclinic or medical institute, and surrogate's husband. The authors conclude that a surrogacy contract isaccepted based on article 10 of Iranian Civil Act 1928, pose some suggestions to be included in such acontract, and emphasize that a specific Act concerning surrogacy should be approved to cover rights andlegal needs of all parties to a surrogacy contract.

Shaded Relief of Rio Sao Francisco, Brazil

Science.gov (United States)

2000-01-01

This topographic image acquired by SRTM shows an area south of the Sao Francisco River in Brazil. The scrub forest terrain shows relief of about 400 meters (1300 feet). Areas such as these are difficult to map by traditional methods because of frequent cloud cover and local inaccessibility. This region has little topographic relief, but even subtle changes in topography have far-reaching effects on regional ecosystems. The image covers an area of 57 km x 79 km and represents one quarter of the 225 km SRTM swath. Colors range from dark blue at water level to white and brown at hill tops. The terrain features that are clearly visible in this image include tributaries of the Sao Francisco, the dark-blue branch-like features visible from top right to bottom left, and on the left edge of the image, and hills rising up from the valley floor. The San Francisco River is a major source of water for irrigation and hydroelectric power. Mapping such regions will allow scientists to better understand the relationships between flooding cycles, forestation and human influences on ecosystems.This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.The Shuttle Radar Topography Mission (SRTM), launched on February 11, 2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200

Ear Acupuncture versus  local anaestethic for pain relief during perineal repair - a randomised controlled trial

DEFF Research Database (Denmark)

Kindberg, Sara

2007-01-01

ACUPUNCTURE OR LOCAL ANAESTETICS FOR PAIN RELIEF DURING PERINEAL REPAIR AFTER VAGINAL DELIVERY: A RANDOMISED CONTROLLED TRIAL.   By:  Sara Kindberg. Midwife and PhD student, Sønderborg Hospital, Denmark. Objective: To evaluate acupuncture as a new method of pain relief for postpartum perineal...... as photos of the acupuncture points. Perspectives:  Basic midwifery services such as providing sufficient pain relief during perineal repair still need improvement. Clinical practice should be improved continuously and thus produce reliable evidence on different pain relief methods. Website:        http...

Fertility and Symptom Relief following Robot-Assisted Laparoscopic Myomectomy

Directory of Open Access Journals (Sweden)

Michael C. Pitter

2015-01-01

Full Text Available Objective. To examine success of robot-assisted laparoscopic myomectomy (RALM measured by sustained symptom relief and fertility. Methods. This is a retrospective survey of 426 women who underwent RALM for fibroids, symptom relief, or infertility at three practice sites across the US. We examined rates of symptom recurrence and pregnancy and factors associated with these outcomes. Results. Overall, 70% of women reported being symptom-free, with 62.9% free of symptoms after three years. At >3 years, 66.7% of women who underwent surgery to treat infertility and 80% who were also symptom-free reported achieving pregnancy. Factors independently associated with symptom recurrence included greater time after surgery, preoperative dyspareunia, multiple fibroid surgeries, smoking after surgery, and preexisting diabetes. Factors positively correlated with achieving pregnancy included desiring pregnancy, prior pregnancy, greater time since surgery, and Caucasian race. Factors negatively correlated with pregnancy were advanced age and symptom recurrence. Conclusions. This paper, the first to examine symptom recurrence after RALM, demonstrates both short- and long-term effectiveness in providing symptom relief. Furthermore, RALM may have the potential to improve the chance of conception, even in a population at high risk of subfertility, with greater benefits among those who remain symptom-free. These findings require prospective validation.

Pain relief in labor: a survey of awareness, attitude, and practice of health care providers in Zaria, Nigeria

Directory of Open Access Journals (Sweden)

Ogboli-Nwasor E

2011-08-01

Full Text Available E Ogboli-Nwasor1, SE Adaji2, SB Bature2, OS Shittu21Department of Anesthesia, 2Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital, Zaria, NigeriaBackground: The purpose of this study was to assess the attitudes of maternal health care providers to pain relief during labor in Zaria, Nigeria.Methods: This was a multicenter, collaborative, cross-sectional pilot study of provider perspectives concerning pain relief during labor. A structured, self-administered, questionnaire was completed by 95 consenting maternal health care providers at three high-volume facilities in Zaria, an ancient northern Nigerian city. Descriptive statistics was performed on the data.Results: Most respondents (94.8% agreed that pain relief is needed during labor. Only 2.1% of respondents were undecided about the provision of pain relief during labor and 3.2% were of the opinion that pain relief was not necessary during labor. Most respondents (93.7% had attended a woman in labor in the 4 weeks preceding the survey. Of these, 56.8% had counseled a parturient in labor. Most of the counseling (42.1% took place during labor. Less than half of the respondents (48.4% had administered pain relief in labor in the preceding 4 weeks and systemic opioids was the most commonly form of pain relief. Among the respondents who did not offer pain relief agents in labor, the majority (54.5% had no reason for not offering it. Unavailability of methods, inability to afford the cost of pain relief, lack of knowledge and skills, as well as lack of essential equipment to provide the procedure were also given by respondents as reasons for not offering pain relief.Conclusion: Even though maternal health care providers in this environment have a positive attitude to pain relief in labor, most women go through labor without the benefit of analgesia. There exists a gap between provider attitudes to pain relief in labor and practice of the same, with many providers

77 FR 71448 - States' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas...

Science.gov (United States)

2012-11-30

...' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas Marginal Properties... types of accounting and auditing relief for Federal onshore or Outer Continental Shelf lease production... auditing requirements. States make an annual determination of whether or not to allow relief. Two options...

75 FR 1654 - States' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas...

Science.gov (United States)

2010-01-12

...' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas Marginal Properties... participate in accounting and auditing relief for Federal oil and gas marginal properties located within the... the Code of Federal Regulations (CFR), to provide two types of accounting and auditing relief for...

Acupucture as pain relief during delivery - a randomized controlled trial

DEFF Research Database (Denmark)

Borup, Lissa; Wurlitzer, Winnie; Hedegaard, Morten

2009-01-01

Background: Many women need some kind of analgesic treatment to relieve pain during childbirth. The objective of our study was to compare the effect of acupuncture with transcutaneous electric nerve stimulation (TENS) and traditional analgesics for pain relief and relaxation during delivery...... with respect to pain intensity, birth experience, and obstetric outcome. Methods: A randomized controlled trial was conducted with 607 healthy women in labor at term who received acupuncture, TENS, or traditional analgesics. Primary outcomes were the need for pharmacological and invasive methods, level of pain...... to existing pain relief methods. (BIRTH 36:1 March 2009)...

Data Reconciliation and Gross Error Detection for Troubleshooting of Ammonia Reactor

Directory of Open Access Journals (Sweden)

Adhi Tri Partono

2018-01-01

Full Text Available Data reconciliation (DR and gross error detection are two common tools used in industry to provide accurate and reliable data, which is useful to analyse plant performance and basis for troubleshooting. DR techniques improve the accuracy of measurements by using redundancies in material and energy balances. This provides reliable information that could help decision making regarding plant operation, which potentially leads to financial benefit. This paper presents the utilization of plant data to perform troubleshooting of ammonia reactor, in particular the profile of catalyst activity. Bad plant data are collected and then analysed using DR to produces reconciled data, which could be used to detect and identify the gross error measurements. The input data for DR and gross error detection were gathered from Aspen HYSYS V8.8 simulations by modelling the single-bed ammonia reactor. The result presents that bad plant data could define actual system condition such as gross error measurements in normal condition or catalyst activity problem. Both conditions are modelled by DR to indicate actual system condition using statistical analysis and to perform troubleshooting. Appropriate troubleshooting could save time and provide financial benefits by avoiding wrong accusation of system problem, specifically in ammonia reactor evaluated in this paper.

STM study on surface relief, ultra-fine structure and transformation mechanism of bainite in steels

International Nuclear Information System (INIS)

Fang, H.S.; Yang, Z.G.; Wang, J.J.; Zheng, Y.K.

1995-01-01

The surface reliefs accompanying lower bainite transformation in steels have been studied by scanning tunneling microscopy (STM). With the exclusive vertical resolution of STM, we observed that the surface relief associated with bainite is a group of surface reliefs related to subplates, subunits and sub-subunits. From the bainite plate to the sub-subunit in it, the reliefs are in a tent shape, not of invariant plane strain (IPS) type. The fine structure of bainite in a steel has also been shown by STM and TEM that bainite plate is composed of subplates, subunits and sub-subunits. On the basis of the fine structure inside a bainitic ferrite plate observed under STM, sympathetic-ledgewise mechanism of bainite formation is proposed. (orig.)

76 FR 6819 - States' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas...

Science.gov (United States)

2011-02-08

...' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas Marginal Properties... or not participate in accounting and auditing relief for Federal oil and gas marginal properties... September 13, 2004 (69 FR 55076), provide two types of accounting and auditing relief for Federal onshore or...

19 CFR 210.68 - Complainant's temporary relief bond.

Science.gov (United States)

2010-04-01

... Section 210.68 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.68 Complainant's temporary... by Individual Surety United States International Trade Commission Affidavit by Individual Surety 19...

[War Relief of Japanese Red Cross Nurses in the Lost Battle of Burma].

Science.gov (United States)

Kawahara, Yukari

2015-12-01

This paper aims to reveal changes in the relief support of the Japanese Red Cross relief units dispatched to Burma during the Second World War, from the beginning of fighting in Burma to the Japanese withdrawal. Japanese Red Cross relief units began their relief support when Japan invaded Burma in February of 1942. Counterattacks by the British, Indian and Chinese armies from December 1942 caused an increase in the number of patients. There were also many cases of malnutrition and malaria due to the extreme shortage of medical supplies as a result of the Battle of Imphal, which began in March of 1944. Bomb raids became even more intense after the battle ended in July 1944, and patients were carried into bomb shelters and caves on a daily basis. Just prior to invasion by enemy troops, they were ordered to evacuate to neighboring Thailand. Nurses from the Wakayama group hid their identity as members of the Red Cross and evacuated, with 15 out of 23 dying or being reported missing in action.

Patient Preference Before and After Arthroscopic Rotator Cuff Repair: Which Is More Important, Pain Relief or Strength Return?

Science.gov (United States)

Virk, Mandeep S; Levy, David M; Kuhns, Benjamin D; Krecher, James S; Parsley, Billy K; Burkhart, Stephen S; Romeo, Anthony A; Verma, Nikhil N; Cole, Brian J

Our understanding of patients' desired outcomes and expectations of arthroscopic rotator cuff repair (ARCR) is limited, particularly regarding the importance of pain relief and strength return relative to each other. We conducted a study of patient's ratings of the importance of pain relief and strength return after ARCR. Before undergoing surgery, 60 patients completed a shoulder questionnaire on which they assessed severity of symptoms and rated, on a 10-point scale, the importance of postoperative improvements in pain relief and strength return. After surgery, they completed the same questionnaire, again rating the importance of pain relief and strength return. About 50% of the patients valued pain relief and strength return equally before and after ARCR. However, overall patient ratings were higher for strength return over pain relief, both before surgery, mean (SD), 9.2 (2.1) vs 8.6 (2.3) (P = .02), and afterward, at a follow-up of 5.2 (0.2) years, 8.9 (1.9) vs 8.2 (3.1) (P = .03). This significant preference for strength return held irrespective of sex, age, active sports involvement, preoperative self-assessed pain score, and subjective shoulder weakness. Before surgery, increasing age was associated with a stronger preference for pain relief (r = 0.33, P = .01), and retirees preferred pain relief over strength return. These results show the patterns of patient preference for pain relief and strength return after ARCR. Improved understanding of these patients' expectations will allow meaningful changes in patient satisfaction.

30 CFR 204.207 - Who will approve, deny, or modify my request for accounting and auditing relief?

Science.gov (United States)

2010-07-01

... for accounting and auditing relief? 204.207 Section 204.207 Mineral Resources MINERALS MANAGEMENT... Accounting and Auditing Relief § 204.207 Who will approve, deny, or modify my request for accounting and auditing relief? (a) If there is not a State concerned for your marginal property, only MMS will decide...

Use, perceived effectiveness, and gender differences of pain relief strategies among the community-dwelling elderly in Taiwan.

Science.gov (United States)

Yu, Hsing-Yi; Tang, Fu-In; Yeh, Ming-Chen; Kuo, Benjamin Ing-Tiau; Yu, Shu

2011-03-01

Pain is a common problem among the elderly. The entire scope of chronic pain relief strategies used by community elderly is still unclear. A limited number of studies have investigated this issue from diverse culture perspectives. In the present study, we investigated the use and perceived effectiveness of pain relief strategies adopted by the elderly; gender differences between frequently used relief strategies were also explored. Two hundred nineteen participants living in Taiwan City, Taiwan, were recruited by a random sampling method and interviewed face to face. The prevalence of chronic pain among the elderly was 42.0% (n = 92). The elderly tended to adopt multiple strategies (mean ± SD = 9.08 ± 3.56; range = 2-18) to relieve their chronic pain. In three domains of pain relief strategies, conventional medicine was used more frequently than complementary and alternative medicine and psychologic approaches. Most pain relief strategies were ineffective. Among the 22 strategies used, no strategy was reported as "much improved" by a majority of users. The top five pain relief strategies used by men and women were the same. Elderly women tended to adopt more psychologic approaches, such as acceptance and ignoring to relieve pain, than men. The findings suggest that nurses should pay more attention to the issue of chronic pain relief and provide the elderly with more effective pain relief strategies. Copyright © 2011 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Reconciliation Modes. Two Remakes of 60s Films in Contemporary Argentine Cinema

Directory of Open Access Journals (Sweden)

Jorge SALA

2017-06-01

Full Text Available The article analyzes two contemporary movie remakes of the 60s cinemas in Argentina: Aniceto (Leonardo Favio, 2008 and La patota (Santiago Mitre, 2015. The objective is to explore the transformations and continuities between the source texts and the later subsidiary texts. It tries to recognize the immanent issues, the procedural and pragmatic aspects involved in these rewriting operations. The central hypothesis to be demonstrated proposes that both films generate, through different paths, a reconciliation with the past constructing a perspective through the present. In Aniceto, the conciliation gesture occurs in the form of a synthesis of the two tendencies that characterized Favio’s cinema: a first one associated with the aesthetics of modernity versus the second one, in which the approach to the popular universe and other practices belonging to the mass culture predominates. For its part, the work of Santiago Mitre assembles a film of an Argentinean classic movie maker (Daniel Tinayre under the light of the current cinema. Besides, La patota ties the characteristics of a great commercial production with the structure and aesthetic of the «anomalous cinema».

27 CFR 24.158 - Extent of relief.

Science.gov (United States)

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Extent of relief. 24.158 Section 24.158 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT..., until all tax is fully paid. (d) Wine vinegar plant bond. The surety will be relieved of liability for...

A bioeconomic perspective on the Endangered Species Act

Science.gov (United States)

Salau, K. R.; Fenichel, E. P.

2012-12-01

Habitat destruction threatens species existence and has recently accelerated due to population growth, urban sprawl, agricultural development and other profitable land conversions on public and private lands. To exacerbate this issue, the public good nature of species existence creates strong incentives for landowners to engage in free-riding behavior and forego conservation on managed lands. To reverse these negative effects, the United States Congress passed the Endangered Species Act (ESA) in 1973 to create a set of rules for planning government intervention to protect dwindling fish, wildlife, and plant populations and create a platform for recovery and conservation. The ESA is quite explicit about how to make tradeoffs when listing a species as threatened or endangered - only evaluation of biological risks faced are considered. But the act is unclear about what information can or should be used when determining delisting criteria for endangered species. The ESA mandates federal participation in conservation and, in many cases, agencies must curtail socially beneficial activities (e.g. grazing, renewable energy development, mining, military training) in order to meet species recovery objectives. As funding for conservation on federal lands is limited, this creates an implicit tradeoff between recovering species - to gain post-delisting managerial flexibility - and preventing extinction - to minimize management costs. In this respect, reconciliation of biological recovery goals amidst budget constraints and alternate land-use benefits should be supplemented by economic analysis. Economic tradeoffs are inherent in species recovery under the ESA, but the act does not discuss how agencies should structure a recovery plan in light of such factors. This study outlines a bioeconomic approach to framing the recovery problem under the ESA and provides a framework for simultaneously establishing measurable delisting criteria and a least-cost path to recovery. This

The Germans revisiting Gakovo: Encounters, cooperation and reconciliation of the former and present local populations

Directory of Open Access Journals (Sweden)

Krel Aleksandar

2015-01-01

Full Text Available This paper presents a case study about a reunion of the evicted members of the German national minority in Vojvodina, who after almost five decades came to visit their homeland, and the local population in Gakovo. The case study attests about lengthy and very complicated process in resolving post-conflict situations. The process’ launch is dependent on the willingness of the individuals involved to face not only one’s own pain caused by the enemy, but also on ability to comprehend, during an encounter with “the dark side of one’s past”, sufferings and humiliation experienced by the adversary. Awareness and acceptance of one’s own responsibility in the conflict are a prerequisite for forgiveness and reconciliation of the opposing parties. The outcome of this process is uncertain to the very end and conditioned upon the entire network of interlocking political, economic and cultural factors.

IPI tax relief policy and its impact on automotive and related sectors

Directory of Open Access Journals (Sweden)

Luiz Antônio Abrantes

2017-09-01

Full Text Available The policy of IPI tax relief in the automotive industry came from the need of answers to the Global Financial Crisis of 2008, which affected Brazil. This way, Brazilian Government set the reduction of the percentages of rates applied to automotive products and related sectors, according to several factors such as engine power, fuel type and production site, in order to restore the sector demand and stimulate the economy. In this context, this work aims to evaluate the implications of IPI tax relief policy, since 2009, on the turnover of joint-stock companies of the automotive and related sectors. The methodology was a multiple regression analysis model with Dynamic Panel data, in order to explain the variations of companies' turnover in the sector, regarding IPI tax relief. The data used were of 84 companies of this sector, for the period from 1998 to 2015, based on the software Economática. The results showed a decrease of IPI tax collection in the periods of relief, both in general and specific scope. In addition, we verified that the adoption of the policy had a negative influence on the turnover of the evaluated companies. Thus, we concluded that the tax policy under analysis did not contribute to an increase of automotive sector companies' turnover.

Neural mechanisms underlying the induction and relief of perceptual curiosity

Directory of Open Access Journals (Sweden)

Marieke eJepma

2012-02-01

Full Text Available Curiosity is one of the most basic biological drives in both animals and humans, and has been identified as a key motive for learning and discovery. Despite the importance of curiosity and related behaviors, the topic has been largely neglected in human neuroscience; hence little is known about the neurobiological mechanisms underlying curiosity. We used functional magnetic resonance imaging (fMRI to investigate what happens in our brain during the induction and subsequent relief of perceptual curiosity. Our core findings were that (i the induction of perceptual curiosity, through the presentation of ambiguous visual input, activated the anterior insula and anterior cingulate cortex, brain regions sensitive to conflict and arousal; (ii the relief of perceptual curiosity, through visual disambiguation, activated regions of the striatum that have been related to reward processing; and (iii the relief of perceptual curiosity was associated with hippocampal activation and enhanced incidental memory. These findings provide the first demonstration of the neural basis of human perceptual curiosity. Our results provide neurobiological support for a classic psychological theory of curiosity, which holds that curiosity is an aversive condition of increased arousal whose termination is rewarding and facilitates memory.

Data-reconciliation - quality assurance of signals; Dynamisk dataaaterfoerening - kvalitetssaekring av signaler

Energy Technology Data Exchange (ETDEWEB)

Dahlquist, Erik; Widarsson, Bjoern; Lilja, Reijo; Avelin, Anders

2008-03-15

It can often be questioned how well you can rely on process measurements, as most processes in bio-fuelled power plants are changing conditions continuously, and then also the measured values will follow the process. Heat exchangers are fouled; sensors are drifting; the fuel quality is varying without your knowledge e.g. with respect to moisture and ash content etc. The goal with this project is to improve the quality assurance with respect to sensors as well as the process performance as such. This is done by using the physical knowledge we have on the process and which is transferred into a simulation model. This is used to correlate different sensor measurements to each other. This is called data-reconciliation and has earlier been tested (Varmeforsk 2003) for steady state conditions by using material balances. In this project we want to take the methodology a bit further by considering process dynamics as well and by following the deviation between model predictions for different sensors to the actual measurements. By doing this, faults can be detected earlier than otherwise and more information can be acquired from the process. Information achieved by the proposed method can primarily be utilized by process operators and process engineers at power plants and in e.g. pulp and paper industry. Minute sampled data from the process have been used from the process data base during a two week period. During this period the process has been operated relatively stable during some periods and with a significant change in the conditions during a 12 hour period when the capacity was reduced to approximately 60% of the normal maximum capacity. First a Modellica model was built and verified towards process data. In parallel a more advanced simulation model made in APROS with an interface made by Process Vision has been used. The deviation between the measured and simulated variables has been calculated for a number of variables. We can see a significant deviation between

Relief of depression and pain improves daily functioning and quality of life in patients with major depressive disorder.

Science.gov (United States)

Lin, Ching-Hua; Yen, Yung-Chieh; Chen, Ming-Chao; Chen, Cheng-Chung

2013-12-02

The objective of this study was to investigate the effects of depression relief and pain relief on the improvement in daily functioning and quality of life (QOL) for depressed patients receiving a 6-week treatment of fluoxetine. A total of 131 acutely ill inpatients with major depressive disorder (MDD) were enrolled to receive 20mg of fluoxetine daily for 6 weeks. Depression severity, pain severity, daily functioning, and health-related QOL were assessed at baseline and again at week 6. Depression severity, pain severity, and daily functioning were assessed using the 17-item Hamilton Depression Rating Scale, the Short-Form 36 (SF-36) Body Pain Index, and the Work and Social Adjustment Scale. Health-related QOL was assessed by three primary domains of the SF-36, including social functioning, vitality, and general health perceptions. Pearson's correlation and structural equation modeling were used to examine relationships among the study variables. Five models were proposed. In model 1, depression relief alone improved daily functioning and QOL. In model 2, pain relief alone improved daily functioning and QOL. In model 3, depression relief, mediated by pain relief, improved daily functioning and QOL. In model 4, pain relief, mediated by depression relief, improved daily functioning and QOL. In model 5, both depression relief and pain relief improved daily functioning and QOL. One hundred and six patients completed all the measures at baseline and at week 6. Model 5 was the most fitted structural equation model (χ(2) = 8.62, df = 8, p = 0.376, GFI = 0.975, AGFI = 0.935, TLI = 0.992, CFI = 0.996, RMSEA = 0.027). Interventions which relieve depression and pain improve daily functioning and QOL among patients with MDD. The proposed model can provide quantitative estimates of improvement in treating patients with MDD. © 2013 Elsevier Inc. All rights reserved.

The opium poppy as a symbol of sleep in Bertel Thorvaldsen's relief of 1815.

Science.gov (United States)

Tekiner, Halil; Kosar, Muberra

2016-03-01

Danish sculptor Bertel Thorvaldsen (1770-1844) is one of the most remarkable representatives of Neoclassicist sculptural art in Europe, which was largely inspired by the classical art and culture of Greek and Roman antiquity. A pair of marble reliefs, Night and Day, exhibited in the Thorvaldsen Museum (Copenhagen), marks the culmination of Thorvaldsen's relief art and is of particular interest to the history of sleep medicine. In the first relief, Night, an angel with her neck bent and eyes closed has two babies in her embrace and seems to be floating down in grief, with an owl hovering behind her. Her hair is also twined with opium poppies, the symbol of sleep and death in antiquity. Our findings suggest that this relief not only indicates a mythological association between the opium poppy and sleep but also has a strong connotation with the poppy's medicinal use for inducing sleep throughout the centuries. Copyright © 2015 Elsevier B.V. All rights reserved.

Coordinating Robot Teams for Disaster Relief

Science.gov (United States)

2015-05-01

eventually guide vehicles in cooperation with its Operator(s), but in this paper we assume static mission goals, a fixed number of vehicles, and a...is tedious and error prone. Kress-Gazit et al. (2009) instead synthesize an FSA from an LTL specification using a game theory approach (Bloem et al...helping an Operator coordinate a team of vehicles in Disaster Relief. Acknowledgements Thanks to OSD ASD (R&E) for sponsoring this research. The

Vibration stress relief treatment in welded samples of ST-3 steel

International Nuclear Information System (INIS)

Suarez, J.C.; Fernandez, L.M.; Echevarria, J.F.; Estevez, A.; Perez, A.; Aragon, B.

1996-01-01

The presented work is aimed to find the optimal vibration frequency and treatment duration for ST-3 steel welded test pieces. In the experiment transversal stresses were not virtually relieved by the application of vibrations at the three natural frecuencies. With regard to the optimal frequency for our system, the firths natural frequency appears to be most effective one, wherewith a maximum 35-70 % longitudinal stress relief was obtained. The influence of the propagation direction (transversal or longitudinal) of vibrations on stress relief in a welded joint was confirmed

Centralized cooperative spectrum sensing for ad-hoc disaster relief network clusters

DEFF Research Database (Denmark)

Pratas, Nuno; Marchetti, Nicola; Prasad, Neeli R.

2010-01-01

Disaster relief networks have to be highly adaptable and resilient. Cognitive radio enhanced ad-hoc architecture have been put forward as a candidate to enable such networks. Spectrum sensing is the cornerstone of the cognitive radio paradigm, and it has been the target of intensive research....... The main common conclusion was that the achievable spectrum sensing accuracy can be greatly enhanced through the use of cooperative sensing schemes. When considering applying Cognitive Radio to ad-hoc disaster relief networks, spectrum sensing cooperative schemes are paramount. A centralized cluster...

A Surface Relief Meter Based on Trinocular Vision

NARCIS (Netherlands)

Ernst, V.G.S.; Sablik, P.W.; Balendonck, J.; Houkes, Z.; Regtien, Paulus P.L.

1995-01-01

The concept for the relief meter being developed, appears to function well, when used with the artificial images. The described matching criterion leads to high matching percentages, and accurate results. The percentage of mismatches is reduced to practically zero for the tested scenes. Future work

Non-destructive Assessment of Relief Marking Parameters of Heat Shrinkable Installation Parts for Aviation Technology

Directory of Open Access Journals (Sweden)

Kondratov Aleksandr P.

2017-01-01

Full Text Available The article explains a new method of relief marking of heat-shrinkable tubing and sleeves made of polymer materials with “shape memory effect.” Method of instrument evaluation of relief marking stereometry of installation parts for aviation equipment, made of polyvinyl chloride, polyethyleneterephthalate and polystyrene was developed and the results were explained. Parameters of pin-point relief marking and compliance of point forms to the Braille font standard were determined with the use of the non-destructive method based on the color of interference pattern with precision of 0.02 mm.

Epidural morphine for postoperative pain relief in children

DEFF Research Database (Denmark)

Henneberg, S W; Hole, P; Haas, Inge Madsen De

1993-01-01

the investigation. We observed a change in the sleeping pattern with an increased number of sleep-induced myoclonia during the administration of epidural morphine. In conclusion, the use of epidural morphine in children for postoperative pain relief is very efficient. The minimal effective dose has not been...

Quantifying relief on alluvial fans using airborne lidar to reveal patterns of sediment accumulation

Science.gov (United States)

Morelan, A. E., III; Oskin, M. E.

2017-12-01

We present a method of quantifying detailed surface relief on alluvial fans from high-resolution topography. Average slope and curvature of the fan are used together to empirically derive an idealized, radially symmetric fan surface, from which we compute residual topography. Maps produced using this technique highlight spatial patterns of fan deposition and avulsion. Regions of high residual topography reveal active and abandoned sediment lobes accumulated from recent depositional events, often with well-defined channels at their apex. Preliminary observations suggest that surface relief is uniform across a collection of fans in a given region and source lithology. Alluvial fans with granitic catchment lithologies in eastern California (n=12), each with varying source catchment size and mean fan slope, all show relief of around 4 meters. A collection of fans from the Carrizo Plain in central California (n=12), with source catchments set within Miocene marine and nonmarine sedimentary rocks, show significantly lower relief values around 2 meters. We hypothesize that particle grain size determines this contrasting relief through its control on the thickness of fan-building debris flows. In both settings we find that sediment lobes tend to extend toward the fan toe. This pattern supports a process, observed in analog experiments, of fan deposition dominated by back-filling and overtopping of distributary channels by debris-flows.

Prescription opioid use among addictions treatment patients: nonmedical use for pain relief vs. other forms of nonmedical use.

Science.gov (United States)

Bohnert, Amy S B; Eisenberg, Anna; Whiteside, Lauren; Price, Amanda; McCabe, Sean Esteban; Ilgen, Mark A

2013-03-01

Differences between those who engage in nonmedical prescription opioid use for reasons other than pain relief and those who engage in nonmedical use for reasons related to pain only are not well understood. Adults in a residential treatment program participated in a cross-sectional self-report survey. Participants reported whether they used opioids for reasons other than pain relief (e.g., help sleep, improve mood, or relieve stress). Within those with past-month nonmedical opioid use (n=238), logistic regression tested differences between those who reported use for reasons other than pain relief and those who did not. Nonmedical use of opioids for reasons other than pain relief was more common (66%) than nonmedical use for pain relief only (34%), and those who used for reasons other than pain relief were more likely to report heavy use (43% vs. 11%). Nonmedical use for reasons other than pain relief was associated with having a prior overdose (odds ratio [OR]=2.54, 95% CI: 1.36-4.74) and use of heroin (OR=4.08, 95% CI: 1.89-8.79), barbiturates (OR=6.44, 95% CI: 1.47, 28.11), and other sedatives (OR=5.80, 95% CI: 2.61, 12.87). Individuals who reported nonmedical use for reasons other than pain relief had greater depressive symptoms (13.1 vs. 10.5) and greater pain medication expectancies across all three domains (pleasure/social enhancement, pain reduction, negative experience reduction). Among patients in addictions treatment, individuals who report nonmedical use of prescription opioids for reasons other than pain relief represent an important clinical sub-group with greater substance use severity and poorer mental health functioning. Published by Elsevier Ltd.

U.S. Coastal Relief Model - Western Gulf of Mexico

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Central Gulf of Mexico

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

U.S. Coastal Relief Model - Southern California Version 2

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides a comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a seamless...

Reward and motivation in pain and pain relief

Science.gov (United States)

Navratilova, Edita; Porreca, Frank

2015-01-01

Pain is fundamentally unpleasant, a feature that protects the organism by promoting motivation and learning. Relief of aversive states, including pain, is rewarding. The aversiveness of pain, as well as the reward from relief of pain, is encoded by brain reward/motivational mesocorticolimbic circuitry. In this Review, we describe current knowledge of the impact of acute and chronic pain on reward/motivation circuits gained from preclinical models and from human neuroimaging. We highlight emerging clinical evidence suggesting that anatomical and functional changes in these circuits contribute to the transition from acute to chronic pain. We propose that assessing activity in these conserved circuits can offer new outcome measures for preclinical evaluation of analgesic efficacy to improve translation and speed drug discovery. We further suggest that targeting reward/motivation circuits may provide a path for normalizing the consequences of chronic pain to the brain, surpassing symptomatic management to promote recovery from chronic pain. PMID:25254980

Exploring Heat Stress Relief Measures among the Australian Labour Force.

Science.gov (United States)

Zander, Kerstin K; Mathew, Supriya; Garnett, Stephen T

2018-02-26

Australia experiences frequent heat waves and generally high average temperatures throughout the continent with substantial impacts on human health and the economy. People adapt to heat by adopting various relief measures in their daily lives including changing their behaviour. Many labour intensive outdoor industries implement standards for heat stress management for their workforce. However, little is known about how people cope with heat at their workplaces apart from studies targeting some specific industries where labourers are exposed to extreme heat. Here, we analysed responses from 1719 people in the Australian labour force to self-reported heat stress and associated coping mechanisms. Three quarters of respondents experienced heat stress at their workplace with fatigue and headache being the two most frequently stated symptoms. Almost all of those who were affected by heat would hydrate (88%), 67% would cool, and 44% would rest as a strategy for coping with heat. About 10% intended to change their jobs because of heat stress in the workplace. We found differences in heat relief measures across gender, education, health, level of physical intensity of job, and time spent working outside. People working in jobs that were not very demanding physically were more likely to choose cooling down as a relief measure, while those in labour intensive jobs and jobs that required considerable time outside were more likely to rest. This has potential consequences for their productivity and work schedules. Heat affects work in Australia in many types of industry with impact dependent on workforce acclimatisation, yet public awareness and work relief plans are often limited to outdoor and labour intensive industries. Industries and various levels of government in all sectors need to implement standards for heat management specific to climate zones to help people cope better with high temperatures as well as plan strategies in anticipation of projected temperature

Exploring Heat Stress Relief Measures among the Australian Labour Force

Directory of Open Access Journals (Sweden)

Kerstin K. Zander

2018-02-01

Full Text Available Australia experiences frequent heat waves and generally high average temperatures throughout the continent with substantial impacts on human health and the economy. People adapt to heat by adopting various relief measures in their daily lives including changing their behaviour. Many labour intensive outdoor industries implement standards for heat stress management for their workforce. However, little is known about how people cope with heat at their workplaces apart from studies targeting some specific industries where labourers are exposed to extreme heat. Here, we analysed responses from 1719 people in the Australian labour force to self-reported heat stress and associated coping mechanisms. Three quarters of respondents experienced heat stress at their workplace with fatigue and headache being the two most frequently stated symptoms. Almost all of those who were affected by heat would hydrate (88%, 67% would cool, and 44% would rest as a strategy for coping with heat. About 10% intended to change their jobs because of heat stress in the workplace. We found differences in heat relief measures across gender, education, health, level of physical intensity of job, and time spent working outside. People working in jobs that were not very demanding physically were more likely to choose cooling down as a relief measure, while those in labour intensive jobs and jobs that required considerable time outside were more likely to rest. This has potential consequences for their productivity and work schedules. Heat affects work in Australia in many types of industry with impact dependent on workforce acclimatisation, yet public awareness and work relief plans are often limited to outdoor and labour intensive industries. Industries and various levels of government in all sectors need to implement standards for heat management specific to climate zones to help people cope better with high temperatures as well as plan strategies in anticipation of projected

Discovery and characterization of ACT-335827, an orally available, brain penetrant orexin receptor type 1 selective antagonist.

Science.gov (United States)

Steiner, Michel A; Gatfield, John; Brisbare-Roch, Catherine; Dietrich, Hendrik; Treiber, Alexander; Jenck, Francois; Boss, Christoph

2013-06-01

Stress relief: Orexin neuropeptides regulate arousal and stress processing through orexin receptor type 1 (OXR-1) and 2 (OXR-2) signaling. A selective OXR-1 antagonist, represented by a phenylglycine-amide substituted tetrahydropapaverine derivative (ACT-335827), is described that is orally available, penetrates the brain, and decreases fear, compulsive behaviors and autonomic stress reactions in rats. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Verzoening, dogmatische betekenis en ethische relevantie

Directory of Open Access Journals (Sweden)

B. Wentsel

1999-08-01

Full Text Available Reconciliation, dogmatic meaning and ethical relevance In the first part of this article C.J. den Heyer’s underlying suppositions about reconciliation are outlined. According to Den Heyer reconciliation does not occupy a central place in the gospels. The author of this article opposes this view and consecutively discusses the apriori of the skandalon, the over-estimation of the historical-hypercritical school, the understatement of the intrinsic meaning of the Pèsachlamb and the offer-tora, and the negligence to stress the meaning of the covenant in the process of reconciliation. In the second part of the article it is argued that the intrinsic idea of the Pèsachlamb is fulfilled in Jesus (John 1:29 and that He has also fulfilled the offer-tora (Leviticus 1-7. The Trespass-offering (Lev. 5:1- 19 indicates that a sinner has the obligation to confess (Lev. 5:5. The Semika is significant in this respect because it expresses representation, solidarity, substitution and retribution – aspects which had been realised by and in Christ who sacrificed himself – thus acting as the sacrifice itself (sacrificium and as (highpriest. Christians should fulfil their responsibility of reconciliation and atonement by means of confession, by experiencing the consequences of believing, by proclaiming the unity with Christ (His crucifiction and resurrection. Christians should also demonstrate their urge to reconcile by means of their behaviour in the contemporary social and politic order and in their expectation of the coming of the Lord. It is proposed that in the reading of the four gospels the covenant should be taken as point of departure. In this respect the idea of the covenant highlights the following underlying truths: - Reconciliation is an act of the triune God. - Jezus is proclaimed the Messiah in his munus triplex before his Father and mankind (kippèr, hilasmos, atonement. - We partake of the covenant in our proclamation of the gospel, in our

Modeling of normal contact of elastic bodies with surface relief taken into account

Science.gov (United States)

Goryacheva, I. G.; Tsukanov, I. Yu

2018-04-01

An approach to account the surface relief in normal contact problems for rough bodies on the basis of an additional displacement function for asperities is considered. The method and analytic expressions for calculating the additional displacement function for one-scale and two-scale wavy relief are presented. The influence of the microrelief geometric parameters, including the number of scales and asperities density, on additional displacements of the rough layer is analyzed.

Modelling the Influence of Ground Surface Relief on Electric Sounding Curves Using the Integral Equations Method

Directory of Open Access Journals (Sweden)

Balgaisha Mukanova

2017-01-01

Full Text Available The problem of electrical sounding of a medium with ground surface relief is modelled using the integral equations method. This numerical method is based on the triangulation of the computational domain, which is adapted to the shape of the relief and the measuring line. The numerical algorithm is tested by comparing the results with the known solution for horizontally layered media with two layers. Calculations are also performed to verify the fulfilment of the “reciprocity principle” for the 4-electrode installations in our numerical model. Simulations are then performed for a two-layered medium with a surface relief. The quantitative influences of the relief, the resistivity ratios of the contacting media, and the depth of the second layer on the apparent resistivity curves are established.

75 FR 71189 - Medicare Program; Proposed Changes to the Medicare Advantage and the Medicare Prescription Drug...

Science.gov (United States)

2010-11-22

... changes to the regulations to reflect provisions in the ACA which either are already in effect, or have an... Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) (ACA) and make... Necessity Decisions by a Physician or Other Health Care Professional and the Employment of a Medical...

An influence of ion and sputtered atom flows inhomogeneity on time evolution of the target surface relief in glow discharge

International Nuclear Information System (INIS)

Bondarenko, G G; Kristya, V I

2008-01-01

A mathematical model of ion and sputtered atom transport in the vicinity of the target with a periodical surface relief in glow discharge in pure gas is developed. Under the assumption that the relief amplitude is small, analytical expressions for their flows are found by the perturbation method and an equation describing the relief amplitude time evolution is derived. It is shown that intensity of sputtering exceeds intensity of sputtered material re-deposition at the relief tops, and relief smoothing always takes place in the process of homogeneous target treatment in glow discharge in pure gas

Engineering and Design. Design, Construction, and Maintenance of Relief Wells

National Research Council Canada - National Science Library

1992-01-01

The objective of this manual is to provide guidance and information on the design, construction, and maintenance of pressure relief wells installed for the purpose of relieving subsurface hydrostatic...

Utilstraekkelig dokumentation af dødelighed ved krig

DEFF Research Database (Denmark)

Buhmann, Caecilie Böck; Nielsen, Karoline Kragelund

2010-01-01

Mortality estimates can be used for research, to inform or influence policy, for reconciliation processes, to plan health delivery and relief operations and for legal purposes. Many different methods have been applied and each has strengths and weaknesses. Recent years have seen an international...... effort in various disciplines like humanitarian actors, demographers and forensic anthropologists to cooperate, and efforts are being made to make data collection more systematic and valid. However, there are political, methodological and security-related challenges that must be overcome. Udgivelsesdato...

The prevalence and characterization of self-medication for obtaining pain relief among undergraduate nursing students.

Science.gov (United States)

Souza, Layz Alves Ferreira; da Silva, Camila Damázio; Ferraz, Gisely Carvalho; Sousa, Fátima Aparecida Emm Faleiros; Pereira, Lílian Varanda

2011-01-01

This study investigates the prevalence of self-medication among undergraduate nursing students seeking to relieve pain and characterizes the pain and relief obtained through the used medication. This epidemiological and cross-sectional study was carried out with 211 nursing students from a public university in Goiás, GO, Brazil. A numerical scale (0-10) measured pain intensity and relief. The prevalence of self-medication was 38.8%. The source and main determining factor of this practice were the student him/herself (54.1%) and lack of time to go to a doctor (50%), respectively. The most frequently used analgesic was dipyrone (59.8%) and pain relief was classified as good (Md=8.5;Max=10;Min=0). The prevalence of self-medication was higher than that observed in similar studies. Many students reported that relief obtained through self-medication was good, a fact that can delay the clarification of a diagnosis and its appropriate treatment.

Process of Reconciliation in a Postconflict Macedonia

Directory of Open Access Journals (Sweden)

Biljana Popovska

2015-01-01

Full Text Available In this article we will consider reconciliation in a post-conflict Macedonia. When Ohrid Framework Agreement (OFA was signed, the international community greeted the achievements of the international community as it was signed under specific circumstances. Since it stopped the conflict, it had achieved its goal. Legally, the country became a multiethnic one with a power-sharing government. Yet, the political and intellectual elite, which slightly differ from each other, did not invest intellectual and political capital when searching for a specific Macedonian (inter national identity, which goes beyond the limitations of the ethnic definitions and mythology around them. Instead, the national discourse is emphasized. Using the terms such as multiculturalism, multhiethnicity and polylingualisam creates additional confusion. When media and politicians use these phrases and incorporate their own political discourses, the damage is done. Critical thinking is not on the agenda in the educational process and the young people are expected to listen rather than think. There is a need for a structural communication among the citizens, a social link but also a philosophical and maybe an ideological communication, so as to fill in the gaps and avoid further divisions. The only way to accomplish that is to have an open and inclusive society. In order to achieve this, the culture of dialog should be nurtured. It is not enough for Macedonians and Albanians to know each other’s folklore and cultural history. Coexistence requires knowing the modern reality. Structured communication is a key. Absence of public discourse has a positive effect on the society’s wellbeing. A debate is not a threat to the process of creating politics. Instead, it legalizes the decision-making process. The intellectual elite should take the lead, show its grandiosity, and view Macedonia as a whole in a joint narrative, which considers all the specifics of the different cultures

Immediate pain relief effect of low level laser therapy for sports injuries: Randomized, double-blind placebo clinical trial.

Science.gov (United States)

Takenori, A; Ikuhiro, M; Shogo, U; Hiroe, K; Junji, S; Yasutaka, T; Hiroya, K; Miki, N

2016-12-01

To determine the immediate pain relief effect of low-level laser therapy on sports injuries in athletes and degree of pain relief by the therapy. Double-blind, randomized, comparative clinical study. Participants were 32 college athletes with motion pain at a defined site. Participants were randomized into two groups in which the tested or placebo laser therapy was administered to determine pain intensity from painful action before and after laser irradiation, using the Modified Numerical Rating Scale. The post-therapeutic Modified Numerical Rating Scale score was subtracted from the pre-therapeutic Modified Numerical Rating Scale score to determine pain intensity difference, and the rate of pain intensity difference to pre-therapeutic Modified Numerical Rating Scale was calculated as pain relief rate. Low-level laser therapy was effective in 75% of the laser group, whereas it was not effective in the placebo group, indicating a significant difference in favor of the laser group (p<0.001). Pain relief rate was significantly higher in the laser group than in the placebo group (36.94% vs. 8.20%, respectively, p<0.001), with the difference in pain relief rate being 28.74%. Low-level laser therapy provided an immediate pain relief effect, reducing pain by 28.74%. It was effective for pain relief in 75% of participants. Copyright © 2016 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Ibuprofen is superior to paracetamol for pain relief following third molar removal.

Science.gov (United States)

Ferraiolo, Debra M; Veitz-Keenan, Analia

2014-12-01

The Cochrane Oral Health Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase and the metaRegister of Controlled Trials were searched with no language restrictions. Randomised controlled double-blinded clinical trials using the third molar model were included. Two review authors independently and in duplicate extracted data. The proportion of patients with at least 50% pain relief (based on total pain relief (TOTPAR) and summed pain intensity difference (SPID) data) was calculated for all three drugs at both two and six hours post-dosing and meta-analysed for comparison. Seven studies involving 2241 patients were included. Two studies were considered to be at low risk of bias, three at high risk and two unclear risk of bias. Ibuprofen was found to be a superior analgesic to paracetamol at several doses, with high quality evidence suggesting that ibuprofen 400 mg is superior to 1000 mg paracetamol based on pain relief (estimated from TOTPAR data) and the use of rescue medication meta-analyses. Risk ratio (RR) for at least 50% pain relief (based on TOTPAR) at six hours was 1.47 (95% confidence interval (CI) 1.28 to 1.69; five trials) favouring 400 mg ibuprofen over 1000 mg paracetamol, RR for not using rescue medication (also favouring ibuprofen) was 1.50 (95% CI 1.25 to 1.79; four trials). For combined drug RR for at least 50% of the maximum pain relief over six hours of 1.77 (95% CI 1.32 to 2.39) (paracetamol 1000 mg and ibuprofen 400 mg) (one trial; moderate quality evidence). RR not using rescue medication 1.60 (95% CI 1.36 to 1.88) (two trials; moderate quality evidence). Adverse events were comparable between the treatment groups, but no formal analysis could be undertaken. There is high quality evidence that ibuprofen is superior to paracetamol at doses of 200 mg to 512 mg and 600 mg to 1000 mg respectively based on pain relief and use of rescue medication data collected at six hours postoperatively. The

Prediction of critical flow rates through power-operated relief valves

International Nuclear Information System (INIS)

Abdollahian, D.; Singh, A.

1983-01-01

Existing single-phase and two-phase critical flow models are used to predict the flow rates through the power-operated relief valves tested in the EPRI Safety and Relief Valve test program. For liquid upstream conditions, Homogeneous Equilibrium Model, Moody, Henry-Fauske and Burnell two-phase critical flow models are used for comparison with data. Under steam upstream conditions, the flow rates are predicted either by the single-phase isentropic equations or the Homogeneous Equilibrium Model, depending on the thermodynamic condition of the fluid at the choking plane. The results of the comparisons are used to specify discharge coefficients for different valves under steam and liquid upstream conditions and evaluate the existing approximate critical flow relations for a wide range of subcooled water and steam conditions

Comparison of epidural butorphanol versus epidural morphine in postoperative pain relief.

Science.gov (United States)

Parikh, Geeta P; Veena, Shah R; Vora, Kalpana; Parikh, Beena; Joshi, Anish

2014-02-01

Epidural route is preferable for postoperative pain relief in thoraco-abdominal and lower limb surgeries. We aimed to compare epidural butorphanol versus morphine for postoperative analgesia up to 24 hours in open nephrectomy surgery. 80 ASA physical status I and II adult patients were selected for this randomized double blind prospective study. A standard balanced general anesthesia technique was applied for all patients. Epidural catheter was placed in lower thoracic inter-vertebral space before the start of surgery. Injection butorphanol 0.04 mg/kg in group B (n = 40) or morphine 0.06 mg/kg in group M (n = 40) was given in a double blind manner after completion of surgery and before extubation through the epidural catheter. Patients were observed for pain relief by Visual Analogue Scale (VAS) for the next 24 hours. Dose was repeated when VAS was > 4. The onset and peak effect of pain relief, duration of analgesia of 1st dose, frequency of drug administration and side effects if any were observed. The average onset of analgesia was 26.5 +/- 7.61 minutes with butorphanol and 62.5 +/- 13.4 minutes with morphine group which was statistically significant (p < 0.05). The mean peak effect of pain relief following 1st dose was 173 +/- 51.25 minutes with butorphanol and 251 +/- 52.32 minutes with morphine group. The duration of pain relief after 1st dose was statistically significant and was 339.13 +/- 79.57 minutes in group B and 709.75 +/- 72.12 minutes in group M which was gradually increased on repeated dosing in group B while it was almost same in Group M. Number of doses required in 24 hours was significantly higher (p < 0.05) in butorphanol group than morphine group. Somnolence was the main side effect in group B while pruritus was the main side effect with group M. Epidural butorphanol appears to provide safer and faster postoperative analgesia without much untoward effects but its analgesic action is short so more repeated doses are required than morphine via

Assessment of plantar pressure in forefoot relief shoes of different designs.

Science.gov (United States)

Carl, Hans-Dieter; Pfander, David; Swoboda, Bernd

2006-02-01

After reconstructive forefoot surgery, patients require complete or partial forefoot relief, which can be obtained with a variety of shoe designs. The aim of this study was to evaluate the effectiveness of two different types of forefoot-relief shoes frequently used after surgery, especially their safety against unintentional forefoot load. Ten healthy volunteers were asked to perform five trials on a treadmill at self-selected speeds. In the first trial, mean peak pressure values in mass-produced shoes and insoles were evaluated and considered as 100%. Two different shoe designs (short heel-short sole, ii: short heel-complete sole) were compared in two trials each with appropriate and inappropriate use (attempting to put weight on the forefoot) gait pattern. Plantar pressure values were obtained using the Pedar cable system (Novel Inc., Munich, Germany). For analysis, pedobarographic pictures were subdivided into midfoot (31% to 60% of the total insole length) and forefoot (61% to 100% of the total insole length). ANOVA was used for statistical analysis, and p values less than 0.01 were considered significant. With the short-soled shoe, forefoot and midfoot relief was 100% in both compliant and in noncompliant use. With wearing a complete sole, compliant use led to a significant reduction (p shoe produced mean peak pressure values significantly higher (p shoes under the forefoot, but not under the midfoot. Forefoot-relief shoes are effective in reducing both mean and peak plantar pressures. Shoes with a nonsupported midfoot and forefoot may be safer with inappropriate use than shoes with a complete sole. The kind of forefoot shoe should be carefully chosen to regulate weightbearing after reconstructive forefoot surgery.

KNOWLEDGE, ATTITUDE AND USE OF PAIN RELIEF IN LABOUR AMONG WOMEN ATTENDING ANTE-NATAL CLINIC AT SHALOM COMMUNITY HOSPITAL, ATHI RIVER.

Science.gov (United States)

Njiru, J N; Esiromo, M A; Omari, H O

2014-07-01

To find out the knowledge, attitude and practice of pain relief methods during labour among mothers attending antenatal clinics at Shalom Community Hospital, Athi River, Kenya. Cross Sectional study. Shalom Community Hospital, Athi River, Kenya. Two hundred and seven participants attending antenatal clinics at the facility were recruited. The median age of the participants was 28 years and a median parity of one. Most of the study participants, 89.4%, were not aware of any pain relief method during labour. Among the 10.6% patients that were of a pain relief method, 54% had gotten the knowledge from the doctors. All the patients had experienced pain in labour with 72% rating the pain as severe pain. Only 37% of the patients were offered a pain relief method and the intramuscular injectable was offered to all. Majority (88%) of those offered a form of pain relief rated the pain relief method as ineffective. A majority of the women 93% would use a pain relief method in the next labour with epidural method being the most preferred method. The level of knowledge of pain relief methods among mothers islow. There is need to integrate information on pain relief options in labour as part of antenatal services offered routinely. Epidural analgesia services should be enhanced.

78 FR 33467 - Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy...

Science.gov (United States)

2013-06-04

... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Second Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy: Response, Recovery & Resiliency; Correction... allocation of $3.7 billion under the Public Transportation Emergency Relief Program to the four FTA...

The role of hydromorphone and OPRM1 in postoperative pain relief with hydrocodone.

Science.gov (United States)

Boswell, Mark V; Stauble, M Elaine; Loyd, Gary E; Langman, Loralie; Ramey-Hartung, Bronwyn; Baumgartner, Richard N; Tucker, William W; Jortani, Saeed A

2013-01-01

Postoperative pain management remains a challenge for clinicians due to unpredictable patient responses to opioid therapy. Some of this variability may result from single nucleotide polymorphisms (SNPs) of the human opioid mu-1 receptor (OPRM1) that modify receptor binding or signal transduction. The OPRM1 variant with the highest frequency is the A118G SNP. However, previous studies have produced inconsistent results regarding the clinical effects of A118G on opioid response. We hypothesized that measurement of serum opioid concentrations, in addition to determining total opioid consumption, may provide a more precise method of assessing the effects of A118G on analgesic response. The current study evaluated the relationship of analgesia, side effects, total hydrocodone consumption, quantitative serum hydrocodone and hydromorphone concentrations, and A118G SNP in postoperative patients following Cesarean section. 158 women scheduled for Cesarean section were enrolled prospectively in the study. The patients had bupivacaine spinal anesthesia for surgery and received intrathcal morphine with the spinal anesthetic or parenteral morphine for the first 24 hours after surgery. Thereafter, patients received hydrocodone/acetaminophen for postoperative pain control. On postoperative day 3, venous blood samples were obtained for OPRM1 A118G genotyping and serum opioid concentrations. 131 (82.9%) of the subjects were homozygous for the 118A allele of OPRM1 (AA) and 27 (17.1%) carried the G allele (AG/GG). By regression analysis, pain relief was significantly associated with total hydrocodone dose in the AA group (P = 0.01), but not in the AG/GG group (P = 0.554). In contrast, there was no association between pain relief and serum hydrocodone concentration in either group. However, pain relief was significantly associated with serum hydromorphone concentration (a metabolite of hydrocodone) in the AA group (P = 0.004), but not in the AG/GG group (P = 0.724). Conversely, side

Food provision among food relief agencies in rural Australia, and perceived barriers and enablers to provide healthy food.

Science.gov (United States)

Bortolin, Natalia; Priestly, Jaqueline; Sangster, Janice

2018-04-01

Food insecurity affects 4-14% of Australians, and up to 82% of vulnerable groups. Food relief agencies commonly provide food parcels or food vouchers. Little research has been undertaken on food relief agencies within rural Australia. This study determined the type of food assistance provided by rural food relief agencies, and barriers and enablers to provide healthy food. Cross-sectional study, using telephone questionnaires with qualitative and quantitative aspects. Data were analysed using descriptive statistics and thematic analysis. Rural New South Wales, Australia. Representatives of 10 food relief agencies. Types of food assistance and food provided, and the barriers and enablers to provide healthy food to clients. Most agencies provided food hampers and perishable and non-perishable food. Rural food relief agencies had a greater capacity to provide non-perishable compared to perishable food. Grains, breads and cereals, and canned fruit and vegetables were most popular. Nine key themes emerged including 'Ability to purchase and provide healthy food', 'Ability to regulate food purchased or chosen by clients', 'Financial constraints of the agency' and 'Lack of storage'. There are many variables to consider in order to understand the capacity of rural food relief agencies to provide healthy food. There are also opportunities for food relief agencies to appraise current practices and make changes. Initiatives to improve storage facilities and food availability are key and include networking with local businesses, community organisations and government. Rural food relief agency clients could benefit from accessing food literacy and health programs like FoodREDi, OzHarvest NEST and SecondBite Fresh NED. © 2017 National Rural Health Alliance Inc.

Poverty Relief or Poverty Eradication? | Kritzinger | Acta Theologica

African Journals Online (AJOL)

The author challenges the reader to make two mindshifts: from a focus on poverty relief to an emphasis on poverty eradication; and from viewing the poor as the objects of poverty alleviation to accepting them as the subjects of poverty eradication. The case is argued and a practical approach towards poverty eradication is ...

Putting Qumran, Jesus and his movement into relief

Directory of Open Access Journals (Sweden)

Eben Scheffler

2016-11-01

Full Text Available After referring briefly to the fantasies regarding the origins of Christianity as elicited by the discovery of the Dead Sea Scrolls in 1947 (Dupont-Sommer, Allegro, Thiering, the purpose of the contribution is to put the Jesus movement into relief in the context of first-century Judaism. The identity of the Qumranites is argued to be Essene scribes. The identity, ideology and practices of the latter are compared with those of Jesus of Nazareth and the movement he elicited using the following rubrics: (1 Jesus, the teacher of righteousness and the powers that be; (2 asceticism versus itinerary charismaticism; (3 caring versus lack of caring for the sick, poor and marginalised; (4 elitist priests and scribes versus lower-class peasants; (5 the interpretation of the law; (6 religious and daily practices (baptism, ritual meal, sacrifice, prayer, community of possessions, scribal activity; (7 religious views or ideology (kingdom of God, the new covenant, light and darkness, politics. The result is a picture of Jesus (with his focus on human suffering in sharp relief versus Qumran and facets of the early church.

Increased joint loads during walking--a consequence of pain relief in knee osteoarthritis

DEFF Research Database (Denmark)

Henriksen, Marius; Simonsen, Erik B; Alkjaer, T

2006-01-01

Joint pain is a primary symptom in knee osteoarthritis (OA), but the effect of pain and pain relief on the knee joint mechanics of walking is not clear. In this study, the effects of local knee joint analgesia on knee joint loads during walking were studied in a group of knee osteoarthritis....... Although the patients walked with less compressive knee joint forces compared to the reference group, the effects of pain relief may accelerate the degenerative changes....

Shaded relief of Bahia State, Brazil

Science.gov (United States)

2000-01-01

This topographic image is the first to show the full 240-kilometer-wide (150 mile)swath collected by the Shuttle Radar Topography Mission (SRTM). The area shown is in the state of Bahia in Brazil. The semi-circular mountains along the left side of the image are the Serra Da Jacobin, which rise to 1100 meters (3600 feet) above sea level. The total relief shown is approximately 800 meters (2600 feet). The top part of the image is the Sertao, a semi-arid region, that is subject to severe droughts during El Nino events. A small portion of the San Francisco River, the longest river (1609 kilometers or 1000 miles) entirely within Brazil, cuts across the upper right corner of the image. This river is a major source of water for irrigation and hydroelectric power. Mapping such regions will allow scientists to better understand the relationships between flooding cycles, drought and human influences on ecosystems.This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Colors show the elevation as measured by SRTM. Colors range from green at the lowest elevations to reddish at the highest elevations. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.The Shuttle Radar Topography Mission (SRTM), launched on February 11, 2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200-foot) mast, an additional C-band imaging

Knowledge of and attitude towards pain relief during labour of ...

African Journals Online (AJOL)

This study determined women's knowledge of and attitudes to pain relief during labour. Methods ... Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa .... Breathing exercises. 25.

Reward and relief craving tendencies in patients with alcohol use disorders: results from the PREDICT study.

Science.gov (United States)

Glöckner-Rist, Angelika; Lémenager, Tagrid; Mann, Karl

2013-02-01

Previous research suggests that patients' tendencies toward either reward or relief craving are distinct continuous factorial dimensions of craving for alcohol. According to these tendencies patients with alcohol use disorders (AUD) might also be allocated into distinct subgroups. In personalized treatment, patients of such different subgroups might respond differently to various psychotherapeutic and pharmacological interventions aimed at relapse prevention. To establish that the items of the subscale Temptation to Drink of the Alcohol Abstinence Self-Efficacy Scale (AASE) capture two continuous dimensions of reward and relief craving, and that they allow the identification of respective discrete class factors and subgroups of patients with AUD. Nonlinear confirmatory factor analysis (CFA) and latent class factor analysis (LCFA) were performed with data from 426 detoxified patients with AUD. The validity of continuous relief and reward dimensions, discrete class factors, and subtypes with different craving tendencies was established by including past drinking in positive and negative settings, gender, trait anxiety and perceived stress as covariates in the finally accepted CFA and LCFA measurement models. The AASE temptation items formed two continuous relief and reward craving factors. They also associated themselves to two binary class factors, which defined four craving subgroups. Two of them (21% and 29% of patients) were characterized by high levels of either reward or relief craving tendencies. A third subgroup (31%) rated both tendencies in an equal high measure, while a fourth (18%) reported almost no craving tendencies at all. Past drinking in negative and positive settings was significantly associated with relief or reward craving tendencies. Male patients reported reward drinking more frequently than female patients. Trait anxiety was positively related only to the relief craving tendency. Unexpectedly, patients' level of perceived stress was associated