WorldWideScience

Sample records for reported adequate relief

  1. Are shear force methods adequately reported?

    Science.gov (United States)

    Holman, Benjamin W B; Fowler, Stephanie M; Hopkins, David L

    2016-09-01

    This study aimed to determine the detail to which shear force (SF) protocols and methods have been reported in the scientific literature between 2009 and 2015. Articles (n=734) published in peer-reviewed animal and food science journals and limited to only those testing the SF of unprocessed and non-fabricated mammal meats were evaluated. It was found that most of these SF articles originated in Europe (35.3%), investigated bovine species (49.0%), measured m. longissimus samples (55.2%), used tenderometers manufactured by Instron (31.2%), and equipped with Warner-Bratzler blades (68.8%). SF samples were also predominantly thawed prior to cooking (37.1%) and cooked sous vide, using a water bath (50.5%). Information pertaining to blade crosshead speed (47.5%), recorded SF resistance (56.7%), muscle fibre orientation when tested (49.2%), sub-section or core dimension (21.8%), end-point temperature (29.3%), and other factors contributing to SF variation were often omitted. This base failure diminishes repeatability and accurate SF interpretation, and must therefore be rectified.

  2. EPRI PWR Safety and Relief Value Test Program: safety and relief valve test report

    Energy Technology Data Exchange (ETDEWEB)

    1982-12-01

    A safety and relief valve test program was conducted by EPRI for a group of participating PWR utilities to respond to the USNRC recommendations documented in NUREG 0578 Section 2.1.2, and as clarified in NUREG 0737 Item II.D.1.A. Seventeen safety and relief valves representative of those utilized in or planned for use in participating domestic PWR's were tested under the full range of selected test conditions. This report contains a listing of the selected test valves and the corresponding as tested test matrices, valve performance data and principal observations for the tested safety and relief valves. The information contained in this report may be used by the participating utilities in developing their response to the above mentioned USNRC recommendations.

  3. An expert consensus definition of failure of a treatment to provide adequate relief (F-PAR) for chronic constipation - an international Delphi survey

    DEFF Research Database (Denmark)

    Tack, J; Boardman, H; Layer, P;

    2017-01-01

    BACKGROUND: As treatments for constipation become increasingly available, it is important to know when to progress along the treatment algorithm if the patient is not better. AIM: To establish the definition of failure of a treatment to provide adequate relief (F-PAR) to support this management...... and referral process in patients with chronic constipation. METHODS: We conducted an international Delphi Survey among gastroenterologists and general practitioners with a special interest in chronic constipation. An initial questionnaire based on recognised rating scales was developed following a focus group...... (after replicate statements had been removed). CONCLUSIONS: We present an international consensus on chronic constipation, of five symptoms and their severities, any of which would be sufficient to provide clinical evidence of treatment failure. We also provide data representing an expert calibration...

  4. 30 CFR 203.85 - What is in an economic viability and relief justification report?

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What is in an economic viability and relief... Required Reports § 203.85 What is in an economic viability and relief justification report? This report... economic viability and relief justification report must contain the following items for an oil and...

  5. Mark II containment, supporting program report. Ramshead safety/relief valve loads methodology summary. [BWR

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, G.L.

    1977-10-01

    An overview of information describing and supporting the analytical methods for determining loads associated with safety/relief valve discharge to the suppression pool of the Mark II containment lead plants is presented. SRV discharge phenomena and associated loads, analytical methods for calculating these loads, supporting experimental information, application of the methods to lead plant assessment, and supporting programs are summarily described. The report demonstrates that, with regard to SRV discharge loads on the containment, an adequate technical basis exists for permitting the licensing assessment of the Mark II lead plants to continue on schedule.

  6. PWR safety and relief valve test program. Valve selection/juftification report. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1982-12-01

    NUREG 0578 required that full-scale testing be performed on pressurizer safety valves and relief valves representative of those in use or planned for use in PWR plants. To obtain valve performance data for the entire population of PWR plant valves, nine safety valves and ten relief valves were selected as a fully representative set of test valves. Justification that the selected valves represent all PWR plant valves was provided by each safety and relief valve manufacturer. Both the valve selection and justification work was performed as part of the PWR Safety and Relief Valve Test Program conducted by EPRI on behalf of the PWR utilities in response to the recommendations of NUREG 0578 and the requirements of the NRC. Results of the Safety and Relief Valve Selection and Justification effort is documented in this report.

  7. Does the new conceptual framework provide adequate concepts for reporting relevant information about performance?

    NARCIS (Netherlands)

    Brouwer, A.; Faramarzi, A; Hoogendoorn, M.

    2014-01-01

    The basic question we raise in this paper is whether the 2013 Discussion Paper (DP 2013) on the Conceptual Framework provides adequate principles for reporting an entity’s performance and what improvements could be made in light of both user needs and evidence from academic literature. DP 2013 propo

  8. In-plant safety/relief valve discharge load test, Monticello Plant. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Buzek, E.A. (comp.)

    1977-08-01

    This document reports the results of the test program of safety/relief valve (SRV) discharge load phenomena through a ramshead discharge device, and the effects upon the Mark I primary containment torus structure of the Monticello Nuclear Power Plant. The objectives were to provide a data base for verifying/improving bubble pressure, water reflood and piping load analytical models, and to measure the structural response of the torus, SRV piping, supports and acceleration of the basement and pedestal.

  9. Self-reported attitude scales: current practice in adequate assessment of reliability, validity, and dimensionality

    NARCIS (Netherlands)

    Hendrick, T.A.M.; Fischer, A.R.H.; Tobi, H.; Frewer, L.J.

    2013-01-01

    The development of methods to create self-reported attitude scales has lost momentum, in part because of increased research focused on implicit measures. This paper reviews 162 papers on methodological approaches applied to the validation and assessment of attitude scales. Assessment of

  10. Self-reported attitude scales: current practice in adequate assessment of reliability, validity, and dimensionality

    NARCIS (Netherlands)

    Hendrick, T.A.M.; Fischer, A.R.H.; Tobi, H.; Frewer, L.J.

    2013-01-01

    The development of methods to create self-reported attitude scales has lost momentum, in part because of increased research focused on implicit measures. This paper reviews 162 papers on methodological approaches applied to the validation and assessment of attitude scales. Assessment of methodologic

  11. Preliminary report: in-plant safety/relief valve discharge load test, Monticello Plant

    Energy Technology Data Exchange (ETDEWEB)

    Chang, H.C. (comp.)

    1976-12-01

    This preliminary report covers the results of the test program of safety/relief valve (SRV) discharge load phenomena and the effects upon the Mark I primary containment torus structure of the Monticello Nuclear Power Plant. The objectives of the test were to provide a data base for verifying/improving analytical models and to measure the structural response of the torus to SRV discharges. Objectives, instrumentation, and test plan are described. Results of continuing data evaluation will be included in the final report scheduled for publication later in 1977.

  12. Spontaneous reports of primarily suspected herbal hepatotoxicity by Pelargonium sidoides: was causality adequately ascertained?

    Science.gov (United States)

    Teschke, Rolf; Frenzel, Christian; Schulze, Johannes; Eickhoff, Axel

    2012-06-01

    Spontaneous reports of primarily assumed hepatotoxicity in connection with the use of Pelargonium sidoides (PS) have been interpreted by the Drug Commission of the German Medical Association (DCGMA) as showing some hepatotoxic potential of PS used to treat common cold and other respiratory tract infections. Causality for PS was assessed using the liver specific, structured, quantitative, and updated scale of the Council for International Organizations of Medical Sciences (CIOMS). In none of the 15 cases was there a highly probable or probable causality for PS. Analysis revealed confounding factors such as numerous final diagnoses unrelated to PS and poor data quality in virtually all cases. In only a minority of the cases were data provided to consider even common other diseases of the liver. For instance, biliary tract imaging data were available in only 3 patients; data to exclude virus infections by hepatitis A-C were provided in 4 cases and by CMV and EBV in 1 case, whereas HSV and VZV virus infections remained unconsidered. Thus, convincing evidence is lacking that PS was a potential hepatotoxin in the analyzed cases.

  13. Depth relief

    NARCIS (Netherlands)

    Kappers, A.M.L.; Koenderink, J.J.; Doorn, A.J. van

    1995-01-01

    A study is reported of the depth relief in a simple three-dimensional scene consisting of a white, rough sphere on a planar support, illuminated in a natural manner. Viewing conditions included monocular and binocular as well as 'synoptical' viewing. In the synoptical condition the eyes are

  14. RELAP5/MOD3 assessment for calculation of safety and relief valve discharge piping hydrodynamic loads. International agreement report

    Energy Technology Data Exchange (ETDEWEB)

    Stubbe, E.J.; VanHoenacker, L.; Otero, R. [TRACTEBEL, Brussels (Belgium)

    1994-02-01

    This report presents an assessment study for the use of the code RELAP 5/MOD3/5M5 in the calculation of transient hydrodynamic loads on safety and relief discharge pipes. Its predecessor, RELAP 5/MOD1, was found adequate for this kind of calculations by EPRI. The hydrodynamic loads are very important for the discharge piping design because of the fast opening of the valves and the presence of liquid in the upstream loop seals. The code results are compared to experimental load measurements performed at the Combustion Engineering Laboratory in Windsor (US). Those measurements were part of the PWR Valve Test Program undertaken by EPRI after the TMI-2 accident. This particular kind of transients challenges the applicability of the following code models: two-phase choked discharge; interphase drag in conditions with large density gradients; heat transfer to metallic structures in fast changing conditions; two-phase flow at abrupt expansions. The code applicability to this kind of transients is investigated. Some sensitivity analyses to different code and model options are performed. Finally, the suitability of the code and some modeling guidelines are discussed.

  15. Does pain relief influence recovery of consciousness? A case report of a patient treated with ziconotide.

    Science.gov (United States)

    Lanzillo, Bernardo; Loreto, Vincenzo; Calabrese, Claudio; Estraneo, Anna; Moretta, Pasquale; Trojano, Luigi

    2016-04-01

    For people with cervical spinal cord injury (SCI), access to computers can be difficult, thus several devices have been developed to facilitate their Disorders of consciousness (DOC) are difficult to classify. The degree of consciousness varies from coma to vegetative state or unresponsive wakefulness syndrome (UWS) and minimally conscious state. Correct diagnosis has important ethical and legal implications, and pain may be cause of misdiagnosis. We describe here a patient with traumatic brain injury, classified as UWS. His clinical picture was dominated by spasticity, and pain. He underwent intrathecal treatment of spasticity with baclofen. Improvement was not that expected. However, there was a dramatic improvement when ziconotide was added to relieve pain; the patient began to eat by mouth, talk, and his tracheal tube could be removed and he is currently classified as having severe disability. The suspension of ziconotide caused a clear re-worsening of clinical condition, reverted by his reintroduction. Pain is an important factor in patients with DOC. Anecdotal reports of improved consciousness with intrathecal baclofen therapy may be due to pain relief. Reduction of pain in DOC is important and drugs should not interfere with cognition, and must be effective and manageable. Ziconotide may be one of the possible candidate due to its synergistic antispastic action in combination with baclofen when an intratecal pump has been implanted.

  16. State-of-the-Art Report on Pilot Operated Safety Relief Valve

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jun; Yoon, Ju Hyeon

    2003-12-15

    The pilot operated safety relief valve(POSRV) is a overpressure protection device. But the POSRV is additionally designed to be functioned as a fast depressurization device differently from the pressurizer safety valve(PSV). So, the POSRV assembly takes on the complicated configuration differently from the PSV, and also its configuration and component parts are much different according to its manufacturers. The objective of the study is to investigate the state of the art for POSRV. We want that the findings of the study are put to practical use as a selection guide to the utilities or system designers which want to purchase the POSRV. In this study, we selected the SEBIM and CCI made goods as the subject of investigation, and have investigated the technical characteristics and operating principles of the goods. However, in this report, the comparative contents with other company which were issued by one company were not handled. Also the advantages or disadvantages between two companies were not handled. Only the technical characteristics and operating principles with each company were described. For reference, the main considerations to select the POSRV' type are follows. - the characteristics of the system that the POSRV is to be installed - the fitness of the POSRV for the system - the requirements related to the function and operation of the POSRV - the vender's opinion.

  17. EPRI PWR Safety and Relief Valve Test Program: test condition justification report

    Energy Technology Data Exchange (ETDEWEB)

    Hosler, J.

    1982-12-01

    In response to NUREG 0737, Item II.D.1.A requirements, several safety and relief valve designs were tested by EPRI under PWR utility sponsorship. Justification that the inlet fluid conditions under which these valve designs were tested are representative of those expected in participating domestic PWR units during FSAR, Extended High Pressure Injection, and Cold Overpressurization events is presented.

  18. The Relief Effects of Ramelteon on Refractory Chronic Migraine: A Case Report

    Science.gov (United States)

    Hou, Yi-Cheng; Lai, Chien-Han

    2016-01-01

    The selective melatonin receptor agonism effect of ramelteon is useful for insomnia. Here we wanted to present a refractory chronic migraine case, who had significant improvements in migraine after using ramelteon. The possible mechanism for the ramelteon in the migraine relief might be related to melatonin effects. PMID:27776398

  19. New EMA report on paliperidone 3-month injections: taking clinical and policy decisions without an adequate evidence base.

    Science.gov (United States)

    Ostuzzi, G; Papola, D; Gastaldon, C; Barbui, C

    2016-12-22

    Three-month long-acting paliperidone is a new, recently marketed, formulation of paliperidone, characterised by the longest available dosing interval among long-acting antipsychotics. The clinical profile of 3-month long-acting paliperidone was recently summarised by the European Medicines Agency (EMA) in a public assessment report, released in April 2016. In this commentary, the main strengths and limitations of the EMA assessment report were appraised and discussed, in order to highlight possible implications for clinical practice, future research and regulatory practices for drug approval.

  20. Achieving Adequate Margins in Ameloblastoma Resection: The Role for Intra-Operative Specimen Imaging. Clinical Report and Systematic Review

    Science.gov (United States)

    Ramakrishnan, Anand; Mirkazemi, Mansoor; Baillieu, Charles; Ptasznik, Ronnie; Leong, James

    2012-01-01

    Background Ameloblastoma is a locally aggressive odontogenic neoplasm. With local recurrence rates reaching 90%, only completeness of excision can facilitate cure. Surgical clearance has widely been based on pre-operative imaging to guide operative excision margins, however use of intra-operative specimen x-ray or frozen-section has been sought to improve clearance rates, and advanced imaging technologies in this role have been proposed. This manuscript aims to quantify the evidence for evaluating intra-operative resection margins and present the current standard in this role. Method The current study comprises the first reported comparison of imaging modalities for assessing ameloblastoma margins. A case is presented in which margins are assessed with each of clinical assessment based on preoperative imaging, intra-operative specimen x-ray, intra-operative specimen computed tomography (CT) and definitive histology. Each modality is compared quantitatively. These results are compared to the literature through means of systematic review of current evidence. Results A comparative study highlights the role for CT imaging over plain radiography. With no other comparative studies and a paucity of high level evidence establishing a role for intra-operative margin assessment in ameloblastoma in the literature, only level 4 evidence supporting the use of frozen section and specimen x-ray, and only one level 4 study assesses intra-operative CT. Conclusion The current study suggests that intra-operative specimen CT offers an improvement over existing techniques in this role. While establishing a gold-standard will require higher level comparative studies, the use of intra-operative CT can facilitate accurate single-stage resection. PMID:23094099

  1. Achieving adequate margins in ameloblastoma resection: the role for intra-operative specimen imaging. Clinical report and systematic review.

    Directory of Open Access Journals (Sweden)

    Inoka De Silva

    Full Text Available BACKGROUND: Ameloblastoma is a locally aggressive odontogenic neoplasm. With local recurrence rates reaching 90%, only completeness of excision can facilitate cure. Surgical clearance has widely been based on pre-operative imaging to guide operative excision margins, however use of intra-operative specimen x-ray or frozen-section has been sought to improve clearance rates, and advanced imaging technologies in this role have been proposed. This manuscript aims to quantify the evidence for evaluating intra-operative resection margins and present the current standard in this role. METHOD: The current study comprises the first reported comparison of imaging modalities for assessing ameloblastoma margins. A case is presented in which margins are assessed with each of clinical assessment based on preoperative imaging, intra-operative specimen x-ray, intra-operative specimen computed tomography (CT and definitive histology. Each modality is compared quantitatively. These results are compared to the literature through means of systematic review of current evidence. RESULTS: A comparative study highlights the role for CT imaging over plain radiography. With no other comparative studies and a paucity of high level evidence establishing a role for intra-operative margin assessment in ameloblastoma in the literature, only level 4 evidence supporting the use of frozen section and specimen x-ray, and only one level 4 study assesses intra-operative CT. CONCLUSION: The current study suggests that intra-operative specimen CT offers an improvement over existing techniques in this role. While establishing a gold-standard will require higher level comparative studies, the use of intra-operative CT can facilitate accurate single-stage resection.

  2. Endovascular Management of Superior Mesenteric Artery (SMA) Aneurysm – Adequate Access is Essential for Success – Case Report

    Science.gov (United States)

    Tkalčić, Lovro; Budiselić, Berislav; Kovačević, Miljenko; Knežević, Siniša; Kovačić, Slavica; Miletić, Damir; Tomulić, Vjekoslav; Kuhelj, Dimitrij

    2017-01-01

    Summary Background An aneurysm of the superior mesenteric artery (SMA) with a diameter of 2.2 cm was found incidentally on an ultrasound (US) examination in a 26-year-old woman. The only known risk factor was an intracranial aneurysm that was found on her grandmother’s autopsy. Based on pregnancy planning and the current literature, endovascular management with a covered stent was proposed. Case Report Self-expandable, covered stent (Bard, Fluency®) was implanted using a single transfemoral approach. A stiff guidewire and a large sheath distorted the anatomy, which resulted in an incomplete aneurysmal neck covering. In the absence of additional covered stents, the procedure was terminated. Two weeks later, computed tomographic angiography (CTA) confirmed persistent aneurysmal perfusion due to the incomplete neck coverage. A multidisciplinary board opted for a second endovascular attempt, this time with a longer covered stent via the transaxillary approach in order to reduce anatomical distortion. Balloon, expandable, cobalt-chrome covered stent (Jotec, E-ventus BX®) was implanted in the SMA, covering the aneurysmal neck and overlapping the previously implanted covered stent. Angiography confirmed a complete exclusion of the aneurysm. A control US performed three weeks later confirmed a patent covered stent and complete aneurysmal exclusion. There was a mild median nerve damage periprocedurally that resolved in three months. The most recent US control examination, performed eleven months after the procedure, showed an excluded aneurysm and a patent covered stent. There were no clinical signs of bowel ischaemia during the follow-up period. Conclusions Endovascular management of SMAA proved to be safe and efficient. The “access from above” is probably safer and should be considered in the majority of cases with acceptable sizes of access vessels. Mid-term results in our patient are good and life-long follow-up is planned to prevent late complications. PMID

  3. Report on Two Cases of Adequate Medical Support System Using the Japanese Version of Kid-KINDL Questionnaire for Children with ADHD

    OpenAIRE

    2014-01-01

    We are investigating whether medical support improves not only the core symptoms of children with attention deficit/hyperactivity disorder (ADHD), but also their quality of life (QOL) using the Japanese version of the Kid-KINDLR (for ages 7-13 years) questionnaire (Kid-KINDLR). Herein, we report two cases of adequate medical support using Kid-KINDLR for children with ADHD. Case 1 is a 9-year-old boy. The Kid-KINDLR questionnaire revealed that this patient had conflict with his father; however...

  4. BWR suppression pool pressures during safety relief valve discharge. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, G.; Gay, R.R.

    1985-04-01

    An analytical understanding of the pool pressures measured during safety relief valve (SRV) discharge in BWRs equipped with x-quenchers has been developed and compared to experimental data. The local conditions inside the SRV discharge lines and inside of the x-quencher were modeled successfully with RELAP5. The measured pressure surges inside the quencher are successfully predicted by the code. In addition, the analytical predictions allow one to associate the peak pressure inside the quencher arm with the onset of air discharge into the suppression pool. A Rayleigh model of bubble dynamics successfully explained both the higher-frequency and the ensuing lower-frequency pressure oscillations that have been measured in suppression pools during SRV discharge tests. The higher-frequency oscillations are characteristic of an air bubble emanating from a single row of quencher holes. The lower-frequency pressure oscillations are characteristic of a large air bubble containing all the air expelled from one side of an x-quencher arm.

  5. CCF analysis of high redundancy systems safety/relief valve data analysis and reference BWR application. Main report

    Energy Technology Data Exchange (ETDEWEB)

    Mankamo, T. [Avaplan Oy (Finland); Bjoere, S.; Olsson, Lena [ABB Atom AB, Vaesteraas (Sweden)

    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.

  6. Valve inlet fluid conditions for pressurizer safety and relief valves for B and W 177-FA and 205-FA plants. Final report. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Cartin, L.R.; Winks, R.W.; Merchent, J.W.; Brandt, R.T.

    1982-12-01

    The overpressurization transients for the Babcock and Wilcox Company's 177- and 205-FA units are reviewed to determine the range of fluid conditions expected at the inlet of pressurizer safety and relief valves. The final Safety Analysis Report, extended high-pressure injection, and cold overpressurization events are considered. The results of this review, presented in the form of tables and graphs, provide input to the PWR utilities in their justification that the fluid conditions under which their valve designs were tested as part of the EPRI PWR Safety and Relief Valve Test Program are representative of those expected in their unit(s).

  7. Therapeutic Massage Provides Pain Relief to a Client with Morton’s Neuroma: A Case Report

    OpenAIRE

    Davis, Faith

    2012-01-01

    Background Morton’s neuroma is a common cause of pain that radiates from between the third and fourth metatarsals and which, when symptomatic, creates sensations of burning or sharp pain and numbness on the forefoot. Many conservative and surgical interventions are employed to reduce associated pain, but not enough research has been conducted to recommend patients to any one approach as the most reliable source of pain management. Purpose The objective of this case report is to describe the e...

  8. Pain Relief for a Presumed Accidental Use of Haloperidol: A Case Report

    Directory of Open Access Journals (Sweden)

    Ahmet Sami Guven

    2015-09-01

    Full Text Available Haloperidol is a typical antipsychotic drug, that is frequently used in psychosis, Tourette syndrome and severe agitations and has anticholinergic effects and extrapyramidal signs in case of intoxication. The present paper reports a case of hemidystonia and green color vision caused by mistaken haloperidol ingestion as an analgesic agent in a 12 years old boy. Herein we would like to emphasise that the dystonia might be misdiagnosed as convulsion in emergency rooms and phonetic similarities of the brand names of the drugs may mislead the physician and cause for delay of the appropriate therapy, so to ask the family about the ingestion of drugs that are ended with "-dol" (EndolTM, indomethacine for differential diagnosis. [J Contemp Med 2015; 5(3.000: 203-205

  9. 32 CFR 516.19 - Injunctive relief.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Injunctive relief. 516.19 Section 516.19 National... RELATIONS LITIGATION Reporting Legal Proceedings to HQDA § 516.19 Injunctive relief. (a) General. Plaintiffs... injunctive relief: (1) Plaintiff's likelihood of success on the merits. (2) Whether plaintiff will be...

  10. Bringing Relief

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    China is mobilizing medical and epidemic prevention resources from around the country to ensure adequate levels of care for earthquake survivors"When the rescued people arrive, what we can do is to try our best to restore their health,"said Liu Xiaoguang,Deputy Principal of Peking University Third Hospital and head of Beijing’s medical rescue team for the Sichuan earthquake.As one of the first

  11. Laparoscopic Adhesiolysis and Relief of Chronic Pelvic Pain

    Science.gov (United States)

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

    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 to 8 weeks, 39% of patients reported complete/near complete pain relief, 33% reported significant pain relief, and 28% reported less than 50% or no pain relief. Six months to one year postlaparoscopy, 49% of patients reported complete/near complete pain relief, 15% reported significant pain relief, and 36% reported less than 50% or no pain relief. Two to five years after laparoscopic enterolysis, 37% of patients reported complete/near complete pain relief, 30% reported significant pain relief, and 33% reported less than 50% or no pain relief. Some patients required between 1 and 3 subsequent laparoscopic adhesiolysis. A total of 3 enterotomies and 2 cystotomies occurred, all of which were repaired laparoscopically. Conclusion: We conclude that laparoscopic enterolysis may offer significant long-term relief of chronic pelvic pain in some patients. PMID:11051185

  12. Technical evaluation report, TMI action NUREG-0737 (II.D.1), relief and safety valve testing, Comanche Peak, Unit 2, Docket No. 50-446

    Energy Technology Data Exchange (ETDEWEB)

    Fineman, C.P.

    1993-01-01

    In the past, safety and relief valves installed in the primary coolant system of light water reactors have performed improperly. As a result, the authors of NUREG-0578 (TMI-2 Lessons Learned Task Force Status Report and Short-Term Recommendations) and, subsequently, NUREG-0737 (Clarification of TMI Action Plan Requirements) recommended development and completion of programs to do two things. First, the programs should reevaluate the functional performance capabilities of pressurized water reactor safety, relief, and block valves. Second, they should verify the integrity of the pressurizer safety and relief valve piping systems for normal, transient, and accident conditions. This report documents the review of those programs by EG&G Idaho, Inc. Specifically, this report documents the review of the Comanche Peak, Unit 2, Applicant response to the requirements of NUREG-0578 and NUREG-0737. This review found the Applicant provided an acceptable response reconfirming they met General Design Criteria 14, 15, and 30 of Appendix A to 10 CFR 50 for the subject equipment.

  13. Split Quasi-adequate Semigroups

    Institute of Scientific and Technical Information of China (English)

    Xiao Jiang GUO; Ting Ting PENG

    2012-01-01

    The so-called split IC quasi-adequate semigroups are in the class of idempotent-connected quasi-adequate semigroups.It is proved that an IC quasi-adequate semigroup is split if and only if it has an adequate transversal.The structure of such semigroup whose band of idempotents is regular will be particularly investigated.Our obtained results enrich those results given by McAlister and Blyth on split orthodox semigroups.

  14. Valve inlet fluid conditions for pressurizer safety and relief valves in Westinghouse-designed plants. Final report. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Meliksetian, A.; Sklencar, A.M.

    1982-12-01

    The overpressure transients for Westinghouse-designed NSSSs are reviewed to determine the fluid conditions at the inlet to the PORV and safety valves. The transients considered are: licensing (FSAR) transients; extended operation of high pressure safety injection system; and cold overpressurization. The results of this review, presented in the form of tables and graphs, define the range of fluid conditions expected at the inlet to pressurized safety and power-operated relief valves utilized in Westinghouse-designed PWR units. These results will provide input to the PWR utilities in their justification that the fluid conditions under which their valve designs were tested as part of the EPRI/PWR Safety and Relief Valve Test Program indeed envelop those expected in their units.

  15. Valve inlet fluid conditions for pressurizer safety and relief valves in combustion engineering-designed plants. Final report. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Bahr, J.; Chari, D.; Puchir, M.; Weismantel, S.

    1982-12-01

    The purpose of this study is to assemble documented information for C-E designed plants concerning pressurizer safety and power operated relief valve (PROV) inlet fluid conditions during actuation as calculated by conventional licensing analyses. This information is to be used to assist in the justification of the valve inlet fluid conditions selected for the testing of safety valves and PORVs in the EPRI/PWR Safety/Relief Valve Test Program. Available FSAR/Reload analyses and certain low temperature overpressurization analyses were reviewed to identify the pressurization transients which would actuate the valves, and the corresponding valve inlet fluid conditions. In addition, consideration was given to the Extended High Pressure Liquid Injection event. A general description of each pressurization transient is provided. The specific fluid conditions identified and tabulated for each C-E designed plant for each transient are peak pressurizer pressure, pressure ramp rate at actuation, temperature and fluid state.

  16. Pain relief is a human right.

    Science.gov (United States)

    Daher, Michel

    2010-01-01

    For centuries, medical and surgical treatment has emphasized saving the life of the patient rather than ameliorating the patient's pain, particularly when there were few options for the latter. Today at the dawn of the 21st century, the best available evidence indicates a major gap between an increasingly understanding of the pathophysiology of pain and widespread inadequacy of its treatment. Epidemiologic evidence has proven that chronic pain is a widespread public health issue. Studies of cancer patients' pain control consistently reveal that up to half of patients receive inadequate analgesia and 30% do not receive appropriate drugs for their pain. Equally, for patients suffering HIV/AIDS, 60%-100% will experience pain at some stage in their illness. In the developed world, this gap has prompted a series of declarations and actions by national and international bodies advocating better pain control. One response to the worldwide undertreatment of pain has been to promote the concept that pain relief is a public health issue of such critical importance as to constitute an international imperative and fundamental human right. The importance of pain relief as the core of the medical ethic is clear. Pain clinicians promote the status of pain management beyond that of appropriate clinical practice or even an ethic of good medicine. They advocate a paradigm shift in the medical professions' perspective on pain management, from simply good practice to an imperative founded on patient rights. There is a need to promote policies which create conditions where human beings can bear even incurable illnesses and death in a dignified manner. This must help health professionals or lay groups to initiate a powerful agenda to reform local statutes. The essential components of such legislation are: 1. Reasonable pain management is a right. 2. Doctors have a duty to listen to and reasonably respond to a patient's report of pain. 3. Provision of necessary pain relief is immune from

  17. 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.

  18. Itching for Allergy Relief?

    Science.gov (United States)

    ... Home For Consumers Consumer Updates Itching for Allergy Relief? Share Tweet Linkedin Pin it More sharing options ... your ability to function, you don't find relief from OTC drugs, or you experience allergy symptoms ...

  19. Hyperbolic semi-adequate links

    OpenAIRE

    Futer, David; Kalfagianni, Efstratia; Purcell, Jessica S.

    2013-01-01

    We provide a diagrammatic criterion for semi-adequate links to be hyperbolic. We also give a conjectural description of the satellite structures of semi-adequate links. One application of our result is that the closures of sufficiently complicated positive braids are hyperbolic links.

  20. Application of RELAP5/MOD1 for calculation of safety and relief valve discharge piping hydrodynamic loads. Final report. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    1982-12-01

    A series of operability tests of spring-loaded safety valves was performed at Combustion Engineering in Windsor, CT as part of the PWR Safety and Relief Valve Test Program conducted by EPRI on behalf of PWR Utilities in response to the recommendations of NUREG-0578 and the requirements of the NRC. Experimental data from five of the safety valve tests are compared with RELAP5/MOD1 calculations to evaluate the capability of the code to determine the fluid-induced transient loads on downstream piping. Comparisons between data and calculations are given for transients with discharge of steam, water, and water loop seal followed by steam. RELAP5/MOD1 provides useful engineering estimates of the fluid-induced piping loads for all cases.

  1. Stress relief of transition zones

    Energy Technology Data Exchange (ETDEWEB)

    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.

  2. Brief Report: Clinical Trials Aiming to Prevent Rheumatoid Arthritis Cannot Detect Prevention Without Adequate Risk Stratification: A Trial of Methotrexate Versus Placebo in Undifferentiated Arthritis as an Example.

    Science.gov (United States)

    Burgers, Leonie E; Allaart, Cornelia F; Huizinga, Tom W J; van der Helm-van Mil, Annette H M

    2017-05-01

    -risk UA patients. This emphasizes the importance of adequate risk prediction in trials that aim to prevent RA. © 2017, American College of Rheumatology.

  3. A Problem Solving Project to Determine if the Central Appointment System Adequately Supports the Outpatient Workload Reporting Requirements at Tripler Army Medical Center.

    Science.gov (United States)

    1980-04-21

    34Information Systems: The Process of Development." Journal of Nursing Administration Vol. 9, No. 1 (January 1979): pp. 53-58. Weisbord , Marvin R. "Why...with the overall responsibility for this system. In May 1980, Tripler Army Medical Center (TAMC) will receive a new Burroughs Model 1800 computer to...and the workload gathering methods, the steps involved in reporting on outpatient clinic visit were documented and modelled . This model captured the

  4. A sigh of relief or a sigh of expected relief: Sigh rate in response to dyspnea relief.

    Science.gov (United States)

    Vlemincx, Elke; Meulders, Michel; Luminet, Olivier

    2017-08-09

    Research has suggested that sighs may serve a regulatory function during stress and emotions by facilitating relief. Evidence supports the hypotheses that sighs both express and induce relief from stress. To explore the potential role of sighs in the regulation of symptoms, the present study aimed to investigate the relationship between sighs and relief of symptoms, and relief of dyspnea, specifically. Healthy volunteers participated in two studies (N = 44, N = 47) in which dyspnea was induced by mild (10 cmH2 O/l/s) or high (20 cmH2 0/l/s) inspiratory resistances. Dyspnea relief was induced by the offset of the inspiratory resistances (transitions from high and mild inspiratory resistance to no resistance). Control comparisons included dyspnea increases (transitions from no or mild inspiratory resistance to high inspiratory resistance) and dyspnea continuations (continuations of either no resistance or a high resistance). In Experiment 1, dyspnea levels were cued. In Experiment 2, no cues were provided. Sigh rate during dyspnea relief was significantly higher compared to control conditions, and sigh rate increased as self-reported dyspnea decreased. Additionally, sigh rate was higher during cued dyspnea relief compared to noncued dyspnea relief. These results suggest that sighs are important markers of dyspnea relief. Moreover, sighs may importantly express dyspnea relief, as they are related to experiential dyspnea decreases and occur more frequently during expected dyspnea relief. These findings suggest that sighs may not only be important in the regulation of stress and emotions, but also may be functional in the regulation of dyspnea. © 2017 Society for Psychophysiological Research.

  5. Radiology clinical synopsis: a simple solution for obtaining an adequate clinical history for the accurate reporting of imaging studies on patients in intensive care units.

    Science.gov (United States)

    Cohen, Mervyn D; Alam, Khurshaid

    2005-09-01

    Lack of clinical history on radiology requisitions is a universal problem. We describe a simple Web-based system that readily provides radiology-relevant clinical history to the radiologist reading radiographs of intensive care unit (ICU) patients. Along with the relevant history, which includes primary and secondary diagnoses, disease progression and complications, the system provides the patient's name, record number and hospital location. This information is immediately available to reporting radiologists. New clinical information is immediately entered on-line by the radiologists as they are reviewing images. After patient discharge, the data are stored and immediately available if the patient is readmitted. The system has been in routine clinical use in our hospital for nearly 2 years.

  6. Radiology clinical synopsis: a simple solution for obtaining an adequate clinical history for the accurate reporting of imaging studies on patients in intensive care units

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, Mervyn D. [Riley Hospital for Children, Indianapolis, IN (United States); Alam, Khurshaid [Indiana University, School of Medicine, Indianapolis, IN (United States)

    2005-09-01

    Lack of clinical history on radiology requisitions is a universal problem. We describe a simple Web-based system that readily provides radiology-relevant clinical history to the radiologist reading radiographs of intensive care unit (ICU) patients. Along with the relevant history, which includes primary and secondary diagnoses, disease progression and complications, the system provides the patient's name, record number and hospital location. This information is immediately available to reporting radiologists. New clinical information is immediately entered on-line by the radiologists as they are reviewing images. After patient discharge, the data are stored and immediately available if the patient is readmitted. The system has been in routine clinical use in our hospital for nearly 2 years. (orig.)

  7. 31 CFR 306.111 - Procedure for applying for relief.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Procedure for applying for relief... GOVERNING U.S. SECURITIES Relief for Loss, Theft, Destruction, Mutilation, or Defacement of Securities § 306.111 Procedure for applying for relief. Prompt report of the loss, theft, destruction, mutilation or...

  8. Menopause: Symptom Relief and Treatments

    Science.gov (United States)

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

  9. Adjustable safety relief valve

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, W.L.

    1990-06-12

    This patent describes a pressure relief valve having a relief set pressure. It comprises: a valve body having a fluid inlet and outlet, a spherical, metal valve seat associated with the inlet and a valve member comprising at least a portion of a spherical,metal ball attached to a ball holding element, the valve member being biased against the valve seat and thus providing a metal-to-metal seal preventing the passage of fluids past the valve seat when the fluid pressure in the inlet is below the relief pressure setting of the valve.

  10. 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...

  11. Late-Cenozoic relief evolution under evolving climate: a review

    Science.gov (United States)

    Champagnac, Jean-Daniel; Valla, Pierre; Herman, Fred

    2014-05-01

    The present review is an attempt to summarize quantitative evidence of Late Cenozoic changes in topographic relief on Earth. We first define 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 lowtemperature thermochronometry and terrestrial cosmogenic nuclides), and analyze published evidence for different regions. Our review first show that relief changes and rates of changes are more important at mid-, than high- or low-latitudes, and appear to be insensitive to mean precipitation rates. We also show that relief change is positive (relief increases) in most of the reported cases (~80%). We subsequently define two functional relationships between relief and erosion, depending on the chosen definition of relief, and propose a conceptual model of landscape memory. We conclude, following others, that erosion rates depends non-linearly on relief evolution, itself being a function of the spatial distribution and rates of erosion. The relief increases documented in this review may be related led to erosion rate increases during the same timescales. Lastly, we discuss the importance of glacial and periglacial processes on Late Cenozoic relief and erosion rate changes, and stress the importance of frost shattering and glacial erosion at mid- and high-latitudes.

  12. Technical evaluation report TMI action -- NUREG-0737 (II.D.1). Relief and safety valve testing, Watts Bar Nuclear Plant, Units 1 and 2 (Dockets 50-390 and 50-391)

    Energy Technology Data Exchange (ETDEWEB)

    Fineman, C.P.

    1995-02-01

    In the past, safety and relief valves installed in the primary coolant system of light water reactors have performed improperly. As a result, the authors of NUREG-0578 (TMI-2 Lessons Learned Task Force Status Report and Short-Term Recommendations) and, subsequently, NUREG-0737 (Clarification of TMI Action Plan Requirements) recommended development and completion of programs to do two things. First, they should reevaluate the functional performance capabilities of pressurized water reactor safety, relief, and block valves. Second, they should verify the integrity of the pressurizer safety and relief valve piping systems for normal, transient, and accident conditions. This report documents the review of those programs by Lockheed Idaho Technologies Company. Specifically, this report documents the review of the Watts Bar Nuclear Plant, Units 1 and 2, Applicant response to the requirements of NUREG-0578 and NUREG-0737. This review found the Applicant provided an acceptable response reconfirming they met General Design Criteria 14, 15, and 30 of Appendix A to 10 CFR 50 for the subject equipment. It should also be noted Lockheed Idaho performed this review for both Units 1 and 2. However, the applicability of this review to Unit 2 depends on verifying that the Unit 2 as-built system conforms to the Unit 1 design reviewed in this report.

  13. 40 CFR 716.25 - Adequate file search.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Adequate file search. 716.25 Section 716.25 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT HEALTH AND SAFETY DATA REPORTING General Provisions § 716.25 Adequate file search. The scope of a...

  14. Relief Aid Carefully Audited

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In a recent interview with the national TV broadcaster CCTV,Wang Zhongxin,Director of the Social Security Audit Department at the National Audit Office,talks about the procedures that are in effect to ensure relief supplies for the Wenchuan earthquake victims reach the end users. Excerpts of

  15. 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 wa

  16. Vent Relief Valve Test

    Science.gov (United States)

    2008-01-01

    Shown is the disassembly, examination, refurbishment and testing of the LH2 ( liquid hydrogen) and LOX (liquid oxygen) vent and relief valves for the S-IVB-211 engine stage in support of the Constellation/Ares project. This image is extracted from high definition video and is the highest resolution available.

  17. 38 CFR 49.52 - Financial reporting.

    Science.gov (United States)

    2010-07-01

    ... accounting controls are adequate to minimize excessive Federal advances; or, (C) When the electronic payment... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Financial reporting. 49..., HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Reports and Records § 49.52 Financial...

  18. Allergy Relief for Your Child

    Science.gov (United States)

    ... For Consumers Home For Consumers Consumer Updates Allergy Relief for Your Child Share Tweet Linkedin Pin it ... counter (OTC) and prescription medicines that offer allergy relief as well as allergen extracts used to diagnose ...

  19. Finding Relief from Allergy's Grip

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues Finding Relief from Allergy's Grip Past Issues / Summer 2006 Table ... action for patients who have had inadequate symptom relief with antihistamines and topical nasal steroids. Through injection ...

  20. Effectiveness of the World Health Organization cancer pain relief guidelines: an integrative review

    Science.gov (United States)

    Carlson, Cathy L

    2016-01-01

    Inadequate cancer pain relief has been documented extensively across historical records. In response, in 1986, the World Health Organization (WHO) developed guidelines for cancer pain treatment. The purpose of this paper is to disseminate the results of a comprehensive, integrative review of studies that evaluate the effectiveness of the WHO guidelines. Studies were included if they: 1) identified patients treated with the guidelines, 2) evaluated self-reported pain, 3) identified instruments used, 4) provided data documenting pain relief, and 5) were written in English. Studies were coded for duration of treatment, definition of pain relief, instruments used, findings related to pain intensity or relief, and whether measures were used other than the WHO analgesic ladder. Twenty-five studies published since 1987 met the inclusion criteria. Evidence indicates 20%–100% of patients with cancer pain can be provided pain relief with the use of the WHO guidelines – while considering their status of treatment or end-of-life care. Due to multiple limitations in included studies, analysis was limited to descriptions. Future research to examine the effectiveness of the WHO guidelines needs to consider recommendations to facilitate study comparisons by standardizing outcome measures. Recent studies have reported that patients with cancer experience pain at moderate or greater levels. The WHO guidelines reflect the knowledge and effectual methods to relieve most cancer pain, but the guidelines are not being adequately employed. Part of the explanation for the lack of adoption of the WHO guidelines is that they may be considered outdated by many because they are not specific to the pharmacological and interventional options used in contemporary pain management practices. The conundrum of updating the WHO guidelines is to encompass the latest pharmacological and interventional innovations while maintaining its original simplicity. PMID:27524918

  1. 21 CFR 1404.900 - Adequate evidence.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Adequate evidence. 1404.900 Section 1404.900 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 1404.900 Adequate evidence. Adequate evidence means information sufficient...

  2. Study of safety relief valve operation under ATWS conditions. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Hutmacher, E.S.; Nesmith, B.J.; Brukiewa, J.B.

    1979-06-25

    A literature survey and analysis project has been performed to determine if recent (since mid-1975) data has been reported which could influence the current approach to predicting PWR relief valve capacity under ATWS conditions. This study was conducted by the Energy Technology Engineering Center for NRC. Results indicate that the current relief valve capacity model tends to predict less capacity than actually obtains; however, no experimental verification at PWR ATWS conditions was found. Other project objectives were to establish the availability of methods for evaluating reaction forces and back pressure effects on relief valve capacity, and to determine if facilities exist which are capable of testing PWR relief valves at ATWS conditions.

  3. Ethiopian Relief: A Case Study in Failed Public Relations.

    Science.gov (United States)

    Chapel, Gage W.

    1988-01-01

    Examines how InterAid, a private-sector relief agency, responded to the false charge that it had misappropriated $20 million purportedly raised for Ethiopian famine relief. Suggests that it was not primarily negative reporting that retarded the strength of InterAid, but InterAid's inability to demonstrate shared common interests with its primary…

  4. Exercise Based- Pain Relief Program

    DEFF Research Database (Denmark)

    Zadeh, Mahdi Hossein

    in the current study was to use exercise induced- muscle damage followed by ECC as an acute pain model and observe its effects on the sensitivity of the nociceptive system and blood supply in healthy subjects. Then, the effect of a repeated bout of the same exercise as a healthy pain relief strategy......Exercise-based pain management programs are suggested for relieving from musculoskeletal pain; however the pain experienced after unaccustomed, especially eccentric exercise (ECC) alters people´s ability to participate in therapeutic exercises. Subsequent muscle pain after ECC has been shown...... to cause localized pressure pain and hyperalgesia. A prior bout of ECC has been repeatedly reported to produce a protective adaptation known as repeated bout effect (RBE). One of the main scopes of the current project was to investigate the adaptations by which the RBE can be resulted from. The approach...

  5. 5 CFR 919.900 - Adequate evidence.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Adequate evidence. 919.900 Section 919.900 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 919.900 Adequate evidence...

  6. Abundant Semigroups with a Multiplicative Adequate Transversal

    Institute of Scientific and Technical Information of China (English)

    GUO Xiao Jiang

    2002-01-01

    The aim of this paper is to investigate abundant semigroups with a multiplicative adequate transversal. Some properties and characterizations for such semigroups are obtained. In particular,we establish the structure of this class of abundant semigroups in terms of left normal bands, right normal bands and adequate semigroups with some simple compatibility conditions. Finally, we apply this structure to some special cases.

  7. Quedas intra-hospitalares na Santa Casa de Belo Horizonte MG são adequadamente relatadas? Are In-hospital Falls at Santa Casa of Belo Horizonte- MG adequately reported?

    Directory of Open Access Journals (Sweden)

    Joana Ude Viana

    2011-03-01

    Horizonte, the occurrence of in-hospital falls. The interview was accomplished with 37 professionals(doctors, interns and nurses through a semi-structured questionnaire which comprehended 11 questions related to the historical of falls in the sector, comprising information on the number of episodes, setting, time, patient age, activity performed at the moment, consequences, as well as questions regarding to environment adaptation. Data analysis conducted by means of descriptive statistics of the interviews showed that 65% of the employee reported the occurrence of falls. The majority (73% of fallers was men, with mean age of 78, 62 years (SD +- 7, 63 and fell more in the morning (31% and in the evening (31%, mainly in the room (48% and in the bathroom (42%, being 50% of the episodes non-injurious. We conclude that falls episodes occur in the hospital setting, but are not reported adequately, showing the need of adoption of educational measures to the professional who deal with this population.

  8. Phytotherapy for pain relief.

    Science.gov (United States)

    Zareba, Grazyna

    2009-06-01

    Pain is considered the third most common healthcare problem disabling more individuals than heart disease and cancer together. Although pharmacological pain management offers a significant relief in several pain-related diseases, many patients turn to its supplementation with complementary and alternative medicine. Botanicals used in pain therapy can contribute to restoring the quality of life to a patient and may effect and enhance conventional pain management. Herbal analgesic use in several pain-related diseases such as rheumatologic diseases, back pain, cancer, diabetic peripheral neuropathy and migraine will be discussed. In addition, this review describes botanicals with known analgesic activity for which randomized, placebo-controlled, double-blind trials assessing their efficacy in different pain-related diseases have been published and which have been recently evaluated in many systematic reviews with well-described methodology.

  9. Is a vegetarian diet adequate for children.

    Science.gov (United States)

    Hackett, A; Nathan, I; Burgess, L

    1998-01-01

    The number of people who avoid eating meat is growing, especially among young people. Benefits to health from a vegetarian diet have been reported in adults but it is not clear to what extent these benefits are due to diet or to other aspects of lifestyles. In children concern has been expressed concerning the adequacy of vegetarian diets especially with regard to growth. The risks/benefits seem to be related to the degree of restriction of he diet; anaemia is probably both the main and the most serious risk but this also applies to omnivores. Vegan diets are more likely to be associated with malnutrition, especially if the diets are the result of authoritarian dogma. Overall, lacto-ovo-vegetarian children consume diets closer to recommendations than omnivores and their pre-pubertal growth is at least as good. The simplest strategy when becoming vegetarian may involve reliance on vegetarian convenience foods which are not necessarily superior in nutritional composition. The vegetarian sector of the food industry could do more to produce foods closer to recommendations. Vegetarian diets can be, but are not necessarily, adequate for children, providing vigilance is maintained, particularly to ensure variety. Identical comments apply to omnivorous diets. Three threats to the diet of children are too much reliance on convenience foods, lack of variety and lack of exercise.

  10. Waiver Plan Generates Relief, Fret

    Science.gov (United States)

    Klein, Alyson; McNeil, Michele

    2011-01-01

    While the Obama administration's plan to offer states relief from parts of the No Child Left Behind (NCLB) Act--if they agree to embrace unspecified education redesign priorities--has drawn kudos from some quarters, it isn't sitting well in others. Officials in a number of states have praised the idea as an opportunity for badly needed relief from…

  11. 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... relief. Requests for relief from surcharges for excess consumption of PHA-purchased utilities, or from... appropriate. The PHA's criteria for granting such relief, and procedures for requesting such relief, shall be...

  12. Immigration Reform and Administrative Relief for 2014 and Beyond: A Report on Behalf of the Committee for Immigration Reform Implementation (CIRI), Human Resources Working Group

    OpenAIRE

    Charles Kamasaki; Susan Timmons; Courtney Tudi

    2015-01-01

    Successful implementation of any broad-scale immigrant legalization program requires an adequately funded infrastructure of immigrant-serving organizations. In 2014, President Obama announced an expanded Deferred Action for Childhood Arrivals (DACA) program, as well as the Deferred Action for Parents of Citizens and Lawful Permanent Residents (DAPA) program, which would make it possible for approximately five million people to attain lawful, albeit temporary, status and employment authorizati...

  13. Quick-Relief Medications for Lung Diseases

    Science.gov (United States)

    ... relief medications are used to treat asthma, other lung disease symptoms or an acute episode (such as an ... about the following quick-relief asthma and other lung disease medications: Anticholinergics Anticholinergics are quick-relief asthma and ...

  14. Insights into Casual Relief Teaching: Casual Relief Teachers' Perceptions of Their Knowledge and Skills

    Science.gov (United States)

    Nicholas, Maria; Wells, Muriel

    2017-01-01

    Research into the experiences of casual relief teachers (CRTs) (substitute or supply teachers) across Australia and internationally has reported feelings of marginalisation among participants. These findings are concerning when one considers that students might be in the care of CRTs for an equivalent of 1 year or more throughout their schooling.…

  15. 4 CFR 200.14 - Responsibility for maintaining adequate safeguards.

    Science.gov (United States)

    2010-01-01

    ... identifiable personal data and automated systems shall be adequately trained in the security and privacy of... records in which identifiable personal data are processed or maintained, including all reports and output... personal records or data; must minimize, to the extent practicable, the risk that skilled technicians...

  16. Real Time Investments with Adequate Portfolio Theory

    Directory of Open Access Journals (Sweden)

    Alina Kvietkauskienė

    2015-02-01

    Full Text Available The objective of this paper is to identify investment decision makingschemes using the adequate portfolio model. This approach can be employed to project investment in stocks, using the opportunities offered by the markets and investor intelligence. It was decided to use adequate portfolio theory for investment decision making, simulation of financial markets, and optimisation of utility function. The main conclusion of article suggests investigating return on individual portfolio level. Real investment is a way to make sure of the soundness of applicable strategies.

  17. 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...

  18. LOFT pressurizer safety: relief valve reliability

    Energy Technology Data Exchange (ETDEWEB)

    Brown, E.S.

    1978-01-18

    The LOFT pressurizer self-actuating safety-relief valves are constructed to the present state-of-the-art and should have reliability equivalent to the valves in use on PWR plants in the U.S. There have been no NRC incident reports on valve failures to lift that would challenge the Technical Specification Safety Limit. Fourteen valves have been reported as lifting a few percentage points outside the +-1% Tech. Spec. surveillance tolerance (9 valves tested over and 5 valves tested under specification). There have been no incident reports on failures to reseat. The LOFT surveillance program for assuring reliability is equivalent to nuclear industry practice.

  19. 7 CFR 760.106 - Equitable relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Equitable relief. 760.106 Section 760.106 Agriculture... Assistance Programs § 760.106 Equitable relief. (a) The Secretary may provide equitable relief on a case-by... accordance with the FCIA (7 U.S.C. 1501-1524) or (ii) Application closing date for NAP. (b) Equitable relief...

  20. Defining an Adequate Education for English Learners

    OpenAIRE

    Patricia Gándara; Russell W. Rumberger

    2008-01-01

    This article explores the components of an “adequate” education for linguistic minority students in California and attempts to distinguish these from the components of an adequate education for low-income students who are native English speakers. About 1.6 million students were classified as English learners (ELs) in California in 2006. We argue that in order to determine the costs of educating these students, it is necessary to specify the goals of instruction. Four possible goals are: (1) r...

  1. Barriers to spousal contribution to childbirth pain relief in Nigeria.

    Science.gov (United States)

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

    2016-12-09

    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.

  2. Pressure relief valve/safety relief valve testing

    Energy Technology Data Exchange (ETDEWEB)

    Murray, W.A.; Hamm, E.R.; Barber, J.R.

    1994-02-01

    Pressure vessels and piping systems are protected form overpressurization by pressure relief valves. These safety features are required to be tested-inspected on some periodic basis and, in most cases witnessed by a third party inspector. As a result nonconformances found by third parties Westinghouse Hanford Company initiated a task team to develop a pressure safety program. This paper reveals their findings.

  3. Immigration Reform and Administrative Relief for 2014 and Beyond: A Report on Behalf of the Committee for Immigration Reform Implementation (CIRI, Human Resources Working Group

    Directory of Open Access Journals (Sweden)

    Charles Kamasaki

    2015-08-01

    Full Text Available Successful implementation of any broad-scale immigrant legalization program requires an adequately funded infrastructure of immigrant-serving organizations. In 2014, President Obama announced an expanded Deferred Action for Childhood Arrivals (DACA program, as well as the Deferred Action for Parents of Citizens and Lawful Permanent Residents (DAPA program, which would make it possible for approximately five million people to attain lawful, albeit temporary, status and employment authorization. As the initial DACA program instituted in 2012 has already stretched the capacity of immigrant-serving organizations to their limits or even beyond them, the possibility of full implementation of DAPA and the expanded DACA programs presents a formidable challenge for these organizations.In this paper, the Human Resources Working Group of the Committee for Immigration Reform Implementation (CIRI draws on the lessons of the Immigrant Reform and Control Act of 1986 (IRCA, DACA, and other initiatives to provide a roadmap for immigrant service delivery agencies and their partners in planning for implementation of the expanded DACA and the DAPA programs, with an eye (ultimately to broad legislative reform. In particular, this paper focuses on the funding and human resources that the immigrant service delivery field, writ large, would require to implement these programs.If expanded DACA and DAPA were implemented, the CIRI Working Group estimates that, of the total of five million that may be eligible, 1.08 million individuals will require extensive application assistance, generating the need for approximately three times more full-time staff than are currently in the field. Moreover, without additional funding and staff, agencies will likely not be able to shift a portion of staff time to accommodate any new program, even taking the typical fee-for-service model into account. Thus, the paper identifies a pressing need for “upfront” funding as early in the

  4. 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.

  5. Digital relief generation from 3D models

    Science.gov (United States)

    Wang, Meili; Sun, Yu; Zhang, Hongming; Qian, Kun; Chang, Jian; He, Dongjian

    2016-09-01

    It is difficult to extend image-based relief generation to high-relief generation, as the images contain insufficient height information. To generate reliefs from three-dimensional (3D) models, it is necessary to extract the height fields from the model, but this can only generate bas-reliefs. To overcome this problem, an efficient method is proposed to generate bas-reliefs and high-reliefs directly from 3D meshes. To produce relief features that are visually appropriate, the 3D meshes are first scaled. 3D unsharp masking is used to enhance the visual features in the 3D mesh, and average smoothing and Laplacian smoothing are implemented to achieve better smoothing results. A nonlinear variable scaling scheme is then employed to generate the final bas-reliefs and high-reliefs. Using the proposed method, relief models can be generated from arbitrary viewing positions with different gestures and combinations of multiple 3D models. The generated relief models can be printed by 3D printers. The proposed method provides a means of generating both high-reliefs and bas-reliefs in an efficient and effective way under the appropriate scaling factors.

  6. ACHEON调查中国慢性非癌痛镇痛治疗及阿片类药物使用现状分析%Analysis of current clinical survey of chronic non-cancer pain-relief and opioid: the Chinese subgroup report of ACHEON study

    Institute of Scientific and Technical Information of China (English)

    王家双; 潘胜发

    2016-01-01

    目的 调查中国人群慢性非癌痛(CNCP)的治疗现状以及阿片类药物使用状况.方法 2013年9月至2013年12月在中国大陆地区对100位医师和250位患者进行问卷调查.结果 在被调查的医师中,认为CNCP管理培训充足的仅40%,而对阿片类药物控制CNCP的相关培训充足程度方面,仅30%医师认为培训是充足的.67%的临床医师认为阿片类药物不是CNCP的最佳选择.中国患者CNCP主要发生部位是下肢(腿/足)和头颈部,分别为59.2%和39.2%;疼痛原因主要是关节炎(37.22%),过度使用(26.91%),不良姿势(35.56%).81.6%的患者处于治疗状态,仅66.67%的患者对CNCP治疗满意,而CNCP控制效果方面,74.51%的患者认为CNCP管理是有效的.结论 中国医师对阿片类药物在CNCP管理中的认知需要加强,需要对医师与患者加强CNCP教育,提高CNCP的临床管理水平.%Objective To survey the current clinical practice of chronic non-cancer pain (CNCP)management including opioid use in Chinese subgroup report of Current Practices of Cancer and Chronic Non-Cancer Pain Management:A Pan-Asian Study (ACHEON).Methods This questionnaire-based survey included 100 pain physicians and 250 patients experiencing CNCP in the period of September to December in 2013.Results CNCP management training was believed by 40% of physicians,while 30% reported adequate pain-relief training on opioid use.Opioids were not considered as the best choice for CNCP management by 65% of physicians.The majority of location of pain with CNCP was legs/feet (59.2%) and neck (39.2%),arthritis (37.22%),overuse (26.91%),and poor posture (35.56%) were reported as the primary causes of pain.A portion (81.6%) of patients was under treatment,while 66.67% of patients claimed to be satisfied with their current pain treatment.74.51% of patients reported that CNCP management was effective pain-relief.Conclusions The Chinese physicians were insufficient

  7. The Team Approach to Pain Relief

    Science.gov (United States)

    ... Issue Past Issues The Team Approach to Pain Relief Past Issues / Fall 2007 Table of Contents For ... with her quality of life, and acupuncture brought relief from severe shoulder pain. "I'm functional again. ...

  8. Pressure Relief Behaviors and Weight Shifting Activities to Prevent Pressure Ulcers in Persons with SCI

    Science.gov (United States)

    2016-10-01

    papers, and presentations Sprigle, S. Dedicated pressure reliefs and functional in-seat movements as pressure redistributing strategies” 2015 Nordic...0 AWARD NUMBER: W81XWH-13-1-0387 TITLE: Pressure Relief Behaviors and Weight-Shifting Activities to Prevent Pressure Ulcers in Persons with...Annual Report 3. DATES COVERED 30 Sep 2015 - 29 Sep 2016 4. TITLE AND SUBTITLE Pressure Relief Behaviors and Weight-Shifting Activities to Prevent

  9. 47 CFR 69.727 - Regulatory relief.

    Science.gov (United States)

    2010-10-01

    ... similarly situated customers; and (ii) The price cap LEC excludes all contract tariff offerings from price... customer. (b) Phase II relief. Upon satisfaction of the Phase II triggers specified in §§ 69.709(c) or 69... Pricing Flexibility § 69.727 Regulatory relief. (a) Phase I relief. Upon satisfaction of the Phase I...

  10. 7 CFR 1465.33 - Equitable relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Equitable relief. 1465.33 Section 1465.33 Agriculture... § 1465.33 Equitable relief. (a) If a participant relied upon the advice or action of any authorized NRCS... participant may be eligible for equitable relief under 7 CFR part 635, section 635.3. The financial or...

  11. 28 CFR 36.504 - Relief.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Relief. 36.504 Section 36.504 Judicial... 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...

  12. 29 CFR 553.225 - Early relief.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Early relief. 553.225 Section 553.225 Labor Regulations... relief. It is a common practice among employees engaged in fire protection activities to relieve employees on the previous shift prior to the scheduled starting time. Such early relief time may occur...

  13. 29 CFR 4041.4 - Disaster relief.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Disaster relief. 4041.4 Section 4041.4 Labor Regulations...-EMPLOYER PLANS General Provisions § 4041.4 Disaster relief. When the President of the United States declares that, under the Disaster Relief Act (42 U.S.C. 5121, 5122(2), 5141(b)), a major disaster exists...

  14. 29 CFR 1614.505 - Interim relief.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Interim relief. 1614.505 Section 1614.505 Labor Regulations... OPPORTUNITY Remedies and Enforcement § 1614.505 Interim relief. (a)(1) When the agency appeals and the case... interim relief. (2) Service under the temporary or conditional restoration provisions of paragraph (a)(1...

  15. 7 CFR 276.5 - Injunctive relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Injunctive relief. 276.5 Section 276.5 Agriculture... Injunctive relief. (a) General. If FNS determines that a State agency has failed to comply with the Food... Secretary may seek injunctive relief against the State agency to require compliance. The Secretary may...

  16. 20 CFR 627.803 - Relief.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Relief. 627.803 Section 627.803 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR GENERAL PROVISIONS GOVERNING PROGRAMS... Relief. In ordering relief, the ALJ shall have the full authority of the Secretary under section 164 of...

  17. 24 CFR 7.44 - Interim relief.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Interim relief. 7.44 Section 7.44... § 7.44 Interim relief. (a) When the Department appeals and the case involves removal, separation, or... outcome of the Department appeal. The employee may decline the offer of interim relief. (b) Service under...

  18. 7 CFR 1466.33 - Equitable relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Equitable relief. 1466.33 Section 1466.33 Agriculture... Administration § 1466.33 Equitable relief. (a) If a participant relied upon the advice or action of any... relief, to the extent it is deemed desirable by NRCS, to provide a fair and equitable treatment because...

  19. 7 CFR 1470.34 - Equitable relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Equitable relief. 1470.34 Section 1470.34 Agriculture... § 1470.34 Equitable relief. (a) If a participant relied upon the advice or action of NRCS and did not... be eligible for equitable relief under 7 CFR part 635. The financial or technical liability for any...

  20. 12 CFR 268.505 - Interim relief.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Interim relief. 268.505 Section 268.505 Banks... REGARDING EQUAL OPPORTUNITY Remedies and Enforcement § 268.505 Interim relief. (a)(1) When the Board appeals... offer of interim relief. (2) Service under the temporary or conditional restoration provisions of...

  1. 7 CFR 636.20 - Equitable relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Equitable relief. 636.20 Section 636.20 Agriculture... AGRICULTURE LONG TERM CONTRACTING WILDLIFE HABITAT INCENTIVES PROGRAM § 636.20 Equitable relief. (a) If a... as meeting program requirements and grant relief because of the good-faith reliance on the part of...

  2. 7 CFR 795.24 - Relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Relief. 795.24 Section 795.24 Agriculture Regulations... PROVISIONS COMMON TO MORE THAN ONE PROGRAM PAYMENT LIMITATION General § 795.24 Relief. If a producer relied... reviewing authority makes a more restrictive determination, the Deputy Administrator may grant relief only...

  3. 18 CFR 281.215 - Additional relief.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Additional relief. 281... Additional relief. If an interstate pipeline rejects (under § 281.210 or otherwise) a request for... aggrieved by such action may file a request for relief from curtailment under § 385.206 of this chapter. The...

  4. 49 CFR 1108.4 - Relief.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Relief. 1108.4 Section 1108.4 Transportation Other... TRANSPORTATION BOARD § 1108.4 Relief. (a) Subject to specification in the complaint, as provided in § 1108.7 herein, an Arbitrator may grant the following types of relief: (1) Monetary damages, to the extent...

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

    Energy Technology Data Exchange (ETDEWEB)

    Deshmukh, Ajit J.; Rodriguez, Jose A. [North Shore LIJ Lenox Hill Hospital, Department of Orthopaedic Surgery, New York, NY (United States); Panagopoulos, Georgia [North Shore LIJ Lenox Hill Hospital, Department of Research, New York, NY (United States); Alizadeh, Ahmadreza; Klein, Devon A. [North Shore LIJ Lenox Hill Hospital, Department of Radiology, New York, NY (United States)

    2011-11-15

    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.)

  6. 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.

  7. The neuromatrix theory of pain: implications for selected nonpharmacologic methods of pain relief for labor.

    Science.gov (United States)

    Trout, Kimberly K

    2004-01-01

    Women experience the pain of labor differently, with many factors contributing to their overall perception of pain. The neuromatrix theory of pain provides a framework that may explain why selected nonpharmacologic methods of pain relief can be quite effective for the relief of pain for the laboring woman. The concept of a pain "neuromatrix" suggests that perception of pain is simultaneously modulated by multiple influences. The theory was developed by Ronald Melzack and represents an expansion beyond his original "gate theory" of pain, first proposed in 1965 with P. D. Wall. This article reviews several nonpharmacologic methods of pain relief with implications for the practicing clinician. Providing adequate pain relief during labor and birth is an important component of caring for women during labor and birth.

  8. The simple query "Do you want more pain medication?" is not a reliable way to assess acute pain relief in patients in the emergency department.

    Science.gov (United States)

    Chauny, Jean-Marc; Marquis, Martin; Paquet, Jean; Lavigne, Gilles; Cournoyer, Alexis; Manzini, Christiane; Daoust, Raoul

    2017-03-15

    The management of acute pain constitutes an essential skill of emergency department (ED) physicians. However, the accurate assessment of pain intensity and relief represents a clinically challenging undertaking. Some studies have proposed to define effective pain relief as the patient's refusal for additional analgesic administration. The aim of this study was to verify whether such a refusal is effectively indicative of pain relief. This prospective cohort study included ED patients who received single or multiple doses of pain medication for an acute pain problem. Patients were evaluated for pain relief using one Likert scale and two dichotomous questions: Is your pain relieved? and Do you want more analgesics? Non-relieved patients were further analysed using a checklist as to the reasons behind their refusal for supplemental pain medication. We have recruited 378 adult patients with a mean age of 50.3 years (±19.1); 60% were women and had an initial mean pain level of 7.3 (±2.0) out of 10. We observed that 68 out of 244 patients who were adequately relieved from pain asked for more analgesics (28%), whereas 51 out of 134 patients who were not relieved from pain refused supplemental drugs (38%). Reasons for refusal included wanting to avoid side effects, feeling sufficiently relieved, and disliking the medication's effects. Over a third of ED patients in acute pain were not relieved but refused supplemental pain medication. Patients have reported legitimate reasons to decline further analgesics, and this refusal cannot be used as an indication of pain relief.

  9. Relief in Small and Simple Matters in Belgium

    NARCIS (Netherlands)

    S. Voet (Stefaan)

    2015-01-01

    textabstractThis article is based on a national report that was written for the XVth World Congress of the International Association of Procedural Law that was held in Istanbul in May 2015 and that focused on Effective Judicial Relief and Remedies in an Age of Austerity. It first of all sketches the

  10. Developing Countries Debt Relief Initiative for Poor Countries Faces Challenges Debt Relief Initiative for Poor Countries Faces Challenges

    Science.gov (United States)

    2000-06-01

    This report responds to your request that we (1) assess whether the enhanced Heavily Indebted Poor Countries Initiative is likely to free up...resources for poverty reduction and achieve the goal of debt sustainability, (2) describe the strategy to strengthen the link between debt relief and poverty

  11. 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.

  12. Adequate Screening of Youngsters for Depressive Characteristics

    Directory of Open Access Journals (Sweden)

    Lotte Theuwis

    2013-06-01

    Full Text Available In order to set up an effective early-detection of depressive symptoms in youngsters, the current study aims to investigate whether two measure moments of the Children's Depression Inventory (CDI improve screening and whether a multi-informant procedure is superior compared to a single-informant procedure thereby controlling for comorbid symptoms. Method.Youngsters (10-15 years filled in the CDI and an Anxiety Scale at Time 1 and the CDI and Youth Self Report one week later. Next, a structured clinical interview was administered. The Child Behaviour CheckList was filled in by the parents. Results. Two measure moments of the CDI are not more accurate in capturing disordered mood changes. Furthermore, parent reports were no significant contributor to the variance over and above the CDI. Discussion. A second moment does not increase screening accuracy. Further research on setting up an effective multistage screening procedure for depressive symptoms for youngsters is however necessary.

  13. Relief of diabetic neuropathy with fluoxetine.

    Science.gov (United States)

    Theesen, K A; Marsh, W R

    1989-01-01

    A 31-year-old woman with advanced diabetes mellitus with secondary autonomic and peripheral neuropathy was admitted for treatment of major depression. Previous therapy with desipramine resulted in exacerbation of the patient's orthostatic hypotension. After admission to the psychiatric facility she was initially stabilized medically and treated with psychotherapy. Subsequent treatment with low-dose fluoxetine 5 mg resulted in a decrease of the patient's diabetic neuropathy pain. Further increases in the fluoxetine dosage resulted in improvement of her depression and increased pain relief. Therapy with fluoxetine did not result in exacerbation of the orthostatic hypotension. This preliminary case report indicates that fluoxetine may be an alternative to the tricyclic antidepressants and trazodone in the treatment of diabetic peripheral neuropathy.

  14. Coordinating Robot Teams for Disaster Relief

    Science.gov (United States)

    2015-05-01

    Coordinating Robot Teams for Disaster Relief Mark Roberts1, Thomas Apker2, Benjamin Johnson1, Bryan Auslander3, Briana Wellman4 & David W...for Humanitarian Assistance / Disaster Relief operations. We demonstrate that the SDP responds to a dynamic, open world while ensuring that vehicles...facilitate such information gathering tasks, freeing humans to perform more critical tasks in Humanitarian Assistance / Disaster Relief (HA/DR

  15. Examples, clarifications, and guidance on preparing requests for relief from pump and valve inservice testing requirements

    Energy Technology Data Exchange (ETDEWEB)

    Ransom, C.B.; Hartley, R.S. [Lockheed Idaho Technologies Co., Idaho Falls, ID (United States)

    1996-02-01

    In this report, the Idaho National Engineering Laboratory reviewers discuss related to requests for relief from the American Society of Mechanical Engineers code requirements for inservice testing (IST) of safety-related pumps and valves at commercial nuclear power plants. This report compiles information and examples that may be useful to licensees in developing relief requests submitted to US Nuclear Regulatory Commission (NRC) for their consideration and provides insights and recommendations on related IST issues. The report also gives specific guidance on relief requests acceptable and not acceptable to the NRC and advises licensees in the use of this information for application at their facilities.

  16. Abundant Semigroups Which Are Disjoint Unions of Multiplicative Adequate Transversals

    Institute of Scientific and Technical Information of China (English)

    Haijun LIU; Xiaojiang GUO

    2013-01-01

    The aim of this paper is to study abundant semigroups which are disjoint unions of multiplicative adequate tranversals.After obtaining some properties of such semigroup,we prove that a semigroup is a disjoint union of multiplicative adequate transversals if and only if it is isomorphic to the direct product of a rectangular band and an adequate semigroup.

  17. Oxycodone combinations for pain relief.

    Science.gov (United States)

    Raffa, R B; Pergolizzi, J V; Segarnick, D J; Tallarida, R J

    2010-06-01

    No single analgesic drug provides the perfect therapeutic/adverse effect profile for every pain condition. In addition to convenience and possibly improved compliance, a combination of analgesic drugs offers the potential, requiring verification, of providing greater pain relief and/or reduced adverse effects than the constituent drugs when used individually. We review here analgesic combinations containing oxycodone. We found surprisingly little preclinical information about the analgesic or adverse effect profiles of the combinations (with acetaminophen, paracetamol, nonsteroidal anti-inflammatory drugs, morphine, gabapentin or pregabalin). Clinical experience and studies suggest that the combinations are safe and effective and may offer certain advantages. As with all combinations, the profile of adverse effects must also be determined in order to provide the clinician with the overall benefit/risk assessment.

  18. Pain relief can be painful

    Directory of Open Access Journals (Sweden)

    Ashish Bindra

    2015-01-01

    Full Text Available Mandibular nerve block is periodically used procedure used to treat neuralgic pain in the distribution of trigeminal nerve. It is a commonly performed block in outpatient settings at our institute. We present a case of an elderly edentulous patient with trigeminal neuralgia who suffered recurrent temporomandibular joint (TMJ dislocation following mandibular nerve block. The patient presented with complaints of severe pain, inability to close mouth, and eat food since 2 days. Anterior closed reduction of TMJ resulted in reduction of joint and immediate pain relief. However, the maneuver failed due to recurrent dislocation of the joint. A Barton dressing was applied to prevent another dislocation. This was followed by autologous blood injection into the joint. This case focuses on the preponderance of clinical evaluation and accentuates the need for additional forethought to be taken during pain procedures, particularly in the geriatric population.

  19. A Class of Left E-adequate Semigroups

    Institute of Scientific and Technical Information of China (English)

    LI YONG-HUA; HE YONG

    2010-01-01

    In this paper we establish a construction of a class of left E-adequate semigroups by using semilattices of cancellative monoids and fundamental left E-adequate semigroups. We first introduce concepts of type μ+ (μ*, μ) abundant semigroups and type μ+ left E-adequate semigroups. In fact, regular semigroups are type μ+ abundant semigroups and inverse semigroups are type μ+ left E-adequate semigroups. Next, we construct a special kind of algebras called E+-product. It is proved that every E+-product is a type μ+ left E-adequate semigroup, and every type μ+ left E-adequate semigroup is isomorphic to an E+-product of a semilattice of cancellative monoids with a fundamental left E-adequate semigroup. Finally, as a corollary of the main result, it is deduced that every inverse semigroup is isomorphic to an E+-product of a Clifford semigroup by a fundamental inverse semigroup.

  20. 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

  1. Inexpensive tamper proof safety relief valve

    Science.gov (United States)

    Frankewich, P. A.

    1970-01-01

    Basic relief valve has added safety relief valve capability that relieves overpressure before failure can occur. It may be installed in inaccesible areas with a high degree of reliability, constructed from a variety of materials, and adapted to the user's specific application.

  2. 44 CFR 68.12 - Relief.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Relief. 68.12 Section 68.12 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... Relief. The final determination may be appealed by the appellant(s) to the United States district court...

  3. 24 CFR 220.753 - Forbearance relief.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Forbearance relief. 220.753 Section 220.753 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... and Obligations-Projects Project Mortgage Insurance § 220.753 Forbearance relief. (a) In a case where...

  4. 47 CFR 1.6009 - Relief.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Relief. 1.6009 Section 1.6009 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Implementation of Section 325(e) of the... Carriers for Retransmission Without Consent § 1.6009 Relief. If the Commission determines that a satellite...

  5. 24 CFR 236.255 - Forbearance relief.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Forbearance relief. 236.255 Section 236.255 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... Insurance § 236.255 Forbearance relief. (a) In a case where the mortgage is in default, the mortgagor and...

  6. 24 CFR 221.761 - Forbearance relief.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Forbearance relief. 221.761 Section 221.761 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... § 221.761 Forbearance relief. (a) In a case where the mortgage is in default, the mortgagor and the...

  7. 10 CFR 503.35 - Inability to obtain adequate capital.

    Science.gov (United States)

    2010-01-01

    ... capital investment, through tariffs, without unreasonably adverse economic effect on its service area... 10 Energy 4 2010-01-01 2010-01-01 false Inability to obtain adequate capital. 503.35 Section 503... New Facilities § 503.35 Inability to obtain adequate capital. (a) Eligibility. Section 212(a)(1)(D)...

  8. 13 CFR 108.200 - Adequate capital for NMVC Companies.

    Science.gov (United States)

    2010-01-01

    ... VENTURE CAPITAL (âNMVCâ) PROGRAM Qualifications for the NMVC Program Capitalizing A Nmvc Company § 108.200 Adequate capital for NMVC Companies. You must meet the requirements of §§ 108.200-108.230 in order to... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Adequate capital for...

  9. 9 CFR 305.3 - Sanitation and adequate facilities.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Sanitation and adequate facilities. 305.3 Section 305.3 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF... OF VIOLATION § 305.3 Sanitation and adequate facilities. Inspection shall not be inaugurated if...

  10. A test of stress theory: relief workers in refugee camps.

    Science.gov (United States)

    Soliman, Hussein H; Gillespie, David F

    2011-10-01

    The purpose of this paper is to apply a stress model drawn from the literature to the relief and social service workers who have been active in refugee camps for a prolonged period of time. Working in difficult environments, social service workers deliver essential services to refugee populations around the world. A model of four work-stress determinants--tasks, management, appreciation and collaboration--was tested on 274 social workers in five regions of the Middle East (Jordan, Lebanon and Syria, as well as the occupied Palestinian territories of the Gaza Strip and the West Bank). Statistical fit indices were adequate but two relationships were statistically insignificant. The collaboration variable was dropped to create a modified model with tasks indirectly and management and appreciation directly affecting work-related stress. The five direct relationships and two indirect relationships of this modified model are consistent with stress theory, and all relationships--direct and indirect--are statistically significant.

  11. Ensuring Pain Relief for Children at the End of Life

    Directory of Open Access Journals (Sweden)

    Marie-Claude Grégoire

    2006-01-01

    Full Text Available Pain management in the context of pediatric palliative care can be challenging. The present article reviews, through a case-based presentation, the nonpharmacological and pharmacological methods used to ensure adequate pain control in children facing end of life. Details on the impressive range of opioid dosages required and routes of administration are highlighted from published literature and clinical experience. Where available, evidence-based recommendations are provided. Potential side effects of pain medication and barriers to good pain control are discussed. Novel analgesics and innovative delivery methods are presented as future tools enhancing pain relief at the end of life. Some challenges to ethically grounded research in this important context of care are reviewed.

  12. 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...

  13. 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...

  14. 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 ...

  15. 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...

  16. Enveloping Relief Surfaces of Landslide Terrain

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Two relief surfaces that envelop the rock fall region in a part of Garhwal Himalayas around Chamoli have been identified. Relative relief and absolute relief have been analyzed and the enveloping surfaces recorded at two levels of relief in the landscape. All landslide activity lies within these surfaces. The lower enveloping surface (800 m) dips due south by 7-8 degrees, due to an elevation rise of 100 meters within 12 km from south to north, i.e., a gradient of 8 percent. The nature of the surface is smooth. The upper enveloping surface (> 2500 m) is almost parallel to the lower one but its surface is undulatory due to landslides and denudation. The area has been a seismically active region and has undergone seismic activity up until recently, as evidenced by the Chamoli earthquake of 29th March 1999. The effects of earthquakes are seen at higher levels in the form of landslide imprints on the terrain.

  17. 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...

  18. 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...

  19. Brain Circuits Encoding Reward from Pain Relief

    Science.gov (United States)

    Navratilova, Edita; Atcherley, Christopher; Porreca, Frank

    2015-01-01

    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, activation of midbrain dopamine neurons and release of dopamine in the nucleus accumbens. Understanding of circuits that govern the reward of pain relief may allow the discovery of more effective and satisfying therapies for patients with acute and chronic pain. PMID:26603560

  20. Safety/relief-valve test program

    Energy Technology Data Exchange (ETDEWEB)

    Hunter, J.A.

    1982-01-01

    In response to the NRC's Task 2.1.2 following the TMI-2 accident, government and industry programs were formulated to address the performance of safety and relief valve systems for pressurized and boiling water reactors. Objective is to demonstrate by testing and analysis that safety and relief valve systems in the reactor coolant system are qualified for the anticipated full range of reactor operating and accident conditions. The EPRI PWR program tested PWR safety valves and power operated relief valves (PORVs) under steam, liquid, and steam/liquid transition conditions. The program also tested PWR PORV block valves under steam conditions. The GE BWR program tested BWR relief and safety/relief valves under high pressure steam and low pressure liquid conditions. EG and G Idaho recent activities have focused on the evaluation of the industry test data, evaluation and modification of analytical codes for safety/relief valve system analysis, and initial evaluation of utility responses to US NRC program requirements.

  1. 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.

  2. 77 FR 71448 - States' Decisions on Participating in Accounting and Auditing Relief for Federal Oil and Gas...

    Science.gov (United States)

    2012-11-30

    ... September 13, 2004 (69 FR 55076), provide two types of accounting and auditing relief for Federal onshore or... Office of Natural Resources Revenue States' Decisions on Participating in Accounting and Auditing Relief... from certain reporting, accounting, and auditing requirements. States make an annual determination...

  3. 46 CFR 154.806 - Capacity of pressure relief valves.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Capacity of pressure relief valves. 154.806 Section 154... Equipment Cargo Vent Systems § 154.806 Capacity of pressure relief valves. Pressure relief valves for each... pressure above the set pressure of the relief valves: (a) The maximum capacity of an installed cargo...

  4. 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... or components intended to be imported in order to ensure that relief from import duties is obtained...

  5. 7 CFR 635.5 - Forms of relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Forms of relief. 635.5 Section 635.5 Agriculture... AGRICULTURE LONG TERM CONTRACTING EQUITABLE RELIEF FROM INELIGIBILITY § 635.5 Forms of relief. (a) The Chief... land covered by the program; and (5) Receive such other equitable relief as determined to be...

  6. 37 CFR 41.120 - Notice of basis for relief.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Notice of basis for relief... Notice of basis for relief. (a) The Board may require a party to provide a notice stating the relief it requests and the basis for its entitlement to relief. The Board may provide for the notice to be maintained...

  7. 19 CFR 210.52 - Motions for temporary relief.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Motions for temporary relief. 210.52 Section 210... IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.52 Motions for temporary relief. Requests for temporary relief under section 337 (e) or (f) of the Tariff Act of 1930 shall be made through...

  8. 43 CFR 4.1367 - Request for temporary relief.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Request for temporary relief. 4.1367... temporary relief. (a) Where review is requested pursuant to § 4.1362, any party may file a request for temporary relief at any time prior to a decision by an Administrative Law Judge, so long as the relief...

  9. 7 CFR 718.305 - Forms of relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Forms of relief. 718.305 Section 718.305 Agriculture... Equitable Relief From Ineligibility § 718.305 Forms of relief. (a) The Administrator of FSA, Executive Vice... all or part of the land covered by the program; and (5) Receive such other equitable relief as...

  10. Neural correlates of mindfulness meditation-related anxiety relief.

    Science.gov (United States)

    Zeidan, Fadel; Martucci, Katherine T; Kraft, Robert A; McHaffie, John G; Coghill, Robert C

    2014-06-01

    Anxiety is the cognitive state related to the inability to control emotional responses to perceived threats. Anxiety is inversely related to brain activity associated with the cognitive regulation of emotions. Mindfulness meditation has been found to regulate anxiety. However, the brain mechanisms involved in meditation-related anxiety relief are largely unknown. We employed pulsed arterial spin labeling MRI to compare the effects of distraction in the form of attending to the breath (ATB; before meditation training) to mindfulness meditation (after meditation training) on state anxiety across the same subjects. Fifteen healthy subjects, with no prior meditation experience, participated in 4 d of mindfulness meditation training. ATB did not reduce state anxiety, but state anxiety was significantly reduced in every session that subjects meditated. Meditation-related anxiety relief was associated with activation of the anterior cingulate cortex, ventromedial prefrontal cortex and anterior insula. Meditation-related activation in these regions exhibited a strong relationship to anxiety relief when compared to ATB. During meditation, those who exhibited greater default-related activity (i.e. posterior cingulate cortex) reported greater anxiety, possibly reflecting an inability to control self-referential thoughts. These findings provide evidence that mindfulness meditation attenuates anxiety through mechanisms involved in the regulation of self-referential thought processes.

  11. Guiding Spin Spirals by Local Uniaxial Strain Relief.

    Science.gov (United States)

    Hsu, Pin-Jui; Finco, Aurore; Schmidt, Lorenz; Kubetzka, André; von Bergmann, Kirsten; Wiesendanger, Roland

    2016-01-08

    We report on the influence of uniaxial strain relief on the spin spiral state in the Fe double layer grown on Ir(111). Scanning tunneling microscopy (STM) measurements reveal areas with reconstruction lines resulting from uniaxial strain relief due to the lattice mismatch of Fe and Ir atoms, as well as pseudomorphic strained areas. Magnetic field-dependent spin-polarized STM measurements of the reconstructed Fe double layer reveal cycloidal spin spirals with a period on the nm scale. Globally, the spin spiral wave fronts are guided along symmetry-equivalent [112̅] crystallographic directions of the fcc(111) substrate. On an atomic scale the spin spiral propagation direction is linked to the [001] direction of the bcc(110)-like Fe, leading to a zigzag shaped wave front. The isotropically strained pseudomorphic areas also exhibit a preferred magnetic periodicity on the nm scale but no long-range order. We find that already for local strain relief with a single set of reconstruction lines a strict guiding of the spin spiral is realized.

  12. Pain relief as an opponent process: a psychophysical investigation.

    Science.gov (United States)

    Leknes, Siri; Brooks, Jonathan C W; Wiech, Katja; Tracey, Irene

    2008-08-01

    Relief from pain in humans is frequently measured by computing the reduction on an 11-point pain intensity scale. However, this definition of relief may be insufficient to capture the utility of pain relief for the individual. Based on pain literature and evidence from studies examining relief and reward, it is clear that pain relief is a broad concept comprising several factors, only one of which is pain intensity reduction. According to opponent process theory, all sensations consist of a primary process and a slow 'opponent process' of opposite valence, the purpose of which is to reduce the deviation from homeostatic balance. Here, opponent process theory provided a framework to explore the interaction between pain, relief and reward. We devised three psychophysical studies examining the temporal (Experiment I) and magnitude (Experiments I and II) relationships between pain severity and its subsequent relief. In Experiment III, we further manipulated the magnitude and pleasantness of relief experienced by applying innocuous cooling following noxious heat stimulation of capsaicin-sensitized skin. Results confirmed predictions from opponent process theory and showed that pain intensity reduction was significantly stronger than relief intensity ratings. Furthermore, continuous relief ratings appeared to reflect the speed of pain intensity reduction. Varying pain intensity parametrically confirmed that relief increases with pain intensity. That innocuous cooling following primary hyperalgesia intervention significantly increased the intensity, pleasantness and duration of relief provides further evidence that pain relief encapsulates more than a reduction in pain intensity. Importantly, the high relief pleasantness ratings confirmed the hypothesized link between relief and reward.

  13. 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).

  14. 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.

  15. Low cost continuous femoral nerve block for relief of acute severe cancer related pain due to pathological fracture femur

    Directory of Open Access Journals (Sweden)

    Rachel Cherian Koshy

    2010-01-01

    Full Text Available Pathological fractures in cancer patient cause severe pain that is difficult to control pharmacologically. Even with good pain relief at rest, breakthrough and incident pain can be unmanageable. Continuous regional nerve blocks have a definite role in controlling such intractable pain. We describe two such cases where severe pain was adequately relieved in the acute phase. Continuous femoral nerve block was used as an efficient, cheap and safe method of pain relief for two of our patients with pathological fracture femur. This method was proved to be quite efficient in decreasing the fracture-related pain and improving the level of well being.

  16. Recent trends in the international relief system.

    Science.gov (United States)

    Borton, J

    1993-09-01

    Since 1991 the international relief system has been undergoing a process of rapid and fundamental change associated with the end of the Cold War period. The principal changes concern (i) the international community's approach to national sovereignty and the 'right' of armed intervention in support of humanitarian objectives, and (ii) organisatwnal changes aimed at improving the coordination and effectiveness of the response by donor organisations and the United Nations. This paper describes these changes and attempts to place them in the context of earlier trends within the international relief system, notably the enhanced role of non-governmental organisations, which occurred during the 1980s.

  17. The Unequal Effect of Adequate Yearly Progress: Evidence from School Visits

    Science.gov (United States)

    Brown, Abigail B.; Clift, Jack W.

    2010-01-01

    The authors report insights, based on annual site visits to elementary and middle schools in three states from 2004 to 2006, into the incentive effect of the No Child Left Behind Act's requirement that increasing percentages of students make Adequate Yearly Progress (AYP) in every public school. They develop a framework, drawing on the physics…

  18. Emergency relief system design: The DIERS users group safety relief valve example problem

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, H.G. [Union Carbide Corp., South Charleston, WV (United States)

    1995-12-31

    Emergency relief system design involving two-phase flow is an evolving and complex technology. Aspects of alternative design techniques have been published. Well-documented, comprehensive design methods for safety relief valves, rupture disks and breather vents, however, are not readily available and example problems supported by data do not exist. Design Institute for Emergency Relief Systems (DIERS) Users Group members recently completed an example rating problem consisting of a safety relief valve mounted in a typical industrial configuration. Participants were asked to compute the flow through the device and to calculate the inlet pipe irreversible pressure loss and discharge pipe back pressure. Case studies involving various flows and physical conditions were formulated. A {open_quotes}Modified Delphi{close_quotes} technique was used to encourage participants to work until the {open_quotes}consensus{close_quotes} result was achieved. The exercise served to educate participants in the complexities and subtleties of emergency relief system design involving safety relief installations as compared to ideal nozzle calculations. All learned from the various calculation techniques used by others to solve the problem. Participants corrected parts of their computer codes and/or added procedures to address aspects of the problem. The present example problem is not supported by data. Available safety relief valve two-phase flow data suggest complexity not presently included in problem solutions. Future modification of the results may be required as additional considerations are incorporated into existing analytical methods and computer codes. 20 refs., 21 tabs.

  19. Regulatory requirements for providing adequate veterinary care to research animals.

    Science.gov (United States)

    Pinson, David M

    2013-09-01

    Provision of adequate veterinary care is a required component of animal care and use programs in the United States. Program participants other than veterinarians, including non-medically trained research personnel and technicians, also provide veterinary care to animals, and administrators are responsible for assuring compliance with federal mandates regarding adequate veterinary care. All program participants therefore should understand the regulatory requirements for providing such care. The author provides a training primer on the US regulatory requirements for the provision of veterinary care to research animals. Understanding the legal basis and conditions of a program of veterinary care will help program participants to meet the requirements advanced in the laws and policies.

  20. 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.

  1. Relief for surviving relatives following a suicide.

    NARCIS (Netherlands)

    Oud, MJT; de Groot, MH

    2006-01-01

    Relief for surviving relatives following a suicide. - After the suicide of a 43-year-old woman with known depression, a 41-year-old paraplegic man who recently developed diarrhoea and a 41-year-old woman with probable depression with symptoms of psychosis, the general practitioners of the surviving

  2. Relief for surviving relatives following a suicide.

    NARCIS (Netherlands)

    Oud, MJT; de Groot, MH

    2006-01-01

    Relief for surviving relatives following a suicide. - After the suicide of a 43-year-old woman with known depression, a 41-year-old paraplegic man who recently developed diarrhoea and a 41-year-old woman with probable depression with symptoms of psychosis, the general practitioners of the surviving

  3. What sets topographic relief in extensional footwalls?

    Science.gov (United States)

    Densmore, Alexander L.; Dawers, Nancye H.; Gupta, Sanjeev; Guidon, Roman

    2005-06-01

    We use three large normal fault arrays in the northeastern Basin and Range Province, western United States, to document catchment development and relief production during fault growth. Fault slip and slip rates increase systematically along strike from zero at the fault tips. Catchment relief and across-strike range width both increase as slip accumulates but reach maximum values at a distance of ˜15 km from the fault tips and remain uniform along strike over much of the footwalls. Catchment outlet spacing also increases away from the fault tips but does not reach a uniform value and may vary by a factor of 5 6 along strike. We infer that catchments first elongate in the across-strike direction as slip accumulates and the range half-width increases. Once the half-width reaches its maximum value, continued catchment growth is possible only by along-strike capture, which increases outlet spacing but not relief. The close correspondence between catchment relief and range half-width suggests that geomorphically limited hillslope and channel gradients are achieved within the 15 km tip zone. Thus, the limiting factor in footwall development is the width of the range, which is controlled by two external agents: the geometry and spacing of the major faults, and the elevations of base level on both flanks.

  4. 75 FR 75091 - Mortgage Assistance Relief Services

    Science.gov (United States)

    2010-12-01

    ... marketing of MARS, including misrepresentations regarding the services MARS providers will perform and... marketing to offer newly-minted forms of mortgage relief--for example, the possibility of entering a short...://ag.ca.gov/newsalerts/release.php?id=1821 . \\59\\ See State Bar of Cal., Ethics Alert: Legal...

  5. A node architecture for disaster relief networking

    NARCIS (Netherlands)

    Hoeksema, F.W.; Heskamp, M.; Schiphorst, R.; Slump, C.H.

    2005-01-01

    In this paper we present node architecture for a personal node in a cognitive ad-hoc disaster relief network. This architecture is motivated from the network system requirements, especially single-hop distance and jamming-resilience requirements. It is shown that the power consumption of current-day

  6. What is an Adequate Standard of Living During Retirement?

    NARCIS (Netherlands)

    Binswanger, J.; Schunk, D.

    2008-01-01

    Many economists and policy-makers argue that households do not save enough to maintain an adequate standard of living during retirement. However, there is no consensus on the answer to the underlying question what this standard should be, despite the fact that it is crucial for the design of saving

  7. Quasi-Type δ Semigroups with an Adequate Transversal

    Institute of Scientific and Technical Information of China (English)

    Shou Feng WANG

    2011-01-01

    In this paper,some properties of quasi-type δ semigroups with an adequate transversal are explored.In particular,abundant semigroups with a cancellative transversal are characterized.Our results generalize and enrich Saito's results on quasi-orthodox semigroups with an inverse transversal.

  8. Is the Stock of VET Skills Adequate? Assessment Methodologies.

    Science.gov (United States)

    Blandy, Richard; Freeland, Brett

    In Australia and elsewhere, four approaches have been used to determine whether stocks of vocational education and training (VET) skills are adequate to meet industry needs. The four methods are as follows: (1) the manpower requirements approach; (2) the international, national, and industry comparisons approach; (3) the labor market analysis…

  9. Do Beginning Teachers Receive Adequate Support from Their Headteachers?

    Science.gov (United States)

    Menon, Maria Eliophotou

    2012-01-01

    The article examines the problems faced by beginning teachers in Cyprus and the extent to which headteachers are considered to provide adequate guidance and support to them. Data were collected through interviews with 25 school teachers in Cyprus, who had recently entered teaching (within 1-5 years) in public primary schools. According to the…

  10. Refuge alternatives relief valve testing and design.

    Science.gov (United States)

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

    2016-10-01

    The U.S. National Institute for Occupational Safety and Health (NIOSH) has been researching refuge alternatives (RAs) since 2007. RAs typically have built-in pressure relief valves (PRVs) to prevent the unit from reaching unsafe pressures. The U.S. Mine Safety and Health Administration requires that these valves vent the chamber at a maximum pressure of 1.25 kPa (0.18 psi, 5.0 in. H2O), or as specified by the manufacturer, above mine atmospheric pressure in the RA. To facilitate PRV testing, an instrumented benchtop test fixture was developed using an off-the-shelf centrifugal blower and ductwork. Relief pressures and flow characteristics were measured for three units: (1) a modified polyvinyl chloride check valve, (2) an off-the-shelf brass/cast-iron butterfly check valve and (3) a commercially available valve that was designed specifically for one manufacturer's steel prefabricated RAs and had been adapted for use in one mine operator's built-in-place RA. PRVs used in tent-style RAs were not investigated. The units were tested with different modifications and configurations in order to check compliance with Title 30 Code of Federal Regulations, or 30 CFR, regulations. The commercially available relief valve did not meet the 30 CFR relief pressure specification but may meet the manufacturer's specification. Alternative valve designs were modified to meet the 30 CFR relief pressure specification, but all valve designs will need further design research to examine survivability in the event of a 103 kPa (15.0 psi) impulse overpressure during a disaster.

  11. Pain relief in palliative care: a focus on interventional pain management.

    Science.gov (United States)

    Joshi, Mandar; Chambers, William A

    2010-05-01

    Pharmacological treatment forms the foundation of the management of pain in patients with advanced cancer. Although the majority of patients in the realm of palliative care can be provided with acceptable pain relief using the three-step WHO cancer pain guidelines, a significant minority still have pain that is not adequately controlled by conventional pharmacological management. Development of pain management strategies using a multidisciplinary input with appropriate and timely use of interventional pain management techniques can provide satisfactory pain relief for these patients, helping to reduce distress in the patient and their relatives during this difficult period. This clinical review aims to discuss the commonly used interventional techniques in pain management in palliative care. As patients with advanced cancer are the major recipients of palliative care services, the main focus of this article remains on pain management in advanced cancer. The use of central neuraxial blockade, autonomic blockade and peripheral nerve blocks are summarized.

  12. Topographic and Bathymetric Shaded Relief of North America - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Topographic and Bathymetric Shaded Relief of North America map layer shows depth and elevation ranges using colors, with relief enhanced by shading. The image...

  13. 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 are the types ... an epidural”) is the most common type of pain relief used during labor and delivery in the United ...

  14. Bathymetric Shaded Relief of North America - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Bathymetric Shaded Relief of North America map layer shows depth ranges using colors, with relief enhanced by shading. The image was derived from the National...

  15. 100-Meter Resolution Color Shaded Relief of Hawaii - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Color Shaded Relief of Hawaii map layer is a 100-meter resolution color-sliced elevation image of Hawaii, with relief shading added to accentuate terrain...

  16. 100-Meter Resolution Color Shaded Relief of Alaska - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Color Shaded Relief of Alaska map layer is a 100-meter resolution color-sliced elevation image of Alaska, with relief shading added to accentuate terrain...

  17. 100-Meter Resolution Grayscale Shaded Relief of Hawaii - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Grayscale Shaded Relief of Hawaii map layer is a 100-meter resolution grayscale shaded relief image of Hawaii, in an Albers Equal-Area Conic projection. Shaded...

  18. 100-Meter Resolution Grayscale Shaded Relief of Alaska - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Grayscale Shaded Relief of Alaska map layer is a 100-meter resolution grayscale shaded relief image of Alaska, in an Albers Equal-Area Conic projection. Shaded...

  19. Mechanical Designs for Relief Valves for Cryogenic Apparatuses and Installations

    CERN Document Server

    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...

  20. 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

  1. Study of safety relief valve operation under ATWS conditions. [Supercritical flow

    Energy Technology Data Exchange (ETDEWEB)

    Hutmacher, E.S.; Whitten, S.D.

    1979-09-01

    In March 1979, the NRC published a report (NUREG/CR-0687) prepared by the Energy Technology Engineering Center (ETEC-TDR-78-19). That report presented a literature survey which updated earlier NRC studies of saturated or subcooled water flow through relief valves, under ATWS conditions. This supplement expands upon that search to include supercritical steam-water flow. No applicable data for the supercritical conditions were found, nor were any newer data on saturated or subcooled conditions uncovered. This supplement also updates a look for facilities currently capable of simultaneously imposing all ATWS conditions upon test relief valves. Results confirmed the negative findings of NUREG/CR-0687.

  2. The Complexity of Recognition of Linguistically Adequate Dependency Grammars

    CERN Document Server

    Neuhaus, P; Neuhaus, Peter; Broeker, Norbert

    1997-01-01

    Results of computational complexity exist for a wide range of phrase structure-based grammar formalisms, while there is an apparent lack of such results for dependency-based formalisms. We here adapt a result on the complexity of ID/LP-grammars to the dependency framework. Contrary to previous studies on heavily restricted dependency grammars, we prove that recognition (and thus, parsing) of linguistically adequate dependency grammars is NP-complete.

  3. Arabidopsis: an adequate model for dicot root systems?

    OpenAIRE

    Zobel, Richard W.

    2016-01-01

    The Arabidopsis root system is frequently considered to have only three classes of root: primary, lateral, and adventitious. Research with other plant species has suggested up to 8 different developmental/functional classes of root for a given plant root system. If Arabidopsis has only three classes of root, it may not be an adequate model for eudicot plant root systems. Recent research, however, can be interpreted to suggest that pre-flowering Arabidopsis does have at least five (5) of th...

  4. Arabidopsis: An Adequate Model for Dicot Root Systems?

    OpenAIRE

    Zobel, Richard W.

    2016-01-01

    The Arabidopsis root system is frequently considered to have only three classes of root: primary, lateral, and adventitious. Research with other plant species has suggested up to eight different developmental/functional classes of root for a given plant root system. If Arabidopsis has only three classes of root, it may not be an adequate model for eudicot plant root systems. Recent research, however, can be interpreted to suggest that pre-flowering Arabidopsis does have at least five (5) of t...

  5. Undergraduate UK nutrition education might not adequately address weight management

    OpenAIRE

    Rogerson, David; Soltani, Hora; Copeland, Robert

    2015-01-01

    Objective: Weight management appears to be multidimensional and complex, and registered nutritionists might work to educate, promote and provide weight-management services to communities, groups and individuals. However, nutrition education might not adequately reflect the weight-management requirements of individuals and groups. The aim of the present study was to investigate if the Association for Nutrition’s undergraduate core competency framework for accredited Nutrition degrees sufficien...

  6. 46 CFR 154.519 - Piping relief valves.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Piping relief valves. 154.519 Section 154.519 Shipping... Process Piping Systems § 154.519 Piping relief valves. (a) The liquid relief valve that protects the cargo piping system from liquid pressure exceeding the design pressure must discharge into: (1) A cargo...

  7. 49 CFR 179.15 - Pressure relief devices.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.15 Section 179.15... Design Requirements § 179.15 Pressure relief devices. Except for DOT Class 106, 107, 110, and 113 tank cars, tanks must have a pressure relief device, made of material compatible with the lading,...

  8. 46 CFR 154.912 - Inerted spaces: Relief devices.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Inerted spaces: Relief devices. 154.912 Section 154.912... Atmospheric Control in Cargo Containment Systems § 154.912 Inerted spaces: Relief devices. Inerted spaces must be fitted with relief valves, rupture discs, or other devices specially approved by the...

  9. 49 CFR 179.500-12 - Pressure relief devices.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.500-12 Section 179... and 107A) § 179.500-12 Pressure relief devices. (a) Tank shall be equipped with one or more pressure relief devices of approved type and discharge area, mounted on the cover or threaded into the...

  10. 49 CFR 179.300-15 - Pressure relief devices.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.300-15 Section 179... Pressure relief devices. (a) Unless prohibited in part 173 of this subchapter, tanks shall be equipped with one or more relief devices of approved type, made of metal not subject to rapid deterioration by...

  11. 21 CFR 358.310 - Ingrown toenail relief active ingredient.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 5 2010-04-01 2010-04-01 false Ingrown toenail relief active ingredient. 358.310... (CONTINUED) DRUGS FOR HUMAN USE MISCELLANEOUS EXTERNAL DRUG PRODUCTS FOR OVER-THE-COUNTER HUMAN USE Ingrown Toenail Relief Drug Products § 358.310 Ingrown toenail relief active ingredient. The active ingredient...

  12. 46 CFR 98.25-60 - Safety relief valves.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Safety relief valves. 98.25-60 Section 98.25-60 Shipping... § 98.25-60 Safety relief valves. (a) Each tank shall be fitted with two or more approved safety relief valves, designed, constructed, and flow-tested for capacity in conformance with subpart 162.018...

  13. 46 CFR 154.1846 - Relief valves: Changing set pressure.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Relief valves: Changing set pressure. 154.1846 Section... Relief valves: Changing set pressure. The master shall: (a) Supervise the changing of the set pressure of relief valves under § 154.802(b); (b) Enter the change of set pressure in the vessel's log; and...

  14. 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... Extent of relief. (a) General. The surety on any bond required by this part who has filed a notice for relief from liability as provided in § 24.157 will be relieved from liability under bond as set forth in...

  15. 30 CFR 847.16 - Civil actions for relief.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Civil actions for relief. 847.16 Section 847.16... relief. (a) Under section 521(c) of the Act, we, the regulatory authority, may request the Attorney General to institute a civil action for relief whenever you, the permittee, or your agent— (1) Violate or...

  16. 19 CFR 171.3 - Oral presentations seeking relief.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Oral presentations seeking relief. 171.3 Section... OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.3 Oral presentations seeking relief. (a) For violation of section 592 or section 593A. If the penalty incurred is for a...

  17. 7 CFR 900.70 - Applications for interim relief.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Applications for interim relief. 900.70 Section 900.70... Applications for interim relief. (a) Filing the application. A person who has filed a petition pursuant to... the relief is requested, including any facts showing irreparable injury. The application must be...

  18. 19 CFR 172.2 - Petition for relief.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Petition for relief. 172.2 Section 172.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY... Relief § 172.2 Petition for relief. (a) To whom addressed. Petitions for the cancellation of any claim...

  19. 47 CFR 52.19 - Area code relief.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Area code relief. 52.19 Section 52.19... Administration § 52.19 Area code relief. (a) State commissions may resolve matters involving the introduction of... whether area code relief will take the form of a geographic split, an overlay area code, or a boundary...

  20. 29 CFR 1601.23 - Preliminary or temporary relief.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Preliminary or temporary relief. 1601.23 Section 1601.23... Employment Practices § 1601.23 Preliminary or temporary relief. (a) In the interest of the expeditious... subdivision, any recommendation for preliminary or temporary relief shall be transmitted directly to the...

  1. 18 CFR 1308.11 - Contractor's request for relief.

    Science.gov (United States)

    2010-04-01

    ... for relief. 1308.11 Section 1308.11 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY CONTRACT DISPUTES Contracting Officers § 1308.11 Contractor's request for relief. Any request for relief which a Contractor believes is due under a contract shall be submitted to the Contracting Officer...

  2. 50 CFR 11.12 - Petition for relief.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 1 2010-10-01 2010-10-01 false Petition for relief. 11.12 Section 11.12... PROCEDURES Assessment Procedure § 11.12 Petition for relief. If the respondent so chooses he may ask that no... the charge and the Director's allegations of facts, by filing a petition for relief (hereinafter...

  3. 49 CFR 178.345-10 - Pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief. 178.345-10 Section 178.345-10... Specifications for Containers for Motor Vehicle Transportation § 178.345-10 Pressure relief. (a) Each cargo tank... applicable individual specification. The pressure and vacuum relief system must be designed to operate and...

  4. 12 CFR 268.501 - Remedies and relief.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Remedies and relief. 268.501 Section 268.501... RULES REGARDING EQUAL OPPORTUNITY Remedies and Enforcement § 268.501 Remedies and relief. (a) When the... employee has been discriminated against, the Board shall provide full relief which shall include the...

  5. 49 CFR 1115.5 - Petitions for other relief.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Petitions for other relief. 1115.5 Section 1115.5... OF TRANSPORTATION RULES OF PRACTICE APPELLATE PROCEDURES § 1115.5 Petitions for other relief. (a) A... desired relief must be stated in the petition, and the petition must be filed not less than 10 days prior...

  6. 49 CFR 178.347-4 - Pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief. 178.347-4 Section 178.347-4... Specifications for Containers for Motor Vehicle Transportation § 178.347-4 Pressure relief. (a) Each cargo tank must be equipped with a pressure and vacuum relief system in accordance with § 178.345-10 and this...

  7. 49 CFR 601.41 - Petitions for relief.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Petitions for relief. 601.41 Section 601.41... Transportation Systems § 601.41 Petitions for relief. In the case of a national or regional emergency or disaster... for temporary relief from the provisions of any policy statement, circular, guidance document or rule. ...

  8. 49 CFR 178.346-3 - Pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief. 178.346-3 Section 178.346-3... Specifications for Containers for Motor Vehicle Transportation § 178.346-3 Pressure relief. (a) Each cargo tank must be equipped with a pressure relief system in accordance with § 178.345-10 and this section. (b...

  9. 26 CFR 1.6015-4 - Equitable relief.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Equitable relief. 1.6015-4 Section 1.6015-4...) INCOME TAXES Tax Returns Or Statements § 1.6015-4 Equitable relief. (a) A requesting spouse who files a joint return for which a liability remains unpaid and who does not qualify for full relief under § 1...

  10. 29 CFR 1614.501 - Remedies and relief.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Remedies and relief. 1614.501 Section 1614.501 Labor... EMPLOYMENT OPPORTUNITY Remedies and Enforcement § 1614.501 Remedies and relief. (a) When an agency, or the... discriminated against, the agency shall provide full relief which shall include the following elements in...

  11. 37 CFR 41.204 - Notice of basis for relief.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Notice of basis for relief... § 41.204 Notice of basis for relief. (a) Priority statement. (1) A party may not submit evidence of its... the precise relief sought. (c) Filing and service. The Board will set the times for filing and serving...

  12. 46 CFR 560.3 - Petitions for relief.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false Petitions for relief. 560.3 Section 560.3 Shipping... PORTS § 560.3 Petitions for relief. (a) Filing. (1) Any owner or operator of a liner, bulk, tramp or... between foreign ports has been, or will be, unduly impaired may file a written petition for relief under...

  13. 19 CFR 171.1 - Petition for relief.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Petition for relief. 171.1 Section 171.1 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.1 Petition for relief. (a) To whom...

  14. Are current debt relief initiatives an option for scaling up health financing in beneficiary countries?

    Science.gov (United States)

    Kaddar, M; Furrer, E

    2008-11-01

    One central goal of the enhanced Heavily Indebted Poor Countries (HIPC) Initiative and the more recent Multilateral Debt Relief Initiative (MDRI) is to free up additional resources for public spending on poverty reduction. The health sector was expected to benefit from a considerable share of these funds. The volume of released resources is important enough in certain countries to make a difference for priority programmes that have been underfunded so far. However, the relevance of these initiatives in terms of boosting health expenditure depends essentially, at the global level, on the compliance of donors with their aid commitments and, at the domestic level, on the success of health officials in advocating for an adequate share of the additional fiscal space. Advocacy efforts are often limited by a state of asymmetric information whereby some ministries are not well aware of the economic consequences of debt relief on public finances and of the management systems in place to deal with savings from debt relief. A thorough comprehension of these issues seems essential for health advocates to increase their bargaining power and for a wider public to readjust expectations of what debt relief can realistically achieve and of what can be measured. This paper intends to narrow the information gap by classifying debt relief savings management systems observed in practice. We illustrate some of the major advantages and stated drawbacks and outline the policy implications for health officials operating in the countries concerned. There should be careful monitoring of fungibility (i.e. where untraceable funds risk substitution) and additionality (i.e. the extent to which new inputs add to existing inputs at national and international level).

  15. Libraries and information provision for African relief

    Directory of Open Access Journals (Sweden)

    Elsemieke Wishart

    2012-08-01

    Full Text Available This research article explores the concept that libraries as communication centres in sub-Saharan Africa can play a vital role in bringing poverty relief by providing greater access to information through modern technology. It discusses the patrons who can benefit from community information centres and explores their particular needs. I have researched how modern tools like the Internet, computers, e-readers and cell phones can bring valuable information to impoverished citizens. My research was conducted through reading research papers using article databases, books and Internet websites. The future for libraries in sub-Saharan Africa is bright, as new technology opens up vast opportunities to share information in a way that is accessible, affordable and adaptable to the needs of the African people. I recommend that librarians and relief organisations in Southern Africa seriously consider using modern technology to provide information that will empower its citizens.

  16. Computational analysis of aircraft pressure relief doors

    Science.gov (United States)

    Schott, Tyler

    Modern trends in commercial aircraft design have sought to improve fuel efficiency while reducing emissions by operating at higher pressures and temperatures than ever before. Consequently, greater demands are placed on the auxiliary bleed air systems used for a multitude of aircraft operations. The increased role of bleed air systems poses significant challenges for the pressure relief system to ensure the safe and reliable operation of the aircraft. The core compartment pressure relief door (PRD) is an essential component of the pressure relief system which functions to relieve internal pressure in the core casing of a high-bypass turbofan engine during a burst duct over-pressurization event. The successful modeling and analysis of a burst duct event are imperative to the design and development of PRD's to ensure that they will meet the increased demands placed on the pressure relief system. Leveraging high-performance computing coupled with advances in computational analysis, this thesis focuses on a comprehensive computational fluid dynamics (CFD) study to characterize turbulent flow dynamics and quantify the performance of a core compartment PRD across a range of operating conditions and geometric configurations. The CFD analysis was based on a compressible, steady-state, three-dimensional, Reynolds-averaged Navier-Stokes approach. Simulations were analyzed, and results show that variations in freestream conditions, plenum environment, and geometric configurations have a non-linear impact on the discharge, moment, thrust, and surface temperature characteristics. The CFD study revealed that the underlying physics for this behavior is explained by the interaction of vortices, jets, and shockwaves. This thesis research is innovative and provides a comprehensive and detailed analysis of existing and novel PRD geometries over a range of realistic operating conditions representative of a burst duct over-pressurization event. Further, the study provides aircraft

  17. 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.

  18. Benzodiazepines for the relief of breathlessness in advanced malignant and non-malignant diseases in adults.

    Science.gov (United States)

    Simon, Steffen T; Higginson, Irene J; Booth, Sara; Harding, Richard; Weingärtner, Vera; Bausewein, Claudia

    2016-10-20

    ). Two review authors independently assessed identified titles and abstracts. Three review authors independently performed assessment of all potentially relevant studies (full text), data extraction, and assessment of methodological quality. We carried out meta-analysis where appropriate. Overall, we identified eight studies for inclusion: seven in the previous review and an additional study for this update. We also identified two studies awaiting classification in this update. The studies were small (a maximum number of 101 participants) and comprised data from a total of 214 participants with advanced cancer or COPD, which we analysed. There was only one study of low risk of bias. Most of the studies had an unclear risk of bias due to lack of information on random sequence generation, concealment, and attrition. Analysis of all studies did not show a beneficial effect of benzodiazepines for the relief of breathlessness (the primary outcome) in people with advanced cancer and COPD (8 studies, 214 participants) compared to placebo, midazolam, morphine, or promethazine. Furthermore, we observed no statistically significant effect in the prevention of episodic breathlessness (breakthrough dyspnoea) in people with cancer (after 48 hours: risk ratio of 0.76 (95% CI 0.53 to 1.09; 2 studies, 108 participants)) compared to morphine. Sensitivity analyses demonstrated no statistically significant differences regarding type of benzodiazepine, dose, route and frequency of delivery, duration of treatment, or type of control. Benzodiazepines caused statistically significantly more adverse events, particularly drowsiness and somnolence, when compared to placebo (risk difference 0.74 (95% CI 0.37, 1.11); 3 studies, 38 participants). In contrast, two studies reported that morphine caused more adverse events than midazolam (RD -0.18 (95% CI -0.31, -0.04); 194 participants). Since the last version of this review, we have identified one new study for inclusion, but the conclusions remain

  19. Effects of a continuous lateral turning device on pressure relief.

    Science.gov (United States)

    Do, Nam Ho; Kim, Deog Young; Kim, Jung-Hoon; Choi, Jong Hyun; Joo, So Young; Kang, Na Kyung; Baek, Yoon Su

    2016-01-01

    [Purpose] The purpose of this study was to examine the pressure-relieving effects of a continuous lateral turning device on common pressure ulcer sites. [Subjects] Twenty-four healthy adults participated. [Methods] The design of our continuous lateral turning device was motivated by the need for an adequate pressure-relieving device for immobile and/or elderly people. The procedure of manual repositioning is embodied in our continuous lateral turning device. The interface pressure and time were measured, and comfort grade was evaluated during sessions of continuous lateral turning at 0°, 15°, 30°, and 45°. We quantified the pressure-relieving effect using peak pressure, mean pressure, and pressure time integration. [Results] Participants demonstrated pressure time integration values below the pressure-time threshold at 15°, 30°, and 45° at all the common pressure ulcer sites. Moreover, the most effective angles for pressure relief at the common pressure ulcer sites were 30° at the occiput, 15° at the left scapula, 45° at the right scapula, 45° at the sacrum, 15° at the right heel, and 30° at the left heel. However, angles greater than 30° induced discomfort. [Conclusion] Continuous lateral turning with our specially designed device effectively relieved the pressure of targeted sites. Moreover, the suggested angles of continuous lateral turning can be used to relieve pressure at targeted sites.

  20. Genetic modification of preimplantation embryos: toward adequate human research policies.

    Science.gov (United States)

    Dresser, Rebecca

    2004-01-01

    Citing advances in transgenic animal research and setbacks in human trials of somatic cell genetic interventions, some scientists and others want to begin planning for research involving the genetic modification of human embryos. Because this form of genetic modification could affect later-born children and their offspring, the protection of human subjects should be a priority in decisions about whether to proceed with such research. Yet because of gaps in existing federal policies, embryo modification proposals might not receive adequate scientific and ethical scrutiny. This article describes current policy shortcomings and recommends policy actions designed to ensure that the investigational genetic modification of embryos meets accepted standards for research on human subjects.

  1. Corruption in cyclone preparedness and relief efforts in coastal Bangladesh

    DEFF Research Database (Denmark)

    Mahmud, Tanvir; Prowse, Martin

    2012-01-01

    This article seeks to draw possible lessons for adaptation programmes in Bangladesh by examining whether cyclone preparedness and relief interventions are subject to corrupt practices. Based on a random sample survey of 278 households, three focus-group discussions and seven key-informant intervi......This article seeks to draw possible lessons for adaptation programmes in Bangladesh by examining whether cyclone preparedness and relief interventions are subject to corrupt practices. Based on a random sample survey of 278 households, three focus-group discussions and seven key......-informant interviews, the article investigates the nature and extent of corruption in pre- and post-disaster interventions in Khulna before and after Cyclone Aila in May 2009. Ninety nine percent of households reported losses from corrupt practices. Post-disaster interventions (such as food aid and public works...... schemes) suffered from greater levels, and worse types, of corruption than pre-disaster interventions (such as cyclone warning systems and disaster-preparedness training). Using an asset index created using principal component analysis, the article assesses how corruption affected wealth quartiles. Ultra...

  2. The importance of context: when relative relief renders pain pleasant.

    Science.gov (United States)

    Leknes, Siri; Berna, Chantal; Lee, Michael C; Snyder, Gregory D; Biele, Guido; Tracey, Irene

    2013-03-01

    Context can influence the experience of any event. For instance, the thought that "it could be worse" can improve feelings towards a present misfortune. In this study we measured hedonic feelings, skin conductance, and brain activation patterns in 16 healthy volunteers who experienced moderate pain in two different contexts. In the "relative relief context," moderate pain represented the best outcome, since the alternative outcome was intense pain. However, in the control context, moderate pain represented the worst outcome and elicited negative hedonic feelings. The context manipulation resulted in a "hedonic flip," such that moderate pain elicited positive hedonics in the relative relief context. Somewhat surprisingly, moderate pain was even rated as pleasant in this context, despite being reported as painful in the control context. This "hedonic flip" was corroborated by physiological and functional neuroimaging data. When moderate pain was perceived as pleasant, skin conductance and activity in insula and dorsal anterior cingulate were significantly attenuated relative to the control moderate stimulus. "Pleasant pain" also increased activity in reward and valuation circuitry, including the medial orbitofrontal and ventromedial prefrontal cortices. Furthermore, the change in outcome hedonics correlated with activity in the periacqueductal grey (PAG) of the descending pain modulatory system (DPMS). The context manipulation also significantly increased functional connectivity between reward circuitry and the PAG, consistent with a functional change of the DPMS due to the altered motivational state. The findings of this study point to a role for brainstem and reward circuitry in a context-induced "hedonic flip" of pain.

  3. Summary of safety relief valve position indication systems

    Energy Technology Data Exchange (ETDEWEB)

    Cybulski, D.S.; Walter, J.F.

    1986-01-01

    Mainly as a result of the Three Mile Island-2 (TMI-2) incident, the US Nuclear Regulatory Commission's Regulatory Guide 1.97 instituted criteria recommendations for monitoring variables to: 1. provide information required to permit the operator to take preplanned manual actions to accomplish safe plant shutdown; 2. determine whether...systems important to safety are performing their functions...; and 3. provide information to the operators that will enable them to determine the potential for causing a gross breach of the barriers to radioactivity release.... This report surveys the methodologies employed in nuclear plants to monitor Type D variables as referred to in Regulatory Guide 1.97. Type D are those variables that provide information to indicate the operation of individual safety systems and other systems important to safety. The specific Type D variable addressed is safety relief valve (i.e., spring style safety relief valve) position indication. The application criteria for each of the methodologies surveyed is as described in Regulatory Guide 1.97. That is, minimally to provide light indications of closed/not closed positions.

  4. Pain relief for women undergoing oocyte retrieval for assisted reproduction.

    Science.gov (United States)

    Kwan, Irene; Bhattacharya, Siladitya; Knox, Fiona; McNeil, Alex

    2013-01-31

    paracervical block versus other active interventions such as general, spinal and acupuncture anaesthesia; 4) patient-controlled conscious sedation and analgesia versus physician-administered conscious sedation and analgesia; and 5) conscious sedation and analgesia with different agents or dosage. Evidence was generally of low quality, mainly due to poor reporting of methods, small sample sizes and inconsistency between the trials.Conflicting results were shown for women's experience of pain. Compared to conscious sedation alone, more effective pain relief was reported when conscious sedation was combined with electro-acupuncture: intra-operative pain mean difference (MD) on 1 to 10 visual analogue scale (VAS) of 3.00 (95% CI 2.23 to 3.77); post-operative pain MD in VAS units of 2.10 (95% CI 1.40 to 2.80; N = 61, one trial, low quality evidence); or paracervical block (MD not calculable).The pooled data of four trials showed a significantly lower intra-operative pain score with conscious sedation plus paracervical block than with electro-acupuncture plus paracervical block (MD on 10-point VAS of -0.66; 95% CI -0.93 to -0.39; N = 781, 4 trials, low quality evidence) with significant statistical heterogeneity (I(2) = 76%). Patient-controlled sedation and analgesia was associated with more intra-operative pain than physician-administered sedation and analgesia (MD on 10-point VAS of 0.60; 95% CI 0.16 to 1.03; N = 379, 4 trials, low quality evidence) with high statistical heterogeneity (I(2) = 83%). Post-operative pain was reported in only nine studies. As different types and dosages of sedative and analgesic agents, as well as administrative protocols and assessment tools, were used in these trials the data should be interpreted with caution.There was no evidence of a significant difference in pregnancy rate in the 12 studies which assessed this outcome, and pooled data of four trials comparing electro-acupuncture combined with paracervical block with conscious sedation and

  5. Headache relief after anterior cervical discectomy: post hoc analysis of a randomized investigational device exemption trial: clinical article.

    Science.gov (United States)

    Schrot, Rudolph J; Mathew, Jesna S; Li, Yueju; Beckett, Laurel; Bae, Hyun W; Kim, Kee D

    2014-08-01

    The authors analyzed headache relief after anterior cervical discectomy. Headache may be relieved after anterior cervical discectomy, but the mechanism is unknown. If headaches were directly referred from upper cervical pathology, more headache relief would be expected from surgery performed at higher cervical levels. If spinal kinesthetics were the mechanism, then headache relief may differ between arthroplasty and fusion. Headache relief after anterior cervical discectomy was quantified by the operated disc level and by the method of operation (arthroplasty vs arthrodesis). The authors performed a post hoc analysis of an artificial disc trial. Data on headache pain were extracted from the Neck Disability Index (NDI) questionnaire. A total of 260 patients underwent single-level arthroplasty or arthodesis. Preoperatively, 52% reported NDI headache scores of 3 or greater, compared with only 13%-17% postoperatively. The model-based mean NDI headache score at baseline was 2.5 (95% CI 2.3-2.7) and was reduced by 1.3 points after surgery (95% CI 1.2-1.4, p relief. There was no significant difference in headache relief between arthroplasty and arthrodesis. Most patients with symptomatic cervical spondylosis have headache as a preoperative symptom (88%). Anterior cervical discectomy with both arthroplasty and arthrodesis is associated with a durable decrease in headache. Headache relief is not related to the level of operation. The mechanism for headache reduction remains unclear.

  6. Adequate sizing and motor exploitation: Motor energy management

    Directory of Open Access Journals (Sweden)

    Kostić Miloje M.

    2011-01-01

    Full Text Available Motor energy management includes adequate sizing, control and improvement of electric energy quality, i.e. voltage quality (reducing voltage unbalance and harmonics distortion, and the proper maintenance. The specific motor price per kW is approximately constant for motors rated from 5 kW to 20 kW. By adequate sizing, or by proper replacement of the old motor with the new one, with rated output power reduced by 20% to 50% the smaller motor will be also cheaper by 20% to 50%. When the 22 kW motor is replaced with the new 15 kW that costs 64% of the price of a new 22 kW motor, the efficiency is increased by 3.6% (Example in paper. On the basis of our investigation results, it is confirmed that there are significant possibilities for energy savings by setting voltage values within the ±5% voltage band (Un±5%, since more than 80% induction motors are under loaded (£70%, especially small and medium rated power (1-30 kW motors.

  7. Barriers to adequate prenatal care utilization in American Samoa.

    Science.gov (United States)

    Hawley, Nicola L; Brown, Carolyn; Nu'usolia, Ofeira; Ah-Ching, John; Muasau-Howard, Bethel; McGarvey, Stephen T

    2014-12-01

    The objective of this study is to describe the utilization of prenatal care in American Samoan women and to identify socio-demographic predictors of inadequate prenatal care utilization. Using data from prenatal clinic records, women (n = 692) were categorized according to the adequacy of prenatal care utilization index as having received adequate plus, adequate, intermediate or inadequate prenatal care during their pregnancy. Categorical socio-demographic predictors of the timing of initiation of prenatal care (week of gestation) and the adequacy of received services were identified using one way analysis of variance and independent samples t tests. Between 2001 and 2008 85.4 % of women received inadequate prenatal care. Parity (P = 0.02), maternal unemployment (P = 0.03), and both parents being unemployed (P = 0.03) were negatively associated with the timing of prenatal care initiation. Giving birth in 2007-2008, after a prenatal care incentive scheme had been introduced in the major hospital, was associated with earlier initiation of prenatal care (20.75 vs. 25.12 weeks; P prenatal care utilization in American Samoa is a major concern. Improving healthcare accessibility will be key in encouraging women to attend prenatal care. The significant improvements in the adequacy of prenatal care seen in 2007-2008 suggest that the prenatal care incentive program implemented in 2006 may be a very positive step toward addressing issues of prenatal care utilization in this population.

  8. Is prophetic discourse adequate to address global economic justice?

    Directory of Open Access Journals (Sweden)

    Piet J. Naudé

    2011-06-01

    Full Text Available This article outlined key features of prophetic discourse and investigated whether this form of moral discourse adequately addresses issues of economic injustice. It is shown that the strength of prophetic discourse is its ability to denounce instances of injustice whilst at the same time announcing a God-willed alternative future. The ‘preferential option for the poor’ in Latin American liberation theologies is treated as a case study of the influence of prophetic discourse in contexts of perceived economic injustice. Also the core weaknesses of prophetic discourse are investigated, specifically its incomplete moral argument, weak moral analyses, silence on transition measures, and its inability to take a positive stance on reforms in the system from which itself benefits. In the final section it is concluded that prophetic discourse plays an indispensable role in addressing issues of global economic justice, but – taken by itself – it is not an adequate form of moral discourse to address concrete matters of justice.

  9. Quantifying dose to the reconstructed breast: Can we adequately treat?

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Eugene; Marsh, Robin B.; Griffith, Kent A.; Moran, Jean M. [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States); Pierce, Lori J., E-mail: ljpierce@umich.edu [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States)

    2013-04-01

    To evaluate how immediate reconstruction (IR) impacts postmastectomy radiotherapy (PMRT) dose distributions to the reconstructed breast (RB), internal mammary nodes (IMN), heart, and lungs using quantifiable dosimetric end points. 3D conformal plans were developed for 20 IR patients, 10 autologous reconstruction (AR), and 10 expander-implant (EI) reconstruction. For each reconstruction type, 5 right- and 5 left-sided reconstructions were selected. Two plans were created for each patient, 1 with RB coverage alone and 1 with RB + IMN coverage. Left-sided EI plans without IMN coverage had higher heart Dmean than left-sided AR plans (2.97 and 0.84 Gy, p = 0.03). Otherwise, results did not vary by reconstruction type and all remaining metrics were evaluated using a combined AR and EI dataset. RB coverage was adequate regardless of laterality or IMN coverage (Dmean 50.61 Gy, D95 45.76 Gy). When included, IMN Dmean and D95 were 49.57 and 40.96 Gy, respectively. Mean heart doses increased with left-sided treatment plans and IMN inclusion. Right-sided treatment plans and IMN inclusion increased mean lung V{sub 20}. Using standard field arrangements and 3D planning, we observed excellent coverage of the RB and IMN, regardless of laterality or reconstruction type. Our results demonstrate that adequate doses can be delivered to the RB with or without IMN coverage.

  10. Barriers to adequate prenatal care utilization in American Samoa

    Science.gov (United States)

    Hawley, Nicola L; Brown, Carolyn; Nu’usolia, Ofeira; Ah-Ching, John; Muasau-Howard, Bethel; McGarvey, Stephen T

    2013-01-01

    Objective To describe the utilization of prenatal care in American Samoan women and to identify socio-demographic predictors of inadequate prenatal care utilization. Methods Using data from prenatal clinic records, women (n=692) were categorized according to the Adequacy of Prenatal Care Utilization Index as having received adequate plus, adequate, intermediate or inadequate prenatal care during their pregnancy. Categorical socio-demographic predictors of the timing of initiation of prenatal care (week of gestation) and the adequacy of received services were identified using one way Analysis of Variance (ANOVA) and independent samples t-tests. Results Between 2001 and 2008 85.4% of women received inadequate prenatal care. Parity (P=0.02), maternal unemployment (P=0.03), and both parents being unemployed (P=0.03) were negatively associated with the timing of prenatal care initation. Giving birth in 2007–2008, after a prenatal care incentive scheme had been introduced in the major hospital, was associated with earlier initiation of prenatal care (20.75 versus 25.12 weeks; Pprenatal care utilization in American Samoa is a major concern. Improving healthcare accessibility will be key in encouraging women to attend prenatal care. The significant improvements in the adequacy of prenatal care seen in 2007–2008 suggest that the prenatal care incentive program implemented in 2006 may be a very positive step toward addressing issues of prenatal care utilization in this population. PMID:24045912

  11. Cordaid's post-disaster shelter strategy in Haiti: Linking relief and development

    NARCIS (Netherlands)

    Janse, H.C.; Van der Flier, C.L.

    2014-01-01

    Haiti was struck by a heavy earthquake in 2010 and international aid poured into the country. News reports in 2011 were not very positive about the results of post-disaster reconstruction: “The relief efforts are only putting Haiti on lifesupport instead of evolving into the next stage of developmen

  12. Rapid Extremity Pain Relief by Battlefield Acupuncture after Orthopedic Surgery: A Randomized Clinical Trial

    Science.gov (United States)

    2017-03-21

    FINAL REPORT Project Title: Rapid Extremity Pain Relief by Battlefield Acupuncture after Orthopedic Surgery: A Randomized Clinical Trial...prevent adverse effects of sedation and decreased job performance. Auricular acupuncture has been evaluated in multiple trials, and although...generally proven to be useful, these trials were not rigorous. This study seeks to determine if modified Battlefield Acupuncture is more effective at

  13. Cordaid's post-disaster shelter strategy in Haiti: Linking relief and development

    NARCIS (Netherlands)

    Janse, H.C.; Van der Flier, C.L.

    2014-01-01

    Haiti was struck by a heavy earthquake in 2010 and international aid poured into the country. News reports in 2011 were not very positive about the results of post-disaster reconstruction: “The relief efforts are only putting Haiti on lifesupport instead of evolving into the next stage of developmen

  14. Reading Ancient Reliefs: An Approach to Interperation of Architectural Decoration in Historical and Political Context

    Directory of Open Access Journals (Sweden)

    Mgr. Lucia Novakova

    2013-12-01

    Full Text Available Ancient treasuries promoted wealth and prosperity of the donation community. Preserved relief scenes portrayed mythological stories used for expressing certain characteristic reflection of reality (chaos, wilderness, heroism, etc. By analyzing historical sources is possible to assign events related to the poleis in historical context. This paper shall serve as introduction of hypothetical nature of political program and contribution to the knowledge of political promotion of polis in relief decoration. Figural decoration became a form of political program, or even metaphorical ideology. The main carrier of ideological reference were figure decorated pediments and friezes. Those visualized political agenda of polis even for illiterate observers. In particular mythological stories, those that might have some ideological scheme, were preferred. They can be applied to current events of polis, but only if adequate historical sources or archaeological evidence. Mythological battles were frequent motifs. The story of Gigantomachy allowed various kind of exploitation in political ideology. The main idea was the battle between world full of chaos and world representing stability and certainty. Analogies are identifiable in the whole archaic period. The main inspiration were military confrontations with other Greek or non-Greek cities. From preserved decorative elements is possible to roughly characterize also political significance of mythological heroes. Visual display is closely related to foreign policy and inner political conflict of poleis. It is important that preserved reliefs with motives that do not deal with panhellenic scenes are lessnumerous.

  15. Technology and information sharing in disaster relief

    DEFF Research Database (Denmark)

    Bjerge, Benedikte; Clark, Nathan; Fisker, Peter;

    2016-01-01

    This paper seeks to examine the extent to which technological advances can enhance inter-organizational information sharing in disaster relief. Our case is the Virtual OSOCC (On-Site Operations Coordination Centre) which is a part of the Global Disaster Alert and Coordination System (GDACS) under...... database of user interaction including more than 20,000 users and 11,000 comments spread across approximately 300 disaster events. Controlling for types and severities of the events, location-specific vulnerabilities, and the overall trends, we find that the introduction of new features have led...

  16. EC Hidraulic Drive Cylinder Relief Vlave Test

    Energy Technology Data Exchange (ETDEWEB)

    Wu, J.; /Fermilab

    1991-04-03

    This engineering note documents the testing of the set pressure of the EC hydraulic drive cylinder relief valve. The purpose of the relief valve is to provide a safety measure in the event that oil becomes trapped in the rod side of the cylinder and pressure is applied to the cap side. The note includes an explanation of the procedure used and a summary of the result of the testing done on February 14, 1991 by Gary Trotter. The result was that the cylinder relief valve relieved at the correct set pressure of 10,500 psig. The basic concern is for the protection of the cylinder. The pump is capable of providing up to 10,500 psi of pressure to either side of the cylinder. The cylinder is rated for 10,500 psi. Under normal operating conditions, the valves would be open, and the pumping pressure would automatically flow oil into one side, and remove oil from the other side. If, however, the valve for the other side was closed, so that oil could not be removed, then the pressure would build in that side. If the rod side is pressurized to the maximum pump pressure of 10,500 psi, the cross sectional area ratio of 2.29 results in a pressure of approximately 4600 psi in the cap side, which is well under the rated pressure. If, however, the cap side is pressurized to 10,500 psi, the cross sectional area would produce a pressure of approximately 24,000 psi in the rod side, which could damage the cylinder. Therefore, the pressure on the rod side must be limited to the rated pressure of 10,500 psi. In reality, the maximum operating force on the piston would be under 11,000 Ibs., which would result in the maximum cylinder pressure being under 8000 psi to the rod side, and under 3500 psi to the cap side. Therefore, the relief is only needed as a safety precaution in the case that oil becomes trapped.

  17. Holistic relief of pain - Nursing approach

    Directory of Open Access Journals (Sweden)

    Evaggelos Giavasopoulos

    2007-01-01

    Full Text Available It is well known that the patients who suffer from pain can develop a wide variety of behaviours. At the same time they experience a plethora of biological, psychological and social problems. Undeniably the nurses constitute an integral part of the multidisciplinary team of approach and relief of patient’s pain. The nurse’s role is developed and organized with independence in the health care team and expresses itself in a wide spectrum of activities. Aim in the present article is to highlight the force of nurse among the multidisciplinary team, analyzing the multiple roles undertaken by nurses, as well as the necessity for holistic approach of pain.

  18. CAS scientists active in earthquake relief operation

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ Soon after the devastating earthquake taking place on last 12 May in Sichuan, the CAS leadership promptly mobilized its researchers to dedicate their expertise to the nationwide drive of the disaster's relief and reduction. A leading group was established to coordinate the Academy's efforts in this regard. All of the eight CAS institutions located in Sichuan were organized to do everything possible to reduce their losses to the minimum. At the same time, a trans-departmental and interdisciplinary taskforce was formed to provide a powerful S&T backing for the nationwide drive.

  19. 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...... are conducted at day 1 or 2, at day 14 and 6 months after delivery. A validated tool for wound healing assessment and pain score is used. Randomisation is stratified on episiotomies and epidural is used for pain during delivery. Main outcome measures: 1. Need for additional pain relief during perineal repair. 2....... Pain experienced during perineal repair reported 1 day after delivery. 3. Wound healing evaluated 1 and 14 days after delivery. 4. Patient satisfaction with the allocated pain relief during perineal repair. Results:  The trial is ongoing until July 2007. Preliminary results will be presented as well...

  20. The glacial relief in the Leaota Mountains

    Directory of Open Access Journals (Sweden)

    George MURĂTOREANU

    2008-05-01

    Full Text Available The presence of glacial relief in the Romanian medium height massifs is still controversial. The medium height mountains, such as theLeaota Mountains (in the Bucegi group, with maximum altitudes of almost 2000 m andmedium altitudes of approximately 1250 m, can display traces of glacial relief dating from theUpper Pleistocene. The aim of this article is to provide evidence about the presence of theglacial morphology in the northern part of the Leaota Peak, the main orographic node in themassif with the same name. Thus, on the basis of field observations, of topographical mapanalysis and by using the geographic information systems which made possible a detailedmorphometric analysis, I was able to gather evidence proving the existence of a glacial cirquein the Leaota Mountains. The arguments put forward in this article show that the glacial reliefis represented in the Leaota Mountains through a small-size suspended glacial cirque, whichdisplays all the morphologic elements proving the existence of glaciation in this massif.

  1. 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.

  2. 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

  3. 46 CFR 64.71 - Marking of pressure relief devices.

    Science.gov (United States)

    2010-10-01

    ... AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.71 Marking...— (a) Set pressure rating; (b) Rated flow capacity expressed as cubic feet of standard air (60 °F 14.7... 46 Shipping 2 2010-10-01 2010-10-01 false Marking of pressure relief devices. 64.71 Section 64.71...

  4. Sandy PMO Disaster Relief Appropriations Act of 2013 Financial Data

    Data.gov (United States)

    Department of Homeland Security — Sandy PMO: Disaster Relief Appropriations Act of 2013 (Sandy Supplemental Bill) Financial Data. This is the Sandy Supplemental Quarterly Financial Datasets that are...

  5. SIMULATION OF VIBRATION STRESS RELIEF AFTER WELDING BASED ON FEM

    Institute of Scientific and Technical Information of China (English)

    X.C.Zhao; Y.D.Zhang; H.W.Zhang; Q.Wu

    2008-01-01

    A finite element model is developed for the simulation of vibration stress relief (VSR) after welding.For the nonresonant vibration,the reduction in stress strongly depends on the amplitude of vibration.For the resonant vibration,the vibration frequency is the key for stress relief.The vibration frequency should be close to the structure natural frequency for the desired vibration mode.Only small vibration amplitude is required,which will be amplified during vibration.Vibration time does not have a major impact on vibration stress relief.When the amplitude of vibration stress relief is large,the treatment will be more effective.

  6. Dose Limits for Man do not Adequately Protect the Ecosystem

    Energy Technology Data Exchange (ETDEWEB)

    Higley, Kathryn A.; Alexakhin, Rudolf M.; McDonald, Joseph C.

    2004-08-01

    It has been known for quite some time that different organisms display differing degrees of sensitivity to the effects of ionizing radiations. Some microorganisms such as the bacterium Micrococcus radiodurans, along with many species of invertebrates, are extremely radio-resistant. Humans might be categorized as being relatively sensitive to radiation, and are a bit more resistant than some pine trees. Therefore, it could be argued that maintaining the dose limits necessary to protect humans will also result in the protection of most other species of flora and fauna. This concept is usually referred to as the anthropocentric approach. In other words, if man is protected then the environment is also adequately protected. The ecocentric approach might be stated as; the health of humans is effectively protected only when the environment is not unduly exposed to radiation. The ICRP is working on new recommendations dealing with the protection of the environment, and this debate should help to highlight a number of relevant issues concerning that topic.

  7. Deferasirox pharmacokinetics in patients with adequate versus inadequate response

    Science.gov (United States)

    Chirnomas, Deborah; Smith, Amber Lynn; Braunstein, Jennifer; Finkelstein, Yaron; Pereira, Luis; Bergmann, Anke K.; Grant, Frederick D.; Paley, Carole; Shannon, Michael

    2009-01-01

    Tens of thousands of transfusion-dependent (eg, thalassemia) patients worldwide suffer from chronic iron overload and its potentially fatal complications. The oral iron chelator deferasirox has become commercially available in many countries since 2006. Although this alternative to parenteral deferoxamine has been a major advance for patients with transfusional hemosiderosis, a proportion of patients have suboptimal response to the maximum approved doses (30 mg/kg per day), and do not achieve negative iron balance. We performed a prospective study of oral deferasirox pharmacokinetics (PK), comparing 10 transfused patients with inadequate deferasirox response (rising ferritin trend or rising liver iron on deferasirox doses > 30 mg/kg per day) with control transfusion-dependent patients (n = 5) with adequate response. Subjects were admitted for 4 assessments: deferoxamine infusion and urinary iron measurement to assess readily chelatable iron; quantitative hepatobiliary scintigraphy to assess hepatic uptake and excretion of chelate; a 24-hour deferasirox PK study following a single 35-mg/kg dose of oral deferasirox; and pharmacogenomic analysis. Patients with inadequate response to deferasirox had significantly lower systemic drug exposure compared with control patients (P < .00001). Cmax, volume of distribution/bioavailability (Vd/F), and elimination half-life (t1/2) were not different between the groups, suggesting bioavailability as the likely discriminant. Effective dosing regimens for inadequately responding patients to deferasirox must be determined. This trial has been registered at http://www.clinicaltrials.gov under identifier NCT00749515. PMID:19724055

  8. Acute isoniazid toxicity and the need for adequate pyridoxine supplies.

    Science.gov (United States)

    Morrow, Lee E; Wear, Robert E; Schuller, Dan; Malesker, Mark

    2006-10-01

    A 25-year-old, 54-kg Hispanic man who had recently started multidrug therapy for pulmonary tuberculosis presented in status epilepticus after ingesting 9 g of isoniazid in a suicide attempt. Successful management of this patient required collaboration between several institutions to provide the large amount of necessary intravenous pyridoxine. Ultimately, this single overdose depleted the supply of intravenous pyridoxine for a significant region of the state of Nebraska. Isoniazid is commonly used to treat tuberculosis, but it is encountered relatively infrequently as the cause of an acute overdose. Severe isoniazid overdoses may present as seizure activity that is refractory to conventional antiepileptic therapy. Although intravenous pyridoxine is an effective antidote for isoniazid overdoses in patients presenting with status epilepticus, this agent has few indications and is typically stocked in limited quantities. In regions with large populations of patients who receive antituberculosis therapy, collaborative networks must be created to ensure that adequate supplies of intravenous pyridoxine (> or = 20 g) are available for effective treatment of isoniazid poisonings.

  9. Undergraduate UK nutrition education might not adequately address weight management.

    Science.gov (United States)

    Rogerson, David; Soltani, Hora; Copeland, Robert

    2016-02-01

    Weight management appears to be multidimensional and complex, and registered nutritionists might work to educate, promote and provide weight-management services to communities, groups and individuals. However, nutrition education might not adequately reflect the weight-management requirements of individuals and groups. The aim of the present study was to investigate if the Association for Nutrition's undergraduate core competency framework for accredited Nutrition degrees sufficiently reflects the weight-management needs and experiences of individuals. A qualitative investigation, conducted within critical realist ontology, was performed to understand the weight-management experiences of dieters and compare these with the Association for Nutrition's accreditation criteria for undergraduate Nutrition degrees. Framework analysis was used to identify and explain participants' experiences thematically and to compare these with the Association for Nutrition's core competency criteria. Participants (n 8) with weight-loss (n 4) and weight-maintenance experiences (n 4) were interviewed using semi-structured interviews to understand weight management at the agential level. Participants described knowledge, exercise, planning, psychological constructs and behaviour-change techniques, determinants of eating and social support as features of weight management. The competency criteria provided clear guidance on all aspects discussed by the group, apart from psychological constructs and behaviour-change techniques and social support. Accredited Nutrition courses might not fully reflect the weight-management needs and experiences of individuals. Nutritionists might require greater knowledge of psychology and behaviour change to better understand and accommodate their clients' weight-management needs.

  10. 40 CFR 51.354 - Adequate tools and resources.

    Science.gov (United States)

    2010-07-01

    ... assurance, data analysis and reporting, and the holding of hearings and adjudication of cases. A portion of... supply of vehicles for covert auditing, test equipment and facilities for program evaluation, and computers capable of data processing, analysis, and reporting. Equipment or equivalent services may...

  11. VA administrators breahe a sigh of relief

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2014-06-01

    Full Text Available No abstract available. Article truncated at 150 words. On May 30, Eric Shinseki, the Secretary for Veterans Affairs (VA, resigned under pressure amidst a growing scandal regarding falsification of patient wait times at nearly 40 VA medical centers. Before leaving office Shinseki fired Sharon Helman, the former hospital director at the Phoenix VA, where the story first broke, along with her deputy and another unnamed administrator. In addition, Susan Bowers, director of VA Veterans Integrated Service Network (VISN 18 and Helman’s boss, resigned. Robert Petzel, undersecretary for the Veterans Health Administration (VHA, head of the VA hospitals and clinics, had resigned earlier. You could hear the sigh of relief from the VA administrators. With their bosses resigning left and right, the VA leadership in shambles and the reputation of the VA soiled for many years to come, why are the VA administrators relieved? The simple answer is that nothing has really changed. There for a moment it looked ...

  12. Monitoring the eye lens: which dose quantity is adequate?

    Energy Technology Data Exchange (ETDEWEB)

    Behrens, R [Physikalisch-Technische Bundesanstalt, Bundesallee 100, D-38116 Braunschweig (Germany); Dietze, G, E-mail: rolf.behrens@ptb.d [Paracelsusstrasse 7, D-38116 Braunschweig (Germany)

    2010-07-21

    Recent epidemiological studies suggest a rather low dose threshold (below 0.5 Gy) for the induction of a cataract of the eye lens. Some other studies even assume that there is no threshold at all. Therefore, protection measures have to be optimized and current dose limits for the eye lens may be reduced in the future. The question of which personal dose equivalent quantity is appropriate for monitoring the dose to the eye lens arises from this situation. While in many countries dosemeters calibrated in terms of the dose equivalent quantity H{sub p}(0.07) have been seen as being adequate for monitoring the dose to the eye lens, this might be questionable in the case of reduced dose limits and, thus, it may become necessary to use the dose equivalent quantity H{sub p}(3) for this purpose. To discuss this question, the dose conversion coefficients for the equivalent dose of the eye lens (in the following eye lens dose) were determined for realistic photon and beta radiation fields and compared with the values of the corresponding conversion coefficients for the different operational quantities. The values obtained lead to the following conclusions: in radiation fields where most of the dose comes from photons, especially x-rays, it is appropriate to use dosemeters calibrated in terms of H{sub p}(0.07) on a slab phantom, while in other radiation fields (dominated by beta radiation or unknown contributions of photon and beta radiation) dosemeters calibrated in terms of H{sub p}(3) on a slab phantom should be used. As an alternative, dosemeters calibrated in terms of H{sub p}(0.07) on a slab phantom could also be used; however, in radiation fields containing beta radiation with the end point energy near 1 MeV, an overestimation of the eye lens dose by up to a factor of 550 is possible.

  13. Improving access to adequate pain management in Taiwan.

    Science.gov (United States)

    Scholten, Willem

    2015-06-01

    There is a global crisis in access to pain management in the world. WHO estimates that 4.65 billion people live in countries where medical opioid consumption is near to zero. For 2010, WHO considered a per capita consumption of 216.7 mg morphine equivalents adequate, while Taiwan had a per capita consumption of 0.05 mg morphine equivalents in 2007. In Asia, the use of opioids is sensitive because of the Opium Wars in the 19th century and for this reason, the focus of controlled substances policies has been on the prevention of diversion and dependence. However, an optimal public health outcome requires that also the beneficial aspects of these substances are acknowledged. Therefore, WHO recommends a policy based on the Principle of Balance: ensuring access for medical and scientific purposes while preventing diversion, harmful use and dependence. Furthermore, international law requires that countries ensure access to opioid analgesics for medical and scientific purposes. There is evidence that opioid analgesics for chronic pain are not associated with a major risk for developing dependence. Barriers for access can be classified in the categories of overly restrictive laws and regulations; insufficient medical training on pain management and problems related to assessment of medical needs; attitudes like an excessive fear for dependence or diversion; and economic and logistical problems. The GOPI project found many examples of such barriers in Asia. Access to opioid medicines in Taiwan can be improved by analysing the national situation and drafting a plan. The WHO policy guidelines Ensuring Balance in National Policies on Controlled Substances can be helpful for achieving this purpose, as well as international guidelines for pain treatment.

  14. Principles and practice of disaster relief: lessons from Haiti.

    Science.gov (United States)

    Benjamin, Ernest; Bassily-Marcus, Adel M; Babu, Elizabeth; Silver, Lester; Martin, Michael L

    2011-01-01

    including in them contingency planning for international relief operations. Healthcare professionals of these institutions who travel to disaster zones should rigorously prepare themselves and make provisions for collecting and reporting data, which will enrich the knowledge of this growing activity.

  15. The importance of context: When relative relief renders pain pleasant

    Science.gov (United States)

    Leknes, Siri; Berna, Chantal; Lee, Michael C.; Snyder, Gregory D.; Biele, Guido; Tracey, Irene

    2013-01-01

    Context can influence the experience of any event. For instance, the thought that “it could be worse” can improve feelings towards a present misfortune. In this study we measured hedonic feelings, skin conductance, and brain activation patterns in 16 healthy volunteers who experienced moderate pain in two different contexts. In the “relative relief context,” moderate pain represented the best outcome, since the alternative outcome was intense pain. However, in the control context, moderate pain represented the worst outcome and elicited negative hedonic feelings. The context manipulation resulted in a “hedonic flip,” such that moderate pain elicited positive hedonics in the relative relief context. Somewhat surprisingly, moderate pain was even rated as pleasant in this context, despite being reported as painful in the control context. This “hedonic flip” was corroborated by physiological and functional neuroimaging data. When moderate pain was perceived as pleasant, skin conductance and activity in insula and dorsal anterior cingulate were significantly attenuated relative to the control moderate stimulus. “Pleasant pain” also increased activity in reward and valuation circuitry, including the medial orbitofrontal and ventromedial prefrontal cortices. Furthermore, the change in outcome hedonics correlated with activity in the periacqueductal grey (PAG) of the descending pain modulatory system (DPMS). The context manipulation also significantly increased functional connectivity between reward circuitry and the PAG, consistent with a functional change of the DPMS due to the altered motivational state. The findings of this study point to a role for brainstem and reward circuitry in a context-induced “hedonic flip” of pain. PMID:23352758

  16. 116 Appraisal as a Determinant for Adequate Compensation in ...

    African Journals Online (AJOL)

    User

    2012-01-24

    mail: ... management. The information obtained through appraisal provides .... definition provided by the United States office of personnel management. That office defines ..... Exclusive Report, Library Journal 119, (18), 44 – 49.

  17. Hurricane Relief Operations in the Caribbean: Is the Use of the Military in Hurricane Relief Operations

    Science.gov (United States)

    2007-11-02

    Caribbean hurricanes are a type of tropical cyclone . They originate in the Atlantic Ocean off the coast of Africa and affect the Caribbean and 2 the...that will prove to be more suitable in disaster relief situations. Matthew Yarrow also shares Dynes’ view. He believes that soldiers are ill-suited... Haiti operations, in part due to the battalion commander’s lack of authority over troops from different countries. However, the performance of the

  18. 46 CFR 56.50-20 - Pressure relief piping.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Pressure relief piping. 56.50-20 Section 56.50-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PIPING SYSTEMS AND APPURTENANCES Design Requirements Pertaining to Specific Systems § 56.50-20 Pressure relief piping. (a)...

  19. Donation to disaster relief campaigns: underlying social cognitive factors exposed

    NARCIS (Netherlands)

    Oosterhof, Liesbeth; Heuvelman, Ard; Peters, Oscar

    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 attitude

  20. 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 attitude

  1. 46 CFR 193.15-40 - Pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Pressure relief. 193.15-40 Section 193.15-40 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 193.15-40 Pressure relief. (a) Where necessary...

  2. Emergency Relief for Teachers of Children Who Challenge

    Science.gov (United States)

    Crow, René; Cooper, Mark; Dallas, Jamie

    2015-01-01

    Teachers of students with chronic challenging behaviors need relief, and they need it quickly. While they may appreciate the sympathy of others, what they really need is some genuine help. Challenging children can make a teacher's day difficult. In this article, the authors share some strategies that can provide "emergency relief" to…

  3. 46 CFR 154.517 - Piping: Liquid pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Piping: Liquid pressure relief. 154.517 Section 154.517 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... and Process Piping Systems § 154.517 Piping: Liquid pressure relief. The cargo loading and discharge...

  4. 46 CFR 76.15-40 - Pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 3 2010-10-01 2010-10-01 false Pressure relief. 76.15-40 Section 76.15-40 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 76.15-40 Pressure relief. (a) Where necessary, relatively...

  5. 46 CFR 95.15-40 - Pressure relief.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Pressure relief. 95.15-40 Section 95.15-40 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-40 Pressure relief. (a) Where necessary...

  6. 40 CFR 1042.850 - Exemptions and hardship relief.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Exemptions and hardship relief. 1042.850 Section 1042.850 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Special Provisions for Remanufactured Marine Engines § 1042.850 Exemptions and hardship relief. This...

  7. 12 CFR 742.4 - RegFlex Relief.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false RegFlex Relief. 742.4 Section 742.4 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS REGULATORY FLEXIBILITY PROGRAM § 742.4 RegFlex Relief. (a) Exemptions. RegFlex credit unions are exempt from the following...

  8. Numerical tsunami modeling and the bottom relief

    Science.gov (United States)

    Kulikov, E. A.; Gusiakov, V. K.; Ivanova, A. A.; Baranov, B. V.

    2016-11-01

    The effect of the quality of bathymetric data on the accuracy of tsunami-wave field calculation is considered. A review of the history of the numerical tsunami modeling development is presented. Particular emphasis is made on the World Ocean bottom models. It is shown that the modern digital bathymetry maps, for example, GEBCO, do not adequately simulate the sea bottom in numerical models of wave propagation, leading to considerable errors in estimating the maximum tsunami run-ups on the coast.

  9. Factorisable Quasi-adequate Semigroups%因子拟适当半群

    Institute of Scientific and Technical Information of China (English)

    彭婷婷; 郭小江

    2011-01-01

    In this paper, we investigate a class of factorisable IC quasi-adequate semigroups,so-called, factorisable IC quasi-adequate semigroups of type-(H, I). Some characterizations of factorisable IC quasi-adequate semigroups of type-(H, I) are obtained. In particular, we prove that any IC quasi-adequate semigroup has a factorisable IC quasi-adequate subsemigroups of type-(H, I) and a band of cancellative monoids.

  10. [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.

  11. United Airlines Assists Tsunami Relief Effort United donates cargo space for relief supplies going to southern Asia

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ United Airlines today announced several initiatives to assist with the tsunami relief effort in Asia, including the donation of available cargo space to ship relief supplies to southern Thailand,Indonesia, Sri Lanka and other coastal areas on the Indian Ocean.

  12. United Airlines Assists Tsunami Relief Effort United donates cargo space for relief supplies going to southern Asia

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

      United Airlines today announced several initiatives to assist with the tsunami relief effort in Asia, including the donation of available cargo space to ship relief supplies to southern Thailand,Indonesia, Sri Lanka and other coastal areas on the Indian Ocean.……

  13. Army General Fund Adjustments Not Adequately Documented or Supported

    Science.gov (United States)

    2016-07-26

    management to develop effective internal controls over its financial reporting process. The Circular requires that agencies document the business ...Indianapolis correct these control deficiencies, there is considerable risk that the AGF financial statements will be materially misstated and the Army...deficiencies, there is considerable risk that the AGF financial statements will be materially misstated and the Army will not achieve audit readiness by

  14. Surveys right after the atomic bombing and a relief squad

    Energy Technology Data Exchange (ETDEWEB)

    Mine, Mariko [Nagasaki Univ. (Japan). School of Medicine

    1998-12-01

    An outline of four survey reports right after the atomic bombing in Nagasaki and Hiroshima is introduced. The report of Manhattan District Atomic Bomb Investigating Groups: The subjects of this survey were 900 inpatients in Nagasaki (for 16 days from September 20) and Hiroshima (for 5 days from October 3). Two hundreds and forty-nine patients (16%) died. In cases died without injury, the severe symptoms were alopecia, purpura, hemorrhage, oral cavity and pharynx lesion, vomiting, diarrhea and fever. The residual radioactivity measured at six weeks later was 6-25 roentgen in Hiroshima and 30-110 roentgen in Nagasaki (Nishiyama riverhead area). These values were lower than the predicted value from the clinical consequence. The report of Joint Commission for the Investigation of the Atomic Bomb: Following the above survey, about 6500 subjects were investigated both in Nagasaki and Hiroshima. Incidence of alopecia was investigated by shielded situation at a spot of 2.1 to 2.5 km from a blast center. It was 7.2% of outdoors (shielded: 7.3%, non-shielded: 17.4%) and 2.9% of indoors. The report of the Special Committee for Atomic Bomb Casualty Investigation and Research of the Scientific Research Council of Japan: General part of the report consists of medical part and physical part, and reports from each university were classified and listed in the supplement. Survey of Nagasaki Medical College (not in public): About 8000 subjects were investigated from October to December. Data were gathered up about lethality, time of death, injury and radiation sickness, etc. There was also autograph of a relief squad of the Nagasaki Medical College. (K.H.)

  15. [Importance of using basic statistics adequately in clinical research].

    Science.gov (United States)

    Rodrigues, Célio Fernando de Sousa; Lima, Fernando José Camello de; Barbosa, Fabiano Timbó

    2017-04-10

    The inadequate use of basic statistics is the main responsible for scientific article misinterpretation. The purpose of this review article was to review some basic statistical topics to alert authors and readers about the importance of basic statistics proper reporting. A bibliographical and cross-sectional study was carried out,which analyzed publications in books and articles in the following databases: SciELO (Scientific Electronic Library Online) and PubMed (Available from the National Center for Biotechnology Information). Medical research is not free from the risk of false positive and false negative results due to the choice of statistical tests and presence of small sample sizes. Understanding the correct use of basic statistics leads to fewer errors in reporting the results of studies performed and in the interpretation of their conclusions. Copyright © 2017. Publicado por Elsevier Editora Ltda.

  16. Donation to disaster relief campaigns: underlying social cognitive factors exposed.

    Science.gov (United States)

    Oosterhof, Liesbeth; Heuvelman, Ard; Peters, Oscar

    2009-05-01

    A 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 attitudes, and the impact of media exposure. The aim was to expand and improve an already existing model by Cheung and Chan [Cheung, C. K., & Chan, C. M. (2000). Social-cognitive factors of donating money to charity, with special attention to an international relief organisation. Evaluation and Program Planning, 23, 241-253]. The expanded model showed a better fit. Furthermore, the expanded model explained two-thirds of the variance of the intention to donate to a disaster relief campaign. The greatest predictor of the intention to donate proved to be "Past donation to disaster relief campaigns." The factor "News exposure" was indicated to be a valuable additional factor, as it had a significant direct effect on "Awareness of a disaster relief campaign" and was the only factor that had a total effect on all other factors, including "Intention to donate to a disaster relief campaign."

  17. A Real-Time Decision Support System for Anesthesiologist End-of-Shift Relief.

    Science.gov (United States)

    Wax, David B; McCormick, Patrick J

    2017-02-01

    A decision support system using recent data about work hours and real-time data about relief events was developed to guide anesthesiologist end-of-shift relief decisions in an effort to promote a relief order that prioritized relief for those who had recently worked later than others. After system implementation, there were fewer deviations from this idealized order of relief, and early relief was more evenly distributed.

  18. Segmenting into Adequate Units for Automatic Recognition of Emotion-Related Episodes: A Speech-Based Approach

    Directory of Open Access Journals (Sweden)

    Anton Batliner

    2010-01-01

    Full Text Available We deal with the topic of segmenting emotion-related (emotional/affective episodes into adequate units for analysis and automatic processing/classification—a topic that has not been addressed adequately so far. We concentrate on speech and illustrate promising approaches by using a database with children's emotional speech. We argue in favour of the word as basic unit and map sequences of words on both syntactic and ‘‘emotionally consistent” chunks and report classification performances for an exhaustive modelling of our data by mapping word-based paralinguistic emotion labels onto three classes representing valence (positive, neutral, negative, and onto a fourth rest (garbage class.

  19. Pharmaceutical services in a Mexican pain relief and palliative care institute

    OpenAIRE

    Escutia Gutierrez R; Cortéz Alvarez CR; Álvarez Alvarez RM; Flores Hernandez JL; Gutiérrez Godinez J; López y Lopez JG

    2007-01-01

    Neither the purchase nor the distribution of pharmaceuticals in hospitals and community pharmacies in Mexico is under the care of pharmacists. Some are under control of physicians.This report presents the results of the implementation of somef pharmaceutical services for the Jalisco Pain Relief, and Palliative Care Institute (Palia Institute), under the direction of the Secretary of Health, Government of Jalisco. The services implemented were drug distribution system, Drug Information Service...

  20. Water hammer, flow induced vibration and safety/relief valve loads

    Energy Technology Data Exchange (ETDEWEB)

    Valandani, P.; Uffer, R.; Sexton, D.

    1984-09-01

    This report presents the results of an evaluation performed to determine current and recommended practices regarding the consideration of water hammer, flow-induced vibration and safety-relief valve loads in the design of nuclear power plant piping systems. Current practices were determined by a survey of industry experts. Recommended practices were determined by evaluating factors such as load magnitude and frequency content, system susceptibility to load occurrence and safety effects of postulated piping damage.

  1. Humanitarian and Disaster Relief Operations: Winning the Hearts and Minds of the Africans

    Science.gov (United States)

    2009-12-16

    HEARTS AND MINDS OF THE AFRICANS by Jerry R. Hickey, Major, USAF A Research Report Submitted to the Faculty In Partial Fulfillment of the...countries, giving sole access to China instead of putting it on the open markets . 8 This counters the free and open markets championed by U.S...disaster relief operations, the U.S. can help win the hearts and minds of the African people, and over time increase American influence within Africa

  2. Cartographic Relief Presentation Revisited - Forty Years after Eduard Imhof

    Science.gov (United States)

    Hurni, Lorenz

    Topographic maps represent in a symbolised way the main features of the Earth's surface shape as well as the major, mostly visible objects covering the topography. The clear and readable depiction of the relief is one of the main challenges in topographic cartography. The Swiss cartographer Eduard Imhof had a significant influence on the development of modern topographic cartography. He published his trend-setting findings 40 years ago in his textbook "Cartographic Relief Presentation". This overview paper reviews his major contributions to topographic cartography and presents today's state of cartographic relief depiction, illustrated by current map examples and projects elaborated at Imhof's Alma Mater, the Institute of Cartography of ETH Zurich.

  3. ANCIENT VOLCANOES AND TECTONIC STRUCTURES OF A RELIEF OF MARS

    Directory of Open Access Journals (Sweden)

    S. G. Pugacheva

    2014-01-01

    Full Text Available In article the basic geological and morphological features of a volcanic relief of a surface of a planet Mars are considered. The volcanic relief of a planet represents relic ancient shield volcanoes, linear forms of volcanic mountains, areal and central lava flooding, radial and concentric breaks. Results of researches of morphology of volcanic and tectonic formations of a relief of Mars are given in article. On materials of shooting of a surface of Mars spacecrafts constructed hypsometric high-rise profiles of volcanoes and average steepness of slopes are defined. The relative age of volcanoes and volcanic plains is estimated on density of shock craters.

  4. Rapidly design safety relief valve inlet piping systems

    Energy Technology Data Exchange (ETDEWEB)

    Westman, M.A.

    1997-03-01

    Safety relief valves (SRVs) used to protect against overpressure require well-designed inlet piping for proper operation. The engineer`s job is to produce these designs from a thorough understanding of the inlet piping as a key component in the safety relief system and the correct application of the governing fluid dynamics principles. This article will present a technique for analysis and design using classical ideal-gas adiabatic fluid flow principles. Also, it will discuss the advantages of using the personal computer (PC) to quickly arrive at accurate designs. This work applies to SRVs in which relief flows are limited by sonic conditions at their nozzles.

  5. The search for pain relief in people with chronic fatigue syndrome: a descriptive study.

    Science.gov (United States)

    Marshall, Rebecca; Paul, Lorna; Wood, Les

    2011-07-01

    The purpose of this study was to investigate the use and perceived benefit of complimentary and alternative medicine (CAM) and physiotherapy treatments tried by people with chronic fatigue syndrome (CFS) to ease painful symptoms. This study used a descriptive, cross-sectional design. People with CFS who experienced pain were recruited to this study. Participants were asked during a semistructured interview about the treatments they had tried to relieve their pain. Each interview was conducted in the home of the participant. Fifty participants were recruited, of which, 10 participants were severely disabled by CFS. Eighteen participants were trying different forms of CAM treatment for pain relief at the time of assessment. Three participants were currently receiving physiotherapy. Throughout the duration of their illness 45 participants reported trying 19 different CAM treatments in the search for pain relief. Acupuncture was reported to provide the most pain relief (n=16). Twenty-seven participants reported a total of 16 different interventions prescribed by their physiotherapist. The results of this study suggest some physiotherapy and CAM treatments may help people manage painful CFS symptoms. Future research should be directed to evaluating the effectiveness of interventions such as acupuncture or gentle soft tissue therapies to reduce pain in people with CFS.

  6. Pressure relief protection in cryostats: CERN’s experience on LHC and HIE Isolde

    CERN Document Server

    CERN. Geneva

    2016-01-01

    Cryostats contain large cold surfaces, cryogenic fluids, and sometimes large stored energy (e.g. energized magnets), with the potential risk of sudden liberation of energy through thermodynamic transformations of the fluids, which can be uncontrolled and lead to a dangerous increase of pressure inside the cryostat envelopes. The consequence, in the case of a rupture of the envelopes, may be serious for personnel (injuries from deflagration, burns, and oxygen deficiency hazard) as well as for the equipment. Performing a thorough risk analysis is an essential step to identify and understand risk hazards that may cause a pressure increase and in order to assess consequences, define mitigation actions, and design adequate safety relief devices to limit pressure accordingly. Lessons learnt from real cases are essential for improving safety awareness for future projects: LHC and HIE Isolde are amongst these examples.

  7. Targeting the cannabinoid system for pain relief?

    Science.gov (United States)

    Chiou, Lih-Chu; Hu, Sherry Shu-Jung; Ho, Yu-Cheng

    2013-12-01

    Marijuana has been used to relieve pain for centuries, but its analgesic mechanism has only been understood during the past two decades. It is mainly mediated by its constituents, cannabinoids, through activating central cannabinoid 1 (CB1) receptors, as well as peripheral CB1 and CB2 receptors. CB2-selective agonists have the benefit of lacking CB1 receptor-mediated CNS side effects. Anandamide and 2-arachidonoylglycerol (2-AG) are two intensively studied endogenous lipid ligands of cannabinoid receptors, termed endocannabinoids, which are synthesized on demand and rapidly degraded. Thus, inhibitors of their degradation enzymes, fatty acid amide hydrolase and monoacylglycerol lipase (MAGL), respectively, may be superior to direct cannabinoid receptor ligands as a promising strategy for pain relief. In addition to the antinociceptive properties of exogenous cannabinoids and endocannabinoids, involving their biosynthesis and degradation processes, we also review recent studies that revealed a novel analgesic mechanism, involving 2-AG in the periaqueductal gray (PAG), a midbrain region for initiating descending pain inhibition. It is initiated by Gq-protein-coupled receptor (GqPCR) activation of the phospholipase C (PLC)-diacylglycerol lipase (DAGL) enzymatic cascade, generating 2-AG that produces inhibition of GABAergic transmission (disinhibition) in the PAG, thereby leading to analgesia. This GqPCR-PLC-DAGL-2-AG retrograde disinhibition mechanism in the PAG can be initiated by activating type 5 metabotropic glutamate receptor (mGluR5), muscarinic acetylcholine (M1/M3), and orexin (OX1) receptors. mGluR5-mediated disinhibition can be initiated by glutamate transporter inhibitors, or indirectly by substance P, neurotensin, cholecystokinin, capsaicin, and AM404, the bioactive metabolite of acetaminophen in the brain. The putative role of 2-AG generated after activating the above neurotransmitter receptors in stress-induced analgesia is also discussed.

  8. Decreasing Time to Pain Relief for Emergency Department Patients with Extremity Fractures

    Science.gov (United States)

    Heilman, James A.; Tanski, Mary; Burns, Beech; Lin, Amber; Ma, John

    2016-01-01

    Significant delays occur in providing adequate pain relief for patients who present to the emergency department (ED) with extremity fractures. The median time to pain medication administration for patients presenting to our ED with extremity fractures was 72.5 minutes. We used a multidisciplinary approach to implement three improvement cycles with the goal of reducing the median time to pain medication by 15% over an eight month time period. First, we redesigned nursing triage and treatment processes. Second, we improved nursing documentation standardization to ensure accurate tracking of patients who declined pain medication. Third, through consensus building within our physician group, we implemented a department-wide standard of care to provide early pain relief for extremity fractures. Median time to pain medication for patients with an extremity fracture reduced significantly between the pre-and post-intervention periods (p=0.009). The average monthly median time to medication was 72.5 minutes (95% CI: 57.1 to 88.0) before the intervention (Jan 2013-Oct 2014) and 49.8 minutes (95% CI: 42.7 to 56.9) after the intervention (November 2014 to June 2016). In other words, monthly median time was 31% faster (22.7 minute difference) in the post intervention period. Implementing three key interventions reduced the time to pain medication for patients with extremity injuries. Since June 2016 the reductions in median time to medication have continued to improve. PMID:28090328

  9. Incentives for an adequate, economic and reliable Swiss transmission grid. Final version

    Energy Technology Data Exchange (ETDEWEB)

    Twomey, P.; Neuhoff, K.; Newbery, D.

    2006-11-15

    This comprehensive final report for the Swiss Federal Office of Energy (SFOE) discusses incentives necessary for the implementation of an adequate, economic and reliable Swiss electricity transmission grid. As Switzerland moves towards a more liberalised and competitive electricity market, an essential task of policy makers will be to ensure that incentives are in place for the construction, maintenance and operation of adequate, economic and reliable transmission infrastructure. As well as continuing to serve the domestic market, the location of Switzerland at the centre of Europe also means that policy should embrace opportunities in servicing the developing European Internal Market by providing transit and other services. Topics discussed include the economic evaluation of transmission investment proposals, regulated transmission investment, investments in transmission lines by power merchants, power auctions and congestion management as well as inter-TSO compensation mechanisms. European regulations and practice are discussed as are access questions and transmission charges. Developments in interconnection management and harmonisation are examined. The particular characteristics of the Swiss energy system, its prices and its legal frameworks are discussed. Cross-border trading and security of supply are also discussed

  10. Are residential and nursing homes adequately screening overseas healthcare workers?

    Directory of Open Access Journals (Sweden)

    Loveday Rachel

    2008-08-01

    Full Text Available Abstract Background There has been significant growth in the number of healthcare workers born outside the UK or recruited to the UK from countries with a high prevalence of TB, Hepatitis and other blood borne infections. Government policy recognises the need for occupational health procedures to facilitate treatment for these individuals and to reduce the risk of transmission of disease to patients. The aim of this study was to undertake a survey of nursing and residential homes in South East England, to assess whether homes had occupational health screening policies for healthcare workers who have originated from overseas, and what level of occupational health screening had been undertaken on these employees. Methods An anonymous survey was sent to all 500 homes in West Sussex assessing occupational health practices for "overseas health care workers", defined as health care workers who had been born outside the UK. Results Only one employer (0.8% reported they had an occupational health screening policy specific for healthcare workers who originate from overseas. Over 80% of homes who had recruited directly had no evidence of screening results for HIV, TB, Hepatitis B and C. The commonest countries of origin for staff were the UK, Philippines, Poland, South Africa, Zimbabwe, and India. Conclusion This study suggests that screening of overseas healthcare workers is not routine practice for residential or nursing care homes and requires further input from Primary Care Trust's, Health Care Commission, Commission for Social Care Inspection, and Professional bodies.

  11. Grayscale North America Shaded Relief ? 1-Kilometer Resolution - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The grayscale North America shaded relief data were derived from the GTOPO30 elevation data. GTOPO30 is a global digital elevation model (DEM) with a horizontal grid...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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 ...

  17. Color Hawaii Shaded Relief ? 200-Meter Resolution - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The color Hawaii shaded relief data were derived from National Elevation Dataset (NED) data, and show the terrain of Hawaii at a resolution of 200 meters. The NED is...

  18. Satellite View of Hawaii, with Shaded Relief - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Satellite View of Hawaii, with Shaded Relief map layer is a 200- meter-resolution simulated-natural-color image of Hawaii. Vegetation is generally green, with...

  19. Satellite View of Alaska, with Shaded Relief - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Satellite View of Alaska, with Shaded Relief map layer is a 200- meter-resolution simulated-natural-color image of Alaska. Vegetation is generally green, with...

  20. The development of safety relief valve for nuclear service

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Chil Sung; Kim, Kang Tae; Kim, Ji Heon; Jang, Ki Jong [Smart Valve Com., Seoul (Korea, Republic of); Hong, Kee Seong [Korea Hydro and Nuclear Power Co., Ltd., Seoul (Korea, Republic of)

    2003-07-01

    Safety relief valve is the important equipment used to protect the pressure facility from overpressure. The objective of the study is the development of safety relief valve which protects the boiler and pressure vessel from over pressure by discharging or sucking the operating medium when the pressure of system is reaching the set pressure of the system. It is important to find out the relationship between trim shape and performance, so the characteristics of flow field at the inside of safety relief valve were investigated through computational fluid dynamics analysis. The study shows that safety relief valve is developed though the design using the analysis between flow characteristics and spring force, the experiential verification.

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  5. 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...

  6. Grayscale Hawaii Shaded Relief ? 200-Meter Resolution - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The grayscale Hawaii shaded relief data were derived from National Elevation Dataset (NED) data, and show the terrain of Hawaii at a resolution of 200 meters. The...

  7. Color Alaska Shaded Relief ? 200-Meter Resolution - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The color Alaska shaded relief data were derived from National Elevation Dataset (NED) data, and show the terrain of Alaska at a resolution of 200 meters. The NED is...

  8. Grayscale Alaska Shaded Relief ? 200-Meter Resolution - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The grayscale Alaska shaded relief data were derived from National Elevation Dataset (NED) data, and show the terrain of Alaska at a resolution of 200 meters. The...

  9. Medical Marijuana's Pain Relief May Work Better for Men

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_160603.html Medical Marijuana's Pain Relief May Work Better for Men Study ... a new study indicates. Researchers asked 42 recreational marijuana smokers to place one hand in extremely cold ...

  10. Guidelines for confirmatory inplant tests of safety-relief valve discharges for BWR plants

    Energy Technology Data Exchange (ETDEWEB)

    Su, T.M.

    1981-05-01

    Inplant tests of safety/relief valve (SRV) discharges may be required to confirm generically established specifications for SRV loads and the maximum suppression pool temperature, and to evaluate possible effects of plant-unique parameters. These tests are required in those plants which have features that differ substantially from those previously tested. Guidelines for formulating appropriate test matrices, establishing test procedures, selecting necessary instrumentation, and reporting the test results are provided in this report. Guidelines to determine if inplant tests are required on the basis of the plant unique parameters are also included in the report.

  11. Spontaneous formation of optically induced surface relief gratings

    CERN Document Server

    Leblond, H; Ahamadi-kandjani, S; Nunzi, J -M; Ortyl, E; Kucharski, S

    2009-01-01

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

  12. Music therapy in relief of pain in oncology patients

    Directory of Open Access Journals (Sweden)

    Mariana Franco

    2009-03-01

    Full Text Available Objective: To evaluate the perception of oncology patients with chronic pain as to the effects of music in alleviating pain, to identify if there are changes in the vital signs of these patients before and after the musicotherapy session, and to identify whether the intensity of pain is diminished after the music session as per an analogic scale of pain. Methods: This level II, descriptive-exploratory and cross-sectional study used a quantitative and qualitative approach. The sample consisted of ten oncology patients with chronic pain. Rresults: There was a reduction in vital signs and in intensity of pain in ten patients of the sample; after the music sessions, the patients reported a sensation of relief of pain, relaxation, and a belief in the power of music as a supplementary therapy. Cconclusions: Music showed an influence in reducing vital signs and pain intensity, and the patients perceived a reduction of pain and anxiety, and began to believe in music as a form of therapy.

  13. Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction.

    Science.gov (United States)

    Demetracopoulos, Constantine A; DeOrio, James K; Easley, Mark E; Nunley, James A

    2014-01-01

    Transfer of the flexor digitorum longus (FDL) is indicated to compensate for the loss of posterior tibial tendon (PTT) function in the treatment of adult acquired flatfoot deformity (AAFD). The aim of this study was to determine the effect of PTT resection on pain relief following surgical treatment of stage II AAFD. A retrospective review of patients who underwent surgical treatment for stage II AAFD was performed. Patients were divided into two groups based on whether the degenerated PTT was resected or left in situ. A visual analog scale (VAS) score for pain was recorded for each patient preoperatively. Concomitant surgical procedures and the incidence of postoperative pain were also reported for each group. Deformity correction was assessed with standard weight-bearing radiographs. Thirty-four patients with a mean follow-up of 14 months were included in the study. There was no difference in preoperative VAS pain scores, and patients in both groups demonstrated excellent pain relief postoperatively. Five patients in the PTT resection group and one patient in the PTT in situ group reported lateral-sided foot pain postoperatively. Resection of the PTT did not significantly affect postoperative pain relief. Future prospective studies are needed to determine whether resection of the degenerated PTT is necessary at the time of surgery for stage II AAFD.

  14. THE HORTON-STRAHLER RIVER ORDER IMPLEMENTATION RELEVANCE WITHIN THE ANALYSIS OF THE ALMAŞ BASIN RELIEF

    Directory of Open Access Journals (Sweden)

    MĂDĂLINA-IOANA RUS

    2014-11-01

    Full Text Available The Horton-Strahler River Order Implementation Relevance within the Analysis of the Almaș Basin. The purpose of the present study/research aims at underlining the importance of the enforcement of the river order within the analysis of the Almaș basin relief. The topic was chosen based on the fact that the hydrographic networks hierarchy offers at the same time quality and quantity information, on the relief evolution tendency and also the chance to compare the Almaș tributary sub-basins ones with the others and also with other basins of the same order belonging to other morphological units. The results thus achieved offer information on the rivers order, the confluence report, the river segments density, the form/shape report. The values corresponding to the previously mentioned index, have led us to formulating the following conclusion: the evolution of the Almaș hydrographic network appears therefore strongly influenced by the lithologic sub-layer, by the presence of brittle rocks, by accentuated fragmentation and by the wide energy of the relief, nevertheless by the presence of the local subsidence area/region of Someș, from Jibou.

  15. 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

  16. Colored Height and Shaded Relief, Kamchatka Peninsula

    Science.gov (United States)

    2002-01-01

    Russia's Kamchatka Peninsula, lying between the Sea of Okhotsk to the west and the Bering Sea and Pacific Ocean to the east, is one of the most active volcanic regions along the Pacific Ring of Fire. It covers an area about the size of Colorado but contains more than 100 volcanoes stretching across the 1000-kilometer-long (620-mile-long) land mass. A dozen or more of these have active vents, with the youngest located along the eastern half of the peninsula. This color-coded shaded relief image, generated with data from the Shuttle Radar Topography Mission (SRTM), shows Kamchatka's volcanic nature to dramatic effect.Kliuchevskoi, one of the most active and renowned volcanoes in the world, dominates the main cluster of volcanoes called the Kliuchi group, visible as a circular feature in the center-right of the image. The two other main volcanic ranges lie along northeast-southwest lines, with the older, less active range occupying the center and western half of Kamchatka. The younger, more active belt begins at the southernmost point of the peninsula and continues upward along the Pacific coastline.Two visualization methods were combined to produce this image: shading and color coding of topographic height. The shade image was derived by computing topographic slope in the north-south direction, so northern slopes appear bright and southern slopes appear dark. Color coding is directly related to topographic height, with green at the lower elevations, rising through yellow and brown to white at the highest elevations.The Shuttle Radar Topography Mission flew aboard the Space Shuttle Endeavour, launched on February 11, 2000. The mission used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar that flew twice on the Space Shuttle Endeavour in 1994. The Shuttle Radar Topography Mission was designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter (200

  17. 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

    2017-05-17

    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.

  18. South America, Shaded Relief and Colored Height

    Science.gov (United States)

    2003-01-01

    This image of South America was generated with data from the Shuttle Radar Topography Mission (SRTM). For this broad view the resolution of the data was first reduced to 30 arcseconds (about 928 meters north-south but variable east-west), matching the best previously existing global digital topographic data set called GTOPO30. The data were then resampled to a Mercator projection with approximately square pixels (about one kilometer, or 0.6 miles, on each side). Even at this decreased resolution the variety of landforms comprising the South American continent is readily apparent.Topographic relief in South America is dominated by the Andes Mountains, which extend all along the Pacific Coast. These mountains are created primarily by the convergence of the Nazca and South American tectonic plates. The Nazca Plate, which underlies the eastern Pacific Ocean, slides under western South America resulting in crustal thickening, uplift, and volcanism. Another zone of plate convergence occurs along the northwestern coast of South America where the Caribbean Plate also slides under the South American Plate and forms the northeastern extension of the Andes Mountains.East of the Andes, much of northern South America drains into the Amazon River, the world's largest river in terms of both watershed area and flow volume. Topographic relief is very low in much of the Amazon Basin but SRTM data provide an excellent detailed look at the basin's three-dimensional drainage pattern, including the geologic structural trough (syncline) that hosts the eastern river channel.North of the Amazon, the Guiana Highlands commonly stand in sharp contrast to the surrounding lowlands, indeed hosting the world's tallest waterfall, Angel Falls (979 meters or 3212 feet). Folded and fractured bedrock structures are distinctive in the topographic pattern.South of the Amazon, the Brazilian Highlands show a mix of landforms, including some broad areas of consistent topographic patterns that indicate the

  19. 21 CFR 358.350 - Labeling of ingrown toenail relief drug products.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 5 2010-04-01 2010-04-01 false Labeling of ingrown toenail relief drug products... USE Ingrown Toenail Relief Drug Products § 358.350 Labeling of ingrown toenail relief drug products..., if any, and identifies the product as an “ingrown toenail relief product” or as an “ingrown...

  20. Endovascular Management of Superior Mesenteric Artery (SMA) Aneurysm - Adequate Access is Essential for Success - Case Report.

    Science.gov (United States)

    Tkalčić, Lovro; Budiselić, Berislav; Kovačević, Miljenko; Knežević, Siniša; Kovačić, Slavica; Miletić, Damir; Tomulić, Vjekoslav; Kuhelj, Dimitrij

    2017-01-01

    An aneurysm of the superior mesenteric artery (SMA) with a diameter of 2.2 cm was found incidentally on an ultrasound (US) examination in a 26-year-old woman. The only known risk factor was an intracranial aneurysm that was found on her grandmother's autopsy. Based on pregnancy planning and the current literature, endovascular management with a covered stent was proposed. Self-expandable, covered stent (Bard, Fluency(®)) was implanted using a single transfemoral approach. A stiff guidewire and a large sheath distorted the anatomy, which resulted in an incomplete aneurysmal neck covering. In the absence of additional covered stents, the procedure was terminated. Two weeks later, computed tomographic angiography (CTA) confirmed persistent aneurysmal perfusion due to the incomplete neck coverage. A multidisciplinary board opted for a second endovascular attempt, this time with a longer covered stent via the transaxillary approach in order to reduce anatomical distortion. Balloon, expandable, cobalt-chrome covered stent (Jotec, E-ventus BX(®)) was implanted in the SMA, covering the aneurysmal neck and overlapping the previously implanted covered stent. Angiography confirmed a complete exclusion of the aneurysm. A control US performed three weeks later confirmed a patent covered stent and complete aneurysmal exclusion. There was a mild median nerve damage periprocedurally that resolved in three months. The most recent US control examination, performed eleven months after the procedure, showed an excluded aneurysm and a patent covered stent. There were no clinical signs of bowel ischaemia during the follow-up period. Endovascular management of SMAA proved to be safe and efficient. The "access from above" is probably safer and should be considered in the majority of cases with acceptable sizes of access vessels. Mid-term results in our patient are good and life-long follow-up is planned to prevent late complications.

  1. Assuring Adequate Health Insurance for Children With Special Health Care Needs: Progress From 2001 to 2009-2010.

    Science.gov (United States)

    Ghandour, Reem M; Comeau, Meg; Tobias, Carol; Dworetzky, Beth; Hamershock, Rose; Honberg, Lynda; Mann, Marie Y; Bachman, Sara S

    2015-01-01

    To report on coverage and adequacy of health insurance for children with special health care needs (CSHCN) in 2009-2010 and assess changes since 2001. Data were from the National Survey of Children with Special Health Care Needs (NS-CSHCN), a random-digit telephone survey with 40,243 (2009-2010) and 38,866 (2001) completed interviews. Consistency and adequacy of insurance was measured by: 1) coverage status, 2) gaps in coverage, 3) coverage of needed services, 4) reasonableness of uncovered costs, and 5) ability to see needed providers, as reported by parents. Bivariate and multivariable analyses were conducted to assess factors associated with adequate insurance coverage in 2009-2010. Unadjusted and adjusted prevalence estimates were examined to identify changes in the type of insurance coverage and the proportion of CSHCN with adequate coverage by insurance type. The proportion of CSHCN with private coverage decreased from 64.7% to 50.7% between 2001 and 2009-2010, while public coverage increased from 21.7% to 34.7%; the proportion of CSHCN without any insurance declined from 5.2% to 3.5%. The proportion of CSHCN with adequate coverage varied over time and by insurance type: among privately covered CSHCN, the proportion with adequate coverage declined (62.6% to 59.6%), while among publicly covered CSHCN, the proportion with adequate insurance increased (63.0% to 70.7%). Publicly insured CSHCN experienced improvements in each of the 3 adequacy components. There has been a continued shift from private to public coverage, which is more affordable, offers benefits that are more likely to meet CSHCN needs, and allowed CSHCN to see necessary providers. Published by Elsevier Inc.

  2. Olduvai Gorge, Shaded Relief and Colored Height

    Science.gov (United States)

    2004-01-01

    Three striking and important areas of Tanzania in eastern Africa are shown in this color-coded shaded relief image from the Shuttle Radar Topography Mission. The largest circular feature in the center right is the caldera, or central crater, of the extinct volcano Ngorongoro. It is surrounded by a number of smaller volcanoes, all associated with the Great Rift Valley, a geologic fault system that extends for about 4,830 kilometers (2,995 miles) from Syria to central Mozambique. Ngorongoro's caldera is 22.5 kilometers (14 miles) across at its widest point and is 610 meters (2,000 feet) deep. Its floor is very level, holding a lake fed by streams running down the caldera wall. It is part of the Ngorongoro Conservation Area and is home to over 75,000 animals. The lakes south of the crater are Lake Eyasi and Lake Manyara, also part of the conservation area. The relatively smooth region in the upper left of the image is the Serengeti National Park, the largest in Tanzania. The park encompasses the main part of the Serengeti ecosystem, supporting the greatest remaining concentration of plains game in Africa including more than 3,000,000 large mammals. The animals roam the park freely and in the spectacular migrations, huge herds of wild animals move to other areas of the park in search of greener grazing grounds (requiring over 4,000 tons of grass each day) and water. The faint, nearly horizontal line near the center of the image is Olduvai Gorge, made famous by the discovery of remains of the earliest humans to exist. Between 1.9 and 1.2 million years ago a salt lake occupied this area, followed by the appearance of fresh water streams and small ponds. Exposed deposits show rich fossil fauna, many hominid remains and items belonging to one of the oldest stone tool technologies, called Olduwan. The time span of the objects recovered dates from 2,100,000 to 15,000 years ago. Two visualization methods were combined to produce the image: shading and color coding of

  3. Sky-View Factor as a Relief Visualization Technique

    Directory of Open Access Journals (Sweden)

    Žiga Kokalj

    2011-02-01

    Full Text Available Remote sensing has become the most important data source for the digital elevation model (DEM generation. DEM analyses can be applied in various fields and many of them require appropriate DEM visualization support. Analytical hill-shading is the most frequently used relief visualization technique. Although widely accepted, this method has two major drawbacks: identifying details in deep shades and inability to properly represent linear features lying parallel to the light beam. Several authors have tried to overcome these limitations by changing the position of the light source or by filtering. This paper proposes a new relief visualization technique based on diffuse, rather than direct, illumination. It utilizes the sky-view factor—a parameter corresponding to the portion of visible sky limited by relief. Sky-view factor can be used as a general relief visualization technique to show relief characteristics. In particular, we show that this visualization is a very useful tool in archaeology as it improves the recognition of small scale features from high resolution DEMs.

  4. Creative by Way of Adaption: Ramayana Relief of Prambanan Temple

    Directory of Open Access Journals (Sweden)

    Soeprapto Soedjono

    2015-10-01

    Full Text Available Artikel ini membahas tentang proses penciptaan karya seni berdasarkan teori adaptasi sebagaimana yang didiskusikan oleh Linda Hutcheon dalam bukunya yang berjudul: A Theory of Adaptation. Penekanan pembahasan lebih diletakkan pada aspek-aspek estetis visual yang terdapat pada karya seni relief naratif yang mengelilingi sepanjang dinding bagian dalam candi Prambanan di Kalasan, Yogyakarta. Sebagaimana tema relief yang diadaptasi dari ceritera legenda Ramayana yang ditulis oleh Walmiki pada waktu silam, maka proses penciptaan relief tersebut pada masa berikutnya diyakini mengikuti prosedur teori adaptasi tersebut.   This article aims to discuss the creation of arts based upon the theory of adaptation that had been laid on by Linda Hutcheon in her book called A Theory of Adaptation. The discussion has put emphasis on the elaboration of any visual aesthetics aspects embodied within the Ramayana sculptural program in the narrative relief which is encircling along Prambanan temple inner wall in Kalasan, Yogyakarta. Since the relief’s theme is derived from the ancient epic story of Ramayana legend (by Valmiki, it is plausible that the later creative process of the relief work was created through the adaptation theory procedure.

  5. Between pain and pleasure: Pregnant women′s knowledge and preferences for pain relief in labor, a pilot study from Zaria, Northern Nigeria

    Directory of Open Access Journals (Sweden)

    Elizabeth O Ogboli-Nwasor

    2014-01-01

    Full Text Available Background: Pain relief in labor remains a hot topic and these debates get louder by the day as more women become aware of their rights to better quality of care in labor. This study was conceived in a background where the practice of pain relief in labor is evolving and where women are seeking to fulfill their need for pain-free labor. Objective: To investigate the knowledge, utilization and preferences of methods of pain relief in labor by expectant mothers in order to design a labor analgesia program. Materials and Methods: A questionnaire-based descriptive study involving 124 antenatal clients in a teaching hospital over a 1 week period. Descriptive statistics were carried out using SPSS for windows version 17. Results: The mean age of clients was 28.8 years (standard deviation = 5.17 with median parity of two and mean gestational age was 31.5 weeks. Majority of the respondents (47.9% were of Hausa/Fulani ethnicity and 97.6% had primary school level education. Majority (87.3% had heard about pain relief methods with the hospital being the source in 79% of cases. The most common method ever heard about was epidural analgesia (69.4%. Only 4% (n = 5 of respondents remembered ever using any form of pain relief agent in labor, of which three received parenteral opioids. In their current pregnancies, 45.2% consented to the use of pain relief in labor; of which, epidural analgesia was preferred by 92.9% (n = 52. Fear of adverse effects on self and infants were cited as reasons for non-consent by some respondents while others had no reason. Conclusion: The study reveals a high awareness of pain relief methods which is not matched by utilization and low knowledge about side-effects, although fear of side-effects is a factor for under-utilization. There is a need to educate adequately as well provide high quality pain relief services in labor in order to dispel with myths, misconceptions and fears associated with the use of methods of pain relief in

  6. Development of assessment methods concerning the individual radiation sensitivity using expression analysis of adequate candidate genes (StSsch 4212 project follow-up). Final report FuE project StSch 4405. 1.12.2003 to 30.11.2005; Entwicklung von Verfahren zur Erkennung individueller Strahlenempfindlichkeit durch Analyse der Expression geeigneter Kandidatengene (Folgeprojekt von StSch 4212). Schlussbericht FuE Vorhaben StSch 4405. Laufzeit 1.12.2003 bis 30.11.2005

    Energy Technology Data Exchange (ETDEWEB)

    Schmezer, P.; Popanda, O. [DKFZ, Heidelberg (Germany). Toxikologie und Krebsrisikofaktoren; Chang-Claude, J. [DKFZ, Heidelberg (Germany). Klinische Epidemiologie; Debus, J. (comps.) [Heidelberg Univ. (Germany). Radiologische Klinik, Abt. Radioonkologie und Strahlentherapie

    2007-07-01

    The assessment of radiation hazards within radiotherapy and radiation protection needs the knowledge on the individual radiation sensitivity. The clinical experience shows since many years that patients react to radiotherapy with very different side reactions, beginning with skin or mucous membrane irritations and necrosis up to radiation induced death. Up to now there is no methodology available that allows identification of radiation sensitive persons. The project was aimed to develop adequate biomarkers.

  7. Independent natural genetic variation of punishment- versus relief-memory

    Science.gov (United States)

    Appel, Mirjam; Kocabey, Samet; Savage, Sinead; König, Christian

    2016-01-01

    A painful event establishes two opponent memories: cues that are associated with pain onset are remembered negatively, whereas cues that coincide with the relief at pain offset acquire positive valence. Such punishment- versus relief-memories are conserved across species, including humans, and the balance between them is critical for adaptive behaviour with respect to pain and trauma. In the fruit fly, Drosophila melanogaster as a study case, we found that both punishment- and relief-memories display natural variation across wild-derived inbred strains, but they do not covary, suggesting a considerable level of dissociation in their genetic effectors. This provokes the question whether there may be heritable inter-individual differences in the balance between these opponent memories in man, with potential psycho-clinical implications. PMID:28003518

  8. 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.

  9. Experiences from tsunami relief activity: implications for medical training

    Directory of Open Access Journals (Sweden)

    Sudharsanam Manni Balasubramaniam

    2012-09-01

    Full Text Available 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.

  10. Surface-relief and polarization gratings for solar concentrators.

    Science.gov (United States)

    de Jong, Ties M; de Boer, Dick K G; Bastiaansen, Cees W M

    2011-08-01

    Transmission gratings that combine a large diffraction angle with a high diffraction efficiency and a low angular and wavelength dispersion could be used to collect sunlight in a light guide. In this paper we compare the diffractive properties of polarization gratings and classical surface-relief gratings and explore their possible use in solar concentrators. It is found that polarization gratings and surface-relief gratings have qualitatively comparable diffraction characteristics when their thickness parameters are within the same regime. Relatively large grating periods result in high diffraction efficiencies over a wide range of incident angles. For small grating periods the efficiency and the angular acceptance are decreased. Surface-relief gratings are preferred over polarization gratings as in-couplers for solar concentrators.

  11. Experiences in disaster-related mental health relief work: An exploratory model for the interprofessional training of psychological relief workers.

    Science.gov (United States)

    Ren, ZhengJia; Wang, HongTao; Zhang, Wei

    2017-01-01

    The purpose of this study was to begin to generate an exploratory model of the disaster-related mental health education process associated with the training experiences of psychological relief workers active during the Sichuan earthquake in China. The data consisted of semi-structured interviews with 20 psychological relief workers from four different professions (social workers, psychiatric nurses, psychiatrists, and counsellors) regarding their experiences in training and ideas for improvement. The model explains the need to use a people-centred community interprofessional education approach, which focuses on role-modelling of the trainer, caring for relief workers, paying attention to the needs of the trainee, and building systematic interprofessional education strategies. The proposed model identifies areas for the comprehensive training of relief workers and aims to address the importance of people-centred mental health service provisions, ensure intentional and strategic training of relief workers using interprofessional concepts and strategies, and use culturally attuned and community-informed strategies in mental health training practices.

  12. Subducted oceanic relief locks the shallow megathrust in central Ecuador

    Science.gov (United States)

    Collot, Jean-Yves; Sanclemente, Eddy; Nocquet, Jean-Mathieu; Leprêtre, Angélique; Ribodetti, Alessandra; Jarrin, Paul; Chlieh, Mohamed; Graindorge, David; Charvis, Philippe

    2017-05-01

    Whether subducted oceanic reliefs such as seamounts promote seismic rupture or aseismic slip remains controversial. Here we use swath bathymetry, prestack depth-migrated multichannel seismic reflection lines, and wide-angle seismic data collected across the central Ecuador subduction segment to reveal a broad 55 km × 50 km, 1.5-2.0 km high, low height-to-width ratio, multipeaked, sediment-bare, shallow subducted oceanic relief. Owing to La Plata Island and the coastline being located, respectively, 35 km and 50-60 km from the trench, GPS measurements allow us to demonstrate that the subducted oceanic relief spatially correlates to a shallow, 80 km × 55 km locked interplate asperity within a dominantly creeping subduction segment. The oceanic relief geometrical anomaly together with its highly jagged topography, the absence of a subduction channel, and a stiff erosive oceanic margin are found to be long-term geological characteristics associated with the shallow locking of the megathrust. Although the size and level of locking observed at the subducted relief scale could produce an Mw >7+ event, no large earthquakes are known to have happened for several centuries. On the contrary, frequent slow slip events have been recorded since 2010 within the locked patch, and regular seismic swarms have occurred in this area during the last 40 years. These transient processes, together with the rough subducted oceanic topography, suggest that interplate friction might actually be heterogeneous within the locked patch. Additionally, we find that the subducted relief undergoes internal shearing and produces a permanent flexural bulge of the margin, which uplifted La Plata Island.

  13. 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.

  14. Are GPs adequately equipped with the knowledge for educating and counseling of families with ADHD children?

    Directory of Open Access Journals (Sweden)

    Zarei Nabi

    2010-01-01

    Full Text Available Abstract Background Attention deficit hyperactivity disorder is one of the most common child psychiatry disorders. General physicians (GP, as primary care providers, can have an important role in screening and treatment of ADHD. This study aimed to survey GPs' knowledge, attitude, and their views of their role in the screening, diagnosing and managing children with ADHD. Methods Six hundred and sixty five general physicians in Shiraz, Iran, answered a self-reported questionnaire on ADHD. The questionnaire consisted of questions regarding socio-demographic characteristics such as age, the duration of practice as a GP, marital status, general knowledge about ADHD, and the management of ADHD. Results Less than half of them believed that they have adequate knowledge and information about this disorder. They usually do not like to be the primary care providers for children with ADHD. The majority of them prefer to refer the children to related specialists, mostly psychiatrists or psychologists. More than one third of them believed that sugar is a cause of ADHD. Only 6.6% of them reported that ADHD persists for the whole life. Their knowledge about methylphenidate is reasonable. Conclusions As many other countries worldwide, the knowledge of GPs about ADHD should be improved. They do not asses and manage children with probable ADHD by themselves without referring to related professionals. They do not opt for the use of methylphenidate.

  15. Intraperitoneal lidocaine & tenoxicam for pain relief after gynaecological laparoscopy

    Institute of Scientific and Technical Information of China (English)

    Ibrahim A Abdelazim; Mohammed Al-Kadi; Maged Mahmoud El Shourbagy; Ahmed Abdelazim Mohamed; Mohannad Lutfi Abu faza

    2013-01-01

    Objective: To detect the effect of intra-peritoneal instillation of local anesthetic with or without NSAIDs on pain relief after gynecological laparoscopy. Methods: Seventy five patients scheduled for laparoscopy were included in the study and randomly divided into three groups. At the end of the laparoscopic procedure, 100 mL normal saline in the first group, or 100 mL normal saline contains 200 mg lidocaine in the second group, or 100 mL normal slaine containing 200 mg lidocaine and 20 mg tenoxicam in the third group were splashed into the pelvis by the surgeon. Post-operative pain were monitored and compared. Results: The incidence and severity of immediate postoperative shoulder pain reduced from 44% of patients scoring 2-5 in saline group to 16% scoring 2-3 in lidocaine group and 8% scoring 2-3 in lidocaine-tenoxicam group. Compared with saline group, abdominal pain scores were significantly lower in lidocaine group and lidocaine-tenoxicam group over 24 hours after surgery. At 12 and 24 hours after surgery, abdominal pain scores were significantly reduced in lidocaine-tenoxicam group compared with lidocaine group. No pain on deep respiration was reported in 84%, and 68% in lidocaine-tenoxicam and lidocaine groups respectively compared to 12% in those in the saline group. The mean time to first request for analgesia was increased from (2.3 ±1.9) hours in saline group to (4.4 ± 2.4) hours in lidocaine group and to (8.3 ± 10.2) hours in lidocaine-tenoxicam group. Conclusion: Intraperitoneal balanced analgesia (local anesthetics ± NSAIDS) is a simple and safe technique for analgesia following gynaecological Laparoscopy.

  16. 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...... 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...

  17. Scale-Dependent Representations of Relief Based on Wavelet Analysis

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    Automatic generalization of geographic information is the core of multi-scale representation of spatial data,but the scale-dependent generalization methods are far from abundant because of its extreme complicacy.This paper puts forward a new consistency model about scale-dependent representations of relief based on wavelet analysis,and discusses the thresholds in the model so as to acquire the continual representations of relief with different details between scales.The model not only meets the need of automatic generalization but also is scale-dependent completely.Some practical examples are given.

  18. 78 FR 19136 - Emergency Relief Program

    Science.gov (United States)

    2013-03-29

    ... grant awarded under section 5324 shall be subject to the terms and conditions the Secretary determines... 2010 Interagency Climate Change Adaptation Task Force Progress Report to the President and America's... changes in development patterns, demographics, or extreme weather or other climate patterns....

  19. Pain relief that matters to patients

    DEFF Research Database (Denmark)

    Olsen, Mette Frahm; Bjerre, Eik; Damkjær Hansen, Maria

    2017-01-01

    BACKGROUND: The minimum clinically important difference (MCID) is used to interpret the clinical relevance of results reported by trials and meta-analyses as well as to plan sample sizes in new studies. However, there is a lack of consensus about the size of MCID in acute pain, which is a core sy...

  20. In search of an adequate yet affordable tutor in online learning networks

    NARCIS (Netherlands)

    Sloep, Peter; Van Rosmalen, Peter; Kester, Liesbeth; Brouns, Francis; Koper, Rob

    2006-01-01

    Sloep, P., van Rosmalen, P., Kester, L., Brouns, F. M. R., & Koper, E. J. R. (2006). In search of an adequate yet affordable tutor in online learning networks. In search of an adequate yet affordable tutor in online learning networks. Presentation at the 6th IEEE International Conference on Advanced

  1. 42 CFR 413.24 - Adequate cost data and cost finding.

    Science.gov (United States)

    2010-10-01

    ... basis of reimbursable cost must provide adequate cost data. This must be based on their financial and.... Adequate data capable of being audited is consistent with good business concepts and effective and efficient management of any organization, whether it is operated for profit or on a nonprofit basis. It is a...

  2. 40 CFR 152.20 - Exemptions for pesticides adequately regulated by another Federal agency.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Exemptions for pesticides adequately... PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PESTICIDE REGISTRATION AND CLASSIFICATION PROCEDURES Exemptions § 152.20 Exemptions for pesticides adequately regulated by another Federal agency. The pesticides...

  3. The enforceability of the human right to adequate food : a comparative study

    NARCIS (Netherlands)

    Wernaart, B.F.W.

    2013-01-01

    While the right to adequate food is often discussed in the context of developing countries, especially in situations where access to adequate food is a problem on a larger scale, this book focusses on the right to food in two Western countries in which theoretically the circumstances allow this righ

  4. 9 CFR 2.33 - Attending veterinarian and adequate veterinary care.

    Science.gov (United States)

    2010-01-01

    ... adequate veterinary care. (a) Each research facility shall have an attending veterinarian who shall provide adequate veterinary care to its animals in compliance with this section: (1) Each research facility shall... veterinary care. 2.33 Section 2.33 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE...

  5. Adequate sleep among adolescents is positively associated with health status and health-related behaviors

    Directory of Open Access Journals (Sweden)

    Jeng Yi-Jong

    2006-03-01

    Full Text Available Abstract Background Amount of sleep is an important indicator of health and well-being in children and adolescents. Adequate sleep (AS: adequate sleep is defined as 6–8 hours per night regularly is a critical factor in adolescent health and health-related behaviors. The present study was based on a health promotion project previously conducted on adolescents in Tao-Yuan County, Taiwan. The aim was to examine the relationship between AS during schooldays and excessive body weight, frequency of visiting doctors and health-related behaviors among Taiwanese adolescents. Methods A cross-sectional study design, categorical and multivariate data analyses were used. The hypotheses investigated were: high frequency of AS is positively associated with lack of obesity and less frequent visits to doctors; and high frequency AS is positively associated with health-related behavior. Results A total of 656 boys (53.2% and girls (46.8%, ranging in age from 13–18 years were studied between January and June 2004. Three hundred and fifty seven subjects (54% reported that they slept less than the suggested 6–8 hours on schooldays. A significant negative association was found between low sleep and of the following health-related behaviors: (1 life appreciation; (2 taking responsibility for health; (3 adopting healthy diet; (4 effective stress management; (5 regular exercise; and (6 total AHP score. High frequency AS was associated with low frequencies of obesity after potential confounding factors were controlled. Junior high school adolescents reported significantly higher frequencies of AS than high school participants. Gender, family structure, home location and frequency of television watching or computer use were not significantly associated with AS. Conclusion These findings support the proposition that AS is associated with good health status and high-frequency adoption of health-related behavior. Furthermore, these findings suggest that inadequate

  6. Cryoanalgesia for relief of pain after thoracotomy.

    OpenAIRE

    Maiwand, O; Makey, A R

    1981-01-01

    One hundred patients undergoing thoracotomy had their intercostal nerves blocked by cryoanalgesia before closure and the effect of this on their postoperative pain was evaluated. Of the 100 patients, 79 were free of pain, 12 had some discomfort, and nine reported severe pain necessitating narcotic analgesia (mean 1.5 injections per patient). Only five patients needed assisted removal of sputum, though eight showed retention of sputum or subsegmental collapse of lung radiographically. Overall,...

  7. Relationships Between GIS-Based Erosion Indices and Relief Production in the Karakoram Himalaya

    Science.gov (United States)

    Bishop, M. P.; Shroder, J. F.; Bush, A. B.; Copland, L.; Owen, L. A.

    2003-12-01

    Mountain topography is the result of highly scale-dependent interactions involving climatic, tectonic, and surface processes. Alpine glaciers are known to be effective erosional agents that alter landscape relief-structure differently with altitude, although considerable uncertainty and debate exists concerning their effectiveness relative to fluvial activity. Furthermore, from a geodynamic systems perspective, the role of surface processes and relief production, and the spatio-temporal relationships between erosion and rock uplift are enigmatic. The Karakoram Himalaya represents an excellent location to study such relationships, given the extreme relief and reported values of sediment flux and exhumation rates. Consequently, we utilized GIS-based terrain modeling, global climate model simulations, geochronology, and satellite remote sensing to depict areas of rapid erosion in relation to mountain peaks and zones of rapid uplift, and assess the influence of alpine glaciation and other surface processes on landscape relief-structure. Three-dimensional, scale-dependent analysis and modeling of GTOPO30 data reveals that the maximum Airy isostatic response to landscape dissection ranges from ˜ 2 - 3 km for the highest peaks. GIS-based erosion indices depict high-erosion patterns that are spatially coincident with known and suspected zones of rapid uplift and erosion, such as Nanga Parbat, K2 and the Hunza region. The spatial variations depict differences in the coupling of glacier and fluvial erosion, although high-erosion areas exhibit a significant glacier erosion component. Topographic analysis reveals a non-linear relationship between slope angles and altitude, and high-resolution satellite imagery provides evidence of glacier erosion surfaces at high altitude. Although these surfaces have not yet been dated in the K2 region, geochronologic evidence from similar terraces in Hunza support an age of > 100 K BP. If we assume this to be the case, our preliminary

  8. Hypertension and hydronephrosis: rapid resolution of high blood pressure following relief of bilateral ureteric obstruction.

    Science.gov (United States)

    Chalisey, Anil; Karim, Mahzuz

    2013-03-01

    Hypertension secondary to hydronephrosis is not commonly reported in the medical literature. Tubuloglomerular feedback and the renin-angiotensin-aldosterone axis are thought to mediate this process. We describe a patient presenting with acute kidney injury and bilateral hydronephrosis secondary to pelvic malignancy in which peripheral venous renin and aldosterone were elevated. Her blood pressure improved rapidly following insertion of bilateral nephrostomies. The speed of resolution of hypertension following relief of obstruction suggests that humorally mediated vasoconstriction can play an important role in the mechanism by which hydronephrosis causes hypertension. We also discuss other causes of renal parenchymal compression that may lead to the development of hypertension.

  9. Voltage-controlled compression for period tuning of optical surface relief gratings.

    Science.gov (United States)

    Kollosche, Matthias; Döring, Sebastian; Stumpe, Joachim; Kofod, Guggi

    2011-04-15

    This Letter reports on new methods and a consistent model for voltage tunable optical transmission gratings. Elastomeric gratings were molded from holographically written surface relief gratings in an azobenzene sol-gel material. These were placed on top of a transparent electroactive elastomeric substrate. Two different electro-active substrate elastomers were employed, with a large range of prestretches. A novel finite-deformation theory was found to match the device response excellently, without fitting parameters. The results clearly show that the grating underwent pure-shear deformation, and more surprisingly, that the mechanical properties of the electro-active substrate did not affect device actuation.

  10. Applications for human rights relief and the recommendations of the Japan Federations of Bar Associations.

    Science.gov (United States)

    Kuramochi, Takeshi

    2005-01-01

    Between the enactment of Japan's "Organ Transplantation Law" (OTL) in 1997 and the end of October 2003, there were 27 (30 now) legal declarations of brain death, and organs were donated from 26 (29) of those. During this period, four applications for human rights relief were made against organ donation facilities by Takayoshi Okamoto and others. One of these remains under investigation, but the Japanese Federation of Bar Associations (JFBA) has offered recommendations relating to the other three. The purpose of this report lies in examining these applications and recommendations.

  11. How does pain experience relate to the need for pain relief?

    DEFF Research Database (Denmark)

    Johnsen, Anna Thit; Petersen, Morten A; Snyder, Claire F

    2016-01-01

    PURPOSE: To explore (1) the information obtained from related but conceptually different approaches to pain assessment and (2) the extent to which the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) can be used as a screening tool...... to predict patient-reported need for pain relief. METHODS: Cancer patients randomly sampled from 56 hospital departments were included. Questionnaire items assessed patients' (a) pain experience using the EORTC QLQ-C30 pain scale and its two pain items separately (pain intensity and pain interference) and (b...

  12. Preliminary planning study for safety relief valve experiments in a Mark III BWR pressure suppression system

    Energy Technology Data Exchange (ETDEWEB)

    McCauley, E.W.; Holman, G.S.

    1980-04-21

    In response to a request from the Water Reactor Safety Research Division of the US NRC, a preliminary study is provided which identifies key features and consideration involved in planning a comprehensive in-plant Safety Relief Valve experimental program for a Mark III containment design. The report provides identification of program objectives, measurement system requirements, and some details quantifying expected system response. In addition, a preliminary test matrix is outlined which involves a supporting philosophy intended to enhance the usefulness of the experimental results for all members of the program team: experimentalists, analysts, and plant operator.

  13. 49 CFR 230.49 - Setting of safety relief valves.

    Science.gov (United States)

    2010-10-01

    ... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Boilers and... safety relief valves, two steam gauges shall be used, one of which must be so located that it will be in... varies more than 3 psi they shall be removed from the boiler, tested, and corrected before the...

  14. A Closer Look: The American Taxpayer Relief Act of 2012

    Science.gov (United States)

    Balmer, Mary

    2013-01-01

    School districts may be affected by the American Taxpayer Relief Act of 2012 with regard to fixed assets management and education entities. The act avoids the scheduled increases to individual income tax rates for most Americans and extends a host of expired and expiring tax provisions for both individuals and businesses. The provisions described…

  15. Diffraction from relief gratings on a biomimetic elastomer cast

    Energy Technology Data Exchange (ETDEWEB)

    Guerrero, Raphael A., E-mail: rguerrero@admu.edu.ph [Department of Physics, Ateneo de Manila University, Loyola Heights, Quezon City (Philippines); Aranas, Erika B. [Department of Physics, Ateneo de Manila University, Loyola Heights, Quezon City (Philippines)

    2010-10-12

    Biomimetic optical elements combine the optimized designs of nature with the versatility of materials engineering. We employ a beetle carapace as the template for fabricating relief gratings on an elastomer substrate. Biological surface features are successfully replicated by a direct casting procedure. Far-field diffraction effects are discussed in terms of the Fraunhofer approximation in Fourier space.

  16. 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 ...

  17. Surface relief resonant Brewster filters with multiple with multiple channels

    Institute of Scientific and Technical Information of China (English)

    Ma Jian-Yong; Liu Shi-Jie; Zhang Da-Wei; Yao Jian-Ke; Xu Cheng; Jin Yun-Xia; Shao Jian-Da; Fan Zheng-Xiu

    2008-01-01

    In this paper,a new type of resonant Brewster filters(RBF)with surface relief structure for the multiple channels is first presented by using the rigorous coupled-wave analysis and the S-matrix method.By tuning the depth of homogeneous layer which is under the surface relief structure,the multiple channels phenomenon is obtained.Long range,extremely low sidebands and multiple channels are found when the RBF with surface relief structure is illuminated with Transverse Magnetic incident polarization light near the Brewster angle calculated with the effective media theory of sub wavelength grating.Moreover,the wavelengths of RBF with surface relief structure can be easily shifted by changing the depth of homogeneous layer while its optical properties such as low sideband reflection and narrow band are not spoiled when the depth is changed.Furthermore,the variation of the grating thickness does not effectively change the resonant wavelength of RBF,but have a remarkable effect on its line width,which is very useful for designing such filters with different line widths at desired wavelength.

  18. Calling the Cavalry: Disaster Relief and the American Military

    Science.gov (United States)

    2011-06-03

    regulators influence others. This model is the framework I use to determine expectations of federal disaster relief efforts. It is hypothesized that...entered 1 Federal Emergency Management Agency, "National Response Framework ," ed... Hofsteder suggests that the quantity of power one has is determined by the individual but measured by society. Power distance is based on a

  19. Structural Marginalisation, Othering and Casual Relief Teacher Subjectivities

    Science.gov (United States)

    Charteris, Jennifer; Jenkins, Kathryn; Bannister-Tyrrell, Michelle; Jones, Marguerite

    2017-01-01

    Produced through market relations of neoliberal managerialism, teacher subjectivities are becoming progressively commodified. With the increasing casualisation of the teaching workforce, the well-being and status of casual relief teachers (CRTs) can be seen as an area of concern, at risk of "flexploitation". More than just a convenient…

  20. 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 pla......% in a broadband range going from the ultraviolet region, through the visible region and into the near-infrared region....

  1. A Law and Economics Perspective on Injunctive Relief

    NARCIS (Netherlands)

    A.I. Ogus (Anthony); L.T. Visscher (Louis)

    2010-01-01

    textabstractAbstract The Law and Economics perspective on injunctive relief has been developed primarily from the Calabresi and Melamed (1972) distinction between property rules and liability rules, two different judicial means of enforcing legal rights. Their analysis is predicated on the assumpti

  2. 77 FR 6675 - Premium Penalty Relief for Certain Delinquent Plans

    Science.gov (United States)

    2012-02-09

    ... CORPORATION 29 CFR Part 4007 Premium Penalty Relief for Certain Delinquent Plans AGENCY: Pension Benefit... regulatory review, among other initiatives, PBGC is announcing a limited window for covered plans that have... and 4007 of ERISA, plans covered by title IV must pay premiums to PBGC. The vast majority of plans...

  3. Analysis of acoustic fatigue in safety relief systems

    NARCIS (Netherlands)

    Smeulers, J.P.M.; Beek, P.J.G. van; Golliard, J.

    2011-01-01

    To protect installations in the gas and oil industry and process industries against overpressure the installation of relief systems is common practice. However, there have been incidents where such systems fail as a result of high dynamic loads caused by: the generation of shock waves when the relie

  4. 7 CFR 635.6 - Equitable relief by State Conservationists.

    Science.gov (United States)

    2010-01-01

    ... of: (1) Payment limitations under 7 CFR part 1400; (2) Payment limitations under a conservation program administered by the Secretary; or (3) The highly erodible land and wetland conservation... CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE LONG TERM CONTRACTING EQUITABLE RELIEF FROM INELIGIBILITY §...

  5. Pain Relief in Postabortion Care Practiced by Healthcare ...

    African Journals Online (AJOL)

    Older professionals were more likely to employ pain relief in PAC (P = 0.01). Furthermore ... for analgesia should be conducted for healthcare professionals to improve the quality of PAC received by clients. ... medical and related interventions designed to manage ... specific training programs for more effective PAC services.

  6. 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.

  7. 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 postop......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...

  8. Children's Thinking about Their Own and Others' Regret and Relief

    Science.gov (United States)

    Weisberg, Daniel P.; Beck, Sarah R.

    2010-01-01

    In two experiments using a decision-making game, we investigated children's thinking about regret and relief. In Experiment 1 (N = 43, 31 children [5 years 4 months to 8 years 2 months of age] and 12 adults), participants chose between two boxes containing different numbers of stickers. They rated their happiness before learning that the other box…

  9. How Tax Relief for Training Can Make a Real Difference

    Science.gov (United States)

    Wilson, Tom

    2011-01-01

    Companies received more than 5 billion British Pounds last year from the Exchequer in tax relief for work-related training. That is equivalent to the turnover of more than 250 further education colleges. And it vastly overshadows the 50 million British Pounds Growth and Innovation Fund set up to support employers' initiatives to improve skills and…

  10. 2-minute Gridded Global Relief Data (ETOPO2) v2

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Two-minute gridded global relief for both ocean and land areas are available in the ETOPO2v2 (2006) database. ETOPO2v2 replaced ETOPO2 (2001). The historic 2-minute...

  11. Improved Relief Valve Would Be Less Susceptible to Failure

    Science.gov (United States)

    Farner, Bruce R.

    2008-01-01

    The balanced-piston relief valve with side vented reaction cavity has been proposed as an improved alternative to a conventional high-pressure, high-flow relief valve. The proposed valve would be less susceptible to failure. A typical conventional high-pressure, high-flow relief valve contains a piston that is exposed to the upstream pressure across the full valve-seat diameter and is held against the valve seat and the upstream pressure by a large spring. In the event of an increase in upstream pressure to a level above the valve set point (the pressure above which the valve opens), the opening force on the piston can be so large that the piston becomes accelerated to a speed high enough that the ensuing hard impact of the piston within the valve housing results in failure of the valve. For a given flow cross section, the proposal would significantly reduce the force, thereby reducing susceptibility to failure. A basic version of the proposed balanced-piston relief valve with side vented reaction cavity is described.

  12. Pulsed exhumation of interior eastern Tibet: Implications for relief generation mechanisms and the origin of high-elevation planation surfaces

    Science.gov (United States)

    Zhang, Huiping; Oskin, Michael E.; Liu-Zeng, Jing; Zhang, Peizhen; Reiners, Peter W.; Xiao, Ping

    2016-09-01

    River incision into a widespread, upland low-relief landscape, and related patterns of exhumation recorded by low-temperature thermochronology, together underpin geodynamic interpretations for crustal thickening and uplift of the eastern Tibetan Plateau. We report results from a suite of 11 (U-Th-Sm)/He cooling-age samples. Eight samples comprise a 1.2 km relief section collected from elevations up to 4800 m in the Jiulong Shan, an elevated, rugged region located in the hinterland of the Yalong-Longmen Shan Thrust Belt, and surrounded on three sides by upland low-relief landscape surfaces. Zircon and apatite cooling ages record two episodes of rapid exhumation in the early Oligocene and late Miocene, that were separated by a period of stability from ∼30 to 15 Ma. The first episode is consistent with a similar pulse evident from the Longmen Shan. The second episode is ongoing, and when integrated with adjacent cooling-age data sets, shows that doming of the Jiulong Shan has resulted in 2 to 4 km of differential exhumation of the plateau interior. We show from a compilation of glacial landform-mapping that the elevation of the plateau surface closely tracks global last glacial maximum equilibrium line altitude. We hypothesize that smoothing of highlands by efficient glacial and periglacial erosion, coupled with potential river captures and conveyance of sediments via external drainage, can yield an apparently continuous low-relief plateau landscape formed diachronously at high elevation.

  13. A high UV environment does not ensure adequate Vitamin D status

    Science.gov (United States)

    Kimlin, M. G.; Lang, C. A.; Brodie, A.; Harrison, S.; Nowak, M.; Moore, M. R.

    2006-12-01

    Queensland has the highest rates of skin cancer in the world and due to the high levels of solar UV in this region it is assumed that incidental UV exposure should provide adequate vitamin D status for the population. This research was undertaken to test this assumption among healthy free-living adults in south-east Queensland, Australia (27°S), at the end of winter. This research was approved by Queensland University of Technology Human Research Ethics Committee and conducted under the guidelines of the Declaration of Helsinki. 10.2% of the sample had serum vitamin D levels below 25nm/L (deficiency) and a further 32.3% had levels between 25nm/L and 50nm/L (insufficiency). Vitamin D deficiency and insufficiency can occur at the end of winter, even in sunny climates. The wintertime UV levels in south-east Queensland (UV index 4-6) are equivalent to summertime UV levels in northern regions of Europe and the USA. These ambient UV levels are sufficient to ensure synthesis of vitamin D requirements. We investigated individual UV exposure (through a self reported sun exposure questionnaire) and found correlations between exposure and Vitamin D status. Further research is needed to explore the interactions between the solar UV environment and vitamin D status, particularly in high UV environments, such as Queensland.

  14. [Survey of Trichophyton tonsurans infection in Japan. Molecular epidemiology and factors affecting adequate hairbrush sampling].

    Science.gov (United States)

    Mochizuki, Takashi; Tanabe, Hiroshi; Wakasa, Asako; Kawasaki, Masako; Anzawa, Kazushi; Ishizaki, Hiroshi

    2006-01-01

    At the 48th Annual Meeting of The Society for Japanese Medical Mycology, held in October, 2004, we reported our findings from a survey on Trichophyton tonsurans infections in the Hokuriku and Kinki regions of Japan. The survey revealed that a few epidemics had occurred across these regions. In this article, we introduce our subsequent studies relating to 1) molecular epidemiology of isolates taken from people in many parts of Japan and 2) factors affecting adequate sampling of the scalp with hairbrushes, essential for surveying and monitoring the infection. In total, 198 isolates of Trichophyton tonsurans were analyzed using restriction fragment length polymorphisms of the non-transcribed spacer regions of ribosomal RNA genes. The restriction enzyme Mva I indicated two molecular types of strains, implying that the causative agents of the epidemic had different origins. None of the isolates obtained from the epidemic showed the same restriction profile as that of isolates from aged and sporadic cases. The published hairbrush method suitable for obtaining samples from the scalp of Judo trainees was reevaluated by changing several factors. We found that sampling should not be done soon after the students' physical training because other fungal elements may give a false positive, samples should not be obtained from students who have recently applied topical antimycotics, and samples should be taken under the guidance of qualified instructors familiar with the sampling method.

  15. Is current medical education adequately preparing future physicians to manage concussion: an initial evaluation.

    Science.gov (United States)

    Donaworth, Michael A; Grandhi, Ravi K; Logan, Kelsey; Gubanich, Paul J; Myer, Gregory D

    2016-01-01

    In 2010, there were 2.5 million hospitalizations, emergency room visits, or deaths associated with concussions in the United States.[1] Knowledge deficits exist among physicians regarding concussion management, which can lead to severe repercussions, including poor patient outcomes, poor patient satisfaction, and potential medical-legal issues. While concussion is a prevalent condition evaluated in the medical field, medical students continue to have a knowledge deficit regarding concussion diagnosis, prognosis, medical management, and return to play guidelines. Medical students from a mid-western medical school completed a survey on concussion diagnosis, prognosis, medical management, and return to play guidelines. The response rate was 40%. The data suggests that the vast majority of medical students are able to define concussion; however, most reported never having a lecture dedicated to concussion during medical school and also lacked clinical experience with acute concussion and post-concussive syndrome. There are clear areas of deficiency as noted by the inability of students to correctly identify symptoms and appropriate management of concussion. The current study indicates that at an individual, mid-western, top 50 medical school, current medical trainees may not be adequately educated to identify and manage concussion. Future research is warranted to determine the optimal guidelines to educate future physicians as it pertains to concussion diagnosis, management, prognosis, and return to play guidelines.

  16. Effects of music therapy and distraction cards on pain relief during phlebotomy in children.

    Science.gov (United States)

    Aydin, Diler; Sahiner, Nejla Canbulat

    2017-02-01

    To investigate three different distraction methods (distraction cards, listening to music, and distraction cards + music) on pain and anxiety relief in children during phlebotomy. This study was a prospective, randomized, controlled trial. The sample consisted of children aged 7 to 12years who required blood tests. The children were randomized into four groups, distraction cards, music, distraction cards + music, and controls. Data were obtained through face-to-face interviews with the children, their parents, and the observer before and after the procedure. The children's pain levels were assessed and reported by the parents and observers, and the children themselves who self-reported using Wong-Baker FACES. The children's anxiety levels were also assessed using the Children's Fear Scale. Two hundred children (mean age: 9.01±2.35years) were included. No difference was found between the groups in the self, parent, and observer reported procedural pain levels (p=0.72, p=0.23, p=0.15, respectively). Furthermore, no significant differences were observed between groups in procedural child anxiety levels according to the parents and observer (p=0.092, p=0.096, respectively). Pain and anxiety relief was seen in all three methods during phlebotomy; however, no statistically significant difference was observed. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Abundant Semigroups with Q-adequate Transversals and Some of Their Special Cases

    Institute of Scientific and Technical Information of China (English)

    Xiaojiang Guo; K.P. Shum

    2007-01-01

    Regular semigroups with multiplicative inverse transversals were first studied by Blyth and McFadden in 1982.In this paper, we extend the concept of inverse transversals to some kind of quasi-ideal adequate transversals of abundant semigroups.Some characterization theorems of abundant semigroups with different kinds of quasiideal adequate transversals are obtained. In particular, the structure theory of abundant semigroups having different kinds of quasi-ideal adequate transversals is established. Some results obtained by Blyth, McAlister and McFadden on inverse transversals in regular semigroups are hence extended to abundant semigroups.

  18. Cryoanalgesia for relief of pain after thoracotomy.

    Science.gov (United States)

    Maiwand, O; Makey, A R

    1981-05-30

    One hundred patients undergoing thoracotomy had their intercostal nerves blocked by cryoanalgesia before closure and the effect of this on their postoperative pain was evaluated. Of the 100 patients, 79 were free of pain, 12 had some discomfort, and nine reported severe pain necessitating narcotic analgesia (mean 1.5 injections per patient). Only five patients needed assisted removal of sputum, though eight showed retention of sputum or subsegmental collapse of lung radiographically. Overall, lack of pain and greater alertness much enhanced the value of physiotherapy, which resulted in a low incidence of complications and a smooth recovery. The technique of cryoanalgesia is simple, extremely effective, and apparently offers benefits not conferred by other methods of preventing pain after thoracotomy.

  19. 100-Meter Resolution Satellite View with Shaded Relief of Alaska - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Satellite View with Shaded Relief of Alaska map layer is a 100-meter resolution simulated natural-color image of Alaska, with relief shading added to accentuate...

  20. 100-Meter Resolution Color Shaded Relief of the Conterminous United States - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Color Shaded Relief of the Conterminous United States map layer is a 100-meter resolution color-sliced elevation image of the United States, with relief shading...

  1. USGS Small-scale Dataset - Bathymetric Shaded Relief of North America 200509 GeoTIFF

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Bathymetric Shaded Relief of North America map layer shows depth ranges using colors, with relief enhanced by shading. The image was derived from the National...

  2. 100-Meter Resolution Grayscale Shaded Relief of the Conterminous United States - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Grayscale Shaded Relief of the Conterminous United States map layer is a 100-meter resolution grayscale shaded relief image of the United States, in an Albers...

  3. 100-Meter Resolution Satellite View with Shaded Relief of Hawaii - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Satellite View with Shaded Relief of Hawaii map layer is a 100-meter resolution simulated natural-color image of Hawaii, with relief shading added to accentuate...

  4. The influence of diffraction gratings relief noise on the intensity distribution in diffraction orders

    Science.gov (United States)

    Kolyuchkin, V. V.; Odinokov, S. B.

    2016-08-01

    The method of security hologram quality inspection, in which the relief phase parameters are determined by registering results of the intensity distribution in diffraction orders, is known. The profile of relief as a harmonious distribution is represented. Deviation of the real relief profile from the ideal profile, another words phase relief noise, influence on the accuracy of this method. In the paper, on the assumption of homogeneity of the phase relief noise, the mathematical expressions for evaluating the influence of the phase relief noise on the intensity distribution in the diffraction orders are represented. Parameters of the correlation functions approximation describing the phase relief noise are determined. The dependence of the intensity values from the standard deviation of the phase relief noise is represented.

  5. What drives the gender gap in charitable giving? Lower empathy leads men to give less to poverty relief.

    Science.gov (United States)

    Willer, Robb; Wimer, Christopher; Owens, Lindsay A

    2015-07-01

    We draw upon past research on gender and prosocial emotions in hypothesizing that empathy can help explain the gender gap in charitable giving. In a nationally representative survey, we found that men reported less willingness to give money or volunteer time to a poverty relief organization, gaps that were mediated by men's lower reported feelings of empathy toward others. We also experimentally tested how effective a variety of different ways of framing poverty relief were for promoting giving. Framing poverty as an issue that negatively affects all Americans increased men's willingness to donate to the cause, eliminating the gender gap. Mediation analysis revealed that this "aligned self-interest" framing worked by increasing men's reported poverty concern, not by changing their understanding of the causes of poverty. Thus, while men were generally less motivated by empathy, they responded to a framing that recast charitable giving as consistent with their self-interest. Exposure to the same framing, however, led women to report lower willingness to volunteer time for poverty relief, suggesting that framing giving as consistent with self-interest may discourage those who give because of an empathic response to poverty.

  6. Auditory information processing during adequate propofol anesthesia monitored by electroencephalogram bispectral index

    NARCIS (Netherlands)

    C. Kerssens (Chantal); J. Klein (Jan); A. van der Woerd; B. Bonke (Benno)

    2001-01-01

    textabstractMemory for intraoperative events may arise from inadequate anesthesia when the hypnotic state is not continuously monitored. Electroencephalogram bispectral index (BIS) enables monitoring of the hypnotic state and titration of anesthesia to an adequate level

  7. Auditory information processing during adequate propofol anesthesia monitored by electroencephalogram bispectral index

    NARCIS (Netherlands)

    C. Kerssens (Chantal); J. Klein (Jan); A. van der Woerd; B. Bonke (Benno)

    2001-01-01

    textabstractMemory for intraoperative events may arise from inadequate anesthesia when the hypnotic state is not continuously monitored. Electroencephalogram bispectral index (BIS) enables monitoring of the hypnotic state and titration of anesthesia to an adequate level

  8. The Military Logistics Support of Humanitarian Relief Efforts during Low-Intensity Conflict

    Science.gov (United States)

    1991-09-01

    of military logistics support of relief efforts low-intensity conflict, a study of the land, people, government, economy and history of each country...U.S. policy goals, the actual humanitarian relief operation, and the military logistics support provided used to the question: ’What are the key...elements to provide successful logistics support of humanitarian relief efforts during low-intensity conflict? Military Logistics , Humanitarian Relief, Low-Intensity Conflict, Afghanistan, Chad, Humanitarian Aid, Logistics

  9. 46 CFR 38.25-10 - Safety relief valves-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Safety relief valves-TB/ALL. 38.25-10 Section 38.25-10... and Inspections § 38.25-10 Safety relief valves—TB/ALL. (a) The cargo tank safety relief valves shall be inspected at least once in every 2 years. (b) The safety relief valve discs must be lifted...

  10. Is protein-energy intake adequate during dialysis treatment in hemodialysis patients ?

    OpenAIRE

    Trudeke (G) I. Struijk-Wielinga; Najoua Zanaki; Maryam Hdoudou; Peter J.M. Weijs

    2012-01-01

    Protein-energy wasting (PEW) is a strong predictor of mortality in patients with chronic kidney disease. Although PEW is caused by non nutritional conditions, research indicates that nutritional support that targets adequate protein intake improves outcome. During dialysis therapy in-centre meals and snacks are provided. The question is whether these meals provide adequate protein and energy intake considering external (at home) consumed meals? Indirect calorimetry and physical activity Le...

  11. Adequate sleep among adolescents is positively associated with health status and health-related behaviors

    OpenAIRE

    Jeng Yi-Jong; Wang Edward K; Chen Mei-Yen

    2006-01-01

    Abstract Background Amount of sleep is an important indicator of health and well-being in children and adolescents. Adequate sleep (AS: adequate sleep is defined as 6–8 hours per night regularly) is a critical factor in adolescent health and health-related behaviors. The present study was based on a health promotion project previously conducted on adolescents in Tao-Yuan County, Taiwan. The aim was to examine the relationship between AS during schooldays and excessive body weight, frequency o...

  12. Individual and contextual determinants of adequate maternal health care services in Kenya.

    Science.gov (United States)

    Achia, Thomas N O; Mageto, Lillian E

    2015-01-01

    This study aimed to examine individual and community level factors associated with adequate use of maternal antenatal health services in Kenya. Individual and community level factors associated with adequate use of maternal health care (MHC) services were obtained from the 2008-09 Kenya Demographic and Health Survey data set. Multilevel partial-proportional odds logit models were fitted using STATA 13.0 to quantify the relations of the selected covariates to adequate MHC use, defined as a three-category ordinal variable. The sample consisted of 3,621 women who had at least one live birth in the five-year period preceding this survey. Only 18 percent of the women had adequate use of MHC services. Greater educational attainment by the woman or her partner, higher socioeconomic status, access to medical insurance coverage, and greater media exposure were the individual-level factors associated with adequate use of MHC services. Greater community ethnic diversity, higher community-level socioeconomic status, and greater community-level health facility deliveries were the contextual-level factors associated with adequate use of MHC. To improve the use of MHC services in Kenya, the government needs to design and implement programs that target underlying individual and community level factors, providing focused and sustained health education to promote the use of antenatal, delivery, and postnatal care.

  13. More in hope than expectation: a systematic review of women's expectations and experience of pain relief in labour.

    Science.gov (United States)

    Lally, Joanne E; Murtagh, Madeleine J; Macphail, Sheila; Thomson, Richard

    2008-03-14

    involvement varied. Women expected to take control in labour in a number of ways, but their degree of reported control was less than hoped for. Women may have ideal hopes of what they would like to happen with respect to pain relief, control and engagement in decision-making, but experience is often very different from expectations. Antenatal educators need to ensure that pregnant women are appropriately prepared for what might actually happen to limit this expectation-experience gap and potentially support greater satisfaction with labour.

  14. More in hope than expectation: a systematic review of women's expectations and experience of pain relief in labour

    Directory of Open Access Journals (Sweden)

    Macphail Sheila

    2008-03-01

    participate in decision-making, but the degree of involvement varied. Women expected to take control in labour in a number of ways, but their degree of reported control was less than hoped for. Conclusion Women may have ideal hopes of what they would like to happen with respect to pain relief, control and engagement in decision-making, but experience is often very different from expectations. Antenatal educators need to ensure that pregnant women are appropriately prepared for what might actually happen to limit this expectation-experience gap and potentially support greater satisfaction with labour.

  15. Knowledge, attitude and use of pain relief in labour among women ...

    African Journals Online (AJOL)

    Results: The median age of the participants was 28 years and a median parity of one. ... Among the 10.6% patients that were of a pain relief method, 54% had gotten ... would use a pain relief method in the next labour with epidural method being ... There is need to integrate information on pain relief options in labour as part ...

  16. 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...

  17. 40 CFR 265.1054 - Standards: Pressure relief devices in gas/vapor service.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Standards: Pressure relief devices in gas/vapor service. 265.1054 Section 265.1054 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...: Pressure relief devices in gas/vapor service. (a) Except during pressure releases, each pressure relief...

  18. 38 CFR 2.7 - Delegation of authority to provide relief on account of administrative error.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Delegation of authority to provide relief on account of administrative error. 2.7 Section 2.7 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS DELEGATIONS OF AUTHORITY § 2.7 Delegation of authority to...

  19. 12 CFR 303.248 - Truth in Lending Act-Relief from reimbursement.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Truth in Lending Act-Relief from reimbursement... PRACTICE FILING PROCEDURES Other Filings § 303.248 Truth in Lending Act—Relief from reimbursement. (a) Scope. This section applies to requests for relief from reimbursement pursuant to the Truth in Lending...

  20. 49 CFR 179.220-24 - Tests of pressure relief valves.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Tests of pressure relief valves. 179.220-24 Section 179.220-24 Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS...-24 Tests of pressure relief valves. Each safety relief valve must be tested by air or gas...

  1. 77 FR 19533 - Changes in the Statutory Authority for Petitions for Relief

    Science.gov (United States)

    2012-04-02

    ... Petitions for Relief AGENCY: U.S. Customs and Border Protection, Department of Homeland Security. ACTION... authorities regarding petitions for relief from a fine, penalty, forfeiture, or liquidated damages under a law... alleged to have committed a violation, or a breach of a bond condition, to petition for relief. This...

  2. Venting of gas explosion through relief ducts: interaction between internal and external explosions.

    Science.gov (United States)

    Ferrara, G; Willacy, S K; Phylaktou, H N; Andrews, G E; Di Benedetto, A; Salzano, E; Russo, G

    2008-06-30

    Relief ducts fitted to venting openings is a widespread configuration in the industrial practice. The presence of a duct has been reported to severely increase the violence of the vented explosion posing a problem for the proper design of the venting device. Several studies have reported the leading importance--in the whole complex explosion phenomenology--of a secondary explosion in the duct. Modern approaches in the study of simply vented explosions (without ducts) have focused on the study of the interaction between internal and external explosion as a key issue in the mechanisms of pressure generation. The issue is even more relevant when a duct is fitted to the vent due the confined nature of the external explosion. In this work the interaction between internal and external events is experimentally investigated for gas explosions vented through a relief duct. The work has aimed at studying mechanisms underlying the pressure rise of this venting configuration. The study has put the emphasis on the mutual nature of the interaction. A larger scale than laboratory has been investigated allowing drawing results with a greater degree of generality with respect to data so far presented in literature.

  3. Optimizing Transportation of Disaster Relief Material to Support U.S. Pacific Command Foreign Humanitarian Assistance Operations

    Science.gov (United States)

    2013-03-01

    2013 Thesis Advisor: W. Matthew Carlyle Second Reader: Walter DeGrange THIS PAGE INTENTIONALLY LEFT BLANK i REPORT DOCUMENTATION PAGE Form...Approved by: W. Matthew Carlyle, Professor Thesis Advisor Walter DeGrange, CDR, SC, USN Second Reader Robert F. Dell Chair...x THIS PAGE INTENTIONALLY LEFT BLANK xi LIST OF TABLES Table 1.  Disaster Relief Airlift Planner results for Malaysia cyclone scenario with

  4. Photofabrication of surface relief gratings using post functionalized azo polymers

    Energy Technology Data Exchange (ETDEWEB)

    Tripathy, S.K.; Kumar, J.; Kim, D.Y.; Jiang, X.; Wang, X.; Li, L.; Sukwattanasinitt, M.; Sandman, D.J.

    1998-07-01

    A series of azobenzene funtionalized polymers has been synthesized by post polymerization azo coupling reaction. Photo-fabrication of surface relief gratings were studied on the polymer films. Epoxy based azo polymers were prepared by post azo coupling reaction to form polymers containing donor-acceptor type azo chromophores. The azo chromophores were designed to contain ionizable groups to impart self-assembling and photoprocessing capabilities to the polymers. The polymers containing 4-(4-(carboxylic acid)phenylazo)aniline chromophores can be directly photofabricated to form surface relief gratings with large surface modulations. Charge interactions had a strong influence on the details of the writing process. A new soluble polydiacetylene, post-functionalized with azobenzene groups was also prepared. Large amplitude surface gratings could be fabricated on this polydiacetylene film as well.

  5. The Pressure Relief System Design for Industrial Reactors

    Directory of Open Access Journals (Sweden)

    Iztok Hace

    2013-01-01

    Full Text Available A quick and simple approach for reactor—emergency relief system design—for runaway chemical reactions is presented. A cookbook for system sizing with all main characteristic dimensions and parameters is shown on one realistic example from process industry. System design was done based on existing theories, standards, and correlations obtained from the literature, which were implemented for presented case. A simple and effective method for emergency relief system is shown, which may serve as an example for similar systems design. Obtained results may contribute to better understanding of blow down system frequently used in industrial plants, for increasing safety, decreasing explosion damage, and alleviating the ecological problems together with environmental pollution in case of industrial accidents.

  6. 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

  7. Sharing Information among various organizations in relief efforts

    OpenAIRE

    Costur, Gurkan.

    2005-01-01

    Today, information sharing is critical to almost every institution and organization. There is no more pressing need for information sharing than during an international crisis, where multi-national military-civilian coordination is formed. Successful information technology implementation for international crises could be increased by analyzing prior relief efforts. The purpose of this thesis is to explore the role of information technology in enabling the sharing of actionable information amo...

  8. Acoustic Resonance Frequency Elimination Device for Safety Relief Valves

    Energy Technology Data Exchange (ETDEWEB)

    Redmond, J.

    2014-07-01

    Industry experience has shown that Safety Relief Valves (SRVs) and Steam Dryers installed in Boiling Water Reactors (BWRs) experience vibration induced degradation and failures caused by acoustic resonance vibration of the main steam lines, resulting in decreased reliability and potential safety issues. The resonance is caused by vortex shedding from the standpipe inlet and acoustic standing waves in the standpipe, occurring when the two frequencies match. (Author)

  9. Could Iamblichus help us to understand one ancient relief?

    Directory of Open Access Journals (Sweden)

    Afonasina, Anna

    2015-01-01

    Full Text Available Describing Pythagoras’ activities in Croton Iamblichus summarizes the content of his public speeches addressed to young men, to the Thousand who governed the city, as well as children and women of Croton. The earliest evidences about the Pythagoras’ speeches, available to us are found in an Athenian rhetorician and a pupil of Socrates Antisthenes (450–370 BCE, the historians Dicearchus and Timaeus, and Isocrates. In the present paper I consider the content of the Pythagoras’ speeches, preserved by Iamblichus, in more details, in order to suggest a new interpretation of the famous grave relief from the Antikensammlung, Berlin (Sk 1462. The relief, found in an “Olive grove on the road to Eleusis” and dated to the first century BCE, presents an image of a sitting half-naked bearded man with a young man, also half-naked, standing behind his chair, and a group of peoples consisting of a child, an older man and a woman, standing in front of him. Our attention attracts a big and clear image of the letter ‘Psi’ above the scene. The comparison of the content of Pythagoras’ speeches with the picture given on the relief allows us to interpret the image as following: we suggest that the sitting man, undoubtedly a philosopher, could be a Pythagorean or Pythagoras himself; he is attended by his pupil and gives speeches to different groups of peoples, symbolically represented as a young man, a public agent, a woman and a child. Admittedly, the letter ‘Psi’ symbolizes the Pythagorean teaching about psyche (the soul, and the relief itself, contrary to general opinion, was initially designed to adorn a school or a private building rather than a funeral monument. An alternative interpretation suggested is that the sitting figure could be a wandering physician.

  10. Enhancing detailed haptic relief for real-time interaction

    OpenAIRE

    Theoktisto, Víctor

    2015-01-01

    The present document exposes a different approach for haptic rendering, defined as the simulation of force interactions to reproduce the sensation of surface relief in dense models. Current research shows open issues in timely haptic interaction involving large meshes, with several problems affecting performance and fidelity, and without a dominant technique to treat these issues properly. Relying in pure geometric collisions when rendering highly dense mesh models (hundreds of thousands ...

  11. Relief Restoration of Complicated form Objects by Monochromatic Microwave Radiation

    Directory of Open Access Journals (Sweden)

    Kuzmenko Ivan

    2016-01-01

    Full Text Available Article demonstrates possibility of monochromatic radiation usage for relief restoration. There is a problem with restoration when scanned object is not flat and it is not parallel to the scanning plane. It was discovered that two-dimensional phase distribution could be applied for distance determination. It is reliable way to solve problems listed above. In conclusion offered methods allow monochromatic microwave radiation usage for screening system development.

  12. Measured Maritime Responses to Disaster Relief Scenarios in the Pacific

    Science.gov (United States)

    2012-12-01

    organized response to urban disaster was possible due to well-developed civil relief institutions despite the lack of what many in the international...expressways leading to the impacted areas.66 MLIT’s planners diverted much if not all of the rail traffic from the Tohoku JR line to lines along the...assistance within the humanitarian disaster from his counterparts in Australia, Malaysia , New Zealand, Singapore, and the United States.111 A number

  13. Do Foley catheters adequately drain the bladder? Evidence from CT imaging studies

    Energy Technology Data Exchange (ETDEWEB)

    Avulova, Svetlana; Li, Valery J.; Khusid, Johnathan A. [Department of Urology, SUNY Downstate College of Medicine, Brooklyn, NY (United States); Choi, Woo S. [Radiology, SUNY Downstate College of Medicine, Brooklyn, NY (United States); Weiss, Jeffrey P., E-mail: johnathan.khusid@downstate.edu [Department of Urology, Weill Cornell Medical College, New York, NY (United States)

    2015-05-15

    Introduction: The Foley catheter has been widely assumed to be an effective means of draining the bladder. However, recent studies have brought into question its efficacy. The objective of our study is to further assess the adequacy of Foley catheter for complete drainage of the bladder. Materials and Methods: Consecutive catheterized patients were identified from a retrospective review of contrast enhanced and non-contrast enhanced computed tomographic (CT) abdomen and pelvis studies completed from 7/1/2011-6/30/2012. Residual urine volume (RUV) was measured using 5mm axial CT sections as follows: The length (L) and width (W) of the bladder in the section with the greatest cross sectional area was combined with bladder height (H) as determined by multiplanar reformatted images in order to calculate RUV by applying the formula for the volume (V) of a sphere in a cube:V=(π/6)⁎L⁎W⁎H). Results: RUVs of 167 (mean age 67) consecutively catheterized men (n=72) and women (n=95) identified by CT abdomen and pelvis studies were calculated. The mean RUV was 13.2 mL (range: 0.0 mL-859.1 mL, standard deviation: 75.9 mL, margin of error at 95% confidence:11.6 mL). Four (2.4%) catheterized patients had RUVs of >50 mL, two of whom had an improperly placed catheter tip noted on their CT-reports. Conclusions: Previous studies have shown that up to 43% of catheterized patients had a RUV greater than 50 mL, suggesting inadequacy of bladder drainage via the Foley catheter. Our study indicated that the vast majority of patients with Foley catheters (97.6%), had adequately drained bladders with volumes of <50 mL. (author)

  14. A nondimensional framework for exploring the relief structure of landscapes

    Science.gov (United States)

    Grieve, Stuart W. D.; Mudd, Simon M.; Hurst, Martin D.; Milodowski, David T.

    2016-04-01

    Considering the relationship between erosion rate and the relief structure of a landscape within a nondimensional framework facilitates the comparison of landscapes undergoing forcing at a range of scales, and allows broad-scale patterns of landscape evolution to be observed. We present software which automates the extraction and processing of relevant topographic parameters to rapidly generate nondimensional erosion rate and relief data for any landscape where high-resolution topographic data are available. Individual hillslopes are identified using a connected-components technique which allows spatial averaging to be performed over geomorphologically meaningful spatial units, without the need for manual identification of hillslopes. The software is evaluated on four landscapes across the continental United States, three of which have been studied previously using this technique. We show that it is possible to identify whether landscapes are in topographic steady state. In locations such as Cascade Ridge, CA, a clear signal of an erosional gradient can be observed. In the southern Appalachians, nondimensional erosion rate and relief data are interpreted as evidence for a landscape decaying following uplift during the Miocene. An analysis of the sensitivity of this method to free parameters used in the data smoothing routines is presented which allows users to make an informed choice of parameters when interrogating new topographic data using this method. A method to constrain the critical gradient of the nonlinear sediment flux law is also presented which provides an independent constraint on this parameter for three of the four study landscapes.

  15. 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.

  16. Neural mechanisms underlying the induction and relief of perceptual curiosity.

    Science.gov (United States)

    Jepma, Marieke; Verdonschot, Rinus G; van Steenbergen, Henk; Rombouts, Serge A R B; Nieuwenhuis, Sander

    2012-01-01

    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 (1) the induction of perceptual curiosity, through the presentation of ambiguous visual input, activated the anterior insula and anterior cingulate cortex (ACC), brain regions sensitive to conflict and arousal; (2) the relief of perceptual curiosity, through visual disambiguation, activated regions of the striatum that have been related to reward processing; and (3) 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.

  17. Neural mechanisms underlying the induction and relief of perceptual curiosity

    Science.gov (United States)

    Jepma, Marieke; Verdonschot, Rinus G.; van Steenbergen, Henk; Rombouts, Serge A. R. B.; Nieuwenhuis, Sander

    2012-01-01

    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 (1) the induction of perceptual curiosity, through the presentation of ambiguous visual input, activated the anterior insula and anterior cingulate cortex (ACC), brain regions sensitive to conflict and arousal; (2) the relief of perceptual curiosity, through visual disambiguation, activated regions of the striatum that have been related to reward processing; and (3) 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. PMID:22347853

  18. PWR safety/relief valve blowdown analysis experience

    Energy Technology Data Exchange (ETDEWEB)

    Lee, M.Z.; Chou, L.Y.; Yang, S.H. (Gilbert/Commonwealth Engineers and Consultants, Reading, PA (USA). Speciality Engineering Dept.)

    1982-10-01

    The paper describes the difficulties encountered in analyzing a PWR primary loop pressurizer safety relief valve and power operated relief valve discharge system, as well as their resolution. The experience is based on the use of RELAP5/MOD1 and TPIPE computer programs as the tools for fluid transient analysis and piping dynamic analysis, respectively. General approaches for generating forcing functions from thermal fluid analysis solution to be used in the dynamic analysis of piping are reviewed. The paper demonstrates that the 'acceleration or wave force' method may have numerical difficulties leading to unrealistic, large amplitude, highly oscillatory forcing functions in the vicinity of severe flow area discontinuities or choking junctions when low temperature loop seal water is discharged. To avoid this problem, an alternate computational method based on the direct force method may be used. The simplicity and superiority in numerical stability of the forcing function computation method as well as its drawbacks are discussed. Additionally, RELAP modeling for piping, valve, reducer, and sparger is discussed. The effects of loop seal temperature on SRV and PORV discharge line blowdown forces, pressure and temperature distributions are examined. Finally, the effects of including support stiffness and support eccentricity in piping analysis models, method and modeling relief tank connections, minimization of tank nozzle loads, use of damping factors, and selection of solution time steps are discussed.

  19. Targeting cyclone relief within the village: kinship, sharing, and capture.

    Science.gov (United States)

    Takasaki, Yoshito

    2011-01-01

    This article investigates the targeting of cyclone relief within villages in Fiji. It focuses on how relief allocation is linked with informal risk sharing and elite capture, both of which are directly related to kinship. The results are as follows. First, food aid is initially targeted toward kin groups according to their aggregate shocks and then shared among group members. Right after the cyclone, when aid is scarce, households with damage to their housing and with greater crop damage are allocated less aid within the group. Instead, they receive greater net private transfers in other forms, especially in labor sharing. Consistent patterns are found in village, cropping, and housing rehabilitations. Second, there is no elite capture of food aid in the kin group, and instead, traditional kin leaders share food with others; however, non-kin-based community leaders capture aid when it is allocated across kin groups. Third, distinct from food aid demanded by all, tarpaulins demanded by victims only strongly target individual housing damage at the village level—not the kin group—independent of social status. As with food aid, victims with greater crop damage are given a lower priority. Implications for relief policies are discussed.

  20. 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 As2S3:Mn-Se multilayer nanostructures as registering media were studied in this paper. Optical properties of As2S3:Mn, Se layers, and As2S3: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 As2S3:Mn-Se multilayer nanostructures is shown.

  1. Spinal Cord Stimulation Provides Pain Relief with Improved Psychosocial Function: Results from EMP3OWER.

    Science.gov (United States)

    Rosenberg, Jason; Fabi, Alain; Candido, Kenneth; Knezevic, Nick; Creamer, Michael; Carayannopoulos, Alexios; Ghodsi, Abdi; Nelson, Christopher; Bennett, Matthew

    2016-12-01

    The EMP(3)OWER™ study evaluated spinal cord stimulation (SCS) safety and efficacy and the associated changes in psychosocial and functional outcomes. Upon informed consent and IRB approval, 620 eligible subjects were enrolled prior to SCS trial evaluation and were assessed at baseline, 3, 6 and 12 months post-implant. Patient-reported pain relief (PRP), numerical rating scale (NRS), satisfaction, quality of life (QOL), and pain disability index (PDI) were assessed at all follow-up visits while the pain catastrophizing scale (PCS), short form-36 (SF-36), short form-McGill pain questionnaire version 2 (SF-MPQ-2), and the state-trait anxiety inventory (STAI) were assessed at the 6- and 12-month follow-up visits. Device and/or procedure-related adverse events were also recorded and reported. Subjects reporting a PRP ≥ 50% were considered responders. Repeated measures analysis of variance (RMANOVA) examined the changes across time for all continuous measures. A total of 401 (71%) subjects received a permanent implant. Mean (±SD) patient-reported pain relief was 59.3% (±26.2), 59.2% (±28.9), and 58.2% (±32.0) at 3, 6, and 12 months, respectively. A majority of enrolled subjects were responders at 3 (75.5%), 6 (74.7%), and 12 months (69.7%). RMANOVA revealed a statistically significant change for NRS, PCS, PDI, SF-36, SF-MPQ-2, and STAI scores. At 3 months, the majority of subjects (85.7%) were either very satisfied or satisfied with their device, with similar results at 6 and 12 months. At 3 months, the majority of subjects (73.3%) reported greatly improved or improved QOL with similar results at 6 and 12 months. Spinal cord stimulation provided pain relief and significant improvement of patient psychological and functional outcome measures. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Relief as a reward: hedonic and neural responses to safety from pain.

    Directory of Open Access Journals (Sweden)

    Siri Leknes

    Full Text Available Relief fits the definition of a reward. Unlike other reward types the pleasantness of relief depends on the violation of a negative expectation, yet this has not been investigated using neuroimaging approaches. We hypothesized that the degree of negative expectation depends on state (dread and trait (pessimism sensitivity. Of the brain regions that are involved in mediating pleasure, the nucleus accumbens also signals unexpected reward and positive prediction error. We hypothesized that accumbens activity reflects the level of negative expectation and subsequent pleasant relief. Using fMRI and two purpose-made tasks, we compared hedonic and BOLD responses to relief with responses during an appetitive reward task in 18 healthy volunteers. We expected some similarities in task responses, reflecting common neural substrates implicated across reward types. However, we also hypothesized that relief responses would differ from appetitive rewards in the nucleus accumbens, since only relief pleasantness depends on negative expectations. The results confirmed these hypotheses. Relief and appetitive reward task activity converged in the ventromedial prefrontal cortex, which also correlated with appetitive reward pleasantness ratings. In contrast, dread and pessimism scores correlated with relief but not with appetitive reward hedonics. Moreover, only relief pleasantness covaried with accumbens activation. Importantly, the accumbens signal appeared to specifically reflect individual differences in anticipation of the adverse event (dread, pessimism but was uncorrelated to appetitive reward hedonics. In conclusion, relief differs from appetitive rewards due to its reliance on negative expectations, the violation of which is reflected in relief-related accumbens activation.

  3. Relief as a Reward: Hedonic and Neural Responses to Safety from Pain

    Science.gov (United States)

    Leknes, Siri; Lee, Michael; Berna, Chantal; Andersson, Jesper; Tracey, Irene

    2011-01-01

    Relief fits the definition of a reward. Unlike other reward types the pleasantness of relief depends on the violation of a negative expectation, yet this has not been investigated using neuroimaging approaches. We hypothesized that the degree of negative expectation depends on state (dread) and trait (pessimism) sensitivity. Of the brain regions that are involved in mediating pleasure, the nucleus accumbens also signals unexpected reward and positive prediction error. We hypothesized that accumbens activity reflects the level of negative expectation and subsequent pleasant relief. Using fMRI and two purpose-made tasks, we compared hedonic and BOLD responses to relief with responses during an appetitive reward task in 18 healthy volunteers. We expected some similarities in task responses, reflecting common neural substrates implicated across reward types. However, we also hypothesized that relief responses would differ from appetitive rewards in the nucleus accumbens, since only relief pleasantness depends on negative expectations. The results confirmed these hypotheses. Relief and appetitive reward task activity converged in the ventromedial prefrontal cortex, which also correlated with appetitive reward pleasantness ratings. In contrast, dread and pessimism scores correlated with relief but not with appetitive reward hedonics. Moreover, only relief pleasantness covaried with accumbens activation. Importantly, the accumbens signal appeared to specifically reflect individual differences in anticipation of the adverse event (dread, pessimism) but was uncorrelated to appetitive reward hedonics. In conclusion, relief differs from appetitive rewards due to its reliance on negative expectations, the violation of which is reflected in relief-related accumbens activation. PMID:21490964

  4. Quality inspection of security holograms considering the influence of diffraction grating relief distortions

    Science.gov (United States)

    Kolyuchkin, V. V.; Odinokov, S. B.; Tsyganov, I. K.

    2017-05-01

    Security holograms are widely used for authenticity protection of documents and products due to difficulties of such a protection mark falsification. The quality of holograms significantly depends on accordance of calculated and real phase relief parameters. We represent the method for automated quality inspection of security holograms. This method based on determining of phase relief parameters by registered results of the intensity distribution in diffraction orders. The profile of relief as a harmonious distribution is represented. Distortion of the ideal relief profile influence on the accuracy of this method. The mathematical expressions for evaluating the influence of the phase relief distortion on the intensity distribution in the diffraction orders are represented. Parameters of the correlation functions approximation describing the relief distortion are determined. The dependence of the intensity values on the standard deviation of the relief distortion is represented. The results of quality inspection for real security holograms are shown.

  5. Pressure-relief and methane production performance of pressure relief gas extraction technology in the longwall mining

    Science.gov (United States)

    Zhang, Cun; Tu, Shihao; Chen, Min; Zhang, Lei

    2017-02-01

    Pressure relief gas extraction technology (PRGET) has been successfully implemented at many locations as a coal mine methane exploitation and outburst prevention technology. Comprehensive PRGET including gob gas venthole (GGV), crossing seam drilling hole (CSDH), large diameter horizontal long drilling hole (LDHLDH) and buried pipe for extraction (BPE) have been used to extract abundant pressure-relief methane (PRM) during protective coal seam mining; these techniques mitigated dangers associated with coal and gas outbursts in 13-1 coal seam mining in the Huainan coalfield. These extraction technologies can ensure safe protective seam mining and effectively extract coal and gas. This article analyses PRGET production performance and verifies it with the field measurement. The results showed that PRGET drilling to extract PRM from the protected coal seam significantly reduced methane emissions from a longwall ventilation system and produced highly efficient extraction. Material balance analyses indicated a significant decrease in gas content and pressure in the protected coal seam, from 8.78 m3 t-1 and 4.2 MPa to 2.34 m3 t-1 and 0.285 MPa, respectively. The field measurement results of the residual gas content in protected coal seam (13-1 coal seam) indicated the reliability of the material balance analyses and the pressure relief range of PRGET in the protected coal seam is obtained.

  6. Minimal Adequate Model of Unemployment Duration in the Post-Crisis Czech Republic

    Directory of Open Access Journals (Sweden)

    Adam Čabla

    2016-03-01

    Full Text Available Unemployment is one of the leading economic problems in a developed world. The aim of this paper is to identify the differences in unemployment duration in different strata in the post-crisis Czech Republic via building a minimal adequate model, and to quantify the differences. Data from Labour Force Surveys are used and since they are interval censored in nature, proper metodology must be used. The minimal adequate model is built through the accelerated failure time modelling, maximum likelihood estimates and likelihood ratio tests. Variables at the beginning are sex, marital status, age, education, municipality size and number of persons in a household, containing altogether 29 model parameters. The minimal adequate model contains 5 parameters and differences are found between men and women, the youngest category and the rest and the university educated and the rest. The estimated expected values, variances, medians, modes and 90th percentiles are provided for all subgroups.

  7. Ear acupuncture or local anaesthetics as pain relief during postpartum surgical repair: a randomised controlled trial

    DEFF Research Database (Denmark)

    Kindberg, S; Klünder, L; Strøm, J

    2009-01-01

    -hour hands-on training in the use of ear acupuncture. All midwives (n= 36) in the department had previous experience in using acupuncture for obstetric pain relief. Pain and wound healing were evaluated using validated scores. Data collection was performed by research assistants blinded towards...... treatment allocation. Randomisation was computer assisted. A total of 207 women were randomised to receive ear acupuncture (105) and local anaesthetics (102), respectively. Main outcome measures The primary outcome was pain during surgical repair. Secondary outcomes were wound healing at 24-48 hours and 14...... days postpartum, participant satisfaction, revision of wound or dyspareunia reported 6 months postpartum. Results Pain during surgical repair was more frequently reported by participants allocated to ear acupuncture compared with participants receiving local anaesthetics (89 versus 54%, P

  8. Safety/relief valve quencher loads: evaluation for BWR Mark II and III containments

    Energy Technology Data Exchange (ETDEWEB)

    Su, T.M.

    1982-10-01

    Boiling water reactor (BWR) plants are equipped with safety/relief valves (SRVs) to protect the reactor from overpressurization. Plant operational transients, such as turbine trips, will actuate the SRV. Once the SRV opens, the air column within the partially submerged discharge line is compressed by the high-pressure steam released from the reactor. The compressed air discharged into the suppression pool produces high-pressure bubbles. Oscillatory expansion and contraction of these bubbles create hydrodynamic loads on the containment structures, piping, and equipment inside containment. This report presents the results of the staff's evaluation of SRV loads. The evaluation, however, is limited to the quencher devices used in Mark II and III containments. With respect to Mark I containments, the SRV acceptance criteria are presented in NUREG-0661 issued July 1980. The staff acceptance criteria for SRV loads for Mark II and III containments are presented in this report.

  9. Pressure Relief Devices for High-Pressure Gaseous Storage Systems: Applicability to Hydrogen Technology

    Energy Technology Data Exchange (ETDEWEB)

    Kostival, A.; Rivkin, C.; Buttner, W.; Burgess, R.

    2013-11-01

    Pressure relief devices (PRDs) are viewed as essential safety measures for high-pressure gas storage and distribution systems. These devices are used to prevent the over-pressurization of gas storage vessels and distribution equipment, except in the application of certain toxic gases. PRDs play a critical role in the implementation of most high-pressure gas storage systems and anyone working with these devices should understand their function so they can be designed, installed, and maintained properly to prevent any potentially dangerous or fatal incidents. As such, the intention of this report is to introduce the reader to the function of the common types of PRDs currently used in industry. Since high-pressure hydrogen gas storage systems are being developed to support the growing hydrogen energy infrastructure, several recent failure incidents, specifically involving hydrogen, will be examined to demonstrate the results and possible mechanisms of a device failure. The applicable codes and standards, developed to minimize the risk of failure for PRDs, will also be reviewed. Finally, because PRDs are a critical component for the development of a successful hydrogen energy infrastructure, important considerations for pressure relief devices applied in a hydrogen gas environment will be explored.

  10. Pain relief following thoracic surgical procedures: A literature review of the uncommon techniques.

    Science.gov (United States)

    Alzahrani, Tariq

    2017-01-01

    Thoracic surgical procedures can be either thoracotomy or thoracoscopy. In thoracotomy, the incision could be either muscle-cutting or muscle-sparing incision. The posterolateral thoracotomy incision is used for most general thoracic surgical procedures. This incision, which involves division of the latissimus dorsi and serratus anterior muscles, affords excellent exposure of the thoracic cavity. However, it is associated with significant morbidity, including impaired pulmonary function, postoperative chest pain, and restricted arm and shoulder movement. Various muscle-sparing incisions have been proposed to decrease the morbidity. Postthoracotomy pain originates from pleural and muscular damage, costovertebral joint disruption, and intercostal nerve damage during surgery. Inadequate pain relief after surgery affects the quality of patient's recovery and exposes the patients to postoperative morbidities. There is a tendency nowadays among thoracic surgeons and anesthesiologists toward the area of enhanced recovery after thoracic surgery which requires careful titration of the anesthetic drugs in awake patients undergoing thoracoscopic procedures. There is a common feeling among thoracic anesthesiologists that potthoracoscopy procedures produce less pain intensity versus thoracotomy which is partially true. However, effective management of acute pain following either thoracotomy/thoracoscopy is needed and may prevent these complications and reduce the likelihood of developing chronic pain. In this report, we are going to review the newly introduced postthoracotomy/thoracoscopy pain relief modalities with special reference to the new tendency of awake thoracic surgical procedures and its impact on enhanced recovery after surgery.

  11. Pain relief following thoracic surgical procedures: A literature review of the uncommon techniques

    Directory of Open Access Journals (Sweden)

    Tariq Alzahrani

    2017-01-01

    Full Text Available Thoracic surgical procedures can be either thoracotomy or thoracoscopy. In thoracotomy, the incision could be either muscle-cutting or muscle-sparing incision. The posterolateral thoracotomy incision is used for most general thoracic surgical procedures. This incision, which involves division of the latissimus dorsi and serratus anterior muscles, affords excellent exposure of the thoracic cavity. However, it is associated with significant morbidity, including impaired pulmonary function, postoperative chest pain, and restricted arm and shoulder movement. Various muscle-sparing incisions have been proposed to decrease the morbidity. Postthoracotomy pain originates from pleural and muscular damage, costovertebral joint disruption, and intercostal nerve damage during surgery. Inadequate pain relief after surgery affects the quality of patient's recovery and exposes the patients to postoperative morbidities. There is a tendency nowadays among thoracic surgeons and anesthesiologists toward the area of enhanced recovery after thoracic surgery which requires careful titration of the anesthetic drugs in awake patients undergoing thoracoscopic procedures. There is a common feeling among thoracic anesthesiologists that potthoracoscopy procedures produce less pain intensity versus thoracotomy which is partially true. However, effective management of acute pain following either thoracotomy/thoracoscopy is needed and may prevent these complications and reduce the likelihood of developing chronic pain. In this report, we are going to review the newly introduced postthoracotomy/thoracoscopy pain relief modalities with special reference to the new tendency of awake thoracic surgical procedures and its impact on enhanced recovery after surgery.

  12. 38 CFR 36.4380 - Reports of insured institutions.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Reports of insured institutions. 36.4380 Section 36.4380 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... Reports of insured institutions. An insured financial institution shall make such reports respecting...

  13. 38 CFR 43.40 - Monitoring and reporting program performance.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Monitoring and reporting program performance. 43.40 Section 43.40 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Status Report. (1) Grantees shall submit annual performance reports unless the awarding agency...

  14. Assessment study of RELAP5/MOD2 Cycle 36. 04 based on pressurizer safety and relief valve tests

    Energy Technology Data Exchange (ETDEWEB)

    Stubbe, E.J.; Vanhoenacker, L.

    1990-07-01

    This report presents a code assessment study based on full size relief and assisted safety valve (called SEBIM) tests performed on the CUMULUS valve test rig operated by Electricite de France (EdF). The increased awareness that the pressuriser safety and relief valves are not reliable under water blowdown conditions, has led to the design, testing and installation of so called assisted safety valves of which the SEBIM (TM) valves are an example. These valves, used in tandem, are gradually replacing the safety and relief valves on pressurisers in some European PWR's. Before installation at the plant, the Belgian safety authorities requested a thorough full scale testing of these valves on a test rig (CUMULUS) equipped with sufficient diagnostics to measure the characteristics of the valve. The Belgian architect-engineering firm TRACTEBEL was called upon the specify, order and test these valves for installation at the DOEL 1 and DOEL 2 power plants. These tests do provide sufficient data of high quality to justify an assessment study of the code RELAP-5 MOD-2 CYCLE 36 in the ICAP framework which is the subject of this report.

  15. Imitation of suprasegmental patterns by five-year-old children with adequate and inadequate articulation.

    Science.gov (United States)

    Shadden, B B; Asp, C W; Tonkovich, J D; Mason, D

    1980-08-01

    Ten five-year-old children with adequate articulation skills and 10 five-year-old children with inadequate articulation skills were administered the Templin-Darley Test of Articulation and the Test of Rhythm and Intonation Patterns (TRIP). Differences between the adequate and inadequate groups in terms of the mean percentage correct and the correlations between TRIP and Templin-Darley Test scores within groups were statistically nonsignificant. Item analysis revealed no differences between groups in the pattern of performance on the three subtests of the TRIP or on specific test items. The possible effects of therapy enrollment on suprasegmental test performance are discussed, and future research needs are suggested.

  16. A new analgesic method, two-minute sciatic nerve press, for immediate pain relief: a randomized trial

    Directory of Open Access Journals (Sweden)

    Zhang Fenglin

    2008-01-01

    Full Text Available Abstract Background Current analgesics have drawbacks such as delays in acquisition, lag-times for effect, and side effects. We recently presented a preliminary report of a new analgesic method involving a two-minute sciatic nerve press, which resulted in immediate short-term relief of pain associated with dental and renal diseases. The present study investigated whether this technique was effective for pain associated with other disease types, and whether the relief was effective for up to one hour. Methods This randomized, placebo-controlled, parallel-group trial was conducted in four hospitals in Anhui Province, China. Patients with pain were sequentially recruited by participating physicians during clinic visits, and 135 patients aged 15 – 80 years were enrolled. Dental disease patients included those with acute pulpitis and periapical abscesses. Renal disease patients included those with kidney infections and/or stones. Tumor patients included those with nose, breast, stomach and liver cancers, while Emergency Room patients had various pathologies. Patients were randomly assigned to receive a "sciatic nerve press" in which pressure was applied simultaneously to the sciatic nerves at the back of both thighs, or a "placebo press" in which pressure was applied to a parallel region on the front of the thighs. Each fist applied a pressure of 11 – 20 kg for 2 minutes. Patients rated their level of pain before and after the procedure. Results The "sciatic nerve press" produced immediate relief of pain in all patient groups. Emergency patients reported a 43.5% reduction in pain (p th minutes, and the relief decreased 47% by the 60th minutes. Conclusion Two minutes of pressure on both sciatic nerves produced immediate significant short-term conduction analgesia. This technique is a convenient, safe and powerful method for the short-term treatment of clinical pain associated with a diverse range of pathologies. Trial registration Current

  17. 9 CFR 2.40 - Attending veterinarian and adequate veterinary care (dealers and exhibitors).

    Science.gov (United States)

    2010-01-01

    ... veterinary care (dealers and exhibitors). 2.40 Section 2.40 Animals and Animal Products ANIMAL AND PLANT... veterinary care to its animals in compliance with this section. (1) Each dealer and exhibitor shall employ an... adequate veterinary care and to oversee the adequacy of other aspects of animal care and use. (b)...

  18. 21 CFR 514.117 - Adequate and well-controlled studies.

    Science.gov (United States)

    2010-04-01

    ... of the Center for Veterinary Medicine (the Director) may, on the Director's own initiative or on the... adequate and well-controlled studies of a new animal drug is to distinguish the effect of the new animal drug from other influences, such as spontaneous change in the course of the disease, normal...

  19. 76 FR 51041 - Hemoglobin Standards and Maintaining Adequate Iron Stores in Blood Donors; Public Workshop

    Science.gov (United States)

    2011-08-17

    ... HUMAN SERVICES Food and Drug Administration Hemoglobin Standards and Maintaining Adequate Iron Stores in... workshop. The Food and Drug Administration (FDA) is announcing a public workshop entitled: ``Hemoglobin... discuss blood donor hemoglobin and hematocrit qualification standards in the United States, its impact...

  20. Getting adequate information across to colorectal cancer screening subjects can be difficult.

    NARCIS (Netherlands)

    Rijn, AF van; Rossum, L.G.M. van; Deutekom, M.; Laheij, R.J.F.; Bossuyt, P.M.; Fockens, P.; Dekker, E. den; Jansen, J.B.M.J.

    2008-01-01

    OBJECTIVES: Participation in screening should be the outcome of an informed decision. We evaluated whether invitees in the first Dutch colorectal cancer (CRC) screening programme were adequately informed after having received a detailed information leaflet. METHODS: A total of 20,623 subjects aged

  1. Science Education as a Contributor to Adequate Yearly Progress and Accountability Programs

    Science.gov (United States)

    Judson, Eugene

    2010-01-01

    The No Child Left Behind (NCLB) Act requires states to measure the adequate yearly progress (AYP) of each public school and local educational agency (LEA) and to hold schools and LEAs accountable for failing to make AYP. Although it is required that science be assessed in at least three grades, the achievement results from science examinations are…

  2. In Search of an Adequate Yet Affordable Tutor in Online Learning Networks

    NARCIS (Netherlands)

    Sloep, Peter; Van Rosmalen, Peter; Kester, Liesbeth; Brouns, Francis; Koper, Rob

    2007-01-01

    Sloep, P. B., Van Rosmalen, P., Kester, L., Brouns, F., & Koper, R. (2006). In Search of an Adequate Yet Affordable Tutor in Online Learning Networks. In Kinshuk, R. Koper, P. Kommers, P. Kirschner, D. G. Sampson & W. Didderen (Eds.), Sixth International Conference on Advanced Learning Technologies

  3. Protecting the Home and Adequate Housing - Living in a Caravan or Trailer as a Human Right

    NARCIS (Netherlands)

    Donders, Y.

    2016-01-01

    Many Roma, gypsies and travellers live in caravans or trailers, sometimes in together trailer parks or camps. This article analyses how this specific lifestyle connected to their housing is protected under the various regimes and provisions of international human rights law. Home and adequate housin

  4. African Americans, Economically Disadvantaged, or Attendance Rate Effects on Adequate Yearly Progress

    Science.gov (United States)

    Wilson, Sheena

    2013-01-01

    The purpose of this quantitative, nonexperimental study was to determine if and to what extent a difference existed in the percentage of African American students, percentage of economically disadvantaged students, and students' attendance rate in elementary schools that made adequate yearly progress (AYP) and those that did not make AYP in one…

  5. Access to adequate water in post-apartheid South African provinces ...

    African Journals Online (AJOL)

    2010-10-02

    Oct 2, 2010 ... agement of water resources in South Africa. ... supply services and that 50% were without adequate sanitation. (DWAF ... President Mbeki promised that 'within the next 5 years all ... This research has responded to debates about water service .... under the first category 'Piped Households' or 'Basic Access'.

  6. Understanding the pelvic pain mechanism is key to find an adequate therapeutic approach.

    Science.gov (United States)

    Van Kerrebroeck, Philip

    2016-06-25

    Pain is a natural mechanism to actual or potential tissue damage and involves both a sensory and an emotional experience. In chronic pelvic pain, localisation of pain can be widespread and can cause considerable distress. A multidisciplinary approach is needed in order to fully understand the pelvic pain mechanism and to identify an adequate therapeutic approach.

  7. Do sex assault victims receive adequate care? If not, you risk fines, violations.

    Science.gov (United States)

    2002-06-01

    Failure to collect evidence, inadequate care, and delays resulted in a New York City hospital being fined for providing inadequate care to a rape victim. These problems are common in the emergency department. Avoid asking sexual assault victims the same questions repeatedly. Determine the patient's primary concern and address it immediately. Examine patients in a private area with adequate space.

  8. Determinants of prompt and adequate care among presumed malaria cases in a community in eastern Rwanda

    NARCIS (Netherlands)

    Ingabire, Chantal Marie; Kateera, Fredrick; Hakizimana, Emmanuel; Rulisa, Alexis; Muvunyi, Claude; Mens, Petra; Koenraadt, Sander; Mutesa, Leon; Vugt, Van Michele; Borne, Van Den Bart; Alaii, Jane

    2016-01-01

    Background: In order to understand factors influencing fever/malaria management practices among community-based individuals, the study evaluated psychosocial, socio-demographic and environmental determinants of prompt and adequate healthcare-seeking behaviours. Methods: A quantitative household (

  9. Evaluating the Reliability of Selected School-Based Indices of Adequate Reading Progress

    Science.gov (United States)

    Wheeler, Courtney E.

    2010-01-01

    The present study examined the stability (i.e., 4-month and 12-month test-retest reliability) of six selected school-based indices of adequate reading progress. The total sampling frame included between 3970 and 5655 schools depending on the index and research question. Each school had at least 40 second-grade students that had complete Oral…

  10. The Relationship between Parental Involvement and Adequate Yearly Progress among Urban, Suburban, and Rural Schools

    Science.gov (United States)

    Ma, Xin; Shen, Jianping; Krenn, Huilan Y.

    2014-01-01

    Using national data from the 2007-08 School and Staffing Survey, we compared the relationships between parental involvement and school outcomes related to adequate yearly progress (AYP) in urban, suburban, and rural schools. Parent-initiated parental involvement demonstrated significantly positive relationships with both making AYP and staying off…

  11. Which Food Security Determinants Predict Adequate Vegetable Consumption among Rural Western Australian Children?

    Science.gov (United States)

    Godrich, Stephanie L; Lo, Johnny; Davies, Christina R; Darby, Jill; Devine, Amanda

    2017-01-03

    Improving the suboptimal vegetable consumption among the majority of Australian children is imperative in reducing chronic disease risk. The objective of this research was to determine whether there was a relationship between food security determinants (FSD) (i.e., food availability, access, and utilisation dimensions) and adequate vegetable consumption among children living in regional and remote Western Australia (WA). Caregiver-child dyads (n = 256) living in non-metropolitan/rural WA completed cross-sectional surveys that included questions on FSD, demographics and usual vegetable intake. A total of 187 dyads were included in analyses, which included descriptive and logistic regression analyses via IBM SPSS (version 23). A total of 13.4% of children in this sample had adequate vegetable intake. FSD that met inclusion criteria (p ≤ 0.20) for multivariable regression analyses included price; promotion; quality; location of food outlets; variety of vegetable types; financial resources; and transport to outlets. After adjustment for potential demographic confounders, the FSD that predicted adequate vegetable consumption were, variety of vegetable types consumed (p = 0.007), promotion (p = 0.017), location of food outlets (p = 0.027), and price (p = 0.043). Food retail outlets should ensure that adequate varieties of vegetable types (i.e., fresh, frozen, tinned) are available, vegetable messages should be promoted through food retail outlets and in community settings, towns should include a range of vegetable purchasing options, increase their reliance on a local food supply and increase transport options to enable affordable vegetable purchasing.

  12. How Much and What Kind? Identifying an Adequate Technology Infrastructure for Early Childhood Education. Policy Brief

    Science.gov (United States)

    Daugherty, Lindsay; Dossani, Rafiq; Johnson, Erin-Elizabeth; Wright, Cameron

    2014-01-01

    To realize the potential benefits of technology use in early childhood education (ECE), and to ensure that technology can help to address the digital divide, providers, families of young children, and young children themselves must have access to an adequate technology infrastructure. The goals for technology use in ECE that a technology…

  13. Perceptions of Teachers in Their First Year of School Restructuring: Failure to Make Adequate Yearly Progress

    Science.gov (United States)

    Moser, Sharon

    2010-01-01

    The 2007-2008 school year marked the first year Florida's Title I schools that did not made Adequate Yearly Progress (AYP) for five consecutive years entered into restructuring as mandated by the "No Child Left Behind Act" of 2001. My study examines the perceptions of teacher entering into their first year of school restructuring due to…

  14. Maintaining adequate nutrient supply - Principles, decision-support tools, and best management practices [Chapter 6

    Science.gov (United States)

    Robert B. Harrison; Douglas A. Maguire; Deborah Page-Dumroese

    2011-01-01

    Maintaining adequate nutrient supply to maintain or enhance tree vigor and forest growth requires conservation of topsoil and soil organic matter. Sometimes nutrient amendments are also required to supplement inherent nutrient-pool limitations or replenish nutrients removed in harvested material. The goal is to maintain the productive potential of the soil and, when...

  15. Use of Linear Programming to Develop Cost-Efficient Minimized Nutritionally Adequate Health Promoting Food Baskets

    DEFF Research Database (Denmark)

    Parlesak, Alexandr; Tetens, Inge; Jensen, Jørgen Dejgård;

    2016-01-01

    using linear programming. The FBs were defined depending on the type of constraints applied: cultural acceptability (C), or dietary guidelines (D), or nutrient recommendations (N), or cultural acceptability and nutrient recommendations (CN), or dietary guidelines and nutrient recommendations (DN......: Use of linear programming facilitates the generation of low-cost food baskets that are nutritionally adequate, health promoting, and culturally acceptable....

  16. 42 CFR 438.207 - Assurances of adequate capacity and services.

    Science.gov (United States)

    2010-10-01

    ... HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and Performance Improvement Access Standards § 438.207 Assurances of adequate capacity and services. (a) Basic rule. The State... that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated...

  17. Wie kann der adäquate ärztliche Umgang mit Emotionen im Medizinstudium vermittelt werden? Ein Erfahrungsbericht aus dem Strang "Ärztliche Interaktion" im Modellstudiengang Medizin der Ruhr-Universität Bochum [How to teach the adequate handling of emotions during medical studies? A field report on "Medical Interaction" as part of a problem-based curriculum at the Ruhr University in Bochum, Germany

    Directory of Open Access Journals (Sweden)

    Rusche, Herbert

    2009-08-01

    Full Text Available [english] Handling strong emotions like sorrow, anger, shame, and fear in patients with somatic disease in an adequate way is a key issue for the future physician. Up to now, this aspect of the doctor?patient relationship has played a minor role in medical studies. To address this shortcoming, the handling of emotions is the focus of the third semester in the “Medical Interaction” course of the Modellstudiengang Medizin, the problem-based track of the medical faculty in Bochum, Germany. The course presented is given by the Department of General Medicine.The main objective is the recognition and correct interpretation of patients’ emotional expressions. The course is composed of six modules (one introductory and one for each leading affect. The main teaching methods are realistic role plays in a small group setting with video feedback, whereby one main requirement is that each student plays the role of both the patient and the doctor. Each session is introduced and analyzed by a general practitioner experienced in psychosomatic medicine. Evaluation of the course has shown a high acceptance among students. This motivates us to conduct a public discussion on the possibilities of applying this concept in other medical studies as well. [german] Der adäquate Umgang mit Emotionen wie Trauer, Wut, Scham und Angst bei Patienten mit körperlichen Erkrankungen spielt für den werdenden Arzt eine Schlüsselrolle. Dieser Aspekt der Arzt-Patient-Beziehung wird allerdings im Medizinstudium bislang wenig berücksichtigt. Aus diesem Grunde wird der Umgang mit Emotionen im dritten Semester des Stranges „ärztliche Interaktion“ im Modellstudiengang Medizin der Ruhr-Universität Bochum thematisiert. Der vorgestellte Kurs wird von der Abteilung für Allgemeinmedizin durchgeführt.Zielsetzung ist die Verbesserung der emotionalen und kommunikativen Kompetenz des Studierenden. Um dies zu erreichen soll dem eigenen emotionalen Erleben in der Arzt

  18. Global Uranium And Thorium Resources: Are They Adequate To Satisfy Demand Over The Next Half Century?

    Science.gov (United States)

    Lambert, I. B.

    2012-04-01

    This presentation will consider the adequacy of global uranium and thorium resources to meet realistic nuclear power demand scenarios over the next half century. It is presented on behalf of, and based on evaluations by, the Uranium Group - a joint initiative of the OECD Nuclear Energy Agency and the International Atomic Energy Agency, of which the author is a Vice Chair. The Uranium Group produces a biennial report on Uranium Resources, Production and Demand based on information from some 40 countries involved in the nuclear fuel cycle, which also briefly reviews thorium resources. Uranium: In 2008, world production of uranium amounted to almost 44,000 tonnes (tU). This supplied approximately three-quarters of world reactor requirements (approx. 59,000 tU), the remainder being met by previously mined uranium (so-called secondary sources). Information on availability of secondary sources - which include uranium from excess inventories, dismantling nuclear warheads, tails and spent fuel reprocessing - is incomplete, but such sources are expected to decrease in market importance after 2013. In 2008, the total world Reasonably Assured plus Inferred Resources of uranium (recoverable at less than 130/kgU) amounted to 5.4 million tonnes. In addition, it is clear that there are vast amounts of uranium recoverable at higher costs in known deposits, plus many as yet undiscovered deposits. The Uranium Group has concluded that the uranium resource base is more than adequate to meet projected high-case requirements for nuclear power for at least half a century. This conclusion does not assume increasing replacement of uranium by fuels from reprocessing current reactor wastes, or by thorium, nor greater reactor efficiencies, which are likely to ameliorate future uranium demand. However, progressively increasing quantities of uranium will need to be mined, against a backdrop of the relatively small number of producing facilities around the world, geopolitical uncertainties and

  19. 淞沪会战时期淞沪地区难民救助论略--以《申报》报道为中心%On the Refugee Relief during the Battle of Shanghai in Songhu Region Based on the Reports of Shun Pao

    Institute of Scientific and Technical Information of China (English)

    龚佩玉

    2015-01-01

    淞沪会战爆发后,无数上海人民无家可归沦为难民,同时大量难民也从各地涌入上海。上海各慈善团体、各旅沪同乡会及其它社会组织纷纷召开紧急会议并设立机构暂时收容难民,开展了大规模的难民救济与遣送工作,在淞沪地区的难民救助方面都做出了各自的努力,同时也为保护人民的生命安全、保存抗战力量起到了一定的积极作用。%When the Battle of Shanghai broke out, many Shanghai people became refugees. At the same time, many refugees crowded into Shanghai from other places. Charities in Shanghai, various travel Shanghai Associations and other organizations held emergency meetings. They established institutions for refugees, launched a large-scale refugee relief and repatriation work. They made their efforts and made certain achievements. What’s more, they had played an active role in protecting people’s lives and saving the resistance forces.

  20. Evaluation of Congestion Relief Proposals in a Capital City

    Directory of Open Access Journals (Sweden)

    Sudhir C. Fowdur

    2012-01-01

    Full Text Available This paper aims at analyzing three different solutions suggested for traffic congestion relief in Port Louis, the busiest city of Mauritius. It evaluates the impact of the three alternatives which are the use of Light Rail Transit (LRT as an alternative mode of transport, the construction of a Ring road around Port Louis, and the upgrading of the current bus network into a Bus Rapid Transit (BRT system. The impact of these three solutions has been evaluated by performing Traffic Cellular Automata (TCA simulations. Our studies reveal that the Ring road will lead to more congestion while introducing the LRT or upgrading the current bus network will reduce congestion significantly.

  1. Optically induced surface relief phenomena in azobenzene polymers

    DEFF Research Database (Denmark)

    Holme, NCR; Nikolova, Ludmila; Hvilsted, Søren

    1999-01-01

    Azobenzene polymers and oligomers show intriguing surface relief features when irradiated with polarized laser light. We show through atomic force microscopic investigation of side-chain azobenzene polymers after irradiation through an amplitude mask that large peaks or trenches result depending...... on the architecture of the polymer. Extensive mass transport over long distances has been observed, paving the way for easy replication of nanostructures. We also show that it is possible to store microscopic images as topographic features in the polymers just through polarized light irradiation. (C) 1999 American...

  2. Calculation of the Cost of an Adequate Education in Kentucky: A Professional Judgment Approach

    Directory of Open Access Journals (Sweden)

    Deborah A. Verstegen

    2004-02-01

    Full Text Available What is an adequate education and how much does it cost? In 1989, Kentucky’s State Supreme Court found the entire system of education unconstitutional-“all of its parts and parcels”. The Court called for all children to have access to an adequate education, one that is uniform and has as its goal the development of seven capacities, including: (i “sufficient oral and written communication skills to enable students to function in a complex and rapidly changing civilization . . . .and (vii sufficient levels of academic or vocational skills to enable public school students to compete favorably with their counterparts in surrounding states, in academics or in the job market”. Now, over a decade later, key questions remain regarding whether these objectives have been fulfilled. This research is designed to calculate the cost of an adequate education by aligning resources to State standards, laws and objectives, using a professional judgment approach. Seven focus groups were convened for this purpose and the scholarly literature was reviewed to provide multiple inputs into study findings. The study produced a per pupil base cost for each of three prototype school districts and an total statewide cost, with the funding gap between existing revenue and the revenue needed for current operations of $1.097 billion per year (2001-02. Additional key resource requirements needed to achieve an adequate education, identified by professional judgment panels, include: (1 extending the school year for students and teachers, (2 adding voluntary half-day preschool for three and four year olds, and (3 raising teacher salaries. This increases the funding gap to $1.23 billion and suggests that significant new funding is required over time if the Commonwealth of Kentucky is to provide an adequate and equitable education of high quality for all children and youth as directed by the State Supreme Court.

  3. 76 FR 18649 - Technical Revisions to Actuarial Information on Form 5500 Annual Return/Report for Pension Plans...

    Science.gov (United States)

    2011-04-05

    ... Form 5500 Annual Return/Report for Pension Plans Electing Funding Alternatives Under Pension Relief Act... defined benefit pension plans under the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (Pension Relief Act). The information that would be required either by way of...

  4. [The "Bolsa Família" family grant scheme: the interface between professional practice and the human right to adequate food and nutrition].

    Science.gov (United States)

    Ramos, Camila Irigonhé; Cuervo, Maria Rita Macedo

    2012-08-01

    The Human Right to Adequate Nutrition must be ensured through the public policies included in SAN, namely the Food and Nutritional Security campaign. Besides the income transfer geared to ensuring access to basic social rights, the "Bolsa Família" Program (PBF) is included in this context. This study seeks to analyze the operational aspects of the PBF and also ascertain whether or not the health professionals see the program as a core element of the SAN public policy. With this in mind, semi-structured interviews were conducted with primary healthcare workers involved directly both with the PBF and with the families who receive this benefit. By the end of the study, it was possible to perceive the importance of training health professionals who work in this area, because when one dissociates the social reality in which the beneficiaries live from the program objectives, this can lead to the simple mechanization of these practices. In this respect, it should be stressed that health professionals need to understand the proposals of the program as political and social strategies which, in addition to providing immediate relief, strive to overcome the problems related to poverty and hunger.

  5. Relief-oriented use of marijuana by teens

    Directory of Open Access Journals (Sweden)

    Johnson Joy L

    2009-04-01

    Full Text Available Abstract Background There are indications that marijuana is increasingly used to alleviate symptoms and for the treatment of a variety of medical conditions both physical and psychological. The purpose of this study was to describe the health concerns and problems that prompt some adolescents to use marijuana for therapeutic reasons, and their beliefs about the risks and benefits of the therapeutic use of marijuana. Methods As part of a larger ethnographic study of 63 adolescents who were regular marijuana users, we analyzed interviews conducted with 20 youth who self-identified as using marijuana to relieve or manage health problems. Results Thematic analysis revealed that these teens differentiated themselves from recreational users and positioned their use of marijuana for relief by emphasizing their inability to find other ways to deal with their health problems, the sophisticated ways in which they titrated their intake, and the benefits that they experienced. These teens used marijuana to gain relief from difficult feelings (including depression, anxiety and stress, sleep difficulties, problems with concentration and physical pain. Most were not overly concerned about the risks associated with using marijuana, maintaining that their use of marijuana was not 'in excess' and that their use fit into the realm of 'normal.' Conclusion Marijuana is perceived by some teens to be the only available alternative for teens experiencing difficult health problems when medical treatments have failed or when they lack access to appropriate health care.

  6. Putting Qumran, Jesus and his movement into relief

    Directory of Open Access Journals (Sweden)

    Eben Scheffler

    2016-05-01

    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.

  7. Haptics disambiguates vision in the perception of pictorial relief

    Science.gov (United States)

    Wijntjes, M. W. A.; Volcic, R.; Pont, S. C.; Koenderink, J. J.; Kappers, A. M. L.

    2009-02-01

    In this study we demonstrate that touch decreases the ambiguity in a visual image. It has been previously found that visual perception of three-dimensional shape is subject to certain variations. These variations can be described by the affine transformation. While the visual system thus seems unable to capture the Euclidean structure of a shape, touch could potentially be a useful source to disambiguate the image. Participants performed a so-called 'attitude task' from which the structure of the perceived three-dimensional shape was calculated. One group performed the task with only vision and a second group could touch the stimulus while viewing it. We found that the consistency within the haptics+vision group was higher than in the vision-only group. Thus, haptics decreases the visual ambiguity. Furthermore, we found that the touched shape was consistently perceived as having more relief than the untouched the shape. It was also found that the direction of affine shear differences within the two groups was more consistent when touch was used. We thus show that haptics has a significant influence on the perception of pictorial relief.

  8. Raised Relief Mars Globe Brings the Red Planet Closer

    Science.gov (United States)

    2006-01-01

    The Mars Globe 20x is the first digitally produced raised relief globe to be sold at retail establishments. The rises and dips of the Martian landscape have been multiplied by 20 to make the shapes more noticeable to human touch and sight. They make this globe, with its over 1 million elevation points, a visually stunning introduction to the planet. Spectrum 3D used the NASA digital land elevation data to aim lasers that then shaped and defined the master globe s surface. Subsequent copies were then made by creating a master globe mold. The molded copies are hand finished by workers who remove errant edges or lines that may appear on the raw globes and then paint the surfaces. The result is a globe that measures in at 18 inches in diameter, roughly 1:15,729,473 scale of the actual planet. The exaggerated raised relief is like having a 3-D digital microscope for planetary shapes. This makes the landmarks easier to learn and understand, as it provides easy visuals for orientation. People have a natural propensity for understanding 3-D shapes more easily than numbers or words. The 3-D globes appeal to both the kinetic and visual learning aspects of the brain, making it easy for people to readily memorize the landmarks and to make a mental model that they will remember for a long time.

  9. Pain relief in childbirth: changing historical and feminist perspectives.

    Science.gov (United States)

    Skowronski, G A

    2015-07-01

    Pain during human childbirth is ubiquitous and severe. Opium and its derivatives constitute the oldest effective method of pain relief and have been used in childbirth for several thousand years, along with numerous folk medicines and remedies. Interference with childbirth pain has always been criticised by doctors and clergy. The 19th century saw the introduction of three much more effective approaches to childbirth pain; diethyl ether, chloroform and nitrous oxide. Access to pain relief was demanded by the first wave of feminist activists as a woman's right. They popularised the use of 'twilight sleep', a combination of morphine and scopolamine, which fell into disrepute as its adverse effects became known. From the 1960s, as epidural analgesia became more popular, a second wave of feminists took the opposite position, calling for a return to non-medicalised, female-controlled, 'natural' childbirth and, in some cases, valorising the importance of the pain experience as empowering for women. However, from the 1990s, a third wave of feminist thought has begun to emerge, revalidating a woman's right to choose a 'technological', pain-free birth, rather than a 'natural' one, and regarding this as a legitimate feminist position.

  10. Processing techniques for data from the Kuosheng Unit 1 shakedown safety-relief-valve tests

    Energy Technology Data Exchange (ETDEWEB)

    McCauley, E.W.; Rompel, S.L.; Weaver, H.J.; Altenbach, T.J.

    1982-08-01

    This report describes techniques developed at the Lawrence Livermore National Laobratory, Livermore, CA for processing original data from the Taiwan Power Company's Kuosheng MKIII Unit 1 Safety Relief Valve Shakedown Tests conducted in April/May 1981. The computer codes used, TPSORT, TPPLOT, and TPPSD, form a special evaluation system for treating the data from its original packed binary form to ordered, calibrated ASCII transducer files and then to production of time-history plots, numerical output files, and spectral analyses. Using the data processing techniques described, a convenient means of independently examining and analyzing a unique data base for steam condensation phenomena in the MARKIII wetwell is described. The techniques developed for handling these data are applicable to the treatment of similar, but perhaps differently structured, experiment data sets.

  11. One-step photoembossing for submicrometer surface relief structures in liquid crystal semiconductors.

    Science.gov (United States)

    Liedtke, Alicia; Lei, Chunhong; O'Neill, Mary; Dyer, Peter E; Kitney, Stuart P; Kelly, Stephen M

    2010-06-22

    We report a new single-step method to directly imprint nanometer-scale structures on photoreactive organic semiconductors. A surface relief grating is spontaneously formed when a light-emitting, liquid crystalline, and semiconducting thin film is irradiated by patterned light generated using a phase mask. Grating formation requires no postannealing nor wet etching so there is potential for high-throughput fabrication. The structured film is cross-linked for robustness. Gratings deeper than the original film thickness are made with periods as small as 265 nm. Grating formation is attributed to mass transfer, enhanced by self-assembly, from dark to illuminated regions. A photovoltaic device incorporating the grating is discussed.

  12. A Leagile Supply Chain Framework for Post-Disaster Relief Supplies Management in China

    OpenAIRE

    Zhao, Huilin

    2013-01-01

    Purpose- This paper is to investigate the definition and the best practice of leagility. Meanwhile, this paper also exposes the situations of China in disaster response. The main purpose of this dissertation is to apply leagility into relief supplies distribution after earthquake. Methodology- The review of literature related with leagility, disaster relief, and the case studies of Dell, disaster relief in China on this paper is from journal articles, books and websites. In the chapter o...

  13. Use of Linear Programming to Develop Cost-Efficient Minimized Nutritionally Adequate Health Promoting Food Baskets

    DEFF Research Database (Denmark)

    Parlesak, Alexandr; Tetens, Inge; Jensen, Jørgen Dejgård

    2016-01-01

    Background: Food-Based Dietary Guidelines (FBDGs) are developed to promote healthier eating patterns, but increasing food prices may make healthy eating less affordable. The aim of this study was to design a range of cost-minimized nutritionally adequate health-promoting food baskets (FBs......) that help prevent both micronutrient inadequacy and diet-related non-communicable diseases at lowest cost. Methods: Average prices for 312 foods were collected within the Greater Copenhagen area. The cost and nutrient content of five different cost-minimized FBs for a family of four were calculated per day......: Use of linear programming facilitates the generation of low-cost food baskets that are nutritionally adequate, health promoting, and culturally acceptable....

  14. Is casual exposure to summer sunlight effective at maintaining adequate vitamin D status?

    Science.gov (United States)

    Diffey, Brian L

    2010-08-01

    The advice that an adequate vitamin D status can be achieved by short, casual exposure to summer sunlight is ubiquitous. This review will examine the value of this advice. The results of experimental studies on changes in serum 25-hydroxyvitamin D [25(OH)D] concentrations following ultraviolet exposure are interpreted in the context of human exposure to sunlight. It is shown that current advice about modest sun exposure during the summer months does little in the way of boosting overall 25(OH)D levels, while sufficient sun exposure that could achieve a worthwhile benefit would compromise skin health. Failure to understand the nature of human exposure to sunlight has led to misguided advice concerning the sun exposure necessary for an adequate vitamin D status.

  15. The relationship between social capital, social support and the adequate use of prenatal care.

    Science.gov (United States)

    Leal, Maria do Carmo; Pereira, Ana Paula Esteves; Lamarca, Gabriela de Almeida; Vettore, Mario Vianna

    2011-01-01

    This study investigated the relationship between social capital and social support and the adequate use of prenatal care. A follow-up study involving 1,485 pregnant women was conducted in two cities in the Rio de Janeiro State, Brazil. Demographic and socioeconomic characteristics, social support and social capital data were collected during the first trimester of pregnancy. The post-partum period included information on levels of prenatal care utilization, social networks, parity, obstetric and gestational risk and prenatal care attendance. Hierarchized multinomial logistic regression was used in the statistical analysis. Prenatal care use above adequate levels was associated with high social capital at the city level (aggregated social capital), socioeconomic status and working during pregnancy. Lower non-aggregated contextual and compositional social capital, gestational risk and pattern of prenatal care were associated with inadequate prenatal care utilization. Contextual social capital and social support were found to be social determinants for the appropriate use of prenatal care.

  16. Ensuring smokers are adequately informed: reflections on consumer rights, manufacturer responsibilities, and policy implications

    Science.gov (United States)

    Chapman, S; Liberman, J

    2005-01-01

    The right to information is a fundamental consumer value. Following the advent of health warnings, the tobacco industry has repeatedly asserted that smokers are fully informed of the risks they take, while evidence demonstrates widespread superficial levels of awareness and understanding. There remains much that tobacco companies could do to fulfil their responsibilities to inform smokers. We explore issues involved in the meaning of "adequately informed" smoking and discuss some of the key policy and regulatory implications. We use the idea of a smoker licensing scheme—under which it would be illegal to sell to smokers who had not demonstrated an adequate level of awareness—as a device to explore some of these issues. We also explore some of the difficulties that addiction poses for the notion that smokers might ever voluntarily assume the risks of smoking. PMID:16046703

  17. The concept of adequate causation and Max Weber's comparative sociology of religion.

    Science.gov (United States)

    Buss, A

    1999-06-01

    Max Weber's The Protestant Ethic and the Spirit of Capitalism, studied in isolation, shows mainly an elective affinity or an adequacy on the level of meaning between the Protestant ethic and the 'spirit' of capitalism. Here it is suggested that Weber's subsequent essays on 'The Economic Ethics of World Religions' are the result of his opinion that adequacy on the level of meaning needs and can be verified by causal adequacy. After some introductory remarks, particularly on elective affinity, the paper tries to develop the concept of adequate causation and the related concept of objective possibility on the basis of the work of v. Kries on whom Weber heavily relied. In the second part, this concept is used to show how the study of the economic ethics of India, China, Rome and orthodox Russia can support the thesis that the 'spirit' of capitalism, although it may not have been caused by the Protestant ethic, was perhaps adequately caused by it.

  18. Which Food Security Determinants Predict Adequate Vegetable Consumption among Rural Western Australian Children?

    Directory of Open Access Journals (Sweden)

    Stephanie L. Godrich

    2017-01-01

    Full Text Available Improving the suboptimal vegetable consumption among the majority of Australian children is imperative in reducing chronic disease risk. The objective of this research was to determine whether there was a relationship between food security determinants (FSD (i.e., food availability, access, and utilisation dimensions and adequate vegetable consumption among children living in regional and remote Western Australia (WA. Caregiver-child dyads (n = 256 living in non-metropolitan/rural WA completed cross-sectional surveys that included questions on FSD, demographics and usual vegetable intake. A total of 187 dyads were included in analyses, which included descriptive and logistic regression analyses via IBM SPSS (version 23. A total of 13.4% of children in this sample had adequate vegetable intake. FSD that met inclusion criteria (p ≤ 0.20 for multivariable regression analyses included price; promotion; quality; location of food outlets; variety of vegetable types; financial resources; and transport to outlets. After adjustment for potential demographic confounders, the FSD that predicted adequate vegetable consumption were, variety of vegetable types consumed (p = 0.007, promotion (p = 0.017, location of food outlets (p = 0.027, and price (p = 0.043. Food retail outlets should ensure that adequate varieties of vegetable types (i.e., fresh, frozen, tinned are available, vegetable messages should be promoted through food retail outlets and in community settings, towns should include a range of vegetable purchasing options, increase their reliance on a local food supply and increase transport options to enable affordable vegetable purchasing.

  19. Adequate dosing of micronutrients for different age groups in the life cycle.

    Science.gov (United States)

    Bienz, Denise; Cori, Hector; Hornig, Dietrich

    2003-09-01

    Many studies of micronutrient supplementation in developing countries have used single-nutrient supplements with either vitamins or minerals. However, people in these countries often suffer from multiple, rather than single, micronutrient deficiencies. The objective of this paper is to discuss the factors that go into determining the adequate dosing of vitamins and/or minerals for people of different ages. To elaborate on the adequacy of micronutrient doses in supplements, a model described by the US FNB was used, which calculates the difference between the mean observed intake for an individual and the estimated average requirement for a life stage and gender group. This model allows estimating the degree of confidence that a certain nutrient intake (from supplements and diet) is adequate. The US/Canadian DRI values have been used as the basis for these calculations, from which it can be concluded that a daily supplement of one RDA of each micronutrient is adequate to cover the personal requirements of all individuals in each respective age and gender group of the population, provided that 20 to 40% of an RDA is supplied by the diet--likely a realistic value for developing countries. DRI values vary significantly between different age groups, reflecting changing needs over a life cycle. With the objective of a supplement to be adequate and safe, the design of a one-for-all supplement covering all age groups is not realistic. Such a supplement would either underscore or surpass the required intake of some of the age groups. Additionally the dosage of certain micronutrients might exceed the upper level of intake for lower age groups. Therefore, it is suggested that three different supplements following the one RDA concept for all micronutrients be developed for research use in developing countries for the following age groups; 1 to 3 years, 4 to 13 years, and females > 14 years (excluding during pregnancy).

  20. Effective dose of dexmedetomidine to induce adequate sedation in elderly patients under spinal anesthesia

    OpenAIRE

    2015-01-01

    Background During sedation with dexmedetomidine, a dose adjustment may be needed based on the invasiveness of the procedure, the patient's general condition, and their age. We aim here to determine the effective dose (ED) of dexmedetomidine to induce an adequate depth of sedation in elderly patients undergoing spinal anesthesia. Methods In this study, 47 patients aged 65 years or older, American Society of Anesthesiologists physical status I or II, undergoing spinal anesthesia were included. ...

  1. Evaluation of lymph node numbers for adequate staging of Stage II and III colon cancer

    Directory of Open Access Journals (Sweden)

    Bumpers Harvey L

    2011-05-01

    Full Text Available Abstract Background Although evaluation of at least 12 lymph nodes (LNs is recommended as the minimum number of nodes required for accurate staging of colon cancer patients, there is disagreement on what constitutes an adequate identification of such LNs. Methods To evaluate the minimum number of LNs for adequate staging of Stage II and III colon cancer, 490 patients were categorized into groups based on 1-6, 7-11, 12-19, and ≥ 20 LNs collected. Results For patients with Stage II or III disease, examination of 12 LNs was not significantly associated with recurrence or mortality. For Stage II (HR = 0.33; 95% CI, 0.12-0.91, but not for Stage III patients (HR = 1.59; 95% CI, 0.54-4.64, examination of ≥20 LNs was associated with a reduced risk of recurrence within 2 years. However, examination of ≥20 LNs had a 55% (Stage II, HR = 0.45; 95% CI, 0.23-0.87 and a 31% (Stage III, HR = 0.69; 95% CI, 0.38-1.26 decreased risk of mortality, respectively. For each six additional LNs examined from Stage III patients, there was a 19% increased probability of finding a positive LN (parameter estimate = 0.18510, p Conclusions Thus, the 12 LN cut-off point cannot be supported as requisite in determining adequate staging of colon cancer based on current data. However, a minimum of 6 LNs should be examined for adequate staging of Stage II and III colon cancer patients.

  2. Differentiating the barriers to adequate prenatal care in Missouri, 1987-88.

    OpenAIRE

    Sable, M R; Stockbauer, J W; Schramm, W F; Land, G H

    1990-01-01

    Inadequate prenatal care has previously been identified as a significant risk factor for women who have low birth weight infants and infants who die during the neonatal period. Postpartum interviews with 1,484 primarily low-income women were conducted during 1987-88 in three areas of Missouri with the highest rates of inadequate prenatal care. The purpose of the study was to identify barriers to prenatal care and to determine which barriers differentiated between women receiving adequate and ...

  3. Auditory information processing during adequate propofol anesthesia monitored by electroencephalogram bispectral index

    OpenAIRE

    Kerssens, Chantal; Klein, Jan; Woerd, A.; Bonke, Benno

    2001-01-01

    textabstractMemory for intraoperative events may arise from inadequate anesthesia when the hypnotic state is not continuously monitored. Electroencephalogram bispectral index (BIS) enables monitoring of the hypnotic state and titration of anesthesia to an adequate level (BIS 40 to 60). At this level, preserved memory function has been observed in trauma patients. We investigated memory formation in elective surgical outpatients during target-controlled propofol anesthesia supplemented with al...

  4. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  6. The Design of Impact Test-Bed for High-Flow Water Medium Relief Valve

    Directory of Open Access Journals (Sweden)

    Junliang Chang

    2014-11-01

    Full Text Available Water medium hydraulic systems are widely used in coal mining machinery. As the power of hydraulic system becomes higher, the flow and pressure of water medium relief valve are also higher, and the flow may reach 2000 L/min. However, there is no relevant test-bed which could provide instantaneous high-pressure and high-flow to support the experiment for high-flow relief valve; consequently, this impact test-bed for high-flow water medium relief valve is designed to satisfy fast loading demand. Through building model, simulation analysis, and construction of an impact test-bed of high-flow water medium relief valve, the dynamic performance of high-flow water medium relief valve is detected. The setting pressure of relief valve, the accumulator volume and the filling fluid pressure, and the damping of cartridge valve can be changed, and the dynamic performance of high-flow water medium relief valve under different impact loads is detected. The results show that the designed impact test-bed of high-flow water medium relief valve could provide required high-pressure and high-flow emulsion for the tested water medium relief valve, and it could control the strength of impact load, which is an energy saving, high efficiency, and low cost method.

  7. Pectus excavatum in relief from Ancient Egypt (dating back to circa 2400 BC).

    Science.gov (United States)

    Bialas, Adam J; Kaczmarski, Jacek; Kozak, Jozef; Kempinska-Miroslawska, Bogumila

    2015-04-01

    Pectus excavatum is one of the most common congenital deformities of the chest wall. The aim of the study was to analyse 621 artefacts (reliefs, sculptures, paintings) from Ancient Egypt in terms of anatomical defects of the chest. The team which analysed artefacts consisted of historians of medicine and thoracic surgeons. The researchers found a relief, depicting a man with an abnormal shape of the chest. The relief was from Niankhkhnum and Khnumhotep mastaba and dates back to circa 2400 BC. The authors think it is possible that the relief may represent a pectus excavatum deformity and believe the image will open up debate on the occurrence of this deformity in ancient times.

  8. Current strategies for the restoration of adequate lordosis during lumbar fusion.

    Science.gov (United States)

    Barrey, Cédric; Darnis, Alice

    2015-01-18

    Not restoring the adequate lumbar lordosis during lumbar fusion surgery may result in mechanical low back pain, sagittal unbalance and adjacent segment degeneration. The objective of this work is to describe the current strategies and concepts for restoration of adequate lordosis during fusion surgery. Theoretical lordosis can be evaluated from the measurement of the pelvic incidence and from the analysis of spatial organization of the lumbar spine with 2/3 of the lordosis given by the L4-S1 segment and 85% by the L3-S1 segment. Technical aspects involve patient positioning on the operating table, release maneuvers, type of instrumentation used (rod, screw-rod connection, interbody cages), surgical sequence and the overall surgical strategy. Spinal osteotomies may be required in case of fixed kyphotic spine. AP combined surgery is particularly efficient in restoring lordosis at L5-S1 level and should be recommended. Finally, not one but several strategies may be used to achieve the need for restoration of adequate lordosis during fusion surgery.

  9. A one-item question with a Likert or Visual Analog Scale adequately measured current anxiety.

    Science.gov (United States)

    Davey, Heather M; Barratt, Alexandra L; Butow, Phyllis N; Deeks, Jonathan J

    2007-04-01

    To determine whether a single question with a Likert Scale or a Visual Analog Scale (VAS) response adequately measures current anxiety. Consecutive English-speaking adult women attending a dedicated breast clinic in a major Australian city were invited to complete a demographic questionnaire, the State Trait Anxiety Inventory (STAI), and a single question with a five-point Likert Scale response and a VAS in random order. Only women who completed the STAI were included in analyses. Four hundred of 497 (80%) eligible women agreed to participate. Both measures were adequate predictors of the STAI score; correlation with STAI was 0.78 (95% confidence interval [CI] 0.73-0.82) for the VAS and 0.75 (95% CI 0.70-0.79) for the Likert Scale. However, 11% of women incorrectly completed the VAS limiting its usefulness. A single question with either a Likert Scale or VAS response may be an adequate replacement for the STAI. Both measures quickly and easily assess anxiety and may be useful for research purposes when researchers have very limited time or questionnaire space or need to reduce the burden on participants of completing many measures.

  10. Current strategies for the restoration of adequate lordosis during lumbar fusion

    Science.gov (United States)

    Barrey, Cédric; Darnis, Alice

    2015-01-01

    Not restoring the adequate lumbar lordosis during lumbar fusion surgery may result in mechanical low back pain, sagittal unbalance and adjacent segment degeneration. The objective of this work is to describe the current strategies and concepts for restoration of adequate lordosis during fusion surgery. Theoretical lordosis can be evaluated from the measurement of the pelvic incidence and from the analysis of spatial organization of the lumbar spine with 2/3 of the lordosis given by the L4-S1 segment and 85% by the L3-S1 segment. Technical aspects involve patient positioning on the operating table, release maneuvers, type of instrumentation used (rod, screw-rod connection, interbody cages), surgical sequence and the overall surgical strategy. Spinal osteotomies may be required in case of fixed kyphotic spine. AP combined surgery is particularly efficient in restoring lordosis at L5-S1 level and should be recommended. Finally, not one but several strategies may be used to achieve the need for restoration of adequate lordosis during fusion surgery. PMID:25621216

  11. Global risk assessment of aflatoxins in maize and peanuts: are regulatory standards adequately protective?

    Science.gov (United States)

    Wu, Felicia; Stacy, Shaina L; Kensler, Thomas W

    2013-09-01

    The aflatoxins are a group of fungal metabolites that contaminate a variety of staple crops, including maize and peanuts, and cause an array of acute and chronic human health effects. Aflatoxin B1 in particular is a potent liver carcinogen, and hepatocellular carcinoma (HCC) risk is multiplicatively higher for individuals exposed to both aflatoxin and chronic infection with hepatitis B virus (HBV). In this work, we sought to answer the question: do current aflatoxin regulatory standards around the world adequately protect human health? Depending upon the level of protection desired, the answer to this question varies. Currently, most nations have a maximum tolerable level of total aflatoxins in maize and peanuts ranging from 4 to 20ng/g. If the level of protection desired is that aflatoxin exposures would not increase lifetime HCC risk by more than 1 in 100,000 cases in the population, then most current regulatory standards are not adequately protective even if enforced, especially in low-income countries where large amounts of maize and peanuts are consumed and HBV prevalence is high. At the protection level of 1 in 10,000 lifetime HCC cases in the population, however, almost all aflatoxin regulations worldwide are adequately protective, with the exception of several nations in Africa and Latin America.

  12. An adequate Fe nutritional status of maize suppresses infection and biotrophic growth of Colletotrichum graminicola.

    Science.gov (United States)

    Ye, Fanghua; Albarouki, Emad; Lingam, Brahmasivasenkar; Deising, Holger B; von Wirén, Nicolaus

    2014-07-01

    Iron (Fe) is an essential element for plant pathogens as well as for their host plants. As Fe plays a central role in pathogen virulence, most plants have evolved Fe-withholding strategies to reduce Fe availability to pathogens. On the other hand, plants need Fe for an oxidative burst in their basal defense response against pathogens. To investigate how the plant Fe nutritional status affects plant tolerance to a hemibiotrophic fungal pathogen, we employed the maize-Colletotrichum graminicola pathosystem. Fungal infection progressed rapidly via biotrophic to necrotrophic growth in Fe-deficient leaves, while an adequate Fe nutritional status suppressed the formation of infection structures of C. graminicola already during the early biotrophic growth phase. As indicated by Prussian blue and 3,3'-diaminobenzidine (DAB) staining, the retarding effect of an adequate Fe nutritional status on fungal development coincided temporally and spatially with the recruitment of Fe to infection sites and a local production of H2 O2 . A similar coincidence between local Fe and H2 O2 accumulation was found in a parallel approach employing C. graminicola mutants affected in Fe acquisition and differing in virulence. These results indicate that an adequate Fe nutritional status delays and partially suppresses the fungal infection process and the biotrophic growth phase of C. graminicola, most likely via the recruitment of free Fe to the fungal infection site for a timely oxidative burst. © 2014 Scandinavian Plant Physiology Society.

  13. A test for adequate wastewater treatment based on glutathione S transferase isoenzyme profile.

    Science.gov (United States)

    Grammou, A; Samaras, P; Papadimitriou, C; Papadopoulos, A I

    2013-04-01

    Discharge to the environment of treated or non-treated municipal wastewater imposes several threats to coastal and estuarine ecosystems which are difficult to assess. In our study we evaluate the use of the isoenzyme profile of glutathione S transferase (GST) in combination with the kinetic characteristics of the whole enzyme and of heme peroxidase, as a test of adequate treatment of municipal wastewater. For this reason, Artemia nauplii were incubated in artificial seawater prepared by wastewater samples, such as secondary municipal effluents produced by a conventional activated sludge unit and advanced treated effluents produced by the employment of coagulation, activated carbon adsorption and chlorination as single processes or as combined ones. Characteristic changes of the isoenzyme pattern and the enzymes' kinetic properties were caused by chlorinated secondary municipal effluent or by secondary non-chlorinated effluent. Advanced treatment by combination of coagulation and/or carbon adsorption resulted to less prominent changes, suggesting more adequate treatment. Our results suggest that GST isoenzyme profile in combination with the kinetic properties of the total enzyme family is a sensitive test for the evaluation of the adequateness of the treatment of reclaimed wastewater and the reduction of potentially harmful compounds. Potentially, it may offer a 'fingerprint' characteristic of a particular effluent and probably of the treatment level it has been subjected.

  14. 38 CFR 45.605 - Inspector General report.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Inspector General report. 45.605 Section 45.605 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... comparable to an Inspector General shall prepare and submit the annual report, or, if there is no...

  15. 38 CFR 49.51 - Monitoring and reporting program performance.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Monitoring and reporting program performance. 49.51 Section 49.51 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... not be required more frequently than quarterly or, less frequently than annually. Annual reports...

  16. 38 CFR 39.122 - Inspections, audits, and reports.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Inspections, audits, and reports. 39.122 Section 39.122 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... Single Audit Act of 1984 (see part 41 of this chapter). (b) A State will make an annual report on VA...

  17. 38 CFR 39.25 - Inspections, audits, and reports.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Inspections, audits, and reports. 39.25 Section 39.25 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... State will make an annual report on VA Form 40-0241 (“State Cemetery Data”) signed by the...

  18. Intra-accumbal blockade of endocannabinoid CB1 receptors impairs learning but not retention of conditioned relief.

    Science.gov (United States)

    Bergado Acosta, Jorge R; Schneider, Miriam; Fendt, Markus

    2017-10-01

    Humans and animals are able to associate an environmental cue with the feeling of relief from an aversive event, a phenomenon called relief learning. Relief from an aversive event is rewarding and a relief-associated cue later induces an attenuation of the startle magnitude or approach behavior. Previous studies demonstrated that the nucleus accumbens is essential for relief learning. Here, we asked whether accumbal cannabinoid type 1 (CB1) receptors are involved in relief learning. In rats, we injected the CB1 receptor antagonist/inverse agonist SR141716A (rimonabant) directly into the nucleus accumbens at different time points during a relief learning experiment. SR141716A injections immediately before the conditioning inhibited relief learning. However, SR141716A injected immediately before the retention test was not effective when conditioning was without treatment. These findings indicate that accumbal CB1 receptors play an important role in the plasticity processes underlying relief learning. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Numerical study of emergency cryogenics gas relief into confined spaces

    CERN Document Server

    CERN. Geneva

    2016-01-01

    The presented work focuses on the risk analysis and the consequences of the unexpected leak to the tunnel of cryogenics gases. Formation of the gas mixture and its propagation along tunnels is an important issue for the safe operation of cryogenic machines, including superconducting accelerators or free electron lasers. As the cryogenics gas the helium and argon will be considered. A minimal numerical model will be presented and discussed. Series of numerical results related to emergency helium relief to the CERN tunnel and related to unexpected leak of the argon to an underground tunnel, will be shown. The numerical results will show temperature distribution, oxygen deficiency and gas cloud propagation in function of intensity of the leak and intensity of the ventilation.

  20. Gain-Based Relief for Invasion of Privacy

    Directory of Open Access Journals (Sweden)

    Sirko Harder

    2013-11-01

    Full Text Available In many common law jurisdictions, some or all instances of invasion of privacy constitute a privacy-specific wrong either at common law (including equity or under statute. A remedy invariably available for such a wrong is compensation for loss. However, the plaintiff may instead seek to claim the profit the defendant has made from the invasion. This article examines when a plaintiff is, and should be, entitled to claim that profit, provided that invasion of privacy is actionable as such. After a brief overview of the relevant law in major common law jurisdictions, the article investigates how invasion of privacy fits into a general concept of what is called ‘restitution for wrongs’. It will be argued that the right to privacy is a right against the whole world and as such forms a proper basis of awarding gain-based relief for the unauthorised use of that right.