WorldWideScience

Sample records for reported eol discussions

  1. Eole 2005; Eole 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    The Eole 2005 programme is a french development programme of wind power plants joined up to the power distribution system. It has been launched in february 1996 by the ministry of Industry. The aim is to install in France a power of 250 to 500 Mw in wind power from now until 2005. Electricite de France is implied in other kind of renewable energies: hydroelectric power, biomass, solar energy, and geothermal energy. (N.C.)

  2. An integrated TSP-GA with EOL cost model for selecting the best EOL option

    Directory of Open Access Journals (Sweden)

    Zakri Ghazalli

    2011-10-01

    Full Text Available This paper presents our research works on integrating design for disassembly with cost model for end-of-life (EOL product. This paper has two objectives. The first objective is to optimize disassembly sequence of the EOL product. We integrate a traveling salesman problem approach with genetic algorithm in finding the optimal disassembly sequence for disassembling the EOL product. Based on this optimal sequence, the second objective is to identify the best EOL option. We employ EOL profits and net present value of parts and subassemblies of the EOL product to determine the best EOL option of components and parts of the EOL product. The predicted results showed that the developed cost model has reached a good correspondence with the established methods.

  3. Aeolus or Pluton?; Eole ou pluton?

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2003-07-01

    In the next years the french government will have to take great decisions in matter of energy and specifically electric power. This report aims to give an estimation of wind power channel in France supposing financial possibilities equivalent to those implemented for the EPR (European Pressurized Reactor) channel. After a presentation of the electric power industry in France, the two channels are compared. (A.L.B.)

  4. French wind power generation programme EOLE 2005 - first results

    Energy Technology Data Exchange (ETDEWEB)

    Laali, A.R. [Electricite de France (EDF), Chatou (France); Benard, M. [Electricite de France (EDF), Paris (France)

    1997-12-31

    EOLE 2005 has been launched in July 1996 by the French Ministry of Industry, Electricite de France and ADEME (Agency for Environment and Energy Management). The Ministries of Research and Environment are participating also in this programme. The purpose is to create an initial market in France for wind power generation in order to evaluate the cost-effectiveness and the competitiveness of the wind energy compared to other energy sources by 2005. The installed capacity will reach at least 250 MW and possibly 500 MW.

  5. Assessing clinical competency: reports from discussion groups.

    Science.gov (United States)

    Turnwald, Grant; Stone, Elizabeth; Bristol, David; Fuentealba, Carmen; Hardie, Lizette; Hellyer, Peter; Jaeger, Laurie; Kerwin, Sharon; Kochevar, Deborah; Lissemore, Kerry; Olsen, Christopher; Rogers, Kenita; Sabin, Beth; Swanson, Cliff; Warner, Angeline

    2008-01-01

    This report describes proposed new models for assessment of eight of the nine clinical competencies the American Veterinary Medical Association Council on Education requires for accreditation. The models were developed by discussion groups at the Association of American Veterinary Medical Colleges' Clinical Competency Symposium. Clinical competencies and proposed models (in parentheses) are described. Competency 1: comprehensive patient diagnosis (neurologic examination on a dog, clinical reasoning skills); Competency 2: comprehensive treatment planning (concept mapping, computerized case studies); Competency 3: anesthesia, pain management (student portfolio); Competency 4: surgery skills (objective structured clinical examination, cased-based examination, "super dog" model); Competency 5: medicine skills (clinical reasoning and case management, skills checklist); Competency 6: emergency and intensive care case management (computerized case study or scenario); Competency 7: health promotion, disease prevention/biosecurity (360 degrees evaluation, case-based computer simulation); Competency 8: client communications and ethical conduct (Web-based evaluation forms, client survey, communicating with stakeholders, telephone conversation, written scenario-based cases). The report also describes faculty recognition for participating in clinical competency assessments.

  6. National GAP Conference 2007-Discussion Groups Report

    Science.gov (United States)

    Ratz, Joan M.; Lamb, Berton Lee

    2010-01-01

    We led two discussion groups during the 2007 National GAP Conference. These discussion groups provided information to help develop a survey of National Gap Analysis Program (GAP) data users. One group discussed technical issues, and the second group discussed the use of GAP data for decisionmaking. Themes emerging from the technical issues group included concerns about data quality, need for information on how to use data, and passive data distribution. The decisionmaking discussion included a wide range of topics including the need to understand presentation of information, the need to connect with and understand users of data, the revision of GAP's mission, and the adaptability of products and data. The decisionmaking group also raised concerns regarding technical issues. One conclusion is that a deep commitment to ongoing information transfer and support is a key component of success for the GAP program.

  7. 21 projects have been considered in the framework of the 2005 EOLE program; 21 projets de parc eoliens ont ete retenus dans le cadre du programme eole 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-10-01

    This short paper defines the first list of projects approved by C. Pierret, State Secretary at the french Industry, in the framework of the 2005 EOLE program. These 21 projects will represent a electric power of 200 MW and will be installed all over the country. This behaviour of the political authorities and a new law project concerning the public utilities modernization and the development, allow the valorization of the wind energy park. (A.L.B.)

  8. What evidence is available on end-of-life (EOL) care and Latino elders? A literature review.

    Science.gov (United States)

    Cruz-Oliver, Dulce M; Talamantes, Melissa; Sanchez-Reilly, Sandra

    2014-02-01

    Low-income and minority persons, such as Latinos, encounter substantial barriers in accessing effective end-of-life (EOL) care. This study intends to review current evidence on how to deliver EOL care to Latino elders. Literature search in PubMed and Ovid Web sites of articles indexed in Medline (1948-2011), Cochrane (2005-2011), Embase, and PsychInfo (1967-2011) databases. Articles were included if they contained (1) study participants' race/ethnicity, (2) adults or population older than 60 years, and (3) information related to EOL care. A total of 64 abstracts were reviewed, and 38 articles met the inclusion criteria. After reviewing the quality of evidence, 4 themes were identified and summarized: EOL preferences, hospice, Latino culture, and caregiving. Latino elders have traditional acculturation practices, face EOL decisions with family support, and, if educated, are receptive toward hospice and caregiver support.

  9. Youth Reporters Discuss "Problem" Drugs. Youth Reports Number 2.

    Science.gov (United States)

    Herzog, Elizabeth; And Others

    This report on drugs is based on mail responses received from urban and suburban high school students enrolled in college preparatory courses. The questions asked of these students included: (1) how do teenagers feel about the use of the various kinds of drugs by people their age? (2) what makes some teenagers use such drugs? (3) what keeps some…

  10. discussions

    Directory of Open Access Journals (Sweden)

    Alex S. Poznyak

    2002-01-01

    Full Text Available This paper develops a version of Robust Stochastic Maximum Principle (RSMP applied to the Minimax Mayer Problem formulated for stochastic differential equations with the control-dependent diffusion term. The parametric families of first and second order adjoint stochastic processes are introduced to construct the corresponding Hamiltonian formalism. The Hamiltonian function used for the construction of the robust optimal control is shown to be equal to the Lebesque integral over a parametric set of the standard stochastic Hamiltonians corresponding to a fixed value of the uncertain parameter. The paper deals with a cost function given at finite horizon and containing the mathematical expectation of a terminal term. A terminal condition, covered by a vector function, is also considered. The optimal control strategies, adapted for available information, for the wide class of uncertain systems given by an stochastic differential equation with unknown parameters from a given compact set, are constructed. This problem belongs to the class of minimax stochastic optimization problems. The proof is based on the recent results obtained for Minimax Mayer Problem with a finite uncertainty set [14,43-45] as well as on the variation results of [53] derived for Stochastic Maximum Principle for nonlinear stochastic systems under complete information. The corresponding discussion of the obtain results concludes this study.

  11. Rumex L. species induce apoptosis in 1301, EOL-1 and H-9 cell lines.

    Science.gov (United States)

    Wegiera, Magdalena; Smolarz, Helena D; Bogucka-Kocka, Anna

    2012-01-01

    The Rumex L. (dock) species for many centuries have been used in medical treatment, through their adstringent, spasmolitic or cholagogic action. In the present study, the in vitro screening of cytotoxic activities of ethanol extract from roots, leaves and fruits of six Rumex species: R. acetosa L., R. acetosella L., R. confertus Willd., R. crispus L., R. hydrolapathum Huds. and R. obtusifolius L. were performed. We found remarkable cytotoxic activities on leukemic 1301 and EOL-1 cell lines and T cell line at concentration dependent manners. Cytotoxic activity was determined in two ways: trypan blue test and annexin-V FITC and propidium iodide assay. Received IC50 values of investigated extracts on 1301, EOL-1 and H-9 cell lines ranged from 0.22, 0.17 and 0.04 to 2.56, 1.91 and 1.83 mg/mL, respectively. Analysis of morphological changes demonstrated that the extract exerted cell-death via apoptosis. The overall activities of Rumex species support the traditional use of the extract from the fruits of R. confertus, R. crispus, R. hydrolapathum and R. obtusifolius in the treatment of cancer.

  12. Une grammaire formelle du cr\\'eole martiniquais pour la g\\'en\\'eration automatique

    CERN Document Server

    Vaillant, Pascal

    2008-01-01

    In this article, some first elements of a computational modelling of the grammar of the Martiniquese French Creole dialect are presented. The sources of inspiration for the modelling is the functional description given by Damoiseau (1984), and Pinalie's & Bernabe's (1999) grammar manual. Based on earlier works in text generation (Vaillant, 1997), a unification grammar formalism, namely Tree Adjoining Grammars (TAG), and a modelling of lexical functional categories based on syntactic and semantic properties, are used to implement a grammar of Martiniquese Creole which is used in a prototype of text generation system. One of the main applications of the system could be its use as a tool software supporting the task of learning Creole as a second language. -- Nous pr\\'esenterons dans cette communication les premiers travaux de mod\\'elisation informatique d'une grammaire de la langue cr\\'eole martiniquaise, en nous inspirant des descriptions fonctionnelles de Damoiseau (1984) ainsi que du manuel de Pinalie &a...

  13. Report on discussions with utility engineers about superconducting generators

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-03-01

    This report relates to a series of discussions with electric utility engineers concerning the integration of high-temperature superconducting (HTS) generators into the present electric power system. The current and future interest of the utilities in the purchase and use of HTS generators is assessed. Various performance and economic factors are also considered as part of this inspection of the utility prospects for HTS generators. Integration of HTS generators into the electric utility sector is one goal of the Superconductivity Partnership Initiative (SPI). The SPI, a major part of the Department of Energy (DOE) Superconductivity Program for Electric Systems, features vertical teaming of a major industrial power apparatus manufacturers, a producer of HTS wire, and an end-user with assistance and technical support for the national laboratories. The SPI effort on HTS generators is headed by a General Electric Corporation internal team comprised of the Corporate Research Laboratories, Power Generation Engineering, and Power Systems Group. Intermagnetics General corporation, which assisted in the development of the superconducting coils, is the HTS wire and tape manufacturer. Additional technical support is provided by the national laboratories: Argonne, Los Alamos, and Oak Ridge, and the New York State Institute on Superconductivity. The end-user is represented by Niagara-Mohawk and the Electric Power Research Institute.

  14. BOL and EOL Characterization of Azur 3G Lilt Solar Cells for ESA Juice Mission

    Directory of Open Access Journals (Sweden)

    Khorenko Victor

    2017-01-01

    Full Text Available In the present paper, we describe the results of electrical characterization of AZUR SPACE triple-junction solar cells at a sun light intensity of 3.7% AM0 and temperatures down to −150°C. At these conditions, which are relevant for the anticipated ESA JUICE mission, the cell efficiency reaches 33.5 % at BOL. Special attention has been paid to the establishing of an in-situ characterization procedure for defining EOL cell characteristics after electron and proton irradiation at low temperature low intensity condition. It was shown that solar cells irradiated at low temperature exhibit a strong recovery effect within short time after stopping the irradiation whereas the absolute value of the recovery depends on the irradiation fluence and particle type. Further on, it was demonstrated that the degradation of the maximum power, Pmp, is much stronger than the degradation of Isc and Voc values. Experimentally defined remaining factors for electron and proton irradiation and the quantification of the observed recovery effects allow a realistic prediction of the solar cell performance at JUICE mission conditions and are essential for the planned solar cell qualification activities.

  15. Annual Report 2000; Rapport annuel 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    This annual report gives the activities during the year 2000 and information about the General Direction of the Energy and Raw Materials (DGEMP) in France. The highlights of the year are discussed in the main following topics: public utilities, the Erika oil slick, the petroleum products prices increase, the energy efficiency national program, Eole 2005, the nuclear industry management. The french energy accounting, the publications and the organization of the DGEMP are also provided. (A.L.B.)

  16. Responding to Financial Reductions Reports from the Discussion Groups.

    Science.gov (United States)

    International Journal of Institutional Management in Higher Education, 1986

    1986-01-01

    The discussions of participants of a workshop concerning the effects of retrenchment on teaching and research, institutional policies, and institutional operations in European higher educational institutions are summarized. (MSE)

  17. [Body dysmorphic disorder and psychosis. Case reports and discussion].

    Science.gov (United States)

    Loréa, N; Van Wijnendaele, R

    2012-02-01

    The diagnosis of patients who have a preoccupation about physical ugliness is not easy. Many diagnoses can be made. Body dysmorphic disorder (BDD) is defined as a preoccupation with an imaginary defect in physical appearance. What seems difficult in this diagnosis is to make the difference between the psychotic and the non-psychotic form of the disorder. If the patient becomes delusional, we have to make the diagnosis of delusional disorder, somatic subtype. Sometimes it is not easy to make the difference between the delusional and non-delusional form of the illness. A good example is the so-called "olfactory reference syndrome" (ORS), which involves the persistent preoccupation with one's body odour. To make it more difficult, the preoccupation with one's appearance can be seen in many other disorders, such as schizophrenia, or major depressive disorders. We present three cases of dysmorphophobic patients, to discuss their diagnosis and show how we have to be careful about this delusional versus non-delusional difference. The first case is a young man, aged 20 year, who exhibits the typical picture of an ORS. He has probable olfactory hallucinations. He had good response to a treatment combining escitalopram 15mg and risperidone 1mg. The second case had a first appearance of BDD, but he had auditive hallucinations and the evolution showed a pattern more typical of schizophrenia, paranoid subtype. He responded initially to citalopram 20mg and ripseridone 2mg. Sleepy with risperidone, it was shifted to amisulpiride 200mg. After five years, it was possible to stop the amisulpiride, but we had to maintain it to avoid a relapse. The third case is typical of schizophrenia, with a pseudo neurotic aspect, and its course was terrible, with poor response to all neuroleptic therapy, including clozapine. These three cases are typical of a feature rarely reported in the literature: the delusional aspect of a dysmorphophobic concern. The literature mainly focuses on the more

  18. Group reports. The recommendations proposed by the seven discussion groups

    NARCIS (Netherlands)

    NN,

    1989-01-01

    GROUP 1 — Discussion leader S.H. Sohmer — Organization and the ideal format of a large Flora (over 10,000 species) The Working Group first recognized that there are really two major categories of Flora projects serving quite different needs in the Malesian region: the local/national projects that

  19. Pulmonary Nodules with Cutaneous Manifestations: A Case Report and Discussion

    Directory of Open Access Journals (Sweden)

    Ardiles T

    2012-04-01

    Full Text Available The differential diagnosis of multiple pulmonary nodules is large and includes congenital and inherited disorders, malignancy, infectious etiologies, noninfectious granulomatous and inflammatory conditions,among many others. Diagnostic evaluation is aided by attention to extrapulmonary symptoms and features. We herein describe an unusual case of multiple pulmonary nodules attributed to cysticercosis and present a discussion of pathophysiologic changes related to medications and highlight the diagnostic value of extrapulmonary cutaneous features.

  20. Biventricular takotsubo cardiomyopathy: case report and general discussion.

    Science.gov (United States)

    Angelini, Paolo; Monge, Jorge; Simpson, Leo

    2013-01-01

    In recent years, our understanding of the physiologic mechanisms of transient takotsubo cardiomyopathy has improved because of the growing use of emergent heart catheterization in patients who present with severe ischemic syndromes. However, even this procedure has revealed only that, in most patients with takotsubo syndrome, the sudden onset of ventricular dysfunction is not due to fixed coronary artery occlusions. We present a case of transient takotsubo cardiomyopathy with an exceptional feature--uneven impairment of both right and left ventricular function, or biventricular takotsubo--and we discuss a novel, comprehensive theory that we have devised to explain the pathophysiology of this syndrome's many manifestations.

  1. ILEWG report and discussion on Lunar Science and Exploration

    Science.gov (United States)

    Foing, Bernard

    2015-04-01

    The EGU PS2.2 session "Lunar Science and Exploration" will include oral papers and posters, and a series of discussions. Members of ILEWG International Lunar Exploration Working Group will debate: - Recent lunar results: geochemistry, geophysics in the context of open - Celebrating the lunar legacy of pioneers Gerhard Neukum, Colin Pillinger and Manfred Fuchs planetary science and exploration - Latest results from LADEE and Chang'e 3/4 - Synthesis of results from SMART-1, Kaguya, Chang-E1 and Chang-E2, Chandrayaan-1, Lunar Reconnaissance Orbiter and LCROSS impactor, Artemis and GRAIL - Goals and Status of missions under preparation: orbiters, Luna-Glob, Google Lunar X Prize, Luna Resurs, Chang'E 5, Future landers, Lunar sample return - Precursor missions, instruments and investigations for landers, rovers, sample return, and human cis-lunar activities and human lunar sorties - Preparation: databases, instruments, terrestrial field campaigns - The future international lunar exploration programme towards ILEWG roadmap of a global robotic village and permanent international lunar base - The proposals for an International Lunar Decade and International Lunar Research Parks - Strategic Knowledge Gaps, and key science Goals relevant to Human Lunar Global Exploration Lunar science and exploration are developing further with new and exciting missions being developed by China, the US, Japan, India, Russia, Korea and Europe, and with the perspective of robotic and human exploration. The session will include invited and contributed talks as well as a panel discussion and interactive posters with short oral introduction.

  2. Galactorrhea Following Citalopram Treatment: A Case Report and Discussion

    Directory of Open Access Journals (Sweden)

    Horst J. Koch

    2011-01-01

    Full Text Available We report the case of a 25-year-old women suffering from major depression who was treated with citalopram for several weeks with doses between 20 mg and 60 mg. She gradually developed marked mydriasis within 2 months after treatment and subsequently neuritis nervi optici. Moreover, abrupt galactorrhea occurred after 2 months of treatment. All neuro-ophthalmological, neurophysiological, clinical laboratory, and neuroradiological diagnostic efforts did not reveal an underlying organic pathophysiology. The ocular symptoms disappeared rapidly after the discontinuation of citalopram and pulse therapy with methyl-prednisolone. However, galactorrhea persisted for a few weeks necessitating treatment with bromocriptine.

  3. Molecular cloning and characterization of ETHYLENE OVERPRODUCER 1-LIKE 1 gene, LeEOL1, from tomato (Lycopersicon esculentum Mill.) fruit.

    Science.gov (United States)

    Zhu, Hong-Liang; Zhu, Ben-Zhong; Shao, Yi; Lin, Xi-Jin; Wang, Xiao-Guang; Gao, Hong-Yan; Xie, Yun-Hong; Li, Ying-Cong; Luo, Yun-Bo

    2007-04-01

    Recently, ETHYLENE OVERPRODUCER 1 (ETO1) had been cloned and identified as a negative post-transcriptional regulator in the ethylene biosynthesis in Arabidopsis. However, little was known about the role of ETO1 in other species, especially in tomato, which was an ideal model for studying the biosynthesis of ethylene during tomato fruit ripening. In this study, a tomato ETHYLENE OVERPRODUCER 1-LIKE 1 (LeEOL1) was cloned. The LeEOL1 cDNA was 3,515 bp long and carried an ORF that putatively encoded a polypeptide of 886 amino acids with a predicted molecular mass of 95 kDa. It shared 74% identity in amino acid sequence with Arabidopsis EOL1 and had one BTB (Broad-complex, Tramtrack, Bric-à-brac) domain and two TPR (tetratricopeptide repeat) domains, which were also conserved domains in AtEOL1. RT-PCR analysis of the temporal expression of LeEOL1 showed that its transcript decreased companied with increase of ethylene production in tomato ripening. The level of LeEOL1 transcripts in wild type tomato fruit at mature green stage did not distinctively change when treated with exogenous ethylene.

  4. Assuring the Performance of Buildings and Infrastructures: Report of Discussions

    Energy Technology Data Exchange (ETDEWEB)

    Hunter, Regina L.

    1999-05-28

    How to ensure the appropriate performance of our built environment in the face of normal conditions, natural hazards, and malevolent threats is an issue of emerging national and international importance. As the world population increases, new construction must be increasingly cost effective and at the same time increasingly secure, safe, and durable. As the existing infrastructure ages, materials and techniques for retrofitting must be developed in parallel with improvements in design, engineering, and building codes for new construction. Both new and renovated structures are more often being subjected to the scrutiny of risk analysis. An international conference, "Assuring the Performance of Buildings and Infrastructures," was held in May 1997 to address some of these issues. The conference was co-sponsored by the Architectural Engineering Division of the American Society of Civil Engineers (ASCE), the American Institute of Architects, and Sandia National Laboratories and convened in Albuquerque, NM. Many of the papers presented at the conference are found within this issue of Techno20~. This paper presents some of the major conference themes and summarizes discussions not found in the other papers.

  5. LITHIUM TOXICITY IN ELDERLY-A CASE REPORT AND DISCUSSION

    Directory of Open Access Journals (Sweden)

    Mariana D. Arnaoudova

    2014-07-01

    Full Text Available Background: The therapeutic effect of Lithium as a mono therapy or as an augmenting agent in a variety of medical and psychiatric disorders is under doubt. However, lithium is associated with a number of adverse effects. Method and objective: A review of the literature on lithium use in older adults and a case report presentation. Summary of results: The literature, concerning current uses of Lithium in older patients, especially for patients with neurologic or cognitive impairments is limited due to the lack of well-designed, large clinical trials. Elderly patients are at higher risk to develop neurotoxicity in the course of lithium therapy. We present a case of 66 years old female patient, suffering bipolar disorder, who developed lithium toxicity and was admitted at the gerontopsychiatric department due to a confusional state, tremor and gait abnormality. Lithium toxicity was suspected when sufficient information about previous medical history of lithium therapy has been obtained. Lithium level found to be 1.69mmol/L. The patient has developed intoxication during maintenance therapy with a lithium dosage which had been unchanged for months. Conclusion: Elderly patients require lower doses of Lithium to achieve similar serum concentrations as those in younger adults. Neurotoxicity could be suspected at serum lithium levels which are considered therapeutic in younger adults. When prescribing lithium agents in elderly we should consider age-related changes in pharmacokinetics. The best way to prevent lithium toxicity is to control the serum concentration regularly during therapy.

  6. No Easy Talk: A Mixed Methods Study of Doctor Reported Barriers to Conducting Effective End-of-Life Conversations with Diverse Patients.

    Directory of Open Access Journals (Sweden)

    Vyjeyanthi S Periyakoil

    Full Text Available Though most patients wish to discuss end-of-life (EOL issues, doctors are reluctant to conduct end-of-life conversations. Little is known about the barriers doctors face in conducting effective EOL conversations with diverse patients. This mixed methods study was undertaken to empirically identify barriers faced by doctors (if any in conducting effective EOL conversations with diverse patients and to determine if the doctors' age, gender, ethnicity and medical sub-specialty influenced the barriers reported.Mixed-methods study of multi-specialty doctors caring for diverse, seriously ill patients in two large academic medical centers at the end of the training; data were collected from 2010 to 2012.Doctor-reported barriers to EOL conversations with diverse patients.1040 of 1234 potential subjects (84.3% participated. 29 participants were designated as the development cohort for coding and grounded theory analyses to identify primary barriers. The codes were validated by analyses of responses from 50 randomly drawn subjects from the validation cohort (n= 996 doctors. Qualitative responses from the validation cohort were coded and analyzed using quantitative methods. Only 0.01% doctors reported no barriers to conducting EOL conversations with patients. 99.99% doctors reported barriers with 85.7% finding it very challenging to conduct EOL conversations with all patients and especially so with patients whose ethnicity was different than their own. Asian-American doctors reported the most struggles (91.3%, followed by African Americans (85.3%, Caucasians (83.5% and Hispanic Americans (79.3% in conducting EOL conversations with their patients. The biggest doctor-reported barriers to effective EOL conversations are (i language and medical interpretation issues, (ii patient/family religio-spiritual beliefs about death and dying, (iii doctors' ignorance of patients' cultural beliefs, values and practices, (iv patient/family's cultural differences in truth

  7. No Easy Talk: A Mixed Methods Study of Doctor Reported Barriers to Conducting Effective End-of-Life Conversations with Diverse Patients.

    Science.gov (United States)

    Periyakoil, Vyjeyanthi S; Neri, Eric; Kraemer, Helena

    2015-01-01

    Though most patients wish to discuss end-of-life (EOL) issues, doctors are reluctant to conduct end-of-life conversations. Little is known about the barriers doctors face in conducting effective EOL conversations with diverse patients. This mixed methods study was undertaken to empirically identify barriers faced by doctors (if any) in conducting effective EOL conversations with diverse patients and to determine if the doctors' age, gender, ethnicity and medical sub-specialty influenced the barriers reported. Mixed-methods study of multi-specialty doctors caring for diverse, seriously ill patients in two large academic medical centers at the end of the training; data were collected from 2010 to 2012. Doctor-reported barriers to EOL conversations with diverse patients. 1040 of 1234 potential subjects (84.3%) participated. 29 participants were designated as the development cohort for coding and grounded theory analyses to identify primary barriers. The codes were validated by analyses of responses from 50 randomly drawn subjects from the validation cohort (n= 996 doctors). Qualitative responses from the validation cohort were coded and analyzed using quantitative methods. Only 0.01% doctors reported no barriers to conducting EOL conversations with patients. 99.99% doctors reported barriers with 85.7% finding it very challenging to conduct EOL conversations with all patients and especially so with patients whose ethnicity was different than their own. Asian-American doctors reported the most struggles (91.3%), followed by African Americans (85.3%), Caucasians (83.5%) and Hispanic Americans (79.3%) in conducting EOL conversations with their patients. The biggest doctor-reported barriers to effective EOL conversations are (i) language and medical interpretation issues, (ii) patient/family religio-spiritual beliefs about death and dying, (iii) doctors' ignorance of patients' cultural beliefs, values and practices, (iv) patient/family's cultural differences in truth

  8. Saturday 4 November 2006: Eole and/or E.ON fault?; Samedi 4 novembre 2006: la faute a Eole ou/et E.ON?

    Energy Technology Data Exchange (ETDEWEB)

    Poizat, F

    2006-12-15

    According to the UCTE (Union for the Coordination of Transmission of Electricity) Interim Report, it appears that the wind generators all over Europe suffered from the over-frequencies or under-frequencies resulting from the splitting of the European electricity transmission grid: besides 15 million customers being cut off from the electric supply, more than 10,000 MW, i.e. 60 % of the wind generation became un-operational. This made the production deficiency in Western Europe even worse, constraining the grid controllers to proceed with further load shedding in order to recover the situation. Moreover, as the classic production units were being stopped to reduce the excessive frequency, the wind generators in the Eastern zone began to reconnect automatically as the over-frequency was progressively being damped, complicating the task of the Central European dispatchers, at the risk of a complete collapse. Adding to the anarchic behavior of the wind generators is the suspicion that they contributed to the set of circumstances (human and organizational errors in particular) from which the black-out originated. This hypothesis rests on the poor accuracy of the production projections of a wind energy fleet as large as that of Germany (a power capacity reaching almost 20,000 MW)

  9. Local Neutron Flux Distribution Measurements by Wire-Dosimetry in the AMMON Experimental Program in the EOLE Reactor

    Directory of Open Access Journals (Sweden)

    Gruel A.

    2016-01-01

    Full Text Available Dosimetry measurements were carried out during the AMMON experimental program, in the EOLE facility. Al-0.1 wt% Au wires were positioned along curved fuel plates of JHR-type assemblies to investigate the azimuthal and axial gold capture rate profiles, directly linked to the thermal and epithermal flux. After irradiation, wires were cut into small segments (a few mm, and the gold capture rate of each part was measured by gamma spectrometry on the MADERE platform. This paper presents results in the “hafnium” configuration, and more specifically the azimuthal flux profile characterization. The final uncertainty on each measured wire lies below 1% (at 2 standard deviations. Experimental profiles are in a good agreement against Monte Carlo calculations, and the 4% capture rate increase at the plate edge is well observed. The flux dissymmetry due to assembly position in the core is also measured, and shows a 10% discrepancy between the two edges of the plate.

  10. The Next Generation of Airborne Polarimetric Doppler Weather Radar: NCAR/EOL Airborne Phased Array Radar (APAR) Development

    Science.gov (United States)

    Moore, James; Lee, Wen-Chau; Loew, Eric; Vivekanandan, Jothiram; Grubišić, Vanda; Tsai, Peisang; Dixon, Mike; Emmett, Jonathan; Lord, Mark; Lussier, Louis; Hwang, Kyuil; Ranson, James

    2017-04-01

    The National Center for Atmospheric Research (NCAR) Earth observing Laboratory (EOL) is entering the third year of preliminary system design studies, engineering prototype testing and project management plan preparation for the development of a novel Airborne Phased Array Radar (APAR). This system being designed by NCAR/EOL will be installed and operated on the NSF/NCAR C-130 aircraft. The APAR system will consist of four removable C-band Active Electronically Scanned Arrays (AESA) strategically placed on the fuselage of the aircraft. Each AESA measures approximately 1.5 x 1.9 m and is composed of 3000 active radiating elements arranged in an array of line replaceable units (LRU) to simplify maintenance. APAR will provide unprecedented observations, and in conjunction with the advanced radar data assimilation schema, will be able to address the key science questions to improve understanding and predictability of significant and high-impact weather APAR, operating at C-band, allows the measurement of 3-D kinematics of the more intense portions of storms (e.g. thunderstorm dynamics and tornadic development, tropical cyclone rainband structure and evolution) with less attenuation compared with current airborne Doppler radar systems. Polarimetric measurements are not available from current airborne tail Doppler radars. However, APAR, with dual-Doppler and dual polarization diversity at a lesser attenuating C-band wavelength, will further advance the understanding of the microphysical processes within a variety of precipitation systems. The radar is sensitive enough to provide high resolution measurements of winter storm dynamics and microphysics. The planned APAR development that would bring the system to operational readiness for research community use aboard the C-130 is expected to take 8 years once major funding support is realized. The authors will review the overall APAR design and provide new details of the system based on our Technical Requirements Document

  11. December 7, 2000. General framework: the European and French contexts. Results of the Eole 2005 program: the lessons; 7 decembre 2000. Cadrage general: les contextes europeens et francais. Resultats du programme Eole 2005: les enseignements

    Energy Technology Data Exchange (ETDEWEB)

    Bal, J.L.; Chabot, B. [Agence de l' Environnement et de la Maitrise de l' Energie, ADEME, 75 - Paris (France); Grandidier, J.Y. [Association de l' Energie Eolienne en France, 11 - Narbonne (France); Germa, Ph. [IENA Environnement, France (France); Argenson, A.; Dugue, Ch. [Cabinet GERMA, 34 - Montpellier (France); Fassi Fihri, M.A. [Office National de l' Electricite (Morocco); Wagner, A. [Enron Wind Corp. (Germany); Krogsgaard, P. [BTM Consult ApS, Ringkbing (Denmark); Gonzalvez, C.H. [Institute for Diversification and Energy Saving (IDAE), Madrid (Spain)

    2001-03-01

    This first day of conference was organized in two parts: the first part was devoted to a presentation of the French and European contexts of the development of wind power. After a general presentation of the aims of the colloquium, a round table was organized about the European context of development of wind energy with its application to France in the framework of the new organization of the electric power industry. Testimonies about the means used by governments for the sustain of wind energy development were presented with the examples of Spain and Germany. The second part of the day was devoted to the presentation of the results of the French wind energy program 'Eole 2005' and of the lessons gained: detailed presentation of the sustain program for a minimum of 5000 MW installed power in 2010, strategic analysis of the program (projects, R and D actions, companies), the economical workability of wind power projects (tariffs, point-of-view of French and European operators), the export development prospects for the 2000-2005 era and the main international markets at the 2005-2010 vista (examples of Denmark, Portugal and Morocco). (J.S.)

  12. Linking Bibliographic Data Bases: A Discussion of the Battelle Technical Report.

    Science.gov (United States)

    Jones, C. Lee

    This document establishes the context, summarizes the contents, and discusses the Battelle technical report, noting certain constraints of the study. Further steps for the linking of bibliographic databases for use by academic and public libraries are suggested. (RAA)

  13. Democratic discussion in newspaper reporting of the Australia-United States Free Trade Agreement.

    Science.gov (United States)

    Sykes, Robbie

    2008-10-01

    This article presents a Habermasian analysis of newspaper reporting of the debate surrounding the effect of the Australia-United States Free Trade Agreement (the FTA) on access to medicines through Australian patent law. Habermas's concept of the public sphere is utilised in determining whether discussion within the print media adequately conveyed complex legal issues to the public and facilitated democratic discussion. It was found that newspaper reporting generally failed to meet this standard.

  14. ENVIRONMENTS and EOL

    DEFF Research Database (Denmark)

    Pafilis, Evangelos; Pletscher-Frankild, Sune; Schnetzer, Julia

    2015-01-01

    SUMMARY: The association of organisms to their environments is a key issue in exploring biodiversity patterns. This knowledge has traditionally been scattered, but textual descriptions of taxa and their habitats are now being consolidated in centralized resources. However, structured annotations...

  15. The Nature and Purposes of the University; A Discussion Memorandum. Interim Report.

    Science.gov (United States)

    Harvard Univ., Cambridge , MA. Univ. Committee on Governance.

    This report on the nature and purposes of Harvard University presents: (1) a brief overview of the present governance crisis at Harvard; (2) a discussion of the traditional values and purposes of the University; and (3) the issues facing the University. These issues include: (1) the external aspects of corporate decisions, i.e., the question of…

  16. Final report for the Light Water Breeder Reactor proof-of-breeding analytical support project

    Energy Technology Data Exchange (ETDEWEB)

    Graczyk, D.G.; Hoh, J.C.; Martino, F.J.; Nelson, R.E.; Osudar, J.; Levitz, N.M.

    1987-05-01

    The technology of breeding /sup 233/U from /sup 232/Th in a light water reactor is being developed and evaluated by the Westinghouse Bettis Atomic Power Laboratory (BAPL) through operation and examination of the Shippingport Light Water Breeder Reactor (LWBR). Bettis is determining the end-of-life (EOL) inventory of fissile uranium in the LWBR core by nondestructive assay of a statistical sample comprising approximately 500 EOL fuel rods. This determination is being made with an irradiated-fuel assay gauge based on neutron interrogation and detection of delayed neutrons from each rod. The EOL fissile inventory will be compared with the beginning-of-life fissile loading of the LWBR to determine the extent of breeding. In support of the BAPL proof-of-breeding (POB) effort, Argonne National Laboratory (ANL) carried out destructive physical, chemical, and radiometric analyses on 17 EOL LWBR fuel rods that were previously assayed with the nondestructive gauge. The ANL work included measurements on the intact rods; shearing of the rods into pre-designated contiguous segments; separate dissolution of each of the more than 150 segments; and analysis of the dissolver solutions to determine each segment's uranium content, uranium isotopic composition, and loading of selected fission products. This report describes the facilities in which this work was carried out, details operations involved in processing each rod, and presents a comprehensive discussion of uncertainties associated with each result of the ANL measurements. Most operations were carried out remotely in shielded cells. Automated equipment and procedures, controlled by a computer system, provided error-free data acquisition and processing, as well as full replication of operations with each rod. Despite difficulties that arose during processing of a few rod segments, the ANL destructive-assay results satisfied the demanding needs of the parent LWBR-POB program.

  17. Discussing study limitations in reports of biomedical studies- the need for more transparency

    Directory of Open Access Journals (Sweden)

    Puhan Milo A

    2012-02-01

    Full Text Available Abstract Unbiased and frank discussion of study limitations by authors represents a crucial part of the scientific discourse and progress. In today's culture of publishing many authors or scientific teams probably balance 'utter honesty' when discussing limitations of their research with the risk of being unable to publish their work. Currently, too few papers in the medical literature frankly discuss how limitations could have affected the study findings and interpretations. The goals of this commentary are to review how limitations are currently acknowledged in the medical literature, to discuss the implications of limitations in biomedical studies, and to make suggestions as to how to openly discuss limitations for scientists submitting their papers to journals. This commentary was developed through discussion and logical arguments by the authors who are doing research in the area of hedging (use of language to express uncertainty and who have extensive experience as authors and editors of biomedical papers. We strongly encourage authors to report on all potentially important limitations that may have affected the quality and interpretation of the evidence being presented. This will not only benefit science but also offers incentives for authors: If not all important limitations are acknowledged readers and reviewers of scientific articles may perceive that the authors were unaware of them. Authors should take advantage of their content knowledge and familiarity with the study to prevent misinterpretations of the limitations by reviewers and readers. Articles discussing limitations help shape the future research agenda and are likely to be cited because they have informed the design and conduct of future studies. Instead of perceiving acknowledgment of limitations negatively, authors, reviewers and editors should recognize the potential of a frank and unbiased discussion of study limitations that should not jeopardize acceptance of

  18. Congenital duodenal obstruction with situs inversus totalis: Report of a rare association and discussion

    Directory of Open Access Journals (Sweden)

    Sharma Satendra

    2008-01-01

    Full Text Available This report is to present and discuss an extremely rare association of situs inversus with duodenal atresia in an 11-day-old male neonate born full term and weighing 1.9 kg. The baby presented with recurrent bilious vomiting. Babygram revealed situs inversus and duodenal obstruction. Echocardiography showed dextrocardia with a small ASD. Exploration confirmed a duodenal diaphragm with a central perforation between the third and fourth part of the duodenum and situs inversus. The literature search revealed 20 cases reported so far.

  19. [Coma following chemotherapy: is 5FU implicated? Discussion about on case-report].

    Science.gov (United States)

    Heluwaert, Frédéric; Santre, Charles; Martin, Claude; Hilleret, Marie-Noëlle; Martin, Denis

    2006-02-01

    5FU is one of the most frequently used antioncogenic and cytostatic drug in digestive oncology. It may cause severe adverse events, such as encephalopathy, possibly based on hyperammoniemia, and may lead to coma. We report here the case of a coma with a favorable outcome following 5FU chemotherapy. As any other etiologic findings came to light, hyperammoniemia was discussed as a credible cause.

  20. Development and Pilot Evaluation of a Novel Dignity-Conserving End-of-Life (EoL) Care Model for Nursing Homes in Chinese Societies.

    Science.gov (United States)

    Ho, Andy H Y; Dai, Annie A N; Lam, Shu-Hang; Wong, Sandy W P; Tsui, Amy L M; Tang, Jervis C S; Lou, Vivian W Q

    2016-06-01

    The provision of end-of-life (EoL) care in long-term-care settings remains largely underdeveloped in most Chinese societies, and nursing home residents often fail to obtain good care as they approach death. This paper systematically describes the development and implementation mechanisms of a novel Dignity-Conserving EoL Care model that has been successfully adopted by three nursing homes in Hong Kong and presents preliminary evidence of its effectiveness on enhancing dignity and quality of life (QoL) of terminally ill residents. Nine terminally ill nursing home residents completed the McGill Quality of Life Questionnaire and the Nursing Facilities Quality of Life Questionnaire at baseline and 6 months post-EoL program enrollment. Wilcoxon signed rank test was used to detect significance changes in each QoL domains across time. Although significant deterioration was recorded for physical QoL, significant improvement was observed for social QoL. Moreover, a clear trend toward significant improvements was identified for the QoL domains of individuality and relationships. A holistic and compassionate caring environment, together with the core principles of family-centered care, interagency and interdisciplinary teamwork, as well as cultural-specific psycho-socio-spiritual support, are all essential elements for optimizing QoL and promoting death with dignity for nursing home residents facing morality. This study provides a useful framework to facilitate the future development of EoL care in long-term-care settings in the Chinese context. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Association of Early Patient-Physician Care Planning Discussions and End-of-Life Care Intensity in Advanced Cancer

    Science.gov (United States)

    Tisnado, Diana M.; Walling, Anne M.; Dy, Sydney M.; Asch, Steven M.; Ettner, Susan L.; Kim, Benjamin; Pantoja, Philip; Schreibeis-Baum, Hannah C.; Lorenz, Karl A.

    2015-01-01

    Abstract Background: Early patient-physician care planning discussions may influence the intensity of end-of-life (EOL) care received by veterans with advanced cancer. Objective: The study objective was to evaluate the association between medical record documentation of patient-physician care planning discussions and intensity of EOL care among veterans with advanced cancer. Methods: This was a retrospective cohort study. Subjects were 665 veteran decedents diagnosed with stage IV colorectal, lung, or pancreatic cancer in 2008, and followed till death or the end of the study period in 2011. We estimated the effect of patient-physician care planning discussions documented within one month of metastatic diagnosis on the intensity of EOL care measured by receipt of acute care, intensive interventions, chemotherapy, and hospice care, using multivariate logistic regression models. Results: Veterans in our study were predominantly male (97.1%), white (74.7%), with an average age at diagnosis of 66.4 years. Approximately 31% received some acute care, 9.3% received some intensive intervention, and 6.5% had a new chemotherapy regimen initiated in the last month of life. Approximately 41% of decedents received no hospice or were admitted within three days of death. Almost half (46.8%) had documentation of a care planning discussion within the first month after diagnosis and those who did were significantly less likely to receive acute care at EOL (OR: 0.67; p=0.025). Documented discussions were not significantly associated with intensive interventions, chemotherapy, or hospice care. Conclusion: Early care planning discussions are associated with lower rates of acute care use at the EOL in a system with already low rates of intensive EOL care. PMID:26186553

  2. Challenges in coronary CTO intervention after TAVR: a case report and discussion.

    Science.gov (United States)

    Murarka, Shishir; Pershad, Ashish

    2015-01-01

    Progression of coronary arteries after transcatheter aortic valve replacement is an important issue. Coronary revascularization in these patients can be challenging because of potential hindrance posed by the artificial valve structure in getting access to the coronary ostium. This gets even more difficult in chronic total occlusions (CTOs) that represent the most complex subset of coronary lesions. We report the first case of coronary CTO revascularization in a patient who underwent TAVR a few months prior and discuss the complexities involved in intervening such lesions. Copyright © 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

  3. [Scoliosis secondary to tuberculous spondylitis: A case report and discussion of diagnosis].

    Science.gov (United States)

    Bouillot, L; Kayayan, H; Goiset, E

    2015-12-01

    Idiopathic scoliosis is the most common form of spinal deformity in adolescence. However, secondary causes of scoliosis should always be considered so as to provide appropriate treatment and avoid complications. Additional explorations, such as MRI, are required in the presence of atypical signs. We report a case of spinal tuberculosis, or Pott's disease, misdiagnosed as idiopathic scoliosis, and then present a discussion to help identify the warning signs during the evaluation of scoliosis that might indicate secondary scoliosis and suggest when to perform further radiologic exploration.

  4. Discussion: Reporting and calibration of post-bomb 14C data

    Energy Technology Data Exchange (ETDEWEB)

    Reimer, P J; Brown, T A; Reimer, R W

    2004-10-11

    The definitive paper by Stuiver and Polach (1977) established the conventions for reporting of {sup 14}C data for chronological and geophysical studies based on the radioactive decay of {sup 14}C in the sample since the year of sample death or formation. Several ways of reporting {sup 14}C activity levels relative to a standard were also established, but no specific instructions were given for reporting nuclear weapons testing (post-bomb) {sup 14}C levels in samples. Because the use of post-bomb {sup 14}C is becoming more prevalent in forensics, biology, and geosciences, a convention needs to be adopted. We advocate the use of fraction modern with a new symbol F{sup 14}C to prevent confusion with the previously used Fm, which may or may not have been fractionation corrected. We also discuss the calibration of post-bomb {sup 14}C samples and the available datasets and compilations, but do not give a recommendation for a particular dataset.

  5. PSYCHOPATHOLOGICAL DYNAMICS OF A DISASTER VICTIM, REJECTING MENTAL HEALTH CARE – A CASE REPORT AND DISCUSSION

    Directory of Open Access Journals (Sweden)

    Ivan Aleksandrov

    2017-05-01

    Full Text Available Background: Seeking and receiving psychological help after a stressful life event is associated with certain prejudice attitudes, especially present in minority ethnic groups. Case description: This case report describes the specific reactions and psychopathological dynamics of a female patient, the age of 43, who survived the terrible accident on December the 10th 2016, in Hitrino village. Discussion: Due to stigmatising beliefs, patient reluctantly had only a few meeting with a clinical psychologist, refused proper psychiatric treatment, and developed an acute stress reaction in the first few days after the accident, followed by post-traumatic stress disorder the next few weeks, as described chronologically in the ICD-10. Conclusion: Stigmatising beliefs are further amplified by ethnic minorities’ prejudice of seeking mental health and having a mental illness, which affects professionals’ ability to provide comprehensive medical care.

  6. National objectives and flexible mechanisms: A discussions report; Nationella maal och flexibla mekanismer: En diskussionsrapport

    Energy Technology Data Exchange (ETDEWEB)

    Johansson, Bengt

    2003-11-01

    The Swedish climate policy has the target that the national emissions of greenhouse gases should be reduced 4%, compared to the 1990 level. But according to the EU common policy in line with the Kyoto agreement, Sweden has the right to increase the emissions by 4%. The Kyoto obligations could also be fulfilled by acting through the flexible mechanisms. In the present report the following issues are discussed: Why did Sweden set so ambitious targets; How can you handle the interconnection between national targets and flexible mechanisms; Methods to determine the amounts of the emissions rights that should be allocated to the trading sectors; Are there alternative means for achieveing the targets that the national objectives have set.

  7. The Role of End-of-Life Issues in the Design and Reporting of Cancer Clinical Trials: A Structured Literature Review.

    Directory of Open Access Journals (Sweden)

    Jan Gaertner

    implications of treatment-related harms for the patients were discussed in 22/100 appraisals. Terminology referring to the patients' EoL situation (e.g. "terminal" was scarce, whereas terms suggesting control of the disease (e.g. "cancer control" were common.The EoL situation of patients with advanced cancer should be more carefully considered in clinical trials. Although the investigation and robust reporting of PROs is a prerequisite for informed decision-making in healthcare, they are rarely defined as endpoints and HRQoL is rarely mentioned as a therapeutic goal. Suggestions for improving standards for study design and reporting are presented.

  8. Psychogenic voice disorders and traumatic stress experience: a discussion paper with two case reports.

    Science.gov (United States)

    Baker, Janet

    2003-09-01

    Psychogenic dysphonia refers to loss of voice where there is insufficient structural or neurological pathology to account for the nature and severity of the dysphonia, and where loss of volitional control over phonation seems to be related to psychological processes such as anxiety, depression, conversion reaction, or personality disorder. Such dysphonias may often develop post-viral infection with laryngitis, and generally in close proximity to emotionally or psychologically taxing experiences, where "conflict over speaking out" is an issue. In more rare instances, severe and persistent psychogenic dysphonia may develop under innocuous or unrelated circumstances, but over time, it may be traced back to traumatic stress experiences that occurred many months or years prior to the onset of the voice disorder. In such cases, the qualitative nature of the traumatic experience may be reflected in the way the psychogenic voice disorder presents. The possible relationship between psychogenic dysphonia and earlier traumatic stress experience is discussed, and the reportedly low prevalence of conversion reaction (4% to 5%) as the basis for psychogenic dysphonia is challenged. Two cases are presented to illustrate the issues raised: the first, a young woman who was sexually assaulted and chose to "keep her secret," and the second, a 52-year-old woman who developed a psychogenic dysphonia following a second, modified thyroplasty for a unilateral vocal fold paresis.

  9. Homicidal behavior and sleep apnea: a case report and medicolegal discussion.

    Science.gov (United States)

    Nofzinger, E A; Wettstein, R M

    1995-11-01

    This case report documents the use of sleep apnea as a criminal defense for a man who fatally shot his wife during his usual sleeping hours. The defendant, who had severe sleep apnea as determined by a clinical evaluation and a polysomnographic study, admitted to shooting his wife but claimed that he was asleep at the time. Two physicians testified for the defense that the sleep apnea was of sufficient severity that the defendant may have had a confusional arousal related to the sleep apnea in which he could have shot his wife accidentally. Another physician, testifying for the prosecution, found no evidence to support this defense after a review of the patient's history and polysomnographic records and a review of relevant literature which may have linked sleep apnea with sleep-related violence. In this case, there was substantial apparent motive for the murder, including a past history of spousal and child abuse and a note written by the victim around the time of the shooting describing her intention to take the children and leave the suspect. The jury rejected the sleep apnea defense, handing down a first-degree murder verdict. In the discussion, we briefly review medicolegal issues related to the case as well as prospective guidelines for the medicolegal assessment of future cases.

  10. Primary care physicians' reported use of pre-screening discussions for prostate cancer screening: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Cooper Crystale P

    2009-03-01

    Full Text Available Abstract Background Professional medical organizations recommend individualized patient decision making about prostate cancer screening. Little is known about primary care physicians' use of pre-screening discussions to promote informed decision making for prostate cancer screening. The aim of this study is to explore physicians' use of pre-screening discussions and reasons why physicians would or would not try to persuade patients to be screened if they initially refuse testing. Methods Primary care physicians completed a self-administered survey about prostate cancer screening practices for informed decision making. Results Sixty-six physicians (75.9% completed the survey, and 63 were used in the analysis. Thirteen physicians (20.6% reported not using prescreening discussions, 45 (71.4% reported the use of prescreening discussions, and 3 (4.8% reported neither ordering the PSA test nor discussing it with patients. Sixty-nine percent of physicians who reported not having discussions indicated they were more likely to screen African American patients for prostate cancer, compared to 50% of physicians who reported the use of discussions (Chi-square(1 = 1.62, p = .20. Similarly, 91% of physicians who reported not having discussions indicated they are more likely to screen patients with a family history of prostate cancer, compared to 46% of those who reported the use of discussion (Chi-square(1 = 13.27, p Conclusion Although guidelines recommend discussing the risks and benefits of prostate cancer screening, physicians report varying practice styles. Future research needs to consider the nature of discussions and the degree to which informed decision making is being achieved in clinical practice.

  11. Making randomised trials more efficient: report of the first meeting to discuss the Trial Forge platform.

    Science.gov (United States)

    Treweek, Shaun; Altman, Doug G; Bower, Peter; Campbell, Marion; Chalmers, Iain; Cotton, Seonaidh; Craig, Peter; Crosby, David; Davidson, Peter; Devane, Declan; Duley, Lelia; Dunn, Janet; Elbourne, Diana; Farrell, Barbara; Gamble, Carrol; Gillies, Katie; Hood, Kerry; Lang, Trudie; Littleford, Roberta; Loudon, Kirsty; McDonald, Alison; McPherson, Gladys; Nelson, Annmarie; Norrie, John; Ramsay, Craig; Sandercock, Peter; Shanahan, Daniel R; Summerskill, William; Sydes, Matt; Williamson, Paula; Clarke, Mike

    2015-06-05

    Randomised trials are at the heart of evidence-based healthcare, but the methods and infrastructure for conducting these sometimes complex studies are largely evidence free. Trial Forge ( www.trialforge.org ) is an initiative that aims to increase the evidence base for trial decision making and, in doing so, to improve trial efficiency.This paper summarises a one-day workshop held in Edinburgh on 10 July 2014 to discuss Trial Forge and how to advance this initiative. We first outline the problem of inefficiency in randomised trials and go on to describe Trial Forge. We present participants' views on the processes in the life of a randomised trial that should be covered by Trial Forge.General support existed at the workshop for the Trial Forge approach to increase the evidence base for making randomised trial decisions and for improving trial efficiency. Agreed upon key processes included choosing the right research question; logistical planning for delivery, training of staff, recruitment, and retention; data management and dissemination; and close down. The process of linking to existing initiatives where possible was considered crucial. Trial Forge will not be a guideline or a checklist but a 'go to' website for research on randomised trials methods, with a linked programme of applied methodology research, coupled to an effective evidence-dissemination process. Moreover, it will support an informal network of interested trialists who meet virtually (online) and occasionally in person to build capacity and knowledge in the design and conduct of efficient randomised trials.Some of the resources invested in randomised trials are wasted because of limited evidence upon which to base many aspects of design, conduct, analysis, and reporting of clinical trials. Trial Forge will help to address this lack of evidence.

  12. Interpreting patient-reported outcomes from clinical trials in COPD: a discussion

    Directory of Open Access Journals (Sweden)

    Jones PW

    2016-12-01

    Full Text Available Paul W Jones,1,2 Stephen Rennard,3,4 Maggie Tabberer,5 John H Riley,2 Mitra Vahdati-Bolouri,2 Neil C Barnes2,6 1Institute for Infection and Immunity, University of London, London, 2Global Respiratory Franchise, GlaxoSmithKline, Uxbridge, UK; 3Division of Pulmonary, Critical Care, Sleep and Allergy, Nebraska Medical Center, Omaha, NE, USA; 4Clinical Discovery Unit, AstraZeneca, Cambridge, 5Global R&D, GlaxoSmithKline, Uxbridge, 6William Harvey Institute, Bart’s and the London School of Medicine and Dentistry, London, UK Abstract: One of the challenges faced by the practising physician is the interpretation of patient-reported outcomes (PROs in clinical trials and the relevance of such data to their patients. This is especially true when caring for patients with progressive diseases such as COPD. In an attempt to incorporate the patient perspective, many clinical trials now include assessments of PROs. These are formalized methods of capturing patient-centered information. Given the importance of PROs in evaluating the potential utility of an intervention for a patient with COPD, it is important that physicians are able to critically interpret (and critique the results derived from them. Therefore, in this paper, a series of questions is posed for the practising physician to consider when reviewing the treatment effectiveness as assessed by PROs. The focus is on the St George’s Respiratory Questionnaire for worked examples, but the principles apply equally to other symptom-based questionnaires. A number of different ways of presenting PRO data are discussed, including the concept of the minimum clinically important difference, whether there is a ceiling effect to PRO results, and the strengths and weaknesses of responder analyses. Using a worked example, the value of including a placebo arm in a study is illustrated, and the influence of the study on PRO results is considered, in terms of the design, patient withdrawal, and the selection of

  13. Panel Discussion : Report of the APS Ad-Hoc Committee on LGBT Issues

    Science.gov (United States)

    Atherton, Tim; Barthelemy, Ramon; Garmon, Savannah; Reeves, Kyle; APS Ad-Hoc Committee on LGBT Issues Team

    Following the presentation of the findings and recommendations of the APS Ad-Hoc Committee on LGBT Issues (C-LGBT) by Committee Chair Michael Falk, a panel discussion will be held featuring several members of the committee. The discussion will focus on how APS can best ensure the recommendations of the committee are carried out in a timely fashion and other ideas on future APS efforts toward LGBT inclusion in physics. Discussion topics will also include the research and other input that shaped the committee's findings and recommendations.

  14. Sustainability in Software Product Lines: Report on Discussion Panel at SPLC 2014

    OpenAIRE

    Chitchyan, Ruzanna; Noppen, Joost; Groher, Iris

    2015-01-01

    Sustainability (defined as 'the capacity to keep up') encompasses a wide set of aims: ranging from energy efficient software products (environmental sustainability), reduction of software development and maintenance costs (economic sustainability), to employee and end-user wellbeing (social sustainability). In this report we explore the role that sustainability plays in software product line engineering (SPL). The report is based on the 'Sustainability in Software Product Lines' panel held at...

  15. Café discussions on oral sex, oral cancer, and HPV infection: summative report.

    Science.gov (United States)

    Brondani, Mario Augusto

    2010-12-01

    Recent emphasis has been placed on the potential links between oral sex, HPV infection, and oral cancer development. Such links were addressed by researchers, clinicians, and the community during two Café Scientifique discussions in October and November 2008, in Vancouver, Canada. The Cafes gathered panels of experts on oral pathology, dentistry, oncology, social work, and community-based research who interacted with an audience of policy makers, health care administrators, sociologists, sexologists, pharmacists, clinical and social researchers, social workers, technicians, and graduate, undergraduate, and high school students. This commentary summarizes the main points discussed during these two events to encourage a worldwide open dialogue about potential risks for oral cancer beyond tobacco smoking and excessive alcohol consumption as such malignancies have high mortality and morbidity, but are yet preventable diseases.

  16. Sex, Pregnancy and Contraception: A Report of Focus Group Discussions with Adolescents.

    Science.gov (United States)

    Sugland, Barbara W.; Wilder, Kathleen J.; Chandra, Anita

    Findings in this report summarize the first phase of a larger, multi-year study that is combining qualitative and quantitative methods to outline a conceptual framework to guide future demographic/fertility research, pregnancy prevention programs and policies. Twelve focus groups--involving a multiculturally representative group of male and female…

  17. Association between Physician Trainee Self-Assessments in Discussing Religion and Spirituality and Their Patients' Reports

    OpenAIRE

    2014-01-01

    Background: Effective physician communication at the end-of-life is a cornerstone to providing patient-centered palliative care. Educational programs in physician communication often rely on self-assessments of physician knowledge and attitudes and seldom provide patients' reports. Thus, it is unclear whether physician self-assessments are associated with patient perspectives.

  18. Patient reported outcome measures of quality of end-of-life care: A systematic review.

    Science.gov (United States)

    Kearns, Tara; Cornally, Nicola; Molloy, William

    2017-02-01

    End-of-life (EoL) care(1) is increasingly used as a generic term in preference to palliative care or terminal care, particularly with reference to individuals with chronic disease, who are resident in community and long-term care (LTC) settings. This review evaluates studies based on patient reported outcome measures (PROMS) of quality of EoL care across all health-care settings. From 1041 citations, 12 studies were extracted by searches conducted in EBSCO, Scopus, Web of Science, PubMed, Cochrane, Open Grey and Google Scholar databases. At present, the evidence base for EoL care is founded on cancer care. This review highlights the paucity of studies that evaluate quality of EoL care for patients with chronic disease outside the established cancer-acute care paradigm, particularly in LTC. This review highlights the absence of any PROMs for the estimated 60% of patients in LTC with cognitive impairment. Patient-reported outcomes (PROs) are critical to understanding how EoL care services and practices affect patients' health and EoL experience. PROMs describe the quality of care from the patient's perspective and add balance to existing clinical or proxy-derived knowledge on the quality of care and services provided.

  19. Cutaneous presentation of disseminated histoplasmosis as a solitary peri-anal ulcer. Case report and discussion.

    Science.gov (United States)

    Hong, Janet H; Stetsenko, Galina Y; Pottinger, Paul S; George, Evan

    2016-05-01

    Disseminated histoplasmosis has a diverse and non-specific range of clinical signs and symptoms. In a significant minority of patients, cutaneous lesions are apparent at the time of initial presentation, affording an opportunity to establish the diagnosis from a skin biopsy. The most frequently reported clinical scenario in immunocompromised patients with cutaneous involvement is that of multiple papulo-nodular lesions on the face, trunk or extremities. The following report features an immunocompetent patient who presented with a solitary ulcerated plaque on the buttocks close to the anal verge. This case presentation underscores the broad spectrum of clinical presentations as well as the potential for diagnostic confusion with protozoa such as Leishmania or Trypanosoma species during histopathologic examination if special stains for fungal organisms are not performed.

  20. Northeast Artificial Intelligence Consortium Annual Report. Volume 2. 1988 Discussing, Using, and Recognizing Plans (NLP)

    Science.gov (United States)

    1989-10-01

    Encontro Portugues de Inteligencia Artificial (EPIA), Oporto, Portugal, September 1985. [15] N. J. Nilsson. Principles Of Artificial Intelligence. Tioga...FI1 F COPY () RADC-TR-89-259, Vol II (of twelve) Interim Report October 1969 AD-A218 154 NORTHEAST ARTIFICIAL INTELLIGENCE CONSORTIUM ANNUAL...7a. NAME OF MONITORING ORGANIZATION Northeast Artificial Of p0ilcabe) Intelligence Consortium (NAIC) Rome_____ Air___ Development____Center

  1. Familial Multiple Myeloma: Report on Two Families and Discussion of Screening Options

    Directory of Open Access Journals (Sweden)

    Gerkes Erica H

    2007-06-01

    Full Text Available Abstract Multiple myeloma (MM is a relatively rare haematological malignancy seen in older persons. It has an unknown aetiology and usually occurs incidentally within a family. However, several families have been reported with multiple cases of MM, so that the existence of hereditary MM has been postulated although no causative germline mutations have been detected so far. First-degree relatives of MM patients have been reported to have a relative risk between two and four times higher than normal of developing MM and we presume the risks are higher for relatives in the case of familial MM. Here we report on two families with MM who requested presymptomatic screening of healthy relatives. Although risk estimates for asymptomatic relatives in these types of families are not available, a clinically significant risk of developing MM cannot be excluded. We suggest that, in a research setting, screening for MM could be offered to individuals with more than one first-degree affected relative, or to those with one first-degree and at least one second-degree relative with MM. We propose a screening programme of annual protein electrophoresis of blood and urine, starting at age 40 (or earlier if a family member presented with MM at a younger age.

  2. Assessment of control technology for stationary sources. Volume I: technical discussion. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Minicucci, D.; Herther, M.; Babb, L.; Kuby, W.

    1980-02-01

    The purpose of this project was to develop a reference document for use by the Air Resources Board, local air pollution control districts, and the U.S. Environmental Protection Agency that describes technological options available for the control of emissions from stationary sources located in California. Control technologies were examined for 10 industry groups and six air pollutants. Volume I, Technical Discussion, includes an overall introduction to the project, descriptions of its major elements, background information for each industry group addressed, and the project bibliography. In Volume II, Control Technology Data Tables, qualitative descriptions of control options for the various sources and quantitative information on control technology cost, efficiency, reliability, energy consumption, other environmental impacts, and application status are presented in tabular format. Also included is a code list that classifies the stationary sources examined by industry, process and emission source.

  3. Aarskog syndrome: report of a family with review and discussion of nosology.

    Science.gov (United States)

    Teebi, A S; Rucquoi, J K; Meyn, M S

    1993-06-15

    Five individuals in one family, including dizygotic male twins, a half brother and their mother, had Aarskog syndrome (AS). Phenotypic variability is wide not only between mother and sons but also between sibs. Collectively, the affected relatives have the full spectrum of findings seen in AS. Based on analysis of this family and others from the literature, we derive primary and secondary diagnostic criteria for AS. Primary criteria include: short stature, hypertelorism, short nose with anteverted nares, maxillary hypoplasia, a crease below the lower lip, mild interdigital webbing with short and broad hands, short fifth finger with clinodactyly, and shawl scrotum. Secondary criteria include: abnormal auricles with fleshy lobules, posteriorly angulated ears, widow's peak, ptosis, downward slant of palpebral fissures, joint hyperextensibility, broad feet with bulbous toes, cryptorchidism, inguinal hernia, and prominent umbilicus. Literature pertaining to the clinical manifestations and genetics of AS is reviewed and nosology of similar syndromes is discussed.

  4. Gastric teratoma in an infant: a rare case report and discussion.

    Science.gov (United States)

    Yaji, Prabhat Radhakrishna; Joshi, Sanjeev; Kinhal, Vidyadhar; Ravishankar, T H S; Jayaprakasha, G; Melapure, Ashok; Reddy, Ravi; Desai, Mahesh; Venkatesh, B

    2013-06-01

    Gastric teratoma is a rare tumor, accounting for less than 1 % of all teratomas in infants & children. To date, only about 102 cases have been reported in the literature. A 10 month old infant was brought with a history of upper abdominal mass which was otherwise asymptomatic. On evaluation it was diagnosed as gastric teratoma. On laparotomy the mass was found to be originating from lesser curvature of stomach. Mass was excised and histopathologically it was a mature cystic teratoma. No recurrence after 18 months of follow-up.

  5. Gastric Teratoma in an Infant: A Rare Case Report and Discussion

    OpenAIRE

    Yaji, Prabhat Radhakrishna; Joshi, Sanjeev; Kinhal, Vidyadhar; Ravishankar, T. H. S.; Jayaprakasha, G.; Melapure, Ashok; Reddy, Ravi; Desai, Mahesh; Venkatesh, B.

    2012-01-01

    Gastric teratoma is a rare tumor, accounting for less than 1 % of all teratomas in infants & children. To date, only about 102 cases have been reported in the literature. A 10 month old infant was brought with a history of upper abdominal mass which was otherwise asymptomatic. On evaluation it was diagnosed as gastric teratoma. On laparotomy the mass was found to be originating from lesser curvature of stomach. Mass was excised and histopathologically it was a mature cystic teratoma. No recur...

  6. Locked-In Syndrome: Case Report and Discussion of Decisional Capacity.

    Science.gov (United States)

    Maiser, Samuel; Kabir, Ashish; Sabsevitz, David; Peltier, Wendy

    2016-04-01

    Locked-in syndrome (LIS) is a rare neurologic disorder rendering an individual quadriplegic and anarthric with preserved self-awareness and normal if not near-normal cognition. A lesion to the ventral pons causes the classic form of LIS, and patients can typically interact with their environment with eye/eyelid movements. LIS patients may live for years with preserved quality of life (QoL) and cognitive function, but with severe disability. However, medical providers and family often underestimate the patient's QoL, and choose less aggressive care. Prompt assessment of decisionality in LIS patients is challenging, but it must be done to allow these patients to participate in their care. We present the case of a 54-year-old man with LIS. The medical team recommended comfort measures, but the family advocated involving the patient in goals of care discussions. The patient was determined to be decisional during the acute hospitalization, and he elected for life-prolonging care. This case emphasizes the importance of unbiased shared decision making, but also the importance of utilizing a practical framework to assess the decision-making capacity in these patients. We provide a suggested approach to determining decision-making capacity in similar cases or conditions.

  7. Spinal Cord Infarction in a Patient with Hereditary Spherocytosis: A Case Report and Discussion.

    Science.gov (United States)

    Waheed, Waqar; Varigonda, Anjali L; Holmes, Chris E; Trevino, Christopher; Borden, Neil M; Pendlebury, W

    2016-01-01

    The etiology of spinal cord infarcts (SCIs), besides being related to aortic perioperative events, in large subset of SCIs, remains cryptogenic. We present a first case of SCI in a patient with hereditary spherocytosis and discuss the potential pathophysiologic considerations for vascular compromise. A 43-year-old woman with a history of hereditary spherocytosis, post splenectomy status, presented with chest, back, and shoulder pain with subsequent myelopathic picture; SCI extending from C4-T2 was confirmed by MRI. Despite aggressive treatment her stroke progressed leading to her demise. Her autopsy confirmed the SCI and revealed some incidental findings, but the cause of SCI remained unidentified. Exclusion of the known etiologies of SCI by extensive negative workup including autopsy evaluation suggested that SCI in our case was related to her history of hereditary spherocytosis. Both venous and arterial adverse vascular events, at a higher rate, have been associated in patients with hereditary spherocytosis who had their spleens removed compared to nonsplenectomized patients. Postsplenectomy increases in the platelet, red blood cell count, leukocyte count, and cholesterol concentrations are postulated to contribute to increased thrombotic risk. Additional prothrombotic factors include continuous platelet activation and adhesion as well as abnormalities of the red blood cell membrane.

  8. Spinal Cord Infarction in a Patient with Hereditary Spherocytosis: A Case Report and Discussion

    Directory of Open Access Journals (Sweden)

    Waqar Waheed

    2016-01-01

    Full Text Available The etiology of spinal cord infarcts (SCIs, besides being related to aortic perioperative events, in large subset of SCIs, remains cryptogenic. We present a first case of SCI in a patient with hereditary spherocytosis and discuss the potential pathophysiologic considerations for vascular compromise. A 43-year-old woman with a history of hereditary spherocytosis, post splenectomy status, presented with chest, back, and shoulder pain with subsequent myelopathic picture; SCI extending from C4-T2 was confirmed by MRI. Despite aggressive treatment her stroke progressed leading to her demise. Her autopsy confirmed the SCI and revealed some incidental findings, but the cause of SCI remained unidentified. Exclusion of the known etiologies of SCI by extensive negative workup including autopsy evaluation suggested that SCI in our case was related to her history of hereditary spherocytosis. Both venous and arterial adverse vascular events, at a higher rate, have been associated in patients with hereditary spherocytosis who had their spleens removed compared to nonsplenectomized patients. Postsplenectomy increases in the platelet, red blood cell count, leukocyte count, and cholesterol concentrations are postulated to contribute to increased thrombotic risk. Additional prothrombotic factors include continuous platelet activation and adhesion as well as abnormalities of the red blood cell membrane.

  9. Pulmonary alveolar microlithiasis. A case report with a discussion of differential diagnosis.

    Science.gov (United States)

    Saputo, V; Zocchi, M; Mancosu, M; Bonaldi, U; Croce, P

    1979-01-01

    The rare disease of pulmonary alveolar microlithiasis is characterized by innumerable microscopic stones, mainly of tribasic calcium phosphate, within the pulmonary alveoli. In a 13-year-old boy an earlier radiological examination showed diffuse lung opacity. The main differential diagnoses taken into consideration were sarcoidosis, idiopathic hemosiderosis, diffuse interstitial fibrosis and alveolar proteinosis. The correct diagnosis was made after a lung biopsy which showed intra-alveolar microliths. The radiological findings are in agreement with the reports in the literature. The specific X-ray features of pulmonary alveolar microlithiasis are calcified opacities, nodules, hilifugal trabeculations and pleural striae. These radiological signs are sufficiently diagnostic to restrict lung biopsy to particularly difficult cases. The disease is resistant to all therapeutic measures.

  10. Mesalamine induced symptom exacerbation of ulcerative colitis: Case report and brief discussion

    Institute of Scientific and Technical Information of China (English)

    Maneesh; Kumar; Gupta; Scott; Pollack; John; J; Hutchings

    2010-01-01

    This paper describes a rare case in which the oral ad-ministration of mesalamine resulted in the exacerbation of ulcerative colitis (UC) in a patient who was previously responsive to mesalamine and whose colitis had been in remission for eight years. Mesalamine and other 5-ami-nosalicylic acid compounds are the mainstay of treatment for UC; however up to 8% of patients are unable to take the medications due to intolerance or hypersensitivity reactions. Common drug reactions are fever, nausea, di-arrhea and abdominal pain; however, exacerbation of UC has rarely been reported. This study highlights the impor-tance of ruling out mesalamine as the causative agent in cases of UC exacerbations.

  11. 75 FR 10867 - Determinations Concerning Illnesses Discussed in the Institute of Medicine Report on Gulf War and...

    Science.gov (United States)

    2010-03-09

    ... AFFAIRS Determinations Concerning Illnesses Discussed in the Institute of Medicine Report on Gulf War and... Secretary of Veterans Affairs, under the authority granted by the Persian Gulf War Veterans Act of 1998... uranium in the Persian Gulf during the Persian Gulf War, for any of the diseases, illnesses, or health...

  12. Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends.

    Science.gov (United States)

    Wong, Kelly E; Chang, Peter S; Monasky, Mark S; Samuelson, Rodney M

    2017-01-01

    Cervical spondyloptosis is defined as the dislocation of the spinal column most often caused by trauma. Due to compression or transection of the spinal cord, severe neurological deficits are common. Here, we review the literature and report a case of traumatic C5-6 spondyloptosis that was successfully treated using an anterior-only surgical approach. The patient presented with quadriplegia and absent sensation distal to the C5 dermatome following a rollover motor vehicle accident. The preoperative American Spinal Injury Association Impairment Scale was A. Computed tomography of the cervical spine revealed C5-6 spondyloptosis, lamina fractures on the right side at the C3-4 level, and widened facet joint on the right side at C6-7. The patient underwent cervical traction and anterior cervical discectomy and fusion at the C5-6, C6-7 levels; no 360° fusion was warranted. Six months postoperatively, the patient remained quadriplegic below the C5 level. Presently, no consensus is present regarding the best treatment for spondyloptosis. Worldwide, the 360° approach is the most commonly used (45%), followed by anterior-only surgery (31%) and posterior-only surgery (25%). The surgical choice depends upon patient-specific features but markedly varies among geographical regions.

  13. INTELLECTUAL CAPITAL REPORTING AND DISCLOSURE IN THE ANNUAL REPORTS OF ROMANIAN MANUFACTURING LISTED COMPANIES – METHODOLOGY AND DISCUSSION OF RESULTS

    Directory of Open Access Journals (Sweden)

    Bogdan Victoria

    2011-12-01

    Full Text Available In our study we have proposed to measure the extent of intellectual capital disclosure using annual reports as the source of our documentation. The empirical analysis is twofold: firstly we are interested in analyzing the value of intellectual capital using a value-based approach, through the evolution of market to book value ratio over the selected period and secondly we carry out a content-based analysis of the complete annual reports of the selected companies over the five year period and calculate an intellectual capital disclosure index. Looking at the figures we can conclude that only 50% of Romanian manufacturing companies hold intellectual capital assets for the period analysed and also they are mostly disclose information that refers to relational capital. The intellectual capital voluntary disclosure index for the 2005-2009 years for the sampled companies is on average almost 19%, considered very low.

  14. Colonic metastasis of Klatskin tumor: Case report and discussion of the current literature

    Institute of Scientific and Technical Information of China (English)

    M Schmeding; U Neumann; P Neuhaus

    2006-01-01

    We report the case of a 65-year old male patient who initially presented with recurrent episodes of upper abdominal pain, lack of appetite and weight loss.Abdominal ultrasound indicated enlarged intrahepatic bile ducts, abdominal CT scan and ERC were performed and bile duct carcinoma (Klatskin Type Ⅲ b) was diagnosed. The tumor was located in the segments 2,3,4 and 1 with possible invasion of the left intrahepatic portal vein. Both the segments 2 and 3 of the liver were atrophic and displayed a cholestatic bile duct system. Preoperatively an intraductal stent was placed in the left bile duct using ERC to drain the left hepatic lobe. A specimen of the ascites present preoperatively displayed no malignant cells. After evaluation of the preoperatively obtained data left hepatic resection was planned. Following laparotomy we found local peritoneal carcinosis in the ligamentum hepatoduodenale with lymphatic nodules that tested positive for cholangiocellular carcinoma in online pathological examination. In the course of further exploration of the abdomen a solid tumor was detected in the sigmoid colon. Regarding the advanced stage of the neoplasm it was decided to cancel hemihepatectomy and perform sigmoid resection only in order to guarantee uncomplicated intestinal passage. The sigmoid colon was removed by a typical resection technique with endto-end anastomosis. Histological examination of the resected sigmoid revealed transmural manifestation of a malignant neoplastic process with both a tubular and a solid growth pattern in conformity with metastasis of a Klatskin tumor. The mucosal layer showed no neoplastic alteration. Peritoneal carcinosis is a common phenomenon in the dissemination pattern of advancedstage Klatskin tumors, yet to our knowledge this is the first case of intramural colonic growth following peritoneal metastasis.

  15. Colonic metastasis of Klatskin tumor: case report and discussion of the current literature.

    Science.gov (United States)

    Schmeding, M; Neumann, U; Neuhaus, P

    2006-09-07

    We report the case of a 65-year old male patient who initially presented with recurrent episodes of upper abdominal pain, lack of appetite and weight loss. Abdominal ultrasound indicated enlarged intrahepatic bile ducts, abdominal CT scan and ERC were performed and bile duct carcinoma (Klatskin Type III b) was diagnosed. The tumor was located in the segments 2, 3, 4 and 1 with possible invasion of the left intrahepatic portal vein. Both the segments 2 and 3 of the liver were atrophic and displayed a cholestatic bile duct system. Preoperatively an intraductal stent was placed in the left bile duct using ERC to drain the left hepatic lobe. A specimen of the ascites present preoperatively displayed no malignant cells. After evaluation of the preoperatively obtained data left hepatic resection was planned. Following laparotomy we found local peritoneal carcinosis in the ligamentum hepatoduodenale with lymphatic nodules that tested positive for cholangiocellular carcinoma in online pathological examination. In the course of further exploration of the abdomen a solid tumor was detected in the sigmoid colon. Regarding the advanced stage of the neoplasm it was decided to cancel hemihepatectomy and perform sigmoid resection only in order to guarantee uncomplicated intestinal passage. The sigmoid colon was removed by a typical resection technique with end-to-end anastomosis. Histological examination of the resected sigmoid revealed transmural manifestation of a malignant neoplastic process with both a tubular and a solid growth pattern in conformity with metastasis of a Klatskin tumor. The mucosal layer showed no neoplastic alteration. Peritoneal carcinosis is a common phenomenon in the dissemination pattern of advanced-stage Klatskin tumors, yet to our knowledge this is the first case of intramural colonic growth following peritoneal metastasis.

  16. Coccidioidomycosis in Biopsies with Presumptive Diagnosis of Malignancy in Dogs: Report of Three Cases and Comparative Discussion of Published Reports.

    Science.gov (United States)

    Ramírez-Romero, Rafael; Silva-Pérez, Rolando Antonio; Lara-Arias, Jorge; Ramírez-Hernández, Cecilia; Marino-Martínez, Iván Alberto; Barbosa-Quintana, Álvaro; López-Mayagoitia, Alfonso

    2016-02-01

    Coccidioidomycosis is a respiratory fungal infection with occasional systemic dissemination. The disseminated coccidioidomycosis is considered a multifaceted disease. In medicine, disseminated coccidioidomycosis is included within a group of infectious diseases that have been referred as the great imitators. In many cases, malignancies are included in the presumptive diagnosis. In veterinary medicine, disseminated coccidioidomycosis is common in dogs. Nonetheless, despite of being a diagnostic dilemma, disseminated coccidioidomycosis is underestimated and frequently not included into differentials, even in endemic zones. Herein, we describe three cases of granulomatous inflammation caused by Coccidioides spp. which were masquerading malignancies in dogs (0.39 %). The presumptive diagnoses in these cases were osteosarcoma, lymphoma and neurofibroma, respectively. A PCR assay employing tissues in paraffin blocks resulted positive for C. posadasii in one of these cases. A comparative discussion on the ambiguous clinic-pathological presentation of disseminated coccidioidomycosis in dogs and humans is included.

  17. Public Reporting of Nursing Home Quality of Care: Lessons from the United States Experience for Canadian Policy Discussion

    Science.gov (United States)

    Hutchinson, Alison M.; Draper, Kellie; Sales, Anne E.

    2009-01-01

    While the demand for continuing care services in Canada grows, the quality of such services has come under increasing scrutiny. Consideration has been given to the use of public reporting of quality data as a mechanism to stimulate quality improvement and promote public accountability for and transparency in service quality. The recent adoption of the Resident Assessment Instrument (RAI) throughout a number of Canadian jurisdictions means that standardized quality data are available for comparisons among facilities across regions, provinces and nationally. In this paper, we explore current knowledge on public reporting in nursing homes in the United States to identify what lessons may inform policy discussion regarding potential use of public reporting in Canada. Based on these findings, we make recommendations regarding how public reporting should be progressed and managed if Canadian jurisdictions were to implement this strategy. PMID:21037828

  18. Educating Aging Service Agency Staff About Discussing End-of-Life Wishes.

    Science.gov (United States)

    Flowers, Kimberlie; Howe, Judith L

    2015-01-01

    Seventy-five percent of Americans support the idea of Advance Directives (ADs) but less than 20% complete one, resulting in increased hospitalization costs, unwanted treatment, and difficult family decisions. Engaging community resources for public education may be effective for increasing understanding and completion of ADs. This project focused on workers in an agency serving older adults. A training program was developed with the goal of increasing their understanding of the process and benefits of Health Care Proxies (HCPs) and ADs through hands-on experience, increasing relevant skills and willingness to discuss with consumers, and to implement an agency protocol increasing documentation of HCPs for consumers. After a small proof-of-concept pilot, all staff members were asked to participate in the educational program. The pilot program delivery found increased staff knowledge as well as motivation to complete HCPs among the staff themselves and their own families. This program resulted in increased staff knowledge of EOL documents, willingness to engage in EOL discussions, and an increase in documented HCPs. This program has relevance for workers in other agencies as they engage older consumers to encourage completion of ADs. This experiential approach to staff education increased their understanding and willingness to initiate EOL discussion with consumers.

  19. Editorial research and the publication process in biomedicine and health: Report from the Esteve Foundation Discussion Group, December 2012.

    Science.gov (United States)

    Marušić, Ana; Malički, Mario; von Elm, Erik

    2014-01-01

    Despite the fact that there are more than twenty thousand biomedical journals in the world, research into the work of editors and publication process in biomedical and health care journals is rare. In December 2012, the Esteve Foundation, a non-profit scientific institution that fosters progress in pharmacotherapy by means of scientific communication and discussion organized a discussion group of 7 editors and/or experts in peer review biomedical publishing. They presented findings of past editorial research, discussed the lack of competitive funding schemes and specialized journals for dissemination of editorial research, and reported on the great diversity of misconduct and conflict of interest policies, as well as adherence to reporting guidelines. Furthermore, they reported on the reluctance of editors to investigate allegations of misconduct or increase the level of data sharing in health research. In the end, they concluded that if editors are to remain gatekeepers of scientific knowledge they should reaffirm their focus on the integrity of the scientific record and completeness of the data they publish. Additionally, more research should be undertaken to understand why many journals are not adhering to editorial standards, and what obstacles editors face when engaging in editorial research.

  20. Hiperceratose focal acral: relato de caso e discussão sobre as ceratodermias marginais Focal acral hyperkeratosis: case report and discussion on marginal keratodermas

    Directory of Open Access Journals (Sweden)

    Maurício Zanini

    2006-10-01

    Full Text Available O autor relata um caso de hiperceratose focal acral, afecção do grupo das ceratodermias marginais caracterizada por erupção papulosa ou em placa nas bordas palmoplantares que se inicia geralmente antes dos 20 anos de idade, com predomínio na raça negra. Seu principal diagnóstico diferencial é a acroceratoelastoidose de Costa que dela se distingue apenas por não apresentar elastorrexe na histopatologia.The author reports a case of focal acral hyperkeratosis, an affection of the group of keratodermas, characterized by papular or plaque eruption in the palmoplantar borders whose onset is usually before 20 years of age, and predominates among black-skinned patients. The main differential diagnosis is acrokeratoelastoidosis of Costa, differing from the former only for not presenting elastorrhexis in histopathology.

  1. Spontaneous Penile (Cavernosal Abscess: Case Report with Discussion of Aetiology, Diagnosis, and Management with Review of Literature

    Directory of Open Access Journals (Sweden)

    Jayesh Sagar

    2005-01-01

    Full Text Available The rare presentation of spontaneous, corpus cavernosal abscess with evident pus discharge is reported. The 19-year-old English man was successfully treated with surgical drainage and antibiotics with long-term sequelae in form of mild, left-sided penile deviation, but normal erectile function. Though he did not require any further surgical intervention for correction of chordee at that time, there remains a possibility of it getting worse over time, which may ultimately need surgery for correction. The possible aetiology, diagnosis, and treatment of this rare condition are briefly discussed.

  2. Too much, too late: Aggressive measures and the timing of end of life care discussions in women with gynecologic malignancies.

    Science.gov (United States)

    Zakhour, Mae; LaBrant, Lia; Rimel, B J; Walsh, Christine S; Li, Andrew J; Karlan, Beth Y; Cass, Ilana

    2015-08-01

    This study describes the patterns of end of life (EOL) discussions and their impact on the use of aggressive measures in women with terminal gynecologic malignancies at a single institution. An IRB-approved retrospective chart review identified 136 patients who died of gynecologic cancer between 2010 and 2012 with at least one interaction with their oncologists in the last 6 months of life. Aggressive measures were defined as chemotherapy within the last 14 days of life, emergency department (ED) visits, hospital and intensive care unit (ICU) admissions within the last 30 days of life, and inpatient deaths. The frequency and timing of EOL conversations were recorded. Utilization of hospice care was also described. In the last 30 days of life, 54 (40%) patients were evaluated in the ED, 67 (49%) were admitted into hospital, and 16 (12%) were admitted to the ICU. Thirteen patients (10%) had chemotherapy in the last 14 days of life. Ninety-seven (71%) patients had a documented EOL conversation, eighteen (19%) as outpatients, and 79 (81%) as inpatients. Thirty (22%) patients died in the hospital. At the time of death, 55 (40%) patients were enrolled in outpatient hospice care. The mean amount of time in hospice was 28 days. End of life care discussions rarely occurred in the outpatient setting or >30 days before death. Inpatient encounters led to discussions about hospice and code status. Evaluation in the ED frequently resulted in escalation of care. Earlier EOL care discussions resulted in less aggressive measures. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Process design team report to the Northern Development Commissioner on the process to discuss the offshore oil and gas moratorium

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-06-22

    The Northern Development Commissioner of British Columbia established a Process Design Team to develop a community based consensus building consultative process to allow for public examination of the current moratorium on offshore oil and gas exploration in the Hecate Strait area which has been in place since 1989. Regional conferences will be held to determine if the moratorium should be removed, and if so, under what conditions. The Process Design Team was composed mostly of volunteers from many segments of the communities, from First Nations, municipal governments, business people, environmentalists, academics and the fishing and resource industry. Their role was to provide a template for a community process to discuss the relevant issues, make decisions and report on the outcome. It was recommended that there should be about 15 meetings held in Northwestern and Coastal communities with four Main Events being held in Terrace, Prince Rupert, on the Queen Charlotte Islands/Haida Gwaii and in Port Hardy with presenters from eastern Canada, Alaska. It was recommended that communities be given 30 days after the reports are released following the meetings to present their opinions. It was suggested that the entire process be completed by March 31, 2002 with a report to government at that time. It was noted that if the government decides to open the issue of offshore oil and gas exploration, an environmental evaluation would have to be conducted. Initial geological reports suggest that the oil potential in the BC offshore is great. In addition, there have been many new experiences in offshore oil and gas operations since the moratorium went into effect. New advanced technologies such as 3-D seismic, directional drilling, multi-beam bathymetry, satellite communications and weather forecasting have benefited offshore development in Nova Scotia, Newfoundland as well as other fields around the world. Statistics regarding the input of hydrocarbons into the marine

  4. Measuring, Reporting and Verifying Nationally Appropriate Mitigation Actions. Reflecting experiences under the Mitigation Momentum Project. Discussion paper

    Energy Technology Data Exchange (ETDEWEB)

    De Vit, C.; Roeser, F.; Fekete, H.; Hoehne, N.; Wartmann, S.; Van Tilburg, X.; Larkin, J.; Escalante, D.; Haensel, G.; Veum, K.; Cameron, L.; Halcomb, J.

    2013-06-15

    The Mitigation Momentum project aims to support the development of Nationally Appropriate Mitigation Actions (NAMAs). It contributes to the concrete design of NAMA proposals in five countries (Peru, Chile, Indonesia, Tunisia and Kenya). A further aim is to foster cooperation and knowledge exchange within the NAMA community while advancing the international climate policy debate on mitigation and related issues, including approaches for the Measurement, Reporting and Verification (MRV) of NAMAs. MRV enables the assessment of the effectiveness of both internationally supported NAMAs (supported NAMAs) and domestically supported NAMAs (unilateral NAMAs) by tracking NAMA impacts including greenhouse gas (GHG) emission reductions and non-GHG related impacts such as sustainable development benefits. MRV also supports improved policy design and decision making through systematic progress reporting and is a key tool to ensure accountability of NAMA stakeholders. Both host countries and funders share the common interest of having strong, implementable MRV systems in place. From both perspectives, this raises a number of questions, as well as potential challenges, on how to adapt the MRV approach to the specific circumstances of each NAMA. The objective of this paper is to identify open issues for the MRV of impacts of NAMAs, understood here as implementable actions, i.e. a project, a policy, a programme or a strategy. It pays particular attention to NAMAs with a supported component and reflects relevant initial experiences with developing NAMA proposals in the five Mitigation Momentum countries (i.e. using country examples where appropriate). As MRV systems for these NAMAs are still under development or at their preliminary stage, we hope to share further lessons learned in a subsequent discussion paper. Key challenges analysed in this paper include: How to design a MRV system that satisfies both the host country's and funder's expectations while complying with

  5. Capability Challenges in the Human Domain for Intelligence Analysis: Report on Community-Wide Discussions with Canadian Intelligence Professionals

    Science.gov (United States)

    2012-03-01

    summarises the focus group discussions. 3.1 Quantitative evaluations 3.1.1 Evaluations of the seven themes in the Phase 1 Before the start of the...challenges in the intelligence community. The following section summarises these discussions and presents them organized by topics listed in Table 2...need to be able to talk to each other about intelligence 2 3.0 Educating consumers about intelligence How can consumers be better educated? 2

  6. General discussion

    NARCIS (Netherlands)

    Jagers op Akkerhuis, Gerard A.J.M.

    2016-01-01

    The general discussion focuses on some aspects that are of overarching relevance for all the preceding chapters. The fi rst subject that is discussed is the relationship between systems theory and the philosophy of science. After a short summary of the principles of system science and the

  7. Barriers to Disclosing and Reporting Violence among Women in Pakistan: Findings from a National Household Survey and Focus Group Discussions

    Science.gov (United States)

    Andersson, Neil; Cockcroft, Anne; Ansari, Umaira; Omer, Khalid; Ansari, Noor M.; Khan, Amir; Chaudhry, Ubaid Ullah

    2010-01-01

    Worldwide, many women who experience domestic violence keep their experience secret. Few report to official bodies. In a national survey of abuse against women in Pakistan, we examined factors related to disclosure: women who had experienced physical violence telling someone about it. In focus groups, we explored why women do not report domestic…

  8. The Future of Russia and the Russian Navy. Report of Discussions in Moscow November 2-6, 2003

    Science.gov (United States)

    2004-01-01

    grave existence of their workers. It is also reported that for oil especially, the companies are simply 4. IKEA has found that the average Russian...shopper spends as much as the average Swedish shopper— IKEA is only in Moscow now, but is planning to expand around the country. 5. Erin A. Arvedlund

  9. A discussion for alteration of the radiation issues based on the clipping analyses of radiation articles reported in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Joo Yeon; Youn, Dol Mi; Yoo, Ji Yup; Park, Tai Jin [Korean Association for Radiation Application, Seoul (Korea, Republic of)

    2016-06-15

    Radiation accidents having occurred in recent containing the accident in Fukushima nuclear power plants of Japan were resulted to the increase in some public concern, anxiety and confusion for radiation or nuclear safety. The public anxiety for radiation is not being decreased though the announcements done in radiation research institutes in Korea. Therefore, this study aims at providing an effective system for radiation publicity to the public members by the clipping analysis for the radiation articles reported in the media. And, the relation between those radiation issues and the radiation perception to the public members is analyzed. The radiation articles reported by them in 2013 and 2014 have been collected, and they are then classified with the article characteristic, field and tendency. Classified articles have been reviewed by dividing as two year. The 210 articles have been compared for their tendencies, characteristics and fields by year reported, and their characteristic comparison by reported year are then reviewed. Though the frequency that the radiological accidents have occurred in worldwide is far low compared to the accidental frequencies occurred in the general industrial fields, the radiation perception is being still deteriorated because of its special problem, which is defined as exposure, contamination or radioactivity, about radiation. The basic principles for radiation communication were suggested for preventing some unnecessary misunderstanding due to the variation of understanding for radiation issues. It is necessary to perform a variety of strategies for the publicity in improving the radiation perception, to build a relationship with the press or the media and then to consistently interact with them. Radiation communication must be performed by radiation experts or complete charge department, and must be consistently performed and be taken predictable patterns.

  10. 水库大坝安全年度报告探讨%Discussion on reservoir dam safety annual report

    Institute of Scientific and Technical Information of China (English)

    周贵宝; 郭宁; 张士辰

    2016-01-01

    The establishment of reservoir dam safety annual report system is proposed in order to strengthen water engineering project system reform and unsafe reservoir risk removal and consolidation achievement,and further improve the safety management level of dam reservoirs.In the paper,the function and significance of reservoir dam safety annual report are analyzed,and suggestions are proposed aiming at the contents of reservoir dam safety annual report and system construction.%为巩固水利工程体制改革和病险水库除险加固成果,进一步提高水库大坝安全管理水平,提出建立水库大坝安全年度报告制度。本文分析了水库大坝安全年度报告的作用与意义,就水库大坝安全年度报告内容和制度建设提出建议。

  11. Problems and Opportunities of an International Financial Reporting Standard for Small and Medium-sized Entities. The EAA FRSC's Comment on the IASB's Discussion Paper

    DEFF Research Database (Denmark)

    Thinggaard, Frank; Evans, Lisa; Gebhardt, Günther

    2005-01-01

    and questions arising from this. This paper briefly introduces the background to the publication of the Discussion Paper. This is followed by a review of prior litterature on SME financial reporting implications, prepared by the European Accountin Association's Financial Reporting Standards Committee......In June 2004 the IASB issued the Discussion Paper "Preliminary Views on Accounting Standards for Small and Medium-Sized Entities". This invited comments on the central question of whether the IASB should develop separate standards for small and medium-sized enterprises (SMEs), and on further issues...

  12. Marked Mydriasis and Neuritis Nervi Optici Associated with Galactorrhea Following Citalopram Treatment: A Case Report and Discussion

    Science.gov (United States)

    Koch, Horst J.; Zellmer, Heike

    2011-01-01

    We report the case of a 25-year-old women suffering from major depression who was treated with citalopram for several weeks with doses between 20 mg and 60 mg. She gradually developed marked mydriasis within 2 months after treatment and subsequently neuritis nervi optici. Moreover, abrupt galactorrhea occurred after 2 months of treatment. All neuro-ophthalmological, neurophysiological, clinical laboratory, and neuroradiological diagnostic efforts did not reveal an underlying organic pathophysiology. The ocular symptoms disappeared rapidly after the discontinuation of citalopram and pulse therapy with methyl-prednisolone. However, galactorrhea persisted for a few weeks necessitating treatment with bromocriptine. PMID:21869891

  13. Report of four cases of ameloblastic fibro-odontoma in mandible and discussion of the literature about the treatment.

    Science.gov (United States)

    Pontes, Helder Antonio Rebelo; Pontes, Flavia Sirotheau Correa; Lameira, Aladim Gomes; Salim, Rodrigo Alves; Carvalho, Pedro Luiz de; Guimarães, Douglas Magno; Pinto, Décio Dos Santos

    2012-02-01

    The ameloblastic fibro-odontoma is defined as a tumour with the general features of the ameloblastic fibroma but that also contains enamel and dentine. AFO normally presents as a painless swelling in the posterior portion of the maxilla or mandible. Radiographs show a well-defined radiolucent area containing various amounts of radiopaque material of irregular size and form. The most appropriate treatment for a large AFO has not been completely determined. This paper reports four large AFO cases and reviews the relevant literature regarding the clinical and surgical features of this lesion. Copyright © 2011 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  14. [Amoebic liver abscess in a patient initially diagnosed with pneumonia: case report and discussion of relevant literature].

    Science.gov (United States)

    Kurt, Özgür; Aktaş, Neslihan; Çalışkan, Can; Karatuna, Onur; Aygün, Hande; Akyar, Işın

    2015-03-01

    In one-third of the patients with amoebiasis, amoebic liver abscess (ALA) may occur after the penetration of amoebic trophozoites through the intestinal wall. ALA is seen mostly among men aged 20-45 years with a serious clinical outcome, with fever and abdominal pain on the right upper quadrant. Most patients have no recent history of amoebic colitis; indeed, they have neither gastrointestinal complaints nor Entamoeba histolytica (E. histolytica) cysts/trophozoites in their stools. Therefore, ultrasonography and serology are primary in ALA diagnosis, while searching for E. histolytica DNA in abscess fluid using PCR has been preferred as an effective and reliable method, lately. Early antimicrobial therapy is effective; however, for cases irresponsive to therapy after 72 hours and with large abscess, drainage or surgical intervention is indicated. If left untreated, ALA may disseminate to other organs and cause death. The data concerning the extra-intestinal manifestations of amebiasis in Turkey are limited. Here, a rare case of a young man with an initial diagnosis of pneumonia followed by the identification of ALA after radiological interventions and laboratory tests is presented and the relevant literature is discussed.

  15. Discussion on Therapeutic Effect of Intratracheal Intubation on Asphyxia Neonatorum in Plateau Tibetans( Attached Reports of 48 Cases)

    Institute of Scientific and Technical Information of China (English)

    DEJI Meiduo; ZHOU Cuojie

    2002-01-01

    Objective To discuss the indications for intratracheal intubation in plateau tibetans with asphyxia neonatorum, clinical therapeutic effect relationship, changes of beta2- microglobulin( β2-MC) and creatinine( Cr). Methods 48 cases of asphyxia neonatorum were divided into several groups and underwent intratracheal intubation. Radioimmunoassay was used to determined plasmaβ2- MC level in different groups which were divided according to the severity and onset time of asphyxia neonatorum.And their serum Cr level was also determined by using HTT- ACHI7060 automatic biochemical analyzer.The results were compared with those of 20 healthy mature neonates. Results The incidence of complications of the second group with asphyxia neonatorum was higher than that of the first group. The changing degrees ofβ2 - MC and Cr were parallel with the degree of asphyxia and hypoxia. Conclusion Serumβ2- MC and Cr are the sensitive indications reflecting glomerular filtration function in asphyxia neonatorum. Popularizing novel resuscitation is the key to decrease prevalence and mortality.

  16. Discussion on Language Requirements for News Reporting%谈新闻报道的语言要求

    Institute of Scientific and Technical Information of China (English)

    李阳熙

    2012-01-01

    新闻是新近发生事实的报道,新闻语言承载着传递信息、反映现实生活的使命,它在长期的实践发展中已经形成了独自的特点,准确、具体、简练、通俗是其艺术特点,也是其语言特有要求.%News is a report of the fact taking place recently and journalistic language bears the mission of imparting information and reflecting real life. It has formed the unique characteristics. Accuracy, concreteness, conciseness and popularity are the artistic characteristic of journalistic language, also is the special requirements of journalistic language.

  17. Mucinous carcinoma of breast in a 30-year-old female: A rare case report and discussion

    Directory of Open Access Journals (Sweden)

    Banyameen Mohamad Iqbal

    2016-01-01

    Full Text Available Mucinous carcinoma (MC (colloid carcinoma is a particular, rare type of breast carcinoma. It is characterized by the presence of extracellular mucin. MC of the breast generally presents as a lobulated, moderately well-circumscribed mass on mammography, sonography, and magnetic resonance imaging. It has a favorable prognosis due to the low incidence of axillary lymph node metastasis and poor adherence to bottom fascia and poor infiltration of overlying skin. It has high incidence of estrogen receptor and progesterone receptor positivity. The incidence of MC in females under 35 years of age is only 1%. Here, we report a case of MC of right breast in a 30-year-old female.

  18. Papillary thyroid carcinoma (PTC) in Lynch syndrome: Report of two cases and discussion on Lynch syndrome behaviour and genetics.

    Science.gov (United States)

    Pelizzo, M R; Pennelli, G; Zane, M; Galuppini, F; Colletti, P M; Merante Boschin, I; Rubello, D

    2015-08-01

    We present here two cases of papillary thyroid carcinoma (PTC) in patients affected by Lynch syndrome (LS). The first case is a 47-year-old woman with typical hereditary non-polyposis colorectal cancer (HNPCC) syndrome, reported with endometrial and ovarian carcinoma at age 43, and colon cancer at age 45. The patient underwent total thyroidectomy and central node dissection in 2007, at 47years old, with a histological diagnosis of PTC (T1aN1a). Molecular genetics showed a germ-line mutation of the MLH1 gene, 1858 G>T(E620X), with substitution of glycine with a stop codon at position 620. This mutation has pathogenetic significance and was considered responsible for the various tumours of the HNPCC spectrum. In particular, in the same kindred, spanning 5 generations, there were 5 members with colorectal cancer, 4 with endometrial cancer, 3 with gastric and 2 with breast cancer. The second case is a 34-year-old man with typical HNPCC syndrome with colonic resection for colon cancer at age 21. The patient underwent total thyroidectomy with central and lateral node dissection in 2010, at age 34, with a histological diagnosis of PTC with nodal metastases (pT4N1b). Molecular genetic analysis showed a germ-line mutation of the MSH2 gene (thymine insertion at position 907). This mutation had pathogenetic significance and was considered responsible for HNPCC development. Two similar cases have been reported: a 39-year-old woman, and a 44-year-old woman, affected by HNPCC syndrome, with anaplastic thyroid carcinoma and undifferentiated thyroid carcinoma, respectively. We reviewed the Lynch syndrome literature on the history, genetics and expanding tumour spectrum of this condition. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  19. Panel discussion

    Energy Technology Data Exchange (ETDEWEB)

    No Author Given

    1975-01-01

    Panel discussion: summation and future projections. Introductory remarks by panelists followed by questions and comments from the floor. Panelists: Dr. Joseph Barnea (former director of Resources and Transport for the United Nations; energy consultant to the United Nations Institute for Training and Research (UNITAR)); the Honorable Clyde F. Bel, Jr. (member of the Louisiana House of Representatives representing District 90 and New Orleans); Dr. David Lombard (acting chief of the Advanced Systems Branch of the Division of Geothermal Energy Research and Technology, Energy Research and Development Administration (ERDA)); Fred C. Repper (vice-president of Central Power and Light Company in Corpus Christi, Texas); Dr. Hans Suter (environmental consultant in Corpus Christi, Texas; environmental columnist for the Corpus Christi Caller Times). Session chairman: Herbert Woodson.

  20. Predictors of intensive end-of-life and hospice care in Latino and white advanced cancer patients.

    Science.gov (United States)

    Loggers, Elizabeth T; Maciejewski, Paul K; Jimenez, Rachel; Nilsson, Matthew; Paulk, Elizabeth; Stieglitz, Heather; Prigerson, Holly G

    2013-10-01

    The role of end-of-life (EOL) care preferences and conversations in receipt of care near death for Latinos is unclear. This study examines rates and predictors of intensive EOL and hospice care among Latino and white advanced cancer patients. Two-hundred-and-ninety-two self-reported Latino (n=58) and white (n=234) Stage IV cancer patients participated in a U.S. multisite, prospective, cohort study from September 2002 to August 2008. The Latino and white, non-Hispanic participants were interviewed and followed until death, a median of 118.5 days from baseline. Patient-reported, baseline predictors of EOL care included EOL care preference; terminal illness acknowledgement; EOL discussion; completion of a DNR order; and religious coping. Caregiver postmortem interviews provided information regarding EOL care received. Intensive EOL care was defined as resuscitation and/or ventilation followed by death in an intensive care unit. Hospice was either in- or outpatient. Latino and white patients received intensive EOL and hospice care at similar rates (5.2% and 3.4% for intensive care, p=0.88; 70.7% versus 73.4% for hospice, p=0.33). No white or Latino patient who reported a DNR order or EOL discussion at baseline received intensive EOL care. Religious coping and a preference for life-extending care predicted intensive EOL care for white patients (adjusted odds ratio [aOR] 6.69 [p=0.02] and aOR 6.63 [p=0.01], respectively), but not for Latinos. No predictors were associated with Latino hospice care. EOL discussions and DNR orders may prevent intensive EOL care among Latino cancer patients. Efforts should continue to engage Latino patients and caregivers in these activities.

  1. Effect of the type of maternal pushing during the second stage of labour on obstetric and neonatal outcome: a multicentre randomised trial—the EOLE study protocol

    Science.gov (United States)

    Barasinski, Chloé; Vendittelli, Françoise

    2016-01-01

    Introduction The scientific data currently available do not allow any definitive conclusion to be reached about what type of pushing should be recommended to women during the second stage of labour. The objective of this trial is to assess and compare the effectiveness of directed open-glottis pushing versus directed closed-glottis pushing. Secondary objectives are to assess, according to the type of pushing: immediate maternal and neonatal morbidity, intermediate-term maternal pelvic floor morbidity, uncomplicated birth, and women's satisfaction at 4 weeks post partum. Methods and analysis This multicentre randomised clinical trial compares directed closed-glottis pushing (Valsalva) versus directed open-glottis pushing during the second stage of labour in 4 hospitals of France. The study population includes pregnant women who received instruction in both types of pushing, have no previous caesarean delivery, are at term and have a vaginal delivery planned. Randomisation takes place during labour once cervical dilation ≥7 cm. The principal end point is assessed by a composite criterion: spontaneous delivery without perineal lesion (no episiotomy or spontaneous second-degree, third-degree or fourth-degree lacerations). We will need to recruit 125 women per group. The primary analysis will be by intention-to-treat analysis, with the principal results reported as crude relative risks (RRs) with their 95% CIs. A multivariate analysis will be performed to take prognostic and confounding factors into account to obtain adjusted RRs. Ethics and dissemination This study was approved by a French Institutional Review Board (Comité de Protection des Personnes Sud Est 6:N°AU1168). Results will be reported in peer-reviewed journals and at scientific meetings. This study will make it possible to assess the effectiveness of 2 types of directed pushing used in French practice and to assess their potential maternal, fetal and neonatal effects. Findings from the study will be

  2. Cyprus; 2011 Article IV Consultation: Staff Report; Supplement; Public Information Notice on the Executive Board Discussion; and Statement by the Executive Director for Cyprus

    OpenAIRE

    International Monetary Fund

    2011-01-01

    The 2011 Article IV Consultation report discusses the Cypriot economy, which faces strong headwinds and downside risks owing to financial turbulence in the euro area and the large exposure of Cypriot banks to Greece. Executive Directors noted that Cyprus faces daunting economic challenges in the face of faltering external demand and worsening domestic financial conditions. Directors urged the authorities to act forcefully to restore sound public finances and safeguard the stability of the ban...

  3. Treatment of Abnormal Vaginal Microbiota before Frozen Embryo Transfer: Case-Report and Minireview to Discuss the Longitudinal Treatment Efficacy of Oral Clindamycin

    Directory of Open Access Journals (Sweden)

    Thor Haahr

    2017-06-01

    Full Text Available Abnormal vaginal microbiota (AVM or bacterial vaginosis (BV might negatively impact reproductive outcomes of in vitro fertilization (IVF. However, before randomized controlled trials are initiated to investigate cause and effect, it is necessary to establish the optimal treatment for AVM. Metronidazole seems ineffective to treat the biofilm in AVM; thus, clindamycin could be suggested as a relevant antibiotic agent for future intervention based studies. In the present case report, we present the first longitudinal follow-up of the vaginal microbiota with molecular methods during and after oral clindamycin treatment. Furthermore, we review the recent literature with the aim to discuss the optimal AVM treatment in a fertility setting. The patient was 40 years old suffering from unexplained secondary infertility. Prior to the present transfer cycle, she had had two failed IVF cycles. The tentative explanation of failed treatment was age-related aneuploidy. However, the patient asked for AVM diagnosis and she was subsequently diagnosed and treated successfully. Unfortunately, the patient did not achieve pregnancy after clindamycin treatment and two subsequent frozen embryo transfer cycles. Taken together, we report an excellent AVM treatment efficacy both short-term and long-term following oral clindamycin treatment. We discuss the potential impact on the vaginal microbiota of co-treatment with estrogen patches in the stimulated frozen embryo transfer cycle. Furthermore, we discuss future aspects of AVM treatment such as the potential impact of estrogen and live biotherapeutic products to positively modulate the microbiota of the reproductive tract.

  4. [Regionalization of federal health reporting using the example of diabetes surveillance : Aims and results of the discussion between the Robert Koch Institute and the federal states].

    Science.gov (United States)

    Gabrys, Lars; Heidemann, Christin; Teti, Andrea; Borrmann, Brigitte; Gawrich, Stefan; Maulbecker-Armstrong, Catharina; Fertmann, Regina; Schubert, Ulrike; Schmidt, Christian; Baumert, Jens; Paprott, Rebecca; Du, Yong; Scheidt-Nave, Christa; Ziese, Thomas

    2017-09-04

    Insufficiently treated diabetes mellitus can lead to severe comorbidities. National and international analyses show a continuous increase in diabetes prevalence over the last decades. Currently, an indicator-based national diabetes surveillance system is implemented at the Robert Koch Institute (RKI) to monitor and report on diabetes development on the basis of available primary and secondary data. The aim of the meeting was to go into deeper discussions and to integrate expectations and expertise of the federal states into the design of the national surveillance system. A close collaboration between the RKI and the federal states is intended.

  5. Focusing on SSI's risk and radiation protection criteria. A report based on discussions in focus groups in Oesthammar and Oskarshamn municipalities

    Energy Technology Data Exchange (ETDEWEB)

    Drottz-Sjoeberg, Britt-Marie [BMD Research (Sweden)

    2003-11-01

    The project was a result of the authority's continued work on the 1998 regulations on protection of human health and the environment in final disposal of spent nuclear fuel and nuclear waste. The idea behind the project, to involve persons from the municipalities participating in SKB's site selection investigation in focus group discussions, was that the questions and points of views that emerged in the discussions could serve as a basis for the authority's work of producing general guidelines associated with the regulations. The finished report would then be handed over to an expert group at the authority which answered or commented on the issues raised, and made a report on this to the participating municipalities Oskarshamn and Oesthammar. The result of discussions in two focus groups in Oskarshamn municipality and two in Oesthammar municipality in October 2002 is presented here, together with a presentation of the project's purpose and organisation. The results are presented in three main sections. The first concentrates on radiation and radioactivity since the task in the discussion groups was to attempt to clarify the issues and problems observed in this area in order to contribute to the authority's work of developing the general guidelines. The second section, on understanding of concepts, measurement, risk and safety, illustrates that the frequently asked and 'simple' knowledge related questions are only the tip of the iceberg where many of the participants have also thought about the more complex contexts and the fundamental problems in the risk and safety analysis, its validity and use. The third section of the report focuses primarily on content and information aspects. It provides a number of ideas about how information on current problems and important issues can be improved, how knowledge can be deepened in the site selection municipalities and how working methods in the process can be developed. The report mainly

  6. Adenoid Cystic Carcinoma Metastatic to the Pituitary: A Case Report and Discussion of Potential Diagnostic Value of Magnetic Resonance Elastography in Pituitary Tumors.

    Science.gov (United States)

    D Hughes, Joshua; Retzlaff, Amber; Sims, John; O'Brien, Erin; Giannini, Caterina; Huston, John; Van Gompel, Jamie J

    2016-07-01

    Adenoid cystic carcinoma (ACC) is an exocrine gland tumor accounting for approximately 10%-15% of all epithelial salivary neoplasms and occurs most often in the parotid and submandibular glands. Metastatic pituitary tumors are rare, and there is only 1 previously reported case of parotid ACC metastatic to the pituitary. Magnetic resonance elastography (MRE) is a dynamic magnetic resonance imaging (MRI)-based technique that measures the propagation of mechanically induced shear waves through a particular tissue to determine stiffness and offers a method to evaluate tissue consistency. We present the case of a 72-year-old woman with a remote history of parotid gland ACC and subsequent lung metastases presented after a fall that resulted in facial trauma. A non-contrast head computed tomography scan revealed a sellar/suprasellar mass, and follow-up MRI revealed a well-defined, enhancing 3.8-cm lesion. MRE showed the tumor to be firm. The tumor was resected through a transsphenoidal approach and was consistent with the MRE findings. Pathology returned as metastatic ACC. We report the second case of ACC metastatic to pituitary and the first firm pituitary tumor found by MRE and discuss the potential diagnostic value of MRE in pituitary lesions.

  7. Is nickel allergy an occupational disease? Discussion of the occupational relevance of a type IV allergy to nickel (II) sulfate using case reports.

    Science.gov (United States)

    Tanko, Zita; Diepgen, Thomas L; Weisshaar, Elke

    2008-05-01

    Type IV sensitization to nickel (II) sulfate is common in the general population. Nickel can be found in different metals leading to occupational exposition in industrial professions. The individual clinical relevance of nickel allergy can easily be identified but it can be difficult to assess if nickel allergy was acquired privately or occupationally. The problem if nickel allergy fulfills the criteria of an occupational skin disease is presented in three case reports. The occupational relevance of a type IV sensitization to nickel in a chemical laboratory assistant, a flight attendant and a cashier are discussed. Important conditions for acquiring nickel allergy are contact with nickel-plated and nickel-releasing materials, the kind of skin contact, the status of the epidermal barrier, and the individual working conditions with an increased bioavailability of nickel. In cases of type IV sensitization to nickel, the affected person cannot continue to work in metal plating or with contact to nickel-plated metals. The causal relationship between the type IV sensitization to nickel and the occupation needs to be clarified in each individual case. In general, occupationally caused nickel allergy is rare and the occupational relevance of nickel allergy is often overestimated.

  8. Reversible CsA-induced toxic leucencephalopathy - Case report and discussion of differential diognoses; Reversible Cyclosporin-A-induzierte Leukenzephalopathie - Fallbeschreibung und differential-diagnostische Ueberlegungen

    Energy Technology Data Exchange (ETDEWEB)

    Lingesleben, A. [Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite; Hoffmann, K.T. [Humboldt-Universitaet, Berlin (Germany). Strahlenklinik und Poliklinik; Oppert, M. [Humboldt-Universitaet, Berlin (Germany). Medizinische Klinik m. S. Nephrologie; Irlbacher, K.; Roericht, S.; Meyer, B.U. [Humboldt-Universitaet, Berlin (Germany). Neurologische Klinik

    2000-07-01

    The pathogenesis of CyclosporinA (CsA) induced toxic leucencephalopathy is unclear. CCT and CMRI reveal hypondense respectively hyperintens bilateral and symmetrical changes predominantly in the posterior white matter. We report a patient with a severe CsA induced toxic leucencephalopathy in whom clinical symptoms (complete loss of brain-stem functions, coma) and morphological changes in CCT and CMRI were completely reversible after immunosuppression with CsA has been stopped. We furthermore discuss the differential diagnoses of CCT and CMRI findings. (orig.) [German] Bei der pathogenetisch unklaren Cyclosporin-A-(CsA)-induzierten toxischen Leukenzephalopathie werden in der CCT und CMRT bilateral-symmetrische Manifestationen posterior betonter Marklagerhypodensitaeten bzw. Marklagerhyperintensitaeten beschrieben. Hier wird eine Patientin mit einer klinisch ungewoehnlich schwer verlaufenden durch CsA induzierten Leukenzephalopathie vorgestellt, bei der sowohl die klinische Symptomatik (kompletter Ausfall der Hirnstammfunktionen, Koma), als auch die bildmorphologischen Befunde innerhalb weniger Tage nach Absetzen von CsA komplett reversibel waren. In diesem Fallbericht werden ausserdem differentialdiagnostische Ueberlegungen bei der Beurteilung der CCT und CMRT dargestellt. (orig.)

  9. Brief report: inadequate description and discussion of enrolled patient characteristics and potential inter-study site differences in reports of randomized controlled trials: a systematic survey in six rheumatology journals.

    Science.gov (United States)

    Yurdakul, Sebahattin; Mustafa, Bediha Nezhdi; Fresko, Izzet; Seyahi, Emire; Yazici, Hasan

    2014-05-01

    Detailed information on patient recruitment and study settings is an important component of reports of randomized controlled trials (RCTs). We had the impression that many RCTs published in rheumatology journals lacked this information. This study was undertaken to systemically survey this matter in 6 leading journals. A hand search was conducted for RCTs published in 2011 and 2012 in Arthritis & Rheumatism, Annals of the Rheumatic Diseases, Rheumatology (Oxford), Arthritis Care & Research, The Journal of Rheumatology, and Clinical and Experimental Rheumatology. Using the Consolidated Standards of Reporting Trials (CONSORT) guidelines, 2 observers evaluated the articles for the inclusion of patient eligibility criteria, including method of recruitment; study health care settings; geographic location; and, among multicenter studies, a discussion of possible effects of intercenter differences on outcomes. Among 118 articles, an informative account of the method of recruitment was available in 36 (30.5%). Information about the study health care setting was found in 56 (47.5%). Patient socioeconomic profile was available in 11 (9.3%), patient education level in 10 (8.4%), and patient race in 48 (40.7%). Among 76 multicenter studies, the potential effects of possible intercenter differences on outcome were discussed in 13 (17.1%). There were no important differences between the 3 journals that emphasized the use of CONSORT in their author guidelines and the remaining 3 journals. Adequate information on patient recruitment, the trial setting, and a discussion of possible multicenter design effects on outcomes are lacking in the majority of RCT reports in rheumatology. This affects the validity of these reports and calls for closer attention of authors, journals, and reviewers. Copyright © 2014 by the American College of Rheumatology.

  10. Summaries of group discussions

    Science.gov (United States)

    Jensen, L. D.

    1972-01-01

    Group discussions following the presentations of reports on the remote sensing of Chesapeake Bay resources are presented. The parameters to be investigated by the remote sensors and the specifications of the sensors are described. Specific sensors for obtaining data on various aspects of the ecology are identified. Recommendations for establishing a data bank and additional efforts to obtain increased understanding of the ecology are submitted.

  11. Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: report of twelve cases and discussion of mechanism of action.

    Science.gov (United States)

    Lee, Bok Y; Al-Waili, Noori; Stubbs, Dean; Wendell, Keith; Butler, Glenn; Al-Waili, Thia; Al-Waili, Ali

    2009-12-06

    either reduced their medication or completely stopped after the course of treatment. No side effects were reported. The mechanism of action was discussed.

  12. Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: Report of twelve cases and discussion of mechanism of action

    Directory of Open Access Journals (Sweden)

    Bok Y. Lee, Noori AL-Waili, Dean Stubbs, Keith Wendell, Glenn Butler, Thia AL-Waili, Ali AL-Waili

    2010-01-01

    -100%. The patients either reduced their medication or completely stopped after the course of treatment. No side effects were reported. The mechanism of action was discussed.

  13. The Key Practice, Discuss and Debate Ideas: Conceptual Framework, Literature Review, and Provisional Learning Progressions for Argumentation. Research Report. ETS RR-15-33

    Science.gov (United States)

    Deane, Paul; Song, Yi

    2015-01-01

    In this paper, we provide a comprehensive literature review on the development of key argumentation skills to lay a foundation for a framework of the key practice, discuss and debate ideas, which is centrally involved in the expectations for academic reading and writing. Specifically, the framework includes 5 phases of core activities and related…

  14. Management of pudendal neuralgia using ultrasound-guided pulsed radiofrequency: a report of two cases and discussion of pudendal nerve block techniques.

    Science.gov (United States)

    Hong, Myong-Joo; Kim, Yeon-Dong; Park, Jeong-Ki; Hong, Hyon-Joo

    2016-04-01

    Pudendal neuralgia is characterized by chronic pain or discomfort in the area innervated by the pudendal nerve, with no obvious cause. A successful pudendal nerve block is crucial for the diagnosis of pudendal neuralgia. Blind or fluoroscopy-guided pudendal nerve blocks have been conventionally used for diagnosis and treatment; however, ultrasound-guided pudendal nerve blocks were also reported recently. With regard to the achievement of long-term effects, although pulsed radiofrequency performed under fluoroscopic guidance has been reported, that performed under ultrasound guidance is not well reported. This report describes two cases of pudendal neuralgia that were successfully managed using ultrasound-guided pulsed radiofrequency and presents a literature review of pudendal nerve block techniques. However, in the management of chronic neuropathic pain, physicians should keep in mind that the placebo effect related to invasive approaches must not be neglected.

  15. 45,X/46,XY mosaicism and Oculo-Auriculo-Vertebral Spectrum following an IVF pregnancy: a report and a discussion of their interrelationships.

    Science.gov (United States)

    Baynam, Gareth; Goldblatt, Jack

    2009-09-01

    The aetiology of Oculo-Auriculo-Vertebral Spectrum (OAVS) is unkown. We report a case following a prenatal diagnosis of 45,X/46,XY mosaicism in a pregnancy achieved by In-Vitro Fertilization (IVF) and describe evidence for the interrelationships of these phenomena and multiple births. This report extends the phenotypes associated with prenatally diagnosed 45,X/46,XY mosaicism and supports the association of OAVS and IVF.

  16. 45,X/46,XY mosaicism and Oculo-Auriculo-Vertebral Spectrum following an IVF pregnancy: a report and a discussion of their interrelationships

    OpenAIRE

    Baynam, Gareth; Goldblatt, Jack

    2009-01-01

    The aetiology of Oculo-Auriculo-Vertebral Spectrum (OAVS) is unkown. We report a case following a prenatal diagnosis of 45,X/46,XY mosaicism in a pregnancy achieved by In-Vitro Fertilization (IVF) and describe evidence for the interrelationships of these phenomena and multiple births. This report extends the phenotypes associated with prenatally diagnosed 45,X/46,XY mosaicism and supports the association of OAVS and IVF.

  17. Physician Location Selection and Distribution. A Bibliography of Relevant Articles, Reports and Data Sources. Health Manpower Policy Discussion Paper Series No. D3.

    Science.gov (United States)

    Crane, Stephen C.; Reynolds, Juanita

    This bibliography provides background material on two general issues of how physicians are distributed geographically and how physicians choose a practice location. The report is divided into five major categories of information: overview summary of annotated articles, reference key to location decision factors, reference key to public policy…

  18. The incorporation of human toxicity criteria into Integrated Environmental Quality Standards. Discussion report supportive to the development of a harmonisation strategy

    NARCIS (Netherlands)

    Mennes W; Apeldoorn M van; Meijerinck M; Crommentuijn T; CSR

    1998-01-01

    The research described in this report aimes at the further development of integrated environmental standards which are to be designed to protect both humans and environmental species. Up to now only ecotoxicological data were incorporated in these standards. Techniques to incorporate human toxicity

  19. Malawi; Request for a One-Year Exogenous Shocks Facility Arrangement: Staff Report; Press Release on the Executive Board Discussion; and Statement by the Executive Director for Malawi

    OpenAIRE

    International Monetary Fund

    2009-01-01

    This paper discusses a request from Malawi for a one-year exogenous shocks facility (ESF) arrangement to help it adjust to the large terms-of-trade shock it has suffered. Real GDP growth of Malawi has been high and is expected to remain solid. Inflation, though rising in recent months, is still moderate and is expected to ease over the medium term. The government’s near-term program aims to increase the import coverage of official gross reserves while preserving growth and food security. IM...

  20. People’s Republic of China—Macao Special Administrative Region; Staff Report for the 2014 Article IV Consultation Discussions

    OpenAIRE

    International Monetary Fund.

    2014-01-01

    KEY MESSAGES Setting. Discussions took place for the first time since the handover of Macao SAR from Portugal to China in 1999. Prudent macroeconomic management has underpinned rapid development in the territory, which is now the world’s largest gaming center. As a small, open and tourism-dependent economy, Macao SAR is currently also benefiting from loose global monetary conditions and a Mainland-related boom. Outlook and risks. Growth should stay strong over the next few years at 8–10 p...

  1. Legitimacy to develop fair value measurement standards: The Case of the IVSC Discussion Paper – Determination of fair value of intangible assets for IFRS reporting purposes

    OpenAIRE

    Deaconu, Adela; Cristina Silvia NISTOR; Filip, Crina

    2009-01-01

    This research studies, through a content analysis of the comment letters to the IVSC project on fair value determination of intangible assets, the legitimacy of this professional body, or of the accounting associations, to develop measurement standards specific to this accounting concept. At present, with the exception of FAS 157, no professional standard offers clear technical solutions for fair value determination for financial reporting purposes. We have come to the conclusion that, among ...

  2. Malpositioned implants in the anterior maxilla: a novel restorative approach to reestablish peri-implant tissue health and acceptable esthetics. Part II: Case report and discussion.

    Science.gov (United States)

    Moráguez, Osvaldo D; Vailati, Francesca; Belser, Urs C

    2015-01-01

    This two-part case presentation describes the prosthetic challenge of managing complications in a 50-year-old female patient after inadequate esthetic risk assessment, treatment planning, and implant placement in the anterior maxilla. In Part I, the clinical situation was described, and different restorative solutions were proposed to correct the extreme facial inclination of the implants, excluding major surgical procedures, namely implant removal. In Part II, different prosthetic options are discussed, and the final treatment is revealed. A noninvasive treatment protocol was applied to transform a severely compromised postsurgical situation into an esthetically acceptable result. An unconventional prosthesis design was implemented, including the use of ceramic veneers bonded to the CAD/CAM-generated screw-retained zirconia- based fixed dental prosthesis (FDP), to correct major axis-related problems and spatial discrepancies.

  3. Discussing epigenetics in Southern California: a report from the International Symposium on Epigenetic Control and Cellular Plasticity, UCI, December 15-16, 2011.

    Science.gov (United States)

    Rattner, Barbara P

    2012-04-01

    With the goal of discussing how epigenetic control and chromatin remodeling contribute to the various processes that lead to cellular plasticity and disease, this symposium marks the collaboration between the Institut National de la Santé et de la Recherche Médicale (INSERM) in France and the University of California, Irvine (UCI). Organized by Paolo Sassone-Corsi (UCI) and held at the Beckman Center of the National Academy of Sciences at the UCI campus December 15-16, 2011, this was the first of a series of international conferences on epigenetics dedicated to the scientific community in Southern California. The meeting also served as the official kick off for the newly formed Center for Epigenetics and Metabolism at the School of Medicine, UCI (http://cem.igb.uci.edu).

  4. The monitoring, evaluation, reporting, and verification of climate change mitigation projects: Discussion of issues and methodologies and review of existing protocols and guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Vine, E.; Sathaye, J.

    1997-12-01

    Because of concerns with the growing threat of global climate change from increasing emissions of greenhouse gases, the US and other countries are implementing, by themselves or in cooperation with one or more other nations (i.e., joint implementation), climate change mitigation projects. These projects will reduce greenhouse gas (GHG) emissions or sequester carbon, and will also result in non-GHG impacts (i.e., environmental, economic, and social impacts). Monitoring, evaluating, reporting, and verifying (MERV) guidelines are needed for these projects in order to accurately determine their net GHG, and other, benefits. Implementation of MERV guidelines is also intended to: (1) increase the reliability of data for estimating GHG benefits; (2) provide real-time data so that mid-course corrections can be made; (3) introduce consistency and transparency across project types and reporters; and (4) enhance the credibility of the projects with stakeholders. In this paper, the authors review the issues and methodologies involved in MERV activities. In addition, they review protocols and guidelines that have been developed for MERV of GHG emissions in the energy and non-energy sectors by governments, nongovernmental organizations, and international agencies. They comment on their relevance and completeness, and identify several topics that future protocols and guidelines need to address, such as (1) establishing a credible baseline; (2) accounting for impacts outside project boundaries through leakage; (3) net GHG reductions and other impacts; (4) precision of measurement; (5) MERV frequency; (6) persistence (sustainability) of savings, emissions reduction, and carbon sequestration; (7) reporting by multiple project participants; (8) verification of GHG reduction credits; (9) uncertainty and risk; (10) institutional capacity in conducting MERV; and (11) the cost of MERV.

  5. Revision of TRH 11 (1999-2000). Recovery of road damage – discussion document on a provisional basis for possible new estimation of mass fees – under review for TRH 11 (2000) – final summary report V1.0

    CSIR Research Space (South Africa)

    De Beer, Morris

    2009-08-01

    Full Text Available (2000) -- --- FINAL SUMMARY REPORT V1.0 --- Authors: M De Beer I M Sallie Y van Rensburg PREPARED FOR: National Department of Transport Abnormal Loads Technical Committee Pretoria South Africa PREPARED BY... DAMAGE - DISCUSSION DOCUMENT ON A PROVISIONAL BASIS FOR POSSIBLE NEW ESTIMATION OF MASS FEES - UNDER REVIEW FOR TRH 11 (2000) - FINAL SUMMARY REPORT V1.0 - Author: M De Beer, I M Sallie and Y van Rensburg Client: NDoT, South Africa Client...

  6. Report: Discussion on the development of nano Ag/TiO2 coating bracket and its antibacterial property and biocompatibility in orthodontic treatment.

    Science.gov (United States)

    Zhang, Ronghe; Zhang, Weiwei; Bai, Xueyan; Song, Xiaotong; Wang, Chunyan; Gao, Xinxin; Tian, Xubiao; Liu, Fengzhen

    2015-03-01

    This paper aims to explore the antibacterial property of nano Ag/TiO2 coating bracket for the common bacteria in oral cavity, and discuss its biocompatibility. Micro morphology in the surface of nano Ag/TiO2 coating bracket was detected by scanning electron microscope (SEM), and surface roughness of ordinary mental bracket, nano TiO2 coating bracket and nano Ag/TiO2 coating bracket were measured. First, antibacterial property of nano Ag/TiO2 coating bracket on the common bacteria in oral cavity was studied by sticking membrane method. Secondly, bonding strength of nano TiO2 coating and nano Ag/TiO2 coating bracket in groups were detected by scratching test. The result showed that, the synthetic nano Ag/TiO2 coating was nanogranular films with rigorous organizational structure, presenting as smooth and clean surface, and antibacterial rate of nano Ag/TiO2 coating for the common bacteria in oral cavity for 20 min was more than 79% in the dark. All the findings suggested that, nano Ag/TiO2 coating bracket not only has antibacterial effect but also has good biocompatibility, therefore, it can satisfy the clinical request of orthodontic treatment.

  7. An Official American Thoracic Society Workshop Report: Presentations and Discussion of the Sixth Jack Pepys Workshop on Asthma in the Workplace.

    Science.gov (United States)

    Tarlo, Susan M; Malo, Jean-Luc; de Blay, Frédéric; Le Moual, Nicole; Henneberger, Paul; Heederik, Dick; Raulf, Monika; Carlsten, Christopher; Cartier, André

    2017-09-01

    The Sixth Jack Pepys Workshop on Asthma in the Workplace focused on six key themes regarding the recognition and assessment of work-related asthma and airway diseases: (1) cleaning agents and disinfectants (including in swimming pools) as irritants and sensitizers: how to evaluate types of bronchial reactions and reduce risks; (2) population-based studies of occupational obstructive diseases: use of databanks, advantages and pitfalls, what strategies to deal with biases and confounding?; (3) damp environments, dilapidated buildings, recycling processes, and molds, an increasing problem: mechanisms, how to assess causality and diagnosis; (4) diagnosis of occupational asthma and rhinitis: how useful are recombinant allergens (component-resolved diagnosis), metabolomics, and other new tests?; (5) how does exposure to gas, dust, and fumes enhance sensitization and asthma?; and (6) how to determine probability of occupational causality in chronic obstructive pulmonary disease: epidemiological and clinical, confirmation, and compensation aspects. A summary of the presentations and discussion is provided in this proceedings document. Increased knowledge has been gained in each topic over the past few years, but there remain aspects of controversy and uncertainty requiring further research.

  8. Design and development of an automotive organic Rankine-cycle powerplant with a reciprocating expander. Final report. Volume II. Detailed discussion

    Energy Technology Data Exchange (ETDEWEB)

    1977-09-01

    Work performed for the design and development of an organic Rankine-cycle engine for automobile propulsion is reported. An automotive power plant using an organic Rankine-cycle system with a reciprocating expander has been designed, built, and tested on an engine dynamometer in a preprototype configuration. The system is designed to provide performance approximately equivalent to that of a 351-CID internal combustion engine in the reference car, a 1972 Ford Galaxie 500. A description of the preprototype system, major components, and results from component and system testing are presented. The fuel economy based on steady-state measurements is estimated to be 10.2 mpg over the federal driving cycle with a maximum of 16 mpg at 30 mph. Projections of steady-state emission measurements show compliance with the 1970 Clean Air Act standards for 1978 vehicle emissions. The levels for unburned hydrocarbons, carbon monoxide, and oxides of nitrogen were 41 percent, 6 percent, and 69 percent of the standards, respectively. At the conclusion of the preprototype phase of the program, a prototype design effort was initiated to upgrade and improve the performance of the preprototype system. The reference vehicle for this prototype design is a compact car in the weight class of a 1974 Ford Pinto. The results of this design study, including performance projections, are also presented.

  9. Asbestos fibres in the lungs of an American mechanic who drilled, riveted, and ground brake linings: a case report and discussion.

    Science.gov (United States)

    Finkelstein, Murray M

    2015-05-01

    In North America and Europe, the use of asbestos in friction products was discontinued before the end of the 20th century. In the developing world, the use of asbestos-containing friction products continues. In 2010, Cely-Garcia and colleagues (Cely-Garcia et al., 2012) sampled three brake repair shops located in Bogota, Colombia. Both asbestos and non-asbestos containing brake linings were sold separately or attached to a shoe. When brake linings are sold separated from the shoe, they must be manipulated to attach them to the shoe before installation. The process starts with the removal of the old brake shoe from the vehicle's brake drum. If the existing brake shoe is to be reused, the old lining needs to be removed and the old shoe must be ground to prepare it for a new lining. Riveting requires drilling holes in the linings and shoes and before installing rivets, the lining must be countersunk. The borders of the lining are bevelled. On some occasions, the entire exposed surface of the lining is ground to make it thinner. Once attached to the shoe, the edges of brake linings may extend beyond the shoe. In this case, it is necessary to cut or grind the edges to match the lining to the shoe before bevelling or grinding. The authors reported that 'the sampling results indicate that the brake mechanics sampled are exposed to extremely high asbestos concentrations (i.e. based on transmission electron microscopy counts), suggesting that this occupational group could be at excess risk of asbestos-related diseases'.

  10. Reporte de Caso Clínico y discusión de tema: Síndrome del opérculo Torácico / Report and discussion of a study case: Thoracic Outlet Syndrome / Descrição do caso clínico e discussão do tema: síndrome do desfiladeiro torácico

    Directory of Open Access Journals (Sweden)

    Celso Miguel Lemus Torres MD., Esp

    2015-11-01

    realizó un abordaje supraclavicular para resección de costilla cervical accesoria, escalenotomia, descompresión del plexo braquial y Arteria subclavia. Posterior, la paciente presentó mejoría notoria y remisión de los síntomas. [Lemus CM, Cadena JE, Valle AP, Mateus JC, Lemus JE. Reporte de Caso Clínico y discusión de tema: Síndrome del opérculo Torácico. MedUNAB 2015; 18(2:135-143] Introduction: Thoracic Outlet Syndrome - TOS - is a heterogeneous and potentially dysfunctional group of syndromes related to extrinsic compression of neurovascular structures from the neck to the upper limb for different congenital or acquired anatomical structures, being more frequent the neurological compression, causing a variety of symptoms that vary according to the degree of compression and affected structure that in some cases make it difficult to diagnose. Due to the lack of established diagnostic criteria, the physical exam is the most important element used to formulate a diagnosis. The initial treatment is conservative. The surgical treatment becomes an option with multiple personalized procedures for each type of patient according to the etiology. Objective: The purpose of the article is to discuss the clinical case based on the evidence allowing general knowledge of that pathology, and understanding the causes of pain in the upper limb, to therefore guide medical staff to perform a timely diagnosis and effective treatment that decreases the risk of irreversible complications. Results and conclusions: A study case of a young adult patient presenting neurovascular symptoms due to syncope, left anterior thoracic pain, localized pain in the upper limbs, sensation of lumps in the neck, paresthesia, decrease in muscular strength, edema, pallor and coldness of the limb was presented. A radiological diagnostic test in the accessory cervical rib was performed and later confirmed with a nuclear resonance. Thoracic Outlet Syndrome in the left side was diagnosed resulting in

  11. Discussion in Postsecondary Classrooms

    Directory of Open Access Journals (Sweden)

    Curt Dudley-Marling

    2013-11-01

    Full Text Available Spoken language is, arguably, the primary means by which teachers teach and students learn. Much of the literature on language in classrooms has focused on discussion that is seen as both a method of instruction and a curricular outcome. While much of the research on discussion has focused on K-12 classrooms, there is also a body of research examining the efficacy of discussion in postsecondary settings. This article provides a review of this literature in order to consider the effect of discussion on student learning in college and university classrooms, the prevalence of discussion in postsecondary settings, and the quality of discussion in these settings. In general, the results of research on the efficacy of discussion in postsecondary settings are mixed. More seriously, researchers have not been explicit about the meaning of discussion and much of what is called discussion in this body of research is merely recitation with minimal levels of student participation. Although the research on discussion in college and university classrooms is inconclusive, some implications can be drawn from this review of the research including the need for future researchers to clearly define what they mean by “discussion.”

  12. Highlights of the Discussions.

    Science.gov (United States)

    Olson, Christine M.; Gillespie, Ardyth H.

    1981-01-01

    Summarizes the discussions and identified research priorities from a 1980 Workshop on Nutrition Education Research relating to areas of anthropology, communications, psychology, and social psychology. (DS)

  13. Report on ISFG SNP Panel Discussion

    DEFF Research Database (Denmark)

    Butler, John M.; Budowle, B.; Gill, P.;

    2008-01-01

    Six scientists presented their views and experience with single nucleotide polymorphism (SNP) markers, multiplexes, and methods regarding their potential application in forensic identity and relationship testing. Benefits and limitations of SNPs were reviewed, as were different SNP marker categor...

  14. Acremonium mycetoma: a case report and discussion.

    Science.gov (United States)

    Guevara, Denise; Wongkittiroch, Khongruk; Goodman, Marcus; Singh, Angela; Weiss, Eduardo; Glick, Bradley

    2011-12-01

    Acremonium mycetoma is a rare fungal infection of the skin, tissue, and bones. We present a case of a 64-year-old man with mycetoma due to gardening. The clinical presentation, laboratory findings, and treatment options are reviewed.

  15. Facioscapulohumeral dystrophy: case report and discussion.

    Science.gov (United States)

    Castellano, Vincenzo; Feinberg, Joseph; Michaels, Jennifer

    2008-09-01

    Facioscapulohumeral dystrophy (FSHD) is often cited as the third most common form of muscular dystrophy. Therefore, it should be considered in patients with complaints of progressive weakness. We present the case of a man with facial, truncal, and leg weakness that initially sought medical attention for lower back pain. Electrodiagnostic testing revealed findings in the trapezius, serratus anterior, biceps, triceps, pectoralis major, tibialis anterior, and gastrocnemius muscles consistent with a myopathic disorder. Subsequent genetic testing identified a FSHD allele size consistent with a FSHD deletion mutation. Therefore, confirming the diagnosis of FSHD. Unfortunately, no effective treatments currently exist for FSHD. However, supportive measures involving physical therapy and the use of orthotics may aid in improving function and mobility.

  16. Framing Evolution Discussion Intellectually

    Science.gov (United States)

    Oliveira, Alandeom W.; Cook, Kristin; Buck, Gayle A.

    2011-01-01

    This study examines how a first-year biology teacher facilitates a series of whole-class discussions about evolution during the implementation of a problem-based unit. A communicative theoretical perspective is adopted wherein evolution discussions are viewed as social events that the teacher can frame intellectually (i.e., present or organize as…

  17. Leading Classroom Discussions

    Science.gov (United States)

    Gonzalez, Gloriana; DeJarnette, Anna F.

    2013-01-01

    Classroom discourse is a valuable teaching and learning tool. Discussions allow students to improve their communication and reasoning skills in mathematics and help teachers assess students' understanding of mathematical ideas. To get the greatest benefit from discussion, teachers must elicit student thinking, listen carefully to their ideas,…

  18. Framing Evolution Discussion Intellectually

    Science.gov (United States)

    Oliveira, Alandeom W.; Cook, Kristin; Buck, Gayle A.

    2011-01-01

    This study examines how a first-year biology teacher facilitates a series of whole-class discussions about evolution during the implementation of a problem-based unit. A communicative theoretical perspective is adopted wherein evolution discussions are viewed as social events that the teacher can frame intellectually (i.e., present or organize as…

  19. The Use of Discussion.

    Science.gov (United States)

    Brunner, Edmund deS.; And Others

    Research on the use of discussion in adult education has been largely concerned with comparing it with the use of other instructional techniques and with measuring opinion change. Many studies, such as Kurt Lewin's study of food habits, have compared the effectiveness of group discussion as contrasted with lecture in changing opinions and…

  20. Learning through synchronous electronic discussion

    NARCIS (Netherlands)

    Kanselaar, G.; Veerman, A.L.; Andriessen, J.E.B.

    2000-01-01

    This article reports a study examining university student pairs carrying out an electronic discussion task in a synchronous computer mediated communication (CMC) system (NetMeeting). The purpose of the assignment was to raise students' awareness concerning conceptions that characterise effective ped

  1. PA Discussion Topics

    Science.gov (United States)

    2011-02-04

    lower priority discussion ADD-TARDEC Network Centric Military Energy Control (NCMEC) Future discussion ADD-TARDEC M&S for Hybrid Electric Vehicles ...Approved for public release • OBJECTIVES: Reduce Thermal Burden on Vehicles Reduce Converter Operating Power • APPROACH: Develop compact...APU) that delivers 5 kWe (Threshold), 10 kWe (Objective) of vehicle electrical power demonstrated at TRL 5. • System designed to fit into an

  2. Focus group discussions

    CERN Document Server

    Hennink, Monique M

    2014-01-01

    The Understanding Research series focuses on the process of writing up social research. The series is broken down into three categories: Understanding Statistics, Understanding Measurement, and Understanding Qualitative Research. The books provide researchers with guides to understanding, writing, and evaluating social research. Each volume demonstrates how research should be represented, including how to write up the methodology as well as the research findings. Each volume also reviews how to appropriately evaluate published research. Focus Group Discussions addresses the challenges associated with conducting and writing focus group research. It provides detailed guidance on the practical and theoretical considerations in conducting focus group discussions including: designing the discussion guide, recruiting participants, training a field team, moderating techniques and ethical considerations. Monique Hennink describes how a methodology section is read and evaluated by others, such as journal reviewers or ...

  3. Discussion about magnesium phosphating

    Directory of Open Access Journals (Sweden)

    P. Pokorny

    2016-07-01

    Full Text Available The paper describes results from recently published research focused on production of non-conventional magnesium phosphate Mg3(PO42・4H2O – bobierrite, or MgHPO4・3H2O – newberyite coating for both magnesium alloys and/or mild steel. This new kind of coating is categorized in the context of current state of phosphating technology and its potential advantages and crystal structure is discussed. At the same time, the suitable comparison techniques for magnesium phosphate coating and conventional zinc phosphate coating are discussed.

  4. A report on proposals of open-to-discussion dispositions relating to the draft of law on Revamping and Expanding Domestic Electricity Supply; Rapport concernant un texte sur les dispositions restant en discussion du projet de loi relatif a la modernisation et au developpement du service public de l'electricite

    Energy Technology Data Exchange (ETDEWEB)

    Bataille, Christian [ed.] [Assemblee Nationale, Paris (France); Revol, Henri [ed.] [Senat, Paris (France)

    1999-11-23

    The report presents, on behalf of the Joint Mediation Commission, the open-to-discussion dispositions relating to the draft of law on Revamping and Expanding Domestic Electricity Supply. Several problems related to general access to the electricity power, the EDF policy, the implementation of the European Union Directive concerning the electricity market, the relations between the energy policy adopted by National Assemble and Senate, the Super-Phenix shutdown controversy are reviewed. Also, relating to the European energy market, issues concerning the relation with partners from Germany, Spain and Italy are mentioned. By taking into account the different positions exposed by the members of the Commission, Mr Andre Lajoinie, the president, has made some concluding remarks about the lack of success in the work of the Joint Mediation Commission.

  5. Report made on behalf of the parity mixed commission in charge of proposing a text about the dispositions of the project of energy orientation law remaining to be discussed; Rapport fait au nom de la commission mixte paritaire (1) chargee de proposer un texte sur les dispositions restant en discussion du projet de loi d'orientation sur l'energie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    The project of energy orientation law aims at fixing the main principles of the French energy policy for the next decades. It foresees: the re-launching of the French nuclear program (building of an experimental European pressurized reactor (EPR)), the reinforcement of the mastery of energy demand (3% per year, creation of energy saving certificates and reinforcement of buildings energy efficiency rules), and the sustain of renewable energies development. This document presents, first, a direct comparison, article by article, of the text adopted in second lecture by the House of Commons, with the text adopted in second lecture by the Senate. Then, a text is proposed for the last dispositions that remained to be discussed and is presented in the second part of the report. (J.S.)

  6. Uganda; First Review Under the Policy Support Instrument and Modifications to Assessment Criteria: Staff Report; Press Release on the Executive Board Discussion; and Statement by the Executive Director for Uganda

    OpenAIRE

    International Monetary Fund

    2007-01-01

    The staff report for the First Review under the Policy Support Instrument and Modifications to Assessment Criteria discusses Uganda’s medium-term expenditure framework (MTEF). The MTEF aims at higher public savings based on spending restraint and a rising domestic revenue ratio. The Bank of Uganda (BOU) will rely on a combination of foreign exchange sales and open market operations to sterilize liquidity. Better and more extensive transport networks and expansion of the pool of long-term sa...

  7. Writing a Discussion.

    Science.gov (United States)

    Smith, Sue; And Others

    A unit used in an Australian school to teach English-as-a-Second-Language (ESL) students how to write a discussion is described. The 3-week unit was planned and implemented jointly by an ESL resource teacher, class teacher, and teacher librarian. The class was divided into three heterogeneous groups, two of which were observed for this study and…

  8. Promoting Lively Literature Discussion

    Science.gov (United States)

    Gritter, Kristine

    2011-01-01

    When students create personal connections with literature during whole-class discussion, they make sense both of text and of their life experiences. In this article, the author shares tips that help students make text-to-self, text-to-world, and text-to-text connections. She offers classroom examples to illustrate how conversations that encourage…

  9. Discussion of Environmental Protection

    Institute of Scientific and Technical Information of China (English)

    翁和毓

    2002-01-01

    Knowledge about environment issues was introduced. The influence of pollution on human beings as well as ecosystem was analyzed. And the management of environment protection and the roles that both the local government and central government should play were discussed. Finally, the legislation and supervision for environment protection were put forward.

  10. Reply to the discussion

    Institute of Scientific and Technical Information of China (English)

    BRILLINGER David R

    2009-01-01

    @@ Alan Lee adds to the topic and work of the paper by providing highly insightful discussion and new results. I thank him. In particular he provides further reasons for working with the derived values, Win-Tie-Loss,rather that actual goal counts themselves.

  11. Cotton Pricing Discussion

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Cotton prices have received a lot of attention recently.Cotton Incorporated especically designed this Special Edition of Supply Chain Insights to frame the discussion concerning prices throughout the cotton supply chain in terms of the cyclical events that contributed to recent volatility and how a return to long-term averages over time can be expected.

  12. Report on the draft of the law No. 1253 concerning the Revamping and Expanding Domestic Electricity Supply. Volume I. General discussion and Examination of the articles; Rapport sur le projet de loi (no. 1253) relatif a la modernisation et au developpement du service public de l'electricite. Tome I. Discussion generale et Examen des articles

    Energy Technology Data Exchange (ETDEWEB)

    Bataille, Christian [Assemblee Nationale, Paris (France)

    1999-02-11

    This report on the draft of the law No. 1253 concerning the Revamping and Expanding Domestic Electricity Supply is composed of three parts. The first part contains the following three sections: I. The electricity, a commodity as others?; II. The stride towards liberalization; III. France and the opening of electricity market. In turn, the first section addresses the following two subjects: A. The 'classic' approach or recognizing the peculiarity of electricity; B. The European approach or the trend of trivializing the electricity. The second section addresses the subjects titled: A. A long and severe bargaining; B. Directive 96/92/CE of 19 December 1996, a new step in achieving a domestic market of electricity; C. The stage of implementation throughout the member states. The third section presents the current juridical framework and the main problems stipulated in the draft of the law concerning the Revamping and Expanding Domestic Electricity Supply. The second part of this report is devoted to the debates in the Commission of Production and Exchanges and contains the following three sections: I. Auditions; II. General discussion; III. The examination of the articles of the law concerning the Revamping and Expanding Domestic Electricity Supply.

  13. Discussion on advanced manufacturing

    Institute of Scientific and Technical Information of China (English)

    WANG Xiankui

    2007-01-01

    Advanced manufacturing consists of continuity of manufacturing,its broad sense,and the core of the manufacturing process.The technology of continuous manufacturing is discussed according to both historical and modern perspectives.The relationship between human development and manufacturing technology is also discussed.Manufacturing is a continuously evolving topic.It is not only the foundation and means of imagination,conception,the science,and the technology of material change,but also the expression of national economy,national defense,and the support industries.The broad sense of manufacturing theory,which extends the concept of manufacturing,is an important development in the 20th century.The sense is analyzed in connection with design,material forming theory,synthesis of manufacturing technology,manufacturing modes,life cycle of product,hardware and sottware,and support environment,etc.At the same time,the core action and the development of the theory and technology of process is also discussed.At the end of this paper,the development directions of mechanical manufacturing science and technology are mentioned.

  14. Empowerment: a conceptual discussion.

    Science.gov (United States)

    Tengland, Per-Anders

    2008-06-01

    The concept of 'empowerment' is used frequently in a number of professional areas, from psychotherapy to social work. But even if the same term is used, it is not always clear if the concept denotes the same goals or the same practice in these various fields. The purpose of this paper is to clarify the discussion and to find a plausible and useful definition of the concept that is suitable for work in various professions. Several suggestions are discussed in the paper, for example control over life or health, autonomy, ability, self-efficacy, self-esteem, and freedom, and it is concluded that there are two plausible complementary uses, one as a goal and one as a process or approach. Empowerment as a goal is to have control over the determinants of one's quality of life, and empowerment as a process is to create a professional relation where the client or community takes control over the change process, determining both the goals of this process and the means to use.

  15. Post-partum pituitary insufficiency and livedo reticularis presenting a diagnostic challenge in a resource limited setting in Tanzania: a case report, clinical discussion and brief review of existing literature

    Directory of Open Access Journals (Sweden)

    Sheriff Faheem G

    2012-07-01

    Full Text Available Abstract Background Pituitary disorders following pregnancy are an important yet under reported clinical entity in the developing world. Conversely, post partum panhypopituitarism has a more devastating impact on women in such settings due to high fertility rates, poor obstetric care and scarcity of diagnostic and therapeutic resources available. Case presentation A 37 year old African female presented ten years post partum with features of multiple endocrine deficiencies including hypothyroidism, hypoadrenalism, lactation failure and secondary amenorrhea. In addition she had clinical features of an underlying autoimmune condition. These included a history of post-partum thyroiditis, alopecia areata, livedo reticularis and deranged coagulation indices. A remarkable clinical response followed appropriate hormone replacement therapy including steroids. This constellation has never been reported before; we therefore present an interesting clinical discussion including a brief review of existing literature. Conclusion Post partum pituitary insufficiency is an under-reported condition of immense clinical importance especially in the developing world. A high clinical index of suspicion is vital to ensure an early and correct diagnosis which will have a direct bearing on management and patient outcome.

  16. Medical Physics Panel Discussion

    Science.gov (United States)

    Guèye, Paul; Avery, Steven; Baird, Richard; Soares, Christopher; Amols, Howard; Tripuraneni, Prabhakar; Majewski, Stan; Weisenberger, Drew

    2006-03-01

    The panel discussion will explore opportunities and vistas in medical physics research and practice, medical imaging, teaching medical physics to undergraduates, and medical physics curricula as a recruiting tool for physics departments. Panel members consist of representatives from NSBP (Paul Guèye and Steven Avery), NIH/NIBIB (Richard Baird), NIST (Christopher Soares), AAPM (Howard Amols), ASTRO (Prabhakar Tripuraneni), and Jefferson Lab (Stan Majewski and Drew Weisenberger). Medical Physicists are part of Departments of Radiation Oncology at hospitals and medical centers. The field of medical physics includes radiation therapy physics, medical diagnostic and imaging physics, nuclear medicine physics, and medical radiation safety. It also ranges from basic researcher (at college institutions, industries, and laboratories) to applications in clinical environments.

  17. Conclusion et discussion

    OpenAIRE

    Bertrand, Romain; Wachtel, Nathan; Berger, Laurent; Levi, Giovanni; Boucheron, Patrick; Calvo, Thomas

    2016-01-01

    M. Romain BERTRANDNous voilà désormais rendus au terme probablement très provisoire concernant les débats et les discussions des travaux de Nathan WACHTEL lors de cette rencontre. Il nous reste une trentaine de minutes pour engager le débat avec les participants de la dernière séance et, le cas échéant, faire valoir des remarques générales sur telle ou telle session. Je souhaiterais inviter Nathan WACHTEL à initier cet échange s’il le souhaite. M. Nathan WACHTELComme je l’expliquais à Romain,...

  18. Panel discussion: Proposals for improving OCL

    OpenAIRE

    Brucker, Achim D.; Clark, Tony; Dania, Carolina; Georg, Geri; Gogolla, Martin; Jouault, Frederic; Teniente López, Ernest; Wolff, Burkhart

    2014-01-01

    During the panel session at the OCL workshop, the OCL community discussed, stimulated by short presentations by OCL experts, potential future extensions and improvements of the OCL. As such, this panel discussion continued the discussion that started at the OCL meeting in Aachen in 2013 and on which we reported in the proceedings of the last year's OCL workshop. This collaborative paper, to which each OCL expert contributed one section, summarises the panel discussion as well as describes the...

  19. Discussing around HYBUC

    CERN Multimedia

    1977-01-01

    Charles Roos (right) illustrates HYBUC - HYperon BUbble Chamber - to Gösta Ekspong. Claude Geles stands on the left. HYBUC was a 50 Hz rapid cycling 30 cm, high precision hydrogen chamber, and was operated in a 11.4 Tesla superconducting magnet for more than 5000 hours. It was built by the Max-Planck-Institut (Munich) and the Vanderbilt University. HYBUC was brought to CERN in 1971 and installed in a specially built, 500 MeV/c, electrostatically-separated, K- beam in the PS North Hall (k16), to obtain polarised Sigma+ and hence allow the measurement of the Sigma+ magnetic moment. The photo was taken there shortly before dismantling (?). (See also Annual Report 1979 p. 19, Fiig 3).

  20. Proceedings of the workshop ''Decarbonisation. 100 % renewable energy and more''. A report to document the presentations and discussions during the course of the event

    Energy Technology Data Exchange (ETDEWEB)

    Donat, Lena; Duwe, Matthias; Roberts, Ennid [Ecologic Institut fuer Internationale und Europaeische Umweltpolitik, Berlin (Germany)

    2016-04-15

    The workshop ''Decarbonisation - 100% Renewable Energy and more'', was held on 9 November 2015 in Berlin, hosted by the German Environment Agency and organised by Ecologic Institute. It offered a valuable opportunity for decision-makers, academia, business and civil society from EU Member States, to exchange ideas and lessons learned on the design and implementation of longterm decarbonisation strategies and discuss how industrialised nations, regions and cities can mitigate greenhouse gas emissions in various economic sectors. Workshop participants, Source: Ecologic Institute. The workshop generated important momentum for raising awareness on the topic and advancing the debate at EU level. This report gives an overview of the key presentations of the workshop and outcomes of the debate, clustered along the following topics: - Introduction: the case for action - National long-term strategies - Experience with implementation of national strategies - Local and regional examples The report's structure follows the internal logic and outline of the workshop agenda. Substituting for the presentations made on the day, it is made up of articles written by the original presenters, which contain the main facts and summarise their key messages. These are complemented by background and conclusions prepared by researchers from Ecologic Institute, the organisation that implemented the workshop on behalf of the German Environment Agency.

  1. Discussion on Audit the Monitoring Report of Environment Protection for Check and Accept of Completed Construction Project%建设项目竣工环境保护验收监测报告的审核

    Institute of Scientific and Technical Information of China (English)

    成国兴; 吴旻妍; 吴福全

    2013-01-01

    The connotation and characteristics of monitoring report of environment protection for check and accept of completed construction project were expounded. A summary of the technical method requirement of report audit was proposed according to normalizing the audit program, optimizing the audit method and getting hold of the audit keys. Suzhou environment monitoring station was use as an example. The audit process was network based. The detailed requirements for auditor were introduced. The audit program shows scientificity and accountability. Such problems were further discussed as retest, timeliness and sensitive environment monitoring during the course of audit.%简述了建设项目竣工环境保护验收监测报告的内涵和特点,从规范审核程序、优选审核方法、把握审核重点等方面总结了验收监测报告审核的技术方法与要求,并以苏州市环境监测中心站为例,介绍了网络化管理审核流程,以及对审核人员的具体要求,突出审核过程的科学性和责任性.对实际审核过程中有关复测、时效性以及环境敏感点监测等问题作了进一步的探讨.

  2. 浅谈《政府工作报告》中词汇英译的几点注意事项%Discussion on some matters needing attention of the vocabulary English translation in the"government work report"

    Institute of Scientific and Technical Information of China (English)

    沈微

    2012-01-01

      The translation of Chinese political literature to a high degree of loyalty, but in order to reach the purpose of foreign propaganda, the overall lexical features of the English version in China"governmental working report"should be close to the same genre text features of native language, is the purpose of speaker to accept. This paper discusses some matters needing attention of vocabulary English translation in"government work report".%  中文政治文献翻译要高度忠实,但为了达到对外宣传的目的,中国《政府工作报告》的英译本总体词汇特征应接近于本族语中同体裁的文本特征,被目的语者接受。本文浅谈了《政府工作报告》词汇英译的几点注意事项。

  3. Teaching Organizational Behavior Through Discussion Groups

    Science.gov (United States)

    Fineman, Stephen; Hamblin, Anthony C.

    1978-01-01

    An educational experiment in teaching organizational behavior to undergraduates in England is reported, with focus on the value and limitations of a systematic form of discussion-group learning based upon a framework outlined by Fawcett Hill. (LBH)

  4. Discussion across Borders: Benefits for Collaborative Learning.

    Science.gov (United States)

    Whatley, Janice; Bell, Frances

    2003-01-01

    Discussion of computer mediated communication in higher education online learning focuses on a report of two cycles of action research into the use of online discussion forums to enable groups of students from different countries to collaborate with each other in achieving learning outcomes specific to each group. (Author/LRW)

  5. Human Cloning: Let's Discuss It.

    Science.gov (United States)

    Taras, Loretta; Stavroulakis, Anthea M.; Ortiz, Mary T.

    1999-01-01

    Describes experiences with holding discussions on cloning at a variety of levels in undergraduate biology courses. Discusses teaching methods used and student reactions to the discussions. Contains 12 references. (WRM)

  6. Panel Discussion on Inducer Design Criteria

    Directory of Open Access Journals (Sweden)

    Marc Wegner

    2003-01-01

    Full Text Available This article reports a panel discussion titled Inducer Design Criteria presented at the 9th International Symposium on Transport Phenomena and Dynamics of Rotating Machinery (ISROMAC-9. The presentations of the panelists and the subsequent discussions are summarized. It is shown that cavitation instabilities are major problems in modern turbopumps and that design criteria to eliminate them are needed. Available design methods for inducers and marine propellers are reviewed, and new criteria to enhance stability are proposed. The current status of CFD is reviewed and an example of successful application is shown. Discussions of several specific topics are reported and future research needs are noted.

  7. To discuss illicit nuclear trafficking

    Energy Technology Data Exchange (ETDEWEB)

    Balatsky, Galya I [Los Alamos National Laboratory; Severe, William R [Los Alamos National Laboratory; Wallace, Richard K [Los Alamos National Laboratory

    2010-01-01

    The Illicit nuclear trafficking panel was conducted at the 4th Annual INMM workshop on Reducing the Risk from Radioactive and Nuclear Materials on February 2-3, 2010 in Washington DC. While the workshop occurred prior to the Nuclear Security Summit, April 12-13 2010 in Washington DC, some of the summit issues were raised during the workshop. The Communique of the Washington Nuclear Security Summit stated that 'Nuclear terrorism is one of the most challenging threats to international security, and strong nuclear security measures are the most effective means to prevent terrorists, criminals, or other unauthorized actors from acquiring nuclear materials.' The Illicit Trafficking panel is one means to strengthen nuclear security and cooperation at bilateral, regional and multilateral levels. Such a panel promotes nuclear security culture through technology development, human resources development, education and training. It is a tool which stresses the importance of international cooperation and coordination of assistance to improve efforts to prevent and respond to incidents of illicit nuclear trafficking. Illicit trafficking panel included representatives from US government, an international organization (IAEA), private industry and a non-governmental organization to discuss illicit nuclear trafficking issues. The focus of discussions was on best practices and challenges for addressing illicit nuclear trafficking. Terrorism connection. Workshop discussions pointed out the identification of terrorist connections with several trafficking incidents. Several trafficking cases involved real buyers (as opposed to undercover law enforcement agents) and there have been reports identifying individuals associated with terrorist organizations as prospective plutonium buyers. Some specific groups have been identified that consistently search for materials to buy on the black market, but no criminal groups were identified that specialize in nuclear materials or isotope

  8. A Discussion with Jacques Derrida.

    Science.gov (United States)

    Derrida, Jacques

    1990-01-01

    Presents an edited transcript of a discussion held in April 1989 between Jacques Derrida and a group of students and professors concerning Derrida's "Afterword: Toward an Ethic of Discussion." Discusses Derrida's views on "deconstruction" as a term and a movement, the idea of arguments and persuasion, and specific power…

  9. mkt607 all week discussions latest 2015 [ all 16 discussions

    OpenAIRE

    Laynebaril

    2017-01-01

    mkt607 all week discussions latest 2015 [ all 16 discussions] Click Link Below To Buy:   http://hwcampus.com/shop/mkt607-all-week-discussions/   week 1   What are the components of a common marketing plan? Why is it important have a strategic marketing plan? How does the type of product or service affect the marketing strategy? Provide an example.       diss 2 What are the aspects of marketing management? How has the marketing management proc...

  10. Conversational Markers of Constructive Discussions

    CERN Document Server

    Niculae, Vlad

    2016-01-01

    Group discussions are essential for organizing every aspect of modern life, from faculty meetings to senate debates, from grant review panels to papal conclaves. While costly in terms of time and organization effort, group discussions are commonly seen as a way of reaching better decisions compared to solutions that do not require coordination between the individuals (e.g. voting)---through discussion, the sum becomes greater than the parts. However, this assumption is not irrefutable: anecdotal evidence of wasteful discussions abounds, and in our own experiments we find that over 30% of discussions are unproductive. We propose a framework for analyzing conversational dynamics in order to determine whether a given task-oriented discussion is worth having or not. We exploit conversational patterns reflecting the flow of ideas and the balance between the participants, as well as their linguistic choices. We apply this framework to conversations naturally occurring in an online collaborative world exploration ga...

  11. Discussion on the Construction of Credit Reporting System from the Perspective of Financial Function%金融功能视角下的征信体系建设探讨

    Institute of Scientific and Technical Information of China (English)

    雷海波; 付强

    2015-01-01

    征信体系作为金融基础设施,其发展有助于金融功能的发挥。目前我国征信体系在征信环境、征信数据库、征信机构和征信产品方面存在问题,未能有效发挥促进金融发展的作用。今后,应完善征信法制体系,建立有效的征信信息流动机制,培育商业征信机构,丰富征信产品种类,以促进征信体系的进一步完善,充分发挥其服务金融、促进金融的作用。%Credit reporting system is a financial infrastructure, and its development is helpful to exerting the finan-cial function into play. The major problems for the credit reporting system in China are reflected in the credit envi-ronment, credit reporting database, credit reporting institutions, and credit reporting products, which failed to play the role of promoting the sustainable development of finance. In future, we should improve the legal system of credit reporting, establish an effective credit information flow mechanism, cultivate commercial credit reporting insti-tutions, enrich credit reporting products, so as to further perfect the credit reporting system, and exert the role of financial services and financial promotion into full play.

  12. Acquiring Knowledge from Asynchronous Discussion

    Science.gov (United States)

    Teo, Yiong Hwee; Webster, Len

    2008-01-01

    This article discusses a study which was designed to explore how online scaffolding can be incorporated to support knowledge acquisition in asynchronous discussion. A group of Singapore preservice teachers engaged in collaborative critiquing of videos before they embarked on their video projects to illustrate what constitutes good and bad video…

  13. Rethinking critical criminology - A panel discussion

    NARCIS (Netherlands)

    R. van Swaaningen (René); I. Taylor (Ian)

    1994-01-01

    textabstractThis paper takes the form of a report on the panel discussion held at the conclusion of the 1992 meetings of the European Group for the Study of Deviance and Social Control in Padua in September 1992. In the light of a perceived crisis of relevance for earlier, 1970s notions of critique

  14. Discussion of Quality Control Methods of Adverse Drug Reaction Reports%药品不良反应病例报告质量控制的方法探讨

    Institute of Scientific and Technical Information of China (English)

    李泮海; 冯巧巧

    2011-01-01

    结合山东省药品不良反应病例报告质量控制的理论思考和实践探讨,分析并提出控制药品不良反应病例报告质量的微观与宏观控制方法,以期为我国药品不良反应病例报告质量的控制与提高提供参考.%Based on the thought and practice of quality control of adverse drug reaction reports in Shandong Province, the methods of micro-control and macro-control for the adverse drug reaction reports were proposed and analyzed in this paper, to provide valuable reference on the quality control of adverse drug reaction reports.

  15. Small group discussion: Students perspectives.

    Science.gov (United States)

    Annamalai, Nachal; Manivel, Rajajeyakumar; Palanisamy, Rajendran

    2015-08-01

    Various alternative methods are being used in many medical colleges to reinforce didactic lectures in physiology. Small group teaching can take on a variety of different tasks such as problem-solving, role play, discussions, brainstorming, and debate. Research has demonstrated that group discussion promotes greater synthesis and retention of materials. The aims of this study were to adopt a problem-solving approach by relating basic sciences with the clinical scenario through self-learning. To develop soft skills, to understand principles of group dynamics, and adopt a new teaching learning methodology. Experimental study design was conducted in Phase I 1(st) year medical students of 2014-2015 batch (n = 120). On the day of the session, the students were grouped into small groups (15 each). The session started with the facilitator starting off the discussion. Feedback forms from five students in each group was taken (n = 40). A five point Likert scale was used ranging from strongly agree to strongly disagree. Data were analyzed using IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp. Our results show that 70% of the students opined that small group discussion were interactive, friendly, innovative, built interaction between teacher and student. Small group discussion increased their thought process and helped them in better communication. The small group discussion was interactive, friendly, and bridged the gap between the teacher and student. The student's communication skills are also improved. In conclusion, small group discussion is more effective than the traditional teaching methods.

  16. Socrates, discussion and moral education

    Science.gov (United States)

    Rembert, Ron B.

    1995-01-01

    For Socrates, as he appears in Plato's dialogues, the process of discussion is essential for preparing human beings to lead a moral life. Only through discussion, Socrates maintains, can we be led to an understanding of such concepts as wisdom, courage and justice. The author of this article believes that the Socratic notion of the moral value of discussion is still valid. In support of this view, he examines two recent works: Dialogues on Moral Education by John Wilson and Barbara Cowell, and Moral Education, Secular and Religious by John L. Elias. Finally, the author suggests how the Socratic concept of dialogue might be used in moral education today.

  17. Scientist versus sceptic. Report of a weblog discussion between a climatic change researcher and a climatic change sceptic; Wetenschapper versus scepticus. Verslag van een weblogdiscussie tussen een klimaatonderzoeker en een klimaatscepticus

    Energy Technology Data Exchange (ETDEWEB)

    Strengers, B.J.; Labohm, H.H.J.

    2010-05-15

    In the run up to the international climate conference in Copenhagen in December 2009, climate sceptic Hans Labohm and climate researcher Bart Strengers of the Environmental Assessment Agency entered into a debate on the website of the Dutch Broadcasting Foundation NOS. The blog discussion offers a good view on the dilemmas surrounding knowledge about climate change. [Dutch] In de aanloop naar de internationale klimaatconferentie in december 2009 in Kopenhagen gingen klimaatscepticus Hans Labohm en klimaatonderzoeker van het Planbureau voor de leefomgeving Bart Strengers met elkaar in debat op de website van de NOS. De blogdiscussie geeft een goed beeld van de dilemma's rond de kennis over klimaatverandering.

  18. Group discussion improves lie detection

    National Research Council Canada - National Science Library

    Nadav Klein; Nicholas Epley

    2015-01-01

    ... identify when a person is lying. These experiments demonstrate that the group advantage in lie detection comes through the process of group discussion, and is not a product of aggregating individual opinions...

  19. Discussion of "interpretation and play".

    Science.gov (United States)

    Pick, Irma Brenman

    2011-01-01

    This discussion addresses the conflict in technique between play versus interpretation. It further considers how the nature of the interpretation may be affected by a consideration of what is being projected into the analyst.

  20. Discussion-Induced Attitude Polarization

    Science.gov (United States)

    Myers, David G.

    1975-01-01

    Two experiments examined the hypothesis that the average of group members' responses following group discussion will generally be more extreme in the same direction as the average of individual pregroup preferences. (Author/MLF)

  1. 互联网+时代大数据征信体系建设探讨%Discussion on the Construction of Big Data Credit Reporting System in the Era of Internet Plus

    Institute of Scientific and Technical Information of China (English)

    冯文芳; 李春梅

    2015-01-01

    In recent years, with the rise of modern technology such as the Internet, cloud computing and big data, Internet finance and other emerging industrial patterns in China have gained rapid development and promoted the development of in-depth combination of Internet plus big data with the credit reporting agencies, which will inevitably activate the new vigor of credit reporting system construction in China. Based on an analysis on the characteristics and problems of the Internet plus big data credit reporting, the paper presents some proposals: to quicken funda-mental research and key technology research and development;to formulate the standardized system of big data credit reporting;to foster a diversified market credit reporting agencies;to promote the sharing of big data credit reporting by establishing an information platform; to improve the relevant legislation, and strengthen supervision and privacy protection; and to promote social credit system construction in China.%近年来,随着互联网、云计算、大数据等现代技术的兴起,互联网金融等新兴业态在我国得到了迅速发展,促进了征信机构向互联网+大数据征信的深度融合方向发展,必将激活我国征信体系建设新动力。分析互联网+大数据征信的特征及存在问题,并从加快基础研究和关键技术研发,制定大数据征信标准体系,培育多元化市场化的征信机构,推进大数据征信开放共享,整合形成大数据征信平台,完善大数据征信相关立法,加强监督管理和隐私保护,促进社会信用体系建设等方面提出了建议。

  2. LGBT Roundtable Discussion: Meet-up and Mentoring Discussion

    Science.gov (United States)

    2014-03-01

    The LGBT+ Physicists group welcomes those who identify as gender sexual minorities, as LGBTQQIAAP+, or as allies to participate in a round-table discussion on mentoring physicists. The session will provide an opportunity to learn and discuss successful mentoring strategies at different career stages for physicists in all environments, including academia, industry, etc. Attendees are encouraged to attend a social event to follow the panel to continue to network. Allies are especially welcome at this event to learn how to support and mentor LGBT+ physicists.

  3. ERP/财务管控环境下“一键式”报表应用探讨%Discussion on Application of "One-Click" Report Platform Under the ERP and Financial Management and Control System Environment

    Institute of Scientific and Technical Information of China (English)

    李天寿

    2012-01-01

    Based on the ERP and financial management and control system environment, "one-click" report is an important part in the intensification of building the company's financial landmark. By describing "one-click" report platform construction, under the ERP/financial management and control environment, this paper analyzed the problems and shortcomings, proposed relevant solutions and the main way to making "one-click" report really and accurately.%ERP/财务管控环境下,“一键式”报表的生成,对公司财务集约化建设具有里程碑意义。通过阐述ERP/财务管控环境下“一键式”报表平台的建设背景,针对“一键式”报表运行中存在问题和不足,提出了相关解决办法,同时提出了实现“一键式”报表真实与准确的主要途径。

  4. Speed-Discussion: Engaging Students in Class Discussions

    Science.gov (United States)

    Kornfield, Sarah; Noack, Kristen

    2017-01-01

    Courses: Communication Criticism, Rhetorical Criticism, Family and Communication, Gender and Communication, Popular Communication, and theory-based courses. Objectives: This activity engages students in dynamic, supportive, social discussion groups; helps them to identify and review the central ideas from the reading; and creates a record of their…

  5. [Disseminated sporotrichosis - clinical case and discussion].

    Science.gov (United States)

    Barroso Pereira, João Cláudio; Grijó, Amorita; Ribeiro Machado Pereira, Rosângela; Noel S Oliveira, Andreza; de Andrade, Ana Cláudia; Ferreira, Ana Cláudia M; Corrêa Brant Machado, Christiane; Veiga Coutinho, Débora; Vale Rios, Danilo; Pereira Pires, Bárbara

    2008-01-01

    The authors report a case of a patient with a prior history of alcohol abuse who developed nodules and ulcerated skin lesions on his trunk and lower extremities along the line of the lymphatic draining area. The patient's X-ray showed reticular nodular intersticial infiltrates at the lung bases. There was a positive culture of supraclavicular lymph node for Sporothrix schenckii. After specific treatment using mainly potassium iodide, there was regression of cutaneous lesions and lung infiltrates. The authors present a discussion on the deseases' forms of presentation, highlighting the lung involvement ans further discuss the diagnosis and treatment of sporotrichosis.

  6. Clinical priorities, barriers and solutions in end-of-life cancer care research across Europe. Report from a workshop

    DEFF Research Database (Denmark)

    Sigurdardottir, Katrin Ruth; Haugen, Dagny Faksvåg; van der Rijt, Carin C D;

    2010-01-01

    The PRISMA project is aiming to co-ordinate research priorities, measurement and practice in end-of-life (EOL) care in Europe. As part of PRISMA we undertook a questionnaire survey and a subsequent workshop to (1) identify clinical priorities for EOL care research in Europe and propose a future...... research agenda and (2) identify barriers to EOL care research, and possibilities and solutions to improve the research....

  7. Clinical priorities, barriers and solutions in end-of-life cancer care research across Europe. Report from a workshop

    DEFF Research Database (Denmark)

    Sigurdardottir, Katrin Ruth; Haugen, Dagny Faksvåg; van der Rijt, Carin C D;

    2010-01-01

    The PRISMA project is aiming to co-ordinate research priorities, measurement and practice in end-of-life (EOL) care in Europe. As part of PRISMA we undertook a questionnaire survey and a subsequent workshop to (1) identify clinical priorities for EOL care research in Europe and propose a future r...... research agenda and (2) identify barriers to EOL care research, and possibilities and solutions to improve the research....

  8. Development of endometrioid adenocarcinoma despite Levonorgestrel-releasing intrauterine system: a case report with discussion and review of the RCOG/BSGE Guideline on the Management of Endometrial Hyperplasia.

    Science.gov (United States)

    van der Meer, A C L; Hanna, L S

    2017-02-01

    Obesity is a significant risk factor for the development of endometrial hyperplasia and cancer. More conservative prevention and management strategies are attractive due to the increased surgical risk and complication rates associated with obesity. The Levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena) has been shown to reduce the risk of developing endometrial cancer. The recent joint Green Top Guideline on the Management of Endometrial Hyperplasia published by the Royal College of Obstetricians and Gynaecologists (RCOG) with the British Society for Gynaecological Endoscopy (BSGE) recommends the LNG-IUS for the medical management of endometrial hyperplasia without atypia. This case study reports on the development of endometrioid adenocarcinoma despite the presence of an LNG-IUS following a negative hysteroscopy in a 56-year-old woman with morbid obesity. This report highlights the need for patients and clinicians to remain vigilant to the early warning signs of developing endometrial cancer, especially in those at an increased risk secondary to obesity. © 2016 World Obesity Federation.

  9. Another Discussion about Academic Corruption

    Science.gov (United States)

    Changgeng, Li

    2007-01-01

    Academic corruption is a commonplace matter about which all people are clearly aware. However, people often overlook many hidden or latent manifestations of academic corruption. This article discusses eight of these manifestations: indiscriminate use of the academic team spirit, the proliferation of "word games," deliberate attacks on…

  10. Mathematical Induction: A Pedagogical Discussion.

    Science.gov (United States)

    Ernest, Paul

    1984-01-01

    Discusses the nature of mathematical induction and what constitutes a correct proof by this method and common misconceptions of induction with recommendations for their remediation. The topic is also analyzed into behavioral skills and subjected to a conceptual analysis. Criteria for analyzing and evaluating textbook treatment of induction are…

  11. Another Discussion about Academic Corruption

    Science.gov (United States)

    Changgeng, Li

    2007-01-01

    Academic corruption is a commonplace matter about which all people are clearly aware. However, people often overlook many hidden or latent manifestations of academic corruption. This article discusses eight of these manifestations: indiscriminate use of the academic team spirit, the proliferation of "word games," deliberate attacks on others to…

  12. Five Discussions on Postsecondary Education.

    Science.gov (United States)

    Jobe, E. R., Ed.

    Topics discussed are: (1) student aid and access to postsecondary education (Jack L. Woodward); (2) values in athletics (Grant Dungee); (3) some considerations in planning for postsecondary education (Paul G. Orr); (4) the open university as a challenge for postsecondary education in Mississippi (Cleopatra D. Thompson); and (5) comprehensive…

  13. Abdominal neoplasia with sarcomatoid features as the presenting illness of a patient with a newly diagnosed HIV infection and no AIDS-related disorders. Case report, clinical and diagnostic features, and literature discussion

    Directory of Open Access Journals (Sweden)

    Roberto Manfredi

    2014-12-01

    Full Text Available We aim to describe a patient with an already advanced HIV infection disclosed for the first time during a complex diagnostic workup, which detected a gross abdominal mass attributable to a poorly differentiated mesenchymal cancer with sarcomatoid features which rapidly led our patient to death, in absence of other potential HIV-associated opportunistic diseases. Although extremely rare and rapidly lethal, our case report underscores the need of all caregivers who follow HIV-infected patients also in the cART era to maintain an elevated attention toward infrequent, unexpected, and clinically atypical solid tumors, in order to ensure a timely diagnosis and management when possible.http://dx.doi.org/10.7175/cmi.v8i4.961

  14. [SENTIERI Project: discussion and conclusions].

    Science.gov (United States)

    Pirastu, Roberta; Ricci, Paolo; Comba, Pietro; Bianchi, Fabrizio; Biggeri, Annibale; Conti, Susanna; Fazzo, Lucia; Forastiere, Francesco; Iavarone, Ivano; Martuzzi, Marco; Musmeci, Loredana; Pasetto, Roberto; Zona, Amerigo; Crocetti, Emanuele

    2014-01-01

    The SENTIERI Project represents the first comprehensive analysis of the health impact of residence in National Priority Contaminated Sites (NPCSs). For the first time, it considers three distinct health outcomes: mortality (2003-2010), cancer incidence (1996- 2005) and hospital discharges (2005-2010). The Report includes a commentary explaining methodology and approach, as well as remarks on the causal association between environmental exposures and investigated health outcomes based on the a priori assessments of the epidemiological evidence; the main implications for public health and scientific research priorities are also presented. The approach put forward by SENTIERI was among those sanctioned by the World Health Organization to conduct an initial description of the health status of residents of contaminated sites. Results relating to individual diseases that can be traced back to a single agent, such as asbestiform fibres, can be easily analysed. The Biancavilla NPCS (where the fluoro-edenite asbestiform fibre was found) displays excesses of pleural mesothelioma and its proxy, malignant pleural tumours, as does Priolo, where asbestos coexists with other pollutants. Increased risk was also recorded in NPCSs adjacent to the coast hosting harbour areas (such as Trieste, Taranto and Venice) or comprising industrial areas specialising in the production of chemicals (Laguna di Grado e Marano, Priolo and Venezia) and steel (Taranto, Terni, Trieste). Increases of pathologies, such as cancer and respiratory diseases, connected to more than one agent, in industrial sites with multiple and diverse sources of exposures, prove harder to interpret. There are also more complex cases in which results do not appear consistent in the three databases or by gender (such as lung cancer in Venice, where mortality and hospital discharges have only increased among women). In order to adequately examine these we must consider factors such as the appropriateness of the health outcome

  15. Group discussion improves lie detection.

    Science.gov (United States)

    Klein, Nadav; Epley, Nicholas

    2015-06-16

    Groups of individuals can sometimes make more accurate judgments than the average individual could make alone. We tested whether this group advantage extends to lie detection, an exceptionally challenging judgment with accuracy rates rarely exceeding chance. In four experiments, we find that groups are consistently more accurate than individuals in distinguishing truths from lies, an effect that comes primarily from an increased ability to correctly identify when a person is lying. These experiments demonstrate that the group advantage in lie detection comes through the process of group discussion, and is not a product of aggregating individual opinions (a "wisdom-of-crowds" effect) or of altering response biases (such as reducing the "truth bias"). Interventions to improve lie detection typically focus on improving individual judgment, a costly and generally ineffective endeavor. Our findings suggest a cheap and simple synergistic approach of enabling group discussion before rendering a judgment.

  16. Discussion boards: boring no more!

    Science.gov (United States)

    Adelman, Deborah S; Nogueras, Debra J

    2013-01-01

    Creating discussion boards (DBs) that capture student imaginations and contain meaningful interactions can be a difficult process. Traditional DBs use a question-and-answer format that often is boring for both the student and instructor. The authors present creative approaches to DBs that result in lively debates and student-to-student and student-to-faculty interactions, including role playing, blogging, wikis, and the use of voice.

  17. What Were the Deputies Discussing?

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    IN the last five years, since the Seventh Chinese Women’s National Congress, the women’s movement of China has developed vigorously. For the purposes of moving the women’s cause into the next century, the Eighth Chinese Women’s National Congress recently convened in Beijing to hold wideranging discussions on women’s issues. More than one thousand deputies came from different nationalities and social

  18. Discussions on Hypnosis and Schizophrenia.

    Science.gov (United States)

    Haley, Jay

    2015-01-01

    A classic paper in intellect and argument, this article contains a transcript of a conversation between Jay Haley, John Weakland, and Milton Erickson as they discuss the role of communication in hypnosis and schizophrenia. In 1955, schizophrenia was considered primarily a psychological disorder. Whereas today schizophrenia is mostly considered a biological disorder, this very early, unpublished paper still gives much food for thought and a further glimpse into Haley and Erickson's thinking and intellect at a fervent time in schizophrenia research.

  19. Report

    Directory of Open Access Journals (Sweden)

    Akin Aydogan

    2012-01-01

    Full Text Available Introduction. Gossypiboma (GP is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be taken out of the body itself by intestinal ways. In this study, we reported a case of mechanical intestinal obstruction causing GP. Case. The fifty-one-year-old female patient admitted to the emergency department with the complaints of mechanical intestinal obstruction and had a history of open cholecystectomy 20 years ago. There were the findings of intestinal obstruction in abdominal plain radiography and computerized tomography. The sponge that obstructed the lumen completely 40 cm proximal to the ileocecal valve was identified in the laparotomy with the diagnosis of brid ileus. The small intestine was closed over double-fold after removal of sponge. Transmural migration of abdominal-remained sponge was thought to be occurred without creating a defect after cholecystectomy. Postoperatively, the patient was discharged without having any problems at 4th day of hospitalization. Conclusion. Although it is a rare situation in routine clinical practice, GP should be considered as a differential diagnosis in the patients who had a diagnosis of mechanical intestinal obstruction, and laparotomy was applied before. As GP may lead to situations which cause mortality, all precautions should be taken to prevent it.

  20. Some discussions on Arctic vortex

    Institute of Scientific and Technical Information of China (English)

    Li Hai; Sun Lantao; Wu Huiding; Li Xiang

    2006-01-01

    The Arctic vortex is a persistent large-scale cyclonic circulation in the middle and upper troposphere and the stratosphere. Its activity and variation control the semi-permanent active centers of Pan-Arctic and the short-time cyclone activity in the subarctic areas. Its strength variation, which directly relates to the atmosphere, ocean, sea ice and ecosystem of the Arctic, can affect the lower atmospheric circulation, the weather of subarctic area and even the weather of middle latitude areas. The 2003 Chinese Second Arctic Research Expedition experienced the transition of the stratosphereic circulation from a warm anticyclone to a cold cyclone during the ending period of Arctic summertime, a typical establishing process of the polar vortex circulation. The impact of the polar vortex variation on the low-level circulation has been investigated by some scientists through studying the coupling mechanisms of the stratosphere and troposphere. The impact of the Stratospheric Sudden Warming (SFW) events on the polar vortex variation was drawing people's great attention in the fifties of the last century. The Arctic Oscillation (AO) , relating to the variation of the Arctic vortex, has been used to study the impact of the Arctic vortex on climate change. The recent Arctic vortex studies are simply reviewed and some discussions on the Arctic vertex are given in the paper. Some different views and questions are also discussed.

  1. Homoeopathy: Discussion on scientific validation

    Directory of Open Access Journals (Sweden)

    Lex Rutten

    2016-01-01

    Full Text Available Background: There are diverging opinions about scientific evidence for Homoeopathy, but evidence for conventional medicine is not perfect either. In fact, proof for Homoeopathy is not inferior to conventional. However, the evidence for Homoeopathy has been downplayed by selection of trials (cherry-picking. The effect of Homoeopathy in randomized controlled trials (RCTs, however, is small due to many ineffective prescriptions. This is caused by shortcomings of our Materia Medica and Repertories. Discussion: The hegemony of the RCT is increasingly questioned; it does not provide all answers, especially not for the individual patient. The individual patient wants to know his individual prognosis: Will this medicine work for him? This is even more important than his individual diagnosis. It is possible to assess prognosis scientifically the same way as diagnosis. Prognostic research is based on daily practice; practitioners should have knowledge about statistics to fulfill their role in this process. Conclusion: The discussion in this paper elucidates that RCT has its limitations, especially for the patient whose main concern is recovery/prognosis. Drug validation is a key to improve the outcome of clinical practice in Homoeopathy.

  2. COINCO Strategy 2025 - Discussion Paper

    DEFF Research Database (Denmark)

    Jespersen, Per Homann; Jensen, Anne; Stroschein, Christoph

    companies in the corridor, attracting innovative international companies, and supporting the creation of new knowledge intensive businesses is thus at the core of the strategy. New areas of collaboration will have to be identified systematically. Cooperation among COINCO businesses have...... The regions and cities in the COINCO-corridor Oslo-Göteborg-Malmö-Copenhagen-Berlin have worked out a strategy proposal which is presented in this discussion paper. Behind the strategy is a political will to utilize mutual strengths and together become a leading player in a globalized world, based...... on common cultural, social and environmental values. The strategy comprises of a vision and more detailed aims and actions within three different areas: Corridor infrastructure, Innovation and Cooperation. In this way, the COINCO partners want to establish a political platform for transborder collaboration...

  3. Discussing epigenetics in Southern California

    Science.gov (United States)

    2012-01-01

    With the goal of discussing how epigenetic control and chromatin remodeling contribute to the various processes that lead to cellular plasticity and disease, this symposium marks the collaboration between the Institut National de la Santé et de la Recherche Médicale (INSERM) in France and the University of California, Irvine (UCI). Organized by Paolo Sassone-Corsi (UCI) and held at the Beckman Center of the National Academy of Sciences at the UCI campus December 15–16, 2011, this was the first of a series of international conferences on epigenetics dedicated to the scientific community in Southern California. The meeting also served as the official kick off for the newly formed Center for Epigenetics and Metabolism at the School of Medicine, UCI (http://cem.igb.uci.edu). PMID:22414797

  4. DISCUSSION METHODS: MODIFICATION AND TRANSFORMATION

    Directory of Open Access Journals (Sweden)

    Abbasova, A.A.

    2016-03-01

    Full Text Available This article is about how to the importance of selecting the optimal methods of stimulation and motivation to learn. In modern conditions it is very important that the teacher gave the students ready knowledge, and pointed the way for the acquisition of knowledge, taught to acquire knowledge. This requires the selection of effective forms of language and literature work with texts of different types and styles of speech, listening, speaking. In this regard, special attention should be given lessons of speech development. There is a special group of methods to stimulate the development of communicative competence. Among them, and the method of discussion, which is increasingly being used in the classroom in the Russian language

  5. Archival description: a conceptual discussion

    Directory of Open Access Journals (Sweden)

    Luciane Paula Vital

    2016-04-01

    Full Text Available Introduction: Contextualizes the activity of archival description in the processes of organization and representation of information. Objective: Features aimed at identifying the concept of archival description presented in scientific articles of Information Science. Methodology: It is a literature that employs techniques of content analysis. 9 examines scientific articles recovered Base Reference Data Journal Articles in Information Science (BRAPCI and International Basis Library and Information Science Abstracts (LISA, that meet the criteria. Results: Considers the concept of archival description in the literature of information science considered a form of representation of information through a process of analyzing, organizing and recording information. Information is represented by structure elements (support and means of access and elements of content and context. Conclusions: Highlights the paucity of studies that present a theoretical discussion about the theme and possible approaches to the areas of organization and representation of information.

  6. The Development of a Discussion Rubric for Online Courses: Standardizing Expectations of Graduate Students in Online Scholarly Discussions

    Science.gov (United States)

    Wyss, Vanessa L.; Freedman, Debra; Siebert, Cathy J.

    2014-01-01

    This paper reports on the design and evaluation of a rubric for assessing discussions in online graduate level education courses. The aims of the research were twofold. The first goal was to develop a discussion rubric that provides guidance to graduate students participating in online courses that are heavily discussion based. The second goal was…

  7. End-of-life care in COPD: a survey carried out with Portuguese pulmonologists.

    Science.gov (United States)

    Gaspar, C; Alfarroba, S; Telo, L; Gomes, C; Bárbara, C

    2014-01-01

    End-of-life (EoL) care is a major component in the management of patients with advanced COPD. Patient-physician communication is essential in this process. To evaluate the practice of Portuguese Pulmonologists in EoL communication and palliative care in COPD. An on-line survey was sent to physicians affiliated to the Portuguese Pneumology Society. We obtained 136 answers from 464 eligible participants (29.3%). About half of the physicians reported that they have rarely introduced EoL discussions with their COPD patients (48.5%). Most had never/rarely suggested decision-making on the use of invasive mechanical ventilation (68.4%). Discussions were described as occurring mostly during/after a major exacerbation (53.7%). Only 37.5% of participants reported treating dyspnoea with opioids frequently/always. Only 9.6% stated that they never/rarely treated anxiety/depression. Most participants perceive the discussion of EoL issues as being difficult/very difficult (89.0%). The reasons most frequently given were feeling that patients were not prepared for this discussion (70.0%), fear of taking away a patient's hope (58.0%) and lack of training (51.0%). Patient and medical staff EoL communication in COPD is still not good enough. Training in this area and the creation of formal protocols to initiate EoL have been identified as major factors for improvement. Copyright © 2013 Sociedade Portuguesa de Pneumologia. Published by Elsevier España. All rights reserved.

  8. Public Spaces For The Discussion Of Peru.

    Directory of Open Access Journals (Sweden)

    Cynthia E. Milton.

    2007-12-01

    Full Text Available In theaftermath of civil conflict and a truth commission into twenty years of violence (19802000, Peru is presently engaged in the difficult task of establishing overarching narratives that provide frameworks for organizing personal and collective memories in the few public spaces available for the discussion of this recent past. This article looks at two public spaces, a series of performative events in Ayacucho duringthe submission of the truth commission's Final Report, and Lima's memorysite, The Eye that Cries. One contentious memory is over who are appropriate victims and heroes to remember.

  9. JPRS Report, Science & Technology, Japan, 28th Ceramics Science Discussion

    Science.gov (United States)

    2007-11-02

    Hiroshi Asakura, Hiroshi Yamamura] .............................. 59 Microstructure, Dielectric Properties of Tungsten Bronze -Type Ceramics [Yoji Ueda...of Strain 60 Microstructure, Dielectric Properties of Tungsten Bronze -Type Ceramics 906C7512 Tokyo SERAMIKKUSU KISO KAGAKU TORONKAI in Japanese 24 Jan...with different microstructures were produced for an oxide of the tungsten bronze type, Ba 0 . 5 Sr 0 . 5 Nb 20 6 , by varying the particle size and

  10. Sirenomelia: Case Report and Discussion of its Prenatal Diagnosis

    African Journals Online (AJOL)

    KEY WORDS: Diabetes mellitus, dysmorphic lower limb, prenatal diagnosis, sirenomelia ... get any routine investigation done. ... study. In view of a congenitally anomalous fetus, tocolysis was not given and ... associated genetic predisposition.

  11. Morbilliviruses in aquatic mammals: report on round table discussion.

    NARCIS (Netherlands)

    T. Barrett (Thomas); M. Blixenkrone-Mø ller; G. di Guardo; M. Domingo; P. Duignan; A. Hall; L. Mamaev; A.D.M.E. Osterhaus (Albert)

    1995-01-01

    textabstractA workshop was organised to ascertain the current situation with regard to morbillivirus infections in aquatic animals. The great interest generated by the discovery of these new virus infections in 1988 has to some extent abated but much high quality research has continued in this field

  12. An unusual presentation of Teflon granuloma: case report and discussion.

    Science.gov (United States)

    Pagedar, Nitin A; Listinsky, Catherine M; Tucker, Harvey M

    2009-01-01

    For more than 25 years, Teflon was the most commonly used material for injection laryngoplasty. However, the incidence of Teflon granuloma and the consequent deterioration of glottic function ultimately led to the development of other injectable materials, and as a result, Teflon granulomas are no longer frequently encountered. We present a case of Teflon granuloma that was unusual in that (1) a long period of time had elapsed between the injection and the granuloma formation and (2) there was no change in the patient's glottic function.

  13. Morbilliviruses in aquatic mammals: report on round table discussion.

    NARCIS (Netherlands)

    T. Barrett (Thomas); M. Blixenkrone-Mø ller; G. di Guardo; M. Domingo; P. Duignan; A. Hall; L. Mamaev; A.D.M.E. Osterhaus (Albert)

    1995-01-01

    textabstractA workshop was organised to ascertain the current situation with regard to morbillivirus infections in aquatic animals. The great interest generated by the discovery of these new virus infections in 1988 has to some extent abated but much high quality research has continued in this field

  14. Morbilliviruses in aquatic mammals: report on round table discussion.

    Science.gov (United States)

    Barrett, T; Blixenkrone-Møller, M; Di Guardo, G; Domingo, M; Duignan, P; Hall, A; Mamaev, L; Osterhaus, A D

    1995-05-01

    A workshop was organised to ascertain the current situation with regard to morbillivirus infections in aquatic animals. The great interest generated by the discovery of these new virus infections in 1988 has to some extent abated but much high quality research has continued in this field as the workshop showed. There is some serological evidence that the viruses have continued to circulate in most areas since the initial epizootics. As to their origin, it appears that the most likely source of the European seal morbillivirus (PDV-1) is the North Atlantic and Artic seal populations. As to the origin of the Mediterranean dolphin morbillivirus and the morbilliviruses isolated from porpoises, there is serological evidence that the viruses are widespread in many cetacean species in the Atlantic and 93% of long-finned pilot whales (Globicephala melas) which mass stranded between 1982 and 1993 were morbillivirus seropositive. The epizootic in freshwater seals in Lake Baikal was unrelated to events in the European marine mammal populations. The virus which infected these animals (PDV-2) is indistinguishable from canine distemper field strains. Serological and molecular biological studies provided evidence for the presence of the virus in the seals, at least as late as the Summer of 1992 when the animals were last sampled.

  15. A CASE DISCUSSION ON PILONIDAL SINUS: CASE REPORT

    Directory of Open Access Journals (Sweden)

    Hiremath Sangamesh

    2012-10-01

    Full Text Available A pilonidal sinus is an acquired condition seen more in males than females, as males have more hairs, the buttocks moves and hairs breaks off by friction and collect in the cleft which makes local inflammation turns to sinus formation. The commonly used surgical technique for this disorder includes excision, primary closure and excision with reconstructive flap. However patients require longer hospitalization, the risk of reoccurrence, and infection of wound after operation is high and expensive. We can see the similarity between shalyaja nadivrana described in Sushruta Samhita and pilonidal sinus. Sushruta advised many para-surgical techniques viz – kshara sutra for nadi vrana hence kshara sutra therapy was tried in a case of pilonidal sinus. Kshara sutra treatment not only minimizes complications and reoccurrences but also facilitates the patient to resume early working with less discomfort as well as reduced time and cost.

  16. Discussion on ``Teaching the Second Law''

    Science.gov (United States)

    Silbey, Robert; Beretta, Gian Paolo; Cengel, Yunus; Foley, Andrew; Gyftopoulos, Elias P.; Hatsopoulos, George N.; Keck, James C.; Lewins, Jeffery; Lior, Noam; Nieuwenhuizen, Theodorus M.; Steinfeld, Jeffrey; von Spakovsky, Michael R.; Wang, Lin-Shu; Zanchini, Enzo

    2008-08-01

    This article reports an open discussion that took place during the Keenan Symposium "Meeting the Entropy Challenge" (held in Cambridge, Massachusetts, on October 5, 2007) following the short presentations—each reported as a separate article in the present volume—by Joseph Smith Jr., Howard Butler, Andrew Foley, Kimberly Hamad-Schifferli, Bernhardt Trout, Jeffery Lewins, Enzo Zanchini, and Michael von Spakovsky. All panelists and the audience were asked to address the following questions • Why is the second law taught in so many different ways? Why so many textbooks on thermodynamics? Why so many schools of thought? • Some say that thermodynamics is limited to equilibrium, others that it extends to nonequilibrium. How is entropy defined for nonequilibrium states?

  17. Evaluation of Physician and Nurse Dyad Training Procedures to Deliver a Palliative and End-of-Life Communication Intervention to Parents of Children with a Brain Tumor.

    Science.gov (United States)

    Hendricks-Ferguson, Verna L; Kane, Javier R; Pradhan, Kamnesh R; Shih, Chie-Schin; Gauvain, Karen M; Baker, Justin N; Haase, Joan E

    2015-01-01

    When a child's prognosis is poor, physicians and nurses (MDs/RNs) often struggle with initiating discussions about palliative and end-of-life care (PC/EOL) early in the course of illness trajectory. We describe evaluation of training procedures used to prepare MD/RN dyads to deliver an intervention entitled: Communication Plan: Early Through End of Life (COMPLETE) intervention. Our training was delivered to 5 pediatric neuro-oncologists and 8 pediatric nurses by a team of expert consultants (i.e., in medical ethics, communication, and PC/EOL) and parent advisors. Although half of the group received training in a 1-day program and half in a 2-day program, content for all participants included 4 modules: family assessment, goal-directed treatment planning, anticipatory guidance, and staff communication and follow-up. Evaluations included dichotomous ratings and qualitative comments on content, reflection, and skills practice for each module. Positive aspects of our training included parent advisers' insights, emphasis on hope and non-abandonment messages, written materials to facilitate PC/EOL communication, and an MD/RN dyad approach. Lessons learned and challenges related to our training procedures will be described. Overall, the MDs and RNs reported that our PC/EOL communication-training procedures were helpful and useful. Future investigators should carefully plan training procedures for PC/EOL communication interventions.

  18. A case discussion on presbyacusis

    Directory of Open Access Journals (Sweden)

    Savita S Angadi

    2013-01-01

    Full Text Available Presbyacusis is one among the many socio-medical problems, which is considered as a hidden disability. The hearing impairment in elderly people is described as presbyacusis. Hearing problem among elderly people is a major issue and a person with hearing loss may be unable to hear doorbells and alarms, to respond while talking with anyone, etc. All this can make them feel frustrated, lonely, and depressed. It is the third most common chronic condition after arthritis and hypertensive diseases among elders. Hearing loss can be improved by using the hearing aids. Hearing aids work well for some while for others; it may not be a perfect solution due to many reasons such as some people do not buy aids that meet their needs, incorrect amplification adjustments, low custom design, etc. In classics of Ayurveda this ailment has been described as karnabaadhirya under the heading of ear diseases. Karnapurana (Instillation of medicated oil into the external auditory canal is one of the major treatments for ear diseases explained in classics. Clinical observation has shown its effectiveness in the management of presbyacusis. A case report of 75-year-old male who presented with complaints of reduced hearing and tinnitus in both ears has been presented here.

  19. IRIS Toxicological Review for Acrylamide (Interagency Science Discussion Draft)

    Science.gov (United States)

    EPA is releasing the draft report, Toxicological Review for Acrylamide, that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the IRIS Assessment Development Process<...

  20. IRIS TOXICOLOGICAL REVIEW OF TETRACHLOROETHYLENE (PERCHLOROETHYLENE) (INTERAGENCY SCIENCE DISCUSSION DRAFT)

    Science.gov (United States)

    EPA is releasing the draft report, Toxicological Review of Tetrachloroethylene (Perchloroethylene), that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the IRIS Assessment...

  1. IRIS Toxicological Review for Acrylamide (Interagency Science Discussion Draft)

    Science.gov (United States)

    EPA is releasing the draft report, Toxicological Review for Acrylamide, that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the IRIS Assessment Development Process<...

  2. Discussing Animal Rights and Animal Research in the Classroom.

    Science.gov (United States)

    Herzog, Harold A.

    1990-01-01

    Reviews two prominent philosophical justifications for animal liberation and describes a simulation that facilitates class discussion of animal research issues. Students reported that the exercise increased their awareness of the issues and of the complexity of making ethical decisions. (DB)

  3. Learning Physics in Small-Group Discussions--Three Examples

    Science.gov (United States)

    Benckert, Sylvia; Pettersson, Sune

    2008-01-01

    This article reports on an investigation of students learning of physics during group discussions around context-rich problems in introductory physics courses at university level. We present the results from video recordings of student groups solving three different problems. We found that group discussions around physics problems can lead to…

  4. Searching for Intertextual Connections in Small Group Text Discussion

    Science.gov (United States)

    Chi, Feng-ming

    2012-01-01

    This paper reports the sources for and intentions of intertextuality made by 10 groups of Taiwanese university students in the process of discussing two American stories. Two types of data, small group text discussions and oral interviews, were gathered. The results indicated that participants used diverse sources of intertextual links, and with…

  5. Using Discussion Pedagogy to Enhance Oral and Written Communication Skills

    Science.gov (United States)

    Dallimore, Elise J.; Hertenstein, Julie H.; Platt, Marjorie B.

    2008-01-01

    This research project examines students' reactions to in-class discussion as an instructional technique by investigating the effect of participation practices on communication-based skill development. The findings provide evidence that active preparation and participation in class discussion can be linked to students' reports of improved oral and…

  6. Using Discussion Pedagogy to Enhance Oral and Written Communication Skills

    Science.gov (United States)

    Dallimore, Elise J.; Hertenstein, Julie H.; Platt, Marjorie B.

    2008-01-01

    This research project examines students' reactions to in-class discussion as an instructional technique by investigating the effect of participation practices on communication-based skill development. The findings provide evidence that active preparation and participation in class discussion can be linked to students' reports of improved oral and…

  7. Discontinuities in University Student Experiences of Learning through Discussions

    Science.gov (United States)

    Ellis, Robert A.; Calvo, Rafael A.

    2006-01-01

    This article reports on research into the student experience of learning through discussions in a third-year undergraduate engineering subject. Information engineering students studying e-commerce were required to engage in face-to-face and online discussions as a key aspect of their learning experience. This study investigates the quality of the…

  8. Reconceptualising Moderation in Asynchronous Online Discussions Using Grounded Theory

    Science.gov (United States)

    Vlachopoulos, Panos; Cowan, John

    2010-01-01

    This article reports a grounded theory study of the moderation of asynchronous online discussions, to explore the processes by which tutors in higher education decide when and how to moderate. It aims to construct a theory of e-moderation based on some key factors which appear to influence e-moderation. It discusses previous research on the…

  9. Diversity: How to Begin the Discussion

    Directory of Open Access Journals (Sweden)

    Brenda Alston-Mills

    2012-12-01

    Full Text Available The perception of diversity and inclusion, as it relates to social justice, often evokes destructive responses, either spoken or unspoken. It is one of the ‘malicious problems’ found in the classroom, the workplace, and amongst other parts of our society. In challenging these problems with diversity and inclusion, conversations regarding the substantive aspects of oppression and inequitable distribution of power of one group over another must be initiated to educate or expand the thinking of our modern day society. Formulating solutions from these conversations, willing individuals must be able to name the issue, analyze its impact, and enact a positive change, while acknowledging the difficulties in creating conversations of an issue that is in dire need of revelation. This report provides a non-controversial presentation, beginning with reasons for resistance, followed by survival strategies, and ending with pro-active strategies to establish dialogue and to allow for personal stories. Further discussion will analyze aggressive behavior, examine critical core values for an individual and organization, discuss positive and effective methods for combating mistreatment, and empowerment strategies to respond positively to oppression. Strategies for engaging an organization are included, such as how to use these tools to co-create a vision for a welcoming environment in organizations, while acknowledging the uncomfortable atmosphere that surrounds the topic of cultural change. Accepting that this uncomfortable environment stems from fear itself, fear is a viable part of the process towards trust and resolution.

  10. Disgust discussed: introduction to the special section.

    Science.gov (United States)

    Pole, Nnamdi

    2013-03-01

    The author introduces a special section of Psychological Bulletin devoted to the study of disgust. After discussing conflicts between its supposed role as a basic emotion and its more recently understood involvement in responding to moral transgressions, the author summarizes 3 articles contained in the special section. Widen and Russell (2013) present a developmental account of disgust highlighting the ages at which children experience, express, understand, verbalize, and recognize disgust. The article shows that disgust is present early but that recognition of disgust in others is considerably delayed. Chapman and Anderson (2013) review evidence pertaining to the question of whether genuine disgust is elicited by moral transgressions. Their review covers data from self-report, brain imaging, facial behavior, and implicit measures gathered from both experimental and correlational studies. They conclude that moral transgressions elicit genuine disgust. Russell and Giner-Sorolla (2013) ask what types of moral transgressions are most likely to elicit pure disgust. They find that moral transgressions involving body violations are more likely than others to elicit such disgust. Moreover, they suggest that disgust elicited by body violations is likely to be more resistant to modification by context, situation, and efforts at rationalization. Taken together, the reviews support the view that rudiments of disgust to physical objects are present early in life but later become adapted to social influence and new moral purposes. Social implications are discussed. © 2013 American Psychological Association

  11. Brain plasticity, memory, and aging: a discussion

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, E.L.; Rosenzweig, M.R.

    1977-12-01

    It is generally assumed that memory faculties decline with age. A discussion of the relationship of memory and aging and the possibility of retarding the potential decline is hampered by the fact that no satisfactory explanation of memory is available in either molecular or anatomical terms. However, this lack of description of memory does not mean that there is a lack of suggested mechanisms for long-term memory storage. Present theories of memory usually include first, neurophysiological or electrical events, followed by a series of chemical events which ultimately lead to long-lasting anatomical changes in the brain. Evidence is increasing for the biochemical and anatomical plasticity of the nervous system and its importance in the normal functioning of the brain. Modification of this plasticity may be an important factor in senescence. This discussion reports experiments which indicate that protein synthesis and anatomical changes may be involved in long-term memory storage. Environmental influences can produce quantitative differences in brain anatomy and in behavior. In experimental animals, enriched environments lead to more complex anatomical patterns than do colony or impoverished environments. This raises fundamental questions about the adequacy of the isolated animal which is frequently being used as a model for aging research. A more important applied question is the role of social and intellectual stimulation in influencing aging of the human brain.

  12. Discussion on ``Frontiers of the Second Law''

    Science.gov (United States)

    Lloyd, Seth; Bejan, Adrian; Bennett, Charles; Beretta, Gian Paolo; Butler, Howard; Gordon, Lyndsay; Grmela, Miroslav; Gyftopoulos, Elias P.; Hatsopoulos, George N.; Jou, David; Kjelstrup, Signe; Lior, Noam; Miller, Sam; Rubi, Miguel; Schneider, Eric D.; Sekulic, Dusan P.; Zhang, Zhuomin

    2008-08-01

    This article reports an open discussion that took place during the Keenan Symposium "Meeting the Entropy Challenge" (held in Cambridge, Massachusetts, on October 4, 2007) following the short presentations—each reported as a separate article in the present volume—by Adrian Bejan, Bjarne Andresen, Miguel Rubi, Signe Kjelstrup, David Jou, Miroslav Grmela, Lyndsay Gordon, and Eric Schneider. All panelists and the audience were asked to address the following questions • Is the second law relevant when we trap single ions, prepare, manipulate and measure single photons, excite single atoms, induce spin echoes, measure quantum entanglement? Is it possible or impossible to build Maxwell demons that beat the second law by exploiting fluctuations? • Is the maximum entropy generation principle capable of unifying nonequilibrium molecular dynamics, chemical kinetics, nonlocal and nonequilibrium rheology, biological systems, natural structures, and cosmological evolution? • Research in quantum computation and quantum information has raised many fundamental questions about the foundations of quantum theory. Are any of these questions related to the second law?

  13. Vicarious learning through capturing taskdirected discussions

    Directory of Open Access Journals (Sweden)

    F. Dineen

    1999-12-01

    Full Text Available The research programme on vicarious learning, part of which we report in this paper, has been aimed at exploring the idea that learning can be facilitated by providing learners with access to the experiences of other learners. We use Bandura's term vicarious learning to describe this (Bandura, 1986, and we believe it to be a paradigm that offers particular promise when seen as an innovative way of exploiting recent technical advances in multimedia and distance learning technologies. It offers the prospect of a real alternative to the building of intelligent tutors (which directly address the problem of allowing learners access to dialogue, but which have proved largely intractable in practice or to the direct support of live dialogues (which do not offer a solution to the problem of providing 'live' tutors - unless they are between peer learners. In the research reported here our main objectives were to develop techniques to facilitate learners' access to, especially, dialogues and discussions which have arisen when other learners were faced with similar issues or problems in understanding the material. This required us to investigate means of indexing and retrieving appropriate dialogues and build on these to create an advanced prototype system for use in educational settings.

  14. Discussion on ``Foundations of the Second Law''

    Science.gov (United States)

    Silbey, Robert; Ao, Ping; Beretta, Gian Paolo; Cengel, Yunus; Foley, Andrew; Freedman, Steven; Graeff, Roderich; Keck, James C.; Lloyd, Seth; Maroney, Owen; Nieuwenhuizen, Theodorus M.; Weissman, Michael

    2008-08-01

    This article reports an open discussion that took place during the Keenan Symposium "Meeting the Entropy Challenge" (held in Cambridge, Massachusetts, on October 4, 2007) following the short presentations—each reported as a separate article in the present volume—by Seth Lloyd, Owen Maroney, Silviu Guiasu, Ping Ao, Jochen Gemmer, Bernard Guy, Gian Paolo Beretta, Speranta Gheorghiu-Svirschevski, and Dorion Sagan. All panelists and the audience were asked to address the following questions • Why is the second law true? Is it an inviolable law of nature? If not, is it possible to develop a perpetual motion machine of the second kind? • Are second law limitations objective or subjective, real or apparent, due to the nature of physical states or the representation and manipulation of information? Is entropy a physical property in the same sense as energy is universally understood to be an intrinsic property of matter? • Does the second law conflict with quantum mechanics? Are the differences between mechanical and thermodynamic descriptions of physical phenomena reconcilable? Does the reversible law of motion of hamiltonian mechanics and quantum mechanics conflict with the empirical observation of irreversible phenomena?

  15. Round table discussion on bat-conservation – Summary

    NARCIS (Netherlands)

    Punt, A.

    1970-01-01

    Under the chairmanship of dr. A. van Wijngaarden (Netherlands’ Institute of Nature Research) a discussion on bat conservation was held. Seventeen speakers, representing 13 countries reported on the problems existing in various areas. Reports came from Van Wijngaarden and Braaksma (the Netherlands),

  16. Increasing Moral Reasoning Skills through Online Discussions

    Science.gov (United States)

    Cain, Jeff; Smith, Doug

    2009-01-01

    This study examined the effects that online asynchronous dilemma discussions have on moral reasoning scores of pharmacy students. In contrast to face-to-face group discussions, asynchronous threaded discussions afford all participants time to reflect and respond during discussions. Anonymity features may lessen inhibitions in responding critically…

  17. Talk by Philippe Descola and discussion

    OpenAIRE

    DESCOLA, Philippe

    2004-01-01

    One hour talk, followed by hour of discussion, chaired by Stephen Hugh-Jones and filmed by Alan Macfarlane on 13 February 2004 Talk to anthropology seminar at Cambridge University by Philippe Descola on 'Ontologies', followed by questions and discussion.

  18. Discussing Diabetes with Your Healthcare Provider

    Science.gov (United States)

    ... of this page please turn Javascript on. Feature: Diabetes Discussing Diabetes with Your Healthcare Provider Past Issues / Fall 2009 Table of Contents Diabetes Medicines—Always Discuss Them with Your Healthcare Provider ...

  19. Discussion Technique: The Twice-Around

    Science.gov (United States)

    Andersen, Kent

    2013-01-01

    In this article, the author offers a discussion technique: the twice-around. A variant on the circular response discussion, the twice-around engages students by beginning with students' questions, ensuring equal time for all participants and inviting discussants to build on previous contributions. In the twice-around, participants sit in a circle,…

  20. Doctors discussing religion and spirituality: A systematic literature review.

    Science.gov (United States)

    Best, Megan; Butow, Phyllis; Olver, Ian

    2016-04-01

    Discussion of religion and/or spirituality in the medical consultation is desired by patients and known to be beneficial. However, it is infrequent. We aimed to identify why this is so. We set out to answer the following research questions: Do doctors report that they ask their patients about religion and/or spirituality and how do they do it? According to doctors, how often do patients raise the issue of religion and/or spirituality in consultation and how do doctors respond when they do? What are the known facilitators and barriers to doctors asking their patients about religion and/or spirituality? A mixed qualitative/quantitative review was conducted to identify studies exploring the physician's perspective on discussion of religion and/or spirituality in the medical consultation. We searched nine databases from inception to January 2015 for original research papers reporting doctors' views on discussion of religion and/or spirituality in medical consultations. Papers were assessed for quality using QualSyst and results were reported using a measurement tool to assess systematic review guidelines. Overall, 61 eligible papers were identified, comprising over 20,044 physician reports. Religion and spirituality are discussed infrequently by physicians although frequency increases with terminal illness. Many physicians prefer chaplain referral to discussing religion and/or spirituality with patients themselves. Such discussions are facilitated by prior training and increased physician religiosity and spirituality. Insufficient time and training were the most frequently reported barriers. This review found that physician enquiry into the religion and/or spirituality of patients is inconsistent in frequency and nature and that in order to meet patient needs, barriers to discussion need to be overcome. © The Author(s) 2015.

  1. Friedreich's ataxia cardiomyopathy: case based discussion and management issues.

    LENUS (Irish Health Repository)

    Hanley, A

    2010-04-01

    Cardiac involvement is common in Friedreich\\'s Ataxia and is a common cause of premature death. Evidence regarding treatment of congestive heart failure in patients with Friedreich\\'s Ataxia is lacking. The case of a 31-year-old male with advanced Friedreich\\'s Ataxia who presented with an acute diarrhoeal illness and features of acute heart failure is discussed. We then review the reported cardiac manifestations of Friedreich\\'s Ataxia and discuss management options.

  2. Describing the Elephant: Framing a Discussion on Command and Control

    Science.gov (United States)

    2014-08-01

    July–August 2014 Air & Space Power Journal | 17 From the Guest Editor Describing the Elephant Framing a Discussion on Command and Control Col Henry...DATE JUL 2014 2. REPORT TYPE 3. DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE Describing the Elephant: Framing a Discussion on...path ahead for better understanding and op- erational performance in this complex core function. To move down this path requires a common frame of

  3. Accounting for Outcomes in Case Discussions.

    Science.gov (United States)

    Corrigan, Stephanie Zweig; Morine-Dershimer, Greta

    This study analyzes the reaction essays of 24 elementary preservice teachers who read and discussed the same case. The preservice teachers were in two different sections of the same special topics course. Care was taken to balance the sections as closely as possible by age, ethnicity, and major areas. Graduate discussion leaders were chosen to…

  4. Engaging All Students in Mathematical Discussions

    Science.gov (United States)

    Bahr, Damon L.; Bahr, Kim

    2017-01-01

    Many teachers try to engage their students in meaningful mathematical discussions in which one or more students share their thinking about a problem while the other students are expected to listen and learn from the sharing. Indeed, such discussions can help students learn from one another and promote high levels of mathematical proficiency.…

  5. Discussion Starters. Technical Note No. 25.

    Science.gov (United States)

    Yunus, Ibrahim; Dilts, Russ

    Discussion starters, the result of collaboration between the Indonesian Directorate General of Nonformal Education, Youth, and Sports, and World Education, Inc., are simple learning tools used to generate discussion among community groups involved in nonformal education. Appropriate in and adaptable to a variety of settings, content areas, and…

  6. Interteaching: Discussion Group Size and Course Performance

    Science.gov (United States)

    Truelove, Jacob C.; Saville, Bryan K.; Van Patten, Ryan

    2013-01-01

    Researchers have yet to examine whether discussion group size affects student performance in an interteaching-based course. In the current study, we addressed this question by manipulating discussion group size (smaller groups of 2 students vs. larger groups of 4 students) across 2 sections of an undergraduate psychology course. We found no…

  7. Enhancing Understanding and Interest through Group Discussion

    Science.gov (United States)

    Cannon, Patrick

    2006-01-01

    Group discussion allows students to learn how to "talk to someone." Through group discussion, students can acquire or refine a broad range of attributes, from basic oratory skills to a more sophisticated development of communicative competence to embracing and valuing dialogic interchange and reflexivity. In this article, the author explains how…

  8. Three discussions on object-oriented typing

    DEFF Research Database (Denmark)

    Schwartzbach, Michael Ignatieff; Palsberg, Jens

    1992-01-01

    This paper summarizes three discussions conducted at the ECOOP'91 W5 Workshop on "Types, Inheritance, and Assignments" Tuesday July 16, 1991 in Geneva, Switzerland, organized by the authors.......This paper summarizes three discussions conducted at the ECOOP'91 W5 Workshop on "Types, Inheritance, and Assignments" Tuesday July 16, 1991 in Geneva, Switzerland, organized by the authors....

  9. Public Energy Education: Issues for Discussion. Draft.

    Science.gov (United States)

    Public Energy Education Task Force.

    This paper was intended to stimulate discussion of energy education issues at a conference on energy issues. The discussion ranges through numerous topics at issue in energy education including public energy awareness, definition of public education, the distinction between public education and public relations, and the presentation of a model…

  10. Learning to Teach Literacy through Collaborative Discussions of Student Work

    Science.gov (United States)

    Hughes, Marie Tejero; Parker-Katz, Michelle; Balasubramanian, Anita

    2013-01-01

    Despite the high numbers of students with disabilities struggling with literacy, few teachers report feeling well prepared to address it. Most students with disabilities encounter challenges in reading and professional development can help teachers learn a range of ways to address those. In this article, we discuss a professional development…

  11. Panel Discussion on Libraries and Best Practices in Fair Use

    Science.gov (United States)

    Rathemacher, Andree J.

    2012-01-01

    This report covers a panel discussion on the Code of Best Practices in Fair Use for Academic and Research Libraries, published in January 2012 by the Association of Research Libraries (ARL). The panel was held at the Massachusetts Institute of Technology (MIT) on March 23, 2012, and was hosted by the MIT Libraries. Panelists were Patricia…

  12. [Management of requests for euthanasia. Discussion of cases].

    Science.gov (United States)

    Englert, M

    2008-09-01

    Since September 2002, more than 2.000 legal euthanasia's were performed in Belgium. The present paper reviews the necessary steps to be followed by the physician for a correct achievement of the process initiated by the patient's demand to die. Interpretation of the legal conditions to be respected by the physician is discussed from reports of ten cases of requests for euthanasia.

  13. Online discussions develop students' clinical reasoning skills during fieldwork.

    Science.gov (United States)

    Scanlan, Justin Newton; Hancock, Nicola

    2010-12-01

    Pilot study to examine if the addition of a structured framework improved the quality of clinical reasoning demonstrated within clinically based online discussions by occupational therapy students undertaking fieldwork. Cognitive elements of the clinical reasoning process present within students' discussions were compared before (2005 cohort) and after (2007 cohort) the introduction of a structured framework to guide discussions. Students' self reports (2007 cohort) of clinical reasoning skills were also analysed before and after two consecutive fieldwork placements. The structured framework increased the proportion of postings containing the advanced 'evaluate' element of clinical reasoning and decreased the proportion of postings containing only the basic 'understand' elements. Self-reported clinical reasoning skills improved following the first fieldwork placement and this improvement was sustained following the second placement. The structured framework appears useful in enhancing students' depth of clinical reasoning during fieldwork, although further investigation is required. © 2010 The Authors. Australian Occupational Therapy Journal © 2010 Australian Association of Occupational Therapists.

  14. E.O.L Eguavoen A SURVEY OF LIBRARY EQUIPMENTS IN ...

    African Journals Online (AJOL)

    A structured questionnaire was developed to elicit information from the personnel of ... Bureau of India Standards (2011) provide that a library should have a stack room, a ..... library furniture, media equipments etc. in order to promote and enhance library ... Access to print and electronic resources in developing countries.

  15. Chinese women's participation in fertility discussions.

    Science.gov (United States)

    Li, L

    1993-01-01

    In an attempt to better understand the process through which the family planning (FP) programs and socioeconomic developments in China affect fertility, women's participation in fertility discussions with their husbands are examined as an intermediate factor in a study based on results of a random survey of 6654 ever-married women of reproductive age from 7 cities and 30 counties of Guangdong. First, it must be noted that Chinese couples do have individual choices (albeit quite limited ones) about their fertility; they can choose to follow or ignore government policy or they can choose to remain childless. The present study has 3 major hypotheses: 1) the more a woman is involved in fertility discussions with her husband, the fewer children she will have; 2) urban women with a higher educational status will be more likely to have such discussions; and 3) women who are contacted individually by FP personnel are more likely to be involved in fertility discussions. After a discussion of data collection and variables (number of living children, education of wife and husband, age at marriage, residence, living with parents, contacted by FP personnel, and discussion with husband), the results are presented in terms of zero-order correlation coefficients indicating their relationships. The bivariate analysis supported the hypotheses. Multiple regression analysis showed that age at marriage, education of wives and husbands, FP contacts, and participation in discussions remain significant fertility determinants (but the correlation between fertility and residence becomes trivial). A further regression model indicated that a woman's educational attainment is the most significant positive indication of their participation in fertility discussions. These results imply that as women's status continues to improve in China and the deeply-rooted patriarchal tradition loses hold, increased gender equity and education will influence a fertility decline. FP personnel could also

  16. SMARTS Present and Future - A Discussion

    Science.gov (United States)

    Bailyn, Charles; van der Bliek, N. S.; Fischer, D.

    2011-05-01

    The second session of the SMARTS "Meeting-in-a-Meeting" will be devoted to discussing the future of the consortium. As a basis for discussion, the SMARTS Principal Scientist (Charles Bailyn) and the CTIO Deputy Director (Nicole van der Bliek) will present information on the current SMARTS operation, and future options. Specific updates will be presented on current oversubscription and publication rates for the various SMARTS capabilities, along with some implications for the long-term viability of the current financial model. A number of options for future instrumentation upgrades and possibilities for changes in the current observing modes will be presented for discussion.

  17. Enhancing critical thinking with literary discussion

    Directory of Open Access Journals (Sweden)

    رضا پیشقدم

    2008-07-01

    Full Text Available The major aim of this study was to investigate the effect of literary discussion on critical thinking. To this end, two classes (experimental and control groups were selected from College of Ferdowsi University. In both groups literature was used as supplementary homework. Students were supposed to read short stories and poems at home and present them in class. The students in the experimental group were discussing the materials in class and the students in the control group only memorized the texts and retold them. At the end of the term, the students were asked to take a questionnaire on critical thinking. The results demonstrated that there was a significant difference between means of two groups, implying that literary discussion can enhance critical thinking. Finally, results were discussed in the context of education in Iran and some suggestions were made.

  18. Discussing College English Learners' Attitude and Motivation

    Institute of Scientific and Technical Information of China (English)

    姜自凤

    2009-01-01

    Many English learners claim that they have trouble in communicating with foreigners.Therefore,this paper isto discuss college English learners' attitude and motivation toward English learning by analyzing the obstacles of English learning.

  19. Learning Styles and Online Discussion Posts

    Directory of Open Access Journals (Sweden)

    Herbert Rau

    2014-03-01

    Full Text Available Scholars have suggested models proposing a variety of learning styles for humans. Human Dynamics is one such model, and it has been suggested within its model that one style of learning is enhanced by discussion among learners. While this style of learning may be accomplished relatively easily in an on-campus person-to-person situation, it is not clear how a discussion mode (online posts of learning might be accomplished in an online format. A study of more than 9,000 posts from 240 students in 11 different online classes was conducted to determine whether differences in online discussion posts by individuals with different learning styles were evident. Results of the study suggest that discussion post activity, if managed with suitable rubrics and guiding principles, and augmented by appropriate modeling behavior, is an effective teaching mode for all dynamics, but seem to be a more successful learning mode for individuals of Physically Centered dynamics.

  20. Dr. Irvin Yalom Discusses Group Psychotherapy.

    Science.gov (United States)

    Forester-Miller, Holly

    1989-01-01

    In this interview, Dr. Irvin Yalom, director of the Adult Psychiatry Clinic at Stanford University School of Medicine, discusses his beginnings as a group psychotherapist, current issues in group work, and the future of group work. (Author/TE)

  1. Finding Malicious Cyber Discussions in Social Media

    Science.gov (United States)

    2015-12-11

    One of our goals with the cyber classifiers we are developing is to have them filter or concentrate documents from social media sources so an analyst...1 » Finding Malicious Cyber Discussions in Social Media Richard P. Lippmann, William M. Campbell, David J. Weller-Fahy, Alyssa C. Mensch...Giselle M. Zeno, and Joseph P. Campbell Today’s analysts manually examine social media networks to find discussions concerning planned cyberattacks

  2. Divisions Panel Discussion: Astronomy for Development

    Science.gov (United States)

    Govender, Kevin; Hemenway, Mary Kay; Wolter, Anna; Haghighipour, Nader; Yan, Yihua; van Dishoeck, E. F.; Silva, David; Guinan, Edward

    2016-10-01

    The main purpose of this panel discussion was to encourage conversation around potential collaborations between the IAU Office of Astronomy for Development (OAD) and IAU Divisions. The discussion was facilitated by the OAD and the conversation revolved mainly around two questions: (i) What should the OAD be doing to enhance the work of the Divisions? (ii) What could the Divisions (both members and respective scientific discipline in general) contribute towards the implementation of the IAU strategic plan?

  3. A report on case reports

    Directory of Open Access Journals (Sweden)

    Gopikrishna Velayutham

    2010-01-01

    Full Text Available Case reports are defined as the scientific documentation of a single clinical observation and have a time-honored and rich tradition in medicine and scientific publication. This article discusses the role and relevance of case reports in the current evidence-based medical literature. It also seeks to help and guide authors to understand how to prepare a reasonable and well-written case report and how they may anticipate concerns that peer reviewers may express when scrutinizing their manuscript. An overview of the Journal of Conservative Dentistry′s review process of a manuscript submission is provided for the benefit of future authors. It is important to be able to read a case report critically and to use the information they contain appropriately. This article also discusses the factors to consider in evaluating individual case reports, and discusses a practical conceptual scheme for evaluating the potential value and educational content of a case report.

  4. hosp310 all week discussion latest 2015 october [ all 14 discussions

    OpenAIRE

    Laynebaril

    2017-01-01

      hosp310 all week discussion latest 2015 october [ all 14 discussions] Click Link Below To Buy: http://hwcampus.com/shop/hosp310-all-week-discussion-latest/   Discussion 1 Why are the baby boomers so important? What impact do you see them having on the hospitality industry in the next few years? In the longer-term future? Please refer to Chapter Two as you participate in this discussion.  Tip for Beginning the Discussion: Of course, you can draw from your own experi...

  5. Conference Discussion of the Nuclear Force

    CERN Document Server

    Gross, Franz; Epelbaum, Evgeny; Machleidt, Ruprecht

    2011-01-01

    Discussion of the nuclear force, lead by a round table consisting of T. Cohen, E. Epelbaum, R. Machleidt, and F. Gross (chair). After an invited talk by Machleidt, published elsewhere in these proceedings, brief remarks are made by Epelbaum, Cohen, and Gross, followed by discussion from the floor moderated by the chair. The chair asked the round table and the participants to focus on the following issues: (i) What does each approach (chiral effective field theory, large Nc, and relativistic phenomenology) contribute to our knowledge of the nuclear force? Do we need them all? Is any one transcendent? (ii) How important for applications (few body, nuclear structure, EMC effect, for example) are precise fits to the NN data below 350 MeV? How precise do these fits have to be? (iii) Can we learn anything about nonperturbative QCD from these studies of the nuclear force? The discussion presented here is based on a video recording made at the conference and transcribed afterward.

  6. A Discussion Strategy for an Online Class

    Science.gov (United States)

    Reese-Durham, Nancy Faith

    2014-01-01

    As a former teacher of face-to-face classes now assigned to teach only online classes, Nancy Reese Durham found herself challenged to change to accommodate online learners. She was determined to provide an environment in the online class where the high level of discussion she had provided in face-to-face classes could flourish as well. Here she…

  7. Nonlinearity in the Cochlea—Moderated Discussions

    Science.gov (United States)

    Mountain, David C.; Guinan, John J.

    2011-11-01

    Discussions moderated by the authors on the topic "Nonlinearity in the Cochlea" were held on 18 and 21 July 2011 at the 11th International Mechanics of Hearing Workshop in Williamstown, Massachusetts. The paper provides an edited transcript of the two sessions.

  8. Maps of student discussions about sustainability

    DEFF Research Database (Denmark)

    Lindahl, Mats; Bruun, Jesper; Linder, Cedric

    We use a combination of network analysis (NA), text-mining (TM) techniques, and thematic discourse analysis (TDA) to characterise and compare student discussions about sustainable development. Three student groups at three different times were analysed. The analysis entails an iterative design...

  9. Panel discussion: The future of IR astronomy

    Science.gov (United States)

    Caroff, Lawrence J.

    1995-01-01

    A panel discussion was held on the future of IR astronomy. The chairman gave a brief introduction to current planned programs for NASA and other space agencies, followed by short contributions from the six panel members on a variety of special topics. After that, a short question and answer session was held.

  10. Parametric Instability: An Elementary Demonstration and Discussion.

    Science.gov (United States)

    Case, William

    1980-01-01

    Discusses parametric oscillators and parametric instability. A simple, easy-to-construct system which exhibits parametric instability is presented. The two lowest-order resonances are described and analyzed in detail. The analysis stresses the physical and intuitive aspects of the problem. (Author/HM)

  11. Conflicting perspectives compromising discussions on cardiopulmonary resuscitation.

    LENUS (Irish Health Repository)

    Groarke, J

    2010-09-01

    Healthcare professionals, patients and their relatives are expected to discuss resuscitation together. This study aims to identify the differences in the knowledge base and understanding of these parties. Questionnaires examining knowledge and opinion on resuscitation matters were completed during interviews of randomly selected doctors, nurses and the general public. 70% doctors, 24% nurses and 0% of a public group correctly estimated survival to discharge following in-hospital resuscitation attempts. Deficiencies were identified in doctor and nurse knowledge of ethics governing resuscitation decisions. Public opinion often conflicts with ethical guidelines. Public understanding of the nature of cardiopulmonary arrests and resuscitation attempts; and of the implications of a \\'Do Not Attempt Resuscitation (DNAR)\\' order is poor. Television medical dramas are the primary source of resuscitation knowledge. Deficiencies in healthcare professionals\\' knowledge of resuscitation ethics and outcomes may compromise resuscitation decisions. Educational initiatives to address deficiencies are necessary. Parties involved in discussion on resuscitation do not share the same knowledge base reducing the likelihood of meaningful discussion. Public misapprehensions surrounding resuscitation must be identified and corrected during discussion.

  12. Role Modelling in MOOC Discussion Forums

    Science.gov (United States)

    Hecking, Tobias; Chounta, Irene-Angelica; Hoppe, H. Ulrich

    2017-01-01

    To further develop rich and expressive ways of modelling roles of contributors in discussion forums of online courses, particularly in MOOCs, networks of forum users are analyzed based on the relations of information-giving and information-seeking. Specific connection patterns that appear in the information exchange networks of forum users are…

  13. Discussion on a Student Satisfaction Evaluation

    Institute of Scientific and Technical Information of China (English)

    王文俊

    2015-01-01

    Reforms in today's education models require changing the concept of quality from "quality conformity" to "applicability, service mode" within the schools. This paper uses schools as a case study to discuss issues of customers in education industry and their needs, student satisfaction evaluation, and some suggestions.

  14. Technical discussions II - Flow cytometric analysis

    NARCIS (Netherlands)

    Cunningham, A; Cid, A; Buma, AGJ

    1996-01-01

    In this paper the potencial of flow cytometry as applied to the aquatic life sciences is discussed. The use of flow cytometry for studying the ecotoxicology of phytoplankton was introduced. On the other hand, the new flow cytometer EUROPA was presented. This is a multilaser machine which has been sp

  15. [Discussion on logistics management of medical consumables].

    Science.gov (United States)

    Deng, Sutong; Wang, Miao; Jiang, Xiali

    2011-09-01

    Management of medical consumables is an important part of modern hospital management. In modern medical behavior, drugs and medical devices act directly on the patient, and are important factors affecting the quality of medical practice. With the increasing use of medical materials, based on practical application, this article proposes the management model of medical consumables, and discusses the essence of medical materials logistics management.

  16. NEUROTOXICITY OF TETRACHLOROETHYLENE (PERCHLOROETHYLENE): DISCUSSION PAPER

    Science.gov (United States)

    This paper is a background document for a meeting of neurotoxicity experts to discuss the central nervous system effects of exposure to perchloroethylene (perc). The document reviews the literature on neurological testing of people exposed to perc occupationally in dry cleanin...

  17. QCD under extreme conditions: an informal discussion

    CERN Document Server

    Fraga, E S

    2015-01-01

    We present an informal discussion of some aspects of strong interactions un- der extreme conditions of temperature and density at an elementary level. This summarizes lectures delivered at the 2013 and 2015 CERN – Latin-American Schools of High-Energy Physics and is aimed at students working in experi- mental high-energy physics.

  18. Structural Changes in Online Discussion Networks

    DEFF Research Database (Denmark)

    Yang, Yang; Medaglia, Rony

    2014-01-01

    Social networking platforms in China provide a hugely interesting and relevant source for understanding dynamics of online discussions in a unique socio-cultural and institutional environment. This paper investigates the evolution of patterns of similar-minded and different-minded interactions over...

  19. Interaction in online interprofessional education case discussions.

    Science.gov (United States)

    Waterston, Rosemary

    2011-07-01

    This study investigated online interaction within a curriculum unit at the University of Toronto, Canada that included an interprofessional case study discussion in a mixed-mode (face-to-face and online) format. Nine of the 81 teams that completed the four-day curriculum were selected for detailed review based on the attitudes students expressed on a survey about the value of collaborating online for enhancing their appreciation of other health care professions. Five of the teams selected were 'positive' and four were 'negative'. The responses to other survey items by members of these teams were then compared, as well as their message posting patterns and the content of their online discussions. Differences between the two sets were situated within a theoretical framework drawn from the contact theory, social interdependence theory, and the Community of Inquiry model. Institutional support in the form of facilitator involvement, individual predispositions to online and group learning, the group composition, the learning materials, task and assignment, and technical factors all affected the levels of participation online. Discourse and organizational techniques were identified that related to interactivity within the online discussions. These findings can help curriculum planners design interprofessional case studies that encourage the interactivity required for successful online discussions.

  20. How to Facilitate Discussions in History

    Science.gov (United States)

    Reisman, Abby

    2017-01-01

    In this article, Abby Reisman offers four instructional practices that educators can use to help students grapple with history's contradictions and engage in meaningful text-based discussions. Reisman details two suggestions that can be used in history classrooms and across the disciplines: orient students to one another and orient students to the…

  1. Online Discussion Assignments Improve Students' Class Preparation

    Science.gov (United States)

    Lineweaver, Tara T.

    2010-01-01

    To increase the number of students who read the text before class and to promote student interaction centering on text material, I developed an online discussion assignment as a required component of a cognitive psychology course. Across 2 studies, this assignment had a limited effect on examination performance, but students completing online…

  2. A Brief Discussion on Sex Language

    Institute of Scientific and Technical Information of China (English)

    Fang Jianbo

    2002-01-01

    This thesis presents a discussion on the two following issues with concrete instances: [ 1 ] People's attitudes to-wards women; [2] Women's use of language. It concludes that the sex priority issue, as far as language is concerned, may not be important.

  3. Political discussions with family and friends

    DEFF Research Database (Denmark)

    Levinsen, Klaus; Yndigegn, Carsten

    2015-01-01

    . These findings support previous studies in political communication suggesting that people tend to avoid social situations where political disagreements are likely to appear. Furthermore, the results show that there are significant gender differences when analysing the role of the parents as political discussion...

  4. Discussing the theological grounds of moral principles.

    Science.gov (United States)

    Heller, Jan C

    2005-01-01

    Discussing the theological beliefs that ground Catholic moral principles can make some people uncomfortable, even while others will appreciate it. But these reactions will sometimes be revealed not as the emotions they are, but as objections to the relative independence or dependence of morality on foundational beliefs. In the end, context should dictate whether one displays the theological beliefs that ground Catholic moral principles.

  5. Discussing social managment: concepts and protagonists

    Directory of Open Access Journals (Sweden)

    Mariangela Belfiore Wanderley

    2013-12-01

    Full Text Available This paper aims at discussing the social management conception as the management of public actions within the scope of social policies, addressing concepts and protagonists. We have given special attention to social and public notions in management as well as listed their main challenges: interdisciplinarity, intersectoriality and territorialization

  6. Alice, Greenfoot, and Scratch--A Discussion

    Science.gov (United States)

    Utting, Ian; Cooper, Stephen; Kolling, Michael; Maloney, John; Resnick, Mitchel

    2010-01-01

    This article distills a discussion about the goals, mechanisms, and effects of three environments which aim to support the acquisition and development of computing concepts (problem solving and programming) in pre-University and non-technical students: Alice, Greenfoot, and Scratch. The conversation started in a special session on the topic at the…

  7. Workplace Mobbing: A Discussion for Librarians

    Science.gov (United States)

    Hecker, Thomas E.

    2007-01-01

    Workplace mobbing occurs in libraries but is usually unrecognized and unchecked because the phenomenon has not been described and given a name. This discussion provides the library profession with an overview but also with specific background details to assist with recognizing mobbing and preventing severe harm to employees and organizations.

  8. School PE through Internet Discussion Forums

    Science.gov (United States)

    Lauritsalo, Kirsti; Sääkslahti, Arja; Rasku-Puttonen, Helena

    2015-01-01

    Background: Physical education is a subject that generates strong feelings and emotions, as can be seen in written accounts of PE experiences. It is also important to listen to students' voices in the research context. Nowadays, students can be listened to in a new way--through the Internet. Various discussion forums on the Internet make it…

  9. Maps of student discussions about sustainability

    DEFF Research Database (Denmark)

    Lindahl, Mats; Bruun, Jesper; Linder, Cedric

    We use a combination of network analysis (NA), text-mining (TM) techniques, and thematic discourse analysis (TDA) to characterise and compare student discussions about sustainable development. Three student groups at three different times were analysed. The analysis entails an iterative design...

  10. Hydrogen embrittlement: future directions-discussion.

    Science.gov (United States)

    Lambert, H; Chen, Y-S

    2017-07-28

    The final session of the meeting consisted of a discussion panel to propose future directions for research in the field of hydrogen embrittlement and the potential impact of this research on public policy.This article is part of the themed issue 'The challenges of hydrogen and metals'. © 2017 The Author(s).

  11. Technical discussions II - Flow cytometric analysis

    NARCIS (Netherlands)

    Cunningham, A; Cid, A; Buma, AGJ

    1996-01-01

    In this paper the potencial of flow cytometry as applied to the aquatic life sciences is discussed. The use of flow cytometry for studying the ecotoxicology of phytoplankton was introduced. On the other hand, the new flow cytometer EUROPA was presented. This is a multilaser machine which has been sp

  12. Promoting Discussion in Peer Instruction: Discussion Partner Assignment and Accountability Scoring Mechanisms

    Science.gov (United States)

    Chou, Chih-Yueh; Lin, Pin-Hsun

    2015-01-01

    Peer instruction (PI) involves students answering questions and peer discussion learning activities. PI can enhance student performance and engagement in classroom instruction. However, some students do not engage in the discussions. This study proposes two mechanisms, discussion partner assignment and accountability scoring mechanisms, to form…

  13. The Misuse of Non-Argumentative Approaches in Practical Ethics Discussions: A Dialogue with Discussion

    Science.gov (United States)

    Gough, Jim

    2005-01-01

    This paper presents a description of a set of classroom discussions with students in an introductory college ethics course, with typical responses from the instructor to the students, as well as post discussion observations by the writer/instructor. It is intended as an open-ended paper, one which introduces the reader to discussions and invites…

  14. Hospital Executives’ Perceptions of End-of-Life Care

    Directory of Open Access Journals (Sweden)

    Kimberly K. Garner

    2015-06-01

    Full Text Available Hospital executives are key stakeholders in the hospital setting. However, despite extensive medical and nursing literature on the importance of end-of-life (EOL care in hospitals, little is known about hospital executives’ perceptions of the provision of EOL care in their facilities. The objective of this study was to capture hospital executives’ perceptions of the provision of EOL care in the hospital setting. This descriptive, naturalistic phenomenological, qualitative study utilized in-person interviews to explore executives’ opinions and beliefs. The sample consisted of 14 individuals in the roles of medical center directors, chiefs of staff, chief medical officers, hospital administrators, hospital risk managers, and regional counsel in Arkansas, Louisiana and Texas. An interview guide was developed and conducted utilizing a global question followed by probes concerning perceptions of EOL care provision. Hospital executives acknowledged that EOL care was a very important issue, and more attention should be paid to it in the hospital setting. Their comments and suggestions for improvement focused on (a current EOL care, (b barriers to changing EOL care, and (c enhancing provision of EOL care in the hospital setting. The findings of this study suggest that hospital executives although key change agents, may have insufficient EOL information to implement steps toward cultural and infrastructural change and should therefore be included in any EOL discussions and education.

  15. International Reports.

    Science.gov (United States)

    Tabb, Winston; Bender, David R.; Haycock, Ken; Horodyski, John

    2001-01-01

    Includes three annual reports: one from the International Federation of Library Associations and Institutions, the Special Libraries Association, and a report on innovations in Canadian libraries that discusses electronic initiatives, partnerships, books and publishing, school libraries, national issues, local challenges, and funding. (LRW)

  16. Analysis of the Characteristics of Discussion Materials that Promote Group Discussion in the Medical Humanities.

    Science.gov (United States)

    Ahn, Jae Hee; Jeon, Woo Taek

    2011-12-01

    This study aims to analyze the characteristics of discussion materials that promote student participation in discussions, satisfaction with student instruction, and tutor intervention in the medical humanities. We surveyed 117 premedical students and 7 tutors who attended 4-week group discussions in the medical humanities in 2010. We described the discussion materials using the following 4 characteristics as independent variables: material type, level of understanding, interest, and quantity. Dependent variables were: student participation in the discussion, student instruction satisfaction, and tutor intervention. Correlation analysis, multiple regression analysis, and crosstab were performed using SPSS 15.0. The correlation between the characteristics of the discussion materials differed by grade. When the books were chosen as the discussion material in the instruction of first-year premedical students, the correlation between level of understanding, interest, and quantity was negative. Higher levels of understanding of the material and interest in the material led to an increase in discussion participation among both first- and second-year premedical students. Higher levels of understanding and interest of the discussion material also increased student satisfaction with the instruction, regardless of grade. Finally, levels of understanding of the material affected the degree of tutor intervention. Tutors intervened more often in discussions with first-year premedical students than with second-year premedical students. Differences in grades and the understanding of the discussion material should be considered when choosing discussion materials. Further study is required to continue the development of the discussion model and improve methods of facilitate discussion among students in the medical humanities.

  17. Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?

    Science.gov (United States)

    Kenzik, Kelly M; Fouad, Mona N.; Pisu, Maria; Martin, Michelle Y.

    2017-01-01

    Purpose This study aimed to 1) describe the proportion of survivors reporting that a physician discussed strategies to improve health and 2) identify which groups are more likely to report these discussions Methods Lung and colorectal cancer (CRC) survivors (>5 years from diagnosis) (n=874) completed questionnaires, including questions on whether in the previous year a physician discussed 1) strategies to improve health, 2) exercise, and 3) diet habits. Chi-square tests and logistic regression models were used to examine whether the likelihood of these discussions varied by demographic and clinical characteristics. Results Approximately 59% reported a physician discussed strategies to improve health and exercise, 44% discussed diet, and 24% reported no discussions. Compared to their counterparts, survivors with lower education were less likely report discussing all three areas, while survivors with diabetes were more likely. Survivors ≥65 were less likely to report discussing strategies to improve health and diet. Males and CRC survivors reported discussing diet more than their female and lung cancer counterparts, respectively Conclusion The frequency of health promotion discussions varies across survivor characteristics. While discussions were more frequently reported by some groups, e.g., survivors with diabetes, or among individuals less likely to engage in healthy behaviors, e.g., males, older and less educated survivors were less likely to have these discussions. Implications for survivors Decreasing physician barriers and activating patients to discuss health promotion especially in the context of clinical care for older survivors and those with low education, is critical to promoting the overall well-being of cancer survivors. PMID:26210659

  18. How to write a discussion section?

    Science.gov (United States)

    Şanlı, Öner; Erdem, Selçuk; Tefik, Tzevat

    2013-09-01

    Writing manuscripts to describe study outcomes, although not easy, is the main task of an academician. The aim of the present review is to outline the main aspects of writing the discussion section of a manuscript. Additionally, we address various issues regarding manuscripts in general. It is advisable to work on a manuscript regularly to avoid losing familiarity with the article. On principle, simple, clear and effective language should be used throughout the text. In addition, a pre-peer review process is recommended to obtain feedback on the manuscript. The discussion section can be written in 3 parts: an introductory paragraph, intermediate paragraphs and a conclusion paragraph. For intermediate paragraphs, a "divide and conquer" approach, meaning a full paragraph describing each of the study endpoints, can be used. In conclusion, academic writing is similar to other skills, and practice makes perfect.

  19. CERN in discussions with its neighbours

    CERN Multimedia

    2009-01-01

    CERN recently invited local partners, elected representatives, and representatives of local administrations and associations to an information and discussion evening, giving those invited an opportunity to raise various topics linked to CERN’s presence in the local area. On Tuesday, 20 October the Globe of Science and Innovation took on a distinctly regional flavour when some 60 representatives of local administrations and public bodies in Switzerland and France as well as teachers, heads of local schools and chairs of local associations attended an information and discussion evening at the invitation of the Director-General. In his opening address, the Director-General underlined CERN’s commitment to transparency and the desire to enhance its communication with the local community. This address was followed by four presentations. Philippe Bloch, head of the Physics Department, explained the scientific goals of the LHC and the L...

  20. Skilled Toy Train Discussions about Business Innovation

    DEFF Research Database (Denmark)

    Buur, Jacob; Beuthel, Marie Rosa

    2013-01-01

    innovation session, we investigate how participants get to new concepts through analysing their skilled behaviours, movements, actions and negotiations. We observe that the final result of the workshop is indeed innovative and is co-constructed by all group members. We show why the toy train works: While......In this paper we show how industrialists in an innovation workshop employ tangible material – a toy train set – to innovate their business model. In multidisciplinary teams the process of co-creating new understandings is crucial for work to progress. Based on video data form this participatory...... encouraging group discussion of the ‘customer journey’, it keeps both hands and mind busy, it allows silent participation, and it expands the vocabulary of the discussion....

  1. Quantum clock: A critical discussion on spacetime

    CERN Document Server

    Burderi, Luciano; Iaria, Rosario

    2016-01-01

    We critically discuss the measure of very short time intervals. By means of a Gedankenexperiment, we describe an ideal clock based on the occurrence of completely random events. Many previous thought experiments have suggested fundamental Planck-scale limits on measurements of distance and time. Here we present a new type of thought experiment, based on a different type of clock, that provide further support for the existence of such limits. We show that the minimum time interval $\\Delta t$ that this clock can measure scales as the inverse of its size $\\Delta r$. This implies an uncertainty relation between space and time: $\\Delta r$ $\\Delta t$ $> G \\hbar / c^4$; where G, $\\hbar$ and c are the gravitational constant, the reduced Planck constant, and the speed of light, respectively. We outline and briefly discuss the implications of this uncertainty conjecture.

  2. Restorative culture in school. Continuation of discussion

    Directory of Open Access Journals (Sweden)

    A.A. Pentin

    2014-08-01

    Full Text Available The article deals with the lack of effective ways of building relationships, parenting responsibility and conflict solving in the school community. It is addressed to the whole school community – to the administration, psychologists and social workers, to the faculty, parents and students. We discuss the key concepts and principles of “restorative culture” and the reasons for its introduction in educational institutions. The restorative culture refers to activities on formation and spread of interpersonal relations value in the aspect of its understanding, trust, acceptance of active responsibility, separation of problems and subjects, and focus on the successful experience. We briefly discuss the theory of restorative justice and narrative practice. Particular attention is paid to the typical methods of school response to conflicts, and to zero-tolerance policy. We propose that the school community needs a number of specific technologies that would optimally suit for different types of situations and would constitute a part of the system

  3. DISCUSSING NURSING DIAGNOSIS APPLIED BY NURSING STUDENTS

    Directory of Open Access Journals (Sweden)

    K. M. H. Cavalcante

    2016-07-01

    Full Text Available Aimed to identify and discuss nursing diagnosis present in 50 Case Studies developed by students of graduation nursing of Federal University of Mato Grosso - Campus of Sinop, in a unit of clinical medical. Documentary research that addressed quantitatively the nursing diagnosis proposed using the Taxonomy II of NANDA-I (2009-2011. It was documented 82 different diagnosis, and covered all the 13 domains. The involvement of all the domains and the large variability of diagnoses identified suggested a possible holistic view of patient care and emphasized the individuality of the care plan. However, it may indicate an immaturity of these students, because often different diagnosis are related, and interventions set to one of these can solve the other, so opting for one avoids large health plans. Researchers and professors should conduct investigations and discussions to be identified teaching methods best suited to the teaching of the diagnostic process.

  4. Report made on behalf of the mixed parity commission in charge of the text proposal about the remaining dispositions to be discussed of the project of law relative to the electric and gas public utilities and to the electric and gas companies; Rapport fait au nom de la Commission mixte paritaire chargee de proposer un texte sur les dispositions restant en discussion du projet de loi relatif au service public de l'electricite et du gaz et aux entreprises electriques et gaziere

    Energy Technology Data Exchange (ETDEWEB)

    Lenoir, J.C.; Poniatowski, L

    2004-07-01

    This project of law aims to adapt the electricity and gas sector to the new economical context of opening of the energy markets to competition. It gives to energy companies the internal organization base necessary to warrant a high level of service and a transparent and non-discriminatory access of third parties to transport and distribution networks. These evolutions will allow Electricite de France (EdF) and Gaz de France (GdF) companies to compete on equal terms with their European competitors. It confirms first the prime role of public utility of both companies and then transposes the dispositions of the European directives relative to the organization of EdF and GdF integrated companies. It foresees the creation of two daughter companies for the management of energy transport activities. The project of law foresees also the change of the status of EdF and GdF companies and the reform of the retirement pensions of the personnel. This report presents, first, in a comparative table the articles adopted by the French house of commons and the changes adopted by the Senate. Then, a common text is proposed by the mixed parity commission for the articles that remained under discussion. (J.S.)

  5. DISCUSSING NURSING DIAGNOSIS APPLIED BY NURSING STUDENTS

    OpenAIRE

    K. M. H. Cavalcante; Botelho, M.L.; P. P. Cavalcanti; F. M. P. Garcia

    2016-01-01

    Aimed to identify and discuss nursing diagnosis present in 50 Case Studies developed by students of graduation nursing of Federal University of Mato Grosso - Campus of Sinop, in a unit of clinical medical. Documentary research that addressed quantitatively the nursing diagnosis proposed using the Taxonomy II of NANDA-I (2009-2011). It was documented 82 different diagnosis, and covered all the 13 domains. The involvement of all the domains and the large variability of diagnoses identified sug...

  6. Summary of Study Group Session Discussions

    Science.gov (United States)

    1983-01-01

    The relationship between gravitational physiology and calcium metabolism is examined. The role of gravity on the problems of bone response, low gravity environments, calcium in plants, and the potential in animal systems for alterations in nerve and muscle function as variations in extracellular calcium levels occurred are discussed. Innovative materials for experiments on interactions between calcium and gravity, experiments that could utilize ionospheres or calcium-measuring dyes, and specific gravity calcium experiments are also addressed.

  7. Discussing three pillars of corporate governance

    OpenAIRE

    Andrei STĂNCULESCU; Eugen MITRICĂ

    2015-01-01

    This paper is a meaningful attempt to critically analyze the cohesion and relationship between three fundamental pillars of the corporate governance system: the shareholders, the board of directors and the employees. We present the characteristics of each pillar and discuss its relevance in corporate governance. A couple of world-renowned corporate governance models are considered. A synthetic conclusion is drawn based on information presented.

  8. Teaching Methods - Policy Possibilities for Public Discussion

    OpenAIRE

    Bakaradze, Ekaterine; Bezovski, Zlatko; Grabova, Perseta; Hasaj, Alkida; Jurcic, Ana; Kalemi, Marsel; Natsvlishvili, Ia; Simic, Ruzica

    2010-01-01

    The discussion on Teaching Methods was conducted in cooperation with The George Washington University’s Research Program in Social and Organizational Learning. Its participants included university teachers from Albania, Serbia, Croatia, Macedonia, and Georgia who had come to the United States under the auspices of the United States State Department’s Junior Faculty Development Program and the Open Society Institute to learn about new teaching methods that they might use in their classes back ...

  9. Public discussion, art practice between 3 generations

    OpenAIRE

    O'Connell, Tina

    2016-01-01

    Bealtaine Festival have invited sculptor Tina O Connell, painter Brian Bourke and Sarah Tynan spending time exploring their practices. The idea behind the residency is to create a quiet space over the course of two weeks for artists of mixed generations to consider their practices, and the changing contexts of those practices as time has moved on in their career, over a two week period. At the end of the residency there will be a public discussion with the three artists.

  10. The Current Discussion on Men and Masculinities

    Directory of Open Access Journals (Sweden)

    2007-05-01

    Full Text Available In the past gender specific problems were mainly discussed in a female perspective. In the meantime there is a rising attentiveness in the living conditions of men and their coping strategies within critical life events. In this paper an appropriate frame of reference is outlined which can be used in those areas of social work where men are already discovered as a target group with special difficulties and needs.

  11. Islamophobia? The German Discussion about Islamophobia

    Directory of Open Access Journals (Sweden)

    Astrid Bötticher

    2009-08-01

    Full Text Available Islamophobia is a term which is relatively new in the world of social science; it is a neologism. Kofi Annan has warned about it but there is not a clear, undoubted concept to it yet – and it is questionable if there ever will be, especially if one looks into the German controversy about the term. The German discussion is not unique though, and must fall into the pattern of wider, European discussion about the Islamic minority. Prominent figures of Islamic hatred in Europe are for instance Oriana Fallaci and Brigitte Bardot. Against them, there stands a more liberal community that does not want to follow the language of violence and hatred. Two different standpoints are the main poles of discussion. One group wants to use Islamophobia as a concept, the other group opposes the term. In between, there is the scientific concept of Islamophobia that is threatened to be pulverized before it is even fully conceptualized. In the middle position there are also intellectuals known as Islamic reformers who argue that Islamophobia should be replaced by the term Islam-critique.

  12. Discussion on geobiology,biogeology and geobiofacies

    Institute of Scientific and Technical Information of China (English)

    YIN HongFu; XIE ShuCheng; QING JianZhong; YAN JiaXin; LUO GenMing

    2008-01-01

    Here we first discuss the definition of and the difference between geobiology and biogeology following a brief introduction of recent geobiology research in China.Geobiology is defined as an interdisciplinary study of life sciences and earth sciences,and biogeology as an interdisciplinary study of biology and geology.Scope of the term geobiology covers that of the term biogeology.Branch interdisciplines of both are listed.We then propose the term geobiofacies,defined as the facies of a geologic body embodying the whole process of interaction between organisms and environments.Differences among geobiofacies,biofacies,and organic facies are discussed.Main parameters defining a geobiofacies include habitat type,biotic composition and productivity,paleo-oxygenation regimes,and early diagenesis phases.Each of them is discussed in detail,and a semi-quantitative assessment of the biogeofacies of source rocks is proposed based on these parameters.A two-fold terminology for geobiofacies is recommended,namely,the biological and environmental aspects of biota and the redox conditions during life-burial-diagenesis process.

  13. Discussion on geobiology, biogeology and geobiofacies

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Here we first discuss the definition of and the difference between geobiology and biogeology following a brief introduction of recent geobiology research in China. Geobiology is defined as an interdisciplinary study of life sciences and earth sciences, and biogeology as an interdisciplinary study of biology and geology. Scope of the term geobiology covers that of the term biogeology. Branch interdisciplines of both are listed. We then propose the term geobiofacies, defined as the facies of a geologic body embodying the whole process of interaction between organisms and environments. Differences among geobiofacies, biofacies, and organic facies are discussed. Main parameters defining a geobiofacies include habitat type, biotic composition and productivity, paleo-oxygenation regimes, and early diagenesis phases. Each of them is discussed in detail, and a semi-quantitative assessment of the biogeofacies of source rocks is proposed based on these parameters. A two-fold terminology for geobiofacies is recommended, namely, the biological and environmental aspects of biota and the redox conditions during life-burial-diagenesis process

  14. Caregiving Youth Knowledge and Perceptions of Parental End-of-Life Wishes in Huntington's Disease.

    Science.gov (United States)

    Kavanaugh, Melinda S; Noh, Hyunjin; Zhang, Lixia

    2016-01-01

    Knowledge of patient end-of-life (EOL) wishes and discussions are vital for family caregivers, including children and youth who may be in caregiving roles ("young carers" or "caregiving youth"). However, little is known about caregiving youth awareness and perceptions of EOL issues. This study sought to explore caregiving youth knowledge of EOL wishes and their willingness for EOL discussions. Face-to-face interviews with 40 caregiving youth ages 10-20, who have a parent with Huntington's disease (HD), provided information about their knowledge of the presence of their ill parent's living will (LW) and durable power of attorney for health care (DPAHC), and willingness to talk with the parent about EOL choices and possibility of death. Less than one-half of the participants were aware of the parent's LW or DPAHC. Content analysis revealed themes in reasons to want or not want EOL discussion with the parent: respect for the parent's wishes, caregiving youths' opinion not valued, and avoidance of EOL issues. Themes also included reasons to not want discussion with the parent about possibility of death: protecting the parent, parent in denial, parent not ready, and realization of the terminal outcome. Findings suggest HD patients and their caregiving youth need support for open EOL discussions, and could benefit from educational programs and support groups around EOL issues.

  15. Discussion on the paper entitled "Indian Contribution in the Field of Palaeo-oceanography (2006-2012)" by A K Gupta et al., 2012. Proc Indian Nat Sci Acad Vol. 78, No. 3 (IUGS Special Issue) pp. 313-319: Serious flaws in the status report on Indian palaeoceanography

    Digital Repository Service at National Institute of Oceanography (India)

    Banakar, V.K.

    published papers, which are based on sediment cores collected by several Indian researchers on-board the Indian research vessels”. The third paragraph of Banakar’s comments again raises the question of not incorporating some references. Also he has mentioned... Discussion Discussion on the paper entitled “Indian Contribution in the Field of Palaeo-oceanography (2006-2012)” by A K Gupta et al., 2012. Proc Indian Nat Sci Acad Vol. 78, No. 3 (IUGS Special Issue) pp. 313-319 Discussion: Serious Flaws in the Status...

  16. Computer-assisted Instruction And Discussion

    Institute of Scientific and Technical Information of China (English)

    梁海晶

    2008-01-01

    From drill-and-practice software,to word-processing programs,to network and hypertext software,the gradual integration of technology in classrooms over the last twenty years has tended to reflect the technological developments and more importantly the theories of learning and instruction developed by scholars.Thus,the introduction of network technologies in education coincided with a shift in education from an interest in cognitive and developmental theories of learning to a social and collaborative view of learning.The present paper focuses on synchronous computer-mediated interaction,namely computer-assisted instruction and discussion in the second language classroom.

  17. Creative Research Methods - a reflective online discussion

    Directory of Open Access Journals (Sweden)

    Ruth Leary

    2014-03-01

    Full Text Available In November 2013, the Institute of Advanced Studies (University of Warwick hosted a meeting of interdisciplinary colleagues interested in Creative Research Methods. The aspirations were to kick-start the debate at Warwick and create a platform from which researchers can develop projects that embrace new forms of intellectual enquiry and knowledge production. Following the meeting, several of the attendees agreed to develop some of the discussion points and briefly responded to a number of questions in an online document over a period of a few weeks. This paper is the result of that real space and online collaboration.

  18. FM Discusses China’s External Relations

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Foreign Minister Yang Jiechi answered questions from journalists at home and abroad at a press conference in Beijing on March 12.The press conference,held on the sidelines of this year’s session of the National People’s Congress,is an annual routine for the foreign minister.Yang’s main points follow: China-Japan relations President Hu Jintao will visit Japan in the near future,and the two countries’diplomats are discussing the details of the itinerary. This historic visit,Hu’s first trip to Japan as president,will boost relations between the two countries,said Yang.

  19. Promoting Thinking, Problem-Solving and Reasoning during Small Group Discussions

    Science.gov (United States)

    Gillies, Robyn M.

    2011-01-01

    The study reports on the types of questioning strategies teachers use to promote thinking, problem-solving and reasoning during small group discussions. The study also reports on the types of discourses students use to problem-solve and reason during their small group discussions. An audiotape of one class lesson from the three teachers included…

  20. Some Aspects of Language Planning in Quebec and in Finland. Discussion Papers in Geolinguistics, 17.

    Science.gov (United States)

    Laporte, Pierre-Etienne; Maurais, Jacques

    This report discusses and compares language planning and the Swedish-speaking minority in Finland and the English-speaking minority in Quebec. The report discusses four issues: historical minorities and the demographic dynamic; municipalities; the language of work; and other minority language groups. It is concluded that, despite numerous surface…

  1. Teaching Science through Online, Peer Discussions: SpeakEasy in the Knowledge Integration Environment.

    Science.gov (United States)

    Hoadley, Christopher M.; Linn, Marcia C.

    2000-01-01

    Discusses whether students can learn science from carefully designed online peer discussions. Contrasts two formats of contributed comments--historical debate and narrative text--and assesses the impact of an asynchronous discussion on student understanding of the nature of light. Reports that students gain integrated understanding of the nature…

  2. Just a routine operation: a critical discussion.

    Science.gov (United States)

    McClelland, G; Smith, M B

    2016-05-01

    This article has summarised a critical discussion of the human factors that contributed to the death of a patient from a failure to respond appropriately to a 'can't intubate, can't ventilate' scenario. The contributory factors included the clinical team's inability to communicate, prioritise tasks and demonstrate effective leadership and assertive followership. The film Just a routine operation has now been in circulation for several years. When a system is designed and introduced with the intention of making a change to clinical practice, it can quickly become just another component of an organisation's architecture and complacency around its use can develop. This article has been written specifically for perioperative practitioners to renew the debate around the human factors that contribute to patient harm. By critically discussing Just a routine operation and attempting to review why the incident occurred, this article has attempted to emphasise that some of the conditions and behaviours that contributed to the death of Elaine Bromiley may be latent within our organisations and teams, and may continue to contribute to failures that affect patient safety.

  3. Discussion on Earthquake Forecasting and Early Warning

    Institute of Scientific and Technical Information of China (English)

    Zhang Xiaodong; Jiang Haikun; Li Mingxiao

    2008-01-01

    Through analysis of natural and social attributes of earthquake forecasting,the relationship between the natural and social attributes of earthquake forecasting (early warning) has been discussed.Regarding the natural attributes of earthquake forecasting,it only attempts to forecast the magnitude,location and occurrence time of future earthquake based on the aualysis of observational data and relevant theories and taking into consideration the present understanding of seismogeny and earthquake generation.It need not consider the consequences an earthquake forecast involves,and its purpose is to check out the level of scientific understanding of earthquakes.In respect of the social aspect of earthquake forecasting,people also focus on the consequence that the forecasting involves,in addition to its natural aspect,such as the uncertainty of earthquake prediction itself,the impact of earthquake prediction,and the earthquake resistant capability of structures (buildings),lifeline works,etc.In a word,it highlights the risk of earthquake forecasting and tries to mitigate the earthquake hazard as much as possible.In this paper,the authors also discuss the scientific and social challenges faced in earthquake prediction and analyze preliminarily the meanings and content of earthquake early warning.

  4. Student Participation Patterns in Online Discussion: Incorporating Constructivist Discussion into Online Courses

    Science.gov (United States)

    Kim, Hoe Kyeung; Bateman, Betzi

    2010-01-01

    The purpose of this article was to explore student participation patterns in online discussion boards related to their characteristics and question types. The characteristics of students enrolled in an online course and the impact of types of discussion questions on student posts were examined. During the 16 weeks of a course, the participation…

  5. Values and Commitments Underlying Discussion. Professional Development on Discussion: Group Images in Action.

    Science.gov (United States)

    Francis, Eileen

    The Discussion Development Group (DDG) at Moray House College of Education, Scotland, is a resource center designed as an open learning system to provide inservice training, consultancy support, and resources on classroom discussion. A case study involving 17 teachers and recently conducted by the DDG explored features of process innovation and…

  6. Science in Discussions: An Analysis of the Use of Science Content in Socioscientific Discussions

    Science.gov (United States)

    Nielsen, Jan Alexis

    2012-01-01

    This paper presents a normative pragmatics analysis of students' use of science content in eight socioscientific group discussions about human gene therapy. The specific focus of the paper is on the argumentative role that invocations of science had in the dialectics of the discussions. The analysis suggests that science content occasionally…

  7. Literature Discussion Groups: The Role of Teacher Talk in Discussing Social Issues

    Science.gov (United States)

    Guay, Mary

    2013-01-01

    The purpose of this study was to examine how teacher talk influenced the way issues of race, culture, and disability were addressed in literature discussion groups. Discussions of one teacher with two groups of students, of varying reading levels, were studied. The research questions were: 1) How does the teacher's perspective on the students…

  8. Equal or different? LGBTI rights under discussion

    Directory of Open Access Journals (Sweden)

    Eduardo J. Arrubia

    2016-12-01

    Full Text Available Feminism has emerged in a context of struggle for equality.  As formal rights gained ground, material inequalities resulting from ineffective legal rules became evident. These issues are the starting point for the discussion on equality and differences in the field of LGBTI human rights theory. Accordingly, this essay explores the new legal rights gained by the LGBTI community in the Argentine Republic, along with material tensions arising from social reality. Such reality is addressed by relevant literature as well as by the analysis of interviews conducted in the city of Azul, Province of Buenos Aires. The core idea of this essay focuses on the search for a theory connecting both equality and difference when it comes to sexual minorities. 

  9. Discussion of Muskingum method parameter X

    Directory of Open Access Journals (Sweden)

    Xiao-fang RUI

    2008-09-01

    Full Text Available The parameter X of the Muskingum method is a physical parameter that reflects the flood peak attenuation and hydrograph shape flattening of a diffusion wave in motion. In this paper, the historic process that hydrologists have undergone to find a physical explanation of this parameter is briefly discussed. Based on the fact that the Muskingum method is the second-order accuracy difference solution to the diffusion wave equation, its numerical stability condition is analyzed, and a conclusion is drawn: X<=0.5 is the uniform condition satisfying the demands for its physical meaning and numerical stability. It is also pointed out that the methods that regard the sum of squares of differences between the calculated and observed discharges or stages as the objective function and the routing coefficients C0 , C1 and C2 of the Muskingum method as the optimization parameters cannot guarantee the physical meaning of X.

  10. Panel discussion: Gas emissions with diesel efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Cole, J. [Southwest Research Inst., San Antonio, TX (United States)

    1997-12-31

    The second of three papers in the panel discussion outlined the characteristics of spark-ignited natural gas (SING) engines. Currently, the SING engine is considered less efficient than a diesel engine because of the reduced compression ratio, the use of air-throttles, retarded ignition for low NOx, and increased heat transfer. To improve upon these characteristics and to make the SING engine equal to, or even surpass the diesel engine in efficiency, more research work needs to be done on advanced controls. These include (knock, misfire, humidity detection), various ignition enhancements (variable energy/gap plug, long-life plug, laser ignition), and possibly camless operation (cylinder deactivation, throttleless operation). The late-cycle High Pressure Gas Injection (LaCHIP) as an alternate means of improving the efficiency of natural gas engines was also described.

  11. VIA Discussions at XIV Bled Workshop

    CERN Document Server

    Khlopov, Maxim Yu

    2011-01-01

    Virtual Institute of Astroparticle Physics (VIA), integrated in the structure of Laboratory of AstroParticle physics and Cosmology (APC) is evolved in a unique multi-functional complex of $e-science$ and $e-learning$, supporting various forms of collaborative scientific work as well as programs of education at distance. The activity of VIA takes place on its website and includes regular videoconferences with systematic basic courses and lectures on various issues of astroparticle physics, regular online transmission of APC Colloquiums, participation at distance in various scientific meetings and conferences, library of their records and presentations, a multilingual Forum. VIA virtual rooms are open for meetings of scientific groups and for individual work of supervisors with their students. The format of a VIA videoconferences was effectively used in the program of XIV Bled Workshop to provide a world-wide participation at distance in discussion of the open questions of physics beyond the standard model. The...

  12. Is rational discussion of open access possible?

    Directory of Open Access Journals (Sweden)

    Rick Anderson

    2014-07-01

    Full Text Available Open Access (OA, like any other model or strategy for the dissemination of knowledge, carries with it clear benefits as well as costs and downsides. These vary depending on the OA strategy in question, and in order for OA to bring maximum benefit to the world of scholarship, its costs and benefits need be examined carefully and dispassionately so that the former can be maximized and the latter minimized. Unfortunately, the OA advocacy community tends to resist all attempts to examine OA in this way, to the point that those who approach OA in a spirit of critical analysis (rather than celebration and evangelism are attacked and punished. This article describes the problem, provides examples of it, and proposes strategies for promoting a more rigorous and analytical discussion of OA.

  13. Discussing and managing hematologic germ line variants.

    Science.gov (United States)

    Kohlmann, Wendy; Schiffman, Joshua D

    2016-11-24

    With the introduction of genomic technologies, more hereditary cancer syndromes with hematologic malignancies are being described. Up to 10% of hematologic malignancies in children and adults may be the result of an underlying inherited genetic risk. Managing these patients with hereditary hematologic malignancies, including familial leukemia, remains a clinical challenge because there is little information about these relatively rare disorders. This article covers some of the issues related to the diagnosis and interpretation of variants associated with hereditary hematologic malignancies, including the importance of an accurate family history in interpreting genetic variants associated with disease. The challenges of screening other family members and offering the most appropriate early malignancy detection is also discussed. We now have a good opportunity to better define hereditary cancer syndromes with associated hematologic malignancies and contribute to clinically effective guidelines.

  14. Discussion of Muskingum method parameter X

    Institute of Scientific and Technical Information of China (English)

    Rui Xiaofang; Liu Fanggui; Yu Mei

    2008-01-01

    The parameter X of the Muskingum method is a physical parameter that reflects the flood peak attenuation and hydrograph shape flattening of a diffusion wave in motion. In this paper, the historic process that hydrologists have undergone to find a physical explanation of this parameter is briefly discussed. Based on the fact that the Muskingum method is the second-order accuracy difference solution to the diffusion wave equation, its numerical stability condition is analyzed, and a conclusion is drawn: X ≤ 0.5 is the uniform condition satisfying the demands for its physical meaning and numerical stability. It is also pointed out that the methods that regard the sum of squares of differences between the calculated and observed discharges or stages as the objective function and the routing coefficients Co, C0, and C2 of the Muskingum method as the optimization parameters cannot guarantee the physical meaning of X.

  15. Discussion on the parameters of design waves

    Institute of Scientific and Technical Information of China (English)

    WANG Yan-ying

    2008-01-01

    In order to respond the discredit on the design wave standard and to recommend new consideration on design wave parameters, based on the long-term distribution of statistic characteristics of waves and the short-term probability properties of sea state defined by giving the return period, the calculation of the return period, the height, the period, and the oceanic wave parameters of the design wave and the forecasting methods are discussed in this paper. To provide references for the operation reliability of floating structures in the extreme sea state, the method of determining the design wave parameters is resurveyed. A proposal is recommended that the design wave, which can be either significant wave with 500-year of the return period, or the maximum wave with 1/N of exceeding probability, 100-year of the return period, can be applied in the engineering design practice.

  16. Transgenerational epigenetic inheritance: an open discussion.

    Science.gov (United States)

    Nagy, Corina; Turecki, Gustavo

    2015-08-01

    Much controversy surrounds the idea of transgenerational epigenetics. Recent papers argue that epigenetic marks acquired through experience are passed to offspring, but as in much of the field of epigenetics, there is lack of precision in the definitions and perhaps too much eagerness to translate animal research to humans. Here, we review operational definitions of transgenerational inheritance and the processes of epigenetic programing during early development. Subsequently, based on this background, we critically examine some recent findings of studies investigating transgenerational inheritance. Finally, we discuss possible mechanisms that may explain transgenerational inheritance, including transmission of an epigenetic blueprint, which may predispose offspring to specific epigenetic patterning. Taken together, we conclude that presently, the evidence suggesting that acquired epigenetic marks are passed to the subsequent generation remains limited.

  17. A Contribution to Arc Length Discussion

    Directory of Open Access Journals (Sweden)

    Stephan Egerland

    2015-09-01

    Full Text Available Abstract An investigation was raising the question: "What does 'arc length' mean?" Actually, it is considered expressing a kind of natural relationship between arc voltage and arc column shape. Statements such as "The higher the voltage the longer the arc" or "The arc voltage proves approximately proportional to the arc length", are frequently noticed in this conjunction. However, the author suggests that there is no general possibility of describing 'arc length' over the whole welding process range. Instances are represented in this paper, showing both theoretical attempts of definition and practical observations. This paper intends to contribute to a serious discussion of something trivial, indeed very well-known or used among welding experts, but actually yet hardly understood, at least as when it comes to closer examination

  18. WTC. A discussion on built space regeneration

    Directory of Open Access Journals (Sweden)

    Marina Mihăilă

    2013-09-01

    Full Text Available Before 9/11 WTC was an international landmark. The definition of the two high-rise buildings identity, their tourist, social, visual and economic significance, disappeared with the destruction of their materiality. As a result, the contemplative visual and unwritten discourse of the Lower Manhattan disappeared together with the architectural, urban, technological essence and also with the philosophy of stability and equilibrium of a prosperous society. At the social-mental level this event triggers a crisis in personal and collective consciences (of the American Nation but also of the Nations, and a crisis of humanity. The architectural - urban and ideas competition organized to select the best urban-social-architectural concept proved to be a difficult task. Not only it had to “fill” a particular place on earth, but it also needed to configure a philosophy of place that would ‘heal” the wounds of the local and international communities, namely the lack of security and prosperity brought on by a no longer hidden technology of aggression bringing cities and communities under threats never experienced before at times of peace. In its first part the article discusses the competition, proposals and the finalized urban project. The particular challenges related to the selection of design in the case of WTC are doubled by a certain complexity related to the institutional arrangements common to most large urban development projects. It is also clear that there is interdependency between the project governance and the project results. These aspects are discussed in the second part of the article.

  19. Analysis and discussion on reports of additional safety assessment of nuclear installations with respect to the Fukushima accident; Analyse et commentaire des rapports d'evaluation complementaire de la surete des installations nucleaires au regard de l'accident de Fukushima

    Energy Technology Data Exchange (ETDEWEB)

    Sene, Monique; Sene, Raymond

    2011-11-15

    This document proposes an analysis of the reports made by the different operators of nuclear installations within the frame of a safety audit of the French nuclear installations with respect to the Fukushima accident. Operators (mainly AREVA, the CEA and EDF) were asked to perform additional safety assessments. In a first part, the conclusions of EDF reports are analysed regarding the seismic risk, the flooding risk, the situation of some specific sites (Fessenheim, Tricastin), other phenomena (rains, winds), loss of electricity supplies and of cooling systems, severe accidents, hydrogen issue, chemical hazards, subcontractors, crisis management. Conclusions of AREVA reports are analysed for the different sites (Tricastin, La Hague, MELOX factory, Romans factory). Conclusions of CEA reports are analysed for the different concerned installations (ATPu, Masurca, Osiris, Phenix, Jules Horowitz reactor). A second part proposes a global analysis of EDF's additional safety assessment reports regarding earthquake, flooding, other extreme natural phenomena, loss of electricity supplies and cooling system, subcontracting conditions, crisis management, and radiation protection organisation. AREVA's and CEA's reports are then analysed in terms of report structure and content, and for the different concerned sites

  20. Use of global context for handling noisy names in discussion texts of a homeopathy discussion forum

    Directory of Open Access Journals (Sweden)

    Mukta Majumder

    2014-03-01

    Full Text Available The task of identifying named entities from the discussion texts in Web forums faces the challenge of noisy names. As the names are often misspelled or abbreviated, the conventional techniques have failed to detect the noisy names properly. In this paper we propose a global context based framework for handling the noisy names. The framework is tested on a named entity recognition system designed to identify the names from the discussion texts in a homeopathy diagnosis discussion forum. The proposed global context-based framework is found to be effective in improving the accuracy of the named entity recognition system.

  1. FUSE report

    DEFF Research Database (Denmark)

    Henten, Anders; Windekilde, Iwona Maria; Tadayoni, Reza

    2011-01-01

    The digital dividend discussion represents an obvious conflict of interest between on the one hand the traditional broadcasters and on the other hand market players from other communication sectors. A conflict in accessing to the valuable spectrum resources that has been there for many years...... and which has been intensified in different phases of technological development. The report gives an analysis of the digital dividend and discusses relevant new applications, technology and the policy/regulatory issues at European and national level....

  2. SU-A-BRA-05: Panel Discussion

    Energy Technology Data Exchange (ETDEWEB)

    Montemayor, V. [Germantown Academy (United States)

    2016-06-15

    Vic Montemayor - No one has been more passionate about improving the quality and effectiveness of the teaching of Medical Physics than Bill Hendee. It was in August of 2008 that the first AAPM Workshop on Becoming a Better Teacher of Medical Physics was held, organized and run by Bill Hendee. This was followed up in July of 2010 with a summer school on the same topic, again organized by Bill. There has been continued interest in alternate approaches to teaching medical physics since those initial gatherings. The momentum established by these workshops is made clear each year in the annual Innovation in Medical Physics Education session, which highlights work being done in all forms of medical physics education, from one-on-one residencies or classroom presentations to large-scale program revisions and on-line resources for international audiences. This symposium, presented on behalf of the Education Council, highlights the work of three finalists from past Innovation in Education sessions. Each will be presenting their approaches to and innovations in teaching medical physics. It is hoped that audience members interested in trying something new in their teaching of medical physics will find some of these ideas and approaches readily applicable to their own classrooms. Rebecca Howell - The presentation will discuss ways to maximize classroom learning, i.e., increasing the amount of material covered while also enhancing students’ understanding of the broader implications of the course topics. Specifically, the presentation will focus on two teaching methodologies, project based learning and flip learning. These teaching methods will be illustrated using an example of graduate medical physics course where both are used in conjunction with traditional lectures. Additionally, the presentation will focus on our experience implementing these methods including challenges that were overcome. Jay Burmeister - My presentation will discuss the incorporation of active

  3. Theoretical NMR correlations based Structure Discussion

    Directory of Open Access Journals (Sweden)

    Junker Jochen

    2011-07-01

    Full Text Available Abstract The constitutional assignment of natural products by NMR spectroscopy is usually based on 2D NMR experiments like COSY, HSQC, and HMBC. The actual difficulty of the structure elucidation problem depends more on the type of the investigated molecule than on its size. The moment HMBC data is involved in the process or a large number of heteroatoms is present, a possibility of multiple solutions fitting the same data set exists. A structure elucidation software can be used to find such alternative constitutional assignments and help in the discussion in order to find the correct solution. But this is rarely done. This article describes the use of theoretical NMR correlation data in the structure elucidation process with WEBCOCON, not for the initial constitutional assignments, but to define how well a suggested molecule could have been described by NMR correlation data. The results of this analysis can be used to decide on further steps needed to assure the correctness of the structural assignment. As first step the analysis of the deviation of carbon chemical shifts is performed, comparing chemical shifts predicted for each possible solution with the experimental data. The application of this technique to three well known compounds is shown. Using NMR correlation data alone for the description of the constitutions is not always enough, even when including 13C chemical shift prediction.

  4. Discussion of material rotation and stress rate

    Energy Technology Data Exchange (ETDEWEB)

    Dienes, J.K.

    1985-10-01

    Characterization of material behavior can be divided into two parts, the analysis of deformation and the underlying physics, though these are intimately related. A significant advance in the analysis of deformation was made when the polar decomposition theorem was introduced, making it possible to separate large deformations into a stretch and a rotation. Consequences of the theorem affect the way rate processes should be characterized. In particular, rate of material rotation is different from vorticity, and the stress rate for finite strains is different from the usual stress rate of Zaremba, Jaumann, and Noll. It is convenient to define a strain rate that is different from the stretching that is the symmetric part of the velocity gradient. These concepts are described in detail in a 1979 paper. Various criticisms of that paper have appeared in the Journal of Applied Mechanics, which are discussed herein. To illustrate the distinction, it is shown that the rate of rotation in a classical vortex does not vanish, though the vorticity is zero. It is also shown that the rate of material rotation recently computed by Nemat-Nasser, which involves an eigenvalue expansion, is equivalent to the one given in the 1979 paper, which makes use of matrix inversion, and it asseverated that the matrix inversion approach is computationally more efficient. 17 refs.

  5. Indigenous healing practice: ayahuasca. Opening a discussion.

    Science.gov (United States)

    Prue, Robert; Voss, Richard W

    2014-01-01

    This essay frames an invitation to pastoral counselors and pastoral theologians to examine connections and perhaps interactions between themselves and traditional shamanic healers who use ayahuasca in their healing ceremonies. Indigenous people in South America have used ayahuasca for centuries, and the ritual has become common among the mestizo populations in urban areas of the Amazon, particularly as a curing ritual for drug addiction (Dobkin de Rios, 1970; Moir, 1998). Like peyote in the United States (Calabrese, 1997) ayahuasca use amongst the indigenous people of the Amazon is a form of cultural psychiatry. A review of the literature reveals very little commentary or discussion of shamanic practice in Pastoral Counseling (Pastoral Theology). The scant literature identifies an antithetical relationship at best. The current authors wonder about the possibility of to including shamanic practices in the context of pastoral counseling? This essay seeks to provide some basic information about the ritual use of ayahuasca and to offer a rationale for pastoral counselors to engage in a dialogue about its utility.

  6. The future of MEBC: panel discussion.

    Science.gov (United States)

    Biczó, G

    1995-01-01

    The expected developments in the not too distant future (5-10 years) of molecular electronics and biocomputing (MEBC) are discussed. In the short-term, the study of very specific basic phenomena is expected (e.g. conducting polymers, strange electronic states of insulating polymers, bacteriorhodopsin (BR), arrays of molecules, self-organization of biomaterials, very specific biological systems, quantum coherence in cytoskeletal microtubules, optoelectronic information storage, associative memories, pattern recognition, hierarchical nature of biological information). New application fields outside the range of conventional technology (e.g. randomized algorithms, optoelectronic devices, chemical and biosensors, as well as a certain extent of commercialisation) have also been predicted. In the long-term, the study and solution of much deeper (sometimes scientific fiction-like) problems were foreseen, such as the self-organization of biomaterials, artificial self-reproduction, implementation of artificial cell dynamic control structures based on molecular devices for medical and environmental applications and the construction of neuronal computers as aids to the human brain.

  7. Editors Discuss Women’s Publications

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    IT was only about ten years ago that there were only a few of newspapers and periodicals about women in China. But China has seen a rapid development of newspapers and periodicals on women since it began the policy of reform and opening to the outside world. Today the All-China Women’s Federation and local women’s federations sponsor and publish 47 different publications about women and children, some of which have a circulation of more than one million. These colorful, influential women’s newspapers and periodicals are now some of the most interesting publications in China. Why have these publications been so successful? Recently our staff reporter interviewed several women chief editors about their work. The following interviews are in their own words.

  8. Social dimension of malnutrition, notes for discussion

    Directory of Open Access Journals (Sweden)

    Edwar Manrique

    2012-10-01

    Full Text Available This article describes and constructs an argument concerning the social effects of malnutrition, by reviewing reports and articles in the nutritional situation in Colombia and the world, to finally address the nutritional status in Boyacá. The theme is developed considering nutrition as a field in influencing social, cultural, religious, historical, political and economic, that affect populations when there is no adequate scientific and social processes, to ensure access and adequate food resources due to poverty, lack of programs to ensure food security and sovereignty, high unemployment, looking mainly affected children, pregnant women and the elderly, preventing them from developing their full human potential.

  9. Primary care physicians' attitudes and practices regarding discussing organ donation with their patients.

    Science.gov (United States)

    Thornton, J Daryl; Curtis, J Randall; Allen, Margaret D

    2010-01-01

    Among the general population, discussing organ donation with a primary care provider may be associated with increased willingness to donate. However, the frequency with which primary care providers hold these discussions with their patients has not been reported. Cross-sectional mail and an Internet survey of validated questions regarding organ donation were done. A national sample of 831 primary care physicians. black, and Hispanic physicians were oversampled. Few physicians reported receiving formal training in donation (17%). Only 5% of physicians have donor cards available in their practice, and only 11% have donation information available in their practice. While 30% of physicians reported discussing end-of-life care with their patients, fewer than 4% reported discussing donation with their patients. However, only 36% felt that discussing donation was outside of their scope of practice. In a multivariate regression model, predictors of discussing donation with patients included having received formal education about organ donation (odds ratio [OR], 2.6; p end-of-life care with patients (OR, 12.8; p care physicians reported discussing organ donation with their patients despite the majority agreeing that it was within their scope of practice. Primary care physicians who had received education on the subject or who regularly discuss end-of-life care with their patients were more likely to discuss donation. Efforts to improve donation in the general population should include a focus on understanding and improving communication about organ donation between providers and their patients.

  10. Bioethics and multiculturalism: nuancing the discussion.

    Science.gov (United States)

    Durante, Chris

    2017-08-11

    In his recent analysis of multiculturalism, Tom Beauchamp has argued that those who implement multicultural reasoning in their arguments against common morality theories, such as his own, have failed to understand that multiculturalism is neither a form of moral pluralism nor ethical relativism but is rather a universalistic moral theory in its own right. Beauchamp's position is indeed on the right track in that multiculturalists do not consider themselves ethical relativists. Yet, Beauchamp tends to miss the mark when he argues that multiculturalism is in effect a school of thought that endorses a form of moral universalism that is akin to his own vision of a common morality. As a supporter of multiculturalism, I would like to discuss some aspects of Beauchamp's comments on multiculturalism and clarify what a multicultural account of public bioethics might look like. Ultimately, multiculturalism is purported as a means of managing diversity in the public arena and should not be thought of as endorsing either a version of moral relativism or a universal morality. By simultaneously refraining from the promotion of a comprehensive common moral system while it attempts to avoid a collapse into relativism, multiculturalism can serve as the ethico-political framework in which diverse moralities can be managed and in which opportunities for ethical dialogue, debate and deliberation on the prospects of common bioethical norms are made possible. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Water, food, and population -- a panel discussion.

    Science.gov (United States)

    1996-01-01

    This paper summarizes a conference panel discussion among parliamentarians and researchers on water and food supplies and population growth in Asia. The Western Samoa legislator urged delegates to be aware of human development that was no more than the promotion of values associated with a market economy. Samoans increased their per capita caloric consumption. The food supply is provided locally, and 90% of exports are food products. Food security would be jeopardized by a fivefold increase in population. Samoan human development indicators were relatively good for a developing country. However, the country was still ranked as a low-income, food-deficit country. The Pakistani delegate explained that Pakistan's agriculture used the largest, continuous irrigation system in the world. However, the system operated inefficiently. There was concern that future high population growth would jeopardize food security. Another barrier was institutional mismanagement of irrigation and reliance on imports for staple items. Agricultural productivity must increase to meet the increased needs of continued population growth. All available land is currently under cultivation. Future strategies will necessitate international cooperation and innovative and environmentally sound technology. Professor Xuan remarked that increased population growth and rising demand, decreased water quality, and changing consumption patterns were a threat to water supplies. Sustainable increases in food production would entail better water management: reforestation to reduce and prevent water runoff, better technological exploitation of rain water, and more efficient use of irrigation systems. Better international financing schemes were needed for support of these policy changes. Professor Ness suggested free markets in water in order to price water at actual rates of consumption. Polluters should pay. Water management was also threatened by global warming.

  12. Malawi; Sixth and Final Review Under the Three-Year Arrangement Under the Poverty Reduction and Growth Facility, and Request for Waiver of Nonobservance of Performance Criteria and Augmentation Access: Staff Report; Press Release on the Executive Board Discussion; and Statement by the Executive Director for Malawi

    OpenAIRE

    International Monetary Fund

    2008-01-01

    This paper discusses key findings of the Sixth and Final Review for Malawi Under the Poverty Reduction and Growth Facility (PRGF). Performance remained generally strong in the period under review. The authorities met most program targets for end-December 2007, and domestic debt fell as a share of GDP, but the domestic borrowing performance criterion was missed. The government aims to meet the 2007/08 domestic borrowing target. Higher fuel and fertilizer prices are putting pressure on internat...

  13. Discussion series on PURPA related topics: load management

    Energy Technology Data Exchange (ETDEWEB)

    Sturgeon, J I

    1980-08-01

    The Discussion Series on PURPA Related Topics is composed of five volumes: Metering, Billing, Information to Customers, Load Management Techniques and Master Metering. These reports are based on twenty-five Demonstration and Implementation projects sponsored and directed during the past five years by the US Department of Energy, Office of Utility Systems. Each of the topics bears directly on one or more of the federal standards contained in the Public Utilities Regulatory Policies Act of 1978 (PURPA). This volume, Load Management Techniques, relates primarily to the Time-of-Day rates standard, PURPA IB(d)3. The experiences related in this report deal, in part, with the procedures and equipment which are affected when time-of-day rates are implemented. One goal of this report is to describe how people in a variety of settings have dealt with the many practical issues in load management. Another is to highlight the lessons and summarize the experiences of the Project participants. This report does not stand as a manual nor provide prescriptive guidelines on how to deal with the topic. Rather it offers an account for those charged with the responsibility of implementing PURPA requirements to learn from the insights and problems which occurred during the Rate Demonstration projects.

  14. Discussion on variance reduction technique for shielding

    Energy Technology Data Exchange (ETDEWEB)

    Maekawa, Fujio [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1998-03-01

    As the task of the engineering design activity of the international thermonuclear fusion experimental reactor (ITER), on 316 type stainless steel (SS316) and the compound system of SS316 and water, the shielding experiment using the D-T neutron source of FNS in Japan Atomic Energy Research Institute has been carried out. However, in these analyses, enormous working time and computing time were required for determining the Weight Window parameter. Limitation or complication was felt when the variance reduction by Weight Window method of MCNP code was carried out. For the purpose of avoiding this difficulty, investigation was performed on the effectiveness of the variance reduction by cell importance method. The conditions of calculation in all cases are shown. As the results, the distribution of fractional standard deviation (FSD) related to neutrons and gamma-ray flux in the direction of shield depth is reported. There is the optimal importance change, and when importance was increased at the same rate as that of the attenuation of neutron or gamma-ray flux, the optimal variance reduction can be done. (K.I.)

  15. States of Cybersecurity: Electricity Distribution System Discussions

    Energy Technology Data Exchange (ETDEWEB)

    Pena, Ivonne [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ingram, Michael [National Renewable Energy Lab. (NREL), Golden, CO (United States); Martin, Maurice [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-03-16

    State and local entities that oversee the reliable, affordable provision of electricity are faced with growing and evolving threats from cybersecurity risks to our nation's electricity distribution system. All-hazards system resilience is a shared responsibility among electric utilities and their regulators or policy-setting boards of directors. Cybersecurity presents new challenges and should be a focus for states, local governments, and Native American tribes that are developing energy-assurance plans to protect critical infrastructure. This research sought to investigate the implementation of governance and policy at the distribution utility level that facilitates cybersecurity preparedness to inform the U.S. Department of Energy (DOE), Office of Energy Policy and Systems Analysis; states; local governments; and other stakeholders on the challenges, gaps, and opportunities that may exist for future analysis. The need is urgent to identify the challenges and inconsistencies in how cybersecurity practices are being applied across the United States to inform the development of best practices, mitigations, and future research and development investments in securing the electricity infrastructure. By examining the current practices and applications of cybersecurity preparedness, this report seeks to identify the challenges and persistent gaps between policy and execution and reflect the underlying motivations of distinct utility structures as they play out at the local level. This study aims to create an initial baseline of cybersecurity preparedness within the distribution electricity sector. The focus of this study is on distribution utilities not bound by the cybersecurity guidelines of the North American Electric Reliability Corporation (NERC) to examine the range of mechanisms taken by state regulators, city councils that own municipal utilities, and boards of directors of rural cooperatives.

  16. Comparison of outcomes for cancer patients discussed and not discussed at a multidisciplinary meeting.

    Science.gov (United States)

    Rogers, M J; Matheson, L; Garrard, B; Maher, B; Cowdery, S; Luo, W; Reed, M; Riches, S; Pitson, G; Ashley, D M

    2017-08-01

    Comparison of outcomes for cancer patients discussed and not discussed at a multidisciplinary meeting (MDM). Retrospective analysis of the association of MDM discussion with survival. All newly diagnosed cancer patients from 2009 to 2012, presenting to a large regional cancer service in South West Victoria, Australia (620 colorectal, 657 breast, 593 lung and 511 haematological) were recorded and followed up to 5 years after diagnosis. Treatment patterns and survival of patients whose treatment was discussed at an MDM compared to those who were not, were explored. The proportion of patients presented to an MDM within 60 days after diagnosis was 56% (n = 366) for breast cancer, 59% (n = 363) for colorectal cancer, 27% (n = 137) for haematological malignancies and 60% (n = 355) for lung cancer. Seventy-three percent (n = 886) of patients discussed at an MDM had their tumour stage recorded in their medical records while only 52% (n = 604) of patients not discussed had their tumour stage recorded (P HR] 0.62, 95% confidence interval [CI] 0.50-0.76, P HR 0.58, 95% CI 0.35-0.96, P = 0.03) compared to patients whose cases were not discussed at an MDM after adjusting for the potential cofounders of age, stage, comorbidities and treatment. This was not the case for colorectal and breast cancer patients where there was no significant difference. MDM discussion has been recommended as best practice in the management of cancer patients, however, from a public health perspective this creates potential issues around access and resources. It is likely that MDM presentation patterns and outcomes across tumour streams are linked in complex ways. We believe that our data would demonstrate that these patterns differ across tumour streams and that more detailed work is required to better allocate relatively scarce and potentially costly MDM resources to tumour streams and patient groups that may get the most benefit. Copyright © 2017 The Royal Society for Public Health

  17. Special Reports.

    Science.gov (United States)

    Peters, Thomas A.; Hill, Janet Swan; Haycock, Ken; Valauskas, Edward J.

    2001-01-01

    These four reports discuss the electronic publishing industry, including dedicated reading devices for electronic books, reader software, Web-based commercial e-book libraries, intellectual property issues, and standards; outsourcing practices in libraries; the use of Internet filters in North American schools; and recent developments and future…

  18. The university student experience of face-to-face and online discussions: coherence, reflection and meaning

    Directory of Open Access Journals (Sweden)

    Robert A. Ellis

    2007-12-01

    Full Text Available This paper reports on an investigation into learning through discussions by undergraduate social work students. Second-year students studying psychology for social work experienced discussions began with face-to-face tutorials, and then continued for some time after online. This study used closed-ended questionnaires to investigate what students thought they were learning through discussions (their concepts, and how they engaged in the discussions face-to-face and online (their approaches. Significant associations were found among students' concepts of discussions, approaches and levels of achievement. The results suggest that students who do not understand how discussions can help them to interrogate, reflect on and revise their ideas tended not to approach either face-to-face or online discussions in ways likely to improve their understanding or their levels of achievement. This type of insight is critical for teacher/designers wishing to create university experiences in which discussion is used to promote learning.

  19. IRIS Toxicological Review of Hydrogen Cyanide and Cyanide Salts (Interagency Science Discussion Draft)

    Science.gov (United States)

    EPA is releasing the draft report, Toxicological Review of Hydrogen Cyanide (HCN) and Cyanide Salts, that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the IRIS As...

  20. Impact of emerging media technology on future higher education:Discussion on learning metaphor of Horizon Report in recent years%未来影响高等教育的新兴媒体技术——兼论历年《地平线报告》中学习方式的隐喻

    Institute of Scientific and Technical Information of China (English)

    牟智佳

    2012-01-01

    通过分析《地平线报告2012》(高教版)的核心内容,概述了报告所提出的六个关键趋势、五个重要挑战和六项关键技术.同时,在总结历年报告中所有媒体技术的基础上,从学习方式、学习理论和学习范式三个方面对媒体技术进行了归类,将媒体技术在信息化学习形态和学习环境中的分布进行了可视化表征,以探寻新媒体技术影响高等教育的实践轨迹.%This paper outlines six key trends, five significant challenges and six key technologies by analyzing the core content of Horizon Report 2012 ( Higher Education Edition). On the basis of summarizing all media technologies from Horizon Report in recent years, the paper classifies media technologies from learning style, learning theory and learning paradigm as well as visually represents the distribution of media technologies in information learning forms and learning environment so that we can explore the practice track of new media technologies that affect higher education.

  1. Voice vs. Text-Based Discussion Forums: An Implementation of Wimba Voice Boards.

    Science.gov (United States)

    Marriott, Philip; Hiscock, Jane

    This paper reports on a two-year exploratory study to determine the viability of voice-based threaded discussions forums as a means of stimulating discussion and understanding of weekly readings as part of a large undergraduate communications course. From March to June 2001, 600 students participating in a large introduction to communication…

  2. Advances and bottlenecks in modelling the greenhouse climate: summary of a group discussion

    NARCIS (Netherlands)

    Seginer, I.; Bakker, J.C.

    1998-01-01

    This report is a summary of a group discussion at the symposium 'Models in protected cultivation' held in Wageningen, August 1997. The discussion focused on the reasons for the relatively limited acceptance and application of greenhouse climate models, especially in commercial practice. The discussi

  3. [Subject for discussion: is sexual abuse of a sleeping person possible or fantasy or simulated?].

    Science.gov (United States)

    Hohner, Melanie; Püschel, Klaus

    2011-01-01

    There have been reports of sexual acts on sleeping women since ancient times. Whether this is possible at all has been under controversial discussion by lawyers and lay people. The paper presents two cases of non-consenting penetrating intercourse with sleeping women and various legal and expert opinions. The authors discuss the possible influence of drugs and alcohol.

  4. Using Multimodal Presentation Software and Peer Group Discussion in Learning English as a Second Language

    Science.gov (United States)

    Wang, Mei-jung

    2011-01-01

    This paper reports an application of multimedia in a blended learning environment in which students engaged in multimodal presentations and peer group discussion. Students' presentation files were commented upon by their peers on the discussion board and scored by the researcher, based on questions developed by Levy and Kimber (2009) to apply…

  5. A Comparison of Preschool Children's Discussions with Parents during Picture Book and Chapter Book Reading

    Science.gov (United States)

    Leech, Kathryn A.; Rowe, Meredith L.

    2014-01-01

    Discussions that occur during book reading between parents and preschool children relate to children's language development, especially discussions during picture books that include extended discourse, a form of abstract language. While a recent report shows increased chapter book reading among families with preschool children, it is unknown…

  6. Using Video for Professional Development: The Role of the Discussion Facilitator

    Science.gov (United States)

    Coles, Alf

    2013-01-01

    Past research into the use of video for professional development has failed to problematise or theorise sufficiently the role of the discussion facilitator. It has been reported consistently that it can be hard or take time to establish norms for discussion of video but little has been said about reasons why, or the role of the discussion…

  7. Profiling individual discussants’ behaviours in online asynchronous discussions

    Directory of Open Access Journals (Sweden)

    Elizabeth Murphy

    2006-06-01

    Full Text Available This paper provides an illustrative example of an approach to creating and reporting individual profiles of engagement in particular behaviours in an online asynchronous discussion (OAD. Individual results of analysis of transcripts of an OAD can provide insights different from those gained by focusing on aggregate measures of group behaviours. In this case, we focused on individual behaviours associated with Problem Formulation and Resolution (PFR in a one-month long OAD with seven graduate students. The transcripts of each participant were analysed for patterns of PFR behaviours using a previously designed instrument. Individual profiles of the seven participants were created. The paper provides examples of how the approach facilitated identification and comparison of individual weaknesses and strengths. Also provided are examples of how individual profiles might be useful in professional development and instructional contexts for formative or summative assessment purposes.

  8. “Infectious Supercarelessness” in Discussing Antibiotic-Resistant Bacteria

    Science.gov (United States)

    Greenspan, Neil S.

    2017-01-01

    Many bacterial pathogens are exhibiting resistance to increasing numbers of antibiotics making it much more challenging to treat the infections caused by these microbes. In many reports in the media and perhaps even in discussions among physicians and biomedical scientists, these bacteria are frequently referred to as “bugs” with the prefix “super” appended. This terminology has a high potential to elicit unjustified inferences and fails to highlight the broader evolutionary context. Understanding the full range of biological and evolutionary factors that influence the spread and outcomes of infections is critical to formulating effective individual therapies and public health interventions. Therefore, more accurate terminology should be used to refer these multidrug-resistant bacteria. PMID:28174759

  9. DMPA for contraception discussed by international forum of experts.

    Science.gov (United States)

    1979-10-01

    Experts in the contraceptive field disagree regarding depot medroxyprogesterone acetate (DMPA). Some believe it is a highly effective, long-lasting injectable contraceptive with few serious side effects, which compares favorably with other modern methods of contraception. Others stress the possibility of carcinogenic effects, congenital defects, and infertility as a result of DMPA use. Although DMPA is used in 69 other countries, the U.S. Food and Drug Administration denied a request in March 1978 to approve the marketing of Depo-Provera, a DMPA drug manufactured by The Upjohn Company, for contraceptive use in the U.S. Issue 16(5) of the International Journal of Gynaecology and Obstetrics (IJGO) reports a recent international forum of experts which discussed the DMPA controversy. Malcolm Potts, executive Director of the International Fertility Research Program, stresses the importance of focussing attention on injectable contraceptives.

  10. Review and Discussion of Children's Conceptions of Computers

    Science.gov (United States)

    Rücker, Michael T.; Pinkwart, Niels

    2016-04-01

    Today's children grow up surrounded by computers. They observe them, interact with them and, as a consequence, start forming conceptions of how they work and what they can do. Any constructivist approach to learning requires that we gain an understanding of such preconceived ideas and beliefs in order to use computers as learning tools in an effective and informed manner. In this paper, we present five such conceptions that children reportedly form about computers, based on an interdisciplinary literature review. We then evaluate how persistent these conceptions appear to be over time and in light of new technological developments. Finally, we discuss the relevance and implications of our findings for education in the contexts of conceptual pluralism and conceptual categorisation.

  11. “Infectious Supercarelessness” in Discussing Antibiotic-Resistant Bacteria

    Directory of Open Access Journals (Sweden)

    Neil S. Greenspan

    2016-12-01

    Full Text Available Many bacterial pathogens are exhibiting resistance to increasing numbers of antibiotics making it much more challenging to treat the infections caused by these microbes. In many reports in the media and perhaps even in discussions among physicians and biomedical scientists, these bacteria are frequently referred to as “bugs” with the prefix “super” appended. This terminology has a high potential to elicit unjustified inferences and fails to highlight the broader evolutionary context. Understanding the full range of biological and evolutionary factors that influence the spread and outcomes of infections is critical to formulating effective individual therapies and public health interventions. Therefore, more accurate terminology should be used to refer these multidrug-resistant bacteria.

  12. Viewer Discussion is Advised. Video Clubs Focus Teacher Discussion on Student Learning

    Directory of Open Access Journals (Sweden)

    Elizabeth A. van Es

    2014-06-01

    Full Text Available Video is being used widely in professional development. Yet, little is known about how to design video-based learning environments that are productive for teacher learning. One promising model is a video club (Sherin, 2000. Video clubs bring teachers together to view and analyze video segments from one another’s classrooms. The idea is that by watching and discussing video segments focused on student thinking, teachers will learn practices for identifying and analyzing noteworthy student thinking during instruction and can use what they learn to inform their instructional decisions. This paper addresses issues to consider when setting up a video club for teacher education, such as defining goals for using video, establishing norms for viewing and discussing one another’s teaching, selecting clips for analysis, and facilitating teacher discussions. Si consiglia la discussione tra osservatori. Nei Video Club gli insegnanti mettono a fuoco le modalità con cui gli studenti apprendono.Il video è stato ampiamente utilizzato per la formazione professionale. Tuttavia poche sono le conoscenze relative alla progettazione di ambienti di apprendimento basati su video che siano efficaci per la formazione degli insegnanti. Un modello promettente è il “video club” (Sherin, 2000. Video club uniscono insegnanti che guardano ed analizzano insieme segmenti video delle proprie rispettive classi. L'idea è che gli insegnanti, guardando e discutendo segmenti video centrati sul pensiero degli alunni, imparino ad adottare durante l’insegnamento pratiche d'identificazione e analisi di pensieri degli alunni degni di nota e possano poi utilizzare ciò che hanno imparato nelle decisioni didattiche. Questo articolo affronta le questioni da considerare quando si configura un video club per la formazione degli insegnanti, come ad esempio la definizione di obiettivi per l'utilizzo dei video, le norme per la visione e discussione dei rispettivi video, la selezione

  13. Gay-Straight Alliances as settings to discuss health topics: individual and group factors associated with substance use, mental health, and sexual health discussions.

    Science.gov (United States)

    Poteat, V P; Heck, N C; Yoshikawa, H; Calzo, J P

    2017-06-01

    Sexual minority (e.g. lesbian, gay, bisexual, questioning; LGBQ) and gender minority (e.g. transgender) youth experience myriad health risks. Gay-Straight Alliances (GSAs) are school-based settings where they may have opportunities to discuss substance use, mental health, and sexual health issues in ways that are safe and tailored to their experiences. Attention to these topics in GSAs could aid in developing programming for these settings. Among 295 youth from 33 Massachusetts high-school GSAs (69% LGBQ, 68% cisgender female, 68% White, Mage = 16.06), we examined how often youth discussed these topics within their GSA and identified factors associated with having more of these discussions. Youth and GSAs as a whole varied in their frequency of discussing these topics. Youth who accessed more information/resources in the GSA and did more advocacy more frequently engaged in discussions around substance use, mental health and sexual health. Youth who reported greater victimization more often discussed substance use and mental health, but not sexual health. Finally, GSAs whose members collectively reported greater victimization more frequently discussed these topics. These findings can assist the development of health programming to be delivered within GSAs. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  14. Effectiveness of Using Online Discussion Forum for Case Study Analysis

    Directory of Open Access Journals (Sweden)

    Ravi Seethamraju

    2014-01-01

    Full Text Available Business schools are exploring new pedagogical approaches to learning in order to deal with challenges such as increased class sizes, limited funding support, and difficulties in facilitating and encouraging active participation and learning among a diverse cohort of students. This paper reports on a study of the effectiveness of a pedagogical approach that blends online discussion board and case study. Analysing quantity and quality of online postings and comparing accounting students’ performance with previous cohort, this study observes a significant improvement in student learning. Appropriate design and delivery strategies and clear assessment criteria for assessment and use have provided an effective learning vehicle for students, helped them overcome their own language related barriers, and encouraged them to participate in a nonthreatening environment. This approach further complemented the benefits of peer-to-peer learning and case study pedagogy. Reported increase in workload for students and marking load for academics and measuring the value of learning, however, are some of the challenges that need further attention by researchers.

  15. Residential mental health assessment within Dutch criminal cases: a discussion.

    Science.gov (United States)

    van der Leij, J B; Jackson, J L; Malsch, M; Nijboer, J F

    2001-01-01

    In Dutch criminal cases in which doubts arise about the defendant's mental health, a forensic assessment will be requested. This is provided either by the multidisciplinary staff of residential clinics who conduct forensic evaluations for the court, or by mental health professionals contracted on a part-time basis by district courts. This article discusses the procedures applied in such cases as well as the relevant legal provisions. It focuses particularly on the clinical observation, evaluation, and reporting that is carried out over a number of weeks in the residential setting of the Pieter Baan Centrum. Specific attention is paid to procedures applied in this clinic. It is suggested that Dutch procedures for the use of mental health expertise can best be characterized by three aspects: multidisciplinary observation and reporting, the use of a sliding scale for indicating degree of responsibility, and, finally, the involvement and payment of experts by the state as such, rather than by the prosecution and/or the defense.

  16. Oncology nurses' communication challenges with patients and families: A qualitative study.

    Science.gov (United States)

    Banerjee, Smita C; Manna, Ruth; Coyle, Nessa; Shen, Megan Johnson; Pehrson, Cassandra; Zaider, Talia; Hammonds, Stacey; Krueger, Carol A; Parker, Patricia A; Bylund, Carma L

    2016-01-01

    The benefits of effective communication in an oncology setting are multifold and include the overall well-being of patients and health professionals, adherence to treatment regimens, psychological functioning, and improvements in quality of life. Nevertheless, there are substantial barriers and communication challenges reported by oncology nurses. This study was conducted to present a summary of communication challenges faced by oncology nurses. From November 2012 to March 2014, 121 inpatient nurses working in the oncology setting participated in an online pre-training qualitative survey that asked nurses to describe common communication challenges in communicating empathy and discussing death, dying, and end-of-life (EOL) goals of care. The results revealed six themes that describe the challenges in communicating empathically: dialectic tensions, burden of carrying bad news, lack of skills for providing empathy, perceived institutional barriers, challenging situations, and perceived dissimilarities between the nurse and the patient. The results for challenges in discussing death, dying and EOL goals of care revealed five themes: dialectic tensions, discussing specific topics related to EOL, lack of skills for providing empathy, patient/family characteristics, and perceived institutional barriers. This study emphasizes the need for institutions to provide communication skills training to their oncology nurses for navigating through challenging patient interactions.

  17. 颅脑创伤开颅术中、术后对侧迟发性硬膜外血肿诊治探讨(附26例分析)%Discuss of the diagnosis and treatment of contralateral delayed epidural hematoma in and after the operation of ;traumatic brain injury:reports of 26 cases

    Institute of Scientific and Technical Information of China (English)

    孙宇; 袁从华; 吴良发; 潘耀华; 王经发; 王海伟; 厉进辉; 惠晓伟

    2014-01-01

    目的:探讨颅脑创伤开颅术中、术后对侧迟发性硬膜外血肿的发生机制与处理方法。方法分析2008-01—2014-04颅脑创伤开颅术中、术后发生对侧迟发性硬膜外血肿26例患者的临床资料。结果随访3~6个月,按格拉斯哥预后评分( GOS)判定预后,恢复良好15例,轻残4例,重残2例,植物生存1例,死亡4例。结论颅脑创伤开颅术前应仔细研究患者的受伤机制,分析影像学资料,及时诊断并处理对侧迟发性硬膜外血肿,能提高其治愈率,减少死残率,改善患者预后。%Objective To discuss the occurring mechanism and therapeutic method of contralateral delayed epidural hematoma ( DEDH) in and after traumatic brain injury .Methods The clinical and radiological data and outcome of 26 patients were reviewed retrospec-tively between January ,2008 and January 2014.Results All the patients were followed up in 3-6 months after discharge and were analyzed the prognosis according the Glasgow Outcome Scale ( GOS) .There were 15 cases in Low disability , 4 in Moderate disability ,2 in Severe disa-bility,1 in Persistent vegetative state and 4 in Death.Conclusion The brain injury mechanisms and radiological datas of the patients should be deliberately analyzed before the brain surgery and early diagnosis and evacuation of the contralateral epidural hematoma may contribute to im -provement of its cure rate and prognosis , decrease of the death and disability .

  18. Could ionospheric variations be precursors of a seismic event? A short discussion

    Energy Technology Data Exchange (ETDEWEB)

    Kouris, S.S. [Thessaloniki Univ., Thessaloniki (Greece). Dept. of Electrical and Computer Engineering; Spalla, P. [Consiglio Nazionale delle Ricerche, Istituto di Ricerca Onde Elettromagnetiche, Florence (Italy); Zolesi, B. [Istituto Nazionale di Geofisica e Vulcanologia, Rome (Italy)

    2001-04-01

    A short review of published papers on the perturbations in the ionosphere due to seismogenic effects is reported. The method to correlate different classes of phenomena as ionospheric variations and subsequent seismic events is discussed. Even if the theoretical attempts to understand or to explain the electromagnetic phenomena in the ionosphere, as precursors of earthquakes are not satisfactory, the reported results encourage further investigations.

  19. Framing Classroom Discussion of Same-Sex Marriage

    Science.gov (United States)

    Hand, Michael

    2013-01-01

    Assuming that the issue of same-sex marriage should be discussed in schools, how should the discussion be framed? Michael Hand first distinguishes this question from the related but distinct question of whether discussion on this topic should be steered. He then examines three possible frames for discussion of same-sex marriage: the perfectionist…

  20. Framing Classroom Discussion of Same-Sex Marriage

    Science.gov (United States)

    Hand, Michael

    2013-01-01

    Assuming that the issue of same-sex marriage should be discussed in schools, how should the discussion be framed? Michael Hand first distinguishes this question from the related but distinct question of whether discussion on this topic should be steered. He then examines three possible frames for discussion of same-sex marriage: the perfectionist…

  1. Discussion Method Teaching: How to Make It Work.

    Science.gov (United States)

    Welty, William M.

    1989-01-01

    The discussion teaching process learned through use of the case method is discussed. A method for leading a discussion in which authority and control remains in the hands of the faculty member and in which content and theory is still imparted by the discussion leader is described. (MLW)

  2. Characterizing the Issue: Metaphor and Contemporary Impromptu Discussions of Gender.

    Science.gov (United States)

    Preston, C. Thomas, Jr.

    1992-01-01

    Discusses metaphor as a device for effective impromptu speaking. Illustrates how impromptu discussions of the Clarence Thomas versus Anita Hill saga utilized metaphors as perspectives from which to instantaneously organize thought and action or an entire situation. Discusses how to assist students to use metaphor in discussions of contemporary…

  3. Discussion Method Teaching: How to Make It Work.

    Science.gov (United States)

    Welty, William M.

    1989-01-01

    The discussion teaching process learned through use of the case method is discussed. A method for leading a discussion in which authority and control remains in the hands of the faculty member and in which content and theory is still imparted by the discussion leader is described. (MLW)

  4. Annual report 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    SaskPower`s mission is to meet the electrical needs of Saskatchewan residents in a reliable, safe, efficient and environmentally responsible manner. This annual report of the Corporation discusses new business focus; operations highlights; quality of life; management discussion and analysis; financial ratios; and a report of management. Financial information is also included.

  5. The Fundamentals of Thermal Imaging Systems.

    Science.gov (United States)

    1979-05-10

    of Small Craft in Destin, Florida Coastal Waters for Maritime Search and Rescue," F. Zegel, W. Stump, S. Rodak , and P. Stamoulas, NV&EOL Report, July...74 (Unclassified). 2-4 "Thermal Signature Measurements of Four US Army Field Portable Power Generators," S. Rodak , F. Zegel and W. Stump, NV&EOL

  6. A taxonomy and discussion of software attack technologies

    Science.gov (United States)

    Banks, Sheila B.; Stytz, Martin R.

    2005-03-01

    Software is a complex thing. It is not an engineering artifact that springs forth from a design by simply following software coding rules; creativity and the human element are at the heart of the process. Software development is part science, part art, and part craft. Design, architecture, and coding are equally important activities and in each of these activities, errors may be introduced that lead to security vulnerabilities. Therefore, inevitably, errors enter into the code. Some of these errors are discovered during testing; however, some are not. The best way to find security errors, whether they are introduced as part of the architecture development effort or coding effort, is to automate the security testing process to the maximum extent possible and add this class of tools to the tools available, which aids in the compilation process, testing, test analysis, and software distribution. Recent technological advances, improvements in computer-generated forces (CGFs), and results in research in information assurance and software protection indicate that we can build a semi-intelligent software security testing tool. However, before we can undertake the security testing automation effort, we must understand the scope of the required testing, the security failures that need to be uncovered during testing, and the characteristics of the failures. Therefore, we undertook the research reported in the paper, which is the development of a taxonomy and a discussion of software attacks generated from the point of view of the security tester with the goal of using the taxonomy to guide the development of the knowledge base for the automated security testing tool. The representation for attacks and threat cases yielded by this research captures the strategies, tactics, and other considerations that come into play during the planning and execution of attacks upon application software. The paper is organized as follows. Section one contains an introduction to our research

  7. Pre-screening Discussions and Prostate-Specific Antigen Testing for Prostate Cancer Screening.

    Science.gov (United States)

    Li, Jun; Zhao, Guixiang; Hall, Ingrid J

    2015-08-01

    For many men, the net benefit of prostate cancer screening with prostate-specific antigen (PSA) tests may be small. Many major medical organizations have issued recommendations for prostate cancer screening, stressing the need for shared decision making before ordering a test. The purpose of this study is to better understand associations between discussions about benefits and harms of PSA testing and uptake of the test among men aged ≥40 years. Associations between pre-screening discussions and PSA testing were examined using self-reported data from the 2012 Behavioral Risk Factor Surveillance System. Unadjusted prevalence of PSA testing was estimated and AORs were calculated using logistic regression in 2014. The multivariate analysis showed that men who had ever discussed advantages of PSA testing only or discussed both advantages and disadvantages were more likely, respectively, to report having had a test within the past year than men who had no discussions (pgetting tested than men who had no discussions. Discussions of the benefits or harms of PSA testing are positively associated with increased uptake of the test. Given the conflicting recommendations for prostate cancer screening and increasing importance of shared decision making, this study points to the need for understanding how pre-screening discussions are being conducted in clinical practice and the role played by patients' values and preferences in decisions about PSA testing. Published by Elsevier Inc.

  8. MedCast: a discussion support system for cooperative work

    Science.gov (United States)

    Moreno, Ramon A.; Lima, Vinícius; Lopes, Isidro; Gutierrez, Marco A.

    2012-02-01

    The availability of low cost Internet connections and specialized hardware, like webcams and headsets, makes possible the development of solutions for remote collaborative work. These solutions can provide advantages compared to presential meetings, such as: availability of experts on remote locations; lower price compared to presential meetings; creation of online didactic material (e.g. video-classes); richer forms of interaction between participants. These technologies are particularly interesting for continent-sized countries where typically there is a short number of skilled people in remote areas. However, the application of these technologies in medical field represents a special challenge due to the more complex requirements of this area, such as: Provide confidentiality (patient de-identification) and integrity of patient data; Guarantee availability of the system; Guarantee authenticity of data and users; Provide simple and effective user interface; Be compliant with medical standards such as DICOM and HL7. In order to satisfy those requirements a prototype called MedCast is under development whose architecture allows the integration of the Hospital Information System (HIS) with a collaborative tool in compliance with the HIPAA rules. Some of the MedCast features are: videoconferencing, chat, recording of the sessions, sharing of documents and reports and still and dynamic images presentation. Its current version allows the remote discussion of clinical cases and the remote ECG evaluation.

  9. 29 CFR 780.3 - Exemptions discussed in this part.

    Science.gov (United States)

    2010-07-01

    ... industry are discussed in this part 780. These exemptions differ substantially in their terms, scope, and...) exemption (cotton ginning and sugar processing) discussed in subpart I of this part, and the section...

  10. Discussion of Optimal Allocation of Resources Theory for Communication Enterprises

    Institute of Scientific and Technical Information of China (English)

    JIN Xiao-lin; YU Hua; SU Hua-ying

    2004-01-01

    The theory on the resource optimal allocation is discussed in this article. On the base of the discussion, for the main problems existing in the resource allocation of communication enterprises, the reasonable allocating measures are put forward.

  11. Methodology and models in erosion research: discussion and conclusions

    National Research Council Canada - National Science Library

    Shellis, R P; Ganss, C; Ren, Y; Zero, D T; Lussi, A

    2011-01-01

    .... The prospects for clinical trials are also discussed. All models in erosion research require a number of choices regarding experimental conditions, study design and measurement techniques, and these general aspects are discussed first...

  12. Watching What We Say: Using Video to Learn about Discussions

    Science.gov (United States)

    Basmadjian, Kevin G.

    2008-01-01

    This article considers the benefits and challenges of using English teacher candidates' videotaped discussions of literature as tools to facilitate authentic and engaging discussions of literature. More specifically, this article examines the use of teacher candidates' videotaped discussions in a secondary English methods course to expand…

  13. Analyzing Social Media Relationships in Context with Discussion Graphs

    DEFF Research Database (Denmark)

    Kiciman, Emre; Choudhury, Munmun De; Counts, Scott

    2013-01-01

    We present discussion graphs, a hyper-graph-based representation of social media discussions that captures both the structural features of the relationships among entities as well as the context of the discussions from which they were derived. Building on previous analyses of social media network...

  14. The Effects of Unstructured Group Discussion on Ethical Judgment

    Science.gov (United States)

    Richards, Clinton H.; Alder, G. Stoney

    2014-01-01

    The authors examine the effects of shared information and group discussion on ethical judgment when no structure is imposed on the discussion to encourage ethical considerations. Discussants were asked to identify arguments for and against a variety of business behaviors with ethical implications. A group moderator solicited and recorded arguments…

  15. The power of talk : Developing discriminatory group norms through discussion

    NARCIS (Netherlands)

    Smith, Laura G. E.; Postmes, Tom

    Research has shown that group discussion can increase intergroup prejudice and discrimination. However, we know little about the process by which discussion has this effect. Therefore, four studies were conducted in a real-world context to investigate this process. Results suggest that discussing a

  16. The Effects of Unstructured Group Discussion on Ethical Judgment

    Science.gov (United States)

    Richards, Clinton H.; Alder, G. Stoney

    2014-01-01

    The authors examine the effects of shared information and group discussion on ethical judgment when no structure is imposed on the discussion to encourage ethical considerations. Discussants were asked to identify arguments for and against a variety of business behaviors with ethical implications. A group moderator solicited and recorded arguments…

  17. The power of talk : Developing discriminatory group norms through discussion

    NARCIS (Netherlands)

    Smith, Laura G. E.; Postmes, Tom

    2011-01-01

    Research has shown that group discussion can increase intergroup prejudice and discrimination. However, we know little about the process by which discussion has this effect. Therefore, four studies were conducted in a real-world context to investigate this process. Results suggest that discussing a

  18. Racial Identities and Class Discussion in an American Slavery Seminar.

    Science.gov (United States)

    Pierson, Michael D.

    1998-01-01

    Discusses obstacles to discussion in a college class on American slavery. Observes two major problems: many white students, especially women, wanted to avoid confrontation, and many white males were defensive when there was criticism of 19th-century white males. Offers suggestions for improving the classroom atmosphere for discussion periods. (DSK)

  19. Required Discussion Web Pages in Psychology Courses and Student Outcomes

    Science.gov (United States)

    Pettijohn, Terry F., II; Pettijohn, Terry F.

    2007-01-01

    We conducted 2 studies that investigated student outcomes when using discussion Web pages in psychology classes. In Study 1, we assigned 213 students enrolled in Introduction to Psychology courses to either a mandatory or an optional Web page discussion condition. Students used the discussion Web page significantly more often and performed…

  20. Talking Techne: Techniques to Establish an Active Online Discussion Forum

    Science.gov (United States)

    Palenque, Stephanie Maher; DeCosta, Meredith

    2015-01-01

    Discussion forums are critically important to the online classroom, as they virtually take the place of a classroom discussion and become a stage on which active learning takes place. Active learning occurs when instructors practice certain techniques in the discussion that are carefully and thoughtfully crafted and guided. The authors propose the…

  1. The Framing Discussion: Connecting Student Experience with Mathematical Knowledge

    Science.gov (United States)

    Henning, John E.; Balong, Megan

    2011-01-01

    This article introduces the framing discussion, an informal discussion of a mathematical problem that takes place at the beginning of a lesson or unit. The purpose of the framing discussion is to assess student knowledge, motivate student interest, and to serve as a basis for guiding students to more formal mathematical knowledge. The article…

  2. Analyzing Social Media Relationships in Context with Discussion Graphs

    DEFF Research Database (Denmark)

    Kiciman, Emre; Choudhury, Munmun De; Counts, Scott

    2013-01-01

    We present discussion graphs, a hyper-graph-based representation of social media discussions that captures both the structural features of the relationships among entities as well as the context of the discussions from which they were derived. Building on previous analyses of social media network...

  3. Fitwits: preparing residency-based physicians to discuss childhood obesity with preteens.

    Science.gov (United States)

    Wislo, Valerie M P; McGaffey, Ann; Scopaz, Kristen A; D'Amico, Frank J; Jewell, Ilene Katz; Bridges, Michael W; Hogan, Linda; Hughes, Kristin

    2013-12-01

    To evaluate the Fitwits MD office tool and games for obesity discussions with 9- to 12-year-olds. A nonrandomized intervention study using pre- and posttest assessments in 2 residency programs compared 31 control group and 55 intervention physicians (34 previously trained, 21 newly trained to use Fitwits). Surveys addressed comfort and competence regarding: obesity prevention and treatment, nutrition, exercise, portion size, body mass index (BMI), and the term "obesity." We surveyed all groups at baseline and 5 months (post 1) and new trainees 3 months later (post 2). In post 1, prior trainees reported significantly increased comfort and competence for discussing obesity prevention, portion size, BMI, and "obesity." In post 2, new trainees reported significantly increased comfort and competence discussing obesity prevention and treatment, portion size, and BMI. Experience using Fitwits improved residency-based physician comfort and competence in obesity prevention and treatment, portion size, BMI, and "obesity" discussions with preadolescents.

  4. 77 FR 47924 - Determinations Concerning Illnesses Discussed in National Academy of Sciences Report: Veterans...

    Science.gov (United States)

    2012-08-10

    ...); (12) endocrine cancers (including thyroid and thymus); (13) leukemia (other than all chronic B-cell leukemias including chronic lymphocytic leukemia and hairy cell leukemia); (14) cancers at other and... clearly distinguish the possibility of a small increased risk for hypertension due to herbicide exposure...

  5. Giromill wind tunnel test and analysis. Volume II. Technical discussion. Final report, June 1976--October 1977

    Energy Technology Data Exchange (ETDEWEB)

    Moran, W.A.

    1977-10-01

    A wind tunnel test of a Giromill rotor was conducted. The objective of this test was to substantiate the performance computed by the Larsen cyclogiro vortex theory. Additional objectives were to obtain performance comparison data between the Giromill, a sinusoidal blade modulation Giromill, a Darrieus rotor, and a modified Darrieus rotor that flips the blades a few degrees. A three bladed Giromill rotor having a diameter of 2.13 m (7 ft) and a span of 1.52 m (5 ft) was tested in the McDonnell Aircraft Company 15 x 20 ft Mini Speed Wind Tunnel. The blade modulations were accomplished through use of a cam and push rod arrangement. Replaceable cams provided the desired blade modulation at the various operating points. Various operating conditions were achieved by adjusting the rotor RPM and tunnel speed. The results show that the Giromill has good performance, equal to or much better than that predicted by theory, and outperforms the other types of vertical axis wind turbines tested.

  6. Granulomatous rosacea in infants. Report of three cases and discussion of the differential diagnosis.

    Science.gov (United States)

    da Costa, João Borges; Coutinho, V Sousa; de Almeida, L Soares; Gomes, M Marques

    2008-02-28

    Granulomatous rosacea is a variant of rosacea characterized by hard cutaneous papules and nodules in relatively normal-appearing skin that is rarely diagnosed in childhood. The differential diagnosis essentially includes perioral dermatitis and sarcoidosis. Despite the differences in clinical presentation and histopathology, there is similar responses to the same therapies used in rosacea. Therapeutic failure should lead to the investigation of other rare and controversial conditions, such as acne agminata.

  7. 76 FR 21099 - Determinations Concerning Illnesses Discussed In National Academy of Sciences Reports on Gulf War...

    Science.gov (United States)

    2011-04-14

    ... detail, included a control or reference group, had the statistical power to detect effects, and included... appeared to have greater prevalence in Veterans who had been deployed to the Gulf War in comparison with... the Gulf War are causally related. VA regulations at 38 CFR 4.125(a) require that mental disorders...

  8. What's to be done? Report on a bosberaad to discuss the HIV epidemic in South Africa

    CSIR Research Space (South Africa)

    Williams, BG

    2000-06-01

    Full Text Available -related deaths are predicted, up from 100 000 this year. If anything, these models have underestimated the course of the epidemic so far. There is a need for better models to understand the dynamics of AIDS as well as to measure the effects of co...

  9. Northeast Artificial Intelligence Consortium Annual Report 1987. Volume 2, Part B. Discussing, Using, and Recognizing Plans

    Science.gov (United States)

    1989-03-01

    alternative arc instances. Ito This term is borrowed from, and is analogous to, the notion of "archiphonemes or "archi-unit" used in phonology , as explained...unit" used in phonology , as explained in Chomsky & Halle (19684). 2B-110 archiprocess in the queue holds a pointer to an appropriate compiled state...Base and Electrolyte Disorders . In P. Szolovits (Ed.). Artificial Intelligence in Medicine. Westview Press. 1982. Pereira. F.. and Warren. D. Definite

  10. Tolosa-Hunt syndrome: a rare case report with uncommon imaging findings and discussion

    Directory of Open Access Journals (Sweden)

    Rajeev Ranjan

    2014-08-01

    Full Text Available A 45 year old diabetic but non hypertensive female presented with unilateral ptosis and complete external ophthalmoplegia on the left side. All the routine investigations were inconclusive. A signal void change was found in MRI study including angiogram of brain. On performing VEP (visually evoked potential, there was mild left optic pathway dysfunction (axonal and demyelinating. A probable diagnosis of Tolosa-Hunt Syndrome (THS was made and the patient was started on steroids. She responded dramatically to the therapy and was discharged on steroids. Thus the diagnosis of THS was confirmed. On follow up after one month, both her ptosis and ophthalmoplegia had resolved completely. On subsequent follow up visits, she was free of any ophthalmological symptoms and signs. [Int J Res Med Sci 2014; 2(4.000: 1795-1798

  11. Summary report of technical discussion, NASA-ERDA solar energy proposal

    Science.gov (United States)

    1976-01-01

    The impact of the reduced energy requirements and cooling loads of solar collectors is assessed. Energy conservation measures to reduce the energy consumption have been implemented. It is indicated that solar chemical dehumidification was more efficient than solar absorption.

  12. 27th Session of CERN Council Report on the past; discussion of the future

    CERN Multimedia

    1964-01-01

    This year's summer Session of the Council was held in the Council Chamber at the Meyrin Laboratory on 18 and 19 June. Delegates from the Member States and the three 'Observer' countries attended, under the presidency of Mr. J. H. Bannier (Netherlands).

  13. The Hidden Rule: A Critical Discussion of Harvard University's Governing Structure. [A Harvard Watch Report].

    Science.gov (United States)

    Weissman, Robert

    The governing structure of Harvard University is reviewed, and the findings include the following: (1) Harvard's present administrative and governance structure utilize corporate techniques of management that allow the president to diffuse administrative tasks without diffusing power--the difficulty of locating responsibility in the decentralized…

  14. There is No Deadline - Time Evolution of Wikipedia Discussions

    CERN Document Server

    Kaltenbrunner, Andreas

    2012-01-01

    Wikipedia articles are by definition never finished. Many of them have associated talk pages, where their content is discussed by editors. Here we analyse the evolution of these discussions to unveil temporal patterns in the interactions in such a large production community. First, we investigate peaks in the discussion activity and their relation with peaks in edits to articles; furthermore we introduce a measure to account for how fast discussions grow in complexity. The results point out the high impact of time instant specific hot topics on the amount and speed of the discussions, suggesting them as a mirror of a collective stream of consciousness.

  15. Simulating social dilemmas: promoting cooperative behavior through imagined group discussion.

    Science.gov (United States)

    Meleady, Rose; Hopthrow, Tim; Crisp, Richard J

    2013-05-01

    A robust finding in social dilemmas research is that individual group members are more likely to act cooperatively if they are given the chance to discuss the dilemma with one another. The authors investigated whether imagining a group discussion may represent an effective means of increasing cooperative behavior in the absence of the opportunity for direct negotiation among decision makers. Five experiments, utilizing a range of task variants, tested this hypothesis. Participants engaged in a guided simulation of the progressive steps required to reach a cooperative consensus within a group discussion of a social dilemma. Results support the conclusion that imagined group discussion enables conscious processes that parallel those underlying the direct group discussion and is a strategy that can effectively elicit cooperative behavior. The applied potential of imagined group discussion techniques to encourage more socially responsible behavior is discussed. PsycINFO Database Record (c) 2013 APA, all rights reserved

  16. Estimating the Benefits of Government-Sponsored Energy R&D: Synthesis of Conference Discussions

    Energy Technology Data Exchange (ETDEWEB)

    Lee, R.

    2003-11-14

    In 2001, a National Research Council (NRC) committee conducted a retrospective study of the benefits of some of the energy efficiency and fossil energy programs in the U.S. Department of Energy (DOE). As part of its study, the NRC committee developed a methodological framework for estimating these benefits. Following the NRC report, a conference was organized by Oak Ridge National Laboratory to discuss ways of adapting and refining the NRC framework for possible use by DOE offices to help plan and manage their R&D. This report is a synthesis of the discussions at the conference.

  17. Discussing a Forensic Dental Examination of 1861--A Scientific and Historic Overview.

    Science.gov (United States)

    Mânica, Scheila

    2016-01-01

    This work is a discussion on a report of dental examination and exclusion made by a British dentist Francis Robertus Lloyd on 30th April 1861. The report entitled: 'Dentistry as a means of Identification' was published in the 'British Journal of Dental Science' under the section 'Miscellanea' in 1861; Mr. Lloyd was contacted by the Indian authorities in order to identify a skull. He may well be the first British dentist to officially report a dental examination in an academic journal. The aims of this discussion are to briefly analyze the difficulties of access to scientific techniques in that century and to provide Mr. Lloyd recognition of his report in the history of Forensic Dentistry.

  18. Ontology-based topic clustering for online discussion data

    Science.gov (United States)

    Wang, Yongheng; Cao, Kening; Zhang, Xiaoming

    2013-03-01

    With the rapid development of online communities, mining and extracting quality knowledge from online discussions becomes very important for the industrial and marketing sector, as well as for e-commerce applications and government. Most of the existing techniques model a discussion as a social network of users represented by a user-based graph without considering the content of the discussion. In this paper we propose a new multilayered mode to analysis online discussions. The user-based and message-based representation is combined in this model. A novel frequent concept sets based clustering method is used to cluster the original online discussion network into topic space. Domain ontology is used to improve the clustering accuracy. Parallel methods are also used to make the algorithms scalable to very large data sets. Our experimental study shows that the model and algorithms are effective when analyzing large scale online discussion data.

  19. The group discussion effect: integrative processes and suggestions for implementation.

    Science.gov (United States)

    Meleady, Rose; Hopthrow, Tim; Crisp, Richard J

    2013-02-01

    One of the most consistent findings in experimental social dilemmas research is the positive effect group discussion has on cooperative behavior. At a time when cooperation and consensus is critical to tackle global problems, ranging from debt to deforestation, understanding the dynamics of group discussion is a pressing need. Unfortunately, research investigating the underlying processes and implementation of the effect has been inconclusive. The authors present a critical review of existing explanations and integrate these perspectives into a single process model of group discussion, providing a more complete theoretical picture of how interrelated factors combine to facilitate discussion-induced cooperation. On the basis of this theoretical analysis, they consider complimentary approaches to the indirect and feasible implementation of group discussion. They argue that such strategies may overcome the barriers to direct discussion observed across a range of groups and organizations.

  20. The APGAR rubric for scoring online discussion boards.

    Science.gov (United States)

    Phillippi, Julia C; Schorn, Mavis N; Moore-Davis, Tonia

    2015-05-01

    The World Health Organization has called for a dramatic increase in the number of midwives and supports the use of innovative programs to assist students in achieving midwifery competencies. Online discussion boards are excellent educational tools for stimulating in-depth student engagement. However, complex discussions can be difficult to grade without a well-constructed rubric. The 'discussion-board APGAR' provides clear scoring criteria for discussions of midwifery care. The discussion-board APGAR has 5 components: Application, Professionalism, Group work, Analysis, and Rationale and provides scoring criteria for unacceptable, marginal, and proficient performance. The discussion-board APGAR is based on the Core Competencies for Basic Midwifery Practice in the United States (US), consistent with the International Confederation of Midwives Essential Competencies for Basic Midwifery Practice, and can be adjusted to be congruent with other midwifery standards.

  1. Discussion method through evaluation of the teachers and students

    OpenAIRE

    Hasić, Ines

    2012-01-01

    In the theoretical part of my degree Discussion method through evaluation of the teachers and students, I have defined aim and purpose of education, what is the teacher´s role in education and I have defined learning methods. I have emphasized the discussion method with association of quality learning and knowledge, I have described what is the role of stimulating the discussion, what is the meaning of the right sequence questions and meaning of the good strategy in dealing with discussio...

  2. Peer discussions in lecture-based tutorials in introductory physics

    Science.gov (United States)

    Leinonen, Risto; Asikainen, Mervi A.; Hirvonen, Pekka E.

    2017-06-01

    This study analyzes the types of peer discussion that occur during lecture-based tutorial sessions. It focuses in particular on whether discussions of this kind have certain characteristics that might indicate success in the post-testing phase. The data were collected during an introductory physics course. The main data set was gathered with the aid of audio recordings. Data-driven content analysis was applied in the analysis to facilitate the placement of students' discussions in particular categories related to different types of discussions. Four major discussion types were found: discussions related to the content knowledge, metalevel discussions including metaconceptual and metacognitive elements, discussions related to practical issues, and creating a base for discussion, seen here in the order of their prevalence. These categories were found to possess individual substructures that involved, for example, asking and answering questions, participating in a dialogue, or disagreeing with a peer. Analyzing the substructures of the categories revealed that there were evident differences between the groups, some of them related to the group size. With regard to the characteristics of discussions considered to be connected to a better learning outcome, it was observed that a great number of lines uttered related to the physics content or metalevel discussions seemed to have a direct bearing on success in the post test at the group level. For individual students, answering content-related questions posed by their peers might also indicate success in the post test. We would encourage researchers to continue this type of research in order to discover the essential characteristics of students' discussions that facilitate learning.

  3. Discussing sexuality with patients in a motor neurone disease clinic.

    Science.gov (United States)

    Marsden, Rachael; Botell, Rachel

    Sexual relationships remain an important aspect of life for people living with motor neurone disease. This article explores the use of the Extended-PLISSIT model when discussing relationships and sexual function with patients and their partners in a motor neurone disease clinic. The model provides a structured approach to assist discussions with patients as well as promoting reflection and exchange of knowledge in the multidisciplinary team. It is a useful model when addressing issues that are sometimes difficult to discuss.

  4. Oral traditions in Malaysia A discussion of shamanism

    Directory of Open Access Journals (Sweden)

    Haron Daud

    2010-04-01

    Full Text Available The article discusses Malay oral traditions and emphasizes the shamanistic aspects of these traditions. Shamans often recite mantras in the execution of their role in society. The role of the shaman, their self proclaimed knowledge, shamans and their economic activities, black magic and healthcare in Malay society are discussed, as well as the shaman’s role in Dayak ritual. Each aspect is discussed in combination with the mantra the shaman utters.

  5. Learning through online discussion: a framework evidenced in learners' interactions

    Directory of Open Access Journals (Sweden)

    Yvonne C. Bain

    2011-02-01

    Full Text Available Online learning, often supported through online discussion, is not only a popular means of supporting off-campus learners, but increasingly has a place within campus-based learning courses. Laurillard and others suggest that there are assumptions being made about learning through online discussion that have yet to be fully tested, and therefore there is a need to examine this area further. Tutors and learners may benefit from having a greater insight and understanding of how engaging in asynchronous online discussion presents opportunities for learning on an individual and a collective basis. This research study focused on learners' engagement with online discussion and their perceptions of how engaging in online discussion impacts on learning. This paper revisits learning through online discussion and proposes a framework, which emerges from the analysis of learners' experiences. A grounded theory approach was used in the collection and analysis of six learner case studies within a higher education setting, exploring learners' interactions in online discussion, and their perceptions of learning through online discussion. Insights into the learners' interactions were provided by the learners themselves through semi-structured interviews. The grounded approach to the analysis of the interviews enabled the learners' voices to be heard in terms of what they thought about learning through online discussion. The insight enabled through the depth of description from the learners and the examination of the online interactions led to the development of a framework for learning through online discussion. The framework raises the importance of articulation as a key process in learning whilst highlighting the opportunities for collaborative informed thinking by engaging with the ideas of others. The focus given to the learning process through the framework will be of interest to tutors and learners who use online asynchronous discussion environments for

  6. Assessment factors for human health risk assessment: A discussion paper

    NARCIS (Netherlands)

    Vermeire, T.; Stevenson, H.; Pieters, M.N.; Rennen, M.; Slob, W.; Hakkert, B.C.

    1999-01-01

    The general goal of this discussion paper is to contribute toward the further harmonization of human health risk assessment. It first discusses the development of a formal, harmonized set of assessment factors. The status quo with regard to assessment factors is reviewed, that is, the type of factor

  7. A Formal Perspective On The Pragma-Dialectical Discussion Model

    NARCIS (Netherlands)

    Visser, J.; Garssen, B.J.; Godden, D.; Mitchell, G.; Snoeck Henkemans, A.F.

    2015-01-01

    For the development of computation tools to support the pragma-dialectical analysis of argumentative texts, a formal approximation of the pragma-dialectical ideal model of a critical discussion theory is required. A basic dialogue game for critical discussion is developed as the foundation for such

  8. Panel discussion on Chiral extrapolation of physical observables

    CERN Document Server

    Bernard, C; Leinweber, D B; Lepage, P; Pallante, E; Sharpe, S R; Wittig, H; Bernard, Claude; Hashimoto, Shoji; Leinweber, Derek B.; Lepage, Peter; Pallante, Elisabetta; Sharpe, Stephen R.; Wittig, Hartmut

    2002-01-01

    This is an approximate reconstruction of the panel discussion on chiral extrapolation of physical observables. The session consisted of brief presentations from panelists, followed by responses from the panel, and concluded with questions and comments from the floor with answers from panelists. In the following, the panelists have summarized their statements, and the ensuing discussion has been approximately reconstructed from notes.

  9. A Constructivist Model of Mentoring, Coaching, and Facilitating Online Discussions

    Science.gov (United States)

    Murphy, Karen L.; Mahoney, Sue E.; Chen, Chun-Ying; Mendoza-Diaz, Noemi V.; Yang, Xiaobing

    2005-01-01

    This case study of an online graduate course determines the message characteristics of the instructor, volunteer teaching assistants, and students in online discussions, and proposes a mentoring, coaching, and facilitating model for online discussions. The researchers developed a coding system based on the literature of mentoring, coaching, and…

  10. A summarized discussion of current good manufacturing practice regulations.

    Science.gov (United States)

    Allen, Loyd V

    2013-01-01

    In light of recent events and discussions of compounding pharmacy, it is important to discuss and understand the purpose of good manufacturing practices. This article provides a summary of the current Good Manufacturing Practice Regulations which were established by the U.S. Food and Drug Administration.

  11. Weeding Out the Truth: Adolescents and Cannabis: Case and Discussion.

    Science.gov (United States)

    Caspersen, Shannon; Tau, Gregory Z; Ammerman, Seth

    2016-01-01

    This clinical case conference discusses the case of an adolescent presenting with a marijuana use disorder. Information about a real patient is presented to expert clinicians, who respond to the information by sharing their reasoning and recommendations, followed by a summary of the clinical discussion.

  12. Facilitating Meaningful Discussion Groups in the Primary Grades

    Science.gov (United States)

    Moses, Lindsey; Ogden, Meridith; Kelly, Laura Beth

    2015-01-01

    This Teaching Tips describes a yearlong process of facilitating meaningful discussion groups about literature with first-grade students in an urban Title I school. At the beginning of the year, the teacher provided explicit instruction in speaking and listening skills to support students with the social skills needed for thoughtful discussion. She…

  13. Increasing Student Participation in Online Group Discussions via Facebook

    Science.gov (United States)

    Miller, Scott T.

    2013-01-01

    A comparison study between two different methods of conducting online discussions in an introductory astronomy course was performed to determine if the use of Facebook as an online discussion tool has an impact on student participation as well as student response time. This study shows that students using Facebook for their online discussions…

  14. The power of talk: developing discriminatory group norms through discussion.

    Science.gov (United States)

    Smith, Laura G E; Postmes, Tom

    2011-06-01

    Research has shown that group discussion can increase intergroup prejudice and discrimination. However, we know little about the process by which discussion has this effect. Therefore, four studies were conducted in a real-world context to investigate this process. Results suggest that discussing a negative societal stereotype (relative to individual rumination in Studies 1 and 3 and alternative discussions in Studies 2 and 3) increases intentions to engage in discrimination against the out-group target of the stereotype. This is mediated by the formation of an in-group norm which supports discrimination (Study 1) and the extent to which the discussion validates the stereotype (Study 2). A fourth study manipulated the extent to which consensus on the negative stereotype was reached through discussion. When the discussion ended in consensus, participants have greater intention to undertake collective action against the stereotyped out-group, mediated by a congruent in-group norm. These results provide evidence that the process by which discussion increases intergroup discrimination is via the formation of discriminatory local group norms. ©2010 The British Psychological Society.

  15. Increasing Social Presence in Online Learning through Small Group Discussions

    Science.gov (United States)

    Akcaoglu, Mete; Lee, Eunbae

    2016-01-01

    Social presence is difficult to achieve, but an imperative component of online learning. In this study, we investigated the effect of group size on students' perceptions of social presence in two graduate-level online courses, comparing small group versus whole class discussions. Our results indicated that when in small group discussions, students…

  16. The Educational Park in New York City. Concept for Discussion.

    Science.gov (United States)

    New York City Board of Education, Brooklyn, NY.

    A study outline plan for three different kinds of educational parks--(1) the horizontal type, (2) the vertical type, and (3) the pyramid type is presented. Each is discussed, not as definitive proposals, but rather as a basis for study and discussion. The study was written in the hope that it will stimulate public and professional discussion…

  17. Types of Interaction in Online Discussion Forums: A Case Study

    Science.gov (United States)

    Khlaif, Zuheir; Nadiruzzaman, Hamid; Kwon, Kyungbin

    2017-01-01

    The purpose of this paper is to identify the types of students' interaction, as well as their discussion patterns in an online course. The study took place in a large Midwestern University and 17 graduate students participated in the study. The primary data was obtained from students' discussion forum postings. The researchers used both…

  18. The Benford phenomenon for random variables. Discussion of Feller's way

    CERN Document Server

    Valadier, Michel

    2012-01-01

    This paper is devoted to the first digit of a random variable. We will discuss some arguments starting from Feller (1966) and rely specially on Engel-Leuenberger (2003), D\\"umbgen-Leuenberger (2008), Gauvrit-Delahaye (2008--2009), Berger (2010). Some "disaster"appears. We will not discuss papers relying on Fourier Analysis.

  19. Peer Discussions in Lecture-Based Tutorials in Introductory Physics

    Science.gov (United States)

    Leinonen, Risto; Asikainen, Mervi A.; Hirvonen, Pekka E.

    2017-01-01

    This study analyzes the types of peer discussion that occur during lecture-based tutorial sessions. It focuses in particular on whether discussions of this kind have certain characteristics that might indicate success in the post-testing phase. The data were collected during an introductory physics course. The main data set was gathered with the…

  20. Increasing Student Participation in Online Group Discussions via Facebook

    Science.gov (United States)

    Miller, Scott T.

    2013-01-01

    A comparison study between two different methods of conducting online discussions in an introductory astronomy course was performed to determine if the use of Facebook as an online discussion tool has an impact on student participation as well as student response time. This study shows that students using Facebook for their online discussions…

  1. Video from Panel Discussion with Joseph Fraumeni and David Schottenfeld

    Science.gov (United States)

    Video footage from Panel Discussion with Joseph Fraumeni and David Schottenfeld on Cancer Epidemiology over the Last Half-Century and Thoughts on the Future. The discussion took place on May 11, 2012, when DCEG hosted Dr. Schottenfeld as a Visiting Scholar.

  2. Teachers' Experiences Relative to Successful Questioning and Discussion Techniques

    Science.gov (United States)

    Robitaille, Yvette Powell; Maldonado, Nancy

    2015-01-01

    Questioning and discussion techniques are effective instructional methods, but there is often inconsistent implementation of these instructional methods. This case study explored teachers and evaluators' perceptions regarding exemplary questioning and discussion techniques. Participants included 9 teachers who earned exemplary marks on their…

  3. Conducting Discussions on Controversial Issues in College Classrooms

    Institute of Scientific and Technical Information of China (English)

    谢力帆

    2014-01-01

    Student identity, their dichotomous logical framework, and teachers’beliefs constitute the major obstacles in conduct-ing classroom discussion on controversial issues. This essay analyzes these obstacles and provides suggestions for teachers in tackling the problems, so that classroom discussions on controversial issues may exert beneficial outcomes.

  4. A Formal Perspective On The Pragma-Dialectical Discussion Model

    NARCIS (Netherlands)

    Visser, J.; Garssen, B.J.; Godden, D.; Mitchell, G.; Snoeck Henkemans, A.F.

    2015-01-01

    For the development of computation tools to support the pragma-dialectical analysis of argumentative texts, a formal approximation of the pragma-dialectical ideal model of a critical discussion theory is required. A basic dialogue game for critical discussion is developed as the foundation for such

  5. Motivating a Productive Discussion of Normative Issues through Debates

    Science.gov (United States)

    Hennessey, Jessica

    2014-01-01

    In this article, the author presents a way of using in-class debates to discuss contentious issues and help students develop critical thinking skills. Three elements were incorporated into an undergraduate public finance course: a presentation of ethical approaches in order to formally discuss normative issues, class debates which required…

  6. Opening the World of Mathematics: The Daily Math Discussion

    Science.gov (United States)

    Donoahue, Zoe

    2016-01-01

    During the author's everyday math discussions with her class, young children talk about mathematical ideas, theories, and concepts within a predictable structure. These discussions include many concepts from--and beyond--the first-grade math curriculum, and their depth and complexity build throughout the school year. Concepts and skills include…

  7. Analysis of an Online Case Discussion about Teaching Stochastics

    Science.gov (United States)

    Groth, Randall E.

    2006-01-01

    Online learning, case discussions, and stochastics instruction have all become increasingly active strands of research in mathematics education. This study integrates the three strands. The nature of the discourse during an online case discussion among prospective secondary teachers is analysed. The case focused on the teaching and learning of a…

  8. 23 CFR 636.502 - Why should I use discussions?

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Why should I use discussions? 636.502 Section 636.502 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Discussions, Proposal Revisions and Source Selection § 636.502 Why should I...

  9. Using Text Mining to Characterize Online Discussion Facilitation

    Science.gov (United States)

    Ming, Norma; Baumer, Eric

    2011-01-01

    Facilitating class discussions effectively is a critical yet challenging component of instruction, particularly in online environments where student and faculty interaction is limited. Our goals in this research were to identify facilitation strategies that encourage productive discussion, and to explore text mining techniques that can help…

  10. Exploring and Contrasting EFL Learners' Perceptions of Textbook-Assigned and Self-Selected Discussion Topics

    Science.gov (United States)

    Wolf, James P.

    2013-01-01

    In an attempt to explore the significance of a "willingness to communicate" (WTC) variable in second language (L2) acquisition, this article reports on a survey study that investigated 101 Japanese university English as a Foreign Language (EFL) learners' perceptions of textbook-assigned and self-selected discussion topics. Additionally,…

  11. The Quality of Lower Secondary Students' Discussions during Labwork in Chemistry

    Science.gov (United States)

    Eskilsson, Olle

    2008-01-01

    The aim of this project is to study the quality of the discussions in groups of students during laboratory work. The project builds on a study of the role of communication in science classrooms with students aged 14-15 years. An intervention with role-playing for example reporting to another group is carried out to foster discourses that focus…

  12. Upper Secondary Students in Group Discussions about Physics and Our Presuppositions of the World

    Science.gov (United States)

    Hansson, Lena; Redfors, Andreas

    2007-01-01

    In this article we report on a group activity, based on previous work [Hansson & Redfors: 2006b, "Science & Education" (accepted)], in an upper secondary physics class in Sweden. The aim was to engage students in a discussion about which presuppositions that are really necessary for physics. During the activity the students were to decide about…

  13. Instruction: The Forgotten Variable? A Discussion of Methodological Issues in the Investigation of Sensory Communication Aids.

    Science.gov (United States)

    Granzin, Alex; Morganstern, Kenneth

    1980-01-01

    The paper discusses the need to exercise greater experimental control over instructional variables in the investigation of sensory communication aids for the deaf. An analysis of several recent papers with respect to control of instructional variables, the need for better procedural descriptions in research reports and its relationship to…

  14. Talking Science: The Research Evidence on the Use of Small Group Discussions in Science Teaching

    Science.gov (United States)

    Bennett, Judith; Hogarth, Sylvia; Lubben, Fred; Campbell, Bob; Robinson, Alison

    2010-01-01

    This paper reports the findings of two systematic reviews of the use and effects of small group discussions in high school science teaching. Ninety-four studies were included in an overview (systematic map) of work in the area, and 24 studies formed the basis of the in-depth reviews. The reviews indicate that there is considerable diversity in the…

  15. Using Facebook Groups to Encourage Science Discussions in a Large-Enrollment Biology Class

    Science.gov (United States)

    Pai, Aditi; McGinnis, Gene; Bryant, Dana; Cole, Megan; Kovacs, Jennifer; Stovall, Kyndra; Lee, Mark

    2017-01-01

    This case study reports the instructional development, impact, and lessons learned regarding the use of Facebook as an educational tool within a large enrollment Biology class at Spelman College (Atlanta, GA). We describe the use of this social networking site to (a) engage students in active scientific discussions, (b) build community within the…

  16. IRIS Toxicological Review of Ethylene Glycol Mono-Butyl Ether (Egbe) (Interagency Science Discussion Draft)

    Science.gov (United States)

    EPA released the draft report, Toxicological Review for Ethylene Glycol Mono-Butyl Ether , that was distributed to Federal agencies and White House Offices for comment during the Science Discussion step of the IRIS Assessment Development Process. Comments received from ot...

  17. Development of a discussion document on the safety related research needs of the coal industry.

    CSIR Research Space (South Africa)

    Phillips, HR

    1994-03-01

    Full Text Available The principal objective of this project has been to provide SIMCOL and its two sub-committees (COLEEAG and COLREAG) with a discussion document on research priorities. Work on the project commenced at the end of March 1993 and an interim report...

  18. Politeness Strategies in Thai Graduate Research Paper Discussions: Implications for Second/Foreign Language Academic Writing

    Science.gov (United States)

    Getkham, Kunyarut

    2014-01-01

    This paper investigates the use of politeness strategies in 32 discussion sections of research papers produced by Thai graduate students at Graduate School of Language and Communication, National Institute of Development Administration (NIDA), Bangkok, Thailand. The study reported in this paper adopts Brown and Levinson's (1978, 1987) and Myers'…

  19. 31 CFR Appendix A to Part 357 - Discussion of Final Rule

    Science.gov (United States)

    2010-07-01

    ..., to some extent, on the rules for Government direct deposit payments in order to take advantage of the large number of entities that are a part of the Government direct deposit network. See the discussion... reporting considerations. It has now been determined that the first-named security owner need not be...

  20. Exploring and Contrasting EFL Learners' Perceptions of Textbook-Assigned and Self-Selected Discussion Topics

    Science.gov (United States)

    Wolf, James P.

    2013-01-01

    In an attempt to explore the significance of a "willingness to communicate" (WTC) variable in second language (L2) acquisition, this article reports on a survey study that investigated 101 Japanese university English as a Foreign Language (EFL) learners' perceptions of textbook-assigned and self-selected discussion topics. Additionally,…

  1. Factors Affecting Pre-Service Teachers' Participation in Asynchronous Discussion: The Case of Iran

    Science.gov (United States)

    Ebrahimi, Alice; Faghih, Esmail; Marandi, Seyyedeh Susan

    2016-01-01

    This study reports on a qualitative small-scale exploratory study which examined the factors influencing 32 Iranian pre-service language teachers' participation in online asynchronous text-based discussion forums. By adopting a multiple case study design and analysing data gathered through semi-structured interviews and participants' online…

  2. Reporting nuclear cardiology

    DEFF Research Database (Denmark)

    Trägårdh, Elin; Hesse, Birger; Knuuti, Juhani

    2015-01-01

    are available; therefore, an European position statement on how to report nuclear cardiology might be useful. The current paper combines the limited existing evidence with expert consensus, previously published recommendations as well as current clinical practices. For all the applications discussed......, and conclusion of the report. The statement also discusses recommended terminology in nuclear cardiology, image display, and preliminary reports. It is hoped that this statement may lead to more attention to create well-written and standardized nuclear cardiology reports and eventually lead to improved clinical...

  3. Clapper Rail Report 1990

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — A report discussing the current population status of the California Clapper Rail in the San Francisco Bay and a comparison of habitat suitability in various marshes...

  4. CERN Summer Student Report

    CERN Document Server

    Storo Nyflott, Martin

    2016-01-01

    This report discusses several projects, involving integration of GitHub and Jenkins through SSO, standardization of CMake find-modules, automation of lcgcmake dependency updates, implementation of Jenkins email-templates, and setting up compilation of Fedora using Docker on Travis. Each project is discussed individually, while the time-phase among each project may overlap each other.

  5. The Effect of Instructional Methods (Lecture-Discussion versus Group Discussion) and Teaching Talent on Teacher Trainees Student Learning Outcomes

    Science.gov (United States)

    Mutrofin; Degeng, Nyoman Sudana; Ardhana, Wayan; Setyosari, Punaji

    2017-01-01

    The aim of this study is to examine difference in the effect of instructional methods (lecture-discussion versus group discussion) and teaching talent on teacher trainees student learning outcomes. It was conducted by a quasi-experimental design using the factorialized (2 x 2) version of the nonequivalent control group design. The subjects were…

  6. The Critique of Deliberative Discussion. A Response to "Education for Deliberative Democracy: A Typology of Classroom Discussions"

    Science.gov (United States)

    Backer, David I.

    2017-01-01

    My response to Samuelsson's (2016) recent essay offers a different paradigm with which to think about education, deliberative discussion and democracy. I call this paradigm the critique of deliberative discussion. Following Ruitenberg's application of Mouffe's critiques of deliberative democracy to education, the critique of deliberative…

  7. Discussion of "Modern Statistics for Spatial Point Processes"

    DEFF Research Database (Denmark)

    Møller, Jesper; Waagepetersen, Rasmus; Jensen, Eva B. Vedel;

    2007-01-01

    The paper ‘Modern statistics for spatial point processes' by Jesper Møller and Rasmus P. Waagepetersen is based on a special invited lecture given by the authors at the 21st Nordic Conference on Mathematical Statistics, held at Rebild, Denmark, in June 2006. At the conference, Antti Penttinen...... and Eva B. Vedel Jensen were invited to discuss the paper. We here present the comments from the two invited discussants and from a number of other scholars, as well as the authors' responses to these comments. Below Figure 1, Figure 2, etc., refer to figures in the paper under discussion, while Figure...

  8. Discussing prognosis with patients with osteoarthritis: a cross-sectional survey in general practice.

    Science.gov (United States)

    Clarson, L E; Nicholl, B I; Bishop, A; Daniel, R; Mallen, C D

    2016-04-01

    Osteoarthritis is a leading cause of chronic pain and disability and one of the most common conditions diagnosed and managed in primary care. Despite the evidence that patients would value discussions about the course of osteoarthritis to help them make informed treatment decisions and plan for the future, little is known of GPs' practice of, or views regarding, discussing prognosis with these patients. A cross-sectional postal survey asked 2500 randomly selected UK GPs their views on discussing prognosis with patients with osteoarthritis and potential barriers or facilitators to such discussions. They were also asked if prognostic discussions were part of their current practice and what indicators they considered important in assessing the prognosis associated with osteoarthritis. Of 768 respondents (response rate 30.7 %), the majority felt it necessary to discuss prognosis with osteoarthritis patients (n = 738, 96.1 %), but only two thirds reported that it was part of their routine practice (n = 498, 64.8 %). Most respondents found predicting the course of osteoarthritis (n = 703, 91.8 %) and determining the prognosis of patients difficult (n = 589, 76.7 %). Obesity, level of physical disability and pain severity were considered the most important prognostic indicators in osteoarthritis. Although GPs consider prognostic discussions necessary for patients with osteoarthritis, few prioritise these discussions. Lack of time and perceived difficulties in predicting the disease course and determining prognosis for patients with osteoarthritis may be barriers to engaging in prognostic discussions. Further research is required to identify ways to assist GPs making prognostic predictions for patients with osteoarthritis and facilitate engagement in these discussions.

  9. Excel Dashboards & Reports

    CERN Document Server

    Alexander, Michael

    2010-01-01

    The go to resource for how to use Excel dashboards and reports to better conceptualize data. Many Excel books do an adequate job of discussing the individual functions and tools that can be used to create an "Excel Report." What they don't offer is the most effective ways to present and report data. Offering a comprehensive review of a wide array of technical and analytical concepts, Excel Reports and Dashboards helps Excel users go from reporting data with simple tables full of dull numbers, to presenting key information through the use of high-impact, meaningful reports and dashboards that w

  10. Writing the Discussion Section: Describing the Significance of the Study Findings.

    Science.gov (United States)

    Bavdekar, Sandeep B

    2015-11-01

    The Discussion section is an important part of the research manuscript that allows the authors to showcase the study. It is used to interpret the results for readers, describe the virtues and limitations of the study, discuss the theoretical and practical implications of the research work done and provide important "take home" message. The Discussion section of a paper intends to convey what the findings of the study mean and hence has been likened to the closing arguments put forth by counselors in a court case. It is the last chance for an author to "sell" his paper. The discussion section should be written in a focused manner getting straight to answering the research question raised in the introduction section. Such a direct approach is likely to make a lasting impression on the minds of the readers. The discussion section is considered harder to define as compared to the other sections of the research paper. While other sections require orderly and simple logical writing; composing discussion section requires logical thinking, reflection and critical appraisal. A well-written discussion section includes a statement of important results, reference to previously published relevant literature, comparison of study results with previously reported findings, explanation of results, elucidations of strengths and weaknesses of the study, interpretation of the whole evidence, description of impact of the study and recommendations for the future course of action. © Journal of the Association of Physicians of India 2011.

  11. Canine behaviour problems: discussions between veterinarians and dog owners during annual booster consultations.

    Science.gov (United States)

    Roshier, A L; McBride, E A

    2013-03-02

    The veterinary profession recently acknowledged its responsibility to provide behaviour support, following criticism for focussing on the physiological aspects of welfare and overlooking the psychological. To further understand the practising of behavioural medicine, a 'fly-on-the-wall' approach was used to investigate welfare discussions during dog booster vaccinations. Seventeen consultations involving six veterinarians in two UK small-animal practices were videoed. Qualitative methods were used to analyse themes discussed and questionnaires completed to obtain participant information and perceptions. Five main topics of discussion were identified: navigation, medical, husbandry, behaviour and cost. Veterinarians led the discussion of all topics except behaviour which was instigated approximately equally by veterinarian and client. All clients reported one or more behaviours that were a concern to them, totalling 58 across the sample. Disconcertingly, only 10 were discussed during consultations and none fully explored nor managed beyond the consultation. Behaviour discussion varies between veterinarians; this may reflect their experience, confidence or clients' requests. Owners access welfare information from a variety of sources, not always from veterinarians. Where sources are not knowledgeable, both human and animal welfare can be seriously compromised. Veterinarians need to ensure that clients are enabled to discuss behaviour issues and are provided with appropriate support, be that in-house or via referral.

  12. Canine behaviour problems: discussions between veterinarians and dog owners during annual booster consultations

    Science.gov (United States)

    Roshier, A. L.; McBride, E. A.

    2013-01-01

    The veterinary profession recently acknowledged its responsibility to provide behaviour support, following criticism for focussing on the physiological aspects of welfare and overlooking the psychological. To further understand the practising of behavioural medicine, a ‘fly-on-the-wall’ approach was used to investigate welfare discussions during dog booster vaccinations. Seventeen consultations involving six veterinarians in two UK small-animal practices were videoed. Qualitative methods were used to analyse themes discussed and questionnaires completed to obtain participant information and perceptions. Five main topics of discussion were identified: navigation, medical, husbandry, behaviour and cost. Veterinarians led the discussion of all topics except behaviour which was instigated approximately equally by veterinarian and client. All clients reported one or more behaviours that were a concern to them, totalling 58 across the sample. Disconcertingly, only 10 were discussed during consultations and none fully explored nor managed beyond the consultation. Behaviour discussion varies between veterinarians; this may reflect their experience, confidence or clients' requests. Owners access welfare information from a variety of sources, not always from veterinarians. Where sources are not knowledgeable, both human and animal welfare can be seriously compromised. Veterinarians need to ensure that clients are enabled to discuss behaviour issues and are provided with appropriate support, be that in-house or via referral. PMID:23457279

  13. Discussing the Unfathomable: Classroom-based Responses to Tragedy.

    Science.gov (United States)

    Kardia, Diana; Bierwert, Crisca; Cook, Constance E.; Miller, A. T.; Kaplan, Matthew

    2002-01-01

    Describes how, when asked to devote the day following the September 11 tragedy to class discussions, University of Michigan instructors benefited from the skills and classroom strategies honed by colleagues whose classes regularly deal with complex human realities. (EV)

  14. Federal official discusses reform. Interview by Debra Mamorsky.

    Science.gov (United States)

    Vladeck, B C

    1993-01-01

    The administrator of the Health Care Financing Administration discusses managed competition, the cost concerns of small and large employers under such a program, and what benefits managers must do in response to health care reform.

  15. Discussion on The Construction of The Circumpacific Documents Information Network

    Institute of Scientific and Technical Information of China (English)

    ZhuYan

    1994-01-01

    While entering an information society, the humanity how to construct a circumpacific doctmlent information network has become an topic of conmmon interest to nations across the circumpacific. I think the following points are worth discussing:

  16. Cochlear Macro- and Micromechanics—A Moderated Discussion

    Science.gov (United States)

    Dong, Wei; Ruggero, Mario A.

    2011-11-01

    A discussion moderated by the authors on the topic "Cochlear Macro- and Micromechanics" was held on 19 July 2011 at the 11th International Mechanics of Hearing Workshop in Williamstown, Massachusetts. The paper provides an edited transcript of the session.

  17. Focus group discussion: a tool for health and medical research.

    Science.gov (United States)

    Wong, L P

    2008-03-01

    Focus group discussion is a research methodology in which a small group of participants gather to discuss a specified topic or an issue to generate data. The main characteristic of a focus group is the interaction between the moderator and the group, as well as the interaction between group members. The objective is to give the researcher an understanding of the participants' perspective on the topic in discussion. Focus groups are rapidly gaining popularity in health and medical research. This paper presents a general introduction of the use of focus groups as a research tool within the context of health research, with the intention of promoting its use among researchers in healthcare. A detailed methodology for the conduct of focus groups and analysis of focus group data are discussed. The potentials and limitations of this qualitative research technique are also highlighted.

  18. International Discussion Meeting on High-Tc Superconductors

    CERN Document Server

    1988-01-01

    In the past two years conferences on superconductivity have been characterized by the attendance of hundreds of scientists. Consequently, the organizers were forced to schedule numerous parallel sessions and poster presentations with an almost unsurveyable amount of information. It was, therefore, felt that a more informal get-together, providing ample time for a thourough discussion of some topics of current interest in high-temperature superconductivity, was timely and benefitial for leading scientists as well as for newcomers in the field. The present volume contains the majority of papers presented at the International Discussion Meeting on High-Tc Superconductors held at the Mauterndorf Castle in the Austrian Alps from February 7 to 11, 1988. Each subject was introduced in review form by a few invited speakers and then discussed together with the contributed poster presentations. These discussion sessions chaired by selected scientists turned out to be the highlights of the meeting, not only because all ...

  19. Mindfulness and discussing "thorny" issues in the classroom

    Science.gov (United States)

    Alexakos, Konstantinos; Pride, Leah D.; Amat, Arnau; Tsetsakos, Panagiota; Lee, Kristi J.; Paylor-Smith, Christian; Zapata, Corinna; Wright, Shequana; Smith, Theila

    2016-09-01

    Being in the moment, showing compassion, being non-judgmental, acknowledging deep emotional challenges without getting stuck: these are mindfulness characteristics important to us as teachers, yet not often included in teacher preparation. These concerns become magnified when we focus on difficult knowledge and thorny issues, like topics related to gender and race. Using a sociocultural framework, we address how mindfulness, heuristics, and other contemplative practices can be adopted to create safe, supporting, and healing spaces for such complex, often emotionally painful discussions. Participant narratives are used extensively to provide a voice to those marginalized or hurt. Drawing from these narratives and their experience in discussing thorny issues, we put forth possible solutions and interventions that can create spaces that encourage and support critical discourse through mindful practices. The development of a heuristic for discussing thorny issues whose characteristics can be adopted by interested teachers and educators to help frame and mediate this type of difficult discussion is an outcome of this research.

  20. Are You Ready To Discuss IT Outsourcing on Your Campus?

    Science.gov (United States)

    McCord, Alan

    2002-01-01

    Explores why the idea of outsourcing campus information technology (IT) services rouses opinions and passions best handled by informed dialogue. Discusses how to conduct this dialog, including common myths about outsourcing and useful lessons. (EV)

  1. Language use in the informed consent discussion for emergency procedures.

    Science.gov (United States)

    McCarthy, Danielle M; Leone, Katrina A; Salzman, David H; Vozenilek, John A; Cameron, Kenzie A

    2012-01-01

    The field of health literacy has closely examined the readability of written health materials to optimize patient comprehension. Few studies have examined spoken communication in a way that is comparable to analyses of written communication. The study objective was to characterize the structural elements of residents' spoken words while obtaining informed consent. Twenty-six resident physicians participated in a simulated informed consent discussion with a standardized patient. Audio recordings of the discussions were transcribed and analyzed to assess grammar statistics for evaluating language complexity (e.g., reading grade level). Transcripts and time values were used to assess structural characteristics of the dialogue (e.g., interactivity). Discussions were characterized by physician verbal dominance. The discussions were interactive but showed significant differences between the physician and patient speech patterns for all language complexity metrics. In this study, physicians spoke significantly more and used more complex language than the patients.

  2. Dysfunctional Uterine Bleeding: Questions to Discuss with Your Doctor

    Science.gov (United States)

    ... delivered to your inbox ! When You Visit Your Doctor - Dysfunctional Uterine Bleeding Dysfunctional Uterine Bleeding Questions to Discuss with Your Doctor: Do you have regular menstrual cycles? When was ...

  3. Designing museum exhibits that facilitate visitor reflection and discussion

    DEFF Research Database (Denmark)

    Skydsgaard, Morten Arnika; Andersen, Hanne Møller; King, Heather

    2016-01-01

    personal reflection but also prompted discussion. Participation, defined as including both physical interaction with exhibits, and dialogic interaction between visitors, facilitated the sharing of ideas and feelings between visitors. Exhibits with elements of curiosity and challenge were found to attract...

  4. Discussion of Communicative Language Teaching in Technical School English Class

    Institute of Scientific and Technical Information of China (English)

    郝奇慧

    2016-01-01

    This article draws on Communicative Language Teaching,introduces the current situation of technical schools English Teaching,discusses the challenges of using Communicative Language Teaching in technical school English class.

  5. A detailed discussion of superfield supergravity prepotential perturbations

    Science.gov (United States)

    Ovalle, J.

    2011-04-01

    This paper presents a detailed discussion of the issue of supergravity perturbations around the flat five dimensional superspace required for manifest superspace formulations of the supergravity side of the AdS_{5}/CFT_{4} Correspondence.

  6. Discussion on Power Market Mode of Central China

    Institute of Scientific and Technical Information of China (English)

    He Zhaocheng; Ye Qing

    2007-01-01

    @@ Central China power system is one of the large regional power grids carrying out power market demonstrative project. Because of lacking power market experience, a lot of problems need to be thoroughly discussed.

  7. [Discussion on English translation of TCM gynecologic terms].

    Science.gov (United States)

    Jiang, Kun; Han, Bing; Wang, Kui

    2008-01-01

    The existent problems, principles that should be observed and methods for English translation of TCM gynecological terms were discussed, and a scheme of translation for 150 TCM gynecological terms was explored.

  8. Video and Course Context Discussion on Massive Open Online Courses

    DEFF Research Database (Denmark)

    Dubosson, Magali; Emad, Sabine; Broillet, Alexandra

    2014-01-01

    Video and Course Content Discussion on Massive Open Online Courses: An Exploratory Research—Magali Dubosson (HEG Fribourg), Sabine Emad (HEG Genève), Alexandra Broillet (University of Geneva and Webster University Geneva), Constance Kampf (Aarhus University, Denmark)...

  9. Pretest online discussion groups to augment teaching and learning.

    Science.gov (United States)

    Kuhn, Jonathan; Hasbargen, Barbara; Miziniak, Halina

    2010-01-01

    Tests and final examination scores of three semesters of control students in a nursing foundation course were compared with tests and final examination scores of three semesters of participating students. Participating students were offered access to an asynchronous pretest online discussion activity with a faculty e-moderator. While the simplified Bloom's revised taxonomy assisted in creating appropriate preparatory test and final examination questions for pretest online discussion, Salmon's five-stage online method provided direction to the e-moderator on how to encourage students to achieve Bloom's higher-order thinking skills during the pretest online discussions. Statistical analysis showed the pretest online discussion activity had a generally positive impact on tests and final examination scores, when controlling for a number of possible confounding variables, including instructor, cumulative grade point average, age, and credit hours.

  10. Discussion of "Computational Electrocardiography: Revisiting Holter ECG Monitoring".

    Science.gov (United States)

    Baumgartner, Christian; Caiani, Enrico G; Dickhaus, Hartmut; Kulikowski, Casimir A; Schiecke, Karin; van Bemmel, Jan H; Witte, Herbert

    2016-08-01

    This article is part of a For-Discussion-Section of Methods of Information in Medicine about the paper "Computational Electrocardiography: Revisiting Holter ECG Monitoring" written by Thomas M. Deserno and Nikolaus Marx. It is introduced by an editorial. This article contains the combined commentaries invited to independently comment on the paper of Deserno and Marx. In subsequent issues the discussion can continue through letters to the editor.

  11. Regions of Star Formation Chemical Issues.(Discussion Session)

    CERN Document Server

    Díaz, A I; Terlevich, E; Diaz, Angeles I.; Edmunds, Mike G.; Terlevich, Elena

    2002-01-01

    Three are the main questions that were posed to the audience during this discussion session: a) Can galaxy abundances be believed?, b) What progress can we expect soon and from where? and c) Can we agree, as a community, on topics in which effort should be concentrated in the next five years? In what follows, the different contributions by people in the audience are reflected as they were said trying to convey the lively spirit that enlightened the discussion.

  12. Resources for Education and Outreach Activities discussion session

    CERN Document Server

    Barney, David; The ATLAS collaboration; Bourdarios, Claire; Kobel, Michael; Kourkoumelis, Christine; Melo, Ivan; Rangel-Smith, Camila; Alexopoulos, Angelos

    2015-01-01

    Over the past few years a variety of resources have been developed, by individuals and groups, to support Education & Outreach activities in particle physics. Following short (five-minute) presentations by six speakers, a discussion session allowed the audience to go further in depth in activities they found particularly interesting. This paper presents brief overviews from each of the six speakers, followed by a summary of the ensuing discussion

  13. Designing museum exhibits that facilitate visitor reflection and discussion

    DEFF Research Database (Denmark)

    Skydsgaard, Morten Arnika; Andersen, Hanne Møller; King, Heather

    2016-01-01

    personal reflection but also prompted discussion. Participation, defined as including both physical interaction with exhibits, and dialogic interaction between visitors, facilitated the sharing of ideas and feelings between visitors. Exhibits with elements of curiosity and challenge were found to attract...... pupils’ attention but also worked well with other design principles to engage the pupils in sustained reflection and discussion. While other contextual factors remain significant in determining visitor responses, this paper argues that the use of design principles can help create visitor experiences...

  14. An Interview with Lisa Summer: Discussing GIM and its adaptations

    Directory of Open Access Journals (Sweden)

    Erin Anne Montgomery

    2012-03-01

    Full Text Available This interview with Lisa Summer discusses her path to music therapy, GIM, and Helen Bonny. Lisa speaks about her adaptations to the Bonny Method of GIM and how these have been incorporated into her latest GIM trainings. Her recent doctoral work, including music-centered guiding and the use of repeated music in GIM sessions is discussed. The work of Helen Bonny and key Bonny Method GIM concepts are outlined.

  15. A model for discussing entropy and time reversibility

    CERN Document Server

    Castellani, Tommaso

    2014-01-01

    In this article we discuss a model used to introduce the concept of entropy with secondary school students. It can be used to discuss with students the reversibility of time, the tendency towards homogeneity and the link between probability theory and second law of thermodynamics. The model is useful to introduce crucial epistemological issues and helps student to understand the deep connection between the macroscopic and the microscopic.

  16. A Critical View on the Status Quo of the Farmland Soil Environmental Quality in China:Discussion and Suggestion of Relevant Issues on Report on the national general survey of soil contamination%客观地看待我国耕地土壤环境质量的现状--关于《全国土壤污染状况调查公报》中有关问题的讨论和建议

    Institute of Scientific and Technical Information of China (English)

    王玉军; 刘存; 周东美; 陈怀满

    2014-01-01

    便性和可操作性考虑,简单易行。%The Report on the national general survey of soil contamination was a reflection of the reality and appearance of the survey′s sam-ples and methodologies conducted by the Ministry of Environmental Protection and the Ministry of Land and Resources. Since the soil sam-ples were collected from the de facto survey area about 6.3 million km2, the conclusion drawn from the analytical results of such large sample size was fairly representative of the current status of China′s soil;while there was an apparent lack of necessary in-depth analysis of the for-mation of data. Thus an objective and rational viewpoint on the description of the status quo of the soil environment quality is needed. In the first part of this article, we discussed the standards, the key factor to identify whether the heavy metal levels in farmland exceed the national standards, the problems about soil samples collected from high background areas and the traceability analysis of contaminants where the lev-els of contaminants exceed the standards. Based on our discussion, the following opinions were put forward:(1)The evaluation standards need to be clarified, as in terms of heavy metals in the cultivated land, the choice of standards is affected by many factors, which is closely re-lated to the type of soil and crops.(2)The corresponding content of heavy metal in agricultural products where the soil samples were collected need to be evaluated, since the heavy metal content in the edible part of the agricultural products is the key indicator to determine the impact of heavy metals in the soil. Lacking the corresponding data, it cannot determine whether the soil is contaminated or not.(3)Soils with high background levels of heavy metals should not be classified as the contaminated soil. According to the definition of soil contamination, such area does not have the characteristic feature of contamination, as the high background values of heavy metals in

  17. Using Discussions to Promote Critical Thinking in an Online Environment

    Directory of Open Access Journals (Sweden)

    Nega Debela

    2008-06-01

    Full Text Available This paper examines how the discussion tool is used to promote critical thinking in an online environment at Marshall University. The significance of critical thinking in higher education has been brought to attention at both national and local levels. The paper studies the use of discussions as an approach to promote critical thinking in a number of English as a Second Language (ESL courses offered by Marshall University's Graduate School of Education and Professional Development (GSEPD program. At the end of the semester, a qualitative survey was developed to identify the effectiveness of such discussions, and the opportunities for improvement. The survey was sent to all students in these three classes. These students were all full time teachers in Elementary and Secondary schools in West Virginia. Out of 21 students, 15 of them have responded to the three questions asked in the survey. Almost all the respondents have found discussion helpful in enhancing learning and critical thinking. Most students support the involvement of an online instructor in the online discussion, and faculty members involved in these discussions function as helpers in the development of critical thinking skills.

  18. Scaffolding scientific discussion using socially relevant representations in networked multimedia

    Science.gov (United States)

    Hoadley, Christopher M.

    1999-11-01

    How do students make use of social cues when learning on the computer? This work examines how students in a middle-school science course learned through on-line peer discussion. Cognitive accounts of collaboration stress interacting with ideas, while socially situated accounts stress the interpersonal context. The design of electronic environments allows investigation into the interrelation of cognitive and social dimensions. I use on-line peer discussion to investigate how socially relevant representations in interfaces can aid learning. First, I identify some of the variables that affect individual participation in on-line discussion, including interface features. Individual participation is predicted by student attitudes towards learning from peers. Second, I describe the range of group outcomes for these on-line discussions. There is a large effect of discussion group on learning outcomes which is not reducible to group composition or gross measures of group process. Third, I characterize how students (individually) construct understanding from these group discussions. Learning in the on-line discussions is shown to be a result of sustained interaction over time, not merely encountering or expressing ideas. Experimental manipulations in the types of social cues available to students suggest that many students do use socially relevant representations to support their understanding of multiple viewpoints and science reasoning. Personalizing scientific disputes can afford reflection on the nature of scientific discovery and advance. While there are many individual differences in how social representations are used by students in learning, overall learning benefits for certain social representations can be shown. This work has profound implications for design of collaborative instructional methods, equitable access to science learning, design of instructional technology, and understanding of learning and cognition in social settings.

  19. Impact of discussion on preferences elicited in a group setting

    Directory of Open Access Journals (Sweden)

    Milne Ruairidh

    2006-03-01

    Full Text Available Abstract Background The completeness of preferences is assumed as one of the axioms of expected utility theory but has been subject to little empirical study. Methods Fifteen non-health professionals was recruited and familiarised with the standard gamble technique. The group then met five times over six months and preferences were elicited independently on 41 scenarios. After individual valuation, the group discussed the scenarios, following which preferences could be changed. Changes made were described and summary measures (mean and median before and after discussion compared using paired t test and Wilcoxon Signed Rank Test. Semi-structured telephone interviews were carried out to explore attitudes to discussing preferences. These were transcribed, read by two investigators and emergent themes described. Results Sixteen changes (3.6% were made to preferences by seven (47% of the fifteen members. The difference between individual preference values before and after discussion ranged from -0.025 to 0.45. The average effect on the group mean was 0.0053. No differences before and after discussion were statistically significant. The group valued discussion highly and suggested it brought four main benefits: reassurance; improved procedural performance; increased group cohesion; satisfying curiosity. Conclusion The hypothesis that preferences are incomplete cannot be rejected for a proportion of respondents. However, brief discussion did not result in substantial number of changes to preferences and these did not have significant impact on summary values for the group, suggesting that incompleteness, if present, may not have an important effect on cost-utility analyses.

  20. Student satisfaction and self-assessment after small group discussion in a medical ethics education program.

    Science.gov (United States)

    Joh, Hee-Kyung; Shin, Jwa-Seop

    2009-09-01

    Small group discussions are useful tools in medical ethics education. We aimed to assess student satisfaction with specific components of a small group discussion and to evaluate student self-assessment of the objectives of education. A structured questionnaire was developed after a literature review and a focus group interview. Components of the small group discussion were categorized by discussion case (self, other), individual activities (self-study, making materials, presentation experience), and group activities (preclass/in-class/postclass/plenary discussion, instructor's comments). The items for student self-assessment were: "To specify ethical issue in actual practice", "To get new knowledge", "To consider doctor's entity", "Empathy to others", "To get multidimensional viewpoint", "Viewpoint change", "To deliver my thought clearly", and "Ability to confront the medical ethics dilemma in the future". After the survey, an in-depth interview was performed to determine the reason behind the students' answers. A total of 121 students responded, for whom overall satisfaction and self-assessment were high. Students reported greater satisfaction with self-case, presentation experience, in-class discussion, and instructor's comments but less satisfaction with self-study before class and postclass discussion. Student self-assessment was highest in the ability to specify an ethical issue and lowest for viewpoint change and self-confidence. After multivariate analysis, higher student self-assessment was associated with greater satisfaction with the small group discussion. To improve the quality of medical ethics education, close investigation and monitoring of each component of the small group discussion and student achievement are essential, as is continuous feedback.