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Sample records for soufflerie multisites menes

  1. Mening i arbejdslivet

    DEFF Research Database (Denmark)

    Ravn, Ib

    2008-01-01

    begrebet, hvorfor det defineres her: Et fænomen giver mening, når man indser, hvordan det indgår i en større sammenhæng. Mening i arbejdslivet gives da af oplevelsen af, at man gennem sit arbejde indgår i en større sammenhæng. En konceptualisering med fire delfaktorer udledes, der tilsammen skønnes at give...... mening i arbejdslivet: 1. Styrkerealisering: Den enkelte bruger sine styrker og talenter; 2. Værdiskabelse: Ens arbejdsplads skaber reel værdi og livskvalitet for kunder og brugere. 3. Bidrag: Man oplever at yde et vigtigt bidrag gennem sit arbejde. 4. Fællesskab: Man indgår i et produktivt fællesskab...

  2. Historiemisbrug - giver det mening?

    DEFF Research Database (Denmark)

    Peters, Rikke Louise Alberg; Brunbech, Peter Johan Yding

    2018-01-01

    Giver det mening at tale om ”historiemisbrug” i en undervisningssammenhæng, eller er misbrug en uklar moralsk motiveret dom, vi fælder over det, vi tager afstand fra? Denne artikel er en redigeret diskussion af dette spørgsmål mellem Rikke Alberg Peters og Peter Brunbech....

  3. La imprescriptibilidad de los crímenes contra la humanidad en Uruguay

    Directory of Open Access Journals (Sweden)

    José Manuel Sánchez Patrón

    2014-06-01

    Full Text Available La ratificación del Convenio sobre la imprescriptibilidad de los crímenes de guerra y de los crímenes de lesa humanidad por parte de Uruguay, constituye un primer paso dirigido a limitar la impunidad de los partícipes en la comisión de estas infracciones internacionales. Para la consecución de esta misma finalidad, el Estado Uruguayo ha dado un segundo paso, consistente en la ratificación del Estatuto de la Corte Penal Internacional, lo que ha llevado a efecto casi un año después del anterior. Ambas decisiones demuestran la intención de Uruguay de comprometerse Internacionalmente con el fin de evitar la impunidad de los responsables de la comisión de determinadas figuras delictivas, especialmente los crímenes de guerra y los crímenes contra la humanidad, ya que en tomo a estas dos infracciones internacionales gravitan los convenios internacionales a los que nos acabamos de referir.Contenido: imprescriptibilidad de los crímenes contra la humanidad en el pasado. Imprescriptibilidad de los crímenes contra la humanidad en el presente. Imprescriptibilidad de los crímenes contra la humanidad en el futuro. Conclusiones

  4. Mening eller måling?

    DEFF Research Database (Denmark)

    Kruse, Tove Elisabeth

    2008-01-01

    Artiklen diskuterer med udgangspunkt i regeringens universitetspolitiske strategi og tiltag , hvad der motiverer mennesker, der arbejder på et universitet, og hvad der giver deres arbejdsliv mening, og argumenterer for, at de stadigt mere udbredte præstationsmålinger, der ensretter og sammenligne...

  5. Análisis de regímenes aduaneros

    OpenAIRE

    Maruri P., Cristina

    2010-01-01

    El presente documento contiene el análisis de cada Régimen Aduanero que las empresas en calidad de Exportadores e Importadores deben utilizar para un mejor manejo de sus actividades comerciales Internacionales. Los Regímenes Aduaneros se clasifican: Regímenes Comunes, Especiales, Particulares y de Excepción cada uno de ellos con subdivisión, sus definiciones, los requisitos y garantías que se debe cumplir de acuerdo a cada actividad empresarial. El documento cuenta también con ejemplo de Regí...

  6. Algunos interrogantes sobre las modalidades de juzgamiento de los crímenes estatales masivos

    Directory of Open Access Journals (Sweden)

    Daniel Feierstein

    2013-09-01

    Full Text Available El artículo propone un análisis criminológico de las categorías jurídicas creadas para lidiar con los crímenes estatales masivos (crímenes de guerra, crímenes contra la humanidad, genocidio, señalando las potencialidades, límites y desafíos de cada una de ellas, al tratarse de figuras que por primera vez aplican la capacidad de juzgar sobre el propio poder punitivo, lo cual genera ciertas paradojas. Se destaca la problematicidad de la figura de crímenes contra la humanidad como un posible "tipo abierto" y su utilización como ariete para vulnerar los ordenamientos jurídicos y derechos soberanos de las naciones en desarrollo. Se señala la necesidad de una mejor codificación del concepto de genocidio que, garantizando la inclusión de todos los grupos y la igualdad ante la ley, podría resultar una figura más sólida y menos peligrosa que la de crímenes contra la humanidad. Asimismo, el texto propone repensar los modos procesales en el juzgamiento de crímenes estatales masivos, con el fin de enfrentar con eficiencia aquellos delitos que son organizados por el propio poder punitivo, en condiciones de clandestinidad,  y donde la propia lógica de la prueba del delito es puesta en cuestión.

  7. Menedžment projektov in finančna dodana vrednost

    Directory of Open Access Journals (Sweden)

    Marko Brcar

    2017-03-01

    Full Text Available Raziskovalno vprašanje (RV: Ali obstajajo statistično značilne povezave med dejavniki planiranja, organiziranja, vodenja in kontroliranja in finančno dodano vrednostjo gradbenih projektov. Namen: Namen raziskave je bil opraviti empirično raziskavo o vplivu dejavnikov menedžment projektov na finančno dodano vrednost v izbranih slovenskih gradbenih podjetjih ter podati predloge za izboljšanje stanja. Metoda: V kvantitativni raziskavi je sodelovalo 77 anketirancev iz slovenskih gradbenih podjetij, med katerimi je bila večina menedžerjev projektov. Rezultati: Na podlagi raziskave je razvidno, da imajo natančneje planirani gradbeni projekti statistično značilen vpliv na finančno dodano vrednost projektov, pri čemer imata največji vpliv ustrezno planiranje in preverjanje ciljev ter obvladovanje sprememb na projektu. Organizacija: Izidi raziskave bodo lahko v praktično pomoč vsem tistim, ki se ukvarjajo s področjem gradbenih projektov in njihovo uspešnostjo. Empirične ugotovitve iz raziskave naj bi spodbudile podjetja in druge organizacije, da bodo več časa namenila planiranju projekta. Originalnost: Prispevek raziskave k menedžerski znanosti in stroki je opravljena empirična raziskava in analiza vpliva dejavnikov menedžmenta na finančno dodano vrednost projekta, saj v zadnjih desetih letih v gradbeništvu ni bilo podobne raziskave. Omejitve: V raziskavi smo se omejili le na finančno dodano vrednost projektov, nismo se osredotočali na ostale dejavnike učinkovitosti projektov, na primer kakovost proizvoda ali procesa, zadovoljstvo uporabnika, zadovoljstvo odjemalcev in podobno.

  8. Una aproximación al concepto de crímenes contra la humanidad

    Directory of Open Access Journals (Sweden)

    José Manuel Díaz Soto

    2012-12-01

    Full Text Available El presente artículo explora el concepto de “crímenes contra la humanidad”, a partir de una revisión histórica y del análisis de los distintos instrumentos internacionales que han consagrado esta categoría normativa. De igual modo, pretende ilustrar al lector acerca de la teoría de los crímenes contra la humanidad formulada por el profesor de la Universidad de Georgetown David J. Luban, para quien el rasgo definidor de estos delitos es que atentan contra la naturaleza política del ser humano. Por último, se destaca la influencia del pensamiento de Luban en la reciente jurisprudencia de la Corte Suprema de Justicia de Colombia acerca de los crímenes contra la humanidad.

  9. Mechanism of MenE inhibition by acyl-adenylate analogues and discovery of novel antibacterial agents.

    Science.gov (United States)

    Matarlo, Joe S; Evans, Christopher E; Sharma, Indrajeet; Lavaud, Lubens J; Ngo, Stephen C; Shek, Roger; Rajashankar, Kanagalaghatta R; French, Jarrod B; Tan, Derek S; Tonge, Peter J

    2015-10-27

    MenE is an o-succinylbenzoyl-CoA (OSB-CoA) synthetase in the bacterial menaquinone biosynthesis pathway and is a promising target for the development of novel antibacterial agents. The enzyme catalyzes CoA ligation via an acyl-adenylate intermediate, and we have previously reported tight-binding inhibitors of MenE based on stable acyl-sulfonyladenosine analogues of this intermediate, including OSB-AMS (1), which has an IC50 value of ≤25 nM for Escherichia coli MenE. Herein, we show that OSB-AMS reduces menaquinone levels in Staphylococcus aureus, consistent with its proposed mechanism of action, despite the observation that the antibacterial activity of OSB-AMS is ∼1000-fold lower than the IC50 for enzyme inhibition. To inform the synthesis of MenE inhibitors with improved antibacterial activity, we have undertaken a structure-activity relationship (SAR) study stimulated by the knowledge that OSB-AMS can adopt two isomeric forms in which the OSB side chain exists either as an open-chain keto acid or a cyclic lactol. These studies revealed that negatively charged analogues of the keto acid form bind, while neutral analogues do not, consistent with the hypothesis that the negatively charged keto acid form of OSB-AMS is the active isomer. X-ray crystallography and site-directed mutagenesis confirm the importance of a conserved arginine for binding the OSB carboxylate. Although most lactol isomers tested were inactive, a novel difluoroindanediol inhibitor (11) with improved antibacterial activity was discovered, providing a pathway toward the development of optimized MenE inhibitors in the future.

  10. WordPress multisite administration

    CERN Document Server

    Longren, Tyler

    2013-01-01

    This is a simple, concise guide with a step-by-step approach, packed with screenshots and examples to set up and manage a network blog using WordPress.WordPress Multisite Administration is ideal for anyone wanting to familiarize themselves with WordPress Multisite. You'll need to know the basics about WordPress, and having at least a broad understanding of HTML, CSS, and PHP will help, but isn't required.

  11. PRE-EXÁMENES COMO UNA ESTRATEGIA DIDÁCTICA EN LOS CURSOS DE FÍSICA

    Directory of Open Access Journals (Sweden)

    Herbert Morales Ríos

    2010-01-01

    Full Text Available Se describe la experiencia del uso de pre-exámenes o exámenes de prueba como una estrategia didáctica para el mejoramiento en el rendimiento y en el desempeño estudiantil en los cursos propios de la carrera de física. El objetivo principal de la experiencia era determinar, a priori, las deficiencias, tanto matemáticas como físicas, que tiene el estudiantado, corregirlas antes de administrarle el examen definitivo y establecer una evaluación formativa en el curso. En particular, el tema evaluado era el de oscilaciones lineales del curso de Mecánica Teórica. Se detalla en qué consiste dicha estrategia, la motivación de su implementación y los roles tanto docente como estudiantil. Se analizan los resultados de la experiencia para concluir con las bondades, limitaciones y proyecciones futuras del uso de los pre-exámenes, con el fin de mostrarlos como una herramienta más dentro de la labor docente universitaria.

  12. High prevalence of daily and multi-site pain

    DEFF Research Database (Denmark)

    Rathleff, Michael Skovdal; Roos, Ewa M.; Olesen, Jens Lykkegaard

    2013-01-01

    Daily pain and multi-site pain are both associated with reduction in work ability and health-related quality of life (HRQoL) among adults. However, no population-based studies have yet investigated the prevalence of daily and multi-site pain among adolescents and how these are associated...... with respondent characteristics. The purpose of this study was to investigate the prevalence of self-reported daily and multi-site pain among adolescents aged 12--19 years and associations of almost daily pain and multi-site pain with respondent characteristics (sex, age, body mass index (BMI), HRQoL and sports...

  13. Seasonality and potential of Ceranisus menes for control of thrips on ...

    African Journals Online (AJOL)

    Seasonality and potential of Ceranisus menes for control of thrips on French beans. LM Gitonga. Abstract. No Abstract. Journal of Agriculture, Science and Technology Vol. 10 (1) 2008: pp. 56-69. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  14. Cztery kategorie menedżerów projektów

    DEFF Research Database (Denmark)

    Ritter, Thomas; Lund Pedersen, Carsten

    2018-01-01

    Niewiele kwestii w większym stopniu przyciąga uwagę kadr zarządzających niż optymalny sposób rozwoju ich organizacji. Niemniej niewielu menedżerów najwyższego szczebla systematycznie pracuje z osobami, które są im niezbędne do zrealizowania rozmaitych szans rozwojowych....

  15. Ansiedad ante los exámenes en alumnos de Educación Secundaria Obligatoria || Anxiety in students from junior high-school

    Directory of Open Access Journals (Sweden)

    Alba Rodríguez

    2014-12-01

    Full Text Available El presente trabajo tiene como objetivo identificar el grado de ansiedad ante los exámenes. Para llevar a cabo el estudio se ha utilizado el Cuestionario de Evaluación de Ansiedad ante los Exámenes (CAEX administrado a 325 estudiantes de ESO. Los resultados pusieron de manifiesto que el perfil de estudiante que posee mayores niveles de ansiedad ante los exámenes es una mujer de 12 años, que estudia 1º ESO en un colegio privado-concertado y aprueba todas las asignaturas. Se puede concluir en primer lugar que la ansiedad ante los exámenes afecta significativamente a los estudiantes de la muestra, y en segundo lugar, se han encontrado diferencias estadísticamente significativas en las variables edad, sexo, tipo de centro, curso y rendimiento académico.

  16. REFORMA A LOS REGÍMENES DE PENSIONES EN COSTA RICA

    Directory of Open Access Journals (Sweden)

    Rodrigo Briceño Briceño

    2011-09-01

    Full Text Available Desde inicios de la década de los ochenta el tema de la reforma a los sistemas de pensión en América Latina ha sido fuente de las más diversas polémicas. La disyuntiva entre los conceptos de solidaridad y subsidariedad que persiguen estos sistemas ha puesto en boga diferentes mecanismos para paliar la crisis en el área de la seguridad social. En el presente artículo se analizan de forma sucinta algunas de las principales características que ha asumido el proceso de reforma de los sistemas de pensión en América Latina, donde el ejemplo más notable ha sido el caso de Chile. Luego se hace referencia al proceso de reforma que se ha aplicado a los diferentes regímenes de pensiones existentes en el país. El énfasis se pone en los regímenes de Invalidez, Vejez y Muerte de la Caja Costarricense del Seguro Social y en el del Magisterio Nacional por ser los de mayor participación relativa, tanto en lo que respecta a funcionarios cotizantes como pensionados.

  17. Shared worlds: multi-sited ethnography and nursing research.

    Science.gov (United States)

    Molloy, Luke; Walker, Kim; Lakeman, Richard

    2017-03-22

    Background Ethnography, originally developed for the study of supposedly small-scale societies, is now faced with an increasingly mobile, changing and globalised world. Cultural identities can exist without reference to a specific location and extend beyond regional and national boundaries. It is therefore no longer imperative that the sole object of the ethnographer's practice should be a geographically bounded site. Aim To present a critical methodological review of multi-sited ethnography. Discussion Understanding that it can no longer be taken with any certainty that location alone determines culture, multi-sited ethnography provides a method of contextualising multi-sited social phenomena. The method enables researchers to examine social phenomena that are simultaneously produced in different locations. It has been used to undertake cultural analysis of diverse areas such as organ trafficking, global organisations, technologies and anorexia. Conclusion The authors contend that multi-sited ethnography is particularly suited to nursing research as it provides researchers with an ethnographic method that is more relevant to the interconnected world of health and healthcare services. Implications for practice Multi-sited ethnography provides nurse researchers with an approach to cultural analysis in areas such as the social determinants of health, healthcare services and the effects of health policies across multiple locations.

  18. On multi-site damage identification using single-site training data

    Science.gov (United States)

    Barthorpe, R. J.; Manson, G.; Worden, K.

    2017-11-01

    This paper proposes a methodology for developing multi-site damage location systems for engineering structures that can be trained using single-site damaged state data only. The methodology involves training a sequence of binary classifiers based upon single-site damage data and combining the developed classifiers into a robust multi-class damage locator. In this way, the multi-site damage identification problem may be decomposed into a sequence of binary decisions. In this paper Support Vector Classifiers are adopted as the means of making these binary decisions. The proposed methodology represents an advancement on the state of the art in the field of multi-site damage identification which require either: (1) full damaged state data from single- and multi-site damage cases or (2) the development of a physics-based model to make multi-site model predictions. The potential benefit of the proposed methodology is that a significantly reduced number of recorded damage states may be required in order to train a multi-site damage locator without recourse to physics-based model predictions. In this paper it is first demonstrated that Support Vector Classification represents an appropriate approach to the multi-site damage location problem, with methods for combining binary classifiers discussed. Next, the proposed methodology is demonstrated and evaluated through application to a real engineering structure - a Piper Tomahawk trainer aircraft wing - with its performance compared to classifiers trained using the full damaged-state dataset.

  19. A Gateway MultiSite recombination cloning toolkit.

    Directory of Open Access Journals (Sweden)

    Lena K Petersen

    Full Text Available The generation of DNA constructs is often a rate-limiting step in conducting biological experiments. Recombination cloning of single DNA fragments using the Gateway system provided an advance over traditional restriction enzyme cloning due to increases in efficiency and reliability. Here we introduce a series of entry clones and a destination vector for use in two, three, and four fragment Gateway MultiSite recombination cloning whose advantages include increased flexibility and versatility. In contrast to Gateway single-fragment cloning approaches where variations are typically incorporated into model system-specific destination vectors, our Gateway MultiSite cloning strategy incorporates variations in easily generated entry clones that are model system-independent. In particular, we present entry clones containing insertions of GAL4, QF, UAS, QUAS, eGFP, and mCherry, among others, and demonstrate their in vivo functionality in Drosophila by using them to generate expression clones including GAL4 and QF drivers for various trp ion channel family members, UAS and QUAS excitatory and inhibitory light-gated ion channels, and QUAS red and green fluorescent synaptic vesicle markers. We thus establish a starter toolkit of modular Gateway MultiSite entry clones potentially adaptable to any model system. An inventory of entry clones and destination vectors for Gateway MultiSite cloning has also been established (www.gatewaymultisite.org.

  20. The Role of Involvement and Use in Multisite Evaluations

    Science.gov (United States)

    Lawrenz, Frances; King, Jean A.; Ooms, Ann

    2011-01-01

    A cross-case analysis of four National Science Foundation (NSF) case studies identified both unique details and common themes related to promoting the use and influence of multisite evaluations. The analysis provided evidence of diverse evaluation use by stakeholders and suggested that people taking part in the multisite evaluations perceived…

  1. Estrategias de aprendizaje y ansiedad ante los exámenes en estudiantes universitarios

    Directory of Open Access Journals (Sweden)

    Luis Alberto Furlan

    2009-01-01

    Full Text Available Diversas investigaciones coinciden en señalar que la elevada ansiedad frente a los exámenes está asociada a la baja habilidad para el estudio y al uso de estrategias superficiales de procesamiento de la información, existendo influencias recíprocas entre dichas variables. De acuerdo a esta perspectiva, se evaluó el uso de estrategias de aprendizaje en 816 estudiantes universitarios con elevada, media o baja ansiedad frente a los exámenes. Adicionalmente, se analizaron las relaciones entre las cuatro dimensiones de la ansiedad y las estrategias de aprendizaje. Los estudiantes con elevada ansiedad utilizaron más frecuentemente estrategias de repetición y búqueda de ayuda académica y los de baja ansiedad, estrategias de estudio reflexivo. La falta de confianza correlacionó negativamente con estrategias de estudio reflexivo, repetición, búsqueda de ayuda académica y regulación del tiempo y esfuerzo. En sentido opuesto, la preocupación se asoció positivamente con tres de estas estrategias.

  2. Insomnio, latencia al sueño y cantidad de sueño en estudiantes universitarios chilenos durante el periodo de clases y exámenes

    Directory of Open Access Journals (Sweden)

    Samuel Durán Agüero

    2017-01-01

    Full Text Available Objetivo:Determinar los factores asociados a la cantidad de horas de sueño, somnolenciadiurna e insomnio antes y durante un periodo de clases y exámenes.Material y métodos:Se evaluó a 384 alumnos de ambos sexos (74,1% mujeres, quienesreportaron su peso y estatura. A cada estudiante se le aplicó el Cuestionario de Insomnio y laEscala De Somnolencia de Epworth en el periodo de clases y periodo de exámenes.Resultados:Al comparar la somnolencia diurna, insomnio, latencia al sueño y cantidad dehoras de sueño entre periodo de clases y exámenes se observó un incremento en la latencia alsueño (p<0,05 durante los exámenes. Al realizar la comparación según estado nutricional seobservó, en el caso de las mujeres, que aquellas que presentan sobrepeso/obesidad tienen unamenor cantidad de horas de sueño en ambos periodos (p<0,05; en hombres, los que presentansobrepeso/obesidad tienen una mayor somnolencia diurna en exámenes (p<0,01. Al realizarla regresión logística tomando como variable dependiente somnolencia diurna, en mujeres seincrementa el riesgo de somnolencia diurna:OR=3,1 (IC95 % 1,1-8,8; en cambio, la ausenciade insomnio es un factor protector para somnolencia diurna:OR=0,06 (IC95 % 0,01-0,35.Conclusión:En periodo de exámenes se incrementa significativamente la latencia al sueño, enespecial en mujeres; en hombres se observa una disminución de las horas de sueño. Finalmente, las mujeres presentan un mayor riesgo de somnolencia diurna; en cambio, la ausencia deinsomnio es un factor protector. Ni el estado nutricional ni el consumo de cafeína se asociaroncon problemas de sueño.

  3. Simulation-optimization framework for multi-site multi-season hybrid stochastic streamflow modeling

    Science.gov (United States)

    Srivastav, Roshan; Srinivasan, K.; Sudheer, K. P.

    2016-11-01

    A simulation-optimization (S-O) framework is developed for the hybrid stochastic modeling of multi-site multi-season streamflows. The multi-objective optimization model formulated is the driver and the multi-site, multi-season hybrid matched block bootstrap model (MHMABB) is the simulation engine within this framework. The multi-site multi-season simulation model is the extension of the existing single-site multi-season simulation model. A robust and efficient evolutionary search based technique, namely, non-dominated sorting based genetic algorithm (NSGA - II) is employed as the solution technique for the multi-objective optimization within the S-O framework. The objective functions employed are related to the preservation of the multi-site critical deficit run sum and the constraints introduced are concerned with the hybrid model parameter space, and the preservation of certain statistics (such as inter-annual dependence and/or skewness of aggregated annual flows). The efficacy of the proposed S-O framework is brought out through a case example from the Colorado River basin. The proposed multi-site multi-season model AMHMABB (whose parameters are obtained from the proposed S-O framework) preserves the temporal as well as the spatial statistics of the historical flows. Also, the other multi-site deficit run characteristics namely, the number of runs, the maximum run length, the mean run sum and the mean run length are well preserved by the AMHMABB model. Overall, the proposed AMHMABB model is able to show better streamflow modeling performance when compared with the simulation based SMHMABB model, plausibly due to the significant role played by: (i) the objective functions related to the preservation of multi-site critical deficit run sum; (ii) the huge hybrid model parameter space available for the evolutionary search and (iii) the constraint on the preservation of the inter-annual dependence. Split-sample validation results indicate that the AMHMABB model is

  4. A Mixed Methods Sampling Methodology for a Multisite Case Study

    Science.gov (United States)

    Sharp, Julia L.; Mobley, Catherine; Hammond, Cathy; Withington, Cairen; Drew, Sam; Stringfield, Sam; Stipanovic, Natalie

    2012-01-01

    The flexibility of mixed methods research strategies makes such approaches especially suitable for multisite case studies. Yet the utilization of mixed methods to select sites for these studies is rarely reported. The authors describe their pragmatic mixed methods approach to select a sample for their multisite mixed methods case study of a…

  5. Eficacia de una Intervención para Disminuir la Ansiedad frente a los Exámenes en Estudiantes Universitarios Argentinos

    Directory of Open Access Journals (Sweden)

    Luis Alberto Furlan

    2013-01-01

    Full Text Available Se evaluó la efectividad de un programa para disminuir la ansiedad ante los exámenes, la procrastinación académica e incrementar la autoeficacia regulatoria, con 19 estudiantes universitarios de Argentina. El programa estimula el automonitoreo de las estrategias de aprendizaje implementadas, el aprendizaje de técnicas cognitivo-conductuales de control de la ansiedad y el ensayo anticipado de exámenes. Al comparar los resultados pre- y posintervención, se constataron mejorías moderadas. Se deben revisar los procedimientos para incrementar la adherencia al programa y la validez de los resultados.

  6. Expansion of the gateway multisite recombination cloning toolkit.

    Science.gov (United States)

    Shearin, Harold K; Dvarishkis, Alisa R; Kozeluh, Craig D; Stowers, R Steven

    2013-01-01

    Precise manipulation of transgene expression in genetic model organisms has led to advances in understanding fundamental mechanisms of development, physiology, and genetic disease. Transgene construction is, however, a precondition of transgene expression, and often limits the rate of experimental progress. Here we report an expansion of the modular Gateway MultiSite recombination-cloning platform for high efficiency transgene assembly. The expansion includes two additional destination vectors and entry clones for the LexA binary transcription system, among others. These new tools enhance the expression levels possible with Gateway MultiSite generated transgenes and make possible the generation of LexA drivers and reporters with Gateway MultiSite cloning. In vivo data from transgenic Drosophila functionally validating each novel component are presented and include neuronal LexA drivers, LexAop2 red and green fluorescent synaptic vesicle reporters, TDC2 and TRH LexA, GAL4, and QF drivers, and LexAop2, UAS, and QUAS channelrhodopsin2 T159C reporters.

  7. Conducting a Multisite Education Research Project: Strategies to Overcome the Barriers to Achieve the Benefits.

    Science.gov (United States)

    Beischel, Kelly P; Hart, Julie; Turkelson, Sandra L

    2016-01-01

    Multisite education research projects have many benefits as well as perceived barriers. In this article, we share our experiences with a multisite education research project and the barriers we overcame to reap the benefits. The outcome of our research resulted in increased rigor, role-modeling professional collaboration, and promotion of future multisite education studies. The strategies presented in this article will help alleviate perceived barriers and ameliorate the process of conducting multisite education research studies.

  8. Multi-Sited Global Ethnography and Travel: Gendered Journeys in Three Registers

    Science.gov (United States)

    Epstein, Debbie; Fahey, Johannah; Kenway, Jane

    2013-01-01

    This paper joins a barely begun conversation about multi-sited and global ethnography in educational research; a conversation that is likely to intensify along with growing interest in the links between education, globalisation, internationalisation and transnationalism. Drawing on an ongoing multi-sited global ethnography of elite schools and…

  9. Ansiedad ante exámenes y estrategias de aprendizaje en estudiantes de secundaria de Lima Metropolitana

    Directory of Open Access Journals (Sweden)

    Alberto A. Alegre

    2013-06-01

    Full Text Available El estudio buscó determinar la relación entre la ansiedad ante exámenes y las estrategias de aprendizaje en estudiantes de cuarto y quinto grados de educación secundaria de colegios estatales de Lima Metropolitana. La muestra se obtuvo por un procedimiento intencional, evaluándose a 469 estudiantes, siendo el 45.6% de sexo masculino y el 54.4% femenino, pertenecientes a cuatro colegios estatales de Lima Metropolitana. Se evaluó a los estudiantes con el Cuestionario de Ansiedad y Rendimiento – CAR y la Escala de Estrategias de Aprendizaje – ACRA. Se encontró que la ansiedad ante exámenes (puntuaciones en sus tres dimensiones: preocupación, emocionalidad y facilitación y las estrategias de aprendizaje (puntuaciones en sus cuatro dimensiones: adquisición, codificación, recuperación y apoyo al procesamiento de la información presentaron correlaciones bajas y en algunos casos negativas; siendo todas estas significativas.

  10. Multi-Sited Resilience

    DEFF Research Database (Denmark)

    Olwig, Mette Fog

    2012-01-01

    with natural disasters and climate change. In a globalized world, however, it is hard to discern what is “local” as global organizations play an increasingly visible and powerful role. This paper will argue that local understandings and practices of resilience cannot be disentangled from global understandings...... flooding in northern Ghana, this paper examines the mutual construction of “local” and “global” notions and practices of resilience through multi-sited processes. It is based on interviews and participant observation in multiple sites at the “local,” “regional” and “global” levels....

  11. Colección de exámenes de la asignatura Aplicación de Ordenadores 2005 – 2011: fundamentos de programación y algoritmia

    OpenAIRE

    Quereda Gómez, Emmanuel David; Bañón Blázquez, Luis

    2011-01-01

    Esta divulgación docente recoge los ejercicios resueltos de aquellos exámenes realizados durante los curso 2005-2011, correspondientes a la asignatura Aplicación de Ordenadores de 3º curso de la titulación de Ingeniería Técnica de Obras Públicas de la Escuela Politécnica Superior de la Universidad de Alicante. El contenido de esta colección de exámenes versa sobre fundamentos de programación y algoritmos.

  12. ¿Qué hay detrás del miedo a los exámenes?

    Directory of Open Access Journals (Sweden)

    R. Sender

    Full Text Available Introducción: Se analizan las características psicológicas de una muestra de 32 estudiantes de medicina que solicitan ayuda para afrontar el miedo a los exámenes. Material y método: Las pruebas seleccionadas para el análisis de esta población son el GHQ-28, el STAI de rasgo, la escala de percepción de estrés del UNCAHS y la Sensibilidad al Castigo y a la Recompensa (SCRS. Los puntajes obtenidos se compararon con los de un grupo control de estudiantes de primer curso. Resultados: 90 % de los sujetos de la muestra fueron mujeres y el 25 % recibieron o estaban recibiendo atención psicológica o psiquiátrica. Entre los estudiantes que solicitaron ayuda había un nivel más alto de psicopatología, una más alta sensibilidad al castigo y una más baja sensibilidad a la recompensa que en el grupo control. Conclusiones: Los estudiantes con ansiedad ante los exámenes presentan más sensibilidad al castigo y menos sensibilidad a la recompensa, y muestran más síntomas depresivos y obsesivos que los estudiantes del grupo control.

  13. Multi-Sited Comparison of "Doing Regulation"

    DEFF Research Database (Denmark)

    Sørensen, Estrid

    2008-01-01

    tertium comparationis. Artiklen foreslåt en multi-sited sammenligning, som ikke tager udgangspunkt i tertium comparationis, men derimod identificerer dette som sit resultat. Artiklen redegør for udviklingen af denne metode gennem en undersøgelse af medieregulering med henblik på børnebeskyttelse....

  14. Multisite accelerometry for sleep and wake classification in children.

    Science.gov (United States)

    Lamprecht, Marnie L; Bradley, Andrew P; Tran, Tommy; Boynton, Alison; Terrill, Philip I

    2015-01-01

    Actigraphy is a useful alternative to the gold standard polysomnogram for non-invasively measuring sleep and wakefulness. However, it is unable to accurately assess sleep fragmentation due to its inability to differentiate restless sleep from wakefulness and quiet wake from sleep. This presents significant limitations in the assessment of sleep-related breathing disorders where sleep fragmentation is a common symptom. We propose that this limitation may be caused by hardware constraints and movement representation techniques. Our objective was to determine if multisite tri-axial accelerometry improves sleep and wake classification. Twenty-four patients aged 6-15 years (median: 8 years, 16 male) underwent a diagnostic polysomnogram while simultaneously recording motion from the left wrist and index fingertip, upper thorax and left ankle and great toe using a custom accelerometry system. Movement was quantified using several features and two feature selection techniques were employed to select optimal features for restricted feature set sizes. A heuristic was also applied to identify movements during restless sleep. The sleep and wake classification performance was then assessed and validated against the manually scored polysomnogram using discriminant analysis. Tri-axial accelerometry measured at the wrist significantly improved the wake detection when compared to uni-axial accelerometry (specificity at 85% sensitivity: 71.3(14.2)% versus 55.2(24.7)%, p < 0.01). Multisite accelerometry significantly improved the performance when compared to the single wrist placement (specificity at 85% sensitivity: 82.1(12.5)% versus 71.3(14.2)%, p < 0.05). Our results indicate that multisite accelerometry offers a significant performance benefit which could be further improved by analysing movement in raw multisite accelerometry data.

  15. Afrontamiento de la ansiedad ante los exámenes universitarios mediante un programa de Inoculación de Estrés: Caso Clínico

    OpenAIRE

    Escolar-Llamazares, M.C.; Serrano-Pintado, I.

    2016-01-01

    Introducción: Partiendo de la definición del constructo ansiedad ante los exámenes que realiza Spielberger y de la diferenciación de Wolpe entre problemas de ansiedad racional y problemas de ansiedad irracional se ha aplicado un programa basado en Inoculación de Estrés. Objetivo: Disminuir la ansiedad ante los exámenes que manifestaba una estudiante de Enfermería de la Universidad de Salamanca. Método: Se trata de un estudio cuasi-experimental de caso único con diseño AB sin retirada del trat...

  16. Insomnio, latencia al sueño y cantidad de sueño en estudiantes universitarios chilenos durante el periodo de clases y exámenes

    OpenAIRE

    Samuel Durán Agüero; Giovanni Rosales Soto; Cristóbal Moya Cantillana; Paula García Milla

    2017-01-01

    Objetivo:Determinar los factores asociados a la cantidad de horas de sueño, somnolenciadiurna e insomnio antes y durante un periodo de clases y exámenes.Material y métodos:Se evaluó a 384 alumnos de ambos sexos (74,1% mujeres), quienesreportaron su peso y estatura. A cada estudiante se le aplicó el Cuestionario de Insomnio y laEscala De Somnolencia de Epworth en el periodo de clases y periodo de exámenes.Resultados:Al comparar la somnolencia diurna, insomnio, latencia al sueño y cantidad deho...

  17. Multiperiod planning tool for multisite pig production systems.

    Science.gov (United States)

    Nadal-Roig, E; Plà, L M

    2014-09-01

    This paper presents a multiperiod planning tool for multisite pig production systems based on Linear Programming (LP). The aim of the model is to help pig managers of multisite systems in making short-term decisions (mainly related to pig transfers between farms and batch management in fattening units) and mid-term or long-term decisions (according to company targets and expansion strategy). The model skeleton follows the structure of a three-site system that can be adapted to any multisite system present in the modern pig industry. There are three basic phases, namely, piglet production, rearing pigs, and fattening. Each phase involves a different set of farms; therefore, transportation between farms and delivering of pigs to the abattoir are under consideration. The model maximizes the total gross margin calculated from the income of sales to the abattoir and the production costs over the time horizon considered. Production cost depends on each type of farm involved in the process. Parameters like number of farms per phase and distance, farm capacity, reproduction management policies, feeding and veterinary expenses, and transportation costs are taken into account. The model also provides a schedule of transfers between farms in terms of animals to be transported and number of trucks involved. The use of the model is illustrated with a case study based on a real instance of a company located in Catalonia (Spain).

  18. Work-related determinants of multi-site musculoskeletal pain among employees in the health care sector.

    Science.gov (United States)

    Neupane, Subas; Nygård, Clas-Håkan; Oakman, Jodi

    2016-06-16

    Work-related musculoskeletal pain is a major occupational problem. Those with pain in multiple sites usually report worse health outcomes than those with pain in one site. This study explored prevalence and associated predictors of multi-site pain in health care sector employees. Survey responses from 1348 health care sector employees across three organisations (37% response rate) collected data on job satisfaction, work life balance, psychosocial and physical hazards, general health and work ability. Musculoskeletal discomfort was measured across 5 body regions with pain in ≥ 2 sites defined as multi-site pain. Generalized linear models were used to identify relationships between work-related factors and multi-site pain. Over 52% of the employees reported pain in multiple body sites and 19% reported pain in one site. Poor work life balance (PRR = 2.33, 95% CI = 1.06-5.14). physical (PRR = 7.58, 95% CI = 4.89-11.77) and psychosocial (PRR = 1.59, 95% CI = 1.00-2.57) hazard variables were related to multi-site pain (after controlling for age, gender, health and work ability. Older employees and females were more likely to report multi-site pain. Effective risk management of work related multi-site pain must include identification and control of psychosocial and physical hazards.

  19. Las urgencias en la atención primaria: uso de exámenes complementarios y medicamentos Emergencies in primary health care: use of complementary tests and drugs

    Directory of Open Access Journals (Sweden)

    José Díaz Novás

    2008-09-01

    Full Text Available INTRODUCCIÓN: los servicios de urgencias requieren de un soporte de exámenes y medicamentos que apoyen su capacidad resolutiva y que se utilicen con eficiencia. OBJETIVOS: identificar el uso de exámenes complementarios y medicamentos, sus costos y relación con la morbilidad observada. MÉTODOS: se realizó un estudio observacional, descriptivo, longitudinal y retrospectivo sobre la utilización de exámenes complementarios, medicamentos y sus costos, en el servicio de urgencias del Policlínico-Hospital "Raúl Gómez García", en el período de enero a marzo de 2007. Se correlacionó el uso de exámenes y medicamentos con la morbilidad observada. RESULTADOS: el chequeo de la tensión arterial, las infecciones respiratorias agudas y las crisis agudas de asma bronquial fueron las causas más frecuentes de consulta. Se observó 1 de cada 21,3 pacientes atendidos. El 19,7 % de los pacientes requirieron la realización de exámenes complementarios. El laboratorio clínico, fue el medio diagnóstico más utilizado. Los medicamentos más utilizados fueron: el aerosol de salbutamol, la dipirona y la aminofilina. La indicación de exámenes y medicamentos, generalmente, estuvo justificada por los problemas de salud atendidos. Los exámenes de rayos X, los electrocardiogramas y entre los medicamentos la hidrocortisona, fueron los que más gastos ocasionaron. CONCLUSIONES: la morbilidad observada estuvo acorde con lo esperado para un servicio de urgencias primario, y justificó, en la mayoría de los casos, los exámenes y medicamentos utilizados. El empleo racional del método clínico puede mejorar el uso de recursos y los costos.INTRODUCTION: the emergency services require tests and drugs that support their resolving capacity and that be used with efficiency. OBJECTIVES: to identify the use of complementary tests and drugs, their costs and their connection with the morbidity observed. METHODS: an observational descriptive, longitudinal and

  20. Examinando exámenes. Consideraciones acerca de las pruebas de medición en ELE

    Directory of Open Access Journals (Sweden)

    Yagüe Barredo, Agustín

    2010-02-01

    Full Text Available El objetivo de este artículo es reflexionar acerca del concepto y el diseño de exámenes de español como lengua extranjera. Con criterios empíricos se subrayan las limitaciones técnicas de las pruebas y la pobreza de información que ofrecen a docentes y a candidatos sobre su actuación. El trabajo propone algunas alternativas que deben ser refrendadas en situaciones de aula.

  1. Modelo climático de los páramos de la Cordillera Oriental colombiana aplicado a regímenes de temperatura del suelo

    Directory of Open Access Journals (Sweden)

    Carlos Enrique Castro Méndez

    2016-06-01

    Full Text Available La aplicación (con criterios consistentes de los regímenes de temperatura del suelo, no había sido necesaria y decisiva, hasta ahora, ya que se consideraba suficiente esta información de carácter descriptivo. La temperatura asignada al suelo provenía de la reclasificación directa del clima ambiental al edáfico con valores medios anuales dados a cada franja altitudinal hace más de 200 años, esto no es acorde con los cambios, que desde la geografía biofísica, se han percibido en el ambiente. Se propone un modelo climático, basado en isotermas del suelo, para determinar los regímenes de temperatura a partir de información bajo coberturas vegetales y del suelo, para cada vertiente montañosa en particular. Se encontraron gradientes de temperatura (ºC/100 m de 0,73 y 0,61 en la vertiente occidental y oriental, respectivamente. La temperatura del suelo fue 1.9 ºC mayor que la del aire y se delimitaron los regímenes térmicos del suelo cryico, isofrígido e isomésico.

  2. Resultados comparativos de exámenes estatales del 2006 al 2012 en la Facultad de Estomatología de Camagüey

    Directory of Open Access Journals (Sweden)

    Sarah Teresita Gutiérrez Martore

    Full Text Available Fundamento: La ampliación de matrícula con la diversidad de vías de ingreso ha constituido un reto en la educación médica y la evaluación de graduación implica la certificación de la competencia de los egresados, por eso se hace necesario analizar los resultados obtenidos en estas etapas. Objetivo: Comparar los resultados de los ejercicios prácticos, teóricos y notas finales obtenidas por los estudiantes presentados a Exámenes Estatales Ordinarios de los cursos del 2006 al 2012 de la Facultad de Estomatología en la Universidad de Ciencias Médicas de Camagüey. Métodos: Se realizó una investigación descriptiva con 410 estudiantes presentados a exámenes estatales ordinarios en el período 2006-2012. Se clasificaron los grupos con menos o más de 40 estudiantes por cursos. Se obtuvieron las calificaciones de cada ejercicio y nota final estatal por cursos. Se utilizó el método porcentual, media aritmética y mediana obtenida en cada curso. Resultados: Los cursos del 2006-2009 sumaron 99 estudiantes y en los cursos del 2009-2012 se incrementaron hasta 311 educandos. En los exámenes estatales prácticos, los grupos pequeños obtuvieron calificación media de 99,2 y una mediana de 99 y 100; en los grupos numerosos las calificaciones disminuyeron hasta llegar a una media de 93 y una mediana de 95. En los exámenes teóricos, en los tres primeros cursos la media de calificación fue 83,5 y en el grupo numeroso de 83,7. Conclusiones: En los resultados se mantiene la calidad de la base científica de la actuación en todos los cursos, pero ha disminuido la del desempeño en los cursos con incremento de estudiantes.

  3. Tools and Methods for Risk Management in Multi-Site Engineering Projects

    Science.gov (United States)

    Zhou, Mingwei; Nemes, Laszlo; Reidsema, Carl; Ahmed, Ammar; Kayis, Berman

    In today's highly global business environment, engineering and manufacturing projects often involve two or more geographically dispersed units or departments, research centers or companies. This paper attempts to identify the requirements for risk management in a multi-site engineering project environment, and presents a review of the state-of-the-art tools and methods that can be used to manage risks in multi-site engineering projects. This leads to the development of a risk management roadmap, which will underpin the design and implementation of an intelligent risk mapping system.

  4. Multi-site musculoskeletal pain in Swedish police: associations with discomfort from wearing mandatory equipment and prolonged sitting.

    Science.gov (United States)

    Larsen, Louise Bæk; Andersson, Elisabeth Elgmark; Tranberg, Roy; Ramstrand, Nerrolyn

    2018-05-01

    Musculoskeletal disorders are considered as a major issue affecting the health and well-being of active duty police. Discomfort from wearing mandatory equipment and sitting for long periods of time in fleet vehicles are workload factors linked to musculoskeletal disorders in police. This study aims to determine the prevalence of multi-site musculoskeletal pain among Swedish police and to explore the possible association to discomfort experience when wearing mandatory equipment and sitting for long periods in fleet vehicles. In this cross-sectional study responses from 4185 police were collected through a self-administered online survey including questions about physical work environment, mandatory equipment and musculoskeletal pain. Multi-site pain was determined through summing pain sites from four body regions. Binomial logistic regression was performed to explore the association between multi-site musculoskeletal pain: (1) discomfort from wearing mandatory equipment and (2) sitting for long periods in fleet vehicles. The prevalence of multi-site musculoskeletal pain at least 1 day per week within the previous 3 months was 41.3%. A statistically significant association between discomfort from wearing mandatory equipment and multi-site musculoskeletal pain was found; duty belt [OR 5.42 (95% CI 4.56-6.43)] as well as body armour [OR 2.69 (95% CI 2.11-3.42)]. Sitting for long periods in fleet vehicles was not significantly associated to multi-site musculoskeletal pain. Multi-site musculoskeletal pain is a considerable problem among Swedish police and modifying mandatory equipment to decrease discomfort is suggested as a potential means of decreasing the musculoskeletal pain experienced by many police officers.

  5. Ethics Review for a Multi-Site Project Involving Tribal Nations in the Northern Plains.

    Science.gov (United States)

    Angal, Jyoti; Petersen, Julie M; Tobacco, Deborah; Elliott, Amy J

    2016-04-01

    Increasingly, Tribal Nations are forming ethics review panels, which function separately from institutional review boards (IRBs). The emergence of strong community representation coincides with a widespread effort supported by the U.S. Department of Health & Human Services and other federal agencies to establish a single IRB for all multi-site research. This article underscores the value of a tribal ethics review board and describes the tribal oversight for the Safe Passage Study-a multi-site, community-based project in the Northern Plains. Our experience demonstrates the benefits of tribal ethics review and makes a strong argument for including tribal oversight in future regulatory guidance for multi-site, community-based research. © The Author(s) 2016.

  6. Psychosocial stress and multi-site musculoskeletal pain: a cross-sectional survey of patient care workers.

    Science.gov (United States)

    Sembajwe, Grace; Tveito, Torill Helene; Hopcia, Karen; Kenwood, Christopher; O'Day, Elizabeth Tucker; Stoddard, Anne M; Dennerlein, Jack T; Hashimoto, Dean; Sorensen, Glorian

    2013-03-01

    The aim of this study was to assess the relationship between psychosocial factors at work and multi-site musculoskeletal pain among patient care workers. In a survey of 1,572 workers from two hospitals, occupational psychosocial factors and health outcomes of workers with single and multi-site pain were evaluated using items from the Job Content Questionnaire that was designed to measure psychological demands, decision latitude, and social support. An adapted Nordic Questionnaire provided data on the musculoskeletal pain outcome. Covariates included body mass index, age, gender, and occupation. The analyses revealed statistically significant associations between psychosocial demands and multi-site musculoskeletal pain among patient care associates, nurses, and administrative personnel, both men and women. Supervisor support played a significant role for nurses and women. These results remained statistically significant after adjusting for covariates. These results highlight the associations between workplace psychosocial strain and multi-site musculoskeletal pain, setting the stage for future longitudinal explorations. Copyright 2013, SLACK Incorporated.

  7. Multisite rainfall downscaling and disaggregation in a tropical urban area

    Science.gov (United States)

    Lu, Y.; Qin, X. S.

    2014-02-01

    A systematic downscaling-disaggregation study was conducted over Singapore Island, with an aim to generate high spatial and temporal resolution rainfall data under future climate-change conditions. The study consisted of two major components. The first part was to perform an inter-comparison of various alternatives of downscaling and disaggregation methods based on observed data. This included (i) single-site generalized linear model (GLM) plus K-nearest neighbor (KNN) (S-G-K) vs. multisite GLM (M-G) for spatial downscaling, (ii) HYETOS vs. KNN for single-site disaggregation, and (iii) KNN vs. MuDRain (Multivariate Rainfall Disaggregation tool) for multisite disaggregation. The results revealed that, for multisite downscaling, M-G performs better than S-G-K in covering the observed data with a lower RMSE value; for single-site disaggregation, KNN could better keep the basic statistics (i.e. standard deviation, lag-1 autocorrelation and probability of wet hour) than HYETOS; for multisite disaggregation, MuDRain outperformed KNN in fitting interstation correlations. In the second part of the study, an integrated downscaling-disaggregation framework based on M-G, KNN, and MuDRain was used to generate hourly rainfall at multiple sites. The results indicated that the downscaled and disaggregated rainfall data based on multiple ensembles from HadCM3 for the period from 1980 to 2010 could well cover the observed mean rainfall amount and extreme data, and also reasonably keep the spatial correlations both at daily and hourly timescales. The framework was also used to project future rainfall conditions under HadCM3 SRES A2 and B2 scenarios. It was indicated that the annual rainfall amount could reduce up to 5% at the end of this century, but the rainfall of wet season and extreme hourly rainfall could notably increase.

  8. Relación entre ansiedad ante los exámenes, tipos de pruebas y rendimiento académico en estudiantes universitarios

    Directory of Open Access Journals (Sweden)

    José Hernando Ávila-Toscano

    2011-07-01

    Full Text Available Abstract This research paper shows the results of the assessment of anxiety in university students of different careers in relation to examinations, the types of tests made and their academic performance. 200 students at a private university were evaluated through a correlational design to determine cognitive manifestations, physiological and motor anxiety. Data were analyzed using Pearson Chi square and showed significant relationships for each set of symptoms with academic performance (p<.05. Group work, tests such debates, argumentative tests, among others were significantly related to anxious symptoms. It can be concluded that test anxiety significantly affects university students which becomes a problem that requires comprehensive interventions. Resumen El presente artículo de investigación muestra los resultados de la evaluación de la ansiedad en universitarios de diferentes carreras con relación a los exámenes, los tipos de pruebas académicas realizadas y su rendimiento académico. Se evaluaron 200 estudiantes de una universidad privada mediante un diseño correlacional para determinar manifestaciones cognitivas, fisiológicas y motoras de ansiedad. Los datos se analizaron con Chi cuadrado de Pearson, mostrando relaciones significativas de cada conjunto de síntomas con el rendimiento académico (p<.05. Los trabajos grupales, exámenes tipo debates, las pruebas argumentativas, entre otras, se relacionaron significativamente con los síntomas ansiosos. Se puede concluir que la ansiedad ante los exámenes afecta significativamente a estudiantes universitarios, constituyéndose en una problemática que requiere intervenciones integrales.

  9. Real-Time Analysis and Forecasting of Multisite River Flow Using a Distributed Hydrological Model

    Directory of Open Access Journals (Sweden)

    Mingdong Sun

    2014-01-01

    Full Text Available A spatial distributed hydrological forecasting system was developed to promote the analysis of river flow dynamic state in a large basin. The research presented the real-time analysis and forecasting of multisite river flow in the Nakdong River Basin using a distributed hydrological model with radar rainfall forecast data. A real-time calibration algorithm of hydrological distributed model was proposed to investigate the particular relationship between the water storage and basin discharge. Demonstrate the approach of simulating multisite river flow using a distributed hydrological model couple with real-time calibration and forecasting of multisite river flow with radar rainfall forecasts data. The hydrographs and results exhibit that calibrated flow simulations are very approximate to the flow observation at all sites and the accuracy of forecasting flow is gradually decreased with lead times extending from 1 hr to 3 hrs. The flow forecasts are lower than the flow observation which is likely caused by the low estimation of radar rainfall forecasts. The research has well demonstrated that the distributed hydrological model is readily applicable for multisite real-time river flow analysis and forecasting in a large basin.

  10. Real-time enrollment dashboard for multisite clinical trials

    Directory of Open Access Journals (Sweden)

    William A. Mattingly

    2015-10-01

    Conclusion: We have designed and implemented a visualization dashboard for managing multi-site clinical trial enrollment in two community acquired pneumonia studies. Information dashboards are useful for clinical trial management. They can be used in a standalone trial or can be included into a larger management system.

  11. Terrorismo de Estado y subjetividad : Escenarios actuales: juicios por crímenes de lesa humanidad

    OpenAIRE

    Cicconi, María Luján; Oñativia, Xavier Andrés; Vedio, Marta; Shapiro, Hernán

    2011-01-01

    El desarrollo de los juicios por crímenes de lesa humanidad cometidos por el Terrorismo de Estado durante la última dictadura cívico-militar configura un nuevo espacio de interés para la Psicología Pese a lo reciente de la implementación de estos procesos judiciales ya se cuenta con algunos antecedentes que proporcionan la suficiente información para revisar indicadores de impacto en la subjetividad de los actores intervinientes en dichas experiencias. Este Taller propone un espacio para la p...

  12. Multi-site pain and working conditions as predictors of work ability in a 4-year follow-up among food industry employees.

    Science.gov (United States)

    Neupane, S; Virtanen, P; Leino-Arjas, P; Miranda, H; Siukola, A; Nygård, C-H

    2013-03-01

    We investigated the separate and joint effects of multi-site musculoskeletal pain and physical and psychosocial exposures at work on future work ability. A survey was conducted among employees of a Finnish food industry company in 2005 (n = 1201) and a follow-up survey in 2009 (n = 734). Information on self-assessed work ability (current work ability on a scale from 0 to 10; 7 = poor work ability), multi-site musculoskeletal pain (pain in at least two anatomical areas of four), leisure-time physical activity, body mass index and physical and psychosocial exposures was obtained by questionnaire. The separate and joint effects of multi-site pain and work exposures on work ability at follow-up, among subjects with good work ability at baseline, were assessed by logistic regression, and p-values for the interaction derived. Compared with subjects with neither multi-site pain nor adverse work exposure, multi-site pain at baseline increased the risk of poor work ability at follow-up, allowing for age, gender, occupational class, body mass index and leisure-time physical activity. The separate effects of the work exposures on work ability were somewhat smaller than those of multi-site pain. Multi-site pain had an interactive effect with work environment and awkward postures, such that no association of multi-site pain with poor work ability was seen when work environment was poor or awkward postures present. The decline in work ability connected with multi-site pain was not increased by exposure to adverse physical or psychosocial factors at work. © 2012 European Federation of International Association for the Study of Pain Chapters.

  13. Developing and evaluating a multisite and multispecies NIR ...

    African Journals Online (AJOL)

    To elevate NIR from proof-of-concept to a pilot scale, a large multisite, multispecies calibration was developed over iterative cycles to: (1) determine whether KPY in eucalypts can be predicted from a single calibration independent of site and species, and (2) identify the potential limits of accuracy and precision. This paper ...

  14. Hydrological modeling using a multi-site stochastic weather generator

    Science.gov (United States)

    Weather data is usually required at several locations over a large watershed, especially when using distributed models for hydrological simulations. In many applications, spatially correlated weather data can be provided by a multi-site stochastic weather generator which considers the spatial correl...

  15. La política de la protesta en regímenes autoritarios: síntesis crítica

    Directory of Open Access Journals (Sweden)

    Felipe Sánchez Barría

    Full Text Available RESUMEN Introducción A través de una revisión crítica de la literatura reciente, el ensayo explora la relación entre protesta contenciosa y regímenes autoritarios, y examina las dinámicas y consecuencias que emergen durante el conflicto político. Métodos Para lo anterior se discuten tres elementos que los especialistas han identificado como los principales en esta relación: oportunidades y amenazas políticas; ciclos de protesta y sostenibilidad de los movimientos sociales; y la relación entre violencia estatal y acción colectiva. Resultados La recurrencia de la protesta en regímenes represivos muestra la capacidad de la sociedad civil para articular este tipo de acciones contenciosas. Discusión No obstante, las trayectorias y resultados dependen, por una parte, de las características políticas del régimen y la competencia del gobierno para responder a los desafíos colectivos; y, por otra parte, de la capacidad de los oponentes de montar ciclos de protestas densos en participación durante un periodo significativo, del tipo de tácticas adoptadas, y de la capacidad de adaptación y resiliencia a la violencia estatal.

  16. Mecanismos fisiológicos implicados en la ansiedad previa a exámenes

    Directory of Open Access Journals (Sweden)

    Annia Yolanda del Toro Añel

    2014-10-01

    Full Text Available En el campo de la salud mental, llama la atención de clínicos e investigadores la situación de los estudiantes universitarios en cuanto al estrés académico, puesto que las exigencias en este sentido, particularmente la presión ante los exámenes, es reconocida por los propios jóvenes como uno de los factores más estresantes que genera estados de ansiedad en ellos y, por ende, afecta su rendimiento académico. En este artículo se destacan las interacciones entre el sistema nervioso y endocrino, así como las influencias del estrés psicológico sobre el rendimiento académico

  17. Progress in centralised ethics review processes: Implications for multi-site health evaluations.

    Science.gov (United States)

    Prosser, Brenton; Davey, Rachel; Gibson, Diane

    2015-04-01

    Increasingly, public sector programmes respond to complex social problems that intersect specific fields and individual disciplines. Such responses result in multi-site initiatives that can span nations, jurisdictions, sectors and organisations. The rigorous evaluation of public sector programmes is now a baseline expectation. For evaluations of large and complex multi-site programme initiatives, the processes of ethics review can present a significant challenge. However in recent years, there have been new developments in centralised ethics review processes in many nations. This paper provides the case study of an evaluation of a national, inter-jurisdictional, cross-sector, aged care health initiative and its encounters with Australian centralised ethics review processes. Specifically, the paper considers progress against the key themes of a previous five-year, five nation study (Fitzgerald and Phillips, 2006), which found that centralised ethics review processes would save time, money and effort, as well as contribute to more equitable workloads for researchers and evaluators. The paper concludes with insights for those charged with refining centralised ethics review processes, as well as recommendations for future evaluators of complex multi-site programme initiatives. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. La insurgencia reprimida. Regímenes de Seguridad Nacional contra la revolución

    Directory of Open Access Journals (Sweden)

    Pedro Rivas Nieto

    2010-01-01

    Full Text Available En este artículo se estudia tanto el concepto que los regímenes de Seguridad Nacional tenían de la llamada guerra revolucionaria como la respuesta que le dieron. Allá en donde implantaron su dominio -especialmente en el Cono Sur de América- pensaban que las guerras revolucionarias eran nuevas técnicas de lucha más que un tipo definido de guerra, que todas respondían al mismo modelo revolucionario y que eran la estrategia del comunismo internacional para adueñarse del mundo. Por eso atacaron con especial dureza a los movimientos de izquierda, pensando que eran la avanzadilla moscovita para acabar con las democracias latinoamericanas.

  19. Using linear integer programming for multi-site land-use allocation

    NARCIS (Netherlands)

    Aerts, J.C.J.H.; Eisinger, E.; Heuvelink, G.B.M.; Stewart, Th.J.

    2003-01-01

    Research in the area of spatial decision support (SDS) and resource allocation has recently generated increased attention for integrating optimization techniques with GIS. In this paper we address the use of spatial optimization techniques for solving multi-site land-use allocation (MLUA) problems,

  20. Multi-site solar power forecasting using gradient boosted regression trees

    DEFF Research Database (Denmark)

    Persson, Caroline Stougård; Bacher, Peder; Shiga, Takahiro

    2017-01-01

    The challenges to optimally utilize weather dependent renewable energy sources call for powerful tools for forecasting. This paper presents a non-parametric machine learning approach used for multi-site prediction of solar power generation on a forecast horizon of one to six hours. Historical pow...

  1. Work characteristics predict the development of multi-site musculoskeletal pain

    NARCIS (Netherlands)

    Oakman, J.; Wind, A. de; Heuvel, S.G. van den; Beek, A.J. van der

    2017-01-01

    Purpose. Musculoskeletal pain in more than one body region is common and a barrier to sustaining employment. We aimed to examine whether work characteristics predict the development of multi-site pain (MSP), and to determine differences in work-related predictors between age groups. Methods. This

  2. Multi-Sited Ethnography and the Field of Educational Research

    Science.gov (United States)

    Pierides, Dean

    2010-01-01

    This paper responds to the challenge of how educational research might be practised in a contemporary world that is no longer necessarily organised by nearness and unity. Focusing on ethnography, it argues for what a multi-sited imaginary contributes to research in the field of education. By giving prominence to the notion of multi-sited…

  3. Reliability of instruments in a cooperative, multisite study: employment intervention demonstration program.

    Science.gov (United States)

    Salyers, M P; McHugo, G J; Cook, J A; Razzano, L A; Drake, R E; Mueser, K T

    2001-09-01

    Reliability of well-known instruments was examined in 202 people with severe mental illness participating in a multisite vocational study. We examined interrater reliability of the Positive and Negative Syndrome Scale (PANSS) and the internal consistency and test-retest reliability of the PANSS, the Rosenberg Self-Esteem Scale, the Medical Outcomes Study Short Form-36 (SF-36), and the Quality of Life Interview. Most scales had good levels of reliability, with intraclass correlation coefficients (ICCs) and coefficient alphas above .70. However, the SF-36 scales were generally less stable over time, particularly Social Functioning (ICC = .55). Test-retest reliability was lower among less educated respondents and among ethnic minorities. We recommend close monitoring of psychometric issues in future multisite studies.

  4. From Controlled Trial to Community Adoption: The Multisite Translational Community Trial

    Science.gov (United States)

    Murimi, Mary; Gonzalez, Anjelica; Njike, Valentine; Green, Lawrence W.

    2011-01-01

    Methods for translating the findings of controlled trials, such as the Diabetes Prevention Program, into real-world community application have not been clearly defined. A standardized research methodology for making and evaluating such a transition is needed. We introduce the multisite translational community trial (mTCT) as the research analog to the multisite randomized controlled trial. The mTCT is adapted to incorporate the principles and practices of community-based participatory research and the increased relevance and generalizability gained from diverse community settings. The mTCT is a tool designed to bridge the gap between what a clinical trial demonstrates can work in principle and what is needed to make it workable and effective in real-world settings. Its utility could be put to the test, in particular with practice-based research networks such as the Prevention Research Centers. PMID:21680935

  5. Efecto de diferentes regímenes de fertilización sobre la relación fitoplancton-bacteríoplancton en mesocosmos

    OpenAIRE

    Monserrate Vite, Marita Elizabeth

    2003-01-01

    Efecto de diferentes regímenes de fertilización sobre la relación fitoplancton-bacterioplancton en mesocosmos Se estudió el efecto de la adición de fertilizantes inorgánicos y orgánicos sobre la relación bacterioplancton – fitoplancton en mesocosmos (24 tanques de una tonelada de capacidad), llenados con agua del canal reservorio de la camaronera COFIMAR (Palmar, Ecuador).

  6. Diseño y validación de la plataforma PLEVALEX como respuesta a los retos de diseño de exámenes de lenguas para fines específicos

    Directory of Open Access Journals (Sweden)

    Jesús García Laborda

    2007-10-01

    Full Text Available Este artículo describe las necesidades de diseño y validación que llevaron al desarrollo de la Plataforma de Evaluación Valenciana de Lenguas Extranjeras (PLEVALEX para exámenes orales y escritos a través de Internet. Aunque la plataforma es multilingüe, en este trabajo nos referiremos a su uso para exámenes de inglés con fines específicos. La plataforma fue desarrollada por el Grupo de Investigación en Lenguas para Fines Específicos (GILFE de la Universidad Politécnica de Valencia. La validación se hizo en cooperación con el Centro de Investigación en Tecnologías Gráficas (CITG de la misma universidad. La prueba de ergonomía se realizó a tres niveles: diseñadores, expertos y usuarios. El seguimiento realizado con estudiantes de comunicación audiovisual y profesores de la Universidad Politécnica de Valencia indicó una reacción positiva hacia la plataforma de exámenes en red.

  7. PRE-EXÁMENES COMO UNA ESTRATEGIA DIDÁCTICA EN LOS CURSOS DE FÍSICA (SAMPLE TEST AS A TEACHING STRATEGY IN PHYSICS COURSES

    Directory of Open Access Journals (Sweden)

    Morales Ríos Herbert

    2010-04-01

    Full Text Available Resumen:Se describe la experiencia del uso de pre-exámenes o exámenes de prueba como una estrategia didáctica para el mejoramiento en el rendimiento y en el desempeño estudiantil en los cursos propios de la carrera de física. El objetivo principal de la experiencia era determinar, a priori, las deficiencias, tanto matemáticas como físicas, que tiene el estudiantado, corregirlas antes de administrarle el examen definitivo y establecer una evaluación formativa en el curso. En particular, el tema evaluado era el de oscilaciones lineales del curso de Mecánica Teórica. Se detalla en qué consiste dicha estrategia, la motivación de su implementación y los roles tanto docente como estudiantil. Se analizan los resultados de la experiencia para concluir con las bondades, limitaciones y proyecciones futuras del uso de los pre-exámenes, con el fin de mostrarlos como una herramienta más dentro de la labor docente universitaria.Abstract:We discuss our experience of using sample tests as a teaching strategy that allows us to improve the student grades in courses that belong to the College Physics Program. The main purpose of our experience was to find out the common mistakes both in mathematics and in physics made by the students and to correct them before the actual test, so that we could accomplish a formative evaluation. In particular, the evaluated subject was linear oscillations in the Classical Mechanics course. We describe what the strategy consists of, our motivation for using it and both the professor and the student roles. We analyze our results obtained in its implementation to conclude with the pros and cons of this teaching strategy and also with its future applications as a useful tool for improving college teaching.

  8. A P&T Committee's Transition to a Complete Electronic Meeting System-A Multisite Institution Experience.

    Science.gov (United States)

    Al-Jedai, Ahmed H; Algain, Roaa A; Alghamidi, Said A; Al-Jazairi, Abdulrazaq S; Amin, Rashid; Bin Hussain, Ibrahim Z

    2017-10-01

    In the last few decades, changes to formulary management processes have taken place in institutions with closed formulary systems. However, many P&T committees continued to operate using traditional paper-based systems. Paper-based systems have many limitations, including confidentiality, efficiency, open voting, and paper wastage. This becomes more challenging when dealing with a multisite P&T committee that handles formulary matters across the whole health care system. In this paper, we discuss the implementation of the first paperless, completely electronic, Web-based formulary management system across a large health care system in the Middle East. We describe the transitioning of a multisite P&T committee in a large tertiary care institution from a paper-based to an all-electronic system. The challenges and limitations of running a multisite P&T committee utilizing a paper system are discussed. The design and development of a Web-based committee floor management application that can be used from notebooks, tablets, and hand-held devices is described. Implementation of a flexible, interactive, easy-to-use, and efficient electronic formulary management system is explained in detail. The development of an electronic P&T committee meeting system that encompasses electronic document sharing, voting, and communication could help multisite health care systems unify their formularies across multiple sites. Our experience might not be generalizable to all institutions because this depends heavily on system features, existing processes and workflow, and implementation across different sites.

  9. Multisite Kinetic Modeling of 13C Metabolic MR Using [1-13C]Pyruvate

    Directory of Open Access Journals (Sweden)

    Pedro A. Gómez Damián

    2014-01-01

    Full Text Available Hyperpolarized 13C imaging allows real-time in vivo measurements of metabolite levels. Quantification of metabolite conversion between [1-13C]pyruvate and downstream metabolites [1-13C]alanine, [1-13C]lactate, and [13C]bicarbonate can be achieved through kinetic modeling. Since pyruvate interacts dynamically and simultaneously with its downstream metabolites, the purpose of this work is the determination of parameter values through a multisite, dynamic model involving possible biochemical pathways present in MR spectroscopy. Kinetic modeling parameters were determined by fitting the multisite model to time-domain dynamic metabolite data. The results for different pyruvate doses were compared with those of different two-site models to evaluate the hypothesis that for identical data the uncertainty of a model and the signal-to-noise ratio determine the sensitivity in detecting small physiological differences in the target metabolism. In comparison to the two-site exchange models, the multisite model yielded metabolic conversion rates with smaller bias and smaller standard deviation, as demonstrated in simulations with different signal-to-noise ratio. Pyruvate dose effects observed previously were confirmed and quantified through metabolic conversion rate values. Parameter interdependency allowed an accurate quantification and can therefore be useful for monitoring metabolic activity in different tissues.

  10. Multisite tumor sampling enhances the detection of intratumor heterogeneity at all different temporal stages of tumor evolution.

    Science.gov (United States)

    Erramuzpe, Asier; Cortés, Jesús M; López, José I

    2018-02-01

    Intratumor heterogeneity (ITH) is an inherent process of tumor development that has received much attention in previous years, as it has become a major obstacle for the success of targeted therapies. ITH is also temporally unpredictable across tumor evolution, which makes its precise characterization even more problematic since detection success depends on the precise temporal snapshot at which ITH is analyzed. New and more efficient strategies for tumor sampling are needed to overcome these difficulties which currently rely entirely on the pathologist's interpretation. Recently, we showed that a new strategy, the multisite tumor sampling, works better than the routine sampling protocol for the ITH detection when the tumor time evolution was not taken into consideration. Here, we extend this work and compare the ITH detections of multisite tumor sampling and routine sampling protocols across tumor time evolution, and in particular, we provide in silico analyses of both strategies at early and late temporal stages for four different models of tumor evolution (linear, branched, neutral, and punctuated). Our results indicate that multisite tumor sampling outperforms routine protocols in detecting ITH at all different temporal stages of tumor evolution. We conclude that multisite tumor sampling is more advantageous than routine protocols in detecting intratumor heterogeneity.

  11. Multisite Reliability of MR-Based Functional Connectivity

    Science.gov (United States)

    Noble, Stephanie; Scheinost, Dustin; Finn, Emily S.; Shen, Xilin; Papademetris, Xenophon; McEwen, Sarah C.; Bearden, Carrie E.; Addington, Jean; Goodyear, Bradley; Cadenhead, Kristin S.; Mirzakhanian, Heline; Cornblatt, Barbara A.; Olvet, Doreen M.; Mathalon, Daniel H.; McGlashan, Thomas H.; Perkins, Diana O.; Belger, Aysenil; Seidman, Larry J.; Thermenos, Heidi; Tsuang, Ming T.; van Erp, Theo G.M.; Walker, Elaine F.; Hamann, Stephan; Woods, Scott W.; Cannon, Tyrone D.; Constable, R. Todd

    2016-01-01

    Recent years have witnessed an increasing number of multisite MRI functional connectivity (fcMRI) studies. While multisite studies are an efficient way to speed up data collection and increase sample sizes, especially for rare clinical populations, any effects of site or MRI scanner could ultimately limit power and weaken results. Little data exists on the stability of functional connectivity measurements across sites and sessions. In this study, we assess the influence of site and session on resting state functional connectivity measurements in a healthy cohort of traveling subjects (8 subjects scanned twice at each of 8 sites) scanned as part of the North American Prodrome Longitudinal Study (NAPLS). Reliability was investigated in three types of connectivity analyses: (1) seed-based connectivity with posterior cingulate cortex (PCC), right motor cortex (RMC), and left thalamus (LT) as seeds; (2) the intrinsic connectivity distribution (ICD), a voxel-wise connectivity measure; and (3) matrix connectivity, a whole-brain, atlas-based approach assessing connectivity between nodes. Contributions to variability in connectivity due to subject, site, and day-of-scan were quantified and used to assess between-session (test-retest) reliability in accordance with Generalizability Theory. Overall, no major site, scanner manufacturer, or day-of-scan effects were found for the univariate connectivity analyses; instead, subject effects dominated relative to the other measured factors. However, summaries of voxel-wise connectivity were found to be sensitive to site and scanner manufacturer effects. For all connectivity measures, although subject variance was three times the site variance, the residual represented 60–80% of the variance, indicating that connectivity differed greatly from scan to scan independent of any of the measured factors (i.e., subject, site, and day-of-scan). Thus, for a single 5 min scan, reliability across connectivity measures was poor (ICC=0.07–0

  12. A comparison of single- and multi-site calibration and validation: a case study of SWAT in the Miyun Reservoir watershed, China

    Science.gov (United States)

    Bai, Jianwen; Shen, Zhenyao; Yan, Tiezhu

    2017-09-01

    An essential task in evaluating global water resource and pollution problems is to obtain the optimum set of parameters in hydrological models through calibration and validation. For a large-scale watershed, single-site calibration and validation may ignore spatial heterogeneity and may not meet the needs of the entire watershed. The goal of this study is to apply a multi-site calibration and validation of the Soil andWater Assessment Tool (SWAT), using the observed flow data at three monitoring sites within the Baihe watershed of the Miyun Reservoir watershed, China. Our results indicate that the multi-site calibration parameter values are more reasonable than those obtained from single-site calibrations. These results are mainly due to significant differences in the topographic factors over the large-scale area, human activities and climate variability. The multi-site method involves the division of the large watershed into smaller watersheds, and applying the calibrated parameters of the multi-site calibration to the entire watershed. It was anticipated that this case study could provide experience of multi-site calibration in a large-scale basin, and provide a good foundation for the simulation of other pollutants in followup work in the Miyun Reservoir watershed and other similar large areas.

  13. Network cyberinfrastructure as a shared platform to support multi-site research

    Science.gov (United States)

    Multi-site research across the Long-term Agroecosystem Research (LTAR) network requires access to data and information. We present some existing examples where you can get data from across the network and summarize the rich inventory of measurements taken across LTAR sites. But data management suppo...

  14. Realización y corrección automática de exámenes con hoja de cálculo

    Directory of Open Access Journals (Sweden)

    Sánchez García, Juan Francisco

    2007-01-01

    Full Text Available La forma habitual de realizar exámenes de tipo test es mediante formularios en papel que posteriormente son tratados con un escáner y un software específico que facilita la corrección así como la emisión de informes y la exportación de datos a aplicaciones de hoja de cálculo. En las asignaturas de informática de gestión llama la atención que en algunos casos se hace evaluación de términos informáticos y utilización de aplicaciones informáticas sobre papel, cuando el hacerlo directamente sobre el ordenador permitiría además comprobar los conocimientos prácticos del alumno.Con la idea de facilitar al alumno la cumplimentación de este tipo de exámenes hemos desarrollado una metodología propia utilizando la hoja de cálculo Microsoft Excel. De esta forma el formulario de examen se sustituye por un fichero de hoja de cálculo que posteriormente será tratado para obtener los resultados contenido en el mismo y facilitar su corrección, la cual también se efectuará con la propia hoja de cálculo, utilizando programación en Visual Basic para Aplicaciones (VBA.

  15. Stable Analogues of OSB-AMP: Potent Inhibitors of MenE the o-succinylbenzoate-CoA Synthetase from Bacterial Menaquinone Biosynthesis

    Energy Technology Data Exchange (ETDEWEB)

    Lu X.; Swaminathan S.; Zhou R.; Sharma I.; Li X.; Kumar G.; Tonge P. J.; Tan D. S.

    2012-01-02

    MenE, the o-succinylbenzoate (OSB)-CoA synthetase from bacterial menaquinone biosynthesis, is a promising new antibacterial target. Sulfonyladenosine analogues of the cognate reaction intermediate, OSB-AMP, have been developed as inhibitors of the MenE enzymes from Mycobacterium tuberculosis (mtMenE), Staphylococcus aureus (saMenE) and Escherichia coli (ecMenE). Both a free carboxylate and a ketone moiety on the OSB side chain are required for potent inhibitory activity. OSB-AMS (4) is a competitive inhibitor of mtMenE with respect to ATP (K{sub i} = 5.4 {+-} 0.1 nM) and a noncompetitive inhibitor with respect to OSB (K{sub i} = 11.2 {+-} 0.9 nM). These data are consistent with a Bi Uni Uni Bi Ping-Pong kinetic mechanism for these enzymes. In addition, OSB-AMS inhibits saMenE with K{sub i}{sup app} = 22 {+-} 8 nM and ecMenE with K{sub i}{sup OSB} = 128 {+-} 5 nM. Putative active-site residues, Arg222, which may interact with the OSB aromatic carboxylate, and Ser302, which may bind the OSB ketone oxygen, have been identified through computational docking of OSB-AMP with the unliganded crystal structure of saMenE. A pH-dependent interconversion of the free keto acid and lactol forms of the inhibitors is also described, along with implications for inhibitor design.

  16. Follow the link: Digital Tracings of a Multi-Sited Space of Research

    DEFF Research Database (Denmark)

    Munk, Anders Kristian

    The paper discusses the use of digital methods as an alternative way of generating what George Marcus calls 'posited logics of association' for use in multi-sited fieldwork. I draw on cases from an ongoing research project on the new nordic food movement and its on- and off-line assemblages. I do...... doing so I demonstrate how methods which are native to the digital domain - such as the link or the like as a valuation metric - may be re-appropriated as strategies in more ethnographic styles of work.......The paper discusses the use of digital methods as an alternative way of generating what George Marcus calls 'posited logics of association' for use in multi-sited fieldwork. I draw on cases from an ongoing research project on the new nordic food movement and its on- and off-line assemblages. I...

  17. Reading Profiles in Multi-Site Data With Missingness.

    Science.gov (United States)

    Eckert, Mark A; Vaden, Kenneth I; Gebregziabher, Mulugeta

    2018-01-01

    Children with reading disability exhibit varied deficits in reading and cognitive abilities that contribute to their reading comprehension problems. Some children exhibit primary deficits in phonological processing, while others can exhibit deficits in oral language and executive functions that affect comprehension. This behavioral heterogeneity is problematic when missing data prevent the characterization of different reading profiles, which often occurs in retrospective data sharing initiatives without coordinated data collection. Here we show that reading profiles can be reliably identified based on Random Forest classification of incomplete behavioral datasets, after the missForest method is used to multiply impute missing values. Results from simulation analyses showed that reading profiles could be accurately classified across degrees of missingness (e.g., ∼5% classification error for 30% missingness across the sample). The application of missForest to a real multi-site dataset with missingness ( n = 924) showed that reading disability profiles significantly and consistently differed in reading and cognitive abilities for cases with and without missing data. The results of validation analyses indicated that the reading profiles (cases with and without missing data) exhibited significant differences for an independent set of behavioral variables that were not used to classify reading profiles. Together, the results show how multiple imputation can be applied to the classification of cases with missing data and can increase the integrity of results from multi-site open access datasets.

  18. Reading Profiles in Multi-Site Data With Missingness

    Directory of Open Access Journals (Sweden)

    Mark A. Eckert

    2018-05-01

    Full Text Available Children with reading disability exhibit varied deficits in reading and cognitive abilities that contribute to their reading comprehension problems. Some children exhibit primary deficits in phonological processing, while others can exhibit deficits in oral language and executive functions that affect comprehension. This behavioral heterogeneity is problematic when missing data prevent the characterization of different reading profiles, which often occurs in retrospective data sharing initiatives without coordinated data collection. Here we show that reading profiles can be reliably identified based on Random Forest classification of incomplete behavioral datasets, after the missForest method is used to multiply impute missing values. Results from simulation analyses showed that reading profiles could be accurately classified across degrees of missingness (e.g., ∼5% classification error for 30% missingness across the sample. The application of missForest to a real multi-site dataset with missingness (n = 924 showed that reading disability profiles significantly and consistently differed in reading and cognitive abilities for cases with and without missing data. The results of validation analyses indicated that the reading profiles (cases with and without missing data exhibited significant differences for an independent set of behavioral variables that were not used to classify reading profiles. Together, the results show how multiple imputation can be applied to the classification of cases with missing data and can increase the integrity of results from multi-site open access datasets.

  19. Biological Stress Systems, Adverse Life Events, and the Improvement of Chronic Multisite Musculoskeletal Pain Across a 6-Year Follow-Up.

    Science.gov (United States)

    Generaal, Ellen; Vogelzangs, Nicole; Macfarlane, Gary J; Geenen, Rinie; Smit, Johannes H; de Geus, Eco J C N; Dekker, Joost; Penninx, Brenda W J H

    2017-02-01

    Dysfunction of biological stress systems and adverse life events, independently and in interaction, have been hypothesized to predict chronic pain persistence. Conversely, these factors may hamper the improvement of chronic pain. Longitudinal evidence is currently lacking. We examined whether: 1) function of biological stress systems, 2) adverse life events, and 3) their combination predict the improvement of chronic multisite musculoskeletal pain. Subjects of the Netherlands Study of Depression and Anxiety (NESDA) with chronic multisite musculoskeletal pain at baseline (N = 665) were followed-up 2, 4, and 6 years later. The Chronic Pain Grade Questionnaire was used to determine improvement (not meeting the criteria) of chronic multisite musculoskeletal pain at follow-up. Baseline assessment of biological stress systems included function of hypothalamic-pituitary-adrenal axis (1-hour cortisol awakening response, evening level, and post dexamethasone level), the immune system (basal and lipopolysaccharide-stimulated inflammatory markers), the autonomic nervous system (heart rate, pre-ejection period, SD of the normal-to-normal interval, and respiratory sinus arrhythmia). The number of adverse life events were assessed at baseline and 2-year follow-up using the List of Threatening Events Questionnaire. We showed that hypothalamic-pituitary-adrenal axis, immune system, and autonomic nervous system functioning and adverse life events were not associated with the improvement of chronic multisite musculoskeletal pain, either as a main effect or in interaction. This longitudinal study could not confirm that biological stress system dysfunction and adverse life events affect the course of chronic multisite musculoskeletal pain. Biological stress systems and adverse life events are not associated with the improvement of chronic multisite musculoskeletal pain over 6 years of follow-up. Other determinants should thus be considered in future research to identify in which

  20. Statistical Analysis for Multisite Trials Using Instrumental Variables with Random Coefficients

    Science.gov (United States)

    Raudenbush, Stephen W.; Reardon, Sean F.; Nomi, Takako

    2012-01-01

    Multisite trials can clarify the average impact of a new program and the heterogeneity of impacts across sites. Unfortunately, in many applications, compliance with treatment assignment is imperfect. For these applications, we propose an instrumental variable (IV) model with person-specific and site-specific random coefficients. Site-specific IV…

  1. A multi-site study on medical school selection, performance, motivation and engagement

    NARCIS (Netherlands)

    Wouters, A.; Croiset, G.; Schripsema, N. R.; Cohen-Schotanus, J.; Spaai, G. W. G.; Hulsman, R. L.; Kusurkar, R. A.

    Medical schools seek ways to improve their admissions strategies, since the available methods prove to be suboptimal for selecting the best and most motivated students. In this multi-site cross-sectional questionnaire study, we examined the value of (different) selection procedures compared to a

  2. Los exámenes preliminares de la Corte Penal Internacional en América Latina: el caso colombiano y su impacto sobre futuras negociaciones de paz en la región

    Directory of Open Access Journals (Sweden)

    Héctor Olásolo Alonso

    2014-06-01

    Full Text Available El artículo comienza analizando la función de la Fiscalía de la Corte Penal Internacional en la aplicación del principio de complementariedad, a través de los exámenes preliminares realizados durante los diez primeros años de funcionamiento de la Corte Penal Internacional. Se subraya la relevancia de los exámenes preliminares para fortalecer los órganos jurisdiccionales nacionales y el Estado de Derecho en los Estados afectados, y se constata que cada situación bajo examen requiere de una estrategia de actuación diferente debido a las particulares circunstancias que la rodean. A continuación, se analizan las características del fenómeno de la lesa humanidad en Colombia y las consecuencias de su configuración como crímenes internacionales de ius cogens. A la luz de lo anterior, se aborda el impacto del examen preliminar que la Fiscalía de la CPI viene desarrollando sobre la situación de Colombia para las actuales negociaciones de paz entre el Gobierno y las FARC. Para finalizar, el autor realiza algunas observaciones finales sobre la importancia de este examen preliminar más allá de Colombia para futuras negociaciones de paz en la región.

  3. Multi-site calibration, validation, and sensitivity analysis of the MIKE SHE Model for a large watershed in northern China

    Directory of Open Access Journals (Sweden)

    S. Wang

    2012-12-01

    Full Text Available Model calibration is essential for hydrologic modeling of large watersheds in a heterogeneous mountain environment. Little guidance is available for model calibration protocols for distributed models that aim at capturing the spatial variability of hydrologic processes. This study used the physically-based distributed hydrologic model, MIKE SHE, to contrast a lumped calibration protocol that used streamflow measured at one single watershed outlet to a multi-site calibration method which employed streamflow measurements at three stations within the large Chaohe River basin in northern China. Simulation results showed that the single-site calibrated model was able to sufficiently simulate the hydrographs for two of the three stations (Nash-Sutcliffe coefficient of 0.65–0.75, and correlation coefficient 0.81–0.87 during the testing period, but the model performed poorly for the third station (Nash-Sutcliffe coefficient only 0.44. Sensitivity analysis suggested that streamflow of upstream area of the watershed was dominated by slow groundwater, whilst streamflow of middle- and down- stream areas by relatively quick interflow. Therefore, a multi-site calibration protocol was deemed necessary. Due to the potential errors and uncertainties with respect to the representation of spatial variability, performance measures from the multi-site calibration protocol slightly decreased for two of the three stations, whereas it was improved greatly for the third station. We concluded that multi-site calibration protocol reached a compromise in term of model performance for the three stations, reasonably representing the hydrographs of all three stations with Nash-Sutcliffe coefficient ranging from 0.59–072. The multi-site calibration protocol applied in the analysis generally has advantages to the single site calibration protocol.

  4. Stable analogues of OSB-AMP: potent inhibitors of MenE, the o-succinylbenzoate-CoA synthetase from bacterial menaquinone biosynthesis.

    Science.gov (United States)

    Lu, Xuequan; Zhou, Rong; Sharma, Indrajeet; Li, Xiaokai; Kumar, Gyanendra; Swaminathan, Subramanyam; Tonge, Peter J; Tan, Derek S

    2012-01-02

    MenE, the o-succinylbenzoate (OSB)-CoA synthetase from bacterial menaquinone biosynthesis, is a promising new antibacterial target. Sulfonyladenosine analogues of the cognate reaction intermediate, OSB-AMP, have been developed as inhibitors of the MenE enzymes from Mycobacterium tuberculosis (mtMenE), Staphylococcus aureus (saMenE) and Escherichia coli (ecMenE). Both a free carboxylate and a ketone moiety on the OSB side chain are required for potent inhibitory activity. OSB-AMS (4) is a competitive inhibitor of mtMenE with respect to ATP (K(i) =5.4±0.1 nM) and a noncompetitive inhibitor with respect to OSB (K(i) =11.2±0.9 nM). These data are consistent with a Bi Uni Uni Bi Ping-Pong kinetic mechanism for these enzymes. In addition, OSB-AMS inhibits saMenE with K(i)(app) =22±8 nM and ecMenE with K(i)(OSB) =128±5 nM. Putative active-site residues, Arg222, which may interact with the OSB aromatic carboxylate, and Ser302, which may bind the OSB ketone oxygen, have been identified through computational docking of OSB-AMP with the unliganded crystal structure of saMenE. A pH-dependent interconversion of the free keto acid and lactol forms of the inhibitors is also described, along with implications for inhibitor design. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  5. Insomnia, Sleep Duration, Depressive Symptoms, and the Onset of Chronic Multisite Musculoskeletal Pain.

    Science.gov (United States)

    Generaal, Ellen; Vogelzangs, Nicole; Penninx, Brenda W J H; Dekker, Joost

    2017-01-01

    The temporal relationships among sleep, depressive symptoms, and pain are unclear. This longitudinal study examines whether insomnia and sleep duration predict the onset of chronic multisite musculoskeletal pain over 6 years and whether this association is mediated by depressive symptoms. 1860 subjects of the Netherlands Study of Depression and Anxiety, free from chronic multisite musculoskeletal pain at baseline, were followed up for the onset of chronic multisite musculoskeletal pain over 6 years (Chronic Pain Grade Questionnaire). We determined baseline insomnia (Women's Health Initiative Insomnia Rating Scale ≥9) and sleep duration (short: ≤6 hr, normal: 7-9 hr, long: ≥10 hr). Depressive symptoms were assessed at baseline and as a change score over time (Inventory of Depressive Symptomatology). Insomnia (hazard ratio [HR] [95% confidence interval, 95%CI] = 1.60 [1.30-1.96], p insomnia and short sleep with chronic pain onset (∆B = 40% and 26%, respectively). Adding the change score of depressive symptoms further weakened the association for insomnia (∆B = 16%) but not for short sleep. All direct effects for sleep measures with chronic pain onset remained statistically significant (p insomnia and short sleep duration are risk factors for developing chronic pain. Depressive symptoms partially mediate the effect for insomnia and short sleep with developing chronic pain. © Sleep Research Society 2016. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.

  6. Environmental and Geologic Assessment to Locate a Manual Sanitary Refill in the Mene de Mauroa Church, Venezuela

    Directory of Open Access Journals (Sweden)

    Simón E. Morales-Soto

    2016-05-01

    Full Text Available The inadequate disposal of urban wastes is nowadays an environmental issue having a negative impact on several communities. The objective of this investigation is to select the most adequate place to locate a manual sanitary landfill to dump the solid wastes from the Mene de Mauroa (Venezuela church. A total of 19 variables were subjected to a series of evaluations applying the scale and weight method. This method consists of comparing the variables according to their level of priority. The area with the highest score is to be selected as the most adequate area for the sanitary landfill according to a weighting scale of 5 values for the scoring of each variable.

  7. Stochastic generation of multi-site daily precipitation focusing on extreme events

    Directory of Open Access Journals (Sweden)

    G. Evin

    2018-01-01

    Full Text Available Many multi-site stochastic models have been proposed for the generation of daily precipitation, but they generally focus on the reproduction of low to high precipitation amounts at the stations concerned. This paper proposes significant extensions to the multi-site daily precipitation model introduced by Wilks, with the aim of reproducing the statistical features of extremely rare events (in terms of frequency and magnitude at different temporal and spatial scales. In particular, the first extended version integrates heavy-tailed distributions, spatial tail dependence, and temporal dependence in order to obtain a robust and appropriate representation of the most extreme precipitation fields. A second version enhances the first version using a disaggregation method. The performance of these models is compared at different temporal and spatial scales on a large region covering approximately half of Switzerland. While daily extremes are adequately reproduced at the stations by all models, including the benchmark Wilks version, extreme precipitation amounts at larger temporal scales (e.g., 3-day amounts are clearly underestimated when temporal dependence is ignored.

  8. Development of a continuous multisite accelerometry system for studying movements during sleep.

    Science.gov (United States)

    Terrill, Philip I; Mason, David G; Wilson, Stephen J

    2010-01-01

    Actigraphy has proven to be a useful tool in the assessment of circadian rhythms, and more recently in the automatic staging of sleep and wake states. Whilst accuracy of commercial systems appears good over 24 hour periods, the sensitivity of detecting wake during time in bed is poor. One possible explanation for these poor results is the technical limitations of currently available commercial actigraphs. In particular, raw data is generally not available to the user. Instead, activity counts for each epoch (typically between 10-60 secs) are calculated using various algorithms, from which sleep state is identified. Consequently morphologically different movements observed during sleep and wake states may not be detected as such. In this paper, the development of a continuous multisite, accelerometry system (CMAS) is described. Initial results, comparing data collected using a commercial actigraph (Actiwatch- Mini Motionlogger), and the continuous multisite accelerometry system are presented. The CMAS is able to differentiate brief movement "twitches" from postural changes.

  9. Multisite Case Study of Florida's Millennium High School Reform Model

    Directory of Open Access Journals (Sweden)

    Carol A. Mullen

    2002-10-01

    Full Text Available This study should have immediate utility for the United States and beyond its borders. School-to-work approaches to comprehensive reform are increasingly expected of schools while legislative funding for this purpose gets pulled back. This multisite case study launches the first analysis of the New Millennium High School (NMHS model in Florida. This improvement program relies upon exemplary leadership for preparing students for postsecondary education

  10. Proton adsorption onto alumina: extension of multisite complexation (MUSIC) theory

    Energy Technology Data Exchange (ETDEWEB)

    Nagashima, K.; Blum, F.D.

    1999-09-01

    The adsorption isotherm of protons onto a commercial {gamma}-alumina sample was determined in aqueous nitric acid with sodium nitrate as a background electrolyte. Three discrete regions could be discerned in the log-log plots of the proton isotherm determined at the solution pH 5 to 2. The multisite complexation (MUSIC) model was modified to analyze the simultaneous adsorption of protons onto various kinds of surface species.

  11. Multisite bias correction of precipitation data from regional climate models

    Czech Academy of Sciences Publication Activity Database

    Hnilica, Jan; Hanel, M.; Puš, V.

    2017-01-01

    Roč. 37, č. 6 (2017), s. 2934-2946 ISSN 0899-8418 R&D Projects: GA ČR GA16-05665S Grant - others:Grantová agentura ČR - GA ČR(CZ) 16-16549S Institutional support: RVO:67985874 Keywords : bias correction * regional climate model * correlation * covariance * multivariate data * multisite correction * principal components * precipitation Subject RIV: DA - Hydrology ; Limnology OBOR OECD: Climatic research Impact factor: 3.760, year: 2016

  12. Assessing the Utility of Diagnostic Criteria: A Multisite Study on Gender Identity Disorder

    NARCIS (Netherlands)

    Paap, M.C.S.; Kreukels, B.P.C.; Cohen-Kettenis, P.T.; Richter-Appelt, H.; De Cuypere, G.; Haraldsen, I.R.

    2011-01-01

    Studies involving patients with gender identity disorder (GID) are inconsistent with regard to outcomes and often difficult to compare because of the vague descriptions of the diagnostic process. A multisite study is needed to scrutinize the utility and generality of different aspects of the

  13. Multisite Interactions in Lattice-Gas Models

    Science.gov (United States)

    Einstein, T. L.; Sathiyanarayanan, R.

    For detailed applications of lattice-gas models to surface systems, multisite interactions often play at least as significant a role as interactions between pairs of adatoms that are separated by a few lattice spacings. We recall that trio (3-adatom, non-pairwise) interactions do not inevitably create phase boundary asymmetries about half coverage. We discuss a sophisticated application to an experimental system and describe refinements in extracting lattice-gas energies from calculations of total energies of several different ordered overlayers. We describe how lateral relaxations complicate matters when there is direct interaction between the adatoms, an issue that is important when examining the angular dependence of step line tensions. We discuss the connector model as an alternative viewpoint and close with a brief account of recent work on organic molecule overlayers.

  14. Crímenes de frontera: la criminalidad en la frontera sur de Brasil (1845-1889

    Directory of Open Access Journals (Sweden)

    Mariana Flores da Cunha Thompson Flores

    2012-12-01

    Full Text Available Los espacios de frontera establecen el límite y el contacto a la vez, concertando la paradoja de inestabilidad e integración, sobretodo en el siglo XIX cuando los Estados intentaban demarcarse constantemente. De esta manera, estos espacios limítrofes ofrecían márgenes de acción y negociación a los individuos que actuaban a través de la frontera valiéndose de las brechas existentes entre las soberanías yuxtapuestas a fin de mantenerse e reproducirse en este espacio complejo. Considerando que el contexto de frontera constituía un elemento importante a ser llevado en cuenta en las estrategias cotidianas de los fronterizos, el presente artículo pretende demostrar la valencia estratégica de la frontera en el campo de la criminalidad, analizando crímenes ocurridos en este espacio

  15. Ejercicios resueltos de investigación operativa : exámenes propuestos en la Facultad de Ciencias Económicas y Empresariales

    OpenAIRE

    Castro Íñigo, Belén; Díez Sánchez, Henar; Urrutia Careaga, Ana Marta

    2011-01-01

    La asignatura Investigación Operativa es una asignatura cuatrimestral dedicada fundamentalmente a la introducción de los modelos deterministas más elementales dentro de la investigación de operaciones. Esta asignatura se ha impartido en los últimos años en el tercer curso de la Licenciatura de Administración y Dirección de Empresas (L.A.D.E.) en la Facultad de Ciencias Económicas y Empresariales de la UPV/EHU. Esta publicación recoge los problemas resueltos propuestos en los exámenes de la...

  16. Multisite Ion Model in Concentrated Solutions of Divalent Cations (MgCl2 and CaCl2): Osmotic Pressure Calculations

    Science.gov (United States)

    2015-01-01

    Accurate force field parameters for ions are essential for meaningful simulation studies of proteins and nucleic acids. Currently accepted models of ions, especially for divalent ions, do not necessarily reproduce the right physiological behavior of Ca2+ and Mg2+ ions. Saxena and Sept (J. Chem. Theor. Comput.2013, 9, 3538–3542) described a model, called the multisite-ion model, where instead of treating the ions as an isolated sphere, the charge was split into multiple sites with partial charge. This model provided accurate inner shell coordination of the ion with biomolecules and predicted better free energies for proteins and nucleic acids. Here, we expand and refine the multisite model to describe the behavior of divalent ions in concentrated MgCl2 and CaCl2 electrolyte solutions, eliminating the unusual ion–ion pairing and clustering of ions which occurred in the original model. We calibrate and improve the parameters of the multisite model by matching the osmotic pressure of concentrated solutions of MgCl2 to the experimental values and then use these parameters to test the behavior of CaCl2 solutions. We find that the concentrated solutions of both divalent ions exhibit the experimentally observed behavior with correct osmotic pressure, the presence of solvent separated ion pairs instead of direct ion pairs, and no aggregation of ions. The improved multisite model for (Mg2+ and Ca2+) can be used in classical simulations of biomolecules at physiologically relevant salt concentrations. PMID:25482831

  17. Assessing the utility of diagnostic criteria: a multi-site study on gender identity disorder

    NARCIS (Netherlands)

    Paap, Muirne; Kreukels, Baudewijntje P.C.; Cohen-Kettenis, Peggy; Richter-Appelt, Hertha; De Cuypere, Griet; Haraldsen, Ira R.

    2011-01-01

    Introduction: Studies involving patients with gender identity disorder (GID) are inconsistent with regard to outcomes and often difficult to compare because of the vague descriptions of the diagnostic process. A multisite study is needed to scrutinize the utility and generality of different aspects

  18. Quantification of source impact to PM using three-dimensional weighted factor model analysis on multi-site data

    Science.gov (United States)

    Shi, Guoliang; Peng, Xing; Huangfu, Yanqi; Wang, Wei; Xu, Jiao; Tian, Yingze; Feng, Yinchang; Ivey, Cesunica E.; Russell, Armistead G.

    2017-07-01

    Source apportionment technologies are used to understand the impacts of important sources of particulate matter (PM) air quality, and are widely used for both scientific studies and air quality management. Generally, receptor models apportion speciated PM data from a single sampling site. With the development of large scale monitoring networks, PM speciation are observed at multiple sites in an urban area. For these situations, the models should account for three factors, or dimensions, of the PM, including the chemical species concentrations, sampling periods and sampling site information, suggesting the potential power of a three-dimensional source apportionment approach. However, the principle of three-dimensional Parallel Factor Analysis (Ordinary PARAFAC) model does not always work well in real environmental situations for multi-site receptor datasets. In this work, a new three-way receptor model, called "multi-site three way factor analysis" model is proposed to deal with the multi-site receptor datasets. Synthetic datasets were developed and introduced into the new model to test its performance. Average absolute error (AAE, between estimated and true contributions) for extracted sources were all less than 50%. Additionally, three-dimensional ambient datasets from a Chinese mega-city, Chengdu, were analyzed using this new model to assess the application. Four factors are extracted by the multi-site WFA3 model: secondary source have the highest contributions (64.73 and 56.24 μg/m3), followed by vehicular exhaust (30.13 and 33.60 μg/m3), crustal dust (26.12 and 29.99 μg/m3) and coal combustion (10.73 and 14.83 μg/m3). The model was also compared to PMF, with general agreement, though PMF suggested a lower crustal contribution.

  19. Cuestión social y regímenes militares. Argentina y Chile durante los años setenta

    Directory of Open Access Journals (Sweden)

    Gabriela Gomes

    2015-01-01

    Full Text Available En este artículo se analizan las políticas sociales destinadas a la búsqueda del consenso que llevaron adelante la Secretaría de Estado de Promoción y Asistencia a la Comunidad del Ministerio de Bienestar Social durante la “Revolución Argentina” (1966-1973 y la Dirección de Organizaciones Civiles y el Ministerio del Interior durante la dictadura chilena (1973-1988. El abordaje propuesto apunta a complejizar la noción de Estado burocrático autoritario, puesto que se considera como hipótesis que ambos regímenes no solo se dedicaron a reprimir las actividades políticas de los sectores populares, sino que buscaron reorganizarlos bajo nuevas coordenadas sociales.

  20. Afrontamiento ante exámenes : desarrollos de los principales modelos teóricos para su definición y medición

    OpenAIRE

    Piemontesi, Sebastián Eduardo; Heredia, Daniel Esteban

    2009-01-01

    El modelo transaccional del afrontamiento desarrollado por Lazarus y Folkman (1984) ha sido el más aceptado en la investigación sobre afrontamiento. Sus aportes han permitido el estudio de los exámenes como una situación de estrés especifica caracterizada como un proceso complejo con cambios significativos en el uso de varias estrategias a través de sus distintas etapas. Si bien existen numerosos estudios y medidas de afrontamiento creadas a partir de este modelo, sus desarrollos se han compl...

  1. A Qualitative Multi-Site Case Study: Examining Principals' Leadership Styles and School Performance

    Science.gov (United States)

    Preyear, Loukisha

    2015-01-01

    The purpose of this qualitative multi-site case study was to explore the impact of principals' leadership styles on student academic achievement in a high-poverty low-performing school district in Louisiana. A total of 17 participants, principals and teachers, from this school district were used in this study. Data source triangulation of…

  2. Positive Family Intervention for Severe Challenging Behavior I: A Multisite Randomized Clinical Trial

    Science.gov (United States)

    Durand, V. Mark; Hieneman, Meme; Clarke, Shelley; Wang, Mo; Rinaldi, Melissa L.

    2013-01-01

    The present study was a multisite randomized clinical trial assessing the effects of adding a cognitive-behavioral intervention to positive behavior support (PBS). Fifty-four families who met the criteria of (a) having a child with a developmental disability, (b) whose child displayed serious challenging behavior (e.g., aggression, self-injury,…

  3. Role of the hospitalist in antimicrobial stewardship: a review of work completed and description of a multisite collaborative.

    Science.gov (United States)

    Rohde, Jeffrey M; Jacobsen, Diane; Rosenberg, David J

    2013-06-01

    Historically, antimicrobial stewardship programs have been led by infectious-disease physicians and pharmacists. With the growing presence of hospitalists in health and hospital systems, combined with their focus on quality improvement and patient safety, this emerging medical specialty has the potential to fill essential roles in antimicrobial stewardship programs. The goal of this article was to present the reasons hospitalists are ideally positioned to fill antimicrobial-stewardship roles, a narrative review of previously reported hospitalist-led antibiotic-stewardship projects, and a description of an ongoing multisite collaborative by the Institute for Healthcare Improvement (IHI) and the Centers for Disease Control and Prevention (CDC). A review of the published literature was performed, including an extensive review of the abstracts submitted to the Society of Hospital Medicine annual meetings. A number of examples of hospitalists developing and leading antimicrobial-stewardship programs are described. The details of a current multisite IHI/CDC hospitalist-focused initiative are discussed in detail. Hospitalists are actively involved with, and even lead, a variety of antimicrobial-stewardship programs in several different hospital systems. A large, multisite collaborative focused on hospitalist-led antimicrobial stewardship is currently in progress. Copyright © 2013 Elsevier HS Journals, Inc. All rights reserved.

  4. A novel biometric signature: multi-site, remote (> 100 m) photo-plethysmography using ambient light

    NARCIS (Netherlands)

    Verkruijsse, W.; Bodlaender, M.P.

    2010-01-01

    We propose a novel biometric signature based on the principle of multi-site remote photo-plethysmography (remote PPG). This signature can be measured using video cameras. Traditional PPG uses a contact sensor to measure slight skin color changes that occur with every heartbeat. Recently we have

  5. Multisite EPR oximetry from multiple quadrature harmonics.

    Science.gov (United States)

    Ahmad, R; Som, S; Johnson, D H; Zweier, J L; Kuppusamy, P; Potter, L C

    2012-01-01

    Multisite continuous wave (CW) electron paramagnetic resonance (EPR) oximetry using multiple quadrature field modulation harmonics is presented. First, a recently developed digital receiver is used to extract multiple harmonics of field modulated projection data. Second, a forward model is presented that relates the projection data to unknown parameters, including linewidth at each site. Third, a maximum likelihood estimator of unknown parameters is reported using an iterative algorithm capable of jointly processing multiple quadrature harmonics. The data modeling and processing are applicable for parametric lineshapes under nonsaturating conditions. Joint processing of multiple harmonics leads to 2-3-fold acceleration of EPR data acquisition. For demonstration in two spatial dimensions, both simulations and phantom studies on an L-band system are reported. Copyright © 2011 Elsevier Inc. All rights reserved.

  6. Bias and Bias Correction in Multisite Instrumental Variables Analysis of Heterogeneous Mediator Effects

    Science.gov (United States)

    Reardon, Sean F.; Unlu, Fatih; Zhu, Pei; Bloom, Howard S.

    2014-01-01

    We explore the use of instrumental variables (IV) analysis with a multisite randomized trial to estimate the effect of a mediating variable on an outcome in cases where it can be assumed that the observed mediator is the only mechanism linking treatment assignment to outcomes, an assumption known in the IV literature as the exclusion restriction.…

  7. La marea autoritaria: nacimiento, desarrollo y consolidación de regímenes parafascistas en Austria y España

    Directory of Open Access Journals (Sweden)

    Miguel Ángel del Arco Blanco

    2009-12-01

    Full Text Available En el presente trabajo se explica el nacimiento y propagación de los movimientos fascistas a partir de las secuelas de la I Guerra Mundial y del escenario político y social que le siguió. Los casos que analizamos en el presente trabajo, Austria y España, encajan perfectamente en ese contexto; y de ello deriva el interés de su estudio para la comprensión de la llegada e implantación del fascismo en Europa, así como del parafascismo (regímenes que, aunque no fueron plenamente fascistas, sí compartieron algunas características y fueron fuertemente influenciados por el fascismo en su nacimiento, implantación y consolidación. El análisis y comparación de regímenes como el Ständestaat y el franquista quizá pongan de manifiesto que el parafascismo pudo ser más la norma que la excepción a la alternativa plenamente fascista en la Europa de entreguerras.______________________ABSTRACT:The present work tries to explain the birth and the spread of facist movements from the consequences of theFirst World War and the political and social scene that followed it. The cases that we analyzed in this work, Austria and Spain, fit perfectly in that context; this kind of analysis facilitates the understanding of the coming and implantation of fascism in Europe, as well as of parafascism phenomenon (a kind of regime that, although is not totally facist, it shares some characteristics and is strongly influenced by the fascism in its birth, implantation and consolidation. The analysis and comparison of regimes just as the Ständestaat and the Franquista's one can show that the parafascism could be the norm in lieu of the exception to the totally facist alternative in the inter-war Europe.

  8. Regímenes estacionales de precipitación en la vertiente mediterránea de la Península Ibérica

    OpenAIRE

    Luis Arrillaga, Martín de; González Hidalgo, José Carlos; Longares, Luis Alberto; Stepanek, Petr

    2008-01-01

    Ponencia presentada en: VI Congreso Internacional de la Asociación Española de Climatología celebrado en Tarragona del 8 al 11 de octubre de 2008. [ES]En este trabajo analizamos los regímenes estacionales de precipitación de la fachada Mediterránea de la Península Ibérica empleando la base de datos de precipitaciones mensuales MOPREDAMES (1113 series mensuales; periodo 1951-2000). En cada observatorio se estimó el régimen de precipitación promedio y anualmente se calculó el régime...

  9. Integrative invasion science: model systems, multi-site studies, focused meta-analysis, and invasion syndromes

    Czech Academy of Sciences Publication Activity Database

    Kueffer, C.; Pyšek, Petr; Richardson, D. M.

    2013-01-01

    Roč. 200, č. 3 (2013), s. 615-633 ISSN 1469-8137 R&D Projects: GA ČR(CZ) GAP504/11/1028; GA ČR GA206/09/0563 Institutional support: RVO:67985939 Keywords : model systems * invasion syndromes * multi-site studies Subject RIV: EF - Botanics Impact factor: 6.545, year: 2013

  10. Multi-Site Calibration of Linear Reservoir Based Geomorphologic Rainfall-Runoff Models

    Directory of Open Access Journals (Sweden)

    Bahram Saeidifarzad

    2014-09-01

    Full Text Available Multi-site optimization of two adapted event-based geomorphologic rainfall-runoff models was presented using Non-dominated Sorting Genetic Algorithm (NSGA-II method for the South Fork Eel River watershed, California. The first model was developed based on Unequal Cascade of Reservoirs (UECR and the second model was presented as a modified version of Geomorphological Unit Hydrograph based on Nash’s model (GUHN. Two calibration strategies were considered as semi-lumped and semi-distributed for imposing (or unimposing the geomorphology relations in the models. The results of models were compared with Nash’s model. Obtained results using the observed data of two stations in the multi-site optimization framework showed reasonable efficiency values in both the calibration and the verification steps. The outcomes also showed that semi-distributed calibration of the modified GUHN model slightly outperformed other models in both upstream and downstream stations during calibration. Both calibration strategies for the developed UECR model during the verification phase showed slightly better performance in the downstream station, but in the upstream station, the modified GUHN model in the semi-lumped strategy slightly outperformed the other models. The semi-lumped calibration strategy could lead to logical lag time parameters related to the basin geomorphology and may be more suitable for data-based statistical analyses of the rainfall-runoff process.

  11. Safety and Clinical Activity of Pembrolizumab and Multisite Stereotactic Body Radiotherapy in Patients With Advanced Solid Tumors.

    Science.gov (United States)

    Luke, Jason J; Lemons, Jeffrey M; Karrison, Theodore G; Pitroda, Sean P; Melotek, James M; Zha, Yuanyuan; Al-Hallaq, Hania A; Arina, Ainhoa; Khodarev, Nikolai N; Janisch, Linda; Chang, Paul; Patel, Jyoti D; Fleming, Gini F; Moroney, John; Sharma, Manish R; White, Julia R; Ratain, Mark J; Gajewski, Thomas F; Weichselbaum, Ralph R; Chmura, Steven J

    2018-02-13

    Purpose Stereotactic body radiotherapy (SBRT) may stimulate innate and adaptive immunity to augment immunotherapy response. Multisite SBRT is an emerging paradigm for treating metastatic disease. Anti-PD-1-treatment outcomes may be improved with lower disease burden. In this context, we conducted a phase I study to evaluate the safety of pembrolizumab with multisite SBRT in patients with metastatic solid tumors. Patients and Methods Patients progressing on standard treatment received SBRT to two to four metastases. Not all metastases were targeted, and metastases > 65 mL were partially irradiated. SBRT dosing varied by site and ranged from 30 to 50 Gy in three to five fractions with predefined dose de-escalation if excess dose-limiting toxicities were observed. Pembrolizumab was initiated within 7 days after completion of SBRT. Pre- and post-SBRT biopsy specimens were analyzed in a subset of patients to quantify interferon-γ-induced gene expression. Results A total of 79 patients were enrolled; three patients did not receive any treatment and three patients only received SBRT. Patients included in the analysis were treated with SBRT and at least one cycle of pembrolizumab. Most (94.5%) of patients received SBRT to two metastases. Median follow-up for toxicity was 5.5 months (interquartile range, 3.3 to 8.1 months). Six patients experienced dose-limiting toxicities with no radiation dose reductions. In the 68 patients with imaging follow-up, the overall objective response rate was 13.2%. Median overall survival was 9.6 months (95% CI, 6.5 months to undetermined) and median progression-free survival was 3.1 months (95% CI, 2.9 to 3.4 months). Expression of interferon-γ-associated genes from post-SBRT tumor biopsy specimens significantly correlated with nonirradiated tumor response. Conclusion Multisite SBRT followed by pembrolizumab was well tolerated with acceptable toxicity. Additional studies exploring the clinical benefit and predictive biomarkers of combined

  12. The IM ABLE Study: A Cross-Sector, Multisite Initiative to Advance Care for Warriors and Veterans Following Neuromusculoskeletal Injury of the Lower Limb

    Science.gov (United States)

    2017-10-01

    AWARD NUMBER: W81XWH-16-1-0738 TITLE: The IM ABLE Study: A Cross-Sector, Multisite Initiative to Advance Care for Warriors and Veterans...REPORT TYPE Annual 3. DATES COVERED 30 Sep 2016 - 29 Sep 2017 4. TITLE AND SUBTITLE The IM ABLE Study: A Cross-Sector, Multisite Initiative to...widely agreed upon, if accepted at all. If the devices truly improve function and comfort, then the initial high costs of provision may be justified

  13. Reliability of an fMRI Paradigm for Emotional Processing in a Multisite Longitudinal Study

    Science.gov (United States)

    Gee, Dylan G.; McEwen, Sarah C.; Forsyth, Jennifer K.; Haut, Kristen M.; Bearden, Carrie E.; Addington, Jean; Goodyear, Bradley; Cadenhead, Kristin S.; Mirzakhanian, Heline; Cornblatt, Barbara A.; Olvet, Doreen; Mathalon, Daniel H.; McGlashan, Thomas H.; Perkins, Diana O.; Belger, Aysenil; Seidman, Larry J.; Thermenos, Heidi; Tsuang, Ming T.; van Erp, Theo G.M.; Walker, Elaine F.; Hamann, Stephan; Woods, Scott W.; Constable, Todd; Cannon, Tyrone D.

    2015-01-01

    Multisite neuroimaging studies can facilitate the investigation of brain-related changes in many contexts, including patient groups that are relatively rare in the general population. Though multisite studies have characterized the reliability of brain activation during working memory and motor functional magnetic resonance imaging tasks, emotion processing tasks, pertinent to many clinical populations, remain less explored. A traveling participants study was conducted with eight healthy volunteers scanned twice on consecutive days at each of the eight North American Longitudinal Prodrome Study sites. Tests derived from generalizability theory showed excellent reliability in the amygdala (Eρ2=0.82), inferior frontal gyrus (IFG;Eρ2=0.83), anterior cingulate cortex (ACC;Eρ2=0.76), insula (Eρ2=0.85), and fusiform gyrus (Eρ2=0.91) for maximum activation and fair to excellent reliability in the amygdala (Eρ2=0.44), IFG (Eρ2=0.48), ACC (Eρ2=0.55), insula (Eρ2=0.42), and fusiform gyrus (Eρ2=0.83) for mean activation across sites and test days. For the amygdala, habituation (Eρ2=0.71) was more stable than mean activation. In a second investigation, data from 111 healthy individuals across sites were aggregated in a voxelwise, quantitative meta-analysis. When compared with a mixed effects model controlling for site, both approaches identified robust activation in regions consistent with expected results based on prior single-site research. Overall, regions central to emotion processing showed strong reliability in the traveling participants study and robust activation in the aggregation study. These results support the reliability of blood oxygen level-dependent signal in emotion processing areas across different sites and scanners and may inform future efforts to increase efficiency and enhance knowledge of rare conditions in the population through multisite neuroimaging paradigms. PMID:25821147

  14. A Multi-Site Campaign to Measure Solar-Like Oscillations in Procyon. II. Mode Frequencies

    DEFF Research Database (Denmark)

    Bedding, Timothy R.; Kjeldsen, Hans; Campante, Tiago L.

    2010-01-01

      We have analyzed data from a multi-site campaign to observe oscillations in the F5 star Procyon. The data consist of high-precision velocities that we obtained over more than three weeks with 11 telescopes. A new method for adjusting the data weights allows us to suppress the sidelobes in the p...

  15. Radical, reformist and aborted liberalism: origins of national regimes in Central America Liberalismo radical, reformista y frustrado: orígenes de los regímenes nacionales en América central

    Directory of Open Access Journals (Sweden)

    James MAHONEY

    2011-06-01

    Full Text Available During the twentieth century, the countries of Central America were characterized by remarkably different political regimes: military-authoritarianism in Guatemala and El Salvador, progressive democracy in Costa Rica and traditional-authoritarianism in Honduras and Nicaragua. This article explains these contrasting regime outcomes by exploring the agrarian and state-building reforms pursued by political leaders during the nineteenth– and early twentieth century liberal reform period. Based on differences in the transformation of state and class structures, three types of liberalism are identified: radical liberalism in Guatemala and El Salvador, reformist liberalism in Costa Rica and aborted liberalism in Honduras and Nicaragua. It is argued that these types of liberalism set the Central American countries on contrasting paths of political development, culminating in diverse regime outcomes.Durante el siglo XX, los países de América Central se caracterizaron por tener regímenes políticos muy diferentes: el autoritarismo militar en Guatemala y El Salvador; la democracia progresista en Costa Rica y el autoritarismo tradicional en Honduras y Nicaragua. Este artículo explica los resultados de estos distintos regímenes mediante la exploración de las reformas agrarias y de la construcción del Estado llevadas a cabo por los líderes políticos durante el siglo XIX y principios del periodo de reformas liberales del siglo XX. Basándose en las diferencias de la transformación del Estado y de las estructuras de clases, se pueden identificar tres tipos de liberalismo: liberalismo radical en Guatemala y El Salvador; liberalismo reformista en Costa Rica y liberalismo frustrado en Honduras y Nicaragua. Se argumenta que estos tipos de liberalismo condujeron a los países de América Central a caminos contrarios al desarrollo político, culminando así en regímenes con resultados diversos.

  16. Modeling multisite streamflow dependence with maximum entropy copula

    Science.gov (United States)

    Hao, Z.; Singh, V. P.

    2013-10-01

    Synthetic streamflows at different sites in a river basin are needed for planning, operation, and management of water resources projects. Modeling the temporal and spatial dependence structure of monthly streamflow at different sites is generally required. In this study, the maximum entropy copula method is proposed for multisite monthly streamflow simulation, in which the temporal and spatial dependence structure is imposed as constraints to derive the maximum entropy copula. The monthly streamflows at different sites are then generated by sampling from the conditional distribution. A case study for the generation of monthly streamflow at three sites in the Colorado River basin illustrates the application of the proposed method. Simulated streamflow from the maximum entropy copula is in satisfactory agreement with observed streamflow.

  17. Patterns of Technochange Management in ERP Multisite Implementations

    DEFF Research Database (Denmark)

    Carugati, Andrea; Gibson, Cyrus; Mola, Lapo

    2009-01-01

    % of the total costs of implementation, small in comparison to installation and testing (45%) and, most significantly, deployment or actually achieving effective use of technology (36%). Douplaga and Astani [7] in a survey conducted among companies of various size to discovered the major issues concerning ERP......, customizations and training. This study focus therefore on the knowledge and training issues in multisite ERP implementations and proposes a contingent approach to implementation strategies in accordance to the level of knowledge possessed by the company in the ERP technology. ...... problems in getting business results from pervasive IT-related "technochanges". Technochange [4] refers to big, technology-driven, technology-dependent change seeking significant strategic benefits and requiring significant organizational change. From the management point of view these projects differ from...

  18. ¿Qué hay detrás del miedo a los exámenes? Why do people fear exams?

    Directory of Open Access Journals (Sweden)

    R. Sender

    2004-03-01

    Full Text Available Introducción: Se analizan las características psicológicas de una muestra de 32 estudiantes de medicina que solicitan ayuda para afrontar el miedo a los exámenes. Material y método: Las pruebas seleccionadas para el análisis de esta población son el GHQ-28, el STAI de rasgo, la escala de percepción de estrés del UNCAHS y la Sensibilidad al Castigo y a la Recompensa (SCRS. Los puntajes obtenidos se compararon con los de un grupo control de estudiantes de primer curso. Resultados: 90 % de los sujetos de la muestra fueron mujeres y el 25 % recibieron o estaban recibiendo atención psicológica o psiquiátrica. Entre los estudiantes que solicitaron ayuda había un nivel más alto de psicopatología, una más alta sensibilidad al castigo y una más baja sensibilidad a la recompensa que en el grupo control. Conclusiones: Los estudiantes con ansiedad ante los exámenes presentan más sensibilidad al castigo y menos sensibilidad a la recompensa, y muestran más síntomas depresivos y obsesivos que los estudiantes del grupo control.Introduction: Psychological traits are analysed in a sample of medicine students (n=32 who requested treatment for their fear of examinations. Material and method: Psychopathological variables were evaluated by GHQ-28 and STAI; perceived stress by the UNCAHS, and sensitivity to punishment and reward by the SPSR questionnaire. The group’s scores were compared with those obtained by a control group comprising first-year medicine students. Results: 90% of the sample were woman and 25% had received (or were receiving psychological or psychiatric attention. Among students who asked for treatment there was a higher rate of psychopathology, a higher sensitivity to punishment and lower sensitivity to reward than among controls. Conclusions: Students with fear of examinations were more sensitive to punishment and less sensitive to reward, and showed more depressive and obsessive symptoms than controls.

  19. Bias and Bias Correction in Multi-Site Instrumental Variables Analysis of Heterogeneous Mediator Effects

    Science.gov (United States)

    Reardon, Sean F.; Unlu, Faith; Zhu, Pei; Bloom, Howard

    2013-01-01

    We explore the use of instrumental variables (IV) analysis with a multi-site randomized trial to estimate the effect of a mediating variable on an outcome in cases where it can be assumed that the observed mediator is the only mechanism linking treatment assignment to outcomes, as assumption known in the instrumental variables literature as the…

  20. Research staff training in a multisite randomized clinical trial: Methods and recommendations from the Stimulant Reduction Intervention using Dosed Exercise (STRIDE) trial.

    Science.gov (United States)

    Walker, Robrina; Morris, David W; Greer, Tracy L; Trivedi, Madhukar H

    2014-01-01

    Descriptions of and recommendations for meeting the challenges of training research staff for multisite studies are limited despite the recognized importance of training on trial outcomes. The STRIDE (STimulant Reduction Intervention using Dosed Exercise) study is a multisite randomized clinical trial that was conducted at nine addiction treatment programs across the United States within the National Drug Abuse Treatment Clinical Trials Network (CTN) and evaluated the addition of exercise to addiction treatment as usual (TAU), compared to health education added to TAU, for individuals with stimulant abuse or dependence. Research staff administered a variety of measures that required a range of interviewing, technical, and clinical skills. In order to address the absence of information on how research staff are trained for multisite clinical studies, the current manuscript describes the conceptual process of training and certifying research assistants for STRIDE. Training was conducted using a three-stage process to allow staff sufficient time for distributive learning, practice, and calibration leading up to implementation of this complex study. Training was successfully implemented with staff across nine sites. Staff demonstrated evidence of study and procedural knowledge via quizzes and skill demonstration on six measures requiring certification. Overall, while the majority of staff had little to no experience in the six measures, all research assistants demonstrated ability to correctly and reliably administer the measures throughout the study. Practical recommendations are provided for training research staff and are particularly applicable to the challenges encountered with large, multisite trials.

  1. A MultiSite GatewayTM vector set for the functional analysis of genes in the model Saccharomyces cerevisiae

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    Nagels Durand Astrid

    2012-09-01

    Full Text Available Abstract Background Recombinatorial cloning using the GatewayTM technology has been the method of choice for high-throughput omics projects, resulting in the availability of entire ORFeomes in GatewayTM compatible vectors. The MultiSite GatewayTM system allows combining multiple genetic fragments such as promoter, ORF and epitope tag in one single reaction. To date, this technology has not been accessible in the yeast Saccharomyces cerevisiae, one of the most widely used experimental systems in molecular biology, due to the lack of appropriate destination vectors. Results Here, we present a set of three-fragment MultiSite GatewayTM destination vectors that have been developed for gene expression in S. cerevisiae and that allow the assembly of any promoter, open reading frame, epitope tag arrangement in combination with any of four auxotrophic markers and three distinct replication mechanisms. As an example of its applicability, we used yeast three-hybrid to provide evidence for the assembly of a ternary complex of plant proteins involved in jasmonate signalling and consisting of the JAZ, NINJA and TOPLESS proteins. Conclusion Our vectors make MultiSite GatewayTM cloning accessible in S. cerevisiae and implement a fast and versatile cloning method for the high-throughput functional analysis of (heterologous proteins in one of the most widely used model organisms for molecular biology research.

  2. Responsabilidad internacional del individuo y responsabilidad internacional del Estado: Encuentros y desencuentros en torno a la figura de los `crímenes de derecho internacional´

    OpenAIRE

    Chinchón Álvarez, Javier

    2009-01-01

    Lo que nos va a ocupar en la presente contribución es la necesidad de una clara distinción entre lo propio de la responsabilidad internacional del Estado y lo relativo a la responsabilidad internacional del individuo; en un ámbito singular como es el de los conocidos como "crímenes de derecho internacional". Cuestión que, a nadie escapa, tiene unas implicaciones esenciales para no naufragar en los procelosos mares del Derecho internacional contemporáneo

  3. Exploring the feasibility of multi-site flow cytometric processing of gut associated lymphoid tissue with centralized data analysis for multi-site clinical trials.

    Directory of Open Access Journals (Sweden)

    Ian McGowan

    Full Text Available The purpose of this study was to determine whether the development of a standardized approach to the collection of intestinal tissue from healthy volunteers, isolation of gut associated lymphoid tissue mucosal mononuclear cells (MMC, and characterization of mucosal T cell phenotypes by flow cytometry was sufficient to minimize differences in the normative ranges of flow parameters generated at two trial sites. Forty healthy male study participants were enrolled in Pittsburgh and Los Angeles. MMC were isolated from rectal biopsies using the same biopsy acquisition and enzymatic digestion protocols. As an additional comparator, peripheral blood mononuclear cells (PBMC were collected from the study participants. For quality control, cryopreserved PBMC from a single donor were supplied to both sites from a central repository (qPBMC. Using a jointly optimized standard operating procedure, cells were isolated from tissue and blood and stained with monoclonal antibodies targeted to T cell phenotypic markers. Site-specific flow data were analyzed by an independent center which analyzed all data from both sites. Ranges for frequencies for overall CD4+ and CD8+ T cells, derived from the qPBMC samples, were equivalent at both UCLA and MWRI. However, there were significant differences across sites for the majority of T cell activation and memory subsets in qPBMC as well as PBMC and MMC. Standardized protocols to collect, stain, and analyze MMC and PBMC, including centralized analysis, can reduce but not exclude variability in reporting flow data within multi-site studies. Based on these data, centralized processing, flow cytometry, and analysis of samples may provide more robust data across multi-site studies. Centralized processing requires either shipping of fresh samples or cryopreservation and the decision to perform centralized versus site processing needs to take into account the drawbacks and restrictions associated with each method.

  4. Exploring the feasibility of multi-site flow cytometric processing of gut associated lymphoid tissue with centralized data analysis for multi-site clinical trials.

    Science.gov (United States)

    McGowan, Ian; Anton, Peter A; Elliott, Julie; Cranston, Ross D; Duffill, Kathryn; Althouse, Andrew D; Hawkins, Kevin L; De Rosa, Stephen C

    2015-01-01

    The purpose of this study was to determine whether the development of a standardized approach to the collection of intestinal tissue from healthy volunteers, isolation of gut associated lymphoid tissue mucosal mononuclear cells (MMC), and characterization of mucosal T cell phenotypes by flow cytometry was sufficient to minimize differences in the normative ranges of flow parameters generated at two trial sites. Forty healthy male study participants were enrolled in Pittsburgh and Los Angeles. MMC were isolated from rectal biopsies using the same biopsy acquisition and enzymatic digestion protocols. As an additional comparator, peripheral blood mononuclear cells (PBMC) were collected from the study participants. For quality control, cryopreserved PBMC from a single donor were supplied to both sites from a central repository (qPBMC). Using a jointly optimized standard operating procedure, cells were isolated from tissue and blood and stained with monoclonal antibodies targeted to T cell phenotypic markers. Site-specific flow data were analyzed by an independent center which analyzed all data from both sites. Ranges for frequencies for overall CD4+ and CD8+ T cells, derived from the qPBMC samples, were equivalent at both UCLA and MWRI. However, there were significant differences across sites for the majority of T cell activation and memory subsets in qPBMC as well as PBMC and MMC. Standardized protocols to collect, stain, and analyze MMC and PBMC, including centralized analysis, can reduce but not exclude variability in reporting flow data within multi-site studies. Based on these data, centralized processing, flow cytometry, and analysis of samples may provide more robust data across multi-site studies. Centralized processing requires either shipping of fresh samples or cryopreservation and the decision to perform centralized versus site processing needs to take into account the drawbacks and restrictions associated with each method.

  5. La obligación de investigar las desapariciones forzadas y su aplicación a los crímenes del franquismo en España

    OpenAIRE

    Galella, Patricio

    2014-01-01

    La sentencia del Tribunal Supremo de España en el caso por prevaricato contra el juez Garzón por pretender investigar los crímenes del franquismo ha cerrado la vía judicial como medio para canalizar las reclamaciones de los familiares de víctimas del franquismo. En su lugar, el Tribunal sostuvo que otros mecanismos eran los apropiados. La práctica indica, sin embargo, que los juzgados competentes han archivado sistemáticamente las causas y la Ley de Memoria Histórica es insuficiente, colocand...

  6. Educação Corporativa e Desenvolvimento de Lideranças em Empresas Multisite

    Directory of Open Access Journals (Sweden)

    Ticiana Nunes Moscardini

    2015-01-01

    Full Text Available Nowadays in the business world, changes occur faster and faster. Learning in the organizational context turns into Corporate Education (CE, defined as a set of continuous educational strategies aimed at developing competences for business. Leadership development is an organizational need; therefore, many companies structure educational programs through different strategies and Information and Communication Technologies (ICT applications. The objective of this research is to identify strategies and ICT that have been used in corporate education for leadership development in multisite organizations. The research was exploratory and qualitative, based on interviews in twelve companies located in the metropolitan region of Porto Alegre (the capital of the Brazilian state Rio Grande do Sul, with 24 people interviewed in total. The results indicate that the majority of the companies have not yet adopted the C approach as a whole. The most used strategies for teaching and learning are lectures and debates. Face to face training dominates and ICT use is limited, basically the technologies used are Virtual Learning Environments and Web 2.0 tools. The main challenge for leadership development in these multisite companies is learning and dissemination of their organizational culture.

  7. Analizando los regímenes de violación en la intersección entre la guerra y la paz en el Perú

    OpenAIRE

    Boesten, Jelke

    2011-01-01

    Utilizando el conflicto político en el Perú (1980-2000) como estudio de caso, en este trabajo sostengo que el hecho de entender la violación como arma de guerra oculta otros regímenes de violación que tuvieron lugar durante el conflicto armado interno y que no encajan necesariamente con esta definición.Estas prácticas incluyen la violación como consumo, la violación oportunista, la violación perpetrada por vecinos o miembros de la familia, la prostitución forzada y la violación en el periodo ...

  8. Constraints on eQTL Fine Mapping in the Presence of Multisite Local Regulation of Gene Expression

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    Biao Zeng

    2017-08-01

    Full Text Available Expression quantitative trait locus (eQTL detection has emerged as an important tool for unraveling of the relationship between genetic risk factors and disease or clinical phenotypes. Most studies use single marker linear regression to discover primary signals, followed by sequential conditional modeling to detect secondary genetic variants affecting gene expression. However, this approach assumes that functional variants are sparsely distributed and that close linkage between them has little impact on estimation of their precise location and the magnitude of effects. We describe a series of simulation studies designed to evaluate the impact of linkage disequilibrium (LD on the fine mapping of causal variants with typical eQTL effect sizes. In the presence of multisite regulation, even though between 80 and 90% of modeled eSNPs associate with normally distributed traits, up to 10% of all secondary signals could be statistical artifacts, and at least 5% but up to one-quarter of credible intervals of SNPs within r2 > 0.8 of the peak may not even include a causal site. The Bayesian methods eCAVIAR and DAP (Deterministic Approximation of Posteriors provide only modest improvement in resolution. Given the strong empirical evidence that gene expression is commonly regulated by more than one variant, we conclude that the fine mapping of causal variants needs to be adjusted for multisite influences, as conditional estimates can be highly biased by interference among linked sites, but ultimately experimental verification of individual effects is needed. Presumably similar conclusions apply not just to eQTL mapping, but to multisite influences on fine mapping of most types of quantitative trait.

  9. Latent Variable Regression 4-Level Hierarchical Model Using Multisite Multiple-Cohorts Longitudinal Data. CRESST Report 801

    Science.gov (United States)

    Choi, Kilchan

    2011-01-01

    This report explores a new latent variable regression 4-level hierarchical model for monitoring school performance over time using multisite multiple-cohorts longitudinal data. This kind of data set has a 4-level hierarchical structure: time-series observation nested within students who are nested within different cohorts of students. These…

  10. EFICACIA DE UNA INTERVENCIÓN PARA DISMINUIR LA ANSIEDAD FRENTE A LOS EXÁMENES EN ESTUDIANTES UNIVERSITARIOS ARGENTINOS/ EFFICACY OF AN INTERVENTION AIMED AT REDUCING TEST ANXIETY IN ARGENTINEAN UNIVERSITY STUDENTS/ EFICÁCIA DE UMA INTERVENÇÃO PARA DIMINUIR A ANSIEDADE ANTE OS EXAMES EM ESTUDANTES UNIVERSITÁRIOS ARGENTINOS

    Directory of Open Access Journals (Sweden)

    Luis Alberto Furlan

    2013-06-01

    Full Text Available Se evaluó la efectividad de un programa para disminuir la ansiedad ante los exámenes, la procrastinación académica e incrementar la autoeficacia regulatoria, con 19 estudiantes universitarios de Argentina. El programa estimula el automonitoreo de las estrategias de aprendizaje implementadas, el aprendizaje de técnicas cognitivo-conductuales de control de la ansiedad y el ensayo anticipado de exámenes. Al comparar los resultados pre- y posintervención, se constataron mejorías moderadas. Se deben revisar los procedimientos para incrementar la adherencia al programa y la validez de los resultados.

  11. Sobre el dominio territorial como requisito del elemento político en la definición de los crímenes de lesa humanidad. Un análisis enfocado en la calificación jurídica de los actos de la izquierda armada en Argentina

    Directory of Open Access Journals (Sweden)

    Juan Francisco Iosa

    2014-03-01

    Full Text Available Ofrezco primero una caracterización  de la teoría de los dos demonios. Esta teoría, tras gozar del rol de discurso de Estado luego de la recuperación democrática en Argentina, ha sido explícitamente rechazada en la segunda generación de juicios: aquí se consideró que sólo los militares (no las organizaciones de izquierda cometieron crímenes contra la humanidad. Mi interés está centrado en evaluar las razones que sustentan esa distinción. Con vistas a ese fin, segundo, presento la figura de los crímenes contra la humanidad tal como está fijada en el Estatuto de Roma y distingo cuatro concepciones relativas a cómo debe delinearse su  elemento político. Tercero, reconstruyo la interpretación que la Corte y los tribunales argentinos hacen de los requisitos necesarios para que un delito califique como crimen contra la humanidad. Hago foco en  el elemento político y específicamente en las condiciones que una organización debe satisfacer para ser capaz de cometer dichos crímenes. Cuarto, comparo las decisiones argentinas con las tomadas por las cortes internacionales. Quinto, ofrezco una reconstrucción de los requisitos que a mi entender deben ser tenidos en cuenta (según la concepción normativa que considero correcta en la definición legal de los crímenes contra la humanidad. Con esta herramienta conceptual en mano evalúo las decisiones jurisprudenciales mencionadas más arriba. Por último, presento la que considero como la calificación jurídica adecuada de los delitos cometidos por la izquierda armada en los setenta. 

  12. Predictibilidad de los exámenes de conocimientos para ingresar a las preparatorias de la Universidad De La Salle Bajío

    Directory of Open Access Journals (Sweden)

    Humberto de Anda Padilla

    2010-01-01

    Full Text Available En el presente estudio se determinó, como una medida del grado de predictibilidad, la correlación que hay entre los exámenes de conocimientos que sustentan los alumnos al ingresar a la preparatoria en la Universidad De La Salle Bajío y el desempeño académico durante el primer año de estudios de los propios alumnos. Adicionalmente a lo anterior se trabajó con una tercera variable que corresponde al promedio de los dos primeros años de secundaria y que conjuntamente con el examen de conocimientos aumenta el grado de predictibilidad. Se utilizó estadística descriptiva y se calcularon los coeficientes de correlación entre las puntuaciones obtenidas en el examen de admisión, global y por área evaluada, y las calificaciones finales obtenidas en cada materia al terminar el primero y segundo semestre, así como el promedio de calificaciones del primer año. Fueron analizadas las características del instrumento para medir cada una de las áreas que lo componen y sus posibles variaciones entre las versiones equivalentes aplicadas a dos cohortes diferentes en los campi que componen la Universidad (2005 y 2006. La hipótesis de investigación plantea que los coeficientes de correlación entre las puntuaciones de los exámenes de conocimientos y las calificaciones del primer año serán al menos del 0.3. Se trabajó con datos correspondientes al total de sustentantes que concluyeron el segundo semestre de estudios de la preparatoria. Entre los resultados se encontró que el promedio de los dos primeros años de estudio de secundaria y las puntuaciones obtenidas en el examen de admisión presentan junto con el promedio de cada materia una correlación mayor a 0.3 en las 20 materias que se cursan en los dos primeros semestres de preparatoria. Alcanzando la relación más importante con los promedios de calificaciones de 1° y 2° semestre y todo el primer año, con coeficientes de correlación de r1er sem=0.57, r2do sem=0.58 y r1er año=0

  13. Multi-site laser Doppler flowmetry for assessing collateral flow in experimental ischemic stroke: Validation of outcome prediction with acute MRI.

    Science.gov (United States)

    Cuccione, Elisa; Versace, Alessandro; Cho, Tae-Hee; Carone, Davide; Berner, Lise-Prune; Ong, Elodie; Rousseau, David; Cai, Ruiyao; Monza, Laura; Ferrarese, Carlo; Sganzerla, Erik P; Berthezène, Yves; Nighoghossian, Norbert; Wiart, Marlène; Beretta, Simone; Chauveau, Fabien

    2017-06-01

    High variability in infarct size is common in experimental stroke models and affects statistical power and validity of neuroprotection trials. The aim of this study was to explore cerebral collateral flow as a stratification factor for the prediction of ischemic outcome. Transient intraluminal occlusion of the middle cerebral artery was induced for 90 min in 18 Wistar rats. Cerebral collateral flow was assessed intra-procedurally using multi-site laser Doppler flowmetry monitoring in both the lateral middle cerebral artery territory and the borderzone territory between middle cerebral artery and anterior cerebral artery. Multi-modal magnetic resonance imaging was used to assess acute ischemic lesion (diffusion-weighted imaging, DWI), acute perfusion deficit (time-to-peak, TTP), and final ischemic lesion at 24 h. Infarct volumes and typology at 24 h (large hemispheric versus basal ganglia infarcts) were predicted by both intra-ischemic collateral perfusion and acute DWI lesion volume. Collateral flow assessed by multi-site laser Doppler flowmetry correlated with the corresponding acute perfusion deficit using TTP maps. Multi-site laser Doppler flowmetry monitoring was able to predict ischemic outcome and perfusion deficit in good agreement with acute MRI. Our results support the additional value of cerebral collateral flow monitoring for outcome prediction in experimental ischemic stroke, especially when acute MRI facilities are not available.

  14. Efficient multi-site two-photon functional imaging of neuronal circuits.

    Science.gov (United States)

    Castanares, Michael Lawrence; Gautam, Vini; Drury, Jack; Bachor, Hans; Daria, Vincent R

    2016-12-01

    Two-photon imaging using high-speed multi-channel detectors is a promising approach for optical recording of cellular membrane dynamics at multiple sites. A main bottleneck of this technique is the limited number of photons captured within a short exposure time (~1ms). Here, we implement temporal gating to improve the two-photon fluorescence yield from holographically projected multiple foci whilst maintaining a biologically safe incident average power. We observed up to 6x improvement in the signal-to-noise ratio (SNR) in Fluorescein and cultured hippocampal neurons showing evoked calcium transients. With improved SNR, we could pave the way to achieving multi-site optical recording of fluorogenic probes with response times in the order of ~1ms.

  15. Self-adaptive tensor network states with multi-site correlators

    Science.gov (United States)

    Kovyrshin, Arseny; Reiher, Markus

    2017-12-01

    We introduce the concept of self-adaptive tensor network states (SATNSs) based on multi-site correlators. The SATNS ansatz gradually extends its variational space incorporating the most important next-order correlators into the ansatz for the wave function. The selection of these correlators is guided by entanglement-entropy measures from quantum information theory. By sequentially introducing variational parameters and adjusting them to the system under study, the SATNS ansatz achieves keeping their number significantly smaller than the total number of full-configuration interaction parameters. The SATNS ansatz is studied for manganocene in its lowest-energy sextet and doublet states; the latter of which is known to be difficult to describe. It is shown that the SATNS parametrization solves the convergence issues found for previous correlator-based tensor network states.

  16. Jurisdicción Universal sobre Crímenes de Guerra: Evolución Histórica y su Codificación en el Derecho de Ginebra

    Directory of Open Access Journals (Sweden)

    Francisco J. Bariffi

    2009-01-01

    Full Text Available En lo que podríamos calificar como una postura doctrinaria ampliamente mayoritaria, se podría afirmar que el derecho internacional humanitario (DIH establece la obligación(en el ámbito convencional o la facultad (en el ámbito consuetudinario de los Estado de la Comunidad Internacional de ejercer su jurisdicción criminal para juzgar y sancionar actos calificados como crímenes de guerra sin necesidad de acreditar vínculo de territorialidad, nacionalidad, carácter de beligerante, o defensa de intereses nacionales. Aunque la práctica internacional en este sentido, es más bien escasa, la incorporación de este principio en las legislaciones nacionales parece evidenciar una clara tendencia.A pesar la anterior afirmación, y que, desde la creación de la Cruz Roja en 1863, y la adopción un año más tarde del Convenio para aliviar la suerte de los militares heridos de los ejércitos en campaña, el DIH aplicable a los conflictos armados no ha cesado de desarrollarse, la represión de la criminalidad de guerra por la sociedad internacionalorganizada no comienza, realmente, hasta la finalización de la Segunda Guerra Mundial(II G.M. Antes de dicho hito histórico, no resulta fácil identificar normas vinculantes sobre represión penal de crímenes guerra, y con posterioridad al mismo, las escasas disposiciones codificadas por el Derecho de Ginebra, no parecen haberse puesto enpráctica.

  17. Real-Time Enrollment Dashboard For Multisite Clinical Trials.

    Science.gov (United States)

    Mattingly, William A; Kelley, Robert R; Wiemken, Timothy L; Chariker, Julia H; Peyrani, Paula; Guinn, Brian E; Binford, Laura E; Buckner, Kimberley; Ramirez, Julio

    2015-10-30

    Achieving patient recruitment goals are critical for the successful completion of a clinical trial. We designed and developed a web-based dashboard for assisting in the management of clinical trial screening and enrollment. We use the dashboard to assist in the management of two observational studies of community-acquired pneumonia. Clinical research associates and managers using the dashboard were surveyed to determine its effectiveness as compared with traditional direct communication. The dashboard has been in use since it was first introduced in May of 2014. Of the 23 staff responding to the survey, 77% felt that it was easier or much easier to use the dashboard for communication than to use direct communication. We have designed and implemented a visualization dashboard for managing multi-site clinical trial enrollment in two community acquired pneumonia studies. Information dashboards are a useful tool for clinical trial management. They can be used as a standalone trial information tool or included into a larger management system.

  18. The effect of simulation courseware on critical thinking in undergraduate nursing students: multi-site pre-post study.

    Science.gov (United States)

    Shin, Hyunsook; Ma, Hyunhee; Park, Jiyoung; Ji, Eun Sun; Kim, Dong Hee

    2015-04-01

    The use of simulations has been considered as opportunities for students to enhance their critical thinking (CT), but previous studies were limited because they did not provide in-depth information on the working dynamics of simulation or on the effects of the number of simulation exposures on CT. This study examined the effect of an integrated pediatric nursing simulation used in a nursing practicum on students' CT abilities and identified the effects of differing numbers of simulation exposures on CT in a multi-site environment. The study used a multi-site, pre-test, post-test design. A total of 237 nursing students at three universities enrolled in a pediatric practicum participated in this study from February to December 2013. All three schools used the same simulation courseware, including the same simulation scenarios, evaluation tools, and simulation equipment. The courseware incorporated high-fidelity simulators and standardized patients. Students at school A completed one simulation session, whereas students at schools B and C completed two and three simulation sessions, respectively. Yoon's Critical Thinking Disposition tool (2008) was used to measure students' CT abilities. The gains in students' CT scores varied according to their numbers of exposures to the simulation courseware. With a single exposure, there were no statistically significant gains in CT, whereas three exposures to the courseware produced significant gains in CT. In seven subcategories of critical thinking, three exposures to the simulation courseware produced CT gains in the prudence and intellectual eagerness subcategories, and the overall simulation experience produced CT gains in the prudence, systematicity, healthy skepticism, and intellectual eagerness subcategories. Simulation courseware may produce positive learning outcomes for prudence in nursing education. In addition, the findings from the multi-site comparative study may contribute to greater understanding of how patient

  19. SURGIMIENTO Y CONSOLIDACIÓN DE LA RESPONSABILIDAD INTERNACIONAL INDIVIDUAL POR CRÍMENES DE GUERRA COMETIDOS EN CONFLICTOS ARMADOS NO INTERNACIONALES

    Directory of Open Access Journals (Sweden)

    Juan Pablo Pérez-León Acevedo

    2007-01-01

    Full Text Available La presente investigación busca estudiar el proceso de surgimiento y afianzamiento de la figura de la responsabilidad internacional individual por crímenes de guerra cometidos en el contexto de conflictos armados no internacionales, los cuales han caracterizado el Derecho internacional contemporáneo. Para tal efecto, se hace un estudio de la respectiva norma de Derecho internacional consuetudinario la cual se cristalizó en el Derecho internacional convencional, representado por el Estatuto de la Corte Penal InternacionalThe present research seeks to study the process of emergence and consolidation of the institution of international individual responsibility for war crimes committed in the context of non-international armed conflicts, which have characterized contemporary International law. In order to reach that purpose, it is studied the respective customary international humanitarian law rule which crystallized in the treaty international law, represented by the International Criminal Court Statute

  20. Analytical recursive method to ascertain multisite entanglement in doped quantum spin ladders

    Science.gov (United States)

    Roy, Sudipto Singha; Dhar, Himadri Shekhar; Rakshit, Debraj; SenDe, Aditi; Sen, Ujjwal

    2017-08-01

    We formulate an analytical recursive method to generate the wave function of doped short-range resonating valence bond (RVB) states as a tool to efficiently estimate multisite entanglement as well as other physical quantities in doped quantum spin ladders. We prove that doped RVB ladder states are always genuine multipartite entangled. Importantly, our results show that within specific doping concentration and model parameter regimes, the doped RVB state essentially characterizes the trends of genuine multiparty entanglement in the exact ground states of the Hubbard model with large on-site interactions, in the limit that yields the t -J Hamiltonian.

  1. Implementation of a novel synchronous multi-site all day high-fidelity simulation.

    Science.gov (United States)

    Abraham, Paul; Verdonk, Franck; Buleon, Clement; Tesniere, Antoine; Lilot, Marc

    2018-01-01

    Integration of simulation in educational curricula for anesthesia and intensive care residents is a hot topic. There is a great interest for simulation centers to share their experiences through multi-site synchronous simulation sessions. The present study results from an experience conducted at three sites in France (Paris, Lyon, and Caen), which involved 16 instructors and 25 residents facing the same scenario across 1 day. Synchronous simulations were performed at each site with local and shared debriefing via teleconference. This innovative approach to simulation was found to be feasible, although certain difficulties were encountered with connectivity.

  2. FDG PET/CT for therapeutic response monitoring in multi-site non-respiratory tuberculosis

    International Nuclear Information System (INIS)

    Geng Tian; Yong Xiao; Bin Chen; Jun Xia; Hong Guan; Qunyi Deng

    2010-01-01

    Background: Tuberculosis (TB) can produce positive signals during 18 F-fluorodeoxyglucose positron emission/computed tomography (FDG PET/CT) scanning. Until now, there has been no better method than clinical assessment to evaluate the therapeutic response of non-respiratory TB (NRTB). Purpose: To retrospectively assess the ability of FDG PET/CT to evaluate the response to anti-TB treatment in patients with NRTB. Material and Methods: Three patients with multi-site NRTB underwent repeat PET/CT scans during anti-TB treatment. Changes in maximal standard uptake value (SUVmax) of the TB lesions on PET/CT images were analyzed between two scans. Initial PET/CT scans were performed before the start of anti-TB treatment, and later scans were performed after completion of the treatment. Results: Patient 1, a 63-year-old female, and patient 2, a 50-year-old male, were diagnosed as multi-site NRTB by biopsy. Patient 3, a 37-year-old male was diagnosed clinically. These patients demonstrated multiple FDG-avid lesions in whole body on initial PET/CT images. The highest SUVmax of patient 1, 2, and 3 were 13.6, 17.7, and 13.9 separately. After completion of the treatment, all positive signals of patient 1, 2, and 3 decreased to undetectable value on repeated PET/CT scans with intervals of 318 days, 258 days, and 182 days separately. Conclusion: FDG PET/CT scan may be useful for monitoring responses to anti-TB treatment in patients with NRTB

  3. Multi-site and multi-depth near-infrared spectroscopy in a model of simulated (central) hypovolemia: Lower body negative pressure

    NARCIS (Netherlands)

    S.A. Bartels (Sebastiaan); R. Bezemer (Rick); F.J.W. Wallis de Vries (Floris); D.M.J. Milstein (Dan); A.A.P. Lima (Alexandre ); T.G.V. Cherpanath (Thomas); A.H. van den Meiracker (Anton); J. van Bommel (Jasper); M. Heger (Michal); J.M. Karemaker (John); C. Ince (Can)

    2011-01-01

    textabstractPurpose: To test the hypothesis that the sensitivity of near-infrared spectroscopy (NIRS) in reflecting the degree of (compensated) hypovolemia would be affected by the application site and probing depth. We simultaneously applied multi-site (thenar and forearm) and multi-depth (15-2.5

  4. Multisite stochastic simulation of daily precipitation from copula modeling with a gamma marginal distribution

    Science.gov (United States)

    Lee, Taesam

    2018-05-01

    Multisite stochastic simulations of daily precipitation have been widely employed in hydrologic analyses for climate change assessment and agricultural model inputs. Recently, a copula model with a gamma marginal distribution has become one of the common approaches for simulating precipitation at multiple sites. Here, we tested the correlation structure of the copula modeling. The results indicate that there is a significant underestimation of the correlation in the simulated data compared to the observed data. Therefore, we proposed an indirect method for estimating the cross-correlations when simulating precipitation at multiple stations. We used the full relationship between the correlation of the observed data and the normally transformed data. Although this indirect method offers certain improvements in preserving the cross-correlations between sites in the original domain, the method was not reliable in application. Therefore, we further improved a simulation-based method (SBM) that was developed to model the multisite precipitation occurrence. The SBM preserved well the cross-correlations of the original domain. The SBM method provides around 0.2 better cross-correlation than the direct method and around 0.1 degree better than the indirect method. The three models were applied to the stations in the Nakdong River basin, and the SBM was the best alternative for reproducing the historical cross-correlation. The direct method significantly underestimates the correlations among the observed data, and the indirect method appeared to be unreliable.

  5. Robust multi-site MR data processing: iterative optimization of bias correction, tissue classification, and registration.

    Science.gov (United States)

    Young Kim, Eun; Johnson, Hans J

    2013-01-01

    A robust multi-modal tool, for automated registration, bias correction, and tissue classification, has been implemented for large-scale heterogeneous multi-site longitudinal MR data analysis. This work focused on improving the an iterative optimization framework between bias-correction, registration, and tissue classification inspired from previous work. The primary contributions are robustness improvements from incorporation of following four elements: (1) utilize multi-modal and repeated scans, (2) incorporate high-deformable registration, (3) use extended set of tissue definitions, and (4) use of multi-modal aware intensity-context priors. The benefits of these enhancements were investigated by a series of experiments with both simulated brain data set (BrainWeb) and by applying to highly-heterogeneous data from a 32 site imaging study with quality assessments through the expert visual inspection. The implementation of this tool is tailored for, but not limited to, large-scale data processing with great data variation with a flexible interface. In this paper, we describe enhancements to a joint registration, bias correction, and the tissue classification, that improve the generalizability and robustness for processing multi-modal longitudinal MR scans collected at multi-sites. The tool was evaluated by using both simulated and simulated and human subject MRI images. With these enhancements, the results showed improved robustness for large-scale heterogeneous MRI processing.

  6. Model-data fusion across ecosystems: from multisite optimizations to global simulations

    Science.gov (United States)

    Kuppel, S.; Peylin, P.; Maignan, F.; Chevallier, F.; Kiely, G.; Montagnani, L.; Cescatti, A.

    2014-11-01

    This study uses a variational data assimilation framework to simultaneously constrain a global ecosystem model with eddy covariance measurements of daily net ecosystem exchange (NEE) and latent heat (LE) fluxes from a large number of sites grouped in seven plant functional types (PFTs). It is an attempt to bridge the gap between the numerous site-specific parameter optimization works found in the literature and the generic parameterization used by most land surface models within each PFT. The present multisite approach allows deriving PFT-generic sets of optimized parameters enhancing the agreement between measured and simulated fluxes at most of the sites considered, with performances often comparable to those of the corresponding site-specific optimizations. Besides reducing the PFT-averaged model-data root-mean-square difference (RMSD) and the associated daily output uncertainty, the optimization improves the simulated CO2 balance at tropical and temperate forests sites. The major site-level NEE adjustments at the seasonal scale are reduced amplitude in C3 grasslands and boreal forests, increased seasonality in temperate evergreen forests, and better model-data phasing in temperate deciduous broadleaf forests. Conversely, the poorer performances in tropical evergreen broadleaf forests points to deficiencies regarding the modelling of phenology and soil water stress for this PFT. An evaluation with data-oriented estimates of photosynthesis (GPP - gross primary productivity) and ecosystem respiration (Reco) rates indicates distinctively improved simulations of both gross fluxes. The multisite parameter sets are then tested against CO2 concentrations measured at 53 locations around the globe, showing significant adjustments of the modelled seasonality of atmospheric CO2 concentration, whose relevance seems PFT-dependent, along with an improved interannual variability. Lastly, a global-scale evaluation with remote sensing NDVI (normalized difference vegetation index

  7. African American Veterans Storytelling: A Multisite Randomized Trial to Improve Hypertension.

    Science.gov (United States)

    Houston, Thomas K; Fix, Gemmae M; Shimada, Stephanie L; Long, Judith A; Gordon, Howard S; Pope, Charlene; Volkman, Julie; Allison, Jeroan J; DeLaughter, Kathryn; Orner, Michelle; Bokhour, Barbara G

    2017-09-01

    Disparities in hypertension control persist for African American Veterans. To enhance cultural relevance of hypertension control self-management education, in a multisite, stratified randomized trial, we tested an interactive Veteran-to-Veteran storytelling digital video disk (DVD) intervention created with Veteran partners, versus an education-only DVD comparison. At 3 VA facilities, African American Veterans with uncontrolled hypertension were randomized to storytelling DVD intervention or didactic comparison DVD and followed for 6 months. We hypothesized that follow-up blood pressure (BP) would be lower among Veterans in the intervention group. African American Veterans (N=619) were 92% male, 39% over age 65, most had a high-school education, over 50% of both the intervention and comparison group reported a household income of 0.3). Site differences were large; at one, the intervention group improved while the comparison groups deteriorated, resulting in 6.3 and 3.9 mm Hg more improvement for the intervention group in SBP and diastolic BP (P=0.06 and 0.04), respectively; at the other 2 sites, there were positive and negative changes, all small, in the 2 measures, with minimal differences-one site favored the comparison group and the other, the intervention (these comparisons did not approach statistical significance (all P>0.20). In a secondary analysis stratified by baseline BP, there was no intervention effect among those with uncontrolled BP, but intervention patients who were in control at baseline were more likely to stay in control, compared with comparison [SBP increase by 6.3 mm Hg (SD=14.4) among intervention, and by 10.9 mm Hg (SD=16.9) in comparison, P=0.02]. In this multisite trial, we did not find a significant overall storytelling intervention effect (Clinicaltrials.gov Reg. #NCT01276197).

  8. The Politics of Subnational Undemocratic Regime Reproduction in Argentina and Mexico La política de reproducción de los regímenes subnacionales no democráticos en Argentina y México

    Directory of Open Access Journals (Sweden)

    Agustina Giraudy

    2010-01-01

    Full Text Available This article studies the continued existence of subnational undemocraticregimes in Argentina and Mexico, two countries that have recently experiencednational democratization. The first part of the article offers a conceptualizationof subnational democracy and measures its territorial extension across all subnational units. The second part explores a common, albeit not systematically tested explanation about subnational undemocratic regime continuity, namely, that these regimes persist because they meet national incumbents’ strategic political needs. This claim is tested using statistical analyses to contrast patterns of spending across undemocratic subnational units during the presidencies of Menem (1989-1999, De la Rúa (2000-2001, Duhalde (2002, and Kirchner (2003-2007 in Argentina, and Fox (2000-2006 in Mexico. Contradicting conventional wisdom, the results show that presidents only reproduce a handful of subnational undemocratic regimes, as not all of them can meet presidential needs. In addition, the results reveal that the strategic calculation of presidents regarding this  reproduction is dictated by factors that have been largely overlooked by the literature. Este artículo estudia la existencia de regímenes subnacionales no-democráticos en Argentina y México, dos pa��ses que recientemente han experimentado procesos de democratización a nivel nacional. La primera parte del artículo conceptualiza y define la democracia subnacional y mide su extensión territorial en la totalidad de los distritos subnacionales. La segunda parte explora la validez de una de las explicaciones más habituales en esta área de estudio según la cual los regímenes subnacionales no-democráticos permanecen en el poder debido a que son útiles para satisfacer las necesidades políticas de los funcionarios nacionales. La validez de esta explicación se testea con análisis estadísticos que determinan los patrones de distribución territorial de

  9. Multisite musculoskeletal pain predicts medically certified disability retirement among Finns.

    Science.gov (United States)

    Haukka, E; Kaila-Kangas, L; Ojajärvi, A; Saastamoinen, P; Holtermann, A; Jørgensen, M B; Karppinen, J; Heliövaara, M; Leino-Arjas, P

    2015-09-01

    Musculoskeletal pain at several sites (multisite pain) is more common than single-site pain. Little is known on its effects on disability pension (DP) retirement. A nationally representative sample comprised 4071 Finns in the workforce aged 30 to 63. Data (questionnaire, interview, clinical examination) were gathered in 2000-2001 and linked with national DP registers for 2000-2011. Pain during the preceding month in 18 locations was combined into four sites (neck, upper limbs, low back, lower limbs). Hazard ratios (HR) of DP were estimated by Cox regression. The HR of any DP (n = 477) was 1.6 (95% confidence interval 1.2-2.1) for one, 2.5 (1.9-3.3) for two, 3.1 (2.3-4.3) for three and 5.6 (4.0-7.8) for four pain sites, when adjusted for age and gender. When additionally adjusted for clinically assessed chronic diseases, the HRs varied from 1.4 (1.0-1.8) to 3.5 (2.5-4.9), respectively. When further adjusted for physical and psychosocial workload, education, body mass index, smoking, exercise and sleep disorders, the HRs were 1.3 (0.9-1.7), 1.6 (1.2-2.2), 1.8 (1.3-2.5) and 2.5 (1.8-3.6). The number of pain sites was especially strong in predicting DPs due to musculoskeletal diseases (HRs in the full model; 3.1 to 4.3), but it also predicted DPs due to other somatic diseases (respective HRs 1.3 to 2.3); pain in all four sites was also predictive of DPs due to mental disorders (full model HR 2.2). The number of pain sites independently predicted DP retirement. Employees with multisite pain may need specific support to maintain their work ability. © 2014 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC®.

  10. Multi-Site Quality Assurance Project Plan for Wisconsin Public Service Corporation, Peoples Gas Light and Coke Company, and North Shore Gas

    Science.gov (United States)

    This Multi-Site QAPP presents the organization, data quality objectives (DQOs), a set of anticipated activities, sample analysis, data handling and specific Quality Assurance/Quality Control (QA/QC) procedures associated with Studies done in EPA Region 5

  11. The opportunities and challenges of multi-site evaluations: lessons from the jail diversion and trauma recovery national cross-site evaluation.

    Science.gov (United States)

    Stainbrook, Kristin; Penney, Darby; Elwyn, Laura

    2015-06-01

    Multi-site evaluations, particularly of federally funded service programs, pose a special set of challenges for program evaluation. Not only are there contextual differences related to project location, there are often relatively few programmatic requirements, which results in variations in program models, target populations and services. The Jail Diversion and Trauma Recovery-Priority to Veterans (JDTR) National Cross-Site Evaluation was tasked with conducting a multi-site evaluation of thirteen grantee programs that varied along multiple domains. This article describes the use of a mixed methods evaluation design to understand the jail diversion programs and client outcomes for veterans with trauma, mental health and/or substance use problems. We discuss the challenges encountered in evaluating diverse programs, the benefits of the evaluation in the face of these challenges, and offer lessons learned for other evaluators undertaking this type of evaluation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. The value and potential of multisited ethnography for science education research: a review of Jrène Rahm's Science in the Making at the Margin

    Science.gov (United States)

    Beeman-Cadwallader, Nicole

    2012-03-01

    Rahm sought to illuminate how children and youth make meaning of science in three out-of-school time programs, and the identity work that is done through the trajectory of their youth toward their young adulthood. Through using multisited ethnography, she asserts that we can learn more about what the youth say about their science learning and science literacy development in these programs. She has revealed through her rich data the potential value of multisited ethnography for science education research. A similar theme of insider/outsider status to science emerged in each of the three sites. The nature of the data collected in Rahm's multisited ethnography allowed for the unveiling of the similarities in this theme, but also made evident the nuanced ways that this theme presented itself differently across the three sites. The additional potential came through in the varied data Rahm could have delved into and did not. A unique characteristic of ethnographic research, that is not necessarily present in other research methods, is that a wide array of varied data is collected. An analysis of documents, images, and observational field notes, which go beyond interview data, may provide deeper understandings previously untouched in science education.

  13. Evidence for the ferromagnetic frustration in a classical spin- 1 / 2 system with multisite interaction in external magnetic field: Exact results

    Science.gov (United States)

    Jurčišinová, E.; Jurčišin, M.

    2017-11-01

    We investigate the influence of the multisite interaction among sites within elementary triangles of the kagome-like recursive lattice on the properties of the classical spin- 1 / 2 ferromagnetic Ising model in the external magnetic field. The exact solution of the model is found and it is shown that the model exhibits a nontrivial structure of the first order as well as second order phase transitions in nonzero external magnetic fields related to the multisite interaction. The equation for the exact determination of the positions of the critical points of the second order phase transitions is derived. The thermodynamic properties of the model are investigated in detail and it is shown that the competition between the ferromagnetic interaction and the multisite interaction leads to the appearance of strong ferromagnetic frustration effects represented by the formation of a nontrivial system of macroscopically degenerated plateau-like and single-point-like ground states. The residual entropies of all ground states are found and the kagome spin-ice-like highly macroscopically degenerated plateau state with nonzero magnetization is identified with the exact residual entropy per site s /kB = ln(4 / 3) / 3 ≈ 0 . 095894. The properties of the specific heat are investigated, its Schottky-type behavior near the single-point ground state values of the magnetic field is identified, the existence of large magnetocaloric effect is discussed, and the existence of the first order phase transitions without the specific heat capacity change is demonstrated.

  14. Analytic hierarchy process-based approach for selecting a Pareto-optimal solution of a multi-objective, multi-site supply-chain planning problem

    Science.gov (United States)

    Ayadi, Omar; Felfel, Houssem; Masmoudi, Faouzi

    2017-07-01

    The current manufacturing environment has changed from traditional single-plant to multi-site supply chain where multiple plants are serving customer demands. In this article, a tactical multi-objective, multi-period, multi-product, multi-site supply-chain planning problem is proposed. A corresponding optimization model aiming to simultaneously minimize the total cost, maximize product quality and maximize the customer satisfaction demand level is developed. The proposed solution approach yields to a front of Pareto-optimal solutions that represents the trade-offs among the different objectives. Subsequently, the analytic hierarchy process method is applied to select the best Pareto-optimal solution according to the preferences of the decision maker. The robustness of the solutions and the proposed approach are discussed based on a sensitivity analysis and an application to a real case from the textile and apparel industry.

  15. Características de los exámenes de laboratorio en pacientes con dengue grave en un hospital de Puerto Maldonado - Perú

    Directory of Open Access Journals (Sweden)

    Jesús Rojas-Jaimes

    2014-07-01

    Full Text Available Introducción: Puerto Maldonado, capital del Departamento de Madre de Dios, es catalogado como zona endémica de dengue. La clasificación de dengue considera al dengue grave (hemorrágico cuando se produce shock, distrés respiratorio o compromiso de órgano blanco. Objetivos: Determinar las características de los exámenes de laboratorio en pacientes con dengue grave hospitalizados en la Unidad de Cuidados Intermedios del Hospital Santa Rosa de Puerto Maldonado, Madre de Dios, Perú. Diseño: Estudio retrospectivo de corte transversal. Institución: Laboratorio Central y Departamento de Epidemiología del Hospital Santa Rosa, Madre de Dios, Perú. Materiales: Cincuenta y cinco historias clínicas de pacientes con diagnóstico de dengue grave hospitalizados en la Unidad de Cuidados Intermedios, en el periodo junio de 2010 a noviembre de 2011. Métodos: Se analizó los resultados de exámenes de laboratorio solicitados durante la hospitalización. Principales medidas de resultados: Valores de transaminasas, creatinina, hemograma completo y examen de orina. Resultados: El mayor número de pacientes con dengue grave procedió de Puerto Maldonado (84%. El grupo etario mayormente afectado fue el de 40 a 49 años (32%. En 83% de los pacientes hospitalizados se presentó elevación de las transaminasas y de la creatinina sérica. El recuento de plaquetas estuvo dentro de rangos normales, excepto en el grupo de 10 a 19 años (11%, en quienes se halló concentraciones séricas de plaquetas menores a 150 000/mL. Conclusiones: En la mayoría de pacientes hospitalizados por dengue grave en Puerto Maldonado existió elevación sérica de transaminasas y creatinina. El recuento de plaquetas fue normal, pero existió plaquetopenia en el grupo de 10 a 19 años.

  16. Sensitivity of the Modified Children's Yale-Brown Obsessive Compulsive Scale to Detect Change: Results from Two Multi-Site Trials

    Science.gov (United States)

    Scahill, Lawrence; Sukhodolsky, Denis G.; Anderberg, Emily; Dimitropoulos, Anastasia; Dziura, James; Aman, Michael G.; McCracken, James; Tierney, Elaine; Hallett, Victoria; Katz, Karol; Vitiello, Benedetto; McDougle, Christopher

    2016-01-01

    Repetitive behavior is a core feature of autism spectrum disorder. We used 8-week data from two federally funded, multi-site, randomized trials with risperidone conducted by the Research Units on Pediatric Psychopharmacology Autism Network to evaluate the sensitivity of the Children's Yale-Brown Obsessive Compulsive Scale modified for autism…

  17. Distortions in Distributions of Impact Estimates in Multi-Site Trials: The Central Limit Theorem Is Not Your Friend

    Science.gov (United States)

    May, Henry

    2014-01-01

    Interest in variation in program impacts--How big is it? What might explain it?--has inspired recent work on the analysis of data from multi-site experiments. One critical aspect of this problem involves the use of random or fixed effect estimates to visualize the distribution of impact estimates across a sample of sites. Unfortunately, unless the…

  18. Controlling engineering project changes for multi-unit, multi-site standardized nuclear power plants

    International Nuclear Information System (INIS)

    Randall, E.; Boddeker, G.; McGugin, H.; Strother, E.; Waggoner, G.

    1978-01-01

    Multibillioin dollar multiple nuclear power plant projects have numerous potential sources of engineering changes. The majority of these are internally generated changes, client generated changes, and changes from construction, procurement, other engineering organizations, and regulatory organizations. For multiunit, multisite projects, the use of a standardized design is cost effective. Engineering changes can then be controlled for a single standardized design, and the unit or site unique changes can be treated as deviations. Once an effective change procedure is established for change control of the standardized design, the same procedures can be used for control of unit or site unique changes

  19. BRAF V600E-Positive Multisite Langerhans Cell Histiocytosis in a Preterm Neonate

    Directory of Open Access Journals (Sweden)

    Sara V. Bates

    2013-10-01

    Full Text Available Hemorrhagic pustules with a “blueberry muffin” appearance accompanied by respiratory failure in a neonate present a challenging differential diagnosis that includes infections and neoplasms. We present a case of multiorgan, multisite Langerhans cell histiocytosis (LCH, positive for the oncogenic BRAF V600E mutation, in a preterm neonate. Infants with LCH pose a diagnostic challenge due to their heterogeneous presentations. This case is unusual in that the newborn presented with severe multiorgan involvement. Due to the rare incidence, wide spectrum of clinical manifestations, and high mortality rate, clinicians must maintain a high index of suspicion for LCH.

  20. The brain-derived neurotrophic factor pathway, life stress, and chronic multi-site musculoskeletal pain.

    Science.gov (United States)

    Generaal, Ellen; Milaneschi, Yuri; Jansen, Rick; Elzinga, Bernet M; Dekker, Joost; Penninx, Brenda W J H

    2016-01-01

    Brain-derived neurotrophic factor (BDNF) disturbances and life stress, both independently and in interaction, have been hypothesized to induce chronic pain. We examined whether (a) the BDNF pathway (val(66)met genotype, gene expression, and serum levels), (b) early and recent life stress, and (c) their interaction are associated with the presence and severity of chronic multi-site musculoskeletal pain. Cross-sectional data are from 1646 subjects of the Netherlands Study of Depression and Anxiety. The presence and severity of chronic multi-site musculoskeletal pain were determined using the Chronic Pain Grade (CPG) questionnaire. The BDNF val(66)met polymorphism, BDNF gene expression, and BDNF serum levels were measured. Early life stress before the age of 16 was assessed by calculating a childhood trauma index using the Childhood Trauma Interview. Recent life stress was assessed as the number of recent adverse life events using the List of Threatening Events Questionnaire. Compared to val(66)val, BDNF met carriers more often had chronic pain, whereas no differences were found for BDNF gene expression and serum levels. Higher levels of early and recent stress were both associated with the presence and severity of chronic pain (p stress in the associations with chronic pain presence and severity. This study suggests that the BDNF gene marks vulnerability for chronic pain. Although life stress did not alter the impact of BDNF on chronic pain, it seems an independent factor in the onset and persistence of chronic pain. © The Author(s) 2016.

  1. Downscaling atmospheric patterns to multi-site precipitation amounts in southern Scandinavia

    DEFF Research Database (Denmark)

    Gelati, Emiliano; Christensen, O.B.; Rasmussen, P.F.

    2010-01-01

    A non-homogeneous hidden Markov model (NHMM) is applied for downscaling atmospheric synoptic patterns to winter multi-site daily precipitation amounts. The implemented NHMM assumes precipitation to be conditional on a hidden weather state that follows a Markov chain, whose transition probabilities...... depend on current atmospheric information. The gridded atmospheric fields are summarized through the singular value decomposition (SVD) technique. SVD is applied to geopotential height and relative humidity at several pressure levels, to identify their principal spatial patterns co...... products of bivariate distributions. Conditional on the weather state, precipitation amounts are modelled separately at each gauge as independent gamma-distributed random variables. This modelling approach is applied to 51 precipitation gauges in Denmark and southern Sweden for the period 1981...

  2. Formy nauczania poprzez grę w kształtowaniu kompetencji ekonomicznej przyszłych menedżerów oświaty: „Krok po kroku – razem do sukcesu!”

    Directory of Open Access Journals (Sweden)

    Tetiana Burłajenko

    2015-04-01

    Full Text Available Prezentujemy wypracowania optymalnego programu „Krоk po kroku – razem dо sukcesu!” z użyciem nauki w formie gry przy kształtowaniu kompetencji ekonomicznej przyszłych menedżerów oświaty, w którym przyszli zawodowcy mogą zdobyć doświadczenia w komunikacji, aktywnej współpracy, umiejętność mówienia krótko i konstruktywnie, oceniać siebie i innych, zrozumieć innych

  3. Risk and direct protective factors for youth violence: results from the Centers for Disease Control and Prevention's Multisite Violence Prevention Project.

    Science.gov (United States)

    Henry, David B; Tolan, Patrick H; Gorman-Smith, Deborah; Schoeny, Michael E

    2012-08-01

    This study was conducted as part of a multisite effort to examine risk and direct protective factors for youth violence. The goal was to identify those factors in the lives of young people that increase or decrease the risk of violence. These analyses fill an important gap in the literature, as few studies have examined risk and direct protective factors for youth violence across multiple studies. Data on 4432 middle-school youth, from the CDC Multisite Violence Prevention Project were used. Evaluations were made of effects of variables coded as risk and direct protective factors in the fall of 6th grade on violence measured in spring of 7th and 8th grades. Factors tested included depression, delinquency, alcohol and drug involvement, involvement in family activities, academic achievement, attitudes toward school, truancy, and peer deviance. Most variables were coded with two sets of dummy variables indicating risk and protective directions of effects. Results showed that higher teacher-rated study skills were associated with lower subsequent violence across genders and ethnic groups. Affiliation with deviant peers was significantly associated with increased subsequent violence among youth reporting their race/ethnicity as white or other, marginally associated with increased violence among African-American youth, and unrelated among Latino youth. This study identified some factors than should be areas of interest for effective prevention programs. Some ethnic differences also should be considered in planning of prevention. The CDC Multisite Violence Prevention Project completed enrollment prior to July 2005. Copyright © 2012. Published by Elsevier Inc.

  4. Replication and Comparison of the Newly Proposed ADOS-2, Module 4 Algorithm in ASD without ID: A Multi-Site Study

    Science.gov (United States)

    Pugliese, Cara E.; Kenworthy, Lauren; Bal, Vanessa Hus; Wallace, Gregory L.; Yerys, Benjamin E.; Maddox, Brenna B.; White, Susan W.; Popal, Haroon; Armour, Anna Chelsea; Miller, Judith; Herrington, John D.; Schultz, Robert T.; Martin, Alex; Anthony, Laura Gutermuth

    2015-01-01

    Recent updates have been proposed to the Autism Diagnostic Observation Schedule-2 Module 4 diagnostic algorithm. This new algorithm, however, has not yet been validated in an independent sample without intellectual disability (ID). This multi-site study compared the original and revised algorithms in individuals with ASD without ID. The revised…

  5. Conducting a team-based multi-sited focused ethnography in primary care

    Directory of Open Access Journals (Sweden)

    A.P. Bikker

    2017-09-01

    Full Text Available Abstract Focused ethnography is an applied and pragmatic form of ethnography that explores a specific social phenomenon as it occurs in everyday life. Based on the literature a problem-focused research question is formulated before the data collection. The data generation process targets key informants and situations so that relevant results on the pre-defined topic can be obtained within a relatively short time-span. As part of a theory based evaluation of alternative forms of consultation (such as video, phone and email in primary care we used the focused ethnographic method in a multisite study in general practice across the UK. To date there is a gap in the literature on using focused ethnography in healthcare research. The aim of the paper is to build on the various methodological approaches in health services research by presenting the challenges and benefits we encountered whilst conducing a focused ethnography in British primary care. Our considerations are clustered under three headings: constructing a shared understanding, dividing the tasks within the team, and the functioning of the focused ethnographers within the broader multi-disciplinary team. As a result of using this approach we experienced several advantages, like the ability to collect focused data in several settings simultaneously within in a short time-span. Also, the sharing of experiences and interpretations between the researchers contributed to a more holistic understanding of the research topic. However, mechanisms need to be in place to facilitate and synthesise the observations, guide the analysis, and to ensure that all researchers feel engaged. Reflection, trust and flexibility among the team members were crucial to successfully adopt a team focused ethnographic approach. When used for policy focussed applied healthcare research a team-based multi-sited focused ethnography can uncover practices and understandings that would not be apparent through surveys or

  6. Conducting a team-based multi-sited focused ethnography in primary care.

    Science.gov (United States)

    Bikker, A P; Atherton, H; Brant, H; Porqueddu, T; Campbell, J L; Gibson, A; McKinstry, B; Salisbury, C; Ziebland, S

    2017-09-12

    Focused ethnography is an applied and pragmatic form of ethnography that explores a specific social phenomenon as it occurs in everyday life. Based on the literature a problem-focused research question is formulated before the data collection. The data generation process targets key informants and situations so that relevant results on the pre-defined topic can be obtained within a relatively short time-span. As part of a theory based evaluation of alternative forms of consultation (such as video, phone and email) in primary care we used the focused ethnographic method in a multisite study in general practice across the UK. To date there is a gap in the literature on using focused ethnography in healthcare research.The aim of the paper is to build on the various methodological approaches in health services research by presenting the challenges and benefits we encountered whilst conducing a focused ethnography in British primary care. Our considerations are clustered under three headings: constructing a shared understanding, dividing the tasks within the team, and the functioning of the focused ethnographers within the broader multi-disciplinary team.As a result of using this approach we experienced several advantages, like the ability to collect focused data in several settings simultaneously within in a short time-span. Also, the sharing of experiences and interpretations between the researchers contributed to a more holistic understanding of the research topic. However, mechanisms need to be in place to facilitate and synthesise the observations, guide the analysis, and to ensure that all researchers feel engaged. Reflection, trust and flexibility among the team members were crucial to successfully adopt a team focused ethnographic approach. When used for policy focussed applied healthcare research a team-based multi-sited focused ethnography can uncover practices and understandings that would not be apparent through surveys or interviews alone. If conducted with

  7. Evaluation of a multi-site program designed to strengthen relational bonds for siblings separated by foster care.

    Science.gov (United States)

    Waid, Jeffrey; Wojciak, Armeda Stevenson

    2017-10-01

    Sibling relationships in foster care settings have received increased attention in recent years. Despite growing evidence regarding the protective potential of sibling relationships for youth in care, some sibling groups continue to experience foster care related separation, and few programs exist to address the needs of these youth. This study describes and evaluates Camp To Belong, a multi-site program designed to provide short-term reunification to separated sibling groups through a week-long summer camp experience. Using a pre-test post-test survey design, this paper examines changes in youth ratings of sibling conflict and sibling support across camps located in six geographically distinct regions of the United States. The effects of youth age, number of prior camp exposures, and camp location were tested using multilevel modeling procedures. Findings suggest that participation in Camp To Belong may reduce sibling conflict, and improvements in sibling support are noted for youth who have had prior exposure to the camp's programming. Camp-level variance in the sibling support outcome highlight the complex nature of relationships for siblings separated by foster care, and suggest the need for additional research. Lessons learned from this multi-site evaluation and future directions are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Demographic characteristics and employment among people with severe mental illness in a multisite study.

    Science.gov (United States)

    Burke-Miller, Jane K; Cook, Judith A; Grey, Dennis D; Razzano, Lisa A; Blyler, Crystal R; Leff, H Stephen; Gold, Paul B; Goldberg, Richard W; Mueser, Kim T; Cook, William L; Hoppe, Sue K; Stewart, Michelle; Blankertz, Laura; Dudek, Kenn; Taylor, Amanda L; Carey, Martha Ann

    2006-04-01

    People with psychiatric disabilities experience disproportionately high rates of unemployment. As research evidence is mounting regarding effective vocational programs, interest is growing in identifying subgroup variations. Data from a multisite research and demonstration program were analyzed to identify demographic characteristics associated with employment outcomes, after adjusting for the effects of program, services, and study site. Longitudinal analyses found that people with more recent work history, younger age, and higher education were more likely to achieve competitive employment and to work more hours per month, while race and gender effects varied by employment outcome. Results provide strong evidence of demographic subgroup variation and need.

  9. A DOE/DP multisite approach to safeguards integration with facility operations

    International Nuclear Information System (INIS)

    Ostenak, C.A.

    1987-01-01

    The Accountability Technology Exchange (ATEX) Working Group was established in October 1986 by the plutonium processing technology exchange steering committee under the US Department of Energy/Department of Defense program's materials management executive committee (DOE/DP MMEC). The ATEX Working Group provides a multisite, multidisciplinary forum for discussing, evaluating, and recommending both existing and emerging nuclear materials accountability measurement technologies for implementation into DOE/DP plutonium processing facilities. This forum assists technologists in understanding state-of-the-art plutonium processing and accountability measurement practices throughout the complex, as well as current and projected technical needs. As a result, the ATEX Working Group will contribute to the improvement of plutonium processing technologies by helping to assure that the best possible nuclear materials accountability measurement techniques are made available to all sites to process plutonium safely, securely, and cost-effectively

  10. Multi-Site Diagnostic Classification of Schizophrenia Using Discriminant Deep Learning with Functional Connectivity MRI

    Directory of Open Access Journals (Sweden)

    Ling-Li Zeng

    2018-04-01

    Full Text Available Background: A lack of a sufficiently large sample at single sites causes poor generalizability in automatic diagnosis classification of heterogeneous psychiatric disorders such as schizophrenia based on brain imaging scans. Advanced deep learning methods may be capable of learning subtle hidden patterns from high dimensional imaging data, overcome potential site-related variation, and achieve reproducible cross-site classification. However, deep learning-based cross-site transfer classification, despite less imaging site-specificity and more generalizability of diagnostic models, has not been investigated in schizophrenia. Methods: A large multi-site functional MRI sample (n = 734, including 357 schizophrenic patients from seven imaging resources was collected, and a deep discriminant autoencoder network, aimed at learning imaging site-shared functional connectivity features, was developed to discriminate schizophrenic individuals from healthy controls. Findings: Accuracies of approximately 85·0% and 81·0% were obtained in multi-site pooling classification and leave-site-out transfer classification, respectively. The learned functional connectivity features revealed dysregulation of the cortical-striatal-cerebellar circuit in schizophrenia, and the most discriminating functional connections were primarily located within and across the default, salience, and control networks. Interpretation: The findings imply that dysfunctional integration of the cortical-striatal-cerebellar circuit across the default, salience, and control networks may play an important role in the “disconnectivity” model underlying the pathophysiology of schizophrenia. The proposed discriminant deep learning method may be capable of learning reliable connectome patterns and help in understanding the pathophysiology and achieving accurate prediction of schizophrenia across multiple independent imaging sites. Keywords: Schizophrenia, Deep learning, Connectome, f

  11. Multi-Site Diagnostic Classification of Schizophrenia Using Discriminant Deep Learning with Functional Connectivity MRI.

    Science.gov (United States)

    Zeng, Ling-Li; Wang, Huaning; Hu, Panpan; Yang, Bo; Pu, Weidan; Shen, Hui; Chen, Xingui; Liu, Zhening; Yin, Hong; Tan, Qingrong; Wang, Kai; Hu, Dewen

    2018-04-01

    A lack of a sufficiently large sample at single sites causes poor generalizability in automatic diagnosis classification of heterogeneous psychiatric disorders such as schizophrenia based on brain imaging scans. Advanced deep learning methods may be capable of learning subtle hidden patterns from high dimensional imaging data, overcome potential site-related variation, and achieve reproducible cross-site classification. However, deep learning-based cross-site transfer classification, despite less imaging site-specificity and more generalizability of diagnostic models, has not been investigated in schizophrenia. A large multi-site functional MRI sample (n = 734, including 357 schizophrenic patients from seven imaging resources) was collected, and a deep discriminant autoencoder network, aimed at learning imaging site-shared functional connectivity features, was developed to discriminate schizophrenic individuals from healthy controls. Accuracies of approximately 85·0% and 81·0% were obtained in multi-site pooling classification and leave-site-out transfer classification, respectively. The learned functional connectivity features revealed dysregulation of the cortical-striatal-cerebellar circuit in schizophrenia, and the most discriminating functional connections were primarily located within and across the default, salience, and control networks. The findings imply that dysfunctional integration of the cortical-striatal-cerebellar circuit across the default, salience, and control networks may play an important role in the "disconnectivity" model underlying the pathophysiology of schizophrenia. The proposed discriminant deep learning method may be capable of learning reliable connectome patterns and help in understanding the pathophysiology and achieving accurate prediction of schizophrenia across multiple independent imaging sites. Copyright © 2018 German Center for Neurodegenerative Diseases (DZNE). Published by Elsevier B.V. All rights reserved.

  12. Multisite musculoskeletal pain in adolescence as a predictor of medical and social welfare benefits in young adulthood: The Norwegian Arctic Adolescent Health Cohort Study.

    Science.gov (United States)

    Eckhoff, C; Straume, B; Kvernmo, S

    2017-11-01

    Pain in adolescence is associated with mental health problems, the main reason for work disability in young adults. This study explores the relationship between multisite musculoskeletal pain in adolescence and later medical (sickness and medical rehabilitation benefits) and social welfare benefits, adjusted for sociodemographic, adolescent psychosocial and mental health problems. Data were obtained by linkage between the National Insurance Registry (2003-11) and the Norwegian Arctic Adolescent Health Study, a school-based survey in North Norway (2003-05), accepted by 3987 fifteen- to sixteen-year-olds (68% of the total population). The start of the follow-up time was July 1st of the corresponding year the participants responded to the health study. Musculoskeletal pain was measured by the number of musculoskeletal pain sites. We found a positive linear relationship between adolescent musculoskeletal pain sites and the occurrence of medical and social welfare benefits in young adulthood (p ≤ 0.001). Adolescent musculoskeletal pain was a significant predictor of sickness (p adolescent psychosocial and mental health problems. The most important adolescent psychosocial predictors were externalizing problems, less parental involvement and adverse life events. Adolescent multisite musculoskeletal pain was found to be an important predictor of later sickness and social welfare benefit receipt from adolescence to young adulthood. Adolescents with multisite musculoskeletal pain are at substantially increased risk of health and social difficulties into young adulthood. Identification and interventions for these adolescent problems could alleviate this risk and be a sound socioeconomic investment. © 2017 European Pain Federation - EFIC®.

  13. Projection of Climate Change Based on Multi-Site Statistical Downscaling over Gilan area, Iran

    Directory of Open Access Journals (Sweden)

    Vesta Afzali

    2017-01-01

    Full Text Available Introduction: The phenomenon of climate change and its consequences is a familiar topic which is associated with natural disasters such as, flooding, hurricane, drought that cause water crisis and irreparable damages. Studying this phenomenon is a serious warning regarding the earth’s weather change for a long period of time. Materials and Methods: In order to understand and survey the impacts of climate change on water resources, Global Circulation Models, GCMs, are used; their main role is analyzing the current climate and projecting the future climate. Climate change scenarios developing from GCMs are the initial source of information to estimate plausible future climate. For transforming coarse resolution outputs of the GCMs into finer resolutions influenced by local variables, there is a need for reliable downscaling techniques in order to analyze climate changes in a region. The classical statistical methods run the model and generate the future climate just with considering the time variable. Multi-site daily rainfall and temperature time series are the primary inputs in most hydrological analyses such as rainfall-runoff modeling. Water resource management is directly influenced by the spatial and temporal variation of rainfall and temperature. Therefore, spatial-temporal modeling of daily rainfall or temperature including climate change effects is required for sustainable planning of water resources. Results and Discussion: For the first time, in this study by ASD model (Automated regression-based Statistical Downscaling tool developed by M. Hessami et al., multi-site downscaling of temperature and precipitation was done with CGCM3.1A2 outputs and two synoptic stations (Rasht and Bandar Anzali simultaneously by considering the correlations of multiple sites. The model can process conditionally on the occurrence of precipitation or unconditionally for temperature. Hence, the modeling of daily precipitation involves two steps: one step

  14. Unveiling a novel transient druggable pocket in BACE-1 through molecular simulations: Conformational analysis and binding mode of multisite inhibitors

    Science.gov (United States)

    Di Pietro, Ornella; Laughton, Charles A.

    2017-01-01

    The critical role of BACE-1 in the formation of neurotoxic ß-amyloid peptides in the brain makes it an attractive target for an efficacious treatment of Alzheimer’s disease. However, the development of clinically useful BACE-1 inhibitors has proven to be extremely challenging. In this study we examine the binding mode of a novel potent inhibitor (compound 1, with IC50 80 nM) designed by synergistic combination of two fragments—huprine and rhein—that individually are endowed with very low activity against BACE-1. Examination of crystal structures reveals no appropriate binding site large enough to accommodate 1. Therefore we have examined the conformational flexibility of BACE-1 through extended molecular dynamics simulations, paying attention to the highly flexible region shaped by loops 8–14, 154–169 and 307–318. The analysis of the protein dynamics, together with studies of pocket druggability, has allowed us to detect the transient formation of a secondary binding site, which contains Arg307 as a key residue for the interaction with small molecules, at the edge of the catalytic cleft. The formation of this druggable “floppy” pocket would enable the binding of multisite inhibitors targeting both catalytic and secondary sites. Molecular dynamics simulations of BACE-1 bound to huprine-rhein hybrid compounds support the feasibility of this hypothesis. The results provide a basis to explain the high inhibitory potency of the two enantiomeric forms of 1, together with the large dependence on the length of the oligomethylenic linker. Furthermore, the multisite hypothesis has allowed us to rationalize the inhibitory potency of a series of tacrine-chromene hybrid compounds, specifically regarding the apparent lack of sensitivity of the inhibition constant to the chemical modifications introduced in the chromene unit. Overall, these findings pave the way for the exploration of novel functionalities in the design of optimized BACE-1 multisite inhibitors

  15. A multisite validation of whole slide imaging for primary diagnosis using standardized data collection and analysis.

    Science.gov (United States)

    Wack, Katy; Drogowski, Laura; Treloar, Murray; Evans, Andrew; Ho, Jonhan; Parwani, Anil; Montalto, Michael C

    2016-01-01

    Text-based reporting and manual arbitration for whole slide imaging (WSI) validation studies are labor intensive and do not allow for consistent, scalable, and repeatable data collection or analysis. The objective of this study was to establish a method of data capture and analysis using standardized codified checklists and predetermined synoptic discordance tables and to use these methods in a pilot multisite validation study. Fifteen case report form checklists were generated from the College of American Pathology cancer protocols. Prior to data collection, all hypothetical pairwise comparisons were generated, and a level of harm was determined for each possible discordance. Four sites with four pathologists each generated 264 independent reads of 33 cases. Preestablished discordance tables were applied to determine site by site and pooled accuracy, intrareader/intramodality, and interreader intramodality error rates. Over 10,000 hypothetical pairwise comparisons were evaluated and assigned harm in discordance tables. The average difference in error rates between WSI and glass, as compared to ground truth, was 0.75% with a lower bound of 3.23% (95% confidence interval). Major discordances occurred on challenging cases, regardless of modality. The average inter-reader agreement across sites for glass was 76.5% (weighted kappa of 0.68) and for digital it was 79.1% (weighted kappa of 0.72). These results demonstrate the feasibility and utility of employing standardized synoptic checklists and predetermined discordance tables to gather consistent, comprehensive diagnostic data for WSI validation studies. This method of data capture and analysis can be applied in large-scale multisite WSI validations.

  16. Increasing STEM Exposure in K–5 Schools Through MakerSpace Use: A Multi-Site Early Success Case Study

    OpenAIRE

    Ortega, Veronica Inez

    2017-01-01

    Using Brinkerhoff’s success case methodology, this multi-site case study examined early models of MakerSpace implementation in K–5 schools in a single district. Specifically, this study examined the early use of MakerSpaces as well as the supports and barriers affecting teacher use of these spaces. The study also examined curricular connections and MakerSpace use as a conduit for purveying instruction in the soon-to-be-implemented Next Generation Science Standards. The findings of this stud...

  17. Replication and Comparison of the Newly Proposed ADOS-2, Module 4 Algorithm in ASD without ID: A Multi-site Study

    OpenAIRE

    Pugliese, Cara E.; Kenworthy, Lauren; Bal, Vanessa Hus; Wallace, Gregory L; Yerys, Benjamin E; Maddox, Brenna B.; White, Susan W.; Popal, Haroon; Armour, Anna Chelsea; Miller, Judith; Herrington, John D.; Schultz, Robert T.; Martin, Alex; Anthony, Laura Gutermuth

    2015-01-01

    Recent updates have been proposed to the Autism Diagnostic Observation Schedule-2 Module 4 diagnostic algorithm. This new algorithm, however, has not yet been validated in an independent sample without intellectual disability (ID). This multi-site study compared the original and revised algorithms in individuals with ASD without ID. The revised algorithm demonstrated increased sensitivity, but lower specificity in the overall sample. Estimates were highest for females, individuals with a verb...

  18. The surface chemistry of divalent metal carbonate minerals; a critical assessment of surface charge and potential data using the charge distribution multi-site ion complexation model

    NARCIS (Netherlands)

    Wolthers, M.; Charlet, L.; Van Cappellen, P.

    2008-01-01

    The Charge Distribution MUltiSite Ion Complexation or CD–MUSIC modeling approach is used to describe the chemical structure of carbonate mineralaqueous solution interfaces. The new model extends existing surface complexation models of carbonate minerals, by including atomic scale information on

  19. Ensuring treatment fidelity in a multi-site behavioral intervention study: implementing NIH Behavior Change Consortium recommendations in the SMART trial.

    Science.gov (United States)

    Robb, Sheri L; Burns, Debra S; Docherty, Sharron L; Haase, Joan E

    2011-11-01

    The Stories and Music for Adolescent/Young Adult Resilience during Transplant (SMART) study (R01NR008583; U10CA098543; U10CA095861) is an ongoing multi-site Children's Oncology Group randomized clinical trial testing the efficacy of a therapeutic music video intervention for adolescents/young adults (11-24 years of age) with cancer undergoing stem cell transplant. Treatment fidelity strategies from our trial are consistent with the National Institutes of Health (NIH) Behavior Change Consortium Treatment Fidelity Workgroup (BCC) recommendations and provide a successful working model for treatment fidelity implementation in a large, multi-site behavioral intervention study. In this paper, we summarize 20 specific treatment fidelity strategies used in the SMART trial and how these strategies correspond with NIH BCC recommendations in five specific areas: (1) study design, (2) training providers, (3) delivery of treatment, (4) receipt of treatment, and (5) enactment of treatment skills. Increased use and reporting of treatment fidelity procedures is essential in advancing the reliability and validity of behavioral intervention research. The SMART trial provides a strong model for the application of fidelity strategies to improve scientific findings and addresses the absence of published literature, illustrating the application of BCC recommendations in behavioral intervention studies. Copyright © 2010 John Wiley & Sons, Ltd.

  20. Memoria colectiva, emociones y cultura política: análisis de los actos públicos presentados por el Movimiento Nacional de Víctimas de Crímenes de Estado - MOVICE, capítulo Bogotá

    OpenAIRE

    González Caballero, David Eduardo

    2015-01-01

    Este escrito presenta los resultados de la investigación dedicada al estudio de las actividades adelantadas por el Capítulo Bogotá del Movimiento Nacional de Víctimas de Crímenes de Estado – MOVICE, en particular de los actos públicos mediante los cuales estas víctimas buscan transmitir su memoria colectiva al conjunto de la sociedad. El texto propone repensar el concepto de cultura política como la lucha por el sentido de lo social, para adaptarlo a las necesidades de un trabajo cualita...

  1. A multisite validation of whole slide imaging for primary diagnosis using standardized data collection and analysis

    Directory of Open Access Journals (Sweden)

    Katy Wack

    2016-01-01

    Full Text Available Context: Text-based reporting and manual arbitration for whole slide imaging (WSI validation studies are labor intensive and do not allow for consistent, scalable, and repeatable data collection or analysis. Objective: The objective of this study was to establish a method of data capture and analysis using standardized codified checklists and predetermined synoptic discordance tables and to use these methods in a pilot multisite validation study. Methods and Study Design: Fifteen case report form checklists were generated from the College of American Pathology cancer protocols. Prior to data collection, all hypothetical pairwise comparisons were generated, and a level of harm was determined for each possible discordance. Four sites with four pathologists each generated 264 independent reads of 33 cases. Preestablished discordance tables were applied to determine site by site and pooled accuracy, intrareader/intramodality, and interreader intramodality error rates. Results: Over 10,000 hypothetical pairwise comparisons were evaluated and assigned harm in discordance tables. The average difference in error rates between WSI and glass, as compared to ground truth, was 0.75% with a lower bound of 3.23% (95% confidence interval. Major discordances occurred on challenging cases, regardless of modality. The average inter-reader agreement across sites for glass was 76.5% (weighted kappa of 0.68 and for digital it was 79.1% (weighted kappa of 0.72. Conclusion: These results demonstrate the feasibility and utility of employing standardized synoptic checklists and predetermined discordance tables to gather consistent, comprehensive diagnostic data for WSI validation studies. This method of data capture and analysis can be applied in large-scale multisite WSI validations.

  2. Applying probabilistic temporal and multisite data quality control methods to a public health mortality registry in Spain: a systematic approach to quality control of repositories.

    Science.gov (United States)

    Sáez, Carlos; Zurriaga, Oscar; Pérez-Panadés, Jordi; Melchor, Inma; Robles, Montserrat; García-Gómez, Juan M

    2016-11-01

    To assess the variability in data distributions among data sources and over time through a case study of a large multisite repository as a systematic approach to data quality (DQ). Novel probabilistic DQ control methods based on information theory and geometry are applied to the Public Health Mortality Registry of the Region of Valencia, Spain, with 512 143 entries from 2000 to 2012, disaggregated into 24 health departments. The methods provide DQ metrics and exploratory visualizations for (1) assessing the variability among multiple sources and (2) monitoring and exploring changes with time. The methods are suited to big data and multitype, multivariate, and multimodal data. The repository was partitioned into 2 probabilistically separated temporal subgroups following a change in the Spanish National Death Certificate in 2009. Punctual temporal anomalies were noticed due to a punctual increment in the missing data, along with outlying and clustered health departments due to differences in populations or in practices. Changes in protocols, differences in populations, biased practices, or other systematic DQ problems affected data variability. Even if semantic and integration aspects are addressed in data sharing infrastructures, probabilistic variability may still be present. Solutions include fixing or excluding data and analyzing different sites or time periods separately. A systematic approach to assessing temporal and multisite variability is proposed. Multisite and temporal variability in data distributions affects DQ, hindering data reuse, and an assessment of such variability should be a part of systematic DQ procedures. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. La doctrina de los cuatro elementos de Crisipo: su lugar en la teoría estoica de la conflagración y sus orígenes en Anaxímenes

    Directory of Open Access Journals (Sweden)

    Ricardo SALLES

    2016-07-01

    Full Text Available En este trabajo discuto el argumento de Crisipo a favor de la indestructibilidad del cosmos que aparece en Eusebio, Praeparatio Evangelica 15.18.1-3. Este argumento complementa al que aparece en Plutarco, De Stoicorum Repugnantiis 1052C, pero descansa sobre una base distinta, a saber, la teoría de la disolución de los cuerpos complejos en los cuatro elementos y la teoría sobre cómo estos últimos se transforman los unos en los otros. Según veremos, existen antecedentes importantes de estas teorías en Anaxímenes y su teoría del cambio. Al final, me ocupo de dos objeciones que los propios estoicos formularon en contra del argumento de Crisipo.

  4. La educación costarricense al servicio de los grupos de poder: Una visión desde de los exámenes estandarizados, las regulaciones y guías disciplinarias.

    Directory of Open Access Journals (Sweden)

    Vivian Carvajal Jiménez

    2004-01-01

    Full Text Available Muchas de las políticas, estatutos y propuestas que orientan la práctica educativa de nuestro país, tienen su origen en intereses económicos y políticos que nada tienen que ver con el enriquecimiento y desarrollo de los implicados en el proceso escolar. Algunas regulaciones, guías disciplinarias y los exámenes estandarizados, promueven la segregación de ciertos grupos y el mantenimiento del estatus de otros. En este sentido, está en manos de los docentes la promoción de un modelo divergente que, a pesar de los lineamientos establecidos, estimule la igualdad y motive la inserción de todos los estudiantes al sistema social y productivo del país.

  5. Streamflow prediction using multi-site rainfall obtained from hydroclimatic teleconnection

    Science.gov (United States)

    Kashid, S. S.; Ghosh, Subimal; Maity, Rajib

    2010-12-01

    SummarySimultaneous variations in weather and climate over widely separated regions are commonly known as "hydroclimatic teleconnections". Rainfall and runoff patterns, over continents, are found to be significantly teleconnected, with large-scale circulation patterns, through such hydroclimatic teleconnections. Though such teleconnections exist in nature, it is very difficult to model them, due to their inherent complexity. Statistical techniques and Artificial Intelligence (AI) tools gain popularity in modeling hydroclimatic teleconnection, based on their ability, in capturing the complicated relationship between the predictors (e.g. sea surface temperatures) and predictand (e.g., rainfall). Genetic Programming is such an AI tool, which is capable of capturing nonlinear relationship, between predictor and predictand, due to its flexible functional structure. In the present study, gridded multi-site weekly rainfall is predicted from El Niño Southern Oscillation (ENSO) indices, Equatorial Indian Ocean Oscillation (EQUINOO) indices, Outgoing Longwave Radiation (OLR) and lag rainfall at grid points, over the catchment, using Genetic Programming. The predicted rainfall is further used in a Genetic Programming model to predict streamflows. The model is applied for weekly forecasting of streamflow in Mahanadi River, India, and satisfactory performance is observed.

  6. Determination of emamectin benzoate in medicated fish feed: a multisite study.

    Science.gov (United States)

    Farer, Leslie J

    2005-01-01

    A new method was developed for the quantitation of emamectin benzoate in medicated fish feed at levels between 1 and 30 ppm. The new procedure, based on a previously reported assay, consists of a wet methanolic extraction of ground feed, followed by solid-phase extraction and injection onto a gradient liquid chromatographic system. A multisite study involving 3 laboratories (the developing laboratory and 2 independent laboratories) was performed to evaluate precision, recovery, linearity, and sensitivity. Mean recove;ries for triplicate analyses at 3 levels, performed by 2 analysts per laboratory, were between 89 and 97%, with coefficients of variation ranging from 1.6 to 8.6%. Coefficients of determination (r2) obtained from the plotted data were > or =0.993. The precision of the method, determined from 6 replicate preparations from the same batch of medicated feed assayed in 3 separate trials per laboratory, was between 0.6 and 5.8%. The quantitation limit was established at 0.5 ppm. Specificity and robustness studies were performed by the developing laboratory.

  7. How Many Interviews Are Enough to Identify Metathemes in Multisited and Cross-Cultural Research? Another Perspective on Guest, Bunce, and Johnson's (2006) Landmark Study

    Science.gov (United States)

    Hagaman, Ashley K.; Wutich, Amber

    2017-01-01

    There is much debate over the number of interviews needed to reach data saturation for themes and metathemes in qualitative research. The primary purpose of this study is to determine the number of interviews needed to reach data saturation for metathemes in multisited and cross-cultural research. The analysis is based on a cross-cultural study on…

  8. An Investigation of the Relationship between Involvement in and Use of Evaluation in Three Multi-Site Evaluations when Those Involved Are Not the Primary Intended Users

    Science.gov (United States)

    Roseland, Denise L.

    2010-01-01

    This dissertation research describes an investigation that explores the nature of the relationship between participation in evaluation and the use of evaluation findings and processes within three large-scale multisite evaluations. The purpose of this study is to test whether assumptions and theories about participation translate into evaluation…

  9. PS1-29: Resources to Facilitate Multi-site Collaboration: the PRIMER Research Toolkit

    Science.gov (United States)

    Greene, Sarah; Thompson, Ella; Baldwin, Laura-Mae; Neale, Anne Victoria; Dolor, Rowena

    2010-01-01

    Background and Aims: The national research enterprise has typically functioned in a decentralized fashion, resulting in duplicative or undocumented processes, impeding not only the pace of research, but diffusion of established best practices. To remedy this, many long-standing networks have begun capturing and documenting proven strategies to streamline and standardize various aspects of the research process. The project, “Partnership-driven Resources to IMprove and Enhance Research” (PRIMER), was funded through the Clinical and Translational Science Awards (CTSA) initiative to leverage the collective expertise from two networks: the HMO Research Network and Practice Based Research Networks (PBRNs). Each network has a shared goal of propagating research resources and best practices. Methods: We created and distributed an online survey to 92 CTSA and PBRN representatives in March, 2009 to define critical needs and existing resources that could inform a resource repository. The survey identified barriers and benefits to forming research partnerships, and assessed the perceived utility of various tools that could accelerate the research process. The study team identified, reviewed and organized tools based on the typical research trajectory from design to dissemination. Results: Fifty-five of 92 invitees (59%) completed the survey. Respondents rated the ability to conduct community-relevant research through true academic-community partnerships as the top-rated benefit of multi-site research, followed by the opportunity to accelerate translation of research into practice. The top two perceived barriers to multi-site research were ‘funding opportunities are not adequate (e.g., too few, not enough to support true collaborations), and ‘lack of research infrastructure to support [all] partners (e.g., no IT support, IRB, dedicated research staff). Respondents’ ratings of the utility of various tools and templates was used to guide development of an online

  10. Improved Nozzle Testing Techniques in Transonic Flow

    Science.gov (United States)

    1975-10-01

    axiale) et comporte un barreau dynamometrique equips de jauges de contrainte. La canne est solidaire d’un ensemble balance-bloc d’alimentation des...s a l’aide de capteurs produisant un signal ilectrique : Pressions : capteurs ä jauges Temperatures : thermocouples Chromel-Alumel - Efforts...barreau dynamometrique a jauges de contrainte. Les signaux eiectriques sont acquis et traites par la chaine automatique de la soufflerie. Les mesures

  11. Conference Proceedings on Validation of Computational Fluid Dynamics. Volume 1. Symposium Papers and Round Table Discussion Held in Lisbon, Portugal on 2-5 May 1988

    Science.gov (United States)

    1988-05-01

    forme varient quelquefois rapidement d’une malle A la voisine. La methode de calcul impose un type de maillage. Le cas le plus simple est celul des...point de fonctionneeent de celul -ci. Cosine cela a dAjA 6t0 au en soufflerie, le dfbit du moteur influe sur las caract4ristiques des entr~es d’air at des

  12. Facebook as a tool for communication, collaboration, and informal knowledge exchange among members of a multisite family health team.

    Science.gov (United States)

    Lofters, Aisha K; Slater, Morgan B; Nicholas Angl, Emily; Leung, Fok-Han

    2016-01-01

    To implement and evaluate a private Facebook group for members of a large Ontario multisite Family Health Team (FHT) to facilitate improved communication and collaboration. Program implementation and subsequent survey of team members. A large multisite FHT in Toronto, Ontario. Health professionals of the FHT. Usage patterns and self-reported perceptions of the Facebook group by team members. At the time of the evaluation survey, the Facebook group had 43 members (37.4% of all FHT members). Activity in the group was never high, and posts by team members who were not among the researchers were infrequent throughout the study period. The content of posts fell into two broad categories: 1) information that might be useful to various team members and 2) questions posed by team members that others might be able to answer. Of the 26 team members (22.6%) who completed the evaluation survey, many reported that they never logged into the Facebook page (16 respondents), and never used it to communicate with team members outside of their own site of practice (19 respondents). Only six respondents reported no concerns with using Facebook as a professional communication tool; the most frequent concerns were regarding personal and patient privacy. The use of social media by health care practitioners is becoming ubiquitous. However, the issues of privacy concerns and determining how to use social media without adding to provider workload must be addressed to make it a useful tool in health care.

  13. Completion Report for Multi-Site Incentive MRT 2779 Implement ASC Tripod Initiative by 30SEP08

    Energy Technology Data Exchange (ETDEWEB)

    East, D; Cerutti, J; Noe, J; Cupps, K; Loncaric, J; Sturtevant, J

    2008-09-22

    This report provides documentation and evidence for the completion of the deployment of the Tripod common operating system (TripodOS, also known as and generally referred to below as TOSS). Background documents for TOSS are provided in Appendices A and B, including the initial TOSS proposal accepted by ASC HQ and Executives in July 2007 and a Governance Model defined by a Tri-Lab working group in September 2007. Appendix C contains a document that clarifies the intent and requirements for the completion criteria associated with MRT 2779. The deployment of TOSS is a Multi-Site Incentive from the ASC FY08-09 Implementation Plan due at the end of Quarter 4 in FY08.

  14. Multi-site Study of Diffusion Metric Variability: Characterizing the Effects of Site, Vendor, Field Strength, and Echo Time using the Histogram Distance

    Science.gov (United States)

    Helmer, K. G.; Chou, M-C.; Preciado, R. I.; Gimi, B.; Rollins, N. K.; Song, A.; Turner, J.; Mori, S.

    2016-01-01

    MRI-based multi-site trials now routinely include some form of diffusion-weighted imaging (DWI) in their protocol. These studies can include data originating from scanners built by different vendors, each with their own set of unique protocol restrictions, including restrictions on the number of available gradient directions, whether an externally-generated list of gradient directions can be used, and restrictions on the echo time (TE). One challenge of multi-site studies is to create a common imaging protocol that will result in a reliable and accurate set of diffusion metrics. The present study describes the effect of site, scanner vendor, field strength, and TE on two common metrics: the first moment of the diffusion tensor field (mean diffusivity, MD), and the fractional anisotropy (FA). We have shown in earlier work that ROI metrics and the mean of MD and FA histograms are not sufficiently sensitive for use in site characterization. Here we use the distance between whole brain histograms of FA and MD to investigate within- and between-site effects. We concluded that the variability of DTI metrics due to site, vendor, field strength, and echo time could influence the results in multi-center trials and that histogram distance is sensitive metrics for each of these variables. PMID:27350723

  15. Multi-site Study of Diffusion Metric Variability: Characterizing the Effects of Site, Vendor, Field Strength, and Echo Time using the Histogram Distance.

    Science.gov (United States)

    Helmer, K G; Chou, M-C; Preciado, R I; Gimi, B; Rollins, N K; Song, A; Turner, J; Mori, S

    2016-02-27

    MRI-based multi-site trials now routinely include some form of diffusion-weighted imaging (DWI) in their protocol. These studies can include data originating from scanners built by different vendors, each with their own set of unique protocol restrictions, including restrictions on the number of available gradient directions, whether an externally-generated list of gradient directions can be used, and restrictions on the echo time (TE). One challenge of multi-site studies is to create a common imaging protocol that will result in a reliable and accurate set of diffusion metrics. The present study describes the effect of site, scanner vendor, field strength, and TE on two common metrics: the first moment of the diffusion tensor field (mean diffusivity, MD), and the fractional anisotropy (FA). We have shown in earlier work that ROI metrics and the mean of MD and FA histograms are not sufficiently sensitive for use in site characterization. Here we use the distance between whole brain histograms of FA and MD to investigate within- and between-site effects. We concluded that the variability of DTI metrics due to site, vendor, field strength, and echo time could influence the results in multi-center trials and that histogram distance is sensitive metrics for each of these variables.

  16. OPTIMIZING MAINTENANCE PROCESSES ON CUSTOMER SITE IN A DECENTRALIZED ORGANIZATION BASED ON MULTI-SITE TEAMS

    Directory of Open Access Journals (Sweden)

    Jorge Moutinho

    2015-03-01

    Full Text Available This lecture focuses on the complexity to manage and optimize maintenance processes, operations and service tasks to equipments and systems installed at customer sites. Different locations, access and working environment may compromise any standardization of setup's and operations. Multi-site teams based on geographic strategic locations, adds complexity to trainning, communication, supervising and monitoring processes. Logistics and information systems assume relevant rolls to consolidate global performance. Beside efficiency, effectiveness productivity and flexibility, field teams need skills on autonomy responsibility and proactivity. This lecture also explores the needed adaptation of most part of available literature, normally based on production sites, as also of Lean- Kaizen principles to the fact that services can not be stocked, quality is normally more difficult to measure and customer is normally present when and where service is produced.

  17. Use of hydraulic and aerial mock up to study atmospheric pollution; L'utilisation des maquettes aeriennes et hydrauliques pour l'etude de la pollution atmospherique

    Energy Technology Data Exchange (ETDEWEB)

    Facy, L; Perrin De Brichambaut, C; Doury, A; Le Quinio, R

    1962-07-01

    Fundamental studies on turbulent atmospheric diffusion of finely divided particles, cannot remain on a purely theoretical basis. Further experimental studies must be considered. - In full scale, from accidental and induced releases. - On a reduced scale, in aerodynamic wind tunnels or hydraulic water tunnels. A first set of studies on reduced scale models has been worked out according to a contract between French 'Meteorologie Nationale' and French 'Commissariat a l'Energie Atomique' and with the Collaboration of Saint-Cyr 'Institut Aerotechnique'. Essentially two kinds of results have been obtained: - The mathematical model of SUTTON for the turbulent diffusion in the atmosphere, deduced from the SUTTON theory, generally used by us, has been correctly verified, qualitatively and quantitatively whenever experiments were consistent with the theory conditions. - The quantitative assays of photographic and cinematographic visualization have given precise details on the phenomena inaccessible to calculations, due to the influence of obstacles and release conditions. - Generally, it can be asserted, that the atmospheric pollution studies are worked out by mock up experimentations and that, in some cases these experiments never can be replaced by mathematically pure models. (authors) [French] Les etudes fondamentales portant sur la diffusion turbulente dans l'atmosphere de quantites de matieres finement divisees, ne peuvent se maintenir sur un plan exclusivement theorique. C'est pourquoi des etudes experimentales complementaires doivent etre obligatoirement envisagees: - en vraie grandeur, a partir d'emissions accidentelles ou provoquees; - sur modeles reduits, en soufflerie aerodynamique ou en veine hydraulique. En ce qui concerne les modeles reduits, une premiere serie d'etudes a pu etre menee a bien, dans le cadre d'un contrat passe entre la Meteorologie Nationale et le Commissariat a l'Energie Atomique, et avec la collaboration de l'Institut Aerotechnique de Saint

  18. Combat Aircraft Maneuverability.

    Science.gov (United States)

    1981-12-01

    rodynamique, propulsion, rdsistance den structures, etc ... - lea m~thodes d’essaia an soufflerie, aur banca au aol, sur simulateurs. A un niveau de synthbse...Dunstan Graham, "Aircraft Dynamics and Automatic Control," Princeton University Press , Princeton, N.J., 1973. 9. Hoh, Roger H., Thomas T. Myers...discussion of the roll coupling problem" Progress in Aerospace Sciences, Vol 15, Pergamon Press , Oxford 1974 17-8 (6] R.W. KLOPPENSTEIN "Zeroes of

  19. Design and Baseline Findings of a Multi-site Non-randomized Evaluation of the Effect of a Health Programme on Microfinance Clients in India

    OpenAIRE

    Saha, Somen

    2013-01-01

    Microfinance is the provision of financial services for the poor. Health program through microfinance has the potential to address several access barriers to health. We report the design and baseline findings of a multi-site non-randomized evaluation of the effect of a health program on the members of two microfinance organizations from Karnataka and Gujarat states of India. Villages identified for roll-out of health services with microfinance were pair-matched with microfinance only villages...

  20. Dios, Patria, Autoridad: la Iglesia Católica y la fascistización de los regímenes ibéricos, 1933-1945

    Directory of Open Access Journals (Sweden)

    Manuel Loff

    2013-12-01

    Full Text Available La crisis de los sistemas liberales ibéricos en la Europa de entreguerras es especialmente interesante por el papel específico que ocupa en ella el componente católico de laidentidad y de las coaliciones que sostuvieron los dos regímenes autoritarios. El catolicismo político tuvo un papel muy relevante en el proceso de modernización de las derechas españolas y portuguesas de la primera posguerra. Salazar y Franco presentaron los regímenes que ellosmismos construyeron y sobre los que gobernaron como siendo intrínsicamente católicos, y los católicos fueron actoresprincipales de las coaliciones políticas y sociales que sostuvieron ambos dictadores. En su lucha contra la Primera República Portuguesa (1910-26 y la Segunda República Española (1931-39, las fuerzas políticas conservadoras y de extrema derecha concedieron un papel estratégico a los católicos politicamente organizados en lo que se refiere a la movilización de las masas y en la constitución de un amplia coalición que pudiese crear una alternativa sólida a la democracia liberal y a un movimento obrero cada día más fuerte. En los años centrales de la «Era del Fascismo», las derechas católicas ibéricas y la jerarquía de la Iglesia sancionaron un giro muy notorio hacia una lectura crecientemente fascistizada del contexto político europeo posterior a la Revolución Soviética.The crisis of the Iberian liberal systems in inter-war Europe is especially interesting to study because of the specific role ofthe Catholic component of both the sustaining political coalition and the identity of these two of the European 20th century authoritarian regimes. Political Catholicism was a major actor in the modernisation process of Spanish and Portuguese post-World War I rightwing movements. Salazar and Franco presented the regimes they built up and ruled upon as being intrinsically catholic, and Catholics were major partners in the political and

  1. Programa para el cálculo de los regímenes de operación de la red soterrada

    Directory of Open Access Journals (Sweden)

    Manuel Barroso Baeza

    2011-03-01

    Full Text Available Este trabajo tiene como objetivo el desarrollo de software para el análisis de los regímenes de trabajo normalesde la red soterrada; específicamente abarca el desarrollo y adecuación de algoritmos para flujo de carga,elaborando el producto informático propuesto empleando las técnicas de la programación visual. El programaobtenido permite analizar estudios completos del comportamiento de la red soterrada, nunca antes posible,pues se carecía de la herramienta adecuada para realizar tales estudios, o bien por falta de capacidadsuficiente en cuanto a memoria requerida para modelar la red completa , lo cual sucedió en las décadasanteriores o porque los programas que existían entonces eran desarrollados para la transmisión.  This work has as objectives the software development for the analysis of the normal load flow of the undergroundsecondary network, specifically sandal the development and adaptation of algorithms for load flow, elaborating theproposed computer product using the techniques of the visual programming. The obtained program allows toanalyze complete studies of the net behavior it was never before possible, because you lacked the appropriatetool to carry out such studies, or for lack of enough capacity as for memory required to model the complete net,that which happened in the previous decades or because the programs that existed then were developed for thetransmission. As a result final of this project a software will be reached that using a base data common to othertechnical studies, facilitate to make any of the mentioned analysis, responding to the particularities of the undergroundsecondary network.

  2. A multi-site resting state fMRI study on the amplitude of low frequency fluctuations in schizophrenia

    Directory of Open Access Journals (Sweden)

    Jessica A Turner

    2013-08-01

    Full Text Available Background. This multi-site study compares resting state fMRI amplitude of low frequency fluctuations (ALFF and fractional ALFF (fALFF between patients with schizophrenia (SZ and healthy controls (HC. Methods. Eyes-closed resting fMRI scans (5:38 minutes; n=306, 146 SZ were collected from 6 Siemens 3T scanners and one GE 3T scanner. Imaging data were pre-processed using an SPM pipeline. Power in the low frequency band (0.01 to 0.08 Hz was calculated both for the original pre-processed data as well as for the pre-processed data after regressing out the six rigid-body motion parameters, mean white matter and CSF signals. Both original and regressed ALFF and fALFF measures were modeled with site, diagnosis, age, and diagnosis × age interactions. Results. Regressing out motion and non-gray matter signals significantly decreased fALFF throughout the brain as well as ALFF in the cortical edge, but significantly increased ALFF in subcortical regions. Regression had little effect on site, age, and diagnosis effects on ALFF, other than to reduce diagnosis effects in subcortical regions. There were significant effects of site across the brain in all the analyses, largely due to vendor differences. HC showed greater ALFF in the occipital, posterior parietal, and superior temporal lobe, while SZ showed smaller clusters of greater ALFF in the frontal and temporal/insular regions as well as in the caudate, putamen, and hippocampus. HC showed greater fALFF compared with SZ in all regions, though subcortical differences were only significant for original fALFF. Conclusions. SZ show greater eyes-closed resting state low frequency power in frontal cortex, and less power in posterior lobes than do HC; fALFF, however, is lower in SZ than HC throughout the cortex. These effects are robust to multi-site variability. Regressing out physiological noise signals significantly affects both total and fractional ALFF measures, but does not affect the pattern of case

  3. Work characteristics predict the development of multi-site musculoskeletal pain.

    Science.gov (United States)

    Oakman, Jodi; de Wind, Astrid; van den Heuvel, Swenne G; van der Beek, Allard J

    2017-10-01

    Musculoskeletal pain in more than one body region is common and a barrier to sustaining employment. We aimed to examine whether work characteristics predict the development of multi-site pain (MSP), and to determine differences in work-related predictors between age groups. This study is based on 5136 employees from the Study on Transitions in Employment, Ability and Motivation (STREAM) who reported no MSP at baseline. Measures included physical, emotional, mental, and psychological job demands, social support and autonomy. Predictors of MSP were studied by logistic regression analyses. Univariate and multivariate analyses with age stratification (45-49, 50-54, 55-59, and 60-64 years) were done to explore differences between age groups. All work characteristics with the exception of autonomy were predictive of the development of MSP, with odds ratios varying from 1.21 (95% CI 1.04-1.40) for mental job demands to 1.63 (95% CI 1.43-1.86) for physical job demands. No clear pattern of age-related differences in the predictors of MSP emerged, with the exception of social support, which was predictive of MSP developing in all age groups except for the age group 60-64 years. Adverse physical and psychosocial work characteristics are associated with MSP. Organisations need to comprehensively assess work environments to ensure that all relevant workplace hazards, physical and psychosocial, are identified and then controlled for across all age groups.

  4. Crónica de una muerte anunciada: la jurisdicción de los tribunales españoles sobre crímenes internacionales antes y después de la Ley Orgánica 1/2014 relativa a la justicia universal

    Directory of Open Access Journals (Sweden)

    Enrique Carnero Rojo

    2015-09-01

    Full Text Available En marzo de 2014, el Parlamento español reformó la jurisdicción universal de los tribunales nacionales. El presente artículo analiza la evolución legislativa que condujo a esta reforma, sus orígenes políticos y sus consecuencias en la práctica judicial. Tal análisis demuestra que las limitaciones al ejercicio de la jurisdicción española sobre crímenes internacionales cometidos en el extranjero contra víctimas no españolas  comenzaron por vía judicial en el año 2003. Cuando dichas limitaciones fueron declaradas contrarias a la Constitución española, el legislador enmendó la ley en 2009 para establecer límites al ejercicio de la jurisdicción universal por razones económicas y diplomáticas y lo hizo de nuevo en 2014, con la intención aparente de impedir directamente el ejercicio de dicha jurisdicción. Esta última reforma, llevada a cabo de manera unilateral y expedita, impuso estrictas condiciones legales a la jurisdicción universal en España y desnaturalizó por completo su ejercicio. La deficiente calidad jurídica de la reforma no solo ha generado tensiones dentro de los tribunales, al impedirles seguir conociendo de la mayoría de los crímenes internacionales que estaban siendo investigados, sino que también ha dado lugar a una preocupante falta de seguridad jurídica de cara a procesos futuros.

  5. Facebook as a tool for communication, collaboration, and informal knowledge exchange among members of a multisite family health team

    Directory of Open Access Journals (Sweden)

    Lofters AK

    2016-01-01

    Full Text Available Aisha K Lofters,1,2 Morgan B Slater,1 Emily Nicholas Angl,1 Fok-Han Leung1 1Department of Family and Community Medicine, 2Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St Michael's Hospital, University of Toronto, Toronto, ON, Canada Objective: To implement and evaluate a private Facebook group for members of a large Ontario multisite Family Health Team (FHT to facilitate improved communication and collaboration. Design: Program implementation and subsequent survey of team members. Setting: A large multisite FHT in Toronto, Ontario. Participants: Health professionals of the FHT. Main outcome measures: Usage patterns and self-reported perceptions of the Facebook group by team members. Results: At the time of the evaluation survey, the Facebook group had 43 members (37.4% of all FHT members. Activity in the group was never high, and posts by team members who were not among the researchers were infrequent throughout the study period. The content of posts fell into two broad categories: 1 information that might be useful to various team members and 2 questions posed by team members that others might be able to answer. Of the 26 team members (22.6% who completed the evaluation survey, many reported that they never logged into the Facebook page (16 respondents, and never used it to communicate with team members outside of their own site of practice (19 respondents. Only six respondents reported no concerns with using Facebook as a professional communication tool; the most frequent concerns were regarding personal and patient privacy. Conclusion: The use of social media by health care practitioners is becoming ubiquitous. However, the issues of privacy concerns and determining how to use social media without adding to provider workload must be addressed to make it a useful tool in health care. Keywords: social media, team-based care, communication, interprofessionalism, social network

  6. Intra-operative multi-site stimulation: Expanding methodology for cortical brain mapping of language functions.

    Science.gov (United States)

    Gonen, Tal; Gazit, Tomer; Korn, Akiva; Kirschner, Adi; Perry, Daniella; Hendler, Talma; Ram, Zvi

    2017-01-01

    Direct cortical stimulation (DCS) is considered the gold-standard for functional cortical mapping during awake surgery for brain tumor resection. DCS is performed by stimulating one local cortical area at a time. We present a feasibility study using an intra-operative technique aimed at improving our ability to map brain functions which rely on activity in distributed cortical regions. Following standard DCS, Multi-Site Stimulation (MSS) was performed in 15 patients by applying simultaneous cortical stimulations at multiple locations. Language functioning was chosen as a case-cognitive domain due to its relatively well-known cortical organization. MSS, performed at sites that did not produce disruption when applied in a single stimulation point, revealed additional language dysfunction in 73% of the patients. Functional regions identified by this technique were presumed to be significant to language circuitry and were spared during surgery. No new neurological deficits were observed in any of the patients following surgery. Though the neuro-electrical effects of MSS need further investigation, this feasibility study may provide a first step towards sophistication of intra-operative cortical mapping.

  7. Multisite, multimodal neuroimaging of chronic urological pelvic pain: Methodology of the MAPP Research Network

    Directory of Open Access Journals (Sweden)

    Jeffry R. Alger

    2016-01-01

    Full Text Available The Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP Research Network is an ongoing multi-center collaborative research group established to conduct integrated studies in participants with urologic chronic pelvic pain syndrome (UCPPS. The goal of these investigations is to provide new insights into the etiology, natural history, clinical, demographic and behavioral characteristics, search for new and evaluate candidate biomarkers, systematically test for contributions of infectious agents to symptoms, and conduct animal studies to understand underlying mechanisms for UCPPS. Study participants were enrolled in a one-year observational study and evaluated through a multisite, collaborative neuroimaging study to evaluate the association between UCPPS and brain structure and function. 3D T1-weighted structural images, resting-state fMRI, and high angular resolution diffusion MRI were acquired in five participating MAPP Network sites using 8 separate MRI hardware and software configurations. We describe the neuroimaging methods and procedures used to scan participants, the challenges encountered in obtaining data from multiple sites with different equipment/software, and our efforts to minimize site-to-site variation.

  8. Integrating physically based simulators with Event Detection Systems: Multi-site detection approach.

    Science.gov (United States)

    Housh, Mashor; Ohar, Ziv

    2017-03-01

    The Fault Detection (FD) Problem in control theory concerns of monitoring a system to identify when a fault has occurred. Two approaches can be distinguished for the FD: Signal processing based FD and Model-based FD. The former concerns of developing algorithms to directly infer faults from sensors' readings, while the latter uses a simulation model of the real-system to analyze the discrepancy between sensors' readings and expected values from the simulation model. Most contamination Event Detection Systems (EDSs) for water distribution systems have followed the signal processing based FD, which relies on analyzing the signals from monitoring stations independently of each other, rather than evaluating all stations simultaneously within an integrated network. In this study, we show that a model-based EDS which utilizes a physically based water quality and hydraulics simulation models, can outperform the signal processing based EDS. We also show that the model-based EDS can facilitate the development of a Multi-Site EDS (MSEDS), which analyzes the data from all the monitoring stations simultaneously within an integrated network. The advantage of the joint analysis in the MSEDS is expressed by increased detection accuracy (higher true positive alarms and fewer false alarms) and shorter detection time. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Simple-MSSM: a simple and efficient method for simultaneous multi-site saturation mutagenesis.

    Science.gov (United States)

    Cheng, Feng; Xu, Jian-Miao; Xiang, Chao; Liu, Zhi-Qiang; Zhao, Li-Qing; Zheng, Yu-Guo

    2017-04-01

    To develop a practically simple and robust multi-site saturation mutagenesis (MSSM) method that enables simultaneously recombination of amino acid positions for focused mutant library generation. A general restriction enzyme-free and ligase-free MSSM method (Simple-MSSM) based on prolonged overlap extension PCR (POE-PCR) and Simple Cloning techniques. As a proof of principle of Simple-MSSM, the gene of eGFP (enhanced green fluorescent protein) was used as a template gene for simultaneous mutagenesis of five codons. Forty-eight randomly selected clones were sequenced. Sequencing revealed that all the 48 clones showed at least one mutant codon (mutation efficiency = 100%), and 46 out of the 48 clones had mutations at all the five codons. The obtained diversities at these five codons are 27, 24, 26, 26 and 22, respectively, which correspond to 84, 75, 81, 81, 69% of the theoretical diversity offered by NNK-degeneration (32 codons; NNK, K = T or G). The enzyme-free Simple-MSSM method can simultaneously and efficiently saturate five codons within one day, and therefore avoid missing interactions between residues in interacting amino acid networks.

  10. Aerodynamics of Power Plant Installation

    Science.gov (United States)

    1981-09-01

    th~orique d’environ 5 % pour Ia partie instationnaire, la pricision absolue globale risultante itant, bien entendu, mains bonne ;cette precision...motorisfie done lea souffleries do 1’ONERA au Centre de MODANE-AVREEUX. En coopgration avec l’ONERA deux mithodes do simulation froide des iota. des...validit6 permet un moills’ir contr~le du nivoau absolu des masures at de ce fait sat misux adapt6e h Is comparasion de dif’ferents motaurs. E~n outre

  11. A Phase 3 Placebo-Controlled, Double Blind, Multi-Site Trial of the alpha-2-adrenergic Agonist, Lofexidine, for Opioid Withdrawal

    Science.gov (United States)

    Yu, Elmer; Miotto, Karen; Akerele, Evaristo; Montgomery, Ann; Elkashef, Ahmed; Walsh, Robert; Montoya, Ivan; Fischman, Marian W.; Collins, Joseph; McSherry, Frances; Boardman, Kathy; Davies, David K.; O’Brien, Charles P.; Ling, Walter; Kleber, Herbert; Herman, Barbara H.

    2008-01-01

    Context Lofexidine is an alpha-2-A noradrenergic receptor agonist that is approved in the United Kingdom for the treatment of opioid withdrawal symptoms. Lofexidine has been reported to have more significant effects on decreasing opioid withdrawal symptoms with less hypotension than clonidine. Objective To demonstrate that lofexidine is well tolerated and effective in the alleviation of observationally-defined opioid withdrawal symptoms in opioid dependent individuals undergoing medically supervised opioid detoxification as compared to placebo. Design An inpatient, Phase 3, placebo-controlled, double blind, randomized multi-site trial with three phases: (1) Opioid Agonist Stabilization Phase (days 1–3), (2) Detoxification/Medication or Placebo Phase (days 4–8), and (3) Post Detoxification/Medication Phase (days 9–11). Subjects Sixty-eight opioid dependent subjects were enrolled at three sites with 35 randomized to lofexidine and 33 to placebo. Main Outcome Measure Modified Himmelsbach Opiate Withdrawal Scale (MHOWS) on study day 5 (2nd opioid detoxification treatment day). Results Due to significant findings, the study was terminated early. On the study day 5 MHOWS, subjects treated with lofexidine had significantly lower scores (equating to fewer/less severe withdrawal symptoms) than placebo subjects (Least squares means 19.5 ± 2.1 versus 30.9 ± 2.7; p=0.0019). Lofexidine subjects had significantly better retention in treatment than placebo subjects (38.2% versus 15.2%; Log rank test p=0.01). Conclusions Lofexidine is well tolerated and more efficacious than placebo for reducing opioid withdrawal symptoms in inpatients undergoing medically supervised opioid detoxification. Trial Registration trial registry name A Phase 3 Placebo-Controlled, Double-Blind Multi-Site Trial of Lofexidine for Opiate Withdrawal, registration number NCT00032942, URL for the registry http://clinicaltrials.gov/ct/show/NCT00032942?order=4. PMID:18508207

  12. A risk assessment method for multi-site damage

    Science.gov (United States)

    Millwater, Harry Russell, Jr.

    This research focused on developing probabilistic methods suitable for computing small probabilities of failure, e.g., 10sp{-6}, of structures subject to multi-site damage (MSD). MSD is defined as the simultaneous development of fatigue cracks at multiple sites in the same structural element such that the fatigue cracks may coalesce to form one large crack. MSD is modeled as an array of collinear cracks with random initial crack lengths with the centers of the initial cracks spaced uniformly apart. The data used was chosen to be representative of aluminum structures. The structure is considered failed whenever any two adjacent cracks link up. A fatigue computer model is developed that can accurately and efficiently grow a collinear array of arbitrary length cracks from initial size until failure. An algorithm is developed to compute the stress intensity factors of all cracks considering all interaction effects. The probability of failure of two to 100 cracks is studied. Lower bounds on the probability of failure are developed based upon the probability of the largest crack exceeding a critical crack size. The critical crack size is based on the initial crack size that will grow across the ligament when the neighboring crack has zero length. The probability is evaluated using extreme value theory. An upper bound is based on the probability of the maximum sum of initial cracks being greater than a critical crack size. A weakest link sampling approach is developed that can accurately and efficiently compute small probabilities of failure. This methodology is based on predicting the weakest link, i.e., the two cracks to link up first, for a realization of initial crack sizes, and computing the cycles-to-failure using these two cracks. Criteria to determine the weakest link are discussed. Probability results using the weakest link sampling method are compared to Monte Carlo-based benchmark results. The results indicate that very small probabilities can be computed

  13. Multi-site study of diffusion metric variability: effects of site, vendor, field strength, and echo time on regions-of-interest and histogram-bin analyses.

    Science.gov (United States)

    Helmer, K G; Chou, M-C; Preciado, R I; Gimi, B; Rollins, N K; Song, A; Turner, J; Mori, S

    2016-02-27

    It is now common for magnetic-resonance-imaging (MRI) based multi-site trials to include diffusion-weighted imaging (DWI) as part of the protocol. It is also common for these sites to possess MR scanners of different manufacturers, different software and hardware, and different software licenses. These differences mean that scanners may not be able to acquire data with the same number of gradient amplitude values and number of available gradient directions. Variability can also occur in achievable b-values and minimum echo times. The challenge of a multi-site study then, is to create a common protocol by understanding and then minimizing the effects of scanner variability and identifying reliable and accurate diffusion metrics. This study describes the effect of site, scanner vendor, field strength, and TE on two diffusion metrics: the first moment of the diffusion tensor field (mean diffusivity, MD), and the fractional anisotropy (FA) using two common analyses (region-of-interest and mean-bin value of whole brain histograms). The goal of the study was to identify sources of variability in diffusion-sensitized imaging and their influence on commonly reported metrics. The results demonstrate that the site, vendor, field strength, and echo time all contribute to variability in FA and MD, though to different extent. We conclude that characterization of the variability of DTI metrics due to site, vendor, field strength, and echo time is a worthwhile step in the construction of multi-center trials.

  14. Webinar Training: an acceptable, feasible and effective approach for multi-site medical record abstraction: the BOWII experience

    Directory of Open Access Journals (Sweden)

    St Charles Meaghan

    2011-10-01

    Full Text Available Abstract Background Abstractor training is a key element in creating valid and reliable data collection procedures. The choice between in-person vs. remote or simultaneous vs. sequential abstractor training has considerable consequences for time and resource utilization. We conducted a web-based (webinar abstractor training session to standardize training across six individual Cancer Research Network (CRN sites for a study of breast cancer treatment effects in older women (BOWII. The goals of this manuscript are to describe the training session, its participants and participants' evaluation of webinar technology for abstraction training. Findings A webinar was held for all six sites with the primary purpose of simultaneously training staff and ensuring consistent abstraction across sites. The training session involved sequential review of over 600 data elements outlined in the coding manual in conjunction with the display of data entry fields in the study's electronic data collection system. Post-training evaluation was conducted via Survey Monkey©. Inter-rater reliability measures for abstractors within each site were conducted three months after the commencement of data collection. Ten of the 16 people who participated in the training completed the online survey. Almost all (90% of the 10 trainees had previous medical record abstraction experience and nearly two-thirds reported over 10 years of experience. Half of the respondents had previously participated in a webinar, among which three had participated in a webinar for training purposes. All rated the knowledge and information delivered through the webinar as useful and reported it adequately prepared them for data collection. Moreover, all participants would recommend this platform for multi-site abstraction training. Consistent with participant-reported training effectiveness, results of data collection inter-rater agreement within sites ranged from 89 to 98%, with a weighted average of

  15. Electronic Cigarette Marketing Online: a Multi-Site, Multi-Product Comparison.

    Science.gov (United States)

    Chu, Kar-Hai; Sidhu, Anupreet K; Valente, Thomas W

    2015-01-01

    Electronic cigarette awareness and use has been increasing rapidly. E-cigarette brands have utilized social networking sites to promote their products, as the growth of the e-cigarette industry has paralleled that of Web 2.0. These online platforms are cost-effective and have unique technological features and user demographics that can be attractive for selective marketing. The popularity of multiple sites also poses a risk of exposure to social networks where e-cigarette brands might not have a presence. To examine the marketing strategies of leading e-cigarette brands on multiple social networking sites, and to identify how affordances of the digital media are used to their advantage. Secondary analyses include determining if any brands are benefitting from site demographics, and exploring cross-site diffusion of marketing content through multi-site users. We collected data from two e-cigarette brands from four social networking sites over approximately 2.5 years. Content analysis is used to search for themes, population targeting, marketing strategies, and cross-site spread of messages. Twitter appeared to be the most frequently used social networking site for interacting directly with product users. Facebook supported informational broadcasts, such as announcements regarding political legislation. E-cigarette brands also differed in their approaches to their users, from informal conversations to direct product marketing. E-cigarette makers use different strategies to market their product and engage their users. There was no evidence of direct targeting of vulnerable populations, but the affordances of the different sites are exploited to best broadcast context-specific messages. We developed a viable method to study cross-site diffusion, although additional refinement is needed to account for how different types of digital media are used.

  16. Provision of pandemic disease information by health sciences librarians: a multisite comparative case series.

    Science.gov (United States)

    Featherstone, Robin M; Boldt, R Gabriel; Torabi, Nazi; Konrad, Shauna-Lee

    2012-04-01

    The research provides an understanding of pandemic information needs and informs professional development initiatives for librarians in disaster medicine. Utilizing a multisite, comparative case series design, the researchers conducted semi-structured interviews and examined supplementary materials in the form of organizational documents, correspondence, and websites to create a complete picture of each case. The rigor of the case series was ensured through data and investigator triangulation. Interview transcripts were coded using NVivo to identify common themes and points of comparison. Comparison of the four cases revealed a distinct difference between "client-initiated" and "librarian-initiated" provision of pandemic information. Librarian-initiated projects utilized social software to "push" information, whereas client-initiated projects operated within patron-determined parameters to deliver information. Health care administrators were identified as a key audience for pandemic information, and news agencies were utilized as essential information sources. Librarians' skills at evaluating available information proved crucial for selecting best-quality evidence to support administrative decision making. Qualitative analysis resulted in increased understanding of pandemic information needs and identified best practices for disseminating information during periods of high organizational stress caused by an influx of new cases of an unknown infectious disease.

  17. Abscisic acid-dependent multisite phosphorylation regulates the activity of a transcription activator AREB1.

    Science.gov (United States)

    Furihata, Takashi; Maruyama, Kyonoshin; Fujita, Yasunari; Umezawa, Taishi; Yoshida, Riichiro; Shinozaki, Kazuo; Yamaguchi-Shinozaki, Kazuko

    2006-02-07

    bZIP-type transcription factors AREBs/ABFs bind an abscisic acid (ABA)-responsive cis-acting element named ABRE and transactivate downstream gene expression in Arabidopsis. Because AREB1 overexpression could not induce downstream gene expression, activation of AREB1 requires ABA-dependent posttranscriptional modification. We confirmed that ABA activated 42-kDa kinase activity, which, in turn, phosphorylated Ser/Thr residues of R-X-X-S/T sites in the conserved regions of AREB1. Amino acid substitutions of R-X-X-S/T sites to Ala suppressed transactivation activity, and multiple substitution of these sites resulted in almost complete suppression of transactivation activity in transient assays. In contrast, substitution of the Ser/Thr residues to Asp resulted in high transactivation activity without exogenous ABA application. A phosphorylated, transcriptionally active form was achieved by substitution of Ser/Thr in all conserved R-X-X-S/T sites to Asp. Transgenic plants overexpressing the phosphorylated active form of AREB1 expressed many ABA-inducible genes, such as RD29B, without ABA treatment. These results indicate that the ABA-dependent multisite phosphorylation of AREB1 regulates its own activation in plants.

  18. A Stochastic Programming Approach for a Multi-Site Supply Chain Planning in Textile and Apparel Industry under Demand Uncertainty

    Directory of Open Access Journals (Sweden)

    Houssem Felfel

    2015-11-01

    Full Text Available In this study, a new stochastic model is proposed to deal with a multi-product, multi-period, multi-stage, multi-site production and transportation supply chain planning problem under demand uncertainty. A two-stage stochastic linear programming approach is used to maximize the expected profit. Decisions such as the production amount, the inventory level of finished and semi-finished product, the amount of backorder and the quantity of products to be transported between upstream and downstream plants in each period are considered. The robustness of production supply chain plan is then evaluated using statistical and risk measures. A case study from a real textile and apparel industry is shown in order to compare the performances of the proposed stochastic programming model and the deterministic model.

  19. Lessons Learned in Evaluating a Multisite, Comprehensive Teen Dating Violence Prevention Strategy: Design and Challenges of the Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships.

    Science.gov (United States)

    Niolon, Phyllis Holditch; Taylor, Bruce G; Latzman, Natasha E; Vivolo-Kantor, Alana M; Valle, Linda Anne; Tharp, Andra T

    2016-03-01

    This paper describes the multisite, longitudinal cluster randomized controlled trial (RCT) design of the evaluation of the Dating Matters: Strategies to Promote Healthy Relationships initiative, and discusses challenges faced in conducting this evaluation. Health departments in 4 communities are partnering with middle schools in high-risk, urban communities to implement 2 models of teen dating violence (TDV) prevention over 4 years. Schools were randomized to receive either the Dating Matters comprehensive strategy or the "standard of care" strategy (an existing, evidence-based TDV prevention curriculum). Our design permits comparison of the relative effectiveness of the comprehensive and standard of care strategies. Multiple cohorts of students from 46 middle schools are surveyed in middle school and high school, and parents and educators from participating schools are also surveyed. Challenges discussed in conducting a multisite RCT include site variability, separation of implementation and evaluation responsibilities, school retention, parent engagement in research activities, and working within the context of high-risk urban schools and communities. We discuss the strengths and weaknesses of our approaches to these challenges in the hopes of informing future research. Despite multiple challenges, the design of the Dating Matters evaluation remains strong. We hope this paper provides researchers who are conducting complex evaluations of behavioral interventions with thoughtful discussion of the challenges we have faced and potential solutions to such challenges.

  20. Deficient prepulse inhibition in schizophrenia detected by the multi-site COGS.

    Science.gov (United States)

    Swerdlow, Neal R; Light, Gregory A; Sprock, Joyce; Calkins, Monica E; Green, Michael F; Greenwood, Tiffany A; Gur, Raquel E; Gur, Ruben C; Lazzeroni, Laura C; Nuechterlein, Keith H; Radant, Allen D; Ray, Amrita; Seidman, Larry J; Siever, Larry J; Silverman, Jeremy M; Stone, William S; Sugar, Catherine A; Tsuang, Debby W; Tsuang, Ming T; Turetsky, Bruce I; Braff, David L

    2014-02-01

    Startle inhibition by weak prepulses (PPI) is studied to understand the biology of information processing in schizophrenia patients and healthy comparison subjects (HCS). The Consortium on the Genetics of Schizophrenia (COGS) identified associations between PPI and single nucleotide polymorphisms in schizophrenia probands and unaffected relatives, and linkage analyses extended evidence for the genetics of PPI deficits in schizophrenia in the COGS-1 family study. These findings are being extended in a 5-site "COGS-2" study of 1800 patients and 1200 unrelated HCS to facilitate genetic analyses. We describe a planned interim analysis of COGS-2 PPI data. Eyeblink startle was measured in carefully screened HCS and schizophrenia patients (n=1402). Planned analyses of PPI (60 ms intervals) assessed effects of diagnosis, sex and test site, PPI-modifying effects of medications and smoking, and relationships between PPI and neurocognitive measures. 884 subjects met strict inclusion criteria. ANOVA of PPI revealed significant effects of diagnosis (p=0.0005) and sex (pschizophrenia PPI differences were greatest among patients not taking 2nd generation antipsychotics, and were independent of smoking status. Modest but significant relationships were detected between PPI and performance in specific neurocognitive measures. The COGS-2 multi-site study detects schizophrenia-related PPI deficits reported in single-site studies, including patterns related to diagnosis, prepulse interval, sex, medication and other neurocognitive measures. Site differences were detected and explored. The target COGS-2 schizophrenia "endophenotype" of reduced PPI should prove valuable for identifying and confirming schizophrenia risk genes in future analyses. Copyright © 2013 Elsevier B.V. All rights reserved.

  1. What is the benefit of driving a hydrological model with data from a multi-site weather generator compared to data from a simple delta change approach?"

    Science.gov (United States)

    Rössler, Ole; Keller, Denise; Fischer, Andreas

    2016-04-01

    . Recently, a multi-site weather generator was developed and tested for downscaling purposes over Switzerland. The weather generator is of type Richardson, that is run with spatially correlated random number streams to ensure spatial consistency. As a downside, multi-site weather generators are much more complex to develop, but they are a very promising alternative downscaling technique. A new multi-site-weather generator was developed for Switzerland in a previous study (Keller et al. 2014). In this study, we tested this new multi-site-weather generator against the "standard" delta change derived data in a hydrological impact assessment study that focused on runoff in the meso-scale catchment of the river Thur catchment. Two hydrological models of different complexity were run with the data sets under present (1980-2009) and under future conditions (2070-2099), assuming the SRES A1B emission2070-2100 scenario conditions. Eight meteorological stations were used to interpolate a meteorological field that served as input to calibrate and validate the two hydrological models against runoff. The downscaling intercomparison was done for We applied 10 GCM-RCM combinations simulations of the ENSEMBLES. In case of the weather generator, that allows for multiple synthetic realizations, we generated for which change factors for each station (delta change approach) were available and generated 25 realizations of multi-site weather. with each climate model projection. Results show that the delta change driven data constitutes only one appropriate representation compared to theof a bandwidth of runoff projections yielded by the multi-site weather generator data. Especially oOn average, differences between both the two approaches are small. Low and high runoff Runoff values to both extremes are however better reproduced with the weather generator driven data set. The stochastic representation of multiday rainfall events are considered as the main reason. Hence, tThere is a clear yet small

  2. Knowledge of practice: A multi-sited event ethnography of border security fairs in Europe and North America.

    Science.gov (United States)

    Baird, Theodore

    2017-06-01

    This article takes the reader inside four border security fairs in Europe and North America to examine the knowledge practices of border security professionals. Building on the border security as practice research agenda, the analysis focuses on the production, circulation, and consumption of scarce forms of knowledge. To explore situated knowledge of border security practices, I develop an approach to multi-sited event ethnography to observe and interpret knowledge that may be hard to access at the security fairs. The analysis focuses on mechanisms for disseminating and distributing scarce forms of knowledge, technological materializations of situated knowledge, expressions of transversal knowledge of security problems, how masculinities structure knowledge in gendered ways, and how unease is expressed through imagined futures in order to anticipate emergent solutions to proposed security problems. The article concludes by reflecting on the contradictions at play at fairs and how to address such contradictions through alternative knowledges and practices.

  3. River Flow Prediction for Future Climate Using Long Series of Multi-Site Synthetic Data and MIKE SHE Model

    Directory of Open Access Journals (Sweden)

    Kuchar Leszek

    2017-01-01

    Full Text Available A new simulation of daily flow for Kaczawa River, south-west Poland for extra long series of generated meteorological data (comparing to previous research and selected climate change scenarios are presented. The Representative Concentration Pathways (RCPs scenarios vs. SRES are introduced for simulations. The flow simulation in the river catchment is made using MIKE SHE hydrological model while the multisite data are generated by spatial weather generator SWGEN. Simulations are done for 2040 and 2060 while the simulations for the year 2000 are used as a background. The large number of new simulated series determined by the lead time, three climate change scenarios (RCP2.6 RCP4.5 and RCP6.0, and number of generated years (1000 for each case is equal to 7000 for a single station. Finally, Pdf function for flow is presented as well probability of exceedance of maximum flow.

  4. Mening med tiden

    DEFF Research Database (Denmark)

    Nærværende antologis mangeartede bidrag er fælles om at udforske temaer inden for triaden tid, logik og etik. Den handler om tid, tilblivelse, øjeblikket og evigheden i relation til sproget, logikken, universet, etikken og litteraturen. Antologien giver et grundlæggende indblik i disse temaer, som...

  5. Meninger om mening

    DEFF Research Database (Denmark)

    Schultz Hansen, Søren; Skakon, Janne

    2013-01-01

    Artiklen handler om forståelsen af de digitale indfødte som medarbejdere er begrænset og præget af sparsom forskning – denne generation er kun netop blevet voksne, og det har ikke tidligere været muligt at kortlægge generationen i forhold til arbejdsmarkedet. Bl.a. derfor er opfattelsen stadig pr...

  6. Advanced Instrumentation for Aero Engine Components: Conference Proceedings of the Propulsion and Energetics Panel Symposium (67th) Held in Philadelphia, Pennsylvania on 19-23 May 1986.

    Science.gov (United States)

    1986-11-01

    8217 un melange do 1 % do DOP dana 1 acool doitudonner uno granulom ~trie plus fine do 0,2 &’m peu diaporshe. Leo ptntes dos courbos u fr x) au travers d’ un...Figu-e 3). Thermal SAPPHIREO CAt IBERS radiation is collected directly from the PTICl F pyrotechnic and guided to a set of calcium fluoride lenses. The...station- naires. Cat article pr6mante donc lea mnoe itudi~s at r~aliS 4 a Par ILONERA (essats soufflerie) at La SNECMA (esas aur machines A 106chelle

  7. Static Aeroelastic Effects on High Performance Aircraft

    Science.gov (United States)

    1987-06-01

    davis la rffrence 9. L’avion est instrurnent6, en plus des capteurs classiques des param~tres de n~ca- nique du vol. de plusleurs centaines de jauges de...crites §2.3.5, et lensemble dv l’analyse, pernet- tent le calcul des r~ponues des jauges en fonction dv X soit ar ( X) , lv procesnus de d~rivation...travissonique. Rema rque La smine technique d’identification par rtponne dv jauges s’applique (plus simple- ment) sur len essais en soufflerie, pour la

  8. Principles and strategies for monitoring data collection integrity in a multi-site randomized clinical trial of a behavioral intervention.

    Science.gov (United States)

    Phillips-Salimi, Celeste R; Donovan Stickler, Molly A; Stegenga, Kristin; Lee, Melissa; Haase, Joan E

    2011-08-01

    Although treatment fidelity strategies for enhancing the integrity of behavioral interventions have been well described, little has been written about monitoring data collection integrity. This article describes the principles and strategies developed to monitor data collection integrity of the "Stories and Music for Adolescent/Young Adult Resilience During Transplant" study (R01NR008583, U10CA098543, and U10CA095861)-a multi-site Children's Oncology Group randomized clinical trial of a music therapy intervention for adolescents and young adults undergoing stem cell transplant. The principles and strategies outlined in this article provide one model for development and evaluation of a data collection integrity monitoring plan for behavioral interventions that may be adapted by investigators and may be useful to funding agencies and grant application reviewers in evaluating proposals. Copyright © 2011 Wiley Periodicals, Inc.

  9. Multisite Infection with Mycobacterium abscessus after Replacement of Breast Implants and Gluteal Lipofilling.

    Science.gov (United States)

    Rüegg, Eva; Cheretakis, Alexandre; Modarressi, Ali; Harbarth, Stephan; Pittet-Cuénod, Brigitte

    2015-01-01

    Introduction. Medical tourism for aesthetic surgery is popular. Nontuberculous mycobacteria (NTM) occasionally cause surgical-site infections. As NTM grow in biofilms, implantations of foreign bodies are at risk. Due to late manifestation, infections occur when patients are back home, where they must be managed properly. Case Report. A 39-year-old healthy female was referred for acute infection of the right gluteal area. Five months before, she had breast implants replacement, abdominal liposuction, and gluteal lipofilling in Mexico. Three months postoperatively, implants were removed for NTM-infection in Switzerland. Adequate antibiotic treatment was stopped after seven days for drug-related hepatitis. At entrance, gluteal puncture for bacterial analysis was performed. MRI showed large subcutaneous collection. Debridement under general anaesthesia was followed by open wound management. Total antibiotic treatment was 20 weeks. Methods. Bacterial analysis of periprosthetic and gluteal liquids included Gram-stain plus acid-fast stain, and aerobic, anaerobic and mycobacterial cultures.  Results. In periprosthetic fluid, Mycobacterium abscessus, Propionibacterium, and Staphylococcus epidermidis were identified. The same M. abscessus strain was found gluteally. The gluteal wound healed within six weeks. At ten months' follow-up, gluteal asymmetry persists for deep scarring. Conclusion. This case presents major complications of multisite aesthetic surgery. Surgical-site infections in context of medical tourism need appropriate bacteriological investigations, considering potential NTM-infections.

  10. Mobile Phone Use in Psychiatry Residents in the United States: Multisite Cross-Sectional Survey Study.

    Science.gov (United States)

    Gipson, Shih; Torous, John; Boland, Robert; Conrad, Erich

    2017-11-01

    Mobile technology ownership in the general US population and medical professionals is increasing, leading to increased use in clinical settings. However, data on use of mobile technology by psychiatry residents remain unclear. In this study, our aim was to provide data on how psychiatric residents use mobile phones in their clinical education as well as barriers relating to technology use. An anonymous, multisite survey was given to psychiatry residents in 2 regions in the United States, including New Orleans and Boston, to understand their technology use. All participants owned mobile phones, and 79% (54/68) used them to access patient information. The majority do not use mobile phones to implement pharmacotherapy (62%, 42/68) or psychotherapy plans (90%, 61/68). The top 3 barriers to using mobile technology in clinical care were privacy concerns (56%, 38/68), lack of clinical guidance (40%, 27/68), and lack of evidence (29%, 20/68). We conclude that developing a technology curriculum and engaging in research could address these barriers to using mobile phones in clinical practice. ©Shih Gipson, John Torous, Robert Boland, Erich Conrad. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 01.11.2017.

  11. Recruiting a representative sample in adherence research-The MALT multisite prospective cohort study experience.

    Science.gov (United States)

    Shemesh, Eyal; Mitchell, Jeffrey; Neighbors, Katie; Feist, Susan; Hawkins, Andre; Brown, Amanda; Wanrong, Yin; Anand, Ravinder; Stuber, Margaret L; Annunziato, Rachel A

    2017-12-01

    Medication adherence is an important determinant of transplant outcomes. Attempts to investigate adherence are frequently undermined by selection bias: It is very hard to recruit and retain non-adherent patients in research efforts. This manuscript presents recruitment strategies and results from the MALT (Medication Adherence in children who had a Liver Transplant) multisite prospective cohort study. MALT sites recruited 400 pediatric liver transplant patients who agreed to be followed for 2 years. The primary purpose was to determine whether a marker of adherence, the Medication Level Variability Index (MLVI), predicts rejection outcomes. The present manuscript describes methods used in MALT to ensure that a representative sample was recruited, and presents detailed recruitment results. MALT sites were able to recruit a nationally representative sample, as determined by a comparison between the MALT cohort and a national sample of transplant recipients. Strategies that helped ensure that the sample was representative included monitoring of the outcome measure in comparison with a national sample, drastically limiting patient burden, and specific recruitment methods. We discuss the importance of a representative sample in adherence research and recommend that future efforts to study adherence pay special attention to sample characteristics. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. SPICODYN: A Toolbox for the Analysis of Neuronal Network Dynamics and Connectivity from Multi-Site Spike Signal Recordings.

    Science.gov (United States)

    Pastore, Vito Paolo; Godjoski, Aleksandar; Martinoia, Sergio; Massobrio, Paolo

    2018-01-01

    We implemented an automated and efficient open-source software for the analysis of multi-site neuronal spike signals. The software package, named SPICODYN, has been developed as a standalone windows GUI application, using C# programming language with Microsoft Visual Studio based on .NET framework 4.5 development environment. Accepted input data formats are HDF5, level 5 MAT and text files, containing recorded or generated time series spike signals data. SPICODYN processes such electrophysiological signals focusing on: spiking and bursting dynamics and functional-effective connectivity analysis. In particular, for inferring network connectivity, a new implementation of the transfer entropy method is presented dealing with multiple time delays (temporal extension) and with multiple binary patterns (high order extension). SPICODYN is specifically tailored to process data coming from different Multi-Electrode Arrays setups, guarantying, in those specific cases, automated processing. The optimized implementation of the Delayed Transfer Entropy and the High-Order Transfer Entropy algorithms, allows performing accurate and rapid analysis on multiple spike trains from thousands of electrodes.

  13. Cooperative loading of multisite receptors with lanthanide containers: an approach for organized luminescent metallopolymers.

    Science.gov (United States)

    Babel, Lucille; Guénée, Laure; Besnard, Céline; Eliseeva, Svetlana V; Petoud, Stéphane; Piguet, Claude

    2018-01-14

    Metal-containing (bio)organic polymers are materials of continuously increasing importance for applications in energy storage and conversion, drug delivery, shape-memory items, supported catalysts, organic conductors and smart photonic devices. The embodiment of luminescent components provides a revolution in lighting and signaling with the ever-increasing development of polymeric light-emitting devices. Despite the unique properties expected from the introduction of optically and magnetically active lanthanides into organic polymers, the deficient control of the metal loading currently limits their design to empirical and poorly reproducible materials. We show here that the synthetic efforts required for producing soluble multi-site host systems L k are largely overcome by the virtue of reversible thermodynamics for mastering the metal loading with the help of only two parameters: (1) the affinity of the luminescent lanthanide container for a single binding site and (2) the cooperative effect which modulates the successive fixation of metallic units to adjacent sites. When unsymmetrical perfluorobenzene-trifluoroacetylacetonate co-ligands (pbta - ) are selected for balancing the charge of the trivalent lanthanide cations, Ln 3+ , in six-coordinate [Ln(pbta) 3 ] containers, the explored anti-cooperative complexation processes induce nearest-neighbor intermetallic interactions twice as large as thermal energy at room temperature ( RT = 2.5 kJ mol -1 ). These values have no precedent when using standard symmetrical containers and they pave the way for programming metal alternation in luminescent lanthanidopolymers.

  14. Peat humification and climate change: a multi-site comparison from mires in south-east Alaska

    Directory of Open Access Journals (Sweden)

    R.J. Payne

    2008-11-01

    Full Text Available Peatland records of Holocene palaeoclimate have been widely used in Europe. Their potential in western North America remains largely unexploited despite an abundance of candidate sites. Peat humification analysis is a widely used technique for palaeoclimatic inference from peatlands. This study attempts to demonstrate a climatic role in determining peat humification by comparing low-resolution peat humification records from five mires in south-east Alaska. Humification was determined by alkali extraction and colorimetry and records dated by radiocarbon and tephrochronology. Testate amoebae analysis was carried out across a major humification-inferred wet shift in three of the sites. The humification results show variability down the length of the cores but there is only limited agreement between records from different sites. Many general trends in the data appear to be out of phase and periods of proxy 'complacency' are shown. This study does not provide strong evidence for climatic forcing of humification in these sites. Methodological issues including possible problems with the age-depth models and the role of a peat-forming plant species signal in the humification data are discussed. The results support previous studies in suggesting the value of employing a multi-proxy, multi-site, and possibly multi-core approach in peat-based palaeoclimatology.

  15. Strategic planning for waste management: Characterization of chemically and radioactively hazardous waste and treatment, storage, and disposal capabilities for diverse and varied multisite operations

    International Nuclear Information System (INIS)

    Jolley, R.L.; Rivera, A.L.; Fox, E.C.; Hyfantis, G.J.; McBrayer, J.F.

    1988-01-01

    Information about current and projected waste generation as well as available treatment, storage, and disposal (TSD) capabilities and needs is crucial for effective, efficient, and safe waste management. This is especially true for large corporations that are responsible for multisite operations involving diverse and complex industrial processes. Such information is necessary not only for day-to-day operations, but also for strategic planning to ensure safe future performance. This paper reports on some methods developed and successfully applied to obtain requisite information and to assist waste management planning at the corporate level in a nationwide system of laboratories and industries. Waste generation and TSD capabilities at selected US Department of Energy (DOE) sites were studied. 1 ref., 2 tabs

  16. A la búsqueda de la confiscada facultad de juzgar: Una propuesta iusconstructivista al dilema del juzgamientos de los crímenes de Estado

    Directory of Open Access Journals (Sweden)

    Daniel Feierstein

    2015-10-01

    Full Text Available En este artículo, se busca reflexionar sobre los componentes fundamentales de la facultad humana de juzgar y su vinculación con la tarea del juicio realizada por los jueces en el contexto del marco jurídico. Se intentará poner en cuestión la estricta delimitación que propone el positivismo[1] entre la capacidad humana de juzgar (que proviene del criterio moral y la acción jurídica, ya que dicha delimitación pareciera postular la posibilidad de prescindir del ejercicio de la facultad de juzgar a la hora de aplicar el derecho positivo. Actualizando el dilema ius-naturalismo/ius-positivismo para pensar críticamente el juzgamiento de crímenes de Estado, se aventurará una tercera salida, bautizada como ius-constructivismo y basada en los desarrollos de la psicología y la epistemología genéticas. [1] .- Carlos Nino distingue en las escuelas jurídicas como "positivismo conceptual" (donde ubica a autores Bentham, Austin, Kelsen, Ross o Hart, entre otros a la postulación de que los sistemas normativos no requieren derivar de principios morales previos para ser considerados válidos, sino que su propia existencia y producción normativa los valida como tales. Nino también distingue lo que llama un "positivismo ideológico", que incluso cuestiona la existencia de principios morales. Aquí, sin embargo, se entenderá como positivismo jurídico al positivismo conceptual y será con dichas posiciones que se darán los debates fundamentales. Véase, entre otras obras, Nino (1984, 1985.

  17. Multisite longitudinal reliability of tract-based spatial statistics in diffusion tensor imaging of healthy elderly subjects.

    Science.gov (United States)

    Jovicich, Jorge; Marizzoni, Moira; Bosch, Beatriz; Bartrés-Faz, David; Arnold, Jennifer; Benninghoff, Jens; Wiltfang, Jens; Roccatagliata, Luca; Picco, Agnese; Nobili, Flavio; Blin, Oliver; Bombois, Stephanie; Lopes, Renaud; Bordet, Régis; Chanoine, Valérie; Ranjeva, Jean-Philippe; Didic, Mira; Gros-Dagnac, Hélène; Payoux, Pierre; Zoccatelli, Giada; Alessandrini, Franco; Beltramello, Alberto; Bargalló, Núria; Ferretti, Antonio; Caulo, Massimo; Aiello, Marco; Ragucci, Monica; Soricelli, Andrea; Salvadori, Nicola; Tarducci, Roberto; Floridi, Piero; Tsolaki, Magda; Constantinidis, Manos; Drevelegas, Antonios; Rossini, Paolo Maria; Marra, Camillo; Otto, Josephin; Reiss-Zimmermann, Martin; Hoffmann, Karl-Titus; Galluzzi, Samantha; Frisoni, Giovanni B

    2014-11-01

    Large-scale longitudinal neuroimaging studies with diffusion imaging techniques are necessary to test and validate models of white matter neurophysiological processes that change in time, both in healthy and diseased brains. The predictive power of such longitudinal models will always be limited by the reproducibility of repeated measures acquired during different sessions. At present, there is limited quantitative knowledge about the across-session reproducibility of standard diffusion metrics in 3T multi-centric studies on subjects in stable conditions, in particular when using tract based spatial statistics and with elderly people. In this study we implemented a multi-site brain diffusion protocol in 10 clinical 3T MRI sites distributed across 4 countries in Europe (Italy, Germany, France and Greece) using vendor provided sequences from Siemens (Allegra, Trio Tim, Verio, Skyra, Biograph mMR), Philips (Achieva) and GE (HDxt) scanners. We acquired DTI data (2 × 2 × 2 mm(3), b = 700 s/mm(2), 5 b0 and 30 diffusion weighted volumes) of a group of healthy stable elderly subjects (5 subjects per site) in two separate sessions at least a week apart. For each subject and session four scalar diffusion metrics were considered: fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD) and axial (AD) diffusivity. The diffusion metrics from multiple subjects and sessions at each site were aligned to their common white matter skeleton using tract-based spatial statistics. The reproducibility at each MRI site was examined by looking at group averages of absolute changes relative to the mean (%) on various parameters: i) reproducibility of the signal-to-noise ratio (SNR) of the b0 images in centrum semiovale, ii) full brain test-retest differences of the diffusion metric maps on the white matter skeleton, iii) reproducibility of the diffusion metrics on atlas-based white matter ROIs on the white matter skeleton. Despite the differences of MRI scanner

  18. A multisite study of the clinical diagnosis of different autism spectrum disorders.

    Science.gov (United States)

    Lord, Catherine; Petkova, Eva; Hus, Vanessa; Gan, Weijin; Lu, Feihan; Martin, Donna M; Ousley, Opal; Guy, Lisa; Bernier, Raphael; Gerdts, Jennifer; Algermissen, Molly; Whitaker, Agnes; Sutcliffe, James S; Warren, Zachary; Klin, Ami; Saulnier, Celine; Hanson, Ellen; Hundley, Rachel; Piggot, Judith; Fombonne, Eric; Steiman, Mandy; Miles, Judith; Kanne, Stephen M; Goin-Kochel, Robin P; Peters, Sarika U; Cook, Edwin H; Guter, Stephen; Tjernagel, Jennifer; Green-Snyder, Lee Anne; Bishop, Somer; Esler, Amy; Gotham, Katherine; Luyster, Rhiannon; Miller, Fiona; Olson, Jennifer; Richler, Jennifer; Risi, Susan

    2012-03-01

    Best-estimate clinical diagnoses of specific autism spectrum disorders (autistic disorder, pervasive developmental disorder-not otherwise specified, and Asperger syndrome) have been used as the diagnostic gold standard, even when information from standardized instruments is available. To determine whether the relationships between behavioral phenotypes and clinical diagnoses of different autism spectrum disorders vary across 12 university-based sites. Multisite observational study collecting clinical phenotype data (diagnostic, developmental, and demographic) for genetic research. Classification trees were used to identify characteristics that predicted diagnosis across and within sites. Participants were recruited through 12 university-based autism service providers into a genetic study of autism. A total of 2102 probands (1814 male probands) between 4 and 18 years of age (mean [SD] age, 8.93 [3.5] years) who met autism spectrum criteria on the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule and who had a clinical diagnosis of an autism spectrum disorder. Best-estimate clinical diagnoses predicted by standardized scores from diagnostic, cognitive, and behavioral measures. Although distributions of scores on standardized measures were similar across sites, significant site differences emerged in best-estimate clinical diagnoses of specific autism spectrum disorders. Relationships between clinical diagnoses and standardized scores, particularly verbal IQ, language level, and core diagnostic features, varied across sites in weighting of information and cutoffs. Clinical distinctions among categorical diagnostic subtypes of autism spectrum disorders were not reliable even across sites with well-documented fidelity using standardized diagnostic instruments. Results support the move from existing subgroupings of autism spectrum disorders to dimensional descriptions of core features of social affect and fixated, repetitive behaviors

  19. A multi-site study on medical school selection, performance, motivation and engagement.

    Science.gov (United States)

    Wouters, A; Croiset, G; Schripsema, N R; Cohen-Schotanus, J; Spaai, G W G; Hulsman, R L; Kusurkar, R A

    2017-05-01

    Medical schools seek ways to improve their admissions strategies, since the available methods prove to be suboptimal for selecting the best and most motivated students. In this multi-site cross-sectional questionnaire study, we examined the value of (different) selection procedures compared to a weighted lottery procedure, which includes direct admission based on top pre-university grade point averages (≥8 out of 10; top-pu-GPA). We also considered whether students had participated in selection, prior to being admitted through weighted lottery. Year-1 (pre-clinical) and Year-4 (clinical) students completed standard validated questionnaires measuring quality of motivation (Academic Self-regulation Questionnaire), strength of motivation (Strength of Motivation for Medical School-Revised) and engagement (Utrecht Work Engagement Scale-Student). Performance data comprised GPA and course credits in Year-1 and clerkship performance in Year-4. Regression analyses were performed. The response rate was 35% (387 Year-1 and 273 Year-4 students). Top-pu-GPA students outperformed selected students. Selected Year-1 students reported higher strength of motivation than top-pu-GPA students. Selected students did not outperform or show better quality of motivation and engagement than lottery-admitted students. Participation in selection was associated with higher engagement and better clerkship performance in Year-4. GPA, course credits and strength of motivation in Year-1 differed between students admitted through different selection procedures. Top-pu-GPA students perform best in the medical study. The few and small differences found raise questions about the added value of an extensive selection procedure compared to a weighted lottery procedure. Findings have to be interpreted with caution because of a low response rate and small group sizes.

  20. Emociones y cultura política: análisis de las galerías de la memoria presentadas por el Capítulo Bogotá del Movimiento Nacional de Víctimas de Crímenes de Estado (Movice

    Directory of Open Access Journals (Sweden)

    David Eduardo González Caballero

    2016-01-01

    Full Text Available El texto propone repensar el concepto de cultura política como la lucha por elsentido de lo social, para adaptarlo a las necesidades de un trabajo cualitativo y deperspectiva microsocial, mediante la inclusión de insumos teóricos y metodológicosprovenientes de las sociologías de los movimientos sociales y de las emociones.Una vez planteada esta concepción renovada de dicho concepto, el texto se ocupadel análisis de las galerías de la memoria desplegadas por el Capítulo Bogotá delMovimiento Nacional de Víctimas de Crímenes de Estado (Movice, argumentandoque el principal objetivo de estos actos públicos de memoria es la transformaciónde la cultura política de quienes los observan, en un proceso de resocializacióncognitiva, emocional y moral dirigido contra los significados, reglas emocionalesy principios morales que dan soporte a determinadas estructuras y relaciones dedominación en el ámbito macrosocial.

  1. Processes for design, construction and utilisation of arrays of light-emitting diodes and light-emitting diode-coupled optical fibres for multi-site brain light delivery.

    Science.gov (United States)

    Bernstein, Jacob G; Allen, Brian D; Guerra, Alexander A; Boyden, Edward S

    2015-05-01

    Optogenetics enables light to be used to control the activity of genetically targeted cells in the living brain. Optical fibers can be used to deliver light to deep targets, and LEDs can be spatially arranged to enable patterned light delivery. In combination, arrays of LED-coupled optical fibers can enable patterned light delivery to deep targets in the brain. Here we describe the process flow for making LED arrays and LED-coupled optical fiber arrays, explaining key optical, electrical, thermal, and mechanical design principles to enable the manufacturing, assembly, and testing of such multi-site targetable optical devices. We also explore accessory strategies such as surgical automation approaches as well as innovations to enable low-noise concurrent electrophysiology.

  2. Ground-based search for the brightest transiting planets with the Multi-site All-Sky CAmeRA: MASCARA

    Science.gov (United States)

    Snellen, Ignas A. G.; Stuik, Remko; Navarro, Ramon; Bettonvil, Felix; Kenworthy, Matthew; de Mooij, Ernst; Otten, Gilles; ter Horst, Rik; le Poole, Rudolf

    2012-09-01

    The Multi-site All-sky CAmeRA MASCARA is an instrument concept consisting of several stations across the globe, with each station containing a battery of low-cost cameras to monitor the near-entire sky at each location. Once all stations have been installed, MASCARA will be able to provide a nearly 24-hr coverage of the complete dark sky, down to magnitude 8, at sub-minute cadence. Its purpose is to find the brightest transiting exoplanet systems, expected in the V=4-8 magnitude range - currently not probed by space- or ground-based surveys. The bright/nearby transiting planet systems, which MASCARA will discover, will be the key targets for detailed planet atmosphere observations. We present studies on the initial design of a MASCARA station, including the camera housing, domes, and computer equipment, and on the photometric stability of low-cost cameras showing that a precision of 0.3-1% per hour can be readily achieved. We plan to roll out the first MASCARA station before the end of 2013. A 5-station MASCARA can within two years discover up to a dozen of the brightest transiting planet systems in the sky.

  3. Evaluating climate change impacts on streamflow variability based on a multisite multivariate GCM downscaling method in the Jing River of China

    Science.gov (United States)

    Li, Zhi; Jin, Jiming

    2017-11-01

    Projected hydrological variability is important for future resource and hazard management of water supplies because changes in hydrological variability can cause more disasters than changes in the mean state. However, climate change scenarios downscaled from Earth System Models (ESMs) at single sites cannot meet the requirements of distributed hydrologic models for simulating hydrological variability. This study developed multisite multivariate climate change scenarios via three steps: (i) spatial downscaling of ESMs using a transfer function method, (ii) temporal downscaling of ESMs using a single-site weather generator, and (iii) reconstruction of spatiotemporal correlations using a distribution-free shuffle procedure. Multisite precipitation and temperature change scenarios for 2011-2040 were generated from five ESMs under four representative concentration pathways to project changes in streamflow variability using the Soil and Water Assessment Tool (SWAT) for the Jing River, China. The correlation reconstruction method performed realistically for intersite and intervariable correlation reproduction and hydrological modeling. The SWAT model was found to be well calibrated with monthly streamflow with a model efficiency coefficient of 0.78. It was projected that the annual mean precipitation would not change, while the mean maximum and minimum temperatures would increase significantly by 1.6 ± 0.3 and 1.3 ± 0.2 °C; the variance ratios of 2011-2040 to 1961-2005 were 1.15 ± 0.13 for precipitation, 1.15 ± 0.14 for mean maximum temperature, and 1.04 ± 0.10 for mean minimum temperature. A warmer climate was predicted for the flood season, while the dry season was projected to become wetter and warmer; the findings indicated that the intra-annual and interannual variations in the future climate would be greater than in the current climate. The total annual streamflow was found to change insignificantly but its variance ratios of 2011-2040 to 1961-2005 increased

  4. Repeated assessment of orthotopic glioma pO2 by multi-site EPR oximetry: A technique with the potential to guide therapeutic optimization by repeated measurements of oxygen

    Science.gov (United States)

    Khan, Nadeem; Mupparaju, Sriram; Hou, Huagang; Williams, Benjamin B.; Swartz, Harold

    2011-01-01

    Tumor hypoxia plays a vital role in therapeutic resistance. Consequently, measurements of tumor pO2 could be used to optimize the outcome of oxygen-dependent therapies, such as, chemoradiation. However, the potential optimizations are restricted by the lack of methods to repeatedly and quantitatively assess tumor pO2 during therapies, particularly in gliomas. We describe the procedures for repeated measurements of orthotopic glioma pO2 by multi-site electron paramagnetic resonance (EPR) oximetry. This oximetry approach provides simultaneous measurements of pO2 at more than one site in the glioma and contralateral cerebral tissue. The pO2 of intracerebral 9L, C6, F98 and U251 tumors, as well as contralateral brain, were measured repeatedly for five consecutive days. The 9L glioma was well oxygenated with pO2 of 27 - 36 mm Hg, while C6, F98 and U251 glioma were hypoxic with pO2 of 7 - 12 mm Hg. The potential of multi-site EPR oximetry to assess temporal changes in tissue pO2 was investigated in rats breathing 100% O2. A significant increase in F98 tumor and contralateral brain pO2 was observed on day 1 and day 2, however, glioma oxygenation declined on subsequent days. In conclusion, EPR oximetry provides the capability to repeatedly assess temporal changes in orthotopic glioma pO2. This information could be used to test and optimize the methods being developed to modulate tumor hypoxia. Furthermore, EPR oximetry could be potentially used to enhance the outcome of chemoradiation by scheduling treatments at times of increase in glioma pO2. PMID:22079559

  5. User Satisfaction Evaluation of the EHR4CR Query Builder: A Multisite Patient Count Cohort System

    Directory of Open Access Journals (Sweden)

    Iñaki Soto-Rey

    2015-01-01

    Full Text Available The Electronic Health Records for Clinical Research (EHR4CR project aims to develop services and technology for the leverage reuse of Electronic Health Records with the purpose of improving the efficiency of clinical research processes. A pilot program was implemented to generate evidence of the value of using the EHR4CR platform. The user acceptance of the platform is a key success factor in driving the adoption of the EHR4CR platform; thus, it was decided to evaluate the user satisfaction. In this paper, we present the results of a user satisfaction evaluation for the EHR4CR multisite patient count cohort system. This study examined the ability of testers (n=22 and n=16 from 5 countries to perform three main tasks (around 20 minutes per task, after a 30-minute period of self-training. The System Usability Scale score obtained was 55.83 (SD: 15.37, indicating a moderate user satisfaction. The responses to an additional satisfaction questionnaire were positive about the design of the interface and the required procedure to design a query. Nevertheless, the most complex of the three tasks proposed in this test was rated as difficult, indicating a need to improve the system regarding complicated queries.

  6. Out of the frying pan? Streamlining the ethics review process of multisite qualitative research projects.

    Science.gov (United States)

    Iedema, Rick A M; Allen, Suellen; Britton, Kate; Hor, Suyin

    2013-05-01

    This paper describes the ethics approval processes for two multicentre, nationwide, qualitative health service research projects. The paper explains that the advent of the National Ethics Application Form has brought many improvements, but that attendant processes put in place at local health network and Human Research Ethics Committee levels may have become significantly more complicated, particularly for innovative qualitative research projects. The paper raises several questions based on its analysis of ethics application processes currently in place. WHAT IS KNOWN ABOUT THE TOPIC? The complexity of multicentre research ethics applications for research in health services has been addressed by the introduction of the National Ethics Application Form. Uptake of the form across the country's human research ethics committees has been uneven. WHAT DOES THIS PAPER ADD? This paper adds detailed insight into the ethics application process as it is currently enacted across the country. The paper details this process with reference to difficulties faced by multisite and qualitative studies in negotiating access to research sites, ethics committees' relative unfamiliarity with qualitative research , and apparent tensions between harmonisation and local sites' autonomy in approving research. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS? Practitioners aiming to engage in research need to be aware that ethics approval takes place in an uneven procedural landscape, made up of variable levels of ethics approval harmonization and intricate governance or site-specific assessment processes.

  7. Urban Forest and Rural Cities: Multi-sited Households, Consumption Patterns, and Forest Resources in Amazonia

    Directory of Open Access Journals (Sweden)

    Christine Padoch

    2008-12-01

    Full Text Available In much of the Amazon Basin, approximately 70% of the population lives in urban areas and urbanward migration continues. Based on data collected over more than a decade in two long-settled regions of Amazonia, we find that rural-urban migration in the region is an extended and complex process. Like recent rural-urban migrants worldwide, Amazonian migrants, although they may be counted as urban residents, are often not absent from rural areas but remain members of multi-sited households and continue to participate in rural-urban networks and in rural land-use decisions. Our research indicates that, despite their general poverty, these migrants have affected urban markets for both food and construction materials. We present two cases: that of açaí palm fruit in the estuary of the Amazon and of cheap construction timbers in the Peruvian Amazon. We find that many new Amazonian rural-urban migrants have maintained some important rural patterns of both consumption and knowledge. Through their consumer behavior, they are affecting the areal extent of forests; in the two floodplain regions discussed, tree cover is increasing. We also find changes in forest composition, reflecting the persistence of rural consumption patterns in cities resulting in increased demand for and production of açaí and cheap timber species.

  8. Meditation programs for veterans with posttraumatic stress disorder: Aggregate findings from a multi-site evaluation.

    Science.gov (United States)

    Heffner, Kathi L; Crean, Hugh F; Kemp, Jan E

    2016-05-01

    Interest in meditation to manage posttraumatic stress disorder (PTSD) symptoms is increasing. Few studies have examined the effectiveness of meditation programs offered to Veterans within Department of Veterans Affairs (VA) mental health services. The current study addresses this gap using data from a multisite VA demonstration project. Evaluation data collected at 6 VA sites (N = 391 Veterans) before and after a meditation program, and a treatment-as-usual (TAU) program, were examined here using random effects meta-analyses. Site-specific and aggregate between group effect sizes comparing meditation programs to TAU were determined for PTSD severity measured by clinical interview and self-report. Additional outcomes included experiential avoidance and mindfulness. In aggregate, analyses showed medium effect sizes for meditation programs compared to TAU for PTSD severity (clinical interview: effect size (ES) = -0.32; self-report: ES = -0.39). Similarly sized effects of meditation programs were found for overall mindfulness (ES = 0.41) and 1 specific aspect of mindfulness, nonreactivity to inner experience (ES = .37). Additional findings suggested meditation type and program completion differences each moderated program effects. VA-sponsored meditation programs show promise for reducing PTSD severity in Veterans receiving mental health services. Where meditation training fits within mental health services, and for whom programs will be of interest and effective, require further clarification. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  9. Ledelse der giver mening

    DEFF Research Database (Denmark)

    Conrad, Torsten

    2014-01-01

    supervision i praksis (Joyce & Showers, 2002). Artiklen sigter mod at bidrage med en øget forståelse af implementeringen af politiske beslutninger ved at belyse de forhold, der præger implementeringen med særligt fokus på skoleledelsen, medarbejderne og deres relation. Artiklen søger også at belyse, hvordan...

  10. Psychiatric patients' return for HIV/STI test results in mental health centers Devolución de los resultados de exámenes serológicos de VIH/ITS entre pacientes psiquiátricos en los servicios de salud mental Devolução dos resultados de exames sorológicos de HIV/IST entre pacientes psiquiátricos nos serviços de saúde mental

    Directory of Open Access Journals (Sweden)

    Ana Paula Souto Melo

    2012-04-01

    Full Text Available OBJECTIVE: To assess individual and/or health service factors associated with patients returning for results of HIV or sexually transmitted infection (STI tests in mental health centers. METHODS: Cross-sectional national multicenter study among 2,080 patients randomly selected from 26 Brazilian mental health centers in 2007. Multilevel logistic regression was used to assess the effect of individual (level 1 and mental health service characteristics (level 2 on receipt of test results. RESULTS: The rate of returning HIV/STI test results was 79.6%. Among health service characteristics examined, only condom distribution was associated with receiving HIV/STI test results, whereas several individual characteristics were independently associated including living in the same city where treatment centers are; being single; not having heard of AIDS; and not having been previously HIV tested. CONCLUSIONS: It is urgent to expand HIV/STI testing in health services which provide care for patients with potentially increased vulnerability to these conditions, and to promote better integration between mental health and health services.OBJETIVO: Analizar factores asociados a la recepción de resultados de exámenes serológicos para VIH y otras infecciones de transmisión sexual (ITS entre pacientes psiquiátricos. MÉTODOS: Estudio de corte transversal multicéntrico nacional de 2.080 participantes seleccionados aleatoriamente entre 26 instituciones brasileñas de salud mental en 2007. El efecto del individuo (nivel 1 y de los servicios de salud mental (nivel 2 en la recepción de los resultados de los exámenes fue evaluado utilizándose regresión logística multinivel. RESULTADOS: La proporción de retorno de los resultados de exámenes VIH/ITS fue 79,6%. Entre las características individuales, hubo asociación del desenlace con: vivir en la misma ciudad donde se encontraban los servicios, ser soltero, no haber escuchado hablar sobre el sida, y no haber

  11. Synthesis of Tetrasubstituted Thieno[3,2-b]pyridin-5(4H)-one Derivatives as a Heterocyclic Scaffold for Multisite-specific Fluorous Fluorescent Tagging and Fluorous Solid-Phase Extraction

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Moon-Kook; Yi, Su-Jin [Korea Research Institute of Chemical Technology, Daejeon (Korea, Republic of); Son, Seung Uk [Sungkyunkwan University, Suwon (Korea, Republic of)

    2016-08-15

    Tetrasubstituted thieno[3,2-b]pyridin-5(4H)-one derivatives were selected as a highly functionalized heterocyclic scaffold for a multisite-specific tagging process utilizing a previously devised fluorous fluorescent tag system. A suitable synthetic method was established for the 7-alkoxy-2,4,6-risubstituted-thieno[3,2-b] pyridin-5(4H)-one derivatives, and incorporating t-butoxycarbonyl-functionalized building blocks into the reaction sequence produced precursors that could be used in the tagging process. Fluorous solid-phase extraction facilitated the purification of the tagged target compounds after a series of reactions, including t-Bu deprotection/N-hydroxysuccinimidyl ester formation/amidation.

  12. Synthesis of Tetrasubstituted Thieno[3,2-b]pyridin-5(4H)-one Derivatives as a Heterocyclic Scaffold for Multisite-specific Fluorous Fluorescent Tagging and Fluorous Solid-Phase Extraction

    International Nuclear Information System (INIS)

    Jeon, Moon-Kook; Yi, Su-Jin; Son, Seung Uk

    2016-01-01

    Tetrasubstituted thieno[3,2-b]pyridin-5(4H)-one derivatives were selected as a highly functionalized heterocyclic scaffold for a multisite-specific tagging process utilizing a previously devised fluorous fluorescent tag system. A suitable synthetic method was established for the 7-alkoxy-2,4,6-risubstituted-thieno[3,2-b] pyridin-5(4H)-one derivatives, and incorporating t-butoxycarbonyl-functionalized building blocks into the reaction sequence produced precursors that could be used in the tagging process. Fluorous solid-phase extraction facilitated the purification of the tagged target compounds after a series of reactions, including t-Bu deprotection/N-hydroxysuccinimidyl ester formation/amidation.

  13. Quantitative susceptibility mapping of human brain at 3T: a multisite reproducibility study.

    Science.gov (United States)

    Lin, P-Y; Chao, T-C; Wu, M-L

    2015-03-01

    Quantitative susceptibility mapping of the human brain has demonstrated strong potential in examining iron deposition, which may help in investigating possible brain pathology. This study assesses the reproducibility of quantitative susceptibility mapping across different imaging sites. In this study, the susceptibility values of 5 regions of interest in the human brain were measured on 9 healthy subjects following calibration by using phantom experiments. Each of the subjects was imaged 5 times on 1 scanner with the same procedure repeated on 3 different 3T systems so that both within-site and cross-site quantitative susceptibility mapping precision levels could be assessed. Two quantitative susceptibility mapping algorithms, similar in principle, one by using iterative regularization (iterative quantitative susceptibility mapping) and the other with analytic optimal solutions (deterministic quantitative susceptibility mapping), were implemented, and their performances were compared. Results show that while deterministic quantitative susceptibility mapping had nearly 700 times faster computation speed, residual streaking artifacts seem to be more prominent compared with iterative quantitative susceptibility mapping. With quantitative susceptibility mapping, the putamen, globus pallidus, and caudate nucleus showed smaller imprecision on the order of 0.005 ppm, whereas the red nucleus and substantia nigra, closer to the skull base, had a somewhat larger imprecision of approximately 0.01 ppm. Cross-site errors were not significantly larger than within-site errors. Possible sources of estimation errors are discussed. The reproducibility of quantitative susceptibility mapping in the human brain in vivo is regionally dependent, and the precision levels achieved with quantitative susceptibility mapping should allow longitudinal and multisite studies such as aging-related changes in brain tissue magnetic susceptibility. © 2015 by American Journal of Neuroradiology.

  14. Validation of mismatch negativity and P3a for use in multi-site studies of schizophrenia: characterization of demographic, clinical, cognitive, and functional correlates in COGS-2.

    Science.gov (United States)

    Light, Gregory A; Swerdlow, Neal R; Thomas, Michael L; Calkins, Monica E; Green, Michael F; Greenwood, Tiffany A; Gur, Raquel E; Gur, Ruben C; Lazzeroni, Laura C; Nuechterlein, Keith H; Pela, Marlena; Radant, Allen D; Seidman, Larry J; Sharp, Richard F; Siever, Larry J; Silverman, Jeremy M; Sprock, Joyce; Stone, William S; Sugar, Catherine A; Tsuang, Debby W; Tsuang, Ming T; Braff, David L; Turetsky, Bruce I

    2015-04-01

    Mismatch negativity (MMN) and P3a are auditory event-related potential (ERP) components that show robust deficits in schizophrenia (SZ) patients and exhibit qualities of endophenotypes, including substantial heritability, test-retest reliability, and trait-like stability. These measures also fulfill criteria for use as cognition and function-linked biomarkers in outcome studies, but have not yet been validated for use in large-scale multi-site clinical studies. This study tested the feasibility of adding MMN and P3a to the ongoing Consortium on the Genetics of Schizophrenia (COGS) study. The extent to which demographic, clinical, cognitive, and functional characteristics contribute to variability in MMN and P3a amplitudes was also examined. Participants (HCS n=824, SZ n=966) underwent testing at 5 geographically distributed COGS laboratories. Valid ERP recordings were obtained from 91% of HCS and 91% of SZ patients. Highly significant MMN (d=0.96) and P3a (d=0.93) amplitude reductions were observed in SZ patients, comparable in magnitude to those observed in single-lab studies with no appreciable differences across laboratories. Demographic characteristics accounted for 26% and 18% of the variance in MMN and P3a amplitudes, respectively. Significant relationships were observed among demographically-adjusted MMN and P3a measures and medication status as well as several clinical, cognitive, and functional characteristics of the SZ patients. This study demonstrates that MMN and P3a ERP biomarkers can be feasibly used in multi-site clinical studies. As with many clinical tests of brain function, demographic factors contribute to MMN and P3a amplitudes and should be carefully considered in future biomarker-informed clinical studies. Published by Elsevier B.V.

  15. A MULTI-SITE CAMPAIGN TO MEASURE SOLAR-LIKE OSCILLATIONS IN PROCYON. II. MODE FREQUENCIES

    International Nuclear Information System (INIS)

    Bedding, Timothy R.; Bruntt, Hans; Kiss, Laszlo L.; Kjeldsen, Hans; Campante, Tiago L.; Appourchaux, Thierry; Bonanno, Alfio; Chaplin, William J.; Garcia, Rafael A.; Martic, Milena; Mosser, Benoit; Butler, R. Paul; O'Toole, Simon J.; Kambe, Eiji; Izumiura, Hideyuki; Ando, Hiroyasu; Sato, Bun'ei; Hartmann, Michael; Hatzes, Artie

    2010-01-01

    We have analyzed data from a multi-site campaign to observe oscillations in the F5 star Procyon. The data consist of high-precision velocities that we obtained over more than three weeks with 11 telescopes. A new method for adjusting the data weights allows us to suppress the sidelobes in the power spectrum. Stacking the power spectrum in a so-called echelle diagram reveals two clear ridges, which we identify with even and odd values of the angular degree (l = 0 and 2, and l = 1 and 3, respectively). We interpret a strong, narrow peak at 446 μHz that lies close to the l = 1 ridge as a mode with mixed character. We show that the frequencies of the ridge centroids and their separations are useful diagnostics for asteroseismology. In particular, variations in the large separation appear to indicate a glitch in the sound-speed profile at an acoustic depth of ∼1000 s. We list frequencies for 55 modes extracted from the data spanning 20 radial orders, a range comparable to the best solar data, which will provide valuable constraints for theoretical models. A preliminary comparison with published models shows that the offset between observed and calculated frequencies for the radial modes is very different for Procyon than for the Sun and other cool stars. We find the mean lifetime of the modes in Procyon to be 1.29 +0.55 -0.49 days, which is significantly shorter than the 2-4 days seen in the Sun.

  16. Measuring Variance in Subnational Regimes: Results from an Expert-Based Operationalization of Democracy in the Argentine Provinces Midiendo la variación de los regímenes subnacionales: Resultados de una operacionalización basada en expertos de la democracia en las provincias argentinas

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    Carlos Gervasoni

    2010-01-01

    Política Provincial (EEPP y se realiza un análisis preliminar de sus resultados. Algunos aspectos de los regímenes provinciales aparecen como claramente democráticos, mientras que otros son mixtos o incluso se inclinan hacia el autoritarismo. Además, algunos muestran escasa variación interprovincial, mientras que otros varían considerablemente de provincia a provincia. Un análisis de la tendencia central y la dispersión de los ítems de la encuesta permite una descripción general de los regímenes provinciales argentinos. La dimensión más democrática es la inclusión, mientras que la efectividad de los límites institucionales al poder del Ejecutivo es la más deficiente. La competencia electoral no es en general afectada por formas tradicionales de fraude, pero los oficialismos a menudo gozan de mucho mayores niveles de recursos de campaña y atención mediática que sus oponentes. La represión física es poco habitual, pero los opositores en algunas provincias enfrentan formas más sutiles de castigo. Aunque la encuesta no descubre ningún caso claro de autoritarismo subnacional en sentido estricto, los regímenes provinciales varían significativamente desde los que son básicamente democráticos hasta los claramente híbridos.

  17. A modular class of multisite monthly rainfall generators for water resource management and impact studies

    Science.gov (United States)

    Serinaldi, Francesco; Kilsby, Chris G.

    2012-09-01

    SummaryThis study introduces a class of stochastic multisite monthly rainfall generators devised for application in water resources management problems, such as the sensitivity analysis of droughts and extreme rainfall scenarios under external climatic and non-climatic forcing mechanisms. The modelling framework relies on three elements: (1) a classical deseasonalisation scheme based on log-transformed observations, (2) the nonparametric bootstrap resampling approach and (3) parametric Generalized Additive Models for Location, Scale and Shape (GAMLSS). As the bootstrap and GAMLSS modules are alternative techniques for simulating each month, the free choice between them makes the structure of the model modular and flexible, so that it can be easily adapted to different climatic conditions, and can be customized based on the specific water resource problem. The model was set up and calibrated to simulate monthly rainfall from six locations in England and Wales to produce a suitable input for drought analysis. The results of the case study point out that the model can capture several characteristics of the rainfall series. In particular, it enables the simulation of low and high rainfall scenarios more extreme than those observed as well as the reproduction of the distribution of the annual accumulated rainfall, and of the relationship between the rainfall and circulation indices such as North Atlantic Oscillation (NAO) and Sea Surface Temperature (SST), thus making the framework well-suited for sensitivity analysis under alternative climate scenarios and additional forcing variables.

  18. Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial.

    Science.gov (United States)

    Kron, Frederick W; Fetters, Michael D; Scerbo, Mark W; White, Casey B; Lypson, Monica L; Padilla, Miguel A; Gliva-McConvey, Gayle A; Belfore, Lee A; West, Temple; Wallace, Amelia M; Guetterman, Timothy C; Schleicher, Lauren S; Kennedy, Rebecca A; Mangrulkar, Rajesh S; Cleary, James F; Marsella, Stacy C; Becker, Daniel M

    2017-04-01

    To assess advanced communication skills among second-year medical students exposed either to a computer simulation (MPathic-VR) featuring virtual humans, or to a multimedia computer-based learning module, and to understand each group's experiences and learning preferences. A single-blinded, mixed methods, randomized, multisite trial compared MPathic-VR (N=210) to computer-based learning (N=211). Primary outcomes: communication scores during repeat interactions with MPathic-VR's intercultural and interprofessional communication scenarios and scores on a subsequent advanced communication skills objective structured clinical examination (OSCE). Multivariate analysis of variance was used to compare outcomes. student attitude surveys and qualitative assessments of their experiences with MPathic-VR or computer-based learning. MPathic-VR-trained students improved their intercultural and interprofessional communication performance between their first and second interactions with each scenario. They also achieved significantly higher composite scores on the OSCE than computer-based learning-trained students. Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters. MPathic-VR was effective in training advanced communication skills and in enabling knowledge transfer into a more realistic clinical situation. MPathic-VR's virtual human simulation offers an effective and engaging means of advanced communication training. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial

    Science.gov (United States)

    Kron, Frederick W.; Fetters, Michael D.; Scerbo, Mark W.; White, Casey B.; Lypson, Monica L.; Padilla, Miguel A.; Gliva-McConvey, Gayle A.; Belfore, Lee A.; West, Temple; Wallace, Amelia M.; Guetterman, Timothy C.; Schleicher, Lauren S.; Kennedy, Rebecca A.; Mangrulkar, Rajesh S.; Cleary, James F.; Marsella, Stacy C.; Becker, Daniel M.

    2016-01-01

    Objectives To assess advanced communication skills among second-year medical students exposed either to a computer simulation (MPathic-VR) featuring virtual humans, or to a multimedia computer-based learning module, and to understand each group’s experiences and learning preferences. Methods A single-blinded, mixed methods, randomized, multisite trial compared MPathic-VR (N=210) to computer-based learning (N=211). Primary outcomes: communication scores during repeat interactions with MPathic-VR’s intercultural and interprofessional communication scenarios and scores on a subsequent advanced communication skills objective structured clinical examination (OSCE). Multivariate analysis of variance was used to compare outcomes. Secondary outcomes: student attitude surveys and qualitative assessments of their experiences with MPathic-VR or computer-based learning. Results MPathic-VR-trained students improved their intercultural and interprofessional communication performance between their first and second interactions with each scenario. They also achieved significantly higher composite scores on the OSCE than computer-based learning-trained students. Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters. Conclusions MPathic-VR was effective in training advanced communication skills and in enabling knowledge transfer into a more realistic clinical situation. Practice Implications MPathic-VR’s virtual human simulation offers an effective and engaging means of advanced communication training. PMID:27939846

  20. Emociones y cultura política. Análisis de las galerías de la memoria presentadas por el Capítulo Bogotá del Movimiento Nacional de Víctimas de Crímenes de Estado (Movice

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    David Eduardo González Caballero

    Full Text Available El texto propone repensar el concepto de cultura política como la lucha por el sentido de lo social, para adaptarlo a las necesidades de un trabajo cualitativo y de perspectiva microsocial, mediante la inclusión de insumos teóricos y metodológicos provenientes de las sociologías de los movimientos sociales y de las emociones. Una vez planteada esta concepción renovada de dicho concepto, el texto se ocupa del análisis de las galerías de la memoria desplegadas por el Capítulo Bogotá del Movimiento Nacional de Víctimas de Crímenes de Estado (Movice, argumentando que el principal objetivo de estos actos públicos de memoria es la transformación de la cultura política de quienes los observan, en un proceso de resocialización cognitiva, emocional y moral dirigido contra los significados, reglas emocionales y principios morales que dan soporte a determinadas estructuras y relaciones de dominación en el ámbito macrosocial.

  1. Evaluating climate change impacts on streamflow variability based on a multisite multivariate GCM downscaling method in the Jing River of China

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    Z. Li

    2017-11-01

    Full Text Available Projected hydrological variability is important for future resource and hazard management of water supplies because changes in hydrological variability can cause more disasters than changes in the mean state. However, climate change scenarios downscaled from Earth System Models (ESMs at single sites cannot meet the requirements of distributed hydrologic models for simulating hydrological variability. This study developed multisite multivariate climate change scenarios via three steps: (i spatial downscaling of ESMs using a transfer function method, (ii temporal downscaling of ESMs using a single-site weather generator, and (iii reconstruction of spatiotemporal correlations using a distribution-free shuffle procedure. Multisite precipitation and temperature change scenarios for 2011–2040 were generated from five ESMs under four representative concentration pathways to project changes in streamflow variability using the Soil and Water Assessment Tool (SWAT for the Jing River, China. The correlation reconstruction method performed realistically for intersite and intervariable correlation reproduction and hydrological modeling. The SWAT model was found to be well calibrated with monthly streamflow with a model efficiency coefficient of 0.78. It was projected that the annual mean precipitation would not change, while the mean maximum and minimum temperatures would increase significantly by 1.6 ± 0.3 and 1.3 ± 0.2 °C; the variance ratios of 2011–2040 to 1961–2005 were 1.15 ± 0.13 for precipitation, 1.15 ± 0.14 for mean maximum temperature, and 1.04 ± 0.10 for mean minimum temperature. A warmer climate was predicted for the flood season, while the dry season was projected to become wetter and warmer; the findings indicated that the intra-annual and interannual variations in the future climate would be greater than in the current climate. The total annual streamflow was found to change insignificantly but its

  2. Assessing the utility of diagnostic criteria: a multisite study on gender identity disorder.

    Science.gov (United States)

    Paap, Muirne C S; Kreukels, Baudewijntje P C; Cohen-Kettenis, Peggy T; Richter-Appelt, Hertha; de Cuypere, Griet; Haraldsen, Ira R

    2011-01-01

    Studies involving patients with gender identity disorder (GID) are inconsistent with regard to outcomes and often difficult to compare because of the vague descriptions of the diagnostic process. A multisite study is needed to scrutinize the utility and generality of different aspects of the diagnostic criteria for GID. To investigate the way in which the diagnosis-specific Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision criteria for GID were used to reach a psychiatric diagnosis in four European countries: the Netherlands (Amsterdam), Norway (Oslo), Germany (Hamburg), and Belgium (Ghent). The main goal was to compare item (symptom) characteristics across countries. The current study included all new applicants to the four GID clinics who were seen between January 2007 and March 2009, were at least 16 years of age at their first visit, and had completed the diagnostic assessment (N = 214, mean age = 32 ± 12.2 years). Mokken scale analysis, a form of Nonparametric Item Response Theory (NIRT) was performed. Operationalization and quantification of the core criteria A and B resulted in a 23-item score sheet that was filled out by the participating clinicians after they had made a diagnosis. We found that, when ordering the 23 items according to their means for each country separately, the rank ordering was similar among the four countries for 21 of the items. Furthermore, only one scale emerged, which combined criteria A and B when all data were analyzed together. Our results indicate that patients' symptoms were interpreted in a similar fashion in all four countries. However, we did not find support for the treatment of A and B as two separate criteria. We recommend the use of NIRT in future studies, especially in studies with small sample sizes and/or with data that show a poor fit to parametric IRT models. © 2010 International Society for Sexual Medicine.

  3. Good work ability despite multisite musculoskeletal pain? A study among occupationally active Finns.

    Science.gov (United States)

    Pensola, Tiina; Haukka, Eija; Kaila-Kangas, Leena; Neupane, Subas; Leino-Arjas, Päivi

    2016-05-01

    Although multisite pain (MSP) often threatens work ability (WA), some of those with MSP retain good WA. Our aim was to identify factors associated with good WA among subjects with MSP. A nationally representative sample (the Health 2000-Study, response rate 87%) comprising 3884 occupationally active Finns aged 30-64 years. Data on WA, musculoskeletal pain, physical and psychosocial working conditions, chronic diseases, lifestyle and domestic situation were gathered by questionnaire, interview and clinical examination. Good current WA compared with the lifetime best was defined as ⩾9 on a 0-10 scale. Musculoskeletal pain in 18 body locations was combined into four sites, and thereafter pain in two or more sites was defined as MSP (N=1351). Poisson regression analysis was used to obtain prevalence rate ratios (PRR). Good WA was reported by 48% of the women and 37% of the men with MSP. In a multivariable model good WA was associated with younger age, female gender, physically non-strenuous work (PRR 1.3, 95% CI 1.1-1.5), low job strain (1.2, 1.0-1.4), high supervisor support (1.2, 1.0-1.4), and not having musculoskeletal diseases (1.3, 1.1-1.5), mental disorders (1.4, 1.1-1.9), daytime tiredness (1.4, 1.2-1.7) or economic troubles (1.5, 1.1-1.9). Age-stratified analyses revealed also associations with high coworker support (1.2, 1.0-1.4) and strenuous leisure-time physical exercise (1.2, 1.0-1.4) in those aged 30-44 and low alcohol consumption (1.8, 1.2-2.6) in the age-group 45-64. Several potentially modifiable factors related to health, work, and lifestyle were associated with good WA among occupationally active subjects with MSP. © 2015 the Nordic Societies of Public Health.

  4. Connecting Smartphone and Wearable Fitness Tracker Data with a Nationally Used Electronic Health Record System for Diabetes Education to Facilitate Behavioral Goal Monitoring in Diabetes Care: Protocol for a Pragmatic Multi-Site Randomized Trial.

    Science.gov (United States)

    Wang, Jing; Coleman, Deidra Carroll; Kanter, Justin; Ummer, Brad; Siminerio, Linda

    2018-04-02

    Mobile and wearable technology have been shown to be effective in improving diabetes self-management; however, integrating data from these technologies into clinical diabetes care to facilitate behavioral goal monitoring has not been explored. The objective of this paper is to report on a study protocol for a pragmatic multi-site trial along with the intervention components, including the detailed connected health interface. This interface was developed to integrate patient self-monitoring data collected from a wearable fitness tracker and its companion smartphone app to an electronic health record system for diabetes self-management education and support (DSMES) to facilitate behavioral goal monitoring. A 3-month multi-site pragmatic clinical trial was conducted with eligible patients with diabetes mellitus from DSMES programs. The Chronicle Diabetes system is currently freely available to diabetes educators through American Diabetes Association-recognized DSMES programs to set patient nutrition and physical activity goals. To integrate the goal-setting and self-monitoring intervention into the DSMES process, a connected interface in the Chronicle Diabetes system was developed. With the connected interface, patient self-monitoring information collected from smartphones and wearable fitness trackers can facilitate educators' monitoring of patients' adherence to their goals. Feasibility outcomes of the 3-month trial included hemoglobin A 1c levels, weight, and the usability of the connected system. An interface designed to connect data from a wearable fitness tracker with a companion smartphone app for nutrition and physical activity self-monitoring into a diabetes education electronic health record system was successfully developed to enable diabetes educators to facilitate goal setting and monitoring. A total of 60 eligible patients with type 2 diabetes mellitus were randomized into either group 1) standard diabetes education or 2) standard education enhanced with

  5. Relevância de exames de rotina em pacientes de baixo risco submetidos a cirurgias de pequeno e médio porte Relevancia de los exámenes de rutina en pacientes de bajo riesgo sometidos a cirugías menores Relevance of routine testing in low-risk patients undergoing minor and medium surgical procedures

    Directory of Open Access Journals (Sweden)

    Danielle de Sousa Soares

    2013-04-01

    evaluación preoperatoria tiene el objetivo de disminuir la morbimortalidad del paciente quirúrgico, el coste de la atención perioperatoria y la ansiedad preoperatoria. A partir de la evaluación clínica debemos definir la necesidad de exámenes complementarios y de estrategias para reducir el riesgo anestésico-quirúrgico. El objetivo de este trabajo fue el de evaluar el beneficio de exámenes de rutina preoperatorio de pacientes de bajo riesgo en las cirugías menores. MÉTODOS: Se trata de un estudio descriptivo, transversal con 700 pacientes atendidos en la consulta de evaluación preanestésica del Hospital Santo Antonio, Salvador, BA. Fueron incluidos pacientes de 1 a 45 años, estado físico ASA I, que serían sometidos a cirugías electivas menores. Se evaluaron las alteraciones en el hemograma, el coagulograma, el electrocardiograma, RX de tórax, glucemia, función renal y dosificación de sodio y potasio, y los eventuales cambios de conducta que se suscitaron provenientes de esas alteraciones. RESULTADOS: De los 800 pacientes evaluados un 97,5% realizaron hemograma, 89% coagulograma, 74,1% electrocardiograma, 62% RX de tórax, 68% glucemia en ayunas, 55,7% dosificaciones séricas de urea y creatinina y un 10,1% dosificaciones de sodio y potasio séricos. De esos 800 pacientes, 68 (9,71% tuvieron alteración en los exámenes preoperatorios de rutina y solo 10 (14,7% de los considerados alterados tuvieron una conducta preoperatoria modificada, o sea, una solicitación de nuevos exámenes, interconsulta o la postergación del procedimiento. Ninguna de las cirugías se suspendió. CONCLUSIONES: Observamos que los excesivos exámenes complementarios se solicitaban en el preoperatorio, aunque fuese en los pacientes jóvenes y de bajo riesgo quirúrgico, con poca o ninguna interferencia en el conducta perioperatoria. Los exámenes laboratoriales estándares no son buenos instrumentos de screening de enfermedades y pueden generar gastos elevados e innecesarios

  6. Brief interventions to reduce Ecstasy use: a multi-site randomized controlled trial.

    Science.gov (United States)

    Norberg, Melissa M; Hides, Leanne; Olivier, Jake; Khawar, Laila; McKetin, Rebecca; Copeland, Jan

    2014-11-01

    Studies examining the ability of motivational enhancement therapy (MET) to augment education provision among ecstasy users have produced mixed results and none have examined whether treatment fidelity was related to ecstasy use outcomes. The primary objectives of this multi-site, parallel, two-group randomized controlled trial were to determine if a single-session of MET could instill greater commitment to change and reduce ecstasy use and related problems more so than an education-only intervention and whether MET sessions delivered with higher treatment fidelity are associated with better outcomes. The secondary objective was to assess participants' satisfaction with their assigned interventions. Participants (N=174; Mage=23.62) at two Australian universities were allocated randomly to receive a 15-minute educational session on ecstasy use (n=85) or a 50-minute session of MET that included an educational component (n=89). Primary outcomes were assessed at baseline, and then at 4-, 16-, and 24-weeks postbaseline, while the secondary outcome measure was assessed 4-weeks postbaseline by researchers blind to treatment allocation. Overall, the treatment fidelity was acceptable to good in the MET condition. There were no statistical differences at follow-up between the groups on the primary outcomes of ecstasy use, ecstasy-related problems, and commitment to change. Both intervention groups reported a 50% reduction in their ecstasy use and a 20% reduction in the severity of their ecstasy-related problems at the 24-week follow up. Commitment to change slightly improved for both groups (9%-17%). Despite the lack of between-group statistical differences on primary outcomes, participants who received a single session of MET were slightly more satisfied with their intervention than those who received education only. MI fidelity was not associated with ecstasy use outcomes. Given these findings, future research should focus on examining mechanisms of change. Such work may

  7. Bajo el signo de Licurgo: el reformismo atávico de Agis IV y Cleómenes III = Under the sign of Lycurgus: the atavistic reformism of Agis IV and Cleomenes III

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    César Fornis

    2016-04-01

    Full Text Available En el presente estudio se abordan los intentos de reforma en Esparta por los reyes Agis IV y Cleómenes III, que ambos, con finalidad legitimadora, presentaron como una recuperación atávica del kósmos (orden atribuido al legendario Licurgo, aquel que había formado ciudadanos virtuosos y sobre el que se había asentado el glorioso pasado de la ciudad. Se concluye que sus medidas no atacaron las raíces de los males que corroían la polis lacedemonia ni transformaron de modo significativo las vetustas estructuras sociales, políticas y económicas para adaptarlas a los nuevos tiempos, los del Helenismo.In this paper we analyze the attempts of reform of the Spartan state by the kings Agis IV and Cleomenes III. With legitimizing purpose, they presented them as an atavistic recovery of the kosmos (order ascribed to the legendary Lycurgus, which had formed to the citizens in moral virtues and which had settled the glorious past of the city. We conclude that these measures did not attack the roots of the evils corroding the Lacedaimonian polis or significantly transformed the old social, political and economic structures in order to adapt them to the new times, those of the Hellenism. 

  8. Randomized Multi-site Trial of the Job Seekers’ Workshop in Patients with Substance Use Disorders

    Science.gov (United States)

    Svikis, Dace S.; Keyser-Marcus, Lori; Stitzer, Maxine; Rieckmann, Traci; Safford, Lauretta; Loeb, Peter; Allen, Tim; Luna-Anderson, Carol; Back, Sudie E.; Cohen, Judith; DeBernardi, Michael A.; Dillard, Bruce; Forcehimes, Alyssa; Jaffee, William; Killeen, Therese; Kolodner, Ken; Levy, Michael; Pallas, Diane; Perl, Harold I.; Potter, Jennifer Sharpe; Provost, Scott; Reese, Karen; Sampson, Royce R.; Sepulveda, Allison; Snead, Ned; Wong, Conrad J.; Zweben, Joan

    2012-01-01

    Background Unemployment is associated with negative outcomes both during and after drug abuse treatment. Interventions designed to increase rates of employment may also improve drug abuse treatment outcomes. The purpose of this multi-site clinical trial was to evaluate the Job Seekers’ Workshop (JSW), a three session, manualized program designed to train patients in the skills needed to find and secure a job. Method Study participants were recruited through the NIDA Clinical Trials Network (CTN) from six psychosocial counseling (n=327) and five methadone maintenance (n=301) drug treatment programs. Participants were randomly assigned to either standard care (program-specific services plus brochure with local employment resources) (SC) or standard care plus JSW. Three 4-hr small group JSW sessions were offered weekly by trained JSW facilitators with ongoing fidelity monitoring. Results JSW and SC participants had similar 12- and 24-week results for the primary outcome measure (i.e., obtaining a new taxed job or enrollment in a training program), Specifically, one-fifth of participants at 12 weeks (20.1 – 24.3%) and nearly one-third at 24 weeks (31.4–31.9%) had positive outcomes, with “obtaining a new taxed job” accounting for the majority of cases. Conclusion JSW group participants did not have higher rates of employment/training than SC controls. Rates of job acquisition were modest for both groups, suggesting more intensive interventions may be needed. Alternate targets (e.g., enhancing patient motivation, training in job-specific skills) warrant further study as well. PMID:21802222

  9. The Impact of Sexual Assault Nurse Examiner Programs on Criminal Justice Case Outcomes: A Multisite Replication Study.

    Science.gov (United States)

    Campbell, Rebecca; Bybee, Deborah; Townsend, Stephanie M; Shaw, Jessica; Karim, Nidal; Markowitz, Jenifer

    2014-05-01

    To address the underreporting and underprosecution of adult sexual assaults, communities throughout the United States have implemented multidisciplinary interventions to improve postassault care for victims and the criminal justice system response. One such model is the Sexual Assault Nurse Examiner (SANE) Program, whereby specially trained nurses provide comprehensive psychological, medical, and forensic services for sexual assault. In this study, we conducted a multisite evaluation of six SANE programs (two rural programs, two serving midsized communities, two urban) to assess how implementation of SANE programs affects adult sexual assault prosecution rates. At each site, most sexual assaults reported to law enforcement were never referred by police to prosecutors or were not charged by the prosecutor's office (80%-89%). Individually, none of the sites had a statistically significant increase in prosecution rates pre-SANE to post-SANE. However, when the data were aggregated across sites, thereby increasing statistical power, there was a significant effect such that cases were more likely to be prosecuted post-SANE as compared with pre-SANE. These findings suggest that the SANE intervention model does have a positive impact on sexual assault case progression in the criminal justice system. Nevertheless, there is still a pressing need for improvement as the vast majority of both pre-SANE and post-SANE resulted in nonreferral/no charges filed. © The Author(s) 2014.

  10. Carboxyl-terminal multi-site phosphorylation regulates internalization and desensitization of the human sst2 somatostatin receptor.

    Science.gov (United States)

    Lehmann, Andreas; Kliewer, Andrea; Schütz, Dagmar; Nagel, Falko; Stumm, Ralf; Schulz, Stefan

    2014-04-25

    The somatostatin receptor 2 (sst2) is the pharmacological target of somatostatin analogs that are widely used in the diagnosis and treatment of human neuroendocrine tumors. We have recently shown that the stable somatostatin analogs octreotide and pasireotide (SOM230) stimulate distinct patterns of sst2 receptor phosphorylation and internalization. Like somatostatin, octreotide promotes the phosphorylation of at least six carboxyl-terminal serine and threonine residues namely S341, S343, T353, T354, T356 and T359, which in turn leads to a robust receptor endocytosis. Unlike somatostatin, pasireotide stimulates a selective phosphorylation of S341 and S343 of the human sst2 receptor followed by a partial receptor internalization. Here, we show that exchange of S341 and S343 by alanine is sufficient to block pasireotide-driven internalization, whereas mutation of T353, T354, T356 and T359 to alanine is required to strongly inhibited both octreotide- and somatostatin-induced internalization. Yet, combined mutation of T353, T354, T356 and T359 is not sufficient to prevent somatostatin-driven β-arrestin mobilization and receptor desensitization. Replacement of all fourteen carboxyl-terminal serine and threonine residues by alanine completely abrogates sst2 receptor internalization and β-arrestin mobilization in HEK293 cells. Together, our findings demonstrate for the first time that agonist-selective sst2 receptor internalization is regulated by multi-site phosphorylation of its carboxyl-terminal tail. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  11. Valor predictivo de algunos exámenes de laboratorio clínico en la infección neonatal bacteriana precoz Prognostic value of some clinical laboratory examinations related to an early bacterial neonatal infection

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    Tania Roig Álvarez

    2009-06-01

    Full Text Available INTRODUCCIÓN. El diagnóstico microbiológico de la infección neonatal de inicio precoz es complejo. En la mayoría de los recién nacidos se inicia el tratamiento ante la sospecha clínica y la positividad de algunos reactantes de fase aguda y el hemograma. MÉTODOS. Se analizó el valor predictivo utilizando como método de referencia el hemocultivo periférico o el hallazgo anatomopatológico de infección de algunos exámenes de laboratorio clínico de forma aislada. El estudio se realizó en el total de los casos, 32 neonatos con infección de inicio precoz probada y probable, y por localización de la infección. RESULTADOS. Ni la proteína C-reactiva positiva ni las alteraciones de los leucocitos totales fueron buenos predictores de sepsis de inicio precoz de cualquier localización. La trombocitopenia impresionó ser un marcador competente pero no resultó así al calcular el intervalo de confianza al 95 %. Al excluir la localización pulmonar, la proteína C-reactiva positiva se convirtió en un marcador competente. Ninguno de los neonatos con infección pulmonar probada tuvo resultados positivos en los exámenes clínicos realizados. CONCLUSIONES. No se cuenta de momento con ninguna prueba de laboratorio clínico capaz de predecir con certeza la presencia de infección de inicio precoz de cualquier localización. La proteína C-reactiva cualitativa es un marcador competente de infección precoz del torrente sanguíneo y de meninges en los neonatos.INTRODUCTION: Microbiological diagnosis of neonatal infection of early onset is complex. In most of newborns diagnosis is started if there is a clinical suspicion and the positivity of some acute-phase reactants and the hemogran. METHODS: Prognostic value was analyzed using as reference method the peripheral hemoculture or the pathological anatomy findings of infection in some of clinical laboratory examinations in an isolated way. Study was performed in all the cases, in 32 neonates

  12. Afrontamiento del estrés frente al examen en educación superior: ¿un estilo o un proceso?

    OpenAIRE

    Quintana Peña, Alberto Lollarte

    1998-01-01

    Contrasta dos enfoques teórico-metodológicos a fin de identificar los factores que explicarían las variables dependientes: ansiedad experimentada frente a los exámenes y modos de afrontamiento del estrés. Argumenta que los teóricos del Yo asumen a la ansiedad-rasgo frente a los exámenes como variable independiente de la ansiedad frente a los exámenes, y como variables independientes de los modos de afrontamiento al estrés al estilo de orientación personal (locus de control intemo-externo) y a...

  13. La reparación civil en casos de violaciones a los derechos humanos y la imprescriptibilidad de la acción civil: estudio de casos

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    Gonzalo Aguilar Cavallo

    2009-06-01

    Full Text Available Después de la Segunda Guerra Mundial se ha desarrollado un verdadero corpus iuris internacional en relación con los crímenes internacionales. La conciencia común de la humanidad ya no tolera actos inhumanos o la barbarie. A partir de esta conciencia común han surgido principios generalmente aceptados que se encuentran a la base de lo que se conoce como el derecho internacional penal. Uno de estos principios claramente asentados es la imprescriptibilidad de los crímenes internacionales. Si bien es cierto que la imprescriptibilidad de la acción penal en estos casos no levanta duda, la imprescriptibilidad de la acción civil derivada de crímenes internacionales sí plantea controversia. La aplicación de criterios de coherencia e integralidad permite concluir que las acciones, tanto criminales como civiles, en casos de crímenes internacionales, gozan del estatuto de imprescriptibilidad.

  14. Extraction and characterization of essential discharge patterns from multisite recordings of spiking ongoing activity.

    Directory of Open Access Journals (Sweden)

    Riccardo Storchi

    oscillations with multisite discharge patterns.

  15. Identifying Patterns in Implementation of Hospital Pressure Ulcer Prevention Programs: A Multisite Qualitative Study.

    Science.gov (United States)

    Soban, Lynn M; Finley, Erin P; Miltner, Rebecca S

    2016-01-01

    To describe the presence or absence of key components of hospital pressure ulcer (PU) prevention programs in 6 acute care hospitals. Multisite comparative case study. Using purposeful selection based on PU rates (high vs low) and hospital size, 6 hospitals within the Veterans Health Administration health care system were invited to participate. Key informant interviews (n = 48) were conducted in each of the 6 participating hospitals among individuals playing key roles in PU prevention: senior nursing leadership (n = 9), nurse manager (n = 7), wound care specialist (n = 6), frontline RNs (n = 26). Qualitative data were collected during face-to-face, semistructured interviews. Interview protocols were tailored to each interviewee's role with a core set of common questions covering 3 major content areas: (1) practice environment (eg, policies and wound care specialists), (2) current prevention practices (eg, conduct of PU risk assessment and skin inspection), and (3) barriers to PU prevention. We conducted structured coding of 5 key components of PU prevention programs and cross-case analysis to identify patterns in operationalization and implementation of program components across hospitals based on facility size and PU rates (low vs high). All hospitals had implemented all PU prevention program components. Component operationalization varied considerably across hospitals. Wound care specialists were integral to the operationalization of the 4 other program components examined; however, staffing levels and work assignments of wound care specialists varied widely. Patterns emerged among hospitals with low and high PU rates with respect to wound care specialist staffing, data monitoring, and staff education. We found hospital-level variations in PU prevention programs. Wound care specialist staffing may represent a potential point of leverage in achieving other PU program components, particularly performance monitoring and staff education.

  16. Relación entre regímenes de bienestar (según Geof Wood-Ian Gough y el índice COP para 54 países

    Directory of Open Access Journals (Sweden)

    Javier Darío Ávila Pita

    2016-01-01

    Full Text Available Introducción: La Caries dental sigue considerándose el principal problema de salud pública en muchos países del mundo. Diversos autores han hipotetizado la relación existente entre: salud oral y regímenes de bienestar. Geof Wood los clasifica basándose en: Índice de Desarrollo Humano, gasto público y flujo de divisas, en cinco categorías: 1. Régimen Social-demócrata, 2. Régimen Liberal, 3. Régimen Conservador, 4. Régimen de Seguridad Informal (A y B y 5. Régimen de Inseguridad (A y B. Propósito: Analizar la relación existente entre el tipo de régimen de bienestar y el índice de COP a los 12 años para 54 países en las últimas cinco décadas. Metodología: Estudio ecológico sobre fuentes secundarias de bases de datos de la OMS, Banco mundial, PubMed/Medline y sitios web de los países seleccionados. Resultados: El porcentaje de decrecimiento entre el primer y último COP reportado por cada país fue: Régimen Social-Demócrata (-86,6%, Régimen Conservador (-81,7%, Régimen Liberal (-79,0%, Régimen de Seguridad Informal A (-55,2%, Régimen de Seguridad Informal B (-46,9%, Régimen de Inseguridad A (-35,9%, Régimen de Inseguridad B (+136,8%. Conclusiones: El descenso de la caries observado en países desarrollados es resultado de medidas de salud pública, las condiciones-estilos de vida y la mejora de prácticas de autocuidado. Se espera que la incidencia de caries incremente en países africanos y asiáticos por el creciente consumo de azúcares e inadecuada exposición a fluoruros. Los retos futuros implican traducir conocimientos y experiencias en la promoción de la salud y prevención de la caries en los programas de acción.

  17. Optimizing Travel Time to Outpatient Interventional Radiology Procedures in a Multi-Site Hospital System Using a Google Maps Application.

    Science.gov (United States)

    Mandel, Jacob E; Morel-Ovalle, Louis; Boas, Franz E; Ziv, Etay; Yarmohammadi, Hooman; Deipolyi, Amy; Mohabir, Heeralall R; Erinjeri, Joseph P

    2018-02-20

    The purpose of this study is to determine whether a custom Google Maps application can optimize site selection when scheduling outpatient interventional radiology (IR) procedures within a multi-site hospital system. The Google Maps for Business Application Programming Interface (API) was used to develop an internal web application that uses real-time traffic data to determine estimated travel time (ETT; minutes) and estimated travel distance (ETD; miles) from a patient's home to each a nearby IR facility in our hospital system. Hypothetical patient home addresses based on the 33 cities comprising our institution's catchment area were used to determine the optimal IR site for hypothetical patients traveling from each city based on real-time traffic conditions. For 10/33 (30%) cities, there was discordance between the optimal IR site based on ETT and the optimal IR site based on ETD at non-rush hour time or rush hour time. By choosing to travel to an IR site based on ETT rather than ETD, patients from discordant cities were predicted to save an average of 7.29 min during non-rush hour (p = 0.03), and 28.80 min during rush hour (p travel time when more than one location providing IR procedures is available within the same hospital system.

  18. Toward uniform implementation of parametric map Digital Imaging and Communication in Medicine standard in multisite quantitative diffusion imaging studies.

    Science.gov (United States)

    Malyarenko, Dariya; Fedorov, Andriy; Bell, Laura; Prah, Melissa; Hectors, Stefanie; Arlinghaus, Lori; Muzi, Mark; Solaiyappan, Meiyappan; Jacobs, Michael; Fung, Maggie; Shukla-Dave, Amita; McManus, Kevin; Boss, Michael; Taouli, Bachir; Yankeelov, Thomas E; Quarles, Christopher Chad; Schmainda, Kathleen; Chenevert, Thomas L; Newitt, David C

    2018-01-01

    This paper reports on results of a multisite collaborative project launched by the MRI subgroup of Quantitative Imaging Network to assess current capability and provide future guidelines for generating a standard parametric diffusion map Digital Imaging and Communication in Medicine (DICOM) in clinical trials that utilize quantitative diffusion-weighted imaging (DWI). Participating sites used a multivendor DWI DICOM dataset of a single phantom to generate parametric maps (PMs) of the apparent diffusion coefficient (ADC) based on two models. The results were evaluated for numerical consistency among models and true phantom ADC values, as well as for consistency of metadata with attributes required by the DICOM standards. This analysis identified missing metadata descriptive of the sources for detected numerical discrepancies among ADC models. Instead of the DICOM PM object, all sites stored ADC maps as DICOM MR objects, generally lacking designated attributes and coded terms for quantitative DWI modeling. Source-image reference, model parameters, ADC units and scale, deemed important for numerical consistency, were either missing or stored using nonstandard conventions. Guided by the identified limitations, the DICOM PM standard has been amended to include coded terms for the relevant diffusion models. Open-source software has been developed to support conversion of site-specific formats into the standard representation.

  19. Protective determinants of sickness absence among employees with multisite pain-a 7-year follow-up.

    Science.gov (United States)

    Haukka, Eija; Ojajärvi, Anneli; Kaila-Kangas, Leena; Leino-Arjas, Päivi

    2017-02-01

    We identified factors protective of all-cause sickness absence (SA) among subjects with multisite musculoskeletal pain (MSP). The nationally representative source sample comprised 3420 actively working Finns aged 30 to 55 in year 2000 and alive at follow-up. Pain in 18 body locations was combined into four sites (neck, low back, upper limbs, and lower limbs). The baseline prevalence of MSP (pain in ≥ 2 sites) was 32%. Baseline data on sociodemographic factors, work ability, work, health, and lifestyle were gathered by questionnaire, interview, and clinical examination and linked with national registers on all-cause SA (periods lasting ≥10 workdays) for 2002 to 2008. Based on trajectory analysis, 74% of those with MSP had a low and 26% a high probability of SA. In logistic regression analysis, younger age, male sex, and professional occupational group were inversely associated with SA. Allowing for these, good physician-assessed work ability, physically light work, possibility to adjust workday length, encouraging workplace atmosphere, no problems with working community or mental stress, normal weight, and no sleep disorders were predictive of lower SA rates (odds ratios between 0.47 and 0.70). In a final stepwise model adjusted for age, sex, and occupational group, no exposure to lifting (odds ratio 0.58, 95% confidence interval 0.39-0.85) and to repetitive hand movements (0.57, 0.39-0.83), possibility to adjust workday length (0.73, 0.53-0.99), and normal weight (0.59, 0.40-0.87) were inversely associated with SA. In conclusion, several modifiable factors related to work and lifestyle were found as predictive of lower rates of longer SA among occupationally active subjects with MSP.

  20. A Multi-site, Two-Phase, Prescription Opioid Addiction Treatment Study (POATS): Rationale, Design, and Methodology

    Science.gov (United States)

    Weiss, Roger D.; Potter, Jennifer Sharpe; Provost, Scott E.; Huang, Zhen; Jacobs, Petra; Hasson, Albert; Lindblad, Robert; Connery, Hilary Smith; Prather, Kristi; Ling, Walter

    2010-01-01

    The National Institute on Drug Abuse Clinical Trials Network launched the Prescription Opioid Addiction Treatment Study (POATS) in response to rising rates of prescription opioid dependence and gaps in understanding the optimal course of treatment for this population. POATS employed a multi-site, two-phase adaptive, sequential treatment design to approximate clinical practice. The study took place at 10 community treatment programs around the United States. Participants included men and women age ≥18 who met Diagnostic and Statistical Manual, 4th Edition criteria for dependence upon prescription opioids, with physiologic features; those with a prominent history of heroin use (according to pre-specified criteria) were excluded. All participants received buprenorphine/naloxone (bup/nx). Phase 1 consisted of 4 weeks of bup/nx treatment, including a 14-day dose taper, with 8 weeks of follow-up. Phase 1 participants were monitored for treatment response during these 12 weeks. Those who relapsed to opioid use, as defined by pre-specified criteria, were invited to enter Phase 2; Phase 2 consisted of 12 weeks of bup/nx stabilization treatment, followed by a 4-week taper and 8 weeks of post-treatment follow-up. Participants were randomized at the beginning of Phase 1 to receive bup/nx, paired with either Standard Medical Management (SMM) or Enhanced Medical Management (EMM; defined as SMM plus individual drug counseling). Eligible participants entering Phase 2 were re-randomized to either EMM or SMM. POATS was developed to determine what benefit, if any, EMM offers over SMM in short-term and longer-term treatment paradigm. This paper describes the rationale and design of the study. PMID:20116457

  1. Racial and Ethnic Disparities in Parental Refusal of Consent in a Large, Multisite Pediatric Critical Care Clinical Trial.

    Science.gov (United States)

    Natale, Joanne E; Lebet, Ruth; Joseph, Jill G; Ulysse, Christine; Ascenzi, Judith; Wypij, David; Curley, Martha A Q

    2017-05-01

    To evaluate whether race or ethnicity was independently associated with parental refusal of consent for their child's participation in a multisite pediatric critical care clinical trial. We performed a secondary analyses of data from Randomized Evaluation of Sedation Titration for Respiratory Failure (RESTORE), a 31-center cluster randomized trial of sedation management in critically ill children with acute respiratory failure supported on mechanical ventilation. Multivariable logistic regression modeling estimated associations between patient race and ethnicity and parental refusal of study consent. Among the 3438 children meeting enrollment criteria and approached for consent, 2954 had documented race/ethnicity of non-Hispanic White (White), non-Hispanic Black (Black), or Hispanic of any race. Inability to approach for consent was more common for parents of Black (19.5%) compared with White (11.7%) or Hispanic children (13.2%). Among those offered consent, parents of Black (29.5%) and Hispanic children (25.9%) more frequently refused consent than parents of White children (18.2%, P refuse consent. Parents of children offered participation in the intervention arm were more likely to refuse consent than parents in the control arm (OR 2.15, 95% CI 1.37-3.36, P care clinical trial. Ameliorating this racial disparity may improve the validity and generalizability of study findings. ClinicalTrials.gov: NCT00814099. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Hans mening om hendes krop

    DEFF Research Database (Denmark)

    Scheuer, Jann

    2017-01-01

    Bidraget handler om søgninger i danske tekstkorpusser efter 'hendes' hhv. 'hans' + nominal inden for en afstand af to ord. Det er ved hjælp af søgninger i big data undersøgt hvad der knyttes til hende og ham, hvad deres ejendom er: hendes lejlighed o.l. og hvilke attributter de tilskrives hans fi...

  3. Patient training in cancer pain management using integrated print and video materials: a multisite randomized controlled trial.

    Science.gov (United States)

    Syrjala, Karen L; Abrams, Janet R; Polissar, Nayak L; Hansberry, Jennifer; Robison, Jeanne; DuPen, Stuart; Stillman, Mark; Fredrickson, Marvin; Rivkin, Saul; Feldman, Eric; Gralow, Julie; Rieke, John W; Raish, Robert J; Lee, Douglas J; Cleeland, Charles S; DuPen, Anna

    2008-03-01

    Standard guidelines for cancer pain treatment routinely recommend training patients to reduce barriers to pain relief, use medications appropriately, and communicate their pain-related needs. Methods are needed to reduce professional time required while achieving sustained intervention effectiveness. In a multisite, randomized controlled trial, this study tested a pain training method versus a nutrition control. At six oncology clinics, physicians (N=22) and nurses (N=23) enrolled patients (N=93) who were over 18 years of age, with cancer diagnoses, pain, and a life expectancy of at least 6 months. Pain training and control interventions were matched for materials and method. Patients watched a video followed by about 20 min of manual-standardized training with an oncology nurse focused on reviewing the printed material and adapted to individual concerns of patients. A follow-up phone call after 72 h addressed individualized treatment content and pain communication. Assessments at baseline, one, three, and 6 months included barriers, the Brief Pain Inventory, opioid use, and physician and nurse ratings of their patients' pain. Trained versus control patients reported reduced barriers to pain relief (P6 on a 0-10 scale) at 1-month outcomes (P=.03). Physician and nurse ratings were closer to patients' ratings of pain for trained versus nutrition groups (P=.04 and print materials, with brief individualized training, effectively improved pain management over time for cancer patients of varying diagnostic and demographic groups.

  4. CHERISH (collaboration for hospitalised elders reducing the impact of stays in hospital): protocol for a multi-site improvement program to reduce geriatric syndromes in older inpatients.

    Science.gov (United States)

    Mudge, Alison M; Banks, Merrilyn D; Barnett, Adrian G; Blackberry, Irene; Graves, Nicholas; Green, Theresa; Harvey, Gillian; Hubbard, Ruth E; Inouye, Sharon K; Kurrle, Sue; Lim, Kwang; McRae, Prue; Peel, Nancye M; Suna, Jessica; Young, Adrienne M

    2017-01-09

    Older inpatients are at risk of hospital-associated geriatric syndromes including delirium, functional decline, incontinence, falls and pressure injuries. These contribute to longer hospital stays, loss of independence, and death. Effective interventions to reduce geriatric syndromes remain poorly implemented due to their complexity, and require an organised approach to change care practices and systems. Eat Walk Engage is a complex multi-component intervention with structured implementation, which has shown reduced geriatric syndromes and length of stay in pilot studies at one hospital. This study will test effectiveness of implementing Eat Walk Engage using a multi-site cluster randomised trial to inform transferability of this intervention. A hybrid study design will evaluate the effectiveness and implementation strategy of Eat Walk Engage in a real-world setting. A multisite cluster randomised study will be conducted in 8 medical and surgical wards in 4 hospitals, with one ward in each site randomised to implement Eat Walk Engage (intervention) and one to continue usual care (control). Intervention wards will be supported to develop and implement locally tailored strategies to enhance early mobility, nutrition, and meaningful activities. Resources will include a trained, mentored facilitator, audit support, a trained healthcare assistant, and support by an expert facilitator team using the i-PARIHS implementation framework. Patient outcomes and process measures before and after intervention will be compared between intervention and control wards. Primary outcomes are any hospital-associated geriatric syndrome (delirium, functional decline, falls, pressure injuries, new incontinence) and length of stay. Secondary outcomes include discharge destination; 30-day mortality, function and quality of life; 6 month readmissions; and cost-effectiveness. Process measures including patient interviews, activity mapping and mealtime audits will inform interventions in each

  5. Effect of Sporosarcina Pasteurii on the strength properties of compressed earth specimens; Efecto de la Sporosarcina Pasteurii en las propiedades resistentes de especímenes de tierra comprimida

    Energy Technology Data Exchange (ETDEWEB)

    Bernat-Maso, E.; Gil, L.; Escrig, C.; Barbé, J.; Cortés, P.

    2018-04-01

    Microbial biodeposition of calcite induction for improving the performance of rammed earth is a research area that must be analysed in a representative environment. This analysis must consider the compaction force, particle size distribution and curing process as production variables. This paper investigates the effects of adding specific bacteria, Sporosarcina Pasteurii, into compressed earth cubes and the effect of production variables. Uniaxial compressive tests and direct shear tests have been conducted for 80 specimens. The results indicate that calcite precipitation interacts with the drying process of clay/silt resulting in reducing the compressive strength, the apparent cohesion and the friction angle. Finally, bacterial activity, which is more likely in samples cured in a high humidity environment, tends to reduce the dilatancy effect. [Spanish] Inducir la biodeposición microbiana de calcita para mejorar las prestaciones de la tapia es una líneade investigación que necesita ser analizada en condiciones representativas y teniendo en cuenta variables de producción como la fuerza de compactación, la granulometría o el curado a diferentes humedades. Se estudia el efecto de añadir Sporosarcina Pasteurii en cubos de tierra comprimida y la influencia de estas variables de producción. Se han realizado ensayos de compresión simple y corte directo sobre 80 especímenes producidos con dos niveles de compactación y dos granulometrías. Los resultados indican que la precipitación de calcita interactúa con el proceso de secado de los limos/arcillas dando como resultado una reducción de la resistencia a compresión, de la cohesión aparente y del ángulo de fricción. Finalmente, la actividad bacteriana, más probable en las muestras curadas en un entorno de alta humedad, tiende a reducir el efecto de la dilatancia.

  6. Análise da capacidade diagnóstica dos exames preventivos do câncer de colo uterino Análisis de la capacidad diagnóstica de los exámenes preventivos del cáncer de cuello uterino Analysis of the capacity of preventive diagnostic tests for cervical cancer

    Directory of Open Access Journals (Sweden)

    Thaís Marques Lima

    2012-01-01

    Full Text Available OBJETIVO: Avaliar a capacidade diagnóstica dos exames citológicos, colposcópico e histológico na detecção de lesões pré-malignas. MÉTODOS: Estudo documental, retrospectivo, com abordagem quantitativa, realizado no Instituto de Prevenção do Câncer (IPC, em Fortaleza-CE. A população foi composta por prontuários de 112 mulheres que possuíam o resultado dos três exames. Adotou-se o teste de qui-quadrado e considerou-se estatisticamente significativo quando p OBJETIVO: Evaluar la capacidad diagnóstica de los exámenes citológicos, colposcópico e histológico en la detección de lesiones pre-malignas. MÉTODOS: Estudio documental, retrospectivo, con abordaje cuantitativo, realizado en el Instituto de Prevención del Cáncer (IPC, en Fortaleza-CE. La población estuvo compuesta por historias clínicas de 112 mujeres que poseían el resultado de los tres exámenes. Se adoptó el test de Chi-cuadrado y se consideró estadísticamente significativo cuando p OBJECTIVE: To evaluate the diagnostic capacity of cytological, colposcopic, and histological exams on the detection of premalignant lesions. METHODS: A documentary, retrospective study, with a quantitative approach, conducted in the Cancer Prevention Institute (CPI, in Fortaleza-CE. The population consisted of medical records of 112 women who had the results of these three exams. We adopted the chi-square test and considered it statistically significant when p <0.05. We applied sensitivity and specificity, positive predictive value (PPV and negative predictive value (NPV for cytology and colposcopy. RESULTS: From the comparison between the diagnostic tests, we observed that cytology obtained a sensitivity of 89.8%, a specificity of 35.7%, a PPV of 90.7% and an NPV of 33.3%. Colposcopy achieved a sensitivity of 84.7%, a specificity of 50%, a PPV of 92.2% and an NPV of 31.8%. CONCLUSION: We found that these tests presented sensitivity and specificity that can alternate with one

  7. LAS RELACIONES DE DOS REGÍMENES AUTORITARIOS: ESPAÑA Y CHILE DURANTE LOS GOBIERNOS DE PRIMO DE RIVERA E IBÁÑEZ DEL CAMPO

    Directory of Open Access Journals (Sweden)

    Juan Luis Carrellán Ruiz

    2011-05-01

    Full Text Available RESUMEN Este trabajo quiere poner de relieve la importancia que tuvieron las relaciones diplomáticas y económicas entre España y Chile durante los mandatos de Primo de Rivera e Ibáñez del Campo y para ello se ha analizado la documentación diplomática existente en diversos archivos españoles y chilenos. También refleja las opiniones vertidas en la prensa española sobre la política diseñada por el coronel Carlos Ibáñez. Estas relaciones se basaron en las simpatías ideológicas de los dos regímenes que propiciaron unas conexiones muy intensas en diferentes ámbitos como fueron las de índole política y diplomática con la firma de un tratado de arbitraje y la elevación al máximo nivel de las respectivas legaciones; las de carácter militar con la formación de oficiales chilenos en escuelas españolas; y las de signo comercial con dos acuerdos, uno de rebaja de aranceles y otro para el internamiento de salitre en territorio español. Palabras Claves: Dictadura, España, Primo de Rivera, Chile, Ibáñez del Campo. ABSTRACT This work wants to emphasize the importance of the diplomatic and economic relations, which took place during Primo de Rivera and Ibáñez del Campo mandates, between Spain and Chile. For that purpose, there has been analyzed the diplomatic existing documentation in different Spanish and Chilean Archives. It also reflects the opinions written on the Spanish press about the politics designed by Colonel Carlos Ibanez. These relations were based on the ideological sympathy of both regimes which propitiated very intense connections in different areas, such the political and diplomatic areas with the arbitration agreement signature and the elevation to the maximum level of both legations, those of military character with the Chilean officials training in Spanish training centres, and those of commercial sign with two agreements, the reduction of duties and the internment of saltpetre in Spanish territory. Key Words

  8. Monitoring compliance with the International Code of Marketing of Breastmilk Substitutes in west Africa: multisite cross sectional survey in Togo and Burkina Faso.

    Science.gov (United States)

    Aguayo, Victor M; Ross, Jay S; Kanon, Souleyman; Ouedraogo, Andre N

    2003-01-18

    To monitor compliance with the International Code of Marketing of Breastmilk Substitutes in health systems, sales outlets, distribution points, and the news media in Togo and Burkina Faso, west Africa. Multisite cross sectional survey. Staff at 43 health facilities and 66 sales outlets and distribution points, 186 health providers, and 105 mothers of infants aged market commercial breast milk substitutes were found in 29 (44%) sales and distribution points. Forty commercial breast milk substitutes violated the labelling standards of the code: 21 were manufactured by Danone, 11 by Nestlé, and eight by other national and international manufacturers. Most (148, 90%) health providers had never heard of the code, and 66 mothers (63%) had never received any counselling on breast feeding by their health providers. In west Africa manufacturers are violating the code of marketing of breast milk substitutes. Comparable levels of code violations are observed with (Burkina Faso) or without (Togo) regulating legislation. Legislation must be accompanied by effective information, training, and monitoring systems to ensure that healthcare providers and manufacturers comply with evidence based practice and the code.

  9. Brain white matter changes associated with urological chronic pelvic pain syndrome: Multi-site neuroimaging from a MAPP case-control study

    Science.gov (United States)

    Huang, Lejian; Kutch, Jason J.; Ellingson, Benjamin M.; Martucci, Katherine T.; Harris, Richard E.; Clauw, Daniel J.; Mackey, Sean; Mayer, Emeran A.; Schaeffer, Anthony J.; Apkarian, A. Vania; Farmer, Melissa A.

    2016-01-01

    Clinical phenotyping of urological chronic pelvic pain syndromes (UCPPS) in men and women has focused on end-organ abnormalities to identify putative clinical subtypes. Initial evidence of abnormal brain function and structure in male pelvic pain has necessitated large-scale, multi-site investigations into potential UCPPS brain biomarkers. We present the first evidence of regional white matter (axonal) abnormalities in men and women with UCPPS, compared to positive (irritable bowel syndrome, IBS) and healthy controls. Epidemiological and neuroimaging data was collected from participants with UCPPS (n=52), IBS (n=39), and healthy, sex- and age-matched controls (n=61). White matter microstructure, measured as fractional anisotropy (FA), was examined with diffusion tensor imaging (DTI). Group differences in regional FA positively correlated with pain severity, including segments of the right corticospinal tract and right anterior thalamic radiation. Increased corticospinal FA was specific and sensitive to UCPPS, positively correlated with pain severity, and reflected sensory (not affective) features of pain. Reduced anterior thalamic radiation FA distinguished IBS from UCPPS patients and controls, suggesting greater microstructural divergence from normal tract organization. Findings confirm that regional white matter abnormalities characterize UCPPS and can distinguish between visceral diagnoses, suggesting that regional axonal microstructure is either altered with ongoing pain or predisposes its development. PMID:27842046

  10. Wind Tunnel Wall Corrections (la Correction des effets de paroi en soufflerie)

    Science.gov (United States)

    1998-10-01

    M=0.6, oc=0.3 deg, REC=2.Txl 06 5-64 + A.+ -- a- * aa -, II I I +00 00 -q . 00 N V e 0 0 00 C4. ?9 9 0000 9" do td + + + +14 ++0 00 ~. ~ + do do0I...Boundary for the Discrete Slots. NACA RM- L53 -EO7b. [47] Donegan, T.L.; Benek, J. A.; and Erickson, J. C., Jr. 1987: Calculation of Transonic Wall

  11. How Accurately Do Consecutive Cohort Audits Predict Phase III Multisite Clinical Trial Recruitment in Palliative Care?

    Science.gov (United States)

    McCaffrey, Nikki; Fazekas, Belinda; Cutri, Natalie; Currow, David C

    2016-04-01

    Audits have been proposed for estimating possible recruitment rates to randomized controlled trials (RCTs), but few studies have compared audit data with subsequent recruitment rates. To compare the accuracy of estimates of potential recruitment from a retrospective consecutive cohort audit of actual participating sites and recruitment to four Phase III multisite clinical RCTs. The proportion of potentially eligible study participants estimated from an inpatient chart review of people with life-limiting illnesses referred to six Australian specialist palliative care services was compared with recruitment data extracted from study prescreening information from three sites that participated fully in four Palliative Care Clinical Studies Collaborative RCTs. The predominant reasons for ineligibility in the audit and RCTs were analyzed. The audit overestimated the proportion of people referred to the palliative care services who could participate in the RCTs (pain 17.7% vs. 1.2%, delirium 5.8% vs. 0.6%, anorexia 5.1% vs. 0.8%, and bowel obstruction 2.8% vs. 0.5%). Approximately 2% of the referral base was potentially eligible for these effectiveness studies. Ineligibility for general criteria (language, cognition, and geographic proximity) varied between studies, whereas the reasons for exclusion were similar between the audit and pain and anorexia studies but not for delirium or bowel obstruction. The retrospective consecutive case note audit in participating sites did not predict realistic recruitment rates, mostly underestimating the impact of study-specific inclusion criteria. These findings have implications for the applicability of the results of RCTs. Prospective pilot studies are more likely to predict actual recruitment. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  12. Multisite Thrombus Imaging and Fibrin Content Estimation With a Single Whole-Body PET Scan in Rats.

    Science.gov (United States)

    Blasi, Francesco; Oliveira, Bruno L; Rietz, Tyson A; Rotile, Nicholas J; Naha, Pratap C; Cormode, David P; Izquierdo-Garcia, David; Catana, Ciprian; Caravan, Peter

    2015-10-01

    Thrombosis is a leading cause of morbidity and mortality worldwide. Current diagnostic strategies rely on imaging modalities that are specific for distinct vascular territories, but a thrombus-specific whole-body imaging approach is still missing. Moreover, imaging techniques to assess thrombus composition are underdeveloped, although therapeutic strategies may benefit from such technology. Therefore, our goal was to test whether positron emission tomography (PET) with the fibrin-binding probe (64)Cu-FBP8 allows multisite thrombus detection and fibrin content estimation. Thrombosis was induced in Sprague-Dawley rats (n=32) by ferric chloride application on both carotid artery and femoral vein. (64)Cu-FBP8-PET/CT imaging was performed 1, 3, or 7 days after thrombosis to detect thrombus location and to evaluate age-dependent changes in target uptake. Ex vivo biodistribution, autoradiography, and histopathology were performed to validate imaging results. Arterial and venous thrombi were localized on fused PET/CT images with high accuracy (97.6%; 95% confidence interval, 92-100). A single whole-body PET/MR imaging session was sufficient to reveal the location of both arterial and venous thrombi after (64)Cu-FBP8 administration. PET imaging showed that probe uptake was greater in younger clots than in older ones for both arterial and venous thrombosis (P<0.0001). Quantitative histopathology revealed an age-dependent reduction of thrombus fibrin content (P<0.001), consistent with PET results. Biodistribution and autoradiography further confirmed the imaging findings. We demonstrated that (64)Cu-FBP8-PET is a feasible approach for whole-body thrombus detection and that molecular imaging of fibrin can provide, noninvasively, insight into clot composition. © 2015 American Heart Association, Inc.

  13. Novel Magnetic Microprobe with Benzoboroxole-Modified Flexible Multisite Arm for High-Efficiency cis-Diol Biomolecule Detection.

    Science.gov (United States)

    Chen, Guosheng; Huang, Siming; Kou, Xiaoxue; Zhang, Jin'ge; Wang, Fuxin; Zhu, Fang; Ouyang, Gangfeng

    2018-03-06

    With regard to regulating a variety of biological events, including molecular recognition, signal transduction, cell adhesion, and immune response, cis-diol biomolecules, such as saccharides and glycoproteins, play vital roles. However, saccharides and glycoproteins in living systems usually exist in very low abundance, along with abundant interfering components. High-efficiency detection of saccharides and glycoproteins is a challenging yet highly impactful area of research. Herein, we reported a novel magnetic microprobe with a benzoboroxole-modified flexible multisite arm (PEG 2000-grafted PAMAM dendrimers; the microprobe was denoted as BFMA-MNP) for high-efficiency saccharides detection. The extraction capacity was significantly improved by ∼2 orders of magnitude, because of the integration of the enhanced hydrophilicity and multivalency effects in benzoboroxoles and the enhanced accessibility of the binding sites within the PEG 2000-grafted PAMAM dendrimers. As a result, the proposed approach possessed several advantages, compared with previous boronic acid-based methods, including ultrahigh sensitivity (limit of detection was <1 ng/mL), wide linear range (ranged from 0.5 μM to 2000 μM), and applicable in physiological pH condition. Furthermore, we established a general BFMA-MNP/glycoproteins/AuNPs sandwich assay to realize the visual glycoprotein qualitative screening for the first time. The unique sandwich assay possessed the dual nature of the magnetic separation by BFMA-MNPs and specific coloration by citrate-coated AuNPs. This visual sandwich assay enabled fast differentiation of the existence of glycoproteins in complicated samples without any advanced instruments. We believe the proposed BFMA-MNP microprobe herein will advance the ideas to detect and identify trace saccharides and glycoproteins in important fields such as glycomics and glycoproteomics.

  14. Impact of Moving From a Widespread to Multisite Pain Definition on Other Fibromyalgia Symptoms.

    Science.gov (United States)

    Dean, Linda E; Arnold, Lesley; Crofford, Leslie; Bennett, Robert; Goldenberg, Don; Fitzcharles, Mary-Ann; Paiva, Eduardo S; Staud, Roland; Clauw, Dan; Sarzi-Puttini, Piercarlo; Jones, Gareth T; Ayorinde, Abimbola; Flüß, Elisa; Beasley, Marcus; Macfarlane, Gary J

    2017-12-01

    To investigate whether associations between pain and the additional symptoms associated with fibromyalgia are different in persons with chronic widespread pain (CWP) compared to multisite pain (MSP), with or without joint areas. Six studies were used: 1958 British birth cohort, Epidemiology of Functional Disorders, Kid Low Back Pain, Managing Unexplained Symptoms (Chronic Widespread Pain) in Primary Care: Involving Traditional and Accessible New Approaches, Study of Health and its Management, and Women's Health Study (WHEST; females). MSP was defined as the presence of pain in ≥8 body sites in adults (≥10 sites in children) indicated on 4-view body manikins, conducted first to include joints (positive joints) and second without (negative joints). The relationship between pain and fatigue, sleep disturbance, somatic symptoms, and mood impairment was assessed using logistic regression. Results are presented as odds ratios (ORs) with 95% confidence intervals (95% CIs). There were 34,818 participants across the study populations (adults age range 42-56 years, male 43-51% [excluding WHEST], and CWP prevalence 12-17%). Among those reporting MSP, the proportion reporting CWP ranged between 62% and 76%. Among those reporting the symptoms associated with fibromyalgia, there was an increased likelihood of reporting pain, the magnitude of which was similar regardless of the definition used. For example, within WHEST, reporting moderate/severe fatigue (Chalder fatigue scale 4-11) was associated with a >5-fold increase in likelihood of reporting pain (CWP OR 5.2 [95% CI 3.9-6.9], MSP-positive joints OR 6.5 [95% CI 5.0-8.6], and MSP-negative joints OR 6.5 [95% CI 4.7-9.0]). This large-scale study demonstrates that regardless of the pain definition used, the magnitude of association between pain and other associated symptoms of fibromyalgia is similar. This finding supports the continued collection of both when classifying fibromyalgia, but highlights the fact that pain may

  15. Concepciónes de los profesionales del derecho sobre delitos sexuales matrimoniales y extramatrimoniales: implicaciones psicosociales

    Directory of Open Access Journals (Sweden)

    Clarissa De Antoni

    2015-02-01

    Full Text Available Este estudio identificó las concepciónes de los operadores jurídicos sobre la violencia sexual marital y extramarital contra los crímenes de las mujeres. Los participantes fueron tres profesionales del Derecho: un Juez, de un fiscal de distrito y un Defensor Público, con edades entre 39 y 47 años de edad y de sexo masculino. Entrevista semiestructurada, abordando los aspectos legales y psicosociales y la presentación de un caso ficticio. Se utilizó el análisis de contenido y criamostres categorías: 1 crímenes sexuales maritales; 2 y los delitos sexuales extramaritales cometidos por extraños; 3 La comparación entre los dos crímenes. Se encontraron diferentes resultados, la más relevante la percepción de que la violación marital es mitigado por el doble enlace , mientras que la parte exterior de la conyugal era visto como algo más agresivo. Se dio cuenta de que las creencias de los operadores jurídicos pueden interferir con el juicio sobre los crímenes sexuales cometidos en el matrimonio.

  16. Increased mortality among Indigenous persons in a multisite cohort of people living with HIV in Canada.

    Science.gov (United States)

    Benoit, Anita C; Younger, Jaime; Beaver, Kerrigan; Jackson, Randy; Loutfy, Mona; Masching, Renée; Nobis, Tony; Nowgesic, Earl; O'Brien-Teengs, Doe; Whitebird, Wanda; Zoccole, Art; Hull, Mark; Jaworsky, Denise; Benson, Elizabeth; Rachlis, Anita; Rourke, Sean B; Burchell, Ann N; Cooper, Curtis; Hogg, Robert S; Klein, Marina B; Machouf, Nima; Montaner, Julio S G; Tsoukas, Chris; Raboud, Janet

    2017-06-16

    Compare all-cause mortality between Indigenous participants and participants of other ethnicities living with HIV initiating combination antiretroviral therapy (cART) in an interprovincial multi-site cohort. The Canadian Observational Cohort is a collaboration of 8 cohorts of treatment-naïve persons with HIV initiating cART after January 1, 2000. Participants were followed from the cART initiation date until death or last viral load (VL) test date on or before December 31, 2012. Cox proportional hazard models were used to estimate the effect of ethnicity on time until death after adjusting for age, gender, injection drug use, being a man who has sex with men, hepatitis C, province of origin, baseline VL and CD4 count, year of cART initiation and class of antiretroviral medication. The study sample consisted of 7080 participants (497 Indigenous, 2471 Caucasian, 787 African/Caribbean/Black (ACB), 629 other, and 2696 unknown ethnicity). Most Indigenous persons were from British Columbia (BC) (83%), with smaller numbers from Ontario (13%) and Québec (4%). During the study period, 714 (10%) participants died. The five-year survival probability was lower for Indigenous persons (0.77) than for Caucasian (0.94), ACB (0.98), other ethnicities (0.96) and unknown ethnicities (0.85) (p < 0.0001). In an adjusted proportional hazard model for which missing data were imputed, Indigenous persons were more likely to die than Caucasian participants (hazard ratio = 2.69, p < 0.0001). The mortality rate for Indigenous persons was higher than for other ethnicities and is largely reflective of the BC population. Addressing treatment challenges and identifying HIV- and non-HIV-related causes for mortality among Indigenous persons is required to optimize their clinical management.

  17. Crystal structure of the thioesterification conformation of Bacillus subtilis o-succinylbenzoyl-CoA synthetase reveals a distinct substrate-binding mode.

    Science.gov (United States)

    Chen, Yaozong; Li, Tin Lok; Lin, Xingbang; Li, Xin; Li, Xiang David; Guo, Zhihong

    2017-07-21

    o -Succinylbenzoyl-CoA (OSB-CoA) synthetase (MenE) is an essential enzyme in bacterial vitamin K biosynthesis and an important target in the development of new antibiotics. It is a member of the adenylating enzymes (ANL) family, which reconfigure their active site in two different active conformations, one for the adenylation half-reaction and the other for a thioesterification half-reaction, in a domain-alternation catalytic mechanism. Although several aspects of the adenylating mechanism in MenE have recently been uncovered, its thioesterification conformation remains elusive. Here, using a catalytically competent Bacillus subtilis mutant protein complexed with an OSB-CoA analogue, we determined MenE high-resolution structures to 1.76 and 1.90 Å resolution in a thioester-forming conformation. By comparison with the adenylation conformation, we found that MenE's C-domain rotates around the Ser-384 hinge by 139.5° during domain-alternation catalysis. The structures also revealed a thioesterification active site specifically conserved among MenE orthologues and a substrate-binding mode distinct from those of many other acyl/aryl-CoA synthetases. Of note, using site-directed mutagenesis, we identified several residues that specifically contribute to the thioesterification half-reaction without affecting the adenylation half-reaction. Moreover, we observed a substantial movement of the activated succinyl group in the thioesterification half-reaction. These findings provide new insights into the domain-alternation catalysis of a bacterial enzyme essential for vitamin K biosynthesis and of its adenylating homologues in the ANL enzyme family. © 2017 by The American Society for Biochemistry and Molecular Biology, Inc.

  18. Fotofilm om musikterapi, demens og ældreomsorg

    DEFF Research Database (Denmark)

    Lindvang, Charlotte; Ridder, Hanne Mette Ochsner; Krøier, Julie Kolbe

    2016-01-01

    Musikterapi giver rigtig god mening, når vi ikke længere kan udtrykke os med ord. Det kan fx være mennesker, som har demens. Med svær demens, er der måske meget få ord tilbage, eller ordene giver slet ikke mening. Men der er mange, som har intakt musikalitet. Når musikken spiller eller vi synger,...

  19. Enhancing evidence informed policymaking in complex health systems: lessons from multi-site collaborative approaches.

    Science.gov (United States)

    Langlois, Etienne V; Becerril Montekio, Victor; Young, Taryn; Song, Kayla; Alcalde-Rabanal, Jacqueline; Tran, Nhan

    2016-03-17

    There is an increasing interest worldwide to ensure evidence-informed health policymaking as a means to improve health systems performance. There is a need to engage policymakers in collaborative approaches to generate and use knowledge in real world settings. To address this gap, we implemented two interventions based on iterative exchanges between researchers and policymakers/implementers. This article aims to reflect on the implementation and impact of these multi-site evidence-to-policy approaches implemented in low-resource settings. The first approach was implemented in Mexico and Nicaragua and focused on implementation research facilitated by communities of practice (CoP) among maternal health stakeholders. We conducted a process evaluation of the CoPs and assessed the professionals' abilities to acquire, analyse, adapt and apply research. The second approach, called the Policy BUilding Demand for evidence in Decision making through Interaction and Enhancing Skills (Policy BUDDIES), was implemented in South Africa and Cameroon. The intervention put forth a 'buddying' process to enhance demand and use of systematic reviews by sub-national policymakers. The Policy BUDDIES initiative was assessed using a mixed-methods realist evaluation design. In Mexico, the implementation research supported by CoPs triggered monitoring by local health organizations of the quality of maternal healthcare programs. Health programme personnel involved in CoPs in Mexico and Nicaragua reported improved capacities to identify and use evidence in solving implementation problems. In South Africa, Policy BUDDIES informed a policy framework for medication adherence for chronic diseases, including both HIV and non-communicable diseases. Policymakers engaged in the buddying process reported an enhanced recognition of the value of research, and greater demand for policy-relevant knowledge. The collaborative evidence-to-policy approaches underline the importance of iterations and continuity

  20. Der er mening med IS' galskab

    DEFF Research Database (Denmark)

    Schmidt, Søren

    2015-01-01

    I analyse the recent cases of Islamic State terrorism (the immolation of the Jordanian pilot and cutting the throat of 21 Egyptian Christians in Libya) as well as the case of a terrorist act of Irgun in the struggle for Israeli independence. These cases (as well as many of the acts of Al Qaida......) have the purpose of provocation thereby leading Western states to do foolish things and in that process hurting themselves and helping the terrorists....

  1. En undskyldning for slaveriet giver mening

    DEFF Research Database (Denmark)

    Lægaard, Sune

    2017-01-01

    Statsministeren nævnte i sin nytårstale, at det i år er 100 år siden, Danmark solgte De Vestindiske Øer til USA og dermed satte et punktum for »et grusomt kapitel i vores historie«. Statsministeren kaldte slaveriet for »skamfuldt«, og det gav anledning til en diskussion om, hvorvidt vi nu kan und...

  2. The diversity and biogeography of late Pleistocene birds from the lowland Neotropics

    Science.gov (United States)

    Steadman, David W.; Oswald, Jessica A.; Rincón, Ascanio D.

    2015-05-01

    The Neotropical lowlands sustain the world's richest bird communities, yet little that we know about their history is based on paleontology. Fossils afford a way to investigate distributional shifts in individual species, and thus improve our understanding of long-term change in Neotropical bird communities. We report a species-rich avian fossil sample from a late Pleistocene tar seep (Mene de Inciarte) in northwestern Venezuela. A mere 175 identified fossils from Mene de Inciarte represent 73 species of birds, among which six are extinct, and eight others no longer occur within 100 km. These 14 species consist mainly of ducks (Anatidae), snipe (Scolopacidae), vultures/condors (Vulturidae), hawks/eagles (Accipitridae), and blackbirds (Icteridae). Neotropical bird communities were richer in the late Pleistocene than today; their considerable extinction may be related to collapse of the large mammal fauna at that time. The species assemblage at Mene de Inciarte suggests that biogeographic patterns, even at continental scales, have been remarkably labile over short geological time frames. Mene de Inciarte is but one of 300 + tar seeps in Venezuela, only two of which have been explored for fossils. We may be on the cusp of an exciting new era of avian paleontology in the Neotropics.

  3. Development of the Sydney Falls Risk Screening Tool in brain injury rehabilitation: A multisite prospective cohort study.

    Science.gov (United States)

    McKechnie, Duncan; Fisher, Murray J; Pryor, Julie; Bonser, Melissa; Jesus, Jhoven De

    2018-03-01

    To develop a falls risk screening tool (FRST) sensitive to the traumatic brain injury rehabilitation population. Falls are the most frequently recorded patient safety incident within the hospital context. The inpatient traumatic brain injury rehabilitation population is one particular population that has been identified as at high risk of falls. However, no FRST has been developed for this patient population. Consequently in the traumatic brain injury rehabilitation population, there is the real possibility that nurses are using falls risk screening tools that have a poor clinical utility. Multisite prospective cohort study. Univariate and multiple logistic regression modelling techniques (backward elimination, elastic net and hierarchical) were used to examine each variable's association with patients who fell. The resulting FRST's clinical validity was examined. Of the 140 patients in the study, 41 (29%) fell. Through multiple logistic regression modelling, 11 variables were identified as predictors for falls. Using hierarchical logistic regression, five of these were identified for inclusion in the resulting falls risk screening tool: prescribed mobility aid (such as, wheelchair or frame), a fall since admission to hospital, impulsive behaviour, impaired orientation and bladder and/or bowel incontinence. The resulting FRST has good clinical validity (sensitivity = 0.9; specificity = 0.62; area under the curve = 0.87; Youden index = 0.54). The tool was significantly more accurate (p = .037 on DeLong test) in discriminating fallers from nonfallers than the Ontario Modified STRATIFY FRST. A FRST has been developed using a comprehensive statistical framework, and evidence has been provided of this tool's clinical validity. The developed tool, the Sydney Falls Risk Screening Tool, should be considered for use in brain injury rehabilitation populations. © 2017 John Wiley & Sons Ltd.

  4. Effect of peer support on prevention of postnatal depression among high risk women: multisite randomised controlled trial.

    Science.gov (United States)

    Dennis, C-L; Hodnett, E; Kenton, L; Weston, J; Zupancic, J; Stewart, D E; Kiss, A

    2009-01-15

    To evaluate the effectiveness of telephone based peer support in the prevention of postnatal depression. Multisite randomised controlled trial. Seven health regions across Ontario, Canada. 701 women in the first two weeks postpartum identified as high risk for postnatal depression with the Edinburgh postnatal depression scale and randomised with an internet based randomisation service. Proactive individualised telephone based peer (mother to mother) support, initiated within 48-72 hours of randomisation, provided by a volunteer recruited from the community who had previously experienced and recovered from self reported postnatal depression and attended a four hour training session. Edinburgh postnatal depression scale, structured clinical interview-depression, state-trait anxiety inventory, UCLA loneliness scale, and use of health services. After web based screening of 21 470 women, 701 (72%) eligible mothers were recruited. A blinded research nurse followed up more than 85% by telephone, including 613 at 12 weeks and 600 at 24 weeks postpartum. At 12 weeks, 14% (40/297) of women in the intervention group and 25% (78/315) in the control group had an Edinburgh postnatal depression scale score >12 (chi(2)=12.5, P<0.001; number need to treat 8.8, 95% confidence interval 5.9 to 19.6; relative risk reduction 0.46, 95% confidence interval 0.24 to 0.62). There was a positive trend in favour of the intervention group for maternal anxiety but not loneliness or use of health services. For ethical reasons, participants identified with clinical depression at 12 weeks were referred for treatment, resulting in no differences between groups at 24 weeks. Of the 221 women in the intervention group who received and evaluated their experience of peer support, over 80% were satisfied and would recommend this support to a friend. Telephone based peer support can be effective in preventing postnatal depression among women at high risk. ISRCTN 68337727.

  5. Performative former

    DEFF Research Database (Denmark)

    Szatkowski, Janek

    Antologien forholder sig til begrebet performativitet som videnskabeligt begreb. De 10 artikler analyserer og diskuterer begrebet som eksempel på, hvordan en type begivenheder, hvor menneskelig handling og interaktion gennem gentagelse danner mening og kulturel betydning.......Antologien forholder sig til begrebet performativitet som videnskabeligt begreb. De 10 artikler analyserer og diskuterer begrebet som eksempel på, hvordan en type begivenheder, hvor menneskelig handling og interaktion gennem gentagelse danner mening og kulturel betydning....

  6. Prefrontal rTMS for treating depression: location and intensity results from the OPT-TMS multi-site clinical trial.

    Science.gov (United States)

    Johnson, Kevin A; Baig, Mirza; Ramsey, Dave; Lisanby, Sarah H; Avery, David; McDonald, William M; Li, Xingbao; Bernhardt, Elisabeth R; Haynor, David R; Holtzheimer, Paul E; Sackeim, Harold A; George, Mark S; Nahas, Ziad

    2013-03-01

    Motor cortex localization and motor threshold determination often guide Transcranial Magnetic Stimulation (TMS) placement and intensity settings for non-motor brain stimulation. However, anatomic variability results in variability of placement and effective intensity. Post-study analysis of the OPT-TMS Study reviewed both the final positioning and the effective intensity of stimulation (accounting for relative prefrontal scalp-cortex distances). We acquired MRI scans of 185 patients in a multi-site trial of left prefrontal TMS for depression. Scans had marked motor sites (localized with TMS) and marked prefrontal sites (5 cm anterior of motor cortex by the "5 cm rule"). Based on a visual determination made before the first treatment, TMS therapy occurred either at the 5 cm location or was adjusted 1 cm forward. Stimulation intensity was 120% of resting motor threshold. The "5 cm rule" would have placed stimulation in premotor cortex for 9% of patients, which was reduced to 4% with adjustments. We did not find a statistically significant effect of positioning on remission, but no patients with premotor stimulation achieved remission (0/7). Effective stimulation ranged from 93 to 156% of motor threshold, and no seizures were induced across this range. Patients experienced remission with effective stimulation intensity ranging from 93 to 146% of motor threshold, and we did not find a significant effect of effective intensity on remission. Our data indicates that individualized positioning methods are useful to reduce variability in placement. Stimulation at 120% of motor threshold, unadjusted for scalp-cortex distances, appears safe for a broad range of patients. Copyright © 2013 Elsevier Inc. All rights reserved.

  7. An introduction to the composition of the Multi-Site University Study of Identity and Culture (MUSIC): a collaborative approach to research and mentorship.

    Science.gov (United States)

    Weisskirch, Robert S; Zamboanga, Byron L; Ravert, Russell D; Whitbourne, Susan Krauss; Park, Irene J K; Lee, Richard M; Schwartz, Seth J

    2013-04-01

    The Multi-Site University Study of Identity and Culture (MUSIC) is the product of a research collaboration among faculty members from 30 colleges and universities from across the United States. Using Katz and Martin's (1997, p. 7) definition, the MUSIC research collaboration is "the working together of researchers to achieve the common goals of producing new scientific knowledge." The collaboration involved more than just coauthorship; it served "as a strategy to insert more energy, optimism, creativity and hope into the work of [researchers]" (Conoley & Conoley, 2010, p. 77). The philosophy underlying the MUSIC collaborative was intended to foster natural collaborations among researchers, to provide opportunities for scholarship and mentorship for early career and established researchers, and to support exploration of identity, cultural, and ethnic/racial research ideas by tapping the expertise and interests of the broad MUSIC network of collaborators. In this issue, five research articles present innovative findings from the MUSIC datasets. There are two themes across the articles. Research is emerging about broadening the constructs and measures of acculturation and ethnic identity and their relation to health risk behaviors and psychosocial and mental health outcomes. The second theme is about the relationship of perceived discrimination on behavioral and mental health outcomes among immigrant populations.

  8. Improving pain care through implementation of the Stepped Care Model at a multisite community health center

    Directory of Open Access Journals (Sweden)

    Anderson DR

    2016-11-01

    Full Text Available Daren R Anderson,1 Ianita Zlateva,1 Emil N Coman,2 Khushbu Khatri,1 Terrence Tian,1 Robert D Kerns3 1Weitzman Institute, Community Health Center, Inc., Middletown, 2UCONN Health Disparities Institute, University of Connecticut, Farmington, 3VA Connecticut Healthcare System, West Haven, CT, USA Purpose: Treating pain in primary care is challenging. Primary care providers (PCPs receive limited training in pain care and express low confidence in their knowledge and ability to manage pain effectively. Models to improve pain outcomes have been developed, but not formally implemented in safety net practices where pain is particularly common. This study evaluated the impact of implementing the Stepped Care Model for Pain Management (SCM-PM at a large, multisite Federally Qualified Health Center. Methods: The Promoting Action on Research Implementation in Health Services framework guided the implementation of the SCM-PM. The multicomponent intervention included: education on pain care, new protocols for pain assessment and management, implementation of an opioid management dashboard, telehealth consultations, and enhanced onsite specialty resources. Participants included 25 PCPs and their patients with chronic pain (3,357 preintervention and 4,385 postintervention cared for at Community Health Center, Inc. Data were collected from the electronic health record and supplemented by chart reviews. Surveys were administered to PCPs to assess knowledge, attitudes, and confidence. Results: Providers’ pain knowledge scores increased to an average of 11% from baseline; self-rated confidence in ability to manage pain also increased. Use of opioid treatment agreements and urine drug screens increased significantly by 27.3% and 22.6%, respectively. Significant improvements were also noted in documentation of pain, pain treatment, and pain follow-up. Referrals to behavioral health providers for patients with pain increased by 5.96% (P=0.009. There was no

  9. Preliminary results on the fracture analysis of multi-site cracking of lap joints in aircraft skins

    Science.gov (United States)

    Beuth, J. L., Jr.; Hutchinson, John W.

    1992-07-01

    Results of a fracture mechanics analysis relevant to fatigue crack growth at rivets in lap joints of aircraft skins are presented. Multi-site damage (MSD) is receiving increased attention within the context of problems of aging aircraft. Fracture analyses previously carried out include small-scale modeling of rivet/skin interactions, larger-scale two-dimensional models of lap joints similar to that developed here, and full scale three-dimensional models of large portions of the aircraft fuselage. Fatigue testing efforts have included flat coupon specimens, two-dimensional lap joint tests, and full scale tests on specimens designed to closely duplicate aircraft sections. Most of this work is documented in the proceedings of previous symposia on the aging aircraft problem. The effect MSD has on the ability of skin stiffeners to arrest the growth of long skin cracks is a particularly important topic that remains to be addressed. One of the most striking features of MSD observed in joints of some test sections and in the joints of some of the older aircraft fuselages is the relative uniformity of the fatigue cracks from rivet to rivet along an extended row of rivets. This regularity suggests that nucleation of the cracks must not be overly difficult. Moreover, it indicates that there is some mechanism which keeps longer cracks from running away from shorter ones, or, equivalently, a mechanism for shorter cracks to catch-up with longer cracks. This basic mechanism has not been identified, and one of the objectives of the work is to see to what extent the mechanism is revealed by a fracture analysis of the MSD cracks. Another related aim is to present accurate stress intensity factor variations with crack length which can be used to estimate fatigue crack growth lifetimes once cracks have been initiated. Results are presented which illustrate the influence of load shedding from rivets with long cracks to neighboring rivets with shorter cracks. Results are also included

  10. Supporting successful inclusive practices for learners with disabilities in high schools: a multisite, mixed method collective case study.

    Science.gov (United States)

    Maciver, Donald; Hunter, Cathleen; Adamson, Amanda; Grayson, Zoe; Forsyth, Kirsty; McLeod, Iona

    2018-07-01

    The increase in the number of individuals with disabilities in general education has led to an increased interest in how to best provide support. Despite an emphasis on inclusion and participation in policy and practice, defining and describing the support provided for these learners is still an important task. This multisite, mixed method collective case study reports on 125 education and other staff from seven schools who took part in interviews and focus groups to reflect on a range of topics related to learners with disabilities in high schools. We focused on what the participants did, what they considered to be successful and what their "best" practices were. Descriptions of practices were rich, nuanced and complex. The analysis identified over 200 "strategies" which were synthesized into two meta-themes and eight subthemes. We discuss the results in the context of an ecological perspective, and the importance of focusing on the full range of influences and outcomes for young people in designing supports. We have drawn on evidence from this study as a basis for professional development activities and identified that focusing on the environment and the role of practitioners has a potential to improve the inclusion outcomes for older learners with disabilities. Implications for Rehabilitation Inclusion is influenced by the physical environment, attitudes, expectations and opportunities, in addition to a learner's skills and abilities. Schools should focus on the environment and teachers' practices, rather than on what an individual learner can or cannot do. The practices discussed in this study reflect those that a range of educators and related services personnel agree are realistic, appropriate and effective. Change may be led by the school management team; however, there are many ways in which all staff can contribute; indeed, approaches will not work effectively unless they are understood and implemented by everyone.

  11. Criminal victimisation in people with severe mental illness: a multi-site prevalence and incidence survey in the Netherlands.

    Directory of Open Access Journals (Sweden)

    Astrid M Kamperman

    Full Text Available BACKGROUND: Although crime victimisation is as prevalent in psychiatric patients as crime perpetration (and possibly more so, few European figures for it are available. We therefore assessed its one-year prevalence and incident rates in Dutch severely mentally ill outpatients, and compared the results with victimisation rates in the general population. METHOD: This multisite epidemiological survey included a random sample of 956 adult severely mentally ill outpatients. Data on victimisation were obtained using the victimisation scale of the Dutch Crime and Victimisation Survey, which assesses crime victimisation over the preceding 12 months. Comparison data were derived from the nationwide survey on safety and victimisation in the Netherlands. Prevalence and incident rates were weighted for sex, age, ethnicity and socioeconomic status, and compared with a general population sample matched by region (N = 38,227. RESULTS: In the past year, almost half of the severely mentally ill outpatients (47% had been victim of a crime. After control for demographic differences, prevalence rates of overall and specific victimisation measures were significantly higher in severely mentally ill outpatients than in the general population. The relative rates were especially high for personal crimes such as violent threats (RR = 2.12, 95% CI: 1.72-2.61, physical assaults (RR = 4.85, 95% CI: 3.69-6.39 and sexual harassment and assaults (RR = 3.94, 95% CI: 3.05-5.09. In concordance, severely mentally ill outpatients reported almost 14 times more personal crime incidents than persons from the general population (IRR = 13.68, 95% CI: 12.85-14.56. CONCLUSION: Crime victimisation is a serious problem in Dutch severely mentally ill outpatients. Mental-healthcare institutions and clinicians should become aware of their patients' victimisation risk, and should implement structural measures to detect and prevent (re-victimisation.

  12. Chronic multisite brain recordings from a totally implantable bidirectional neural interface: experience in 5 patients with Parkinson's disease.

    Science.gov (United States)

    Swann, Nicole C; de Hemptinne, Coralie; Miocinovic, Svjetlana; Qasim, Salman; Ostrem, Jill L; Galifianakis, Nicholas B; Luciano, Marta San; Wang, Sarah S; Ziman, Nathan; Taylor, Robin; Starr, Philip A

    2018-02-01

    OBJECTIVE Dysfunction of distributed neural networks underlies many brain disorders. The development of neuromodulation therapies depends on a better understanding of these networks. Invasive human brain recordings have a favorable temporal and spatial resolution for the analysis of network phenomena but have generally been limited to acute intraoperative recording or short-term recording through temporarily externalized leads. Here, the authors describe their initial experience with an investigational, first-generation, totally implantable, bidirectional neural interface that allows both continuous therapeutic stimulation and recording of field potentials at multiple sites in a neural network. METHODS Under a physician-sponsored US Food and Drug Administration investigational device exemption, 5 patients with Parkinson's disease were implanted with the Activa PC+S system (Medtronic Inc.). The device was attached to a quadripolar lead placed in the subdural space over motor cortex, for electrocorticography potential recordings, and to a quadripolar lead in the subthalamic nucleus (STN), for both therapeutic stimulation and recording of local field potentials. Recordings from the brain of each patient were performed at multiple time points over a 1-year period. RESULTS There were no serious surgical complications or interruptions in deep brain stimulation therapy. Signals in both the cortex and the STN were relatively stable over time, despite a gradual increase in electrode impedance. Canonical movement-related changes in specific frequency bands in the motor cortex were identified in most but not all recordings. CONCLUSIONS The acquisition of chronic multisite field potentials in humans is feasible. The device performance characteristics described here may inform the design of the next generation of totally implantable neural interfaces. This research tool provides a platform for translating discoveries in brain network dynamics to improved neurostimulation

  13. Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey.

    Science.gov (United States)

    Rosińska, Magdalena; Gios, Lorenzo; Nöstlinger, Christiana; Vanden Berghe, Wim; Marcus, Ulrich; Schink, Susanne; Sherriff, Nigel; Jones, Anna-Marie; Folch, Cinta; Dias, Sonia; Velicko, Inga; Mirandola, Massimo

    2018-05-01

    Substance use has been consistently reported to be more prevalent amongst Men who have Sex with Men (MSM) compared to the general population. Substance use, in particular polydrug use, has been found to be influenced by social and contextual factors and to increase the risk of unprotected intercourse among MSM. The objective of this analysis was to investigate the prevalence and predictors of drug use during a sexual encounter and to identify specific prevention needs. A multi-site bio-behavioural cross-sectional survey was implemented in 13 European cities, targeting MSM and using Time-Location Sampling and Respondent-Driven Sampling methods Multivariable multi-level logistic random-intercept model (random effect of study site) was estimated to identify factors associated with the use of alcohol, cannabis, party drugs, sexual performance enhancement drugs and chemsex drugs. Overall, 1261 (30.0%) participants reported drug use, and 436 of 3706 (11.8%) reported the use of two or more drugs during their last sexual encounter. By drug class, 966 (23.0%) reported using sexual performance enhancement drugs, 353 (8.4%) - party drugs, and 142 (3.4%) the use of chemsex drugs. Respondents who reported drug use were more frequently diagnosed with HIV (10.5% vs. 3.9%) before and with other STIs during the 12 months prior to the study (16.7% vs. 9.2%). The use of all the analysed substances was significantly associated with sexual encounter with more than one partner. Substance and polydrug use during sexual encounters occurred amongst sampled MSM across Europe although varying greatly between study sites. Different local social norms within MSM communities may be important contextual drivers of drug use, highlighting the need for innovative and multi-faceted prevention measures to reduce HIV/STI risk in the context of drug use. Copyright © 2018 Elsevier B.V. All rights reserved.

  14. Quantification of iopamidol multi-site chemical exchange properties for ratiometric chemical exchange saturation transfer (CEST) imaging of pH

    International Nuclear Information System (INIS)

    Sun, Phillip Zhe; Longo, Dario Livio; Hu, Wei; Xiao, Gang; Wu, Renhua

    2014-01-01

    pH-sensitive chemical exchange saturation transfer (CEST) MRI holds great promise for in vivo applications. However, the CEST effect depends on not only exchange rate and hence pH, but also on the contrast agent concentration, which must be determined independently for pH quantification. Ratiometric CEST MRI normalizes the concentration effect by comparing CEST measurements of multiple labile protons to simplify pH determination. Iopamidol, a commonly used x-ray contrast agent, has been explored as a ratiometric CEST agent for imaging pH. However, iopamidol CEST properties have not been solved, determination of which is important for optimization and quantification of iopamidol pH imaging. Our study numerically solved iopamidol multi-site pH-dependent chemical exchange properties. We found that iopamidol CEST MRI is suitable for measuring pH between 6 and 7.5 despite that T 1 and T 2 measurements varied substantially with pH and concentration. The pH MRI precision decreased with pH and concentration. The standard deviation of pH determined from MRI was 0.2 and 0.4 pH unit for 40 and 20 mM iopamidol solution of pH 6, and it improved to be less than 0.1 unit for pH above 7. Moreover, we determined base-catalyzed chemical exchange for 2-hydrooxypropanamido (k sw = 1.2*10 pH−4.1 ) and amide (k sw = 1.2*10 pH−4.6 ) protons that are statistically different from each other (P < 0.01, ANCOVA), understanding of which should help guide in vivo translation of iopamidol pH imaging. (paper)

  15. El rechazo al enfoque intervencionista de la "responsabilidad de proteger" en Sudamérica : análisis histórico comparativo de las posturas de Perú, Venezuela, Brasil y Argentina

    OpenAIRE

    Rosales Zamora, Pablo César

    2016-01-01

    La “responsabilidad de proteger” (R2P) refiere a la responsabilidad que tienen los Estados de proteger a sus poblaciones respecto de crímenes de guerra, crímenes de lesa humanidad, depuración étnica y genocidio. De acuerdo con este concepto, en caso el Estado no asuma su responsabilidad, la comunidad internacional subsidiariamente actúa empleando como última medida la fuerza armada con la autorización del Consejo de Seguridad. Mientras que Estados Unidos es partidario clav...

  16. The avoidance of activities due to fear of falling contributes to sedentary behavior among community-dwelling older adults with chronic musculoskeletal pain: a multisite observational study.

    Science.gov (United States)

    Stubbs, Brendon; Patchay, Sandhi; Soundy, Andy; Schofield, Pat

    2014-11-01

    Physical inactivity and sedentary behavior (SB) are leading causes of mortality. We investigated if older adults with chronic musculoskeletal pain (CMP) are more sedentary than a group of similar age and sex without CMP and possible contributory factors to this. In this multisite observational study, 285 community-dwelling older adults (response rate 71%) took part. One hundred forty-four had CMP (78.4 years, 65.9% female), and 141 formed the comparison group without CMP. Details regarding falls were collected, and all participants completed the brief pain inventory (BPI), modified version of the survey of activities and fear of falling in elderly scale (mSAFFE), and the International Physical Activity Questionnaire (IPAQ) to measure SB. Data were analyzed with hierarchical regression analysis. Older adults with CMP spent approximately 3 1/2 hours a day more being sedentary than the comparison group (11.5 hours vs 7.9, Psedentary than those of a similar sex and age without CMP. It appears that the avoidance of activities due to fear of falling is a significant contributory factor to SB in older adults with CMP. Wiley Periodicals, Inc.

  17. Servicios de salud ocupacional

    Directory of Open Access Journals (Sweden)

    Augusto V. Ramírez

    2012-01-01

    Full Text Available Los Servicios de Salud Ocupacional tienen por misión prevenir las enfermedades causadas o relacionadas con el trabajo desarrollando programas preventivo-promocionales de salud, cuya base son los exámenes ocupacionales. La vigilancia de salud con estos exámenes es la herramienta de mayor uso en prevención y control de las enfermedades laborales. Su manejo técnico por el médico ocupacionista permite reconocer daño a la salud del trabajador en las primeras etapas de una enfermedad ocupacional. Gestionar la salud en el trabajo mediante exámenes periódicos deviene en la acción esencial de los Servicios de Salud Ocupacional. Es responsabilidad de la Empresa conformar y mantener servicios de salud laboral dirigidos por un médico especializado en medicina del trabajo e integrados por un equipo que incluya enfermería ocupacional, higiene industrial, personal técnico y especialidades afines de salud.

  18. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and Safety Culture in a Large, Multisite Radiation Oncology Department.

    Science.gov (United States)

    Woodhouse, Kristina Demas; Volz, Edna; Maity, Amit; Gabriel, Peter E; Solberg, Timothy D; Bergendahl, Howard W; Hahn, Stephen M

    2016-05-01

    High-reliability organizations (HROs) focus on continuous identification and improvement of safety issues. We sought to advance a large, multisite radiation oncology department toward high reliability through the implementation of a comprehensive safety culture (SC) program at the University of Pennsylvania Department of Radiation Oncology. In 2011, with guidance from safety literature and experts in HROs, we designed an SC framework to reduce radiation errors. All state-reported medical events (SRMEs) from 2009 to 2016 were retrospectively reviewed and plotted on a control chart. Changes in SC grade were assessed using the Agency for Healthcare Research and Quality Hospital Survey. Outcomes measured included the number of radiation treatment fractions and days between SRMEs, as well as SC grade. Multifaceted safety initiatives were implemented at our main academic center and across all network sites. Postintervention results demonstrate increased staff fundamental safety knowledge, enhanced peer review with an electronic system, and special cause variation of SRMEs on control chart analysis. From 2009 to 2016, the number of days and fractions between SRMEs significantly increased, from a mean of 174 to 541 days (P safety framework. Our multifaceted initiatives, focusing on culture and system changes, can be successfully implemented in a large academic radiation oncology department to yield measurable improvements in SC and outcomes. Copyright © 2016 by American Society of Clinical Oncology.

  19. Padre Pio - stigmatiseret præst

    DEFF Research Database (Denmark)

    Hvidt, Niels Christian

    2010-01-01

    Verden er fuld af spændende beretninger om mænd og kvinder, der menes at have særlig kontakt til det guddommelige. Teolog Niels Christian Hvidt beretter om helgendyrkelsen af en af disse, den navnkundige italienske munk: Padre Pio.......Verden er fuld af spændende beretninger om mænd og kvinder, der menes at have særlig kontakt til det guddommelige. Teolog Niels Christian Hvidt beretter om helgendyrkelsen af en af disse, den navnkundige italienske munk: Padre Pio....

  20. Repeated tumor pO2 measurements by multi-site EPR oximetry as a prognostic marker for enhanced therapeutic efficacy of fractionated radiotherapy

    International Nuclear Information System (INIS)

    Hou Huagang; Lariviere, Jean P.; Demidenko, Eugene; Gladstone, David; Swartz, Harold; Khan, Nadeem

    2009-01-01

    Purpose: To investigate the temporal effects of single or fractionated radiotherapy on subcutaneous RIF-1 tumor pO 2 and to determine the therapeutic outcomes when the timing of fractionations is guided by tumor pO 2 . Methods: The time-course of the tumor pO 2 changes was followed by multi-site electron paramagnetic resonance (EPR) oximetry. The tumors were treated with single 10, 20, and 10 Gy x 2 doses, and the tumor pO 2 was measured repeatedly for six consecutive days. In the 10 Gy x 2 group, the second dose of 10 Gy was delivered at a time when the tumors were either relatively oxygenated or hypoxic. The changes in tumor volumes were followed for nine days to determine the therapeutic outcomes. Results: A significant increase in tumor pO 2 was observed at 24 h post 10 Gy, while 20 Gy resulted in a significant increase in tumor pO 2 at 72-120 h post irradiation. The tumors irradiated with a second dose of 10 Gy at 24 h, when the tumors were oxygenated, had a significant increase in tumor doubling times (DTs), as compared to tumors treated at 48 h when they were hypoxic (p 2 repeatedly during fractionated schemes to optimize radiotherapeutic outcome. This technique could also be used to identify responsive and non-responsive tumors, which will facilitate the design of other therapeutic approaches for non-responsive tumors at early time points during the course of therapy.

  1. Machine Learning-Augmented Propensity Score-Adjusted Multilevel Mixed Effects Panel Analysis of Hands-On Cooking and Nutrition Education versus Traditional Curriculum for Medical Students as Preventive Cardiology: Multisite Cohort Study of 3,248 Trainees over 5 Years

    Directory of Open Access Journals (Sweden)

    Dominique J. Monlezun

    2018-01-01

    Full Text Available Background. Cardiovascular disease (CVD annually claims more lives and costs more dollars than any other disease globally amid widening health disparities, despite the known significant reductions in this burden by low cost dietary changes. The world’s first medical school-based teaching kitchen therefore launched CHOP-Medical Students as the largest known multisite cohort study of hands-on cooking and nutrition education versus traditional curriculum for medical students. Methods. This analysis provides a novel integration of artificial intelligence-based machine learning (ML with causal inference statistics. 43 ML automated algorithms were tested, with the top performer compared to triply robust propensity score-adjusted multilevel mixed effects regression panel analysis of longitudinal data. Inverse-variance weighted fixed effects meta-analysis pooled the individual estimates for competencies. Results. 3,248 unique medical trainees met study criteria from 20 medical schools nationally from August 1, 2012, to June 26, 2017, generating 4,026 completed validated surveys. ML analysis produced similar results to the causal inference statistics based on root mean squared error and accuracy. Hands-on cooking and nutrition education compared to traditional medical school curriculum significantly improved student competencies (OR 2.14, 95% CI 2.00–2.28, p<0.001 and MedDiet adherence (OR 1.40, 95% CI 1.07–1.84, p=0.015, while reducing trainees’ soft drink consumption (OR 0.56, 95% CI 0.37–0.85, p=0.007. Overall improved competencies were demonstrated from the initial study site through the scale-up of the intervention to 10 sites nationally (p<0.001. Discussion. This study provides the first machine learning-augmented causal inference analysis of a multisite cohort showing hands-on cooking and nutrition education for medical trainees improves their competencies counseling patients on nutrition, while improving students’ own diets. This

  2. Machine Learning-Augmented Propensity Score-Adjusted Multilevel Mixed Effects Panel Analysis of Hands-On Cooking and Nutrition Education versus Traditional Curriculum for Medical Students as Preventive Cardiology: Multisite Cohort Study of 3,248 Trainees over 5 Years

    Science.gov (United States)

    Dart, Lyn; Vanbeber, Anne; Smith-Barbaro, Peggy; Costilla, Vanessa; Samuel, Charlotte; Terregino, Carol A.; Abali, Emine Ercikan; Dollinger, Beth; Baumgartner, Nicole; Kramer, Nicholas; Seelochan, Alex; Taher, Sabira; Deutchman, Mark; Evans, Meredith; Ellis, Robert B.; Oyola, Sonia; Maker-Clark, Geeta; Budnick, Isadore; Tran, David; DeValle, Nicole; Shepard, Rachel; Chow, Erika; Petrin, Christine; Razavi, Alexander; McGowan, Casey; Grant, Austin; Bird, Mackenzie; Carry, Connor; McGowan, Glynis; McCullough, Colleen; Berman, Casey M.; Dotson, Kerri; Sarris, Leah; Harlan, Timothy S.; Co-investigators, on behalf of the CHOP

    2018-01-01

    Background Cardiovascular disease (CVD) annually claims more lives and costs more dollars than any other disease globally amid widening health disparities, despite the known significant reductions in this burden by low cost dietary changes. The world's first medical school-based teaching kitchen therefore launched CHOP-Medical Students as the largest known multisite cohort study of hands-on cooking and nutrition education versus traditional curriculum for medical students. Methods This analysis provides a novel integration of artificial intelligence-based machine learning (ML) with causal inference statistics. 43 ML automated algorithms were tested, with the top performer compared to triply robust propensity score-adjusted multilevel mixed effects regression panel analysis of longitudinal data. Inverse-variance weighted fixed effects meta-analysis pooled the individual estimates for competencies. Results 3,248 unique medical trainees met study criteria from 20 medical schools nationally from August 1, 2012, to June 26, 2017, generating 4,026 completed validated surveys. ML analysis produced similar results to the causal inference statistics based on root mean squared error and accuracy. Hands-on cooking and nutrition education compared to traditional medical school curriculum significantly improved student competencies (OR 2.14, 95% CI 2.00–2.28, p < 0.001) and MedDiet adherence (OR 1.40, 95% CI 1.07–1.84, p = 0.015), while reducing trainees' soft drink consumption (OR 0.56, 95% CI 0.37–0.85, p = 0.007). Overall improved competencies were demonstrated from the initial study site through the scale-up of the intervention to 10 sites nationally (p < 0.001). Discussion This study provides the first machine learning-augmented causal inference analysis of a multisite cohort showing hands-on cooking and nutrition education for medical trainees improves their competencies counseling patients on nutrition, while improving students' own diets. This study suggests that

  3. Machine Learning-Augmented Propensity Score-Adjusted Multilevel Mixed Effects Panel Analysis of Hands-On Cooking and Nutrition Education versus Traditional Curriculum for Medical Students as Preventive Cardiology: Multisite Cohort Study of 3,248 Trainees over 5 Years.

    Science.gov (United States)

    Monlezun, Dominique J; Dart, Lyn; Vanbeber, Anne; Smith-Barbaro, Peggy; Costilla, Vanessa; Samuel, Charlotte; Terregino, Carol A; Abali, Emine Ercikan; Dollinger, Beth; Baumgartner, Nicole; Kramer, Nicholas; Seelochan, Alex; Taher, Sabira; Deutchman, Mark; Evans, Meredith; Ellis, Robert B; Oyola, Sonia; Maker-Clark, Geeta; Dreibelbis, Tomi; Budnick, Isadore; Tran, David; DeValle, Nicole; Shepard, Rachel; Chow, Erika; Petrin, Christine; Razavi, Alexander; McGowan, Casey; Grant, Austin; Bird, Mackenzie; Carry, Connor; McGowan, Glynis; McCullough, Colleen; Berman, Casey M; Dotson, Kerri; Niu, Tianhua; Sarris, Leah; Harlan, Timothy S; Co-Investigators, On Behalf Of The Chop

    2018-01-01

    Cardiovascular disease (CVD) annually claims more lives and costs more dollars than any other disease globally amid widening health disparities, despite the known significant reductions in this burden by low cost dietary changes. The world's first medical school-based teaching kitchen therefore launched CHOP-Medical Students as the largest known multisite cohort study of hands-on cooking and nutrition education versus traditional curriculum for medical students. This analysis provides a novel integration of artificial intelligence-based machine learning (ML) with causal inference statistics. 43 ML automated algorithms were tested, with the top performer compared to triply robust propensity score-adjusted multilevel mixed effects regression panel analysis of longitudinal data. Inverse-variance weighted fixed effects meta-analysis pooled the individual estimates for competencies. 3,248 unique medical trainees met study criteria from 20 medical schools nationally from August 1, 2012, to June 26, 2017, generating 4,026 completed validated surveys. ML analysis produced similar results to the causal inference statistics based on root mean squared error and accuracy. Hands-on cooking and nutrition education compared to traditional medical school curriculum significantly improved student competencies (OR 2.14, 95% CI 2.00-2.28, p < 0.001) and MedDiet adherence (OR 1.40, 95% CI 1.07-1.84, p = 0.015), while reducing trainees' soft drink consumption (OR 0.56, 95% CI 0.37-0.85, p = 0.007). Overall improved competencies were demonstrated from the initial study site through the scale-up of the intervention to 10 sites nationally ( p < 0.001). This study provides the first machine learning-augmented causal inference analysis of a multisite cohort showing hands-on cooking and nutrition education for medical trainees improves their competencies counseling patients on nutrition, while improving students' own diets. This study suggests that the public health and medical sectors can

  4. Mise en oeuvre et etalonnage d'une soufflerie de recherche sur les couches limites

    Science.gov (United States)

    Pioton, Julien

    In order to reproduce a turbulent boundary layer separation bubble in a laboratory at the École de Technologie Supérieure of Montreal, an open-circuit wind tunnel equipped with a blow-down centrifugal fan has been implemented and calibrated for this research project. The methodology for the conception of the wind tunnel components, based on the results obtained from previous experiments, has been validated by the comparison between experimental and theoretical pressure losses along the wind tunnel. Dimensionless mean axial velocity measurements in the working section have showed an irrotational uniform flow zone at the contraction end, which demonstrates the satisfactory performance of the flowconditioning components located upstream from the working section. Mean axial velocity and total pressure measurements along the working section have allowed for estimates of the location of boundary between irrotational and rotational flow at the separation bubble. The maximum mean height of the boundary layer has been estimated at around 15 cm. Oil film visualisations have revealed a mean bubble separation length of approximately 52 cm. Theses oil visualisations, supported by mean lateral velocity measurements in the current configuration of the working section, have indicated important three-dimensional effects and significant dissymmetry in the vicinity of the separation and reattachment zones at the separation bubble.

  5. MULTI-SITE OBSERVATIONS OF PULSATION IN THE ACCRETING WHITE DWARF SDSS J161033.64-010223.3 (V386 Ser)

    International Nuclear Information System (INIS)

    Mukadam, Anjum S.; Szkody, P.; Townsley, D. M.; Gaensicke, B. T.; Marsh, T. R.; Aungwerojwit, A.; Southworth, J.; Robinson, E. L.; For, B.-Q.; Bildsten, L.; Schreiber, M. R.; Schwope, A.; Tovmassian, G.; Zharikov, S. V.; Hidas, M. G.; Baliber, N.; Brown, T.; Woudt, P. A.; Warner, B.; O'Donoghue, D.

    2010-01-01

    Non-radial pulsations in the primary white dwarfs of cataclysmic variables can now potentially allow us to explore the stellar interior of these accretors using stellar seismology. In this context, we conducted a multi-site campaign on the accreting pulsator SDSS J161033.64-010223.3 (V386 Ser) using seven observatories located around the world in 2007 May over a duration of 11 days. We report the best-fit periodicities here, which were also previously observed in 2004, suggesting their underlying stability. Although we did not uncover a sufficient number of independent pulsation modes for a unique seismological fit, our campaign revealed that the dominant pulsation mode at 609 s is an evenly spaced triplet. The even nature of the triplet is suggestive of rotational splitting, implying an enigmatic rotation period of about 4.8 days. There are two viable alternatives assuming the triplet is real: either the period of 4.8 days is representative of the rotation period of the entire star with implications for the angular momentum evolution of these systems, or it is perhaps an indication of differential rotation with a fast rotating exterior and slow rotation deeper in the star. Investigating the possibility that a changing period could mimic a triplet suggests that this scenario is improbable, but not impossible. Using time-series spectra acquired in 2009 May, we determine the orbital period of SDSS J161033.64-010223.3 to be 83.8 ± 2.9 minutes. Three of the observed photometric frequencies from our 2007 May campaign appear to be linear combinations of the 609 s pulsation mode with the first harmonic of the orbital period at 41.5 minutes. This is the first discovery of a linear combination between non-radial pulsation and orbital motion for a variable white dwarf.

  6. Power of national economy, disease control and employment status in patients with RA-an analytical multi-site ecological study.

    Science.gov (United States)

    Pieringer, Herwig; Puchner, Rudolf; Pohanka, Erich; Danninger, Kathrin

    2016-02-01

    In rheumatology, sufficient disease control is a central part of the treatment concept. However, modern treatment strategies are associated with a substantial economic burden for health care systems. Ecological studies offer the unique opportunity to analyse differences between groups as well as group level effects. In the present analytical multi-site ecological study, we investigated whether more powerful national economies as measured by the gross domestic product per capita (GDPpc) are associated with better disease control in RA patients as measured by the disease activity score 28 (DAS28). We used aggregated data on RA patients from the recently published COMORA study as well as the World Health Organization database. There was a strong negative correlation between DAS28 and GDPpc (r = -0.815; p = 0.0002). Adjustment for sex, smoking status, disease duration or current employment status did not significantly change this association. There was a strong, negative correlation between DAS28 and age (r = -0.870; p < 0.001) and a strong, positive correlation between GDPpc and age (r = 0.737; p = 0.002). Adjustment for age reduced the regression coefficient (DAS28/GDPpc) to -0.000018 (p = 0.054). There was a negative correlation between DAS28 and current employment status (r = -0.642; p = 0.008) and a positive correlation between GDPpc and employment status (r = 0.722; p = 0.002). In conclusion, there is evidence of an association between disease control and GDPpc. This association is alleviated after adjustment for age. Of note, in countries with higher GDPpc, a higher proportion of RA patients are currently employed. This is true despite the fact that RA patients in countries with higher GDPpc are also older.

  7. Structural and reliability analysis of a patient satisfaction with cancer-related care measure: a multisite patient navigation research program study.

    Science.gov (United States)

    Jean-Pierre, Pascal; Fiscella, Kevin; Freund, Karen M; Clark, Jack; Darnell, Julie; Holden, Alan; Post, Douglas; Patierno, Steven R; Winters, Paul C

    2011-02-15

    Patient satisfaction is an important outcome measure of quality of cancer care and 1 of the 4 core study outcomes of the National Cancer Institute (NCI)-sponsored Patient Navigation Research Program to reduce race/ethnicity-based disparities in cancer care. There is no existing patient satisfaction measure that spans the spectrum of cancer-related care. The objective of this study was to develop a Patient Satisfaction With Cancer Care measure that is relevant to patients receiving diagnostic/therapeutic cancer-related care. The authors developed a conceptual framework, an operational definition of Patient Satisfaction With Cancer Care, and an item pool based on literature review, expert feedback, group discussion, and consensus. The 35-item Patient Satisfaction With Cancer Care measure was administered to 891 participants from the multisite NCI-sponsored Patient Navigation Research Program. Principal components analysis (PCA) was conducted for latent structure analysis. Internal consistency was assessed using Cronbach coefficient alpha (α). Divergent analysis was performed using correlation analyses between the Patient Satisfaction With Cancer Care, the Communication and Attitudinal Self-Efficacy-Cancer, and demographic variables. The PCA revealed a 1-dimensional measure with items forming a coherent set explaining 62% of the variance in patient satisfaction. Reliability assessment revealed high internal consistency (α ranging from 0.95 to 0.96). The Patient Satisfaction With Cancer Care demonstrated good face validity, convergent validity, and divergent validity, as indicated by moderate correlations with subscales of the Communication and Attitudinal Self-Efficacy-Cancer (all P .05). The Patient Satisfaction With Cancer Care is a valid tool for assessing satisfaction with cancer-related care for this sample. Copyright © 2010 American Cancer Society.

  8. Storytelling

    DEFF Research Database (Denmark)

    Hansen, Heidi

    2015-01-01

    Dette kapitel introducerer til storytelling som kommunikationsdisciplin. Der præsenteres dels en teoretisk forståelse af, hvordan mennesket tænker i og skaber mening gennem historier, dels en række praktiske værktøjer til arbejdet med storytelling.......Dette kapitel introducerer til storytelling som kommunikationsdisciplin. Der præsenteres dels en teoretisk forståelse af, hvordan mennesket tænker i og skaber mening gennem historier, dels en række praktiske værktøjer til arbejdet med storytelling....

  9. Frisættelse af fødderne

    DEFF Research Database (Denmark)

    Kirkeby, Ole Fogh

    2013-01-01

    Kropskultur. Amerikansk journalist og forfatter hævder, at løb - og fødder - giver adgang til livets mening. Anmeldelse af: Christoffer McDougall: Født til løb. Oversat af Jacob Giese efter Born to Run. Forlaget Turbulenz, 400 sider.......Kropskultur. Amerikansk journalist og forfatter hævder, at løb - og fødder - giver adgang til livets mening. Anmeldelse af: Christoffer McDougall: Født til løb. Oversat af Jacob Giese efter Born to Run. Forlaget Turbulenz, 400 sider....

  10. Tránsito del Derecho Penal Internacional desde el Tratado de Versalles y de Nuremberg hasta Roma

    OpenAIRE

    Castaño, Deissy Motta

    2012-01-01

    El marco del presente artículo se sustenta en la trascendencia del análisis de las instituciones internacionales en relación con los delitos contemplados como crímenes de guerra en conflagraciones entre Estados y su intervención en la problemática de la violencia interna. El tránsito del derecho penal internacional desde el Tratado de Versalles y de Nuremberg hasta Roma, constituye una aproximación a una genealogía histórica del derecho internacional, relativo a los crímenes de guerra durante...

  11. Justicia, verdad y reparación en el proceso de paz en Colombia

    Directory of Open Access Journals (Sweden)

    Felipe Gómez Isa

    2014-12-01

    Full Text Available Uno de los principales retos del proceso de paz entre el Gobierno colombiano y las FARC-EP es la conciliación entre el logro de la paz y la garantía de los derechos de las víctimas a la justicia, a la verdad y a la reparación. El Congreso de Colombia aprobó en julio de 2012 el “Marco Jurídico para la Paz”, un conjunto de mecanismos de justicia transicional que pretenden facilitar las negociaciones, evitar la impunidad de los graves crímenes cometidos por los diferentes actores (guerrillas, grupos paramilitares y agentes estatales y otorgar garantías a las víctimas. Este Marco introduce los principios de priorización y selección para el ejercicio de la acción penal, es decir, define en qué supuestos y con qué criterios se pueden priorizar unos delitos respecto de otros e, incluso, si se puede centrar la investigación penal exclusivamente en los máximos responsables de crímenes de guerra, crímenes contra la humanidad y genocidio. Este es el umbral mínimo que cabe exigir tanto al Estado colombiano (y en particular a las fuerzas armadas como a los miembros del Secretariado de las FARC. El Marco Jurídico para la Paz también prevé la creación de una Comisión de la Verdad que arroje luz sobre los gravísimos crímenes cometidos en Colombia, y deja en manos del Estado instrumentos importantes en materia de flexibilización de la respuesta penal ante los crímenes cometidos por diferentes actores armados. Estos beneficios están condicionados a que los desmovilizados efectúen contribuciones significativas para una paz duradera, la verdad y para lograr la reparación de las víctimas.

  12. Introduction of shared electronic records: multi-site case study using diffusion of innovation theory.

    Science.gov (United States)

    Greenhalgh, Trisha; Stramer, Katja; Bratan, Tanja; Byrne, Emma; Mohammad, Yara; Russell, Jill

    2008-10-23

    To explore the introduction of a centrally stored, shared electronic patient record (the summary care record (SCR)) in England and draw wider lessons about the implementation of large scale information technology projects in health care. Multi-site, mixed method case study applying utilisation focused evaluation. Four early adopter sites for the SCR in England-three in urban areas of relative socioeconomic deprivation and the fourth in a relatively affluent rural area. Data sources and analysis Data included 250 staff interviews, 1500 hours of ethnographic observation, interviews and focus groups with 170 patients and carers, 2500 pages of correspondence and documentary evidence, and incorporation of relevant surveys and statistics produced by others. These were analysed by using a thematic approach drawing on (and extending) a theoretical model of complex change developed in a previous systematic review. Main findings The mixed fortunes of the SCR programme in its first year were largely explained by eight interacting influences. The first was the SCR's material properties (especially technical immaturity and lack of interoperability) and attributes (especially the extent to which potential adopters believed the benefits outweighed the risks). The second was adopters' concerns (especially about workload and the ethicality of sharing "confidential" information on an implied consent model). The third influence was interpersonal influence (for example, opinion leaders, champions, facilitators), and the fourth was organisational antecedents for innovation (for example past experience with information technology projects, leadership and management capacity, effective data capture systems, slack resources). The fifth was organisational readiness for the SCR (for example, innovation-system fit, tension for change, power balances between supporters and opponents, baseline data quality). The sixth was the implementation process (including the nature of the change model and

  13. Activities and interim outcomes of a multi-site development project to promote cognitive support technology use and employment success among postsecondary students with traumatic brain injuries.

    Science.gov (United States)

    Hendricks, Deborah J; Sampson, Elaine; Rumrill, Phillip; Leopold, Anne; Elias, Eileen; Jacobs, Karen; Nardone, Amanda; Scherer, Marcia; Stauffer, Callista

    2015-01-01

    This article describes the activities and interim outcomes of a multi-site development project called Project Career, designed to promote cognitive support technology (CST) use and employment success for college and university students with traumatic brain injuries (TBIs). To obtain early intervention results from participants in Project Career's first 18 months of operation. Fifty-six students with TBI have participated to date across three implementation sites in Massachusetts, Ohio, and West Virginia, with 25 of these participants being military veterans. Descriptive analyses provide information regarding the participants, the barriers they face due to their TBI in obtaining a post-secondary education, and the impact services provided by Project Career have had to date in ameliorating those difficulties. Inferential statistical analyses provide preliminary results regarding program effectiveness. Preliminary results indicate the program is encouraging students to use CST strategies in the form of iPads and cognitive enhancement applications (also known as 'apps'). Significant results indicate participants are more positive, independent, and social; participants have a more positive attitude toward technology after six months in the program; and participants reported significantly improved experiences with technology during their first six months in the program. Participating students are actively preparing for their careers after graduation through a wide range of intensive vocational supports provided by project staff members.

  14. Effect of decision aid for breast cancer prevention on decisional conflict in women with a BRCA1 or BRCA2 mutation: a multisite, randomized, controlled trial.

    Science.gov (United States)

    Metcalfe, Kelly A; Dennis, Cindy-Lee; Poll, Aletta; Armel, Susan; Demsky, Rochelle; Carlsson, Lindsay; Nanda, Sonia; Kiss, Alexander; Narod, Steven A

    2017-03-01

    Women with a BRCA1 or BRCA2 mutation are at high risk for breast cancer and must make important decisions about breast cancer prevention and screening. In the current study, we report a multisite, randomized, controlled trial evaluating the effectiveness of a decision aid for breast cancer prevention in women with a BRCA mutation with no previous diagnosis of cancer. Within 1 month of receiving a positive BRCA result, women were randomized to receive either usual care (control group) or decision aid (intervention group). Participants were followed at 3, 6, and 12 months; were asked about preventive measures; and completed standardized questionnaires assessing decision making and psychosocial functioning. One hundred fifty women were randomized. Mean cancer-related distress scores were significantly lower in the intervention group compared with the control group at 6 months (P = 0.01) and at 12 months postrandomization (P = 0.05). Decisional conflict scores declined over time for both groups and at no time were there statistical differences between the two groups. The decision aid for breast cancer prevention in women with a BRCA1 or BRCA2 mutation is effective in significantly decreasing cancer-related distress within the year following receipt of positive genetic test results.Genet Med 19 3, 330-336.

  15. Multi-Site Clinical Assessment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (MCAM): Design and Implementation of a Prospective/Retrospective Rolling Cohort Study.

    Science.gov (United States)

    Unger, Elizabeth R; Lin, Jin-Mann S; Tian, Hao; Natelson, Benjamin H; Lange, Gudrun; Vu, Diana; Blate, Michelle; Klimas, Nancy G; Balbin, Elizabeth G; Bateman, Lucinda; Allen, Ali; Lapp, Charles W; Springs, Wendy; Kogelnik, Andreas M; Phan, Catrina C; Danver, Joan; Podell, Richard N; Fitzpatrick, Trisha; Peterson, Daniel L; Gottschalk, C Gunnar; Rajeevan, Mangalathu S

    2017-04-15

    In the Multi-Site Clinical Assessment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (MCAM), we relied on expert clinician diagnoses to enroll patients from 7 specialty clinics in the United States in order to perform a systematic collection of data on measures of myalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS). Healthy persons and those with other illnesses that share some features with ME/CFS were enrolled in comparison groups. The major objectives were to: 1) use standardized questionnaires to measure illness domains of ME/CFS and to evaluate patient heterogeneity overall and between clinics; 2) describe the course of illness, identify the measures that best correlate with meaningful clinical differences, and assess the performances of questionnaires as patient/person-reported outcome measures; 3) describe prescribed medications, orders for laboratory and other tests, and management tools used by expert clinicians to care for persons with ME/CFS; 4) collect biospecimens for future hypothesis testing and for evaluation of morning cortisol profiles; and 5) identify measures that best distinguish persons with ME/CFS from those in the comparison groups and detect subgroups of persons with ME/CFS who may have different underlying causes. Enrollment began in 2012 and is planned to continue in multiple stages through 2017. We present the MCAM methods in detail, along with an initial description of the 471 patients with ME/CFS who were enrolled in stage 1. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  16. Imaginología actual del cáncer pulmonar

    Directory of Open Access Journals (Sweden)

    Dr. D. Raúl Pefaur

    2013-01-01

    Los exámenes imaginológicos que en la actualidad se utilizan en el diagnóstico del cáncer pulmonar son la radiografía simple de tórax, la tomografía computada, la resonancia magnética y el PET-CT. En este artículo se analizará el rendimiento de estos exámenes en el diagnóstico y etapificación del cáncer pulmonar, así como la influencia de éstos en el tratamiento, pronóstico y evolución de esta enfermedad.

  17. Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura

    OpenAIRE

    Donoso-Hofer, Francisca; Gutiérrez Díaz, Rodrigo; Ortiz Cárdenas, Rodrigo; Osorio Herrera, Gustavo; Landaeta Mendoza, Mirtha

    2017-01-01

    La parotiditis crónica recurrente infantil (PCRI) es una patología relevante. Su diagnóstico es principalmente clínico, pero se apoya en exámenes imagenológicos. El enfoque actual del tratamiento es diverso. El objetivo es realizar una revisión actualizada sobre las características clínicas, exámenes complementarios, modelos etiopatogénicos y protocolos terapéuticos. Material y Método: Se realizó una búsqueda bibliográfica en PUBMED utilizando los términos libres y términos MESH: PCRI, paroti...

  18. Tumores gástricos malignos en el Hospital San Juan de Dios y la Clínica Carlos Lleras Restrepo de Bogotá

    OpenAIRE

    Viviana L. Arias; Mauricio A. Paláu; Juan José Yunis; Diana Palacios; Orlando Ricaurte

    2001-01-01

    Se revisaron 9.349 informes de estudios de especímenes quirúrgicos del archivo del Departamento de Patología del Hospital San Juan de Dios y la Clínica Carlos Lleras Restrepo de Bogotá en el tiempo comprendido entre enero 1 de 1999 y mayo 31 de 2000. Se seleccionaron los especímenes con diagnóstico de tumores gástricos que correspondieron al 8,61% de los casos; 2,41% fueron tumores benignos y 6,2% malignos De éstos 91,67% fueron adenocarcinomas, 2,78 % linfomas, 1,85% tumores carcinoides y 1,...

  19. Partnership‐Driven Resources to Improve and Enhance Research (PRIMER): A Survey of Community‐Engaged Researchers and Creation of an Online Toolkit

    Science.gov (United States)

    Dolor, Rowena J.; Greene, Sarah M.; Thompson, Ella; Baldwin, Laura‐Mae; Neale, Anne Victoria

    2011-01-01

    Abstract Objective: This project aimed to develop an open‐access website providing adaptable resources to facilitate best practices for multisite research from initiation to closeout. Methods: A web‐based assessment was sent to the leadership of the Clinical and Translational Science Award (CTSA) Community Engagement Key Functions Committee (n= 38) and the CTSA‐affiliated Primary Care Practice‐based Research Networks (PBRN, n= 55). Respondents rated the benefits and barriers of multisite research, the utility of available resources, and indicated their level of interest in unavailable resources. Then, existing research resources were evaluated for relevance to multisite research, adaptability to other projects, and source credibility. Results: Fifty‐five (59%) of invited participants completed the survey. Top perceived benefits of multisite research were the ability to conduct community‐relevant research through academic–community partnerships (34%) and accelerating translation of research into practice (31%). Top perceived barriers were lack of research infrastructure to support PBRNs and community partners (31%) and inadequate funding to support multisite collaborations (26%). Over 200 resources were evaluated, of which 120 unique resources were included in the website. Conclusion: The PRIMER Research Toolkit (http://www.researchtoolkit.org) provides an array of peer‐reviewed resources to facilitate translational research for the conduct of multisite studies within PBRNs and community‐based organizations. Clin Trans Sci 2011; Volume 4: 259–265 PMID:21884512

  20. Quality of life themes in Canadian adults and street youth who are homeless or hard-to-house: a multi-site focus group study.

    Science.gov (United States)

    Palepu, Anita; Hubley, Anita M; Russell, Lara B; Gadermann, Anne M; Chinni, Mary

    2012-08-15

    The aim of this study was to identify what is most important to the quality of life (QoL) of those who experience homelessness by directly soliciting the views of homeless and hard-to-house Canadians themselves. These individuals live within a unique social context that differs considerably from that of the general population. To understand the life areas that are most important to them, it is critical to have direct input from target populations of homeless and hard-to-house persons. Focus groups were conducted with 140 individuals aged 15 to 73 years who were homeless or hard-to-house to explore the circumstances in which they were living and to capture what they find to be important and relevant domains of QoL. Participants were recruited in Toronto, Ottawa, Montreal, and Vancouver. Content analysis was used to analyze the data. Six major content themes emerged: Health/health care; Living conditions; Financial situation; Employment situation; Relationships; and Recreational and leisure activities. These themes were linked to broader concepts that included having choices, stability, respect, and the same rights as other members of society. These findings not only aid our understanding of QoL in this group, but may be used to develop measures that capture QoL in this population and help programs and policies become more effective in improving the life situation for persons who are homeless and hard-to-house. Quality of life themes in Canadian adults and street youth who are homeless or hard-to-house: A multi-site focus group study.

  1. The Importance of Medical Students' Attitudes Regarding Cognitive Competence for Teaching Applied Statistics: Multi-Site Study and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Natasa M Milic

    Full Text Available The scientific community increasingly is recognizing the need to bolster standards of data analysis given the widespread concern that basic mistakes in data analysis are contributing to the irreproducibility of many published research findings. The aim of this study was to investigate students' attitudes towards statistics within a multi-site medical educational context, monitor their changes and impact on student achievement. In addition, we performed a systematic review to better support our future pedagogical decisions in teaching applied statistics to medical students.A validated Serbian Survey of Attitudes Towards Statistics (SATS-36 questionnaire was administered to medical students attending obligatory introductory courses in biostatistics from three medical universities in the Western Balkans. A systematic review of peer-reviewed publications was performed through searches of Scopus, Web of Science, Science Direct, Medline, and APA databases through 1994. A meta-analysis was performed for the correlation coefficients between SATS component scores and statistics achievement. Pooled estimates were calculated using random effects models.SATS-36 was completed by 461 medical students. Most of the students held positive attitudes towards statistics. Ability in mathematics and grade point average were associated in a multivariate regression model with the Cognitive Competence score, after adjusting for age, gender and computer ability. The results of 90 paired data showed that Affect, Cognitive Competence, and Effort scores demonstrated significant positive changes. The Cognitive Competence score showed the largest increase (M = 0.48, SD = 0.95. The positive correlation found between the Cognitive Competence score and students' achievement (r = 0.41; p<0.001, was also shown in the meta-analysis (r = 0.37; 95% CI 0.32-0.41.Students' subjective attitudes regarding Cognitive Competence at the beginning of the biostatistics course, which were

  2. The Importance of Medical Students' Attitudes Regarding Cognitive Competence for Teaching Applied Statistics: Multi-Site Study and Meta-Analysis.

    Science.gov (United States)

    Milic, Natasa M; Masic, Srdjan; Milin-Lazovic, Jelena; Trajkovic, Goran; Bukumiric, Zoran; Savic, Marko; Milic, Nikola V; Cirkovic, Andja; Gajic, Milan; Kostic, Mirjana; Ilic, Aleksandra; Stanisavljevic, Dejana

    2016-01-01

    The scientific community increasingly is recognizing the need to bolster standards of data analysis given the widespread concern that basic mistakes in data analysis are contributing to the irreproducibility of many published research findings. The aim of this study was to investigate students' attitudes towards statistics within a multi-site medical educational context, monitor their changes and impact on student achievement. In addition, we performed a systematic review to better support our future pedagogical decisions in teaching applied statistics to medical students. A validated Serbian Survey of Attitudes Towards Statistics (SATS-36) questionnaire was administered to medical students attending obligatory introductory courses in biostatistics from three medical universities in the Western Balkans. A systematic review of peer-reviewed publications was performed through searches of Scopus, Web of Science, Science Direct, Medline, and APA databases through 1994. A meta-analysis was performed for the correlation coefficients between SATS component scores and statistics achievement. Pooled estimates were calculated using random effects models. SATS-36 was completed by 461 medical students. Most of the students held positive attitudes towards statistics. Ability in mathematics and grade point average were associated in a multivariate regression model with the Cognitive Competence score, after adjusting for age, gender and computer ability. The results of 90 paired data showed that Affect, Cognitive Competence, and Effort scores demonstrated significant positive changes. The Cognitive Competence score showed the largest increase (M = 0.48, SD = 0.95). The positive correlation found between the Cognitive Competence score and students' achievement (r = 0.41; p<0.001), was also shown in the meta-analysis (r = 0.37; 95% CI 0.32-0.41). Students' subjective attitudes regarding Cognitive Competence at the beginning of the biostatistics course, which were directly linked to

  3. Design and challenges for a randomized, multi-site clinical trial comparing the use of service dogs and emotional support dogs in Veterans with post-traumatic stress disorder (PTSD).

    Science.gov (United States)

    Saunders, Gabrielle H; Biswas, Kousick; Serpi, Tracey; McGovern, Stephanie; Groer, Shirley; Stock, Eileen M; Magruder, Kathryn M; Storzbach, Daniel; Skelton, Kelly; Abrams, Thad; McCranie, Mark; Richerson, Joan; Dorn, Patricia A; Huang, Grant D; Fallon, Michael T

    2017-11-01

    Posttraumatic stress disorder (PTSD) is a leading cause of impairments in quality of life and functioning among Veterans. Service dogs have been promoted as an effective adjunctive intervention for PTSD, however published research is limited and design and implementation flaws in published studies limit validated conclusions. This paper describes the rationale for the study design, a detailed methodological description, and implementation challenges of a multisite randomized clinical trial examining the impact of service dogs on the on the functioning and quality of life of Veterans with PTSD. Trial design considerations prioritized participant and intervention (dog) safety, selection of an intervention comparison group that would optimize enrollment in all treatment arms, pragmatic methods to ensure healthy well-trained dogs, and the selection of outcomes for achieving scientific and clinical validity in a Veteran PTSD population. Since there is no blueprint for conducting a randomized clinical trial examining the impact of dogs on PTSD of this size and scope, it is our primary intent that the successful completion of this trial will set a benchmark for future trial design and scientific rigor, as well as guiding researchers aiming to better understand the role that dogs can have in the management of Veterans experiencing mental health conditions such as PTSD. Published by Elsevier Inc.

  4. Medición de habilidades de comprensión lectora y auditiva en estudiantes de Pedagogía en Inglés de una universidad chilena

    Directory of Open Access Journals (Sweden)

    Cecilia Cisterna-Zenteno

    2016-01-01

    Full Text Available Recibido 14 de noviembre de 2014 • Corregido 1 de junio de 2015 • Aceptado 17 de noviembre de 2015El artículo presenta los resultados de una investigación cuyo objetivo fue medir las habilidades de comprensión lectora y auditiva de estudiantes de Pedagogía en Inglés de una universidad chilena. Para ello se aplicaron tres exámenes estandarizados de la Universidad de Cambridge: el examen English Test KET (KET, el Preliminary English Test (PET y el First Certificate Exam (FCE, a estudiantes de segundo, tercer y quinto año, respectivamente. Los datos recolectados fueron analizados con el programa SPSS mediante estadísticas descriptivas. Adicionalmente, estos resultados se complementaron con información recabada de tres grupos focales que tuvieron como propósito determinar las principales dificultades que se presentaron durante la ejecución de los exámenes. Los resultados revelaron que el estudiantado presenta problemas en la habilidad de comprensión auditiva y en la comprensión lectora en los exámenes KET y FCE, donde este último examen es el que obtuvo el más bajo nivel de logro. En cambio, en el examen PET, los puntajes de aprobación alcanzaron un mejor nivel. En los grupos focales, el estudiantado manifestó que sus principales dificultades fueron entender adecuadamente las instrucciones de cada tarea, el alto nivel de concentración requerido para rendir estos exámenes y la poca exposición a ensayos de este tipo de instrumentos de medición. El artículo plantea una posible explicación de los bajos resultados obtenidos en dos de los exámenes, utilizando el concepto de efecto meseta en el proceso de aprendizaje de una lengua. Se concluye con una reflexión sobre la formación inicial del profesorado de inglés en Chile, la importancia del conocimiento del contenido y los desafíos que enfrenta el sistema educativo y las instituciones formadoras a partir de los nuevos estándares pedagógicos establecidos por el

  5. Commande en boucle fermee sur un profil d'aile deformable dans la soufflerie Price-Paidoussis

    Science.gov (United States)

    Brossard, Jeremy

    The purpose of the ATR-42 project is to apply the concept of morphing wings by fabricating a morphing composite wing model of the Regional Transport Aircraft-42 to reduce drag and improve the aerodynamic performance. A control-command system coupled to an actuator mechanism will morph the wing skin. However, for best results, the control of the deformation must be studied carefully to insure the precision. Thus, a dual digitalexperimental approach is required. The solution proposed in this paper focuses on the controlled deformation of the upper wing of the ATR-42. A composite wing model with morphing capabilities was built and tested in the wind tunnel to evaluate its aerodynamic performance and serve as reference. A deformation mechanism, consisting of two engines and two camshafts, was subsequently designed and integrated within this model to obtain the optimum wing shapes according to the different flight condition. A control loop position was modeled in Matlab / Simulink and implemented experimentally to control the mechanism. Two types of results have been obtained. The first set concerned regulation and the second concerned aerodynamics. The control loop has achieved the desired skin displacement with an accuracy of 5%. Deformations of the upper skin were performed by a actuation system driven by motors, limitations supply were assured by the regulation architecture. For several flight conditions, the pressure measurements, validated with simulation results, have confirmed a reduction of the induced drag, compared to the original ATR-42 airfoil drag reduction.

  6. CÓMO OPTIMIZAR LA FARMACODINAMIA ANTIMICROBIANA: UNA GUÍA PARA UN PROGRAMA DE OPTIMIZACIÓN DEL USO DE ANTIMICROBIANOS

    Directory of Open Access Journals (Sweden)

    Joseph L. Kuti

    2016-09-01

    Full Text Available Los conceptos de farmacodinámica deberían aplicarse para optimizar los regímenes de dosificación antibiótica, especialmente de cara a algunas infecciones bacterianas resistentes a múltiples drogas. A pesar de que la farmacodinamia de la mayoría de las clases de antibióticos utilizadas en el ámbito hospitalario está bien descrita, las pautas acerca de cómo seleccionar regímenes y su implementación en un programa de administración antimicrobiana en la propia institución, son más limitadas. La función del antibiótico en concentraciones mínimas inhibitorias (MIC es primordial para entender qué regímenes podrían beneficiarse de la implementación como un protocolo o como uso en los pacientes individuales. Este artículo destaca la farmacodinámica de aminoglucósidos, betalactámicos, fluoroquinolonas, tigeciclina, vancomicina, polimixinas, con el objetivo de proporcionar una base estratégica para seleccionar un régimen antibiótico optimizado en vuestro ámbito hospitalario.

  7. Speeding up IA mechanically-steered multistatic radar scheduling with GP-GPUs

    CSIR Research Space (South Africa)

    Focke, RW

    2016-07-01

    Full Text Available In this paper, the authors investigate speeding up the execution time of Interval Algebra (IA) mechanically-steered multistatic and multisite radar scheduling using a general-purpose graphical processing unit (GP-GPU). Multistatic/multisite radar...

  8. Las dictaduras de Vargas y Franco: implicaciones de la consagración de la maternidad para la enfermería

    OpenAIRE

    Tânia Cristina Franco Santos; Ieda de Alencar Barreira; Antonio José de Almeida Filho; Alexandre Barbosa de Oliveira

    2010-01-01

    Este estudio tuvo como objetivo describir las características históricas y sociales de Brasil y España en el contexto de los regímenes dictatoriales instaurados por Vargas y Franco, y analizar las representaciones sobre la maternidad en el contexto de esos regímenes y sus implicaciones para la enfermería. Es un estudio histórico y social cuyo método consideró como fuentes: documentos escritos brasileños y españoles. La recolección de los datos se hizó en el período de 13 de mayo a 29 de agost...

  9. Control Prenatal

    Directory of Open Access Journals (Sweden)

    P. Susana Aguilera, DRA.

    2014-11-01

    Full Text Available Los principales objetivos del control prenatal son identificar aquellos pacientes de mayor riesgo, con el fin de realizar intervenciones en forma oportuna que permitan prevenir dichos riesgos y así lograr un buen resultado perinatal. Esto se realiza a través de la historia médica y reproductiva de la mujer, el examen físico, la realización de algunos exámenes de laboratorio y exámenes de ultrasonido. Además es importante promover estilos de vida saludables, la suplementación de ácido fólico, una consejería nutricional y educación al respecto.

  10. Una aproximación del efecto en el aprendizaje de una lengua extranjera debida a la obtención de datos a través de exámenes en línea de idiomas

    Directory of Open Access Journals (Sweden)

    Teresa Magal -Royo

    2017-01-01

    Full Text Available La Inteligencia Artificial orientada a la educación (AIEd permite adecuar y/o adaptar los itinerarios del aprendizaje de un usuario mediante procesos inductivos basados en la extracción de datos obtenidos de las evidencias formativas que genera a lo largo de su vida escolar . El Big data , o datos masivos es el almacenamiento de grandes cantidades de datos que pueden ser analizados por diversos procedimientos y que permite encontrar patrones repetitivos o formulas p redictivas que pueden generar un aprendizaje sobre nosotros mismos y sobre todo en la red. En el caso de los datos masivos que se generan a través de los exámenes utilizados en el aprendizaje y certificación de conocimiento de idiomas como segunda lengua a nivel nacional encontramos que podría ser útil aplicar las metodologías de procesamiento del Big Data para conocer mejor si la información generada a través de los test pueden mejorar o crear nuevas estrategias de aprendizaje o establecer criterios forma les en el diseño de las pruebas, teorías de adquisición de se segunda lengua o incluso políticas educativas. La novedad de artículo se centra en establecer directrices viables para aplicar los conceptos más genéricos del Big Data en el contexto específico de los test de evaluación de idiomas como segunda lengua y donde existe a priori una gran cantidad de información a procesar a nivel educativo. El artículo muestra algunas directrices que podrían aplicarse en los mecanismos aplicados en la extracción de da tos educativos del aprendizaje de idiomas a gran escala en el entorno específico de los test de evaluación de idiomas como lengua extranjera .

  11. Evaluating meteorological data from weather stations, and from satellites and global models for a multi-site epidemiological study.

    Science.gov (United States)

    Colston, Josh M; Ahmed, Tahmeed; Mahopo, Cloupas; Kang, Gagandeep; Kosek, Margaret; de Sousa Junior, Francisco; Shrestha, Prakash Sunder; Svensen, Erling; Turab, Ali; Zaitchik, Benjamin

    2018-04-21

    Longitudinal and time series analyses are needed to characterize the associations between hydrometeorological parameters and health outcomes. Earth Observation (EO) climate data products derived from satellites and global model-based reanalysis have the potential to be used as surrogates in situations and locations where weather-station based observations are inadequate or incomplete. However, these products often lack direct evaluation at specific sites of epidemiological interest. Standard evaluation metrics of correlation, agreement, bias and error were applied to a set of ten hydrometeorological variables extracted from two quasi-global, commonly used climate data products - the Global Land Data Assimilation System (GLDAS) and Climate Hazards Group InfraRed Precipitation with Stations (CHIRPS) - to evaluate their performance relative to weather-station derived estimates at the specific geographic locations of the eight sites in a multi-site cohort study. These metrics were calculated for both daily estimates and 7-day averages and for a rotavirus-peak-season subset. Then the variables from the two sources were each used as predictors in longitudinal regression models to test their association with rotavirus infection in the cohort after adjusting for covariates. The availability and completeness of station-based validation data varied depending on the variable and study site. The performance of the two gridded climate models varied considerably within the same location and for the same variable across locations, according to different evaluation criteria and for the peak-season compared to the full dataset in ways that showed no obvious pattern. They also differed in the statistical significance of their association with the rotavirus outcome. For some variables, the station-based records showed a strong association while the EO-derived estimates showed none, while for others, the opposite was true. Researchers wishing to utilize publicly available climate data

  12. Validity Evidence and Scoring Guidelines for Standardized Patient Encounters and Patient Notes From a Multisite Study of Clinical Performance Examinations in Seven Medical Schools.

    Science.gov (United States)

    Park, Yoon Soo; Hyderi, Abbas; Heine, Nancy; May, Win; Nevins, Andrew; Lee, Ming; Bordage, Georges; Yudkowsky, Rachel

    2017-11-01

    To examine validity evidence of local graduation competency examination scores from seven medical schools using shared cases and to provide rater training protocols and guidelines for scoring patient notes (PNs). Between May and August 2016, clinical cases were developed, shared, and administered across seven medical schools (990 students participated). Raters were calibrated using training protocols, and guidelines were developed collaboratively across sites to standardize scoring. Data included scores from standardized patient encounters for history taking, physical examination, and PNs. Descriptive statistics were used to examine scores from the different assessment components. Generalizability studies (G-studies) using variance components were conducted to estimate reliability for composite scores. Validity evidence was collected for response process (rater perception), internal structure (variance components, reliability), relations to other variables (interassessment correlations), and consequences (composite score). Student performance varied by case and task. In the PNs, justification of differential diagnosis was the most discriminating task. G-studies showed that schools accounted for less than 1% of total variance; however, for the PNs, there were differences in scores for varying cases and tasks across schools, indicating a school effect. Composite score reliability was maximized when the PN was weighted between 30% and 40%. Raters preferred using case-specific scoring guidelines with clear point-scoring systems. This multisite study presents validity evidence for PN scores based on scoring rubric and case-specific scoring guidelines that offer rigor and feedback for learners. Variability in PN scores across participating sites may signal different approaches to teaching clinical reasoning among medical schools.

  13. Quality of life themes in Canadian adults and street youth who are homeless or hard-to-house: A multi-site focus group study

    Directory of Open Access Journals (Sweden)

    Palepu Anita

    2012-08-01

    Full Text Available Abstract Background The aim of this study was to identify what is most important to the quality of life (QoL of those who experience homelessness by directly soliciting the views of homeless and hard-to-house Canadians themselves. These individuals live within a unique social context that differs considerably from that of the general population. To understand the life areas that are most important to them, it is critical to have direct input from target populations of homeless and hard-to-house persons. Methods Focus groups were conducted with 140 individuals aged 15 to 73 years who were homeless or hard-to-house to explore the circumstances in which they were living and to capture what they find to be important and relevant domains of QoL. Participants were recruited in Toronto, Ottawa, Montreal, and Vancouver. Content analysis was used to analyze the data. Results Six major content themes emerged: Health/health care; Living conditions; Financial situation; Employment situation; Relationships; and Recreational and leisure activities. These themes were linked to broader concepts that included having choices, stability, respect, and the same rights as other members of society. Conclusions These findings not only aid our understanding of QoL in this group, but may be used to develop measures that capture QoL in this population and help programs and policies become more effective in improving the life situation for persons who are homeless and hard-to-house. Quality of life themes in Canadian adults and street youth who are homeless or hard-to-house: A multi-site focus group study.

  14. Børn som skabere af betydning og mening

    DEFF Research Database (Denmark)

    Balle, Søren Hattesen; Olsen, Merete; Svendsen Pedersen, Michael

    2017-01-01

    One of the main issue of teaching English to young learners is whether language learning is different for young learners as opposed to adult learners. Researchers have adopted two different approaches to this question: one is a psychological developmental approach inspired by Piaget, the other...

  15. Børn som skabere af betydning og mening

    DEFF Research Database (Denmark)

    Hattesen Balle, Søren; Olsen, Merete; Pedersen, Michael Svendsen

    2018-01-01

    One of the main issues of teaching English to young learners is whether language learning is different for young learners as opposed to adult learners. Researchers have adopted two different approaches to this question: one is a psychological developmental approach inspired by Piaget, the other...

  16. Forvandling, fortælling og handling med mening

    DEFF Research Database (Denmark)

    Dupont, Søren

    2015-01-01

    Artiklen fokuserer på en række begreber og udviklinger hos Jerome Bruner og diskuterer de forskellige grundlag, som Jerome Bruner gennem tiderne har haft fokus på uden at noget grundlag på noget tidspunkt entydigt har været bestemmende. Jerome Bruner har bevæget sig fra at være orienteret mod...

  17. 76 FR 66305 - Agency Information Collection Request, 30-Day Public Comment Request

    Science.gov (United States)

    2011-10-26

    ...: (1) Community awareness, (2) capacity building, and (3) prevention education. The multisite... participant knowledge and behavior related to sexual health. The multisite evaluation is comprised of two main... activities and (2) Prevention Education Version to be administered to women who receive prevention education...

  18. La violencia sexual más allá de toda duda razonable: el uso de prueba y análisis de patrones en casos internacionales

    Directory of Open Access Journals (Sweden)

    Xabier Agirre Aranburu

    2011-12-01

    Full Text Available El éxito de las investigaciones de crímenes internacionales (genocidio, crímenes de guerra y crímenes de lesa humanidaddepende en gran parte de poder establecer el patrón delictivo. El patrón delictivo es el conjunto de características que tienen en común varios incidentes con relación a las víctimas, los perpetradores y el modus operandi. Las pruebas y los análisis con base en patrones han sido utilizados con éxito principalmente en las investigaciones de masacres, destrucciones y desplazamiento, pero su utilización en imputaciones de violencia sexual ha sido notoriamente más limitada. Es necesario cubrir este vacío por medio del establecimiento de métodos apropiados de recolección y análisis de datos. A nivel de la recolección de pruebas, la carencia de denuncias presentadas por lasvíctimas se debe suplir por medio de encuestas a las víctimas o por medio del análisis de la información secundaria disponible en diferentes fuentes. A nivel de análisis, la evidencia disponible debe ser evaluada de manera imparcial, independientemente de las ideas preconcebidas de las partes en conflicto y de los grupos de defensa dederechos, cumpliendo con los estándares y métodos científicos para el análisis cuantitativo, cualitativo y de sistemas de información geográfica (GIS. Un análisis de varias experiencias investigativas y de la jurisprudencia permitirá establecer la metodología más apropiada y será la manera más eficiente de ayudar a poner fin a la impunidadrelacionada con los crímenes sexuales.

  19. Screening for BRCA1 and BRCA2 mutations in breast cancer patients from mexico: the public health perspective Tamizaje de BRCA1 y BRCA2 en pacientes con cáncerde mama en méxico: perspectiva de la salud pública

    Directory of Open Access Journals (Sweden)

    Steven A Narod

    2009-01-01

    Full Text Available Genetic testing for mutations in BRCA1 and BRCA2 has potentially important public health implications. Through judicious testing of women believed to be at high risk for early-onset breast cancer and for ovarian cancer, it is possible to identify highly-predisposed women prior to the development of cancer. Current preventive options include preventive mastectomy, preventive oophorectomy, tamoxifen and oral contraceptives. The ability to offer genetic testing in Mexico on a widespread level is enhanced if the common founder mutations in the two genes can be discovered or if the cost of genetic sequencing is reduced. It is important that a genetic testing service be a multi-disciplinary effort with co-ordinated follow-up.Los exámenes genéticos para las mutaciones en el BRCA 1 y el BRCA 2 tienen potencialmente una importante implicación en materia de salud pública. A través de exámenes juiciosos en mujeres en las que se cree que tienen un riesgo alto de padecer cáncer de mama y de ovario de inicio temprano, es posible identificar mujeres con una alta predisposición antes de que éstas desarrollen el cáncer de mama. Dentro de las medidas preventivas actuales se incluyen la mastectomía, la ooforectomía, el tamoxifen y los anticonceptivos orales. En México, la habilidad para ofrecer exámenes genéticos a nivel poblacional se vería favorecida si se pudiesen descubrir las mutaciones fundadoras en los dos genes o si el costo del secuenciamiento genético fuese reducido. Es muy importante que el servicio de los exámenes genéticos sea el resultado de un esfuerzo multidisciplinario con seguimiento coordinado de los pacientes.

  20. 76 FR 35443 - Agency Information Collection Request. 60-Day Public Comment Request

    Science.gov (United States)

    2011-06-17

    ...) capacity building, and (3) prevention education. The multisite evaluation will provide data on the content... related to sexual health. The multisite evaluation is comprised of two main activities across three...) Prevention Education Version to be administered to women who receive prevention education through the program...

  1. Dippedutter og duppeditter

    DEFF Research Database (Denmark)

    Boye, Kasper

    2010-01-01

    mene, at det er hip som hap, om man siger det ene eller det andet, for de to former er synonymer. Begge betegner ifølge Den Danske Ordbog en ”lille genstand som man har svært ved at karakterisere nærmere, og som man ikke kender eller kan huske navnet på”. Man kan ikke imidlertid ikke mene, at det er...... hap som hip. I lyset af denne observation bliver det interessant, at vi har både dippedutter og duppeditter. Går man sproghistorisk til sagen, bliver det rigtig spændende, for overraskende nok er det tilsyneladende den mindst hyppige form, duppedit, der er den oprindelige form. Den er sandsynligvis en...

  2. Una nova eina per a crear exàmens online. Integració amb Aula Virtual

    Directory of Open Access Journals (Sweden)

    Paloma Moreno Clari

    2009-07-01

    Full Text Available Actualmente, la Universitat de València utiliza un Sistema de Gestión del Aprendizaje (en ingles Learning Management System LMS, como apoyo al proceso de enseñanza-aprendizaje. Este LMS incluye una herramienta que permite a los profesores crear exámenes online. Sin embargo, la interfaz de usuario que provee la plataforma no presenta un entorno amigable. Para mejorar la usabilidad del modulo, hemos desarrollado un programa informático que simplifica el proceso. Partiendo de un programa open source denominado QAED, desarrollado en la Universitat Pompeu Fabra, lo hemos extendido para permitir a los profesores crear exámenes offline. Después, pueden importarse fácilmente al Aula Virtual.

  3. First observations of the bigfin squid Magnapinna sp. in the Colombian Southern Caribbean.

    Science.gov (United States)

    Guerrero-Kommritz, Jurgen; Cantera, Jaime; Puentes, Vladimir; Leon, Jorge

    2018-01-01

    Herein, first observations are reported of Magnapinna squids in the Colombian Southern Caribbean. Two specimens were observed by Remote Operated Vehicles (ROV) during exploratory drilling surveys for hydrocarbons at 1,883 and 2,294 m depth. These are the first observations of specimens of Magnapinna in the Southern Caribbean. Resumen La primera observación del calamar Magnapinna sp. en el caribe sur colombiano. Dos especímenes de calamares de aleta grande fueron observados con submarino de operación remota (ROV) durante un proyecto de perforación exploratoria de hidrocaburos a profundidades de 1,883 y de 2,294 m, respectivamente. Estas son las primeras observaciones de especímenes de Magnapinna en el Caribe Sur.

  4. Fire regimes and vegetation responses in two Mediterranean-climate regions Regímenes de incendios y respuestas de la vegetación en dos regiones de clima Mediterráneo

    Directory of Open Access Journals (Sweden)

    GLORIA MONTENEGRO

    2004-09-01

    other environmental pressures, such as severe and long summer droughts, herbivory, and volcanism. Although both Mediterranean-type ecosystems have shown to be resilient to anthropogenic fires, increasing fire frequency may be an important factor that needs to be considered as it may result in strong negative effects on plant successional trends and on plant diversityLos incendios forestales originados por tormentas estivales son una característica común en la mayoría de las regiones con clima Mediterráneo, tal como el sur de California, y han jugado un rol importante en la ecología y evolución de su flora. Las regiones con clima Mediterráneo han sido, además, centros importantes para el establecimiento de poblaciones humanas, las que al alterar los regímenes de incendios podrían producir efectos negativos importantes en este tipo de formaciones vegetales. Sin embargo, los efectos antrópicos sobre el régimen de incendios podrían tener impactos distintos en ecosistemas Mediterráneos cuya vegetación ha evolucionado naturalmente con este tipo de perturbación. Así, en este trabajo comparamos los regímenes de incendios y la capacidad de respuesta de la vegetación de dos regiones con clima Mediterráneo que han tenido historias distintas en cuanto a la ocurrencia natural de incendios forestales y de ocupación humana, tales como la zona central de Chile (matorral y el sur de California (chaparral. En Chile, casi todos los incendios forestales son el resultado de actividades antrópicas, mientras que en California los incendios producidos por el hombre se suman a los producidos por tormentas estivales. En ambas regiones, los incendios son más frecuentes en verano debido a la acumulación de biomasa vegetal seca altamente combustible. El hombre ha incrementado significativamente la frecuencia de incendios tanto en el matorral como en el chaparral en las últimas décadas, pero la extensión de los incendios no se ha incrementado en forma importante

  5. Diagnóstico de la colección de escarabajos coprófagos (scarabaeidae: scarabaeinae del Museo Entomológico Francisco Luis Gallego, Universidad Nacional de Colombia, sede Medellín

    Directory of Open Access Journals (Sweden)

    Diego Esteban Martinez-Revelo

    2017-01-01

    Full Text Available Se presenta el diagnóstico del estado de  organización y conservación de la colección de escarabajos coprófagos (Scarabaeidae: Scarabaeinae del Museo Entomológico Francisco Luis Gallego, de acuerdo con los diferentes niveles de curaduría del Índice de Salud de Colecciones (ISC. Se evaluaron 2405 especímenes con el fin de obtener información sobre el perfil de organización de la colección y las prioridades de gestión de la misma. El mayor porcentaje de especímenes se encontraron en los niveles dos (30.6%: ausencia de un proceso curatorial adecuado; y cinco (30.2%: curaduría completa, pero sin nomenclatura taxonómica actualizada. El índice de salud muestra que el 68.9% de la colección requiere actividades curatoriales. Las prioridades de manejo se enfocan en los niveles dos y tres, referentes a la organización física y accesibilidad al material por especialistas. Los resultados sugieren la necesidad de aumentar esfuerzos en el procesamiento taxonómico y visita de especialistas. Además es urgente catalogar, sistematizar e incorporar especímenes en la colección taxonómica central.

  6. Physical workload, leisure-time physical activity, obesity and smoking as predictors of multisite musculoskeletal pain. A 2-year prospective study of kitchen workers.

    Science.gov (United States)

    Haukka, Eija; Ojajärvi, Anneli; Takala, Esa-Pekka; Viikari-Juntura, Eira; Leino-Arjas, Päivi

    2012-07-01

    The aim of this prospective study was to examine the role of physical workload, leisure-time physical activity, obesity and smoking in predicting the occurrence and course of multisite musculoskeletal pain (MSP). Data on physical and psychosocial workload, lifestyle factors and MSP were based on questionnaire surveys of 385 Finnish female kitchen workers. MSP (defined as pain at three or more of seven sites) during the past 3 months was measured repeatedly at 3-month intervals over 2 years. Four different patterns (trajectories) in the course of MSP were identified. The authors analysed whether the determinants at baseline predicted the occurrence of MSP (1) at the 2-year follow-up and (2) over the total of nine measurements during the 2 years by exploiting the MSP trajectories. Logistic regression was used. High physical workload at baseline was an independent predictor of MSP at the 2-year follow-up (OR 3.8, 95% CI 1.7 to 8.5) in a model allowing for age, psychosocial factors at work and lifestyle. High physical workload (OR 2.0, 95% CI 1.0 to 4.0) and moderate (OR 2.4, 95% CI 1.2 to 4.9) or low (OR 2.3, 95% CI 1.1 to 4.7) physical activity predicted persistent MSP. Obesity (OR 2.8, 95% CI 1.0 to 7.8) predicted an increased, and not being obese (OR 3.7, 95% CI 1.1 to 12.7) a decreased, prevalence of MSP in models similarly including all covariates. Smoking had no effect. The results emphasise the importance of high physical workload, low to moderate physical activity and obesity as potential modifiable risk factors for the occurrence and course of MSP over time.

  7. Low prevalence of work disability in early inflammatory arthritis (EIA) and early rheumatoid arthritis at enrollment into a multi-site registry: results from the catch cohort.

    Science.gov (United States)

    Mussen, Lauren; Boyd, Tristan; Bykerk, Vivian; de Leon, Faye; Li, Lihua; Boire, Gilles; Hitchon, Carol; Haraoui, Boulos; Thorne, J Carter; Pope, Janet

    2013-02-01

    We determined the prevalence of work disability in early rheumatoid arthritis (ERA) and undifferentiated early inflammatory arthritis (EIA) patients at first enrollment into the Canadian Early Arthritis Cohort (CATCH) who met the 2010 ACR criteria versus those not meeting criteria, to determine the impact of meeting new criteria on work disability status. Data at first visit into the cohort were analyzed. Descriptive statistics and logistic regression analyses were performed to investigate the association of other variables in our database with work disability. 1,487 patients were enrolled in the CATCH study, a multi-site observational, prospective cohort of patients with EIA. 934 patients were excluded (505 based on missing criteria for ACR 2010 classification, as anti-CCP was absent, and 429 were not working for other reasons). Of the 553 patients included, 71 % were female with mean disease duration of 6.4 months. 524 (94.8 %) were employed while 29 (5.2 %) reported work disability at first visit. There were no differences between those meeting 2010 ACR criteria versus those who did not. Baseline characteristics associated with work disability were male gender, age, education, income, HAQ, and positive RF status. The mean HAQ score in work disabled patients was 1.4 versus 0.9 in those who were working (p 50 years; p = 0.3), lower education (p = 0.3) or RF positivity (p = 0.6). We found rates of work disability to be low at entry into this EIA cohort compared to previous studies. There may be potential for intervention in ERA to prevent the development of work disability.

  8. El derecho internacional penal y el asunto de la amnistía. El caso de las Farc.

    Directory of Open Access Journals (Sweden)

    Francisco Cortés Rodas

    2013-01-01

    Full Text Available En este artículo se plantea si es posible en un proceso de negociación de un gobierno con un grupo rebelde proponer una amnistía o el perdón jurídico de crímenes internacionales. De un lado, el derecho internacional penal ha hecho posible sancionar los crímenes más graves mediante la intervención de tribunales internacionales. Pero de otro lado, si en la negociación se busca someter a los miembros del grupo rebelde a tribunales nacionales o internacionales, la paz les puede parecer demasiado costosa. Preferirán seguir en la guerra a aceptar unas condiciones en los diálogos que sean absolutamente contrarias a sus intereses.

  9. Size and distribution of Pandarus satyrus (Copepoda: Pandaridae on the blue shark Prionace glauca (Carcharhiniformes: Carcharhinidae in Costa Rica

    Directory of Open Access Journals (Sweden)

    José Rodrigo Rojas M.

    2001-03-01

    Full Text Available A total of 80 specimens of Pandarus satyrus, a cosmopolitan ectoparasitic copepod, were taken from fishery catches of blue sharks (Prionace glauca in the Eastern Pacific coast of Costa Rica. All specimens were found in the dorsal surface of pectoral fins (8-30 per shark. Longer specimens were most abundant.Un total de 80 especímenes de Pandarus satyrus, un copépodo ectoparásito cosmopolita, fueron tomados de tiburones azules (Prionace glauca capturados en la costa del Pacífico Oriental de Costa Rica. Todos los especímenes fueron encontrados en la superficie dorsal de las aletas pectorales (entre 8 y 30 por tiburón. Los parásitos más grandes son los más abundantes.

  10. First observations of the bigfin squid Magnapinna sp. in the Colombian Southern Caribbean

    Directory of Open Access Journals (Sweden)

    Jurgen Guerrero-Kommritz

    2018-05-01

    Full Text Available Herein, first observations are reported of Magnapinna squids in the Colombian Southern Caribbean. Two specimens were observed by Remote Operated Vehicles (ROV during exploratory drilling surveys for hydrocarbons at 1,883 and 2,294 m depth. These are the first observations of specimens of Magnapinna in the Southern Caribbean. Resumen La primera observación del calamar Magnapinna sp. en el caribe sur colombiano. Dos especímenes de calamares de aleta grande fueron observados con submarino de operación remota (ROV durante un proyecto de perforación exploratoria de hidrocaburos a profundidades de 1,883 y de 2,294 m, respectivamente. Estas son las primeras observaciones de especímenes de Magnapinna en el Caribe Sur.

  11. Equiprobable Growth Model and Growth Cycles: An Approximation to Persistence and Volatility

    Directory of Open Access Journals (Sweden)

    Zeus Salvador Hernández Veleros

    2008-01-01

    Full Text Available Este artículo presenta una aproximación novedosa al estudio de los ciclos de crecimiento, para lo cual se emplea la distribucion de probabilidad multinomial y el denominado modelo de crecimiento equiprobable. El estudio considera información de 142 economías durante el periodo 1950-2000, las cuales son agrupadas en siete clusters. El análisis planteado define tres regímenes de crecimiento y sus características (duración, volatilidad y correlación entre tales regímenes. A partir del ciclo de crecimiento estimado para cada cluster se obtiene una tendencia de largo plazo mediante el uso del valor esperado. Las hipótesis del artículo son examinadas mediante bootstrap.

  12. Breast Cancer in Systemic Lupus Erythematosus

    DEFF Research Database (Denmark)

    Tessier Cloutier, B; Clarke, A E; Ramsey-Goldman, R

    2013-01-01

    Evidence points to a decreased breast cancer risk in systemic lupus erythematosus (SLE). We analyzed data from a large multisite SLE cohort, linked to cancer registries.......Evidence points to a decreased breast cancer risk in systemic lupus erythematosus (SLE). We analyzed data from a large multisite SLE cohort, linked to cancer registries....

  13. Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study

    Directory of Open Access Journals (Sweden)

    Georgiou Andrew

    2009-11-01

    Full Text Available Abstract Background Widespread adoption of information and communication technologies (ICT is a key strategy to meet the challenges facing health systems internationally of increasing demands, rising costs, limited resources and workforce shortages. Despite the rapid increase in ICT investment, uptake and acceptance has been slow and the benefits fewer than expected. Absent from the research literature has been a multi-site investigation of how ICT can support and drive innovative work practice. This Australian-based project will assess the factors that allow health service organisations to harness ICT, and the extent to which such systems drive the creation of new sustainable models of service delivery which increase capacity and provide rapid, safe, effective, affordable and sustainable health care. Design A multi-method approach will measure current ICT impact on workforce practices and develop and test new models of ICT use which support innovations in work practice. The research will focus on three large-scale commercial ICT systems being adopted in Australia and other countries: computerised ordering systems, ambulatory electronic medical record systems, and emergency medicine information systems. We will measure and analyse each system's role in supporting five key attributes of work practice innovation: changes in professionals' roles and responsibilities; integration of best practice into routine care; safe care practices; team-based care delivery; and active involvement of consumers in care. Discussion A socio-technical approach to the use of ICT will be adopted to examine and interpret the workforce and organisational complexities of the health sector. The project will also focus on ICT as a potentially disruptive innovation that challenges the way in which health care is delivered and consequently leads some health professionals to view it as a threat to traditional roles and responsibilities and a risk to existing models of care

  14. Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study.

    Science.gov (United States)

    Westbrook, Johanna I; Braithwaite, Jeffrey; Gibson, Kathryn; Paoloni, Richard; Callen, Joanne; Georgiou, Andrew; Creswick, Nerida; Robertson, Louise

    2009-11-08

    Widespread adoption of information and communication technologies (ICT) is a key strategy to meet the challenges facing health systems internationally of increasing demands, rising costs, limited resources and workforce shortages. Despite the rapid increase in ICT investment, uptake and acceptance has been slow and the benefits fewer than expected. Absent from the research literature has been a multi-site investigation of how ICT can support and drive innovative work practice. This Australian-based project will assess the factors that allow health service organisations to harness ICT, and the extent to which such systems drive the creation of new sustainable models of service delivery which increase capacity and provide rapid, safe, effective, affordable and sustainable health care. A multi-method approach will measure current ICT impact on workforce practices and develop and test new models of ICT use which support innovations in work practice. The research will focus on three large-scale commercial ICT systems being adopted in Australia and other countries: computerised ordering systems, ambulatory electronic medical record systems, and emergency medicine information systems. We will measure and analyse each system's role in supporting five key attributes of work practice innovation: changes in professionals' roles and responsibilities; integration of best practice into routine care; safe care practices; team-based care delivery; and active involvement of consumers in care. A socio-technical approach to the use of ICT will be adopted to examine and interpret the workforce and organisational complexities of the health sector. The project will also focus on ICT as a potentially disruptive innovation that challenges the way in which health care is delivered and consequently leads some health professionals to view it as a threat to traditional roles and responsibilities and a risk to existing models of care delivery. Such views have stifled debate as well as wider

  15. Distribution of Bell-inequality violation versus multiparty-quantum-correlation measures

    Science.gov (United States)

    Sharma, Kunal; Das, Tamoghna; Sen (de), Aditi; Sen, Ujjwal

    Violation of a Bell inequality guarantees the existence of quantum correlations in a shared quantum state. A pure bipartite quantum state, having nonvanishing quantum correlation, always violates a Bell inequality. Such correspondence is absent for multipartite pure quantum states in the case of multipartite correlation function Bell inequalities with two settings at each site. We establish a connection between the monogamy of Bell-inequality violation and multiparty quantum correlations for shared multisite quantum states. We believe that the relation is generic, as it is true for a number of different multisite measures that are defined from radically different perspectives. Precisely, we quantify the multisite-quantum-correlation content in the states by generalized geometric measure, a genuine multisite entanglement measure, as well as three monogamybased multiparty-quantum-correlation measures, viz., 3-tangle, quantum-discord score, and quantum-work-deficit score. We find that generalized Greenberger-Horne-Zeilinger states and another single-parameter family of states, which we refer to as the special Greenberger-Horne-Zeilinger states, have the status of extremal states in such relations.

  16. MO-F-CAMPUS-T-04: Implementation of a Standardized Monthly Quality Check for Linac Output Management in a Large Multi-Site Clinic

    Energy Technology Data Exchange (ETDEWEB)

    Xu, H; Yi, B; Prado, K [Univ. of Maryland School Of Medicine, Baltimore, MD (United States)

    2015-06-15

    Purpose: This work is to investigate the feasibility of a standardized monthly quality check (QC) of LINAC output determination in a multi-site, multi-LINAC institution. The QC was developed to determine individual LINAC output using the same optimized measurement setup and a constant calibration factor for all machines across the institution. Methods: The QA data over 4 years of 7 Varian machines over four sites, were analyzed. The monthly output constancy checks were performed using a fixed source-to-chamber-distance (SCD), with no couch position adjustment throughout the measurement cycle for all the photon energies: 6 and 18MV, and electron energies: 6, 9, 12, 16 and 20 MeV. The constant monthly output calibration factor (Nconst) was determined by averaging the machines’ output data, acquired with the same monthly ion chamber. If a different monthly ion chamber was used, Nconst was then re-normalized to consider its different NDW,Co-60. Here, the possible changes of Nconst over 4 years have been tracked, and the precision of output results based on this standardized monthly QA program relative to the TG-51 calibration for each machine was calculated. Any outlier of the group was investigated. Results: The possible changes of Nconst varied between 0–0.9% over 4 years. The normalization of absorbed-dose-to-water calibration factors corrects for up to 3.3% variations of different monthly QA chambers. The LINAC output precision based on this standardized monthly QC relative to the TG-51 output calibration is within 1% for 6MV photon energy and 2% for 18MV and all the electron energies. A human error in one TG-51 report was found through a close scrutiny of outlier data. Conclusion: This standardized QC allows for a reasonably simplified, precise and robust monthly LINAC output constancy check, with the increased sensitivity needed to detect possible human errors and machine problems.

  17. Orthopaedic resident preparedness for closed reduction and pinning of pediatric supracondylar fractures is improved by e-learning: a multisite randomized controlled study.

    Science.gov (United States)

    Hearty, Thomas; Maizels, Max; Pring, Maya; Mazur, John; Liu, Raymond; Sarwark, John; Janicki, Joseph

    2013-09-04

    There is a need to provide more efficient surgical training methods for orthopaedic residents. E-learning could possibly increase resident surgical preparedness, confidence, and comfort for surgery. Using closed reduction and pinning of pediatric supracondylar humeral fractures as the index case, we hypothesized that e-learning could increase resident knowledge acquisition for case preparation in the operating room. An e-learning surgical training module was created on the Computer Enhanced Visual Learning platform. The module provides a detailed and focused road map of the procedure utilizing a multimedia format. A multisite prospective randomized controlled study design compared residents who used a textbook for case preparation (control group) with residents who used the same textbook plus completed the e-learning module (test group). All subjects completed a sixty-question test on the theory and methods of the case. After completion of the test, the control group then completed the module as well. All subjects were surveyed on their opinion regarding the effectiveness of the module after performing an actual surgical case. Twenty-eight subjects with no previous experience in this surgery were enrolled at four academic centers. Subjects were randomized into two equal groups. The test group scored significantly better (p < 0.001) and demonstrated competence on the test compared with the control group; the mean correct test score (and standard deviation) was 90.9% ± 6.8% for the test group and 73.5% ± 6.4% for the control group. All residents surveyed (n = 27) agreed that the module is a useful supplement to traditional methods for case preparation and twenty-two of twenty-seven residents agreed that it reduced their anxiety during the case and improved their attention to surgical detail. E-learning using the Computer Enhanced Visual Learning platform significantly improved preparedness, confidence, and comfort with percutaneous closed reduction and pinning of a

  18. Anomalías morfológicas en los dientes del cibario de Lutzomyia evansi (Diptera: Psychodidae en el estado Trujillo, Venezuela

    Directory of Open Access Journals (Sweden)

    Yolanda Méndez-de Daboín

    2015-06-01

    Full Text Available Introducción. Lutzomyia evansi es un reconocido vector de Leishmania infantum en Colombia y Venezuela. Objetivo. Describir e ilustrar las anomalías morfológicas presentes en el cibario de hembras de Lu. evansi capturadas en un foco rural de leishmaniasis visceral en Trujillo, Venezuela. Materiales y métodos. Para la captura de los flebótomos se utilizaron tres diferentes métodos (trampa Shannon, trampas de luz del tipo CDC y capturas en reposo. En la identificación taxonómica se siguió la clave de Young & Duncan (1994 y los diseños biológicos se hicieron utilizando un microscopio óptico con cámara clara. Resultados. En 3.477 especímenes de Lu. evansi se detectaron cuatro (0,12 % hembras con diferentes anomalías en el cibario. Conclusión. Algunos especímenes de Lu. evansi pueden presentar anomalías morfológicas relacionadas con aumento del número de los dientes en el cibario y con su disposición. La detección de estas anomalías en poblaciones naturales de Lu. evansi puede evitar dificultades y confusiones en el momento de la identificación taxonómica de los especímenes teratomorfos, reduciendo así el riesgo de incurrir en errores taxonómicos.

  19. Does 'Time Together' increase quality of interaction and decrease stress? A study protocol of a multisite nursing intervention in psychiatric inpatient care, using a mixed method approach.

    Science.gov (United States)

    Molin, Jenny; Lindgren, Britt-Marie; Graneheim, Ulla Hällgren; Ringnér, Anders

    2017-08-28

    Despite the long-known significance of the nurse-patient relationship, research in psychiatric inpatient care still reports unfulfilled expectations of, and difficulties in, interactions and relationships between patients and staff. Interventions that create structures to allow quality interactions between patients and staff are needed to solve these problems. The aim of this project is to test effects of the nursing intervention Time Together and to evaluate the intervention process. This is a multisite study with a single-system experimental design using frequent measures. The primary outcomes are quality interactions for patients and perceived stress for staff. Secondary outcomes are levels of symptoms of anxiety and depression for patients and stress of conscience for staff. A process evaluation is performed to describe contextual factors and experiences. Data are collected using questionnaires, participant observations and semistructured interviews. For analysis of quantitative data, both visual and statistical methods will be used. Qualitative data will be analysed using qualitative content analysis. Ethical approval was granted by the Ethical Review Board in the region (Dnr 2016/339-31). The findings will contribute to the development of nursing interventions in general, but more specifically to the development of the intervention. This is relevant both nationally and internationally as similar interventions are needed but sparse. The findings will be disseminated through conference presentations and peer-reviewed publications. NCT02981563. © 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.

  20. Utilización del paquete libre PSAT para estudios en el Sistema Electro energético Nacional ; Using the PSAT free package for studies in the National Electric System in Cuba

    Directory of Open Access Journals (Sweden)

    Antonio A. Martínez García

    2013-10-01

    Full Text Available La determinación de los regímenes más económicos de operación de los Sistemas Eléctricos de Potencia, teniendo en cuenta la confiabilidad, es una tarea actual sobre todo en sistemas de grandes dimensiones. En el siguiente trabajo se explican las posibilidades que brinda el paquete libre PSAT para efectuar análisis técnicos y económicos aplicados al Sistema Eléctrico Nacional, tales como flujos de carga, flujos continuado, análisis de estabilidad de la tensión, flujo óptimo de potencia y análisis de pequeñas oscilaciones, con lo cual se obtuvieron los siguientes resultados se evalúo la seguridad de estos regímenes desde el punto de vista de la cargabilidad de los nodos, así como de manera preliminar el amortiguamiento del sistema ante pequeñas perturbaciones y se determinó flujo óptimo para asegurar tensiones permisibles en los nodos. Los regímenes tomados como base para el estudio fueron regímenes bases típicos de invierno con demanda máxima pronosticada de 3187,41MW.Determining the economic regimes of operation of Electrical Power Systems, considering the reliability, is a present task especially in large systems. In this paper, we explain the possibilities of the PSAT free package to perform technical and economic analysis applied to the national electricity system, such as load flow, continuous flow analysis, voltage stability, optimal power flow and analysis of small oscillations, which were obtained the following results are evaluated the safety of these systems from the point of view of the chargeability of the nodes, and preliminarily the damping of the system to small perturbations and was determined to ensure optimum flow allowable stresses at nodes. Regimes taken as a basis for the study were typical winter base systems with peak demand forecast of 3187,41 MW.

  1. Multi-site evaluation of a computer aided detection (CAD) algorithm for small acute intra-cranial hemorrhage and development of a stand-alone CAD system ready for deployment in a clinical environment

    Science.gov (United States)

    Deshpande, Ruchi R.; Fernandez, James; Lee, Joon K.; Chan, Tao; Liu, Brent J.; Huang, H. K.

    2010-03-01

    Timely detection of Acute Intra-cranial Hemorrhage (AIH) in an emergency environment is essential for the triage of patients suffering from Traumatic Brain Injury. Moreover, the small size of lesions and lack of experience on the reader's part could lead to difficulties in the detection of AIH. A CT based CAD algorithm for the detection of AIH has been developed in order to improve upon the current standard of identification and treatment of AIH. A retrospective analysis of the algorithm has already been carried out with 135 AIH CT studies with 135 matched normal head CT studies from the Los Angeles County General Hospital/ University of Southern California Hospital System (LAC/USC). In the next step, AIH studies have been collected from Walter Reed Army Medical Center, and are currently being processed using the AIH CAD system as part of implementing a multi-site assessment and evaluation of the performance of the algorithm. The sensitivity and specificity numbers from the Walter Reed study will be compared with the numbers from the LAC/USC study to determine if there are differences in the presentation and detection due to the difference in the nature of trauma between the two sites. Simultaneously, a stand-alone system with a user friendly GUI has been developed to facilitate implementation in a clinical setting.

  2. El valor predictivo de los exámenes de Estado frente al rendimiento académico universitario O valor preditivo dos testes de Estado frente ao desempenho acadêmico na universidade The Value of State Exams in Predicting College Academic Performance

    Directory of Open Access Journals (Sweden)

    Catherine Pereira

    2011-04-01

    Full Text Available Se presenta una medición y un análisis correlacional entre los resultados del examen para el ingreso a la educación superior y el examen de calidad de la misma. Este es un estudio piloto, que utiliza una base de datos con 2.888 estudiantes de programas de Administración, entre el 2000 y el 2005. Utilizando modelos multivariados, se encontraron correlaciones predictivas débiles entre los dos exámenes obligatorios asociados a la educación superior en Colombia. Se encontró una relación lineal débil entre todos los componentes de conocimiento evaluados y el promedio general de la Universidad.O artigo apresenta la medição e a análise de correlação entre os resultados do exame de admissão para o ensino superior e o exame de qualidade do ensino superior. Este estudo piloto utiliza um banco de dados de 2.888 estudantes de programas de administração entre 2000 e 2005. Usando modelos multivariados, uma fraca houve correlação preditiva entre os dois exames obrigatórios relativos ao ensino superior na Colômbia. Além disso, houve uma fraca relação linear entre os componentes do conhecimento avaliados e a média da universidade.The article offers a measurement and correlational analysis of the results of the State College Entrance Exam and the Higher Education Quality Exam. It is a pilot study that employs a database with 2,888 students who were majoring in business administration between 2000 and 2005. Using multivariate models, the study found weak predictive correlations between the two mandatory exams associated with higher education in Colombia. It also found a weak linear relationship between all the evaluated components of knowledge and the general grade point average in college.

  3. Social mening og viden på sociale video sites

    DEFF Research Database (Denmark)

    Rasmussen, Tove Arendt

    2011-01-01

    . De sociale medier som Facebook, YouTube o.l. er blevet prototype for det dialogiske aspekt, der egentlig ligger indbygget fra starten i de digitale netværksmedier. Modtageren, læseren, seeren og tilhøreren deltager i den medierede kommunikation med kommentar, dialog eller egne produkter. Brugeren er...... også producent og distributør adf viden i de sociale mediers brugerfællesskaber. Brugeren er ikke kun ’user’, men ’produser’ (sammentrækning af user og producer), skriver den amerikanske medieforsker Axel Bruns, som både Tove Arendt Rasmussen og hans Jørn Nielsen citerer i deres artikler”....

  4. Pain patterns during adolescence can be grouped into four pain classes with distinct profiles

    DEFF Research Database (Denmark)

    Holden, Sinead; Rathleff, Michael Skovdal; Roos, E. M.

    2018-01-01

    L (assessed by Euro-QoL 5D-3L). Latent class analysis was used to classify spatial pain patterns, based on the pain sites. The analysis included 2953 adolescents. RESULTS: Four classes were identified as follows: (1) little or no pain (63% of adolescents), (2) majority lower extremity pain (10%), (3) multi......-site bodily pain (22%) and (4) head and stomach pain (3%). The lower extremity multi-site pain group reported highest weekly sports participation (p ....001). Males were more likely to belong to the little or no pain class, whereas females were more likely to belong to the multi-site bodily pain class. CONCLUSIONS: Latent class analysis identified distinct classes of pain patterns in adolescents, characterized by sex, differences in HRQoL and sports...

  5. Challenges and opportunities in establishing a collaborative multisite observational study of chronic diseases and lifestyle factors among adults in Puerto Rico

    Directory of Open Access Journals (Sweden)

    Josiemer Mattei

    2017-01-01

    Full Text Available Abstract Background Prevalence of chronic diseases and unhealthy lifestyle behaviors among the adult population of Puerto Rico (PR is high; however, few epidemiological studies have been conducted to address these. We aimed to document the methods and operation of establishing a multisite cross-sectional study of chronic diseases and risk factors in PR, in partnership with academic, community, clinical, and research institutions. Methods The Puerto Rico Assessment of Diet, Lifestyle and Diseases (PRADLAD documented lifestyle and health characteristics of adults living in PR, with the goal of informing future epidemiological and intervention projects, as well as public health, policy, and clinical efforts to help improve the population’s health. The study was conducted in three primary care clinics in the San Juan, PR metropolitan area. Eligible volunteers were 30–75y, living in PR for at least 10 months of the previous year, and able to answer interviewer-administered questionnaires without assistance. Questions were recorded electronically by trained interviewers, and included socio-demographic characteristics, lifestyle behaviors, self-reported medically-diagnosed diseases, and psychosocial factors. Waist and hip circumferences were measured following standardized protocols. A subset of participants answered a validated food frequency questionnaire, a legumes questionnaire, and had medical record data abstracted. Process and outcome evaluation indicators were assessed. Results The study screened 403 participants in 5 months. Of these, 396 (98% were eligible and 380 (94% had reliable and complete information. A subset of 242 participants had valid dietary data, and 236 had medical record data. The mean time to complete an interview was 1.5 h. Participants were generally cooperative and research collaborators were fully engaged. Having multiple sites helped enhance recruitment and sociodemographic representation. Diagnosed conditions were

  6. Udbytte på arbejdsmarkedet

    DEFF Research Database (Denmark)

    Klausen, Trond Beldo

    2009-01-01

    Artiklen beskæftiger sig med den 'direkte' betydning af oprindelsesklasse. Med 'direkte' menes den indflydelse, oprindelesklasse har på arbejdsmarkedsudbytte, kontrolleret for uddannelsesforskelle. Resultaterne viser, at uddannelsesforskelle er langt den vigtigste enkeltfaktor til forklaring af l...

  7. Calidad de la atención nutricional en el paciente pediátrico hospitalizado

    Directory of Open Access Journals (Sweden)

    Yuri Betancourt Guerra

    2012-09-01

    Full Text Available Introducción: la nutrición es un aspecto importante en la terapéutica actual de los pacientes y tiene una repercusión social, por lo que todo el personal de salud debe considerarlo como un pilar terapéutico a la hora de atender a un enfermo. Objetivo: evaluar la calidad de la atención nutricional del paciente pediátrico hospitalizado. Métodos: se realizó un estudio descriptivo transversal, y la muestra estuvo constituida por 50 pacientes. Se confeccionó un Formulario de Atención Nutricional que sirvió para registrar el estado actual del apoyo nutricional, y de esta forma, se evaluó la calidad de su atención. Resultados: la evaluación nutricional, al momento del ingreso, fue solo de un 18 %, y el diagnóstico del estado nutricional no se realizó en el 96 % de los pacientes ingresados. La realización de exámenes de laboratorio con relevancia nutricional fue de un 12 %, mientras las acciones terapéuticas para corregir los exámenes patológicos fueron de un 50 %. No se daba seguimiento a la curva de peso, y todos los pacientes ingresados mantenían regímenes de ayuno hospitalario por encima del 10 %. Conclusiones: la calidad de la atención nutricional en el paciente pediátrico hospitalizado fue deficiente.

  8. Escribiendo a una máquina: la evaluación automática de textos a debate

    Directory of Open Access Journals (Sweden)

    Ruiz Herrero, Juan

    2016-11-01

    Full Text Available Los sistemas de evaluación automática de textos, programas diseñados para puntuar ejercicios de producción escrita en exámenes en L1 o L2, se han generalizado en las últimas décadas en el panorama académico estadounidense. La presente contribución se propone plantear el estado de la cuestión, describiendo el funcionamiento de dichas aplicaciones y analizando el constructo que miden. Se presentan, así, las ventajas que supone su introducción en el contexto de exámenes de certificación y del trabajo de aula, contrapuestas a los argumentos que hacen valer sus detractores, con el objetivo de acercar la temática al ámbito hispanoparlante y apuntar una reflexión desde la perspectiva del docente de lenguas extranjeras.

  9. Realineamientos y estados de la tasa de cambio nominal en Colombia, 1994-1999

    Directory of Open Access Journals (Sweden)

    Remberto Rhenals Monterrosa

    2002-07-01

    Full Text Available ste artículo se enmarca en el análisis del comportamiento de la tasa de cambio nominal bajo el régimen de bandas que se observó en Colombia entre el 24 de enero de 1994 y el 24 de septiembre de 1999. El propósito principal es caracterizar los regímenes que registró la tasa de cambio nominal en este período (devaluación o revaluación y la ley que gobernó su transición, a través de un sistema de cadenas de Markov. Concretamente, se utiliza el modelo de tendencias estocásticas segmentadas desarrollado en 1990 por James D. Hamilton y se modela la tasa de cambio semanal como si fuera generada por uno de los regímenes señalados.

  10. Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: protocol for a multi-site cohort study.

    Science.gov (United States)

    Machiyama, Kazuyo; Casterline, John B; Mumah, Joyce N; Huda, Fauzia Akhter; Obare, Francis; Odwe, George; Kabiru, Caroline W; Yeasmin, Sharifa; Cleland, John

    2017-02-09

    Unmet need for family planning points to the gap between women's reproductive desire to avoid pregnancy and contraceptive behaviour. An estimated 222 million women in low- and middle-income countries have unmet need for modern contraception. Despite its prevalence, there has been little rigorous research during the past fifteen years on reasons for this widespread failure to implement childbearing desires in contraceptive practice. There is demographic survey data on women's self-reported reasons for non-use, but these data provide limited insight on the full set of possible obstacles to use, and one may doubt the meaningfulness of explanations provided by non-users alone. To rectify this evidence gap, this study will gather extensive information on women's perceptions of contraception (generic and method-specific) and their past contraceptive experience, and it will allow for more complexity in fertility preferences than is standard in demographic surveys. A multi-site cohort study will be conducted in urban Kenya, rural Kenya, and rural Bangladesh. In each setting trained fieldworkers will recruit and interview 2600 women, with participants re-interviewed at 12 and 18 months. Data will be collected using a questionnaire whose development was informed by a review of existing literature and instruments from past studies in both developed and developing countries. Dozens of experts in the field were consulted as the instrument was developed. The questionnaire has three main components: a sub-set of Demographic and Health Survey items measuring socio-demographic characteristics, reproductive history, and sexual activity; additional questions on prospective and retrospective fertility preferences designed to capture ambivalence and uncertainty; and two large blocks of items on (i) generic concerns about contraception and (ii) method-specific attributes. The method-specific items encompass eight modern and traditional methods. Policy and programmes intended to reduce

  11. Energy Contents of Frequently Ordered Restaurant Meals and Comparison with Human Energy Requirements and US Department of Agriculture Database Information: A Multisite Randomized Study

    Science.gov (United States)

    Urban, Lorien E.; Weber, Judith L.; Heyman, Melvin B.; Schichtl, Rachel L.; Verstraete, Sofia; Lowery, Nina S.; Das, Sai Krupa; Schleicher, Molly M.; Rogers, Gail; Economos, Christina; Masters, William A.; Roberts, Susan B.

    2017-01-01

    Background Excess energy intake from meals consumed away from home is implicated as a major contributor to obesity, and ~50% of US restaurants are individual or small-chain (non–chain) establishments that do not provide nutrition information. Objective To measure the energy content of frequently ordered meals in non–chain restaurants in three US locations, and compare with the energy content of meals from large-chain restaurants, energy requirements, and food database information. Design A multisite random-sampling protocol was used to measure the energy contents of the most frequently ordered meals from the most popular cuisines in non–chain restaurants, together with equivalent meals from large-chain restaurants. Setting Meals were obtained from restaurants in San Francisco, CA; Boston, MA; and Little Rock, AR, between 2011 and 2014. Main outcome measures Meal energy content determined by bomb calorimetry. Statistical analysis performed Regional and cuisine differences were assessed using a mixed model with restaurant nested within region×cuisine as the random factor. Paired t tests were used to evaluate differences between non–chain and chain meals, human energy requirements, and food database values. Results Meals from non–chain restaurants contained 1,205±465 kcal/meal, amounts that were not significantly different from equivalent meals from large-chain restaurants (+5.1%; P=0.41). There was a significant effect of cuisine on non–chain meal energy, and three of the four most popular cuisines (American, Italian, and Chinese) had the highest mean energy (1,495 kcal/meal). Ninety-two percent of meals exceeded typical energy requirements for a single eating occasion. Conclusions Non–chain restaurants lacking nutrition information serve amounts of energy that are typically far in excess of human energy requirements for single eating occasions, and are equivalent to amounts served by the large-chain restaurants that have previously been criticized

  12. Multi-Site Project Management A Program for Reducing the Cost of Technology Deployment at Department of Energy Sites

    International Nuclear Information System (INIS)

    Davis, N.R.; Selden, E.R.; Little, D.B.; Coleman, M.C.; Bennett, J.T.

    2009-01-01

    Retrieval and processing of High Level Waste (HLW) stored in Department of Energy (DOE) waste tanks is performed to support closure of the tanks as required by site specific regulatory agreements. Currently, there are four sites in the DOE Complex that have HLW tanks and must process and disposition HLW. As such, there is an opportunity to achieve an economy of scale and reduce duplication of efforts. Two or more sites typically have similar technology development and deployment needs. Technology development is already executed at the national level. As the technology is matured, the next step is to commission a design/build project. Typically each site performs this separately due to differences in waste type, tank design, site specific considerations such as proximity to the water table or to the site boundary. The focus of the individual sites tends to be on the differences between sites versus on the similarities thus there is an opportunity to minimize the cost for similar deployments. A team of engineers and project management professionals from the Savannah River Site has evaluated technology needs at the four HLW sites and determined that there is an economy of scale that can be achieved by specific technology deployments in the area of waste retrieval, waste pretreatment and waste disposition. As an example, the Waste on Wheels tank retrieval system (presented in the 2006 Waste Management Symposium) was designed and fabricated in portable modules that could be installed in HLW tanks at Hanford, Savannah River or Idaho. This same concept could be used for modular in-tank cesium removal process and equipment, tank cleaning mechanical equipment, and chemical tank cleaning process and equipment. The purpose of this paper is to present a multi-site project management approach that will reduce deployment costs and be consistent with DOE Order 413.3 project management principles. The approach will describe how projects can be managed by a lead site with

  13. Brands som brikker i konstruktionen af identitet

    DEFF Research Database (Denmark)

    Hermansen, Judy

    2008-01-01

    Forbrug spiller en vigtig rolle i produktionen af mening og værdier, som kan skabe og vedligeholde både forbrugerens personlige og sociale verden - og derfor er reklame også en vigtig kilde til disse symbolske betydninger. Udgivelsesdato: juni...

  14. Darwin i regnemaskinen

    DEFF Research Database (Denmark)

    Johansen, Mikkel Willum

    2012-01-01

    Forsøget på at five evolutionsbiologiske forklaringer på menneskelig adfærd har nu nået matematikken. Men giver det mening at se matematik som et produkt af den blinde, biologiske evolution, mennesket har gennemgået?...

  15. Treatment of chronically depressed patients: A multisite randomized controlled trial testing the effectiveness of 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP for chronic depressions versus usual secondary care

    Directory of Open Access Journals (Sweden)

    Penninx Brenda WJH

    2008-03-01

    Full Text Available Abstract Background 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP is a form of psychotherapy specifically developed for patients with chronic depression. In a study in the U.S., remarkable favorable effects of CBASP have been demonstrated. However, no other studies have as yet replicated these findings and CBASP has not been tested outside the United States. This protocol describes a randomized controlled trial on the effectiveness of CBASP in the Netherlands. Methods/Design The purpose of the present paper is to report the study protocol of a multisite randomized controlled trial testing the effectiveness of 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP for chronic depression in the Netherlands. In this study, CBASP in combination with medication, will be tested versus usual secondary care in combination with medication. The aim is to recruit 160 patients from three mental health care organizations. Depressive symptoms will be assessed at baseline, after 8 weeks, 16 weeks, 32 weeks and 52 weeks, using the 28-item Inventory for Depressive Symptomatology (IDS. Effect modification by co morbid anxiety, alcohol consumption, general and social functioning and working alliance will be tested. GEE analyses of covariance, controlling for baseline value and center will be used to estimate the overall treatment effectiveness (difference in IDS score at post-treatment and follow up. The primary analysis will be by 'intention to treat' using double sided tests. An economic analysis will compare the two groups in terms of mean costs and cost-effectiveness from a societal perspective. Discussion The study will provide an answer to the question whether the favorable effects of CBASP can be replicated outside the US. Trial Registration The Dutch Cochrane Center, NTR1090.

  16. Fabricación de gres porcelánico empleando ceniza de tamo de arroz en sustitución del feldespato

    Directory of Open Access Journals (Sweden)

    Guzmán, Álvaro

    2013-12-01

    Full Text Available In this research are presented the results of using rice straw ash (RSA in low proportions as substitute of feldspar for manufacturing stoneware tiles. Specimens of semidry triaxial mixtures, where feldspar was substituted for different percentages (25 % and 50 % of RSA, were prepared by uniaxial pressing, followed by drying and sintering. Physical and mechanical properties of sintered bodies were evaluated. Porcelain stoneware tile specimens C0 and CF25 reached bending strength and water absorption values were in accordance with standard ISO 13006 (Annex G, BIa ( ≥ 35 MPa and ≤ 0.5 %, respectively. However, in porcelain stoneware tile specimens CF50 due to bloating phenomenon was not possible obtain commercial tiles in accordance with standard ISO 13006. By using Scanning Electron Microscopy (SEM needles of primary and secondary mullite were identified in a vitreous phase; and by using X-Ray Diffraction (XRD mullite and quartz phases were identified. It was concluded that feldspar can be substituted positively by RSA in stoneware tile pastes.En este artículo se presentan los resultados de una investigación sobre el uso de la ceniza de tamo de arroz (CTA como reemplazo del feldespato en la fabricación de gres porcelánico. Se prepararon mezclas donde la CTA sustituyó al feldespato en dos volúmenes distintos (25 % y 50 %. Especímenes de las pastas obtenidas fueron moldeados, secados, y cocidos. Las propiedades físicas (densidad aparente, porosidad, absorción, entre otras y mecánicas (resistencia a flexión de los especímenes cocidos estándar (C0, fueron comparadas con las de especímenes cocidos donde el material fundente fue sustituido en la formulación por CTA en porcentajes del 25 % y 50 % (CF25 y CF50. Los especímenes cocidos C0 y C25, podrían considerarse como gres porcelánico pertenecientes al grupo BIa (resistencia a flexión > 35 MPa y absorción de agua ≤ 0,5 %; mientras que en aquellos especímenes cocidos CF50 el

  17. Metoda menedżerska zarządzania działalnością instytucji publicznych – menedżer jako kierownik skuteczności

    OpenAIRE

    Kasprzak, Sylwester

    2012-01-01

    Technics of the Management Managerial of public organizations in the world today is one of the most important strategies of good company and a viable business. Efforts to develop gives the characteristics of work and task manager - head. In the sequence shown were the criteria requirements for candidates for this job. Manager's job is fairly young, but their number also allowed many women who turn out to be a good sense of organization. A good manager a successful organization,...

  18. A CONSIDERATION OF ETHICAL AND LEGAL ISSUES IN MULTI-SITE STUDIES CONSIDERACIÓN DE LOS TEMAS ÉTICOS Y LEGALES EN LOS ESTUDIOS MULTICÉNTRICOS CONSIDERAÇÃO DOS TEMAS ÉTICOS E LEGAIS NOS ESTUDOS MULTICÊNTRICOS

    Directory of Open Access Journals (Sweden)

    Sana Loue

    2004-01-01

    Full Text Available Significant ethical and legal issues may arise in conjunction with the conduct of multi-site studies. For example, different cultures may have varying concepts of personhood. The United States, for instance, places significant emphasis on the autonomy of each individual, while many other societies rely to a greater degree on defining an individual with reference to his or her roles or relationships to others. These differing orientations may have implications for informed consent procedures and for the design of procedures to maintain confidentiality of the data and privacy of the participants. The development of procedures for the maintenance of confidentiality and privacy must also consider any differences in reporting requirements between the sites that relate to sexually transmitted diseases and child abuse. The implications of such differences for the conduct of multi-site studies are examinedEn relación con los estudios multicéntricos pueden surgir aspectos éticos y legales. Por ejemplo, culturas diferentes tienen conceptos distintos sobre las personas. Así, Estados Unidos enfatiza la autonomía del individuo, mientras que otras sociedades definen, en mayor grado, al individuo según sus roles o su relación con los demás. Estas orientaciones diferentes pueden influir en el proceso de obtener consentimiento informado y en el diseño de procedimientos para mantener la confidencialidad de los datos y la privacidad de los participantes. El desarrollo de procedimientos que garanticen la confidencialidad y la privacidad debe considerar, también, cualquiera diferencia entre los centros al informar los requisitos que tengan relación con enfermedades de transmisión sexual y con abuso de niños. Se examinan las inferencias de estas diferencias al realizar estudios multicéntricosNos estudos multicêntricos surgem questões éticas e legais. Por exemplo, culturas diferentes tem conceitos distintos sobre as pessoas. Assim, nos Estados Unidos

  19. An Event-Level Analysis of Condomless Anal Intercourse with a HIV-Discordant or HIV Status-Unknown Partner Among Black Men Who Have Sex with Men from a Multi-site Study.

    Science.gov (United States)

    Yang, Cui; Latkin, Carl; Tobin, Karin; Seal, David; Koblin, Beryl; Chander, Geetanjali; Siconolfi, Daniel; Flores, Stephen; Spikes, Pilgrim

    2018-05-19

    Despite the high HIV incidence and prevalence among black men who have sex with men (BMSM), little research has examined partner characteristics, partner seeking venue, sexual position, substance use, and sexual risk behavior at the sex event-level among BMSM. Using the baseline data from a multi-site study of 807 BMSM stratified by their HIV status, the goal of this study was to conduct a detailed event-level analysis of 1577 male anal sex events to assess the factors associated with condomless anal intercourse (CLAI) with a HIV-discordant or HIV status-unknown partner. We found CLAI with an HIV-discordant or unknown HIV status partner among HIV-negative BMSM was negatively associated with having sex with a main partner, and was positively associated with taking both receptive and insertive sexual positions during sex. As compared to a sex partner met at bar, night club or dance club, HIV-positive BMSM were less likely to engage in CLAI with HIV-discordant and unknown HIV status partner met at party or friend's house or at community organizations. HIV-positive BMSM had lower odds of engaging in CLAI with HIV-discordant and unknown HIV status partner if they had insertive sexual position or both receptive and insertive sexual positions. These results underscore the importance of delineating unique sex event-level factors associated with sexual risk behavior depending on individuals' HIV status. Our findings suggest event-level partner characteristics, sexual position, and partner seeking venues may contribute to disparities in HIV incidence.

  20. Comparative efficacy of the Cognitive Behavioral Analysis System of Psychotherapy versus Supportive Psychotherapy for early onset chronic depression: design and rationale of a multisite randomized controlled trial

    Science.gov (United States)

    2011-01-01

    Background Effective treatment strategies for chronic depression are urgently needed since it is not only a common and particularly disabling disorder, but is also considered treatment resistant by most clinicians. There are only a few studies on chronic depression indicating that traditional psycho- and pharmacological interventions are not as effective as in acute, episodic depression. Current medications are no more effective than those introduced 50 years ago whereas the only psychotherapy developed specifically for the subgroup of chronic depression, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), faired well in one large trial. However, CBASP has never been directly compared to a non-specific control treatment. Methods/Design The present article describes the study protocol of a multisite parallel-group randomized controlled trial in Germany. The purpose of the study is to estimate the efficacy of CBASP compared to supportive psychotherapy in 268 non-medicated early-onset chronically depressed outpatients. The intervention includes 20 weeks of acute treatment with 24 individual sessions followed by 28 weeks of continuation treatment with another 8 sessions. Depressive symptoms are evaluated 20 weeks after randomisation by means of the 24-item Hamilton Rating Scale of Depression (HRSD). Secondary endpoints are depressive symptoms after 12 and 48 weeks, and remission after 12, 20, and 48 weeks. Primary outcome will be analysed using analysis of covariance (ANCOVA) controlled for pre-treatment scores and site. Analyses of continuous secondary variables will be performed using linear mixed models. For remission rates, chi-squared tests and logistic regression will be applied. Discussion The study evaluates the comparative effects of a disorder-specific psychotherapy and a well designed non-specific psychological approach in the acute and continuation treatment phase in a large sample of early-onset chronically depressed patients. Trial

  1. Ausencia de una perspectiva de género en la Corte Penal Internacional: una mirada al caso Fiscalía vs. Lubanga Dyilo

    Directory of Open Access Journals (Sweden)

    Natalia Paz Morales Cerda

    2016-03-01

    reconocer en el género un elemento transformador del Derecho, identificar aquellos rasgos comunes en la subordinación femenina que típicamente ha motivado crímenes basados en este y propiciar sentencias con contenido de género.

  2. ¿Democratización o burocratización? Inestabilidad del acceso al poder y estabilidad del ejercicio del poder en América Latina

    Directory of Open Access Journals (Sweden)

    Sebastián Mazzuca

    2002-01-01

    Full Text Available El presente trabajo propone un nuevo marco analítico para el estudio de los regímenes políticos en América Latina. El núcleo de dicho marco lo constituye la distinción entre dos grupos de instituciones estatales: las instituciones de acceso al poder político versus las instituciones de ejercicio del poder político. El trabajo también pone a prueba la utilidad de caracterizar las formas de acceso por medio de la pareja conceptual autoritarismo-democracia y las formas de ejercicio con la pareja patrimonialismo-burocracia. El propósito central de este marco analítico es facilitar la inferencia causal en el estudio de los elementos determinantes a largo plazo de los llamados problemas de "calidad" de los regímenes políticos contemporáneos en América latina.

  3. Semiotik for brand managers

    DEFF Research Database (Denmark)

    Hermansen, Judy

    2013-01-01

    I løbet af brandingens snart lange historie har der været mange definitioner af, hvad et brand egentlig er for en størrelse. I dagens såkaldte symboløkonomi, hvor brands i høj grad fungerer som kulturelle identitetsmarkører, giver det rigtig god mening at betragte brandet som et tegn med symbolsk...... betydninger. Dermed er semiotik – læren om hvordan tegn skaber betydning – blevet en super central videnskab for brand management.......I løbet af brandingens snart lange historie har der været mange definitioner af, hvad et brand egentlig er for en størrelse. I dagens såkaldte symboløkonomi, hvor brands i høj grad fungerer som kulturelle identitetsmarkører, giver det rigtig god mening at betragte brandet som et tegn med symbolske...

  4. Viabilidad de uso del polvo de vidrio como fundente en la elaboración de baldosas de gres porcelánico

    Directory of Open Access Journals (Sweden)

    Silvio Delvasto Arjona

    2015-04-01

    Full Text Available En este artículo se presentan los resultados de una investigación sobre el uso del polvo de vidrio como remplazo del feldespato en la fabricación de gres porcelánico. Se prepararon mezclas en donde el polvo de vidrio sustituyó al feldespato en dos volúmenes distintos (25% y 50%. Especímenes de las pastas obtenidas fueron moldeados, secados y cocidos. Las propiedades físicas (densidad aparente, porosidad, absorción, entre otras y mecánicas (resistencia a flexión de los especímenes cocidos estándar (V0 se compararon con las de especímenes cocidos en donde el material fundente fue sustituido en la formulación por polvo de vidrio en porcentajes de 25% y 50% (V25 y V50. Se encontró que la adición de polvo de vidrio en las formulaciones ocasionaba disminución en la resistencia a la flexión e incremento en los valores de absorción de agua. Sin embargo, la acción fundente del polvo de vidrio disminuyó la temperatura de sinterización respecto a la mezcla estándar en 150 °C para remplazos de 50% y 25%, respectivamente. Mediante MEB se evidenció en la microestructura de las piezas cocidas (V0, V25 y V50 la presencia de cristales de mullita primaria, adyacentes a cristales de mullita secundaria (agujas elongadas.

  5. Energy Contents of Frequently Ordered Restaurant Meals and Comparison with Human Energy Requirements and U.S. Department of Agriculture Database Information: A Multisite Randomized Study.

    Science.gov (United States)

    Urban, Lorien E; Weber, Judith L; Heyman, Melvin B; Schichtl, Rachel L; Verstraete, Sofia; Lowery, Nina S; Das, Sai Krupa; Schleicher, Molly M; Rogers, Gail; Economos, Christina; Masters, William A; Roberts, Susan B

    2016-04-01

    Excess energy intake from meals consumed away from home is implicated as a major contributor to obesity, and ∼50% of US restaurants are individual or small-chain (non-chain) establishments that do not provide nutrition information. To measure the energy content of frequently ordered meals in non-chain restaurants in three US locations, and compare with the energy content of meals from large-chain restaurants, energy requirements, and food database information. A multisite random-sampling protocol was used to measure the energy contents of the most frequently ordered meals from the most popular cuisines in non-chain restaurants, together with equivalent meals from large-chain restaurants. Meals were obtained from restaurants in San Francisco, CA; Boston, MA; and Little Rock, AR, between 2011 and 2014. Meal energy content determined by bomb calorimetry. Regional and cuisine differences were assessed using a mixed model with restaurant nested within region×cuisine as the random factor. Paired t tests were used to evaluate differences between non-chain and chain meals, human energy requirements, and food database values. Meals from non-chain restaurants contained 1,205±465 kcal/meal, amounts that were not significantly different from equivalent meals from large-chain restaurants (+5.1%; P=0.41). There was a significant effect of cuisine on non-chain meal energy, and three of the four most popular cuisines (American, Italian, and Chinese) had the highest mean energy (1,495 kcal/meal). Ninety-two percent of meals exceeded typical energy requirements for a single eating occasion. Non-chain restaurants lacking nutrition information serve amounts of energy that are typically far in excess of human energy requirements for single eating occasions, and are equivalent to amounts served by the large-chain restaurants that have previously been criticized for providing excess energy. Restaurants in general, rather than specific categories of restaurant, expose patrons to

  6. Monitoring compliance with the International Code of Marketing of Breastmilk Substitutes in west Africa: multisite cross sectional survey in Togo and Burkina Faso

    Science.gov (United States)

    Aguayo, Victor M; Ross, Jay S; Kanon, Souleyman; Ouedraogo, Andre N

    2003-01-01

    Objectives To monitor compliance with the International Code of Marketing of Breastmilk Substitutes in health systems, sales outlets, distribution points, and the news media in Togo and Burkina Faso, west Africa. Design Multisite cross sectional survey. Participants Staff at 43 health facilities and 66 sales outlets and distribution points, 186 health providers, and 105 mothers of infants aged ⩽5 months in 16 cities. Results Six (14%) health facilities had received donations of breast milk substitutes. All donations were being given to mothers free of charge. Health providers in five (12%) health facilities had received free samples of breast milk substitutes for purposes other than professional research or evaluation. Health professionals in five (12%) health facilities had received promotional gifts from manufacturers. Promotional materials of commercial breast milk substitutes were found in seven (16%) health facilities. Special displays to market commercial breast milk substitutes were found in 29 (44%) sales and distribution points. Forty commercial breast milk substitutes violated the labelling standards of the code: 21 were manufactured by Danone, 11 by Nestlé, and eight by other national and international manufacturers. Most (148, 90%) health providers had never heard of the code, and 66 mothers (63%) had never received any counselling on breast feeding by their health providers. Conclusion In west Africa manufacturers are violating the code of marketing of breast milk substitutes. Comparable levels of code violations are observed with (Burkina Faso) or without (Togo) regulating legislation. Legislation must be accompanied by effective information, training, and monitoring systems to ensure that healthcare providers and manufacturers comply with evidence based practice and the code. What is already known on this topicAll member states of the World Health Assembly have reaffirmed their support for the International Code of Marketing of Breastmilk

  7. The Influence of Self-Efficacy, Fear-Avoidance Belief, and Coping Styles on Quality of Life for Chinese Patients with Chronic Nonspecific Low Back Pain: A Multisite Cross-Sectional Study.

    Science.gov (United States)

    Du, Shizheng; Hu, Lingli; Bai, Yamei; Dong, Jianshu; Jin, Shengji; Zhang, Heng; Zhu, Ying

    2017-11-23

    As a bio-psycho-social issue, chronic low back pain (CLBP) has been a significant topic in health management, and patients' quality of life (QOL) is gaining extensive attention. Self-efficacy, pain fear-avoidance belief (FAB), and coping styles play important roles in the QOL of CLBP patients. However, it remains unclear how self-efficacy and FAB influence QOL through specific coping styles. This study aimed to explore the influencing paths of self-efficacy, FAB, and coping styles on the QOL of patients with CLBP. This study relies on a multisite, cross-sectional design involving 221 CLBP patients. Stepwise multiple regression and structural equation modeling were employed. CLBP patients lived with a poor global QOL. Self-efficacy played a direct, positive role in predicting QOL for patients with CLBP (β = 0.35), and it also played an indirect, positive role in predicting QOL (β = 0.19) through active coping styles (β = 0.31). FAB played a direct, negative role in predicting QOL (β = -0.33), and it also played an indirect, negative role in predicting QOL (β = -0.32) through passive coping styles (β = 0.32). Self-efficacy and FAB are both directly and indirectly related to global QOL, and coping styles are important mediating variables. Self-efficacy and active coping are protective factors for the QOL of CLBP patients, while FAB and passive coping are risk factors. Health education strategies are recommended by medical personnel to enhance CLBP patients' pain self-efficacy, decrease pain FAB, and modify pain coping styles, so that their global QOL can be improved. © 2017 World Institute of Pain.

  8. 'Hvis vi bare ku' få fred til at passe vores arbejde...'

    DEFF Research Database (Denmark)

    Olsén, Peter

    2008-01-01

    Artiklen handler om mening og meningsskabelse i arbejdet - som forudsætning for de ansattes deltagelse og engagement i at forandre og forbedre deres arbejde. Resultater fra forskningsprojektet VISS præsenteres. 14 virksomheder arbejdede med at forbedre deres psykiske arbejdsmiljø, men mange misly...

  9. Ti teser om tekstfortolkning

    DEFF Research Database (Denmark)

    Togeby, Ole

    2006-01-01

    Teksttolkninger er ikke private, men fælles, ikke kendsgerninger, men begivenheder, ikke evidente, men inferentielle. Teksttolkninger er nye tekster der udlægger de oprindelige tekster; der findes ikke nogen 'rigtig' teksttolkning, men den tolkning er bedst som finder mest dokumenteret mening i d...

  10. MANEJO DEL DOLOR AGUDO EN EL SERVICIO DE URGENCIA

    Directory of Open Access Journals (Sweden)

    Dra. Natalia Abiuso

    2017-03-01

    Se debe desarrollar un estándar de atención: desde las estrategias no farmacológicas hasta los regímenes terapéuticos protocolizados con la visión de hacer del SU un lugar de manejo integral y humanizado del dolor.

  11. Da ordet blev til handling. Maj 1968-Maj 2018 - 50 år med kritik. Refleksioner i anledning af 50- året for 1968

    DEFF Research Database (Denmark)

    Duelund, Peter

    Hvis vi definerer kulturpolitik bredt, som de idehistoriske, værdipolitiske og institutionelle kampe om produktion og distribution af symbolsk mening i samfundet et det muligt at anskue de mange forskellige, men sammenhængende kulturelle, politiske og kunstneriske begivenheder og initiativer i 19...

  12. Har jeg forstået det rigtigt?

    DEFF Research Database (Denmark)

    Horsted, Mette Wenzel; Herly, Lene

    2009-01-01

    Interviews med sygeplejestuderende, der har problemer i forhold til biokemi, anatomi og fysiologi, gav indsigt i disse studerendes læringsstrategier i undervisningen. Ved bevidst at inddrage motiverende faktorer som inklusion, attitude, mening og kompetence (1), kan der skabes et læringsmiljø, hvor...

  13. Aandeelhouderswaarde: Beperk rechten van de "nieuwe aandeelhouder.'

    NARCIS (Netherlands)

    Prof. dr. Ruud Pruijm

    2009-01-01

    In de discussie over activistische aandeelhouders zijn velen van mening dat het evenwicht verstoord is en dat de aandeelhouders te veel macht hebben. Het werkelijke probleem is dat de trouwe langetermijnaandeelhouder niet meer bestaat en is vervangen door de kortetermijnbelegger met alleen oog voor

  14. Overholdelse af kravene i bygningsreglementet

    DEFF Research Database (Denmark)

    Christensen, Toke Haunstrup; Jensen, Jesper Ole; Gram-Hanssen, Kirsten

    Denne rapport undersøger, hvorvidt bestemmelserne i bygningsreglementet BR10 omkring energieffektivisering ved renoveringen af bygninger bliver overholdt. Der fokuseres især på parcelhuse, da problemet med manglende overholdelse menes at være størst her, ligesom potentialet for energibesparelser...

  15. Foto og dokumentation

    DEFF Research Database (Denmark)

    Rasmussen, Kim

    2011-01-01

    Et kapitel der giver eksempler på hvordan fotografi anvendes som en form for dokumentation i pædagogisk arbejde, samtidig med at kapitlet kaster et kritisk lys over hvad der menes med dokumentation og hvorvidt fotografi kan dokumentere pædagogisk arbejde og institutionsliv...

  16. DSM-5 field survey

    DEFF Research Database (Denmark)

    Lochner, Christine; Grant, Jon E; Odlaug, Brian Lawrence

    2012-01-01

    The aim of this multisite field survey was to examine the DSM-IV-TR criteria, proposed DSM-5 diagnostic criteria, as well as a number of possible additional diagnostic criteria, in patients with hair-pulling disorder (HPD, or trichotillomania).......The aim of this multisite field survey was to examine the DSM-IV-TR criteria, proposed DSM-5 diagnostic criteria, as well as a number of possible additional diagnostic criteria, in patients with hair-pulling disorder (HPD, or trichotillomania)....

  17. Reklamesemiotik mellem mening og virkning – komposition, kategorier og kognition

    Directory of Open Access Journals (Sweden)

    Christian Andersen

    2004-09-01

    Full Text Available På baggrund af kognitionspsykologi og peirceansk tegnteori fremsætter artiklen et reklamesemiotisk bud på sammenhængen mellem annoncers komposition og deres virkning. Artiklen har til formål at belyse, hvorledes den trykte annonces forskellige æstetikker og kompositioner udløser for- skellige emotionelle og kognitive effekter i receptionen. Der indkredses tre receptionsmodi, der hver svarer til en bestemt annoncekompositorisk kategori. Artiklen er en videreudvikling af reklamesemiotikken, som i Dan- mark især er blevet funderet på et semiologisk grundlag. Der argumente- res for, at den semiologiske tilgang kun er delvis fyldestgørende, efter- som man her læser reklamens illustration med verbalsproget som model og derved implicit antager, at verbalsproglige og visuelle tegnsystemer har samme organisation. I modsætning til sproget mangler billedet imid- lertid den dobbelte artikulation. Artiklen forsøger at indfange disse forskel- le mellem tegnsystemer for derigennem at oparbejde et mere nuanceret blik for, i hvilket omfang forskellige reklameæstetikker faktisk udløser bestemte kognitive effekter i receptionen. Ved ’kognitive effekter’ forstås primært emotionsdannelse og inferensprocesser.

  18. Hendrik-Jan de tuinman moet eruit! : mobbing, een zaak van het hele bedrijf?

    NARCIS (Netherlands)

    Kooijman, H.; Nossent, S.; Hark, T. ter

    2005-01-01

    Wat begint als een geintje met een persoon ontaardt in pesten, intimideren of 'mobbing' door een groep collega's. Hoe voorkom je dat het zover komt? In dit artikel geven deskundigen hier, naar aanleiding van een rollenspel, hun mening over. Als belangrijkste tips komen naar voren: snel ingrijpen,

  19. Entre el activismo y la intervención: el trabajo de organizaciones de ...

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

    Clara Juárez Ramírez

    La presente publicación pasó por un proceso de dos dictámenes doble ciego de pares académi- ..... cuya mayor evidencia fue el cambio de partido político que tradicio- ..... patrón de comportamiento del gobierno y de la sociedad” (Aguilar,.

  20. Mark-to-Funding - En ny regnskabsregel til finanskriser?

    DEFF Research Database (Denmark)

    Thinggaard, Frank

    2010-01-01

    Kan nye regnskabsregler reducere risikoen for finans-/kreditkriser, eller kan de minimere effekterne heraf? En gruppe makro- og finansieringsøkonomer har et bud på nye regler, der efter deres mening har disse kvaliteter. Denne artikel præsenterer og vurderer de foreslåede regnskabsregler....

  1. EL GÉNERO ECHINOLITTORINA HABE, 1956 (GASTROPODA: LITTORINIDAE DE LOS ECOSISTEMAS ROCOSOS DE LA COSTA PACÍFICA COLOMBIANA

    Directory of Open Access Journals (Sweden)

    ÁLVARO GIRALDO-CARDONA

    2014-06-01

    Full Text Available Se analizaron taxonómicamente por medio de caracteres de la concha 233 especímenes del género Echinolittorina (familia Littorinidae recolectados en ecosistemas rocosos del Pacífico colombiano. Los especímenes revisados se encuentran depositados en la Colección de Referencia de Biología Marina de la Universidad del Valle (CRBMUV y provienen de localidades en los departamentos de Valle del Cauca (Bahía Málaga, Bahía de Buenaventura, Cauca (Isla Gorgona, Guapi y Nariño (Mulatos, Parque Nacional Natural Sanquianga. Hasta este trabajo, se pensaba que esta familia estaba representada solamente por tres especies en el Pacifico colombiano y en este estudio se registran seis especies: Echinolittorina apicina, E. atrata, E. conspersa, E. dubiosa, E. paytensis, y E. tenuistriata. Se incluye una descripción morfológica de cada una de ellas para facilitar su identificación.

  2. Cuando el 'sufrimiento a distancia' impacta en casa

    Directory of Open Access Journals (Sweden)

    Helena Flam

    2017-07-01

    Full Text Available Este artículo trata sobre los regímenes emocionales transnacionales relacionados con el 'sufrimiento a distancia'. Se sostiene que los movimientos solidarios transnacionales del pasado fueron 'románticos' e ingenuos y que no aprendimos mucho de sus éxitos y fracasos. Tales movimientos fueron reemplazados por un nuevo régimen de compasión, así lo demuestran diversos ejemplos. El escrito vuelve entonces sobre el tema de los refugiados, discute por qué Alemania aceptó a tantos de ellos entre 2015 y 2016, y sugiere que los regímenes emocionales transnacionales relacionados con el 'sufrimiento a distancia' –es decir, que refieren al desplazamiento desde la solidaridad hacia la compasión– influirán fuertemente acerca de cómo los refugiados, en Alemania e igualmente en otros lugares, serán tratados por el pueblo de buena voluntad que los acoge.

  3. La “seguridad nacional” como política estatal en la Argentina de los años setenta

    Directory of Open Access Journals (Sweden)

    Marina Franco

    2009-12-01

    Full Text Available Este trabajo analiza una serie de políticas estatales, paraestatales e intrapartidarias de carácter represivo o de persecución política llevadas adelante por los gobiernos peronistas entre 1973 y 1976, en el período anterior a la dictadura militar que implantó el terrorismo de Estado en la Argentina. Asimismo, la observación de esas prácticas se articula con el estudio de los discursos de diversos actores del gobierno y del sistema político. Ello permite mostrar la progresiva implantación de un discurso propio de la “seguridad nacional”, es decir, basado en la idea de un enemigo subversivo, de carácter interno y ajeno al “ser nacional”. El caso argentino muestra, así, que este tipo de discursos, en general, asociados a los regímenes militares del Cono Sur, también circuló y se puso en práctica en regímenes constitucionales.

  4. Analysis of host responses to Mycobacterium tuberculosis antigens in a multi-site study of subjects with different TB and HIV infection states in sub-Saharan Africa.

    Directory of Open Access Journals (Sweden)

    Jayne S Sutherland

    Full Text Available Tuberculosis (TB remains a global health threat with 9 million new cases and 1.4 million deaths per year. In order to develop a protective vaccine, we need to define the antigens expressed by Mycobacterium tuberculosis (Mtb, which are relevant to protective immunity in high-endemic areas.We analysed responses to 23 Mtb antigens in a total of 1247 subjects with different HIV and TB status across 5 geographically diverse sites in Africa (South Africa, The Gambia, Ethiopia, Malawi and Uganda. We used a 7-day whole blood assay followed by IFN-γ ELISA on the supernatants. Antigens included PPD, ESAT-6 and Ag85B (dominant antigens together with novel resuscitation-promoting factors (rpf, reactivation proteins, latency (Mtb DosR regulon-encoded antigens, starvation-induced antigens and secreted antigens.There was variation between sites in responses to the antigens, presumably due to underlying genetic and environmental differences. When results from all sites were combined, HIV- subjects with active TB showed significantly lower responses compared to both TST(- and TST(+ contacts to latency antigens (Rv0569, Rv1733, Rv1735, Rv1737 and the rpf Rv0867; whilst responses to ESAT-6/CFP-10 fusion protein (EC, PPD, Rv2029, TB10.3, and TB10.4 were significantly higher in TST(+ contacts (LTBI compared to TB and TST(- contacts fewer differences were seen in subjects with HIV co-infection, with responses to the mitogen PHA significantly lower in subjects with active TB compared to those with LTBI and no difference with any antigen.Our multi-site study design for testing novel Mtb antigens revealed promising antigens for future vaccine development. The IFN-γ ELISA is a cheap and useful tool for screening potential antigenicity in subjects with different ethnic backgrounds and across a spectrum of TB and HIV infection states. Analysis of cytokines other than IFN-γ is currently on-going to determine correlates of protection, which may be useful for vaccine

  5. RFWD3-Dependent Ubiquitination of RPA Regulates Repair at Stalled Replication Forks.

    Science.gov (United States)

    Elia, Andrew E H; Wang, David C; Willis, Nicholas A; Boardman, Alexander P; Hajdu, Ildiko; Adeyemi, Richard O; Lowry, Elizabeth; Gygi, Steven P; Scully, Ralph; Elledge, Stephen J

    2015-10-15

    We have used quantitative proteomics to profile ubiquitination in the DNA damage response (DDR). We demonstrate that RPA, which functions as a protein scaffold in the replication stress response, is multiply ubiquitinated upon replication fork stalling. Ubiquitination of RPA occurs on chromatin, involves sites outside its DNA binding channel, does not cause proteasomal degradation, and increases under conditions of fork collapse, suggesting a role in repair at stalled forks. We demonstrate that the E3 ligase RFWD3 mediates RPA ubiquitination. RFWD3 is necessary for replication fork restart, normal repair kinetics during replication stress, and homologous recombination (HR) at stalled replication forks. Mutational analysis suggests that multisite ubiquitination of the entire RPA complex is responsible for repair at stalled forks. Multisite protein group sumoylation is known to promote HR in yeast. Our findings reveal a similar requirement for multisite protein group ubiquitination during HR at stalled forks in mammalian cells. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Digitalisering af det eksisterende byggeri

    DEFF Research Database (Denmark)

    Sørensen, Nils Lykke; Øien, Turid Borgestrand

    2010-01-01

    Digitalisering af det eksisterende byggeri er en vanskelig og uendelig opgave. Det giver kun mening at digitalisere eksisterende byggeri, når man har et konkret behov, og da kun at indhente og lagre de informationer, som man strategisk eller konkret har behov for. Erhvervs og Byggestyrelsen har i...

  7. Vejledning - valg og læring

    DEFF Research Database (Denmark)

    Skovhus, Randi Boelskifte

    2017-01-01

    Afhandlingen undersøger, hvordan uddannelses-, erhvervs- og karrierevejledning i skolen udfolder sig i samspil med lærere og med det øvrige der foregår i skolen, og hvordan vejledningen giver mening for unge. Afhandlingens analyser giver indsigt i de unges deltagelse i vejledningen og diskuteres ...

  8. Contamination des produits agricoles et de la nappe phréatique par ...

    African Journals Online (AJOL)

    Au Senegal, les enquetes menees dans la zone agricole des Niayes ont revele une mauvaise gestion des pesticides de la part des producteurs peu soucieux de leur impact sur lfenvironnement et la qualite des productions. Lfanalyse chromatographique apres extraction et purification a montre la presence de residus de ...

  9. Bestrijding van cyberstalking : overheids- of zelfregulering?

    NARCIS (Netherlands)

    van Klink, B.M.J.; Royakkers, L.M.M.

    1999-01-01

    In dit artikel wordt ingegaan op de vraag wat stalking, en in het bijzonder cyberstalking, is en met welke (al dan niet juridische) middelen dit zou kunnen worden aangepakt. De auteurs zijn van mening dat stalking in het algemeen het beste kan worden aangepakt door bemiddeling tussen belager en

  10. The missing link?

    DEFF Research Database (Denmark)

    Larsson, Flemming

    2005-01-01

    Innovation indgår som et centralt tema i mange virksomheders vision og mission statements. Det giver god mening, da innovation er bredt anerkendt som noget positivt, der skaber værdi for kunden, og samtidigt giver virksomheden konkurrencemæssig fordel. Men paradoksalt nok, så afspejler...

  11. Auctions for Renewable Support in Denmark:Instruments and lessons learnt

    DEFF Research Database (Denmark)

    Kitzing, Lena; Wendring, Paul; Wigan, Fabian

    This report deals with all past and ongoing auctions for renewable support in Denmark. Since 2004, five single-item, technology-specific offshore wind auctions were held, with one more currently ongoing. One multi-item, multi-site nearshore wind auction is currently ongoing.......This report deals with all past and ongoing auctions for renewable support in Denmark. Since 2004, five single-item, technology-specific offshore wind auctions were held, with one more currently ongoing. One multi-item, multi-site nearshore wind auction is currently ongoing....

  12. Bipolaridad y Guerra Fría en Iberoamérica. La Doctrina de Seguridad Nacional en el mundo de bloques

    OpenAIRE

    Pedro Rivas Nieto; Pablo Rey García

    2009-01-01

    El artículo estudia el desarrollo de la idea de bipolaridad y de Guerra Fría en el pensamiento y en la práctica de la Doctrina de Seguridad Nacional y de los regímenes militares que se pusieron a su servicio en América Latina.

  13. Chile: Political and Economic Conditions and U.S. Relations

    Science.gov (United States)

    2010-03-02

    S) AND ADDRESS(ES) Congressional Research Service,Library of Congress,101 Independence Ave , SE,Washington,DC,20540-7500 8. PERFORMING ORGANIZATION...Chileno por Crímenes de ‘Caravana de la Muerte ’,” Agencia Mexicana de Noticias, October 15, 2008. 64 “Chile Arrests 25 Ex-Military On Rights Abuse

  14. Speaking to the experts and patients: Recommendations for ...

    African Journals Online (AJOL)

    Opsomming: Gesprekke met kundiges en pasiënte: Aanbevelings ter verbetering van ART-nakoming. Hierdie artikel doen verslag oor die bevindinge van 'n studie wat kundiges en pasiënte se menings en aanbevelings ten opsigte van die nakoming van antiretrovirale medikasievoorskrifte ondersoek het. Die studie is in die ...

  15. Kommunikation skaber din organisation

    DEFF Research Database (Denmark)

    Hansen, Heidi

    KOMMUNIKATION skaber din ORGANISATION tager udgangspunkt i en narrativ tilgang til kommunikation, hvor organisationen skabes i mødet mellem ledere, medarbejdere, organisation og omverden. Historier hjælper os med at skabe mening, og er derfor vigtige både som et udviklingsværktøj i organisationen...

  16. Trivsel i teams - mellem organisation, relationer og faglighed. Et tværfagligt forskningsprojekt

    DEFF Research Database (Denmark)

    Andersen, Vibeke

    I forskningsprojektet Trivsel i Teams (TiT) har vi taget udgangspunkt i de mange forestillinger, der er omkring teamarbejde: Teamarbejde skaber innovation og synergi, teamarbejde skaber læring, mening og trivsel og teamarbejde er den bedste organiseringsform, når det drejer sig om at løse komplek...

  17. Youth behind bars

    DEFF Research Database (Denmark)

    Bengtsson, Tea Torbenfeldt

    2012-01-01

    Gennem et etnografisk studie undersøger denne ph.d.-afhandling unges hverdagsliv og meningsskabelse på sikrede institutioner i Danmark. Afhandlingens formål er via teorier om ungdom og kriminalitet at undersøge, hvordan unge indespærret på sikrede institutioner skaber mening i deres hverdagsliv b...

  18. The role of economics in the QUERI program: QUERI Series.

    Science.gov (United States)

    Smith, Mark W; Barnett, Paul G

    2008-04-22

    The United States (U.S.) Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) has implemented economic analyses in single-site and multi-site clinical trials. To date, no one has reviewed whether the QUERI Centers are taking an optimal approach to doing so. Consistent with the continuous learning culture of the QUERI Program, this paper provides such a reflection. We present a case study of QUERI as an example of how economic considerations can and should be integrated into implementation research within both single and multi-site studies. We review theoretical and applied cost research in implementation studies outside and within VA. We also present a critique of the use of economic research within the QUERI program. Economic evaluation is a key element of implementation research. QUERI has contributed many developments in the field of implementation but has only recently begun multi-site implementation trials across multiple regions within the national VA healthcare system. These trials are unusual in their emphasis on developing detailed costs of implementation, as well as in the use of business case analyses (budget impact analyses). Economics appears to play an important role in QUERI implementation studies, only after implementation has reached the stage of multi-site trials. Economic analysis could better inform the choice of which clinical best practices to implement and the choice of implementation interventions to employ. QUERI economics also would benefit from research on costing methods and development of widely accepted international standards for implementation economics.

  19. Is Apartheid ook op ekonomiese grond geregverdig?

    Directory of Open Access Journals (Sweden)

    B. van Deventer

    1956-03-01

    Full Text Available Die mening word vandag dikwels uitgespreek (ook deur Nasionaliste dat apartheid nie op ekonomiese gronde geregverdig kan word nie; of anders gestel, dat apartheid van die blankes te groot offers sal verg; of nog sterker gestel, dat die blankes op ekonomiese gebied nie sonder die naturel sal kan klaarkom nie.

  20. Coaching som inspiration til dialogbaseret lederskab

    DEFF Research Database (Denmark)

    Stelter, Reinhard

    2013-01-01

    , hvor mening og værdiskabende processer er i centrum. De centrale grunddimensioner for denne form for coachende dialog ligger i et fokus på værdier, i muligheder for meningsskabelse og i det narrativ-samskabende perspektiv. På dette grundlag kan tredje generations coaching være inspiration i forhold til...

  1. REEMPLAZO DEL CUARZO POR CENIZA DE TAMO DE ARROZ EN LA MANUFACTURA DE GRES PORCELÁNICO

    Directory of Open Access Journals (Sweden)

    Jerrison Delgado Trujillo

    Full Text Available En este documento se presentan los resultados de una investigación basada en el uso de un material alternativo como lo es la ceniza de tamo de arroz (CTA, en sustitución del material de relleno (cuarzo utilizado para la manufactura de gres porcelánico. Para ello, fue preparada una mezcla estándar (RS_0 (15 % cuarzo, 45 % feldespato, 25 % arcilla caolinítica y 15 % caolín, y dos mezclas más donde la CTA sustituyó al cuarzo en porcentajes del 25 % y 50 % (RS_25 y RS_50, respectivamente. Especímenes de las pastas obtenidas fueron moldeados, secados, y cocidos. A partir de los valores de absorción de agua y resistencia a la flexión, los especímenes cocidos de las mezclas estándar (RS_0 y aquellas con adición de CTA RS_25 y RS_50, fueron clasificados como baldosas de gres porcelánico prensadas en seco pertenecientes al grupo BIa, conforme a la normativa ISO 13006 (resistencia a flexión > 35 MPa y absorción de agua ≤ 0,5 %; sin embargo, en aquellos especímenes cocidos RS_50 el intervalo óptimo de cocción más estrecho y el fenómeno de hinchamiento deben ser tenidos en cuenta a la hora de establecer la temperatura óptima de cocción; lo que indica que debe tenerse un mayor control del proceso de cocción de estas mezclas. Los resultados permitieron concluir que la CTA bajo las condiciones de obtención, sí reemplaza parcialmente el material de relleno utilizado en la elaboración de gres porcelánico.

  2. Døden og morderen

    DEFF Research Database (Denmark)

    Hansen, Kim Toft

    2014-01-01

    forskellige versioner af Forbrydelsen: DR's oprindelige udgave, AMC's udgave The Killing og David Hewsons roman Forbrydelsen, der er baseret på manuskriptet til DR-serien. Grundfortællingen under disse tre versioner relaterer jeg til H.C. Andersens "Historien om en Moder" og tilskrivningen af mening til døden....

  3. Dolor abdominal de origen orgánico en niños y adolescentes

    Directory of Open Access Journals (Sweden)

    Dr. F. Germán Errázuriz

    2011-03-01

    Mediante una anamnesis acuciosa y un examen físico completo, el clínico podrá hacer una aproximación diagnóstica y orientar la solicitud de exámenes de manera dirigida. El objetivo de este artículo es entregar las herramientas semiológias para lograr este objetivo.

  4. En fortælling om AMU

    DEFF Research Database (Denmark)

    Pedersen, Villy Hovard; Andresen, Susanne; Lassen, Morten

    bedre muligheder for et aktivt arbejdsliv på et omskifteligt arbejdsmarked. Det er også historien om et skolesystem med nogle meget engage­rede medarbejdere og ledere, der igennem årene har arbejdet for at tilrettelægge og gennemføre uddannelser, der giver mening for både kursister og virksomheder. Og...

  5. Prevalence de Ia schistosomiase urinaire en milieu scolaire dans un ...

    African Journals Online (AJOL)

    L'objectif de cette etude est d'evaluer la prevalence de la schistosomiase urinaire dans un quartier periurbain de la ville de Ouagadougou. Une enquete malacologique a ete menee dans le barrage de Yamtenga durant le mois de decembre 2011. Le ramassage manuel a ere utilise pour recolter les mollusques. Le test d' ...

  6. Laboratorio en reumatología

    Directory of Open Access Journals (Sweden)

    Wainstein G. Eduardo, Dr. Msc Epidemiolog ía.

    2012-07-01

    Como conclusión, se remarca la necesidad de cuidar la interpretación de estos resultados, para evitar lo más que se pueda el costo económico, el stress psicológico y el problema médico derivado de la mala interpretación de estos exámenes.

  7. La reforma de la justicia militar en España durante la transición

    Directory of Open Access Journals (Sweden)

    JESÚS VALENCIANO ALMOYNA

    1986-01-01

    Full Text Available Con la introducción de una Monarquía Constitucional en España, y la promulgación de la Constitución española el 27 de diciembre de 1978, las cortes militares quedaron limitadas en su jurisdicción a asuntos estrictamente militares. El artículo discute sobre las reformas siguientes hasta el código penal militar de 19 de diciembre de 1985. Los crímenes militares se definen actualmente para incluir lo siguiente: (1 aquéllo que actúa contra la seguridad nacional; (2 rebelión en tiempo de guerra; (3 crímenes contra la nación española y la institución de los militares; (4 sedición militar, insubordinación, y abuso de autoridad; (5 no llevar a cabo las obligaciones; (6 ofensas del tráfico aéreo y marítimo; y (7 actuar contra la administración de la justicia militar. También se tratan los cambios que afectan tribunales militares.

  8. Comunicado a la Opinión Pública sobre el Trabajo de Investigación de la Fundación Instituto de Inmunología de Colombia.

    Directory of Open Access Journals (Sweden)

    Zoilo Cuéllar-Montoya

    2005-06-01

    En tanto los otros pasos del proceso investigativo culminan, la Academia Nacional de Medicina de Colombia, con base en el consenso de la comunidad científica reunida en dicha sesión, comunica a la opinión pública que la citología vaginal o prueba de Papanicolau continuará siendo la única e indiscutible prueba de tamiza- je o de detección precoz de las lesiones precancerosas y cancerosas del cuello de la matriz en nuestro país, y debe ser complementada, a criterio médico, por exámenes tales como la colposcopia y/o la biopsia. Las pruebas en sangre, o serológicas, no son un substituto de exámenes directos del tipo de la citología vaginal y, en la actualidad, deben considerarse como un índice de infección por el virus del papiloma humano, agente causal de las lesiones del cuello uterino. Sólo la histopatología tiene hoy valor diagnóstico de las lesiones mismas...

  9. The Format of Things

    DEFF Research Database (Denmark)

    Jørnø, Rasmus Leth Vergmann

    2016-01-01

    mindre selvfølgelig og mere undersøgende i sin tilgang til hvordan mening skabes. På kanten af adoption af virtual reality udstyr af en bred forbrugerskare har spørgsmålet om hvordan mening skabes i tre dimensioner (eller hvordan den omdannes fra atomer til fotoner) aldrig været mere relevant....... som problem. Dette gøres ved at benytte velkendte dikotomier og de refleksive problemer de genererer til at undersøge betingelserne for grænseflader. Artiklen analyserer og forklarer dels hvordan dikotomier opstår på baggrund af tingsformatet, dels hvordan formatet fastholder og viderefører...... dikotomierne. Den anden artikel besvarer spørgsmålet hvad en brugergrænseflade er. Den bygger en model af metaforer der både undersøger og eksemplificerer det svar der gives. Konklusionen er at ting skal fortolkes som måden vi ser på ikke hvad vi ser. Filosofiske problemer opstår når vi forveksler de to. Den...

  10. Indicadores de calidad para un examen teórico de la especialidad de medicina general integral

    Directory of Open Access Journals (Sweden)

    Ernesto Sánchez Hernández

    2015-02-01

    Full Text Available Se realizó un estudio descriptivo y transversal combinado con enfoques cualitativos, a fin de evaluar la calidad de los exámenes de control parcial aplicados a 30 médicos de primero y segundo años residentes en medicina general integral, que laboraban en el Hospital Clinicoquirúrgico Docente "Dr. Joaquín Castillo Duany" de Santiago de Cuba, durante el año 2014. Se emplearon métodos teóricos, empíricos y de procesamiento estadístico en el análisis de los instrumentos de evaluación. Ambos exámenes teóricos presentaron diferencias y similitudes constatadas a través de indicadores, tales como número de horas asignadas al contenido y cantidad de incisos empleados en la exploración, índice de dificultad por temáticas y preguntas, así como nivel de discriminación y consistencia interna del instrumento, todo lo cual ofreció validez y confiabilidad para el sistema de evaluación del aprendizaje

  11. ¿Tiene Anaxímenes una teoría del cambio?

    Directory of Open Access Journals (Sweden)

    Daniel Graham

    2013-11-01

    Full Text Available For a long time it has been argued that, amongst the first presocratics, Anaximenes is whom possessed the most detailed theory of change. Indeed, his theory of change was one of his fundamental contributions to history of philosophy. Thirty years ago this opinion was questioned and the argument was recently repeated in a revised edition of Anaximenes. So far, I have no notice that such question has been answered. In the present essay I want to argue that, although there is something erroneous in the traditional interpretation of Anaximenes theory of change, it is not what the objectors say it is: truly, Anaximenes possess an important theory of change, of which we have significant antique evidence.

  12. The role of economics in the QUERI program: QUERI Series

    Directory of Open Access Journals (Sweden)

    Smith Mark W

    2008-04-01

    Full Text Available Abstract Background The United States (U.S. Department of Veterans Affairs (VA Quality Enhancement Research Initiative (QUERI has implemented economic analyses in single-site and multi-site clinical trials. To date, no one has reviewed whether the QUERI Centers are taking an optimal approach to doing so. Consistent with the continuous learning culture of the QUERI Program, this paper provides such a reflection. Methods We present a case study of QUERI as an example of how economic considerations can and should be integrated into implementation research within both single and multi-site studies. We review theoretical and applied cost research in implementation studies outside and within VA. We also present a critique of the use of economic research within the QUERI program. Results Economic evaluation is a key element of implementation research. QUERI has contributed many developments in the field of implementation but has only recently begun multi-site implementation trials across multiple regions within the national VA healthcare system. These trials are unusual in their emphasis on developing detailed costs of implementation, as well as in the use of business case analyses (budget impact analyses. Conclusion Economics appears to play an important role in QUERI implementation studies, only after implementation has reached the stage of multi-site trials. Economic analysis could better inform the choice of which clinical best practices to implement and the choice of implementation interventions to employ. QUERI economics also would benefit from research on costing methods and development of widely accepted international standards for implementation economics.

  13. Does physical or psychosocial workload modify the effect of musculoskeletal pain on sickness absence? A prospective study among the Finnish population.

    Science.gov (United States)

    Neupane, Subas; Pensola, Tiina; Haukka, Eija; Ojajärvi, Anneli; Leino-Arjas, Päivi

    2016-07-01

    Previously, among food industry workers, multisite pain predicted sickness absence (SA) only in those with low biomechanical workload. Here we studied among a wide range of occupations whether the relationship of pain with SA was modified by the level of physical or psychosocial workload. A nationally representative sample (Health 2000 Survey) comprised 3420 occupationally active Finns aged 30-55 years. Baseline data on musculoskeletal pain during the preceding month, strenuous work history, current physical workload, job demands, job control, support at work, lifestyle, and chronic diseases were obtained in 2000/2001 by questionnaire, interview, and clinical examination. Musculoskeletal pain in 18 body locations was combined into four sites (neck, upper limbs, low back, and lower limbs) and classified as no pain, single-site pain, and multisite pain (2-4 sites). The data were linked with information from national registers on annual SA periods lasting ≥10 workdays for 2002-2008. Negative binomial regression analysis was used. At baseline, one-third of the study sample reported single-site and one-third multisite pain. Allowing for gender and age, the employees with multisite pain in strata with high physical workload and high job demands tended to have the highest risk of SA, but no statistically significant interactive effects between work factors and pain were observed. Further adjustment for health-related lifestyle and chronic diseases decreased the risk estimates in all strata. We did not find evidence for significant modification by physical or psychosocial workload of the relationship between musculoskeletal pain and SA periods lasting ≥10 workdays.

  14. A pragmatic, phase III, multisite, double-blind, placebo-controlled, parallel-arm, dose increment randomised trial of regular, low-dose extended-release morphine for chronic breathlessness: Breathlessness, Exertion And Morphine Sulfate (BEAMS) study protocol.

    Science.gov (United States)

    Currow, David; Watts, Gareth John; Johnson, Miriam; McDonald, Christine F; Miners, John O; Somogyi, Andrew A; Denehy, Linda; McCaffrey, Nicola; Eckert, Danny J; McCloud, Philip; Louw, Sandra; Lam, Lawrence; Greene, Aine; Fazekas, Belinda; Clark, Katherine C; Fong, Kwun; Agar, Meera R; Joshi, Rohit; Kilbreath, Sharon; Ferreira, Diana; Ekström, Magnus

    2017-07-17

    Chronic breathlessness is highly prevalent and distressing to patients and families. No medication is registered for its symptomatic reduction. The strongest evidence is for regular, low-dose, extended- release (ER) oral morphine. A recent large phase III study suggests the subgroup most likely to benefit have chronic obstructive pulmonary disease (COPD) and modified Medical Research Council breathlessness scores of 3 or 4. This protocol is for an adequately powered, parallel-arm, placebo-controlled, multisite, factorial, block-randomised study evaluating regular ER morphine for chronic breathlessness in people with COPD. The primary question is what effect regular ER morphine has on worst breathlessness, measured daily on a 0-10 numerical rating scale. Uniquely, the coprimary outcome will use a FitBit to measure habitual physical activity. Secondary questions include safety and, whether upward titration after initial benefit delivers greater net symptom reduction. Substudies include longitudinal driving simulation, sleep, caregiver, health economic and pharmacogenetic studies. Seventeen centres will recruit 171 participants from respiratory and palliative care. The study has five phases including three randomisation phases to increasing doses of ER morphine. All participants will receive placebo or active laxatives as appropriate. Appropriate statistical analysis of primary and secondary outcomes will be used. Ethics approval has been obtained. Results of the study will be submitted for publication in peer-reviewed journals, findings presented at relevant conferences and potentially used to inform registration of ER morphine for chronic breathlessness. NCT02720822; Pre-results. © 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.

  15. The facilitation of a team-building process: Implications for mental health

    Directory of Open Access Journals (Sweden)

    Antoinette Gmeiner

    2001-10-01

    Die doel van hierdie artikel was om spanlede se ervaring van struikelblokke in effektiewe spanfunksionering te verken en te beskryf, asook om hul menings ten opsigte van elemente wat kan bydra tot ‘n effektiewe en produktiewe span in te win. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  16. Ampliación de la distribución geográfica de Liolaemus variegatus Laurent 1984 (Iguania: Liolaemidae en Bolivia

    Directory of Open Access Journals (Sweden)

    Aguilar-Kirigin, Alvaro Juan

    2012-08-01

    Full Text Available La revisión rigurosa de especímenes del género Liolaemus, depositados en la Colección Boliviana de Fauna, permite ampliar la distribución de la especie endémica Liolaemus variegatus a más de 500 km al sur del país en el departamento de Tarija.

  17. "Jeg bliver sådan helt nervøs, hvis det var en mand, der skulle lave det"

    DEFF Research Database (Denmark)

    Grosen, Sidsel Lond; Holt, Helle; Hvid, Helge Søndergaard

    2010-01-01

    dokumentafdelingen er der tydeligvis et samspil mellem forestillinger om køn og arbejde. For at forstå og give mening til dette samspil trækker kvinderne på historisk indlejrede kønsstereotypier, som fx at kvinder primært er omsorgsydere, at kvinder er gode til at multitaske, og at kvinder kan lide rutinearbejde....

  18. Reformationens tøvende omfortolkning af kætterbegrebet

    DEFF Research Database (Denmark)

    Holm, Bo Kristian; Thomsen, Søren Feldtfos

    2012-01-01

    Denne artikel undersøger påstanden om en omfortolkning af kætterbegrebet i den lutherske reformation. Der argumenteres for, at det giver god mening at tale om nytænkning af kætterbegrebet hos den unge Luther i form af en internalisering af kætteriet, hvor den enkeltes eget syndige selv udpeges som...

  19. Upper Extremity Radiography

    Science.gov (United States)

    ... Estos tipos de exámenes se realizan para detectar estados tales huesos rotos, daños de los tejidos blandos y artritis. El médico le ... en interpretar las imágenes médicas de diagnóstico. Después de que el ... los resultados y conversará con usted sobre qué procedimientos adicionales ...

  20. Hvad er militær ledelse?

    DEFF Research Database (Denmark)

    Barfod, Jakob Rømer

    militær ledelse unik og derved muliggøre en opdeling, således at Forsvarets skoler kun underviser i den del af ledelse, som andre civile uddannelsesinstitutioner ikke menes at kunne undervise i. Men er det muligt at adskille begreber og praksis på den måde? Dette brief undersøger nogle betydninger af...

  1. En "Copenhagen effect"?

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2009-01-01

    Artiklen efterprøver på grundlag af den danske selskabsreform 2009/10, om den liberalisering og internationalisering, der herved har fundet sted af den danske lovgivning om aktie- og anpartsselskaber, er så betydningsfuld, at det fremtidigt giver mening at tale om en "Copenhagen effect" i...... konkurrence med den allerede kendte "London effect". Udgivelsesdato: Juni 2009...

  2. Rudolf Bultmann se verstaan van vryheid

    African Journals Online (AJOL)

    12 Jun 2015 ... Om die verskil in menslike selfverstaan te verduidelik, begin. Bultmann ([1959] 1975:43) met die menings van die filosoof. Anaxagoras. Op die vraag hoekom dit beter is om gebore te wees as om nie gebore te wees nie, sê hy: ''n Mens is gebore om die hemel en die kosmos omvattende orde te aanskou'.

  3. Sex-specific impact of early-life adversity on chronic pain: a large population-based study in Japan

    Directory of Open Access Journals (Sweden)

    Yamada K

    2017-02-01

    Full Text Available Keiko Yamada,1,2 Ko Matsudaira,3,4 Eizaburo Tanaka,1,5 Hiroyuki Oka,3 Junji Katsuhira,3,6 Hiroyasu Iso1 1Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, 2Center for Pain Management, Osaka University Hospital, Suita, Osaka, 3Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo, Tokyo, 4Japan Labour Health & Welfare Organization, Tokyo, 5Hyogo Institute for Traumatic Stress, Kobe, 6Department of Prosthetics & Orthotics and Assistive Technology, Faculty of Medical Technology, Niigata University of Health and Welfare, Niigata, Japan Background: Responses to early-life adversity may differ by sex. We investigated the ­sex-specific impact of early-life adversity on chronic pain, chronic multisite pain, and somatizing tendency with chronic pain. Methods: We examined 4229 respondents aged 20–79 years who participated in the Pain Associated Cross-Sectional Epidemiological Survey in Japan. Outcomes were: 1 chronic pain prevalence, 2 multisite pain (≥3 sites prevalence, and 3 multiple somatic symptoms (≥3 symptoms among respondents with chronic pain related to the presence or absence of early-life adversity. Multivariable-adjusted odds ratios (ORs were calculated with 95% confidence intervals using a logistic regression model including age, smoking status, exercise routine, sleep time, body mass index, household expenditure, and the full distribution of scores on the Mental Health Inventory-5. We further adjusted for pain intensity when we analyzed the data for respondents with chronic pain. Results: The prevalence of chronic pain was higher among respondents reporting the presence of early-life adversity compared with those reporting its absence, with multivariable ORs of 1.62 (1.22–2.15, p<0.01 in men and 1.47 (1.13–1.90, p<0.01 in women. Among women with chronic pain, early

  4. Simulation 3D electromagnetique et thermomecanique d'une cavite RF

    CERN Document Server

    Launay, F

    2003-01-01

    Une etude thermomecanique 3D de l'extremite de lame a l'entree du RFQ d'IPHI a ete menee avec le code I-DEAS. Le but est de comparer les temperatures atteintes, les contraintes et les deformations calculees a partir des densites de puissance RF deposee sur la lame obtenues a partir de deux codes de calcul electromagnetique differents: SOPRANO et MAFIA

  5. Rol del laboratorio cardiovascular en la detección precoz de enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Soto S. Juan Ramón, Dr.

    2012-11-01

    Debido a que estos sujetos son por definición asintomáticos, debe procurarse solicitar aquellos exámenes de laboratorio que sean los más inocuos posibles para las personas que se someten a estas evaluaciones. Asimismo, estas pruebas deberían ser relativamente económicas e incomodar lo menos posible a los sujetos que se someten a ellas.

  6. Kampskrift for Unytten!

    DEFF Research Database (Denmark)

    Olsen, Jens Skou

    : hvorfor skal livet bæres - skal det ikke hellere væres? Vi skal ikke bære musikken, og musikken bærer ikke os - i det musi- ske bliver det tunge let, og det uoverkommelige lader sig uden videre gøre. Giver det mening at tale om "en bæredygtig balance mellem kundskaber og dannelse"? Nej, dannelsen kommer...

  7. Fra viden til velfærd

    DEFF Research Database (Denmark)

    Virker skolernes målstyrede undervisning? • Giver det mening at arbejde med iPads i børnehaven? • Hvordan fungerer det tværfaglige samarbejde i sundhedsvæsenet? De spørgsmål, og mange andre, arbejder UCC’s forsknings- og udviklingsprojekter på at besvare. Forskning i UCC tager afsæt i de udfordri...

  8. Litteraturen. Kroppen. Masken

    DEFF Research Database (Denmark)

    Thobo-Carlsen, John

      En æstetisk kommunikations-semiotik interesserer sig primært for for­hol­det mellem tegn og virke­lighed ud fra en forestilling om, at vi uop­hørligt ankommer til virkeligheden. Hvormed menes, at der i den æste­ti­ske kommunikation ligger oplevelsen af et vanskeligt administrer­bart paradoks, s...

  9. CARACTERÍSTICAS DE ATENCIÓN DE SALUD EN EL PROGRAMA DE TUBERCULOSIS PULMONAR. HOSPITAL REGIONAL HONORIO DELGADO DE AREQUIPA, 2015.

    OpenAIRE

    CHIRINOS MAYCA, LUIS ANGEL

    2016-01-01

    TUBERCULOSIS PULMONAR SIGNIFICADO EXÁMENES COMPLEMENTARIO APRECIACIÓN DIAGNOSTICA TRATAMIENTO DE LA TUBERCULOSIS PULMONAR EN UN PROGRAMA DE TBC ATENCIÓN DE SALUD CONCEPTOS Y DEFINICIONES DE ATENCIÓN EN SALUD LOS CUATROS PILARES EN LA ATENCIÓN DE SALUD PROPÓSITO, OBJETIVOS Y PRINCIPIOS DE LA ATENCIÓN EN SALUD ASPECTOS METODOLÓGICOS PARA LA ATENCIÓN SALUD ANTECEDENTES INVESTIGATIVOS

  10. Oplevelser. Koblinger og transformationer

    DEFF Research Database (Denmark)

    Jantzen, Christian; Jensen, Jens Frederik

    Oplevelser er mellemledet mellem sansning of erfaring. Når vi oplever noget, knyttes der indsigt, mening og formål på vores indtryk. Oplevelser får os til at erkende vores omverden og os selv på nye spændende måder. Oplevelsesøkonomi drejer sig i den sammenhæng om nye kreative tilgange til produk...

  11. Diofantiske ligninger. Fermats sidste sætning

    DEFF Research Database (Denmark)

    Hansen, Johan P.

    2011-01-01

    Under den historiske indføring forklares, hvad der menes med en Diofantisk ligning. Der gøres rede for formulering af Fer- mats Store Sætning, som siger, at x^n + y^n = z^n ikke har postive heltallige løsninger for n > 2. Alle heltallige løsninger til den Pythagoræiske ligning a^2 +b^2 = c^2...

  12. Primer registro de “la mosca negra de los cítricos” Aleurocanthus woglumi (Hemiptera: Aleyrodidae en la Argentina

    Directory of Open Access Journals (Sweden)

    Silvia N. LÓPEZ

    2011-01-01

    Full Text Available Aleurocanthus woglumi Ashby es una especie polífaga que ataca principalmente cultivos de Citrus spp. El objetivo de este trabajo es dar a conocer la primera detección de A. woglumi en Argentina. Los especímenes estudiados fueron recolectados en cultivos de pomelo en Tres Lagunas, departamento de Pilagá, Formosa, en febrero de 2011.

  13. El humor político clandestino. ¿La crítica más temida de todo régimen?

    OpenAIRE

    Diego Hernando Gómez

    2016-01-01

    Resenha da obra: Várnagy, Tomás: “Proletarios de todos los países… ‘Perdonadnos!” El humor político clandestino en los regímenes de tipo soviético y el papel deslegitimador del chiste en Europa central y oriental (1917-1991). Buenos Aires: EUDEBA (Editorial Universitaria de Buenos Aires), 2016. 372 páginas.

  14. Distributed data networks: a blueprint for Big Data sharing and healthcare analytics.

    Science.gov (United States)

    Popovic, Jennifer R

    2017-01-01

    This paper defines the attributes of distributed data networks and outlines the data and analytic infrastructure needed to build and maintain a successful network. We use examples from one successful implementation of a large-scale, multisite, healthcare-related distributed data network, the U.S. Food and Drug Administration-sponsored Sentinel Initiative. Analytic infrastructure-development concepts are discussed from the perspective of promoting six pillars of analytic infrastructure: consistency, reusability, flexibility, scalability, transparency, and reproducibility. This paper also introduces one use case for machine learning algorithm development to fully utilize and advance the portfolio of population health analytics, particularly those using multisite administrative data sources. © 2016 New York Academy of Sciences.

  15. Entre el ardid y la sobreinterpretación. El test de comprensión lectora como género discursivo

    Directory of Open Access Journals (Sweden)

    Facundo Nieto

    2014-12-01

    Full Text Available Nuestro trabajo se propone analizar algunos rasgos del formato típico de los exámenes de comprensión lectora difundidos por la Dirección Nacional de Información y Evaluación de la Calidad Educativa (DiNIECE, unidad del Ministerio de Educación de la Nación Argentina que tiene a su cargo las tareas de planificar e implementar los Operativos Nacionales de Evaluación (ONE y de administrar los exámenes internacionales PISA. El análisis se ha realizado desde dos perspectivas teóricas. La primera, centrada en el texto, permite concebir este tipo de examen como género discursivo, es decir, como un tipo relativamente estable de enunciados caracterizado por una temática, una estructura y un estilo determinados (Bajtín, 1982 [1978]; en particular, consideramos su estructura en términos de discurso instruccional (Silvestri, 1995. La segunda perspectiva, centrada en el receptor-alumno, adopta conceptualizaciones semióticas que permiten pensar la “sobreinterpretación” (Eco, 1992 como modalidad particular de lectura.

  16. Análisis morfohistológico del sistema reproductor de Bostryx conspersus (Sowerby, 1833 (Gastropoda, Bulimidae de las lomas de Pacta. Lima, Perú.

    Directory of Open Access Journals (Sweden)

    Fela López

    2014-06-01

    Full Text Available Bostryx spp es uno de los géneros demás alta diversidad de los Bulimulidae; B. conspersus es considerada una especie típica de la malacofauna de Lomas. Nuestro objetivo es contribuir al conocimiento morfohistológico del sistema reproductor a fin de enriquecer la información básica de la reproducción de la especie y que nos sirva a futuro como patrón para comparar otros individuos del mismo género. Se procesaron especímenes maduros, colectados de las Lomas de Pacta, Departamento de Lima, a mediados de 1994; el análisis conquiológico siguió la clave de Arrarte (1953; los especímenes fueron disecados, siguiendo los procedimientos de Beaumont & Cassier (1970. La coloración diferencia¡ siguió el método de la Hematoxilina de Harris-Eosina. Se describe en base a la lectura de las láminas la estructura morfohistológica del complejo gonadal de B. conspersus, destacando entre ellos la glándula del albumen con la presencia de depósitos calcáreos entre las células epiteliales.

  17. Dimorfismo sexual en la proporción entre el segundo y cuarto digito (2D/4D de Gonatodes albogularis (Gekkonidae en Colombia

    Directory of Open Access Journals (Sweden)

    Mauricio Peñuela

    2011-01-01

    Full Text Available La proporción entre el segundo y cuarto dígito (2D/4D ha sido bien estudiada como un dimorfismo sexual que puede resultar de los efectos androgénicos prenatales sobre la expresión de los genes homeobox. Se ha encontrado que este dimorfismo exhibe patrones filogenéticos en el cual las hembras tienen mayor proporción entre dígitos en especies mamíferas y menor proporción entre dígitos en especies de aves y reptiles. Este estudio midió los dígitos segundo y cuarto de todos las extremidades, en 25 especímenes machos y 25 especímenes hembras adultos de Gonatodes albogularis. Se determinó que no existían diferencias significativas entre la proporción (2D/4D en machos y hembras como dimorfismo sexual de la especie. Estos resultados indican que esta especie de lagartija arbórea se desvía de la proporción entre dígitos mostrada por especies diápsida. Posibles factores ambientales asociados son discutidos.

  18. Physical and mechanical characterization of concrete exposed to elevated temperatures by using ultrasonic pulse velocity

    Directory of Open Access Journals (Sweden)

    Ricardo Alfredo Cruz Hernández

    2015-01-01

    Full Text Available En el presente trabajo se reportan los resultados de experimentos llevados a cabo bajo cargas de fuego para evaluar las propiedades físicas y mecánicas en concreto sin reforzar. Especímenes cilíndricos fueron expuestos a diferentes temperaturas dentro de una mufla; mientras que especímenes cúbicos fueron expuestos a llama directa usando la curva estándar ISO 834. Las cargas térmicas se aplicaron hasta alcanzar una determinada temperatura la cual fue mantenida durante una hora. Los ensayos consistieron en pérdida de masa, microscopia óptica, velocidad de pulso ultrasónico, resistencia de compresión residual, difracción de rayos X y porosidad. Se observó que con el incremento de la temperatura las propiedades físicas y mecánicas experimentaron grandes daños. Los resultados mostraron que el método de la velocidad de pulso ultrasónico es apropiado para la evaluación de la resistencia a la compresión y las propiedades micro-estructurales del concreto después de ser expuesto a fuego.

  19. DOLARIZAR:: ¿REALMENTE UN DILEMA?

    Directory of Open Access Journals (Sweden)

    Beethoven Herrera V

    Full Text Available Este trabajo presenta el debate teórico actual en torno a las ventajas y desventajas, costos y beneficios, de adoptar los diversos regímenes cambiarios, en especial el de régimen es cambiarios ultrafijos como la dolarización, en el actual escenario de crisis financiera internacional y de inestabilidad macroeconómica de América Latina. Luego se contrastan las diferentes propuestas teóricas con la evidencia empírica del desempeño económico de los países que operan bajo regímenes cambiarios cercanos a la dolarización, y finalmente, ofrece algunas conclusiones.This paper analyses the present theoretical debate on the advantages and disadvantages, costs and benefits referred to the adoption of different foreign exchange regimes, and sp¿cially the ul tra-fix ones such as the dollarization in the present si tuation of international financial crisis and saec roeconomi:c instability in Latin America. Further on different theoretical propositions are contrasted with empir.ícal evidence of the economic performance of those countries that operate under foreign trade regimes close to dollarization, and finally, is otfers some conclusions.

  20. Fascioliasis coledociana por Fasciola hepatica en cirugía de colecistitis crónica calculosa

    Directory of Open Access Journals (Sweden)

    María Beltrán-Fabián

    2011-04-01

    Full Text Available Se reporta un caso de Fasciola hepatica en una mujer de 50 años de edad, natural de Huaral, procedente de un asentamiento humano del distrito de Ate en Lima, con un tiempo de enfermedad de siete días caracterizado al inicio por dolor abdominal tipo cólico de curso progresivo en el epigastrio, dolor que se irradia a hipocondrio derecho. Luego presentó luego náuseas y vómitos en cuatro oportunidades, de contenido alimenticio y bilioso, por lo que se decide su hospitalización previa atención por emergencia. Al examen físico se encontró conjuntivas oculares levemente ictéricas, abdomen balonado, blando, depresible, no visceromegalia, Murphy positivo, ruidos hidroaéreos presentes, tórax y pulmones sin alteraciones. Posteriormente a los exámenes auxiliares, se diagnosticó colecistitis calculosa aguda y fascioliasis coledociana. En el acto quirúrgico se extrajo tres especímenes identificados como Fasciola hepatica. La paciente después de recibir el triclabendazol, concurrió al Hospital para la evaluación y control, habiendo logrado mejoría y bienestar.

  1. Caracterización de la población geriátrica hipertensa de un consultorio médico de la familia

    Directory of Open Access Journals (Sweden)

    Rafaela Yamilet Lora Martínez

    2015-02-01

    Full Text Available En los últimos años se ha incrementado la aparición de la hipertensión arterial en el adulto mayor, por lo que se realiza una investigación descriptiva transversal, para caracterizar clínica y epidemiológicamente esta entidad en los adultos mayores, atendidos en el consultorio médico de la familia (CMF No 8, perteneciente al Policlínico “Romárico Oro” de Puerto Padre, en el año 2012. La población de estudio estuvo constituida por todos los gerontes dispensarizados como hipertensos. Se analizaron las variables: factores de riesgo asociados, manifestaciones clínicas, hallazgos en exámenes complementarios y electrocardiográficos y daño en órganos diana. Dentro de los factores de riesgo asociados predominaron los antecedentes familiares de hipertensión arterial, sedentarismo y estrés. La manifestación clínica más abundante fue la cefalea. El hallazgo en exámenes complementarios y electrocardiográficos más frecuente fue la hipertrofia ventricular izquierda, siendo el corazón el órgano diana más afectado

  2. Medicinal use of plants by the peasant community of San Jacinto, northern Colombia Medicinal use of plants by the peasant community of San Jacinto, northern Colombia

    Directory of Open Access Journals (Sweden)

    Bonzani Renée M.

    1999-11-01

    Full Text Available I studied the medicinal use of plants by the peasant community of the town of San Jacinto, located in the savanna of Bolívar, northern Colombia. Fifty-five families, 138 genera, and 118 species were scientifically identified from 249 specimens collected of the modern-day vegetation of San Jacinto. From these, 198 uses were recorded for 190 (76% of the specimens. The 54 uses recorded for human medicine (27% and the five uses recorded for animal medicine (2% are discussed. Vernacular names, parts used, method of preparation, and medicinal uses are listed.Se presenta un estudio etnobotánico de la comunidad campesina del pueblo de San Jacinto, localizado en las sabanas de Bolívar, norte de Colombia. Se identificaron científicamente 55 familias, 138 géneros, y 118 especies con base en 249 especímenes recolectados de la vegetación de San Jacinto. De esos, se establecieron 198 usos para 190 (76% especímenes. Se presentan 54 usos para medicina humana (27% y cinco usos para medicina animal (2%. Se listan nombres vernáculos, partes usadas, método de preparación, y usos medicinales.

  3. Tender point count, pain, and mobility in the older population: the mobilize Boston study.

    Science.gov (United States)

    Eggermont, Laura H P; Shmerling, Robert H; Leveille, Suzanne G

    2010-01-01

    Prevalence of tender points (TP), and widespread pain and fibromyalgia, as well as the relationship between TP and widespread pain and mobility, was examined in 585 community-dwelling older adults (mean age 78.2 years, 63.4% female). Pain was based on location (none, single site, multisite, widespread). Mobility was measured by the Short Physical Performance Battery (SPPB), gait speed, and self-reported (S-R) mobility difficulty. Tender-point count and health characteristics (ie, BMI, chronic conditions, analgesic use, number of medications, depression, and blocks walked per week) were assessed. Several participants had 3 or more TP (22.1%) although prevalence of criteria-based fibromyalgia was low (.3%). Mobility was more limited in persons with higher tender-point counts. After adjustment for pain and other risk factors, higher tender-point count was associated with poorer SPPB performance (score < 10, aOR = 1.09 per TP, 95%CI, 1.01-1.17), and slow gait speed (< .784m/sec, aOR = 1.14 per TP, 95%CI, 1.05-1.24), but not with S-R mobility difficulty. S-R mobility difficulty was associated with more disseminated pain (multisite pain, aOR = 2.01, 95%CI, 1.21-3.34; widespread pain, aOR = 2.47, 95%CI, 1.09-5.62). These findings portray a significant mobility burden related to tender-point count and multisite and widespread pain in the older population. Future studies using longitudinal methods are warranted. Higher tender-point count, multisite pain, and widespread pain are common in community-dwelling older adults and associated with mobility problems. Both the manual tender-point exam and the McGill Pain Map may provide important yet different information about risks for mobility disability in older individuals. Copyright 2010 American Pain Society. All rights reserved.

  4. Les institucions. El Consell de Garanties Estatutàries: drets sense garanties? - Instituciones. El Consejo de Garantías Estatutarias: ¿derechos sin garantías?

    Directory of Open Access Journals (Sweden)

    Joan Vintró

    2010-07-01

    Full Text Available El Consell de Garanties Estatutàries (181-184Joaquín Tornos MasEls dictàmens vinculants del Consell de Garanties Estatutàries (185-190Joan Vintró CastellsEl Consejo de Garantías Estatutarias (181-184Joaquín Tornos MasLos dictámenes vinculantes del Consejo de Garantías Estatutarias (185-190Joan Vintró Castells

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

    Science.gov (United States)

    2008-12-18

    Mexico adopted a series of economic, political, and foreign policy reforms. It opened its economy to trade and investment, adopted electoral ...institutions and election agency. The Federal Election Institute (IFE) and Federal Electoral Tribunal (TEPJF) were well-regarded going into the 2006...Investiga PGR Crímenes Cometidos durante Conflicto en Oaxaca,” Notimex, January 4, 2007; Gerardo Soriano and Paulina I. Valencia, “Asegura APPO que

  6. Mengembangkan Penalaran Ilmiah (Scientific Reasoning) Siswa Melalui Model Pembelajran 5e Pada Siswa Kelas X Sman 15 Surabaya

    OpenAIRE

    Shofiyah, N; Supardi, Z. A. I; Jatmiko, B

    2013-01-01

    Tujuan dari penelitian ini adalah untuk mengembangkan perangkat pembelajaran menggunakan model 5E untuk meningkatkan keterampilan penalaran ilmiah siswa. Hasil dari penelitian ini menunjukkan bahwa perangkat pembelajaran yang dikembangkan dengan model 5E valid untuk diterapkan di dalam kelas, BAS memiliki keterbacaan yang bagus, keterlaksanaan RPP dikategorikan baik, model pembelajaran 5E secara efektif dapat mening-katkan keterampilan penalaran ilmiah siswa dan siswa memberikan respon yang p...

  7. AKTIVITAS ANTIOKSIDAN SUSU PASTEURISASI HTST DAN LTLT YANG DITAMBAHKAN BERBAGAI LEVEL BUAH SIRSAK (Annona muricata L.)

    OpenAIRE

    ANITA, IRMAYANA AYU

    2015-01-01

    2015 IRMAYANA AYU ANITA (I 111 11 305). Aktivitas Antioksidan Susu Pasteurisasi HTST dan LTLT yang Ditambahkan Berbagai Level Buah Sirsak (Annona muricata L). Dibawah bimbingan WAHNIYATHI HATTA sebagai pembimbing utama dan EFFENDI ABUSTAM sebagai pembimbing anggota. Buah sirsak mengandung vitamin, dan senyawa antioksidan yang dapat berfungsi sebagai senyawa yang dapat menunda, memperlambat dan mencegah proses oksidasi lipid. Penambahan buah sirsak diharapkan dapat mening...

  8. América Latina después de las transiciones: calidad de la democracia, nuevo desarrollo y equidad proactiva

    Directory of Open Access Journals (Sweden)

    Rodrigo Arocena

    2014-06-01

    Full Text Available El artículo parte de la década de los ochenta, necesaria para una transición progresiva de ciertos regímenes dictatoriales a las nuevas democracias, para analizar la solidez de la democracia en América Latina, los nuevos procesos de crecimiento económico y la justicia social que late (o no bajo los mismos.

  9. A Web-Based Data Collection Platform for Multisite Randomized Behavioral Intervention Trials: Development, Key Software Features, and Results of a User Survey.

    Science.gov (United States)

    Modi, Riddhi A; Mugavero, Michael J; Amico, Rivet K; Keruly, Jeanne; Quinlivan, Evelyn Byrd; Crane, Heidi M; Guzman, Alfredo; Zinski, Anne; Montue, Solange; Roytburd, Katya; Church, Anna; Willig, James H

    2017-06-16

    Meticulous tracking of study data must begin early in the study recruitment phase and must account for regulatory compliance, minimize missing data, and provide high information integrity and/or reduction of errors. In behavioral intervention trials, participants typically complete several study procedures at different time points. Among HIV-infected patients, behavioral interventions can favorably affect health outcomes. In order to empower newly diagnosed HIV positive individuals to learn skills to enhance retention in HIV care, we developed the behavioral health intervention Integrating ENGagement and Adherence Goals upon Entry (iENGAGE) funded by the National Institute of Allergy and Infectious Diseases (NIAID), where we deployed an in-clinic behavioral health intervention in 4 urban HIV outpatient clinics in the United States. To scale our intervention strategy homogenously across sites, we developed software that would function as a behavioral sciences research platform. This manuscript aimed to: (1) describe the design and implementation of a Web-based software application to facilitate deployment of a multisite behavioral science intervention; and (2) report on results of a survey to capture end-user perspectives of the impact of this platform on the conduct of a behavioral intervention trial. In order to support the implementation of the NIAID-funded trial iENGAGE, we developed software to deploy a 4-site behavioral intervention for new clinic patients with HIV/AIDS. We integrated the study coordinator into the informatics team to participate in the software development process. Here, we report the key software features and the results of the 25-item survey to evaluate user perspectives on research and intervention activities specific to the iENGAGE trial (N=13). The key features addressed are study enrollment, participant randomization, real-time data collection, facilitation of longitudinal workflow, reporting, and reusability. We found 100% user

  10. Vliv pivovarského procesu na profil proteinů ječmene

    Czech Academy of Sciences Publication Activity Database

    Benkovská, Dagmar; Flodrová, Dana; Psota, V.; Bobálová, Janette

    2011-01-01

    Roč. 57, 7-8 (2011), 260-265 ISSN 0023-5830 R&D Projects: GA MŠk 1M0570 Institutional research plan: CEZ:AV0Z40310501 Keywords : barley * proteins * brewing process Subject RIV: CB - Analytical Chemistry, Separation

  11. Forskningskonference 2018 – et forskningssyn på kompetenceudvikling, uddannelse, kompleksitet og mening

    DEFF Research Database (Denmark)

    Hansen, Magnus Rotvig Perlt; Svejvig, Per

    2018-01-01

    Med en udvidelse af forskningskonferencen til begge symposiets dage fletter vi i år temastrømmene sammen med perspektiver fra landets førende projektledelsesforskere. Her bliver mennesket sat I centrum og relateret til bl.a. agilitet og kompleksitet, handlingsorienteret meningsskabelse, og perspe...

  12. Fremlæggelse af vores syn på menings- og undringsdreven innovation

    DEFF Research Database (Denmark)

    Hansen, Finn Thorbjørn; Herholdt-Lomholdt, Sine Maria

    2017-01-01

    I denne artikel ’slås tonen an’ ved at stille ind på den forundring, der oftest går forud for den mere filosofiske undren, og som knytter sig til en æstetisk transcendens-erfaring. Med idéhistorikeren Dorthe Jørgensen (Jørgensen, 2014) nuancerer vi, hvad det kan være for anelsesfulde og indfaldsp...... entreprenørtilgang til ’design-drevne innovation’, som f.eks. den danske innovationsorganisation MindLab trækker på, her eksemplificeret af Liedtka og Ogilvies (Liedtka & Ogilvie, 2011) model for designdreven innovation....

  13. Odpowiedzialność menedżera w zarządzaniu pracownikami wiedzy

    OpenAIRE

    Bednarska-Wnuk, Izabela

    2012-01-01

    his article aims to present the role of manager as responsible individuals shaping the organizational space of their workers, particularly knowledge workers. Due to the limited volume of the article, the focus was only on the aspects of motivation in the context of responsible business. For this purpose formulated firs characterized the essence of corporate social responsibility, environment manager and knowledge workers, and then presents the elements associated with motivating knowledge wor...

  14. Definicija uspešnega menedžerja v družinskem podjetju

    Directory of Open Access Journals (Sweden)

    Urška Metelko

    2017-08-01

    Full Text Available Purpose and originality: The purpose of this article is to identify the main characteristics of successful managers of family businesses from different perspectives. Method: We used the method of literature review of existing knowledge on family businesses and their managers, on organisational behaviour and on successful managers in general. Results: The research has highlighted the personality traits of successful managers in general, and specifically successful managers in family businesses. Society: Society will benefit from the research findings by obtaining identification of characteristics and activities of a successful manager of family business. Limitations / further research: This research is limited by the number of existing sources that were used. In the future, it would be suitable to augment the theoretical part with an empirical research on the case of Slovenia or one of its regions. It would also be sensible to add a quantitative research.

  15. MOVIMIENTOS FICCIONALES Y NO FICCIONALES DE LA VIOLENCIA. CRÍMENES DE MUJERES

    Directory of Open Access Journals (Sweden)

    Nora Domínguez

    2013-04-01

    literatura ha ido a la par de esos datos, proponiéndose como un campo de fuerzas donde la violencia y el terror, sustrato políticode estas ficciones, deviene en exploración literaria. A partir del análisis de “La parte de los crímenes” de 2666 de Roberto Bolaño (2004, El trabajo de Aníbal Jarkowski (2007 y Le viste la cara a Dios de Gabriela Cabezón Cámara (2012, este artículo piensa los cuerpos de mujeres como los disparadores narrativos que modulan las versiones político-literarias en las que el intercambio mafioso, la prostitución como amenaza neoliberal o la trata de personas funcionan como núcleos duros de verdades del presente. Los textos literarios afincados en límites verbales no logran colmar la experiencia desnuda del sufrimiento y el dolor, pero manipulan los signos materiales que pueden evocarlos y otorgarles significado.

  16. Regímenes universales de derechos humanos: la princesa vs. la cenicienta.

    OpenAIRE

    Cárdenas Reyes, Ximena Alejandra

    2012-01-01

    Este trabajo de investigación argumenta que no existe un régimen universal único de derechos humanos, pues en la realidad éste en 1966 se dividió en dos dando lugar: un régimen universal de derechos civiles y políticos y un régimen universal de derechos económicos, sociales y culturales. Además, propone que esta división genera efectos reales en la promoción y la protección de los derechos mencionados, colocando a los derechos económicos, sociales y culturales en una posición subordinada fren...

  17. Análisis del comportamiento de la inflación trimestral en Colombia bajo cambios de régimen: Una evidencia a través del modelo "Switching" de Hamilton.

    Directory of Open Access Journals (Sweden)

    Luis Fernando Melo

    2010-05-01

    Full Text Available Este trabajo tiene como propósito estudiar la evolución de la inflación trimestral en Colombia, durante el período comprendido entre 1954 y 1996, a través de la metodología de Hamilton(1989 y segundo presentar algunos conceptos relacionados con dicha metodología, la cual introduce cambios de régimen en el análisis convencional de series de tiempo. En general, esta metodología permite estimar modelos ARIMA con parámetros o varianzas cambiantes en el tiempo. En este caso, tales cambios en el modelo de la inflación se suponen asociados a posibles regímenes distintos donde la inflación presenta cambios en su nivel o en su variabilidad. Esta modelación posibilita el reconocimiento de los distintos regímenes a través del tiempo (por ejemplo dos regímenes: inflación alta e inflación baja en lo referente a su tiempo promedio de duración y a la probabilidad asociada de cada uno de ellos, es decir, la probabilidad de estar en un régimen particular en un momento dado del tiempo. Las probabilidades de transición estimadas, permiten concluir, por ejemplo, que al estar en un régimen de inflación trimestral moderado, la probabilidad de permanecer en éste es muy alta (0.94, en tanto que pasar de éste a un régimen de inflación promedio alta tiene una probabilidad de (0.05, la cual es cinco veces mayor que la estimada para la transición de moderada a baja (0.01. Adicionalmente, se puede observar que la máxima probabilidad de permanecer en un mismo régimen se tiene en aquel caracterizado como de inflación y variabilidad moderadas.

  18. En anticipación de una vacuna antirrotavirus: revisión de estudios epidemiológicos sobre la diarrea por rotavirus en la Argentina

    Directory of Open Access Journals (Sweden)

    Jorge A. Gómez

    1998-06-01

    Full Text Available En todo el mundo, los rotavirus son la causa más común de diarrea grave en los niños pequeños y actualmente se están ensayando sobre el terreno vacunas que posiblemente permitan inmunizar a la población infantil dentro de varios años. Con el fin de estimar la carga de enfermedad por rotavirus en la Argentina y la utilidad de establecer en el país un sistema de vigilancia de la enfermedad, se revisaron datos sobre la detección de estos virus, según estudios publicados y otros inéditos de nueve ciudades argentinas y uno multicéntrico. Los informes revisados indican que se detectaron rotavirus en 20% de 5 226 especímenes (con un recorrido de 6 a 54% entre estudios tomados de niños hospitalizados por diarrea y en 9% de 6 587 especímenes (recorrido de 5 a 22% entre estudios tomados de pacientes ambulatorios, miembros de poblaciones mixtas (niños hospitalizados y ambulatorios y sujetos de encuestas comunitarias. Los datos hospitalarios muestran que, si bien los virus se detectaron durante todo el año, en los meses de invierno (mayo a julio hubo un pico de intensidad cuando hasta la mitad de los niños con diarrea dieron resultados positivos a los rotavirus. En tres laboratorios se logró serotipificar para la proteína G 230 de 294 especímenes positivos (78%; los resultados indican que el serotipo G1 fue el más común (presente en 60% de los especímenes serotipificados seguido del G2 (en 20%, G4 (en 14% y G3 (en 5%. Sobre la base de los datos obtenidos en el país, se estimó que en 1991 en la Argentina hubo aproximadamente 84 500 visitas de pacientes ambulatorios (1 de cada 8 nacimientos y 21 000 hospitalizaciones de 4 días en promedio (1 de cada 31 nacimientos asociadas con rotavirus, que en conjunto costaron unos US$27,7 millones. Estos datos preliminares muestran que la carga de enfermedad por rotavirus en los niños argentinos es muy pesada y podría disminuirse con una vacuna segura y efectiva. Además se necesita ampliar la

  19. Comunicación preliminar sobre la presencia de Trypanosoma cruzi en departamentos del norte y nororiente del Perú

    Directory of Open Access Journals (Sweden)

    Hilda Solís

    2012-01-01

    Full Text Available Objetivo: Realizar un estudio epidemiológico de la zona norte y nororiental del Perú sobre la presencia de enfermedad de Chagas y sus vectores. Diseño: Estudio descriptivo, transversal. Institución: Instituto de Medicina Tropical Daniel A. Carrión, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú. Material biológico: Triatominos positivos a Trypanosoma cruzi Chagas 1909, ratones machos Swiss-Webster de un mes de edad. Intervenciones: En septiembre de 2008, se visitó las localidades de Chilete, Paredones, en la Provincia de Contumazá, Cajamarca, y las localidades de Pampa Larca, La Puerta, Guitarras y Suyo en la provincia de Ayabaca, Piura, colectándose 10 especímenes de Panstrongylus chinai (Del Ponte, 1929 en Piura y 12 especímenes de Panstrongylus herreri (Wygodzinsky, 1948, en Chilete, Cajamarca. Se aisló las cepas de Trypanosoma en ratones blancos, machos, de un mes de edad, cepa Swiss webster, siendo estos mantenidos en el laboratorio por traspasos sucesivos. Se hizo la curva de parasitemia y el estudio morfométrico de los tripomastigotes sanguíneos. Los ratones infectados fueron sacrificados a los 30 días de inoculados, se separó las vísceras y en estas se hizo el estudio anatomopatológico. Se tomó 59 muestras de sangre a los habitantes de las zonas en estudio, de pulpa digital, en papel filtro, para búsqueda de anticuerpos IgG anti-T. cruzi por ELISA y reacción de inmunofluorescencia indirecta (IFI. Principales medidas de resultados: Identificación de los triatominos y determinar su infección por Trypanosoma cruzi; presencia de anticuerpos IgG anti- T. cruzi en los pobladores. Resultados: De los especímenes de triatominos colectados, se encontró dos especímenes de P. chinai y uno de P. herreri positivos a Trypanosoma cruzi. El pico máximo de la curva de parasitemia, ocurrió a los 20 días y se halló nidos de amastigotes de T. cruzi en miocardio y músculo esquelético de los ratones

  20. En anticipación de una vacuna antirrotavirus: revisión de estudios epidemiológicos sobre la diarrea por rotavirus en la Argentina

    Directory of Open Access Journals (Sweden)

    Gómez Jorge A.

    1998-01-01

    Full Text Available En todo el mundo, los rotavirus son la causa más común de diarrea grave en los niños pequeños y actualmente se están ensayando sobre el terreno vacunas que posiblemente permitan inmunizar a la población infantil dentro de varios años. Con el fin de estimar la carga de enfermedad por rotavirus en la Argentina y la utilidad de establecer en el país un sistema de vigilancia de la enfermedad, se revisaron datos sobre la detección de estos virus, según estudios publicados y otros inéditos de nueve ciudades argentinas y uno multicéntrico. Los informes revisados indican que se detectaron rotavirus en 20% de 5 226 especímenes (con un recorrido de 6 a 54% entre estudios tomados de niños hospitalizados por diarrea y en 9% de 6 587 especímenes (recorrido de 5 a 22% entre estudios tomados de pacientes ambulatorios, miembros de poblaciones mixtas (niños hospitalizados y ambulatorios y sujetos de encuestas comunitarias. Los datos hospitalarios muestran que, si bien los virus se detectaron durante todo el año, en los meses de invierno (mayo a julio hubo un pico de intensidad cuando hasta la mitad de los niños con diarrea dieron resultados positivos a los rotavirus. En tres laboratorios se logró serotipificar para la proteína G 230 de 294 especímenes positivos (78%; los resultados indican que el serotipo G1 fue el más común (presente en 60% de los especímenes serotipificados seguido del G2 (en 20%, G4 (en 14% y G3 (en 5%. Sobre la base de los datos obtenidos en el país, se estimó que en 1991 en la Argentina hubo aproximadamente 84 500 visitas de pacientes ambulatorios (1 de cada 8 nacimientos y 21 000 hospitalizaciones de 4 días en promedio (1 de cada 31 nacimientos asociadas con rotavirus, que en conjunto costaron unos US$27,7 millones. Estos datos preliminares muestran que la carga de enfermedad por rotavirus en los niños argentinos es muy pesada y podría disminuirse con una vacuna segura y efectiva. Además se necesita ampliar la