IAEA and EU Review Progress on Cooperation, Agree on Next Steps at Annual Meeting

International Nuclear Information System (INIS)

2018-01-01

The International Atomic Energy Agency (IAEA) and the European Union (EU) reviewed progress achieved in working together on a range of nuclear activities and agreed to further enhance cooperation during their sixth annual Senior Officials Meeting in Vienna. The talks on 8 February at the IAEA’s headquarters provided a forum for exchanging views on strengthening collaboration on nuclear safety, security, safeguards, sustainable development, nuclear energy research and increasing innovation. The two organizations welcomed the fruitful cooperation and progress achieved over the past years. They agreed to deepen cooperation in several areas, particularly in the promotion of nuclear applications for sustainable development.

Evaluation of the quality of guidelines for myasthenia gravis with the AGREE II instrument.

Directory of Open Access Journals (Sweden)

Zhenchang Zhang

Full Text Available Clinical practice guidelines (CPGs are systematically developed statements to assist practitioners in making decisions about appropriate healthcare in specific clinical circumstances. The methodological quality of CPGs for myasthenia gravis (MG are unclear.To critically evaluate the methodological quality of CPGs for MG using AGREE II instrument.A systematical search strategy on PubMed, EMBASE, DynaMed, the National Guideline Clearinghouse (NGC and the Chinese Biomedical Literature database (CBM was performed on September 20th 2013. All guidelines related to MG were evaluated with AGREE II. The software used for analysis was SPSS 17.0.A total of 15 CPGs for MG met the inclusion criteria (12 CPGs in English, 3 CPGs in Chinese. The overall agreement among reviews was moderate or high (ICC >0.70. The mean scores (mean ± SD for al six domains were presented as follows: scope and purpose (60.93% ± 16.62%, stakeholder involvement (40.93% ± 20.04%, rigor of development (37.22% ± 30.46%, clarity of presentation (64.26% ± 16.36%, applicability (28.19% ± 20.56% and editorial independence (27.78% ± 28.28%. Compared with non-evidence-based CPGs, evidence-based CPGs had statistically significant higher quality scores for all AGREE II domains (P0.05. The quality scores of CPGs developed by NGC/AAN were higher than the quality scores of CPGs developed by other organizations for all domains. The difference was statistically significant for all domains with the exception of clarity of presentation (P = 0.07.The qualities of CPGs on MG were generally acceptable with several flaws. The AGREE II instrument should be adopted by guideline developers, particularly in China.

New German abortion law agreed.

Science.gov (United States)

Karcher, H L

1995-07-15

The German Bundestag has passed a compromise abortion law that makes an abortion performed within the first three months of pregnancy an unlawful but unpunishable act if the woman has sought independent counseling first. Article 218 of the German penal code, which was established in 1871 under Otto von Bismarck, had allowed abortions for certain medical or ethical reasons. After the end of the first world war, the Social Democrats tried to legalize all abortions performed in the first three months of pregnancy, but failed. In 1974, abortion on demand during the first 12 weeks was declared legal and unpunishable under the social liberal coalition government of chancellor Willy Brandt; however, the same year, the German Federal Constitution Court in Karlsruhe ruled the bill was incompatible with article 2 of the constitution, which guarantees the right to life and freedom from bodily harm to everyone, including the unborn. The highest German court also ruled that a pregnant woman had to seek a second opinion from an independent doctor before undergoing an abortion. A new, extended article 218, which included a clause giving social indications, was passed by the Bundestag. When Germany was unified, East Germans agreed to be governed by all West German laws, except article 218. The Bundestag was given 2 years to revise the article; however, in 1993, the Federal Constitution Court rejected a version legalizing abortion in the first 3 months of the pregnancy if the woman sought counsel from an independent physician, and suggested the recent compromise passed by the Bundestag, the lower house of the German parliament. The upper house, the Bundesrat, where the Social Democrats are in the majority, still has to pass it. Under the bill passed by the Bundestag, national health insurance will pay for an abortion if the monthly income of the woman seeking the abortion falls under a certain limit.

Using AGREE II to Evaluate the Quality of Traditional Medicine Clinical Practice Guidelines in China.

Science.gov (United States)

Deng, Wei; Li, Le; Wang, Zixia; Chang, Xiaonan; Li, Rui; Fang, Ziye; Wei, Dang; Yao, Liang; Wang, Xiaoqin; Wang, Qi; An, Guanghui

2016-03-15

To evaluate/assess the quality of the Clinical Practice Guidelines (CPGs) of traditional medicine in China. We systematically searched the literature databases WanFang Data, VIP, CNKI and CBM for studies published between 1978 and 2012 to identify and select CPGs of traditional medicine. We used the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to evaluate these guidelines. A total of 75 guidelines were included, of which 46 guidelines (62%) were on Traditional Chinese Medicine, 19 (25%) on Chinese Integrated Medicine, and 10 (13%) on Uyghur Medicine. Most traditional medicine CPGs published in domestic journals scored medicine. In each domain of AGREE II, traditional Medicine CPGs performed clearly better than international CPGs. The same trend was seen in guidelines of Modern Medicine. An increasing amount of CPGs are being published, but their quality is low. Referring to the key points of international guidelines development, supervision through AGREE II, cooperating with international groups and exploring the strategy of guideline development could improve the quality of CPGs on traditional medicine. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Report: Agreed-Upon Procedures on EPA’s Fiscal Year 2009 First Quarter Financial Statements

Science.gov (United States)

Report #09-2-0161, June 8, 2009. We compared the statements with EPA’s crosswalk, recomputed them for mathematical accuracy, and compared them with balances separately generated by us. Except for immaterial rounding differences, the amounts agreed.

System for Delivering Student Aid Is Flawed, Many Agree, But What's the Solution?

Science.gov (United States)

Burd, Stephen

1997-01-01

Public officials and student aid experts agree that the federal program delivery system is outdated, inefficient, and vulnerable to fraud, but they disagree on how bad the situation is and whether the Education Department has the structure necessary to fix it. A 1995 project to integrate all federal grant and loan programs into one system has not…

Context, Complexity and Contestation: Birmingham's Agreed Syllabuses for Religious Education since the 1970s

Science.gov (United States)

Parker, Stephen G.; Freathy, Rob J. K.

2011-01-01

The present article offers an historical perspective on the 1975, 1995 and 2007 Birmingham Agreed Syllabuses for Religious Education. It draws upon historical evidence uncovered as part of "The hidden history of curriculum change in religious education in English schools, 1969-1979" project, and curriculum history theories, especially…

Resourcing the National Goals for Schooling: An Agreed Framework of Principles for Funding Schools

Science.gov (United States)

Ministerial Council on Education, Employment, Training and Youth Affairs (NJ1), 2012

2012-01-01

Funding for school education in Australia should be on the basis of clear and agreed policy principles for achieving effectiveness, efficiency, equity and a socially and culturally cohesive society. On the basis of these principles a national framework for funding schools will be supported by complementary State and Commonwealth models for funding…

A critical appraisal of chronic kidney disease mineral and bone disorders clinical practice guidelines using the AGREE II instrument.

Science.gov (United States)

Sekercioglu, Nigar; Al-Khalifah, Reem; Ewusie, Joycelyne Efua; Elias, Rosilene M; Thabane, Lehana; Busse, Jason W; Akhtar-Danesh, Noori; Iorio, Alfonso; Isayama, Tetsuya; Martínez, Juan Pablo Díaz; Florez, Ivan D; Guyatt, Gordon H

2017-02-01

Patients with chronic kidney disease mineral and bone disorders (CKD-MBD) suffer high rates of morbidity and mortality, in particular related to bone and cardiovascular outcomes. The management of CKD-MBD remains challenging. The objective of this systematic survey is to critically appraise clinical practice guidelines (CPGs) addressing CKD-MBD. Data sources included MEDLINE, EMBASE, the National Guideline Clearinghouse, Guideline International Network and Turning Research into Practice up to May 2016. Teams of two reviewers, independently and in duplicate, screened titles and abstracts and potentially eligible full text reports to determine eligibility and subsequently appraised the guidelines using the Advancing Guideline Development, Reporting and Evaluation in Health Care instrument II (AGREE). Sixteen CPGs published from 2003 to 2015 addressing the diagnosis and management of CKD-MBD in adult patients (11 English, two Spanish, one Italian, one Portuguese and one Slovak) proved eligible. The National Institute for Health and Care Excellence guideline performed best with respect to AGREE II criteria; only three other CPGs warranted high scores on all domains. All other guidelines received scores of under 60% on one or more domains. Major discrepancies in recommendations were not, however, present, and we found no association between quality of CPGs which was not associated with resulting recommendations. Most guidelines assessing CKD-MBD suffer from serious shortcomings using AGREE criteria although limitations with respect to AGREE criteria do not necessarily lead to inappropriate recommendations.

Office of Inspector General report on Naval Petroleum Reserve Number 1, independent accountant`s report on applying agreed-upon procedures

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-12-01

On October 6, 1997, the Department of Energy (DOE) announced it had agreed to sell all of the Government`s interest in Naval Petroleum Reserve Number 1 (NPR-1) to Occidental Petroleum Corporation for $3.65 billion. This report presents the results of the independent certified public accountants` agreed-upon procedures work on the Preliminary Settlement Statement of the Purchase and Sale Agreement between DOE and Occidental. To fulfill their responsibilities, the Office of Inspector General contracted with the independent public accounting firm of KPMG Peat Marwick LLP to conduct the work for them, subject to their review. The work was done in accordance with the Statements on Standards for Attestation Engagements issued by the American Institute of Certified Public Accountants. As such, the independent certified public accountants performed only work that was agreed upon by DOE and Occidental. This report is intended solely for the use of DOE and Occidental and should not be used by those who have not agreed to the procedures and taken responsibility for the sufficiency of the procedures for their purposes. However, this report is a matter of public record, and its distribution is not limited. The independent certified public accountants identified over 20 adjustments to the Preliminary Settlement Statement that would result in a $10.8 million increase in the sale price.

40 CFR 80.131 - Agreed upon procedures for GTAB, certain conventional gasoline imported by truck, previously...

Science.gov (United States)

2010-07-01

..., certain conventional gasoline imported by truck, previously certified gasoline used to produce gasoline... gasoline used to produce gasoline, and butane blenders. (a) Attest procedures for GTAB. The following are... conventional gasoline and of RFG produced. Agree the volumes from the tank activity records to the batch volume...

Verifying the agreed framework between the United States and North Korea

International Nuclear Information System (INIS)

May, M.M.

2001-01-01

Under the 1994 Agreed Framework (AF) between the United States and the Democratic People Republic of Korea (DPRK), the US and its allies will provide two nuclear-power reactors and other benefits to the DPRK in exchange for an agreement by the DPRK to declare how much nuclear-weapon material it has produced; to identify, freeze, and eventually dismantle specified facilities for producing this material; and to remain a party to the nuclear Non- Proliferation Treaty (NPT) and allow the implementation of its safeguards agreement. This study assesses the verifiability of these provisions. The study concludes verification can be accomplished, given cooperation and openness from the DPRK. Special effort will be needed from the IAEA, as well as support from the US and the Republic of Korea. (author)

The definition of commonly agreed stylized human intrusion scenarios for use in the long term safety assessments of radioactive waste disposal systems

International Nuclear Information System (INIS)

Carboneras, P.

2002-01-01

Recent international advice on the treatment of human intrusion in relation to the safety of radioactive waste repositories is reviewed. The outstanding issues which need to be resolved in order to establish an agreed international approach to assessing the consequences and judging the impact of human intrusion are summarized. Finally, a way forward towards an internationally agreed assessment approach is proposed. (author)

The scientific motivation of the internationally agreed ‘well below 2 °C’ climate protection target

NARCIS (Netherlands)

Leemans, Rik; Vellinga, Pier

2017-01-01

The UNFCCC parties in their last 2015-meeting in Paris agreed to hold the increase in the global average temperature well below 2 °C above pre-industrial levels. However, how this target came about is rarely substantiated in the scientific literature. We review and document the history of this

Do patients and physicians agree on diabetes management? A study conducted in Public Healthcare Centres in Brazil

NARCIS (Netherlands)

de Figueiredo, R.C.; Snoek, F.J.; Barreto, S.M.

2013-01-01

Objective: To explore to what extent patients with diabetes agree with their physicians on diabetes management and whether the agreement varies according to patients' socio-demographic characteristics. Methods: A cross-sectional study was conducted among patients with diabetes and their Family

Decisions to Perform Emergency Caesarean Sections at a University Hospital; Do obstetricians agree?

Directory of Open Access Journals (Sweden)

Gowri Vaidyanathan

2016-02-01

Full Text Available Objectives: This study was undertaken to assess the degree of agreement amongst obstetricians regarding decisions to perform emergency Caesarean section (CS procedures at a university hospital. Methods: This retrospective clinical audit was carried out on 50 consecutive emergency CS procedures performed between November 2012 and March 2013 on women with singleton pregnancies at the Sultan Qaboos University Hospital in Muscat, Oman. Data on each procedure were collected from electronic patient records and independently reviewed by six senior obstetricians to determine agreement with the decision. Results: Of the 50 women who underwent CS procedures, the mean age was 28.9 ± 5.1 years and 48% were primigravidae. A total of 65% of the CS procedures were category I. The most common indications for a CS was a non-reassuring fetal heart trace (40% and dystocia (32%. There was complete agreement on the decision to perform 62% of the CS procedures. Five and four obstetricians agreed on 80% and 95% of the procedures, respectively. The range of disagreement was 4–20%. Disagreement occurred primarily with category II and III procedures compared to category I. Additionally, disagreement occurred in cases where the fetal heart trace pattern was interpreted as an indication for a category II CS. Conclusion: The majority of obstetricians agreed on the decisions to perform 94% of the emergency CS procedures. Obstetric decision-making could be improved with the implementation of fetal scalp pH testing facilities, fetal heart trace interpretation training and cardiotocography review meetings.

States agree on stronger physical protection regime

International Nuclear Information System (INIS)

2005-01-01

Full text: Delegates from 89 countries agreed on 8 July to fundamental changes that will substantially strengthen the Convention on the Physical Protection of Nuclear Material (CPPNM). IAEA Director General Mohamed ElBaradei welcomed the agreement in saying 'This new and stronger treaty is an important step towards greater nuclear security by combating, preventing, and ultimately punishing those who would engage in nuclear theft, sabotage or even terrorism. It demonstrates that there is indeed a global commitment to remedy weaknesses in our nuclear security regime.' The amended CPPNM makes it legally binding for States Parties to protect nuclear facilities and material in peaceful domestic use, storage as well as transport. It will also provide for expanded cooperation between and among States regarding rapid measures to locate and recover stolen or smuggled nuclear material, mitigate any radiological consequences of sabotage, and prevent and combat related offences. The original CPPNM applied only to nuclear material in international transport. Conference President Dr. Alec Baer said 'All 89 delegations demonstrated real unity of purpose. They put aside some very genuine national concerns in favour of the global interest and the result is a much improved convention that is better suited to addressing the nuclear security challenges we currently face.' The new rules will come into effect once they have been ratified by two-thirds of the 112 States Parties of the Convention, expected to take several years. 'But concrete actions are already taking place around the world. For more than 3 years, the IAEA has been implementing a systematic Nuclear Security plan, including physical protection activities designed to prevent, detect and respond to malicious acts,' said Anita Nillson, Director of the IAEA's Office of Nuclear Security. The Agency's Nuclear Security Fund, set up after the events of 9/11, has delivered $19.5 million in practical assistance to 121 countries

Effect of Health Literacy on Help-seeking Behavior in Morbidly Obese Patients Agreeing to Bariatric Surgery.

Science.gov (United States)

Cayci, Haci Murat; Erdogdu, Umut Eren; Demirci, Hakan; Ardic, Aykut; Topak, Nevruz Yildirim; Taymur, İbrahim

2018-03-01

We aimed to evaluate the effect of health literacy on agreement for bariatric surgery among morbidly obese patients. The data of 242 morbidly obese patients (body mass index-BMI ≥ 40 kg/m 2 ) were evaluated in a cross-sectional case-control pattern. The patients were classified into two groups as those who were attending the clinic for the purpose of receiving bariatric surgery (n = 138) and those who did not (n = 104). The Turkish version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47), consisting of 47 questions, was used for the health literacy evaluation. It was seen that patients who accepted bariatric surgery were younger and had higher weight and BMI values (p bariatric surgery and 26.04 (8.33:46.88) in the group who did not agree to bariatric surgery, and a statistically significant difference was determined between the two groups (p bariatric surgery and 45.2% of the group who did not (p  25-33) (respectively, 36.2%, 37.5%, p = 0.840). A sufficient level (> 33-42) and a perfect level were higher in the group who agreed to bariatric surgery (respectively, 42.8%, 18.1%, p bariatric surgery in morbidly obese patients. The higher the health literacy level, the more the agreement to bariatric surgery increased.

Agreed framework of 21 October 1994 between the United States of America and the Democratic People's Republic of Korea

International Nuclear Information System (INIS)

1994-01-01

The attached text of the Agreed Framework between the United States of America and the Democratic People's Republic of Korea, signed in Geneva on 21 October 1994, is being circulated to all Member States of the Agency at the request of the Resident Representative of the United States of America

What About Their Performance Do Free Jazz Improvisers Agree Upon? A Case Study

Directory of Open Access Journals (Sweden)

Amandine Pras

2017-06-01

. But these kinds of statements were polarizing; the performers were more likely to agree with each other in their ratings of statements about the music itself and negative statements. As in Schober and Spiro (2014, the evidence supports a view that fully shared understanding is not needed for joint improvisation by professional musicians in this genre and that performing partners can agree with an outside listener more than with each other.

What About Their Performance Do Free Jazz Improvisers Agree Upon? A Case Study.

Science.gov (United States)

Pras, Amandine; Schober, Michael F; Spiro, Neta

2017-01-01

were polarizing; the performers were more likely to agree with each other in their ratings of statements about the music itself and negative statements. As in Schober and Spiro (2014), the evidence supports a view that fully shared understanding is not needed for joint improvisation by professional musicians in this genre and that performing partners can agree with an outside listener more than with each other.

[Clinical Practice Guidelines for Management of Schizophrenia: Evaluation Using AGREE II].

Science.gov (United States)

de la Hoz Bradford, Ana María; Ávila, Mauricio J; Bohórquez Peñaranda, Adriana Patricia; García Valencia, Jenny; Arenas Borrero, Álvaro Enrique; Vélez Traslaviña, Ángela; Jaramillo González, Luis Eduardo; Gómez-Restrepo, Carlos

2014-01-01

Colombia is developing multiple national practice guidelines from a range of diseases. Clinical practice guidelines represent a very useful tool to be able to take decision over a patient care that is widely available for the clinician. In psychiatry there are a good number of international clinical guidelines for the treatment of schizophrenia nevertheless there is no article that evaluate them scientifically In the settings of developing a Colombian schizophrenia practice guideline, a systematic search was performed in multiple databases and the results were then evaluated by two trained persons. We present the results globally and by domains. We found 164 matches for possible guidelines. After screening 7 guidelines were evaluated with the AGREE II instrument. Globally and by the different domains, the National Institute for Health and Care Excellence (NICE) was the guideline that got the best score. From the guidelines that were reviewed, 4 were from Europe and only 2 were from Latin America. None of the guidelines used GRADE methodology for the recommendations. The diversity of the schizophrenia treatment guidelines does not allow an easy adoption of the recommendation by a psychiatrist in Colombia. Copyright © 2014 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Quality assessment of recent evidence-based clinical practice guidelines for management of type 2 diabetes mellitus in adults using the AGREE II instrument.

Science.gov (United States)

Anwer, Muhammad A; Al-Fahed, Ousama B; Arif, Samir I; Amer, Yasser S; Titi, Maher A; Al-Rukban, Mohammed O

2018-02-01

Type 2 diabetes mellitus (T2DM) is a worldwide and national public health problem that has a great impact on the population in Saudi Arabia. High-quality clinical practice guidelines (CPGs) are cornerstones in improving the health care provided for patients with diabetes. This study evaluated the methodological rigour, transparency, and applicability of recently published CPGs. Our group conducted a systematic search for recently published CPGs for T2DM. The searching and screening for Source CPGs were guided by tools from the ADAPTE methods with specific inclusion/exclusion criteria. Five reviewers using the second version of the Appraisal of Guidelines for Research and Evaluation (AGREE II) Instrument independently assessed the quality of the retrieved Source CPGs. Domains of Scope and purpose and Clarity of presentation received the highest scores in all CPGs. Most of the assessed CPGs (86%) were considered with high overall quality and were recommended for use. Rigour of development and applicability domains were together highest in 3 CPGs (43%). The overall high quality of DM CPGs published in the last 3 years demonstrated the continuous development and improvement in CPG methodologies and standards. Health care professionals should consider the quality of any CPG for T2DM before deciding to use it in their daily clinical practice. Three CPGs have been identified, using the AGREE criteria, as high-quality and trustworthy. Ideally, the resources provided by the AGREE trust including the AGREE II Instrument should be used by a clinician to scan through the large number of published T2DM CPGs to identify the CPGs with high methodological quality and applicability. © 2017 John Wiley & Sons, Ltd.

31 CFR 19.645 - Do other Federal agencies know if the Department of the Treasury agrees to a voluntary exclusion?

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Do other Federal agencies know if the Department of the Treasury agrees to a voluntary exclusion? 19.645 Section 19.645 Money and Finance: Treasury... Principles Relating to Suspension and Debarment Actions § 19.645 Do other Federal agencies know if the...

Critical Appraisal of International Clinical Practice Guidelines in Kidney Transplantation Using the Appraisal of Guidelines for Research and Education (AGREE) II Tool: A Systematic Review.

Science.gov (United States)

OʼDonoghue, Katriona Jane Marie; Reed, Rhiannon D; Knight, Simon R; O'Callaghan, John M; Ayaz-Shah, Anam A; Hassan, Sevda; Weissenbacher, Annemarie; Morris, Peter J; Pengel, Liset H M

2018-05-22

Whilst Clinical Practice Guidelines (CPGs) are used for the development of local protocols in kidney transplantation (Ktx), the quality of their methodology is variable. This systematic review aimed to critically appraise international CPGs in all aspects of Ktx using the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool. CPGs in Ktx and donation published between 2010 and 2017 were identified from MEDLINE, Embase, National Guideline Clearinghouse, NHS and NICE Evidence Searches, and the websites of transplant societies. Using AGREE II, 3 appraisers assessed the quality of CPGs. Interrater reliability was measured using the intraclass correlation coefficient (ICC). Searches identified 3,168 records and 115 CPGs were included. The highest scoring AGREE II domain was 'Scope and Purpose' (80%; Range 30-100%), followed by 'Clarity of Presentation' (77%; Range 43-98%), 'Editorial independence' (52%; Range 0-94%), 'Rigour of Development' (47%; Range 6-97%) and 'Stakeholder Involvement' (41%; Range 11-85%). The poorest scoring domain was 'Applicability' (31%; Range 3-74%). Most CPGs were recommended for future use either with (63%) or without modifications (18%). A small number were not recommended for future use (14%) or reviewers did not agree on recommending the CPG (5%). The overall mean CPG quality score was 4 out of 7 (Range 2-7). The mean ICC of 0.74 indicated substantial agreement between reviewers. The quality of international CPGs in Ktx was variable, and most CPGs lacked key aspects of methodological robustness and transparency. Improvements in methodology, patient involvement and strategies for implementation are required.

Agreement on Access and Benefit-sharing for Academic Research: A toolbox for drafting Mutually Agreed Terms for access to Genetic Resources and to Associated Traditional Knowledge and Benefit-sharing

OpenAIRE

Biber-Klemm, Susette; Martinez, Sylvia I.; Jacob, Anne; Jevtic, Ana

2016-01-01

This manual contains a set of model clauses that enables users and providers of genetic resources and associated traditional knowledge to set up a legal contract that is adapted to the individual academic research situation. If mutually negotiated and agreed upon by the involved partners this agreement can yield a “Mutually Agreed Terms” ABS contract.

How to get residents/owners in housing cooperatives to agree on sustainable renovation

Energy Technology Data Exchange (ETDEWEB)

Lappegard Hauge, A. [SINTEF Building and Infrastructure, P.O. Box 124, Blindern, 0314 Oslo (Norway); Thomsen, J. [SINTEF Building and Infrastructure, 7465 Trondheim (Norway); Loefstroem, E. [SINTEF Building and Infrastructure, 7491 Trondheim (Norway)

2013-05-15

What factors increase the chance that residents/owners in housing cooperatives agree on sustainable energy efficient renovation? Based on 30 qualitative interviews with professional advisors in cooperative housing associations and chairman/board and residents in three chosen case studies, an analysis of opportunities and barriers for making a common decision on renovation is performed. Success criteria and barriers are found on the societal level as well as on the organizational/individual level. The barriers and success criteria identified on the societal level are: knowledge level on energy-efficient renovation among relevant actors, owner structure of the housing cooperative, and existing regulations and incentives. On the organizational and individual level, the following categories influencing renovation processes were identified: the time frame and organization of the process, understanding the residents' needs, economy, the information given, and the existence of available exemplary projects and role models. Based on the results of the study, ten guidelines that contribute to more successful decision making processes and increase the chances of sustainable energy efficient renovation in housing cooperatives are presented.

Proposals for future activities agreed upon at the seminar on wastewater treatment in urban areas

International Nuclear Information System (INIS)

1987-01-01

The programme of the seminar was divided into three different sections: - Sewerage systems, - Discharge of industrial wastewater to municipal sewerage systems, - Reduction of nitrogen. For each subject the participants of the seminar agreed upon the following proposal for future activities: Sewerage systems: a) Combined sewer overflows (CSO). Brief state-of-the-art reports should be compiled by the Contracting Parties. The reports should provide information on: - extent of combined sewers (in % of sewered area), - design practices including flow equalization, - rates of inflow/infiltration, - pollution due to CSO, - current research, - trends. A compilation of these reports may hopefully lead to the derivation of suitable effluent standards, which may be expressed as frequencies, total volumes or total amount of pollution load. The effluent standards may be expressed as monthly to yearly values

Patients and physicians agree only partially in symptoms and clinical findings before and after treatment for varicose veins

DEFF Research Database (Denmark)

Klitfod, Lotte; Sillesen, Henrik; Jensen, Leif Panduro

2018-01-01

findings. Methods In the period January-March 2011, 379 legs in 287 patients treated for varicose veins were registered in the Danish Clinical Vein Database and compared to the Aberdeen Varicose Vein Questionnaire. Results Patients and physicians agreed in reduction of symptoms after intervention with one...... or more complaints still present in 128 (93%) patients according to Aberdeen Varicose Vein Questionnaire compared to the Danish Clinical Vein Database with only 64 (47%) patients. Patients reported cosmetic complaints and teleangiectasies both before and after treatment (p 

Four African Nations Agree to Water Management Programme

International Nuclear Information System (INIS)

2013-01-01

Full text: Seeking to improve their management of water resources, four northeast African nations today agreed at the International Atomic Energy Agency (IAEA) to establish a long-term framework for utlizing a key underground water system. Chad, Egypt, Libya and Sudan signed a Strategic Action Programme (SAP) that aims to optimize the equitable use of the Nubian Sandstone Aquifer System, a huge water resource that lies beneath the four nations. The SAP also commits the countries to strengthen and build upon a previously existing regional coordination mechanism, in part by establishing a new Joint Authority for the Nubian Aquifer System. The Programme lays the groundwork for improving cooperation among the four arid nations and for strengthening their capacity to monitor and manage the aquifer effectively. With growing populations and decreasing water availability from other sources in the region, the aquifer is under mounting pressure. Removing water without a clear understanding of transboundary and other implications threatens water quality and has the potential to harm biodiversity and accelerate land degradation. The agreement resulted from a joint Technical Cooperation project of the United Nations Development Programme (UNDP) and the Global Environment Facility (GEF), the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the IAEA. ''I congratulate all involved on this significant achievement,'' said IAEA Director General Yukiya Amano. ''Water is a key resource, and effective management and use of such water resources is essential for the future. The agreement of the Strategic Action Programme is the result of real cooperation between the four States, the Agency and UNDP-GEF. I am confident that this Programme will be a success and will benefit the people of the region. This positive project experience benefits strengthened and expanded cooperation between the IAEA and the UNDP-GEF.'' ''UNDP would like to congratulate the

Humans and Deep Networks Largely Agree on Which Kinds of Variation Make Object Recognition Harder.

Science.gov (United States)

Kheradpisheh, Saeed R; Ghodrati, Masoud; Ganjtabesh, Mohammad; Masquelier, Timothée

2016-01-01

View-invariant object recognition is a challenging problem that has attracted much attention among the psychology, neuroscience, and computer vision communities. Humans are notoriously good at it, even if some variations are presumably more difficult to handle than others (e.g., 3D rotations). Humans are thought to solve the problem through hierarchical processing along the ventral stream, which progressively extracts more and more invariant visual features. This feed-forward architecture has inspired a new generation of bio-inspired computer vision systems called deep convolutional neural networks (DCNN), which are currently the best models for object recognition in natural images. Here, for the first time, we systematically compared human feed-forward vision and DCNNs at view-invariant object recognition task using the same set of images and controlling the kinds of transformation (position, scale, rotation in plane, and rotation in depth) as well as their magnitude, which we call "variation level." We used four object categories: car, ship, motorcycle, and animal. In total, 89 human subjects participated in 10 experiments in which they had to discriminate between two or four categories after rapid presentation with backward masking. We also tested two recent DCNNs (proposed respectively by Hinton's group and Zisserman's group) on the same tasks. We found that humans and DCNNs largely agreed on the relative difficulties of each kind of variation: rotation in depth is by far the hardest transformation to handle, followed by scale, then rotation in plane, and finally position (much easier). This suggests that DCNNs would be reasonable models of human feed-forward vision. In addition, our results show that the variation levels in rotation in depth and scale strongly modulate both humans' and DCNNs' recognition performances. We thus argue that these variations should be controlled in the image datasets used in vision research.

Humans and deep networks largely agree on which kinds of variation make object recognition harder

Directory of Open Access Journals (Sweden)

Saeed Reza Kheradpisheh

2016-08-01

Full Text Available View-invariant object recognition is a challenging problem that has attracted much attention among the psychology, neuroscience, and computer vision communities. Humans are notoriously good at it, even if some variations are presumably more difficult to handle than others (e.g. 3D rotations. Humans are thought to solve the problem through hierarchical processing along the ventral stream, which progressively extracts more and more invariant visual features. This feed-forward architecture has inspired a new generation of bio-inspired computer vision systems called deep convolutional neural networks (DCNN, which are currently the best models for object recognition in natural images. Here, for the first time, we systematically compared human feed-forward vision and DCNNs at view-invariant object recognition task using the same set of images and controlling the kinds of transformation (position, scale, rotation in plane, and rotation in depth as well as their magnitude, which we call variation level. We used four object categories: car, ship, motorcycle, and animal. In total, 89 human subjects participated in 10 experiments in which they had to discriminate between two or four categories after rapid presentation with backward masking. We also tested two recent DCNNs (proposed respectively by Hinton's group and Zisserman's group on the same tasks. We found that humans and DCNNs largely agreed on the relative difficulties of each kind of variation: rotation in depth is by far the hardest transformation to handle, followed by scale, then rotation in plane, and finally position (much easier. This suggests that DCNNs would be reasonable models of human feed-forward vision. In addition, our results show that the variation levels in rotation in depth and scale strongly modulate both humans' and DCNNs' recognition performances. We thus argue that these variations should be controlled in the image datasets used in vision research.

Agreeing in Ignorance

DEFF Research Database (Denmark)

Ploug, Thomas; Holm, Søren

2014-01-01

Many ICT services require that users explicitly consent to conditions of use and policies for the protection of personal information. This consent may become 'routinised'. We define the concept of routinisation and investigate to what extent routinisation occurs as well as the factors influencing...... routinisation in a survey study of internet use. We show that routinisation is common and that it is influenced by factors including gender, age, educational level and average daily internet use. We further explore the reasons users provide for not reading conditions and policies and show that they can...

Scaled MP3 non-covalent interaction energies agree closely with accurate CCSD(T) benchmark data.

Science.gov (United States)

Pitonák, Michal; Neogrády, Pavel; Cerný, Jirí; Grimme, Stefan; Hobza, Pavel

2009-01-12

Scaled MP3 interaction energies calculated as a sum of MP2/CBS (complete basis set limit) interaction energies and scaled third-order energy contributions obtained in small or medium size basis sets agree very closely with the estimated CCSD(T)/CBS interaction energies for the 22 H-bonded, dispersion-controlled and mixed non-covalent complexes from the S22 data set. Performance of this so-called MP2.5 (third-order scaling factor of 0.5) method has also been tested for 33 nucleic acid base pairs and two stacked conformers of porphine dimer. In all the test cases, performance of the MP2.5 method was shown to be superior to the scaled spin-component MP2 based methods, e.g. SCS-MP2, SCSN-MP2 and SCS(MI)-MP2. In particular, a very balanced treatment of hydrogen-bonded compared to stacked complexes is achieved with MP2.5. The main advantage of the approach is that it employs only a single empirical parameter and is thus biased by two rigorously defined, asymptotically correct ab-initio methods, MP2 and MP3. The method is proposed as an accurate but computationally feasible alternative to CCSD(T) for the computation of the properties of various kinds of non-covalently bound systems.

Enforcement Alert: U.S. EPA Encourages Iron and Steel Minimills to Self Audits to Address Noncompliance with Environmental Requirements; Nucor Corp. agrees to Control Practices; Provides Model for Industry

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This is the enforcement alert for U.S. EPA Encourages Iron and Steel Minimills to Self Audits to Address Noncompliance with Environmental Requirements; Nucor Corp. agrees to Control Practices; Provides Model for Industry

Proton magnetic spectroscopy agreed better with magnetic resonance image to lateralization of epileptogenic zone than with surface electroencephalography

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Ricardo Andre Amorim Leite

2013-09-01

Full Text Available Objective To analyze the agreement rate of proton magnetic spectroscopy with magnetic resonance image (MRI and surface electroence-phalography (EEG in extratemporal neocortical epilepsies. Methods A cross-sectional study, type series of cases included 33 patients, age range 13–59 years old, of both gender, presenting structural alteration identified by MRI (75.8% or by neurophysiologic techniques (72.7%. The variables were alterations of N-acetyl-aspartate/choline, N-acetyl-aspartate/creatine, choline/creatine, and N-acetyl-aspartate/cho-line+creatine coefficient of asymmetry. Results Agreement rates of lateralization by coefficient of asymmetry of NAA/Cho, NAA/Cr, Co/Cr, and NAA/Cho+Cr with MRI, independent of alteration of surface EEG, were equal to 93.3, 57.9, 15.4, and 93.3%, respectively, modifying to 100, 33.3, 0, and 100%, in 16 patients, with lateralization agreement of MRI and surface EEG. Conclusion Proton magnetic spectroscopy agreed better with MRI to lateralization of epileptogenic zone than with surface EEG.

A critical appraisal of 2007 American College of Occupational and Environmental Medicine (ACOEM) Practice Guidelines for Interventional Pain Management: an independent review utilizing AGREE, AMA, IOM, and other criteria.

Science.gov (United States)

Manchikanti, Laxmaiah; Singh, Vijay; Helm, Standiford; Trescot, Andrea M; Hirsch, Joshua A

2008-01-01

Today, with the growing interest of the medical community and others in practice guidelines, there is greater emphasis on formal procedures and methods for arriving at a widely scrutinized and endorsed consensus than ever before. Conflicts in terminology and technique are notable for the confusion that guidelines create and for what they reflect about differences in values, experiences, and interests among different parties. While public and private development activities continue to multiply, the means for coordinating these efforts to resolve inconsistencies, fill in gaps, track applications and results, and assess the soundness of particular guidelines continue to be limited. In this era of widespread guideline development by private organizations, the American College of Occupational and Environment Medicine (ACOEM) has developed guidelines that evaluate areas of clinical practice well beyond the scope of occupational medicine and yet fail to properly involve physicians expert in these, especially those in the field of interventional pain management. As the field of guidelines suffers from imperfect and incomplete scientific knowledge as well as imperfect and uneven means of applying that knowledge without a single or correct way to develop guidelines, ACOEM guidelines have been alleged to hinder patient care, reduce access to interventional pain management procedures, and transfer patients into a system of disability, Medicare, and Medicaid. To critically appraise occupational medicine practice guidelines for interventional pain management by an independent review utilizing the Appraisal of Guidelines for Research and Evaluation (AGREE), American Medical Association (AMA), Institute of Medicine (IOM), and other commonly utilized criteria. Revised chapters of ACOEM guidelines, low back pain and chronic pain, developed in 2007 and 2008 are evaluated, utilizing AGREE, AMA, IOM instruments, and Shaneyfelt et al's criteria, were independently reviewed by 4

Do primary care professionals agree about progress with implementation of primary care teams: results from a cross sectional study.

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Tierney, E; O'Sullivan, M; Hickey, L; Hannigan, A; May, C; Cullen, W; Kennedy, N; Kineen, L; MacFarlane, A

2016-11-22

Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the perspectives of all actors. However, there is a lack of research about health professionals' views of this process. This study compares Primary Healthcare Professionals' perceptions of the effectiveness of the Primary Care Strategy and Primary Care Team (PCT) implementation in Ireland. Design and Setting: e-survey of (1) General Practitioners (GPs) associated with a Graduate Medical School (N = 100) and (2) Primary Care Professionals in 3 of 4 Health Service Executive (HSE) regions (N = 2309). After piloting, snowball sampling was used to administer the survey. Descriptive analysis was carried out using SPSS. Ratings across groups were compared using non-parametric tests. There were 569 responses. Response rates varied across disciplines (71 % for GPs, 22 % for other Primary Healthcare Professionals (PCPs). Respondents across all disciplines viewed interdisciplinary working as important. Respondents agreed on lack of progress of implementation of formal PCTs (median rating of 2, where 1 is no progress at all and 5 is complete implementation). GPs were more negative about the effectiveness of the Strategy to promote different disciplines to work together (median rating of 2 compared to 3 for clinical therapists and 3.5 for nurses, P = 0.001). Respondents identified resources and GP participation as most important for effective team working. Protected time for meetings and capacity to manage workload for meetings were rated as very important factors for effective team working by GPs, clinical therapists and nurses. A building for co-location of teams was rated as an important factor by nurses and clinical therapists though GPs rated it as less important. Payment to attend meetings and contractual arrangements were considered important factors by

The minimum agreed upon

NARCIS (Netherlands)

Stella Hoff; Corinne van Gaalen; Arjan Soede; Albert Luten; Cok Vrooman; Sanne Lamers

2010-01-01

What does the concept of poverty mean? What kind of shelter, diet, clothing, participation and recreation does one need in order not to be poor? And what monthly budget is currently required to afford these necessities in the Netherlands? Four focus groups met several times to discuss such

Three counting methods agree on cell and neuron number in chimpanzee primary visual cortex

Directory of Open Access Journals (Sweden)

Daniel James Miller

2014-05-01

Full Text Available Determining the cellular composition of specific brain regions is crucial to our understanding of the function of neurobiological systems. It is therefore useful to identify the extent to which different methods agree when estimating the same properties of brain circuitry. In this study, we estimated the number of neuronal and non-neuronal cells in the primary visual cortex (area 17 or V1 of both hemispheres from a single chimpanzee. Specifically, we processed samples distributed across V1 of the right hemisphere after cortex was flattened into a sheet using two variations of the isotropic fractionator cell and neuron counting method. We processed the left hemisphere as serial brain slices for stereological investigation. The goal of this study was to evaluate the agreement between these methods in the most direct manner possible by comparing estimates of cell density across one brain region of interest in a single individual. In our hands, these methods produced similar estimates of the total cellular population (approximately 1 billion as well as the number of neurons (approximately 675 million in chimpanzee V1, providing evidence that both techniques estimate the same parameters of interest. In addition, our results indicate the strengths of each distinct tissue preparation procedure, highlighting the importance of attention to anatomical detail. In summary, we found that the isotropic fractionator and the stereological optical fractionator produced concordant estimates of the cellular composition of V1, and that this result supports the conclusion that chimpanzees conform to the primate pattern of exceptionally high packing density in V1. Ultimately, our data suggest that investigators can optimize their experimental approach by using any of these counting methods to obtain reliable cell and neuron counts.

Centralization of politrauma. Study of Ferrara’s reality and simulation of an agreed-upon protocol

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Luigi Melcarne

2011-09-01

Full Text Available In a time in which everybody’s asked a big effort to use hospitals, resources and emergency departments in a rational way, the Centralization – that is sending the right patient to the right hospital at the right time – allows an optimization of the resources and a better management of medical patients. In this study we examined the actual state of Centralization in the city of Ferrara where an experimental protocol of “centralization” has been introduced. This study has the purpose of simulating reality if the protocol had been introduced in the years 2008/2009. The results confirm not only that an important number of patients that were meant to be sent to the CTZ of Ferrara where instead sent to the PST but also that, on the contrary, patients from the suburbs that didn’t require advanced treatments were sent to the Sant’Anna hospital of Ferrara. So if medical literature already points out the advantages of a correct Centralization for patients with polytraumas; the study, based on the reality in Ferrara , shows how the creation of an agreed protocol with the goal to guide health workers at sending polytrauma patients to the right destination , instead of creating an excessive flow th the main hub, can improve the overall organization of health services, with an equal distribution between hub and spoke. When considering First Aid not always speed and rapidity guarantee survival; this is so much more real in the case of patients with polytrauma, where quality of cures assumes more importance than time.

Developing Agreed and Accepted Understandings of Spirituality and Spiritual Care Concepts among Members of an Innovative Spirituality Interest Group in the Republic of Ireland

Directory of Open Access Journals (Sweden)

Fiona Timmins

2016-03-01

Full Text Available A Spirituality Interest Group (SIG was set up in in the School of Nursing and Midwifery, Trinity College Dublin, Republic of Ireland (ROI, in March 2013. This paper reports on some of the journey and requirements involved in developing the group. It highlights the essential work of establishing agreed understandings in an objective way in order for the group to move forward with action. These agreed understandings have contributed to the group’s success. Outlining the group’s journey in arriving at agreements may be of use to others considering creating similar groups. One key action taken to determine the suitability of the group’s aims and terms of reference was the distribution of a Survey Monkey to group members (n = 28 in 2014. One early meeting of the group discussed future goals and direction using the responses of this anonymous survey. This paper reports on the results of the survey regarding the establishment of the SIG and the development of a shared understanding of spiritual care among the members. There is consensus in the group that the spiritual care required by clients receiving healthcare ought to be an integrated effort across the healthcare team. However, there is an acceptance that spirituality and spiritual care are not always clearly understood concepts in practice. By developing shared or at least accepted understandings of spirituality and spiritual care, SIG hopes to be able to underpin both research and practice with solid foundational conceptual understanding, and in the process also to meet essential prerequisites for achieving the group’s aims.

Clinical practice guidelines for treatment of acne vulgaris: a critical appraisal using the AGREE II instrument.

Science.gov (United States)

Sanclemente, Gloria; Acosta, Jorge-Luis; Tamayo, Maria-Eulalia; Bonfill, Xavier; Alonso-Coello, Pablo

2014-04-01

A significant number of clinical practice guidelines (CPGs) about the treatment of acne vulgaris in adolescents and adults have been published worldwide. However, little is known about the quality of CPGs in this field. The aim of this study was to appraise the methodological quality of published acne vulgaris CPGs. We performed a systematic review of published CPGs on acne vulgaris therapy from July 2002 to July 2012. Three reviewers independently assessed each CPG using the AGREE II instrument. A standardized score was calculated for each of the six domains. Our search strategy identified 103 citations but just six met our inclusion criteria. Agreement among reviewers was very good: 0.981. The domains that scored better were: "scope and purpose" and "clarity and presentation". Those that scored worse were "stakeholder involvement", "rigor of development", and "applicability". The European and the Malaysian CPGs were the only recommended with no further modifications. In addition, the Mexican, Colombian and the United States guidelines were recommended with provisos, with lower scores regarding stakeholder involvement, rigor of development and applicability. Only two guidelines clearly reported outcome measures for evaluating efficacy or included quality of life outcomes. CPGs varied regarding the consideration of light/laser therapy or consideration of complementary/alternative medicines. None of them included cost considerations of drugs such as systemic isotretinoin. In conclusion, published acne vulgaris CPGs for acne therapy vary in quality with a clear need to improve their methodological rigor. This could be achieved with the adherence to current CPGs development standards.

Do you agree with the doctor's decision to continue treatment?: A scenario-based study of hospital nurses in Italy

Directory of Open Access Journals (Sweden)

Francesca Ingravallo

2015-12-01

Full Text Available INTRODUCTION: A lack of social consensus on the duty to comply with a patient's request to forgo treatment was reported in Italy, but little is known about the nurses' attitudes regarding this issue. MATERIALS AND METHODS: Questionnaire including two clinical scenarios regarding doctor's decision to not comply with a competent patient's request to forgo treatment was administered to all nurses (n = 487 of an Italian medium-sized hospital. RESULTS: Eighty-five percent of nurses completed the study. Although 83% of participants supported a general right to self-determination, around 40% of them agreed with the doctor's decision in both scenarios. The multivariate analyses adjusted for gender, age, length of professional experience, and care setting showed that the agreement with the doctor's decision was significantly associated with nurses' personal background beliefs about self-determination and quality of life. DISCUSSION AND CONCLUSIONS: Many nurses have difficulty in accepting a patient's request to forgo treatment. Increasing ethical reflection and discussion at both educational and professional level, and introducing ethical consultation services would be essential to develop a consistent approach to end-of-life decisions in Italian hospitals.

Europe Agrees on Common Strategy to Initiate Study of LSA/MMA

Science.gov (United States)

1998-09-01

strong involvement in millimetre astronomy: the 5 x 15-m IRAM array on Plateau de Bure (France), the 30-m IRAM antenna (Spain), the 20-m at Onsala (Sweden), the 15-m Swedish-ESO Submillimetre Telescope (SEST, La Silla), the 15-m JCMT (Mauna Kea, Hawaii), the 10-m HHT (Arizona), and others. Over 60 research institutes around Europe use these facilities. Many of them have developed technical expertise and leadership in this area together with European industry, so it is natural that a European collaboration should be looking to the future. The idea of a large European southern millimetre array has been discussed since 1991. In 1995, an LSA Project collaboration was established between ESO, the Institut de Radio Astronomie Millimetrique (IRAM), the Onsala Space Observatory, and the Netherlands Foundation for Research in Astronomy (NFRA). This consortium of observatories agreed to pool resources to study critical technical areas and conduct site surveys in Chile. Details are available in a Messenger article (March 98). Possibilities of intercontinental collaboration An important step was taken in June 1997. A similar project is under study in the United States of America (the "Millimeter Array", MMA ). An agreement was entered into between ESO and the U.S. National Radio Astronomy Observatory (NRAO) to explore the possibility of merging the two projects into one. Until then the emphasis in Europe had been on the large collecting area provided by 16-m antennas operating at purely millimetre wavelengths, while in the U.S. the concept was a smaller array of 8-m antennas with good submillimetre performance. However, as there is also considerable interest in Europe in submillimetre observations, and in the U.S. in a larger collecting area, a compromise seemed feasible. Several joint working groups formed under the ESO-NRAO agreement were set up to explore the possibility of a collaborative project. It was concluded that a homogeneous array of 64 x 12-m antennas, providing

Field reliability of competence to stand trial opinions: How often do evaluators agree, and what do judges decide when evaluators disagree?

Science.gov (United States)

Gowensmith, W Neil; Murrie, Daniel C; Boccaccini, Marcus T

2012-04-01

Despite many studies that examine the reliability of competence to stand trial (CST) evaluations, few shed light on "field reliability," or agreement among forensic evaluators in routine practice. We reviewed 216 cases from Hawaii, which requires three separate evaluations from independent clinicians for each felony defendant referred for CST evaluation. Results revealed moderate agreement. In 71% of initial CST evaluations, all evaluators agreed about a defendant's competence or incompetence (kappa = .65). Agreement was somewhat lower (61%, kappa = .57) in re-evaluations of defendants who were originally found incompetent and sent for restoration services. We also examined the decisions judges made about a defendant's CST. When evaluators disagreed, judges tended to make decisions consistent with the majority opinion. But when judges disagreed with the majority opinion, they more often did so to find a defendant incompetent than competent, suggesting a generally conservative approach. Overall, results reveal moderate agreement among independent evaluators in routine practice. But we discuss the potential for standardized training and methodology to further improve the field reliability of CST evaluations.

Collisional Thermalization in Strongly Coupled Ultracold Neutral Plasmas

Science.gov (United States)

2017-01-25

calculated collisions rates in a strongly coupled plasma. From Bannasch et al., PRL 109, 185008 (2012). DISTRIBUTION A: Distribution approved for public...applicability to other plasmas.) We use a Green- Kubo relation to extract the diffusion constant from our measurements of the relaxation towards...strongly coupled systems. Our measurements (data symbols) agree with numerical calculations (solid lines) from J. Daligault, PRL 108, 225004 (2012

5 CFR 250.302 - Survey requirements.

Science.gov (United States)

2010-01-01

... right skills Strongly Agree, Agree, Neither Agree Nor Disagree, Disagree, Strongly Disagree, or Do Not... generate high levels of motivation and commitment in the workforce Strongly Agree, Agree, Neither Agree Nor...

Young Adult Perceptions of the British American Tobacco New Zealand Agree/Disagree Plain Packaging Counter-Campaign.

Science.gov (United States)

McCool, Judith; Wong-Cornall, Cecilia; Freeman, Becky

2017-10-01

In 2012, British American Tobacco New Zealand (BATNZ) launched a mass media campaign branded "Agree/ Disagree" as a response to the New Zealand government's plans to introduce plain packaging. We examined young adult's views about the campaign to assist tobacco control policymakers in planning future interventions. Interviews with young adults living in the Auckland area were conducted. Interviews covered existing knowledge about plain packaging of tobacco, knowledge about the tobacco industry, and perceptions of specific advertisements included in the campaign. Interview data were analyzed to determine the dominant views about the campaign. Perspectives from 12 interviews reflect the dominant discourse in New Zealand on the benefits of serving economic progress and international trade. Pervasive views about the campaigns reflected perceptions of the risk to the New Zealand image, trade, and economy. Similarly, participants expressed concern about the potential for plain packaging to creep toward other products, such as alcohol. Perceptions of the tobacco industry were mixed but reflect a tolerant view of the ethics of business if viewed to be beneficial to the economy. Participants were broadly accepting of the campaign messages. We identified a tendency toward quasi-libertarian leanings when discussing economics and trade, commercial versus personal responsibility, and the value of freedom (commercial and social). These perspectives were often held simultaneously with conflicting socially responsive values and references to the hegemonic position of "big business." This study affirms the importance of closely monitoring public opinion about tobacco control and of broadening denormalization strategies to reflect the critical role the tobacco industry plays in prolonging the tobacco epidemic. To date there is little evidence on the perceptions young adults hold toward to the tobacco industry and their arguments regarding the introduction of plain packaged

The quantity and quality of complementary and alternative medicine clinical practice guidelines on herbal medicines, acupuncture and spinal manipulation: systematic review and assessment using AGREE II.

Science.gov (United States)

Ng, Jeremy Y; Liang, Laurel; Gagliardi, Anna R

2016-10-29

Complementary and alternative medicine (CAM) use is often not disclosed by patients, and can be unfamiliar to health care professionals. This may lead to underuse of beneficial CAM therapies, and overuse of other CAM therapies with little proven benefit or known contraindications. No prior research has thoroughly evaluated the credibility of knowledge-based resources. The purpose of this research was to assess the quantity and quality of CAM guidelines. A systematic review was conducted to identify CAM guidelines. MEDLINE, EMBASE and CINAHL were searched in January 2016 from 2003 to 2015. The National Guideline Clearinghouse, National Center for Complementary and Integrative Health web site, and two CAM journals were also searched. Eligible guidelines published in English language by non-profit agencies on herbal medicine, acupuncture, or spinal manipulation for adults with any condition were assessed with the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument. From 3,126 unique search results, 17 guidelines (two herbal medicine, three acupuncture, four spinal manipulation, eight mixed CAM therapies) published in 2003 or later and relevant to several clinical conditions were eligible. Scaled domain percentages from highest to lowest were clarity of presentation (85.3 %), scope and purpose (83.3 %), rigour of development (61.2 %), editorial independence (60.1 %), stakeholder involvement (52.0 %) and applicability (20.7 %). Quality varied within and across guidelines. None of the 17 guidelines were recommended by both appraisers; 14 were recommended as Yes or Yes with modifications. Guidelines that scored well could be used by patients and health care professionals as the basis for discussion about the use of these CAM therapies. In future updates, guidelines that achieved variable or lower scores could be improved according to specifications in the AGREE II instrument, and with insight from a large number of resources that are available

"NOTHING IS AGREED UNTIL EVERYTHING IS AGREED": INSTITUTIONALIZING RADICAL DISAGREEMENT AND DEALING WITH THE PAST IN NORTHERN IRELAND

DEFF Research Database (Denmark)

McQuaid, Sara Dybris

2018-01-01

constitutional futures. It demonstrates that in the absence of an overarching framework for dealing with the past in Northern Ireland, the model is coming into view as accumulated, piecemeal, pluralistic, complex and often contradictory efforts, emerging in the tensions between radical disagreement and attempts...... at reconciliation, between community initiatives and policy discourses, in what may be called a protracted peace process. The chapter argues that navigating this paradox of fixity and fluidity has crucially involved somewhat futile attempts at separating distinct lines of truth and justice in coming to terms...

Guidelines for the symptomatic management of fever in children: systematic review of the literature and quality appraisal with AGREE II.

Science.gov (United States)

Chiappini, Elena; Bortone, Barbara; Galli, Luisa; de Martino, Maurizio

2017-07-31

Several societies have produced and disseminated clinical practice guidelines (CPGs) for the symptomatic management of fever in children. However, to date, the quality of such guidelines has not been appraised. To identify and evaluate guidelines for the symptomatic management of fever in children. The research was conducted using PubMed, guideline websites, and Google (January 2010 to July 2016). The quality of the CPGs was independently assessed by two assessors using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument, and specific recommendations in guidelines were summarised and evaluated. Domain scores were considered of sufficient quality when >60% and of good quality when >80%. Seven guidelines were retrieved. The median score for the scope and purpose domain was 85.3% (range 66.6-100%). The median score for the stakeholder involvement domain was 57.5% (range 33.3-83.3%) and four guidelines scored >60%. The median score for the rigour of development domain was 52.0% (range 14.6-98.9%), and only three guidelines scored >60%. The median score for the clarity of presentation domain was 80.9% (range 50.0-94.4%). The median score for the applicability domain was 39.3% (8.3-100%). Only one guideline scored >60%. The median score for the editorial independence domain was 48.84% (0-91.6%); only three guidelines scored >60%. Most guidelines were recommended for use even if with modification, especially in the methodology, the applicability and the editorial independence domains. Our results could help improve reporting of future guidelines, and affect the selection and use of guidelines in clinical practice. © 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.

Atom-Pair Kinetics with Strong Electric-Dipole Interactions.

Science.gov (United States)

Thaicharoen, N; Gonçalves, L F; Raithel, G

2016-05-27

Rydberg-atom ensembles are switched from a weakly to a strongly interacting regime via adiabatic transformation of the atoms from an approximately nonpolar into a highly dipolar quantum state. The resultant electric dipole-dipole forces are probed using a device akin to a field ion microscope. Ion imaging and pair-correlation analysis reveal the kinetics of the interacting atoms. Dumbbell-shaped pair-correlation images demonstrate the anisotropy of the binary dipolar force. The dipolar C_{3} coefficient, derived from the time dependence of the images, agrees with the value calculated from the permanent electric-dipole moment of the atoms. The results indicate many-body dynamics akin to disorder-induced heating in strongly coupled particle systems.

Do African and European energy stakeholders agree on key energy drivers in Africa? Using Q methodology to understand perceptions on energy access debates

International Nuclear Information System (INIS)

Matinga, Margaret N.; Pinedo-Pascua, Irene; Vervaeke, Jonathan; Monforti-Ferrario, Fabio; Szabó, Sándor

2014-01-01

This paper uses Q methodology to reveal stakeholder perceptions on how best to address energy issues in Africa. We sampled a group of stakeholders involved in various energy sub-sectors to uncover perspectives on how to achieve and promote access to modern energy, energy efficiency and renewable energy in Africa, whether the perceptions could be correlated to educational or geographical background and implications such patterns could have on policies and current dialogues. We found that all stakeholders agree on the need to prioritise sustainability but had different views on how to achieve sustainable energy for all in Africa, depending on the relevance given to each energy driver. Stakeholders could be categorised into four groups: (I) preference of large-scale high-impact projects; (II) supporters of targeted sectoral solutions with preference for small-scale technology and microfinance; (III) supporters of centralised solutions with preference for grid extension, and (IV) supporters of local entrepreneurship with scepticism about centralised solutions. The results show that differences in stakeholders’ perceptions can be associated with respondents’ educational but not geographical background. This implies that dialogues on energy in Africa should focus on inter-disciplinary understanding while further examining the trans-continent consensus that appears to have been established. - Highlights: • We use Q-methodology to reveal stakeholder perceptions on energy issues in Africa. • We assess whether background results in different perceptions among stakeholders. • We identify four main factor groups and only one group supports grid extension. • Results challenge assumptions that African and European viewpoints differ. • More interdisciplinary dialogue is needed while supporting geographic consensus

Let’s agree on the casing of Lidar

Science.gov (United States)

Deering, Carol; Stoker, Jason M.

2014-01-01

Is it lidar, Lidar, LiDAR, LIDAR, LiDar, LiDaR, or liDAR? A comprehensive review of the scientific/technical literature reveals seven different casings of this short form for light detection and ranging. And there could be more.

Do First and Later Borns Agree with Psychologists?

Science.gov (United States)

Cohen, Diane

Research has found firstborns to be more ambitious, rule-oriented, authority-oriented, helpful, and responsible, and less oriented toward peers, their own needs, social activities, and group cooperation than are laterborns. To explore whether those occupying different birth order positions perceive themselves as psychologists have described them,…

Legislature agrees to fund study of marijuana efficacy.

Science.gov (United States)

1999-10-01

California could be the first State to conduct a research study on medical uses for marijuana under the "Medical Research Act of 1999". S.B. 847 would authorize a three-year program, administered by the University of California, to study which methods of ingesting marijuana are most effective in treating pain and side effects of treatments for AIDS, cancer, glaucoma and seizures. The sponsor of the bill, Sen. John Vasconcellos, initially wanted $1 million in annual funding, but the program will be funded through the normal appropriations process.

Parents' views on sex education in schools: How much do Democrats and Republicans agree?

Science.gov (United States)

Kantor, Leslie; Levitz, Nicole

2017-01-01

More than 93 percent of parents place high importance on sex education in both middle and high school. Sex education in middle and high school is widely supported by parents regardless of their political affiliation. Using data from a large diverse sample of 1,633 parents of children aged 9 to 21 years, we examined whether views on sex education differed by parents' political affiliation. More than 89 percent of parents that identified as Republicans or Democrats support including a wide range of topics in sex education including puberty, healthy relationships, abstinence, sexually transmitted diseases (STDs) and birth control in high school. In middle school, 78 percent or more of both parents that identified as Republicans and Democrats support the inclusion of those topics. Controlling for key demographic factors, parents that identified as Democrats are more likely than those that identified as Republicans to support the inclusion of the topics of healthy relationships, birth control, STDs, and sexual orientation in both middle and high school. However, a strong majority of Republican parents want all these topics included in sex education. Sex education which includes a broad set of topics represents an area of strong agreement between parents of both political parties.

Parents' views on sex education in schools: How much do Democrats and Republicans agree?

Directory of Open Access Journals (Sweden)

Leslie Kantor

Full Text Available More than 93 percent of parents place high importance on sex education in both middle and high school. Sex education in middle and high school is widely supported by parents regardless of their political affiliation. Using data from a large diverse sample of 1,633 parents of children aged 9 to 21 years, we examined whether views on sex education differed by parents' political affiliation. More than 89 percent of parents that identified as Republicans or Democrats support including a wide range of topics in sex education including puberty, healthy relationships, abstinence, sexually transmitted diseases (STDs and birth control in high school. In middle school, 78 percent or more of both parents that identified as Republicans and Democrats support the inclusion of those topics. Controlling for key demographic factors, parents that identified as Democrats are more likely than those that identified as Republicans to support the inclusion of the topics of healthy relationships, birth control, STDs, and sexual orientation in both middle and high school. However, a strong majority of Republican parents want all these topics included in sex education. Sex education which includes a broad set of topics represents an area of strong agreement between parents of both political parties.

Pion Production from Proton Synchrotron Radiation under Strong Magnetic Field in Relativistic Quantum Approach

Directory of Open Access Journals (Sweden)

Maruyama Tomoyuki

2016-01-01

Full Text Available We study pion production from proton synchrotron radiation in the presence of strong magnetic fields by using the exact proton propagator in a strong magnetic field and explicitly including the anomalous magnetic moment. Results in this exact quantum-field approach do not agree with those obtained in the semi-classical approach. Furthermore, we also find that the anomalous magnetic moment of the proton greatly enhances the production rate about by two orders of magnitude, and that the polar angle of an emitted pion is the same as that of an initial proton.

Pion Production from Proton Synchrotron Radiation under Strong Magnetic Field in a Relativistic Quantum Approach

Directory of Open Access Journals (Sweden)

Maruyama Tomoyuki

2016-01-01

Full Text Available We study pion production from proton synchrotron radiation in the presence of strong magnetic fields by using the exact proton propagator in a strong magnetic field and explicitly including the anomalous magnetic moment. Results in this exact quantum approach do not agree with those obtained in the semi-classical approach. Then, we find that the anomalous magnetic moment of the proton greatly enhances the production rate by about two orders magnitude, and that the decay width satisfies a robust scaling law.

Analytical solutions by squeezing to the anisotropic Rabi model in the nonperturbative deep-strong coupling regime

OpenAIRE

Zhang, Yu-Yu; Chen, Xiang-You

2017-01-01

A novel, unexplored nonperturbative deep-strong coupling (npDSC) achieved in superconducting circuits has been studied in the anisotropic Rabi model by the generalized squeezing rotating-wave approximation (GSRWA). Energy levels are evaluated analytically from the reformulated Hamiltonian and agree well with numerical ones under a wide range of coupling strength. Such improvement ascribes to deformation effects in the displaced-squeezed state presented by the squeezed momentum variance, which...

Qubit absorption refrigerator at strong coupling

Science.gov (United States)

Mu, Anqi; Agarwalla, Bijay Kumar; Schaller, Gernot; Segal, Dvira

2017-12-01

We demonstrate that a quantum absorption refrigerator (QAR) can be realized from the smallest quantum system, a qubit, by coupling it in a non-additive (strong) manner to three heat baths. This function is un-attainable for the qubit model under the weak system-bath coupling limit, when the dissipation is additive. In an optimal design, the reservoirs are engineered and characterized by a single frequency component. We then obtain closed expressions for the cooling window and refrigeration efficiency, as well as bounds for the maximal cooling efficiency and the efficiency at maximal power. Our results agree with macroscopic designs and with three-level models for QARs, which are based on the weak system-bath coupling assumption. Beyond the optimal limit, we show with analytical calculations and numerical simulations that the cooling efficiency varies in a non-universal manner with model parameters. Our work demonstrates that strongly-coupled quantum machines can exhibit function that is un-attainable under the weak system-bath coupling assumption.

A novel cadaver-based educational program in general surgery training.

Science.gov (United States)

Lewis, Catherine E; Peacock, Warwick J; Tillou, Areti; Hines, O Joe; Hiatt, Jonathan R

2012-01-01

To describe the development of a cadaver-based educational program and report our residents' assessment of the new program. An anatomy-based educational program was developed using fresh frozen cadavers to teach surgical anatomy and operative skills to general surgery (GS) trainees. Residents were asked to complete a voluntary, anonymous survey evaluating perceptions of the program (6 questions formulated on a 5-point Likert scale) and comparing cadaver sessions to other types of learning (4 rank order questions). Large university teaching hospital. Medical students, residents, and faculty members were participants in the cadaver programs. Only GS residents were asked to complete the survey. Since its implementation, 150 residents of all levels participated in 13 sessions. A total of 40 surveys were returned for a response rate of 89%. Overall, respondents held a positive view of the cadaver sessions and believed them to be useful for learning anatomy (94% agree or strongly agree), learning the steps of an operation (76% agree or strongly agree), and increasing confidence in doing an operation (53% agree or strongly agree). Trainees wanted to have more sessions (87% agree or strongly agree), and believed they would spend free time in the cadaver laboratory (58% agree or strongly agree). Compared with other learning modalities, cadaver sessions were ranked first for learning surgical anatomy, followed by textbooks, simulators, web sites, animate laboratories, and lectures. Respondents also ranked cadaver sessions first for increasing confidence in performing a procedure and for learning the steps of an operation. Cost of cadavers represented the major expense of the program. Fresh cadaver dissections represent a solution to the challenges of efficient, safe, and effective general surgery education. Residents have a positive attitude toward these teaching sessions and found them to be more effective than other learning modalities. Copyright © 2012 Association of

Do generalists and specialists agree on descriptive acne morphology?

DEFF Research Database (Denmark)

Yazdanyar, S; Bryld, L E; Heidenheim, M

2013-01-01

BACKGROUND: Acne is a common skin disease, which is treated by many different specialities. Clinical guidelines for treatment are based on the recognition of acne morphology. The assessment of acne morphology is therefore an important element of the proper diagnosis and treatment of acne. OBJECTIVE......: To evaluate the level of congruence in the assessment of acne morphology in General Practitioners (GPs) and Dermatologists compared to the assessment of an expert. METHODS: The study was conducted during 2008-2009. Randomly selected GP and Dermatologists Practitioners, (DPs) from Denmark were invited...... in the distribution of answers. CONCLUSION: GPs described acne morphology recognized clinical hallmarks of severity in acne less well than dermatologists and were far less consistent....

Agreed Discoveries: Students' Negotiations in a Virtual Laboratory Experiment

Science.gov (United States)

Karlsson, Goran; Ivarsson, Jonas; Lindstrom, Berner

2013-01-01

This paper presents an analysis of the scientific reasoning of a dyad of secondary school students about the phenomenon of dissolution of gases in water as they work on this in a simulated laboratory experiment. A web-based virtual laboratory was developed to provide learners with the opportunity to examine the influence of physical factors on gas…

Solving the AOA-Mystery and Does the Taxman Agree?

NARCIS (Netherlands)

Burgers, Irene; Hoyos Jimenez, Catalina; Garcia Novoa, Cesar; Fernandez C., Julio

This contribution shows why the Authorized OECD Approach to profit allocation to permanent establishment is the approach that is most in line with the principle of neutrality underlying the international tax system

Raytheon, Estonia agree to cyber pact / Zachary Fryer-Biggs

Index Scriptorium Estoniae

Fryer-Biggs, Zachary

2015-01-01

USA ettevõte on valmis tegema Eestiga koostööd kübervõimekuse arendamisel. Kaitseministeeriumi asekantsleri Mikk Marrani sõnul on Eesti ja USA kaitsetööstuselane koostöö Eesti strateegilistes huvides

Strongly nonexponential time-resolved fluorescence of quantum-dot ensembles in three-dimensional photonic crystals

DEFF Research Database (Denmark)

Nikolaev, Ivan S.; Lodahl, Peter; van Driel, A. Floris

2007-01-01

We observe experimentally that ensembles of quantum dots in three-dimensional 3D photonic crystals reveal strongly nonexponential time-resolved emission. These complex emission decay curves are analyzed with a continuous distribution of decay rates. The log-normal distribution describes the decays...... parameter. This interpretation qualitatively agrees with the calculations of the 3D projected local density of states. We therefore conclude that fluorescence decay of ensembles of quantum dots is highly nonexponential to an extent that is controlled by photonic crystals....

The effect of updated pledges and business-as-usual projections, and new agreed rules on expected global greenhouse gas emissions in 2020

International Nuclear Information System (INIS)

Hof, Andries F.; Elzen, Michel G.J. den; Roelfsema, Mark

2013-01-01

Highlights: • This study compares 2020 emission levels from pledges to those consistent with 2 °C. • For a likely chance of 2 °C, we find an emission gap of 8.7–12.6 GtCO 2 equiv. by 2020. • The pledges could achieve 24–54% of the mitigation effort consistent with 2 °C. • The effect of accounting rules is lower than in the UNEP (2012) emission gap report. • An emission gap does not imply that the 2 °C target is definitely out of reach. -- Abstract: The Copenhagen Accord of 2009 refers to a 2 °C target and encouraged countries to submit emission reduction proposals and actions (pledges) for the year 2020, which many did. Several studies determined the effect of these pledges on the global emission level in 2020, and analysed the gap between this emission level and the level consistent with least-cost emission pathways for achieving the 2 °C target. These studies were summarised in the UNEP emission gap reports. Since the UNFCCC climate negotiations in Cancún, 2010, business-as-usual emission projections have been updated and some countries submitted new pledges or clarified existing pledges. Furthermore, new accounting rules for land use and the use of surplus units were agreed in Durban (2011) and Doha (2012). This paper shows that together, these developments have led to an increase in the emission level resulting from the pledges of about 4 GtCO 2 equiv. compared to our assessment before Cancún, mainly due to increased business-as-usual projections. According to our projections, the pledges lead to an emission level of 52.7–56.5 GtCO 2 equiv. by 2020, which implies an emission gap of 8.7–12.6 GtCO 2 equiv. for a likely chance (greater than 66% likelihood) and from 6.7 to 10.6 GtCO 2 equiv. for a medium chance (50–66% likelihood) of achieving 2 °C. This does not imply that achieving 2 °C is out of reach with the current pledges, but it will require higher reduction rates beyond 2020 and will depend more heavily on future technological

Exchange of Notes constituting an Agreement between the Government of Australia and the Government of the United States of America to bring International Obligation Exchanges under the Coverage of the Agreement concerning Peaceful Uses of Nuclear Energy, and Agreed Minute, of 5 July 1979

International Nuclear Information System (INIS)

1991-01-01

This Exchange of Notes, which entered into force on 16 December 1991, refers to the safeguards obligations of both Contracting Parties under their Agreement on the Peaceful Uses of Nuclear Energy and the Exchange of Notes of 2 August 1985 concerning the duration of safeguards. Both Parties agree that the Agreement will apply to the quantity of materials to which either Party, at the request of the other Party, has consented that it should apply as part of the arrangement to exchange safeguards obligations, or that it should no longer apply. (NEA)

Inelastic electron scattering influence on the strong coupling oxide superconductors

International Nuclear Information System (INIS)

Gabovich, A.M.; Voitenko, A.I.

1995-01-01

The superconducting order parameters Δ and energy gap Δ g are calculated taking into account the pair-breaking inelastic quasiparticle scattering by thermal Bose-excitations, e.g., phonons. The treatment is self-consistent because the scattering amplitude depends on Δ. The superconducting transition for any strength of the inelastic scattering is the phase transition of the first kind and the dependences Δ (T) and Δ g (T) tend to rectangular curve that agrees well with the experiment for high-Tc oxides. On the basis of the developed theory the nuclear spin-lattice relaxation rate R s in the superconducting state is calculated. The Hebel-Slichter peak in R s (T) is shown to disappear for strong enough inelastic scattering

Inversion of Qubit Energy Levels in Qubit-Oscillator Circuits in the Deep-Strong-Coupling Regime

Science.gov (United States)

Yoshihara, F.; Fuse, T.; Ao, Z.; Ashhab, S.; Kakuyanagi, K.; Saito, S.; Aoki, T.; Koshino, K.; Semba, K.

2018-05-01

We report on experimentally measured light shifts of superconducting flux qubits deep-strongly coupled to L C oscillators, where the coupling constants are comparable to the qubit and oscillator resonance frequencies. By using two-tone spectroscopy, the energies of the six lowest levels of each circuit are determined. We find huge Lamb shifts that exceed 90% of the bare qubit frequencies and inversions of the qubits' ground and excited states when there are a finite number of photons in the oscillator. Our experimental results agree with theoretical predictions based on the quantum Rabi model.

Do stellar and nebular abundances in the Cocoon nebula agree?

Science.gov (United States)

García-Rojas, J.; Simón-Díaz, S.; Esteban, C.

2015-05-01

The Cocoon nebula is an apparently spherical Galactic HII region ionized by a single star (BD+46 3474). This nebula seems to be appropriate to investigate the chemical behavior of oxygen and other heavy elements from two different points of view: a detailed analysis of the chemical content of the ionized gas through nebular spectrophotometry and a detailed spectroscopic analysis of the spectrum of the ionizing star using the state-of-the-art stellar atmosphere modelling. In this poster we present the results from a set of high-quality observations, from 2m-4m class telescopes, including the optical spectrum of the ionizing star BD+46 3474, along with long-slit spatially resolved spectroscopy of the nebula. We have used state-of-the-art stellar atmosphere codes to determine stellar parameters and the chemical content of several heavy elements. Traditional nebular techniques along with updated atomic data have been used to compute gaseous abundances of O, N and S in the Cocoon nebula. Thanks to the low ionization degree of the nebula, we could determine total abundances directly from observable ions (no ionization correction factors were needed) for three of the analyzed elements (O, S, and N). The derived stellar and nebular abundances are compared and the influence of the possible presence of the so-called temperature fluctuations on the nebula is discussed. The results of this study are presented in more detail in García-Rojas, Simón-Díaz & Esteban 2014, A&A, 571, A93.

I Agree, but Do I Know? Privacy and Student Data

Science.gov (United States)

Abilock, Rigele; Abilock, Debbie

2016-01-01

In April 2015, U.S. House Representatives Luke Messer and Jared Polis introduced the bipartisan Student Digital Privacy and Parental Rights Act of 2015, designed to significantly restrict how online education vendors can exploit the personal data of students who use their products. For some, the bill does not go far enough. It is evident that…

Do you know when you have agreed to a deal?

International Nuclear Information System (INIS)

Lee, G.L.

1999-01-01

Some basic concepts of contract law within the oil and gas industry are summarized, emphasizing (1) offer and acceptance, (2) consideration, (3) revocation, and (4) certainty. Most purchase and sale agreements in the oil and gas industry begin as letters of intent which form the basis of the formal contract of purchase and sale. Accordingly, the paper presents a summary of the most common issues regarding the enforceability of letters of intent. Principal points to watch for are: (1) existence of conditions, (2) contemplation of subsequent formal contract to be executed, (3) requirement for Board approval, (4) additional due diligence, and (5) lack of certainty. The bid process and 'no shop covenants' are also reviewed

Specific antibiotics and nematode trophic groups agree in assessing fungal

DEFF Research Database (Denmark)

Christensen, Søren; Dam, Marie; Madsen, Mette Vestergård

2012-01-01

There are no methods at hand with a long and proven record for assessing the relative contribution of fungi and bacteria to decomposer activity in soil. Whereas a multitude of methods to determine fungal and bacterial biomass are available, activity assays traditionally relied on the substrate-in...

Do prehospital providers and emergency nurses agree on triage assignment?

DEFF Research Database (Denmark)

Skjøt-Arkil, Helene; Pontoppidan, Louise L; Laursen, Jens O

2018-01-01

OBJECTIVES: The aim of this study was to investigate the agreement on triage level between prehospital providers and emergency department (ED) nurses in clinical practice when using the same triage system. The objectives were as follows: (a) What is the agreement of triage between prehospital...... providers and ED nurses, when using Danish Emergency Process Triage (DEPT) correctly? (b) Which part of the triage process yields the highest agreement regarding the final triage? METHODS: The study was a prospective and observational efficacy study. Patients transported to the ED by ambulances were...... included. They were triaged by prehospital providers while being transported by ambulance to the ED, and by ED nurses upon arrival. Triage was done using the DEPT - a five-level triage system based on vital signs and a presenting complaint algorithm. An agreement analysis was performed. RESULTS: DEPT...

Synthetic strong ground motions for engineering design utilizing empirical Green`s functions

Energy Technology Data Exchange (ETDEWEB)

Hutchings, L.J.; Jarpe, S.P.; Kasameyer, P.W.; Foxall, W.

1996-04-11

We present a methodology for developing realistic synthetic strong ground motions for specific sites from specific earthquakes. We analyzed the possible ground motion resulting from a M = 7.25 earthquake that ruptures 82 km of the Hayward fault for a site 1.4 km from the fault in the eastern San Francisco Bay area. We developed a suite of 100 rupture scenarios for the Hayward fault earthquake and computed the corresponding strong ground motion time histories. We synthesized strong ground motion with physics-based solutions of earthquake rupture and applied physical bounds on rupture parameters. By having a suite of rupture scenarios of hazardous earthquakes for a fixed magnitude and identifying the hazard to the site from the statistical distribution of engineering parameters, we introduce a probabilistic component into the deterministic hazard calculation. Engineering parameters of synthesized ground motions agree with those recorded from the 1995 Kobe, Japan and the 1992 Landers, California earthquakes at similar distances and site geologies.

Patients' and physicians' satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic.

Science.gov (United States)

Bishop, Lisa; Young, Stephanie; Twells, Laurie; Dillon, Carla; Hawboldt, John

2015-06-09

A pharmacist managed anticoagulation service was initiated in a multi-physician family medicine clinic in December 2006. In order to determine the patient and physician satisfaction with the service, a study was designed to describe the patients' satisfaction with the warfarin education and management they received from the pharmacist, and to describe the physicians' satisfaction with the level of care provided by the pharmacist for patients taking warfarin. A self-administered survey was completed by both eligible patients receiving warfarin and physicians prescribing warfarin between December 2006 and May 2008. The patient survey collected information on patient demographics, satisfaction with warfarin education and daily warfarin management. The physician survey collected data about the satisfaction with patient education and daily anticoagulation management by the pharmacist. Seventy-six of 94 (81%) patients completed the survey. Fifty-nine percent were male with a mean age of 65 years (range 24-90). Ninety-six percent agreed/strongly agreed the pharmacist did a good job teaching the importance of warfarin adherence, the necessity of INR testing and the risks of bleeding. Eighty-five percent agreed/strongly agreed the risk of blood clots was well explained, 79% felt the pharmacist did a good job teaching about dietary considerations and 77% agreed/strongly agreed the pharmacist explained when to see a doctor. All patients felt the pharmacist gave clear instructions on warfarin dosing and INR testing. Four of nine physicians (44%) completed the survey. All agreed/strongly agreed the pharmacist was competent in the care provided, were confident in the care their patients received, would like the pharmacist to continue the service, and would recommend this program to other clinics. Patients and family physicians were satisfied with the pharmacist managed anticoagulation program and recommended continuation of the program. These results support the role of the

A Bone Marrow Aspirate and Trephine Simulator.

Science.gov (United States)

Yap, Eng Soo; Koh, Pei Lin; Ng, Chin Hin; de Mel, Sanjay; Chee, Yen Lin

2015-08-01

Bone marrow aspirate and trephine (BMAT) biopsy is a commonly performed procedure in hematology-oncology practice. Although complications are uncommon, they can cause significant morbidity and mortality. Simulation models are an excellent tool to teach novice doctors basic procedural skills before performing the actual procedure on patients to improve patient safety and well-being. There are no commercial BMAT simulators, and this technical report describes the rationale, technical specifications, and construction of a low-cost, easily constructed, reusable BMAT simulator that reproduced the tactile properties of tissue layers for use as a teaching tool in our resident BMAT simulation course. Preliminary data of learner responses to the simulator were also collected. From April 2013 to November 2013, 32 internal medicine residents underwent the BMAT simulation course. Eighteen (56%) completed the online survey, 11 residents with previous experience doing BMAT and 7 without experience. Despite the difference in operative experience, both experienced and novice residents all agreed or strongly agreed that the model aided their understanding of the BMAT procedure. All agreed or strongly agreed that this enhanced their knowledge of anatomy and 16 residents (89%) agreed or strongly agreed that this model was a realistic simulator. We present a novel, low-cost, easily constructed, realistic BMAT simulator for training novice doctors to perform BMAT.

Restructuring of the jurisprudence course taught at the Canadian Memorial Chiropractic College

Science.gov (United States)

Gleberzon, Brian J.

2010-01-01

Introduction: The process by which the jurisprudence course was restructured at the Canadian Memorial Chiropractic College is chronicled. Method: A Delphi process used to restructure the course is described, and the results of a student satisfaction survey are presented. Results: When asked “I think this material was clinically relevant,” over 81% of the 76 students who respondents strongly agreed or agreed with this statement; 100% of students agreed or strongly agreed that scope of practice; marketing, advertising and internal office promotion; record keeping; fee schedules; malpractice issues and; professional malpractice issues and negligence was clinically relevant. When asked “I think this material was taught well,” a minimum of 89% of students agreed or strongly agreed with this statement. Discussion: This is the first article published that described the process by which a jurisprudence course was developed and assessed by student survey. Summary: Based on a survey of student perceptions, restructuring of the jurisprudence course was successful in providing students with clinically relevant information in an appropriate manner. This course may serve as an important first step in development a ‘model curriculum’ for chiropractic practice and the law courses in terms of content, format and assessment strategies. PMID:20195427

Web-based objective structured clinical examination with remote standardized patients and Skype: resident experience.

Science.gov (United States)

Langenau, Erik; Kachur, Elizabeth; Horber, Dot

2014-07-01

Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians. After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from different training programs, disciplines and geographic locations completed a 52-item questionnaire regarding their experience with Skype and RSPs. Open-ended responses were solicited as well. The majority of participants (97%) agreed or strongly agreed the web-based format was convenient and a practical learning exercise, and 90% agreed or strongly agreed the format was effective in teaching communication skills. Although 93% agreed or strongly agreed they could communicate easily with RSPs using Skype, 80% preferred traditional face-to-face clinical encounters, and 58% reported technical difficulties during the encounters. Open-ended written responses supported survey results. Findings from this study expose challenges with technology and human factors, but positive experiences support the continued investigation of web-based OSCEs as a synchronous e-learning initiative for teaching and assessing doctor-patient communication. Such educational programs are valuable but unlikely to replace face-to-face encounters with patients. This web-based OSCE program provides physician learners with additional opportunity to improve doctor-patient communication. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

[Hi-Fi simulation: Teaching crisis resource management to surgery residents].

Science.gov (United States)

Georgescu, Mihai; Tanoubi, Issam; Drolet, Pierre; Robitaille, Arnaud; Perron, Roger; Patenaude, Jean Victor

2015-02-01

High-fidelity (HiFi) simulation has shown its effectiveness for teaching crisis resource management (CRM) principles, and our institutional experience in this area is mainly with anesthesiology residents. We recently added to our postgraduate curriculum a new CRM course designed to cater to the specific needs of surgical residents. This short communication describes the experience of the University of Montreal Simulation Centre (Centre d'Apprentissage des Attitudes et Habiletés Cliniques CAAHC) regarding HiFi simulationbased CRM and communication skills teaching for surgical residents. Thirty residents agreed to participate in a simulation course with pre-established scenarios and educational CRM objectives on a voluntary basis. When surveyed immediately after the activity, all residents agreed that the educational objectives were well defined (80% "strongly agree" and 20% "agree"). The survey also showed that the course was well accepted by all participants (96% "strongly agree" and 4% "agree"). Further trials with randomized groups and more reliable assessment tools are needed to validate our results. Still, integrating HiFi simulation based CRM learning in the surgical residency curriculum seems like an interesting step.

Describing a Strongly Correlated Model System with Density Functional Theory.

Science.gov (United States)

Kong, Jing; Proynov, Emil; Yu, Jianguo; Pachter, Ruth

2017-07-06

The linear chain of hydrogen atoms, a basic prototype for the transition from a metal to Mott insulator, is studied with a recent density functional theory model functional for nondynamic and strong correlation. The computed cohesive energy curve for the transition agrees well with accurate literature results. The variation of the electronic structure in this transition is characterized with a density functional descriptor that yields the atomic population of effectively localized electrons. These new methods are also applied to the study of the Peierls dimerization of the stretched even-spaced Mott insulator to a chain of H 2 molecules, a different insulator. The transitions among the two insulating states and the metallic state of the hydrogen chain system are depicted in a semiquantitative phase diagram. Overall, we demonstrate the capability of studying strongly correlated materials with a mean-field model at the fundamental level, in contrast to the general pessimistic view on such a feasibility.

Exact Solution of a Strongly Coupled Gauge Theory in 0 +1 Dimensions

Science.gov (United States)

Krishnan, Chethan; Kumar, K. V. Pavan

2018-05-01

Gauged tensor models are a class of strongly coupled quantum mechanical theories. We present the exact analytic solution of a specific example of such a theory: namely, the smallest colored tensor model due to Gurau and Witten that exhibits nonlinearities. We find explicit analytic expressions for the eigenvalues and eigenstates, and the former agree precisely with previous numerical results on (a subset of) eigenvalues of the ungauged theory. The physics of the spectrum, despite the smallness of N , exhibits rudimentary signatures of chaos. This Letter is a summary of our main results: the technical details will appear in companion paper [C. Krishnan and K. V. Pavan Kumar, Complete solution of a gauged tensor model, arXiv:1804.10103].

Gravity, Special Relativity, and the Strong Force A Bohr-Einstein-de Broglie Model for the Formation of Hadrons

CERN Document Server

Vayenas, Constantinos G

2012-01-01

This book shows that the strong interaction forces, which keep hadrons and nuclei together, are relativistic gravitational forces exerted between very small particles in the mass range of neutrinos. First, this book considers the problematic motion of two charged particles under the influence of electrostatic and gravitational forces only, which shows that bound states are formed by following the same semi-classical methodology used by Bohr to describe the H atom. This approach is also coupled with Newton's gravitational law and with Einstein's special relativity. The results agree with experi

Cohesion in a Multinational Coalition Center

National Research Council Canada - National Science Library

Schaab, Brooke

2007-01-01

.... All of the remaining nine items fell within the agree-to-strongly agree area. On interpersonal cohesion, highest agreement was found on items addressing the importance of liking and socializing with team members...

A critical appraisal of evidence-based guidelines for the treatment of psoriasis vulgaris: 'AGREE-ing' on a common base for European evidence-based psoriasis treatment guidelines

NARCIS (Netherlands)

Nast, A.; Spuls, Ph; Ormerod, A. D.; Reytan, N.; Saiag, P. H.; Smith, C. H.; Rzany, B.

2009-01-01

BACKGROUND: To further improve the standard of care provided to psoriasis patients in Europe, the European Dermatology Forum and the European Academy of Dermatology and Venereology have initiated a project to develop common European psoriasis guidelines. OBJECTIVE: This paper aims to assess the

Strong and Electromagnetic Interactions at SPS Energies

CERN Document Server

Ribicki, Andrzej

2009-01-01

Particle production in peripheral Pb+Pb collisions has been measured at a beam energy of 158 GeV per nucleon, corresponding to psNN 17.3 GeV. The measurements provide full double differential coverage in a wide range of longitudinal and transverse momenta, including the central (“mid-rapidity”) area and extending far into the projectile fragmentation region. The resulting analysis shows the heavy ion reaction as a mixture of different processes. In particular, surprising phenomena, like the presence of large and strongly varying structures in the shape of the double differential cross section d2s /dxFd pT , are induced by the final state electromagnetic interaction between produced particles and the charged spectator system. This effect is largest at low transverse momenta, where it results in a deep valley in the xF -dependence of the produced p+/p− ratio. The basic characteristics of the electromagnetic phenomenon described above agree with the results of a theoretical analysis, performed by means of ...

Career interest and perceptions of nephrology: A repeated cross-sectional survey of internal medicine residents.

Science.gov (United States)

Daniels, Michael N; Maynard, Sharon; Porter, Ivan; Kincaid, Hope; Jain, Deepika; Aslam, Nabeel

2017-01-01

Interest in nephrology careers among internal medicine residents in the United States is declining. Our objective was to assess the impact of the presence of a nephrology fellowship training program on perceptions and career interest in nephrology among internal medicine residents. A secondary objective was to identify commonly endorsed negative perceptions of nephrology among internal medicine residents. This was a repeated cross-sectional survey of internal medicine residents before (Group 1) and 3 years after (Group 2) the establishment of nephrology fellowship programs at two institutions. The primary outcome was the percentage of residents indicating nephrology as a career interest in Group 1 vs. Group 2. Secondary outcomes included the frequency that residents agreed with negative statements about nephrology. 131 (80.9%) of 162 residents completed the survey. 19 (14.8%) residents indicated interest in a nephrology career, with 8 (6.3%) indicating nephrology as their first choice. There was no difference in career interest in nephrology between residents who were exposed to nephrology fellows during residency training (Group 2) and residents who were not (Group 1). The most commonly endorsed negative perceptions of nephrology were: nephrology fellows have long hours/burdensome call (36 [28.1%] of residents agreed or strongly agreed), practicing nephrologists must take frequent/difficult call (35 [27.6%] agreed or strongly agreed), and nephrology has few opportunities for procedures (35 [27.3%] agreed or strongly agreed). More residents in Group 2 agreed that nephrology is poorly paid (8.9% in Group 1 vs. 20.8% in Group 2, P = 0.04), whereas more residents in Group 1 agreed that nephrologists must take frequent/difficult call (40.0% in Group 1 vs. 18.1% in Group 2, P = 0.02). The initiation of a nephrology fellowship program was not associated with an increase in internal medicine residents' interest in nephrology careers. Residents endorsed several negative

Career interest and perceptions of nephrology: A repeated cross-sectional survey of internal medicine residents.

Directory of Open Access Journals (Sweden)

Michael N Daniels

Full Text Available Interest in nephrology careers among internal medicine residents in the United States is declining. Our objective was to assess the impact of the presence of a nephrology fellowship training program on perceptions and career interest in nephrology among internal medicine residents. A secondary objective was to identify commonly endorsed negative perceptions of nephrology among internal medicine residents.This was a repeated cross-sectional survey of internal medicine residents before (Group 1 and 3 years after (Group 2 the establishment of nephrology fellowship programs at two institutions. The primary outcome was the percentage of residents indicating nephrology as a career interest in Group 1 vs. Group 2. Secondary outcomes included the frequency that residents agreed with negative statements about nephrology.131 (80.9% of 162 residents completed the survey. 19 (14.8% residents indicated interest in a nephrology career, with 8 (6.3% indicating nephrology as their first choice. There was no difference in career interest in nephrology between residents who were exposed to nephrology fellows during residency training (Group 2 and residents who were not (Group 1. The most commonly endorsed negative perceptions of nephrology were: nephrology fellows have long hours/burdensome call (36 [28.1%] of residents agreed or strongly agreed, practicing nephrologists must take frequent/difficult call (35 [27.6%] agreed or strongly agreed, and nephrology has few opportunities for procedures (35 [27.3%] agreed or strongly agreed. More residents in Group 2 agreed that nephrology is poorly paid (8.9% in Group 1 vs. 20.8% in Group 2, P = 0.04, whereas more residents in Group 1 agreed that nephrologists must take frequent/difficult call (40.0% in Group 1 vs. 18.1% in Group 2, P = 0.02.The initiation of a nephrology fellowship program was not associated with an increase in internal medicine residents' interest in nephrology careers. Residents endorsed several

Strong/weak coupling duality relations for non-supersymmetric string theories

International Nuclear Information System (INIS)

Blum, J.D.; Dienes, K.R.

1998-01-01

Both the supersymmetric SO(32) and E 8 x E 8 heterotic strings in ten dimensions have known strong-coupling duals. However, it has not been known whether there also exist strong-coupling duals for the non-supersymmetric heterotic strings in ten dimensions. In this paper, we construct explicit open-string duals for the circle compactifications of several of these non-supersymmetric theories, among them the tachyon-free SO(16) x SO(16) string. Our method involves the construction of heterotic and open-string interpolating models that continuously connect non-supersymmetric strings to supersymmetric strings. We find that our non-supersymmetric dual theories have exactly the same massless spectra as their heterotic counterparts within a certain range of our interpolations. We also develop a novel method for analyzing the solitons of non-supersymmetric open-string theories, and find that the solitons of our dual theories also agree with their heterotic counterparts. These are therefore the first known examples of strong/weak coupling duality relations between non-supersymmetric, tachyon-free string theories. Finally, the existence of these strong-coupling duals allows us to examine the non-perturbative stability of these strings, and we propose a phase diagram for the behavior of these strings as a function of coupling and radius. (orig.)

Note on the hydrodynamic description of thin nematic films: Strong anchoring model

KAUST Repository

Lin, Te-Sheng; Cummings, Linda J.; Archer, Andrew J.; Kondic, Lou; Thiele, Uwe

2013-01-01

We discuss the long-wave hydrodynamic model for a thin film of nematic liquid crystal in the limit of strong anchoring at the free surface and at the substrate. We rigorously clarify how the elastic energy enters the evolution equation for the film thickness in order to provide a solid basis for further investigation: several conflicting models exist in the literature that predict qualitatively different behaviour. We consolidate the various approaches and show that the long-wave model derived through an asymptotic expansion of the full nemato-hydrodynamic equations with consistent boundary conditions agrees with the model one obtains by employing a thermodynamically motivated gradient dynamics formulation based on an underlying free energy functional. As a result, we find that in the case of strong anchoring the elastic distortion energy is always stabilising. To support the discussion in the main part of the paper, an appendix gives the full derivation of the evolution equation for the film thickness via asymptotic expansion. © 2013 AIP Publishing LLC.

Evaluation of PCMH Model Adoption on Teamwork and Impact on Patient Access and Safety.

Science.gov (United States)

Khanna, Niharika; Shaya, Fadia T; Gaitonde, Priyanka; Abiamiri, Andrea; Steffen, Ben; Sharp, David

2017-04-01

Each of the participating patient-centered medical home (PCMH) received coaching and participated in learning collaborative for improving teamwork. The objective of the study was to assess the impact of trainings on patient-centered teamwork. The Teamwork Perception Questionnaire (TPQ) was administered once in spring 2014 and then in fall 2015. The TPQ consists of 35 questions across 5 domains: mutual support, situation monitoring, communication, team structure, and leadership. Based on our objective we compared the frequencies of strongly agree/agree by domain. The difference was tested using chi-square test. We compared the scores on each domain (strongly agree/agree = 1; maximum score = 7) via Wilcoxon rank sum test. The response rate for this survey was n = 29 (80.6%) in spring 2014, and n = 31 (86.1%) in fall 2015. We found that the practice members significantly ( P safety.

Do patients and carers agree on symptom burden in advanced COPD?

Science.gov (United States)

Mi, Emma; Mi, Ella; Ewing, Gail; White, Patrick; Mahadeva, Ravi; Gardener, A Carole; Farquhar, Morag

2018-01-01

Accurate informal carer assessment of patient symptoms is likely to be valuable for decision making in managing the high symptom burden of COPD in the home setting. Few studies have investigated agreement between patients and carers in COPD. We aimed to assess agreement between patients and carers on symptoms, and factors associated with disagreement in a population-based sample of patients with advanced COPD. This was a prospective, cross-sectional analysis of data from 119 advanced COPD patients and their carers. Patients and carers separately rated symptoms on a 4-point scale. Wilcoxon signed-rank tests and weighted Cohen's kappa determined differences in patient and carer scores and patient-carer agreement, respectively. We identified characteristics associated with incongruence using Spearman's rank correlation and Mann-Whitney U tests. There were no significant differences between group-level patient and carer scores for any symptom. Patient-carer individual-level agreement was moderate for constipation (k=0.423), just below moderate for diarrhea (k=0.393) and fair for depression (k=0.341), fatigue (k=0.294), anxiety (k=0.289) and breathlessness (k=0.210). Estimation of greater patient symptom burden by carers relative to patients themselves was associated with non-spousal patient-carer relationship, non-cohabitating patients and carers, carer symptoms of anxiety and depression and more carer unmet support needs. Greater symptom burden estimation by the patient relative to the carer was associated with younger patients and longer duration of COPD. Overall, agreement between patients and carers was fair to moderate and was poorer for more subjective symptoms. There is a need to encourage open dialogue between patients and carers to promote shared understanding, help patients express themselves and encourage carers to draw attention to symptoms that patients do not report. The findings suggest a need to screen for and address both the psychological morbidities in patients with advanced COPD and their carers and unmet support needs in carers.

Why do individuals agree to enrol in clinical trials? A qualitative ...

African Journals Online (AJOL)

In this study of Malawian adults who had participated in research projects of various kinds during the preceding years, we found that the majority participated in research for the sake of obtaining better quality treatment made available through the clinical trials as ancillary care. Their consent to participate was not due to a ...

CT grading scales for splenic injury: why can't we agree?

International Nuclear Information System (INIS)

Clark, Rhys; Hird, Kathryn

2011-01-01

Full text: Computed tomography (CT) has been proven to be able to accurately diagnose splenic injury, Many have published CT splenic injury grading scales to quantify the extent of injury, However, these scales have failed at predicting clinical outcomes and therefore cannot be used to accu rately predict the need for intervention. We hypothesi sed that low interrater reliability is the reason why these scales have failed at predicting clinical outcomes. This is a retrospective study of patients who were admitted to the Royal Perth Hospital with blunt splenic injury as coded in the trauma registry, The abdominal CT images of these patients were reviewed by three consultant radiologists and were graded using the six different splenic injury grading scales. We assessed interrater reliability between each of the scales using generalised kappa and proportion of agreement calculations. Results: The images of 64 patients were reviewed. The interrater reliability yielded a generalised kappa score of 0.32-0,60 and proportion of agreement ranging from 34,4% to 65,5%, The six studied CT splenic injury grading scales did not have a high enough interrater reliability to be adequate for clinical use, The poor interrater reliability is likely to contribute to the failure of the scales at predicting clinical outcomes. Further research to improve the interrater reliability is recommended.

Deliverable 4.1 Homogeneous LCA methodology agreed by NEPTUNE and INNOWATECH

DEFF Research Database (Denmark)

Larsen, Henrik Fred; Hauschild, Michael Zwicky; Wenzel, Henrik

2007-01-01

In order to do a life cycle assessment (LCA) of a waste water treatment technique, a system to handle the mapped inventory data and a life cycle impact assessment (LCIA) method/model is needed. Besides NEPTUNE, another EU-funded project has the same methodology need namely INNOWATECH (contract No....... 036882) running in parallel with NEPTUNE but focusing on industrial waste water. With the aim of facilitating cooperation between the two projects a common LCA methodology framework has been worked out and is described in the following. This methodology work has been done as a joint effort between...... NEPTUNE WP4 and INNOWATECH WP4 represented by the WP4 lead partner IVL. The aim of the co-operation is to establish common methodologies and/or LCA models and/or tools in order to achieve a homogenous approach in INNOWATECH and NEPTUNE. Further, the aim is to facilitate possibilities of data exchange...

If nuclear energy is the answer, why doesn't everyone agree?

Science.gov (United States)

Roberts, J. W.

2018-03-01

Nuclear energy produces low carbon, safe and reliable electricity so is it now time for the UK to invest in this proven technology or are the misplaced perceptions regarding its safety, cost and the quantities of radioactive waste produced causing us to overlook nuclear as a major component of our electricity mix? This paper discusses these issues and whether the negative opinion of nuclear energy which could hold back it’s wider development in the UK, is justified in the 21st century. For the safe, secure and economic future of electricity can we afford to ignore the positive contributions nuclear energy can make any longer?

Education in the Commonwealth: Towards and beyond the Internationally Agreed Goals

Science.gov (United States)

Menefee, Trey; Bray, Mark

2012-01-01

This report was produced for the 2012 Conference of Commonwealth Education Ministers meeting in Mauritius. Its main purpose is to track the historical progress and likelihood of attainment of Education For All and education-specific Millennium Development Goals while also critically reviewing the methods used to track this progress. The analyses…

Corporate Culture and Employee Mentality Capital Agree with Influencing Factor Analysis

Science.gov (United States)

Liu, Ying

2010-01-01

In the enterprise development process, many companies put on the corporate culture and employee knowledge of psychological capital to stay in their respective functional areas, and can not really establish a humanistic ideas, nor will it recognize employees of psychological capital in the building of enterprise culture in the transmission and…

One should not say anything with which one’s enemies agree

DEFF Research Database (Denmark)

Villadsen, Lisa Storm

2010-01-01

In the aftermath of Sept. 11, 2001, issues of terrorism and national security have become central in public debate in many countries. This chapter focuses on a brief public controversy over reactions by two public figures in Denmark to a terrorist attack on the Danish embassy in Islamabad, Pakistan...

A critical analysis of a locally agreed protocol for clinical practice

International Nuclear Information System (INIS)

Owen, A.; Hogg, P.; Nightingale, J.

2004-01-01

Within the traditional scope of radiographic practice (including advanced practice) there is a need to demonstrate effective patient care and management. Such practice should be set within a context of appropriate evidence and should also reflect peer practice. In order to achieve such practice the use of protocols is encouraged. Effective protocols can maximise care and management by minimising inter- and intra-professional variation; they can also allow for detailed procedural records to be kept in case of legal claims. However, whilst literature exists to encourage the use of protocols there is little published material available to indicate how to create, manage and archive them. This article uses an analytical approach to propose a suitable method for protocol creation and archival, it also offers suggestions on the scope and content of a protocol. To achieve this an existing clinical protocol for radiographer reporting barium enemas is analysed to draw out the general issues. Proposals for protocol creation, management, and archival were identified. The clinical practice described or inferred in the protocol should be drawn from evidence, such evidence could include peer-reviewed material, national standards and peer practice. The protocol should include an explanation of how to proceed when the radiographers reach the limit of their ability. It should refer to the initial training required to undertake the clinical duties as well as the on-going continual professional updating required to maintain competence. Audit of practice should be indicated, including the preferred audit methodology, and associated with this should be a clear statement about standards and what to do if standards are not adequately met. Protocols should be archived, in a paper-based form, for lengthy periods in case of legal claims. On the archived protocol the date it was in clinical use should be included

Do patients and carers agree on symptom burden in advanced COPD?

Directory of Open Access Journals (Sweden)

Mi E

2018-03-01

Full Text Available Emma Mi,1 Ella Mi,1 Gail Ewing,2 Patrick White,3 Ravi Mahadeva,4 A Carole Gardener,5 Morag Farquhar6 On behalf of the Living with Breathlessness Study Team 1School of Clinical Medicine, 2Centre for Family Research, University of Cambridge, Cambridge, 3Primary Care and Public Health Sciences, King’s College London, London, 4Department of Respiratory Medicine, Cambridge NIHR BRC, Addenbrookes Hospital, 5Department of Public Health and Primary Care, University of Cambridge, Cambridge, 6School of Health Sciences, University of East Anglia, Norwich, UK Objective: Accurate informal carer assessment of patient symptoms is likely to be valuable for decision making in managing the high symptom burden of COPD in the home setting. Few studies have investigated agreement between patients and carers in COPD. We aimed to assess agreement between patients and carers on symptoms, and factors associated with disagreement in a population-based sample of patients with advanced COPD. Patients and methods: This was a prospective, cross-sectional analysis of data from 119 advanced COPD patients and their carers. Patients and carers separately rated symptoms on a 4-point scale. Wilcoxon signed-rank tests and weighted Cohen’s kappa determined differences in patient and carer scores and patient–carer agreement, respectively. We identified characteristics associated with incongruence using Spearman’s rank correlation and Mann–Whitney U tests. Results: There were no significant differences between group-level patient and carer scores for any symptom. Patient–carer individual-level agreement was moderate for constipation (k=0.423, just below moderate for diarrhea (k=0.393 and fair for depression (k=0.341, fatigue (k=0.294, anxiety (k=0.289 and breathlessness (k=0.210. Estimation of greater patient symptom burden by carers relative to patients themselves was associated with non-spousal patient–carer relationship, non-cohabitating patients and carers, carer symptoms of anxiety and depression and more carer unmet support needs. Greater symptom burden estimation by the patient relative to the carer was associated with younger patients and longer duration of COPD. Conclusion: Overall, agreement between patients and carers was fair to moderate and was poorer for more subjective symptoms. There is a need to encourage open dialogue between patients and carers to promote shared understanding, help patients express themselves and encourage carers to draw attention to symptoms that patients do not report. The findings suggest a need to screen for and address both the psychological morbidities in patients with advanced COPD and their carers and unmet support needs in carers. Keywords: COPD, informal carers, symptom, agreement

32 CFR 1901.33 - Allocation of resources; agreed extensions of time.

Science.gov (United States)

2010-07-01

... “first-in, first-out” basis and utilizing two or more processing queues to ensure that smaller as well as... responsible for management of the Agency-wide program defined by this Part and for establishing priorities for cases consistent with established law. The Director, Information Management through the Agency Release...

32 CFR 1800.33 - Allocation of resources; agreed extensions of time.

Science.gov (United States)

2010-07-01

... strictly “first-in, first-out” basis and utilizing two or more processing queues to ensure that smaller as... Coordinator is responsible for management of the NACIC-wide program defined by this part and for establishing...

32 CFR 1801.33 - Allocation of resources; agreed extensions of time.

Science.gov (United States)

2010-07-01

...” basis and utilizing two or more processing queues to ensure that smaller as well as larger (i.e... management of the NACIC-wide program defined by this part and for establishing priorities for cases...

Analytical solutions by squeezing to the anisotropic Rabi model in the nonperturbative deep-strong-coupling regime

Science.gov (United States)

Zhang, Yu-Yu; Chen, Xiang-You

2017-12-01

An unexplored nonperturbative deep strong coupling (npDSC) achieved in superconducting circuits has been studied in the anisotropic Rabi model by the generalized squeezing rotating-wave approximation. Energy levels are evaluated analytically from the reformulated Hamiltonian and agree well with numerical ones in a wide range of coupling strength. Such improvement ascribes to deformation effects in the displaced-squeezed state presented by the squeezed momentum variance, which are omitted in previous displaced states. The atom population dynamics confirms the validity of our approach for the npDSC strength. Our approach offers the possibility to explore interesting phenomena analytically in the npDSC regime in qubit-oscillator experiments.

Do French macroseismic intensity observations agree with expectations from the European Seismic Hazard Model 2013?

Science.gov (United States)

Rey, Julien; Beauval, Céline; Douglas, John

2018-02-01

Probabilistic seismic hazard assessments are the basis of modern seismic design codes. To test fully a seismic hazard curve at the return periods of interest for engineering would require many thousands of years' worth of ground-motion recordings. Because strong-motion networks are often only a few decades old (e.g. in mainland France the first accelerometric network dates from the mid-1990s), data from such sensors can be used to test hazard estimates only at very short return periods. In this article, several hundreds of years of macroseismic intensity observations for mainland France are interpolated using a robust kriging-with-a-trend technique to establish the earthquake history of every French mainland municipality. At 24 selected cities representative of the French seismic context, the number of exceedances of intensities IV, V and VI is determined over time windows considered complete. After converting these intensities to peak ground accelerations using the global conversion equation of Caprio et al. (Ground motion to intensity conversion equations (GMICEs): a global relationship and evaluation of regional dependency, Bulletin of the Seismological Society of America 105:1476-1490, 2015), these exceedances are compared with those predicted by the European Seismic Hazard Model 2013 (ESHM13). In half of the cities, the number of observed exceedances for low intensities (IV and V) is within the range of predictions of ESHM13. In the other half of the cities, the number of observed exceedances is higher than the predictions of ESHM13. For intensity VI, the match is closer, but the comparison is less meaningful due to a scarcity of data. According to this study, the ESHM13 underestimates hazard in roughly half of France, even when taking into account the uncertainty in the conversion from intensity to acceleration. However, these results are valid only for the acceleration range tested in this study (0.01 to 0.09 g).

Do French macroseismic intensity observations agree with expectations from the European Seismic Hazard Model 2013?

Science.gov (United States)

Rey, Julien; Beauval, Céline; Douglas, John

2018-05-01

Probabilistic seismic hazard assessments are the basis of modern seismic design codes. To test fully a seismic hazard curve at the return periods of interest for engineering would require many thousands of years' worth of ground-motion recordings. Because strong-motion networks are often only a few decades old (e.g. in mainland France the first accelerometric network dates from the mid-1990s), data from such sensors can be used to test hazard estimates only at very short return periods. In this article, several hundreds of years of macroseismic intensity observations for mainland France are interpolated using a robust kriging-with-a-trend technique to establish the earthquake history of every French mainland municipality. At 24 selected cities representative of the French seismic context, the number of exceedances of intensities IV, V and VI is determined over time windows considered complete. After converting these intensities to peak ground accelerations using the global conversion equation of Caprio et al. (Ground motion to intensity conversion equations (GMICEs): a global relationship and evaluation of regional dependency, Bulletin of the Seismological Society of America 105:1476-1490, 2015), these exceedances are compared with those predicted by the European Seismic Hazard Model 2013 (ESHM13). In half of the cities, the number of observed exceedances for low intensities (IV and V) is within the range of predictions of ESHM13. In the other half of the cities, the number of observed exceedances is higher than the predictions of ESHM13. For intensity VI, the match is closer, but the comparison is less meaningful due to a scarcity of data. According to this study, the ESHM13 underestimates hazard in roughly half of France, even when taking into account the uncertainty in the conversion from intensity to acceleration. However, these results are valid only for the acceleration range tested in this study (0.01 to 0.09 g).

Post‐Secondary Students Prefer IM to E‐mail for Personal and Social Communication. A review of: Lancaster, Sean, David C. Yen, Albert H. Huang, and Shin‐Yuan Hung. “The Selection of Instant Messaging or E‐mail: College Students’ Perspective for Computer Communication.” Information Management & Computer Security 15.1 (2007: 5‐22.

Directory of Open Access Journals (Sweden)

Virginia Wilson

2008-03-01

Full Text Available Objective – This study investigates college students’ perceptions of instant messaging (IM and e‐mail for conveying emotions, aiding in relationship building, ease of use, and reliability.Design – A survey consisting of 59 questions was administered to 1,000 college students, resulting in 545 usable responses.Setting – The research took place at a midwestern university in the United States.Subjects – 1,000 Management Information Systems (MIS college students.Methods – A 59‐question survey was distributed to 1,000 MIS students during the 2005 academic year. 545 usable responses were returned. Participation was voluntary. During the pre‐phase of the research, four categories were determined: emotion, relationship, usage, and reliability. Questions were then written for a pilot study using Likert scaling. The post‐research phase involved evaluating the questions linguistically to ensure proper word usage, comprehension, and lack of bias. Main Results – The questions in the section on conveying emotion dealt with how well the two technologies (e‐mail and IM communicated feelings and emotions. While both technologies were acknowledged as being able to communicate more than merely text, IM was clearly preferred for expressing emotion. Fifty‐two percent of the respondents strongly agreed or agreed that they used emoticons (originally symbols created with letters and special characters; later evolving into graphical images produced and made available by IM companies to express emotion in IM, while fewer than 11% agreed or strongly agreed that they did so in e‐mail. More than 70% of the respondents strongly agreed or agreed that their friends used emoticons in IM,while fewer than 14% strongly agreed or agreed that their friends used emoticons in e‐mails. More than 75% of respondents agreed that it is easier to convey emotions in IM than via e‐mail. Analysis on the questions that dealt with the technologies as useful

U.S. Competitiveness Study: How Furniture and Cabinet Manufacturers Compare

Science.gov (United States)

Urs Buehlmann; Matthew Bumgardner; Al Schuler; Rich Christianson

2003-01-01

A disturbing 37.2%, of the 341 manufacturing executives participating in the U.S. Wood Competitiveness Survey either strongly agreed or agreed "that by the end of the decade, little will remain of domestic wood furniture and other wood products manufacturing in the United States."

Undergraduate Students' Attitudes toward Biodiversity

Science.gov (United States)

Huang, Hui-Ju; Lin, Yu-Teh Kirk

2014-01-01

The study investigated American and Taiwan undergraduate students' attitudes toward biodiversity. The survey questionnaire consisted of statements prompted by the question "To what extent do you agree with the following statements about problems with the biodiversity issues." Students indicated strongly disagree, disagree, agree,…

Antimicrobial Stewardship: A Cross-Sectional Survey Assessing the Perceptions and Practices of Community Pharmacists in Ethiopia

Directory of Open Access Journals (Sweden)

Daniel Asfaw Erku

2016-01-01

Full Text Available Background. Community pharmacists are key healthcare professionals for antimicrobial stewardship programs owing to their role in dispensing of antimicrobials. The aim of the present study was to assess the perception and practices of community pharmacists towards antimicrobial stewardship (AMS in Ethiopia. Methods. A cross-sectional survey was conducted by selecting pharmacy sites through stratified simple random sampling technique. Descriptive and inferential statistics were used to analyze the data. Results. Majority of respondents strongly agreed or agreed that AMS program is vital for the improvement of patient care. Almost all of respondents agreed that pharmacists can play a prominent role in AMS and infection prevention (93.2%, median = 5; IQR = 2–5. However, only 26.5% of respondents strongly agreed or agreed that AMS should be practiced at community pharmacy level (median = 4, IQR = 1–3 and more than half of community pharmacists (59.9% often/always dispense antimicrobial without a prescription. Conclusion. The present study revealed positive perceptions and practices of community pharmacists towards antimicrobial stewardship. Yet, some weak areas like integration of AMS program in community pharmacies, the significance of interprofessional involvement, and dispensing of antimicrobials without a valid prescription still need improvement.

Delphi Fuzzy Elicitation Technique in the Determination of Third ...

African Journals Online (AJOL)

MICHAEL HORSFALL

in g. P ipeline. C o m p any. 's op eration s. S abo tage. P o o r. E ng in eering. C o n struction ... Legend: SA-Strongly Agree A- Agree DN-I don't know D- Disagree. SD-Strongly .... basic of number fuzzy combined represents. Ni erts of number the represents n and jert by ..... Feltovitch, P. J., Prietula, M. J. & Ericsson, K. A..

Gifts and corporate influence in doctor of pharmacy education.

Science.gov (United States)

Piascik, Peggy; Bernard, Daphne; Madhavan, Suresh; Sorensen, Todd D; Stoner, Steve C; TenHoeve, Tom

2007-08-15

To explore the nature of corporate gifts directed at PharmD programs and pharmacy student activities and the perceptions of administrators about the potential influences of such gifts. A verbally administered survey of administrative officials at 11 US colleges and schools of pharmacy was conducted and responses were analyzed. All respondents indicated accepting corporate gifts or sponsorships for student-related activities in the form of money, grants, scholarships, meals, trinkets, and support for special events, and cited many advantages to corporate partner relationships. Approximately half of the respondents believed that real or potential problems could occur from accepting corporate gifts. Forty-four percent of respondents agreed or strongly agreed that corporate contributions could influence college or school administration. Sixty-one percent agreed or strongly agreed that donations were likely to influence students. Corporate gifts do influence college and school of administration and students. Policies should be in place to manage this influence appropriately.

Nonequilibrium Thermodynamic Treatment of a Warm Plasma in Strong Magnetic and Electric Fields

International Nuclear Information System (INIS)

Abourabia, A.M.; Shahein, R.A.

2008-01-01

In the framework of the irreversible thermodynamics we study a rarefied and collisional warm electron plasma under the effects of external strong magnetic and electric fields which generate small wave amplitudes. We adopt the linear theory and normal mode solution in the MHD model to calculate the perturbations in pressure, mass density, components of velocity, electric and magnetic fields. By applying the second law of thermodynamics it is concluded that the change in the internal energy of the plasma particles predicts whether they gain from or lose energy to the generated waves .The obtained results agree with the physical ground bounded by the positive nature of the entropy production. The predictions have been carried out within the range of the frequency of the generated waves and the distance from the Debye sphere

On Multiple Reconnection X-lines and Tripolar Perturbations of Strong Guide Magnetic Fields

Science.gov (United States)

Eriksson, S.; Lapenta, G.; Newman, D. L.; Phan, T. D.; Gosling, J. T.; Lavraud, B.; Khotyaintsev, Yu. V.; Carr, C. M.; Markidis, S.; Goldman, M. V.

2015-05-01

We report new multi-spacecraft Cluster observations of tripolar guide magnetic field perturbations at a solar wind reconnection exhaust in the presence of a guide field BM which is almost four times as strong as the reversing field BL. The novel tripolar field consists of two narrow regions of depressed BM, with an observed 7%-14% ΔBM magnitude relative to the external field, which are found adjacent to a wide region of enhanced BM within the exhaust. A stronger reversing field is associated with each BM depression. A kinetic reconnection simulation for realistic solar wind conditions and the observed strong guide field reveals that tripolar magnetic fields preferentially form across current sheets in the presence of multiple X-lines as magnetic islands approach one another and merge into fewer and larger islands. The simulated ΔBM/ΔXN over the normal width ΔXN between a BM minimum and the edge of the external region agree with the normalized values observed by Cluster. We propose that a tripolar guide field perturbation may be used to identify candidate regions containing multiple X-lines and interacting magnetic islands at individual solar wind current sheets with a strong guide field.

A smartphone-enabled communication system to improve hospital communication: usage and perceptions of medical trainees and nurses on general internal medicine wards.

Science.gov (United States)

Wu, Robert; Lo, Vivian; Morra, Dante; Appel, Eva; Arany, Teri; Curiale, Beth; Ryan, Joanne; Quan, Sherman

2015-02-01

There is increasing interest in the use of information and communication technologies to improve how clinicians communicate in hospital settings. We implemented a communication system with support for physician handover and secure messaging on 2 general internal medicine wards. We measured usage and surveyed physicians and nurses on perceptions of the system's effects on communication. Between May 2011 and August 2012, a clinical teaching team received, on average, 14.8 messages per day through the system. Messages were typically sent as urgent (69.1%) and requested a text reply (76.5%). For messages requesting a text reply, 8.6% did not receive a reply. For those messages that did receive a reply, the median response time was 2.3 minutes, and 84.5% of messages received a reply within 15 minutes. Of those who completed the survey, 95.3% were medical residents (82 of 86) and 81.7% were nurses (83 of 116). Medical trainees (82.8%) and nursing staff (78.3%) agreed or strongly agreed that the system helped to speed up their daily work tasks. Overall, 67.1% of the trainees and 73.2% of nurses agreed or strongly agreed that the system made them more accountable in their clinical roles. Only 35.8% of physicians and 26.3% of nurses agreed or strongly agreed that the system was useful for communicating complex issues. In summary, with a system designed to improve communication, we found that there was high uptake and that users perceived that the system improved efficiency and accountability but was not appropriate for communicating complex issues. © 2014 Society of Hospital Medicine.

A quantitative study of attitudes toward the research participation of adults with intellectual disability: Do stakeholders agree?

Science.gov (United States)

McDonald, Katherine E; Conroy, Nicole E; Olick, Robert S

2017-12-13

Attitudes toward the research participation of adults with intellectual disability inform research policy and practice, impact interest in and support for research participation, and promote or discourage the generation of new knowledge to promote health among adults with intellectual disability. Yet we know little about these beliefs among the public and the scientific community. We quantitatively studied attitudes among adults with intellectual disability, family and friends, disability service providers, researchers, and Institutional Review Board (IRB) members. We predicted that adults with intellectual disability, and researchers would espouse views most consistent with disability rights, whereas IRB members, and to a lesser degree family, friends, and service providers, would espouse more protective views. We surveyed five hundred and twelve members of the five participant stakeholder groups on their attitudes toward the research participation of adults with intellectual disability. We found broad support for research about people with intellectual disability, though slightly more tempered support for their direct participation therein. In general, IRB members and to some extent adults with intellectual disability endorsed direct participation less than others. We also found that adults with intellectual disability strongly believed in their consent capacity. Resources should be directed toward health-related research with adults with intellectual disability, and interventions should be pursued to address ethical challenges and promote beliefs consistent with human rights. Copyright © 2017 Elsevier Inc. All rights reserved.

Undocumented Students Ask Jesuit Higher Ed: "Just Us" or Justice?

Science.gov (United States)

Ryscavage, Richard; Canaris, Michael M.

2013-01-01

More than three-quarters of administrators, faculty and staff at Jesuit colleges agree or strongly agree that "admitting, enrolling, and supporting undocumented students fits with the mission of the institution." And yet 40% recently said there were no known programs or outreach to undocumented students of which they were aware. There is…

"Psych-Out": Using a Team-Based Game to Teach Diagnosis and Interventions

Science.gov (United States)

Pearson, Quinn M.; Townsend, Karen M.

2012-01-01

"Psych-Out" is a team-based game designed to motivate graduate counseling students to study diagnostic symptoms and related interventions associated with reading assignments. At least 83% of students agreed or strongly agreed that the game contributed to their enjoyment of the class, increased their motivation to study for class, and contributed…

The developments after conclusion of US-DPRK agreed framework and future policy

International Nuclear Information System (INIS)

Lee, Dong Jin

1996-06-01

This report reviews the implementation of US-DPRK framework agreement case by case. Even though there were a couple of adversities in negotiating the details, overall performance seems rather positive after all, including DPRK nuclear freeze, canning of its spent fuel rods, IAEA safeguards implementation, preparation for KSNP construction in DPRK by KEPCO and heavy oil supply. Now the residual issues such as allocations of project cost and service, etc. are before KEDO to be settled. We should exercise maximum initiatives as a subjective entity of Korean Peninsula and cope with them to make LWR project a momentum for national reunification, by establishing concerted nuclear industry system between South and North, as well as for the globalization of Korean nuclear industry. 4 tabs., 4 figs., 36 refs. (Author)

Global mean sea-level rise in a world agreed upon in Paris

Science.gov (United States)

Bittermann, Klaus; Rahmstorf, Stefan; Kopp, Robert E.; Kemp, Andrew C.

2017-12-01

Although the 2015 Paris Agreement seeks to hold global average temperature to ‘well below 2 °C above pre-industrial levels and to pursue efforts to limit the temperature increase to 1.5 °C above pre-industrial levels’, projections of global mean sea-level (GMSL) rise commonly focus on scenarios in which there is a high probability that warming exceeds 1.5 °C. Using a semi-empirical model, we project GMSL changes between now and 2150 CE under a suite of temperature scenarios that satisfy the Paris Agreement temperature targets. The projected magnitude and rate of GMSL rise varies among these low emissions scenarios. Stabilizing temperature at 1.5 °C instead of 2 °C above preindustrial reduces GMSL in 2150 CE by 17 cm (90% credible interval: 14-21 cm) and reduces peak rates of rise by 1.9 mm yr-1 (90% credible interval: 1.4-2.6 mm yr-1). Delaying the year of peak temperature has little long-term influence on GMSL, but does reduce the maximum rate of rise. Stabilizing at 2 °C in 2080 CE rather than 2030 CE reduces the peak rate by 2.7 mm yr-1 (90% credible interval: 2.0-4.0 mm yr-1).

If Nuclear Energy Is the Answer, Why Doesn't Everyone Agree?

Science.gov (United States)

Roberts, J. W.

2018-01-01

Nuclear energy produces low carbon, safe and reliable electricity so is it now time for the UK to invest in this proven technology or are the misplaced perceptions regarding its safety, cost and the quantities of radioactive waste produced causing us to overlook nuclear as a major component of our electricity mix? This paper discusses these issues…

The developments after conclusion of US-DPRK agreed framework and future policy

Energy Technology Data Exchange (ETDEWEB)

Lee, Dong Jin [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

1996-06-01

This report reviews the implementation of US-DPRK framework agreement case by case. Even though there were a couple of adversities in negotiating the details, overall performance seems rather positive after all, including DPRK nuclear freeze, canning of its spent fuel rods, IAEA safeguards implementation, preparation for KSNP construction in DPRK by KEPCO and heavy oil supply. Now the residual issues such as allocations of project cost and service, etc. are before KEDO to be settled. We should exercise maximum initiatives as a subjective entity of Korean Peninsula and cope with them to make LWR project a momentum for national reunification, by establishing concerted nuclear industry system between South and North, as well as for the globalization of Korean nuclear industry. 4 tabs., 4 figs., 36 refs. (Author).

Inheritance of interorganizational workflows : how to agree to disagree without loosing control?

NARCIS (Netherlands)

Aalst, van der W.M.P.

2000-01-01

Intemet-based technology, E-commerce, and the rise of networked virtual enterprises have fueled the need for interorganizational workflows. Although XML allows trading partners to exchange information, it cannot be used to coordinate activities in different organizational entities.

IMF agrees on next tranche in exchange for high taxes / Kira Savchenko

Index Scriptorium Estoniae

Savchenko, Kira

2010-01-01

Rahvusvaheline Valuutafond kandis Lätile üle kolmanda osa lubatud laenust - 200 miljonit eurot. Euroopa Komisjon lubas, et kannab Lätile üle 500 miljonit eurot märsti keskel. Läti majandusarengust ja -langusest. Läti rahvusvahelised laenuandjad

"I Totally Agree with You": Gender Interactions in Educational Online Discussion Groups

Science.gov (United States)

Guiller, J.; Durndell, A.

2006-01-01

This paper discusses findings from an extensive project examining gender, language and computer-mediated communication (CMC) in the context of undergraduate psychology courses. The contributions of 197 introductory psychology students (148 females, 49 males) participating in asynchronous CMC as part of their course were collated and coded for…

Not All Children Agree: Acquisition of Agreement when the Input Is Variable

Science.gov (United States)

Miller, Karen

2012-01-01

In this paper we investigate the effect of variable input on the acquisition of grammar. More specifically, we examine the acquisition of the third person singular marker -s on the auxiliary "do" in comprehension and production in two groups of children who are exposed to similar varieties of English but that differ with respect to adult…

Measuring dental fear using the CFSS-DS. Do children and parents agree?

NARCIS (Netherlands)

Krikken, J.B.; van Wijk, A.J.; ten Cate, J.M.; Veerkamp, J.S.J.

2013-01-01

Background.  In most studies, the parental version of the CFSS-DS is used; however, no information is available concerning the extent to which parents are able to report dental fear on behalf of their children. Aim.  This study aims to assess whether parents are accurate reporters of their child’s

Measuring dental fear using the CFSS-DS. Do children and parents agree?

Science.gov (United States)

Krikken, Janneke B; van Wijk, Arjen J; ten Cate, Jacob M; Veerkamp, Jaap S J

2013-03-01

In most studies, the parental version of the CFSS-DS is used; however, no information is available concerning the extent to which parents are able to report dental fear on behalf of their children. This study aims to assess whether parents are accurate reporters of their child's dental fear. The CFSS-DS was filled out by 326 children in a classroom setting and by 167 parents (mostly mothers) at home on behalf of their child. Intraclass correlation coefficients were used as a measure of agreement between both CFSS-DS versions, and reasons for nonagreement were assessed. Mean CFSS-DS for children was 21.15 (SD = 6.4) and for parents 23.26 (SD = 6.7). The intraclass correlation coefficient was 0.57. After selection of the 73.1% most accurate reporting parents, the ICC was 0.90. In general, parents estimate the dental fear of their children higher than their children do (P ≤ 0.001), whereas parents of high anxious children (HAC) estimate this fear lower, and parents of low anxious children (LAC) estimate this fear higher. Anxious parents (AP) estimate the dental fear of their children significantly higher than nonanxious parents (NAP) (P ≤ 0.001), but the children of AP do not estimate their own dental fear higher than children of NAP. In general, parents tend to estimate the dental fear of their children slightly higher than their children. © 2012 The Authors. International Journal of Paediatric Dentistry © 2012 BSPD, IAPD and Blackwell Publishing Ltd.

DOE agrees to open-quote Historic close-quote settlement in Fernald case

International Nuclear Information System (INIS)

Lobsenz, G.

1994-01-01

In a historic agreement, the Energy Department moved to settle litigation brought by former workers at its Fernald uranium plant by promising to pay at least $20 million for claims related to alleged poor radiation protection practices at the Ohio facility. This article discusses the settlement, its history, implications, and other lawsuits filed against DOE

Can the Catholic Church agree to condom use by HIV-discordant couples?

Science.gov (United States)

Bovens, L

2009-12-01

Does the position of the Roman Catholic Church on contraception also imply that the usage of condoms by HIV-discordant couples is illicit? A standard argument is to appeal to the doctrine of double effect to condone such usage, but this meets with the objection that there exists an alternative action that brings about the good effect-namely, abstinence. I argue against this objection, because an HIV-discordant couple does not bring about any bad outcome through condom usage-there is no disrespect displayed for the generative function of sex. One might retort that the badness of condom usage consists in thwarting the unitive function of sex. I argue that also this objection cannot be upheld. In conclusion, if there are no in-principle objections against condom usage for HIV-discordant couples, then policies that deny access to condoms to such couples are indefensible. HIV-discordant couples have a right to continue consummating their marriage in a manner that is minimally risky and this right cannot be trumped by utilitarian concerns that the distribution of condoms might increase promiscuity and along with it the HIV infection rate.

Point-of-care lactate and creatinine analysis for sick obstetric patients at Queen Elizabeth Central Hospital in Blantyre, Malawi: A feasibility study.

Science.gov (United States)

Glasmacher, S A; Bonongwe, P; Stones, W

2016-03-01

To achieve good outcomes in critically ill obstetric patients, it is necessary to identify organ dysfunction rapidly so that life-saving interventions can be appropriately commenced. However, timely access to clinical chemistry results is problematic, even in referral institutions, in the sub-Saharan African region. Reliable point-of-care tests licensed for clinical use are now available for lactate and creatinine. We aimed to assess whether implementation of point-of-care testing for lactate and creatinine is feasible in the obstetric unit at the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi, by obtaining the opinions of clinical staff on the use of these tests in practice. During a two-month evaluation period nurse-midwives, medical interns, clinical officers, registrars, and consultants were given the opportunity to use StatStrip® and StatSensor® (Nova Biomedical, Waltham, USA) devices, for lactate and creatinine estimation, as part of their routine clinical practice in the obstetric unit. They were subsequently asked to complete a short questionnaire. Thirty-seven questionnaires were returned by participants: 22 from nurse-midwives and the remainder from clinicians. The mean satisfaction score for the devices was 7.6/10 amongst clinicians and 8.0/10 amongst nurse-midwives. The majority of participants stated that the obstetric high dependency unit (HDU) was the most suitable location for the devices. For lactate, 31 participants strongly agreed that testing should be continued and 24 strongly agreed that it would influence patient management. For creatinine, 29 strongly agreed that testing should be continued and 28 strongly agreed that it would influence their patient management. Twenty participants strongly agreed that they trust point-of-care devices. Point-of-care clinical chemistry testing was feasible, practical, and well received by staff, and was considered to have a useful role to play in the clinical care of sick obstetric patients at

The quadrupole moment and strong interaction parameters from muonic and pionic X-ray studies of 237Np

International Nuclear Information System (INIS)

Laat, C.T.A.M. de; Taal, A.; Duinker, W.; Konijn, J.; Petitjean, C.; Reist, H.W.; Mueller, W.; Commission of the European Communities, Geel

1987-01-01

The X-ray spectrum of muonic and pionic 237 Np has been investigated with muons and pions stopped in a NpO 2 target. The nuclear spectroscopic quadrupole moment was determined to be Q=3.886±0.006 b from the splittings of the muonic 5g→4f hyperfine complexes. The B(E2)↓-values for the first and second excited states were evaluated as 3.17±0.08 and 2.77±0.10 e 2 b 2 , respectively. A comparison between the muonic and pionic 5g→4f hyperfine complexes yields the strong interaction parameter for the pionic 4f state. For the first time a change of sign as function of Z for the strong interaction quadrupole shift ε 2 (4f) has been observed. The standard optical model predictions agree reasonably well with the measured strong interaction monopole shift, ε 0 (4f), and width, Γ 0 (4f), while they disagree with the experimental value for ε 2 . A stronger s-wave repulsion in the optical potential could explain this effect. (orig.)

Asymptotic freedom in the theory of the strong interaction. Comment on the nobel prize in physics 2004

International Nuclear Information System (INIS)

Zhang Zhaoxi

2005-01-01

The 2004 Nobel Prize in Physics was awarded to David J. Gross, Frank Wilczek and H. David Politzer for their decisive contributions to the theory of the asymptotic freedom of the strong interaction (a fundamental interaction). The fundamental elements of quantum chromodynamics (QCD) and the theory of the strong interaction are briefly reviewed in their historical context. How to achieve asymptotic freedom is introduced and its physical meaning explained. The latest experimental tests of asymptotic freedom are presented, and it is shown that the theoretical prediction agrees excellently with the experimental measurements. Perturbative QCD which is based on the asymptotic freedom is outlined. It is pointed out that the theoretical discovery and experimental proof of the asymptotic freedom are crucial for QCD to be the correct theory of strong interaction. Certain frontier research areas of QCD, such as 'color confinement', are mentioned. The discovery and confirmation of asymptotic freedom has indeed deeply affected particle physics, and has led to QCD becoming a main content of the standard model, and to further development of the so-called grand unification theories of interactions. (author)

Content validity and satisfaction with a caregiver-integrated web-based rehabilitation intervention for persons with stroke.

Science.gov (United States)

Blanton, Sarah; Dunbar, Sandra; Clark, Patricia C

2018-04-01

Background Family members provide valuable contributions during rehabilitation after stroke, but frequently report higher incidences of burden, depression, and social isolation during caregiving. Thus, effective interventions to reduce stroke impact on the family are needed. Objectives To evaluate the content validity and satisfaction of a caregiver-focused web-based intervention designed to improve stroke survivor physical function while reducing caregiver negative outcomes. Methods Caregivers of individuals with stroke (N = 6) and expert rehabilitation researchers (N = 4) were presented with a novel, web-based intervention (CARE-CITE) designed to foster problem-solving and skill-building while facilitating caregiver involvement during constraint-induced movement therapy. Caregivers rated CARE-CITE for usefulness, ease of use, acceptability, and time to complete. Rehabilitation experts evaluated content for accuracy, feasibility, acceptability, problem relevance and ease of use. Ratings were assessed using a five-point Likert-type response scales (1 = strongly disagree to 5 = strongly agree). Results On average, all caregivers agreed or strongly agreed that the modules were useful (4.42), easy to use (4.60), and acceptable (4.41). Mean total satisfaction score was 4.45, and average review time was 15 min per module. Expert reviewers agreed or strongly agreed that each module was accurate (4.95), feasible (4.8), easy to use (4.86), acceptable (4.96), and had appropriate problem relevance (4.65). Conclusions The CARE-CITE intervention may be a viable program for caregivers of patients with stroke. Currently a pilot study is underway to evaluate the impact of the intervention on caregiver mental health, family conflict around stroke recovery and stroke survivor upper extremity function.

Dental students' perceptions of an online learning.

Science.gov (United States)

Asiry, Moshabab A

2017-10-01

To identify the readiness of students for online learning, to investigate their preference and perception, and to measure the quality of online tutorials. A 14-statement questionnaire was administered to fourth year undergraduate dental students in male campus at King Saud University who completed preclinical orthodontic course. The students responded to each statement by using Likert scale. The results reveal a high agreement of students (27.8-31.5% agree and 38.9-50% strongly agree) on a possession of necessary computer skills and access to internet. 59.2% and 64.8% of the students replied that online flash lectures and procedural videos were helpful to their learning, respectively. With respect to students' learning preferences, few students preferred online flash lectures (31.5%) and procedural videos (17.1%). Most students (38.9% agree and 31.5% strongly agree) preferred a combination of traditional teaching methods and online learning. Overall, student attitudes were positive regarding online learning. The students viewed online learning helpful as a supplement to their learning rather than a replacement for traditional teaching methods.

Compact HTS bandpass filter employing CPW quarter-wavelength resonators with strongly-coupled open stubs

Energy Technology Data Exchange (ETDEWEB)

Satoh, K; Koizumi, D; Narahashi, S [Research Laboratories, NTT DoCoMo, Inc., 3-5 Hikari-no-oka, Yokosuka, Kanagwa, 239-8536 (Japan)], E-mail: satokei@nttdocomo.co.jp

2008-02-01

This paper presents a novel compact high temperature superconducting (HTS) bandpass filter (BPF) that employs a newly developed miniaturized coplanar-waveguide (CPW) quarter-wavelength resonators with strongly-coupled open stubs. The proposed resonator has a structure in which the open stubs are aligned close to the center conductor of the resonator. This is because strongly-coupled resonators have widely-split resonant frequencies, and the lowest resonant frequency is employed as the fundamental resonant frequency of the resonator in order to achieve miniaturization. The proposed resonator is 1.7 mm or less in length for use in the 5-GHz band, whereas the conventional straight resonator is approximately 6.4 mm long. A four-pole Chebyshev HTS BPF is designed and fabricated using the proposed CPW resonators. The entire length of the proposed four-pole filter is 15 mm. The frequency response of the fabricated filter agrees well with the electromagnetic simulation results. The proposed filter achieves a size reduction of at least 50% compared to previously reported filters without any degradation in the frequency characteristics.

Working memory capacity and fluid intelligence are strongly related constructs: comment on Ackerman, Beier, and Boyle (2005).

Science.gov (United States)

Kane, Michael J; Hambrick, David Z; Conway, Andrew R A

2005-01-01

The authors agree with P. L. Ackerman, M. E. Beier, and M. O. Boyle (2005; see record 2004-22408-002) that working memory capacity (WMC) is not isomorphic with general fluid intelligence (Gf) or reasoning ability. However, the WMC and Gf/reasoning constructs are more strongly associated than Ackerman et al. (2005) indicate, particularly when considering the outcomes of latent-variable studies. The authors' reanalysis of 14 such data sets from 10 published studies, representing more than 3,100 young-adult subjects, suggests a strong correlation between WMC and Gf/reasoning factors (median r=.72), indicating that the WMC and Gf constructs share approximately 50% of their variance. This comment also clarifies the authors' "executive attention" view of WMC, it demonstrates that WMC has greater discriminant validity than Ackerman et al. (2005) implied, and it suggests some future directions and challenges for the scientific study of the convergence of WMC, attention control, and intelligence. Copyright (c) 2005 APA, all rights reserved.

ON MULTIPLE RECONNECTION X-LINES AND TRIPOLAR PERTURBATIONS OF STRONG GUIDE MAGNETIC FIELDS

International Nuclear Information System (INIS)

Eriksson, S.; Gosling, J. T.; Lapenta, G.; Newman, D. L.; Goldman, M. V.; Phan, T. D.; Lavraud, B.; Khotyaintsev, Yu. V.; Carr, C. M.; Markidis, S.

2015-01-01

We report new multi-spacecraft Cluster observations of tripolar guide magnetic field perturbations at a solar wind reconnection exhaust in the presence of a guide field B M   which is almost four times as strong as the reversing field B L . The novel tripolar field consists of two narrow regions of depressed B M , with an observed 7%–14% ΔB M magnitude relative to the external field, which are found adjacent to a wide region of enhanced B M within the exhaust. A stronger reversing field is associated with each B M depression. A kinetic reconnection simulation for realistic solar wind conditions and the observed strong guide field reveals that tripolar magnetic fields preferentially form across current sheets in the presence of multiple X-lines as magnetic islands approach one another and merge into fewer and larger islands. The simulated ΔB M /ΔX N over the normal width ΔX N between a B M minimum and the edge of the external region agree with the normalized values observed by Cluster. We propose that a tripolar guide field perturbation may be used to identify candidate regions containing multiple X-lines and interacting magnetic islands at individual solar wind current sheets with a strong guide field

Assessment of pathology instruction in U.S. Dental hygiene educational programs.

Science.gov (United States)

Jacobs, Barbara B; Lazar, Ann A; Rowe, Dorothy J

2015-04-01

To assess the instruction of pathology content in entry-level and advanced practitioner dental hygiene educational programs and the program directors' perceptions whether their graduates are adequately prepared to meet the increasingly complex medical and oral health needs of the public. A 28-question survey of instructional content and perceptions was developed and distributed using Qualtrics® software to the 340 directors of entry-level and advanced practitioner dental hygiene programs in the US. Respondents rated their level of agreement to a series of statements regarding their perceptions of graduates' preparation to perform particular dental hygiene services associated with pathology. Descriptive statistics for all 28 categorical survey questions were calculated and presented as the frequency (percentage). Of the 340 directors surveyed, 130 (38%) responded. Most entry-level respondents (53%) agreed or strongly agreed (29%) that their graduates were adequately prepared to meet the complex medical and oral health needs of the public, while all respondents of advanced practitioner programs strongly agreed. More respondents strongly agreed to statements related to clinical instruction than to didactic courses. While 64% of respondents agreed that their graduates were prepared to practice unsupervised, if it were legally allowed, 21% were ambivalent. The extent of pathology instruction in entry-level programs varied, but most used traditional formats of instruction, educational resources and assessments of educational outcomes. Advanced practitioner programs emphasized histological and clinical examination of oral lesions and patient case studies. Strengthening pathology instruction would ensure that future generations of dental hygienists would be adequately prepared to treat medically compromised patients. Copyright © 2015 The American Dental Hygienists’ Association.

Assessment of Barriers to Providing Introductory Pharmacy Practice Experiences (IPPEs in the Hospital Setting

Directory of Open Access Journals (Sweden)

Matthew J Gibson

2016-07-01

Full Text Available Objectives: The primary objective of the study is to identify the barriers to providing Introductory Pharmacy Practice Experiences (IPPEs in the hospital setting. Methods: Potential barriers to IPPEs were identified via literature review and interviews with current IPPE preceptors from various institutions. Based on this information, an electronic survey was developed and distributed to IPPE preceptors in order to assess student, preceptor, logistical and college or school of pharmacy related barriers that potentially exist for providing IPPE in the hospital setting. Results: Sixty-eight of the 287 eligible survey respondents (24% completed the electronic survey. Seventy-six percent of respondents agreed or strongly agreed that available time was a barrier to precepting IPPE students even though a majority of respondents reported spending a third or more of their day with an IPPE student when on rotation. Seventy-three percent of respondents disagreed or strongly disagreed that all preceptors have consistent performance expectations for students, while just 46% agreed or strongly agreed that they had adequate training to precept IPPEs. Sixty-five percent of respondents agreed that IPPE students have the ability to be a participant in patient care and 70% of preceptors believe that IPPE students should be involved in patient care. Conclusions: Conducting IPPEs in the institutional setting comes with challenges. Based on the results of this study, experiential directors and colleges/schools of pharmacy could make a positive impact on the quality and consistency of IPPEs by setting student expectations and training preceptors on appropriate and consistent expectations for students.   Type: Original Research

Exploring attitudes towards sexting of young people: a cross-sectional study.

Science.gov (United States)

Lim, Megan S C; Vella, Alyce M; Horyniak, Danielle R; Hellard, Margaret E

2016-11-01

Background Sexting is a common emerging phenomenon. This study aims to explore young people's attitudes towards sexting. Participants (n=469, age range 15-29 years) were recruited at a music festival and self-completed a questionnaire. Attitudes towards sexting were assessed using a series of seven statements, rated on a five-point Likert scale from 'strongly agree' to 'strongly disagree'. Correlates of sexting attitudes were determined using multivariable regression. Forty-six percent of respondents reported ever sexting. Most (88%) agreed 'It's risky for a girl to send a naked picture of herself,' fewer agreed with the statement 'It's risky for a boy to send a naked picture of himself' (77%). Thirty percent agreed that 'If someone I'd just started seeing sent me a sext I might show it to some friends,' however, only 14% might do the same with a sext from a boyfriend or girlfriend (this did not differ by sex). More permissive attitudes to sexting were associated with being male, lower sexual health knowledge, inconsistent condom use with casual partners, and higher alcohol consumption. Although the majority of young people surveyed agreed that sexting was risky it was a common practice. Given the potential psychosocial impact of sharing sexts without consent, it was concerning that up to a third of participants indicated they might do so. The findings of this study have implications for informing education on sexting.

Quality and extent of locum tenens coverage in pediatric surgical practices.

Science.gov (United States)

Nolan, Tracy L; Kandel, Jessica J; Nakayama, Don K

2015-04-01

The prevalence and quality of locum tenens coverage in pediatric surgery have not been determined. An Internet-based survey of American Pediatric Surgical Association members was conducted: 1) practice description; 2) use and frequency of locum tenens coverage; 4) whether the surgeon provided such coverage; and 5) Likert scale responses (strongly disagree, disagree, neutral, agree, strongly agree) to statements addressing its acceptability and quality (two × five contingency table and χ(2) analyses, significance at P view it as a stopgap solution to the surgical workforce shortage.

Constraints on cosmological models from strong gravitational lensing systems

International Nuclear Information System (INIS)

Cao, Shuo; Pan, Yu; Zhu, Zong-Hong; Biesiada, Marek; Godlowski, Wlodzimierz

2012-01-01

Strong lensing has developed into an important astrophysical tool for probing both cosmology and galaxies (their structure, formation, and evolution). Using the gravitational lensing theory and cluster mass distribution model, we try to collect a relatively complete observational data concerning the Hubble constant independent ratio between two angular diameter distances D ds /D s from various large systematic gravitational lens surveys and lensing by galaxy clusters combined with X-ray observations, and check the possibility to use it in the future as complementary to other cosmological probes. On one hand, strongly gravitationally lensed quasar-galaxy systems create such a new opportunity by combining stellar kinematics (central velocity dispersion measurements) with lensing geometry (Einstein radius determination from position of images). We apply such a method to a combined gravitational lens data set including 70 data points from Sloan Lens ACS (SLACS) and Lens Structure and Dynamics survey (LSD). On the other hand, a new sample of 10 lensing galaxy clusters with redshifts ranging from 0.1 to 0.6 carefully selected from strong gravitational lensing systems with both X-ray satellite observations and optical giant luminous arcs, is also used to constrain three dark energy models (ΛCDM, constant w and CPL) under a flat universe assumption. For the full sample (n = 80) and the restricted sample (n = 46) including 36 two-image lenses and 10 strong lensing arcs, we obtain relatively good fitting values of basic cosmological parameters, which generally agree with the results already known in the literature. This results encourages further development of this method and its use on larger samples obtained in the future

Constraints on cosmological models from strong gravitational lensing systems

Energy Technology Data Exchange (ETDEWEB)

Cao, Shuo; Pan, Yu; Zhu, Zong-Hong [Department of Astronomy, Beijing Normal University, Beijing 100875 (China); Biesiada, Marek [Department of Astrophysics and Cosmology, Institute of Physics, University of Silesia, Uniwersytecka 4, 40-007 Katowice (Poland); Godlowski, Wlodzimierz, E-mail: baodingcaoshuo@163.com, E-mail: panyu@cqupt.edu.cn, E-mail: biesiada@us.edu.pl, E-mail: godlowski@uni.opole.pl, E-mail: zhuzh@bnu.edu.cn [Institute of Physics, Opole University, Oleska 48, 45-052 Opole (Poland)

2012-03-01

Strong lensing has developed into an important astrophysical tool for probing both cosmology and galaxies (their structure, formation, and evolution). Using the gravitational lensing theory and cluster mass distribution model, we try to collect a relatively complete observational data concerning the Hubble constant independent ratio between two angular diameter distances D{sub ds}/D{sub s} from various large systematic gravitational lens surveys and lensing by galaxy clusters combined with X-ray observations, and check the possibility to use it in the future as complementary to other cosmological probes. On one hand, strongly gravitationally lensed quasar-galaxy systems create such a new opportunity by combining stellar kinematics (central velocity dispersion measurements) with lensing geometry (Einstein radius determination from position of images). We apply such a method to a combined gravitational lens data set including 70 data points from Sloan Lens ACS (SLACS) and Lens Structure and Dynamics survey (LSD). On the other hand, a new sample of 10 lensing galaxy clusters with redshifts ranging from 0.1 to 0.6 carefully selected from strong gravitational lensing systems with both X-ray satellite observations and optical giant luminous arcs, is also used to constrain three dark energy models (ΛCDM, constant w and CPL) under a flat universe assumption. For the full sample (n = 80) and the restricted sample (n = 46) including 36 two-image lenses and 10 strong lensing arcs, we obtain relatively good fitting values of basic cosmological parameters, which generally agree with the results already known in the literature. This results encourages further development of this method and its use on larger samples obtained in the future.

All Validity Is Construct Validity. Or Is It?

Science.gov (United States)

Kane, Michael

2012-01-01

Paul E. Newton's article on the consensus definition of validity tackles a number of big issues and makes a number of strong claims. I agreed with much of what he said, and I disagreed with a number of his claims, but I found his article to be consistently interesting and thought provoking (whether I agreed or not). I will focus on three general…

Scalings, spectra, and statistics of strong wave turbulence

International Nuclear Information System (INIS)

Robinson, P.A.

1996-01-01

A two-component model of strongly nonlinear wave turbulence is developed for a broad class of systems in which high-frequency electrostatic waves interact with low-frequency sound-like waves. In this model coherent nonlinear wave packets form and collapse amid a sea of incoherent background waves. It is shown that three classes of turbulence exist, typified by Langmuir, lower-hybrid, and upper-hybrid turbulence. Balance between power input to incoherent waves, and dissipation at the end of collapse determines power-law scalings of turbulent electrostatic energy density, density fluctuations, length and time scales. Knowledge of the evolution of collapsing packets enables probability distributions of the magnitudes of electric fields and density fluctuations to be calculated, yielding power-law dependences. Wavenumber spectra of collapsing waves and associated density fluctuations are also calculated and shown to have power-law forms. Applications to Langmuir, lower-hybrid, and upper-hybrid waves are discussed. In the Langmuir case the results agree with earlier theory and simulations, with one exception, which is consistent only with earlier simulations. In the lower-hybrid and upper-hybrid cases, the results are consistent with the few simulations to date. copyright 1996 American Institute of Physics

The impact of integrated team care taught using a live NHS contract on the educational experience of final year dental students.

Science.gov (United States)

Radford, D R; Holmes, S; Woolford, M J; Dunne, S M

2014-11-01

To investigate the responses of the dental student body in the first three years of outreach education (2010-13) at the University of Portsmouth Dental Academy in the areas of integrated team work and use of a current NHS contact. Use of a questionnaire to allow both quantitative and qualitative data to be obtained, administered to the three cohorts of students at the end of their longitudinal attendance at the Academy in their final year of education at King's College London Dental Institute. Data were obtained from 227 students which represented a 95% return rate. Sixty-four percent of students strongly agreed with both statements: 'I am confident with working with a dental nurse' and 'I now understand properly the scope of practice of dental hygiene-therapists'. Sixty-seven percent strongly agreed with the statement 'I have had useful experience of working in NHS primary care during the final year'. Eighty percent either strongly agreed or agreed with the statement 'My experience of real Units of Dental Activity and Key Performance Indicators has encouraged me to positively consider NHS high street dentistry as a career option'. Within the limitations of this study the dental students reported having gained useful experience of working in integrated team care dentistry. They expressed strong support for the education that is being delivered in an outreach environment and, most importantly, the student body was looking forward to entering general dental practice in the UK.

2012 Center for Army Leadership Annual Survey of Army Leadership (CASAL): Main Findings

Science.gov (United States)

2013-04-01

in Maneuver, Fires & Effects ( MFE ) assignments (78% to 83%) show more favorability than those in Operations Support (OS) and Force Sustainment (FS... MFE ) TOE assignments agree or strongly agree they are confident following their immediate superior into life- or-death situations; 14% disagree or...active duty leaders in Maneuver, Fires & Effects ( MFE ) and Special Branches (SP) units indicate agreement that training is sufficiently challenging

Evaluating the impact of pharmacist health education on the perceptions of the pharmacist’s role among women living in a homeless shelter

Directory of Open Access Journals (Sweden)

Tsu L

2015-12-01

Full Text Available Objectives: To determine the impact of pharmacist-provided educational seminars on the participant’s perception of the pharmacist’s role in providing women’s health education. Secondary objectives include the participant’s level of perceived benefit from the information provided during each presentation, as well as determining characteristics of participants who are interested in attending seminars. Methods: This is a prospective study conducted within a homeless women’s shelter in Phoenix, Arizona. Pharmacists and pharmacy students provided 10 monthly educational seminars on topics related to women’s health. Participants completed a pre- and post-seminar survey regarding their perceptions of the presentations and pharmacists. Results: Fifty-six participants attended at least one of 10 seminars from January to November 2014. The average age was 46 years old, taking approximately 3 medications, and 66% completed a high school degree or lower. Prior to the presentations, 30% of participants agreed or strongly agreed that they would seek advice from a pharmacist on the topic presented, which increased significantly to 82% of participants after the presentation (p<0.001. Similarly, 55% of participants rated themselves as agreeing or strongly agreeing with being knowledgeable on the topic presented prior to the presentation, and this increased significantly to 77% after the presentation (p=0.001. After attending the educational session, 70% of participants agreed or strongly agreed that they would make changes to their health, and that they would attend an additional session. The participants noted their increased learning about the topic, the clarity of visual aids and presentation, and knowledge of the presenters as the best parts of the presentation. Conclusion: Pharmacist’s participation in providing educational seminars in the homeless women’s population increases the participant’s knowledge and perception of the pharmacist�

An Assessment of Demand for a Combined PharmD-MBA Program at the University of Saskatchewan.

Science.gov (United States)

Mansell, Kerry; Bruneau-Bouchard, Antoine; Bruni-Bossio, Vincent

2016-05-13

(1) Background: Combined MBA programs are becoming increasingly popular, and it is anticipated that there will be 60 combined pharmacy-MBA programs across North America in 2015. We aimed to see if there would be support for a combined PharmD-MBA program at the University of Saskatchewan. (2) Methods: A questionnaire was distributed to 1st, 2nd, and 3rd year pharmacy students at the University of Saskatchewan. A separate questionnaire was developed and all practicing pharmacists in Saskatchewan were emailed a link to SurveyMonkey ® (Palo Alto, CA, USA) to fill it out online. In-person and phone interviews were conducted with pharmacy stakeholders in Saskatchewan and across the country. (3) Results: Of the 265 students, 193 (72.8%) were present on the days the questionnaires were distributed, and they all completed the questionnaires. When asked if they would have pursued a combined degree if the U of S had offered it when they entered the pharmacy program, 16.6% (32/193) and 37.3% (72/193) either strongly agreed or agreed and 29.0% (56/193) were unsure. When pharmacists were asked if an MBA would be valuable or applicable in their current job, 42.2% (128/303) agreed and 13.9% (42/303) strongly agreed. When asked if they felt students graduating with a combined degree would be at an advantage for certain job opportunities upon graduation, 33.6% (100/298) strongly agreed and 55.4% (165/298) agreed. A total of 8 interviews were conducted with key stakeholders from across Canada. Of these 8 stakeholders, only 2 were aware that other combined programs were offered. All of the stakeholders were in favour of the idea of a combined degree. Some felt it was important for the program to have a clear value proposition and healthcare related content would be desirable. (4) Conclusions: Overall, pharmacist, pharmacy student, and stakeholder input indicate that a combined program could be supported at the University of Saskatchewan.

An Assessment of Demand for a Combined PharmD–MBA Program at the University of Saskatchewan

Science.gov (United States)

Mansell, Kerry; Bruneau-Bouchard, Antoine; Bruni-Bossio, Vincent

2016-01-01

(1) Background: Combined MBA programs are becoming increasingly popular, and it is anticipated that there will be 60 combined pharmacy–MBA programs across North America in 2015. We aimed to see if there would be support for a combined PharmD–MBA program at the University of Saskatchewan. (2) Methods: A questionnaire was distributed to 1st, 2nd, and 3rd year pharmacy students at the University of Saskatchewan. A separate questionnaire was developed and all practicing pharmacists in Saskatchewan were emailed a link to SurveyMonkey® (Palo Alto, CA, USA) to fill it out online. In-person and phone interviews were conducted with pharmacy stakeholders in Saskatchewan and across the country. (3) Results: Of the 265 students, 193 (72.8%) were present on the days the questionnaires were distributed, and they all completed the questionnaires. When asked if they would have pursued a combined degree if the U of S had offered it when they entered the pharmacy program, 16.6% (32/193) and 37.3% (72/193) either strongly agreed or agreed and 29.0% (56/193) were unsure. When pharmacists were asked if an MBA would be valuable or applicable in their current job, 42.2% (128/303) agreed and 13.9% (42/303) strongly agreed. When asked if they felt students graduating with a combined degree would be at an advantage for certain job opportunities upon graduation, 33.6% (100/298) strongly agreed and 55.4% (165/298) agreed. A total of 8 interviews were conducted with key stakeholders from across Canada. Of these 8 stakeholders, only 2 were aware that other combined programs were offered. All of the stakeholders were in favour of the idea of a combined degree. Some felt it was important for the program to have a clear value proposition and healthcare related content would be desirable. (4) Conclusions: Overall, pharmacist, pharmacy student, and stakeholder input indicate that a combined program could be supported at the University of Saskatchewan. PMID:28970393

Programs for Increasing the Engagement of Underrepresented Ethnic Groups and People with Disabilities in HPC. Final assessment report

Energy Technology Data Exchange (ETDEWEB)

Taylor, Valerie

2012-12-23

Given the significant impact of computing on society, it is important that all cultures, especially underrepresented cultures, are fully engaged in the field of computing to ensure that everyone benefits from the advances in computing. This proposal is focused on the field of high performance computing. The lack of cultural diversity in computing, in particular high performance computing, is especially evident with respect to the following ethnic groups – African Americans, Hispanics, and Native Americans – as well as People with Disabilities. The goal of this proposal is to organize and coordinate a National Laboratory Career Development Workshop focused on underrepresented cultures (ethnic cultures and disability cultures) in high performance computing. It is expected that the proposed workshop will increase the engagement of underrepresented cultures in HPC through increased exposure to the excellent work at the national laboratories. The National Laboratory Workshops are focused on the recruitment of senior graduate students and the retention of junior lab staff through the various panels and discussions at the workshop. Further, the workshop will include a community building component that extends beyond the workshop. The workshop was held was held at the Lawrence Livermore National Laboratory campus in Livermore, CA. from June 14 - 15, 2012. The grant provided funding for 25 participants from underrepresented groups. The workshop also included another 25 local participants in the summer programs at Lawrence Livermore National Laboratory. Below are some key results from the assessment of the workshops: 86% of the participants indicated strongly agree or agree to the statement "I am more likely to consider/continue a career at a national laboratory as a result of participating in this workshop." 77% indicated strongly agree or agree to the statement "I plan to pursue a summer internship at a national laboratory." 100% of the participants indicated strongly

Assessing Pharmacists' Attitudes and Barriers Involved with Immunizations

Directory of Open Access Journals (Sweden)

Sarah Aldrich

2014-01-01

Full Text Available Pharmacists are considered the most accessible health care professional. Immunizations create an opportunity for the profession to grow and develop toward direct patient care. Between 1995 and 2004 programs involving immunizations led to a national initiative to train pharmacists that became a significant leap toward pharmacist's involvement in direct patient care. Although immunizations can be considered a catalyst to change the pharmacist's role, little was known about pharmacist's attitudes and the barriers involved with immunizing. Few studies have assessed barriers, attitudes, and practice issues experienced by immunizing pharmacists. The objective of this study was to determine pharmacists' attitudes toward immunizations and more specifically to assess possible barriers involved with this practice. Five hundred pharmacists were randomly selected for inclusion in the study from the State of Ohio Board of Pharmacy Database, of which 137 (27.4% completed the survey. A 37- item questionnaire was administered via an e-mail invitation to take an online survey using Qualtrics software with a Likert-type scale, where 1 = strongly disagree and 7 = strongly agree. Several topics were assessed regarding immunizations including time constraints, workflow constraints, adequacy of training, technician support, worksite conditions and space, immunization processes, reimbursement issues, safety issues, documentation issues, and the future direction of immunizations. Demographics included gender, age, degree, number of years practicing, practice site, and number of years immunizing. Seventy-three percent of pharmacists believed that immunizing could lead to prescription filling errors (mean=4.45, SD=1.79. Pharmacists strongly agreed that having more technicians on staff would make providing immunizations easier (mean=5.80, SD=1.39 and that they play a vital role in keeping the process running smoothly (mean=6.08, SD=1.16. Also, pharmacists strongly agreed

Human papillomavirus vaccination of males: attitudes and perceptions of physicians who vaccinate females.

Science.gov (United States)

Weiss, Thomas W; Zimet, Gregory D; Rosenthal, Susan L; Brenneman, Susan K; Klein, Jonathan D

2010-07-01

We assessed U.S. physicians' attitudes and perceptions regarding potential human papillomavirus (HPV) vaccination of males. We surveyed a random sample of 2,714 pediatricians and family practitioners identified in administrative claims of a U.S. health plan as HPV vaccinators of females; 595 pediatricians and 499 family practitioners participated. Most physicians would recommend HPV vaccination to males aged 11-12 (63.9%), 13-18 (93.4%), and 19-26 (92.7%) years. Physicians agreed that males should be vaccinated to prevent them from getting genital and anal warts (52.9% strongly and 36.0% somewhat) and to protect females from cervical cancer (75.3% strongly and 20.8% somewhat). Physicians agreed that an HPV vaccine recommendation for males would increase opportunities to discuss sexual health with adolescent male patients (58.7% strongly, 35.3% somewhat). Most did not strongly agree (15.4% strongly, 45.4% somewhat) that parents of adolescent male patients would be interested in HPV vaccination for males, that a gender-neutral HPV vaccine recommendation would increase acceptance by adolescent females and their parents (19.6% strongly, 42.0% somewhat), or that a gender-neutral recommendation would improve current female vaccination rates (10.4% strongly, 26.0% somewhat). Physicians who currently vaccinate females against HPV supported the concept of vaccinating males for its benefits for both sexes. They agreed that a gender-neutral HPV vaccination recommendation would be appropriate with regard to public health and believed that it would increase opportunities for sexual health discussions, but were less sure that such a recommendation would change patient or parental attitudes toward HPV vaccination or improve current HPV vaccination efforts. Copyright (c) 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Surgeons agree more on treatment recommendations than on classification of proximal humeral fractures

DEFF Research Database (Denmark)

Brorson, Stig; Olsen, Bo Sanderhoff; Frich, Lars Henrik

2012-01-01

Orthopaedic surgeons disagree considerably when classifying fractures of the proximal humerus. However, the clinical implications of low observer agreement remain unclear. The purpose of the study was to compare the agreement on Neer classification with the agreement on treatment recommendations....

Do neurooncological patients and their significant others agree on quality of life ratings?

Directory of Open Access Journals (Sweden)

Hutterer Markus

2009-10-01

Full Text Available Abstract Introduction Patients suffering from brain tumours often experience a wide range of cognitive impairments that impair their ability to report on their quality of life and symptom burden. The use of proxy ratings by significant others may be a promising alternative to gain information for medical decision making or research purposes, if self-ratings are not obtainable. Our study investigated the agreement of quality of life and symptom ratings by the patient him/herself or by a significant other. Methods Patients with primary brain tumours were recruited at the neurooncological outpatient unit of Innsbruck Medical University. Quality of life self- and proxy-ratings were collected using the EORTC QLQ-C30 and its brain cancer module, the QLQ-BN20. Results Between May 2005 and August 2007, 42 pairs consisting of a patient and his/her significant other were included in the study. Most of the employed quality of life scales showed fairly good agreement between patient- and proxy-ratings (median correlation 0.46. This was especially true for Physical Functioning, Sleeping Disturbances, Appetite Loss, Constipation, Taste Alterations, Visual Disorders, Motor Dysfunction, Communication Deficits, Hair Loss, Itchy Skin, Motor Dysfunction and Hair Loss. Worse rater agreement was found for Social Functioning, Emotional Functioning, Cognitive Functioning, Fatigue, Pain, Dyspnoea and Seizures. Conclusion The assessment of quality of life in brain cancer patients through ratings from their significant others seems to be a feasible strategy to gain information about certain aspects of patient's quality of life and symptom burden, if the patient is not able to provide information himself.

The presence of radiological features on chest radiographs: How well do clinicians agree?

Energy Technology Data Exchange (ETDEWEB)

Edwards, M. [Department of Child Health, School of Medicine, Cardiff University (United Kingdom); Lawson, Z. [Department of Child Health, School of Medicine, Cardiff University (United Kingdom); Department of Primary Care and Public Health, School of Medicine, Cardiff University (United Kingdom); Morris, S.; Evans, A.; Harrison, S.; Isaac, R. [Department of Paediatric Radiology, University Hospital of Wales, Cardiff (United Kingdom); Crocker, J. [Department of Primary Care and Public Health, School of Medicine, Cardiff University (United Kingdom); Powell, C., E-mail: powellc7@cardiff.ac.uk [Department of Child Health, School of Medicine, Cardiff University (United Kingdom)

2012-07-15

Aim: To compare levels of agreement amongst paediatric clinicians with those amongst consultant paediatric radiologists when interpreting chest radiographs (CXRs). Materials and methods: Four paediatric radiologists used picture archiving and communication system (PACS) workstations to evaluate the presence of five radiological features of infection, independently in each of 30 CXRs. The radiographs were obtained over 1 year (2008) from children with fever and signs of respiratory distress, aged 6 months to <16 years. The same CXRs were interpreted a second time by the paediatric radiologists and by 21 clinicians with varying experience levels, using the Web 1000 viewing system and a projector. Intra- and interobserver agreement within groups, split by grade and specialty, were analysed using free-marginal multi-rater kappa. Results: Normal CXRs were identified consistently amongst all 25 participants. The four paediatric radiologists showed high levels of intraobserver agreement between methods (kappa scores between 0.53 and 1.00) and interobserver agreement for each method (kappa scores between 0.67 and 0.96 for PACS assessment). The 21 clinicians showed varying levels of agreement from 0.21 to 0.89. Conclusion: Paediatric radiologists showed high levels of agreement for all features. In general, the clinicians had lower levels of agreement than the radiologists. This study highlights the need for improved training in interpreting CXRs for clinicians and the timely reporting of CXRs by radiologists to allow appropriate patient management.

Does the recent evolution of Canadian mortality agree with the epidemiologic transition theory?

Directory of Open Access Journals (Sweden)

Robert Choinière

2008-06-01

Full Text Available After studying the epidemiologic transition's situation in Canada, it is determined that the delimitation of temporal stages within the epidemiologic transition as put forward by Omran (1971, 1998, Olshansky and Ault (1986, Rogers and Hackenberg (1987 and Olshansky et al. (1998 does not suit the Canadian evolution. Many of the researchers' postulates on the epidemiologic transition were not confirmed, which leads us to assert that, since 1958, the epidemiologic transition is best described as an evolution process rather than specific stages confined within time limits.

Attesting Adios! Airways' XBRL Filings: A Case Study on Performing Agreed-Upon Procedures

Science.gov (United States)

Farewell, Stephanie; Debreceny, Roger

2012-01-01

On 30 January 2009, the Securities and Exchange Commission (SEC) released Rule 33-9002. This rule phased in the required use of XBRL. The accuracy of mapping financial statement line items to the US GAAP taxonomy and the tagging of the financial statement facts are of fundamental importance to the accuracy of the XBRL instance document. Currently,…

Simulation Model of Microsphere Distribution for Selective Internal Radiation Therapy Agrees With Observations

Energy Technology Data Exchange (ETDEWEB)

Högberg, Jonas, E-mail: jonas.hogberg@radfys.gu.se [Department of Radiation Physics, Sahlgrenska Academy, University of Gothenburg, Gothenburg (Sweden); Rizell, Magnus [Department of Surgery, Sahlgrenska University Hospital, Gothenburg (Sweden); Hultborn, Ragnar; Svensson, Johanna [Department of Oncology, Sahlgrenska University Hospital, Gothenburg (Sweden); Henrikson, Olof [Department of Radiology, Sahlgrenska University Hospital, Gothenburg (Sweden); Mölne, Johan [Department of Pathology, Sahlgrenska University Hospital, Gothenburg (Sweden); Gjertsson, Peter [Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg (Sweden); Bernhardt, Peter [Department of Radiation Physics, Sahlgrenska Academy, University of Gothenburg, Gothenburg (Sweden); Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg (Sweden)

2016-10-01

Purpose: To perform a detailed analysis of microsphere distribution in biopsy material from a patient treated with {sup 90}Y-labeled resin spheres and characterize microsphere distribution in the hepatic artery tree, and to construct a novel dichotomous bifurcation model for microsphere deposits and evaluate its accuracy in simulating the observed microsphere deposits. Methods and Materials: Our virtual model consisted of arteries that successively branched into 2 new generations of arteries at 20 nodes. The artery diameter exponentially decreased from the lowest generation to the highest generation. Three variable parameters were optimized to obtain concordance between simulations and measure microsphere distributions: an artery coefficient of variation (ACV) for the diameter of all artery generations and the microsphere flow distribution at the nodes; a hepatic tree distribution volume (HDV) for the artery tree; and an artery diameter reduction (ADR) parameter. The model was tested against previously measured activity concentrations in 84 biopsies from the liver of 1 patient. In 16 of 84 biopsies, the microsphere distribution regarding cluster size and localization in the artery tree was determined via light microscopy of 30-μm sections (mean concentration, 14 microspheres/mg; distributions divided into 3 groups with mean microsphere concentrations of 4.6, 14, and 28 microspheres/mg). Results: Single spheres and small clusters were observed in terminal arterioles, whereas large clusters, up to 450 microspheres, were observed in larger arterioles. For 14 microspheres/mg, the optimized parameter values were ACV=0.35, HDV = 50 cm{sup 3}, and ADR=6 μm. For 4.6 microspheres/mg, ACV and ADR decreased to 0.26 and 0 μm, respectively, whereas HDV increased to 130 cm{sup 3}. The opposite trend was observed for 28 microspheres/mg: ACV = 0.49, HDV = 20 cm{sup 3}, and ADR = 8 μm. Conclusion: Simulations and measurements reveal that microsphere clusters are larger and more common in volumes with high microsphere concentrations and indicate that the spatial distribution of the artery tree must be considered in estimates of microsphere distributions.

Classical integrability for three-point functions: cognate structure at weak and strong couplings

Energy Technology Data Exchange (ETDEWEB)

Kazama, Yoichi [Research Center for Mathematical Physics, Rikkyo University,Toshima-ku, Tokyo 171-8501 (Japan); Quantum Hadron Physics Laboratory, RIKEN Nishina Center, Wako 351-0198 (Japan); Institute of Physics, University of Tokyo, Komaba, Meguro-ku, Tokyo 153-8902 (Japan); Komatsu, Shota [Perimeter Institute for Theoretical Physics,31 Caroline Street North, Waterloo, Ontario, N2L 2Y5 (Canada); Nishimura, Takuya [Institute of Physics, University of Tokyo, Komaba, Meguro-ku, Tokyo 153-8902 (Japan)

2016-10-10

In this paper, we develop a new method of computing three-point functions in the SU(2) sector of the N=4 super Yang-Mills theory in the semi-classical regime at weak coupling, which closely parallels the strong coupling analysis. The structure threading two disparate regimes is the so-called monodromy relation, an identity connecting the three-point functions with and without the insertion of the monodromy matrix. We shall show that this relation can be put to use directly for the semi-classical regime, where the dynamics is governed by the classical Landau-Lifshitz sigma model. Specifically, it reduces the problem to a set of functional equations, which can be solved once the analyticity in the spectral parameter space is specified. To determine the analyticity, we develop a new universal logic applicable at both weak and strong couplings. As a result, compact semi-classical formulas are obtained for a general class of three-point functions at weak coupling including the ones whose semi-classical behaviors were not known before. In addition, the new analyticity argument applied to the strong coupling analysis leads to a modification of the integration contour, producing the results consistent with the recent hexagon bootstrap approach. This modification also makes the Frolov-Tseytlin limit perfectly agree with the weak coupling form.

ON MULTIPLE RECONNECTION X-LINES AND TRIPOLAR PERTURBATIONS OF STRONG GUIDE MAGNETIC FIELDS

Energy Technology Data Exchange (ETDEWEB)

Eriksson, S.; Gosling, J. T. [Laboratory for Atmospheric and Space Physics, University of Colorado, Boulder, CO (United States); Lapenta, G. [Center for Mathematical Plasma Astrophysics, Department of Mathematics, University of Leuven, Leuven (Belgium); Newman, D. L.; Goldman, M. V. [Center for Integrated Plasma Studies, University of Colorado, Boulder, CO (United States); Phan, T. D. [Space Sciences Laboratory, University of California, Berkeley, CA (United States); Lavraud, B. [Institut de Recherche en Astrophysique et Planétologie, Université de Toulouse, Toulouse (France); Khotyaintsev, Yu. V. [Swedish Institute of Space Physics, Uppsala (Sweden); Carr, C. M. [The Blackett Laboratory, Imperial College London, London (United Kingdom); Markidis, S., E-mail: eriksson@lasp.colorado.edu [High Performance Computing and Visualization Department, KTH, Stockholm (Sweden)

2015-05-20

We report new multi-spacecraft Cluster observations of tripolar guide magnetic field perturbations at a solar wind reconnection exhaust in the presence of a guide field B{sub M} {sub  }which is almost four times as strong as the reversing field B{sub L}. The novel tripolar field consists of two narrow regions of depressed B{sub M}, with an observed 7%–14% ΔB{sub M} magnitude relative to the external field, which are found adjacent to a wide region of enhanced B{sub M} within the exhaust. A stronger reversing field is associated with each B{sub M} depression. A kinetic reconnection simulation for realistic solar wind conditions and the observed strong guide field reveals that tripolar magnetic fields preferentially form across current sheets in the presence of multiple X-lines as magnetic islands approach one another and merge into fewer and larger islands. The simulated ΔB{sub M}/ΔX{sub N} over the normal width ΔX{sub N} between a B{sub M} minimum and the edge of the external region agree with the normalized values observed by Cluster. We propose that a tripolar guide field perturbation may be used to identify candidate regions containing multiple X-lines and interacting magnetic islands at individual solar wind current sheets with a strong guide field.

Localized Electron Heating by Strong Guide-Field Magnetic Reconnection

Science.gov (United States)

Guo, Xuehan; Sugawara, Takumichi; Inomoto, Michiaki; Yamasaki, Kotaro; Ono, Yasushi; UTST Team

2015-11-01

Localized electron heating of magnetic reconnection was studied under strong guide-field (typically Bt 15Bp) using two merging spherical tokamak plasmas in Univ. Tokyo Spherical Tokamak (UTST) experiment. Our new slide-type two-dimensional Thomson scattering system documented for the first time the electron heating localized around the X-point. The region of high electron temperature, which is perpendicular to the magnetic field, was found to have a round shape with radius of 2 [cm]. Also, it was localized around the X-point and does not agree with that of energy dissipation term Et .jt . When we include a guide-field effect term Bt / (Bp + αBt) for Et .jt where α =√{ (vin2 +vout2) /v∥2 } , the energy dissipation area becomes localized around the X-point, suggesting that the electrons are accelerated by the reconnection electric field parallel to the magnetic field and thermalized around the X-point. This work was supported by JSPS A3 Foresight Program ``Innovative Tokamak Plasma Startup and Current Drive in Spherical Torus,'' a Grant-in-Aid from the Japan Society for the Promotion of Science (JSPS) Fellows 15J03758.

Effect of dipole polarizability on positron binding by strongly polar molecules

International Nuclear Information System (INIS)

Gribakin, G F; Swann, A R

2015-01-01

A model for positron binding to polar molecules is considered by combining the dipole potential outside the molecule with a strongly repulsive core of a given radius. Using existing experimental data on binding energies leads to unphysically small core radii for all of the molecules studied. This suggests that electron–positron correlations neglected in the simple model play a large role in determining the binding energy. We account for these by including the polarization potential via perturbation theory and non-perturbatively. The perturbative model makes reliable predictions of binding energies for a range of polar organic molecules and hydrogen cyanide. The model also agrees with the linear dependence of the binding energies on the polarizability inferred from the experimental data (Danielson et al 2009 J. Phys. B: At. Mol. Opt. Phys. 42 235203). The effective core radii, however, remain unphysically small for most molecules. Treating molecular polarization non-perturbatively leads to physically meaningful core radii for all of the molecules studied and enables even more accurate predictions of binding energies to be made for nearly all of the molecules considered. (paper)

Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Program for Emergency Nurses.

Science.gov (United States)

Edwards, Courtney; Jones, Jodi

2018-01-01

Emergency medical care often necessitates placement of peripheral intravenous (PIV) catheters. When traditional methods for obtaining PIV access are not successful, ultrasound guidance is a rescue technique for peripheral vascular placement that improves the quality of patient care. The aim of this training program was to develop a process where emergency nurses would be competent to perform ultrasound guided PIV to improve the quality of patient care delivered while reducing throughput time. Administrative program development required creating a nursing practice statement, procedure guideline, operational plan, and competency validation. A training program comprising both didactic and hands-on training was developed and provided by emergency medicine physicians with formal ultrasound fellowship training. In determining whether the training program was adequate in preparing the student to place an ultrasound-guided PIV, 92.9% of students "agreed" or "strongly agreed." In having confidence in their ability to obtain an ultrasound guided PIV catheter placement, 35.7% of respondents "agreed" and 64.3% "strongly agreed." In finding it difficult to be successful in achieving ultrasound guided PIV catheter placement, 71.4% of students "strongly disagreed" and 14.3% "disagreed." All students (100%) felt it was a feasible task to train nurses to successfully place ultrasound-guided PIV catheters and 71.4% of students strongly support continuing to provide this training program and competency validation. Establishment of an effective didactic and hands-on training program resulted in emergency department nurses becoming competent in placement of ultrasound guided PIV catheters to provide optimal patient care. Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

Medical student involvement in website development.

Science.gov (United States)

Rosenbaum, Benjamin P; Gorrindo, Tristan L; Patel, Sanjay G; McTigue, Michael P; Rodgers, Scott M; Miller, Bonnie M

2009-07-01

The digital management of educational resources and information is becoming an important part of medical education. At Vanderbilt University School of Medicine, two medical students sought to create a website for all medical students to act as each student's individual homepage. Using widely available software and database technology, a highly customized Web portal, known as the VMS Portal, was created for medical students. Access to course material, evaluations, academic information, and community assets were customized for individual users. Modular features were added over the course of a year in response to student requests, monitoring of usage habits, and solicitation of direct student feedback. During the first 742 days of the VMS Portal's release, there were 209,460 student login sessions (282 average daily). Of 348 medical students surveyed (71% response rate), 84% agreed or strongly agreed that 'consolidated student resources made their lives easier' and 82% agreed or strongly agreed that their needs were represented by having medical students design and create the VMS Portal. In the VMS Portal project, medical students were uniquely positioned to help consolidate, integrate, and develop Web resources for peers. As other medical schools create and expand digital resources, the valuable input and perspective of medical students should be solicited.

Simulation as a Central Feature of an Elective Course: Does Simulated Bedside Care Impact Learning?

Directory of Open Access Journals (Sweden)

Michael C. Thomas

2018-05-01

Full Text Available A three-credit, simulation-based, emergency medicine elective course was designed and offered to doctor of pharmacy students for two years. The primary objective was to determine if there was a difference in exam performance stratified by student simulation experience, namely either as an active observer or as part of bedside clinical care. The secondary objective was to report student satisfaction. Examination performance for simulation-based questions was compared based on the student role (evaluator versus clinical using the Student’s t-test. Summary responses from Likert scale-based student satisfaction responses were collected. A total of 24 students took the course: 12 in each offering. Performance was similar whether the student was assigned to the evaluation team or the clinical team for all of the comparisons (mid-term and final 2015 and 2016, all p-values > 0.05. Students were very satisfied with the course. Of the 19 questions assessing the qualitative aspects of the course, all of the students agreed or strongly agreed to 17 statements, and all of the students were neutral, agreed, or strongly agreed to the remaining two statements. Direct participation and active observation in simulation-based experiences appear to be equally valuable in the learning process, as evidenced by examination performance.

Drugs of Abuse and Addiction: An integrated approach to teaching.

Science.gov (United States)

Miller, Lindsey N; Mercer, Susan L

2017-05-01

To describe the design, implementation, and student perceptions of a Drugs of Abuse and Addiction elective course utilizing an integrated teaching model. Third-year pharmacy students enrolled in the two credit hour elective. Teaching methodology included didactic lecture, journal club, simulated addiction assignment with reflection, debates, external speakers, site visit to a residential drug court program and research paper with presentation. A course objective survey was administered upon course completion. All students strongly agreed that having science- and clinical-based faculty members develop and deliver course content was beneficial. Additionally, all students agree to strongly agree that their research project helped them integrate and comprehend the science and practice surrounding drugs of abuse and addiction. Students enjoyed an integrated teaching approach and multiple teaching methodologies leading to increased engagement and enhancement of student learning. Course enrollment was beneficial for personalized learning, but limited student perspective. Copyright © 2017 Elsevier Inc. All rights reserved.

Attitudes About Cognitive Screening: A Survey of Home Care Physical Therapists.

Science.gov (United States)

Miles, Jean D; Staples, William H; Lee, Daniel J

2018-02-14

Home care physical therapists (PTs) are inconsistent regarding cognitive screening, possibly because screening tools were traditionally considered the domain of other home care disciplines, or because therapists perceive their dementia training to be inadequate. A cross sectional study was designed to survey home care therapists' attitudes and beliefs about the management of persons with dementia and to find out whether any specific cognitive tools or measures are currently used. A 5-point Likert-type survey was administered to home care PTs via an online survey. Three state home care associations and individual home care agencies agreed to share the survey link. The survey was also made available to American Physical Therapy Association members through the Home Health and Geriatric Section listservs. Two hundred fifty-one PTs opened the survey and 233 completed the survey. Respondents included 180 females and 53 males. Seventy-four had a bachelor's degree (BS), 53 held a master's degree (MS), 104 had achieved a doctor of physical therapy (DPT) or doctor of philosophy (PhD) degree, and 2 did not provide this information. Significant differences were found between those with the highest doctoral degrees and those with master's or bachelor's degrees (P = .01) regarding whether they were qualified to screen (strongly agree, agree) for cognitive deficits. Therapists with the highest degrees also attended continuing education for dementia training more than those with less formal education (P = .042.) Gender differences were found in 2 questions regarding positive outcomes (P = .010 and .42); for both questions, males were more likely to believe that dementia has a negative impact. Eighty-seven percent indicated that PTs are qualified (strongly agree, agree), but only 53% said that they possess the necessary skills (strongly agree, agree) to perform cognitive screens. Specialty certification revealed significant differences in several of the questions. No significance

Quality appraisal of clinical practice guidelines on the use of physiotherapy in rheumatoid arthritis: a systematic review.

Science.gov (United States)

Hurkmans, Emalie J; Jones, Anamaria; Li, Linda C; Vliet Vlieland, Theodora P M

2011-10-01

To assess the quality of guidelines published in peer-reviewed literature concerning the role of physiotherapy in the management of patients with RA. A systematic literature search for clinical practice guidelines that included physiotherapy interventions was performed in four electronic databases. We assessed the quality of the selected guidelines using the appraisal of guidelines for research and evaluation (AGREE) instrument. In addition, the recommendations of guidelines with the highest quality scores were summarized. Eight clinical practice guidelines fulfilled the inclusion criteria. Scope/purpose was the most often adequately addressed AGREE domain (in seven of the eight guidelines) and applicability the least (in two of the eight guidelines). Based on the AGREE domain scores, six guidelines could be recommended or strongly recommended for clinical use. Five out of these six (strongly) recommended guidelines included a recommendation on exercise therapy and/or patient education, with these interventions being recommended in every case. Transcutaneous electrical nerve stimulation and thermotherapy were recommended in four of these six guidelines. US, thermotherapy, low-level laser therapy, massage, passive mobilization and balneotherapy were addressed in one or two of these six guidelines. Six of eight clinical practice guidelines addressing physiotherapy interventions were recommended or strongly recommended according to the AGREE instrument. In general, guideline recommendations on physiotherapy intervention, from both the recommended guidelines as well as from the not recommended guidelines, lacked detail concerning mode of delivery, intensity, frequency and duration.

Perceptions of conflict of interest: surgeons, internists, and learners compared.

Science.gov (United States)

de Gara, Christopher J; Rennick, Kim C; Hanson, John

2013-05-01

Making a conflict of interest declaration is now mandatory at continuing medical education CME accredited events. However, these declarations tend to be largely perfunctory. This study sought to better understand physician perceptions surrounding conflict of interest. The same PowerPoint (Microsoft, Canada) presentation (http://www.youtube.com/watch?v=mQSOvch7Yg0&feature=g-upl) was delivered at multiple University of Alberta and Royal College CME-accredited events to surgeons, internists, and learners. After each talk, the audience was invited to complete an anonymous, pretested, and standardized 5-point Likert scale (strongly disagree to strongly agree) questionnaire. A total of 136 surveys were analyzed from 31 surgeons, 49 internists, and 56 learners. In response to the question regarding whether by simply making a declaration, the speaker had provided adequate proof of any conflicts of interest, 71% of surgeons thought so, whereas only 35% of internists and 39% of learners agreed or strongly agreed (P = .004). Further probing this theme, the audience was asked whether a speaker must declare fees or monies received from industry for consulting, speaking, and research support. Once again there was a variance of opinion, with only 43% of surgeons agreeing or strongly agreeing with this statement; yet, 80% of internists and 71% of learners felt that such a declaration was necessary (P = .013). On the topic of believability (a speaker declaration makes him or her and the presentation more credible), the 3 groups were less polarized: 50% of surgeons, 41% of internists, and 52% of learners (P = .2) felt that this was the case. Although two thirds of surgeons (68%) and learners (66%) and nearly all internists (84%) felt that industry-sponsored research was biased, these differences were not significant (P = .2). Even when they are completely open and honest, conflict of interest declarations do not negate the biases inherent in a speaker's talk or research when it is

British Lung Foundation/United Kingdom Primary Immunodeficiency Network Consensus Statement on the Definition, Diagnosis, and Management of Granulomatous-Lymphocytic Interstitial Lung Disease in Common Variable Immunodeficiency Disorders.

Science.gov (United States)

Hurst, John R; Verma, Nisha; Lowe, David; Baxendale, Helen E; Jolles, Stephen; Kelleher, Peter; Longhurst, Hilary J; Patel, Smita Y; Renzoni, Elisabetta A; Sander, Clare R; Avery, Gerard R; Babar, Judith L; Buckland, Matthew S; Burns, Siobhan; Egner, William; Gompels, Mark M; Gordins, Pavels; Haddock, Jamanda A; Hart, Simon P; Hayman, Grant R; Herriot, Richard; Hoyles, Rachel K; Huissoon, Aarnoud P; Jacob, Joseph; Nicholson, Andrew G; Rassl, Doris M; Sargur, Ravishankar B; Savic, Sinisa; Seneviratne, Suranjith L; Sheaff, Michael; Vaitla, Prashantha M; Walters, Gareth I; Whitehouse, Joanna L; Wright, Penny A; Condliffe, Alison M

A proportion of people living with common variable immunodeficiency disorders develop granulomatous-lymphocytic interstitial lung disease (GLILD). We aimed to develop a consensus statement on the definition, diagnosis, and management of GLILD. All UK specialist centers were contacted and relevant physicians were invited to take part in a 3-round online Delphi process. Responses were graded as Strongly Agree, Tend to Agree, Neither Agree nor Disagree, Tend to Disagree, and Strongly Disagree, scored +1, +0.5, 0, -0.5, and -1, respectively. Agreement was defined as greater than or equal to 80% consensus. Scores are reported as mean ± SD. There was 100% agreement (score, 0.92 ± 0.19) for the following definition: "GLILD is a distinct clinico-radio-pathological ILD occurring in patients with [common variable immunodeficiency disorders], associated with a lymphocytic infiltrate and/or granuloma in the lung, and in whom other conditions have been considered and where possible excluded." There was consensus that the workup of suspected GLILD requires chest computed tomography (CT) (0.98 ± 0.01), lung function tests (eg, gas transfer, 0.94 ± 0.17), bronchoscopy to exclude infection (0.63 ± 0.50), and lung biopsy (0.58 ± 0.40). There was no consensus on whether expectant management following optimization of immunoglobulin therapy was acceptable: 67% agreed, 25% disagreed, score 0.38 ± 0.59; 90% agreed that when treatment was required, first-line treatment should be with corticosteroids alone (score, 0.55 ± 0.51). Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

Strongly coupled radiation from moving mirrors and holography in the Karch-Randall model

International Nuclear Information System (INIS)

Pujolas, Oriol

2008-01-01

Motivated by the puzzles in understanding how Black Holes evaporate into a strongly coupled Conformal Field Theory, we study particle creation by an accelerating mirror. We model the mirror as a gravitating Domain Wall and consider a CFT coupled to it through gravity, in asymptotically Anti de Sitter space. This problem (backreaction included) can be solved exactly at one loop. At strong coupling, this is dual to a Domain Wall localized on the brane in the Karch-Randall model, which can be fully solved as well. Hence, in this case one can see how the particle production is affected by A) strong coupling and B) its own backreaction. We find that A) the amount of CFT radiation at strong coupling is not suppressed relative to the weak coupling result; and B) once the boundary conditions in the AdS 5 bulk are appropriately mapped to the conditions for the CFT on the boundary of AdS 4 , the Karch-Randall model and the CFT side agree to leading order in the backreaction. This agreement holds even for a new class of self-consistent solutions (the 'Bootstrap' Domain Wall spacetimes) that have no classical limit. This provides a quite precise check of the holographic interpretation of the Karch-Randall model. We also comment on the massive gravity interpretation. As a byproduct, we show that relativistic Cosmic Strings (pure tension codimension 2 branes) in Anti de Sitter are repulsive and generate long-range tidal forces even at classical level. This is the phenomenon dual to particle production by Domain Walls.

Supporting the Evaluation and Implementation of Musculoskeletal Models of Care: A Globally Informed Framework for Judging Readiness and Success.

Science.gov (United States)

Briggs, Andrew M; Jordan, Joanne E; Jennings, Matthew; Speerin, Robyn; Bragge, Peter; Chua, Jason; Woolf, Anthony D; Slater, Helen

2017-04-01

To develop a globally informed framework to evaluate readiness for implementation and success after implementation of musculoskeletal models of care (MOCs). Three phases were undertaken: 1) a qualitative study with 27 Australian subject matter experts (SMEs) to develop a draft framework; 2) an eDelphi study with an international panel of 93 SMEs across 30 nations to evaluate face validity, and refine and establish consensus on the framework components; and 3) translation of the framework into a user-focused resource and evaluation of its acceptability with the eDelphi panel. A comprehensive evaluation framework was developed for judging the readiness and success of musculoskeletal MOCs. The framework consists of 9 domains, with each domain containing a number of themes underpinned by detailed elements. In the first Delphi round, scores of "partly agree" or "completely agree" with the draft framework ranged 96.7%-100%. In the second round, "essential" scores ranged 58.6%-98.9%, resulting in 14 of 34 themes being classified as essential. SMEs strongly agreed or agreed that the final framework was useful (98.8%), usable (95.1%), credible (100%) and appealing (93.9%). Overall, 96.3% strongly supported or supported the final structure of the framework as it was presented, while 100%, 96.3%, and 100% strongly supported or supported the content within the readiness, initiating implementation, and success streams, respectively. An empirically derived framework to evaluate the readiness and success of musculoskeletal MOCs was strongly supported by an international panel of SMEs. The framework provides an important internationally applicable benchmark for the development, implementation, and evaluation of musculoskeletal MOCs. © 2016, American College of Rheumatology.

Knowledge of evidence-based dentistry among academic dental practitioners of Bhopal, India: a preliminary survey

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Aishwarya Singh

2015-06-01

Full Text Available This study aimed to characterize the knowledge of evidence-based dentistry (EBD among dental faculty members in the city of Bhopal in central India. A cross-sectional questionnaire was administered at two dental colleges in Bhopal City. All dental faculty members who were present on the day of the study and who agreed to participate were included in the study. A total of 50 dental faculty members returned the questionnaire. Six Likert-type questions were asked, and the percentages of various responses were used for analysis. Sixteen faculty members (32.0% strongly agreed that EBD is a process of making decisions based on scientifically proven evidence. Fifteen faculty members (30.0% strongly disagreed or disagreed with the item stating that the best and quickest way to find evidence is by reading textbooks or asking experienced colleagues. Thirteen faculty members (26.0% strongly agreed that EBD allows dentists to improve their scientific knowledge and clinical skills. It is recommended that EBD be included in undergraduate and postgraduate curricula and in intensive continuing dental education programs that are conducted for dental faculty members.

Nonlinear Brillouin amplification of finite-duration seeds in the strong coupling regime

International Nuclear Information System (INIS)

Lehmann, G.; Spatschek, K. H.

2013-01-01

Parametric plasma processes received renewed interest in the context of generating ultra-intense and ultra-short laser pulses up to the exawatt-zetawatt regime. Both Raman as well as Brillouin amplifications of seed pulses were proposed. Here, we investigate Brillouin processes in the one-dimensional (1D) backscattering geometry with the help of numerical simulations. For optimal seed amplification, Brillouin scattering is considered in the so called strong coupling (sc) regime. Special emphasis lies on the dependence of the amplification process on the finite duration of the initial seed pulses. First, the standard plane-wave instability predictions are generalized to pulse models, and the changes of initial seed pulse forms due to parametric instabilities are investigated. Three-wave-interaction results are compared to predictions by a new (kinetic) Vlasov code. The calculations are then extended to the nonlinear region with pump depletion. Generation of different seed layers is interpreted by self-similar solutions of the three-wave interaction model. Similar to Raman amplification, shadowing of the rear layers by the leading layers of the seed occurs. The shadowing is more pronounced for initially broad seed pulses. The effect is quantified for Brillouin amplification. Kinetic Vlasov simulations agree with the three-wave interaction predictions and thereby affirm the universal validity of self-similar layer formation during Brillouin seed amplification in the strong coupling regime

Measurement of fluorescence emission spectrum of few strongly driven atoms using an optical nanofiber.

Science.gov (United States)

Das, Manoj; Shirasaki, A; Nayak, K P; Morinaga, M; Le Kien, Fam; Hakuta, K

2010-08-02

We show that the fluorescence emission spectrum of few atoms can be measured by using an optical nanofiber combined with the optical heterodyne and photon correlation spectroscopy. The observed fluorescence spectrum of the atoms near the nanofiber shows negligible effects of the atom-surface interaction and agrees well with the Mollow triplet spectrum of free-space atoms at high excitation intensity.

Evaluation of doctors' performance as facilitators in basic medical science lecture classes in a new Malaysian medical school.

Science.gov (United States)

Ismail, Salwani; Salam, Abdus; Alattraqchi, Ahmed G; Annamalai, Lakshmi; Chockalingam, Annamalai; Elena, Wan Putri; Rahman, Nor Iza A; Abubakar, Abdullahi Rabiu; Haque, Mainul

2015-01-01

Didactic lecture is the oldest and most commonly used method of teaching. In addition, it is considered one of the most efficient ways to disseminate theories, ideas, and facts. Many critics feel that lectures are an obsolete method to use when students need to perform hands-on activities, which is an everyday need in the study of medicine. This study evaluates students' perceptions regarding lecture quality in a new medical school. This was a cross-sectional study conducted of the medical students of Universiti Sultan Zainal Abidin. The study population was 468 preclinical medical students from years 1 and 2 of academic year 2012-2013. Data were collected using a validated instrument. There were six different sections of questions using a 5-point Likert scale. The data were then compiled and analyzed, using SPSS version 20. The response rate was 73%. Among 341 respondents, 30% were male and 70% were female. Eighty-five percent of respondents agree or strongly agree that the lectures had met the criteria with regard to organization of lecture materials. Similarly, 97% of students agree or strongly agree that lecturers maintained adequate voices and gestures. Medical students are quite satisfied with the lecture classes and the lectures. However, further research is required to identify student-centered teaching and learning methods to promote active learning.

Visualisasi Data Menggunakan Sistem Informasi Geografis untuk Potensi Bank Sampah di Surabaya

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Muhammad Zaky Erdiansyah

2016-04-01

Full Text Available Trash bank was the place for sorting and collecting garbage that could be recycled and reused and had economic value. Trash bank had potential benefits, such as potential plastic, paper, glass and iron waste. This potential waste was needed by companies that use raw materials from used goods to be recycled into products that had market potential. Problems of trash bank in Surabaya could be divided into two main issues, first was the monitoring of the trash bank's activities, second was the search of trash bank location and its potential. Both of these problems could be solved by the data visualization using geographical information system for potential trash bank in Surabaya. This system was built with the following steps: requirements collection, requirements analysis, system design, prototype development, user evaluation, development of large-scale systems and evaluation. Results of the evaluation of the system showed that 100% of the system ran properly, 42.3% of users strongly agree, 51% of users agree, 6% of users did not agree, and 0.7% of users strongly did not agree that visualization of data using geographic information system for potential trash bank in Surabaya succeeded to facilitate the monitoring process of the of trash weighing activities in trash banks and helped the search of trash bank with its potential much easier.

Colonization of a territory by a stochastic population under a strong Allee effect and a low immigration pressure

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Be'er, Shay; Assaf, Michael; Meerson, Baruch

2015-06-01

We study the dynamics of colonization of a territory by a stochastic population at low immigration pressure. We assume a sufficiently strong Allee effect that introduces, in deterministic theory, a large critical population size for colonization. At low immigration rates, the average precolonization population size is small, thus invalidating the WKB approximation to the master equation. We circumvent this difficulty by deriving an exact zero-flux solution of the master equation and matching it with an approximate nonzero-flux solution of the pertinent Fokker-Planck equation in a small region around the critical population size. This procedure provides an accurate evaluation of the quasistationary probability distribution of population sizes in the precolonization state and of the mean time to colonization, for a wide range of immigration rates. At sufficiently high immigration rates our results agree with WKB results obtained previously. At low immigration rates the results can be very different.

Teaching Residents to Teach: Do Program Directors and Trainees Agree on Format and Content?

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Miriam Lacasse

2010-03-01

Methods: This needs assessment was an observational study with a cross-sectional design. Online or printed questionnaires were used to assess the preferred format and content for this curriculum among MS, residents from most postgraduate medical training programs, and PD from Faculté de médecine de l’Université Laval. Results: The questionnaires were completed by 26 PD (response rate 72.2%, 146 residents (response rate 21.9% and 154 MS (response rate 15.7%. Among the list of potential subjects that could be included in the curriculum, Learning styles, Working with students in difficulty and Self-directed learning were scored high by both residents and PD. MS favored Learning styles, Teaching in the ambulatory care setting, Teaching health promotion and prevention, Teaching with time constraints and Direct supervision strategies. PD also favored Teaching conflict management and Teaching professionalism, however these were both among the residents’ lower scores. The preferred formats were One half-day, One day and Online learning for PD and One day, Two consecutive days and A few one-day sessions over several months for residents. Conclusion: The PD and MS perception of the optimal format and content for residents’ teaching-skills training showed some discrepancies when compared with residents’ preferences. Since PD are largely involved in curriculum development for their respective specialties and since MS are also well positioned to assess residents’ teaching performance, we suggest that PD, residents and MS should all be consulted locally before organizing any intervention for teaching curricula.

Experts do not agree when to treat retinopathy of prematurity based on plus disease

DEFF Research Database (Denmark)

Slidsborg, Carina; Forman, Julie Lyng; Fielder, Alistar

2012-01-01

ObjectivesTo investigate inter-reader agreement on five severity levels of central vascular changes (none, mild, moderate, severe pre-plus disease, plus disease) and aggressive posterior retinopathy of prematurity (ROP), and to see whether an unintended shift in indication for treatment occurred....

Reduced neutron widths in the nuclear data ensemble: Experiment and theory do not agree

International Nuclear Information System (INIS)

Koehler, P.E.

2010-01-01

I have analyzed reduced neutron widths (Γ n 0 ) for the subset of 1245 resonances in the nuclear data ensemble (NDE) for which they have been reported. Random matrix theory (RMT) predicts for the Gaussian orthogonal ensemble (GOE) that these widths should follow a χ 2 distribution having one degree of freedom (ν=1) - the Porter Thomas (PT) distribution. Using the maximum-likelihood (ML) technique, I have determined that the Γ n 0 values in the NDE are best described by a χ 2 distribution having ν=(0.801±0.052), which is 3.8 standard deviations smaller than predicted by RMT. I show that this striking disagreement is most likely due to the inclusion of significant p-wave contamination to the supposedly pure s-wave NDE. Furthermore, when an energy-dependent threshold is used to remove the p-wave contamination, ML analysis yields ν=(1.217±0.092) for the remaining data, still in poor agreement with the RMT prediction for the GOE. These results cast very serious doubt on claims that the NDE represents a striking confirmation of RMT. (author)

Reduced neutron widths in the nuclear data ensemble: Experiment and theory do not agree

International Nuclear Information System (INIS)

Koehler, P. E.

2011-01-01

I have analyzed reduced neutron widths (Γ n 0 ) for the subset of 1245 resonances in the nuclear data ensemble (NDE) for which they have been reported. Random matrix theory (RMT) predicts for the Gaussian orthogonal ensemble that these widths should follow a χ 2 distribution having one degree of freedom (ν=1)--the Porter Thomas distribution (PTD). Careful analysis of the Γ n 0 values in the NDE rejects the validity of the PTD with a statistical significance of at least 99.97% (ν=0.801±0.052). This striking disagreement with the RMT prediction is most likely due to the inclusion of significant p-wave contamination to the supposedly pure s-wave NDE. When an energy-dependent threshold is used to remove the p-wave contamination, the PTD is still rejected with a statistical significance of at least 98.17% (ν=1.217±0.092). Furthermore, examination of the primary references for the NDE reveals that many resonances in most of the individual data sets were selected using methods derived from RMT. Therefore, using the full NDE data set to test RMT predictions seems highly questionable. These results cast very serious doubt on claims that the NDE represents a striking confirmation of RMT.

The Use of Cooperative Learning Through Tai (Team Assisted Individualization In Reading Comprehension

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Ermawati Zulikhatin Nuroh

2018-04-01

Full Text Available Cooperative Learning is a teaching arrangement that refers to small, heterogeneous groups of students working together to achieve a common goal (Kagan, 1994. This research is done to know the response of students used cooperative learning in reading comprehension. The data of this study analyzed qualitatively without applying statistical calculations. The subject of the study were the students of the first semester in Midwifery faculty of Universitas Muhammadiyah Sidoarjo . There researcher used one class which consist 29 students. The students gave the positive responses and dominantly agreed to the implementation of cooperative learning type Team Assisted Individualization (TAI in reading comprehension. From the questionnaire, the researcher concludes that are 40% students are agreed, 50% students strongly agree, and 10% less agree  with cooperative learning type Team Assisted Individualization (TAI in reading comprehension. The conclusion is students respond well to cooperative learning model type Team Assisted Individualization (TAI to improve students' reading comprehension. This cooperative learning type Team Assisted Individualization (TAI can be the one of the model to teach reading comprehension.

The Kenyan national response to internationally agreed sexual and reproductive health and rights goals: a case study of three policies.

Science.gov (United States)

Oronje, Rose N

2013-11-01

While priorities for, and decision-making processes on, sexual and reproductive health and rights have been determined and led mainly at the international level, conflicting power dynamics and responses at the national level in some countries have continued to pose challenges for operationalising international agreements. This paper demonstrates how these conflicts have played out in Kenya through an analysis of three policy-making processes, which led to the Adolescent Reproductive Health and Development Policy (2003), the Sexual Offences Act (2006), and the National Reproductive Health Policy (2007). The paper is based on data from a broader study on the drivers and inhibitors of sexual and reproductive health policy reform in Kenya, using a qualitative, case study design. Information was gathered through 54 semi-structured, in-depth interviews with governmental and civil society policy actors and an extensive review of policy documents and media reports. The paper shows that the transformative human rights framing of access to sexual and reproductive health, supported by both a strong global women's rights movement and progressive governmental and inter-governmental actors to defeat opposition to sexual and reproductive health and rights at the international level, has not been as influential or successful at the national level in Kenya, and has made comprehensive national reforms difficult to achieve. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

Approaches to the management of agents used for the treatment of multiple sclerosis: consensus statements from a panel of U.S. managed care pharmacists and physicians.

Science.gov (United States)

Miller, Ross M; Happe, Laura E; Meyer, Kellie L; Spear, Rachel J

2012-01-01

Multiple sclerosis (MS) is a chronic, disabling, and costly disease with several treatment options available; however, there is variability in evidence-based clinical guidelines. Therefore, payers are at a disadvantage when making management decisions without the benefit of definitive guidance from treatment guidelines. To outline approaches for the management of agents used to treat MS, as determined from a group of U.S. managed care pharmacists and physicians. A modified Delphi process was used to develop consensus statements regarding MS management approaches. The panel was composed of experts in managed care and included 8 pharmacy directors and 6 medical directors presently or previously involved in formulary decision making from 12 health plans, 1 specialty pharmacy, and 1 consulting company. These decision makers, who have experience designing health care benefits that include MS treatments, provided anonymous feedback through 2 rounds of web-based surveys and participated in 1 live panel meeting held in December 2010. Consensus was defined as a mean response of at least 3.3 or 100% of responses either "agree" or "strongly agree" (i.e., no panelist answered "disagree" or "strongly disagree") on a 4-item Likert scale (1=strongly disagree, 2=disagree, 3=agree, 4=strongly agree). After 3 phases, these managed care representatives reached consensus on 25 statements for management of patients with MS. Consistent with managed care principles, this group of managed care experts found that health plans should consider efficacy, effectiveness, and safety, as well as patient preference, when evaluating MS therapies for formulary placement. Cost and contracting should be considered if efficacy and safety are judged to be comparable between agents. The consensus statements developed by a panel of managed care representatives provide some insight into decision making in formulary and utilization management of MS therapies.

Plansalud: Plan sectorial concertado y descentralizado para el desarrollo de capacidades en salud, Perú 2010 - 2014 Plansalud: Decentralized and agreed sector plan for the capacity development in health, Peru 2010-2014

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Lizardo Huamán-Angulo

2011-06-01

Full Text Available Los recursos humanos son el eje del accionar del sector salud; sin embargo, no necesariamente son el aspecto mejor atendido, por ello el Ministerio de Salud del Perú (MINSA conjuntamente con los gobiernos regionales generó el Plan Sectorial Concertado y Descentralizado para el Desarrollo de Capacidades en Salud 2010-2014 (PLANSALUD con el propósito de fortalecer las capacidades de los Recursos Humanos en Salud (RHUS y contribuir para que la atención de salud se desarrolle con eficiencia, calidad, pertinencia, equidad e interculturalidad en el marco de la descentralización, el Aseguramiento Universal de la Salud (AUS y las políticas de la salud. Con ese objeto se han propuesto tres componentes (asistencia técnica, capacitación y articulación educación - salud que agrupan a un conjunto importante de intervenciones, las cuales son planteadas y definidas de acuerdo al contexto nacional, regional y local, contribuyendo de ese modo a la mejora de las capacidades de gobierno, de gestión por competencias y la prestación de servicios de salud. El presente artículo muestra una primera aproximación de PLANSALUD, incluyendo aspectos relacionados a su planificación, gestión, financiamiento, estructura y funcionamiento, así como las medidas de monitoreo y evaluación.Human resources are the backbone of health sector actions; however, they are not necessarily the area with the greatest attention, therefore, the Ministry of Health of Peru (MINSA together with regional governments, led the Decentralized and Agreed Sector Plan for the Capacity Development in Health 2010-2014 (PLANSALUD with the aim of strengthening the capacities of Human Resources for Health (HRH and contribute to health care efficient development, quality, relevance, equity and multiculturalism, in the context of descentralization, the Universal Health Insurance (AUS and health policies. To achieve this goal, they have proposed three components (technical assistance, joint

Web Based Information System for Job Training Activities Using Personal Extreme Programming (PXP)

Science.gov (United States)

Asri, S. A.; Sunaya, I. G. A. M.; Rudiastari, E.; Setiawan, W.

2018-01-01

Job training is one of the subjects in university or polytechnic that involves many users and reporting activities. Time and distance became problems for users to reporting and to do obligations tasks during job training due to the location where the job training took place. This research tried to develop a web based information system of job training to overcome the problems. This system was developed using Personal Extreme Programming (PXP). PXP is one of the agile methods is combination of Extreme Programming (XP) and Personal Software Process (PSP). The information system that has developed and tested which are 24% of users are strongly agree, 74% are agree, 1% disagree and 0% strongly disagree about system functionality.

How a Strong Government Backed an African Language: The Lessons of Somalia

Science.gov (United States)

Warsame, Ali A.

2001-07-01

Although Somali is the mother tongue of over 95 per cent of the population of Somalia, when the country received independence in 1960 it took English, Italian, and Arabic as its official languages. Because of controversy involving technical, religious and political questions, no script for the Somali language could be agreed upon, either in the colonial era or in parliamentary years, 1960-1969. The consequences of this non-decision were considerable for Somali society. However, when the authoritarian military rulers came to the power in the early 1970s, they made a final decision in regard to script. They also issued a decree to the effect that Somali was to be the language of political and administrative discourse in the Somali Republic. That act marked the beginning of the restoration of cultural and linguistic rights for Somali society. This article examines how Somalia, under a strong and totalitarian regime, was able to promote its language. The article also presents an overview of the organisation and the implementation of the literacy campaigns carried out in Somalia, as well as some notes on planning and the theoretical framework behind the campaigns.

Dental laboratory communication regarding removable dental prosthesis design in the UAE.

Science.gov (United States)

Haj-Ali, Reem; Al Quran, Firas; Adel, Omar

2012-07-01

The purpose of this study was to determine the methods dental practitioners in the United Arab Emirates (UAE) use to communicate cast removable dental prosthesis (RDP) design to dental laboratories; identify common practices taken by dentists/dental technicians prior to fabrication of RDP framework; and seek out dental technicians' attitudes toward their role in RDP design decisions. All dental laboratories (n = 28) listed in a local telephone directory were invited to complete a questionnaire through a face-to-face interview. They were also requested to examine RDP cases fabricated in the past 2 months and identify steps taken by dentists/dental technicians prior to fabrication of the framework. Descriptive statistics were used to report frequencies and percentages. Twenty-one (75%) dental laboratories agreed to participate, out of which 19 had the facilities to fabricate chrome-cobalt RDPs. Cast RDPs comprised approximately 4.04% (±2.67) of services provided. A reported 84.2% of dentists frequently communicate through generic lab script, with 89.5% rarely/never giving details regarding RDP design. While 52.6% of labs agree/strongly agree that it is the dentist's responsibility to decide the final RDP design, 94.7% agree/strongly agree that dentists should depend on dental technicians for design-making decisions. A total of 19 RDP cases were reviewed. All 19 were surveyed and designed by dental technicians but received dentist approval of design prior to fabrication. Thirteen (68.4%) had rest-seat preparations done by dentists after approval, and new impressions sent to the lab. No other tooth modifications were noted. The responsibility of RDP design appeared to be largely delegated to dental technicians. Importance of tooth modifications seemed to be undervalued and not completed prior to framework fabrication. © 2012 by the American College of Prosthodontists.

A comparative study: do "clickers" increase student engagement in multidisciplinary clinical microbiology teaching?

Science.gov (United States)

Stevens, Niall T; McDermott, Hélène; Boland, Fiona; Pawlikowska, Teresa; Humphreys, Hilary

2017-04-08

Audience response devices, or "clickers", have been used in the education of future healthcare professionals for several years with varying success. They have been reported to improve the learning experience by promoting engagement and knowledge retention. In 2014, our department evaluated the use of "clickers" in a newly introduced multidisciplinary approach to teaching large groups of third year medical students clinical cases developed around a microbiology theme. Six multidisciplinary teaching sessions covering community-acquired pneumonia, tuberculosis, infective endocarditis, peritonitis, bloodstream infection with pyelonephritis and bacterial meningitis were included in the study. Three involved the use of the "clickers" and three did not. Consenting undergraduate students attended the designated classes and afterwards answered a short online quiz relating to the session. Students also answered a short questionnaire about the "clickers" to gauge their attitudes on the use of these devices. Of 310 students, 294 (94.8%) agreed to participate in the study. Interestingly, the grades of online quizzes after a session where a "clicker" was used were slightly lower. Looking only at the grades of students who engaged completely with the process (n = 19), there was no statistical difference to suggest that the devices had a positive or negative impact on knowledge retention. However, student attitudes to using the devices were positive overall. Fifty-five percent strongly agreed and 27% agreed that teaching sessions where the "clickers" were used were more engaging. Thirty-four percent strongly agreed and 36% agreed that the "clickers" made important concepts more memorable and 54% felt the device enhanced their understanding of the topic being covered. Overall, it appears that "clickers" help in improving student engagement in large classroom environments, enhance the learning experience, and are received positively by medical students but their impact on

Utilizing an Innovative Preceptor Video Mini-Series to Prepare Students for Experiential Rotations: Does it Work?

Directory of Open Access Journals (Sweden)

Craig D Cox

2017-07-01

Full Text Available Objectives: To determine whether an innovative Mini-Series training model originally developed for preceptors could be beneficial to pharmacy students prior to and/or after beginning their introductory or advanced pharmacy practice experiences. Methods: This program consists of twelve incremental video episodes, each ranging from five to eight minutes in length. It tells the story of a young pharmacy preceptor as she guides a third and fourth year student through a challenging six-week clinical hospital rotation. Two to three reflection questions were written for each individual episode, focusing on student issues portrayed in the videos. Two-hour viewing sessions, consisting of all (12 video episodes and facilitated student reflection were held for 2nd – 4th year professional students on two campuses. At conclusion of each session, students completed a short evaluation to gauge the effectiveness and potential application of the Mini-Series program. Results: Fifty-six (56 students (22 fourth-year, 6 third-ear, and 28 second-year participated in the voluntary viewing sessions. All students either agreed or strongly agreed that the Mini-Series program was entertaining and educational. In addition, 82% of students strongly agreed this program would be beneficial for students prior to taking their first experiential rotation, while only 47% strongly agreed it would be beneficial after they had started rotations. On a 5-point Likert scale (1=strongly disagree, 5=strongly agree, participants reported a mean of 4.6 that this medium is more effective than traditional lecture orientations held by the Office of Experiential Programs. On three open-ended questions, students provided a diversity of suggestions for enhancing the Mini-Series to make it more effective for students. Implications: The “Mini-Series” model was well received by students as a training medium to deliver educational content. As a result, more programs are being developed

A Survey of Registered Dietitians' Concern and Actions Regarding Climate Change in the United States.

Science.gov (United States)

Hawkins, Irana W; Balsam, Alan L; Goldman, Robert

2015-01-01

Dietary choices are a tool to reduce greenhouse gas emissions. While registered dietitians are on the front lines of food and nutrition recommendations, it is unclear how many are concerned with climate change and take action in practice in the United States. We explored concern about climate change among registered dietitians, and identified factors that may influence practice-related behaviors. Our study population included a random sample of all registered dietitians credentialed in the United States. Primary data were gathered using a cross-sectional survey. Of the 570 survey responses, 75% strongly agreed or agreed that climate change is an important issue while 34% strongly agreed or agreed that dietitians should play a major role in climate change mitigation strategies. Thirty-eight percent engaged in activities that promoted diet as a climate change mitigation strategy. Vegetarian (p = 0.002) and vegan dietitians (p = 0.007) were significantly more likely than non-vegetarian and non-vegan dietitians to engage in activities that promoted diet as a climate change mitigation strategy. Overall, concern for climate change among dietitians varied significantly by the region of the country in which the dietitian resided, and awareness that animal products are implicated in climate change. Registered dietitians in the United States are concerned with climate change. However, there is a discrepancy between concern and practice-based actions. These results suggest the need for educational and experiential opportunities connecting climate change mitigation to dietetics practice.

Former military officers from the Republic of Vietnam now living in the united states (US): exploring their perceptions of the US healthcare system.

Science.gov (United States)

Stephens, Elisabeth K; Nguyen, Phuong L; Radecki Breitkopf, Carmen; Jatoi, Aminah

2011-12-01

Few studies have focused on perceptions of healthcare among Vietnamese who came to the United States (US) as refugees. A 48-item survey that included information on demographics, health status, and satisfaction with healthcare [including the Patient Satisfaction Questionnaire-18 (PSQ-18)] was sent to 49 former Vietnamese military officers, who are now living in the US, based on their current geographic residence. A total of 22 of 49 delivered questionnaires were completed and returned, yielding a response rate of 45%. The survey was sent in Vietnamese and English, and all except one was completed in Vietnamese. In response to "Language barriers have prevented me from accessing health care when I need it," 77% of respondents acknowledged that this was "sometimes" the case even today. Most respondents otherwise viewed the healthcare system favorably, but cost concerns were an issue: 28% strongly agreed or agreed with the statement, "I have to pay for more of my medical care than I can afford." In contrast, only 9% described that they would have strongly agreed or agreed to this statement upon first arriving to the US. Write-in comments revealed themes that centered on language barriers, favorable impressions of healthcare in the US, financial concerns, and patriotism towards the US. Further study of this aging population of Vietnamese Americans might help shed light on concerns faced by other refugee populations who have arrived more recently.

Embroidery Industry as Tourist Attraction in Taal Batangas, Philippines

Directory of Open Access Journals (Sweden)

DEXTER R. BUTED

2014-04-01

Full Text Available Taal is renowned for its fine art of embroidery being kept alive by the woman living in the heritage town. The study aimed to determine how the respondents perceive embroidery industry in Taal, Batangas. Descriptive type of research was utilized in the study. Results showed that respondents strongly agreed that human resources in terms of labor were adequate which indicated that multipliers occur in the business wherein, it was not just the tourism industry being benefited by the income coming from the tourist but also it provides employment. In terms of the monthly income of the respondents, most of them got a monthly income of 10,000 – 19,000 when their product establish contact to some extent, rapport with some entrepreneurs by engaging in a small business venture with them through friends who bought embroidery item in a bulk to be sold in the city. The respondents mostly agreed that the needle was the most adequate material resources in making embroidery. As the ways of the government of Taal in promoting embroidery, the respondents mostly agreed that the provincial events contributed to the promotion of embroidery. The promotion of provincial events got the highest weighted mean. Budgetary problem was the main factor for not engaging in embroidery. The respondents strongly agreed that because of changes in the design, modes of production and distribution, cost and materials capital increased.

A survey of Registered Dietitians’ concern and actions regarding climate change in the United States.

Directory of Open Access Journals (Sweden)

Irana W. Hawkins

2015-07-01

Full Text Available Dietary choices are a viable solution to reduce greenhouse gas emissions. While Registered Dietitians are on the front lines of food and nutrition recommendations, it is unclear how many are concerned with climate change and take action in practice in the United States. We explored concern about climate change amongst Registered Dietitians, and identified factors that may influence practice-related behaviors. Our study population included a random sample of all Registered Dietitians credentialed in the United States. Primary data was gathered using a cross-sectional survey. Of the 570 survey responses, 75% strongly agreed or agreed that climate change is an important issue while 34% strongly agreed or agreed that dietitians should play a major role in climate change mitigation strategies. Thirty-eight percent engaged in activities that promoted diet as a climate change mitigation strategy. Vegetarian (p=0.002 and vegan dietitians (p=0.007 were significantly more likely than non-vegetarian and non-vegan dietitians to engage in activities that promoted diet as a climate change mitigation strategy. Overall, concern for climate change amongst dietitians varied significantly by the region of the country in which the dietitian resided, and awareness that animal products are implicated in climate change. Registered Dietitians in the United States are concerned with climate change. However, there is a discrepancy between concern and practice-based actions. These results suggest the need for educational and experiential opportunities connecting climate change mitigation to dietetics practice.

Damping at positive frequencies in the limit J⊥-->0 in the strongly correlated Hubbard model

Science.gov (United States)

Mohan, Minette M.

1992-08-01

I show damping in the two-dimensional strongly correlated Hubbard model within the retraceable-path approximation, using an expansion around dominant poles for the self-energy. The damping half-width ~J2/3z occurs only at positive frequencies ω>5/2Jz, the excitation energy of a pure ``string'' state of length one, where Jz is the Ising part of the superexchange interaction, and occurs even in the absence of spin-flip terms ~J⊥ in contrast to other theoretical treatments. The dispersion relation for both damped and undamped peaks near the upper band edge is found and is shown to have lost the simple J2/3z dependence characteristic of the peaks near the lower band edge. The position of the first three peaks near the upper band edge agrees well with numerical simulations on the t-J model. The weight of the undamped peaks near the upper band edge is ~J4/3z, contrasting with Jz for the weight near the lower band edge.

Doubly excited helium. From strong correlation to chaos

International Nuclear Information System (INIS)

Jiang, Yuhai

2006-03-01

In the present dissertation, the double excitation states of helium including the autoionization decay of these states were studied experimentally and theoretically in a broad energy region, which includes the transition from strong correlation below the low single ionization thresholds (SIT) to the region of quantum chaos at energies very close to the double-ionization threshold. Two kind of experiments were performed, namely total-ion-yield measurements with the aim to observe total cross sections (TCS) and electron time-of-flight (TOF) measurements to obtain partial cross sections (PCS) as well as angular distribution parameters (ADP). Both types of measurements were performed at the third generation synchrotron radiation facility BESSY II in Berlin. The TCSs were recorded up to the SIT I 15 , and they were found to be in in excellent agreement with state-of-the-art complex-rotation calculations performed recently by D. Delande. These experimental and theoretical data on the TCSs were analyzed in order to study quantum chaos in doubly excited helium, and interesting signatures of quantum chaos were found. The TOF technique allowed to measure PCSs and ADPs in the energy regions from I 5 to I 9 and I 7 , respectively. These experimental data provide a critical assessment of theoretical models that can be used to explore the dynamics of strong correlation as well as quantum chaos in helium. In the theoretical part of this dissertation, the n- and l-specific PCSs and ADPs below I 4 were calculated employing the R-matrix method. The present theoretical results agree well with a recent experimental study of l-specific PCSs below I 4 by J.R. Harries et al. An analysis of patterns in the PCSs and ADPs on the basis of the present experimental and theoretical l-specific data allowed to improve the present understanding of autoionization decay dynamics in this two-electron atom. (orig.)

Strong exploration of a cast iron pipe failure model

International Nuclear Information System (INIS)

Moglia, M.; Davis, P.; Burn, S.

2008-01-01

A physical probabilistic failure model for buried cast iron pipes is described, which is based on the fracture mechanics of the pipe failure process. Such a model is useful in the asset management of buried pipelines. The model is then applied within a Monte-Carlo simulation framework after adding stochasticity to input variables. Historical failure rates are calculated based on a database of 81,595 pipes and their recorded failures, and model parameters are chosen to provide the best fit between historical and predicted failure rates. This provides an estimated corrosion rate distribution, which agrees well with experimental results. The first model design was chosen in a deliberate simplistic fashion in order to allow for further strong exploration of model assumptions. Therefore, first runs of the initial model resulted in a poor quantitative and qualitative fit in regards to failure rates. However, by exploring natural additional assumptions such as relating to stochastic loads, a number of assumptions were chosen which improved the model to a stage where an acceptable fit was achieved. The model bridges the gap between micro- and macro-level, and this is the novelty in the approach. In this model, data can be used both from the macro-level in terms of failure rates, as well as from the micro-level such as in terms of corrosion rates

Strong Resilience of Topological Codes to Depolarization

Directory of Open Access Journals (Sweden)

H. Bombin

2012-04-01

Full Text Available The inevitable presence of decoherence effects in systems suitable for quantum computation necessitates effective error-correction schemes to protect information from noise. We compute the stability of the toric code to depolarization by mapping the quantum problem onto a classical disordered eight-vertex Ising model. By studying the stability of the related ferromagnetic phase via both large-scale Monte Carlo simulations and the duality method, we are able to demonstrate an increased error threshold of 18.9(3% when noise correlations are taken into account. Remarkably, this result agrees within error bars with the result for a different class of codes—topological color codes—where the mapping yields interesting new types of interacting eight-vertex models.

Can 4-H Involvement Have a Positive Impact on 4-H Youth’s Bullying Beliefs and Behaviors?

Directory of Open Access Journals (Sweden)

Dennis W. Duncan

2016-12-01

Full Text Available Bullying has negative emotional and physical effects on youth which often continues into adulthood. Bullying can contribute to emotional distress which is often more difficult to detect in victims.  Documented effects of bullying include depression, anxiety, bitterness, elevated levels of stress, as well as negative feelings of self-image and low self-esteem. The purpose of this study was to examine the impact that involvement in the state 4-H program has on bullying beliefs and behaviors. This study found that 94% of the participants (senior high students agreed that 4-H helped them to shape their belief towards bullying; 84% either agreed or strongly agreed that 4-H has helped them be more confident around strangers; and 93% indicated that 4-H helped them to gain confidence in situations so they could speak up for themselves.

A comparison of millennial dental hygiene student and faculty classroom expectations.

Science.gov (United States)

Henry, Rachel K; Gibson-Howell, Joan

2011-01-01

Research has shown that Millennial students are different than students in previous generations. This study compares the expectations of the didactic environment of faculty and students in a baccalaureate dental hygiene program. Expectations of faculty and students were examined, and comparisons between Millennial and non-Millennial students and faculty were made in order to improve the educational experience of dental hygiene students. Students and faculty completed a survey adapted from McCargar's role expectations survey. Items were chosen from the survey to cover such areas as technology, group work and authority. The survey consisted of a Likert-type scale including strongly agree, agree, neutral, disagree and strongly disagree. Data was entered into SPSS 15.0 database. Scoring on negative questions was reversed so that the score would be positive. Individual answers are given the following scoring assignments: Strongly Agree (+2), Agree (+1), Neutral (0), Disagree (-1) and Strongly Disagree (-2). Scores were added together to create a summative score for each item. Descriptive statistics and an unpaired t-test comparing responses were used to analyze data. Cronbach's alpha was run to measure the internal consistency of the instrument. Twelve faculty and 94 students returned surveys. Students felt strongly that copies of course notes should be available online and faculty should return emails within 24 hours. Statistically significant differences in the expectations of Millennial and non-Millennial students were found in regards to issues of authority, community service, attendance and evaluation. The majority of significant differences were found between Millennial students and faculty. Significant differences were found in interaction, community service, technology and homework. Faculty should examine the expectations of their students and should use the findings to create learning experiences that are more effective for students. Expectations change with

Cultural competence in medical education

DEFF Research Database (Denmark)

Sørensen, Janne; Jervelund, Signe Smith; Nørredam, Marie Louise

2017-01-01

the survey, and 199 responded. The response rate is 14%. Data were analysed through descriptive calculations, and answers to open-ended questions were coded using content analysis. Results: Results showed that 82.4% of the informants agreed or strongly agreed that the medical education programme should...... in receiving training on cultural competence. Conclusions: Generally, there is interest in and acknowledgement of the importance of cultural competence in Danish medical education among teachers at the University of Copenhagen. This creates an opportunity to implement cultural competence in the medical...

Measurement of the quadrupole moments of the strongly deformed nuclei 18173Ta108 and 18375Re108 by hyperfine interaction in metals

International Nuclear Information System (INIS)

Netz, G.

1974-01-01

The quadrupole moments of two single particle proton states were measured in the strongly deformed nuclei region. Both measurements are independent of model because the field gradient is known in a rhenium lattice as well as at the nucleus site of a rhenium atom and also at the nucleus site of an incorporated tantalum atom. The quadrupole moments could thus be directly extracted from the quadrupole interaction frequency, the product of quadrupole moment and field gradient. For the 482 keV state (I = 5/2 + ) in 181 73 Ta 108 one obtains a quadrupole moment of: Q (5/2) = 2.5 +- 0.2 barn. For the 496 keV state (I = 9/2 - ) in 183 75 Re 108 , a quadrupole moment of: Q (0/2) = 3.6 +- 0.4 barn is found. This value agrees well with other experimental data within the framework of the collective model. (orig./LH) [de

Separate Ways: The Mass–Metallicity Relation Does Not Strongly Correlate with Star Formation Rate in SDSS-IV MaNGA Galaxies

International Nuclear Information System (INIS)

Barrera-Ballesteros, J. K.; Heckman, T.; Sánchez, S. F.; Blanc, G. A.

2017-01-01

We present the integrated stellar mass–metallicity relation (MZR) for more than 1700 galaxies included in the integral field area SDSS-IV MaNGA survey. The spatially resolved data allow us to determine the metallicity at the same physical scale (effective radius, R eff ) using a heterogeneous set of 10 abundance calibrators. In addition to scale factors, the shape of the MZR is similar for all calibrators, consistent with those reported previously using single-fiber and integral field spectroscopy. We compare the residuals of this relation against the star formation rate (SFR) and specific SFR (sSFR). We do not find a strong secondary relation of the MZR with either SFR or sSFR for any of the calibrators, in contrast with previous single-fiber spectroscopic studies. Our results agree with a scenario in which metal enrichment happens at local scales, with global outflows playing a secondary role in shaping the chemistry of galaxies and cold-gas inflows regulating the stellar formation.

Separate Ways: The Mass-Metallicity Relation Does Not Strongly Correlate with Star Formation Rate in SDSS-IV MaNGA Galaxies

Science.gov (United States)

Barrera-Ballesteros, J. K.; Sánchez, S. F.; Heckman, T.; Blanc, G. A.; The MaNGA Team

2017-07-01

We present the integrated stellar mass-metallicity relation (MZR) for more than 1700 galaxies included in the integral field area SDSS-IV MaNGA survey. The spatially resolved data allow us to determine the metallicity at the same physical scale (effective radius, R eff) using a heterogeneous set of 10 abundance calibrators. In addition to scale factors, the shape of the MZR is similar for all calibrators, consistent with those reported previously using single-fiber and integral field spectroscopy. We compare the residuals of this relation against the star formation rate (SFR) and specific SFR (sSFR). We do not find a strong secondary relation of the MZR with either SFR or sSFR for any of the calibrators, in contrast with previous single-fiber spectroscopic studies. Our results agree with a scenario in which metal enrichment happens at local scales, with global outflows playing a secondary role in shaping the chemistry of galaxies and cold-gas inflows regulating the stellar formation.

Separate Ways: The Mass–Metallicity Relation Does Not Strongly Correlate with Star Formation Rate in SDSS-IV MaNGA Galaxies

Energy Technology Data Exchange (ETDEWEB)

Barrera-Ballesteros, J. K.; Heckman, T. [Department of Physics and Astronomy, Johns Hopkins University, Bloomberg Center, 3400 N. Charles St., Baltimore, MD 21218 (United States); Sánchez, S. F. [Instituto de Astronomía, Universidad Nacional Autónoma de México, A.P. 70-264, 04510 México, D.F., México (Mexico); Blanc, G. A., E-mail: jbarrer3@jhu.edu [Observatories of the Carnegie Institution for Science, 813 Santa Barbara St, Pasadena, CA 91101 (United States); Collaboration: MaNGA Team

2017-07-20

We present the integrated stellar mass–metallicity relation (MZR) for more than 1700 galaxies included in the integral field area SDSS-IV MaNGA survey. The spatially resolved data allow us to determine the metallicity at the same physical scale (effective radius, R {sub eff}) using a heterogeneous set of 10 abundance calibrators. In addition to scale factors, the shape of the MZR is similar for all calibrators, consistent with those reported previously using single-fiber and integral field spectroscopy. We compare the residuals of this relation against the star formation rate (SFR) and specific SFR (sSFR). We do not find a strong secondary relation of the MZR with either SFR or sSFR for any of the calibrators, in contrast with previous single-fiber spectroscopic studies. Our results agree with a scenario in which metal enrichment happens at local scales, with global outflows playing a secondary role in shaping the chemistry of galaxies and cold-gas inflows regulating the stellar formation.

Scaled MP3 Non-Covalent Interaction Energies Agree Closely with Accurate CCSD(T) Benchmark Data

Czech Academy of Sciences Publication Activity Database

Pitoňák, Michal; Neogrady, P.; Černý, Jiří; Grimme, S.; Hobza, Pavel

2009-01-01

Roč. 10, č. 1 (2009), s. 282-289 ISSN 1439-4235 R&D Projects: GA MŠk LC512 Institutional research plan: CEZ:AV0Z40550506 Keywords : Scaled MP3 * CCSD(T) Benchmark Data * Extended Data Set Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 3.453, year: 2009

Left, right, and meeting in the middle: Addressing addiction is something we can agree about.

Science.gov (United States)

Narayanan, Arthi K; Harding, John D; Saba, Shaddy K; Conley, James; Gordon, Adam J

2016-01-01

The United States faces an addiction health crisis. Presidential election cycles in the United States are cause for creation of political party platforms. These platforms provide general stances and specific policies on a variety of issues. We undertook a review of the addiction policies of the 2016 Republican and Democratic platforms. Despite differences in focus, we found more similarities than differences between the two. We call upon those in political power to use every evidence-based policy at their disposal to promote addiction treatment and prevention.

Agreed but not preferred: expert views on taboo options for biodiversity conservation, given climate change.

Science.gov (United States)

Hagerman, Shannon M; Satterfield, Terre

2014-04-01

Recent research indicates increasing openness among conservation experts toward a set of previously controversial proposals for biodiversity protection. These include actions such as assisted migration, and the application of climate-change-informed triage principles for decision-making (e.g., forgoing attention to target species deemed no longer viable). Little is known however, about the levels of expert agreement across different conservation adaptation actions, or the preferences that may come to shape policy recommendations. In this paper, we report findings from a web-based survey of biodiversity experts that assessed: (1) perceived risks of climate change (and other drivers) to biodiversity, (2) relative importance of different conservation goals, (3) levels of agreement/disagreement with the potential necessity of unconventional-taboo actions and approaches including affective evaluations of these, (4) preferences regarding the most important adaptation action for biodiversity, and (5) perceived barriers and strategic considerations regarding implementing adaptation initiatives. We found widespread agreement with a set of previously contentious approaches and actions, including the need for frameworks for prioritization and decision-making that take expected losses and emerging novel ecosystems into consideration. Simultaneously, this survey found enduring preferences for conventional actions (such as protected areas) as the most important policy action, and negative affective responses toward more interventionist proposals. We argue that expert views are converging on agreement across a set of taboo components in ways that differ from earlier published positions, and that these views are tempered by preferences for existing conventional actions and discomfort toward interventionist options. We discuss these findings in the context of anticipating some of the likely contours of future conservation debates. Lastly, we underscore the critical need for interdisciplinary, comparative, place-based adaptation research.

Autism in Preschoolers: Does Individual Clinician’s First Visit Diagnosis Agree with Final Comprehensive Diagnosis?

Directory of Open Access Journals (Sweden)

Gunilla Westman Andersson

2013-01-01

Full Text Available Comprehensive clinical diagnosis based on all available information is considered the “gold standard” in autism spectrum disorders (ASD. We examined agreement across independent assessments (clinical judgment of 34 young children (age 24–46 months with suspected ASD, assessed by a multidisciplinary team, and final comprehensive clinical diagnosis. Agreement across settings and between each clinician’s assessment and final diagnosis was moderate. The poorest fit was found at assessment in connection with psychological evaluation and the best with preschool observation and parent interview. Some individual clinicians had good and others had poor fit with final diagnosis. Disagreement across assessments was pronounced for girls. The findings suggest that multidisciplinary assessments remain important and that comprehensive clinical diagnosis should still be regarded as the gold standard in ASD.

Knowledge, value, opinion and practice about usage of pit and fissure sealant among dental professionals in Chennai, Tamil Nadu, India.

Science.gov (United States)

Nagappan, N; Dhamodhar, M Dinesh; Nithin, M G; Kumar, E Senthil

2015-12-01

A study was aimed to assess the knowledge, value, opinion, and practice regarding the use of dental sealants among private dental practitioners in Chennai, Tamil Nadu, India. A self-administrated questionnaire were distributed to 192 private dental practitioners in Chennai, Tamil Nadu, India by using simple random sampling. A convenience sampling technique was employed. The questionnaire consisted of 28 items, which included information about knowledge, value, opinion, and practice regarding dental sealants. The questionnaire was obtained from the study by San Martin et al. 2013 and Kailash Asawa et al. 2014. Frequency distribution was tabulated. For frequency distribution strongly, strongly agree, and agree were combined as "agree" and strongly disagree and disagree were combined as "disagree." There were no changes in "neutral." Among the 196 study subjects 56.2% were males and 43.8% were females with their clinical experience of 52.1% for 15 years. The mean scores for knowledge, value, opinion, and practice were 41.8 ± 3.7, 18.7 ± 2.8, 18.1 ± 1.4, and 12.9 ± 2.3, respectively. The results suggest that dental practitioners had satisfactory knowledge about pit and fissure sealant and had neutral attitudes about sealants being effective. Dental practitioners adequately used the pit and fissure sealants but they did not follow the standardized procedures and specific guidelines.

Moment tensor inversions using strong motion waveforms of Taiwan TSMIP data, 1993–2009

Science.gov (United States)

Chang, Kaiwen; Chi, Wu-Cheng; Gung, Yuancheng; Dreger, Douglas; Lee, William H K.; Chiu, Hung-Chie

2011-01-01

Earthquake source parameters are important for earthquake studies and seismic hazard assessment. Moment tensors are among the most important earthquake source parameters, and are now routinely derived using modern broadband seismic networks around the world. Similar waveform inversion techniques can also apply to other available data, including strong-motion seismograms. Strong-motion waveforms are also broadband, and recorded in many regions since the 1980s. Thus, strong-motion data can be used to augment moment tensor catalogs with a much larger dataset than that available from the high-gain, broadband seismic networks. However, a systematic comparison between the moment tensors derived from strong motion waveforms and high-gain broadband waveforms has not been available. In this study, we inverted the source mechanisms of Taiwan earthquakes between 1993 and 2009 by using the regional moment tensor inversion method using digital data from several hundred stations in the Taiwan Strong Motion Instrumentation Program (TSMIP). By testing different velocity models and filter passbands, we were able to successfully derive moment tensor solutions for 107 earthquakes of Mw >= 4.8. The solutions for large events agree well with other available moment tensor catalogs derived from local and global broadband networks. However, for Mw = 5.0 or smaller events, we consistently over estimated the moment magnitudes by 0.5 to 1.0. We have tested accelerograms, and velocity waveforms integrated from accelerograms for the inversions, and found the results are similar. In addition, we used part of the catalogs to study important seismogenic structures in the area near Meishan Taiwan which was the site of a very damaging earthquake a century ago, and found that the structures were dominated by events with complex right-lateral strike-slip faulting during the recent decade. The procedures developed from this study may be applied to other strong-motion datasets to compliment or fill

Self-consistent field model for strong electrostatic correlations and inhomogeneous dielectric media.

Science.gov (United States)

Ma, Manman; Xu, Zhenli

2014-12-28

Electrostatic correlations and variable permittivity of electrolytes are essential for exploring many chemical and physical properties of interfaces in aqueous solutions. We propose a continuum electrostatic model for the treatment of these effects in the framework of the self-consistent field theory. The model incorporates a space- or field-dependent dielectric permittivity and an excluded ion-size effect for the correlation energy. This results in a self-energy modified Poisson-Nernst-Planck or Poisson-Boltzmann equation together with state equations for the self energy and the dielectric function. We show that the ionic size is of significant importance in predicting a finite self energy for an ion in an inhomogeneous medium. Asymptotic approximation is proposed for the solution of a generalized Debye-Hückel equation, which has been shown to capture the ionic correlation and dielectric self energy. Through simulating ionic distribution surrounding a macroion, the modified self-consistent field model is shown to agree with particle-based Monte Carlo simulations. Numerical results for symmetric and asymmetric electrolytes demonstrate that the model is able to predict the charge inversion at high correlation regime in the presence of multivalent interfacial ions which is beyond the mean-field theory and also show strong effect to double layer structure due to the space- or field-dependent dielectric permittivity.

Self-consistent field model for strong electrostatic correlations and inhomogeneous dielectric media

Energy Technology Data Exchange (ETDEWEB)

Ma, Manman, E-mail: mmm@sjtu.edu.cn; Xu, Zhenli, E-mail: xuzl@sjtu.edu.cn [Department of Mathematics, Institute of Natural Sciences, and MoE Key Laboratory of Scientific and Engineering Computing, Shanghai Jiao Tong University, Shanghai 200240 (China)

2014-12-28

Electrostatic correlations and variable permittivity of electrolytes are essential for exploring many chemical and physical properties of interfaces in aqueous solutions. We propose a continuum electrostatic model for the treatment of these effects in the framework of the self-consistent field theory. The model incorporates a space- or field-dependent dielectric permittivity and an excluded ion-size effect for the correlation energy. This results in a self-energy modified Poisson-Nernst-Planck or Poisson-Boltzmann equation together with state equations for the self energy and the dielectric function. We show that the ionic size is of significant importance in predicting a finite self energy for an ion in an inhomogeneous medium. Asymptotic approximation is proposed for the solution of a generalized Debye-Hückel equation, which has been shown to capture the ionic correlation and dielectric self energy. Through simulating ionic distribution surrounding a macroion, the modified self-consistent field model is shown to agree with particle-based Monte Carlo simulations. Numerical results for symmetric and asymmetric electrolytes demonstrate that the model is able to predict the charge inversion at high correlation regime in the presence of multivalent interfacial ions which is beyond the mean-field theory and also show strong effect to double layer structure due to the space- or field-dependent dielectric permittivity.

Differences in health and taste attitudes and reported behaviour among Finnish, Dutch and British consumers: a cross-national validation of the Health and Taste Attitude Scales (HTAS)

NARCIS (Netherlands)

Roininen, K.; Tuorila, H.; Zandstra, E.H.; Graaf, de C.; Vehkalahti, K.; Stubenitsky, K.; Mela, D.J.

2001-01-01

The Health and Taste Attitude Scales (HTAS) developed by Roininen, Lähteenmäki and Tuorila in 1999 measure the importance of health and taste aspects of foods in the food choice process. These multi-item scales consist of sets of statements, ranging from "strongly disagree" to "strongly agree",

Spin glass transition in canonical AuFe alloys: A numerical study

International Nuclear Information System (INIS)

Zhang, Kai-Cheng; Li, Yong-Feng; Liu, Gui-Bin; Zhu, Yan

2012-01-01

Although spin glass transitions have long been observed in diluted magnetic alloys, e.g. AuFe and CuMn alloys, previous numerical studies are not completely consistent with the experiment results. The abnormal critical exponents of the alloys remain still puzzling. By employing parallel tempering algorithm with finite-size scaling analysis, we investigated the phase transitions in canonical AuFe alloys. Our results strongly support that spin glass transitions occur at finite temperatures in the alloys. The calculated critical exponents agree well with those obtained from experiments. -- Highlights: ► By simulation we investigated the abnormal critical exponents observed in canonical SG alloys. ► The critical exponents obtained from our simulations agree well with those measured from experiments. ► Our results strongly support that RKKY interactions lead to SG transitions at finite temperatures.

Fundamental parameters of He-weak and He-strong stars

Science.gov (United States)

Cidale, L. S.; Arias, M. L.; Torres, A. F.; Zorec, J.; Frémat, Y.; Cruzado, A.

2007-06-01

Context: He-weak and He-strong stars are chemically peculiar AB objects whose He lines are anomalously weak or strong for their MK spectral type. The determination of fundamental parameters for these stars is often more complex than for normal stars due to their abundance anomalies. Aims: We discuss the determination of fundamental parameters: effective temperature, surface gravity, and visual and bolometric absolute magnitudes of He-weak and He-strong stars. We compare our values with those derived independently from methods based on photometry and model fitting. Methods: We carried out low resolution spectroscopic observations in the wavelength range 3400-4700 Å of 20 He-weak and 8 He-strong stars to determine their fundamental parameters by means of the Divan-Chalonge-Barbier (BCD) spectrophotometric system. This system is based on the measurement of the continuum energy distribution around the Balmer discontinuity (BD). For a few He-weak stars we also estimate the effective temperatures and the angular diameters by integrating absolute fluxes observed over a wide spectral range. Non-LTE model calculations are carried out to study the influence of the He/H abundance ratio on the emergent radiation of He-strong stars and on their T_eff determination. Results: We find that the effective temperatures, surface gravities and bolometric absolute magnitudes of He-weak stars estimated with the BCD system and the integrated flux method are in good agreement between each other, and they also agree with previous determinations based on several different methods. The mean discrepancy between the visual absolute magnitudes derived using the hipparcos parallaxes and the BCD values is on average ±0.3 mag for He-weak stars, while it is ±0.5 mag for He-strong stars. For He-strong stars, we note that the BCD calibration, based on stars in the solar environment, leads to overestimated values of T_eff. By means of model atmosphere calculations with enhanced He/H abundance ratios

Angle-dependent strong-field molecular ionization rates with tuned range-separated time-dependent density functional theory

Energy Technology Data Exchange (ETDEWEB)

Sissay, Adonay [Department of Chemistry, Louisiana State University, Baton Rouge, Louisiana 70803 (United States); Abanador, Paul; Mauger, François; Gaarde, Mette; Schafer, Kenneth J. [Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803 (United States); Lopata, Kenneth, E-mail: klopata@lsu.edu [Department of Chemistry, Louisiana State University, Baton Rouge, Louisiana 70803 (United States); Center for Computation and Technology, Louisiana State University, Baton Rouge, Louisiana 70803 (United States)

2016-09-07

Strong-field ionization and the resulting electronic dynamics are important for a range of processes such as high harmonic generation, photodamage, charge resonance enhanced ionization, and ionization-triggered charge migration. Modeling ionization dynamics in molecular systems from first-principles can be challenging due to the large spatial extent of the wavefunction which stresses the accuracy of basis sets, and the intense fields which require non-perturbative time-dependent electronic structure methods. In this paper, we develop a time-dependent density functional theory approach which uses a Gaussian-type orbital (GTO) basis set to capture strong-field ionization rates and dynamics in atoms and small molecules. This involves propagating the electronic density matrix in time with a time-dependent laser potential and a spatial non-Hermitian complex absorbing potential which is projected onto an atom-centered basis set to remove ionized charge from the simulation. For the density functional theory (DFT) functional we use a tuned range-separated functional LC-PBE*, which has the correct asymptotic 1/r form of the potential and a reduced delocalization error compared to traditional DFT functionals. Ionization rates are computed for hydrogen, molecular nitrogen, and iodoacetylene under various field frequencies, intensities, and polarizations (angle-dependent ionization), and the results are shown to quantitatively agree with time-dependent Schrödinger equation and strong-field approximation calculations. This tuned DFT with GTO method opens the door to predictive all-electron time-dependent density functional theory simulations of ionization and ionization-triggered dynamics in molecular systems using tuned range-separated hybrid functionals.

Angle-dependent strong-field molecular ionization rates with tuned range-separated time-dependent density functional theory

International Nuclear Information System (INIS)

Sissay, Adonay; Abanador, Paul; Mauger, François; Gaarde, Mette; Schafer, Kenneth J.; Lopata, Kenneth

2016-01-01

Strong-field ionization and the resulting electronic dynamics are important for a range of processes such as high harmonic generation, photodamage, charge resonance enhanced ionization, and ionization-triggered charge migration. Modeling ionization dynamics in molecular systems from first-principles can be challenging due to the large spatial extent of the wavefunction which stresses the accuracy of basis sets, and the intense fields which require non-perturbative time-dependent electronic structure methods. In this paper, we develop a time-dependent density functional theory approach which uses a Gaussian-type orbital (GTO) basis set to capture strong-field ionization rates and dynamics in atoms and small molecules. This involves propagating the electronic density matrix in time with a time-dependent laser potential and a spatial non-Hermitian complex absorbing potential which is projected onto an atom-centered basis set to remove ionized charge from the simulation. For the density functional theory (DFT) functional we use a tuned range-separated functional LC-PBE*, which has the correct asymptotic 1/r form of the potential and a reduced delocalization error compared to traditional DFT functionals. Ionization rates are computed for hydrogen, molecular nitrogen, and iodoacetylene under various field frequencies, intensities, and polarizations (angle-dependent ionization), and the results are shown to quantitatively agree with time-dependent Schrödinger equation and strong-field approximation calculations. This tuned DFT with GTO method opens the door to predictive all-electron time-dependent density functional theory simulations of ionization and ionization-triggered dynamics in molecular systems using tuned range-separated hybrid functionals.

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five point Likert scale (Hobson, 2003; Frid 2000) of. Strongly Agree (SA) through to Strongly Disagree. (SD). A questionnaire was necessary to enable the undergraduate students to express their attitudes towards the course in order to find ways of improving the course to make it meet both national and individual needs.

Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit.

Science.gov (United States)

Watkins, Terri; Whisman, Lynn; Booker, Pamela

2016-01-01

Evaluate continuous vital sign surveillance as a tool to improve patient safety in the medical/surgical unit. Failure-to-rescue is an important measure of hospital quality. Patient deterioration is often preceded by changes in vital signs. However, continuous multi-parameter vital sign monitoring may decrease patient safety with an abundance of unnecessary alarms. Prospective observational study at two geographically disperse hospitals in a single hospital system. A multi-parameter vital sign monitoring system was installed in a medical/surgical unit in Utah and one in Alabama providing continuous display of SpO2, heart rate, blood pressure and respiration rate on a central station. Alarm thresholds and time to alert annunciations were set based on prior analysis of the distribution of each vital sign. At the end of 4 weeks, nurses completed a survey on their experience. An average alert per patient, per day was determined retrospectively from the saved vital signs data and knowledge of the alarm settings. Ninety-two per cent of the nurses agreed that the number of alarms and alerts were appropriate; 54% strongly agreed. On average, both units experienced 10·8 alarms per patient, per day. One hundred per cent agreed the monitor provided valuable patient data that increased patient safety; 79% strongly agreed. Continuous, multi-parameter patient monitoring could be performed on medical/surgical units with a small and appropriate level of alarms. Continuous vital sign assessment may have initiated nursing interventions that prevented failure-to-rescue events. Nurses surveyed unanimously agreed that continuous vital sign surveillance will help enhance patient safety. Nursing response to abnormal vital signs is one of the most important levers in patient safety, by providing timely recognition of early clinical deterioration. This occurs through diligent nursing surveillance, involving assessment, interpretation of data, recognition of a problem and meaningful

Doubly excited helium. From strong correlation to chaos

Energy Technology Data Exchange (ETDEWEB)

Jiang, Yuhai

2006-03-15

In the present dissertation, the double excitation states of helium including the autoionization decay of these states were studied experimentally and theoretically in a broad energy region, which includes the transition from strong correlation below the low single ionization thresholds (SIT) to the region of quantum chaos at energies very close to the double-ionization threshold. Two kind of experiments were performed, namely total-ion-yield measurements with the aim to observe total cross sections (TCS) and electron time-of-flight (TOF) measurements to obtain partial cross sections (PCS) as well as angular distribution parameters (ADP). Both types of measurements were performed at the third generation synchrotron radiation facility BESSY II in Berlin. The TCSs were recorded up to the SIT I{sub 15}, and they were found to be in in excellent agreement with state-of-the-art complex-rotation calculations performed recently by D. Delande. These experimental and theoretical data on the TCSs were analyzed in order to study quantum chaos in doubly excited helium, and interesting signatures of quantum chaos were found. The TOF technique allowed to measure PCSs and ADPs in the energy regions from I{sub 5} to I{sub 9} and I{sub 7}, respectively. These experimental data provide a critical assessment of theoretical models that can be used to explore the dynamics of strong correlation as well as quantum chaos in helium. In the theoretical part of this dissertation, the n- and l-specific PCSs and ADPs below I{sub 4} were calculated employing the R-matrix method. The present theoretical results agree well with a recent experimental study of l-specific PCSs below I{sub 4} by J.R. Harries et al. An analysis of patterns in the PCSs and ADPs on the basis of the present experimental and theoretical l-specific data allowed to improve the present understanding of autoionization decay dynamics in this two-electron atom. (orig.)

Putting Research Findings into Clinical Practice; Feasibility of integrated evidence-based care pathways in otorhinolaryngology head and neck surgery at Sultan Qaboos University Hospital, Oman

Directory of Open Access Journals (Sweden)

Deepa Bhargava

2012-05-01

Full Text Available Objectives: A perception exists that clinicians in Oman are reluctant to adopt evidence-based practice (EBP. This pilot study was undertaken to study the feasibility of using EBP pathways at the point of care in otorhinolaryngology head and neck surgery. The ultimate aim was to facilitate EBP with the probability of developing a new system for implementing research findings/translational research at the clinical point of care. Methods: A cross-sectional prospective questionnaire pilot survey of clinicians at Sultan Qaboos University Hospital (SQUH, Oman, a tertiary care medical centre, was undertaken. Respondents included 135 physicians and surgeons with between 3 months and 25 years of clinical experience and included personnel ranging from interns to senior consultants, in areas ranging from primary care to specialist care. Results: Of those polled, 90% (95% confidence interval (CI 85–95% either strongly agreed or agreed that evidence-based practice protocols (EBPP could help in decision making. A total of 87.4% of participants (95% CI 81.8–93% either strongly agreed or agreed that EBPPs can improve clinical outcomes; 91.8% of participants (95% CI 87.2–96.4% would use and apply EBPP in day-to-day care if they were available at the point of care and embedded in the hospital information system. Conclusions: The perception that clinicians at SQUH are reluctant to adopt EBP is incorrect. The introduction of EBP pathways is very feasible at the primary care level. Institutional support for embedding EBP in hospital information systems is needed as well as further outcome research to assess the improvement in quality of care.

Has Their Son Been Vaccinated? Beliefs About Other Parents Matter for Human Papillomavirus Vaccine.

Science.gov (United States)

Schuler, Christine L; Coyne-Beasley, Tamera

2016-07-01

The goal of this study was to determine if parents' beliefs about social norms of human papillomavirus (HPV) vaccination for sons were associated with knowledge of HPV, intention to vaccinate sons, or beliefs about side effects. A cross-sectional, survey-based study of parents with sons was performed in 2010. Fisher's exact tests were used to examine associations between demographics and responses about social norms. Multivariate logistic regression models examined beliefs about social norms of male HPV vaccination and primary outcomes. Few parents agreed that others were vaccinating sons (n = 31/267, 12%), including 1% responding strongly agree and 11% responding agree. Most parents, 52%, disagreed that others were vaccinating (40% disagree, 11% strongly disagree), and 37% chose prefer not to answer regarding others' vaccination practices. Hispanic parents and those with a high school education or less were significantly more likely to choose prefer not to answer than their respective counterparts regarding vaccination norms. In multivariate models, parents agreeing others were vaccinating sons had greater odds of having high knowledge of HPV (adjusted odds ratio [aOR] high vs low knowledge 3.15, 95% confidence interval [CI] 1.13, 8.77) and increased intention to vaccinate sons (n = 243, aOR = 4.41, 95% CI = 1.51, 12.89). Beliefs about side effects were not significantly associated with beliefs about social norms. Parents' beliefs about others' vaccination practices are important with regard to knowledge of HPV and intention to vaccinate sons. Studying how various public messages about HPV vaccine may influence normative beliefs could be relevant to improving vaccination coverage. © The Author(s) 2015.

Quality improvement and accreditation readiness in state public health agencies.

Science.gov (United States)

Madamala, Kusuma; Sellers, Katie; Beitsch, Leslie M; Pearsol, Jim; Jarris, Paul

2012-01-01

There were 3 specific objectives of this study. The first objective was to examine the progress of state/territorial health assessment, health improvement planning, performance management, and quality improvement (QI) activities at state/territorial health agencies and compare findings to the 2007 findings when available. A second objective was to examine respondent interest and readiness for national voluntary accreditation. A final objective was to explore organizational factors (eg, leadership and capacity) that may influence QI or accreditation readiness. Cross-sectional study. State and Territorial Public Health Agencies. Survey respondents were organizational leaders at State and Territorial Public Health Agencies. Sixty-seven percent of respondents reported having a formal performance management process in place. Approximately 77% of respondents reported a QI process in place. Seventy-three percent of respondents agreed or strongly agreed that they would seek accreditation and 36% agreed or strongly agreed that they would seek accreditation in the first 2 years of the program. In terms of accreditation prerequisites, a strategic plan was most frequently developed, followed by a state/territorial health assessment and health improvement plan, respectively. Advancements in the practice and applied research of QI in state public health agencies are necessary steps for improving performance. In particular, strengthening the measurement of the QI construct is essential for meaningfully assessing current practice patterns and informing future programming and policy decisions. Continued QI training and technical assistance to agency staff and leadership is also critical. Accreditation may be the pivotal factor to strengthen both QI practice and research. Respondent interest in seeking accreditation may indicate the perceived value of accreditation to the agency.

Developments in undergraduate teaching of small-animal soft-tissue surgical skills at the University of Sydney.

Science.gov (United States)

Gopinath, Deepa; McGreevy, Paul D; Zuber, Richard M; Klupiec, Corinna; Baguley, John; Barrs, Vanessa R

2012-01-01

This article discusses recent developments in soft-tissue surgery teaching at the University of Sydney, Faculty of Veterinary Science. An integrated teaching program was developed for Bachelor of Veterinary Science (BVSc) students with the aim of providing them with optimal learning opportunities to meet "Day One" small-animal soft-tissue surgical competencies. Didactic lectures and tutorials were introduced earlier into the curriculum to prepare students for live-animal surgery practical. In addition to existing clinics, additional spay/neuter clinics were established in collaboration with animal welfare organizations to increase student exposure to live-animal surgery. A silicon-based, life-like canine ovariohysterectomy model was developed with the assistance of a model-making and special effects company. The model features elastic ovarian pedicles and suspensory ligaments, which can be stretched and broken like those of an actual dog. To monitor the volume and type of student surgical experience, an E-portfolio resource was established. This resource allows for the tracking of numbers of live, student-performed desexing surgeries and incorporates competency-based assessments and reflective tasks to be completed by students. Student feedback on the integrated surgical soft-tissue teaching program was assessed. Respondents were assessed in the fourth year of the degree and will have further opportunities to develop Day One small-animal soft-tissue surgical competencies in the fifth year. Ninety-four percent of respondents agreed or strongly agreed that they were motivated to participate in all aspects of the program, while 78% agreed or strongly agreed that they received an adequate opportunity to develop their skills and confidence in ovariohysterectomy or castration procedures through the fourth-year curriculum.

Eco-driving behavior tendency among Indonesian people: a preliminary study

Science.gov (United States)

Zuraida, Rida; Widjaja, Dimitrius

2017-12-01

Eco-driving behavior can be triggered by many aspects such as economic and environmental awareness. In Indonesia this issue received less attention from citizen, whereas it has significant roles in reducing greenhouse gas emission. This paper initiated a study about eco-driving tendency behavior among Indonesian people, the objective is to see whether current behavior support or not, and does the differences between gender and age exist. Adopted on-line study method using an online form questionnaire„ 27 questions developed consist of 8 items related to individual data, 19 items related to perception and driving behavior. The respond measures using 5 scale option answers (i.e. strongly disagree, disagree, quite agree, agree, and strongly agree). Based on average respondents’ answers, can be concluded that the tendency of behavior somewhat supports to in line with eco-driving behavior. After Q15 and Q18 omitted based on Pearson-product moment correlation, further analysis results showed that most of respondents categorized into mild tendency behavior (109 respondents). However, a mild tendency among female respondents are higher than male, and the strong tendency of males is higher than female respondents. Based on gender, there are no significant tendency behavior differences between male and female (p-value = 0, 320), and also among age groups (30y, 31-40y, 41-50y, and >50y), even though age >50 have a lower tendency to the behavior compare to other groups.

Should College Education Play a Significant Role in Teaching Students about Ethics?

Science.gov (United States)

Coleman, Phillip D.; Atkinson, John K.; Waduge, Shashie

2015-01-01

A ten question survey was administered to a medium size university in the Midwest. The responses were fashioned in a 5-item Likert Scale ranging from Strongly Disagree to Strongly Agree. The results were interpreted by SPSS and relationships, frequencies, and descriptive statistics were drawn from the results of this program. The purpose of this…

Experimental implementation of a quantum random-walk search algorithm using strongly dipolar coupled spins

International Nuclear Information System (INIS)

Lu Dawei; Peng Xinhua; Du Jiangfeng; Zhu Jing; Zou Ping; Yu Yihua; Zhang Shanmin; Chen Qun

2010-01-01

An important quantum search algorithm based on the quantum random walk performs an oracle search on a database of N items with O(√(phN)) calls, yielding a speedup similar to the Grover quantum search algorithm. The algorithm was implemented on a quantum information processor of three-qubit liquid-crystal nuclear magnetic resonance (NMR) in the case of finding 1 out of 4, and the diagonal elements' tomography of all the final density matrices was completed with comprehensible one-dimensional NMR spectra. The experimental results agree well with the theoretical predictions.

Identification of Social Capital on Beef Cattle Farmers Group

Science.gov (United States)

Lestari, V. S.; Sirajuddin, S. N.; Abdullah, A.

2018-02-01

Social capital plays an important role in the development of beef cattle farms in South Sulawesi. The aim of this research was to know the social capital of beef cattle farmers in South Sulawesi. Population of this research was 31 beef cattle farmers. Variable of social capital was mutual trust, norms and linkage. The data were collected from observation and depth interview by using questionnaire. There were 10 questions which were adopted from Australian Center for International Agriculture Research. The answer was scored by using Likert scale ranging from 1 refer to strongly disagree; 2 refer to disagree; 3 refer to not sure; 4 refer to agree and 5 refer to strongly agree. The data were analyzed descriptively by using frequency distribution. The research revealed that the social capital of beef cattle farmers was categorized as “high”.

Evaluation of a Sexual and Reproductive Health Education ...

African Journals Online (AJOL)

AJRH Managing Editor

relationship and whether to have sex, and their intentions towards SRH behaviour, such as condom use were positive. .... concerning behavioural intentions (a=.67) could be answered on a 4-point scale (do not agree at all, do not agree, agree, totally agree). All statements (see ..... The Global Research Ethics Map.

Extraction and antioxidant activity of phenolic compounds from ...

African Journals Online (AJOL)

35:1, temperature: 70 oC, the experimental total phenolic yield was 30.464 ± 0.025, which agreed with ... The phenolic compounds showed strong antioxidant activities. At extract ..... under steam explosion is a suitable approach for obtaining a ...

A report on the current status of grand rounds in radiology residency programs in the United States.

Science.gov (United States)

Yablon, Corrie M; Wu, Jim S; Slanetz, Priscilla J; Eisenberg, Ronald L

2011-12-01

GR programs either strongly agreed or agreed that GR are an essential component of any academic radiology department, and this opinion was shared by a majority of all respondents (68%). Almost all respondents (97%) either strongly agreed or agreed that general radiologic education of imaging subspecialists is valuable in an academic radiology department. A majority (65%) either strongly agreed or agreed that attendance at GR should be expected of all attending radiologists. GR programs among radiology residencies tend to have similar formats involving invited speakers, although the frequency, types of talks, and honoraria may vary slightly. Most programs value GR, and all programs integrate GR within resident education to some degree. The recent economic downturn has led to a decrease in the number of invited visiting speakers but not to a decrease in the amounts of honoraria. Copyright © 2011 AUR. Published by Elsevier Inc. All rights reserved.

46% of the Britons favor the construction of new reactors and 43% agree with public funding

International Nuclear Information System (INIS)

Anon.

2013-01-01

According to an opinion survey of 2034 British people performed in may 2013, it appears that 46% of the persons think that new nuclear power plants should be built in UK and 43% think that state subsidies can be used. The reasons most often stated for the renaissance of nuclear energy are the reliability of nuclear power and its low-carbon content. Concerning the 29% of the persons who refuse new nuclear power plants, about 73% think that nuclear energy is dangerous and 70% reject nuclear energy because of the issue of nuclear wastes. (A.C.)

Item Girls and Objects of Dreams: Why Indian Censors Agree to Bold Scenes in Bollywood Films

Directory of Open Access Journals (Sweden)

Tatiana Szurlej

2017-07-01

Bollywood films are often called musicals, but the examples show that all the songs, not only item numbers and dream sequences, play quite a different role in Indian movies than in the classic Hollywood musicals. There is a very deep logic lying behind film production, and popular Indian cinema uses its songs to show everything that is impossible to show in the story. Filmmakers know very well that songs are the element of fantasy, which when used in a story about everyday life, can show things that are impossible in natural experience.

List of Institutes who have agreed to send material on loan to contributors of Flora Malesiana

NARCIS (Netherlands)

NN,

1947-01-01

The Arnold Arboretum of Harvard University, Jamaica Plain, Mass. The Gray Herbarium of Harvard University, Cambridge, Mass. U.S. National Herbarium, Smithonian Institution, Washington, DC. New York Botanical Gardens, Bronx Park, Fordham Br.P.O., N.Y. Bot. Gardens, Ann. Arbor, Mich. University of

The bidding paradox : how economists and politicians might agree on the attractiveness of mega sports events

NARCIS (Netherlands)

van den Berg, Marcel; de Nooij, Michiel

The ambition to host mega sports events is (or can be) perfectly justifiable with various arguments. The most persistently used argument is the supposed financial or direct economic gain for the host economy, of which the compelling body of evidence is discouraging. This implies that the

Do climate model predictions agree with long-term precipitation trends in the arid southwestern United States?

Science.gov (United States)

Elias, E.; Rango, A.; James, D.; Maxwell, C.; Anderson, J.; Abatzoglou, J. T.

2016-12-01

Researchers evaluating climate projections across southwestern North America observed a decreasing precipitation trend. Aridification was most pronounced in the cold (non-monsoonal) season, whereas downward trends in precipitation were smaller in the warm (monsoonal) season. In this region, based upon a multimodel mean of 20 Coupled Model Intercomparison Project 5 models using a business-as-usual (Representative Concentration Pathway 8.5) trajectory, midcentury precipitation is projected to increase slightly during the monsoonal time period (July-September; 6%) and decrease slightly during the remainder of the year (October-June; -4%). We use observed long-term (1915-2015) monthly precipitation records from 16 weather stations to investigate how well measured trends corroborate climate model predictions during the monsoonal and non-monsoonal timeframe. Running trend analysis using the Mann-Kendall test for 15 to 101 year moving windows reveals that half the stations showed significant (p≤0.1), albeit small, increasing trends based on the longest term record. Trends based on shorter-term records reveal a period of significant precipitation decline at all stations representing the 1950s drought. Trends from 1930 to 2015 reveal significant annual, monsoonal and non-monsoonal increases in precipitation (Fig 1). The 1960 to 2015 time window shows no significant precipitation trends. The more recent time window (1980 to 2015) shows a slight, but not significant, increase in monsoonal precipitation and a larger, significant decline in non-monsoonal precipitation. GCM precipitation projections are consistent with more recent trends for the region. Running trends from the most recent time window (mid-1990s to 2015) at all stations show increasing monsoonal precipitation and decreasing Oct-Jun precipitation, with significant trends at 6 of 16 stations. Running trend analysis revealed that the long-term trends were not persistent throughout the series length, but depended on the period examined. Recent trends in Southwest precipitation are directionally consistent with anthropogenic climate change.

Fossils and living taxa agree on patterns of body mass evolution: a case study with Afrotheria.

Science.gov (United States)

Puttick, Mark N; Thomas, Gavin H

2015-12-22

Most of life is extinct, so incorporating some fossil evidence into analyses of macroevolution is typically seen as necessary to understand the diversification of life and patterns of morphological evolution. Here we test the effects of inclusion of fossils in a study of the body size evolution of afrotherian mammals, a clade that includes the elephants, sea cows and elephant shrews. We find that the inclusion of fossil tips has little impact on analyses of body mass evolution; from a small ancestral size (approx. 100 g), there is a shift in rate and an increase in mass leading to the larger-bodied Paenungulata and Tubulidentata, regardless of whether fossils are included or excluded from analyses. For Afrotheria, the inclusion of fossils and morphological character data affect phylogenetic topology, but these differences have little impact upon patterns of body mass evolution and these body mass evolutionary patterns are consistent with the fossil record. The largest differences between our analyses result from the evolutionary model, not the addition of fossils. For some clades, extant-only analyses may be reliable to reconstruct body mass evolution, but the addition of fossils and careful model selection is likely to increase confidence and accuracy of reconstructed macroevolutionary patterns. © 2015 The Authors.

Nitrile Probes of Electric Field Agree with Independently Measured Fields in Green Fluorescent Protein Even in the Presence of Hydrogen Bonding.

Science.gov (United States)

Slocum, Joshua D; Webb, Lauren J

2016-05-25

There is growing interest in using the nitrile vibrational oscillation as a site-specific probe of local environment to study dynamics, folding, and electrostatics in biological molecules such as proteins. Nitrile probes have been used extensively as reporters of electric field using vibrational Stark effect spectroscopy. However, the analysis of frequencies in terms of electric fields is potentially complicated by the large ground state dipole moment of the nitrile, which may irrevocably perturb the protein under investigation, and the ability of nitriles to accept hydrogen bonds, which causes frequency shifts that are not described by the Stark effect. The consequence of this is that vibrational spectroscopy of nitriles in biomolecules could be predominately sensitive to their local hydration status, not electrostatic environment, and have the potential to be particularly destabilizing to the protein. Here, we introduce green fluorescent protein (GFP) as a model system for addressing these concerns using biosynthetically incorporated p-cyanophenylalanine (pCNF) residues in the interior of GFP and measuring absorption energies of both the intrinsic GFP fluorophore and pCNF residues in response to a series of amino acid mutations. We show that observed changes in emission energy of GFP due to the mutations strongly correlate with changes in electric field experienced by both the nitrile probes and the intrinsic fluorophore. Additionally, we show that changes in electric field measured from the intrinsic fluorophore due to amino acid mutations are unperturbed by the addition of pCNF residues inserted nearby. Finally, we show that changes in electric field experienced by the vibrational probes trend monotonically with changes in field experienced by the native fluorophore even though the nitrile probe is engaged in moderate hydrogen bonding to nearby water molecules, indicated by the temperature dependence of the nitrile's absorption energy. Together these results

Cultural acceptance of robotic telestroke medicine among patients and healthcare providers in Saudi Arabia. Results of a pilot study.

Science.gov (United States)

Al-Khathaami, Ali M; Alshahrani, Saeed M; Kojan, Suleiman M; Al-Jumah, Mohammed A; Alamry, Ahmed A; El-Metwally, Ashraf A

2015-01-01

To determine the degree of satisfaction and acceptance of stroke patients, their relatives, and healthcare providers toward using telestroke technology in Saudi Arabia. A cross-sectional study was conducted between October and December 2012 at King Abdulaziz Medical City, Ministry of National Guard Affairs, Riyadh, Saudi Arabia. The Remote Presence Robot (RPR), the RP-7i (FDA- cleared) provided by InTouch Health was used in the study. Patients and their relatives were informed that the physician would appear through a screen on top of a robotic device, as part of their clinical care. Stroke patients admitted through the emergency department, and their relatives, as well as healthcare providers completed a self-administered satisfaction questionnaire following the telestroke consultation sessions. Fifty participants completed the questionnaire. Most subjects agreed that the remote consultant interview was useful and that the audiovisual component of the intervention was of high quality; 98% agreed that they did not feel shy or embarrassed during the remote interview, were able to understand the instruction of the consultant, and recommended its use in stroke management. Furthermore, 92% agreed or strongly agreed that the use of this technology can efficiently replace the physical presence of a neurologist. Results suggest that the use of telestroke medicine is culturally acceptable among stroke patients and their families in Saudi Arabia and favorably received by healthcare providers.

Cultural acceptance of robotic telestroke medicine among patients and healthcare providers in Saudi Arabia

Science.gov (United States)

Al-Khathaami, Ali M.; Alshahrani, Saeed M.; Kojan, Suleiman M.; Al-Jumah, Mohammed A.; Alamry, Ahmed A.; El-Metwally, Ashraf A.

2015-01-01

Objectives: To determine the degree of satisfaction and acceptance of stroke patients, their relatives, and healthcare providers toward using telestroke technology in Saudi Arabia. Methods: A cross-sectional study was conducted between October and December 2012 at King Abdulaziz Medical City, Ministry of National Guard Affairs, Riyadh, Saudi Arabia. The Remote Presence Robot (RPR), the RP-7i® (FDA- cleared) provided by InTouch Health was used in the study. Patients and their relatives were informed that the physician would appear through a screen on top of a robotic device, as part of their clinical care. Stroke patients admitted through the emergency department, and their relatives, as well as healthcare providers completed a self-administered satisfaction questionnaire following the telestroke consultation sessions. Results: Fifty participants completed the questionnaire. Most subjects agreed that the remote consultant interview was useful and that the audiovisual component of the intervention was of high quality; 98% agreed that they did not feel shy or embarrassed during the remote interview, were able to understand the instruction of the consultant, and recommended its use in stroke management. Furthermore, 92% agreed or strongly agreed that the use of this technology can efficiently replace the physical presence of a neurologist. Conclusion: Results suggest that the use of telestroke medicine is culturally acceptable among stroke patients and their families in Saudi Arabia and favorably received by healthcare providers. PMID:25630777

Strong Helioseismic Constraints on Weakly-Coupled Plasmas

Science.gov (United States)

Nayfonov, Alan

The extraordinary accuracy of helioseismic data allows detailed theoretical studies of solar plasmas. The necessity to produce solar models matching the experimental results in accuracy imposes strong constrains on the equations of state of solar plasmas. Several discrepancies between the experimental data and models have been successfully identified as the signatures of various non-ideal phenomena. Of a particular interest are questions of the position of the energy levels and the continuum edge and of the effect of the excited states in the solar plasma. Calculations of energy level and continuum shifts, based on the Green function formalism, appeared recently in the literature. These results have been used to examine effects of the shifts on the thermodynamic quantities. A comparison with helioseismic data has shown that the calculations based on lower-level approximations, such as the static screening in the effective two-particle wave equation, agree very well with the experimental data. However, the case of full dynamic screening produces thermodynamic quantities inconsistent with observations. The study of the effect of different internal partition functions on a complete set of thermodynamic quantities has revealed the signature of the excited states in the MHD (Mihalas, Hummer, Dappen) equation of state. The presence of exited states causes a characteristic 'wiggle' in the thermodynamic quantities due to the density-dependent occupation probabilities. This effect is absent if the ACTEX (ACTivity EXpansion) equation of state is used. The wiggle has been found to be most prominent in the quantities sensitive to density. The size of this excited states effect is well within the observational power of helioseismology, and very recent inversion analyses of helioseismic data seem to indicate the presence of the wiggle in the sun. This has a potential importance for the helioseismic determination of the helium abundance of the sun.

Efficient clinical evaluation of guideline quality: development and testing of a new tool

Science.gov (United States)

2014-01-01

Background Evaluating the methodological quality of clinical practice guidelines is essential before deciding which ones which could best inform policy or practice. One current method of evaluating clinical guideline quality is the research-focused AGREE II instrument. This uses 23 questions scored 1–7, arranged in six domains, which requires at least two independent testers, and uses a formulaic weighted domain scoring system. Following feedback from time-poor clinicians, policy-makers and managers that this instrument did not suit clinical need, we developed and tested a simpler, shorter, binary scored instrument (the iCAHE Guideline Quality Checklist) designed for single users. Methods Content and construct validity, inter-tester reliability and clinical utility were tested by comparing the new iCAHE Guideline Quality Checklist with the AGREE II instrument. Firstly the questions and domains in both instruments were compared. Six randomly-selected guidelines on a similar theme were then assessed by three independent testers with different experience in guideline quality assessment, using both instruments. Per guideline, weighted domain and total AGREE II scores were calculated, using the scoring rubric for three testers. Total iCAHE scores were calculated per guideline, per tester. The linear relationship between iCAHE and AGREE II scores was assessed using Pearson r correlation coefficients. Score differences between testers were assessed for the iCAHE Guideline Quality Checklist. Results There were congruent questions in each instrument in four domains (Scope & Purpose, Stakeholder involvement, Underlying evidence/Rigour, Clarity). The iCAHE and AGREE II scores were moderate to strongly correlated for the six guidelines. There was generally good agreement between testers for iCAHE scores, irrespective of their experience. The iCAHE instrument was preferred by all testers, and took significantly less time to administer than the AGREE II instrument. However

Evaluation of doctors' performance as facilitators in basic medical science lecture classes in a new Malaysian medical school

Directory of Open Access Journals (Sweden)

Ismail S

2015-03-01

Full Text Available Salwani Ismail,1 Abdus Salam,2 Ahmed G Alattraqchi,1 Lakshmi Annamalai,1 Annamalai Chockalingam,1 Wan Putri Elena,3 Nor Iza A Rahman,1 Abdullahi Rabiu Abubakar,1 Mainul Haque1 1Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia; 2Department of Medical Education, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia; 3School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia Background: Didactic lecture is the oldest and most commonly used method of teaching. In addition, it is considered one of the most efficient ways to disseminate theories, ideas, and facts. Many critics feel that lectures are an obsolete method to use when students need to perform hands-on activities, which is an everyday need in the study of medicine. This study evaluates students' perceptions regarding lecture quality in a new medical school. Methods: This was a cross-sectional study conducted of the medical students of Universiti Sultan Zainal Abidin. The study population was 468 preclinical medical students from years 1 and 2 of academic year 2012–2013. Data were collected using a validated instrument. There were six different sections of questions using a 5-point Likert scale. The data were then compiled and analyzed, using SPSS version 20. Results: The response rate was 73%. Among 341 respondents, 30% were male and 70% were female. Eighty-five percent of respondents agree or strongly agree that the lectures had met the criteria with regard to organization of lecture materials. Similarly, 97% of students agree or strongly agree that lecturers maintained adequate voices and gestures. Conclusion: Medical students are quite satisfied with the lecture classes and the lectures. However, further research is required to identify student-centered teaching and learning methods to promote active learning. Keywords: lecture, effectiveness, evaluation, undergraduate medical

Self-reported eHealth literacy among undergraduate nursing students in South Korea: a pilot study.

Science.gov (United States)

Park, Hyejin; Lee, Eunjoo

2015-02-01

With the Internet being the preferred primary source for information seekers, 9 out of 10 Internet users report that they have looked online for health information in South Korea. Nurses as well as nursing students need to be knowledgeable about online health information resources and able to evaluate relevant information online in order to assist patients and patients' families' access. The purpose of the study was to assess eHealth literacy among undergraduate nursing students in South Korea. The specific aims were to: 1) identify the self-reported eHealth literacy levels, and 2) determine differences in levels of eHealth literacy between pre-nursing and nursing students. This study used a descriptive comparison design. One hundred and seventy-six undergraduate nursing students in South Korea participated. Participants were asked to complete the eHealth Literacy Scale. Collected data were analyzed using a descriptive statistical method and t-tests. Participants responded that the Internet is a useful or very useful tool in helping them make health-related decisions. Furthermore, participants felt that it is important to be able to access health resources on the Internet. The majority of the participants either agreed or strongly agreed that they felt comfortable using the Internet with awareness of what information is available and of their skill to find information. Only a few respondents agreed or strongly agreed that they had the ability to differentiate between a high quality and a low quality health resource on the Internet. Students enrolled in nursing scored higher means in all eHealth literacy items than students enrolled in pre-nursing. Six out of ten eHealth literacy items showed significant differences between two groups. Findings from this study provide fundamental data for education administrators and educators to begin supporting students with appropriate education programs to enhance their eHealth literacy. Copyright © 2014 Elsevier Ltd. All

KAJIAN DEGRADASI LAHAN MANGROVE DI PESISIR DESA LABUHAN SANGORO KECAMATAN MARONGE KABUPATEN SUMBAWA

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Lalu Samsul Rizal

2015-06-01

Full Text Available The aims of the research was to determine the perceptions of stakeholders (Community, Government and Employers, to know the potential of mangrove species and determine the impact of mangrove degradation on fish and non-fish biota, at Labuhan Sangoro coastal village. This study was conducted for three months from April to June 2012. Data were analyzed descriptively using a Likert scale for the perception of stakeholders. Potential mangrove species was examined using transects and to determine the impact of mangrove degradation on species diversity of aquatic fauna associated with mangrove were obtained by observation of nonparticipant method. The results showed that perceptions of stakeholders towards preservation and conservation of mangrove land, the 87% strongly agreed, 66% agreed and 22% disagreed, government and employers 86% strongly agree, 78% agree and disagree 3%, but not yet to the application phase. The potential of mangrove type in the coastal village of Labuan Sangoro at Station 1, 2, 3, and 4 by R. mucronata and R. stylosa, Transect I dominated by Rhizophora mucronata, R. stylosa, R. apiculata, Sonneratia alba, Lumnitzera racemosa and Ceriops tagal, transect II by Avicennia marina, R. mucronata and R. stylosa, Transect III by A. marina and R. mucronata and transect IV by R. mucronata and R. stylosa. Fish eatch on the condition of low and high degradation condition, the dominant fish species caught is Beronang (Siganus sp, non-fish species dominated by Crab (Scylla serrata. The number of catches in the low mangrove land degradation conditions wais 2,609 species of fish and non-fish tail 4678, on the high mangrove degradation conditions, the fish catch was 1,090 and non-fish was 1,114. The diversity, uniformity and the dominance of species, classified in the category of low and moderate levels.

Medical Student–Reported Outcomes of a Radiation Oncologist–Led Preclinical Course in Oncology: A Five-Year Analysis

Energy Technology Data Exchange (ETDEWEB)

Agarwal, Ankit; Koottappillil, Brian; Shah, Bhartesh; Ahuja, Divya; Hirsch, Ariel E., E-mail: Ariel.hirsch@bmc.org

2015-07-15

Purpose: There is a recognized need for more robust training in oncology for medical students. At our institution, we have offered a core dedicated oncology block, led by a radiation oncologist course director, during the second year of the medical school curriculum since the 2008-2009 academic year. Herein, we report the outcomes of the oncology block over the past 5 years through an analysis of student perceptions of the course, both immediately after completion of the block and in the third year. Methods and Materials: We analyzed 2 separate surveys. The first assessed student impressions of how well the course met each of the course's learning objectives through a survey that was administered to students immediately after the oncology block in 2012. The second was administered after students completed the oncology block during the required radiology clerkship in the third year. All questions used a 5-level Likert scale and were analyzed by use of a Wilcoxon signed-rank test. Results: Of the 169 students who took the oncology course in 2012, 127 (75.1%) completed the course feedback survey. Over 73% of students agreed or strongly agreed that the course met its 3 learning objectives. Of the 699 medical students who took the required radiology clerkship between 2010 and 2013, 538 participated in the second survey, for a total response rate of 77%. Of these students, 368 (68.4%) agreed or strongly agreed that the course was effective in contributing to their overall medical education. Conclusion: Student perceptions of the oncology block are favorable and have improved across multiple categories since the inception of the course. Students self-reported that a dedicated preclinical oncology block was effective in helping identify the basics of cancer therapy and laying the foundation for clinical electives in oncology, including radiation oncology.

Knowledge and Attitudes of Oman Medical Specialty Board Residents towards Evidence-Based Medicine

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Aiman Al Wahaibi

2014-05-01

Full Text Available Objective: This study aims to evaluate the knowledge and attitudes of Oman Medical Specialty Board (OMSB residents towards Evidence-Based Medicine (EBM. Methods: This cross sectional study was conducted on all OMSB residents through a self-administered online questionnaire between October 2012 and March 2013. An electronic survey was designed to identify and determine residents' knowledge and attitudes toward the use of EBM. Results: The survey was completed by 93 (21% OMSB residents, 76 (82% of whom took part in continuing education courses and 50 (54% belonged to professional practice-oriented organizations. On average, the residents were reportedly involved in patient care for approximately 70% (Standard Deviation [SD] 17% of their time, while 14% (SD 12% participated in research activities. The results showed that 53 respondents (57% were competent users of medical search engines compared to 23 residents (25% who rated their skills as neutral. Sixteen percent of the respondents strongly agreed and 46% only agreed that the facility supports the use of current research in practice. Fourteen percent strongly agreed and fifty-three percent only agreed that the foundation of EBM is part of OMSB academic preparation. On the other hand, 17% of the respondents thought that insufficient time is always a barrier against EBM, while another 27% perceived insufficient time as a usual barrier. The lack of information resources was reported to always be a barrier in 11% of the respondents while 32% thought that it usually acts as a barrier. Conclusion: Time constraints and skills in EBM were found to be the two major obstacles. This study was, however, limited by the low response rate of the survey; thus larger studies with a previously validated questionnaire should be conducted in the future.

Community pharmacist participation in a practice-based research network: a report from the Medication Safety Research Network of Indiana (Rx-SafeNet).

Science.gov (United States)

Patel, Puja; Hemmeger, Heather; Kozak, Mary Ann; Gernant, Stephanie A; Snyder, Margie E

2015-01-01

To describe the experiences and opinions of pharmacists serving as site coordinators for the Medication Safety Research Network of Indiana (Rx-SafeNet). Retail chain, independent, and hospital/health system outpatient community pharmacies throughout Indiana, with a total of 127 pharmacy members represented by 26 site coordinators. Rx-SafeNet, a statewide practice-based research network (PBRN) formed in 2010 and administered by the Purdue University College of Pharmacy. Barriers and facilitators to participation in available research studies, confidence participating in research, and satisfaction with overall network communication. 22 of 26 site coordinators participated, resulting in an 85% response rate. Most (72.2%) of the respondents had received a doctor of pharmacy degree, and 13.6% had postgraduate year (PGY)1 residency training. The highest reported benefits of PBRN membership were an enhanced relationship with the Purdue University College of Pharmacy (81% agreed or strongly agreed) and enhanced professional development (80% agreed or strongly agreed). Time constraints were identified as the greatest potential barrier to network participation, reported by 62% of respondents. In addition, the majority (59%) of survey respondents identified no prior research experience. Last, respondents' confidence in performing research appeared to increase substantially after becoming network members, with 43% reporting a lack of confidence in engaging in research before joining the network compared with 90% reporting confidence after joining the network. In general, Rx-SafeNet site coordinators appeared to experience increased confidence in research engagement after joining the network. While respondents identified a number of benefits associated with network participation, concerns about potential time constraints remained a key barrier to participation. These findings will assist network leadership in identifying opportunities to positively increase member participation

Evaluation by Expert Dancers of a Robot That Performs Partnered Stepping via Haptic Interaction.

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Tiffany L Chen

Full Text Available Our long-term goal is to enable a robot to engage in partner dance for use in rehabilitation therapy, assessment, diagnosis, and scientific investigations of two-person whole-body motor coordination. Partner dance has been shown to improve balance and gait in people with Parkinson's disease and in older adults, which motivates our work. During partner dance, dance couples rely heavily on haptic interaction to convey motor intent such as speed and direction. In this paper, we investigate the potential for a wheeled mobile robot with a human-like upper-body to perform partnered stepping with people based on the forces applied to its end effectors. Blindfolded expert dancers (N=10 performed a forward/backward walking step to a recorded drum beat while holding the robot's end effectors. We varied the admittance gain of the robot's mobile base controller and the stiffness of the robot's arms. The robot followed the participants with low lag (M=224, SD=194 ms across all trials. High admittance gain and high arm stiffness conditions resulted in significantly improved performance with respect to subjective and objective measures. Biomechanical measures such as the human hand to human sternum distance, center-of-mass of leader to center-of-mass of follower (CoM-CoM distance, and interaction forces correlated with the expert dancers' subjective ratings of their interactions with the robot, which were internally consistent (Cronbach's α=0.92. In response to a final questionnaire, 1/10 expert dancers strongly agreed, 5/10 agreed, and 1/10 disagreed with the statement "The robot was a good follower." 2/10 strongly agreed, 3/10 agreed, and 2/10 disagreed with the statement "The robot was fun to dance with." The remaining participants were neutral with respect to these two questions.

Evaluation by Expert Dancers of a Robot That Performs Partnered Stepping via Haptic Interaction

Science.gov (United States)

Chen, Tiffany L.; Bhattacharjee, Tapomayukh; McKay, J. Lucas; Borinski, Jacquelyn E.; Hackney, Madeleine E.; Ting, Lena H.; Kemp, Charles C.

2015-01-01

Our long-term goal is to enable a robot to engage in partner dance for use in rehabilitation therapy, assessment, diagnosis, and scientific investigations of two-person whole-body motor coordination. Partner dance has been shown to improve balance and gait in people with Parkinson's disease and in older adults, which motivates our work. During partner dance, dance couples rely heavily on haptic interaction to convey motor intent such as speed and direction. In this paper, we investigate the potential for a wheeled mobile robot with a human-like upper-body to perform partnered stepping with people based on the forces applied to its end effectors. Blindfolded expert dancers (N=10) performed a forward/backward walking step to a recorded drum beat while holding the robot's end effectors. We varied the admittance gain of the robot's mobile base controller and the stiffness of the robot's arms. The robot followed the participants with low lag (M=224, SD=194 ms) across all trials. High admittance gain and high arm stiffness conditions resulted in significantly improved performance with respect to subjective and objective measures. Biomechanical measures such as the human hand to human sternum distance, center-of-mass of leader to center-of-mass of follower (CoM-CoM) distance, and interaction forces correlated with the expert dancers' subjective ratings of their interactions with the robot, which were internally consistent (Cronbach's α=0.92). In response to a final questionnaire, 1/10 expert dancers strongly agreed, 5/10 agreed, and 1/10 disagreed with the statement "The robot was a good follower." 2/10 strongly agreed, 3/10 agreed, and 2/10 disagreed with the statement "The robot was fun to dance with." The remaining participants were neutral with respect to these two questions. PMID:25993099

What do medical students know about e-cigarettes? A cross-sectional survey from one U.S. medical school.

Science.gov (United States)

Hinderaker, Katie; Power, David V; Allen, Sharon; Parker, Ellen; Okuyemi, Kolawole

2018-03-02

Although electronic cigarette (e-cigarette) use has rapidly increased, there is little data about what United States medical students know or are taught about them. This study examined medical students' experiences, knowledge, and attitudes regarding e-cigarettes, as well as their evaluation of their education on e-cigarettes. A cross-sectional online survey of medical students currently enrolled at the University of Minnesota Medical School (n = 984) was conducted over a three-week period in August and September 2015. Primary outcomes included students' personal experiences with e-cigarettes, knowledge and attitudes about e-cigarettes, and students' assessment of their education on e-cigarettes. 66.9% medical students completed the survey. 58% (n = 382) of participants identified as female. 35.8% (n = 235) were "not sure" whether e-cigarettes were approved by the FDA for smoking cessation, while 4.1% (n = 27) falsely believed they were. While 82.9% (n = 543) agreed or strongly agreed that they felt confident in their ability to discuss traditional cigarette use with patients, only 12.4% (n = 81) agreed or strongly agreed that they felt confident in their ability to discuss e-cigarettes with patients. 94.8% (n = 619) of participants believed that they had not received adequate education about e-cigarettes in medical school. A higher proportion of males reported ever using an e-cigarette. The gaps in medical student knowledge and wide variances in attitudes about e-cigarettes at one medical school together with their report of inadequate education in an environment of increasing use of e-cigarette use in the U.S. speaks to a need for the development of medical school curriculum on e-cigarettes.

Use of Patient-Authored Prehistory to Improve Patient Experiences and Accommodate Federal Law.

Science.gov (United States)

Warner, Michael J; Simunich, Thomas J; Warner, Margaret K; Dado, Joseph

2017-02-01

Although federal law grants patients the right to view and amend their medical records, few studies have proposed a process for patients to coauthor their subjective history in their medical record. Allowing patients to fully disclose and document their medical history is an important step to improve the diagnostic process. To evaluate patients' office experience before and after they authored their subjective medical history for the electronic health record. Patients were mailed a prehistory form and presurvey to be completed before their family medicine office visit. On arrival to the office, the prehistory form was scanned into the electronic health record while the content was transcribed by hospital staff into the appropriate fields in the history component of the encounter note. Postsurveys were given to patients to be completed after their visit. Pre- and postsurveys measured the patients' perception of office visit quality as well as completeness and accuracy of their electronic health record documentation before and after their appointment. Medical staff surveys were collected weekly to measure the staff's viewpoint of the federal law that allows patients to view and amend their medical records. Of 405 patients who were asked to participate, 263 patients aged 14 to 94 years completed a presurvey and a prehistory form. Of those 263 patients, 134 completed a postsurvey. The pre- and postsurveys showed improved patient satisfaction with the office visit and high scores for documentation accuracy and completeness. Before filling out the prehistory form, 116 of 249 patients (46.6%) agreed or strongly agreed that they felt more empowered in their health care by completing the prehistory form compared with 110 of 131 (84.0%) who agreed or strongly agreed after the visit (Pprehistory form beforehand to improve the patient experience while accommodating federal law.

Medical Student–Reported Outcomes of a Radiation Oncologist–Led Preclinical Course in Oncology: A Five-Year Analysis

International Nuclear Information System (INIS)

Agarwal, Ankit; Koottappillil, Brian; Shah, Bhartesh; Ahuja, Divya; Hirsch, Ariel E.

2015-01-01

Purpose: There is a recognized need for more robust training in oncology for medical students. At our institution, we have offered a core dedicated oncology block, led by a radiation oncologist course director, during the second year of the medical school curriculum since the 2008-2009 academic year. Herein, we report the outcomes of the oncology block over the past 5 years through an analysis of student perceptions of the course, both immediately after completion of the block and in the third year. Methods and Materials: We analyzed 2 separate surveys. The first assessed student impressions of how well the course met each of the course's learning objectives through a survey that was administered to students immediately after the oncology block in 2012. The second was administered after students completed the oncology block during the required radiology clerkship in the third year. All questions used a 5-level Likert scale and were analyzed by use of a Wilcoxon signed-rank test. Results: Of the 169 students who took the oncology course in 2012, 127 (75.1%) completed the course feedback survey. Over 73% of students agreed or strongly agreed that the course met its 3 learning objectives. Of the 699 medical students who took the required radiology clerkship between 2010 and 2013, 538 participated in the second survey, for a total response rate of 77%. Of these students, 368 (68.4%) agreed or strongly agreed that the course was effective in contributing to their overall medical education. Conclusion: Student perceptions of the oncology block are favorable and have improved across multiple categories since the inception of the course. Students self-reported that a dedicated preclinical oncology block was effective in helping identify the basics of cancer therapy and laying the foundation for clinical electives in oncology, including radiation oncology

Marketing ethics, functions, and content: a health education/marketing survey.

Science.gov (United States)

Cooper, P D; King, K K

1985-01-01

Survey data were used to evaluate the role of marketing in the nonprofit arena of health promotion. Questionnaires utilizing a Likert type scale were sent to 106 marketers and 247 health educators soliciting their opinions about health care marketing. Both groups agreed that marketing was appropriate for both profit and non-profit organizations, but were not in total agreement on specific aspects of the marketing process. Marketers were adamant that marketing is not confined to promotional, advertising and communication functions, while health educators were neutral. Marketers were strong in their disagreement that marketing is selling; health educators were still neutral but in slight disagreement. Marketers did not believe that marketing uses gimmickry heavily, while health educators agreed that it does use gimmickry. A significant finding from the survey is that the major ethical issue for health educators is their view that marketing manipulates society. Both community and school health educators agreed that using marketing techniques is a step forward manipulation of a society, while the group of marketers disagreed.

College Students in an Experimental Study Took Longer to Achieve Comprehension when Instant Messaging while Reading. A Review of: Bowman, L. L., Levine, L. E., Waite, B. M., & Gendron, M. (2010. Can students really multitask? An experimental study of instant messaging while reading. Computers & Education, 54, 927-931.

Directory of Open Access Journals (Sweden)

Megan von Isenburg

2010-09-01

use variables were correlated with test performance or reading time and that there were no significant differences between the experimental groups according to prior IM use.Responses from the 77 students who answered the questions about the experiment itself are also included, though not all of these students answered each question. Seventy students (99% agreed or strongly agreed that instructions were clear. Seventy-one percent of the 52 students that received IMs agreed or strongly agreed that they were realistic, and 75% agreed or strongly agreed that they responded to IMs in a typical manner. Sixty-two students (82% agreed or strongly agreed that the text was similar to those assigned for actual coursework, and 39 students (51% agreed or strongly agreed that the passage was interesting. Students commented on the authenticity of the experiment in free text responses such as, “I responded how I would have to anyone,” and “they were questions that anyone I don’t know might ask.”Conclusion – This experimental study suggests that students who IM while reading will perform as well but take longer to complete the task than those who do not IM while reading or those students who IM before reading.

Deeply virtual Compton scattering from gauge/gravity duality

Energy Technology Data Exchange (ETDEWEB)

Costa, Miguel S.; Djuric, Marko [University of Porto (Portugal)

2013-04-15

We use gauge/gravity duality to study deeply virtual Compton scattering (DVCS) in the limit of high center of mass energy at fixed momentum transfer, corresponding to the limit of low Bjorken x, where the process is dominated by the exchange of the pomeron. At strong coupling, the pomeron is described as the graviton Regge trajectory in AdS space, with a hard wall to mimic confinement effects. This model agrees with HERA data in a large kinematical range. The behavior of the DVCS cross section for very high energies, inside saturation, can be explained by a simple AdS black disk model. In a restricted kinematical window, this model agrees with HERA data as well.

Deeply virtual Compton scattering from gauge/gravity duality

International Nuclear Information System (INIS)

Costa, Miguel S.; Djurić, Marko

2013-01-01

We use gauge/gravity duality to study deeply virtual Compton scattering (DVCS) in the limit of high center of mass energy at fixed momentum transfer, corresponding to the limit of low Bjorken x, where the process is dominated by the exchange of the pomeron. At strong coupling, the pomeron is described as the graviton Regge trajectory in AdS space, with a hard wall to mimic confinement effects. This model agrees with HERA data in a large kinematical range. The behavior of the DVCS cross section for very high energies, inside saturation, can be explained by a simple AdS black disk model. In a restricted kinematical window, this model agrees with HERA data as well.

Text messaging as a strategy to address the limits of audio-based communication during mass-gathering events with high ambient noise.

Science.gov (United States)

Lund, Adam; Wong, Daniel; Lewis, Kerrie; Turris, Sheila A; Vaisler, Sean; Gutman, Samuel

2013-02-01

The provision of medical care in environments with high levels of ambient noise (HLAN), such as concerts or sporting events, presents unique communication challenges. Audio transmissions can be incomprehensible to the receivers. Text-based communications may be a valuable primary and/or secondary means of communication in this type of setting. To evaluate the usability of text-based communications in parallel with standard two-way radio communications during mass-gathering (MG) events in the context of HLAN. This Canadian study used outcome survey methods to evaluate the performance of communication devices during MG events. Ten standard commercially available handheld smart phones loaded with basic voice and data plans were assigned to health care providers (HCPs) for use as an adjunct to the medical team's typical radio-based communication. Common text messaging and chat platforms were trialed. Both efficacy and provider satisfaction were evaluated. During a 23-month period, the smart phones were deployed at 17 events with HLAN for a total of 40 event days or approximately 460 hours of active use. Survey responses from health care providers (177) and dispatchers (26) were analyzed. The response rate was unknown due to the method of recruitment. Of the 155 HCP responses to the question measuring difficulty of communication in environments with HLAN, 68.4% agreed that they "occasionally" or "frequently" found it difficult to clearly understand voice communications via two-way radio. Similarly, of the 23 dispatcher responses to the same item, 65.2% of the responses indicated that "occasionally" or "frequently" HLAN negatively affected the ability to communicate clearly with team members. Of the 168 HCP responses to the item assessing whether text-based communication improved the ability to understand and respond to calls when compared to radio alone, 86.3% "agreed" or "strongly agreed" that this was the case. The dispatcher responses (n = 21) to the same item also

The views of doctors in their first year of medical practice on the lasting impact of a preparation for house officer course they undertook as final year medical students.

Science.gov (United States)

Matheson, Catherine B; Matheson, David J; Saunders, John H; Howarth, Claire

2010-06-23

The UK General Medical Council recommends that medical students have the opportunity of shadowing the outgoing new doctor whose post they will soon undertake. At the University of Nottingham the two-week shadowing period was preceded by two weeks of lectures/seminars wherein students followed sessions on topics such as common medical/surgical emergencies, contracts, time management, surviving the first two years of clinical practice, careers advice and so on. The present study aimed to gain a better knowledge and understanding of the lasting impact of a four-week preparation course for new Foundation Year 1 doctors [F1 s - interns]. The objectives chosen to achieve this aim were: 1/ to determine the extent to which the lecture/seminar course and shadowing period achieved their stated aim of smoothing the transition from life as a medical student to work as a new doctor; 2/ to evaluate perceptions of the importance of various forms of knowledge in easing the transition between medical student and new doctor In the spring of 2007, 90 graduates from Nottingham were randomly selected and then emailed a link to a short, online survey of quantitative and qualitative questions. Of these 76 responded. Analysis of quantitative data was carried out using SPSS 16.0 and employed McNemar's test. Analysis of the qualitative data was carried out using the constant comparative method. Only 31% of respondents strongly agreed or agreed that the lecture/seminar part of the course prepared them well for their first FY1 post; 14% agreed that during their first job they drew on the knowledge gained during the lecture/seminar course; 94% strongly agreed or agreed that the shadowing part of the course was more useful than the lecture/seminar part. Experiential knowledge gained in the shadowing was the most highly valued, followed by procedural knowledge with propositional knowledge coming far behind. Our study shows that new doctors retrospectively value most the knowledge they are able

Why companies should value passionate leaders

NARCIS (Netherlands)

D. de Cremer (David)

2010-01-01

textabstractIn times of corporate scandals, companies have a strong motive to create ethical awareness among their employees and increase the effectiveness of fairness policies. Many companies agree with the idea that when establishing an ethical climate, the right type of leadership is needed.

Production and trapping of Na isotopes for beta-decay studies

NARCIS (Netherlands)

Rogachevskiy, Andrey Valerievich

2007-01-01

TRImP is a new facility at KVI, which is presently being completed. The acronym TRImP stands for Trapped Radioactive Isotopes: micro-laboratories for fundamental physics. The Standard Model (SM) quantitatively describes the electroweak and strong interactions. It is agrees very well with

Complementary therapies in social psychiatry

DEFF Research Database (Denmark)

Lunde, Anita; Dürr, Dorte Wiwe

three residential homes (n= 51 / 91 respondents - response rate 56 %) shows that the most common used complementary therapy is music therapy 43%, and only 10% of residents do not use these therapies at all. Overall, 43% of residents strongly agree, that these therapies strengthens their recovery process...

Attitudes of Catholic and Protestant Clergy Toward Euthanasia

Science.gov (United States)

Nagi, Mostafa H.; And Others

1977-01-01

Even though Catholic and Protestant clergymen, in about the same proportions, tend to see the terminal patient as competent to make decisions concerning euthanasia, the two groups, strongly agree that neither the individual patient nor the state should be allowed sole responsibility for the decision. (Author)

Advanced hemodynamic monitoring in intensive care medicine : A German web-based survey study.

Science.gov (United States)

Saugel, B; Reese, P C; Wagner, J Y; Buerke, M; Huber, W; Kluge, S; Prondzinsky, R

2018-04-01

Advanced hemodynamic monitoring is recommended in patients with complex circulatory shock. To evaluate the current attitudes and beliefs among German intensivists, regarding advanced hemodynamic monitoring, the actual hemodynamic management in clinical practice, and the barriers to using it. Web-based survey among members of the German Society of Medical Intensive Care and Emergency Medicine. Of 284 respondents, 249 (87%) agreed that further hemodynamic assessment is needed to determine the type of circulatory shock if no clear clinical diagnosis can be made. In all, 281 (99%) agreed that echocardiography is helpful for this purpose (transpulmonary thermodilution: 225 [79%]; pulmonary artery catheterization: 126 [45%]). More than 70% of respondents agreed that blood flow variables (cardiac output, stroke volume) should be measured in patients with hemodynamic instability. The parameters most respondents agreed should be assessed in a patient with hemodynamic instability were mean arterial pressure, cardiac output, and serum lactate. Echocardiography is available in 99% of ICUs (transpulmonary thermodilution: 91%; pulmonary artery catheter: 63%). The respondents stated that, in clinical practice, invasive arterial pressure measurements and serum lactate measurements are performed in more than 90% of patients with hemodynamic instability (cardiac output monitoring in about 50%; transpulmonary thermodilution in about 40%). The respondents did not feel strong barriers to the use of advanced hemodynamic monitoring in clinical practice. This survey study shows that German intensivists deem advanced hemodynamic assessment necessary for the differential diagnosis of circulatory shock and to guide therapy with fluids, vasopressors, and inotropes in ICU patients.

A practical description and student perspective of the integration of radiology into lower limb musculoskeletal anatomy.

Science.gov (United States)

Davy, S; O'Keeffe, G W; Mahony, N; Phelan, N; Barry, D S

2017-05-01

Anatomy educators are increasing their utilisation of radiology in anatomy education in line with growing requirements for undergraduate radiology competency and clinical need. We aimed to evaluate student perceptions of radiology and to outline the technical and academic considerations underlying the integration of radiology into musculoskeletal practical anatomy sessions. The formal integration of radiology into anatomy practical sessions took place over a 5-week period during the lower limb musculoskeletal component of the anatomy course taught to first-year medical students. During practical sessions, students were required to rotate between aligned audio-visual radiology presentations, osteology/anatomical models, and prosection/dissection learning stations. After completing the course, students were invited to complete a survey to establish their opinions on radiology as a mode of learning and their satisfaction with radiological integration in anatomical practical sessions. Most students were not familiar with radiology prior to attending our university. All our students agreed or strongly agreed that learning to read radiographs in anatomy is important and most agreed that radiology is a valid assessment tool. Sixty percent stated that radiology facilitated their understanding of anatomy. The majority believed that radiology was best suited to clinically relevant anatomy and X-rays were their preferred learning tool. The practical approach to integrating radiology into undergraduate musculoskeletal anatomy described here did not place strain on existing academic resources. Most students agreed that radiology should be increased in anatomy education and that learning to understand radiographs in anatomy was important for clinical practice.

Breast milk banking: current opinion and practice in Australian neonatal intensive care units.

Science.gov (United States)

Lam, Eva Y; Kecskés, Zsuzsoka; Abdel-Latif, Mohamed E

2012-09-01

To find out the knowledge and attitudes of health-care professionals (HCPs) in Australian neonatal intensive care units (NICUs) towards breast milk banking (BMBg) and pasteurised donated breast milk (PDBM). Cross-sectional structured survey of HCPs in all 25 NICUs in Australia. Response rate was 43.4% (n= 358 of 825). Participants included nurses and midwives (291, 81.3%) and the remainder were neonatologists and neonatal trainees (67, 18.7%). A variable number of HCPs agreed that PDBM would decrease the risk of necrotising enterocolitis (81%) and allergies (48.9%), 8.4% thought PDBM will carry risk of infections and 78.8% agreed that PDBM is preferable over formula, but only 67.5% thought that establishing breast milk banks (BMBs) are justifiable. Significant differences were found between doctors and nurses/midwives, with 19.4% of doctors compared with 5.8% of nurses/midwives agreed that PDBM carried an increased risk of infection. Although, over 90% of nurses/midwives and 70% of doctors agreed that the donation of breast milk is important, only 71% of nurses/midwives and 52.2% of doctors thought that setting up a BMB was justifiable. The opinions about BMBg differ widely between HCPs; however, the majority support the practice. HCPs had different knowledge gaps in regard to BMBg. Nurses/midwives positively view the practice of BMBg more strongly compared with neonatologists. © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Guide to managing persistent upper gastrointestinal symptoms during and after treatment for cancer.

Science.gov (United States)

Andreyev, H Jervoise N; Muls, Ann C; Shaw, Clare; Jackson, Richard R; Gee, Caroline; Vyoral, Susan; Davies, Andrew R

2017-10-01

Guidance : the practical management of the gastrointestinal symptoms of pelvic radiation disease was published in 2014 for a multidisciplinary audience. Following this, a companion guide to managing upper gastrointestinal (GI) consequences was developed. The development and peer review of an algorithm which could be accessible to all types of clinicians working with patients experiencing upper GI symptoms following cancer treatment. Experts who manage patients with upper GI symptoms were asked to review the guide, rating each section for agreement with the recommended measures and suggesting amendments if necessary. Specific comments were discussed and incorporated as appropriate, and this process was repeated for a second round of review. 21 gastroenterologists, 11 upper GI surgeons, 9 specialist dietitians, 8 clinical nurse specialists, 5 clinical oncologists, 3 medical oncologists and 4 others participated in the review. Consensus (defined prospectively as 60% or more panellists selecting 'strongly agree' or 'agree') was reached for all of the original 31 sections in the guide, with a median of 90%. 85% of panellists agreed that the guide was acceptable for publication or acceptable with minor revisions. 56 of the original 61 panellists participated in round 2. 93% agreed it was acceptable for publication after the first revision. Further minor amendments were made in response to round 2. Feedback from the panel of experts developed the guide with improvement of occasional algorithmic steps, a more user-friendly layout, clearer time frames for referral to other teams and addition of procedures to the appendix.

Evaluation of Worktext in Mechanical Drafting

Directory of Open Access Journals (Sweden)

Erich D. Cruz

2015-11-01

Full Text Available This study aimed to evaluate Worktext in Drafting Technology 4 (Mechanical Drafting for Bachelor of Technology (BT major in Drafting Technology. It was conducted at University of Rizal System with twenty Drafting and Mechanical Technology professors as respondents. The study used the descriptive evaluative method to describe and evaluate the developed Worktext in DT 4 using the questionnaire-checklist in gathering data. They were asked to evaluate the worktext through the following: objectives, contents, activities, presentation and style, organization, creativity, evaluation, accuracy, completeness and appropriateness. It was found out that the developed worktext with respect to objectives was highly agree, contents was highly agree, activities was highly agree, presentation and style was agree, creativity was highly agree and evaluation was highly agree. Meaning that the items with highly agree interpretations attained excellent level of acceptability while those with agree interpretations obtained extensive level of acceptability with fully achieved and above average Drafting standards, respectively. It was also found out that the developed worktext in terms of accuracy was high, completeness was very high and appropriateness was likewise very high. The researcher recommends that the developed Worktext in Drafting Technology 4 may be adopted for use by the Bachelor of Technology major in Drafting Technology students.

Impact of the Use of a Standardized Guidance Tool on the Development of a Teaching Philosophy in a Pharmacy Residency Teaching and Learning Curriculum Program

Science.gov (United States)

Wesner, Amber R.; Jones, Ryan; Schultz, Karen; Johnson, Mark

2016-01-01

The purpose of this study was to evaluate the impact of a standardized reflection tool on the development of a teaching philosophy statement in a pharmacy residency teaching and learning curriculum program (RTLCP). Pharmacy residents participating in the RTLCP over a two-year period were surveyed using a pre/post method to assess perceptions of teaching philosophy development before and after using the tool. Responses were assessed using a 5-point Likert scale to indicate level of agreement with each statement. For analysis, responses were divided into high (strongly agree/agree) and low (neutral/disagree/strongly disagree) agreement. The level of agreement increased significantly for all items surveyed (p philosophy, and 96% responding that the resulting teaching philosophy statement fully reflected their views on teaching and learning. The standardized reflection tool developed at Shenandoah University assisted pharmacy residents enrolled in a teaching and learning curriculum program to draft a comprehensive teaching philosophy statement, and was well received by participants. PMID:28970382

Precious metals in SDSS quasar spectra. II. Tracking the evolution of strong, 0.4 < z < 2.3 Mg II absorbers with thousands of systems

International Nuclear Information System (INIS)

Seyffert, Eduardo N.; Simcoe, Robert A.; Cooksey, Kathy L.; O'Meara, John M.; Kao, Melodie M.; Prochaska, J. Xavier

2013-01-01

We have performed an analysis of over 34,000 Mg II doublets at 0.36 < z < 2.29 in Sloan Digital Sky Survey (SDSS) Data Release 7 quasar spectra; the catalog, advanced data products, and tools for analysis are publicly available. The catalog was divided into 14 small redshift bins with roughly 2500 doublets in each and from Monte Carlo simulations, we estimate 50% completeness at rest equivalent width W r ≈ 0.8 Å. The equivalent width frequency distribution is described well by an exponential model at all redshifts, and the distribution becomes flatter with increasing redshift, i.e., there are more strong systems relative to weak ones. Direct comparison with previous SDSS Mg II surveys reveals that we recover at least 70% of the doublets in these other catalogs, in addition to detecting thousands of new systems. We discuss how these surveys came by their different results, which qualitatively agree but because of the very small uncertainties, differ by a statistically significant amount. The estimated physical cross section of Mg II-absorbing galaxy halos increased approximately threefold from z = 0.4 to z = 2.3, while the W r ≥ 1 Å absorber line density, dN MgII /dX, grew by roughly 45%. Finally, we explore the different evolution of various absorber populations—damped Lyα absorbers, Lyman limit systems, strong C IV absorbers, and strong and weaker Mg II systems—across cosmic time (0 < z < 6).

Theoretical melting curve of caesium

International Nuclear Information System (INIS)

Simozar, S.; Girifalco, L.A.; Pennsylvania Univ., Philadelphia

1983-01-01

A statistical-mechanical model is developed to account for the complex melting curve of caesium. The model assumes the existence of three different species of caesium defined by three different electronic states. On the basis of this model, the free energy of melting and the melting curve are computed up to 60 kbar, using the solid-state data and the initial slope of the fusion curve as input parameters. The calculated phase diagram agrees with experiment to within the experimental error. Other thermodynamic properties including the entropy and volume of melting were also computed, and they agree with experiment. Since the theory requires only one adjustable constant, this is taken as strong evidence that the three-species model is satisfactory for caesium. (author)

A Critical Review of Low Back Pain Guidelines.

Science.gov (United States)

Chetty, Laran

2017-09-01

Low back pain (LBP) remains one of the most common and challenging musculoskeletal conditions encountered by health care professionals and is a leading cause of absenteeism. Clinical guidelines are often considered best evidence in health care. The aim of this critical review was to assess the quality and recommendations of LBP guidelines using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. Electronic databases were used to identify LBP guidelines published between 2000 and 2015. Nine guidelines were selected for review from a total of 17. Only five guidelines effectively addressed the AGREE scoring. On the basis of the appraisal and domain scores, only four guidelines were strongly recommended. Improved translation of research evidence from guidelines to clinical practice is needed.

The nature of the european leadership crisis and how to solve it

NARCIS (Netherlands)

Van Esch, Femke

2017-01-01

Observers of the European Union (EU) agree that it suffers from a leadership crisis. However, diagnoses of the precise nature of this crisis vary: some lament the lack of strong, visionary leaders, while others argue that the EU suffers from too much elite leadership. This article takes issue with

78 FR 16752 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; International...

Science.gov (United States)

2013-03-18

... firms have indicated a preference that the premium pricing for Mini Options match what is currently... that they strongly agree with CBOE's request to mimic the pricing convention of standard options with mini-option contract pricing and note that they believe it is appropriate to allow penny-pricing for...

Selling a gun to a stranger without a background check: acceptable behaviour?

Science.gov (United States)

Hemenway, David; Azrael, Deborah; Miller, Matthew

2017-06-24

One way that guns get into the wrong hands is via gun sales without a background check. While the large majority of Americans support laws requiring universal background checks, no prior study has assessed whether Americans think it is acceptable behaviour to sell a gun to a stranger without a background check, whether or not there is a law against it. We sponsored a nationally representative survey of over 3900 American adults, oversampling gun owners, using an online panel provided by the survey firm Growth for Knowledge. Over 72% of American adults agree or strongly agree with the statement that 'whether it is legal or not, it is NOT acceptable to sell a gun to a stranger without a background check' and 11% disagree or strongly disagree. Subgroups less likely to agree are young adults, men, conservatives, those with less than a high school education and gun owners. Reducing the number of guns sold without a background check could help reduce the flow of guns to felons. Changes in normative attitudes and behaviours, as well as changes in law, could help accomplish this goal. Most Americans, including gun owners, believe selling a gun to a stranger without a background check is not acceptable behaviour. © 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.

Use of the film The Bridge to augment the suicide curriculum in undergraduate medical education.

Science.gov (United States)

Retamero, Carolina; Walsh, Leorah; Otero-Perez, Guillermo

2014-10-01

The purpose of this study was to evaluate the use and reception of the movie The Bridge as complementary to the suicide curriculum of medical students. One hundred eighty second-year medical students watched The Bridge as a part of the neuroscience curriculum in understanding suicide. They completed a pre- and post-movie survey regarding the understanding of suicide risk, reasons for suicide, prevention of suicide, and impact of suicide on surviving families. The percentage of answers in categories agree, strongly agree, disagree, and strongly disagree were calculated. The significance of results was calculated using paired t tests. Students were also asked to comment on the movie. The comments were grouped according to themes, and the percentages of comments on each theme were calculated. Students consistently reported they found watching the movie The Bridge to be valuable. Students were very receptive to the idea of using a movie to augment instruction on suicide and agreed that it reinforced concepts used in lecture. They also believed that The Bridge should be shown to people in the medical field, and more than 80 % of students had detailed comments to make about one or more people in the story or about the story in general. The Bridge represents a useful method for instructing students and residents on suicide and has utility in medical education. It can and should be used alongside lectures for assisting in education about suicide.

Training infection control and hospital hygiene professionals in Europe, 2010: agreed core competencies among 33 European countries.

Science.gov (United States)

Brusaferro, S; Cookson, B; Kalenic, S; Cooper, T; Fabry, J; Gallagher, R; Hartemann, P; Mannerquist, K; Popp, W; Privitera, G; Ruef, C; Viale, P; Coiz, F; Fabbro, E; Suetens, C; Varela Santos, C

2014-12-11

The harmonisation of training programmes for infection control and hospital hygiene (IC/HH) professionals in Europe is a requirement of the Council recommendation on patient safety. The European Centre for Disease Prevention and Control commissioned the 'Training Infection Control in Europe' project to develop a consensus on core competencies for IC/HH professionals in the European Union (EU). Core competencies were drafted on the basis of the Improving Patient Safety in Europe (IPSE) project's core curriculum (CC), evaluated by questionnaire and approved by National Representatives (NRs) for IC/HH training. NRs also re-assessed the status of IC/HH training in European countries in 2010 in comparison with the situation before the IPSE CC in 2006. The IPSE CC had been used to develop or update 28 of 51 IC/HH courses. Only 10 of 33 countries offered training and qualification for IC/HH doctors and nurses. The proposed core competencies are structured in four areas and 16 professional tasks at junior and senior level. They form a reference for standardisation of IC/HH professional competencies and support recognition of training initiatives.

President Ilves : we can agree upon a common future : TV address, 2 May 2007 / Toomas Hendrik Ilves

Index Scriptorium Estoniae

Ilves, Toomas Hendrik, 1953-

2008-01-01

President Toomas Hendrik Ilves ütleb oma avalduses, et Euroopas on kombeks lahendada erimeelsusi diplomaatide ja poliitikute kaudu, mitte tänavatel ja arvutisõjas. President kutsub üles kõiki kaasmaalasi Eesti riiki enda omaks pidama ning Venemaad tsiviliseeritult käituma

Do X-ray diagnosis and endoscopic findings agree in the case of Ulcus ventriculi and Ulcus duodeni?

International Nuclear Information System (INIS)

Kary, D.

1982-01-01

The goal of this work is a correlation of the radiological and endoscopic findings of a university clinic in cases of stomach and duodenal ulcers. The sensitivity of the radiological examinations with Ulcus ventriculi, respectively duodeni, was 89%, respectively 91%; the specificity was 74%, respectively 85%. From these results suggestions were made for the use of endoscopy with radiologically diagnosed ulcers of the duodenum or stomach. Whereas the endoscopy is superior for the recognition of florid ulcers in a deformed Bulbus duodeni, radiology is superior in determining sinus developments, stenotic areas and the extent of an evacuation disturbance. A proper diagnosis is made possible by a purposeful combination of radiological and endoscopic-bioptic methods. (TRV) [de

The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study.

Science.gov (United States)

Mokkink, Lidwine B; Terwee, Caroline B; Patrick, Donald L; Alonso, Jordi; Stratford, Paul W; Knol, Dirk L; Bouter, Lex M; de Vet, Henrica C W

2010-05-01

Aim of the COSMIN study (COnsensus-based Standards for the selection of health status Measurement INstruments) was to develop a consensus-based checklist to evaluate the methodological quality of studies on measurement properties. We present the COSMIN checklist and the agreement of the panel on the items of the checklist. A four-round Delphi study was performed with international experts (psychologists, epidemiologists, statisticians and clinicians). Of the 91 invited experts, 57 agreed to participate (63%). Panel members were asked to rate their (dis)agreement with each proposal on a five-point scale. Consensus was considered to be reached when at least 67% of the panel members indicated 'agree' or 'strongly agree'. Consensus was reached on the inclusion of the following measurement properties: internal consistency, reliability, measurement error, content validity (including face validity), construct validity (including structural validity, hypotheses testing and cross-cultural validity), criterion validity, responsiveness, and interpretability. The latter was not considered a measurement property. The panel also reached consensus on how these properties should be assessed. The resulting COSMIN checklist could be useful when selecting a measurement instrument, peer-reviewing a manuscript, designing or reporting a study on measurement properties, or for educational purposes.

Show Horse Welfare: Horse Show Competitors' Understanding, Awareness, and Perceptions of Equine Welfare.

Science.gov (United States)

Voigt, Melissa A; Hiney, Kristina; Richardson, Jennifer C; Waite, Karen; Borron, Abigail; Brady, Colleen M

2016-01-01

The purpose of this study was to gain a better understanding of stock-type horse show competitors' understanding of welfare and level of concern for stock-type show horses' welfare. Data were collected through an online questionnaire that included questions relating to (a) interest and general understanding of horse welfare, (b) welfare concerns of the horse show industry and specifically the stock-type horse show industry, (c) decision-making influences, and (d) level of empathic characteristics. The majority of respondents indicated they agree or strongly agree that physical metrics should be a factor when assessing horse welfare, while fewer agreed that behavioral and mental metrics should be a factor. Respondent empathy levels were moderate to high and were positively correlated with the belief that mental and behavioral metrics should be a factor in assessing horse welfare. Respondents indicated the inhumane practices that most often occur at stock-type shows include excessive jerking on reins, excessive spurring, and induced excessive unnatural movement. Additionally, respondents indicated association rules, hired trainers, and hired riding instructors are the most influential regarding the decisions they make related to their horses' care and treatment.

Komitmen Sebagai Mediator Pengaruh Iklim Inovatif dan Kecocokan Individu‐Tim Terhadap Kinerja

Directory of Open Access Journals (Sweden)

- Sugiyanto

2015-11-01

point scale response ranging from 1 (not very important at all or strongly disagree to 5 (very important or strongly agree. Respondents were 203 university students. Data was analyzed using hierarchical multiple regression analyses.Results showed that the three components of organizational commitment were not significant mediator of the effects of innovative climate and person‐team fit on performance. Theoretical and methodological rinterpretations were discussed regarding the next designs of study.

Financial and economic implications of solid waste management in ...

African Journals Online (AJOL)

Descriptively, a large proportion of respondents strongly agreed that solid waste management has significant effect on internally generated revenue (IGR) and youth employment in the state. Consistently, the computed Z values laid between -1.96 and 1.96 of their critical values implying the acceptance of the two alternative ...

Motivations of Volunteer Leaders in an Extension Exercise Program

Science.gov (United States)

Washburn, Lisa T.; Cornell, Carol E.; Traywick, LaVona; Felix, Holly C.; Phillips, Martha

2015-01-01

This article describes findings from a qualitative study of volunteer leaders in the StrongWomen strength training program in Arkansas. The study explored reasons volunteers initially agreed to serve, perceptions of volunteer role, and motivations for continuing to lead strength training groups long-term. Findings suggest a combination of factors…

Misprescribing controlled substances: An evaluation of a professional development program.

Science.gov (United States)

Dewey, Charlene M; Ghulyan, Marine V; Swiggart, William H

2016-01-01

Controlled prescription drug (CPD) abuse has reached epidemic proportions in the United States. Most physicians attending a 3-day continuing medical education (CME) professional development program (PDP) lack training in identifying risk and in managing patients who misuse CPDs. To address this issue, the authors conducted an evaluation of a PDP that trains physicians on proper prescribing, identifying substance abuse, utilizing screening, brief intervention, and referral to treatment (SBIRT), and implementing motivational interviewing (MI). The authors conducted a program evaluation to assess the efficacy and impact of the PDP on physicians' knowledge and prescribing behaviors. Participants (N = 174) were typically middle-aged (average age of 53 years), male (89%), and physicians (82%) and other health care professionals (18%). Many physicians practice in solo primary care settings (46%). Course evaluations were completed by n = 155 (89%) participants who rated the course and presenters highly (mean 4.8/5 respectively). Physicians' knowledge scores on pre/post assessments increased significantly: pretest (M = 58.7, SD = 13.12) and posttest (M = 78.28, SD = 9.83) (t(173) = 20.06, P ≤ .0001, 95% confidence interval, CI: [-21.51, -17.65]). Almost half of the participants, n = 83/174 (48%), completed the follow-up survey, and 93% agreed/strongly agreed (A/SA) they made professional practice changes. Of participants practicing with an active DEA (Drug Enforcement Administration) registration (n = 57), most agreed/strongly agreed they implemented changes to align their practices with current guidelines (89%), used CPD more appropriately (87%), implemented office policies on prescribing (81%), identified and referred more substance abuse patients to treatment (80%), shared new information/experience from course with other 25 health professionals (93%), and felt the course positively impacted their behaviors personally and professionally (90% and 96%, respectively

The definition and application of Pilates exercise to treat people with chronic low back pain: a Delphi survey of Australian physical therapists.

Science.gov (United States)

Wells, Cherie; Kolt, Gregory S; Marshall, Paul; Bialocerkowski, Andrea

2014-06-01

Pilates exercise is recommended for people with chronic low back pain (CLBP). In the literature, however, Pilates exercise is described and applied differently to treat people with CLBP. These differences in the definition and application of Pilates exercise make it difficult to evaluate its effectiveness. The aim of this study was to establish consensus regarding the definition and application of Pilates exercise to treat people with CLBP. A panel of Australian physical therapists who are experienced in treating people with CLBP using Pilates exercise were surveyed using the Delphi technique. Three electronic questionnaires were used to collect the respondents' opinions. Answers to open-ended questions were analyzed thematically, combined with systematic literature review findings, and translated into statements about Pilates exercise for people with CLBP. Participants then rated their level of agreement with these statements using a 6-point Likert scale. Consensus was achieved when 70% of the panel members strongly agreed, agreed, or somewhat agreed (or strongly disagreed, disagreed, or somewhat disagreed) with an item. Thirty physical therapists completed all 3 questionnaires and reached consensus on the majority of items. Participants agreed that Pilates exercise requires body awareness, breathing, movement control, posture, and education. It was recommended that people with CLBP should undertake supervised sessions for 30 to 60 minutes, twice per week, for 3 to 6 months. Participants also suggested that people with CLBP would benefit from individualized assessment and exercise prescription, supervision and functional integration of exercises, and use of specialized equipment. Item consensus does not guarantee the accuracy of findings. This survey reflects the opinion of only 30 physical therapists and requires validation in future trials. These findings contribute to a better understanding of Pilates exercise and how it is utilized by physical therapists to

The Shoulder Objective Practical Assessment Tool: Evaluation of a New Tool Assessing Residents Learning in Diagnostic Shoulder Arthroscopy.

Science.gov (United States)

Talbot, Christopher L; Holt, Edward M; Gooding, Benjamin W T; Tennent, Thomas D; Foden, Philip

2015-08-01

To design and validate an objective practical assessment tool for diagnostic shoulder arthroscopy that would provide residents with a method to evaluate their progression in this field of surgery and to identify specific learning needs. We designed and evaluated the shoulder Objective Practical Assessment Tool (OPAT). The shoulder OPAT was designed by us, and scoring domains were created using a Delphi process. The shoulder OPAT was trialed by members of the British Elbow & Shoulder Society Education Committee for internal consistency and ease of use before being offered to other trainers and residents. Inter-rater reliability and intrarater reliability were calculated. One hundred forty orthopaedic residents, of varying seniority, within 5 training regions in the United Kingdom, were questioned regarding the tool. A pilot study of 6 residents was undertaken. Internal consistency was 0.77 (standardized Cronbach α). Inter-rater reliability was 0.60, and intrarater reliability was 0.82. The Spearman correlation coefficient (r) between the global summary score for the shoulder OPAT and the current assessment tool used in postgraduate training for orthopaedic residents undertaking diagnostic shoulder arthroscopy equaled 0.74. Of the residents, 82% agreed or strongly agreed when asked if the shoulder OPAT would be a useful tool in monitoring progression and 72% agreed or strongly agreed with the introduction of the shoulder OPAT within the orthopaedic domain. This study shows that the shoulder OPAT fulfills several aspects of reliability and validity when tested. Despite the inter-rater reliability being 0.60, we believe that the shoulder OPAT has the potential to play a role alongside the current assessment tool in the training of orthopaedic residents. The shoulder OPAT can be used to assess residents during shoulder arthroscopy and has the potential for use in medical education, as well as arthroscopic skills training in the operating theater. Copyright © 2015

Exploring the views and experiences of callers to the PANDA Post and Antenatal Depression Association Australian National Perinatal Depression Helpline: a cross-sectional survey.

Science.gov (United States)

Biggs, Laura J; Shafiei, Touran; Forster, Della A; Small, Rhonda; McLachlan, Helen L

2015-09-07

Anxiety and depression are common in the perinatal period. Telephone interventions, including telephone peer support and counselling, have been developed to support those experiencing perinatal mental illness. PANDA Post and Antenatal Depression Association provides support to women and men experiencing perinatal mental illness via the Australian National Perinatal Depression Helpline, encompassing both volunteer peer support and professional counselling. This study aimed to explore the experiences of callers to the Helpline. A cross-sectional survey design was used. All new callers from 1(st) May to 30(th) September 2013 were invited to participate. The survey, adapted from a previous survey of PANDA callers, included 23 questions using Likert-type scales, demographic and open-ended questions. Thematic network analysis was undertaken for responses to open-ended questions. 124 responses were received (124/405; 30% response). The majority of callers had called the Helpline regarding themselves (90%), with over one third (33%) of all callers seeking crisis support and help. Ninety-nine per cent of respondents 'agreed' or 'strongly agreed' that staff and/or volunteers understood their concerns, and 97% 'agreed' or 'strongly agreed' that overall PANDA had helped them. Callers described the PANDA service as uniquely tailored to the perinatal period, providing accessible, non-judgemental understanding and support, with a global theme from open-ended comments describing PANDA as 'a safe space to be heard and receive support without judgement'. Recommendations for service changes included increased hours of availability. Callers reported positive experiences of accessing support from the PANDA National Perinatal Depression Helpline. The Helpline was described as an accessible and acceptable telephone support for individuals experiencing perinatal mental illness. Recommendations for changes to the service included an increase in hours of operation to enable greater

Like the Other Kings Have: A Theory of Sovereignty and the Persistence of Inequality in Education

Science.gov (United States)

Senese, Guy; Wood, Gerald

2009-01-01

Public education discourse is dominated by nostalgia for an idea of humanity, which has existed more strongly in high culture discourse than it has in public schools. Political liberal and conservative discourses agree that the process of compulsory public education is an expression of the state as it works to justly distribute "life…

Students Communicate their Professional Passion through Pecha Kucha

DEFF Research Database (Denmark)

Ringby, Betina

evaluation was carried out. A total of 87 students (26% male, 74% female) responded out of 155. Findings More than 55% of the respondents stated: ‘I strongly agree or ‘To some degree’ that it was personally challenging to create and present the Pecha Kucha, that creating and presenting was a rewarding...

The Potential of Neuroscience for Health Sciences Education: Towards Convergence of Evidence and Resisting Seductive Allure

Science.gov (United States)

de Bruin, Anique B. H.

2016-01-01

Since emergence of the field "Educational Neuroscience" (EN) in the late nineties of the previous century, a debate has emerged about the potential this field holds to influence teaching and learning in the classroom. By now, most agree that the original claims promising direct translations to teaching and learning were too strong. I…

Dipole-Assisted Self-Assembly of Light-Emitting p-nP Needles on Mica

DEFF Research Database (Denmark)

Balzer, Frank; Rubahn, Horst-Günter

2001-01-01

molecules oriented along the direction of microscopic dipoles on the mica surface. They have submicrometer cross-sectional dimensions and lengths as large as millimeters. Moreover, due to the strong dipole confinement of individual molecules, the needles form large domains with parallel oriented entities....... A pronounced optical dichroism agrees with the findings from LEED....

Finite size vertex correction to the strong decay of ηc and χc states and a determination of αs(mc)

International Nuclear Information System (INIS)

Ping Ronggang; Jiang Huanqing; Zou Bingsong

2002-01-01

In previous calculations of the strong decay of a charmonium, the first-order momentum dependence of the quark propagator is kept. It was found that the finite-size vertex correction to the Γ(J/ψ→3g) process is large. The authors calculate the two-gluon decay widths of η e , χ c0 and χ c2 by including the full momentum dependence of the quark propagator. Comparing to the zero-order calculation the authors find that the finite-size vertex correction factor to the two-gluon decay widths of η c is 1.32, and for the two-gluon decays of χ c0 and χ c2 , the vertex correction factors are 1.45 and 1.26, respectively. With the corrected decay widths Γ(η c →2g) authors extract the value as α s (m c ) = 0.28 +- 0.05 which agrees with that calculated from the Γ(J/ψ→3g) process with the same correction. The finite-size vertex correction to the process Γ(η c →3g) is not as large as that to the process Γ(J/ψ→3g)

7 CFR 20.4 - Definitions.

Science.gov (United States)

2010-01-01

... buyer. (c) Commodity. Wheat and wheat flour, feed grains, oilseeds, cotton, rice, cattle hides and skins... agrees to export the commodity, (2) the foreign buyer agrees to receive the commodity, (3) a fixed price or an agreed upon mechanism by which such a price can be determined is established, and (4) payment...

Mineralogy: a modern approach to teaching a traditional discipline

Science.gov (United States)

Cook, G. W.

2011-12-01

crystallography) in order to keep students actively involved. Open dialogue throughout the lecture between instructor and student stimulates questions and conversation regarding the material and encourages participation. Students also learn to operate the Rigaku XRD instrument, are introduced to the SEM, and use a variety of computer programs in assignments and projects. Throughout the class, I use scaffolding to emphasize and re-emphasize key concepts while maintaining a solid level of challenge and rigor as we progress through the topics. Student learning and comprehension has been maximized using a dynamic approach to teaching Mineralogy that combines old and new. In a recent Mineralogy class at UCSD that used the aforementioned techniques, students reported a high degree of satisfaction and learning: 100% strongly agreed (the highest rating) that lectures held their attention, that the course material was explained well, and recommended the course to others. 92% of students strongly agreed and 8% agreed that they learned a great deal from the course, and 85% of the students strongly agreed and 15% agreed that the course material was intellectually stimulating.

Effect of Appropriate Marketing Mix Strategies on Iranian Protein Products Export Performance

OpenAIRE

Hossein Rezaie Dolatabadi; Mohammad Hossein Forghani; Seyed Mehdi Tabatabaee; Fatemeh Faghani

2013-01-01

The purpose of the present paper is to examine effect of effect of appropriate marketing mix strategies on Iranian protein products export performance. 4P (Price, Product, Place, Promotion) were selected as marketing strategies. The data used to test the hypotheses were collected through an online standard questionnaire. The respondents were asked to rate on the scale between strongly agree and strongly Disagree. Reliability of questionnaire was measured using Cronbach Coefficient Alpha. The ...

Secondary Students’ Environmental Attitudes: The Case of Environmental Education in Bangladesh

OpenAIRE

Mahbub Sarkar

2011-01-01

This paper examined secondary students’ environmental attitudes in Bangladesh by employing a standardized environmental attitude scale. The scale consisted of 15 questions rated on a Likert-type scale ranging from 1 (strongly disagree) to 5 (strongly agree). 400 secondary students, with equal number of boys and girls from both the urban and rural schools participated in this study. The study found that overall students from both the urban and rural areas expressed favourable environmental att...

How new subscribers use cancer-related online mailing lists.

Science.gov (United States)

Rimer, Barbara K; Lyons, Elizabeth J; Ribisl, Kurt M; Bowling, J Michael; Golin, Carol E; Forlenza, Michael J; Meier, Andrea

2005-07-01

Online cancer-related support is an under-studied resource that may serve an important function in the information seeking, care, and support of cancer patients and their families. With over 9.8 million cancer survivors (defined as anyone living with cancer) in the United States alone and the number growing worldwide, it is important to understand how they seek and use online resources to obtain the information they need, when they need it, and in a form and manner appropriate to them. These are stated cancer communication goals of the US National Cancer Institute. Our purposes are to (1) present background information about online mailing lists and electronic support groups, (2) describe the rationale and methodology for the Health eCommunities (HeC) study, and (3) present preliminary baseline data on new subscribers to cancer-related mailing lists. In particular, we describe subscribers' use of mailing lists, their reasons for using them, and their reactions to participating shortly after joining the lists. From April to August 2004, we invited all new subscribers to 10 Association of Cancer Online Resources mailing lists to complete Web-based surveys. We analyzed baseline data from the respondents to examine their perceptions about cancer-related mailing lists and to describe how cancer patients and survivors used these lists in the period shortly after joining them. Cumulative email invitations were sent to 1368 new mailing list subscribers; 293 Web surveys were completed within the allotted time frame (21.4% response rate). Most respondents were over age 50 (n = 203, 72%), white (n = 286, 98%), college graduates (n = 161, 55%), and had health insurance (n = 283, 97%). About 41% (n = 116) of new subscribers reported spending 1 to 3 hours per day reading and responding to list messages. They used the mailing lists for several reasons. Among the most frequently reported, 62% (n = 179) strongly agreed they used mailing lists to obtain information on how to deal

Statistics and scaling of turbulence in a spatially developing mixing layer at Reλ = 250

KAUST Repository

Attili, Antonio

2012-03-21

The turbulent flow originating from the interaction between two parallel streams with different velocities is studied by means of direct numerical simulation. Rather than the more common temporal evolving layer, a spatially evolving configuration, with perturbed laminar inlet conditions is considered. The streamwise evolution and the self-similar state of turbulence statistics are reported and compared to results available in the literature. The characteristics of the transitional region agree with those observed in other simulations and experiments of mixing layers originating from laminar inlets. The present results indicate that the transitional region depends strongly on the inlet flow. Conversely, the self-similar state of turbulent kinetic energy and dissipation agrees quantitatively with those in a temporal mixing layer developing from turbulent initial conditions [M. M. Rogers and R. D. Moser, “Direct simulation of a self-similar turbulent mixing layer,” Phys. Fluids6, 903 (1994)]. The statistical features of turbulence in the self-similar region have been analysed in terms of longitudinal velocity structure functions, and scaling exponents are estimated by applying the extended self-similarity concept. In the small scale range (60 < r/η < 250), the scaling exponents display the universal anomalous scaling observed in homogeneous isotropic turbulence. The hypothesis of isotropy recovery holds in the turbulent mixing layer despite the presence of strong shear and large-scale structures, independently of the means of turbulence generation. At larger scales (r/η > 400), the mean shear and large coherent structures result in a significant deviation from predictions based on homogeneous isotropic turbulence theory. In this second scaling range, the numerical values of the exponents agree quantitatively with those reported for a variety of other flows characterized by strong shear, such as boundary layers, as well as channel and wake flows.

Are recent graduates enough prepared to perform obstetric skills in their rural and compulsory year? A study from Ecuador.

Science.gov (United States)

Sánchez Del Hierro, Galo; Remmen, Roy; Verhoeven, Veronique; Van Royen, Paul; Hendrickx, Kristin

2014-07-31

The aim of this study was to assess the possible mismatch of obstetrical skills between the training offered in Ecuadorian medical schools and the tasks required for compulsory rural service. Primary care, rural health centres in Southern Ecuador. A total of 92 recent graduated medical doctors during their compulsory rural year. A web-based survey was developed with 21 obstetrical skills. The questionnaire was sent to all rural doctors who work in Loja province, Southern Ecuador, at the Ministry of Health (n=92). 'importance of skills in rural practice' with a five-point Likert-type scale (1= strongly disagree; 5= strongly agree); and 'clerkship experience' using a nominal scale divided in five levels: level 1 (not seen, not performed) to level 5 (performed 10 times or more). Spearman's rank correlation coefficient (r) was used to observe associations. A negative correlation was found in the skills: 'episiotomy and repair', 'umbilical vein catheterisation', 'speculum examination', 'evaluation of cervical dilation during active labour', 'neonatal resuscitation' and 'vacuum-assisted vaginal delivery'. For instance 'Episiotomy and repair' is important (strongly agree and agree) to 100% of respondents, but in practice, only 38.9% of rural doctors performed the task three times and 8.3% only once during the internship, similar pattern is seen in the others. In this study we have noted the gap between the medical needs of populations in rural areas and training provided during the clerkship experiences of physicians during their rural service year. It is imperative to ensure that rural doctors are appropriately trained and skilled in the performance of routine obstetrical duties. This will help to decrease perinatal morbidity and mortality in rural Ecuador. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Are recent graduates enough prepared to perform obstetric skills in their rural and compulsory year? A study from Ecuador

Science.gov (United States)

Sánchez del Hierro, Galo; Remmen, Roy; Verhoeven, Veronique; Van Royen, Paul; Hendrickx, Kristin

2014-01-01

Objectives The aim of this study was to assess the possible mismatch of obstetrical skills between the training offered in Ecuadorian medical schools and the tasks required for compulsory rural service. Setting Primary care, rural health centres in Southern Ecuador. Participants A total of 92 recent graduated medical doctors during their compulsory rural year. Primary and secondary outcomes measures A web-based survey was developed with 21 obstetrical skills. The questionnaire was sent to all rural doctors who work in Loja province, Southern Ecuador, at the Ministry of Health (n=92). We measured two categories ‘importance of skills in rural practice’ with a five-point Likert-type scale (1= strongly disagree; 5= strongly agree); and ‘clerkship experience’ using a nominal scale divided in five levels: level 1 (not seen, not performed) to level 5 (performed 10 times or more). Spearman's rank correlation coefficient (r) was used to observe associations. Results A negative correlation was found in the skills: ‘episiotomy and repair’, ‘umbilical vein catheterisation’, ‘speculum examination’, ‘evaluation of cervical dilation during active labour’, ‘neonatal resuscitation’ and ‘vacuum-assisted vaginal delivery’. For instance ‘Episiotomy and repair’ is important (strongly agree and agree) to 100% of respondents, but in practice, only 38.9% of rural doctors performed the task three times and 8.3% only once during the internship, similar pattern is seen in the others. Conclusions In this study we have noted the gap between the medical needs of populations in rural areas and training provided during the clerkship experiences of physicians during their rural service year. It is imperative to ensure that rural doctors are appropriately trained and skilled in the performance of routine obstetrical duties. This will help to decrease perinatal morbidity and mortality in rural Ecuador. PMID:25082424

Optimizing the pre-referral workup for gastroenterology and hepatology specialty care: consensus using the Delphi method.

Science.gov (United States)

Ho, Chanda K; Boscardin, Christy K; Gleason, Nathaniel; Collado, Don; Terdiman, Jonathan; Terrault, Norah A; Gonzales, Ralph

2016-02-01

Specialty care referrals have doubled in the last decade. Optimization of the pre-referral workup by a primary care doctor can lead to a more efficient first specialty visit with the patient. Guidance regarding pre-referral laboratory testing is a first step towards improving the specialty referral process. Our aim was to establish consensus regarding appropriate pre-referral workup for common gastrointestinal and liver conditions. The Delphi method was used to establish local consensus for recommending certain laboratory tests prior to specialty referral for 13 clinical conditions. Seven conditions from The University of Michigan outpatient referral guidelines were used as a baseline. An expert panel of three PCPs and nine gastroenterologists from three academic hospitals participated in three iterative rounds of electronic surveys. Each panellist ranked each test using a 5-point Likert scale (strongly disagree to strongly agree). Local panellists could recommend additional tests for the initial diagnoses, and also recommended additional diagnoses needing guidelines: iron deficiency anaemia, abdominal pain, irritable bowel syndrome, fatty liver disease, liver mass and cirrhosis. Consensus was defined as ≥70% of experts scoring ≥4 (agree or strongly agree). Applying Delphi methodology to extrapolate externally developed referral guidelines for local implementation resulted in considerable modifications. For some conditions, many tests from the external group were eliminated by the local group (abdominal bloating; iron deficiency anaemia; irritable bowel syndrome). In contrast, for chronic diarrhoea, abnormal liver enzymes and viral hepatitis, all/most original tests were retained with additional tests added. For liver mass, fatty liver disease and cirrhosis, there was high concordance among the panel with few tests added or eliminated. Consideration of externally developed referral guidelines using a consensus-building process leads to significant local

Statistics and scaling of turbulence in a spatially developing mixing layer at Reλ = 250

KAUST Repository

Attili, Antonio; Bisetti, Fabrizio

2012-01-01

The turbulent flow originating from the interaction between two parallel streams with different velocities is studied by means of direct numerical simulation. Rather than the more common temporal evolving layer, a spatially evolving configuration, with perturbed laminar inlet conditions is considered. The streamwise evolution and the self-similar state of turbulence statistics are reported and compared to results available in the literature. The characteristics of the transitional region agree with those observed in other simulations and experiments of mixing layers originating from laminar inlets. The present results indicate that the transitional region depends strongly on the inlet flow. Conversely, the self-similar state of turbulent kinetic energy and dissipation agrees quantitatively with those in a temporal mixing layer developing from turbulent initial conditions [M. M. Rogers and R. D. Moser, “Direct simulation of a self-similar turbulent mixing layer,” Phys. Fluids6, 903 (1994)]. The statistical features of turbulence in the self-similar region have been analysed in terms of longitudinal velocity structure functions, and scaling exponents are estimated by applying the extended self-similarity concept. In the small scale range (60 < r/η < 250), the scaling exponents display the universal anomalous scaling observed in homogeneous isotropic turbulence. The hypothesis of isotropy recovery holds in the turbulent mixing layer despite the presence of strong shear and large-scale structures, independently of the means of turbulence generation. At larger scales (r/η > 400), the mean shear and large coherent structures result in a significant deviation from predictions based on homogeneous isotropic turbulence theory. In this second scaling range, the numerical values of the exponents agree quantitatively with those reported for a variety of other flows characterized by strong shear, such as boundary layers, as well as channel and wake flows.

Riparian adaptive management symposium: a conversation between scientists and management

Science.gov (United States)

Douglas F. Ryan; John M. Calhoun

2010-01-01

Scientists, land managers and policy makers discussed whether riparian (stream side) forest management and policy for state, federal and private lands in western Washington are consistent with current science. Answers were mixed: some aspects of riparian policy and management have a strong basis in current science, while other aspects may not. Participants agreed that...

Factors associated with contraceptive use in a rural area in Western ...

African Journals Online (AJOL)

Women were more likely to use ECC if they reported high self-esteem (compared with low or moderate self-esteem (prevalence risk ratio (PRR)=1.23; 95% confidence interval (CI) 0.99 - 1.53); if they strongly or moderately agreed that their culture entitled men to make decisions regarding child-bearing compared with those ...

Education for All: Is the World on Track? Summary Report. EFA Global Monitoring Report, 2002 = Education pour Tous: Le Monde Est-Il sur la Bonne Voie? Resume du Rapport. Rapport Mondial de Suivi sur l'EPT, 2002.

Science.gov (United States)

Colclough, Christopher; Packer, Steve; Ellis, Simon; Van Ravens, Jan; Barry, Ulrika Peppler; Bella, Nicole; Djioze, Valerie; Mputu, Hilaire; Aggio, Carlos; Cifuentes-Montoya, Mariana; Pinceau, Pascale; Nsengimana, Delphine

In 2000 the World Education Forum, sponsored by UNESCO, met to assess and act on educational opportunities for children, youth, and adults around the world. The forum agreed on six goals for education considered to be essential, attainable, and affordable, given strong international commitment and resolve, and on a program called Education for All…

What Is Old Is New Again: A Systemic Approach to the Challenges of Calculus Instruction

Science.gov (United States)

Carreon, Fernando; DeBacker, Stephen; Kessenich, Paul; Kubena, Angela; LaRose, P. Gavin

2018-01-01

In the abstract for "Calculus for a New Century: A Pump, Not a Filter," Lynn Steen wrote: "The authors agree on the forces that are reshaping calculus, but disagree on how to respond to these forces. They agree that the current course is not satisfactory, yet disagree about new content emphases. They agree that the neglect of…

A guided interview process to improve student pharmacists' identification of drug therapy problems.

Science.gov (United States)

Rovers, John; Miller, Michael J; Koenigsfeld, Carrie; Haack, Sally; Hegge, Karly; McCleeary, Erin

2011-02-10

To measure agreement between advanced pharmacy practice experience students using a guided interview process and experienced clinical pharmacists using standard practices to identify drug therapy problems. Student pharmacists enrolled in an advanced pharmacy practice experience (APPE) and clinical pharmacists conducted medication therapy management interviews to identify drug therapy problems in elderly patients recruited from the community. Student pharmacists used a guided interview tool, while clinical pharmacists' interviews were conducted using their usual and customary practices. Student pharmacists also were surveyed to determine their perceptions of the interview tool. Fair to moderate agreement was observed on student and clinical pharmacists' identification of 4 of 7 drug therapy problems. Of those, agreement was significantly higher than chance for 3 drug therapy problems (adverse drug reaction, dosage too high, and needs additional drug therapy) and not significant for 1 (unnecessary drug therapy). Students strongly agreed that the interview tool was useful but agreed less strongly on recommending its use in practice. The guided interview process served as a useful teaching aid to assist student pharmacists to identify drug therapy problems.

[Meeting point Stewart. Buffer bases, base excess and strong ions].

Science.gov (United States)

Lang, W

2007-04-01

Development of a two-buffer model which simulates the acid-base properties of blood and allows comparison of the different acidbase concepts according to Stewart and to Siggaard-Andersen. The two-buffer model consisted of different aqueous solutions of bicarbonate/CO(2) (pCO(2), sCO(2), pK(1)), HEPES buffer (A(tot), pK(a)) and electrolytes. These were used to calculate the pH from the independent variables according to Stewart - strong ion difference (SID), pCO(2) and total concentration of the weak acids (A(tot)) - from which all other dependent variables (cHCO(3)(-), cA(-), BB, BE) were obtained and compared with the measured values. The normal pH (7.408) was calculated from the normal values for SID (48 mmol/l), pCO(2) (40 mmHg) and A(tot) (45.2 mmol/l) and agreed perfectly with the measured value (7.409+/-0.001). This was also valid for all calculated and measured pH values when the SID was varied: non-respiratory alkalosis ( upward arrow) or acidosis ( downward arrow), pCO(2):respiratory acidosis ( upward arrow) or alkalosis ( downward arrow) and A(tot):hyperproteinemic acidosis ( upward arrow) or hypoproteinemic alkalosis ( downward arrow) were varied and the sum of the buffer bases (BB) was always equal to the SID. All changes and hence BE were also equal, providing that A(tot) was normal. This was not the case, however, if A(tot) was outside the normal range, when BE was then the difference from the normal BB at the respective reference point. Whereas the deviation of the measured pCO(2) was acceptable (1.74+/-0.86 mmHg), this was not the case for the SID (-6.18+/-3.58 mmol/l) calculated from the measured ion concentrations (Na, K, Ca, Cl). Despite controversial discussions, both concepts are much closer than might be expected. Whereas in the Stewart approach the focus of analysis is on plasma, with the Siggaard-Andersen approach it is on blood. Hence, a combined analysis of the blood gases (pH, pCO(2), pO(2), sO(2), cHb, BE) and of the strong ion gap (SIG

Resistivity of strong-scattering alloys: Absence of localization and success of coherent-potential approximation confirmed by exact supercell calculations in V/sub 1-//sub x/Al/sub x/

International Nuclear Information System (INIS)

Brown, R.H.; Allen, P.B.; Nicholson, D.M.; Butler, W.H.

1989-01-01

A supercell procedure for exact evaluation of the one-electron Kubo-Greenwood formula is applied to the resistivity rho of V/sub 1-//sub x/Al/sub x/ alloys and compared with a Korringa-Kohn-Rostoker coherent-potential approximation calculation. The results of these calculations agree well, consistent with the observation of delocalized eigenstates, in spite of the very high resistivity, rho≅200 μΩ cm

[Acceptance of a total smoking ban in schools: students' attitudes].

Science.gov (United States)

Morgenstern, M; Wiborg, G; Hanewinkel, R

2008-06-01

The purpose of this study was to measure students' attitudes towards a total smoking ban in schools and towards impositions in cases of violation. Cross-sectional survey of 1 738 students of 12 public schools in Schleswig-Holstein (grades 7-13, age 11-20 years). Data were collected by means of written questionnaires administered during class time. The following variables were assessed: attitude towards smoking ban, attitude towards impositions, age, sex, citizenship, perceived school climate, current smoking, lifetime smoking; for smokers, and additionally, the "Heaviness of Smoking Index". 76.5% of all students agreed with a total smoking ban, 66.4% agreed with the punishment of violations. Higher acceptance rates were found among girls, young students (11-15 years of age), for never-smokers, and for students who feel comfortable at school. Acceptance of the smoking ban is closely related to current smoking status: 93% of the non-smoking students, but only 14% of the daily smoking students agreed with the regulations. Refusal of the ban increased with increasing physical dependence. The intensification of the smoking ban in public schools meets approval by the majority of students. Smoking students should be more strongly involved in the implementation process, e.g., by supplemental cessation programmes.

The development of a TED-Ed online resident research training program.

Science.gov (United States)

Moreau, Katherine A; Pound, Catherine M; Peddle, Beth; Tokarewicz, Jaclyn; Eady, Kaylee

2014-01-01

Pediatric health research is important for improving the health and well-being of children and their families. To foster the development of physicians' research competencies, it is vital to integrate practical and context-specific research training into residency programs. To describe the development of a resident research training program at one tertiary care pediatric academic health sciences center in Ontario, Canada. We surveyed residents and pediatricians/research staff to establish the need and content for a resident research training program. Residents and resident research supervisors agreed or strongly agreed that research training is important for residents. However, few residents and supervisors believed that their academic health sciences center provided adequate training and resources to support resident research. As such, an online resident research training program was established. Residents and supervisors agreed that the program should focus on the following topics: 1) critically evaluating research literature, 2) writing a research proposal, 3) submitting an application for research funding, and 4) writing a manuscript. This highly accessible, context-specific, and inexpensive online program model may be of interest and benefit to other residency programs as a means to enhance residents' scholarly roles. A formal evaluation of the research training program is now underway.

The development of a TED-Ed online resident research training program

Directory of Open Access Journals (Sweden)

Katherine A. Moreau

2014-12-01

Full Text Available Background: Pediatric health research is important for improving the health and well-being of children and their families. To foster the development of physicians’ research competencies, it is vital to integrate practical and context-specific research training into residency programs. Purpose: To describe the development of a resident research training program at one tertiary care pediatric academic health sciences center in Ontario, Canada. Methods: We surveyed residents and pediatricians/research staff to establish the need and content for a resident research training program. Results: Residents and resident research supervisors agreed or strongly agreed that research training is important for residents. However, few residents and supervisors believed that their academic health sciences center provided adequate training and resources to support resident research. As such, an online resident research training program was established. Residents and supervisors agreed that the program should focus on the following topics: 1 critically evaluating research literature, 2 writing a research proposal, 3 submitting an application for research funding, and 4 writing a manuscript. Discussion: This highly accessible, context-specific, and inexpensive online program model may be of interest and benefit to other residency programs as a means to enhance residents’ scholarly roles. A formal evaluation of the research training program is now underway.

Evaluation of medical and veterinary students' attitudes toward a one health interprofessional curricular exercise.

Science.gov (United States)

Winer, Jenna Nicole; Nakagawa, Keisuke; Conrad, Patricia A; Brown, Lauren; Wilkes, Michael

2015-01-01

This study evaluates whether medical and veterinary students' attitudes toward "One Health" and interprofessional education changed after participating in a joint small group learning exercise focused on risk factors associated with zoonotic disease. A survey was distributed to third-year medical students (n = 98) and second-year veterinary students (n = 140), each with a 95% response rate. Overall, 92% of veterinary students and 73% of medical students agreed or strongly agreed that "One Health" was relevant to their desired specialty. Students from both schools largely agreed that interprofessional education should be a goal of the curriculum for their school, and that interprofessional approaches strengthen their overall education. Students reported increased confidence in their communication skills and improved ability to contribute to One Health collaborative teams. This educational intervention, built around a patient case, focused on a variety of learning objectives including skills (such as communication), knowledge (of zoonotic toxoplasmosis) and attitudes (toward collaborative learning and practice). By sparking an interest in One Health during their early professional education, we sought to encourage a new generation of physicians and veterinarians to adopt a more collaborative spirit to their clinical practice, which will ultimately benefit human, animal and environmental health.

7 CFR 457.122 - Walnut crop insurance provisions.

Science.gov (United States)

2010-01-01

... quarantine, boycott, or refusal of any person to accept production. 10. Duties in the Event of Damage or Loss... production on insured acreage that you intend to abandon or no longer care for, if you and we agree on the... do not agree with our appraisal, we may defer the claim only if you agree to continue to care for the...

7 CFR 457.121 - Arizona-California citrus crop insurance provisions.

Science.gov (United States)

2010-01-01

... quarantine, boycott, or refusal of any person to accept production. 10. Duties in the Event of Damage or Loss... insured acreage that you intend to abandon or no longer care for, if you and we agree on the appraised... agree with our appraisal, we may defer the claim only if you agree to continue to care for the crop. We...

1984 Defense Financial and Investment Review (DFAIR). Survey of Defense Procurement Personnel Results and Findings

Science.gov (United States)

1984-12-01

to be neither too high, nor too low. They agreed that the flexible progress payment model is too complex to administer, Very few agreed that the flow...Progress Payment Rate ....................... 133 Flexible Progress Payment Model ................... 146 Flow Down of Financing Provisions...Flexible Progress Payment Model A plurality (45%) of all respondents agreed that the flexible progress payment model is too

Developing Successful Global Leaders

Science.gov (United States)

Training, 2011

2011-01-01

Everyone seems to agree the world desperately needs strong leaders who can manage a global workforce and all the inherent challenges that go with it. That's a big part of the raison d'etre for global leadership development programs. But are today's organizations fully utilizing these programs to develop global leaders, and, if so, are they…

CIVILIAN-MILITARY INTERACTION ON THE MATIE CAMPUS: THE ...

African Journals Online (AJOL)

hennie

would have nothing to do with it after the Second World War.4. The National ... 113–115. 4. Visser, British influence on military training and education in South Africa, p. 73. ..... residence, but agreed that they could be dispersed among the civilian students within .... Memories of the Second World War were still very strong …

Attention deficit hyperactivity disorder symptoms reporting in Malaysian adolescents: do adolescents, parents and teachers agree with each other?

Science.gov (United States)

Wan Salwina, Wan Ismail; Baharudin, Azlin; Nik Ruzyanei, Nik Jaafar; Midin, Marhani; Rahman, Fairuz Nazri Abdul

2013-12-01

Attention Deficit Hyperactivity Disorder (ADHD) is a clinical diagnosis relying on persistence of symptoms across different settings. Information are gathered from different informants including adolescents, parents and teachers. In this cross-sectional study involving 410 twelve-year old adolescents, 37 teachers and 367 parents from seven schools in the Federal Territory of Kuala Lumpur, reliability of ADHD symptoms among the various informants were reported. ADHD symptoms (i.e. predominantly hyperactive, predominantly inattentive and combined symptoms) were assessed by adolescents, teachers and parents, using Conners-Wells' Adolescent Self-report Scale (CASS), Conner's Teachers Rating Scale (CTRS) and Conner's Parents Rating Scale (CPRS) respectively. For predominantly hyperactive symptoms, there were statistically significant, weak positive correlations between parents and teachers reporting (r=0.241, pADHD symptoms among Malaysian adolescents. While multiple informant ratings are required to facilitate the diagnosis of ADHD, effort should be taken to minimize the disagreement in reporting and better utilize the information. Copyright © 2013 Elsevier B.V. All rights reserved.

In the Middle: Do We Share the Vision? Do Principals and Teachers Agree about the Middle School Concept?

Science.gov (United States)

Watts, Cherry; Seed, Allen H.; Franceschini, Louis A., III

2013-01-01

In 2009, the Tennessee Professors of Middle Level Education (TPOMLE) examined how Tennessee schools implemented the middle school concept. Of concern was the impact that emphasis on accountability and achievement had on the middle school concept which emphasizes the development of the whole child. A survey was developed based on the tenets of…

Do people agree about the causes of behavior? A social relations analysis of behavior ratings and causal attributions.

Science.gov (United States)

Robins, Richard W; Mendelsohn, Gerald A; Connell, Joanie B; Kwan, Virginia S Y

2004-02-01

Two studies examined consistency and agreement in behavior ratings and causal attributions. In Study 1, participants (N = 280) engaged in a series of getting-acquainted conversations in one of 3 communication media (face-to-face, telephone, computer mediated); in Study 2, participants (N = 120) engaged in a competitive group task. In both studies, participants rated themselves and their interaction partners on a set of behaviors and then made attributions about the causes of those behaviors. The major findings were that (a) participants consistently favored some causal factors over others in explaining both their own and their partners' behavior, supporting the existence of generalized attributional styles; and (b) participants showed moderate self-partner and partner-partner agreement about behavior but virtually no agreement about the causes of behavior. Thus, in brief interactions people tend to see themselves and others through the lens of their stable patterns of perceiving and interpreting behavior.

Do clinicians and patients agree regarding symptoms? A comparison after definitive radiochemotherapy in 223 uterine cervical cancer patients

Energy Technology Data Exchange (ETDEWEB)

Kirchheiner, K.; Poetter, R. [Medical Univ. Vienna (Austria). Dept. of Radiotherapy; Nout, R. [University Medical Center Leiden (Netherlands). Dept. of Clinical Oncology; Lindegaard, J. [University Hospital Aarhus (Denmark). Dept. of Oncology; Petric, P. [Institute of Oncology Ljubljana (Slovenia). Dept. of Radiotherapy; Limbergen, E.V. [University Hospital Leuven (Belgium). Dept. of Radiotherapy; Juergenliemk-Schulz, I.M. [University Medical Center Utrecht (Netherlands). Dept. of Radiation Oncology; Haie-Meder, C. [Institut Gustave-Roussy, Villejuif (France). Dept. of Radiotherapy; Doerr, W. [Technische Univ. Dresden (Germany). Dept. of Radiotherapy and Radiooncology

2012-10-15

Background: In clinical cancer research of morbidity, low associations between clinician-assessed toxicity/morbidity and patient-reported symptoms are consistently described in the literature. While morbidity grading systems are supposed to follow more or less objective criteria, patient reported symptoms inherently are based on a subjective self-evaluation of the impact on quality of life. The aim of this study was to focus on major discrepancies with high clinical relevance and to evaluate its impact with regard to underreporting of morbidity. Material and methods: Early morbidity assessed by clinicians with CTCAEv.3 and patient reported quality of life (EORTC-QLQ-C30/CX24) were compared regarding 12 overlapping symptoms in 223 patients with uterine cervical cancer 3 months after definitive radio(chemo)therapy in the ongoing EMBRACE study. Mismatches showing discrepancies between both grading systems were classified, if patients reported substantial symptoms (quite a bit/very much) and CTCAE grading was rated G0. Results: In total, 360 substantial symptoms were reported by patients by EORTC-QLQ; 159 (44%) of those were not recognized by CTCAE. Symptoms with the highest occurrence of mismatches overall are urinary frequency, fatigue, and insomnia. Large institutional differences were found, showing two centers with 4 vs. 71% of patients with at least one mismatch. Conclusion: Analysis of mismatches indicated a high risk of underestimation of early morbidity. Thus, nearly half of the patient-reported substantial symptoms were not recognized by CTCAE scoring (G0) 3 months after treatment. Prospective assessment of morbidity in clinical studies should, therefore, integrate patient reported symptoms to receive a complete and comprehensive picture. (orig.)

Is it possible to agree on a value for inorganic arsenic in food? The outcome of IMEP-112

DEFF Research Database (Denmark)

Calle, M. B. de la; Baer, I.; Robouch, P.

2012-01-01

. This article presents the results of the 12th proficiency test organised by the EU-RL-HM (IMEP-112) that focused on the determination of total and inorganic arsenic in wheat, vegetable food and algae. The test items used in this exercise were: wheat sampled in a field with a high concentration of arsenic...... in the soil, spinach (SRM 1570a from NIST) and an algae candidate reference material. Participation in this exercise was open to laboratories from all around the world to be able to judge the state of the art of the determination of total and, more in particular, inorganic arsenic in several food commodities...... in the algae test material....

When Management Is not Self Centered : Where Peter Drucker and Milton Friedman Agree on the Business of Business

OpenAIRE

von Müller, Camillo

2011-01-01

Peter Drucker (1978) holds that managers must take responsibility for the common weal. This notion seems to contradict Milton Friedman's (1970) famous observation according to which, "the social responsibility of business is to increase its profits." As the essay demonstrates, Friedman (1970) does not deduce this claim in terms of economic reasoning. Rather, in his determination of managerial obligations, he refers to the institutions of private property and the act of contracting. He thus ev...

Do clinicians and patients agree regarding symptoms? A comparison after definitive radiochemotherapy in 223 uterine cervical cancer patients

International Nuclear Information System (INIS)

Kirchheiner, K.; Poetter, R.; Nout, R.; Lindegaard, J.; Petric, P.; Limbergen, E.V.; Juergenliemk-Schulz, I.M.; Haie-Meder, C.; Doerr, W.

2012-01-01

Background: In clinical cancer research of morbidity, low associations between clinician-assessed toxicity/morbidity and patient-reported symptoms are consistently described in the literature. While morbidity grading systems are supposed to follow more or less objective criteria, patient reported symptoms inherently are based on a subjective self-evaluation of the impact on quality of life. The aim of this study was to focus on major discrepancies with high clinical relevance and to evaluate its impact with regard to underreporting of morbidity. Material and methods: Early morbidity assessed by clinicians with CTCAEv.3 and patient reported quality of life (EORTC-QLQ-C30/CX24) were compared regarding 12 overlapping symptoms in 223 patients with uterine cervical cancer 3 months after definitive radio(chemo)therapy in the ongoing EMBRACE study. Mismatches showing discrepancies between both grading systems were classified, if patients reported substantial symptoms (quite a bit/very much) and CTCAE grading was rated G0. Results: In total, 360 substantial symptoms were reported by patients by EORTC-QLQ; 159 (44%) of those were not recognized by CTCAE. Symptoms with the highest occurrence of mismatches overall are urinary frequency, fatigue, and insomnia. Large institutional differences were found, showing two centers with 4 vs. 71% of patients with at least one mismatch. Conclusion: Analysis of mismatches indicated a high risk of underestimation of early morbidity. Thus, nearly half of the patient-reported substantial symptoms were not recognized by CTCAE scoring (G0) 3 months after treatment. Prospective assessment of morbidity in clinical studies should, therefore, integrate patient reported symptoms to receive a complete and comprehensive picture. (orig.)

The tools of cooperation and change.

Science.gov (United States)

Christensen, Clayton M; Marx, Matt; Stevenson, Howard H

2006-10-01

Employers can choose from lots of tools when they want to encourage employees to work together toward a new corporate goal. One of the rarest managerial skills is the ability to understand which tools will work in a given situation and which will misfire. Cooperation tools fall into four major categories: power, management, leadership, and culture. Choosing the right tool, say the authors, requires assessing the organization along two critical dimensions: the extent to which people agree on what they want and the extent to which they agree on cause and effect, or how to get what they want. The authors plot on a matrix where various organizations fall along these two dimensions. Employees represented in the lower-left quadrant of the model, for example, disagree strongly both about what they want and on what actions will produce which results. Those in the upper-right quadrant agree on both dimensions. Different quadrants call for different tools. When employees share little consensus on either dimension, for instance, the only methods that will elicit cooperation are "power tools" such as fiat, force, and threats. Yugoslavia's Josip Broz Tito wielded such devices effectively. So did Jamie Dimon, current CEO of J.P. Morgan Chase, during the bank's integration with Bank One. For employees who agree on what they want but not on how to get it--think of Microsoft in 1995--leadership tools, such as vision statements, are more appropriate. Some leaders are blessed with an instinct for choosing the right tools--Continental Airlines' Gordon Bethune, General Electric's Jack Welch, and IBM's Lou Gerstner are all examples. Others can use this framework to help select the most appropriate tools for their circumstances.

Suitability of a Consensual Fuzzy Inference System to Evaluate Suppliers of Strategic Products

Directory of Open Access Journals (Sweden)

Nazario Garcia

2018-01-01

Full Text Available This paper designs a bidding and supplier evaluation model focused on strategic product procurement, and develops their respective evaluation knowledge bases. The model is built using the most relevant variables cited in the reviewed procurement literature and allows to compare two evaluation methods: a factor weighting method (WM and a fuzzy inference system (FIS. By consulting an expert panel and using a two-tuples symbolic translation system, strong fuzzy partitions for all model variables are built. The method, based on central symmetry, permits to obtain the fuzzy label borders from their cores, which have been previously agreed among experts. The system also allows to agree the fuzzy rules to embed in the FIS. The results show the FIS method’s superiority as it allows to better manage the non-linear behavior and the uncertainty inherent to the supplier evaluation process.

Factors Associated With Smoking, Quit Attempts and Attitudes towards Total Smoking Bans at University: A Survey of Seven Universities in England, Wales and Northern Ireland

DEFF Research Database (Denmark)

El Ansari, W.; Stock, C.

2012-01-01

Objectives: This study assessed the associations between socio-demographic, health and wellbeing variables (independent variables) and daily smoking, attempts to quit smoking, and agreement with smoking ban (dependent variables). Methods: Data from 3,706 undergraduate students were collected from...... degree; and, students who reported binge drinking. Conversely, daily smoking was less likely among students who rated their health as very good/excellent, those who ate >= 5 portions of fruit or vegetables, and those who had never taken illicit drugs. Previous attempt/s to quit smoking were more likely...... of occasional smokers. About every second smoker (55%) had attempted to quit smoking. Almost 45% of the whole sample agreed or strongly agreed with implementing a total smoking ban on campus. Daily smoking was more likely among students with not sufficient income, students whose fathers had at least a bachelor...

A Novel Service-Oriented Professional Development Program for Research Assistants at an Academic Hospital: A Web-Based Survey.

Science.gov (United States)

Kitts, Robert Li; Koleoglou, Kyle John; Holland, Jennifer Elysia; Hutchinson, Eliza Haapaniemi; Nang, Quincy Georgdie; Mehta, Clare Marie; Tran, Chau Minh; Fishman, Laurie Newman

2015-11-02

Research assistants (RAs) are hired at academic centers to staff the research and quality improvement projects that advance evidence-based medical practice. Considered a transient population, these young professionals may view their positions as stepping-stones along their path to graduate programs in medicine or public health. To address the needs of these future health professionals, a novel program-Program for Research Assistant Development and Achievement (PRADA)-was developed to facilitate the development of desirable professional skill sets (ie, leadership, teamwork, communication) through participation in peer-driven service and advocacy initiatives directed toward the hospital and surrounding communities. The authors hope that by reporting on the low-cost benefits of the program that other institutions might consider the utility of implementing such a program and recognize the importance of acknowledging the professional needs of the next generation of health care professionals. In 2011, an anonymous, Web-based satisfaction survey was distributed to the program membership through a pre-established email distribution list. The survey was used to evaluate demographics, level of participation and satisfaction with the various programming, career trajectory, and whether the program's goals were being met. Upon the completion of the survey cycle, a 69.8% (125/179) response rate was achieved with the majority of respondents (94/119, 79.0%) reporting their 3-year goal to be in medical school (52/119, 43.7%) or nonmedical graduate school (42/119, 35.3%). Additionally, most respondents agreed or strongly agreed that PRADA had made them feel more a part of a research community (88/117, 75.2%), enhanced their job satisfaction (66/118, 55.9%), and provided career guidance (63/117, 53.8%). Overall, 85.6% of respondents (101/118) agreed or strongly agreed with recommending PRADA to other research assistants. High response rate and favorable outlook among respondents

A Primer on Financial System Meltdown. The Economists' View

OpenAIRE

Hahn, Franz R.

2008-01-01

Ideologues are quick to explain the current financial meltdown: it's the markets, stupid. Economists agree but add: it's politics too, stupid. Ideologues agree but counter: first and foremost it's capitalism, stupid. Economists agree but reply: §$%&?!, stupid. This is where this short paper takes us: it makes an attempt to give a brief overview of the economists' views on the ongoing financial system crisis explaining "§$%&?!, stupid".

Impact of strong selection for the PrP major gene on genetic variability of four French sheep breeds (Open Access publication

Directory of Open Access Journals (Sweden)

Pantano Thais

2008-11-01

Full Text Available Abstract Effective selection on the PrP gene has been implemented since October 2001 in all French sheep breeds. After four years, the ARR "resistant" allele frequency increased by about 35% in young males. The aim of this study was to evaluate the impact of this strong selection on genetic variability. It is focussed on four French sheep breeds and based on the comparison of two groups of 94 animals within each breed: the first group of animals was born before the selection began, and the second, 3–4 years later. Genetic variability was assessed using genealogical and molecular data (29 microsatellite markers. The expected loss of genetic variability on the PrP gene was confirmed. Moreover, among the five markers located in the PrP region, only the three closest ones were affected. The evolution of the number of alleles, heterozygote deficiency within population, expected heterozygosity and the Reynolds distances agreed with the criteria from pedigree and pointed out that neutral genetic variability was not much affected. This trend depended on breed, i.e. on their initial states (population size, PrP frequencies and on the selection strategies for improving scrapie resistance while carrying out selection for production traits.

Nurses perceptions about the nurse's social role in Greece

Directory of Open Access Journals (Sweden)

Lavdaniti M.

2008-01-01

Full Text Available B A C K G R O U N D : There is great evidence in nursing literature about the nurses’ perceptions on their role. Moststudies are focused on nursing practice and the actual role in hospitals, and other skills on basic-, intermediate- andadvanced- level patient care. In Greece, there are no studies examining the social role of nurses and nurses’ perceptionsabout it.A I M : Τo assess how nurses in Greece perceive their social role and investigate the factors influencing their social role.M A T E R I A L - M E T H O D : 342 nurses working in hospitals in the wider area of Thessaloniki were recruited inthis study. Data collection was carried out through one self-completed questionnaire developed by the researchers.R E S U L T S : 47.5% (n=162 agreed that society expects from nurses a particular behaviour, and almost half of theparticipants [51.8% (n=176] totally agreed that nurses are practicing a ‘litourgima’. 49.1% (n=165 agreed that nursesare health educators in society and another 46.3% (n=157 totally agreed that nurses undertake actions in order toeliminate patient discrimination. 47.6% (n=160 of the participants totally agreed that nurses should be dedicated toquality improvement and 40.9% of the sample (n=138 agreed that nurses should provide care during an epidemicwhile 41.3% totally agreed that nurses execute duties of other professionals. 45.7% (n=155 totally agreed that nursesshouldn’t deny care for patients with infectious diseases. A high percentage of nurses (60.1%, n=197 agreed that apart of the nursing role is patient advocacy.C O N C L U S I O N S : The findings of the present study indicate the importance of nurses’ social role, which mayallow them to empower patients to further recognize the role of nursing during hospitalization.

Public Preferences for the Use of Taxation and Labelling Policy Measures to Combat Obesity in Young Children in Australia.

Science.gov (United States)

Comans, Tracy; Moretto, Nicole; Byrnes, Joshua

2017-03-21

Objective : Childhood obesity is a serious concern for developed and developing countries. This study aimed to assess the level of support in Australia for regulation and to assess whether systematic differences occur between individuals who support increased regulation and individuals who oppose it. Methods : An online survey ( n = 563) was used to assess parental/caregiver preferences for taxation policy options and nutrition labelling designed to address the incidence of childhood obesity. Participants were parents or caregivers of young children (3 to 7 years) who were actively enrolled in an existing birth cohort study in South-East Queensland, Australia. Results : The majority of the parents (over 80%) strongly agreed or agreed with labelling food and drink with traffic light or teaspoon labelling. Support for taxation was more variable with around one third strongly supporting and a further 40% of participants equivocal about using taxation; however, a quarter strongly rejected this policy. Cluster analysis did not detect any socio-demographic differences between those who strongly supported taxation and those who did not. Conclusions : Better food labelling would be welcomed by parents to enhance food choices for their children. Taxation for health reasons would not be opposed by most parents. Implications for Public Health: Governments should consider taxation of unhealthy drinks and improved labelling to encourage healthy food purchasing.

Results of investigations in a fast reactor configuration with a strong heterogeneous cell structure

International Nuclear Information System (INIS)

Lehmann, E.; Albert, D.; Dietze, K.; Faehrmann, K.; Hansen, W.; Huettel, G.; Wand, H.; Osmera, B.

1984-11-01

Investigations of the neutron flux spectrum, of the energy dependent importance function and of sample reactivities were performed in a fast reactor configuration characterized by a marked neutronic microstructure which is produced by the insertion of pellets of polyethylene and cadmium. Contrary to results of calculations with a homogenized composition, values obtained by means of the tree programs CARMEN, YARAB and P1X, developed in Rossendorf, agree well with measurements. Furthermore it could be shown that an adjoint weighting for the determination of cell-averaged values of the importance function is justified. In a configuration with larger heterogeneity induced by the aggregation of four uranium pellets significant spectral differences between uranium and material zones, respectively, show up in activation measurements as well as in sample reactivity determinations. (author)

Response to "Improving Patient Safety With Error Identification in Chemotherapy Orders by Verification Nurses"
.

Science.gov (United States)

Zhu, Ling-Ling; Lv, Na; Zhou, Quan

2016-12-01

We read, with great interest, the study by Baldwin and Rodriguez (2016), which described the role of the verification nurse and details the verification process in identifying errors related to chemotherapy orders. We strongly agree with their findings that a verification nurse, collaborating closely with the prescribing physician, pharmacist, and treating nurse, can better identify errors and maintain safety during chemotherapy administration.

Magnetoquantum oscillations of the phonon-drag thermoelectric power in heterojunctions

International Nuclear Information System (INIS)

Lyo, S.K.

1989-01-01

A theory is presented for the low-temperature phonon-drag thermopower S xx in a semiconductor heterojunction in a strong magnetic field. Gigantic quantum oscillations (much larger than electron-diffusion contributions) are obtained. The temperature and field dependences of S xx agree well with recent data. Localized states yield flat valleys for the |S xx | minima in agreement with the data

Ways to Arouse Students’ Extrinsic Motivation

Institute of Scientific and Technical Information of China (English)

王丽丽

2016-01-01

Various studies have found that motivation has a close relationship with students’achievement.The relationship between motivation and learning is interactive,it is agreed that students who have strong motivation,and they are more likely to make more effort in learning than others.We can safely conclude that motivation is a necessary condition when learning a foreign language.A real learning

Similarity Decay of Enstrophy in an Electron Fluid

International Nuclear Information System (INIS)

Rodgers, D. J.; Matthaeus, W. H.; Mitchell, T. B.; Montgomery, D. C.

2010-01-01

A similarity decay law is proposed for enstrophy of a one-signed-vorticity fluid in a circular free-slip domain. It excludes the metastable equilibrium enstrophy which cannot drive turbulence, and approaches Batchelor's t -2 law for strong turbulence. Measurements of the decay of a turbulent electron fluid agree well with the predictions of the decay law for a variety of initial conditions.

Producing in France: nuclear energy in the service of buying power and of the fight against global warming

International Nuclear Information System (INIS)

2011-01-01

While maintaining a strong industry in France is agreed by the vast majority, it appears irresponsible to advocate the phasing-out of nuclear energy in the French territory. Nuclear energy is undoubtedly France's best competitive advantage. The Concorde foundation recommends to avoid any change in France's energy mix which would have a significant impact on French citizens' standard of living

Radar observation of the equatorial counter-electrojet

International Nuclear Information System (INIS)

Hanuise, C.; Crochet, M.; Gouin, P.; Ogubazghi, Ghebrebrhan

1979-01-01

Electron drift velocity in the equatorial electrojet has been measured for a few years by coherent radar techniques in Africa. For the first time such measurements were performed during a strong reversal of the ionospheric current dubbed 'counter-electrojet'. These observations agree with the theories of the plasma instabilities at the origin of the electron density irregularities giving the radar echoes

Primary care physician decision making regarding referral for bariatric surgery: a national survey.

Science.gov (United States)

Stolberg, Charlotte Røn; Hepp, Nicola; Juhl, Anna Julie Aavild; B C, Deepti; Juhl, Claus B

2017-05-01

Bariatric surgery is the most effective treatment for severe obesity. It results in significant and sustained weight loss and reduces obesity-related co-morbidities. Despite an increasing prevalence of severe obesity, the number of bariatric operations performed in Denmark has decreased during the past years. This is only partly explained by changes in the national guidelines for bariatric surgery. The purpose of the cross-sectional study is to investigate referral patterns and possible reservations regarding bariatric surgery among Danish primary care physicians (PCPs). Primary care physicians in Denmark METHODS: A total of 300 Danish PCPs were invited to participate in a questionnaire survey regarding experiences with bariatric surgery, reservations about bariatric surgery, attitudes to specific patient cases, and the future treatment of severe obesity. Most questions required a response on a 5-point Likert scale (strongly disagree, disagree, neither agree nor disagree, agree, and strongly agree) and frequency distributions were calculated. 133 completed questionnaires (44%) were returned. Most physicians found that they had good knowledge about the national referral criteria for bariatric surgery. With respect to the specific patient cases, a remarkably smaller part of physicians would refer patients on their own initiative, compared with the patient's initiative. Fear of postoperative surgical complications and medical complications both influenced markedly the decision to refer patients for surgery. Only 9% of the respondents indicated that bariatric surgery should be the primary treatment option for severe obesity in the future. Danish PCPs express severe concerns about surgical and medical complications following bariatric surgery. This might, in part, result in a low rate of referral to bariatric surgery. Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Development and Preliminary Validation of the Strategic Thinking Mindset Test (STMT)

Science.gov (United States)

2017-06-01

experts … [who] link disparate strands of information and … consider a broad array of scenarios and outcomes” (p. 69) • “able to think...Likert-type agreement scale (1 = Strongly Disagree to 6 = Strongly Agree), all beginning with the item stem “In general, I like people who….” For example...consists of an item stem (a scenario of some kind), item options (ways in which one could respond in the scenario), and a scoring key (how each response

Using complexity theory to develop a student-directed interprofessional learning activity for 1220 healthcare students.

Science.gov (United States)

Jorm, Christine; Nisbet, Gillian; Roberts, Chris; Gordon, Christopher; Gentilcore, Stacey; Chen, Timothy F

2016-08-08

More and better interprofessional practice is predicated to be necessary to deliver good care to the patients of the future. However, universities struggle to create authentic learning activities that enable students to experience the dynamic interprofessional interactions common in healthcare and that can accommodate large interprofessional student cohorts. We investigated a large-scale mandatory interprofessional learning (IPL) activity for health professional students designed to promote social learning. A mixed methods research approach determined feasibility, acceptability and the extent to which student IPL outcomes were met. We developed an IPL activity founded in complexity theory to prepare students for future practice by engaging them in a self-directed (self-organised) learning activity with a diverse team, whose assessable products would be emergent creations. Complicated but authentic clinical cases (n = 12) were developed to challenge student teams (n = 5 or 6). Assessment consisted of a written management plan (academically marked) and a five-minute video (peer marked) designed to assess creative collaboration as well as provide evidence of integrated collective knowledge; the cohesive patient-centred management plan. All students (including the disciplines of diagnostic radiology, exercise physiology, medicine, nursing, occupational therapy, pharmacy, physiotherapy and speech pathology), completed all tasks successfully. Of the 26 % of students who completed the evaluation survey, 70 % agreed or strongly agreed that the IPL activity was worthwhile, and 87 % agreed or strongly agreed that their case study was relevant. Thematic analysis found overarching themes of engagement and collaboration-in-action suggesting that the IPL activity enabled students to achieve the intended learning objectives. Students recognised the contribution of others and described negotiation, collaboration and creation of new collective knowledge after working

Variability in research ethics review of cluster randomized trials: a scenario-based survey in three countries

Science.gov (United States)

2014-01-01

Background Cluster randomized trials (CRTs) present unique ethical challenges. In the absence of a uniform standard for their ethical design and conduct, problems such as variability in procedures and requirements by different research ethics committees will persist. We aimed to assess the need for ethics guidelines for CRTs among research ethics chairs internationally, investigate variability in procedures for research ethics review of CRTs within and among countries, and elicit research ethics chairs’ perspectives on specific ethical issues in CRTs, including the identification of research subjects. The proper identification of research subjects is a necessary requirement in the research ethics review process, to help ensure, on the one hand, that subjects are protected from harm and exploitation, and on the other, that reviews of CRTs are completed efficiently. Methods A web-based survey with closed- and open-ended questions was administered to research ethics chairs in Canada, the United States, and the United Kingdom. The survey presented three scenarios of CRTs involving cluster-level, professional-level, and individual-level interventions. For each scenario, a series of questions was posed with respect to the type of review required (full, expedited, or no review) and the identification of research subjects at cluster and individual levels. Results A total of 189 (35%) of 542 chairs responded. Overall, 144 (84%, 95% CI 79 to 90%) agreed or strongly agreed that there is a need for ethics guidelines for CRTs and 158 (92%, 95% CI 88 to 96%) agreed or strongly agreed that research ethics committees could be better informed about distinct ethical issues surrounding CRTs. There was considerable variability among research ethics chairs with respect to the type of review required, as well as the identification of research subjects. The cluster-cluster and professional-cluster scenarios produced the most disagreement. Conclusions Research ethics committees

The impact of the European Working Time Directive 10 years on: views of the UK medical graduates of 2002 surveyed in 2013-2014.

Science.gov (United States)

Lambert, Trevor W; Smith, Fay; Goldacre, Michael J

2016-03-01

To report doctors' views about the European Working Time Directive ('the Directive'). Survey of the medical graduates of 2002 (surveyed in 2013-2014). Medical graduates. UK. Questions on views about the Directive. The response rate was 64% (2056/3196). Twelve per cent of respondents agreed that the Directive had benefited senior doctors, 39% that it benefited junior doctors, and 17% that it had benefited the NHS. More women (41%) than men (35%) agreed that the Directive had benefited junior doctors. Surgeons (6%) and adult medical specialists (8%) were least likely to agree that the Directive had benefited senior doctors. Surgeons (20%) were less likely than others to agree that the Directive had benefited junior doctors, whilst specialists in emergency medicine (57%) and psychiatry (52%) were more likely to agree. Surgeons (7%) were least likely to agree that the Directive had benefited the NHS. Most respondents (62%) reported a positive effect upon work-life balance. With regard to quality of patient care, 45% reported a neutral effect, 40% reported a negative effect, and 15% a positive effect. Most respondents (71%) reported a negative effect of the Directive on continuity of patient care, and 71% felt that the Directive had a negative effect upon junior doctors' training opportunities. Fifty-two per cent reported a negative effect on efficiency in managing patient care. Senior doctors agreed that the Directive benefited doctors' work-life balance. In other respects, they were more negative about it. Surgeons were the least positive about aspects of the Directive.

Millennial's perspective of clicker technology in a nursing classroom: A Mixed methods research study.

Science.gov (United States)

Toothaker, Rebecca

2018-03-01

Nursing education is facing challenges and a shift in paradigm within the nursing classroom. Educators need to explore innovative strategies that engage students. Clickers are one tool that can enhance participation, protect anonymity, and promote learning of concepts. This mixed methods study evaluated nursing student's perceptions of clicker technology during lecture. This study uses a 9-item questionnaire to explore perceived levels of student perception of the technology of clickers in a nursing classroom. The sample consisted of ninety-nine sophomore and senior level nursing students. Participants were recruited using convenience sampling. Ninety-one percent of the students agreed or strongly agreed that the use of clickers helped them to develop a better understanding of the subject matter when compared to traditional lecture based class. The findings portray a positive correlation of learning and an enhanced pedagogical approach for nursing students. Copyright © 2017 Elsevier Ltd. All rights reserved.

The appraisal of clinical guidelines in dentistry.

Science.gov (United States)

Glenny, Anne-Marie; Worthington, Helen V; Clarkson, Jan E; Esposito, Marco

2009-01-01

To appraise the reported processes involved in the development of published dental guidelines. Electronic databases were searched to identify guidelines making recommendations for any health professional within dentistry. All included guidelines were appraised using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. A total of 105 guidelines met the inclusion criteria. The appraised guidelines showed lack of rigour in their development (median score 14.3%; range 0% to 100%). Only 10 (9.5%) were coded as 'strongly recommend' by at least two assessors. If recommendations within clinical guidelines are to be relied upon, the methods used in their development must be explicit and free from bias. When using the AGREE checklist to make decisions on whether or not to implement individual sets of guidelines, the findings of the present assessment reinforce the need for more than two assessors to be included in the appraisal of each set of guidelines.

Online Video Conferencing: A Promising Innovation in Interprofessional Education.

Science.gov (United States)

Palumbo, Mary V; Bennett, Darcy N

2016-01-01

This pilot project demonstrated using online video conferencing with students from eight disciplines for providing care of a rural elder with multiple chronic conditions. Eighty-three students participated in 12 video case conferences, each led by a nurse-practitioner student. All students were given information on care of elders and the core competencies for interprofessional practice. Nurse-practitioner students were given information and practice on running a team meeting. A survey evaluated the activity in terms of interprofessional competency attainment in four domains (IPEC) by using data aggregated from 14 Likert scale questions. Participants (n=81, 98% response) rated the value of this activity highly (>60% strongly agreed and >25% agreed) across all four competency domains. Differences between disciplines were not found. Open-ended questions confirmed that the students valued the activity but also conveyed a desire for more in-person interprofessional activities to be included in their education.

US consumer attitudes toward sodium in baby and toddler foods.

Science.gov (United States)

John, Katherine A; Cogswell, Mary E; Zhao, Lixia; Maalouf, Joyce; Gunn, Janelle P; Merritt, Robert K

2016-08-01

Dietary data from a nationally representative survey indicate about 80% of US toddlers aged 1-3 years consume too much dietary sodium, which can influence their preference for salty foods in later life. Information on consumer attitudes can inform strategies to reduce sodium in baby and toddler foods. Data were obtained from a 2012 online survey sent to a sample of 11636 US adults aged ≥18 years enrolled in a national probability-based consumer panel; 6378 completed the survey and had non-missing responses to the question of interest, "It is important for baby and toddler foods to be low in sodium." Prevalence of agreement was estimated. Logistic regression was used to describe associations of respondent characteristics with agreement. The majority of respondents were non-Hispanic white and had a household income ≥$60,000. About 7 in 10 (68%, 95% CI: 66%-70%) respondents agreed it is important for baby or toddler foods to be low in sodium. More than 6 of 10 respondents in most subgroups agreed. Among parents with a child currently aged <2 years (N = 390), 82% agreed (95% CI: 77%-87%); the highest agreement included parents who thought sodium was very harmful to their own health (92%, 95% CI: 85%-99%) or who were watching/reducing their own sodium intake (95%, 95% CI: 90%-100%). After adjusting for sex, age, race-ethnicity, agreement was most strongly associated with being a parent of a child <2 years, thinking sodium was harmful, and watching/reducing sodium intake (adjusted odds ratios ≥ 2.5, 95% CI's ≠1.0). The majority of respondents including most parents agreed it is important for baby and toddler foods to be low in sodium, suggesting wide consumer support for strategies to lower sodium in these foods. Published by Elsevier Ltd.

Social capital on poultry farms in South Sulawesi, Indonesia

Science.gov (United States)

Sri Lestari, V.; Natsir; Patrick, I. W.; Ali, H. M.; Asya, M.; Sirajuddin, S. N.

2018-05-01

Social capital plays an important role in the development of poultry farms in South Sulawesi. Poultry farms consisted of laying hen and broiler farms. Most of laying hen farms were located in Sidrap Regency, while broiler farms were located in Maros regency. The aim of this research was to know social capital on beef cattle farms in South Sulawesi. Population of this research was 120 farmers which consisted of 6o were laying hen farmers and 60 were broiler farmers. Variable of social capital was mutual trust, reciprocity, shared norms and linkage. The data were collected from observation and depth interview by using questionnaire. There were 10 questions. The answer was scored by using Likert scale ranging from 1 refer to strongly agree; 2 refer to agree; 3 refer to not sure; 4 refer to disagree and 5 refer to strongly disagree. The data were analyzed descriptively using frequency distribution. The research revealed that mutual trust and shared norms members of the group in broiler farms have higher level than that on laying hen farms, on the other hand, linkage or net working members of the group among laying hen farmers has higher level than that on broiler farms.

Exploring Practical Responses of M3LC for Learning Literacy

Science.gov (United States)

Nasrullah; Baharman

2018-01-01

This study aims to explore the responses of participants toward Mathematics-Language Literacy Learning Courseware (M3LC) for learning literacy. There are five practical aspects concerned by involving 30 participants in the focus group discussion. In the beginning, participants were given some response sheet and introduced to M3LC by watching learning video of M3LC. At the end, they were asked to concern about response sheet and give comments related what they saw during the introduction session. The results show that the responses of users’ agree and strongly agree are still higher than those of users’ disagree or strongly disagree, with below 30% of responses are in the fair category. It means that the participants tend to give a positive opinion that M3LC is a useful courseware since it is qualified to satisfy 5 practical aspects, including knowledge use, knowledge construction, evaluation practice, social programming, and valuing to support literacy learning. In future, the implementation of using this courseware can be enhanced to further recognition of literacy level so that students can be well-prepared before starting learning activities in the classroom.

Circulation in a Short Cylindrical Couette System

Energy Technology Data Exchange (ETDEWEB)

Akira Kageyama; Hantao Ji; Jeremy Goodman

2003-07-08

In preparation for an experimental study of magnetorotational instability (MRI) in liquid metal, we explore Couette flows having height comparable to the gap between cylinders, centrifugally stable rotation, and high Reynolds number. Experiments in water are compared with numerical simulations. The flow is very different from that of an ideal, infinitely long Couette system. Simulations show that endcaps co-rotating with the outer cylinder drive a strong poloidal circulation that redistributes angular momentum. Predicted toroidal flow profiles agree well with experimental measurements. Spin-down times scale with Reynolds number as expected for laminar Ekman circulation; extrapolation from two-dimensional simulations at Re less than or equal to 3200 agrees remarkably well with experiment at Re approximately equal to 106. This suggests that turbulence does not dominate the effective viscosity. Further detailed numerical studies reveal a strong radially inward flow near both endcaps. After turning vertically along the inner cylinder, these flows converge at the midplane and depart the boundary in a radial jet. To minimize this circulation in the MRI experiment, endcaps consisting of multiple, differentially rotating rings are proposed. Simulations predict that an adequate approximation to the ideal Couette profile can be obtained with a few rings.

Beliefs and Attitudes of Medical Students from Public and Private Universities in Malaysia towards Individuals with HIV/AIDS

Directory of Open Access Journals (Sweden)

Koh Kwee Choy

2013-01-01

Full Text Available We describe the findings from a survey assessing the beliefs regarding testing, confidentiality, disclosure, and environment of care and attitudes towards care of people with HIV/AIDS (PLHWA, in 1020, 4th and 5th year medical students, from public and private medical universities in Malaysia. A self-administered validated questionnaire based on the UNAIDS Model Questionnaire with a 5-point Likert scale (5, strongly disagree; 4, disagree; 3, neutral; 2, agree; 1, strongly agree was used as a survey tool. The survey included demographic data and data on undergraduate training received on HIV/AIDS. Statistical significance in the demographic data and training received by respondents was evaluated using the chi-square test while the independent Student’s t-test was used for comparison of means between public and private universities. A value of <0.05 was considered statistically significant with 95% confidence interval. Our study revealed less than 20% of medical students received adequate training to care for PLHWA. They had prevalent negative beliefs regarding testing, confidentiality, disclosure and environment of care towards PLHWA although in giving care to PLHWA, their attitudes were largely positive and nondiscriminatory.

Circulation in a Short Cylindrical Couette System

International Nuclear Information System (INIS)

Akira Kageyama; Hantao Ji; Jeremy Goodman

2003-01-01

In preparation for an experimental study of magnetorotational instability (MRI) in liquid metal, we explore Couette flows having height comparable to the gap between cylinders, centrifugally stable rotation, and high Reynolds number. Experiments in water are compared with numerical simulations. The flow is very different from that of an ideal, infinitely long Couette system. Simulations show that endcaps co-rotating with the outer cylinder drive a strong poloidal circulation that redistributes angular momentum. Predicted toroidal flow profiles agree well with experimental measurements. Spin-down times scale with Reynolds number as expected for laminar Ekman circulation; extrapolation from two-dimensional simulations at Re less than or equal to 3200 agrees remarkably well with experiment at Re approximately equal to 106. This suggests that turbulence does not dominate the effective viscosity. Further detailed numerical studies reveal a strong radially inward flow near both endcaps. After turning vertically along the inner cylinder, these flows converge at the midplane and depart the boundary in a radial jet. To minimize this circulation in the MRI experiment, endcaps consisting of multiple, differentially rotating rings are proposed. Simulations predict that an adequate approximation to the ideal Couette profile can be obtained with a few rings

Popularity and impact of using smart devices in medicine: experiences in Saudi Arabia.

Science.gov (United States)

Al-Ghamdi, Sameer

2018-04-20

The present study aimed to investigate smart device medical apps currently preferred by physicians in Saudi Arabia and the perceived impact of the apps on patient care. Questionnaires for this cross-sectional study on smart device medical apps were randomly emailed to 384 physicians registered in the Saudi Commission of Health Specialists database. A total of 300 physicians returned completed questionnaires, with a response rate of 78.5%. Physician demographics and their perceptions of medical apps were assessed, including questions on the purpose, impact, and types of medical apps used. Questions were answered using a Likert scale (1 = strongly disagree, 2 = disagree, 3 = not sure, 4 = agree, and 5 = strongly agree). Study subjects had a median age of 39 years (57.7% male). Most respondents (88.3%) had smart devices, and 86.3% had at least one medical app installed. Just over half used an app at least once a day (53.0%). Medical apps were positively perceived, with physicians reporting increased dependency on the apps (Likert score: 4.7 ± 0.5). Medical apps were perceived to positively impact education, physician efficiency, and patient care.

Patient satisfaction with clinicians in colorectal 2-week wait clinics.

Science.gov (United States)

Cock, Karen; Kent, Bridie

2017-03-23

To determine if patient satisfaction is affected by the clinician (nurse or doctor), conducting the colorectal 2-week wait (2ww) clinics. A prospective non-randomised comparative cohort study of 339 consecutive patients (divided by blind allocation into nurse-led (n=216) and doctor-led (n=123) cohorts) conducted over a 3-month period. Patient satisfaction in both cohorts was assessed by an adapted version of the Grogan et al validated patient satisfaction questionnaire. The questionnaire was piloted first and was found to have high internal reliability (Cronbach's alpha=0.91). The study had a response rate of 78% (n=258/331) and overall satisfaction scores showed 85% (n=149/175) of patients in the nurse-led cohort and 65% (n=54/83) of patients in the doctor-led cohort strongly agreed that they were satisfied with the care they received. Mean overall satisfaction scores in the two cohorts revealed that the nurse-led cohort achieved significantly more 'strongly agree' responses than the doctor-led cohort (ppatient satisfaction was affected by the clinician conducting the 2ww clinic, in that the nurse-led cohort displayed significantly higher patient satisfaction. However, there are areas that merit further research.

Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice.

Science.gov (United States)

Tonna, Antonella; McCaig, Dorothy; Diack, Lesley; West, Bernice; Stewart, Derek

2014-10-01

The last decade has seen a drive towards non-medical prescribing in the United Kingdom (UK). However, there is a dearth of any published literature on applying the principles of service redesign to support pharmacist prescribing in any sphere of practice. To develop consensus guidance to facilitate service redesign around pharmacist prescribing. UK hospital practice. The Delphi technique was used to measure consensus of a panel of expert opinion holders in Scotland. Individuals with key strategic and operational roles in implementing initiatives of pharmacy practice and medicines management were recruited as experts. An electronic questionnaire consisting of 30 statements related to pharmacist prescribing service redesign was developed. These were presented as five-point Likert scales with illustrative quotes. Consensus, defined as 70 % of panel members agreeing (ranked strongly agree/agree) with each statement. Responses were obtained from 35/40 (87.5 %) experts in round one and 29 (72.5 %) in round two. Consensus in round one was achieved for 27/30 of statements relating to aspects of generic 'service development' (e.g. succession planning, multidisciplinary working, quality evaluation, practice development and outcome measures) and 'pharmacist prescribing role development' (e.g. education and future orientation of service). Issues of disagreement were around targeting of pharmacist prescribing to clinical specialities and financial remuneration for prescribing in the hospital setting. Consensus guidance has been developed to facilitate service redesign around hospital pharmacist prescribing.

The Attitudes of Physicians, Nurses, Physical Therapists, and Midwives Toward Complementary Medicine for Chronic Pain: A Survey at an Academic Hospital.

Science.gov (United States)

Aveni, Eléonore; Bauer, Brent; Ramelet, Anne-Sylvie; Kottelat, Yolande; Decosterd, Isabelle; Finti, Guillaume; Ballabeni, Pierluigi; Bonvin, Eric; Rodondi, Pierre-Yves

2016-01-01

To assess the attitudes of physicians, nurses, physical therapists, and midwives toward complementary medicine (CM) at a Swiss academic hospital and toward its use for treating chronic pain. The cross-sectional survey took place from October to December 2013. An e-mail sent to 4925 healthcare professionals (1969 physicians, 2372 nurses, 145 physical therapists, and 111 midwives) working at Lausanne University Hospital, Switzerland, invited them to answer a web-based questionnaire. The questionnaire was answered by 1247 healthcare professionals (response rate: 25.3%). Of these, 96.1% strongly agreed or agreed that CM could be useful for the treatment of chronic pain, with more nurses (96.7%) and midwives (100%) than physicians (93.8%) agreeing that CM could be useful (P chronic pain. Respondents listed migraine (74.7%), tension headaches (70.6%), and low back pain (70.1%) as three main conditions for which they would refer patients for acupuncture. The three therapies with which respondents were the most unfamiliar were neuraltherapy (57.2%), mindfulness-based stress reduction (MBSR) (54.1%), and biofeedback (51.9%). Over half of respondents, 58.3%, had never referred a patient to a CM practitioner. A total of 84.3% of the respondents felt that they lacked the knowledge to inform their patients about CM. Copyright © 2016 Elsevier Inc. All rights reserved.

Remote tele-mentored ultrasound for non-physician learners using FaceTime: A feasibility study in a low-income country.

Science.gov (United States)

Robertson, Thomas E; Levine, Andrea R; Verceles, Avelino C; Buchner, Jessica A; Lantry, James H; Papali, Alfred; Zubrow, Marc T; Colas, L Nathalie; Augustin, Marc E; McCurdy, Michael T

2017-08-01

Ultrasound (US) is a burgeoning diagnostic tool and is often the only available imaging modality in low- and middle-income countries (LMICs). However, bedside providers often lack training to acquire or interpret US images. We conducted a study to determine if a remote tele-intensivist could mentor geographically removed LMIC providers to obtain quality and clinically useful US images. Nine Haitian non-physician health care workers received a 20-minute training on basic US techniques. A volunteer was connected to an intensivist located in the USA via FaceTime. The intensivist remotely instructed the non-physicians to ultrasound five anatomic sites. The tele-intensivist evaluated the image quality and clinical utility of performing tele-ultrasound in a LMIC. The intensivist agreed (defined as "agree" or "strongly agree" on a five-point Likert scale) that 90% (57/63) of the FaceTime images were high quality. The intensivist felt comfortable making clinical decisions using FaceTime images 89% (56/63) of the time. Non-physicians can feasibly obtain high-quality and clinically relevant US images using video chat software in LMICs. Commercially available software can connect providers in institutions in LMICs to geographically removed intensivists at a relatively low cost and without the need for extensive training of local providers. Copyright © 2017 Elsevier Inc. All rights reserved.

Parental views on acute otitis media (AOM) and its therapy in children--results of an exploratory survey in German childcare facilities.

Science.gov (United States)

Kautz-Freimuth, Sibylle; Redaèlli, Marcus; Samel, Christina; Civello, Daniele; Altin, Sibel V; Stock, Stephanie

2015-12-01

Acute otitis media (AOM) is one of the main reasons for medical consultation and antibiotic use during childhood. Although 80% of AOM cases are self-limiting, antibiotic prescription is still high, either for physician- or for parent-related factors. This study aims to identify parental knowledge about, beliefs and attitudes towards, and experiences with AOM and its therapy and thus to gain insights into parents' perspectives within the German health care system. An exploratory survey was conducted among German-speaking parents of children aged 2 to 7 years who sent their children to a childcare facility. Childcare facilities were recruited by convenience sampling in different urban and rural sites in Germany, and all parents with children at those facilities were invited to participate. Data were evaluated using descriptive statistical analyses. One-hundred-thirty-eight parents participated. Of those, 75.4% (n = 104) were AOM-experienced and 75.4% (n = 104) had two or more children. Sixty-six percent generally agree that bacteria cause AOM. 20.2% generally agree that viruses cause AOM. 30.5% do not generally agree that viruses cause AOM. Eight percent generally agree that AOM resolves spontaneously, whereas 53.6% do not generally agree. 92.5% generally (45.7%) and partly (42.8%) agree that AOM needs antibiotic treatment. With respect to antibiotic effects, 56.6% generally agree that antibiotics rapidly relieve earache. 60.1% generally agree that antibiotics affect the gastrointestinal tract and 77.5% generally agree that antibiotics possibly become ineffective after frequent use. About 40% generally support and about 40% generally reject a "wait-and-see" strategy for AOM treatment. Parental-reported experiences reveal that antibiotics are by far more often prescribed (70.2%) than actively requested by parents (26.9%). Parental views on AOM, its therapy, and antibiotic effects reveal uncertainties especially with respect to causes, the natural course of the disease

Probing near extremal black holes with D-branes

International Nuclear Information System (INIS)

Maldacena, J.

1998-01-01

We calculate the one loop effective action for D-brane probes moving in the presence of near Bogomol close-quote nyi-Prasad-Sommerfield D-branes. The v 2 term agrees with supergravity in all cases and the static force agrees for a five-dimensional black hole with two large charges. It also agrees qualitatively in all the other cases. We make some comments on the M(atrix) theory interpretation of these results. copyright 1998 The American Physical Society

Breathing-mode resonance of a complex plasma disk

International Nuclear Information System (INIS)

Sheridan, T.E.; Buckey, C.R.; Cox, D.J.; Merrill, R.J.; Theisen, W.L.

2004-01-01

We have experimentally characterized the breathing mode oscillation of a strongly-coupled, dusty plasma disk. Steady-state oscillations are excited by sinusoidally modulating the plasma density, creating a single-frequency, in-plane driving force. Resonance curves agree well with damped harmonic oscillator theory. A response at the second harmonic is observed and found to increase with the square of the driving force, indicating a quadratic nonlinearity

Irish general practitioner attitudes toward decriminalisation and medical use of cannabis: results from a national survey.

Science.gov (United States)

Crowley, Des; Collins, Claire; Delargy, Ide; Laird, Eamon; Van Hout, Marie Claire

2017-01-13

Governmental debate in Ireland on the de facto decriminalisation of cannabis and legalisation for medical use is ongoing. A cannabis-based medicinal product (Sativex®) has recently been granted market authorisation in Ireland. This unique study aimed to investigate Irish general practitioner (GP) attitudes toward decriminalisation of cannabis and assess levels of support for use of cannabis for therapeutic purposes (CTP). General practitioners in the Irish College of General Practitioner (ICGP) database were invited to complete an online survey. Anonymous data yielded descriptive statistics (frequencies, percentages) to summarise participant demographic information and agreement with attitudinal statements. Chi-square tests and multi-nominal logistic regression were included. The response rate was 15% (n = 565) which is similar to other Irish national GP attitudinal surveys. Over half of Irish GPs did not support the decriminalisation of cannabis (56.8%). In terms of gender, a significantly higher proportion of males compared with females (40.6 vs. 15%; p cannabis should be decriminalised (54.1 vs. 31.5%; p = 0.021). Over 80% of both genders supported the view that cannabis use has a significant effect on patients' mental health and increases the risk of schizophrenia (77.3%). Over half of Irish GPs supported the legalisation of cannabis for medical use (58.6%). A higher percentage of those who were level 1-trained (trained in addiction treatment but not to an advanced level) agreed/strongly agreed cannabis should be legalised for medical use (p = 0.003). Over 60% agreed that cannabis can have a role in palliative care, pain management and treatment of multiple sclerosis (MS). In the regression response predicator analysis, females were 66.2% less likely to agree that cannabis should be decriminalised, 42.5% less likely to agree that cannabis should be legalised for medical use and 59.8 and 37.6% less likely to agree that cannabis has a role in

Extent, Awareness and Perception of Dissemination Bias in Qualitative Research: An Explorative Survey.

Science.gov (United States)

Toews, Ingrid; Glenton, Claire; Lewin, Simon; Berg, Rigmor C; Noyes, Jane; Booth, Andrew; Marusic, Ana; Malicki, Mario; Munthe-Kaas, Heather M; Meerpohl, Joerg J

2016-01-01

Qualitative research findings are increasingly used to inform decision-making. Research has indicated that not all quantitative research on the effects of interventions is disseminated or published. The extent to which qualitative researchers also systematically underreport or fail to publish certain types of research findings, and the impact this may have, has received little attention. A survey was delivered online to gather data regarding non-dissemination and dissemination bias in qualitative research. We invited relevant stakeholders through our professional networks, authors of qualitative research identified through a systematic literature search, and further via snowball sampling. 1032 people took part in the survey of whom 859 participants identified as researchers, 133 as editors and 682 as peer reviewers. 68.1% of the researchers said that they had conducted at least one qualitative study that they had not published in a peer-reviewed journal. The main reasons for non-dissemination were that a publication was still intended (35.7%), resource constraints (35.4%), and that the authors gave up after the paper was rejected by one or more journals (32.5%). A majority of the editors and peer reviewers "(strongly) agreed" that the main reasons for rejecting a manuscript of a qualitative study were inadequate study quality (59.5%; 68.5%) and inadequate reporting quality (59.1%; 57.5%). Of 800 respondents, 83.1% "(strongly) agreed" that non-dissemination and possible resulting dissemination bias might undermine the willingness of funders to support qualitative research. 72.6% and 71.2%, respectively, "(strongly) agreed" that non-dissemination might lead to inappropriate health policy and health care. The proportion of non-dissemination in qualitative research is substantial. Researchers, editors and peer reviewers play an important role in this. Non-dissemination and resulting dissemination bias may impact on health care research, practice and policy. More

Extent, Awareness and Perception of Dissemination Bias in Qualitative Research: An Explorative Survey.

Directory of Open Access Journals (Sweden)

Ingrid Toews

Full Text Available Qualitative research findings are increasingly used to inform decision-making. Research has indicated that not all quantitative research on the effects of interventions is disseminated or published. The extent to which qualitative researchers also systematically underreport or fail to publish certain types of research findings, and the impact this may have, has received little attention.A survey was delivered online to gather data regarding non-dissemination and dissemination bias in qualitative research. We invited relevant stakeholders through our professional networks, authors of qualitative research identified through a systematic literature search, and further via snowball sampling.1032 people took part in the survey of whom 859 participants identified as researchers, 133 as editors and 682 as peer reviewers. 68.1% of the researchers said that they had conducted at least one qualitative study that they had not published in a peer-reviewed journal. The main reasons for non-dissemination were that a publication was still intended (35.7%, resource constraints (35.4%, and that the authors gave up after the paper was rejected by one or more journals (32.5%. A majority of the editors and peer reviewers "(strongly agreed" that the main reasons for rejecting a manuscript of a qualitative study were inadequate study quality (59.5%; 68.5% and inadequate reporting quality (59.1%; 57.5%. Of 800 respondents, 83.1% "(strongly agreed" that non-dissemination and possible resulting dissemination bias might undermine the willingness of funders to support qualitative research. 72.6% and 71.2%, respectively, "(strongly agreed" that non-dissemination might lead to inappropriate health policy and health care.The proportion of non-dissemination in qualitative research is substantial. Researchers, editors and peer reviewers play an important role in this. Non-dissemination and resulting dissemination bias may impact on health care research, practice and policy

Comparison of international guideline programs to evaluate and update the Dutch program for clinical guideline development in physical therapy.

Science.gov (United States)

Van der Wees, Philip J; Hendriks, Erik J M; Custers, Jan W H; Burgers, Jako S; Dekker, Joost; de Bie, Rob A

2007-11-23

Clinical guidelines are considered important instruments to improve quality in health care. Since 1998 the Royal Dutch Society for Physical Therapy (KNGF) produced evidence-based clinical guidelines, based on a standardized program. New developments in the field of guideline research raised the need to evaluate and update the KNGF guideline program. Purpose of this study is to compare different guideline development programs and review the KNGF guideline program for physical therapy in the Netherlands, in order to update the program. Six international guideline development programs were selected, and the 23 criteria of the AGREE Instrument were used to evaluate the guideline programs. Information about the programs was retrieved from published handbooks of the organizations. Also, the Dutch program for guideline development in physical therapy was evaluated using the AGREE criteria. Further comparison the six guideline programs was carried out using the following elements of the guideline development processes: Structure and organization; Preparation and initiation; Development; Validation; Dissemination and implementation; Evaluation and update. Compliance with the AGREE criteria of the guideline programs was high. Four programs addressed 22 AGREE criteria, and two programs addressed 20 AGREE criteria. The previous Dutch program for guideline development in physical therapy lacked in compliance with the AGREE criteria, meeting only 13 criteria. Further comparison showed that all guideline programs perform systematic literature searches to identify the available evidence. Recommendations are formulated and graded, based on evidence and other relevant factors. It is not clear how decisions in the development process are made. In particular, the process of translating evidence into practice recommendations can be improved. As a result of international developments and consensus, the described processes for developing clinical practice guidelines have much in common

Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project.

Science.gov (United States)

2003-02-01

International interest in clinical practice guidelines has never been greater but many published guidelines do not meet the basic quality requirements. There have been renewed calls for validated criteria to assess the quality of guidelines. To develop and validate an international instrument for assessing the quality of the process and reporting of clinical practice guideline development. The instrument was developed through a multi-staged process of item generation, selection and scaling, field testing, and refinement procedures. 100 guidelines selected from 11 participating countries were evaluated independently by 194 appraisers with the instrument. Following refinement the instrument was further field tested on three guidelines per country by a new set of 70 appraisers. The final version of the instrument contained 23 items grouped into six quality domains with a 4 point Likert scale to score each item (scope and purpose, stakeholder involvement, rigour of development, clarity and presentation, applicability, editorial independence). 95% of appraisers found the instrument useful for assessing guidelines. Reliability was acceptable for most domains (Cronbach's alpha 0.64-0.88). Guidelines produced as part of an established guideline programme had significantly higher scores on editorial independence and, after the publication of a national policy, had significantly higher quality scores on rigour of development (pinternationally. The instrument is sensitive to differences in important aspects of guidelines and can be used consistently and easily by a wide range of professionals from different backgrounds. The adoption of common standards should improve the consistency and quality of the reporting of guideline development worldwide and provide a framework to encourage international comparison of clinical practice guidelines.

Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project.

NARCIS (Netherlands)

Cluzeau, F.A.; Burgers, J.S.; Brouwers, M.M.; Grol, R.P.T.M.; et al.,

2003-01-01

BACKGROUND: International interest in clinical practice guidelines has never been greater but many published guidelines do not meet the basic quality requirements. There have been renewed calls for validated criteria to assess the quality of guidelines. OBJECTIVE: To develop and validate an

32 CFR 151.6 - Resolution of ratification, with reservations, as agreed to by the Senate on July 15, 1953.

Science.gov (United States)

2010-07-01

... Defense OFFICE OF THE SECRETARY OF DEFENSE REGULATIONS PERTAINING TO MILITARY JUSTICE STATUS OF FORCES... is danger that the accused will not be protected becase of the absence or denial of constitutional...

Do visually impaired children and their parents agree on the child's vision-related quality of life and functional vision?

Science.gov (United States)

Tadić, Valerija; Cumberland, Phillippa M; Lewando-Hundt, Gillian; Rahi, Jugnoo S

2017-03-01

To investigate agreement between children with visual impairment (VI) and their parents on their ratings of the child's vision-related quality of life (VQoL) and functional vision (FV) using two novel self-report patient-reported outcome measures developed for this population. 99 children aged 10-15 years (mean age=12.2, SD=1.9) with VI (best corrected acuity (logarithm of the minimum angle of resolution) 0.50 or worse in better eye) and their parents participated in a national postal survey, completing the child and proxy versions of our novel instruments assessing VQoL and FV of children with VI-the vision-related quality of life instrument for children and young people (VQoL_CYP) and the functional vision questionnaire for children and young people (FVQ_CYP), respectively. Parent-child agreement was investigated using the Bland-Altman (BA) method. Variation across key sociodemographic and clinical characteristics was examined using the Intraclass Correlation Coefficient. Average parental ratings of their child's VQoL and FV were significantly lower than the children's own ratings, but the range of disagreement was wide, with parents both overestimating and underestimating their child's VQoL (mean score difference=5.7, BA limits of agreement (LOA): lower -22.10 (CI 95% -24.61 to 19.59) and upper 33.50 (CI 95% 30.99 to 36.01)), but more consistently underestimating the child's FV (mean score difference=-11.8, BA LOA: lower -39.60 (CI 95% -42.12 to 37.08) and upper 16 (CI 95% 13.48 to 18.52)). There was variation in agreement by some child characteristics, including vision level, time of onset and course of VI progression. Visually impaired children and their parents perceive the broader impact of living with VI very differently. There is value in routine capture of information independently from children and their parents for comprehensively gauging the impact of childhood VI and tailoring appropriate interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Do People Agree on What Makes One Feel Loved? A Cognitive Psychometric Approach to the Consensus on Felt Love.

Science.gov (United States)

Oravecz, Zita; Muth, Chelsea; Vandekerckhove, Joachim

2016-01-01

This pragmatic study examines love as a mode of communication. Our focus is on the receiver side: what makes an individual feel loved and how felt love is defined through daily interactions. Our aim is to explore everyday life scenarios in which people might experience love, and to consider people's converging and diverging judgments about which scenarios indicate felt love. We apply a cognitive psychometric approach to quantify a receiver's ability to detect, understand, and know that they are loved. Through crowd-sourcing, we surveyed lay participants about whether various scenarios were indicators of felt love. We thus quantify these responses to make inference about consensus judgments of felt love, measure individual levels of agreement with consensus, and assess individual response styles. More specifically, we (1) derive consensus judgments on felt love; (2) describe its characteristics in qualitative and quantitative terms, (3) explore individual differences in both (a) participant agreement with consensus, and (b) participant judgment when uncertain about shared knowledge, and (4) test whether individual differences can be meaningfully linked to explanatory variables. Results indicate that people converge towards a shared cognitive model of felt love. Conversely, respondents showed heterogeneity in knowledge of consensus, and in dealing with uncertainty. We found that, when facing uncertainty, female respondents and people in relationships more frequently judge scenarios as indicators of felt love. Moreover, respondents from smaller households tend to know more about consensus judgments of felt love, while respondents from larger households are more willing to guess when unsure of consensus.

How well do radiographic, clinical and self-reported diagnoses of knee osteoarthritis agree? Findings from the Hertfordshire cohort study

NARCIS (Netherlands)

Parsons, C.; Clynes, M.; Syddall, H.; Jagannath, D.; Litwic, A.; van der Pas, S.; Cooper, C.; Dennison, E.M.; Edwards, M.H.

2015-01-01

Objective: Epidemiological studies of knee osteoarthritis (OA) have often used a radiographic definition. However, the clinical syndrome of OA is influenced by a broad range of factors in addition to the structural changes required for radiographic OA. Hence more recently several studies have

How well do radiographic, clinical and self-reported diagnoses of knee osteoarthritis agree? Findings from the Hertfordshire cohort study.

Science.gov (United States)

Parsons, Camille; Clynes, Michael; Syddall, Holly; Jagannath, Darshan; Litwic, Anna; van der Pas, Suzan; Cooper, Cyrus; Dennison, Elaine M; Edwards, Mark H

2015-01-01

Epidemiological studies of knee osteoarthritis (OA) have often used a radiographic definition. However, the clinical syndrome of OA is influenced by a broad range of factors in addition to the structural changes required for radiographic OA. Hence more recently several studies have adopted a clinical or self-reported approach to OA diagnosis rather than a radiographic approach. The aim of this study was to investigate agreement between radiographic OA and the clinical and self-reported diagnoses of OA. Data were available for 199 men and 196 women in the Hertfordshire Cohort Study (HCS), UK. Participants completed a questionnaire detailing self-reported OA. Clinical OA was defined based on American College of Rheumatology (ACR) criteria. Knee radiographs were taken and graded for overall Kellgren and Lawrence (K&L) score. The mean (standard deviation (SD)) age of study participants was 75.2 (2.6) years and almost identical proportions of men and women. The prevalence of knee OA differed depending on the method employed for diagnosis; 21% of the study participants self-reported knee OA, 18% of the participants had clinical knee OA and 42% of the participants had radiographic OA. Of those 72 study participants with a self-reported diagnosis of knee OA 52 (72%) had a radiographic diagnosis of knee OA, while 66% (39 out of 59) of study participants with clinical knee OA had a diagnosis of radiographic knee OA. However 58% of those participants diagnosed with radiographic OA did not have either self-reported knee OA or a diagnosis of clinical OA. Therefore in comparison with the radiographic definition of OA, both the clinical and self-report definitions had high specificity (91.5% & 91.5% respectively) and low sensitivity (24.5% and 32.7% respectively). There is modest agreement between the radiographic, clinical and self-report methods of diagnosis of knee OA.

Do visually impaired children and their parents agree on the child's vision-related quality of life and functional vision?

Science.gov (United States)

Tadić, Valerija; Cumberland, Phillippa M; Lewando-Hundt, Gillian; Rahi, Jugnoo S

2017-01-01

Aims To investigate agreement between children with visual impairment (VI) and their parents on their ratings of the child's vision-related quality of life (VQoL) and functional vision (FV) using two novel self-report patient-reported outcome measures developed for this population. Methods 99 children aged 10–15 years (mean age=12.2, SD=1.9) with VI (best corrected acuity (logarithm of the minimum angle of resolution) 0.50 or worse in better eye) and their parents participated in a national postal survey, completing the child and proxy versions of our novel instruments assessing VQoL and FV of children with VI—the vision-related quality of life instrument for children and young people (VQoL_CYP) and the functional vision questionnaire for children and young people (FVQ_CYP), respectively. Parent-child agreement was investigated using the Bland-Altman (BA) method. Variation across key sociodemographic and clinical characteristics was examined using the Intraclass Correlation Coefficient. Results Average parental ratings of their child's VQoL and FV were significantly lower than the children's own ratings, but the range of disagreement was wide, with parents both overestimating and underestimating their child's VQoL (mean score difference=5.7, BA limits of agreement (LOA): lower −22.10 (CI 95% −24.61 to 19.59) and upper 33.50 (CI 95% 30.99 to 36.01)), but more consistently underestimating the child's FV (mean score difference=−11.8, BA LOA: lower −39.60 (CI 95% −42.12 to 37.08) and upper 16 (CI 95% 13.48 to 18.52)). There was variation in agreement by some child characteristics, including vision level, time of onset and course of VI progression. Conclusions Visually impaired children and their parents perceive the broader impact of living with VI very differently. There is value in routine capture of information independently from children and their parents for comprehensively gauging the impact of childhood VI and tailoring appropriate interventions. PMID:27267607

Spiritual character traits and leadership in the school workplace: An exploration of the relationship between spirituality and school leadership in some private and religiously affiliated schools in South Africa

Directory of Open Access Journals (Sweden)

Jaco S. Dreyer

2014-08-01

Full Text Available The South African educational system is in a crisis. This situation places huge demands on school principals and school management teams, and raises many theoretical and empirical questions. Transformational leadership is needed to deal with these challenges and complexities. Not all school leaders show the same level of transformational leadership. Some leaders conform more to other leadership styles. The aim of this article is to explore the relation between spiritual character traits and leadership styles from a theoretical and empirical perspective. The theoretical part focuses on the conceptualisation of leadership (styles and spirituality. The empirical research consists of a web-based survey conducted in some private and religiously affiliated schools in South Africa in 2011–2012. The Multifactor Leadership Questionnaire (MLQ and Cloninger’s shortened Temperament and Character Inventory (TCI-140 were used to measure leadership styles and spiritual traits respectively. Statistical procedures included confirmatory factor analysis, correlation (Pearson rho and regression analysis. Key findings are that leaders of private schools in South Africa mostly conform to a transformative leadership style, disagree with corrective leadership and strongly disagree with passive-avoidant leadership. Regarding the spiritual character traits they agree with self-transcendence and strongly agree with self-directedness. Spiritual character traits are strong predictors for transformational and passive-avoidant leadership. Higher levels of self-transcendence and self-directedness are strong predictors for transformational leadership. Our research suggests that traditional religious variables are less important as predictors of leadership style than spiritual character traits.

12 CFR 908.60 - Conduct of hearings.

Science.gov (United States)

2010-01-01

... to provide a fair and expeditious presentation of the relevant disputed issues. Except as limited by... may agree among themselves as to their order or presentation of their cases, but if they do not agree...

Parent perceptions important for HPV vaccine initiation among low income adolescent girls.

Science.gov (United States)

Staras, Stephanie A S; Vadaparampil, Susan T; Patel, Roshni P; Shenkman, Elizabeth A

2014-10-21

The study aims were to assess the influence of provider recommendations on parental vaccine perceptions and identify the most potent parent vaccine perceptions for HPV vaccine series initiation considering provider recommendation strength. We administered a questionnaire and assessed HPV vaccine claims among a stratified-random sample of parents of 9-17 year old girls enrolled in Florida's Medicaid and the Children's Health Insurance Program. Using multivariate analyses, we evaluated the associations between: (1) parent vaccine perceptions and provider recommendation strength, and (2) parent vaccine perceptions and HPV vaccine series initiation (≥1 vaccine claim or positive parental report) controlling for provider recommendation strength. The majority of the 2422 participating parents agreed that the HPV vaccine was safe (61%), would not make girls more likely to have sex (69%), and prevented cervical cancer (71%). About half (44%) reported receiving a strong provider recommendation. Compared to parents without recommendations, parents with strong recommendations had 2 to 7 times higher odds of agreeing that: vaccines are safe, the HPV vaccine is safe, not concerned about side effects, and the vaccine prevents cervical cancer. Even when considering provider recommendation strength, HPV vaccine series initiation was more likely among girls of parents who agreed rather than disagreed that the HPV vaccine was safe [odds ratio (OR)=5.8, 95% confidence interval (CI)=3.1, 11.1], does not cause sex (OR=2.0, 95% CI=1.2, 3.4), prevents cervical cancer (OR=2.0, 95% CI=1.0, 3.4), and prevents HPV infections (OR=1.8, 95% CI=1.0, 3.0). Parent concerns about HPV vaccine are similar to their concerns about other vaccines. Providers should focus HPV vaccine discussions with parents on vaccine safety and illness prevention. Copyright © 2014 Elsevier Ltd. All rights reserved.

Information disclosure in clinical informed consent: "reasonable" patient's perception of norm in high-context communication culture.

Science.gov (United States)

Hammami, Muhammad M; Al-Jawarneh, Yussuf; Hammami, Muhammad B; Al Qadire, Mohammad

2014-01-10

The current doctrine of informed consent for clinical care has been developed in cultures characterized by low-context communication and monitoring-style coping. There are scarce empirical data on patients' norm perception of information disclosure in other cultures. We surveyed 470 adults who were planning to undergo or had recently undergone a written informed consent-requiring procedure in a tertiary healthcare hospital in Saudi Arabia. Perceptions of norm and current practice were explored using a 5-point Likert scale (1 = strongly agree with disclosure) and 30 information items in 7 domains: practitioners' details, benefits, risks, complications' management, available alternatives, procedure's description, and post-procedure's issues. Respondents' mean (SD) age was 38.4 (12.5); 50.2% were males, 57.2% had ≥ college education, and 37.9% had undergone a procedure. According to norm perception, strongly agree/agree responses ranged from 98.0% (major benefits) to 50.5% (assistant/trainee's name). Overall, items related to benefits and post-procedure's issues were ranked better (more agreeable) than items related to risks and available alternatives. Ranking scores were better in post-procedure respondents for 4 (13.3%) items (p s name) to 13.9% (lead practitioner's training place), ranking scores were worse for all items compared to norm perception (p norm, 2) the focus of the desired information is closer to benefits and post-procedure's issues than risks and available alternatives, 3) male, post-procedure, and older patients are in favor of more information disclosure, 4) male, older, and more educated patients may be particularly dissatisfied with current information disclosure. The focus and extent of information disclosure for clinical informed consent may need to be adjusted if a "reasonable" patient's standard is to be met.

Field studies on the terrestrial behavior of actinide elements in East Tennessee

International Nuclear Information System (INIS)

Garten, C.T. Jr.; Bondietti, E.A.; Trabalka, J.R.; Walker, R.L.; Scott, T.G.

1984-01-01

Field studies on the comparative uptake of various actinide elements ( 232 Th, 233 U, 238 U, 239 Pu, 241 Am, and 244 Cm) by plants and animals inhabiting historically contaminated environments on the Oak Ridge National Laboratory (ORNL) reservation in East Tennessee are summarized. The present-day pattern of actinide element bioaccumulation from a flood plain site contaminated with Pu in 1944 is U > Th approx. Pu. Thus the environmentally dispersed 239 Pu exhibits a transfer from floodplain soil to biota comparable to that of indigenous 232 Th and less than that of the indigenous 238 U. This ranking agrees with the chemical extractability of U, Th, and Pu from soil, using either weak acids or strongly basic reagents. The pattern of actinide element uptake from the shoreline of a historically contaminated pond is Pu 238 U = 233 U. This ranking also agrees with the chemical extractability of Pu, Am, Cm, and U from shoreline sediment, using weak acids. Results from field studies at ORNL agree with what has been generally inferred about the relative food chain transfer of the actinides, based on laboratory studies and field studies at other sites in the United States. Because they share the same valence state, there are apparent strong similarities in soil sorption, plant uptake, and animal uptake between trivalent Am and Cm and between tetravalent Pu and Th. Available evidence suggests that knowledge of the behavior of naturally occurring 232 Th in the terrestrial food chain can be useful for predicting the long-term fate of environmentally dispersed 239 Pu, while data on 238 U might be used to place an upper limit on the expected long-term food chain transfer of all transuranic elements except Np. 33 references, 5 figures, 1 table

Information disclosure in clinical informed consent: “reasonable” patient’s perception of norm in high-context communication culture

Science.gov (United States)

2014-01-01

Background The current doctrine of informed consent for clinical care has been developed in cultures characterized by low-context communication and monitoring-style coping. There are scarce empirical data on patients’ norm perception of information disclosure in other cultures. Methods We surveyed 470 adults who were planning to undergo or had recently undergone a written informed consent-requiring procedure in a tertiary healthcare hospital in Saudi Arabia. Perceptions of norm and current practice were explored using a 5-point Likert scale (1 = strongly agree with disclosure) and 30 information items in 7 domains: practitioners’ details, benefits, risks, complications’ management, available alternatives, procedure’s description, and post-procedure’s issues. Results Respondents’ mean (SD) age was 38.4 (12.5); 50.2% were males, 57.2% had ≥ college education, and 37.9% had undergone a procedure. According to norm perception, strongly agree/agree responses ranged from 98.0% (major benefits) to 50.5% (assistant/trainee’s name). Overall, items related to benefits and post-procedure’s issues were ranked better (more agreeable) than items related to risks and available alternatives. Ranking scores were better in post-procedure respondents for 4 (13.3%) items (p disclosure of procedure’s name) to 13.9% (lead practitioner’s training place), ranking scores were worse for all items compared to norm perception (p risks and available alternatives, 3) male, post-procedure, and older patients are in favor of more information disclosure, 4) male, older, and more educated patients may be particularly dissatisfied with current information disclosure. The focus and extent of information disclosure for clinical informed consent may need to be adjusted if a “reasonable” patient’s standard is to be met. PMID:24406055

The utility of a Personal Values Report for medical decision-making.

Science.gov (United States)

Henderson, W; Corke, C

2015-09-01

Our aim was to determine if a patient's Personal Values Report (PVR) has a positive impact on a doctor's decisions regarding treatment. We conducted a prospective cohort study delivering a short, web-based hypothetical case-centred questionnaire to intensive care doctors practising in Australia and New Zealand. One hundred and twenty-four intensive care consultants and registrars agreed to participate in an online questionnaire in two routine mailings between November 2013 and February 2014. We evaluated the effect of a PVR on clinical decision-making in a case-based scenario. In addition, participants rated the utility of the PVR on their decision-making process. Participants were presented with a difficult scenario in a frail elderly man where death was almost inevitable without aggressive support but survival with severe disability was possible with significant intervention. Most doctors (52.4%) elected to continue ventilation and admit to ICU. After the PVR was made available, only 8.1% of doctors continued to choose to admit the patient to the ICU. In all cases where admission to the ICU was chosen after seeing the PVR, the admission to the ICU was stated to be to permit family to arrive before withdrawing support (an approach which was consistent with the values stated in the PVR). One hundred and twenty-one of the 124 participants (97.6%) agreed or strongly agreed that the PVR helped them get an understanding of the patient's wishes, whereas none of the participants (0%) were unsure, disagreed or strongly disagreed with this statement. The remaining 2.4% did not answer the question. It is surmised that PVRs pre-written by patients are potentially an effective and valuable tool for use in helping doctors make decisions regarding patient care.

General Practitioner's Attitudes and Confidence in Managing Patients with Dementia in Singapore.

Science.gov (United States)

Subramaniam, Mythily; Ong, Hui Lin; Abdin, Edimansyah; Chua, Boon Yiang; Shafie, Saleha; Siva Kumar, Fiona Devi; Foo, Sophia; Ng, Li Ling; Lum, Alvin; Vaingankar, Janhavi A; Chong, Siow Ann

2018-03-01

The number of people living with dementia is increasing globally as a result of an ageing population. General practitioners (GPs), as the front-line care providers in communities, are important stakeholders in the system of care for people with dementia. This commentary describes a study conducted to understand GPs' attitudes and self-perceived competencies when dealing with patients with dementia and their caregivers in Singapore. A set of study information sheet and survey questionnaires were mailed to selected GP clinics in Singapore. The survey, comprising the "GP Attitudes and Competencies Towards Dementia" questionnaire, was administered. A total of 400 GPs returned the survey, giving the study a response rate of 52.3%. About 74% of the GPs (n=296) were seeing dementia patients in their clinics. Almost all the GPs strongly agreed that early recognition of dementia served the welfare of the patients (n=385; 96%) and their relatives (n=387; 97%). About half (51.5%) of the respondents strongly agreed or agreed that they felt confident carrying out an early diagnosis of dementia. Factor analysis of questionnaire revealed 4 factors representing "benefits of early diagnosis and treatment of patients with dementia", "confidence in dealing with patients and caregiver of dementia", "negative perceptions towards dementia care" and "training needs". GPs in Singapore held a generally positive attitude towards the need for early dementia diagnosis but were not equally confident or comfortable about making the diagnosis themselves and communicating with and managing patients with dementia in the primary care setting. Dementia education and training should therefore be a critical step in equipping GPs for dementia care in Singapore. Shared care teams could further help build up GPs' knowledge, confidence and comfort in managing patients with dementia.

Gravitational wave extraction in simulations of rotating stellar core collapse

International Nuclear Information System (INIS)

Reisswig, C.; Ott, C. D.; Sperhake, U.; Schnetter, E.

2011-01-01

We perform simulations of general relativistic rotating stellar core collapse and compute the gravitational waves (GWs) emitted in the core-bounce phase of three representative models via multiple techniques. The simplest technique, the quadrupole formula (QF), estimates the GW content in the spacetime from the mass-quadrupole tensor only. It is strictly valid only in the weak-field and slow-motion approximation. For the first time, we apply GW extraction methods in core collapse that are fully curvature based and valid for strongly radiating and highly relativistic sources. These techniques are not restricted to weak-field and slow-motion assumptions. We employ three extraction methods computing (i) the Newman-Penrose (NP) scalar Ψ 4 , (ii) Regge-Wheeler-Zerilli-Moncrief master functions, and (iii) Cauchy-characteristic extraction (CCE) allowing for the extraction of GWs at future null infinity, where the spacetime is asymptotically flat and the GW content is unambiguously defined. The latter technique is the only one not suffering from residual gauge and finite-radius effects. All curvature-based methods suffer from strong nonlinear drifts. We employ the fixed-frequency integration technique as a high-pass waveform filter. Using the CCE results as a benchmark, we find that finite-radius NP extraction yields results that agree nearly perfectly in phase, but differ in amplitude by ∼1%-7% at core bounce, depending on the model. Regge-Wheeler-Zerilli-Moncrief waveforms, while, in general, agreeing in phase, contain spurious high-frequency noise of comparable amplitudes to those of the relatively weak GWs emitted in core collapse. We also find remarkably good agreement of the waveforms obtained from the QF with those obtained from CCE. The results from QF agree very well in phase and systematically underpredict peak amplitudes by ∼5%-11%, which is comparable to the NP results and is certainly within the uncertainties associated with core collapse physics.

Employee use and perceived benefit of a complementary and alternative medicine wellness clinic at a major military hospital: evaluation of a pilot program.

Science.gov (United States)

Duncan, Alaine D; Liechty, Janet M; Miller, Cathy; Chinoy, Gail; Ricciardi, Richard

2011-09-01

The objectives of this study were to examine the feasibility of a weekly on-site complementary and alternative medicine (CAM) wellness clinic for staff at a military hospital, and to describe employees' perceptions of program effectiveness. The study setting was the Restore & Renew(®) Wellness Clinic at a United States Department of Defense hospital. The subjects were hospital nurses, physicians, clinicians, support staff, and administrators. The walk-in wellness clinic was open 8:00 am-2:00 pm 1 day a week. Participants selected one or more modalities each visit: ear acupuncture, clinical acupressure, and Zero Balancing.(®) A self-report survey was done after each clinic visit to evaluate clinic features and perceived impact on stress-related symptoms, compassion for patients, sleep, and workplace or personal relationships. Surveys completed after first-time and repeat visits (n=2,756 surveys) indicated that most participants agreed or strongly agreed they felt more relaxed after sessions (97.9%), less stress (94.5%), more energy (84.3%), and less pain (78.8%). Ninety-seven percent (97%) would recommend it to a co-worker. Among surveys completed after five or more visits, more than half (59%-85%) strongly agreed experiencing increased compassion with patients, better sleep, improved mood, and more ease in relations with co-workers. Perceived benefits were sustained and enhanced by number of visits. The most frequently reported health habit changes were related to exercise, stress reduction, diet/nutrition, and weight loss. This evaluation suggests that a hospital-based wellness clinic based on CAM principles and modalities is feasible, well-utilized, and perceived by most participants to have positive health benefits related to stress reduction at work, improved mood and sleep, and lifestyle.

Does student debt affect dental students' and dentists' stress levels?

Science.gov (United States)

Boyles, J D; Ahmed, B

2017-10-27

Introduction Many studies have shown financial worries and debt to induce stress in individuals, this combined with the existing stress of being a dentist raises the question of how student debt affects students' and dentists' stress levels.Objectives Determine whether student debt has had any noticeable effect on student stress levels; investigate whether student debt has any effect on dentists' career choice; investigate whether the increase in tuition fees has influenced the number of applicants to study dentistry at the University of Birmingham.Method Anonymous questionnaires were completed by 70 4th year and 38 5th year BDS and 22 Dental Core Trainees (DCTs). Participants circled the response which best fitted their situation regarding statements on their level of stress and future career path. Ethical approval granted. Application figures to study dentistry obtained from head of admissions.Results Forty-two percent of males and 63% of females strongly agreed with the statement that having no debt would reduce their stress levels. Of those with debt >£40,000, 11% strongly agreed and 42% agreed that their total amount of student debt causes them stress. Whereas, those whose debt is stress. Seventy-seven percent of participants who had parental or family financial support reported this reduced their stress levels. Student debt was found to deter females from undertaking further study more than it deters males (P stressed about their total student loan(s) (P stress (P stress; students reporting a higher level of debt also report more stress and concern about paying off their student debt. Having no student debt would reduce stress levels, although to what extent is undetermined. Applications to study dentistry have fallen since the increase in tuition fees.

48 CFR 2052.216-73 - Accelerated task order procedures.

Science.gov (United States)

2010-10-01

... terms of the definitive task order and agrees to submit a cost proposal with supporting cost or pricing data. If agreement on a definitized task order is not reached by the target date mutually agreed upon...

Marriage ceremony: The clash between traditional marriage rites ...

African Journals Online (AJOL)

Marriage ceremony: The clash between traditional marriage rites and ... and a woman who has agreed to marry, be socially described as a married couple ... People agreed that traditional marriage rites should be compulsory but performance ...

Dispersion in cylindrical channels on the laminar flow at low Fourier numbers.

Science.gov (United States)

Kucza, Witold; Dąbrowa, Juliusz; Nawara, Katarzyna

2015-06-30

A numerical solution of the uniform dispersion model in cylindrical channels at low Fourier numbers is presented. The presented setup allowed to eliminate experimental non-idealities interfering the laminar flow. Double-humped responses measured in a flow injection system with impedance detection agreed with those predicted by theory. Simulated concentration profiles as well as flow injection analysis (FIA) responses show the predictive and descriptive power of the numerical approach. A strong dependence of peak shapes on Fourier numbers, at its low values, makes the approach suitable for determination of diffusion coefficients. In the work, the uniform dispersion model coupled with the Levenberg-Marquardt method of optimization allowed to determine the salt diffusion coefficient for KCl, NaCl, KMnO4 and CuSO4 in water. The determined values (1.83, 1.53, 1.57 and 0.90)×10(-9)m(2)s(-1), respectively, agree well with the literature data. Copyright © 2015 Elsevier B.V. All rights reserved.

The impact of blended learning on student performance in a cardiovascular pharmacotherapy course.

Science.gov (United States)

McLaughlin, Jacqueline E; Gharkholonarehe, Nastaran; Khanova, Julia; Deyo, Zach M; Rodgers, Jo E

2015-03-25

To examine student engagement with, perception of, and performance resulting from blended learning for venous thromboembolism in a required cardiovascular pharmacotherapy course for second-year students. In 2013, key foundational content was packaged into an interactive online module for students to access prior to coming to class; class time was dedicated to active-learning exercises. Students who accessed all online module segments participated in more in class clicker questions (p=0.043) and performed better on the examination (p=0.023). There was no difference in clicker participation or examination performance based on time of module access (prior to or after class). The majority of participants agreed or strongly agreed that foundational content learned prior to class, applied activities during class, and content-related questions in the online module greatly enhanced learning. This study highlights the importance of integrating online modules with classroom learning and the role of blended learning in improving academic performance.

eHealth Literacy Skills Among Undergraduate Nursing Students in the U.S. and South Korea.

Science.gov (United States)

Park, Hyejin; Park, Hyunmi

2016-01-01

Online health information is a critical resource for health consumers. Nursing professionals need to be eHealth literate to support patients and their families. The purpose of the study was to explore eHealth literacy skills among undergraduate nursing students in the U.S. and South Korea. One hundred and sixty-nine undergraduate nursing students in two universities, one in the southern area of the U.S. and one in the eastern area of South Korea, participated. Participants were asked to complete the eHealth Literacy Scale. The majority of participants perceived that the Internet is a useful or very useful tool in helping them make health-related decisions. The participants either agreed or strongly agreed with the 7 items of the eHealth literacy scale except an item such as they can call high to low quality of online health information. The U.S students have higher mean scores of all eHealth literacy items than students of South Korea.

Calculations of the flow past bluff bodies, including tilt-rotor wing sections at alpha = 90 deg

Science.gov (United States)

Raghavan, V.; Mccroskey, W. J.; Baeder, J. D.; Van Dalsem, W. R.

1990-01-01

An attempt was made to model in two dimensions the effects of rotor downwash on the wing of the tilt-rotor aircraft and to compute the drag force on airfoils at - 90 deg angle of attack, using a well-established Navier-Stokes code. However, neither laminar nor turbulent calculations agreed well with drag and base-pressure measurements at high Reynolds numbers. Therefore, further efforts were concentrated on bluff-body flows past various shapes at low Reynolds numbers, where a strong vortex shedding is observed. Good results were obtained for a circular cylinder, but the calculated drag of a slender ellipse at right angles to the freestream was significantly higher than experimental values reported in the literature for flat plates. Similar anomalous results were obtained on the tilt-rotor airfoils, although the qualitative effects of flap deflection agreed with the wind tunnel data. The ensemble of results suggest that there may be fundamental differences in the vortical wakes of circular cylinders and noncircular bluff bodies.

Developing an e-learning resource for nurse airway assistants in the emergency department.

Science.gov (United States)

Hersey, Peter; McAleer, Sean

2017-02-23

The aims of this project were to determine the required competencies for a nurse in the emergency department assisting with a rapid sequence induction of anaesthesia (RSI), and to produce a relevant e-learning resource. A three-round multidisciplinary Delphi process produced the following competencies: ability to describe the steps and sequence of events of an RSI, familiarity with the equipment used during an RSI, ability to recognise and help manage problems occurring during an RSI, ability to prepare for an RSI, ability to apply cricoid pressure, and understanding the modification of an RSI in special circumstances. An interactive e-learning package was produced and made available online. Twelve emergency department nurses took part in an evaluation of the e-learning package. All either agreed or strongly agreed that they had increased their knowledge and found the learning useful, and 11 out of 12 nurses reported being somewhat or very confident in the role of airway assistant following completion of the learning.

Attitudes toward Palliative Care and End of Life Issues: A Prospective Survey in Patients with Metastatic Cancer

LENUS (Irish Health Repository)

Docherty, C

2016-05-01

Palliative care (PC) positively impacts patient outcomes, decreases hospital admissions and improves quality of life. Despite evidence, PC resources are reported as under-utilised. Few studies have explored patient attitudes towards PC. This study evaluated patient attitudes towards PC. It was a prospective study conducted in oncology outpatient clinics. A 26-item questionnaire was distributed to those with metastatic cancer (N = 44). Sixty percent believed PC can make people ‘feel better’, 63.4% believed PC is offered when nothing more can be done. Most were unsure or disagreed that opioids are addictive. Eighty percent reported symptom control is more important than prolonging life. Sixty-one percent strongly agreed or agreed that ‘losing hope makes people die sooner’. Although PC was deemed beneficial, a significant relationship exists between familiarity with PC and thinking it’s offered when ‘nothing more can be done’. Lack of knowledge about opioids, preference for symptom control over life prolonging measures and the importance of hope were also emphasised.

Lithuanian Publisher’s Needs for Training

Directory of Open Access Journals (Sweden)

Arūnas Gudinavičius

2016-12-01

Full Text Available The survey on the training and professional development needs of Lithuanian publishers was designed and conducted. The pilot research showed that publishers in Lithuania have an interest in professional training. According to the results, the need for training among the employees of Lithuanian publishing houses depends on the previous training experience: the more training courses the employee had before, the greater need for training he/she expresses. 82% of publishing house employees from four different fields agreed and strongly agreed on the need for training. Very few employees would like to pay for training by themselves. The identified need for training appears to reflect the nature of the problems encountered in the publishing field in Lithuania: Copyright, Law & Rights is the most wanted training topic among managing directors. The list of preferred topics for training can be used as the grounds for creating a supply of publishing training courses.

Use of multiple patient simulators to enhance prioritizing and delegating skills for senior nursing students.

Science.gov (United States)

Kaplan, Barbara; Ura, Darla

2010-07-01

The student clinical experience is rich, yet challenges arise in providing experiences where leadership skills can be developed and used in nursing practice. To increase student confidence and enhance student ability to safely and effectively prioritize, delegate, and implement care for numerous patients, a simulation-based learning (SBL) experience was developed. The SBL experience involves multiple patient simulators, case study analysis, and a debriefing session. Ninety-seven senior nursing students participated in this program. Students reported through Likert surveys to either "agree" or "strongly agree" that the SBL was well organized (87%, n = 84), prompted realistic expectations (59%, n = 57), the scenarios were believable (73%, n = 71), case studies increased understanding (66%, n = 64), and that the SBL experience increased understanding of prioritizing and delegating care (69%, n = 67). Seventy-eight percent (n = 76) reported "more confidence in ability to work as a team" and 55% (n = 52) reported "more confidence in prioritizing and delegating care." Copyright 2010, SLACK Incorporated.

NREL Partnership Survey - FY 2016 Results

Energy Technology Data Exchange (ETDEWEB)

2016-09-01

The National Renewable Energy Laboratory (NREL) conducts an annual partnership satisfaction survey in which we ask our clients to rate NREL in a number of areas. As a national laboratory, the principal areas we focus on include value, timeliness, quality, price, and capabilities. This fact sheet shows the results of a survey with 300 customers responding to 11 questions using ratings that vary from 'strongly agree' to 'strongly disagree.' In FY 16, 100% of the scores improved or were equal to FY 15 numbers.

Simultaneous anatomical sketching as learning by doing method of teaching human anatomy.

Science.gov (United States)

Noorafshan, Ali; Hoseini, Leila; Amini, Mitra; Dehghani, Mohammad-Reza; Kojuri, Javad; Bazrafkan, Leila

2014-01-01

Learning by lecture is a passive experience. Many innovative techniques have been presented to stimulate students to assume a more active attitude toward learning. In this study, simultaneous sketch drawing, as an interactive learning technique was applied to teach anatomy to the medical students. We reconstructed a fun interactive model of teaching anatomy as simultaneous anatomic sketching. To test the model's instruction effectiveness, we conducted a quasi- experimental study and then the students were asked to write their learning experiences in their portfolio, also their view was evaluated by a questionnaire. The results of portfolio evaluation revealed that students believed that this method leads to deep learning and understanding anatomical subjects better. Evaluation of the students' views on this teaching approach was showed that, more than 80% of the students were agreed or completely agreed with this statement that leaning anatomy concepts are easier and the class is less boring with this method. More than 60% of the students were agreed or completely agreed to sketch anatomical figures with professor simultaneously. They also found the sketching make anatomy more attractive and it reduced the time for learning anatomy. These number of students were agree or completely agree that the method help them learning anatomical concept in anatomy laboratory. More than 80% of the students found the simultaneous sketching is a good method for learning anatomy overall. Sketch drawing, as an interactive learning technique, is an attractive for students to learn anatomy.

The Ideal Hospital Discharge Summary: A Survey of U.S. Physicians.

Science.gov (United States)

Sorita, Atsushi; Robelia, Paul M; Kattel, Sharma B; McCoy, Christopher P; Keller, Allan Scott; Almasri, Jehad; Murad, Mohammad Hassan; Newman, James S; Kashiwagi, Deanne T

2017-09-06

Hospital discharge summaries enable communication between inpatient and outpatient physicians. Despite existing guidelines for discharge summaries, they are frequently suboptimal. The aim of this study was to assess physicians' perspectives about discharge summaries and the differences between summaries' authors (hospitalists) and readers (primary care physicians [PCPs]). A national survey of 1600 U.S. physicians was undertaken. Primary measures included physicians' preferences in discharge summary standardization, content, format, and audience. A total of 815 physicians responded (response rate = 51%). Eighty-nine percent agreed that discharge summaries "should have a standardized format." Most agreed that summaries should "document everything that was done, found, and recommended in the hospital" (64%) yet "only include details that are highly pertinent to the hospitalization" (66%). Although 74% perceived patients as an important audience of discharge summaries, only 43% agreed that summaries "should be written in language that patients…can easily understand," and 68% agreed that it "should be written solely for provider-to-provider communication." Compared with hospitalists, PCPs preferred comprehensive summaries (68% versus 59%, P = 0.002). More PCPs agreed that separate summaries should be created for patients and for provider-to-provider communication than hospitalists (60% versus 47%, P summary" (44% versus 23%, P summary" (60% versus 38%, P summaries should have a standardized format but do not agree on how comprehensive or in what format they should be. Efforts are necessary to build consensus toward the ideal discharge summary.

Numerical study of Langevin equation in twisted Eguchi-Kawai model: distribution of eigenvalues of the plaquette matrix

International Nuclear Information System (INIS)

Migdal, A.A.; Polikarpov, M.I.; Veselov, A.I.; Yurov, V.P.

1983-01-01

The Langevin equation for the lattice theory with arbitrary gauge group is derived. The four-dimensional twisted Eguchi-Kawai model is investigated numerically. The results for the plaquette energy agree with those of the known Monte Carlo calculations. The new result is the distribution of eigenvalues of the plaquette matrix. In the strong coupling phase this distribution is smooth, whereas in the weak coupling phase a gap is clearly seen

Moral and Ethical Decision Making

Science.gov (United States)

2007-07-01

rational ones (i.e. Kohlberg’s influential model of decision making ). However, non- rational elements, such as affect, risk perception, risk preference...dread or anxiety) play a strong role in many types of decisions , and that the addition of decision makers’ emotions to models of choice may make ...White, 1994) agree that emotions are an integral part of ethical decision making as well. Emotions arise in the context of interpersonal

Depth vs. Breadth: Talent Management for Special Warfare

Science.gov (United States)

2016-12-01

a valuable and important tool when it comes to managing officer talent. In the corporate world, business skill has been strongly linked to leader ...Taking Charge, Harvard Business Professor John Gabarro discusses his research into the process behind successful (and failed) leader rotation. Gabarro’s...spend five years in a leadership role, agrees with Google’s experience. He believes that strategic leaders , like the SOCOM Commander, benefit from

Timing of Surgery and Rehabilitation to Optimize Outcome for Patients with Multiple Ligament Knee Injuries: A Multicenter Clinical Trial

Science.gov (United States)

2017-10-01

procedures. d) The Executive Committee in conjunction with the study investigators have developed and agreed upon the definitions for early...Rehabilitation Committee in conjunction with the study investigators have developed and agreed upon the early and delayed post-operative

Justification theory for the analysis of the socio-cultural value of fish and fisheries: the case of Baltic salmon

DEFF Research Database (Denmark)

Ignatius, Suvi; Haapasaari, Päivi Elisabet

2017-01-01

to the common good. Agreeing on the common good is crucial for the legitimacy of governance. However,because thecommongood canbedefinedinmultipleways,thesedefinitionshavetobemade transparent through empirical analysis so that they can be further deliberated, evaluated and agreed upon by governors, stakeholders...

Is dried paw-paw leaf a psychoactive substance | Olley | IFE ...

African Journals Online (AJOL)

... pattern as well as effects of drug abuse and dependence among Nigerians, the use ... agreed that dried paw-paw leaf could produce the same effects as cannabis, ... 53.3% agreed that dried paw-paw leaf could be dangerous to ones health.

2011 Center for Army Leadership Annual Survey of Army Leadership (CASAL): Main Findings

Science.gov (United States)

2012-05-01

serving in a Maneuver, Fires & Effects ( MFE ) (MTOE) assignments agree they are confident following their immediate superior into life-or- death...deployed to Afghanistan and serving in MFE assignments agree; 20% disagree. Several factors relate to subordinate confidence in following their

Size analysis of single-core magnetic nanoparticles

Energy Technology Data Exchange (ETDEWEB)

Ludwig, Frank, E-mail: f.ludwig@tu-bs.de [Institut für Elektrische Messtechnik und Grundlagen der Elektrotechnik, TU Braunschweig, Braunschweig (Germany); Balceris, Christoph; Viereck, Thilo [Institut für Elektrische Messtechnik und Grundlagen der Elektrotechnik, TU Braunschweig, Braunschweig (Germany); Posth, Oliver; Steinhoff, Uwe [Physikalisch-Technische Bundesanstalt, Berlin (Germany); Gavilan, Helena; Costo, Rocio [Instituto de Ciencia de Materiales de Madrid, ICMM/CSIC, Madrid (Spain); Zeng, Lunjie; Olsson, Eva [Department of Applied Physics, Chalmers University of Technology, Göteborg (Sweden); Jonasson, Christian; Johansson, Christer [ACREO Swedish ICT AB, Göteborg (Sweden)

2017-04-01

Single-core iron-oxide nanoparticles with nominal core diameters of 14 nm and 19 nm were analyzed with a variety of non-magnetic and magnetic analysis techniques, including transmission electron microscopy (TEM), dynamic light scattering (DLS), static magnetization vs. magnetic field (M-H) measurements, ac susceptibility (ACS) and magnetorelaxometry (MRX). From the experimental data, distributions of core and hydrodynamic sizes are derived. Except for TEM where a number-weighted distribution is directly obtained, models have to be applied in order to determine size distributions from the measurand. It was found that the mean core diameters determined from TEM, M-H, ACS and MRX measurements agree well although they are based on different models (Langevin function, Brownian and Néel relaxation times). Especially for the sample with large cores, particle interaction effects come into play, causing agglomerates which were detected in DLS, ACS and MRX measurements. We observed that the number and size of agglomerates can be minimized by sufficiently strong diluting the suspension. - Highlights: • Investigation of size parameters of single-core magnetic nanoparticles with nominal core diameters of 14 nm and 19 nm utilizing different magnetic and non-magnetic methods • Hydrodynamic size determined from ac susceptibility measurements is consistent with the DLS findings • Core size agrees determined from static magnetization curves, MRX and ACS data agrees with results from TEM although the estimation is based on different models (Langevin function, Brownian and Néel relaxation times).

Cancer education and effective dissemination: information access is not enough.

Science.gov (United States)

Ousley, Anita L; Swarz, Jeffrey A; Milliken, Erin L; Ellis, Steven

2010-06-01

Education is the main avenue for disseminating new research findings into clinical practice. Understanding factors that affect translation of research into practice may help cancer educators design programs that facilitate the time it takes for research-indicated practices to become standard care. To understand various factors, the National Cancer Institute (NCI) Office of Education and Special Initiatives (OESI)(1) with individual cooperation from Oncology Nursing Society (ONS), American Society of Clinical Oncology (ASCO), and Association of Oncology Social Work (AOSW) administered a Practitioner Information Needs survey to five different types of practitioners involved in cancer care. While most of the 2,864 practitioners (83%) agreed they had access to current practice information, practitioners in large practice settings were more likely to report having access to research than those small practice settings. However, only 33% indicated that they had adequate time to access the information. Colleagues or experts within the organization were cited as the most frequently relied on information resource (60%), and peer-reviewed journals were cited as second (57%). Overall, 66% strongly or somewhat agreed that their organizations exhibit effective change management practices. A majority (69%) agreed that implementation of new practices is hindered by the lack of available staff time. Financial factors and the characteristics of the information presented were also believed to be factors contributing to research implementation. Group differences were observed among practitioner groups and practice settings for some factors.

Solar Polar Field Observed by SOHO/MDI and Hinode

Science.gov (United States)

Liu, Y.

2009-12-01

Using 1-minute cadence time-series full disk magnetograms taken by SOHO/MDI in 2007 March, and the corresponding Hinode/SOT vector magnetograms, I have studied evolutionary characteristics of magnetic elements in Sun's south polar region in solar minimum. It is found that the lifetime of magnetic elements is 17.0 hours on average with an average lifetime of 21.8 hours for elements with positive field, the dominant polarity in the south pole, and 1.6 hours for elements with negative field. The elements with positive field are dominant in the south pole with a percentage of 76% in element number and 90.5% in magnetic flux. The lifetime and magnetic flux of the elements is found to be highly related. This agrees with some previous studies for the elements in low latitude quiet regions. Using an image cross correlation method, I also measure solar rotation rate at high latitude, up to 85° in latitude, which is ω = 2.914-0.342 × sin2φ-0.482×sin4φ μrad/s sidereal. It agrees with previous studies using spectroscopic and image cross correlation methods, and also agrees with the results from some work using the element tracking method in which the sample of tracked elements is large. The consistency of those results from different data and methods strongly suggests that this rate at high latitude is reliable.

Comparison of international guideline programs to evaluate and update the Dutch program for clinical guideline development in physical therapy

Directory of Open Access Journals (Sweden)

Burgers Jako S

2007-11-01

Full Text Available Abstract Background Clinical guidelines are considered important instruments to improve quality in health care. Since 1998 the Royal Dutch Society for Physical Therapy (KNGF produced evidence-based clinical guidelines, based on a standardized program. New developments in the field of guideline research raised the need to evaluate and update the KNGF guideline program. Purpose of this study is to compare different guideline development programs and review the KNGF guideline program for physical therapy in the Netherlands, in order to update the program. Method Six international guideline development programs were selected, and the 23 criteria of the AGREE Instrument were used to evaluate the guideline programs. Information about the programs was retrieved from published handbooks of the organizations. Also, the Dutch program for guideline development in physical therapy was evaluated using the AGREE criteria. Further comparison the six guideline programs was carried out using the following elements of the guideline development processes: Structure and organization; Preparation and initiation; Development; Validation; Dissemination and implementation; Evaluation and update. Results Compliance with the AGREE criteria of the guideline programs was high. Four programs addressed 22 AGREE criteria, and two programs addressed 20 AGREE criteria. The previous Dutch program for guideline development in physical therapy lacked in compliance with the AGREE criteria, meeting only 13 criteria. Further comparison showed that all guideline programs perform systematic literature searches to identify the available evidence. Recommendations are formulated and graded, based on evidence and other relevant factors. It is not clear how decisions in the development process are made. In particular, the process of translating evidence into practice recommendations can be improved. Conclusion As a result of international developments and consensus, the described processes

Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS).

Science.gov (United States)

Ely, E Wesley; Truman, Brenda; Shintani, Ayumi; Thomason, Jason W W; Wheeler, Arthur P; Gordon, Sharon; Francis, Joseph; Speroff, Theodore; Gautam, Shiva; Margolin, Richard; Sessler, Curtis N; Dittus, Robert S; Bernard, Gordon R

2003-06-11

<.001). Face validity was demonstrated via a survey of 26 critical care nurses, which the results showed that 92% agreed or strongly agreed with the RASS scoring scheme, and 81% agreed or strongly agreed that the instrument provided a consensus for goal-directed delivery of medications. The RASS demonstrated excellent interrater reliability and criterion, construct, and face validity. This is the first sedation scale to be validated for its ability to detect changes in sedation status over consecutive days of ICU care, against constructs of level of consciousness and delirium, and correlated with the administered dose of sedative and analgesic medications.

Development of disaster mental health guidelines through the Delphi process in Japan

Directory of Open Access Journals (Sweden)

Suzuki Yuriko

2012-07-01

Full Text Available Abstract Background The mental health community in Japan had started reviewing the country’s disaster mental health guidelines before the Great East Japan Earthquake, aiming to revise them based on evidence and experience accumulated in the last decade. Given the wealth of experience and knowledge acquired in the field by many Japanese mental health professionals, we decided to develop the guidelines through systematic consensus building and selected the Delphi method. Methods After a thorough literature review and focus group interviews, 96 items regarding disaster mental health were included in Delphi Round 1. Of 100 mental health professionals experienced in disaster response who were invited to participate, 97 agreed. The appropriateness of each statement was assessed by the participants using a Likert scale (1: extremely inappropriate, 9: very appropriate and providing free comments in three rounds. Consensus by experts was defined as an average score of ≥7 for which ≥70% of participants assigned this score, and items reaching consensus were included in the final guidelines. Results Overall, of the 96 items (89 initially asked and 7 added items, 77 items were agreed on (46 items in Round 1, and 19 positive and 12 negative agreed on items in Round 2. In Round 2, three statements with which participants agreed most strongly were: 1 A protocol for emergency work structure and information flow should be prepared in normal times; 2 The mental health team should attend regular meetings on health and medicine to exchange information; and 3 Generally, it is recommended not to ask disaster survivors about psychological problems at the initial response but ask about their present worries and physical condition. Three statements with which the participants disagreed most strongly in this round were: 1 Individuals should be encouraged to provide detailed accounts of their experiences; 2 Individuals should be provided with education if they are

78 FR 21125 - Findings of Research Misconduct

Science.gov (United States)

2013-04-09

... compared to wild type NE in Figure 4A, NEM, Figure 6A, CMA, Figure 8, HL73063-01, and Figure 7, HL79615-01.... Respondent agreed not to appeal the ORI findings of research misconduct set forth above. He has agreed...

Does it matter if people think climate change is human caused?

Directory of Open Access Journals (Sweden)

Joel Hartter

2018-04-01

Full Text Available There is a growing consensus that climate is changing, but beliefs about the causal factors vary widely among the general public. Current research shows that such causal beliefs are strongly influenced by cultural, political, and identity-driven views. We examined the influence that local perceptions have on the acceptance of basic facts about climate change. We also examined the connection to wildfire by local people. Two recent telephone surveys found that 37% (in 2011 and 46% (in 2014 of eastern Oregon (USA respondents accept the scientific consensus that human activities are now changing the climate. Although most do not agree with that consensus, large majorities (85–86% do agree that climate is changing, whether by natural or human causes. Acceptance of anthropogenic climate change generally divides along political party lines, but acceptance of climate change more generally, and concerns about wildfire, transcend political divisions. Support for active forest management to reduce wildfire risks is strong in this region, and restoration treatments could be critical to the resilience of both communities and ecosystems. Although these immediate steps involve adaptations to a changing climate, they can be motivated without necessarily invoking human-caused climate change, a divisive concept among local landowners. Keywords: Climate change, Inland West, Public perception, Telephone survey, Wildfire, Working landscapes

Framework for leadership and training of Biosafety Level 4 laboratory workers.

Science.gov (United States)

Le Duc, James W; Anderson, Kevin; Bloom, Marshall E; Estep, James E; Feldmann, Heinz; Geisbert, Joan B; Geisbert, Thomas W; Hensley, Lisa; Holbrook, Michael; Jahrling, Peter B; Ksiazek, Thomas G; Korch, George; Patterson, Jean; Skvorak, John P; Weingartl, Hana

2008-11-01

Construction of several new Biosafety Level 4 (BSL-4) laboratories and expansion of existing operations have created an increased international demand for well-trained staff and facility leaders. Directors of most North American BSL-4 laboratories met and agreed upon a framework for leadership and training of biocontainment research and operations staff. They agreed on essential preparation and training that includes theoretical consideration of biocontainment principles, practical hands-on training, and mentored on-the-job experiences relevant to positional responsibilities as essential preparation before a person's independent access to a BSL-4 facility. They also agreed that the BSL-4 laboratory director is the key person most responsible for ensuring that staff members are appropriately prepared for BSL-4 operations. Although standardized certification of training does not formally exist, the directors agreed that facility-specific, time-limited documentation to recognize specific skills and experiences of trained persons is needed.

Measurement of Anomalously Strong Emission from the 1s-9p Transition in the Spectrum of H-like Phosphorus Following Charge Exchange with Molecular Hydrogen

Science.gov (United States)

Leutenegger, M. A.; Beiersdorfer, P.; Brown, G. V.; Kelley, R. L.; Porter, F. S.

2010-01-01

We have measured K-shell x-ray spectra of highly ionized argon and phosphorus following charge exchange with molecular hydrogen at low collision energy in an electron beam ion trap using an x-ray calorimeter array with approx.6 eV resolution. We find that the emission at the high-end of the Lyman series is greater by a factor of two for phosphorus than for argon, even though the measurement was performed concurrently and the atomic numbers are similar. This does not agree with current theoretical models and deviates from the trend observed in previous measurements.

Benefits of Record Management For Scientific Writing (Study of Metadata Reception of Zotero Reference Management Software in UIN Malang

Directory of Open Access Journals (Sweden)

Moch Fikriansyah Wicaksono

2018-01-01

Full Text Available Record creation and management by individuals or organizations grows rapidly, particularly the change from print to electronics, and the smallest part of record (metadata. Therefore, there is a need to perform record management metadata, particularly for students who have the needs of recording references and citation. Reference management software (RMS is a software to help reference management, one of them named zotero. The purpose of this article is to describe the benefits of record management for the writing of scientific papers for students, especially on biology study program in UIN Malik Ibrahim Malang. The type of research used is descriptive with quantitative approach. To increase the depth of respondents' answers, we used additional data by conducting interviews. The selected population is 322 students, class of 2012 to 2014, using random sampling. The selection criteria were chosen because the introduction and use of reference management software, zotero have started since three years ago.  Respondents in this study as many as 80 people, which is obtained from the formula Yamane. The results showed that 70% agreed that using reference management software saved time and energy in managing digital file metadata, 71% agreed that if digital metadata can be quickly stored into RMS, 65% agreed on the ease of storing metadata into the reference management software, 70% agreed when it was easy to configure metadata to quote and bibliography, 56.6% agreed that the metadata stored in reference management software could be edited, 73.8% agreed that using metadata will make it easier to write quotes and bibliography.

Verification of NUREC Code Transient Calculation Capability Using OECD NEA/US NRC PWR MOX/UO2 Core Transient Benchmark Problem

International Nuclear Information System (INIS)

Joo, Hyung Kook; Noh, Jae Man; Lee, Hyung Chul; Yoo, Jae Woon

2006-01-01

In this report, we verified the NUREC code transient calculation capability using OECD NEA/US NRC PWR MOX/UO2 Core Transient Benchmark Problem. The benchmark problem consists of Part 1, a 2-D problem with given T/H conditions, Part 2, a 3-D problem at HFP condition, Part 3, a 3-D problem at HZP condition, and Part 4, a transient state initiated by a control rod ejection at HZP condition in Part 3. In Part 1, the results of NUREC code agreed well with the reference solution obtained from DeCART calculation except for the pin power distributions at the rodded assemblies. In Part 2, the results of NUREC code agreed well with the reference DeCART solutions. In Part 3, some results of NUREC code such as critical boron concentration and core averaged delayed neutron fraction agreed well with the reference PARCS 2G solutions. But the error of the assembly power at the core center was quite large. The pin power errors of NUREC code at the rodded assemblies was much smaller the those of PARCS code. The axial power distribution also agreed well with the reference solution. In Part 4, the results of NUREC code agreed well with those of PARCS 2G code which was taken as the reference solution. From the above results we can conclude that the results of NUREC code for steady states and transient states of the MOX loaded LWR core agree well with those of the other codes

An Unsettling Divide in Linguistic Dating and Historical Linguistics

DEFF Research Database (Denmark)

Ehrensvärd, Martin Gustaf; Rezetko, Robert; Young, Ian

2016-01-01

Most ancient Hebrew language scholars probably agree broadly about what scholarship and scholarly method are and should be. They agree that scholarship entails dialogue, debate, self-criticism, evaluation, correction, and so on. But when it comes down to how this looks in practice, misunderstandi...

76 FR 28824 - Submission for OMB Review; Comment Request

Science.gov (United States)

2011-05-18

... important developments concerning custody arrangements so that the board may exercise effective oversight. The requirement that the delegate agree to exercise reasonable care is intended to provide assurances... must agree to exercise reasonable care, prudence, and diligence, or to adhere to a higher standard of...

Summary record of the first sub-group 2B meeting held at the IAEA headquarters - Vienna, 14 December 1977

International Nuclear Information System (INIS)

1977-12-01

The purpose of the meeting was to develop guidelines to be used in preparing a questionnaire. Some twelve guidelines were listed, and it was agreed that all States wishing to do so would prepare draft questions or questionnaires. A timetable was also agreed upon

Evaluation of and Perspectives on Guidelines: What Is Important?

NARCIS (Netherlands)

Spuls, Phyllis I.; Nast, Alexander

2010-01-01

Tan et al. critically appraised the quality of eight guidelines for the treatment of psoriasis published by five working groups between 2006 and 2009, using the Appraisal of Guidelines Research and Evaluation ( AGREE) instrument. Four groups used the standards established by the AGREE instrument.

Symmetry structure in neutron deficient xenon nuclei

International Nuclear Information System (INIS)

Govil, I. M.

1998-01-01

The paper describes the measurements of the lifetimes of the excited states in the ground state band of the Neutron deficient Xe nuclei ( 122,124 Xe) by recoil Distance Method (RDM). The lifetimes of the 2 + state in 122 Xe agrees with the RDM measurements but for 124 Xe it does not agree the RDM measurements but agrees with the earlier Coulomb-excitation experiment. The experimental results are compared with the existing theories to understand the changes in the symmetry structure of the Xe-nuclei as the Neutron number decreases from N=76( 130 Xe) to N=64( 118 Xe)

Symmetry structure in neutron deficient xenon nuclei

Science.gov (United States)

Govil, I. M.

1998-12-01

The paper describes the measurements of the lifetimes of the excited states in the ground state band of the Neutron deficient Xe nuclei (122,124Xe) by recoil Distance Method (RDM). The lifetimes of the 2+ state in 122Xe agrees with the RDM measurements but for 124Xe it does not agree the RDM measurements but agrees with the earlier Coulomb-excitation experiment. The experimental results are compared with the existing theories to understand the changes in the symmetry structure of the Xe-nuclei as the Neutron number decreases from N=76(130Xe) to N=64(118Xe).

Efficiency and fairness of the terms and conditions under which electricity is sold to British manufacturing establishments. [Optimality of Bulk Supply Tariff questioned

Energy Technology Data Exchange (ETDEWEB)

Cannon, C M

1977-06-01

This paper reports on an inquiry into three aspects of the terms and conditions under which electricity is sold to manufacturing establishments. These aspects are the adequacy of information services; the fairness of the pricing behavior of electricity boards; and the efficiency of one schedule of charges agreed with a large industrial consumer. Except the charge for night-time units, the schedule of charges agreed with the large consumer appears to be efficient. However, regional statistics on the percentage of high-voltage customers that pay agreed terms rather than published tariffs suggest that the pricing behavior by boards is often unfair.

A survey of psychiatrists' attitudes toward treatment guidelines.

Science.gov (United States)

Healy, Daniel J; Goldman, Mona; Florence, Timothy; Milner, Karen K

2004-04-01

We developed a survey to look at psychiatrists' attitudes toward psychotropic prescribing guidelines, specifically the Texas Medication Algorithm Project (TMAP) algorithms. The 22-page survey was distributed to 24 psychiatrists working in 4 CMHC's; 13 completed the survey. 90% agreed that guidelines should be general and flexible. The majority also agreed that guidelines should define how to measure response to a specific agent; fewer agreed guidelines should specify dosage, side effect management, or augmentation strategies. Psychiatrists were familiar with TMAP; none referred to it in their practice. In spite of this, psychiatrists' medication preferences were similar to those suggested by guidelines.

African American patients' attitudes toward proactive health behaviors after exposure to direct-to-consumer advertising.

Science.gov (United States)

Yang, Yi; Gourley, Dick R; Gourley, Greta A; Faris, Richard J; Womeodu, Robin J; Yang, Jun; Likens, Carol C

2010-05-01

Previous research on direct-to-consumer advertising (DTCA) has not focused exclusively on the African American population. The purpose of this study was to explore African Americans' attitudes toward proactive health behaviors following exposure to DTCA of atorvastatin calcium (Lipitor, Pfizer Inc). One-hundred fifty African American patients participated in the study. Participants' functional health literacy and health locus of control were assessed. The participants were asked to view a DTCA of Lipitor, followed by face-to-face interviews. After watching the DTCA of Lipitor, 89.4% of participants agreed that they would talk to their physician about their cholesterol, 88.6% agreed that they would ask their physician to test their cholesterol level, and 47.3% agreed that they would ask their physician to write them a prescription for Lipitor. Those who had a history of high cholesterol were more likely to agree to ask their physician to test their cholesterol levels. Low household income, having public health insurance, and prior experience with taking Lipitor were significant positive predictors of patients agreeing to ask their physician to write a prescription of the advertised drug. African American patients showed favorable attitudes toward proactive health behaviors after exposure to DTCA of Lipitor.

Careerism, Committee Assignments and the Electoral Connection

OpenAIRE

Katz, Jonathan N.; Sala, Brian R.

1996-01-01

Most scholars agree that members of Congress are strongly motivated by their desire for reelection. This assumption implies that members of Congress adopt institutions, rules, and norms of behavior in part to serve their electoral interests. Direct tests of the electoral connection are rare, however, because significant, exogenous changes in the electoral environment are difficult to identify. We develop and test an electoral rationale for the norm of committee assignment "property rights...

An SU(2) x SU(2) symmetric Higgs-Fermion model with staggered fermions

International Nuclear Information System (INIS)

Berlin, J.; Heller, U.M.

1991-01-01

We have simulated on SU(2)xSU(2) symmetric Higgs-Fermion model with a four component scalar field coupled with a Yukawa type coupling to two flavours of staggered fermions. The results show two qualitatively different behaviours in the broken phase. One for weak coupling where the fermion masses obey the perturbative tree level relation M F =y , and one for strong coupling where the behaviour agrees with a 1/d expansion. (orig.)

Competitive Advantage and the Existence of the MNC

DEFF Research Database (Denmark)

Geisler Asmussen, Christian; Foss, Nicolai Juul

This paper provides a counterpoint to Buckley and Hashai’s paper “Is competitive advantage a necessary condition for the emergence of the Multinational Enterprise?”. We agree with their conclusion that it is, in fact, not a necessary condition, but argue that the theoretical reasons behind this a...... strongly applaud Buckley and Hashai’s attempt to add more rigor to International Business theory and call for future work to extend this debate....

Algeria: The Next Fundamentalist State?

Science.gov (United States)

1996-01-01

language Tamazight , or Amazighi in Arabic. The main strong- hold of Berber culture is Kabylia, the mountain region along the 17Ruedy, pp. 9-12...Movement (BCM) has emerged that has called general strikes in Kabylia in a demand for a constitutional amendment for the acceptance of Tamazight as the...second official language of the country. The state has been responsive to these demands, and has agreed to broader teaching of Tamazight , especially

History of the Joint Chiefs of Staff. The Joint Chiefs of Staff and National Policy. Volume 8, 1961 - 1964

Science.gov (United States)

2011-01-01

McNamara urged Prime Minister Thanaral Sarit to create such a unit. Sarit agreed, if the United States would furnish equip- ment and financial support...Now satisfied with Phoumi’s behavior, the United States resumed its financial support of the RLG.W On 23 June, the Provisional Government was...34political shenanigans ," followed by a limited blockade and an air strike after three days. UN Ambassador Adlai Stevenson, he added, had spoken strongly

WFD-related changes in water management of EU national-and NOLIMP-pilot projects - Experinces from North Sea Regional and Local implementation of the water Framework Directive (NOLIMP-WFD)

OpenAIRE

Wathne, B.; Selvik, J.

2007-01-01

Årsliste 2007 WFD prescribe a strong public participation in decision making processes. One common experience among the NOLIMP project partners is the importance of involving stakeholders at an early stage. A well established contact network will ease the process of solving controversies and agreeing on measures to meet environmental targets. The development of demonstrations sites create interests from other areas and exchange of knowledge/experience on the national level is stimulated. W...

How Many Words Does a Picture Really Tell? Cross-sectional Descriptive Study of Pictogram Evaluation by Youth.

Science.gov (United States)

Korenevsky, Artyom; Vaillancourt, Régis; Pouliot, Annie; Revol, Marine; Steed, Evan; Besançon, Luc; Wahrendorf, Marit-Saskia; Patel, Jaimisha R

2013-07-01

Communicating health-related instructions with pictograms is useful, but such graphics can be interpreted in different ways. It is crucial to understand which pictogram components are best for accurate communication. To catalogue pictograms used to label drugs in clinical practice; to identify the common graphic elements for defined categories of pictograms, by performing a semiotic analysis (studying how signs are perceived and how they should be designed); to identify the key graphic elements common to pictograms preferred by users; and to develop suggestions for future pictogram design on the basis of users' input. Literature and Internet searches were performed to identify pictograms and pictogram categories. A call for pictograms was also circulated through the International Pharmaceutical Federation (FIP). Youth at a Canadian pediatric hospital were asked to rate pictograms (including storyboards and prescription labels generated by FIP pictogram software) in terms of how best they represented their intended meanings. Pictograms for which at least 80% of participants "somewhat agreed", "agreed", or "strongly agreed" that the graphic conveyed the intended meaning were designated as "preferred" and were selected for analysis. Elements appearing in at least 50% of these preferred pictograms were highlighted as key graphic elements for design of future pictograms. In total, 21 categories were identified for pictograms used in clinical practice, and a total of 204 pictograms were analyzed. Eighty-six participants took part in the survey. For each pictogram category, certain elements were identified as "preferred" and as "key graphic elements", whereas other elements met neither designation. For all 21 pictogram categories, at least 80% of survey respondents agreed that the FIP storyboard conveyed the intended meaning. Certain key, preferred graphic elements are required for pharmaceutical pictograms to convey their intended meaning. The overlap between preferred

Tale of two courthouses

DEFF Research Database (Denmark)

Skinner, Timothy C.; Ellis, I. K.

2009-01-01

This article reviews the assumptions that underpin the commonly implemented Chronic Disease Self-Management models. Namely that there are a clear set of instructions for patients to comply with, that all health care providers agree with; and that the health care provider and the patient agree wit...

The Unified Command Plan and Combatant Commands: Background and Issues for Congress

Science.gov (United States)

2013-01-03

France, and Russia. Unlike 1918 , after the Japanese surrender in 1945, U.S. political and military leaders did not advocate a post war policy of...their Polish counterparts. In September 2011, Romania agreed to the stationing of 24 interceptor missiles on Romanian soil and Turkey agreed to

Priorities for energy efficiency measures in agriculture

NARCIS (Netherlands)

Visser, de C.L.M.

2013-01-01

This report provides research gaps and priorities for energy efficiency measures in agriculture across Europe, based on the analysis of the Coordination and Support Action AGREE (Agriculture & Energy Efficiency) funded by the 7th research framework of the EU (www.agree.aua.gr). The analysis from

78 FR 79714 - Proposed Collection; Comment Request

Science.gov (United States)

2013-12-31

... notifies the board of important developments concerning custody arrangements so that the board may exercise effective oversight. The requirement that the delegate agree to exercise reasonable care is intended to... delegate must agree to exercise reasonable care, prudence, and diligence, or to adhere to a higher standard...

The enhanced inspection of collectively agreed working conditions : An assessment of the compliance files, based on the Social Pact 2013

NARCIS (Netherlands)

Cremers, Jan

2017-01-01

Executive summary of a report (originally in Dutch). In the autumn of 2016, trade union FNV asked the author to assess the new procedure related to compliance with bargaining agreements and to analyse both the union demands and the resulting reports with findings from the labour inspectorate. In

Independent Auditors Report on the Agreed-Upon Procedures for Reviewing the FY 2015 Civilian Payroll Withholding Data and Enrollment Information

Science.gov (United States)

2015-09-18

Semiannual Headcount Report and payroll information from step 5.a. and the calculated headcount from step 5.b. Refer to the management official for an...and one difference of 2.48 percent in the VA Payroll Office. DFAS management did not explain the differences. Procedure 6. Calculate employer and...percent difference, and the VA Payroll Office had a 117.11-percent difference. DFAS management did not provide an explanation for these differences

Does the subjective quality of life of children with specific learning disabilities (SpLD) agree with their parents' proxy reports?

Science.gov (United States)

Rotsika, V; Coccossis, M; Vlassopoulos, M; Papaeleftheriou, E; Sakellariou, K; Anagnostopoulos, D C; Kokkevi, A; Skevington, S

2011-10-01

The aim of the present study was to investigate agreement between child-parent proxy reports on quality of life (QoL) in children with specific learning disabilities (SpLD) and in a control group of typically developing children. One hundred and sixteen children aged 8-14 years with SpLD, and 312 same age typically developing children with their parents (one or both), respectively, completed the child and parent versions of the KINDL(R) questionnaire. Values were analyzed with ANOVA and intra-class correlation coefficient (ICC). Significant mean differences were found between children with SpLD and their mother's proxy ratings. So, mothers reported significantly lower scores in the dimension of everyday functioning in school, but significantly higher scores regarding the child's physical and emotional well-being. For typically developing children, significant differences between children and parents' proxy ratings were found in physical well-being and self-esteem with both parents reporting higher scores. Concerning ICC, correlations were few and low in the SpLD group but more robust in the typically developing child-parent proxy ratings with values ranging from 0.22 to 0.46. In the case of SpLD, the child's problem area, which is reflected in the KINDL(R) dimension of everyday functioning in school, seems to be an issue of controversial value that may be differentially perceived by children and their mothers. Further, it can be argued that as mothers seemed to perceive in a more negative way the child's QoL at school, they were at the same time attempting to counterbalance their reactions by overestimating the child's physical and emotional well-being. Besides differences, there is a tendency even low for mothers and children with SpLD to converge toward similar perceptions regarding the child's physical and emotional well-being and satisfaction with friends that is showing some rather common understanding of the child's overall well-being and his/her relationships with peers. In the control group, agreement between children and parents seems to be more even and evident. Proxy assessments in children with SpLD and their parents may be useful for planning targeted support interventions for these families.

GI+100: Long Term Preservation of Digital Geographic Information - 16 Fundamental Principles Agreed by National Mapping Agencies and State Archives

Directory of Open Access Journals (Sweden)

Carsten Carsten Rönsdorf

2017-05-01

There are many reasons why people wish to retain access to information, though the main drivers for archiving digital geographic information include meeting legislative requirements; the short and long term exploitation of archived data for analyzing social, environmental (e.g. global climate changes and economic changes over time; as well as efficiency savings in managing superseded datasets. This paper sets out the path and describes what needs to be done now to future-proof the investment government agencies around the world have made in creating digital geographic data.

45 CFR 164.512 - Uses and disclosures for which an authorization or opportunity to agree or object is not required.

Science.gov (United States)

2010-10-01

.... A covered entity may use or disclose protected health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of cadaveric organs, eyes... entity may, consistent with applicable law and standards of ethical conduct, use or disclose protected...

Brazilians have different views on when abortion should be legal, but most do not agree with imprisoning women for abortion.

Science.gov (United States)

Faúndes, Aníbal; Duarte, Graciana Alves; de Sousa, Maria Helena; Soares Camargo, Rodrigo Paupério; Pacagnella, Rodolfo Carvalho

2013-11-01

Unsafe abortions remain a major public health problem in countries with very restrictive abortion laws. In Brazil, parliamentarians - who have the power to change the law - are influenced by "public opinion", often obtained through surveys and opinion polls. This paper presents the findings from two studies. One was carried out in February-December 2010 among 1,660 public servants and the other in February-July 2011 with 874 medical students from three medical schools, both in São Paulo State, Brazil. Both groups of respondents were asked two sets of questions to obtain their opinion about abortion: 1) under which circumstances abortion should be permitted by law, and 2) whether or not women in general and women they knew who had had an abortion should be punished with prison, as Brazilian law mandates. The differences in their answers were enormous: the majority of respondents were against putting women who have had abortions in prison. Almost 60% of civil servants and 25% of medical students knew at least one woman who had had an illegal abortion; 85% of medical students and 83% of civil servants thought this person(s) should not be jailed. Brazilian parliamentarians who are currently reviewing a reform in the Penal Code need to have this information urgently. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

Department of Transportation vs self-reported data on motor vehicle collisions and driving convictions for stroke survivors: do they agree?

Science.gov (United States)

Finestone, Hillel M; Guo, Meiqi; O'Hara, Paddi; Greene-Finestone, Linda; Marshall, Shawn C; Hunt, Lynn; Jessup, Anita; Biggs, Jennifer

2011-08-01

Research on stroke survivors' driving safety has typically used either self-reports or government records, but the extent to which the 2 may differ is not known. We compared government records and self-reports of motor vehicle collisions and driving convictions in a sample of stroke survivors. The 56 participants were originally recruited for a prospective study on driving and community re-integration post-stroke; the study population consisted of moderately impaired stroke survivors without severe communication disorders who had been referred for a driving assessment. The driving records of the 56 participants for the 5 years before study entry and the 1-year study period were acquired with written consent from the Ministry of Transportation of Ontario (MTO), Canada. Self-reports of collisions and convictions were acquired via a semistructured interview and then compared with the MTO records. Forty-three participants completed the study. For 7 (13.5%) the MTO records did not match the self-reports regarding collision involvement, and for 9 (17.3%) the MTO records did not match self-reports regarding driving convictions. The kappa coefficient for the correlation between MTO records and self-reports was 0.52 for collisions and 0.47 for convictions (both in the moderate range of agreement). When both sources of data were consulted, up to 56 percent more accidents and up to 46 percent more convictions were identified in the study population in the 5 years before study entry compared to when either source was used alone. In our population of stroke survivors, self-reports of motor vehicle collisions and driving convictions differed from government records. In future studies, the use of both government and self-reported data would ensure a more accurate picture of driving safety post-stroke.

A valoração de traços de concordância dentro do DP Concord features valuing within DP

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Telma M.V. Magalhães

2004-06-01

Full Text Available Este trabalho argumenta em favor da valoração dos traços de concordância dentro do DP em termos da operação Agree (Chomsky, 1999 sem a necessidade de estipular nenhum outro mecanismo para tanto. Mostro que Agree dá conta da valoração de traços tanto no nível da sentença quanto no nível do DP, contra a sugestão de Chomsky (1999 de que concordância no DP envolveria algum outro mecanismo de checagem.This paper argues in favor of a concord features valuing within the DP in terms of the Agree operation (Chomsky, 1999, with no recourse to any other mechanism. I show that Agree accounts for feature valuing both in the sentence level as well as in the DP, contrary to Chomsky's (1999 suggestion that concord in DP should involve some other checking mechanism.

[Evaluation of the methodological quality of the Rémic (microbiology guidelines - bacteriology and mycology) of the Société française de microbiologie].

Science.gov (United States)

Fonfrède, Michèle; Couaillac, Jean Paul; Augereau, Christine; De Moüy, Danny; Lepargneur, Jean Pierre; Szymanowicz, Anton; Watine, Joseph

2011-01-01

We have evaluated the methodological quality of the Rémic (microbiology guidelines - bacteriology and mycology) of the Société française de microbiologie (edition2007), using to AGREE criteria, which are consensual at an international level, in particular at the the World Health Organisation (WHO) and at the European Union. The methodological quality of the Rémic appears to be sub-optimal. These shortcomings in quality are mainly observed in AGREE domain n° 5 (applicability), in AGREE item n° 5 (patients' opinions were not considered), and in AGREE item n° 23 (conflicts of interest were not declared). The users of the Rémic must be aware of these few methodological shortcomings in order for them to be careful before they put its recommendation in practice. In conclusion, we advise the editors of the Rémic to insert at least a methodological chapter in their next edition.

VALIDATION OF NUMERICAL METHODS TO CALCULATE BYPASS FLOW IN A PRISMATIC GAS-COOLED REACTOR CORE

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NAM-IL TAK

2013-11-01

Full Text Available For thermo-fluid and safety analyses of a High Temperature Gas-cooled Reactor (HTGR, intensive efforts are in progress in the developments of the GAMMA+ code of Korea Atomic Energy Research Institute (KAERI and the AGREE code of the University of Michigan (U of M. One of the important requirements for GAMMA+ and AGREE is an accurate modeling capability of a bypass flow in a prismatic core. Recently, a series of air experiments were performed at Seoul National University (SNU in order to understand bypass flow behavior and generate an experimental database for the validation of computer codes. The main objective of the present work is to validate the GAMMA+ and AGREE codes using the experimental data published by SNU. The numerical results of the two codes were compared with the measured data. A good agreement was found between the calculations and the measurement. It was concluded that GAMMA+ and AGREE can reliably simulate the bypass flow behavior in a prismatic core.

Lack of school requirements and clinician recommendations for human papillomavirus vaccination

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Linda M. Niccolai

2018-04-01

Full Text Available Background: A strong recommendation from a clinician is one of the best predictors of human papillomavirus (HPV vaccination among adolescents, yet many clinicians do not provide effective recommendations. The objective of this study was to understand how the lack of school entry requirements for HPV vaccination influences clinicians’ recommendations. Design and Methods: Semi-structured interviews with a purposive sample of 32 clinicians were conducted in 2015 in Connecticut USA. Data were analysed using an iterative thematic approach in 2016-2017. Results: Many clinicians described presenting HPV vaccination as optional or non-urgent because it is not required for school entry. This was noted to be different from how other required vaccines were discussed. Even strong recommendations were often qualified by statements about the lack of requirements. Furthermore, lack of requirements was often raised initially by clinicians and not by parents. Many clinicians agreed that requirements would simplify the recommendation, but that parents may not agree with requirements. Personal opinions about school entry requirements were mixed. Conclusions: The current lack of school entry requirements for HPV vaccination is an important influence on clinicians’ recommendations that are often framed as optional or non-urgent. Efforts are needed to strengthen the quality of clinicians’ recommendations in a way that remains strong and focused on disease prevention yet uncoupled from the lack of requirements that may encourage delays. Additionally, greater support for requirements among clinicians may be needed to successfully enact requirements in the future.

Thermal Rate Coefficients and Kinetic Isotope Effects for the Reaction OH + CH4 → H2O + CH3 on an ab Initio-Based Potential Energy Surface.

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Li, Jun; Guo, Hua

2018-03-15

Thermal rate coefficients for the title reaction and its various isotopologues are computed using a tunneling-corrected transition-state theory on a global potential energy surface recently developed by fitting a large number of high-level ab initio points. The calculated rate coefficients are found to agree well with the measured ones in a wide temperature range, validating the accuracy of the potential energy surface. Strong non-Arrhenius effects are found at low temperatures. In addition, the calculations reproduced the primary and secondary kinetic isotope effects. These results confirm the strong influence of tunneling to this heavy-light-heavy hydrogen abstraction reaction.

Interpretation of the Raman spectra of the glassy states of SixS1−x and SixSe1−x

International Nuclear Information System (INIS)

Devi, V. Radhika; Zabidi, Noriza Ahmad; Shrivastava, Keshav N.

2013-01-01

We use the density-functional theory to make models of Si x S y and Si x Se y for the values of x,y = 1–6. The vibrational frequencies are calculated for each model. The stable clusters are selected on the basis of positive vibrational frequencies. In the case of Si x S 1−x , the values of the vibrational frequencies calculated from the first principles for Si 2 S(triangular)cluster of atoms, 364.1 cm −1 and 380.8 cm −1 , agree with the experimentally measured values of 367 cm −1 and 381 cm −1 , indicating that Si 2 S clusters occur in the glassy state of SiS. The calculated values of the vibrational frequencies of SiSe 4 (pyramidal) which agree with the experimental Raman frequencies of glassy Si x Se 1−x are 114, 166 and 361 cm −1 . The calculated values for Si 2 Se 4 (bipyramidal) which agree with the experimental data of Si x Se 1−x are 166 and 464 cm −1 . In Si 4 Se (pyramidal) the values 246 and 304 cm −1 agree with the measured values. In Si 4 Se 2 (bipyramidal), the calculated values 162, 196 and 304 cm −1 agree with the measured values. The calculated values of 473 cm −1 for Si 6 Se 2 (bipyramidal) also agree with the experimentally measured values. We thus find that pyramidal structures are present in the amorphous Si x Se 1−x glassy state. - Highlights: • A first principles calculation is performed to calculate the vibrational frequencies. • The calculated frequencies of clusters agree with measured Raman values. • The structures, bond lengths and symmetries are determined. • The importance of Jahn–Teller effect in SiS and in SiSe is clearly seen. • The clusters of SiS and SiSe are found to stabilize in different symmetries

10 CFR 780.36 - Conditions and issuance of license.

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2010-01-01

... continued existence of these circumstances. The parties will propose and agree on a reasonable royalty fee within a reasonable time as determined by the General Counsel. A reasonable royalty shall provide... General Counsel or if a royalty fee cannot be agreed upon within the reasonable time period established by...

10 CFR 780.47 - Conditions and issuance of license.

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2010-01-01

... continued existence of these circumstances. The parties will propose and agree on a reasonable royalty fee within a reasonable time as determined by the General Counsel. A reasonable royalty shall provide... General Counsel or if a royalty fee cannot be agreed upon within the reasonable time period established by...

78 FR 48407 - Defense Federal Acquisition Regulation Supplement: Clauses With Alternates-Quality Assurance...

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2013-08-08

... Notification. The Contractor agrees to notify the Contracting Officer in writing immediately of any breach of... Notification. The Contractor agrees to notify the Contracting Officer in writing immediately of any breach of... basic and alternates of DFARS clauses will facilitate the use of automated contract writing systems. The...

17 CFR 210.12-16 - Supplementary insurance information.

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2010-04-01

... operating expenses. 4 The total of columns I and J should agree with the amount shown for income statement caption 7. 5 Totals should agree with the indicated balance sheet and income statement caption amounts... FORM AND CONTENT OF AND REQUIREMENTS FOR FINANCIAL STATEMENTS, SECURITIES ACT OF 1933, SECURITIES...

75 FR 74099 - In the Matter of Nuclear Fuel Services, Inc., Erwin, TN; Confirmatory Order Modifying License...

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2010-11-30

... following: 1. NFS agreed that two examples of a violation of 10 CFR 70.9(a), occurred, which requires that... cause review, a Safety Culture Implications Review, organizational and process changes in response to... of the assessment. d. NFS agrees to develop and implement an appropriate safety culture improvement...

Environmental Pollution Control Policy-Making: An Analysis of Elite Perceptions and Preferences

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Althoff, Phillip; Greig, William H.

1974-01-01

This article is based on an analysis of the perceptions and preferences of elite groups concerning environmental pollution control policy making. Results showed that although the groups agreed that present methods were inadequate, they were, nevertheless, unable to agree upon the nature of a future policy-making system. (MA)

Breast self-examination: resistance to change.

Science.gov (United States)

Del Giudice, M Elisabeth; Tannenbaum, David; Goodwin, Pamela J

2005-05-01

To investigate whether Canadian family practitioners routinely teach breast self-examination (BSE) after publication of the 2001 Canadian Preventive Health Task Force guideline advising them to exclude teaching BSE from periodic health examinations. Self-administered cross-sectional mailed survey. Canada. A random sample of English-speaking general practitioners and physicians certified by the College of Family Physicians of Canada. Current and past BSE practices and opinions on the value of BSE. Response rate was 47.4%. Most respondents (88%) were aware of the new recommendations, yet only 16% had changed their usual practice of routinely teaching BSE. Most physicians agreed that before the recommendation they almost always taught BSE (74.3%). Only 9.5% agreed that physicians should follow the recommendation and not routinely teach BSE. A few also agreed that they now spend less time discussing BSE (25.7%) and that the recommendation has influenced them to stop teaching (12.4%) and encouraging (12.9%) women to practise BSE. Physicians who had changed their BSE practices were less likely to agree that BSE increases early detection of breast cancer and more likely to agree that BSE increases benign breast biopsies. They were also more likely to agree that screening mammography in women older than 50 decreases mortality from breast cancer. This survey, which assessed routine teaching of BSE, revealed poor adherence by Canadian family physicians to a well publicized evidence-based guideline update. Resistance to change could in part be attributed to a lack of knowledge of the supporting evidence, a lack of confidence in the evidence to date, and personal experiences with patients within their practices.

Continuing to Confront COPD International Surveys: comparison of patient and physician perceptions about COPD risk and management

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Menezes AM

2015-01-01

Full Text Available Ana M Menezes,1 Sarah H Landis,2 MeiLan K Han,3 Hana Muellerova,2 Zaurbek Aisanov,4 Thys van der Molen,5 Yeon-Mok Oh,6 Masakazu Ichinose,7 David M Mannino,8 Kourtney J Davis9 1Federal University of Pelotas, Pelotas, Brazil; 2Worldwide Epidemiology, GlaxoSmithKline, Uxbridge, UK; 3Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA; 4Pulmonology Research Institute, Moscow, Russia; 5University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 6University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea; 7Tohoku University Graduate School of Medicine, Sendai, Japan; 8University of Kentucky College of Public Health, Lexington, KY, USA; 9Worldwide Epidemiology, GlaxoSmithKline, Wavre, Belgium Purpose: Using data from the Continuing to Confront COPD International Physician and Patient Surveys, this paper describes physicians’ attitudes and beliefs regarding chronic obstructive pulmonary disease (COPD prognosis, and compares physician and patient perceptions with respect to COPD. Methods: In 12 countries worldwide, 4,343 patients with COPD were identified through systematic screening of population samples, and 1,307 physicians who regularly saw patients with COPD were sampled from in-country professional databases. Both patients and physicians completed surveys about their COPD knowledge, beliefs, and perceptions; physicians answered further questions about diagnostic methods and treatment choices for COPD. Results: Most physicians (79% responded that the long-term health outlook for patients with COPD has improved over the past decade, largely attributed to the introduction of better medications. However, patient access to medication remains an issue in many countries, and some physicians (39% and patients (46% agreed/strongly agreed with the statement “there are no truly effective treatments for COPD”. There was strong concordance between physicians and patients

NATO in Europe: Between Weak European Allies and Strong Influence of Russian Federation

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Vukadinović Lidija Čehulić

2017-11-01

Full Text Available After the collapse of the bipolar international order, NATO has been focused on its desire to eradicate Cold War divisions and to build good relations with Russia. However, the security environment, especially in Europe, is still dramatically changing. The NATO Warsaw Summit was focused especially on NATO’s deteriorated relations with Russia that affect Europe’s security. At the same time, it looked at bolstering deterrence and defence due to many concerns coming from eastern European allies about Russia’s new attitude in international relations. The Allies agreed that a dialogue with Russia rebuilding mutual trust needs to start. In the times when Europe faces major crisis from its southern and south-eastern neighbourhood - Western Balkan countries, Syria, Libya and Iraq - and other threats, such as terrorism, coming from the so-called Islamic State, causing migration crises, it is necessary to calm down relations with Russia. The article brings out the main purpose of NATO in a transformed world, with the accent on Europe, that is constantly developing new security conditions while tackling new challenges and threats.

Perceptions of Public Relations Education.

Science.gov (United States)

Stacks, Don W.; Botan, Carl; Turk, Judy VanSlyke

1999-01-01

Surveys 258 public-relations educators and practitioners, finding they agree that public-relations education is on track; that systematic assessment is an important feature of public-relations education; and that they agreed on how public-relations education should be structured, and demonstrated a high degree of similarity in their preferences…

Invisible Barriers: The Loneliness of School Principals at Turkish ...

African Journals Online (AJOL)

Psychological insight is the notion that all participants agreed on and emphasised when asked to offer a definition of loneliness at schools. Participants also agreed on the fact that the organisational climate at Turkish schools represented the most significant reason for principals' loneliness at work. The school principals that ...

Kinky Choices, Dictators and Split Might : A Non-Cooperative Model for Household Consumption and Labor Supply

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Boone, J.; van der Wiel, K.M.; Vermeulen, F.M.P.

2009-01-01

It is unlikely that husbands and wives always agree on exactly what public goods to buy. Nor do they necessarily agree on how many hours to work with obvious consequences for the household budget. We therefore model consumption and labor supply behavior of a couple in a non-cooperative setting by

The Future Russian Navy: Interests of the Military

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1993-05-01

plasma, pulse, membrane, biochemistry , and radiology.’𔃿 Soviet science had to discover and apply "as yet unknown properties of matter, natural laws...agree that large armored forces have become " dinosaurs " in modern warfare.1 Second, all parties agree that the Russian armed forces must be smaller

Attitudes of undergraduates towards mental illness: A comparison ...

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illness, particularly the young generation and college-going students. ... the attitudes and beliefs about people with mental illness among .... totally agree = 4, totally agree = 5) based on their feelings towards ... tend to be violent (χ2=14.215, p<0.007) and dangerous (χ2=17.808, ..... disabled persons through fieldwork.

75 FR 35315 - Improving Public Safety Communications in the 800 MHz Band; New 800 MHz Band Plan for Puerto Rico...

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2010-06-22

... Clauses Accordingly, it is ordered, pursuant to Sections 4(i) and 332 of the Communications Act of 1934.... Sprint Nextel and relocating incumbents may agree to conduct face-to-face negotiations or either party.... Sprint Nextel and relocating incumbents may agree to conduct face-to-face negotiations or either party...

False Negatives, Canter's Background Interference Procedure, the Trail Making Test, and Epileptics.

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McKinzey, Ronald K.; And Others

1985-01-01

Results of correlation studies of 141 adult epileptics' scores on the Background Interference Procedure (BIP) indicated that the BIP often does not agree with abnormal neurological diagnoses but often does agree with psychiatric diagnoses of Organic Brain Syndrome (OBS). Suggests that future BIP validity studies include a behavioral measure of OBS…

34 CFR 31.10 - Request for repayment agreement.

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2010-07-01

.... (b) In the agreement, the Secretary and the employee may agree to satisfaction of the debt from... Education Office of the Secretary, Department of Education SALARY OFFSET FOR FEDERAL EMPLOYEES WHO ARE... repayment agreement. (a) The Secretary does not initiate an offset under this part if the employee agrees in...

Processo Orçamentário e Criação de Reservas em uma Instituição Hospitalar

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Andson Braga de Aguiar

2010-01-01

maintains a strict budget process. Given these characteristics, it was noted that managers have a tendency to create reserves, especially by reason of (i submit budgets easily reachable, (ii agree that the budget targets did not require care in controlling costs and (iii agree that the budget goals are easily attainable.

19 CFR 113.64 - International carrier bond conditions.

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2010-04-01

... Merchandise, Supplies, Crew Purchases, Etc. The principal agrees to comply with all laws and Customs...)-(c)(1)(iv) of this chapter, incurs a penalty, duty, tax or other charge provided by law or regulation, the obligors (principal and surety, jointly and severally) agree to pay the sum upon demand by Customs...

36 CFR Appendix A to Part 1275 - Settlement Agreement

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2010-07-01

... agrees to review each segment as it is received and promptly to call to the attention of the Archives any... each month cannot readily be determined, the parties have agreed to divide the releases into the... showing that the Archives is reasonably allocating its resources among its various programs and activities...