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Sample records for sub-optimal two-burn mid-level

  1. Orienting Mid-Level Student Affairs Professionals

    Science.gov (United States)

    Mather, Peter C.; Bryan, Stephen P.; Faulkner, William O.

    2009-01-01

    Mid-level managers comprise a large proportion of student affairs organizations. They are often the most overlooked when it comes to professional orientation and institutional introduction when entering new positions. Accordingly, information is presented from the professional literature that speaks to the characteristics and unique needs of this…

  2. Training and work characteristics of mid-level nursing teachers

    Directory of Open Access Journals (Sweden)

    Vânia Marli Schubert Backes

    2015-02-01

    Full Text Available This study aimed to identify teacher training and professional performance of teachers in mid-level nursing training schools. A quantitative study performed in 2012 through questionnaires with 41 teachers from eleven mid-level nursing training schools in the states of Rio Grande do Norte and Santa Catarina. General characteristics of the teacher, initial and continued education and work characteristics are presented. It is concluded that it is necessary to point out guidelines for the training/graduation of mid-level professionals and educators, and it is also necessary to globally value teachers, not only those acting in the federal network.

  3. Construction of the Mid-Level Management Position

    Science.gov (United States)

    Tyrell, Steve

    2014-01-01

    The role of the mid-level manager as an organizer, communicator, and problem-solver in student affairs has been examined within the literature, but current discussion generally excludes the perspective of managers at community colleges. This chapter focuses on the importance of managerial identity and roles, particularly as it is enacted within a…

  4. Hypothesis Support Mechanism for Mid-Level Visual Pattern Recognition

    Science.gov (United States)

    Amador, Jose J (Inventor)

    2007-01-01

    A method of mid-level pattern recognition provides for a pose invariant Hough Transform by parametrizing pairs of points in a pattern with respect to at least two reference points, thereby providing a parameter table that is scale- or rotation-invariant. A corresponding inverse transform may be applied to test hypothesized matches in an image and a distance transform utilized to quantify the level of match.

  5. Doctors or mid-level providers for abortion.

    Science.gov (United States)

    Barnard, Sharmani; Kim, Caron; Park, Min Hae; Ngo, Thoai D

    2015-07-27

    The World Health Organization recommends that abortion can be provided at the lowest level of the healthcare system. Training mid-level providers, such as midwives, nurses and other non-physician providers, to conduct first trimester aspiration abortions and manage medical abortions has been proposed as a way to increase women's access to safe abortion procedures. To assess the safety and effectiveness of abortion procedures administered by mid-level providers compared to doctors. We searched the CENTRAL Issue 7, MEDLINE and POPLINE databases for comparative studies of doctor and mid-level providers of abortion services. We searched for studies published in any language from January 1980 until 15 August 2014. Randomised controlled trials (RCTs) (clustered or not clustered), prospective cohort studies or observational studies that compared the safety or effectiveness (or both) of any type of first trimester abortion procedure, administered by any type of mid-level provider or doctors, were eligible for inclusion in the review. Two independent review authors screened abstracts for eligibility and double-extracted data from the included studies using a pre-tested form. We meta-analysed primary outcome data using both fixed-effect and random-effects models to obtain pooled risk ratios (RR) with 95% confidence intervals (CIs). We carried out separate analyses by study design (RCT or cohort) and type of abortion procedure (medical versus surgical). Eight studies involving 22,018 participants met our eligibility criteria. Five studies (n = 18,962) assessed the safety and effectiveness of surgical abortion procedures administered by mid-level providers compared to doctors. Three studies (n = 3056) assessed the safety and effectiveness of medical abortion procedures. The surgical abortion studies (one RCT and four cohort studies) were carried out in the United States, India, South Africa and Vietnam. The medical abortion studies (two RCTs and one cohort study) were carried

  6. Characteristics of mid-level clouds over West Africa

    Science.gov (United States)

    Bourgeois, Elsa; Bouniol, Dominique; Couvreux, Fleur; Guichard, Françoise; Marsham, John; Garcia-Carreras, Luis; Birch, Cathryn; Parker, Doug

    2017-04-01

    Clouds have a major impact on the distribution of water and energy fluxes within the atmosphere. They also represent one of the main sources of uncertainties in global climate models as a result of the difficulty to parametrize cloud processes. However, in West Africa, the cloud type, occurrence and radiative effects have not been extensively documented. This region is characterized by a strong seasonality with precipitation occurring in the Sahel from June to September (monsoon season). This period also coincides with the annual maximum of the cloud cover. Taking advantage of the one-year ARM Mobile Facility (AMF) deployment in 2006 in Niamey (Niger), Bouniol et al (2012) documented the distinct cloud types and showed the frequent occurrence of mid-level clouds (around 6 km height) and their substantial impact on the surface short-wave and long-wave radiative fluxes. Furthermore, in a process-oriented evaluation of climate models, Roehrig et al (2013) showed that these mid-level clouds are poorly represented in numerical models. The aim of this work is to document the macro- and microphysical properties of mid-level clouds and the environment in which such clouds occur across West Africa. To document those clouds, we extensively make use of observations from lidar and cloud radar either deployed at ground-based sites (Niamey and Bordj Badji Mokhtar (Sahara)) or on-board the A-Train constellation (CloudSat/CALIPSO). These datasets reveal the temporal and spatial occurrence of those clouds. They are found throughout the year with a predominance around the monsoon season and are preferentially observed in the Southern and Western part of West Africa which could be linked to the dynamics of the Saharan heat low. Those clouds are usually quite thin (most of them are less than 1000m deep). A clustering method applied to this data allows us to identify three different types of clouds : one with low bases, one with high bases and another with large thicknesses. The first

  7. Mid-Level Providers: What Do We Do?

    Science.gov (United States)

    Owens, Victoria F; Palmieri, Tina L; Greenhalgh, David G

    2016-01-01

    Changes in resident physician work hours have made it increasingly more difficult for physicians to meet the needs of their patients. In many facilities, mid-level providers (MLPs; advanced practice nurses and physician assistants) have become integral members of the medical team in both inpatient and outpatient settings. The purpose of this study was to identify the roles of MLPs in the American Burn Association (ABA) and within burn care teams. There was a 49% return survey response rate. Respondents included 28 (58%) nurse practitioners and 16 (33%) physician assistants. Forty-six percentage of the MLPs had at least 11 years of burn care experience. Forty respondents (87%) worked both inpatient and outpatient settings. Thirty-four (74%) of the providers ran independent clinics. Job responsibilities were in areas of direct patient care, education, and administrative duties. The majority of respondents were members of the ABA, attended annual conferences, and were advanced burn life support instructors. Forty-two (91%) of the MLPs were satisfied with their jobs. In conclusion, MLPs are highly experienced, ABA members and assume direct care of the burn patient.

  8. A Mid-Level Dental Provider in Oregon: Dental hygienists' perceptions.

    Science.gov (United States)

    Coplen, Amy E; Bell, Kathryn; Aamodt, Gail L; Ironside, Lynn

    2017-10-01

    Purpose: Many states are exploring alternative provider models and examining the role of the dental hygienist to address access to care challenges as the United States continues to face increasing demands for oral healthcare services. The purpose of this study was to assess dental hygienists' opinions in the state of Oregon regarding the current limitations of dental hygienists' scope of practice, perceived need for a mid-level provider in Oregon, and personal interest in becoming a mid-level provider.Methods: In December 2013 a survey was mailed to a sample of 1,231 dental hygienists registered in Oregon representing 30% of the licentiates. All licentiates holding expanded practice permits (EPP) were included in the sample (n=351). The following categories were included in the 32-question survey: scope of practice, mid-level provider, current practice, and demographics.Results: A total of 440 surveys were returned for a response rate of 36%. Of the EPP holders, 51% responded to the survey. Over half of respondents (59%) believe that a mid-level provider is needed in the state. Respondents holding membership in the American Dental Hygienists' Association, as well as EPP holders, were significantly more likely to respond that a mid-level dental provider was needed in the state (p<0.0001). Ninety-one percent (n=400) of respondents agreed or strongly agreed that if a mid-level provider was introduced in Oregon, the new provider should be a registered dental hygienist model. Forty-three percent (n=186) of respondents were interested in becoming mid-level providers and 47% (n=203) of respondents believed that the minimum education for a mid-level provider should be a bachelor's degree. The majority, 74% (n=137), of those interested in becoming a mid-level provider indicated a preference in completing their education through online teaching combined with a clinical internship.Conclusion: There is strong support from dental hygienists in Oregon that a need exists for a

  9. Preparing Future Leaders in Higher Education: Excellence Practices from Staff to Mid-Level Management Role Transitions

    Science.gov (United States)

    Little, Erica Sherese

    2016-01-01

    Mid-level leadership is key to a functioning university and it is important that mid-level leaders feel they have the tools and resources they need in order to succeed. To be successful in a new mid-level leadership position, entering supervisors must clearly communicate a strong sense of vision, values, and principles to their staff and establish…

  10. The role of mid-level vortex in the intensification and weakening of ...

    Indian Academy of Sciences (India)

    Further, Hudhud and Helen, is compared to a deep depression formed over Bay of Bengal to highlight the significance of the mid-level vortex in the genesis of a tropical cyclone. Major results obtained are as follows: stronger positive PV anomalies are noticed over upper and lower levels of troposphere near the storm center ...

  11. SuperPixel based mid-level image description for image recognition

    NARCIS (Netherlands)

    Tasli, H.E.; Sicre, R.; Gevers, T.

    2015-01-01

    This study proposes a mid-level feature descriptor and aims to validate improvement on image classification and retrieval tasks. In this paper, we propose a method to explore the conventional feature extraction techniques in the image classification pipeline from a different perspective where

  12. 22 CFR 11.11 - Mid-level Foreign Service officer career candidate appointments.

    Science.gov (United States)

    2010-04-01

    ... terminated and the candidate so informed. (10) Foreign language requirement. All candidates who pass the oral... to or closely related to that of a Foreign Service officer in terms of knowledge, skills, abilities..., experience, and skills needed by the Foreign Service at the mid-level. (3) Age. All career candidate...

  13. Personality Characteristics, Interpersonal Values and Leadership Attitudes of Mid-Level Managers. Final Report.

    Science.gov (United States)

    Staff, Bruce S.

    The purpose of this study was to ascertain whether or not there is a distinctive set of personality traits, interpersonal values, and leadership attitudes for mid-level managers. The study analyzed three occupational categories: banking, food marketing, and retailing. One hundred eighty-five individuals (sixty from banking, sixty from food…

  14. The Relevance among Mid-level leader & Principal's Leadership, School Climate and Guidance

    OpenAIRE

    米沢, 崇; 山崎, 茜; 栗原, 慎二

    2014-01-01

    The purpose of this study was to investigate effects of the leadership of school leader and organizational culture to the practice of school guidance. Single time questionnaire was taken, and 182 elementary school teachers participated in. The major findings were as follows : (a)challenging culture among teachers, principal breakthrough leadership, and mid-level leader's consideration effect on information sharing among teachers, (b) challenging culture among teachers, principal' s considerat...

  15. Is general dentistry dead? How mid-level dental providers will affect the profession.

    Science.gov (United States)

    Curtis, Eric K

    2012-01-01

    The rhetoric concerning mid-level providers and their impact on general dental practice is building in intensity. This is a complex issue and there is no clear picture of either the benefits or dangers to the public of such a delivery model, whether such plans are economically sustainable, or the role of general dentists in the configuration of future practices. The opinions of a representative sample of thinkers from various perspectives are sampled.

  16. The role of mid-level vortex in the intensification and weakening of tropical cyclones

    Science.gov (United States)

    Kutty, Govindan; Gohil, Kanishk

    2017-10-01

    The present study examines the dynamics of mid-tropospheric vortex during cyclogenesis and quantifies the importance of such vortex developments in the intensification of tropical cyclone. The genesis of tropical cyclones are investigated based on two most widely accepted theories that explain the mechanism of cyclone formation namely `top-down' and `bottom-up' dynamics. The Weather Research and Forecast model is employed to generate high resolution dataset required for analysis. The development of the mid-level vortex was analyzed with regard to the evolution of potential vorticity (PV), relative vorticity (RV) and vertical wind shear. Two tropical cyclones which include the developing cyclone, Hudhud and the non-developing cyclone, Helen are considered. Further, Hudhud and Helen, is compared to a deep depression formed over Bay of Bengal to highlight the significance of the mid-level vortex in the genesis of a tropical cyclone. Major results obtained are as follows: stronger positive PV anomalies are noticed over upper and lower levels of troposphere near the storm center for Hudhud as compared to Helen and the depression; Constructive interference in upper and lower level positive PV anomaly maxima resulted in the intensification of Hudhud. For Hudhud, the evolution of RV follows `top-down' dynamics, in which the growth starts from the middle troposphere and then progresses downwards. As for Helen, RV growth seems to follow `bottom-up' mechanism initiating growth from the lower troposphere. Though, the growth of RV for the depression initiates from mid-troposphere, rapid dissipation of mid-level vortex destabilizes the system. It is found that the formation mid-level vortex in the genesis phase is significantly important for the intensification of the storm.

  17. Cameroon mid-level providers offer a promising public health dentistry model

    Directory of Open Access Journals (Sweden)

    Achembong Leo

    2012-11-01

    Full Text Available Background Oral health services are inadequate and unevenly distributed in many developing countries, particularly those in sub-Saharan Africa. Rural areas in these countries and poorer sections of the population in urban areas often do not have access to oral health services mainly because of a significant shortage of dentists and the high costs of care. We reviewed Cameroon’s experience with deploying a mid-level cadre of oral health professionals and the feasibility of establishing a more formal and predictable role for these health workers. We anticipate that a task-shifting approach in the provision of dental care will significantly improve the uneven distribution of oral health services particularly in the rural areas of Cameroon, which is currently served by only 3% of the total number of dentists. Methods The setting of this study was the Cameroon Baptist Convention Health Board (BCHB, which has four dentists and 42 mid-level providers. De-identified data were collected manually from the registries of 10 Baptist Convention clinics located in six of Cameroon’s 10 regions and then entered into an Excel format before importing into STATA. A retrospective abstraction of all entries for patient visits starting October 2010, and going back in time until 1500 visits were extracted from each clinic. Results This study showed that mid-level providers in BCHB clinics are offering a full scope of dental work across the 10 clinics, with the exception of treatment for major facial injuries. Mid-level providers alone performed 93.5% of all extractions, 87.5% of all fillings, 96.5% of all root canals, 97.5% of all cleanings, and 98.1% of all dentures. The dentists also typically played a teaching role in training the mid-level providers. Conclusions The Ministry of Health in Cameroon has an opportunity to learn from the BCHB model to expand access to oral health care across the country. This study shows the benefits of using a simple, workable, low

  18. Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya

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    Ngo TD

    2012-04-01

    Full Text Available Thoai D Ngo1, George Obhai21Research and Metrics Team, Health System Department, Marie Stopes International; 2Monitoring and Evaluation Team, Marie Stopes International Kenya, Nairobi, KenyaObjective: The purpose of this study was to assess postoperative complications and patient satisfaction associated with mid-level provision of male circumcision in rural Kenya.Methods: A prospective cohort study was conducted among children, adolescents, and adult men undergoing male circumcision from September 1, 2008 to December 4, 2008 at Marie Stopes International Kenya mobile outreach sites located in eight districts in the Nyanza and Western Provinces, Kenya. Male circumcision procedures were performed by registered nurses, surgical technicians, or nurse aides. Postoperative follow-up visits took place on the day of the procedure and at postoperative days 3, 7, and 30, with additional visits as necessary. Data on adverse events, healing conditions, satisfaction level, and resumption of activities were assessed at each follow-up visit.Results: A total of 285 individuals were screened, and 240 underwent male circumcision procedures. All procedures were performed using the guided forceps technique by mid-level providers. At the first follow-up visit (postoperative day 3, 5.8% (n = 14 individuals did not return for post-surgical assessment. Retention rates at the second (day 7 and third (day 30 follow-up visits were 91.3% (n = 219 and 84.6% (n = 203, respectively. The prevalence of complications (moderate and severe adverse events was 1.3% (3/240. At the first and second follow-up visits, 91.7% of patients (n = 220 were capable of resuming their daily activities, and 100% by day 30. The majority of patients (>99% were satisfied with the procedure, counseling, and information received.Conclusion: Male circumcisions can be delivered safely and successfully by mid-level providers in rural settings with high client satisfaction, thereby increasing access to

  19. Investigation on effectiveness of mid-level feature representation for semantic boundary detection in news video

    Science.gov (United States)

    Radhakrishan, Regunathan; Xiong, Ziyou; Divakaran, Ajay; Raj, Bhiksha

    2003-11-01

    In our past work, we have attempted to use a mid-level feature namely the state population histogram obtained from the Hidden Markov Model (HMM) of a general sound class, for speaker change detection so as to extract semantic boundaries in broadcast news. In this paper, we compare the performance of our previous approach with another approach based on video shot detection and speaker change detection using the Bayesian Information Criterion (BIC). Our experiments show that the latter approach performs significantly better than the former. This motivated us to examine the mid-level feature closely. We found that the component population histogram enabled discovery of broad phonetic categories such as vowels, nasals, fricatives etc, regardless of the number of distinct speakers in the test utterance. In order for it to be useful for speaker change detection, the individual components should model the phonetic sounds of each speaker separately. From our experiments, we conclude that state/component population histograms can only be useful for further clustering or semantic class discovery if the features are chosen carefully so that the individual states represent the semantic categories of interest.

  20. FPGA-Based Multimodal Embedded Sensor System Integrating Low- and Mid-Level Vision

    Science.gov (United States)

    Botella, Guillermo; Martín H., José Antonio; Santos, Matilde; Meyer-Baese, Uwe

    2011-01-01

    Motion estimation is a low-level vision task that is especially relevant due to its wide range of applications in the real world. Many of the best motion estimation algorithms include some of the features that are found in mammalians, which would demand huge computational resources and therefore are not usually available in real-time. In this paper we present a novel bioinspired sensor based on the synergy between optical flow and orthogonal variant moments. The bioinspired sensor has been designed for Very Large Scale Integration (VLSI) using properties of the mammalian cortical motion pathway. This sensor combines low-level primitives (optical flow and image moments) in order to produce a mid-level vision abstraction layer. The results are described trough experiments showing the validity of the proposed system and an analysis of the computational resources and performance of the applied algorithms. PMID:22164069

  1. FPGA-Based Multimodal Embedded Sensor System Integrating Low- and Mid-Level Vision

    Directory of Open Access Journals (Sweden)

    Uwe Meyer-Baese

    2011-08-01

    Full Text Available Motion estimation is a low-level vision task that is especially relevant due to its wide range of applications in the real world. Many of the best motion estimation algorithms include some of the features that are found in mammalians, which would demand huge computational resources and therefore are not usually available in real-time. In this paper we present a novel bioinspired sensor based on the synergy between optical flow and orthogonal variant moments. The bioinspired sensor has been designed for Very Large Scale Integration (VLSI using properties of the mammalian cortical motion pathway. This sensor combines low-level primitives (optical flow and image moments in order to produce a mid-level vision abstraction layer. The results are described trough experiments showing the validity of the proposed system and an analysis of the computational resources and performance of the applied algorithms.

  2. Effects of Mid-Level Ethanol Blends on Conventional Vehicle Emissions

    Energy Technology Data Exchange (ETDEWEB)

    Knoll, K.; West, B.; Huff, S.; Thomas, J.; Orban, J.; Cooper, C.

    2010-06-01

    Tests were conducted in 2008 on 16 late-model conventional vehicles (1999-2007) to determine short-term effects of mid-level ethanol blends on performance and emissions. Vehicle odometer readings ranged from 10,000 to 100,000 miles, and all vehicles conformed to federal emissions requirements for their federal certification level. The LA92 drive cycle, also known as the Unified Cycle, was used for testing because it more accurately represents real-world acceleration rates and speeds than the Federal Test Procedure. Test fuels were splash-blends of up to 20 volume percent ethanol with federal certification gasoline. Both regulated and unregulated air-toxic emissions were measured. For the 16-vehicle fleet, increasing ethanol content resulted in reductions in average composite emissions of both nonmethane hydrocarbons and carbon monoxide and increases in average emissions of ethanol and aldehydes.

  3. Powertrain Component Inspection from Mid-Level Blends Vehicle Aging Study

    Energy Technology Data Exchange (ETDEWEB)

    Shoffner, Brent [Southwest Research Institute, San Antonio; Johnson, Ryan [Southwest Research Institute, San Antonio; Heimrich, Martin J. [Southwest Research Institute, San Antonio; Lochte, Michael [Southwest Research Institute, San Antonio

    2010-11-01

    The Energy Independence and Security Act of 2007 calls on the nation to significantly increase its use of renewable fuels to meet its transportation energy needs. The law expands the renewable fuel standard to require use of 36 billion gallons of renewable fuel by 2022. Given that ethanol is the most widely used renewable fuel in the U.S. market, ethanol will likely make up a significant portion of the 36-billion-gallon requirement. The vast majority of ethanol used in the United States is blended with gasoline to create E10-gasoline with up to 10% ethanol. The remaining ethanol is sold in the form of E85 - a gasoline blend with as much as 85% ethanol that can only be used in flexible-fuel vehicles (FFVs). Consumption of E85 is at present limited by both the size of the FFV fleet and the number of E85 fueling stations. Gasoline consumption in the United States is currently about 140 billion gallons per year; thus the maximum use of ethanol as E10 is only about 14 billion gallons. While the U.S. Department of Energy (DOE) remains committed to expanding the E85 infrastructure, that market represented less than 1% of the ethanol consumed in 2010 and will not be able to absorb projected volumes of ethanol in the near term. Because of these factors, DOE and others have been assessing the viability of using mid-level ethanol blends (E15 or E20) as a way to accommodate growing volumes of ethanol. The DOE Mid-Level Ethanol Blends Test Program has been under way since 2007, supported jointly by the Office of the Biomass Program and the Vehicle Technologies Program. One of the larger projects, the Catalyst Durability Study, or Vehicle Aging Study, will be completed early in calendar year 2011. The following report describes a subproject of the Vehicle Aging Study in which powertrain components from 18 of the vehicles were examined at Southwest Research Institute under contract to Oak Ridge National Laboratory (ORNL).

  4. Action recognition by mid-level discriminative spatial-temporal volume

    Science.gov (United States)

    Chen, Feifei; Sang, Nong

    2013-10-01

    Most of recent work on action recognition in video employ action parts, attributes etc. as mid- and high-level features to represent an action. However, these action parts, attributes subject to some aspects of weak discrimination and being difficult to obtain. In this paper, we present an approach that uses mid-level discriminative Spatial-Temporal Volume to recognize human actions. The spatial-temporal volume is represented by a Feature Graph which is constructed beyond on a local collection of feature points (e.g., cuboids, STIP) located in the corresponding spatial-temporal volume. Firstly, we densely sampling spatial-temporal volumes from training videos and construct a feature graph for each volume. Then, all feature graphs are clustered using spectral cluster method. We regard feature graphs as video words and characterize videos with the bag-of-features framework which we call it the bag-of-feature-graphs framework. While, in the process of clustering, the distance between two feature graphs is computed using an efficient spectral method. Final recognition is accomplished using a linear-SVM classifier. We test our algorithm in a publicly available human action dataset, the experimental results show the effectiveness of our method.

  5. The harm principle as a mid-level principle?: three problems from the context of infectious disease control.

    Science.gov (United States)

    Krom, André

    2011-10-01

    Effective infectious disease control may require states to restrict the liberty of individuals. Since preventing harm to others is almost universally accepted as a legitimate (prima facie) reason for restricting the liberty of individuals, it seems plausible to employ a mid-level harm principle in infectious disease control. Moral practices like infectious disease control support - or even require - a certain level of theory-modesty. However, employing a mid-level harm principle in infectious disease control faces at least three problems. First, it is unclear what we gain by attaining convergence on a specific formulation of the harm principle. Likely candidates for convergence, a harm principle aimed at preventing harmful conduct, supplemented by considerations of effectiveness and always choosing the least intrusive means still leave ample room for normative disagreement. Second, while mid-level principles are sometimes put forward in response to the problem of normative theories attaching different weight to moral principles, employing a mid-level harm principle completely leaves open how to determine what weight to attach to it in application. Third, there appears to be a trade-off between attaining convergence and finding a formulation of the harm principle that can justify liberty-restrictions in all situations of contagion, including interventions that are commonly allowed. These are not reasons to abandon mid-level theorizing altogether. But there is no reason to be too theory-modest in applied ethics. Morally justifying e.g. if a liberty-restriction in infectious disease control is proportional to the aim of harm-prevention, promptly requires moving beyond the mid-level harm principle. © 2011 Blackwell Publishing Ltd.

  6. Training mid-level health cadres to improve health service delivery in rural Bangladesh.

    Science.gov (United States)

    Rawal, Lal B; Mahmud, Kawkab; Islam, Sheikh Md S; Mahumud, Rashidul A; Nuruzaman, Md; Ahmed, Syed M

    2016-09-01

    Introduction In recent years, the government of Bangladesh has encouraged private sector involvement in producing mid-level health cadres including Medical Assistants (MAs). The number of MAs produced has increased significantly. We assessed students' characteristics, educational services, competencies and perceived attitudes towards health service delivery in rural areas. We used a mixed method approach using quantitative (questionnaire survey) and qualitative (key informant interviews and roundtable discussion) methods. Altogether, five public schools with 238 students and 30 private schools with 732 students were included. Statistical analyses were performed using STATA v-12. Qualitative data were analyzed thematically. Findings The majority of the students in both public (66%) and private medical assistant training schools (MATS) (61%) were from rural backgrounds. They spent the majority of their time in classroom learning (public 45% versus private 42%) and the written essay exam was the common form of a students' performance assessment. Compared with students of public MATS, students of private MATS were more confident in different aspects of educational areas, including managing emerging health needs (PStudents were aware of not having adequate facilities in rural areas (public 71%, private 65%), but they perceived working in rural areas will offer several benefits, including use of learnt skills; friendly rural people; and opportunities for real-life problem solving, etc. This study provides a current picture of MATS students' characteristics, educational services, competencies and perception towards working in rural areas. The MA students in both private and public sectors showed a greater level of willingness to serve in rural health facilities. The results are promising to improve health service delivery, particularly in rural and hard-to-reach areas of Bangladesh.

  7. The Harm Principle as a Mid-level Principle? Three Problems from the Context of Infectious Disease Control

    NARCIS (Netherlands)

    Krom, A.|info:eu-repo/dai/nl/304077224

    2011-01-01

    Effective infectious disease control may require states to restrict the liberty of individuals. Since preventing harm to others is almost universally accepted as a legitimate (prima facie) reason for restricting the liberty of individuals, it seems plausible to employ a mid-level harm principle in

  8. DETERMINATION OF ORGANIZATIONAL STRESS AND ORGANIZATIONAL BURNOUT LEVELS OF MID LEVEL MANAGERS WORKING IN FOUR AND FIVE STAR HOTEL BUSINESSES

    Directory of Open Access Journals (Sweden)

    Sevket Yirik

    2015-04-01

    Full Text Available The present study emphasizes the concepts of stress and organizational stress which are the main concepts constituting theoretical foundation of the research; evaluates influences of stress on organization; discusses the concept of organizational burnout as well as its sub-dimensions; and analyses organizational stress and burnout levels of mid level managers working in four and five star hotels. The purpose of this study is to analyze the relationship between organizational stress and organizational burnout levels of mid level managers of four and five star hotel businesses. Survey has been conducted on 318 employees of four and five star hotels operating in Alanya, Turkey. According to the analysis of data, it has been observed that ages of mid level managers have an influence on their organizational stress and burnout levels. Genders of mid level managers are influential on their organizational stress levels while they have no influence on their burnout levels. Education levels of managers influence their organizational stress levels while they have no influence on their burnout levels. The departments of managers are influential both on organizational stress and burnout. Positions of managers influence their burnout levels while they have no influence on their organizational stress levels.

  9. The Use of Influence Tactics among Mid-Level Managers in the Community College. AIR 1996 Annual Forum Paper.

    Science.gov (United States)

    Quinley, John W.

    A survey investigated the extent to which mid-level managers in community colleges used influence tactics. Survey respondents (N=208) reported on a variety of influence behaviors, categorized into nine influence dimensions (rational, consultation, inspiration, ingratiation, legitimating, exchange, coalition, personal, and pressure). Analysis of…

  10. Measuring and managing the work environment of the mid-level provider – the neglected human resource

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    McAuliffe Eilish

    2009-02-01

    Full Text Available Abstract Background Much has been written in the past decade about the health workforce crisis that is crippling health service delivery in many middle-income and low-income countries. Countries having lost most of their highly qualified health care professionals to migration increasingly rely on mid-level providers as the mainstay for health services delivery. Mid-level providers are health workers who perform tasks conventionally associated with more highly trained and internationally mobile workers. Their training usually has lower entry requirements and is for shorter periods (usually two to four years. Our study aimed to explore a neglected but crucial aspect of human resources for health in Africa: the provision of a work environment that will promote motivation and performance of mid-level providers. This paper explores the work environment of mid-level providers in Malawi, and contributes to the validation of an instrument to measure the work environment of mid-level providers in low-income countries. Methods Three districts were purposively sampled from each of the three geographical regions in Malawi. A total of 34 health facilities from the three districts were included in the study. All staff in each of the facilities were included in the sampling frame. A total of 153 staff members consented to be interviewed. Participants completed measures of perceptions of work environment, burnout and job satisfaction. Findings The Healthcare Provider Work Index, derived through Principal Components Analysis and Rasch Analysis of our modification of an existing questionnaire, constituted four subscales, measuring: (1 levels of staffing and resources; (2 management support; (3 workplace relationships; and (4 control over practice. Multivariate analysis indicated that scores on the Work Index significantly predicted key variables concerning motivation and attrition such as emotional exhaustion, job satisfaction, satisfaction with the profession

  11. Influence of sub-optimal temperature on tomato growth and yield : a review

    NARCIS (Netherlands)

    Ploeg, van der A.; Heuvelink, E.

    2005-01-01

    The effects of temperature on growth, development and yield of tomato (Lycopersicon esculentum) are reviewed with special emphasis on cultivar differences. The focus is on sub-optimal temperatures, above the level where chilling injury occurs. Temperature has a large effect on all aspects of

  12. Sub-optimal birth weight in newborns of a high socioeconomic status population

    Directory of Open Access Journals (Sweden)

    Conceição Aparecida de Mattos Segre

    2008-09-01

    Full Text Available Objective: To compare sub-optimal birth weight (2,500 to 2,999 g term newborns to appropriate for gestational age (birth weight ≥ 3,000 g term newborns, regarding maternal data and newborn morbidity and mortality. Methods: Single term newborns, appropriate for gestational age from a high socioeconomic population (n = 1,242 with birth weight ranging from 2,500 to 2,999 g (Group I were compared to 4,907 newborns with birth weight ≥ than 3,000 g (Group II. Maternal and newborn characteristics were compared between the groups. The Mann-Whitney test, χ2 test and multivariate analysis were used. The significance level adopted was p < 0.05. Rresults: The frequency of sub-optimal birth weight newborns in the population studied was 20.2%. There was a significant association between sub-optimal birth weight and maternal weight before pregnancy and body mass index, maternal weight gain, height, smoking habit and hypertension. Newborns’ 1-minute Apgar score, neonatal hypoglycemia, jaundice, transient tachypnea, congenital pneumonia and hospital stay were significantly different between the groups (p < 0.05. A significant relationship could not be established with the 5-minute Apgar score and pulmonary hypertension in both groups. Neonatal mortality did not differ between the groups. Cconclusions: Socioeconomic status was not a risk factor for sub-optimal birth weight in the studied population. Genetic and environmental factors were associated to sub-optimal weight and neonatal diseases. According to these data, this group of newborns should receive special attention from the health team.

  13. Summary of High-Octane Mid-Level Ethanol Blends Study

    Energy Technology Data Exchange (ETDEWEB)

    Theiss, Timothy J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Alleman, Teresa [National Renewable Energy Lab. (NREL), Golden, CO (United States); Brooker, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); Elgowainy, Amgad [Argonne National Lab. (ANL), Argonne, IL (United States); Fioroni, Gina [National Renewable Energy Lab. (NREL), Golden, CO (United States); Han, Jeongwoo [Argonne National Lab. (ANL), Argonne, IL (United States); Huff, Shean P. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Johnson, Caley [National Renewable Energy Lab. (NREL), Golden, CO (United States); Kass, Michael D. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Leiby, Paul Newsome [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Martinez, Rocio Uria [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); McCormick, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States); Moriarty, Kristi [National Renewable Energy Lab. (NREL), Golden, CO (United States); Newes, Emily [National Renewable Energy Lab. (NREL), Golden, CO (United States); Oladosu, Gbadebo A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Szybist, James P. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Thomas, John F. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wang, Michael [Argonne National Lab. (ANL), Argonne, IL (United States); West, Brian H. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-07-01

    Original equipment manufacturers (OEMs) of light-duty vehicles are pursuing a broad portfolio of technologies to reduce CO2 emissions and improve fuel economy. Central to this effort is higher efficiency spark ignition (SI) engines, including technologies reliant on higher compression ratios and fuels with improved anti-knock properties, such as gasoline with significantly increased octane numbers. Ethanol has an inherently high octane number and would be an ideal octane booster for lower-octane petroleum blendstocks. In fact, recently published data from Department of Energy (DOE) national laboratories (Splitter and Szybist, 2014a, 2014b; Szybist, 2010; Szybist and West, 2013) and OEMs (Anderson, 2013) and discussions with the U.S. Environmental Protection Agency (EPA) suggest the potential of a new high octane fuel (HOF) with 25–40 vol % of ethanol to assist in reaching Renewable Fuel Standard (RFS2) and greenhouse gas (GHG) emissions goals. This mid-level ethanol content fuel, with a research octane number (RON) of about 100, appears to enable efficiency improvements in a suitably calibrated and designed engine/vehicle system that are sufficient to offset its lower energy density (Jung, 2013; Thomas, et al, 2015). This efficiency improvement would offset the tank mileage (range) loss typically seen for ethanol blends in conventional gasoline and flexible-fuel vehicles (FFVs). The prospects for such a fuel are additionally attractive because it can be used legally in over 18 million FFVs currently on the road. Thus the legacy FFV fleet can serve as a bridge by providing a market for the new fuel immediately, so that future vehicles will have improved efficiency as the new fuel becomes widespread. In this way, HOF can simultaneously help improve fuel economy while expanding the ethanol market in the United States via a growing market for an ethanol blend higher than E10. The DOE Bioenergy Technologies Office initiated a collaborative research program

  14. More than a checklist: a realist evaluation of supervision of mid-level health workers in rural Guatemala

    OpenAIRE

    Hernández, Alison R; Hurtig, Anna-Karin; Dahlblom, Kjerstin; San Sebastián, Miguel

    2014-01-01

    BACKGROUND: Mid-level health workers (MLHWs) form the front-line of service delivery in many low- and middle-income countries. Supervision is a critical institutional intervention linking their work to the health system, and it consists of activities intended to support health workers' motivation and enable them to perform. However its impact depends not only on the frequency of these activities but also how they are carried out and received. This study aims to deepen understanding of the mec...

  15. Food Image Recognition via Superpixel Based Low-Level and Mid-Level Distance Coding for Smart Home Applications

    Directory of Open Access Journals (Sweden)

    Jiannan Zheng

    2017-05-01

    Full Text Available Food image recognition is a key enabler for many smart home applications such as smart kitchen and smart personal nutrition log. In order to improve living experience and life quality, smart home systems collect valuable insights of users’ preferences, nutrition intake and health conditions via accurate and robust food image recognition. In addition, efficiency is also a major concern since many smart home applications are deployed on mobile devices where high-end GPUs are not available. In this paper, we investigate compact and efficient food image recognition methods, namely low-level and mid-level approaches. Considering the real application scenario where only limited and noisy data are available, we first proposed a superpixel based Linear Distance Coding (LDC framework where distinctive low-level food image features are extracted to improve performance. On a challenging small food image dataset where only 12 training images are available per category, our framework has shown superior performance in both accuracy and robustness. In addition, to better model deformable food part distribution, we extend LDC’s feature-to-class distance idea and propose a mid-level superpixel food parts-to-class distance mining framework. The proposed framework show superior performance on a benchmark food image datasets compared to other low-level and mid-level approaches in the literature.

  16. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control.

    Science.gov (United States)

    Tan, Ming Yeong; Magarey, Judy

    2008-08-01

    To investigate the self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Using a one-to-one interviewing approach, data were collected from 126 diabetic adults from four settings. A 75-item questionnaire was used to assess diabetes-related knowledge and self-care practices regarding, diet, medication, physical activity and self-monitoring of blood glucose (SMBG). Most subjects had received advice on the importance of self-care in the management of their diabetes and recognised its importance. Sixty-seven subjects (53%) scored below 50% in their diabetes-related knowledge. Subjects who consumed more meals per day (80%), or who did not include their regular sweetened food intakes in their daily meal plan (80%), or who were inactive in daily life (54%), had higher mean fasting blood glucose levels (p=0.04). Subjects with medication non-adherence (46%) also tended to have higher fasting blood glucose levels. Only 15% of the subjects practiced SMBG. Predictors of knowledge deficit and poor self-care were low level of education (p = practices among the majority of diabetic patients with sub-optimal glycaemic control. This study should contribute to the development of effective education strategies to promote health for adults with sub-optimal diabetes control.

  17. Outcome of the sub-optimal dialysis starter on peritoneal dialysis. Report from the French Language Peritoneal Dialysis Registry (RDPLF).

    Science.gov (United States)

    Lobbedez, Thierry; Verger, Christian; Ryckelynck, Jean-Philippe; Fabre, Emmanuel; Evans, David

    2013-05-01

    This study was carried out to examine the association of sub-optimal dialysis initiation of peritoneal dialysis (PD) with all the possible outcomes on PD using survival analysis in the presence of competing risks. This was a retrospective cohort study based on the data of the French Language Peritoneal Dialysis Registry. We analysed 8527 incident patients starting PD between January 2002 and December 2010. The end of the observation period was 01 June 2011. Times from the start of PD to death, transplantation, transfer to haemodialysis (HD) and first peritonitis episode were calculated. The sub-optimal dialysis initiation was defined by a period of <30 days on HD before PD initiation. Among 8527 patients, there were 568 patients who started PD after <30 days on HD. There were 6562 events: 3078 deaths, 2136 transfers to HD, 1348 renal transplantations. When using a Fine and Gray model, sub-optimal dialysis start, early peritonitis and transplant failure were associated with a higher sub-distribution relative hazard of technique failure. There was no association between the sub-optimal dialysis start and the sub-distribution hazard of death or transplantation. In the multivariate analysis using a Fine and Gray regression model, the sub-optimal dialysis start was not associated with a higher sub distribution relative hazard of peritonitis. Sub-optimal dialysis initiation is neither associated with a higher risk of death nor with a lower risk of renal transplantation. Sub-optimal PD patients had a higher risk of transfer to HD.

  18. Integrating views on support for mid-level health worker performance: a concept mapping study with regional health system actors in rural Guatemala

    National Research Council Canada - National Science Library

    Hernández, Alison R; Hurtig, Anna-Karin; Dahlblom, Kjerstin; San Sebastián, Miguel

    2015-01-01

    .... This study aims to examine the views of actors from different levels of a regional health system in Guatemala on actions to support the performance of auxiliary nurses, a cadre of mid-level health...

  19. An Approach to Streaming Video Segmentation With Sub-Optimal Low-Rank Decomposition.

    Science.gov (United States)

    Li, Chenglong; Lin, Liang; Zuo, Wangmeng; Wang, Wenzhong; Tang, Jin

    2016-05-01

    This paper investigates how to perform robust and efficient video segmentation while suppressing the effects of data noises and/or corruptions, and an effective approach is introduced to this end. First, a general algorithm, called sub-optimal low-rank decomposition (SOLD), is proposed to pursue the low-rank representation for video segmentation. Given the data matrix formed by supervoxel features of an observed video sequence, SOLD seeks a sub-optimal solution by making the matrix rank explicitly determined. In particular, the representation coefficient matrix with the fixed rank can be decomposed into two sub-matrices of low rank, and then we iteratively optimize them with closed-form solutions. Moreover, we incorporate a discriminative replication prior into SOLD based on the observation that small-size video patterns tend to recur frequently within the same object. Second, based on SOLD, we present an efficient inference algorithm to perform streaming video segmentation in both unsupervised and interactive scenarios. More specifically, the constrained normalized-cut algorithm is adopted by incorporating the low-rank representation with other low level cues and temporal consistent constraints for spatio-temporal segmentation. Extensive experiments on two public challenging data sets VSB100 and SegTrack suggest that our approach outperforms other video segmentation approaches in both accuracy and efficiency.

  20. Sub-optimal parenting is associated with schizotypic and anxiety personality traits in adulthood.

    Science.gov (United States)

    Giakoumaki, S G; Roussos, P; Zouraraki, C; Spanoudakis, E; Mavrikaki, M; Tsapakis, E M; Bitsios, P

    2013-05-01

    Part of the variation in personality characteristics has been attributed to the child-parent interaction and sub-optimal parenting has been associated with psychiatric morbidity. In the present study, an extensive battery of personality scales (Trait Anxiety Inventory, Behavioural Inhibition/Activation System questionnaire, Eysenck Personality Questionnaire-Revised, Temperament and Character Inventory, Schizotypal Traits Questionnaire, Toronto Alexithymia Scale) and the Parental Bonding Instrument (PBI) were administered in 324 adult healthy males to elucidate the effects of parenting on personality configuration. Personality variables were analysed using Principal Component Analysis (PCA) and the factors "Schizotypy", "Anxiety", "Behavioural activation", "Novelty seeking" and "Reward dependence" were extracted. Associations between personality factors with PBI "care" and "overprotection" scores were examined with regression analyses. Subjects were divided into "parental style" groups and personality factors were subjected to categorical analyses. "Schizotypy" and "Anxiety" were significantly predicted by high maternal overprotection and low paternal care. In addition, the Affectionless control group (low care/high overprotection) had higher "Schizotypy" and "Anxiety" compared with the Optimal Parenting group (high care/low overprotection). These results further validate sub-optimal parenting as an important environmental exposure and extend our understanding on the mechanisms by which it increases risk for psychiatric morbidity. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  1. POTENCY ICM INPARA 1 AND INDRAGIRI ON SUB OPTIMAL LAND WAEAPO, BURU

    Directory of Open Access Journals (Sweden)

    Wahid

    2013-01-01

    Full Text Available Study conducted in Debowae Village, Waeapo District, Buru in growing season 2011 determine effect manure on growth and yield rice in sub-optimal area. Land area used covered one hectare. Manure derived from cow used as treatment. Each treatment repeated three times. Manure dose three ton per ha of cow applied. Two swamp rice varieties, Inpara 1 and Indragiri obtained from Indonesian Center for Rice Research at Sukamandi. These varieties cultivated under recommended technology model of Integrated CropManagement (ICM. Inorganic fertilizers applied at rate 300 kg NPK Phonska and 200 kg Urea per ha by applying half dose Urea together with full dose NPK Phonska at seven days after sowing rice, while remaining half Urea applied at 24 and 38 days after sowing. Parameters measured included soil physical and chemical properties, growth and yield component rice. Results showed average rice productivity obtained through use combination both organic and inorganic fertilizers and use recommended adaptive variety Indragiri and Inpara 1 for sub optimal land was 7.61 t per ha and 7.48 t per ha, respectively. Those produced by famers was low in which only yielded 2.6 t per ha and 2.9 t per ha rice planted through direct seeding and transplanting methods.

  2. Reflections of Turkish accounting and financial reporting standards on vocational school students: A research on comparing perceptions of intermediate and mid-level accounting professional candidates

    OpenAIRE

    Seldüz Hakan; Seldüz Emine

    2016-01-01

    This research aims to compare the perceptions of intermediate and mid-level accounting professional candidates on accounting and financial reporting standards. A significant part of accounting process is carried out by vocational school graduate intermediate and mid-level accounting professionals. However, it can be claimed that adequate education about accounting and financial reporting standards isn’t given in vocational schools although these standards structure the whole accounting proces...

  3. Sub-optimal asthma control in teenagers in the midland region of Ireland.

    Science.gov (United States)

    Kelly, I; Fitzpatrick, P

    2011-12-01

    Internationally, many children with asthma are not attaining achievable asthma control. To examine the prevalence of asthma in teenagers in four midland counties, their asthma control and the barriers, if any, to gaining control of asthma. International Study of Asthma and Allergies in Children (ISAAC) methodology was used in a survey of Junior Cycle Year 2 second-level students. The prevalence of "wheeze ever" was 49.8%, "wheeze in the last 12 months" was 32.6% and "asthma ever" was 23.5%. Of teenagers with current asthma, 96% had evidence of sub-optimal asthma control during the previous year. For the majority of the teenagers with asthma, treatment was not guideline concordant; infrequent lung function testing, insufficient review after acute care and poor use of written asthma action plans. Barriers included lack of awareness of need for treatment. If asthma guidelines are implemented fully, these children may experience better health.

  4. A PROCEDURE FOR DETERMINING OPTIMAL FACILITY LOCATION AND SUB-OPTIMAL POSITIONS

    Directory of Open Access Journals (Sweden)

    P.K. Dan

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This research presents a methodology for determining the optimal location of a new facility, having physical flow interaction of various degrees with other existing facilities in the presence of barriers impeding the shortest flow-path as well as the sub-optimal iso-cost positions. It also determines sub-optimal iso-cost positions with additional cost or penalty for not being able to site it at the computed optimal point. The proposed methodology considers all types of quadrilateral barrier or forbidden region configurations to generalize and by-pass such impenetrable obstacles, and adopts a scheme of searching through the vertices of the quadrilaterals to determine the alternative shortest flow-path. This procedure of obstacle avoidance is novel. Software has been developed to facilitate computations for the search algorithm to determine the optimal and iso-cost co-ordinates. The test results are presented.

    AFRIKAANSE OPSOMMING: Die navorsing behandel ‘n procedure vir die bepaling van optimum stigtingsposisie vir ‘n onderneming met vloei vanaf ander bestaande fasiliteite in die teenwoordigheid van ‘n verskeidenheid van randvoorwaardes. Die prodedure lewer as resultaat suboptimale isokoste-stigtingsplekke met bekendmaking van die koste wat onstaan a.g.v. afwyking van die randvoorwaardlose optimum oplossingskoste, die prosedure maak gebruik van ‘n vindingryke soekmetode wat toegepas word op niersydige meerkundige voorstellings vir die bepaling van korste roetes wat versperring omseil. Die prosedure word onderskei deur programmatuur. Toetsresultate word voorgehou.

  5. TECHNOLOGICAL INNOVATION AND BUSINESS DIVERSIFICATION: SUSTAINABILITY LIVELIHOODS IMPROVEMENT SCENARIO OF RICE FARMER HOUSEHOLD IN SUB-OPTIMAL LAND

    Directory of Open Access Journals (Sweden)

    Adriani D.

    2017-09-01

    Full Text Available The increased role of the sub-optimal land to support food security continue to be encouraged in Indonesia, given the more limited expansion for potential land. But until recently, development of sub-optimal land becomes not an easy thing. Ecological and technical barriers became the main issue. A series of these issues resulted in a high number of underemproleymeny and poverty in agriculture region. Technological inovation of agriculture and the business diversification can be seen be the solution to those issues. This research aims to analyze the impact of the technological innovation and business diversification on underemployment, working time, household income and also sustainable livelihoods of farmers on the sub-optimal land. The research was carried out in Pemulutan District, Ogan Ilir Regency, South Sumatra Province, Indonesia. The objects of research are farmers which adopter and non adopter technological innovation, and also work outside of paddy farming (business diversification. The research method is the survey. Method of sampling is stratified random sampling. Data obtained in the field analyses using descriptive statistics and inferesia. The results showed there are positive impact of technological innovation on the allocation of working time farmer households, the numbers underemployment, household income and livelihood sustainability. Determinant factors for farmers in applying technology and business diversification are paddy farming income, off-farm income, and age. The use of technology and business diversification proves to be one of the positive scenarios for sustainable livelihood of farmers in sub-optimal land.

  6. Sub-optimal wavelet denoising of coaveraged spectra employing statistics from individual scans.

    Science.gov (United States)

    Galvão, Roberto Kawakami Harrop; Filho, Heronides Adonias Dantas; Martins, Marcelo Nascimento; Araújo, Mário César Ugulino; Pasquini, Celio

    2007-01-02

    This paper proposes a novel wavelet denoising method, which exploits the statistics of individual scans acquired in the course of a coaveraging process. The proposed method consists of shrinking the wavelet coefficients of the noisy signal by a factor that minimizes the expected square error with respect to the true signal. Since the true signal is not known, a sub-optimal estimate of the shrinking factor is calculated by using the sample statistics of the acquired scans. It is shown that such an estimate can be generated as the limit value of a recursive formulation. In a simulated example, the performance of the proposed method is seen to be equivalent to the best choice between hard and soft thresholding for different signal-to-noise ratios. Such a conclusion is also supported by an experimental investigation involving near-infrared (NIR) scans of a diesel sample. It is worth emphasizing that this experimental example concerns the removal of actual instrumental noise, in contrast to other case studies in the denoising literature, which usually present simulations with artificial noise. The simulated and experimental cases indicate that, in classic denoising based on wavelet coefficient thresholding, choosing between the hard and soft options is not straightforward and may lead to considerably different outcomes. By resorting to the proposed method, the analyst is not required to make such a critical decision in order to achieve appropriate results.

  7. More than a checklist: a realist evaluation of supervision of mid-level health workers in rural Guatemala.

    Science.gov (United States)

    Hernández, Alison R; Hurtig, Anna-Karin; Dahlblom, Kjerstin; San Sebastián, Miguel

    2014-03-06

    Mid-level health workers (MLHWs) form the front-line of service delivery in many low- and middle-income countries. Supervision is a critical institutional intervention linking their work to the health system, and it consists of activities intended to support health workers' motivation and enable them to perform. However its impact depends not only on the frequency of these activities but also how they are carried out and received. This study aims to deepen understanding of the mechanisms through which supervision activities support the performance of auxiliary nurses, a cadre of MLHWs, in rural Guatemala. A multiple case study was conducted to examine the operation of supervision of five health posts using a realist evaluation approach. A program theory was formulated describing local understanding of how supervision activities are intended to work. Data was collected through interviews and document review to test the theory. Analysis focused on comparison of activities, outcomes, mechanisms and the influence of context across cases, leading to revision of the program theory. The supervisor's orientation was identified as the main mechanism contributing to variation observed in activities and their outcomes. Managerial control was the dominant orientation, reflecting the influence of standardized performance criteria and institutional culture. Humanized support was present in one case where the auxiliary nurse was motivated by the sense that the full scope of her work was valued. This orientation reflected the supervisor's integration of her professional identity as a nurse. The nature of the support health workers received was shaped by supervisors' orientation, and in this study, nursing principles were central to humanized support. Efforts to strengthen the support that supervision provides to MLHWs should promote professional ethos as a means of developing shared performance goals and orient supervisors to a more holistic view of the health worker and their

  8. Training-Induced Recovery of Low-Level Vision Followed by Mid-Level Perceptual Improvements in Developmental Object and Face Agnosia

    Science.gov (United States)

    Lev, Maria; Gilaie-Dotan, Sharon; Gotthilf-Nezri, Dana; Yehezkel, Oren; Brooks, Joseph L.; Perry, Anat; Bentin, Shlomo; Bonneh, Yoram; Polat, Uri

    2015-01-01

    Long-term deprivation of normal visual inputs can cause perceptual impairments at various levels of visual function, from basic visual acuity deficits, through mid-level deficits such as contour integration and motion coherence, to high-level face and object agnosia. Yet it is unclear whether training during adulthood, at a post-developmental…

  9. Trabajadores de salud de nivel intermedio: un recurso prometedor Mid-level health providers: a promising resource

    Directory of Open Access Journals (Sweden)

    Andrew Brown

    2011-06-01

    Full Text Available Los trabajadores de salud de nivel intermedio (TSNI son trabajadores capacitados en una institución de educación superior durante al menos dos a tres años, quienes son autorizados y regulados para trabajar de forma autónoma para el diagnóstico, control y tratamiento de dolencias, enfermedades y discapacidades, así como participar en la prevención y promoción de la salud. Su papel se ha ampliado progresivamente y ha recibido atención en particular en países de ingresos bajos y medios, como parte de una estrategia para superar los desafíos del personal sanitario, mejorar el acceso a servicios básicos de salud y lograr objetivos relacionados con los Objetivos del Desarrollo del Milenio. La evidencia, aunque limitada e imperfecta, muestra que donde los TSNI están debidamente capacitados, apoyados y coherentemente integrados en el sistema de salud, tienen el potencial para mejorar la distribución de los trabajadores de la salud y el acceso equitativo a los servicios de salud, manteniendo -si no sobrepasando- los estándares de calidad comparables a los servicios prestados por el personal médico. Sin embargo, existen desafíos importantes en términos de la marginación y el limitado apoyo a la gestión de los TSNI en los sistemas de salud. La expansión de los TSNI debe tener prioridad entre las opciones de política consideradas por países que enfrentan problemas de escasez y desigualdad en la distribución de recursos humanos. Una mejor educación, supervisión, administración y regulación de las prácticas y la integración en el sistema de salud tienen el potencial de maximizar los beneficios de la utilización de este personal.Mid-level health providers (MLP are health workers trained at a higher education institution for at least a total of 2-3 years, and authorized and regulated to work autonomously to diagnose, manage and treat illness, disease and impairments, as well as engage in preventive and promotive care. Their role

  10. Reflections of Turkish accounting and financial reporting standards on vocational school students: A research on comparing perceptions of intermediate and mid-level accounting professional candidates

    Directory of Open Access Journals (Sweden)

    Seldüz Hakan

    2016-01-01

    Full Text Available This research aims to compare the perceptions of intermediate and mid-level accounting professional candidates on accounting and financial reporting standards. A significant part of accounting process is carried out by vocational school graduate intermediate and mid-level accounting professionals. However, it can be claimed that adequate education about accounting and financial reporting standards isn’t given in vocational schools although these standards structure the whole accounting process. A survey is conducted over students of the related vocational school in Aksaray University. The results indicate no significant difference on students’ perceptions in terms of their school year, high school type, job or internship experience and intention to perform the profession after graduation. These results can be traced to inadequacy of present curriculums and internship programs which can’t create a difference. Based on the results, the content of internship applications is rearranged and an optional subject named as “Accounting and Reporting Standards” is established.

  11. Alternative scenarios: harnessing mid-level providers and evidence-based practice in primary dental care in England through operational research

    OpenAIRE

    Wanyonyi, Kristina L.; Radford, David R.; Harper, Paul R.; Gallagher, Jennifer E.

    2015-01-01

    Background: In primary care dentistry, strategies to reconfigure the traditional boundaries of various dental professional groups by task sharing and role substitution have been encouraged in order to meet changing oral health needs. Aim: The aim of this research was to investigate the potential for skill mix use in primary dental care in England based on the undergraduate training experience in a primary care team training centre for dentists and mid-level dental providers. Methods: An opera...

  12. Rootstock Sub-Optimal Temperature Tolerance Determines Transcriptomic Responses after Long-Term Root Cooling in Rootstocks and Scions of Grafted Tomato Plants

    OpenAIRE

    Georgia Ntatsi; Dimitrios Savvas; Vassilis Papasotiropoulos; Anastasios Katsileros; Zrenner, Rita M.; Hincha, Dirk K.; Ellen Zuther; Dietmar Schwarz

    2017-01-01

    Grafting of elite cultivars onto tolerant rootstocks is an advanced strategy to increase tomato tolerance to sub-optimal temperature. However, a detailed understanding of adaptive mechanisms to sub-optimal temperature in rootstocks and scions of grafting combinations on a physiological and molecular level is lacking. Here, the commercial cultivar Kommeet was grafted either onto ‘Moneymaker’ (sensitive) or onto the line accession LA 1777 of Solanum habrochaites (tolerant). Grafted plants were ...

  13. Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system

    Directory of Open Access Journals (Sweden)

    McAuliffe Eilish

    2009-02-01

    Full Text Available Abstract Background Malawi has a chronic shortage of human resources for health. This has a significant impact on maternal health, with mortality rates amongst the highest in the world. Mid-level cadres of health workers provide the bulk of emergency obstetric and neonatal care. In this context these cadres are defined as those who undertake roles and tasks that are more usually the province of internationally recognised cadres, such as doctors and nurses. While there have been several studies addressing retention factors for doctors and registered nurses, data and studies addressing the perceptions of these mid-level cadres on the factors that influence their performance and retention within health care systems are scarce. Methods This exploratory qualitative study took place in four rural mission hospitals in Malawi. The study population was mid-level providers of emergency obstetric and neonatal care. Focus group discussions took place with nursing and medical cadres. Semi-structured interviews with key human resources, training and administrative personnel were used to provide context and background. Data were analysed using a framework analysis. Results Participants confirmed the difficulties of their working conditions and the clear commitment they have to serving the rural Malawian population. Although insufficient financial remuneration had a negative impact on retention and performance, the main factors identified were limited opportunities for career development and further education (particularly for clinical officers and inadequate or non-existent human resources management systems. The lack of performance-related rewards and recognition were perceived to be particularly demotivating. Conclusion Mid-level cadres are being used to stem Africa's brain drain. It is in the interests of both the government and mission organizations to protect their investment in these workers. For optimal performance and quality of care they need to be

  14. Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system.

    Science.gov (United States)

    Bradley, Susan; McAuliffe, Eilish

    2009-02-19

    Malawi has a chronic shortage of human resources for health. This has a significant impact on maternal health, with mortality rates amongst the highest in the world. Mid-level cadres of health workers provide the bulk of emergency obstetric and neonatal care. In this context these cadres are defined as those who undertake roles and tasks that are more usually the province of internationally recognised cadres, such as doctors and nurses. While there have been several studies addressing retention factors for doctors and registered nurses, data and studies addressing the perceptions of these mid-level cadres on the factors that influence their performance and retention within health care systems are scarce. This exploratory qualitative study took place in four rural mission hospitals in Malawi. The study population was mid-level providers of emergency obstetric and neonatal care. Focus group discussions took place with nursing and medical cadres. Semi-structured interviews with key human resources, training and administrative personnel were used to provide context and background. Data were analysed using a framework analysis. Participants confirmed the difficulties of their working conditions and the clear commitment they have to serving the rural Malawian population. Although insufficient financial remuneration had a negative impact on retention and performance, the main factors identified were limited opportunities for career development and further education (particularly for clinical officers) and inadequate or non-existent human resources management systems. The lack of performance-related rewards and recognition were perceived to be particularly demotivating. Mid-level cadres are being used to stem Africa's brain drain. It is in the interests of both the government and mission organizations to protect their investment in these workers. For optimal performance and quality of care they need to be supported and properly motivated. A structured system of continuing

  15. Tuber melanosporum spread within sub-optimal climatic zones is controlled by fruiting triggers and not mycorrhiza survival

    Directory of Open Access Journals (Sweden)

    Paul W. Thomas

    2014-07-01

    Full Text Available Tuber melanosporum is the most valuable of all cultivatable truffle species. Farming of this species spans every continent with the exception of Antarctica. Tuber aestivum (syn. T. uncinatum and Tuber brumale are truffle species that have similar host plant preference and a similar affinity for calcareous soils as T. melanosporum, but occur over a broader geographic zone. The geographic limit of T. melanosporum is thought to be climatically dictated but it is not known whether this is due to an impact on mycorrhizal survival or climatically-derived fruiting triggers. Here, data is compiled from five cultivated research sites in the climatically sub-optimal conditions of the UK in order to address this question. Here we show: (iTuber melanosporum mycorrhiza can survive and grow in sub-optimal climatic conditions. (iiIt is climatically-derived fruiting triggers and not ectomycorrhiza survival that dictate the climatic preferences and geographic spread of T. melanosporum. (iiiImportant climatic parameters for potential fruiting triggers are sunshine hours, summer rainfall and summer temperatures.   The data presented here not only aid our understanding of the ecological parameters of T. melanosporum but also have a practical application for truffle cultivators in choosing suitable locations for a plantation.

  16. Rootstock Sub-Optimal Temperature Tolerance Determines Transcriptomic Responses after Long-Term Root Cooling in Rootstocks and Scions of Grafted Tomato Plants.

    Science.gov (United States)

    Ntatsi, Georgia; Savvas, Dimitrios; Papasotiropoulos, Vassilis; Katsileros, Anastasios; Zrenner, Rita M; Hincha, Dirk K; Zuther, Ellen; Schwarz, Dietmar

    2017-01-01

    Grafting of elite cultivars onto tolerant rootstocks is an advanced strategy to increase tomato tolerance to sub-optimal temperature. However, a detailed understanding of adaptive mechanisms to sub-optimal temperature in rootstocks and scions of grafting combinations on a physiological and molecular level is lacking. Here, the commercial cultivar Kommeet was grafted either onto 'Moneymaker' (sensitive) or onto the line accession LA 1777 of Solanum habrochaites (tolerant). Grafted plants were grown in NFT-system at either optimal (25°C) or sub-optimal (15°C) temperatures in the root environment with optimal air temperature (25°C) for 22 days. Grafting onto the differently tolerant rootstocks caused differences in shoot fresh and dry weight, total leaf area and dry matter content of roots, in stomatal conductance and intercellular CO2 and guaiacol peroxidase activity but not in net photosynthesis, sugar, starch and amino acid content, lipid peroxidation and antioxidant enzyme activity. In leaves, comparative transcriptome analysis identified 361 differentially expressed genes (DEG) responding to sub-optimal root temperature when 'Kommeet' was grafted onto the sensitive but no when grafted onto the tolerant rootstock. 1509 and 2036 DEG responding to sub-optimal temperature were identified in LA 1777 and 'Moneymaker' rootstocks, respectively. In tolerant rootstocks down-regulated genes were enriched in main stress-responsive functional categories and up-regulated genes in cellulose synthesis suggesting that cellulose synthesis may be one of the main adaptation mechanisms to long-term sub-optimal temperature. Down-regulated genes of the sensitive rootstock showed a similar response, but functional categories of up-regulated genes pointed to induced stress responses. Rootstocks of the sensitive cultivar Moneymaker showed in addition an enrichment of up-regulated genes in the functional categories fatty acid desaturation, phenylpropanoids, biotic stress, cytochrome P

  17. Rootstock Sub-Optimal Temperature Tolerance Determines Transcriptomic Responses after Long-Term Root Cooling in Rootstocks and Scions of Grafted Tomato Plants

    Directory of Open Access Journals (Sweden)

    Georgia Ntatsi

    2017-06-01

    Full Text Available Grafting of elite cultivars onto tolerant rootstocks is an advanced strategy to increase tomato tolerance to sub-optimal temperature. However, a detailed understanding of adaptive mechanisms to sub-optimal temperature in rootstocks and scions of grafting combinations on a physiological and molecular level is lacking. Here, the commercial cultivar Kommeet was grafted either onto ‘Moneymaker’ (sensitive or onto the line accession LA 1777 of Solanum habrochaites (tolerant. Grafted plants were grown in NFT-system at either optimal (25°C or sub-optimal (15°C temperatures in the root environment with optimal air temperature (25°C for 22 days. Grafting onto the differently tolerant rootstocks caused differences in shoot fresh and dry weight, total leaf area and dry matter content of roots, in stomatal conductance and intercellular CO2 and guaiacol peroxidase activity but not in net photosynthesis, sugar, starch and amino acid content, lipid peroxidation and antioxidant enzyme activity. In leaves, comparative transcriptome analysis identified 361 differentially expressed genes (DEG responding to sub-optimal root temperature when ‘Kommeet’ was grafted onto the sensitive but no when grafted onto the tolerant rootstock. 1509 and 2036 DEG responding to sub-optimal temperature were identified in LA 1777 and ‘Moneymaker’ rootstocks, respectively. In tolerant rootstocks down-regulated genes were enriched in main stress-responsive functional categories and up-regulated genes in cellulose synthesis suggesting that cellulose synthesis may be one of the main adaptation mechanisms to long-term sub-optimal temperature. Down-regulated genes of the sensitive rootstock showed a similar response, but functional categories of up-regulated genes pointed to induced stress responses. Rootstocks of the sensitive cultivar Moneymaker showed in addition an enrichment of up-regulated genes in the functional categories fatty acid desaturation, phenylpropanoids

  18. Constraints to implementing an equity-promoting staff allocation policy: understanding mid-level managers' and nurses' perspectives affecting implementation in South Africa.

    Science.gov (United States)

    Scott, Vera; Mathews, Verona; Gilson, Lucy

    2012-03-01

    Much of current research on issues of equity in low- and middle-income countries focuses on uncovering and describing the extent of inequities in health status and health service provision. In terms of policy responses to inequity, there is a growing body of work on resource reallocation strategies. However, little published work exists on the challenges of implementing new policies intended to improve equity in health status or health service delivery. While the appropriateness of the technical content of policies clearly influences whether or not they promote equity, policy analysis theory suggests that it is important to consider how the processes of policy development and implementation influence policy achievements. Drawing on actor analysis and implementation theory, we seek to understand some of the dynamics surrounding the proposed implementation of one set of South African staff allocation strategies responding to broader equity-oriented policy mandates. These proposals were developed by a team of researchers and mid-level managers in 2003 and called for the reallocation of staff between better- and lesser-resourced districts in the Cape Town Metropolitan region to reduce broader resource allocation inequities. This was felt necessary because up to 70% of public health expenditure was on staff, and new financing for health care was unavailable. We focus on the views and reactions of the two sets of implementing actors most directly influenced by the proposed staff reallocation strategies: district health managers and clinic nurses. One strength of this analysis is that it gives voice to the experience of the district level--the key but much neglected implementation arena in a decentralized health system. The paper's findings unpack differences in these actors' positions on the proposed strategies, and explore the factors influencing their positions. Ultimately, we show how a lack of trust in the relationships between mid-level managers and nurse service

  19. A novel tool to assess available hydrological information and the occurrence of sub-optimal water allocation decisions in large irrigation districts

    NARCIS (Netherlands)

    Kaune, Alexander; Werner, Micha; Rodríguez, Erasmo; Karimi, Poolad; Fraiture, de Charlotte

    2017-01-01

    Hydrological information on water availability and demand is vital for sound water allocation decisions in irrigation districts, particularly in times of water scarcity. However, water allocation decisions are often taken based on uncertain hydrological information, which may lead to sub-optimal

  20. Sub-optimal vitamin B-12 levels among ART-naive HIV-positive individuals in an urban cohort in Uganda.

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    Aggrey S Semeere

    Full Text Available Malnutrition is common among HIV-infected individuals and is often accompanied by low serum levels of micronutrients. Vitamin B-12 deficiency has been associated with various factors including faster HIV disease progression and CD4 depletion in resource-rich settings. To describe prevalence and factors associated with sub-optimal vitamin B-12 levels among HIV-infected antiretroviral therapy (ART naïve adults in a resource-poor setting, we performed a cross-sectional study with a retrospective chart review among individuals attending either the Mulago-Mbarara teaching hospitals' Joint AIDS Program (MJAP or the Infectious Diseases Institute (IDI clinics, in Kampala, Uganda. Logistic regression was used to determine factors associated with sub-optimal vitamin B-12. The mean vitamin B-12 level was 384 pg/ml, normal range (200-900. Sub-optimal vitamin B-12 levels (<300 pg/ml were found in 75/204 (36.8%. Twenty-one of 204 (10.3% had vitamin B-12 deficiency (<200 pg/ml while 54/204 (26.5% had marginal depletion (200-300 pg/ml. Irritable mood was observed more among individuals with sub-optimal vitamin B-12 levels (OR 2.5, 95% CI; 1.1-5.6, P=0.03. Increasing MCV was associated with decreasing serum B-12 category; 86.9 fl (± 5.1 vs. 83 fl (± 8.4 vs. 82 fl (± 8.4 for B-12 deficiency, marginal and normal B-12 categories respectively (test for trend, P=0.017. Compared to normal B-12, individuals with vitamin B-12 deficiency had a longer known duration of HIV infection: 42.2 months (± 27.1 vs. 29.4 months (± 23.8; P=0.02. Participants eligible for ART (CD4<350 cells/µl with sub-optimal B-12 had a higher mean rate of CD4 decline compared to counterparts with normal B-12; 118 (± 145 vs. 22 (± 115 cells/µl/year, P=0.01 respectively. The prevalence of a sub-optimal vitamin B-12 was high in this HIV-infected, ART-naïve adult clinic population in urban Uganda. We recommend prospective studies to further clarify the causal relationships of sub-optimal

  1. Integrating views on support for mid-level health worker performance: a concept mapping study with regional health system actors in rural Guatemala.

    Science.gov (United States)

    Hernández, Alison R; Hurtig, Anna-Karin; Dahlblom, Kjerstin; San Sebastián, Miguel

    2015-10-08

    Mid-level health workers are on the front-lines in underserved areas in many LMICs, and their performance is critical for improving the health of vulnerable populations. However, improving performance in low-resource settings is complex and highly dependent on the organizational context of local health systems. This study aims to examine the views of actors from different levels of a regional health system in Guatemala on actions to support the performance of auxiliary nurses, a cadre of mid-level health workers with a prominent role in public sector service delivery. A concept mapping study was carried out to develop an integrated view on organizational support and identify locally relevant strategies for strengthening performance. A total of 93 regional and district managers, and primary and secondary care health workers participated in generating ideas on actions needed to support auxiliary nurses' performance. Ideas were consolidated into 30 action items, which were structured through sorting and rating exercises, involving a total of 135 of managers and health workers. Maps depicting participants' integrated views on domains of action and dynamics in sub-groups' interests were generated using a sequence of multivariate statistical analyses, and interpreted by regional managers. The combined input of health system actors provided a multi-faceted view of actions needed to support performance, which were organized in six domains, including: Communication and coordination, Tools to orient work, Organizational climate of support, Motivation through recognition, Professional development and Skills development. The nature of relationships across hierarchical levels was identified as a cross-cutting theme. Pattern matching and go-zone maps indicated directions for action based on areas of consensus and difference across sub-groups of actors. This study indicates that auxiliary nurses' performance is interconnected with the performance of other health system actors who

  2. Educational intervention to reduce disease related to sub-optimal basic hygiene in Rwanda: initial evaluation and feasibility study.

    Science.gov (United States)

    Stone, Margaret A; Ndagijimana, Hormisdas

    2018-01-01

    Despite a global reduction in morbidity related to sub-optimal water, sanitation and hygiene, the incidence of such diseases remains a significant problem in sub-Saharan Africa. This study aimed to initially assess the potential effectiveness (primarily in terms of impact on morbidity) of a simple educational intervention delivered in Rwanda. Additionally, we sought to explore feasibility relating to the practicality of evaluating and implementing this type of intervention in a low- and middle-income country. Two districts in Northern Province were purposively selected; one was randomly allocated to receive the intervention, with the other acting as control. The intervention was based on an interactive DVD about basic hygiene. Baseline and follow-up data for incident cases of relevant morbidities were collected from health centre records. Changes were compared between the two districts using descriptive statistics and chi-squared tests. Qualitative data were obtained through observations, discussions and feedback and were analysed thematically. Cases of infection with intestinal worms and parasites were frequently recorded in both districts. For these morbidities, there was a 39% decrease in cases between baseline and follow-up in the intervention district (4995 reduced to 3069), compared to 13% (5002 reduced to 4356) in the control district (p evaluation and implementation, whilst also highlighting problems encountered and possible solutions, in particular, the potential advantages of training local personnel to deliver this type of intervention. This small-scale study has a number of acknowledged limitations which would need to be addressed in a larger study in order to confidently confirm the effectiveness of the intervention. It nevertheless provides evidence suggesting that the educational intervention is promising in terms of a potential impact on health and feasible to deliver and evaluate. These findings indicate that further evaluation and possibly early

  3. Cost-effectiveness of extended-release methylphenidate in children and adolescents with attention-deficit/hyperactivity disorder sub-optimally treated with immediate release methylphenidate.

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    Jurjen van der Schans

    Full Text Available Attention-Deficit/Hyperactivity Disorder (ADHD is a common psychiatric disorder in children and adolescents. Immediate-release methylphenidate (IR-MPH is the medical treatment of first choice. The necessity to use several IR-MPH tablets per day and associated potential social stigma at school often leads to reduced compliance, sub-optimal treatment, and therefore economic loss. Replacement of IR-MPH with a single-dose extended release (ER-MPH formulation may improve drug response and economic efficiency.To evaluate the cost-effectiveness from a societal perspective of a switch from IR-MPH to ER-MPH in patients who are sub-optimally treated.A daily Markov-cycle model covering a time-span of 10 years was developed including four different health states: (1 optimal response, (2 sub-optimal response, (3 discontinued treatment, and (4 natural remission. ER-MPH options included methylphenidate osmotic release oral system (MPH-OROS and Equasym XL/Medikinet CR. Both direct costs and indirect costs were included in the analysis, and effects were expressed as quality-adjusted life years (QALYs. Univariate, multivariate as well as probabilistic sensitivity analysis were conducted and the main outcomes were incremental cost-effectiveness ratios.Switching sub-optimally treated patients from IR-MPH to MPH-OROS or Equasym XL/Medikinet CR led to per-patient cost-savings of €4200 and €5400, respectively, over a 10-year treatment span. Sensitivity analysis with plausible variations of input parameters resulted in cost-savings in the vast majority of estimations.This study lends economic support to switching patients with ADHD with suboptimal response to short-acting IR-MPH to long-acting ER-MPH regimens.

  4. Cost-effectiveness of extended-release methylphenidate in children and adolescents with attention-deficit/hyperactivity disorder sub-optimally treated with immediate release methylphenidate.

    Science.gov (United States)

    van der Schans, Jurjen; Kotsopoulos, Nikos; Hoekstra, Pieter J; Hak, Eelko; Postma, Maarten J

    2015-01-01

    Attention-Deficit/Hyperactivity Disorder (ADHD) is a common psychiatric disorder in children and adolescents. Immediate-release methylphenidate (IR-MPH) is the medical treatment of first choice. The necessity to use several IR-MPH tablets per day and associated potential social stigma at school often leads to reduced compliance, sub-optimal treatment, and therefore economic loss. Replacement of IR-MPH with a single-dose extended release (ER-MPH) formulation may improve drug response and economic efficiency. To evaluate the cost-effectiveness from a societal perspective of a switch from IR-MPH to ER-MPH in patients who are sub-optimally treated. A daily Markov-cycle model covering a time-span of 10 years was developed including four different health states: (1) optimal response, (2) sub-optimal response, (3) discontinued treatment, and (4) natural remission. ER-MPH options included methylphenidate osmotic release oral system (MPH-OROS) and Equasym XL/Medikinet CR. Both direct costs and indirect costs were included in the analysis, and effects were expressed as quality-adjusted life years (QALYs). Univariate, multivariate as well as probabilistic sensitivity analysis were conducted and the main outcomes were incremental cost-effectiveness ratios. Switching sub-optimally treated patients from IR-MPH to MPH-OROS or Equasym XL/Medikinet CR led to per-patient cost-savings of €4200 and €5400, respectively, over a 10-year treatment span. Sensitivity analysis with plausible variations of input parameters resulted in cost-savings in the vast majority of estimations. This study lends economic support to switching patients with ADHD with suboptimal response to short-acting IR-MPH to long-acting ER-MPH regimens.

  5. Identifying abnormalities in symbiotic development between Trifolium spp. and Rhizobium leguminosarum bv. trifolii leading to sub-optimal and ineffective nodule phenotypes

    Science.gov (United States)

    Melino, V. J.; Drew, E. A.; Ballard, R. A.; Reeve, W. G.; Thomson, G.; White, R. G.; O'Hara, G. W.

    2012-01-01

    Background and Aims Legumes overcome nitrogen limitations by entering into a mutualistic symbiosis with N2-fixing bacteria (rhizobia). Fully compatible associations (effective) between Trifolium spp. and Rhizobium leguminosarum bv. trifolii result from successful recognition of symbiotic partners in the rhizosphere, root hair infection and the formation of nodules where N2-fixing bacteroids reside. Poorly compatible associations can result in root nodule formation with minimal (sub-optimal) or no (ineffective) N2-fixation. Despite the abundance and persistence of strains in agricultural soils which are poorly compatible with the commercially grown clover species, little is known of how and why they fail symbiotically. The aims of this research were to determine the morphological aberrations occurring in sub-optimal and ineffective clover nodules and to determine whether reduced bacteroid numbers or reduced N2-fixing activity is the main cause for the Sub-optimal phenotype. Methods Symbiotic effectiveness of four Trifolium hosts with each of four R. leguminosarum bv. trifolii strains was assessed by analysis of plant yields and nitrogen content; nodule yields, abundance, morphology and internal structure; and bacteroid cytology, quantity and activity. Key Results Effective nodules (Nodule Function 83–100 %) contained four developmental zones and N2-fixing bacteroids. In contrast, Sub-optimal nodules of the same age (Nodule Function 24–57 %) carried prematurely senescing bacteroids and a small bacteroid pool resulting in reduced shoot N. Ineffective-differentiated nodules carried bacteroids aborted at stage 2 or 3 in differentiation. In contrast, bacteroids were not observed in Ineffective-vegetative nodules despite the presence of bacteria within infection threads. Conclusions Three major responses to N2-fixation incompatibility between Trifolium spp. and R. l. trifolii strains were found: failed bacterial endocytosis from infection threads into plant cortical

  6. How common and what are the determinants of sub-optimal care for Parkinson's disease patients: the Milton Keynes community study.

    Science.gov (United States)

    Hu, Michele T M; Butterworth, Richard; Kumar, Vasantha; Cooper, Jonathan; Jones, Emma; Catterall, Lesley; Ben-Shlomo, Yoav

    2011-03-01

    Limited data currently exists within the UK addressing the level of Parkinson's disease (PD) healthcare provision. We investigated whether care for PD patients in a UK community met national guidelines, and the determinants of sub-optimal care for this patient group. 340 PD patients were identified from a population of 242,606 (crude prevalence 140 per 100,000 (95% CI 126-156 per 100,000), age-adjusted prevalence 199 per 100,000 (95% CI 178-221 per 100,000)). 248 out of 340 (73%) PD patients identified took part, completing rating scales assessing cognitive, non-motor and sociodemographic variables. 9% of patients had never seen a neurologist for their PD and 18.5% were sub-optimally managed; defined as (a) delay between initial diagnosis and first consultation by a specialist >1 year and (b) patients who had not had specialist PD review for >1 year. Older age, poor cognition and worse mobility were major factors in determining sub-optimal care whilst lower education level and tremor as initial symptom were more modest predictors. 20% of patients had been started on dopaminergic therapies including ergot-derived agonists by their GP prior to referral and less than a third had seen allied health professionals throughout their illness. Further work is required to test whether these findings are generalizable across the country and identify what can be done to ensure equal access to specialist care so that all PD patients have access to best practice. Copyright © 2011 Elsevier Ltd. All rights reserved.

  7. Supplementation with macular carotenoids reduces psychological stress, serum cortisol, and sub-optimal symptoms of physical and emotional health in young adults.

    Science.gov (United States)

    Stringham, Nicole Tressa; Holmes, Philip V; Stringham, James M

    2017-02-15

    Oxidative stress and systemic inflammation are the root cause of several deleterious effects of chronic psychological stress. We hypothesize that the antioxidant and anti-inflammatory capabilities of the macular carotenoids (MCs) lutein, zeaxanthin, and meso-zeaxanthin could, via daily supplementation, provide a dietary means of benefit. A total of 59 young healthy subjects participated in a 12-month, double-blind, placebo-controlled trial to evaluate the effects of MC supplementation on blood cortisol, psychological stress ratings, behavioural measures of mood, and symptoms of sub-optimal health. Subjects were randomly assigned to one of three groups: placebo, 13 mg, or 27 mg / day total MCs. All parameters were assessed at baseline, 6 months, and 12 months. Serum MCs were determined via HPLC, serum cortisol via ELISA, and macular pigment optical density (MPOD) via customized heterochromatic flicker photometry. Behavioural data were obtained via questionnaire. Significant baseline correlations were found between MPOD and Beck anxiety scores (r = -0.28; P = 0.032), MPOD and Brief Symptom Inventory scores (r = 0.27; P = 0.037), and serum cortisol and psychological stress scores (r = 0.46; P stress, serum cortisol, and measures of emotional and physical health (P stress, cortisol, and symptoms of sub-optimal emotional and physical health. Determining the basis for these effects, whether systemic or a more central (i.e. brain) is a question that warrants further study.

  8. Rotavirus-specific IgA Responses Are Impaired and Serve as a Sub-Optimal Correlate of Protection among Infants in Bangladesh.

    Science.gov (United States)

    Lee, Benjamin; Carmolli, Marya; Dickson, Dorothy M; Colgate, E Ross; Diehl, Sean A; Uddin, Muhammad Ikhtear; Islam, Shahidul; Hossain, Motaher; Rafique, Tanzeem Ahmed; Bhuiyan, Taufiqur Rahman; Alam, Masud; Nayak, Uma; Mychaleckyj, Josyf C; McNeal, Monica M; Petri, William A; Qadri, Firdausi; Haque, Rashidul; Kirkpatrick, Beth D

    2018-01-31

    Rotavirus-specific IgA (RV-IgA) responses following oral RV vaccination are impaired in low-income countries, where the utility of RV-IgA as a correlate of protection (CoP) remains unclear. In a monovalent oral RV (Rotarix™) vaccine efficacy trial among infants in Dhaka, Bangladesh, we identified factors associated with poor RV-IgA responses and explored the utility of RV-IgA as a CoP. Infants were randomized to receive Rotarix™ or no Rotarix™ at 10 and 17 weeks of life and followed with active diarrheal surveillance. RV-IgA concentration, seroconversion, and seropositivity were determined at 18 weeks of life and analyzed for correlation(s) with rotavirus diarrhea (RVD) and for contribution to Rotarix™ vaccine effect. Among vaccinated infants, overall RV-IgA geometric mean concentration was 21 U/mL; only 27% seroconverted and 32% were seropositive after vaccination. Increased RV-specific maternal antibodies significantly impaired immunogenicity. Seroconversion was associated with reduced risk of RVD through one year of life, but RV-IgA seropositivity only explained 7.8% of the vaccine effect demonstrated by the clinical endpoint (RVD). RV-IgA responses were low among infants in Bangladesh and were significantly impaired by maternal antibodies. RV-IgA is a sub-optimal CoP in this setting; an improved CoP for RV in low-income countries is needed. NCT01375647.

  9. Sub-optimal Testing and Awareness of HCV and HBV Among High Risk Individuals at an Underserved Safety-Net Hospital.

    Science.gov (United States)

    Wong, Robert J; Campbell, Brendan; Liu, Benny; Baden, Rachel; Bhuket, Taft

    2017-06-24

    Sub-optimal screening for chronic hepatitis C virus (HCV) and chronic hepatitis B virus (HBV) among high risk groups delays diagnosis and treatment. We aimed to evaluate overall rates of HCV and HBV screening and patient knowledge of their testing result. Adults age ≥18 years undergoing elective outpatient endoscopy at a large, urban safety-net hospital from July 2015 to July 2016 were prospectively evaluated to determine rates of HCV and HBV testing, the results of those completed tests, and patient knowledge of test results among high risk individuals (as determined by U.S. Preventative Services Task Force). Among 1125 patients (52.3% male, 70.4% foreign-born), 66.5% were high risk for chronic HCV; only 30.9% received prior testing. 14.7% had positive chronic HCV infection. Patients born in the 1945-1965 cohort were more likely to have received prior HCV testing compared to those born outside of this cohort (32.7 vs. 16.9%, p = 0.01). Among patients who received HCV screening, 29.3% were aware of test results. Overall, 61.6% were high risk for chronic HBV; only 25.1% received prior testing. 4.1% were positive for chronic HBV. Compared to Caucasians, Asians (19.0 vs. 44.4%, p HBV testing. Among patients who received prior HBV screening, 18.4% were aware of test results. Less than one-third of high risk patients received HCV and HBV screening among an ethnically diverse safety-net population. Equally low rates of patient knowledge of testing results were observed.

  10. Assessing the Accuracy of High Resolution Digital Surface Models Computed by PhotoScan® and MicMac® in Sub-Optimal Survey Conditions

    Directory of Open Access Journals (Sweden)

    Marion Jaud

    2016-06-01

    Full Text Available For monitoring purposes and in the context of geomorphological research, Unmanned Aerial Vehicles (UAV appear to be a promising solution to provide multi-temporal Digital Surface Models (DSMs and orthophotographs. There are a variety of photogrammetric software tools available for UAV-based data. The objective of this study is to investigate the level of accuracy that can be achieved using two of these software tools: Agisoft PhotoScan® Pro and an open-source alternative, IGN© MicMac®, in sub-optimal survey conditions (rugged terrain, with a large variety of morphological features covering a range of roughness sizes, poor GPS reception. A set of UAV images has been taken by a hexacopter drone above the Rivière des Remparts, a river on Reunion Island. This site was chosen for its challenging survey conditions: the topography of the study area (i involved constraints on the flight plan; (ii implied errors on some GPS measurements; (iii prevented an optimal distribution of the Ground Control Points (GCPs and; (iv was very complex to reconstruct. Several image processing tests are performed with different scenarios in order to analyze the sensitivity of each software package to different parameters (image quality, numbers of GCPs, etc.. When computing the horizontal and vertical errors within a control region on a set of ground reference targets, both methods provide rather similar results. A precision up to 3–4 cm is achievable with these software packages. The DSM quality is also assessed over the entire study area comparing PhotoScan DSM and MicMac DSM with a Terrestrial Laser Scanner (TLS point cloud. PhotoScan and MicMac DSM are also compared at the scale of particular features. Both software packages provide satisfying results: PhotoScan is more straightforward to use but its source code is not open; MicMac is recommended for experimented users as it is more flexible.

  11. Evaluation of the cost effectiveness of exenatide versus insulin glargine in patients with sub-optimally controlled Type 2 diabetes in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Tetlow Anthony P

    2008-08-01

    Full Text Available Abstract Objective Exenatide belongs to a new therapeutic class in the treatment of diabetes (incretin mimetics, allowing glucose-dependent glycaemic control in Type 2 diabetes. Randomised controlled trial data suggest that exenatide is as effective as insulin glargine at reducing HbA1c in combination therapy with metformin and sulphonylureas; with reduced weight but higher incidence of adverse gastrointestinal events. The objective of this study is to evaluate the cost effectiveness of exenatide versus insulin glargine using RCT data and a previously published model of Type 2 diabetes disease progression that is based on the United Kingdom Prospective Diabetes Study; the perspective of the health-payer of the United Kingdom National Health Service. Methods The study used a discrete event simulation model designed to forecast the costs and health outcome of a cohort of 1,000 subjects aged over 40 years with sub-optimally-controlled Type 2 diabetes, following initiation of either exenatide, or insulin glargine, in addition to oral hypoglycaemic agents. Sensitivity analysis for a higher treatment discontinuation rate in exenatide patients was applied to the cohort in three different scenarios; (1 either ignored or (2 exenatide-failures excluded or (3 exenatide-failures switched to insulin glargine. Analyses were undertaken to evaluate the price sensitivity of exenatide in terms of relative cost effectiveness. Baseline cohort profiles and effectiveness data were taken from a published randomised controlled trial. Results The relative cost-effectiveness of exenatide and insulin glargine was tested under a variety of conditions, in which insulin glargine was dominant in all cases. Using the most conservative of assumptions, the cost-effectiveness ratio of exenatide vs. insulin glargine at the current UK NHS price was -£29,149/QALY (insulin glargine dominant and thus exenatide is not cost-effective when compared with insulin glargine, at the current

  12. Ensino médio e ensino técnico na América Latina: Brasil, Argentina e Chile Mid level schooling and vocational training in Latin America: Brazil, Argentina and Chile

    Directory of Open Access Journals (Sweden)

    Luiz Antônio Cunha

    2000-12-01

    Full Text Available O artigo analisa políticas educacionais em três países latino-americanos (Brasil, Argentina e Chile, nos anos 80 e 90, comparando-as, em cada país, com as das décadas anteriores, assim como entre uns e outros. Como foco de análise, o autor tomou a educação intermediária, definida como a posicionada entre a educação obrigatória e a educação superior. As políticas para esse segmento, em cada país, foram examinadas com referência à persistência e/ou à mudança da dualidade estrutural. A conclusão do autor é a de que Brasil e Argentina elaboraram e implementam políticas tendentes ao reforço da dualidade, ao passo que o Chile anuncia políticas de sua atenuação.This article analyzes educational policy in three Latin American countries (Brazil, Argentina and Chile during the 80s and 90s, making comparisons within each country in relation to earlier decades, as well as among the countries. With an analytical focus the author takes mid level schooling defined as that which occurs between obligatory schooling and higher education. The policies for this segment in each country, were examined with reference to the persistence and/or change of the structural duality. The author's conclusion is that Brazil and Argentina have developed and implemented policies tending to reinforce this duality, and that Chile has articulated policies to attenuate it.

  13. Applications of sub-optimality in dynamic programming to location and construction of nuclear fuel processing plant; Application de la sous-optimalite en programmation dynamique a la localisation et la cadence optimales de construction des equipements

    Energy Technology Data Exchange (ETDEWEB)

    Thiriet, L.; Deledicq, A. [Commissariat a l' Energie Atomique, 92 - Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires, section des etudes economiques generales

    1968-09-01

    First, the point of applying Dynamic Programming to optimization and Operational Research problems in chemical industries are recalled, as well as the conditions in which a dynamic program is illustrated by a sequential graph. A new algorithm for the determination of sub-optimal politics in a sequential graph is then developed. Finally, the applications of sub-optimality concept is shown when taking into account the indirect effects related to possible strategies, or in the case of stochastic choices and of problems of the siting of plants... application examples are given. (authors) [French] On rappelle d'abord l'interet de la Programmation Dynamique dans les problemes d'optimisation et de Recherche Operationnelle dans les industries chimiques, et les conditions de representation d'un programme dynamique par un graphe sequentiel. On expose ensuite un nouvel algorithme de determination de politiques sous-optimales dans un graphe sequentiel. On montre enfin les applications du concept de sous-optimalite a la prise en compte d'effets indirects lies aux politiques possibles, aux choix dans l'aleatoire, a des problemes de localisation optimale d'usines... et on donne des exemples d'utilisation. (auteurs)

  14. Privaatne ja avalik nõukogude aja mõistmises ühe keskastme juhi eluloo näitel. Private and Public in the Soviet Era: The Example of a Mid-Level Manager’s Life Story

    Directory of Open Access Journals (Sweden)

    Ene Kõresaar

    2012-04-01

    Full Text Available The focus of our analysis is the question of how the complex world of Soviet everyday life – which was characterised by a tension between public and private – has manifested itself in the recounting of life stories. In the article we first take a look at the problem of public and private, and the possibilities of using this theoretical model when researching everyday life in the Soviet Union. In approaching the subject, we support ourselves with the approaches of Garcelon, Voronkov and Zdravomyslova. Garcelon has, in research on Soviet society, distinguished the official and private spheres as opposites, and an area between these two spheres which encompasses features of both; Garcelon calls this the social sphere of working life. Zdravomyslova and Voronkov distinguish a third sphere: an in-between, an informal official part of life in which, in their view, Soviet society never gained total control of the individual. In both approaches, a situation arose in the Soviet society of the 1960s where informal rules began to dominate over official ones, thereby enabling a flexible kind of manipulation. In the article, we analyse the relationship between official, informal and private in the sphere of work using an oral history perspective. Here, we used Alessandro Portelli’s tripartite mode of history-telling. Portelli treats lifestory narrative as a structurally complex text where changes in usage of language and definitions of time denote general changes in experience. The characters, space and grammar change depending on the perspective used in narration. Proceeding from this, Portelli distinguishes an institutional, societal and personal level in the narration of history. The life story analysed was written by a mid-level industrial manager and sent to the life writing campaign ’My Life and the Life of My Family in Soviet Estonia and in the Republic of Estonia’ in 2001. A characteristic feature of the industrial manager’s work biography

  15. Sub-Optimal Treatment of Bacterial Biofilms

    Directory of Open Access Journals (Sweden)

    Tianyan Song

    2016-06-01

    Full Text Available Bacterial biofilm is an emerging clinical problem recognized in the treatment of infectious diseases within the last two decades. The appearance of microbial biofilm in clinical settings is steadily increasing due to several reasons including the increased use of quality of life-improving artificial devices. In contrast to infections caused by planktonic bacteria that respond relatively well to standard antibiotic therapy, biofilm-forming bacteria tend to cause chronic infections whereby infections persist despite seemingly adequate antibiotic therapy. This review briefly describes the responses of biofilm matrix components and biofilm-associated bacteria towards sub-lethal concentrations of antimicrobial agents, which may include the generation of genetic and phenotypic variabilities. Clinical implications of bacterial biofilms in relation to antibiotic treatments are also discussed.

  16. Dependent Interviewing and Sub-Optimal Responding

    Directory of Open Access Journals (Sweden)

    Johannes Eggs

    2015-02-01

    Full Text Available With proactive dependent interviewing (PDI respondents are reminded of the answer they gave in the previous interview, before being asked about their current status. PDI is used in panel surveys to assist respondent recall and reduce spurious changes in responses over time. PDI may however provide scope for new errors if respondents falsely accept the previous information as still being an accurate description of their current situation. In this paper we use data from the German Labour Market and Social Security panel study, in which an error was made with the preload data for a PDI question about receipt of welfare benefit. The survey data were linked to individual administrative records on receipt of welfare benefit. A large proportion of respondents accepted the false preload. This behaviour seems mainly driven by the difficulty of the response task: respondents with a more complex history of receipt according to the records were more likely to confirm the false preload. Personality also seemed related to the probability of confirming. Predictors of satisficing, indicators of satisficing on other items in the survey, and characteristics of the survey and interviewer were not predictive of confirming the false preload.

  17. High-Octane Mid-Level Ethanol Blend Market Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Caley [National Renewable Energy Lab. (NREL), Golden, CO (United States); Newes, Emily [National Renewable Energy Lab. (NREL), Golden, CO (United States); Brooker, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); McCormick, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States); Peterson, Steve [Lexidyne, LLC, Colorado Springs, CO (United States); Leiby, Paul [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Martinez, Rocio Uria [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Oladosu, Gbadebo [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Brown, Maxwell L. [Colorado School of Mines, Golden, CO (United States)

    2015-12-01

    The United States government has been promoting increased use of biofuels, including ethanol from non-food feedstocks, through policies contained in the Energy Independence and Security Act of 2007. The objective is to enhance energy security, reduce greenhouse gas (GHG) emissions, and provide economic benefits. However, the United States has reached the ethanol blend wall, where more ethanol is produced domestically than can be blended into standard gasoline. Nearly all ethanol is blended at 10 volume percent (vol%) in gasoline. At the same time, the introduction of more stringent standards for fuel economy and GHG tailpipe emissions is driving research to increase the efficiency of spark ignition (SI) engines. Advanced strategies for increasing SI engine efficiency are enabled by higher octane number (more highly knock-resistant) fuels. Ethanol has a research octane number (RON) of 109, compared to typical U.S. regular gasoline at 91-93. Accordingly, high RON ethanol blends containing 20 vol% to 40 vol% ethanol are being extensively studied as fuels that enable design of more efficient engines. These blends are referred to as high-octane fuel (HOF) in this report. HOF could enable dramatic growth in the U.S. ethanol industry, with consequent energy security and GHG emission benefits, while also supporting introduction of more efficient vehicles. HOF could provide the additional ethanol demand necessary for more widespread deployment of cellulosic ethanol. However, the potential of HOF can be realized only if it is adopted by the motor fuel marketplace. This study assesses the feasibility, economics, and logistics of this adoption by the four required participants--drivers, vehicle manufacturers, fuel retailers, and fuel producers. It first assesses the benefits that could motivate these participants to adopt HOF. Then it focuses on the drawbacks and barriers that these participants could face when adopting HOF and proposes strategies--including incentives and policies--to curtail these barriers. These curtailment strategies are grouped into scenarios that are then modeled to investigate their feasibility and explore the dynamics involved in HOF deployment. This report does not advocate for or against incentives or policies, but presents simulations of their effects.

  18. Representing Videos using Mid-level Discriminative Patches

    Science.gov (United States)

    2013-07-01

    estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense , Washington...51.51 44.12 48.48 Throw Discus 63.64 75.00 87.10 Volleyball Spiking 24.24 43.48 90.90 Mean Classification 40.17 64.23 70.47 Table 1. Classification

  19. Prevalence and predictors of sub-optimal medication adherence ...

    African Journals Online (AJOL)

    Methods: three hundred and seventy (370) respondents with diagnoses of schizophrenia, bipolar disorder or severe depression were randomly enrolled and interviewed at the out-patient department of the Federal Neuropsychiatric Hospital, Maiduguri in northeastern Nigeria. An anonymous sociodemographic ...

  20. Sub Optimal E-Waste Management and the Lost Opportunity

    OpenAIRE

    Tyagi, Rakesh; Kaushal, Priyanka

    2018-01-01

    Electronic waste or e-waste is the wastegenerated from discarded and end of life electronic items. In recent times withchange in lifestyle and improved purchasing capacity of people has acceleratedthe demand of new and improved electronic items, quick technology obsolescence,as a consequence the generation of e-waste has seen a huge rise. In year 2016,globally 93.5 tons of E-waste was generated, India, one of the leadingproducers of e-waste, produced 1.65 Million tones of E-waste. Apart fromd...

  1. ORIGINAL ARTICLE Sub-Optimal Breastfeeding and Its Associated ...

    African Journals Online (AJOL)

    2018-01-01

    Jan 1, 2018 ... education, low birth order and lack of knowledge about exclusive breastfeeding were also negatively associated with .... obtained from the Institutional Review Board of the College of Medicine and Health Sciences, ..... Horii N, Guyon A, Quinn V. Determinants of delayed initiation of breastfeeding in rural.

  2. Prevalence and predictors of sub-optimal medication adherence ...

    African Journals Online (AJOL)

    In this study, the levels of adherence, prevalence and the predictors of suboptimal adherence were assessed in a sub-Saharan African setting. Methods: Three hundred and seventy (370) respondents with diagnoses of schizophrenia, bipolar disorder or severe depression were randomly enrolled and interviewed at the ...

  3. Duration estimates within a modality are integrated sub-optimally

    Directory of Open Access Journals (Sweden)

    Ming Bo eCai

    2015-08-01

    Full Text Available Perceived duration can be influenced by various properties of sensory stimuli. For example, visual stimuli of higher temporal frequency are perceived to last longer than those of lower temporal frequency. How does the brain form a representation of duration when each of two simultaneously presented stimuli influences perceived duration in different way? To answer this question, we investigated the perceived duration of a pair of dynamic visual stimuli of different temporal frequencies in comparison to that of a single visual stimulus of either low or high temporal frequency. We found that the duration representation of simultaneously occurring visual stimuli is best described by weighting the estimates of duration based on each individual stimulus. However, the weighting performance deviates from the prediction of statistically optimal integration. In addition, we provided a Bayesian account to explain a difference in the apparent sensitivity of the psychometric curves introduced by the order in which the two stimuli are displayed in a two-alternative forced-choice task.

  4. O trabalho do profissional de nível médio de enfermagem nos novos dispositivos de atenção em saúde mental El trabajo del profesional de enfermería de nivel medio y los nuevos servicios de atención en la salud mental The work of the mid-level nursing professional in the new mental health care services

    Directory of Open Access Journals (Sweden)

    Sonia Regina Zerbetto

    2005-02-01

    Full Text Available O estudo consiste em levantamento bibliográfico abrangendo o profissional de nível médio de enfermagem nos serviços alternativos de saúde mental, com o objetivo de refletir sobre o seu trabalho, considerando o modelo psicossocial e as suas ações de intervenção na assistência, baseadas no referencial teórico de tecnologias leves. Observou-se que há um processo de transição do modelo tradicional ao psicossocial; do tecnicista à satisfação das necessidades do usuário e a importância de rever o processo de formação dessa categoria profissional, salientando a nova postura do enfermeiro-professor que deve buscar ensino crítico-reflexivo e direcionado para os ideais da Reforma Psiquiátrica.El estudio se trata de un inventario bibliográfico que abarca al profesional de enfermería de nivel medio en los servicios alternativos de salud mental, con objeto de reflexionar sobre su trabajo, teniéndose en cuenta el modelo psicosocial y sus acciones de intervención en la atención, basadas en el referencial teórico de tecnologías livianas. Se observa que hay un proceso de transición del método tradicional al psicosocial y del técnico a la satisfacción de las necesidades del usuario y la importancia de reconsiderar el proceso de formación de esta categoría profesional, resaltando una nueva postura del enfermero(a-profesor(a que busca una enseñanza crítica y reflexiva en dirección a los ideales de la Reforma Psiquiátrica.The study consists of a bibliographic survey covering mid-level nursing professionals in alternative mental health services, with the objective to reflecting on their work, considering the psychosocial model and its care intervention actions, based on the theoretical reference framework of the so-called "light technologies". It was observed that there is a transition process from the traditional to the psychosocial model, from a technical model to the model of satisfying user needs and the importance of

  5. A Study of Army Civilian Entry Level and Mid-Level Program Management Leadership Development

    Science.gov (United States)

    2016-05-08

    acquisition enterprise will be key players in implementing the vision of Force 2025 by designing solutions to build up the expeditionary capacities of the...directly connected to superior business performance ( Gestalt International Study Center, 2016). “Organizations that invest in developing their people as...significant impact on their communities and the world” ( Gestalt International Study Center, 2016). Leader development training for civilian acquisition

  6. Goals, communication, participation, and feedback : mid-level management and traditional public administration

    NARCIS (Netherlands)

    Favero, N.; Meier, K.J.; O'Toole, Laurence J.

    2012-01-01

    Much recent work in the study of public administration has emphasized new challenges, and relatively unusual aspects of management, such as managerial networking and interorganizational collaboration, cross-sectoral partnerships, the centrality of information technology in contemporary management,

  7. The role of mid-level vortex in the intensification and weakening of ...

    Indian Academy of Sciences (India)

    Govindan Kutty

    2017-10-06

    Oct 6, 2017 ... and weakening of tropical cyclones. Govindan Kutty* and Kanishk Gohil. Indian Institute of Space Science and Technology, Thiruvananthapuram 695 547, India. *Corresponding author. e-mail: govind@iist.ac.in. MS received 2 October 2016; revised 18 April 2017; accepted 25 April 2017; published online 6 ...

  8. Major surgery delegation to mid-level health practitioners in Mozambique: health professionals' perceptions.

    Science.gov (United States)

    Cumbi, Amelia; Pereira, Caetano; Malalane, Raimundo; Vaz, Fernando; McCord, Colin; Bacci, Alberta; Bergström, Staffan

    2007-12-06

    This study examines the opinions of health professionals about the capacity and performance of the 'técnico de cirurgia', a surgically trained assistant medical officer in the Mozambican health system. Particular attention is paid to the views of medical doctors and maternal and child health nurses. The results are derived from a qualitative study using both semi-structured interviews and group discussions. Health professionals (n=71) were interviewed at both facility and system level. Eight group discussion sessions of about two hours each were run in eight rural hospitals with a total of 48 participants. Medical doctors and district officers were excluded from group discussion sessions due to their hierarchical position which could have prevented other workers from expressing opinions freely. Health workers at all levels voiced satisfaction with the work of the "técnicos de cirurgia". They stressed the life-saving skills of these cadres, the advantages resulting from a reduction in the need for patient referrals and the considerable cost reduction for patients and their families. Important problems in the professional status and remuneration of "técnicos de cirurgia" were identified. This study, the first one to scrutinize the judgements and attitudes of health workers towards the "técnico de cirurgia", showed that, despite some shortcomings, this cadre is highly appreciated and that the health delivery system does not recognize and motivate them enough. The findings of this study can be used to direct efforts to improve motivation of health workers in general and of técnicos de cirurgia in particular.

  9. The Relationship between Human Resource Management Practices and Turnover Intentions of Mid-Level Administrators

    Science.gov (United States)

    Tucker-Lively, Felicia L.

    2014-01-01

    Although "talented employees with unique knowledge and skills are increasingly being viewed as a valuable asset and a source of competitive advantage" in the private sector (Yukl, 2008, p. 710), identification, selection, and development of potential leaders are often inadequate or too late in public institutions (Bisbee, 2007). Studies…

  10. Socialization for New and Mid-Level Community College Student Affairs Professionals

    Science.gov (United States)

    Hornak, Anne M.; Ozaki, C. Carolyn; Lunceford, Christina

    2016-01-01

    This study was designed to explore the socialization of student affairs professionals in community colleges. The authors used the theory of organizational socialization (Van Maanen & Schein, 1979) and explored these nuances through a qualitative research design. Findings include differences in socialization in institutions versus the…

  11. Sources of Career Dissatisfaction among Mid-Level Coast Guard Officers.

    Science.gov (United States)

    1983-06-01

    to an understanding of job satisfaction/dissatisfaction causalities. A. JOB SATISFACTION/DISSATISFACTION THEORIES Frederick Taylor in 1911 assumed...with the least amount of fatigue would be satisfied. [Locke, 1976] 14 [ In the late 1950’s, Fredrick Herzberg conducted numerous intensive...and administrative policy, super- vision, interpersonal relations, working conditions, and salary. Herzberg suggested that job satisfaction and job

  12. Mid-Level Vision and Recognition of Non-Rigid Objects.

    Science.gov (United States)

    1993-01-01

    3928, 1991. [54] J.B. Deregowski. Real space and represented space: Cross- cultural perspec- tives. Behavioral and Brain Sciences, 12:51{119, 1989. [55...PAMI-8(3):388{ 397, 1986. [208] G. Petter. Nuove ricerche sperimentali sulla totalizzazione percepttiva. Rivista di psicologia , 50:213{227, 1956. [209

  13. Development of an Orientation Program for Mid-level Managers at a Rural Civilian Community Hospital

    National Research Council Canada - National Science Library

    Mullarkey, David

    1998-01-01

    This study's focus was to identify perceived orientation and management development needs of department directors and middle managers at a mid-size, not-for-profit community hospital in Beaufort. south Carolina...

  14. Leading from the Middle: Mid-Level Central Office Staff and Instructional Improvement. [Executive Summary

    Science.gov (United States)

    Burch, Patricia; Spillane, James

    2004-01-01

    In this report, the Cross City Campaign continues to explore the district's role in instructional reform. In the fall of 2000, Cross City Campaign initiated a three-year qualitative study in three urban school districts that examined the role and importance of district/school interactions in the implementation of local instructional improvement.…

  15. the Army Ethic-Educating and Equipping the Army Mid-Level Leaders in the CGSOC

    Science.gov (United States)

    2016-06-10

    Publications, 1994). 5 Ibid., 10. 6 Ibid. 7 Wolcott, 44. 8 John W. Creswell , Qualitative Inquiry and Research Design : Choosing Among Five Approaches... Qualitative Inquiry and Research Design : Choosing Among Five Approaches. Thousand Oaks, CA: SAGE Publications, 2013. Frame, John M. The Doctrine of the...35 Figure 3. Army Design Methodology .............................................................................49 Figure 4. Research

  16. 22 CFR 501.5 - Mid-level FSO Candidate Program (Class 3, 2, or 1).

    Science.gov (United States)

    2010-04-01

    ... Broadcasting Board of Governors, must be knowledgeable in the social, political and cultural history of the U.S..., insights, techniques, experiences, and differences of outlook which would serve to enrich the Foreign... work, supervisory or managerial positions in communications media, program director for a museum or...

  17. Vietnamese Women in Academic Leadership: Experiences of Mid-Level Women Leaders in Universities and Colleges in the Mekong Delta

    Science.gov (United States)

    Dang, Ngoc Lan Thi

    2012-01-01

    Academic women in the Mekong Delta (MD) in southern Viet Nam remain underrepresented in key leadership positions and other positions of power and influence in their institutions. This situation exists regardless of various local, national, and international policies on gender equality and the implementation of numerous action plans, strategies,…

  18. Health Informatics Program Design and Outcomes: Learning from an Early Offering at a Mid-Level University

    Science.gov (United States)

    Parker, Kevin R.; Srinivasan, Sankara Subramanian; Houghton, Robert F.; Kordzadeh, Nima; Bozan, Karoly; Ottaway, Thomas; Davey, Bill

    2017-01-01

    Curriculum development is particularly challenging in computing-related disciplines as the computing industry changes more quickly than most. As information technology degrees have become relatively pervasive, some institutions that offer information systems degrees have recognized a need to develop specialist studies in information systems. This…

  19. Advances in clinical education: a model for infectious disease training for mid-level practitioners in Uganda.

    Science.gov (United States)

    Miceli, Antonina; Sebuyira, Lydia Mpanga; Crozier, Ian; Cooke, Molly; Naikoba, Sarah; Omwangangye, Aquilla Priscilla; Rayko-Farrar, Lisa; Ronald, Allan; Tumwebaze, Margaret; Willis, Kelly S; Weaver, Marcia R

    2012-10-01

    Advances in health professional education have been slow to materialize in many developing countries over the past half-century, contributing to a widening gap in quality of care compared to developed countries. Recent calls for reform in global health professional education have stressed, among other priorities, the need for approaches that strengthen clinical reasoning skills. While the development of these skills is critical to enhance health systems, little research has been carried out on the effectiveness of applying these strategies in the context of severe human resource shortages and complex disease presentations. Integrated Infectious Disease Capacity Building Evaluation (IDCAP) based at the Infectious Diseases Institute at Makerere University created a training program using current best practices in clinical education to support the development of complex reasoning skills among clinicians in rural Uganda. Over a period of 9 months, the program integrated classroom and clinic-based training approaches and measured indicators of success with particular reference to common infectious diseases. This article describes in detail the IDCAP approach to integrating advances in health professional education theory in the context of an overburdened, inadequately resourced primary health care system; results from the evaluation are expected in 2012. Copyright © 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  20. Air Force Core Values: An Analysis of Mid-Level Career Officers’ Values and Their Suitability to Instill Them

    Science.gov (United States)

    1997-03-01

    are rooted primarily through God/religion and family influences. The author calls for a review of the current Air Force strategy which seeks to...rooted primarily through God/religion and family influences. viii The author calls for a review of the current Air Force strategy which seeks to...this concern William Penn wrote, “True Godliness doesn’t turn men out of the world, but enables them to live better in it, and excites their endeavors

  1. Style-aware Mid-level Representation for Discovering Visual Connections in Space and Time (Open Access)

    Science.gov (United States)

    2014-03-03

    grained recognition on CUB -200-2011 [29]. Indigo Bunting Purple Finch Evening Grosbeak Prothonotary Warbler Great Grey Shrike Bronzed Cowbird Barn...Blackbird Figure 10. Example correspondences on CUB -200-2011. high purity with increased coverage. 4.4. Fine-grained recognition Finally, the idea... CUB -200- 2011 dataset [29] using the provided bounding box annota- tions. We compare to the state-of-the-art methods of [32, 1], which define pose

  2. Models, Analysis, and Recommendations Pertaining to the Retention of Naval Special Warfare s Mid-Level Officers

    Science.gov (United States)

    2013-12-01

    drawdown for Afghanistan nearing, opportunities to forge an officer corps through actual combat experience are diminishing.”10 B. A CALL FOR...The Analytic Hierarch/Network Process,” in Rev. R. Acad. Cien. Serie A. Mat (RACSAM), submitted by Francisco Javier Giron (Real Academia de Ciencias ...Academia de Ciencias : Spain. Scott, Nathan. Naval Special Warfare Officer Retention Survey. Monterey, CA: NPS Press, September 2013. Whittenberger

  3. "Monkey in a Cage": The Complicated Loyalties of Mid-Level Academic Women Working in Higher Education

    Science.gov (United States)

    Vongalis-Macrow, Athena

    2012-01-01

    Loyalty raises a dilemma for women's career progression and leadership because it signals confidence in the organisation, despite the ongoing constraints that organisations present for women and their leadership aspirations. The research investigates women's loyalty in the context of higher education. Focussing on a select group of mid-level…

  4. Food Image Recognition via Superpixel Based Low-Level and Mid-Level Distance Coding for Smart Home Applications

    OpenAIRE

    Jiannan Zheng; Z. Jane Wang; Chunsheng Zhu

    2017-01-01

    Food image recognition is a key enabler for many smart home applications such as smart kitchen and smart personal nutrition log. In order to improve living experience and life quality, smart home systems collect valuable insights of users’ preferences, nutrition intake and health conditions via accurate and robust food image recognition. In addition, efficiency is also a major concern since many smart home applications are deployed on mobile devices where high-end GPUs are not available. In t...

  5. Impacts of Mid-level Biofuel Content in Gasoline on SIDI Engine-Out and Tailpipe Particulate Matter Emissions: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    He, X.; Ireland, J. C.; Zigler, B. T.; Ratcliff, M. A.; Knoll, K. E.; Alleman, T. L.; Tester, J. T.

    2011-02-01

    The influences of ethanol and iso-butanol blended with gasoline on engine-out and post Three-Way Catalyst (TWC) particle size distribution and number concentration were studied using a GM 2.0L turbocharged Spark Ignition Direct Injection (SIDI) engine. The engine was operated using the production ECU with a dynamometer controlling the engine speed and the accelerator pedal position controlling the engine load. A TSI Fast Mobility Particle Sizer (FMPS) spectrometer was used to measure the particle size distribution in the range from 5.6 to 560 nm with a sampling rate of 1 Hz. US federal certification gasoline (E0), two ethanol-blended fuels (E10 and E20), and 11.7% iso-butanol blended fuel (BU12) were tested. Measurements were conducted at ten selected steady-state engine operation conditions. Bi-modal particle size distributions were observed for all operating conditions with peak values at particle sizes of 10 nm and 70 nm. Idle and low speed / low load conditions emitted higher total particle numbers than other operating conditions. At idle, the engine-out Particulate Matter (PM) emissions were dominated by nucleation mode particles, and the production TWC reduced these nucleation mode particles by more than 50%, while leaving the accumulation mode particle distribution unchanged. At engine load higher than 6 bar NMEP, accumulation mode particles dominated the engine-out particle emissions and the TWC had little effect. Compared to the baseline gasoline (E0), E10 does not significantly change PM emissions, while E20 and BU12 both reduce PM emissions under the conditions studied. Iso-butanol was observed to impact PM emissions more than ethanol, with up to 50% reductions at some conditions. In this paper, the issues related to PM measurement using FMPS are also discussed. While some uncertainties are due to engine variation, the FMPS must be operated under careful maintenance procedures in order to achieve repeatable measurement results.

  6. High frequency of sub-optimal semen quality in an unselected population of young men

    DEFF Research Database (Denmark)

    Andersen, A G; Jensen, Tina Kold; Carlsen, E

    2000-01-01

    for military service, this provided a unique opportunity to study the reproductive function in an unbiased population. Altogether 891 young men delivered a blood sample in which reproductive hormones were measured. From 708 of these men data were also obtained on semen quality and testis size. The median sperm...

  7. Transcriptional markers of sub-optimal nutrition in developing Apis mellifera nurse workers

    Science.gov (United States)

    2014-01-01

    Background Honey bees (Apis mellifera) contribute substantially to the worldwide economy and ecosystem health as pollinators. Pollen is essential to the bee’s diet, providing protein, lipids, and micronutrients. The dramatic shifts in physiology, anatomy, and behavior that accompany normal worker development are highly plastic and recent work demonstrates that development, particularly the transition from nurse to foraging roles, is greatly impacted by diet. However, the role that diet plays in the developmental transition of newly eclosed bees to nurse workers is poorly understood. To further understand honey bee nutrition and the role of diet in nurse development, we used a high-throughput screen of the transcriptome of 3 day and 8 day old worker bees fed either honey and stored pollen (rich diet) or honey alone (poor diet) within the hive. We employed a three factor (age, diet, age x diet) analysis of the transcriptome to determine whether diet affected nurse worker physiology and whether poor diet altered the developmental processes normally associated with aging. Results Substantial changes in gene expression occurred due to starvation. Diet-induced changes in gene transcription occurring in younger bees were largely a subset of those occurring in older bees, but certain signatures of starvation were only evident 8 day old workers. Of the 18,542 annotated transcripts in the A. mellifera genome, 150 transcripts exhibited differential expression due to poor diet at 3d of age compared with 17,226 transcripts that differed due to poor diet at 8d of age, and poor diet caused more frequent down-regulation of gene expression in younger bees compared to older bees. In addition, the age-related physiological changes that accompanied early adult development differed due to the diet these young adult bees were fed. More frequent down-regulation of gene expression was observed in developing bees fed a poor diet compared to those fed an adequate diet. Functional analyses also suggest that the physiological and developmental processes occurring in well-fed bees are vastly different than those occurring in pollen deprived bees. Our data support the hypothesis that poor diet causes normal age-related development to go awry. Conclusion Poor nutrition has major consequences for the expression of genes underlying the physiology and age-related development of nurse worker bees. More work is certainly needed to fully understand the consequences of starvation and the complex biology of nutrition and development in this system, but the genes identified in the present study provide a starting point for understanding the consequences of poor diet and for mitigating the economic costs of colony starvation. PMID:24529032

  8. Cellular recovery from exposure to sub-optimal concentrations of AB toxins that inhibit protein synthesis

    Science.gov (United States)

    Shiga toxin 1, exotoxin A, diphtheria toxin and ricin are all AB-type protein toxins that act within the host cytosol to kill the host cell through a pathway involving the inhibition of protein synthesis. It is thought that a single molecule of cytosolic toxin is sufficient to kill the host cell. In...

  9. (Sub-)Optimality of Treating Interference as Noise in the Cellular Uplink With Weak Interference

    KAUST Repository

    Gherekhloo, Soheil

    2015-11-09

    Despite the simplicity of the scheme of treating interference as noise (TIN), it was shown to be sum-capacity optimal in the Gaussian interference channel (IC) with very-weak (noisy) interference. In this paper, the two-user IC is altered by introducing an additional transmitter that wants to communicate with one of the receivers of the IC. The resulting network thus consists of a point-to-point channel interfering with a multiple access channel (MAC) and is denoted by PIMAC. The sum-capacity of the PIMAC is studied with main focus on the optimality of TIN. It turns out that TIN in its naive variant, where all transmitters are active and both receivers use TIN for decoding, is not the best choice for the PIMAC. In fact, a scheme that combines both time division multiple access and TIN (TDMA-TIN) strictly outperforms the naive-TIN scheme. Furthermore, it is shown that in some regimes, TDMA-TIN achieves the sum-capacity for the deterministic PIMAC and the sum-capacity within a constant gap for the Gaussian PIMAC. In addition, it is shown that, even for very-weak interference, there are some regimes where a combination of interference alignment with power control and TIN at the receiver side outperforms TDMA-TIN. As a consequence, on the one hand, TIN in a cellular uplink is approximately optimal in certain regimes. On the other hand, those regimes cannot be simply described by the strength of interference.

  10. The Prediction of Pilot Opinion Ratings Using Optimal and Sub-Optimal Pilot Models

    Science.gov (United States)

    1994-03-01

    Input: AcBc ,Cc - Aircraft Dynamics Ac, Bc, Cc, Ag, Bg, Cg Ag,Bg,Cg - Task Dynamics Q,R.P,TNTD Q - Error Weighting R - Control Weighting p - Observation...Compensator States % AcBc ,Cc - Aircraft States % Gamma = Constant Disturbance Noise Matrix % (Distributes Disturbance Noise into States) % Q - State...for Disturbance at Plant Output function [J]=PIFINDER(c, AcBc ,Cc,Ag,Bg,Cg,Q,RNoise) "% This File Finds the Minimum Performance Index Value "% For

  11. Activation Layer Stabilization of High Polarization Photocathodes in Sub-Optimal RF Gun Environments

    Energy Technology Data Exchange (ETDEWEB)

    Gregory A. Mulhollan

    2010-11-16

    Specific activation recipes for bulk, 100 nm thick MBE grown and high polarization III-V photocathode material have been developed which mitigate the effects of exposure to background gasses. Lifetime data using four representative gasses were acquired for bulk GaAs, 100 nm unstrained GaAs and strained superlattice GaAs/GaAsP, all activated both with Cs and then Cs and Li (bi-alkali). Each photoemitter showed marked resilience improvement when activated using the bi-alkali recipe compared to the standard single alkali recipe. A dual alkali activation system at SLAC was constructed, baked and commissioned with the purpose of performing spin-polarization measurements on electrons emitted from the bi-alkali activated surfaces. An end station at SSRL was configured with the required sources for energy resolved photoemission measurements on the bi-alkali activated and CO2 dosed surfaces. The bi-alkali recipes were successfully implemented at SLAC/SSRL. Measurements at SLAC of the photoelectron spin-polarization from the modified activation surface showed no sign of a change in value compared to the standard activated material, i.e., no ill effects. Analysis of photoemission data indicates that the addition of Li to the activation layer results in a multi-layer structure. The presence of Li in the activation layer also acts as an inhibitor to CO2 absorption, hence better lifetimes in worse vacuum were achieved. The bi-alkali activation has been tested on O2 activated GaAs for comparison with NF3 activated surfaces. Comparable resilience to CO2 exposure was achieved for the O2 activated surface. An RF PECVD amorphous silicon growth system was modified to allow high temperature heat cleaning of GaAs substrates prior to film deposition. Growth versus thickness data were collected. Very thin amorphous silicon germanium layers were optimized to exhibit good behavior as an electron emitter. Growth of the amorphous silicon germanium films on the above substrates was fine tuned with respect to time and power to moderate plasma damage to the photo-generating layer. Auger electron spectroscopy was used to analyze the composition and thickness of the emitter layers. AFM studies showed conformal growth on the GaAs substrates. Measurements at SLAC on the photoemitted electrons from high polarization substrates coated with amorphous silicon germanium indicated an ~10% relative drop in spin-polarization at the wavelength corresponding to the maximum spin-polarization when compared to the uncoated material,

  12. High frequency of sub-optimal semen quality in an unselected population of young men

    DEFF Research Database (Denmark)

    Andersen, A G; Jensen, T K; Carlsen, E

    2000-01-01

    Male reproductive function seems to have deteriorated considerably during the past 4-5 decades. However, studies of the reproductive function in unselected populations have not previously been reported. As the large majority of young men in Denmark are subjected to a compulsory medical examinatio...

  13. Deportation of Gang Members: Sub-Optimal Solution for Both America and Mexico

    Science.gov (United States)

    2011-10-28

    of youths who join gangs are poor, reside in urban areas with higher crime rates, have limited education and find few legitimate job opportunities...Back the Streets 36 James C. Howell. “Gang prevention: An Overview of Research and Programs”, Office of Juvenile Justice and Delinquency ...in only the largest urban areas of the country, gangs have evolved from 50 Jonah M

  14. Transcriptional markers of sub-optimal nutrition in developing Apis mellifera nurse workers.

    Science.gov (United States)

    Corby-Harris, Vanessa; Jones, Beryl M; Walton, Alexander; Schwan, Melissa R; Anderson, Kirk E

    2014-02-15

    Honey bees (Apis mellifera) contribute substantially to the worldwide economy and ecosystem health as pollinators. Pollen is essential to the bee's diet, providing protein, lipids, and micronutrients. The dramatic shifts in physiology, anatomy, and behavior that accompany normal worker development are highly plastic and recent work demonstrates that development, particularly the transition from nurse to foraging roles, is greatly impacted by diet. However, the role that diet plays in the developmental transition of newly eclosed bees to nurse workers is poorly understood. To further understand honey bee nutrition and the role of diet in nurse development, we used a high-throughput screen of the transcriptome of 3 day and 8 day old worker bees fed either honey and stored pollen (rich diet) or honey alone (poor diet) within the hive. We employed a three factor (age, diet, age x diet) analysis of the transcriptome to determine whether diet affected nurse worker physiology and whether poor diet altered the developmental processes normally associated with aging. Substantial changes in gene expression occurred due to starvation. Diet-induced changes in gene transcription occurring in younger bees were largely a subset of those occurring in older bees, but certain signatures of starvation were only evident 8 day old workers. Of the 18,542 annotated transcripts in the A. mellifera genome, 150 transcripts exhibited differential expression due to poor diet at 3d of age compared with 17,226 transcripts that differed due to poor diet at 8d of age, and poor diet caused more frequent down-regulation of gene expression in younger bees compared to older bees. In addition, the age-related physiological changes that accompanied early adult development differed due to the diet these young adult bees were fed. More frequent down-regulation of gene expression was observed in developing bees fed a poor diet compared to those fed an adequate diet. Functional analyses also suggest that the physiological and developmental processes occurring in well-fed bees are vastly different than those occurring in pollen deprived bees. Our data support the hypothesis that poor diet causes normal age-related development to go awry. Poor nutrition has major consequences for the expression of genes underlying the physiology and age-related development of nurse worker bees. More work is certainly needed to fully understand the consequences of starvation and the complex biology of nutrition and development in this system, but the genes identified in the present study provide a starting point for understanding the consequences of poor diet and for mitigating the economic costs of colony starvation.

  15. Sub-Optimal Management of Type 2 Diabetes Mellitus – A Local Audit

    African Journals Online (AJOL)

    important cause of morbidity and mortality in patients with type 2 diabetes mellitus.1 The Society for Endocrinology, Metabolism and. Diabetes of South Africa (SEMDSA) published guidelines in 2003 for type 2 diabetes care. These guidelines have clear recommendations for glycaemic control, blood pressure and lipid goals ...

  16. Sub-Optimal Management of Type 2 Diabetes Mellitus – A Local Audit

    African Journals Online (AJOL)

    Background: Despite increased awareness of risk factors for coronary artery disease and randomized trial data supporting comprehensive diabetic care, these risk factors continue to be largely ignored in patients with type 2 diabetes mellitus. Objective: Cross-sectional study to determine the level of control in patients with ...

  17. Sub-optimal MCV Cover Based Method for Measuring Fractal Dimension

    Energy Technology Data Exchange (ETDEWEB)

    Tolle, Charles Robert; McJunkin, Timothy R; Gorsich, D. I.

    2003-01-01

    A new method for calculating fractal dimension is developed in this paper. The method is based on the box dimension concept; however, it involves direct estimation of a suboptimal covering of the data set of interest. By finding a suboptimal cover, this method is better able to estimate the required number of covering elements for a given cover size than is the standard box counting algorithm. Moreover, any decrease in the error of the covering element count directly increases the accuracy of the fractal dimension estimation. In general, our method represents a mathematical dual to the standard box counting algorithm by not solving for the number of boxes used to cover a data set given the size of the box. Instead, the method chooses the number of covering elements and then proceeds to find the placement of smallest hyperellipsoids that fully covers the data set. This method involves a variant of the Fuzzy-C Means clustering algorithm, as well as the use of the Minimum Cluster Volume clustering algorithm. A variety of fractal dimension estimators using this suboptimal covering method are discussed. Finally, these methods are compared to the standard box counting algorithm and wavelet-decomposition methods for calculating fractal dimension by using one-dimensional cantor dust sets and a set of standard Brownian random fractal images.

  18. Diabetic Patients are often Sub-Optimally Aware about their Disease and its Treatment

    Directory of Open Access Journals (Sweden)

    Ioannis Kyriazis

    2013-01-01

    Full Text Available Background: Diabetes mellitus (DM represents a continuously growing worldwide threat with major financial impact on the healthcare systems. The importance of tight glycaemic control in patients with DM type II is well established and is most effectively accomplished with the proper cooperation of both the treating physicians aswell as the treated subjects.Aims: The aim of our study was to evaluate the level of awareness of patients with DM type II about the various aspects of DM, including the nature of the disease, its precipitating factors and complications, as well as its treatment.Methodology: The patients were asked to complete anonymously a questionnaire concerning their knowledge about diabetes, its basic pathophysiology and complications, the treatment options and possible side-effects. Data were analyzed using STATA statistical software (Version 9.0.Results: Eighty patients were on oral hypoglycaemic agents (OHA, 34 on insulin while 4 were under a hybrid treatment. Among patients on OHA, 40 patients (50% were taking a combination of them. 13.4% of the sample was aware of what DM stands for, 84.9% did not know the type of DM they were suffering from, while (85.7% considered that obesity plays a major role in the pathogenesis of DM. Concerning the therapy of DM, only 54.83% of the patients were aware of the brand names of their antidiabetic medication, 88.2% did not know theirway of action, while 60.5% did not know the possible side effects. The majority of the sample, 60.5%, assumed that blood glucose should be measured only before meals.Conclusions: The knowledge of the subjects visiting the center for the first time was found to be inadequate. This is probably due to inadequate information, non-availability of educational material and improper guidance.

  19. An Efficient Sub-optimal Motion Planning Method for Attitude Manoeuvres

    Science.gov (United States)

    Caubet, Albert; Biggs, James D.

    A motion planning technique for efficiently generating smooth spacecraft attitude slew manoeuvres is presented. The attitude trajectory (using quaternions) is shaped by a polynomial, determined by matching prescribed boundary conditions and the manoeuvre time. This method allows constraints such as limits on velocity, acceleration, jerk, and torque to be evaluated via inverse dynamics. Pointing constraints are also considered. A spin-to-spin case is presented whereby an axis-azimuth parameterisation is used. The problem of time minimization (within the set of trajectories defined by the given polynomials) is addressed, and a method for analytically estimating the minimum time of a manoeuvre is proposed. The method requires low computational capacity, and a comparison with optimal control solutions shows its relative performance.

  20. Extracting Actionability from Machine Learning Models by Sub-optimal Deterministic Planning

    OpenAIRE

    Lyu, Qiang; Chen, Yixin; Li, Zhaorong; Cui, Zhicheng; Chen, Ling; Zhang, Xing; Shen, Haihua

    2016-01-01

    A main focus of machine learning research has been improving the generalization accuracy and efficiency of prediction models. Many models such as SVM, random forest, and deep neural nets have been proposed and achieved great success. However, what emerges as missing in many applications is actionability, i.e., the ability to turn prediction results into actions. For example, in applications such as customer relationship management, clinical prediction, and advertisement, the users need not on...

  1. Identification of risk factors for sub-optimal housing conditions in Australian piggeries: Part 1. Study justification and design.

    Science.gov (United States)

    Banhazi, T M; Seedorf, J; Rutley, D L; Pitchford, W S

    2008-01-01

    We undertook a literature search related to pig production facilities with two major aims: first, to review all the likely benefits that might be gained from air quality improvements; and second, to review previous research that had identified statistically significant factors affecting airborne pollutants and environmental parameters, so that these factors could be considered in a multifactorial analysis aimed at explaining variations in air pollutant concentrations. Ammonia, carbon dioxide, viable bacteria, endotoxins, and inhalable and respirable particles were identified as major airborne pollutants in the review. We found that high concentrations of airborne pollutants in livestock buildings could increase occupational health and safety risks, compromise the health, welfare, and production efficiency of animals, and affect the environment. Therefore, improving air quality could reduce environmental damage and improve animal and worker health. To achieve a reduction in pollutant concentrations, a better understanding of the factors influencing airborne pollutant concentrations in piggery buildings is required. Most of the work done previously has used simple correlation matrices to identify relationships between key factors and pollutant concentrations, without taking into consideration multifactorial effects simultaneously in a model. However, our review of this prior knowledge was the first important step toward developing a more inclusive statistical model. This review identified a number of candidate risk factors, which we then took into consideration during the development of multifactorial statistical models. We used a general linear model (GLM) to model measured internal concentrations, emissions, and environmental parameters in order to predict and potentially control the building environment.

  2. How CLIL Can Provide a Pragmatic Means to Renovate Science Education--Even in a Sub-Optimally Bilingual Context

    Science.gov (United States)

    Grandinetti, Maria; Langellotti, Margherita; Ting, Y. L. Teresa

    2013-01-01

    This study responds to the Italian Ministry of Education mandate that, starting the 2013-2014 academic year, CLIL be implemented in the "final" year of high school, during content time, by content teachers with C1-level competence in English. This decision raises numerous concerns, at least in Calabria: most content teachers have, at…

  3. Organic Versus Contractor Logistics Support For Depot-Level Repair: Factors That Drive Sub-Optimal Decisions

    Science.gov (United States)

    2016-02-16

    incentive. Under CLS, the vendor expects to make a profit . The amount of profit is determined by contract type (Cost Plus, Firm Fixed Price, etc.) and...program. Reducing the size of the “box” in Figure 2 to find the break-even point, Point C, is worthwhile but the influence of non-monetary factors...sustainment plan. 6 Profit Incentive as Part of CLS Costs Organic support on average should be cheaper than CLS because there is no profit

  4. Development of Sub-optimal Airway Protocols for the International Space Station (ISS) by the Medical Operation Support Team (MOST)

    Science.gov (United States)

    Polk, James D.; Parazynski, Scott; Kelly, Scott; Hurst, Victor, IV; Doerr, Harold K.

    2007-01-01

    Airway management techniques are necessary to establish and maintain a patent airway while treating a patient undergoing respiratory distress. There are situations where such settings are suboptimal, thus causing the caregiver to adapt to these suboptimal conditions. Such occurrences are no exception aboard the International Space Station (ISS). As a result, the NASA flight surgeon (FS) and NASA astronaut cohorts must be ready to adapt their optimal airway management techniques for suboptimal situations. Based on previous work conducted by the Medical Operation Support Team (MOST) and other investigators, the MOST had members of both the FS and astronaut cohorts evaluate two oral airway insertion techniques for the Intubating Laryngeal Mask Airway (ILMA) to determine whether either technique is sufficient to perform in suboptimal conditions within a microgravity environment. Methods All experiments were conducted in a simulated microgravity environment provided by parabolic flight aboard DC-9 aircraft. Each participant acted as a caregiver and was directed to attempt both suboptimal ILMA insertion techniques following a preflight instruction session on the day of the flight and a demonstration of the technique by an anesthesiologist physician in the simulated microgravity environment aboard the aircraft. Results Fourteen participants conducted 46 trials of the suboptimal ILMA insertion techniques. Overall, 43 of 46 trials (94%) conducted were properly performed based on criteria developed by the MOST and other investigators. Discussion The study demonstrated the use of airway management techniques in suboptimal conditions relating to space flight. Use of these techniques will provide a crew with options for using the ILMA to manage airway issues aboard the ISS. Although it is understood that the optimal method for patient care during space flight is to have both patient and caregiver restrained, these techniques provide a needed backup should conditions not present themselves in an ideal manner.

  5. The Iowa Gambling Task in depression – what have we learned about sub-optimal decision-making strategies?

    Directory of Open Access Journals (Sweden)

    Anita eMust

    2013-10-01

    Full Text Available Our earlier study found patients with depression to show a preference for larger reward as measured by the Iowa Gambling Task (IGT. In this IGT version, larger rewards were associated with even larger consequent losses. In the light of the clinical markers defining depressive disorder, this finding might appear contoversial at first. Performance of depressed patients on various decision-making (DM tasks is typically found to be impaired. Evidence points towards reduced reward learning, as well as the difficulty to shift strategy and integrate environmental changes into DM contingencies. This results in an impaired ability to modulate behavior as a function of reward, or punishment, respectively. Clinical symptoms of the disorder, the genetic profile, as well as personality traits might also influence DM strategies. More severe depression increased sensitivity to immediate large punishment, thus predicting future decisions, and was also associated with higher harm avoidance. Anhedonic features diminished reward learning abilities to a greater extent, even predicting clinical outcome. Several questions about how these aspects relate remain to be clarified. Is there a genetic predisposition for the DM impairment preceding mood symptoms? Is it the consequence of clinical signs or even learned behavior serving as a coping strategy? Are patients prone to develop an aversion of loss or are they unable to sense or deal with reward or the preference of reward? Does the DM deficit normalize or is a persisting impairment predictor for clinical outcome or relapse risk? To what extent is it influenced by medication effects? How does a long-lasting DM deficit affect daily life and social interactions? Strikingly, research evidence indicates that depressed patients tend to behave less deceptive and more self-focused, resulting in impaired social DM. The difficulty in daily interpersonal interactions might contribute to social isolation, further intensifying depressive symptoms.

  6. Sub-optimal delivery of intermittent preventive treatment for malaria in pregnancy in Nigeria: influence of provider factors

    Directory of Open Access Journals (Sweden)

    Onoka Chima A

    2012-09-01

    Full Text Available Abstract Background The level of access to intermittent preventive treatment for malaria in pregnancy (IPTp in Nigeria is still low despite relatively high antenatal care coverage in the study area. This paper presents information on provider factors that affect the delivery of IPTp in Nigeria. Methods Data were collected from heads of maternal health units of 28 public and six private health facilities offering antenatal care (ANC services in two districts in Enugu State, south-east Nigeria. Provider knowledge of guidelines for IPTp was assessed with regard to four components: the drug used for IPTp, time of first dose administration, of second dose administration, and the strategy for sulphadoxine-pyrimethamine (SP administration (directly observed treatment, DOT. Provider practices regarding IPTp and facility-related factors that may explain observations such as availability of SP and water were also examined. Results Only five (14.7% of all 34 providers had correct knowledge of all four recommendations for provision of IPTp. None of them was a private provider. DOT strategy was practiced in only one and six private and public providers respectively. Overall, 22 providers supplied women with SP in the facility and women were allowed to take it at home. The most common reason for doing so amongst public providers was that women were required to come for antenatal care on empty stomachs to enhance the validity of manual fundal height estimation. Two private providers did not think it was necessary to use the DOT strategy because they assumed that women would take their drugs at home. Availability of SP and water in the facility, and concerns about side effects were not considered impediments to delivery of IPTp. Conclusion There was low level of knowledge of the guidelines for implementation of IPTp by all providers, especially those in the private sector. This had negative effects such as non-practice of DOT strategy by most of the providers, which can lead to low levels of adherence to IPTp and ineffectiveness of IPTp. Capacity development and regular supportive supervisory visits by programme managers could help improve the provision of IPTp.

  7. Bringing Health Care to the Under-Served: The Mid-Level Health Practitioner in Three Countries--China, the Soviet Union, and the United States.

    Science.gov (United States)

    Kupferberg, Natalie

    A comparison was made of the role of midlevel health practitioners and how they came into being and flourished in three countries: the "feldsher" of the Soviet Union, the barefoot doctor of China, and the physician assistant of the United States. Information was gathered from books, journals, periodicals, governments, and newspapers as…

  8. An Exploration of Two Mid-Level Faculty Developers' Influence on Organizational Learning as Transformational Leaders in Two California Community Colleges

    Science.gov (United States)

    Hodgson, Devon Rachelle

    2009-01-01

    Researchers argue that a California Community College's capacity for improvement and reform, given the multitude of concerns and organizational barriers associated with education institutions will require transformation of current practices to influence organizational learning (O'Banion, 1997; Cohen, 1996). Extant literature has demonstrated the…

  9. Cultivating Strategies for Success: How Mid-Level Women Leaders of Color in Student Affairs Navigate the Balance of Work and Family

    Science.gov (United States)

    Vasquez, Sandra

    2012-01-01

    Historically, women's struggle with work-life balance has been founded upon societal expectations. Most notably is the dearth in the representation of women and women of color in top leadership positions. As a result, the internal and external challenges they navigate lead them to seek and cultivate alternative strategies and support networks to…

  10. Career Self-Management and Career Capital of Mid-Level Administrators in Higher Education Who Previously Served as Professional Academic Advisors

    Science.gov (United States)

    Smith, Elecia Cole

    2014-01-01

    Understanding the prerequisites for career advancement helps to keep employees motivated and engaged. However, in the higher education (H.E.) workplace, where formalized career ladders are sparse and ambiguous for staff personnel--especially those in professional academic advising--employees who are interested in career advancement into mid-level…

  11. Sub-optimal CD4 reconstitution despite viral suppression in an urban cohort on Antiretroviral Therapy (ART in sub-Saharan Africa: Frequency and clinical significance

    Directory of Open Access Journals (Sweden)

    Kamya Moses R

    2008-10-01

    Full Text Available Abstract Background A proportion of individuals who start antiretroviral therapy (ART fail to achieve adequate CD4 cell reconstitution despite sustained viral suppression. We determined the frequency and clinical significance of suboptimal CD4 reconstitution despite viral suppression (SO-CD4 in an urban HIV research cohort in Kampala, Uganda Methods We analyzed data from a prospective research cohort of 559 patients initiating ART between 04/04–04/05. We described the patterns of SO-CD4 both in terms of:- I magnitude of CD4 cell increase (a CD4 count increase Results Of 559 patients initiating ART, 386 (69% were female. Median (IQR age and baseline CD4 counts were 38 yrs (33–44 and 98 cells/μl (21–163 respectively; 414 (74% started a d4T-based regimen (D4T+3TC+NVP and 145 (26% a ZDV-based regimen (ZDV+3TC+EFV. After 6, 12 and 24 months of ART, 380 (68%, 339 (61% and 309 (55% had attained and sustained HIV-RNA viral suppression. Of these, 78 (21%, 151 (45% and 166 (54% respectively had SO-CD4 based on criteria I, and 165(43%, 143(42% and 58(19% respectively based on criteria II. With both criteria combined, 56 (15% and 129 (38% had SO-CD4 at 6 and 12 months respectively. A high proportion (82% and 58% of those that had SO-CD4 at 6 months (using criteria I maintained SO-CD4 at 12 and 24 months respectively. There were no statistically significant differences in the incidence of clinical events among patients with [19/100PYO (12–29] and without SO-CD4 [23/100PYO (19–28]. Conclusion Using criteria I, the frequency of SO-CD4 was 21% at 6 months. Majority of patients with SO-CD4 at 6 months maintained SO-CD4 up to 2 years. We recommend studies of CD4 T-cell functional recovery among patients with SO-CD4.

  12. Acclimation of photosynthesis, H2O2 content and antioxidants in maiza(Zea mays) grown at sub-optimal temperatures.

    NARCIS (Netherlands)

    Kingston-Smith, A.H.; Harbinson, J.; Foyer, C.H.

    1999-01-01

    Maize plants were grown at 14, 18 and 20 °C until the fourth leaf had emerged. Leaves from plants grown at 14 and 18 °C had less chlorophyll than those grown at 20 °C. Maximal extractable ribulose-1,5-bisphosphate carboxylase/oxygenase (Rubisco) activity was decreased at 14 °C compared with 20 °C,

  13. The effect of sub-optimal temperature on specific sulfidogenic activity of mesophilic SRB in an H-2-fed membrane bioreactor

    NARCIS (Netherlands)

    Nevatalo, L.M.; Bijmans, M.F.M.; Lens, P.N.L.; Kaksonen, A.H.; Puhakka, J.A.

    2010-01-01

    The sulfidogenic activity of two mesophilic sulfate reducing enrichment cultures was studied in H-2-fed membrane bioreactors. The two enrichment cultures had different origins; one of them was a mesophilic and the other a psychrotolerant mesophilic culture. The operational temperatures of the

  14. Experimental Horizontal Gene Transfer of Methylamine Dehydrogenase Mimics Prevalent Exchange in Nature and Overcomes the Methylamine Growth Constraints Posed by the Sub-Optimal N-Methylglutamate Pathway

    Directory of Open Access Journals (Sweden)

    Dipti D. Nayak

    2015-03-01

    Full Text Available Methylamine plays an important role in the global carbon and nitrogen budget; microorganisms that grow on reduced single carbon compounds, methylotrophs, serve as a major biological sink for methylamine in aerobic environments. Two non-orthologous, functionally degenerate routes for methylamine oxidation have been studied in methylotrophic Proteobacteria: Methylamine dehydrogenase and the N-methylglutamate pathway. Recent work suggests the N-methylglutamate (NMG pathway may be more common in nature than the well-studied methylamine dehydrogenase (MaDH, encoded by the mau gene cluster. However, the distribution of these pathways across methylotrophs has never been analyzed. Furthermore, even though horizontal gene transfer (HGT is commonly invoked as a means to transfer these pathways between strains, the physiological barriers to doing so have not been investigated. We found that the NMG pathway is both more abundant and more universally distributed across methylotrophic Proteobacteria compared to MaDH, which displays a patchy distribution and has clearly been transmitted by HGT even amongst very closely related strains. This trend was especially prominent in well-characterized strains of the Methylobacterium extroquens species, which also display significant phenotypic variability during methylamine growth. Strains like Methylobacterium extorquens PA1 that only encode the NMG pathway grew on methylamine at least five-fold slower than strains like Methylobacterium extorquens AM1 that also possess the mau gene cluster. By mimicking a HGT event through the introduction of the M. extorquens AM1 mau gene cluster into the PA1 genome, the resulting strain instantaneously achieved a 4.5-fold increase in growth rate on methylamine and a 11-fold increase in fitness on methylamine, which even surpassed the fitness of M. extorquens AM1. In contrast, when three replicate populations of wild type M. extorquens PA1 were evolved on methylamine as the sole carbon and energy source for 150 generations neither fitness nor growth rate improved. These results suggest that the NMG pathway permits slow growth on methylamine and is widely distributed in methylotrophs; however, rapid growth on methylamine can be achieved quite readily through acquisition of the mau cluster by HGT.

  15. A hypothesis linking sub-optimal seawater pCO2 conditions for cnidarian-Symbiodinium symbioses with the exceedence of the interglacial threshold (>260 ppmv

    Directory of Open Access Journals (Sweden)

    S. A. Wooldridge

    2012-05-01

    Full Text Available Most scleractinian corals and many other cnidarians host intracellular photosynthetic dinoflagellate symbionts ("zooxanthellae". The zooxanthellae contribute to host metabolism and skeletogenesis to such an extent that this symbiosis is well recognised for its contribution in creating the coral reef ecosystem. The stable functioning of cnidarian symbioses is however dependent upon the host's ability to maintain demographic control of its algal partner. In this review, I explain how the modern envelope of seawater conditions found within many coral reef ecosystems (characterised by elevated temperatures, rising pCO2, and enriched nutrient levels are antagonistic toward the dominant host processes that restrict excessive symbiont proliferation. Moreover, I outline a new hypothesis and initial evidence base, which support the suggestion that the additional "excess" zooxanthellae fraction permitted by seawater pCO2 levels beyond 260 ppmv significantly increases the propensity for symbiosis breakdown ("bleaching" in response to temperature and irradiance extremes. The relevance of this biological threshold is discussed in terms of historical reef extinction events, glacial-interglacial climate cycles and the modern decline of coral reef ecosystems.

  16. A hypothesis linking sub-optimal seawater pCO2 conditions for cnidarian-Symbiodinium symbioses with the exceedence of the interglacial threshold (>260 ppmv)

    Science.gov (United States)

    Wooldridge, S. A.

    2012-05-01

    Most scleractinian corals and many other cnidarians host intracellular photosynthetic dinoflagellate symbionts ("zooxanthellae"). The zooxanthellae contribute to host metabolism and skeletogenesis to such an extent that this symbiosis is well recognised for its contribution in creating the coral reef ecosystem. The stable functioning of cnidarian symbioses is however dependent upon the host's ability to maintain demographic control of its algal partner. In this review, I explain how the modern envelope of seawater conditions found within many coral reef ecosystems (characterised by elevated temperatures, rising pCO2, and enriched nutrient levels) are antagonistic toward the dominant host processes that restrict excessive symbiont proliferation. Moreover, I outline a new hypothesis and initial evidence base, which support the suggestion that the additional "excess" zooxanthellae fraction permitted by seawater pCO2 levels beyond 260 ppmv significantly increases the propensity for symbiosis breakdown ("bleaching") in response to temperature and irradiance extremes. The relevance of this biological threshold is discussed in terms of historical reef extinction events, glacial-interglacial climate cycles and the modern decline of coral reef ecosystems.

  17. Children and older adults exhibit distinct sub-optimal cost-benefit functions when preparing to move their eyes and hands.

    Directory of Open Access Journals (Sweden)

    Claudia C Gonzalez

    Full Text Available Numerous activities require an individual to respond quickly to the correct stimulus. The provision of advance information allows response priming but heightened responses can cause errors (responding too early or reacting to the wrong stimulus. Thus, a balance is required between the online cognitive mechanisms (inhibitory and anticipatory used to prepare and execute a motor response at the appropriate time. We investigated the use of advance information in 71 participants across four different age groups: (i children, (ii young adults, (iii middle-aged adults, and (iv older adults. We implemented 'cued' and 'non-cued' conditions to assess age-related changes in saccadic and touch responses to targets in three movement conditions: (a Eyes only; (b Hands only; (c Eyes and Hand. Children made less saccade errors compared to young adults, but they also exhibited longer response times in cued versus non-cued conditions. In contrast, older adults showed faster responses in cued conditions but exhibited more errors. The results indicate that young adults (18-25 years achieve an optimal balance between anticipation and execution. In contrast, children show benefits (few errors and costs (slow responses of good inhibition when preparing a motor response based on advance information; whilst older adults show the benefits and costs associated with a prospective response strategy (i.e., good anticipation.

  18. Cost-Effectiveness of Extended-Release Methylphenidate in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder Sub-Optimally Treated with Immediate Release Methylphenidate

    NARCIS (Netherlands)

    van der Schans, Jurjen; Kotsopoulos, Niko; Hoekstra, Pieter J.; Hak, Eelko; Postma, Maarten J.

    2015-01-01

    BACKGROUND: Attention-Deficit/Hyperactivity Disorder (ADHD) is a common psychiatric disorder in children and adolescents. Immediate-release methylphenidate (IR-MPH) is the medical treatment of first choice. The necessity to use several IR-MPH tablets per day and associated potential social stigma at

  19. Changing chemotherapy during concurrent radiation followed by surgery after sub-optimal FDG-PET response to induction chemotherapy improves outcomes in locally advanced esophageal adenocarcinoma

    Science.gov (United States)

    Ku, Geoffrey Y.; Kriplani, Anuja; Janjigian, Yelena Y.; Kelsen, David P.; Rusch, Valerie W.; Bains, Manjit; Chou, Joanne; Capanu, Marinela; Wu, Abraham J.; Goodman, Karyn. A; Ilson, David H.

    2016-01-01

    Background PET scan after induction chemotherapy before pre-operative chemoradiation and surgery for esophageal adenocarcinoma predicts outcomes. Some patients with progression on PET after induction chemotherapy had long-term overall survival (OS) when changed to alternative chemotherapy during radiation. Patients and methods We retrospectively reviewed esophageal adenocarcinoma patients who received induction chemotherapy and chemoradiation prior to planned surgery; all had PET scan before and after induction chemotherapy. Results Of 201 patients, 113 (56%) were PET-responders (≥35% decrease in maximum standardized uptake value of tumor). All PET-responders received the same chemotherapy during radiation, while 38 (43%) of 88 PET non-responders changed chemotherapy. Of 152 operated patients, the pathologic complete response (pCR) rate was 15% in PET-responders vs. 3% in PET non-responders who did not change chemotherapy (p=0.046). Median progression-free survival (PFS; 18.9 vs. 9.6 months, p=0.003) and OS (37 vs. 25.3 months, p=0.02) were significantly better for PET responders vs. PET non-responders who did not change chemotherapy. Median PFS for PET non-responders who changed chemotherapy was 18.0 months and was superior to PET non-responders who did not change chemotherapy (p=0.015). For PET non-responders, the 5-year OS rates were 37% for those who changed chemotherapy vs. 25% for those who did not change chemotherapy (p=0.18). Conclusions PET scan after induction chemotherapy predicts for outcomes in locally advanced esophageal adenocarcinoma patients who undergo chemoradiation and surgery. Median PFS is improved and trends toward improved OS appear possible in PET non-responders who change chemotherapy during radiation. The fully-accrued CALGB 80803 study (NCT01333033) is evaluating this strategy. PMID:27152857

  20. Sub-optimal pH Preadaptation Improves the Survival of Lactobacillus plantarum Strains and the Malic Acid Consumption in Wine-Like Medium.

    Science.gov (United States)

    Succi, Mariantonietta; Pannella, Gianfranco; Tremonte, Patrizio; Tipaldi, Luca; Coppola, Raffaele; Iorizzo, Massimo; Lombardi, Silvia Jane; Sorrentino, Elena

    2017-01-01

    Forty-two oenological strains of Lb. plantarum were assessed for their response to ethanol and pH values generally encountered in wines. Strains showed a higher variability in the survival when exposed to low pH (3.5 or 3.0) than when exposed to ethanol (10 or 14%). The study allowed to individuate the highest ethanol concentration (8%) and the lowest pH value (4.0) for the growth of strains, even if the maximum specific growth rate (μ max ) resulted significantly reduced by these conditions. Two strains (GT1 and LT11) preadapted to 2% ethanol and cultured up to 14% of ethanol showed a higher growth than those non-preadapted when they were cultivated at 8% of ethanol. The evaluation of the same strains preadapted to low pH values (5.0 and 4.0) and then grown at pH 3.5 or 3.0 showed only for GT1 a sensitive μ max increment when it was cultivated in MRS at pH 3 after a preadaptation to pH 5.0. The survival of GT1 and LT11 was evaluated in Ringer's solution at 14% ethanol after a long-term adaptation in MRS with 2% ethanol or in MRS with 2% ethanol acidified at pH 5.0 (both conditions, BC). Analogously, the survival was evaluated at pH 3.5 after a long-term adaptation in MRS at pH 5.0 or in MRS BC. The impact of the physiologic state (exponential phase vs stationary phase) on the survival was also evaluated. Preadapted cells showed the same behavior of non-preadapted cells only when cultures were recovered in the stationary phase. Mathematical functions were individuated for the description of the survival of GT1 and LT11 in MRS at 14% ethanol or at pH 3.5. Finally, a synthetic wine (SW) was used to assess the behavior of Lb. plantarum GT1 and LT11 preadapted in MRS at 2% ethanol or at pH 5.0 or in BC. Only GT1 preadapted to pH 5.0 and collected in the stationary phase showed constant values of microbial counts after incubation for 15 days at 20°C. In addition, after 15 days the L-malic acid resulted completely degraded and the pH value increased of about 0.3 units.

  1. A reforma do ensino médio no Chile: vitrina para a América Latina? Reform of mid level teaching in Chile: showcase for Latin America?

    Directory of Open Access Journals (Sweden)

    Dagmar Zibas

    2002-03-01

    Full Text Available A reforma chilena tem sido apontada, principalmente por organismos internacionais, como modelo a ser seguido pela América Latina. A insistência nessa tese justifica a pesquisa desenvolvida em Santiago, que enfocou 12 escolas, em que foram entrevistados diretores e alguns professores. Representante do sindicato de professores e funcionários do Ministério da Educação também foram ouvidos. Diversos documentos oficiais foram estudados. O objetivo foi esclarecer como a reforma repercute nos agentes escolares encarregados de transformar as diretrizes em prática administrativa e pedagógica. O texto privilegia a discussão do financiamento e dos mecanismos de mercado introduzidos no sistema. Conclui que o avanço técnico-pedagógico alcançado não tem impedido que sérios agravos à justiça social sejam registrados.The Chilean reform has been pointed to (mostly by international agencies as a model to be followed by Latin America. An insistence on this hypothesis justified the research developed in Santiago which focussed on 12 schools, where directors and some teachers were interviewed, and representatives of the teachers' unions and the Ministry of Education were also heard. Various official documents were studied for the purpose of clarifying how the reform has impacted on the school agents charged with transforming the directives in administrative and pedagogical practice. The text prioritizes discussion of financing and market mechanisms introduced into the system. It concludes that the technical pedagogical advances achieved have not prevented serious damage to social justice from being registered.

  2. The Relationship of Goldberg's Big Five Personality Trait Measures of Mid-Level Leaders at Midwest State-Supported Colleges and Universities to the Cameron and Quinn Competing Values Model

    Science.gov (United States)

    Kempke Eppler, Michelle R.

    2012-01-01

    This dissertation expands previous work of Giberson, Resick, Dickson, Mitchelson, Randall, and Clark (2009), Zhang, Tsui, Song, & Jia (2008), and Tsui, Zhang, Wang, Xin, and Wu (2006) by examining higher education organizational culture and leadership. There is a paucity of research in examining the relationships between university mid-level…

  3. Regime de colaboração intergovernamental: alternativa para a maioridade do ensino médio The intergovernmental collaboration regime: an alternative to the maioridade of mid level teaching

    Directory of Open Access Journals (Sweden)

    Candido Alberto Gomes

    2000-03-01

    Full Text Available O ensino fundamental e médio no Brasil têm compartilhado, por longo tempo, prédios, equipamentos e professores, cujo dimensionamento este trabalho apresenta, com base nos dados censitários. O rápido crescimento da matrícula do ensino médio suscita importantes questões sobre as verdadeiras necessidades de construção escolar, bem como sobre a divisão de competências educacionais na esfera de governo e a identidade pedagógica das escolas. Os dados censitários revelam que será necessário construir numerosos prédios escolares, ante o aumento da procura, porém, ainda é significativa a utilização de espaço e tempo letivo. Portanto, governos estaduais e municipais precisarão colaborar entre si, continuando a compartilhar pessoal e recursos materiais. Para melhores resultados, é necessário operacionalizar o regime de colaboração, prescrito pela Carta Magna. Normas mais claras e estáveis precisam ser negociadas para evitar casuísmos.The first and second levels of education in Brazil (8+3 years have shared buildings, equipment and even faculty for a long time. The fast enrolment increase of the second level arises important questions on the actual needs of school construction, as well as on enrolment decentralization and schools pedagogical identity. Census data reveal that it will be necessary to build numerous schools, however, there is still significant underutilization of space and time. Therefore, state and municipal governments will need to co-operate, keeping to share personnel and material resources. For better results it is necessary to operationalize the intergovernmental collaboration system, prescribed by Constitution. Clearer and steadier rules are to be negotiated, avoiding casuistical or arbitrary solutions.

  4. Caminhos para a integralidade na educação profissional técnica de nível médio em saúde Paths to the integrality of mid-level professional technical education in health

    Directory of Open Access Journals (Sweden)

    Ana Lúcia Abrahão

    2009-10-01

    Full Text Available A relação entre o profissional, com suas técnicas e saberes, e o usuário, com suas necessidades e o desejo de retornar a sua autonomia, é um dos espaços que pontua a integralidade na produção em saúde. Ambiente em que profissional e usuário têm poderes e autonomia e podem colaborar ou competir. O objetivo neste estudo é compreender e problematizar o termo 'integral' na educação profissional e na saúde. Este termo está relacionado a formas de se produzir saúde no interior dos serviços e à formação com acesso à totalidade dos saberes envolvidos no trabalho e na educação. Nesta perspectiva, utilizamos a pesquisa bibliográfica de base qualitativa, através de sucessivas leituras do material bibliográfico, elaborando uma discussão argumentativa entre os diferentes referenciais teóricos do campo da saúde e da educação. Ao fim, podemos identificar os distintos entrelaçamentos que constituem a integralidade integral na formação em saúde.The objective of this study is to understand and problematize the term 'integral' in professional education and health. This term is related to ways to produce health in the core of the services and in education with total access to the knowledge involved in work and education. In health care, the relationship between the professional, with his techniques and knowledge, and the user with his needs and desire to return to autonomy, is one of the areas that points o the integrality of production in health. It is in this environment that professionals and users have power and autonomy and can cooperate or compete. In the study, we used a literature-based qualitative bibliography. Through successive readings of the bibliographic material, we produced an argumentative discussion between different theoretical references in the areas of health and education. In the end, it was possible to identify the different ties that constitute the integrality in health education.

  5. Assessing surge capacity expansion plan awareness and attitudes: A survey of Connecticut hospitals.

    Science.gov (United States)

    Smith, Stewart D; Coleman, Suzanne; Johannsson, Mark; Gallant, Noelle; Albanese, Joseph

    This study aimed to ascertain levels of awareness and attitudes of healthcare professionals within four hospital personnel categories, regarding their facility's surge capacity expansion plan. The exploratory descriptive study used a 14-question electronic survey to collect data from hospital personnel in four labour categories. A total of 292 hospital staff from 32 Connecticut hospitals completed the survey, including executive staff mid-level management staff incident command hospital staff and emergency planning contacts. The strongest levels of agreement were found to be: the need for an emergency planning contact, understanding surge expansion roles and responsibilities, and provision of enhanced training and heightened participation in drills and exercises. Statistical significance was found when comparing hospital personnel categories in seven of the 14 survey questions that related to time at hospital, understanding personal role in surge event, understanding staff role in surge event, participating in events to increase surge awareness, understanding alternative care facility roles and responsibilities, understanding incident command system (ICS) roles and responsibilities and the needfor ICS training. Findings demonstrate that some personnel perceive that their institutions are sub-optimally prepared to expand surge capacity. Education and training are important factors that contribute to improving these perceptions and help guide institutional preparedness and response efforts.

  6. Kvaliteten af astmabehandling i Danmark. Hvor langt er vi--og hvor langt er patienterne?

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli; Lange, Peter; Plaschke, Peter P

    2008-01-01

    Despite the availability of safe and effective therapies for asthma, many patients have sub-optimal asthma control.......Despite the availability of safe and effective therapies for asthma, many patients have sub-optimal asthma control....

  7. ORIGINAL ARTICLE EVALUATION OF PRE-SERVICE TRAINING ...

    African Journals Online (AJOL)

    user

    and students who were available during the survey participated in the focus group interview (FGI) and performance evaluation for the latter. The study vari- .... Axum Mid-level Health professional Training. Institute. 1. 0. 0. 0. Gondar University - HO program. - Nursing program. 2. 3. 4. 0. 0. 2. 0. Tedda Mid-level Health ...

  8. Adverse social, nutrition and health conditions in rural districts of the ...

    African Journals Online (AJOL)

    2010-08-25

    Aug 25, 2010 ... problems, living too far from health facilities and having no money. Abstract ... poor to sub-optimal health care, which is detrimental to maternal and child .... were classified as stunted, underweight and wasted, respectively.

  9. Dutch practice nurses' adherence to evidence-based smoking cessation treatment guidelines

    NARCIS (Netherlands)

    de Ruijter, D.; Smit, E.S.; de Vries, H.; Hoving, C.

    2017-01-01

    Background: Practice nurses in general practice sub-optimally adhere to evidence-based smoking cessation treatment guidelines, but factors explaining their adherence have not yet been investigated. Understanding such factors is important to develop interventions improving practice nurses' smoking

  10. The influence of temperature on growth and development of chrysanthemum cultivars: a review

    NARCIS (Netherlands)

    Ploeg, van der A.; Heuvelink, E.

    2006-01-01

    The effects of temperature, especially in the sub-optimal temperature range, on growth and development of chrysanthemum (Dendranthema grandiflorum syn. Chrysanthemum morifolium) are reviewed with special emphasis on cultivar differences. The developmental aspects analysed in this paper are leaf

  11. Management of rice seed during insurgency : a case study in Sierra Leone

    NARCIS (Netherlands)

    Mokuwa, G.A.

    2015-01-01

    Keywords: Technography, Oryza glaberrima,  Oryza sativa, farmer hybrids, sub-optimal agriculture, farmer adaptive management, plant genetic resources, peace and extreme (wartime) conditions, local seed channels, selection for robustness, Sierra Leone, West Africa. Abstract

  12. Transition Thinking and Business Model Innovation-Towards a Transformative Business Model and New Role for the Reuse Centers of Limburg, Belgium

    National Research Council Canada - National Science Library

    Leen Gorissen; Karl Vrancken; Saskia Manshoven

    2016-01-01

    .... will have substantial impacts on the functioning of contemporary business models. Most firms and companies, however, still largely focus on efficiency strategies leading to sub-optimal solutions (reducing bad impact...

  13. The effects of introducing a clinical pharmacist on orthopaedic wards in Denmark

    DEFF Research Database (Denmark)

    Buck, Thomas Croft; Brandstrup, Lene; Brandslund, Ivan

    2007-01-01

    OBJECTIVE: To assess the effects and cost effects of introducing clinical pharmacists on hospital wards. METHODS: Comparative prospective study on four orthopaedic surgical wards in two hospitals. The primary effect variables were 10 target areas widely considered to be indicators of good...... prescription practice. Prescriptions not following good practice in these intervention areas were defined as "sub-optimal prescriptions," and then discussed between a physician and a clinical pharmacist. The primary parameter was the difference in the number of days with a sub-optimal prescription (Mann......-Whitney test). RESULTS: On an average 20% of all the patients had a sub-optimal prescription. Of these, 70% were changed by the physician after intervention by the clinical pharmacist. There was a statistically significant difference in the duration of days in treatment with a sub-optimal prescription. Where...

  14. The Role of Blood Transfusion in the Management of Sickle Cell ...

    African Journals Online (AJOL)

    , in patients with sickle cell disease (SCD). There is general lack of appreciation by clinicians, of the sub-optimal or frankly harmful effects, of inappropriate transfusion in SCD. This article discusses the relevant pathophysiology of sickle cell ...

  15. Razvoj komunikacijskih in vodstvenih kompetenc pri vodjih tehnične stroke = The Development of Communication and Leading Competences among the Leaders of Technical Expertise

    Directory of Open Access Journals (Sweden)

    Mojca Jermanis

    2012-01-01

    Full Text Available A leader holds an important role in the communication process.His/her way of passing information and of communication continuouslyinfluences the employees as it streams their behaviour and buildsmutual trust. The purpose of this article is to show the development ofcommunication and leading competences for mid-level leaders. Furthermore,the article defines specific competences and their importancefor the efficient management of staff. 152 mid-level leaders workingfor an automotive company – a worldwide automotive supplier –were involved in the research. They completed the education programmefor mid-level leaders. Descriptive statistical techniques and factoranalysis were used for data processing.

  16. Can air-breathing fish be adapted to higher than present temperatures?

    DEFF Research Database (Denmark)

    Bayley, Mark

    Air-breathing in fish is thought to have evolved in environments at lower than present oxygen levels and higher than present temperatures raising the question of whether extant species are adapted to recent temperature regimes or living at sub-optimal temperatures. The air-breathing Pangasionodon...... these data with present environmental temperatures throughout its distribution range, together with projected future temperatures and evolutionary ancient temperatures, leads us to conclude that present temperatures are sub-optimal in this economically important species....

  17. Estimation of external dose by car-borne survey in Kerala, India

    National Research Council Canada - National Science Library

    Hosoda, Masahiro; Tokonami, Shinji; Omori, Yasutaka; Sahoo, Sarata Kumar; Akiba, Suminori; Sorimachi, Atsuyuki; Ishikawa, Tetsuo; Nair, Raghu Ram; Jayalekshmi, Padmavathy Amma; Sebastian, Paul; Iwaoka, Kazuki; Akata, Naofumi; Kudo, Hiromi

    2015-01-01

    ...) scintillation spectrometer from September 23 to 27, 2013. The routes were selected from 12 Panchayats in Karunagappally Taluk which were classified into high level, mid-level and low level high background radiation (HBR) areas...

  18. EMOTIONAL COMPETENCIES AND PERSONALITY TRAITS OF MANAGERS IN MODERN AGROBUSINESS

    National Research Council Canada - National Science Library

    Gordana Nikić; Ljubiša Stamatović; Azra Sućeska

    2017-01-01

    The main goal of this paper is to determine the difference between high-level and mid-level managers in agribusiness compared to lower managerial positions in terms of personality traits and emotional intelligence...

  19. 48 CFR 302.101 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... Acquisition and Logistics Management. PSC: Director, Strategic Acquisition Service. SAMHSA: Director, Division... typically a mid-level management official, usually an office director, division director, or branch chief...: Director, Division of Contracts Management. ASPR: Director, Office of Acquisitions Management, Contracts...

  20. 76 FR 68464 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2011-11-04

    ..., physicians and mid-level providers (i.e., nurse practitioners, physician assistants, and nurse midwives... experiences physicians are having with EHRs in terms of benefits and barriers, costs, attitudes, and impact of...

  1. Ensemble Prediction of Tropical Cyclone Genesis

    Science.gov (United States)

    2017-02-23

    an environment with a near bottom vortex (EBV) and an environment with a mid-level vortex (EMV). The genesis time for each model run will be...predictors are further filtered by Bayesian Information Criterion (BIC) to obtain prediction models which have optimal combinations of predictors. The...efficiency: Mid-level versus bottom vortex Cloud resolving WRF model is used to investigate the tropical cyclone genesis efficiency in an

  2. Defense Information Systems Agency (DISA) GIG Convergence Master Plan 2012 (GCMP 2012). Volume 1

    Science.gov (United States)

    2012-08-02

    Platform to the Internet and provide additional mission assurance services. A larger number of mid-level aggregation and peering points ( AP2 ) provide...security boundaries and distributed infrastructure services, which include support for DoD component intranets and COI networks. Some of the AP2s also...is provided at the mid-level aggregation and peering points ( AP2 ). The AP2s contain computing and storage resources, which are organized into similar

  3. Ambiguous meanings of projects as facilitators of sensegiving.

    Science.gov (United States)

    Lunkka, Nina; Suhonen, Marjo

    2015-10-01

    To describe mid-level nurse managers' experiences of sensegiving in the context of hospital projects. Sensegiving is about shaping and affecting how employees see themselves, their work and issues related to their work. It has been little studied in the context of hospital projects from mid-level nurse managers' point of view. Mid-level nurse managers (n = 10) were interviewed about their experiences of projects from the viewpoint of sensegiving during change processes. Data was analysed using discourse analysis. Three repertoires were constructed from the data: the repertoires of regeneration, control and humane. Projects were considered as appropriate ways for sensegiving in hospitals from the viewpoint of mid-level nurse managers. In order to use projects effectively in hospitals as means for change management mid-level nurse managers ought to enhance their role as interpreters during the change process (i.e. strengthen their visioning, talk and dialogue skills). Training on the nature of change as a social and interactive process could deepen mid-level nurse managers' understanding of the change process in the context of hospital projects. © 2014 John Wiley & Sons Ltd.

  4. Identification of Gene Modules Associated with Low Temperatures Response in Bambara Groundnut by Network-Based Analysis.

    Directory of Open Access Journals (Sweden)

    Venkata Suresh Bonthala

    Full Text Available Bambara groundnut (Vigna subterranea (L. Verdc. is an African legume and is a promising underutilized crop with good seed nutritional values. Low temperature stress in a number of African countries at night, such as Botswana, can effect the growth and development of bambara groundnut, leading to losses in potential crop yield. Therefore, in this study we developed a computational pipeline to identify and analyze the genes and gene modules associated with low temperature stress responses in bambara groundnut using the cross-species microarray technique (as bambara groundnut has no microarray chip coupled with network-based analysis. Analyses of the bambara groundnut transcriptome using cross-species gene expression data resulted in the identification of 375 and 659 differentially expressed genes (p<0.01 under the sub-optimal (23°C and very sub-optimal (18°C temperatures, respectively, of which 110 genes are commonly shared between the two stress conditions. The construction of a Highest Reciprocal Rank-based gene co-expression network, followed by its partition using a Heuristic Cluster Chiseling Algorithm resulted in 6 and 7 gene modules in sub-optimal and very sub-optimal temperature stresses being identified, respectively. Modules of sub-optimal temperature stress are principally enriched with carbohydrate and lipid metabolic processes, while most of the modules of very sub-optimal temperature stress are significantly enriched with responses to stimuli and various metabolic processes. Several transcription factors (from MYB, NAC, WRKY, WHIRLY & GATA classes that may regulate the downstream genes involved in response to stimulus in order for the plant to withstand very sub-optimal temperature stress were highlighted. The identified gene modules could be useful in breeding for low-temperature stress tolerant bambara groundnut varieties.

  5. Oral and Hand Hygiene Behaviour and Risk Factors among In-School Adolescents in Four Southeast Asian Countries

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2014-03-01

    Full Text Available The aim of this study was to investigate oral and hand hygiene behaviour and risk factors among 13 to 15 year-old in-school adolescents in four Southeast Asian countries. Data were collected by self-reported questionnaire from nationally representative samples (total 13,824 of school children aged 13 to 15 years in India, Indonesia, Myanmar and Thailand. Results indicate that overall, 22.4% of school children reported sub-optimal oral hygiene (sub-optimal tooth brushing, and lower socioeconomic status, health risk behaviours, psychological distress and lack of protective factors were found to be associated with sub-optimal hand washing hygiene behaviour. As a conclusion, the cross-national data on oral and hand hygiene behaviour from four Southeast Asian countries found sub-optimal hygiene behaviour. Several determinants of sub-optimal hygiene behaviour were identified that can inform programmes in order to improve oral and hand hygiene behaviour of this adolescent population.

  6. Clinical audit of intra-partum care at secondary health facilities in Nigeria.

    Science.gov (United States)

    Osungbade, K O; Oginni, S A; Olumide, E A A; Owoaje, E T

    2010-06-01

    Intra-partum care has a significant influence on birth outcomes. Gap however exists between evidence and practice. This study documented pattern of intra-partum monitoring among birth attendants in public secondary healthcare facilities and related findings to quality of care provided. Intra-partum monitoring records of vaginal examination, fetal heart and blood pressure were reviewed. Research assistants extracted information and documented same in appropriate section of Safe Motherhood Needs Assessment forms. Monitoring records were categorized into optimal and sub-optimal care. Proportions were calculated for parturients who received either optimal or sub-optimal care. Chi-square test of statistics was used to explore differences. Level of significance was p labour progressed. Intra-partum care provided by birth attendants was generally sub-optimal and use of the monitoring records to influence birth outcome is doubtful. Improvement in record keeping practices and skills in intra-partum monitoring for decision making, are suggested.

  7. Suboptimal care in stillbirths - a retrospective audit study.

    Science.gov (United States)

    Saastad, Eli; Vangen, Siri; Frøen, J Frederik

    2007-01-01

    Stillbirth rates have decreased radically over the last decades. One reason for this is improved perinatal care. The aim of this study was to explore whether sub-optimal factors in stillbirths were more frequent among non-western than western women. Population-based perinatal audit of 356 stillbirths after gestational week 23, in 2 Norwegian counties during 1998-2003 (4.2 per 1,000 deliveries); of these 31% were born to non-western women. By audit, the stillbirths were attributed to optimal or sub-optimal care factors. Multivariate methods were used to analyse the data. Sub-optimal factors were identified in 37% of the deaths. When compared to western women, non-western women had an increased risk of stillbirth (OR: 2.2; 95% CI: 1.3-3.8), and an increased risk of sub-optimal care (OR: 2.4; 95% CI: 1.5-3.9). More often, non-western women received sub-optimal obstetric care (plabour progression. A common failure in antenatal care for both groups was unidentified or inadequate management of intrauterine growth restriction or decreased fetal movements. Non-western women were less prone to attend the program for antenatal care or to take the consequences of recommendations from health professionals. Inadequate communication was documented in 47% of non-western mothers; an interpreter was used in 29% of these cases. Non-western women constituted a risk group for sub-optimal care factors in stillbirths. Possibilities for improvements include a reduction of language barriers, better identification and management of growth restriction for both origin groups, and adequate intervention in complicated vaginal births; with increased vigilance towards non-western women.

  8. Use of virtual reality for treating burned children: case reports

    OpenAIRE

    Scapin, Soliane Quitolina; Echevarría-Guanilo, Maria Elena; Fuculo Junior, Paulo Roberto Boeira; Martins, Jerusa Celi; Barbosa, Mayara da Ventura; Pereima, Maurício José Lopes

    2017-01-01

    ABSTRACT Objective: To report the use of virtual reality (VR) in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC) in Southern Brazil. Method: Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR...

  9. Short-term effects of silviculture on breeding birds in William B. Bankhead National Forest

    Science.gov (United States)

    Jill M. Wick; Yong Wang; Callie Jo Schweitzer

    2013-01-01

    We evaluated the changes in the bird community in relation to six disturbance treatments in the William B. Bankhead National Forest, AL. The study design is randomized complete block with a factorial arrangement of three thinning levels [no thin, 11 m²/ha residual basal area (BA), and 17 m²/ha residual BA] and two burn treatments (burn and no burn),...

  10. Quality of life after burns in childhood (5-15 years): children experience substantial problems

    NARCIS (Netherlands)

    van Baar, M. E.; Polinder, S.; Essink-Bot, M. L.; van Loey, N. E. E.; Oen, I. M. M. H.; Dokter, J.; Boxma, H.; van Beeck, E. F.

    2011-01-01

    The aim of our study was to assess prevalence and correlates related to sub optimal outcome after pediatric burns and to make a comparison with pediatric injuries not related to burns. We conducted a cross-sectional study on quality of life (QOL) after burns in a sample (n=138; median 24 months

  11. A memetic algorithm for bi-objective integrated forward/reverse logistics network design

    NARCIS (Netherlands)

    Pishvaee, Mir Saman; Farahani, Reza Zanjirani; Dullaert, Wout

    Logistics network design is a major strategic issue due to its impact on the efficiency and responsiveness of the supply chain. This paper proposes a model for integrated logistics network design to avoid the sub-optimality caused by a separate, sequential design of forward and reverse logistics

  12. Using a population growth model to simulate response of Plodia interpunctella Hübner to temperature and diet

    Science.gov (United States)

    Response to temperature and diet are major factors in the potential population growth of Plodia interpunctella Hübner, a damaging pest of many stored products. A population growth model was used to simulate population development on an optimal wheat-based diet and a sub-optimal diet of raisins at 20...

  13. Evaluation of some predisposing factors to malaria related anaemia ...

    African Journals Online (AJOL)

    First aid treatment offered by caregivers included, paracetamol only, paracetamol and chloroquine at sub-optimal doses in 39.2% of cases. Moderate- severe anaemia was significantly associated with time of presentation in hospital (χ2 = 4.97, p<0.05). The need for transfusion was also significantly more in those presented ...

  14. MeTRO: Low latency network paths with routers-on-demand

    NARCIS (Netherlands)

    Makkes, M.X.; Oprescu, A.M.; Strijkers, R.J.; Laat, C. de; Meijer, R.J.

    2014-01-01

    The current Internet is a loose federation of independent providers (ISPs) That manually manage inter-domain (ASes) route policies To primarily serve Their own interests. The end-user experience may be hindered by Two aspects: The ASes only optimize locally, possibly delivering sub-optimal

  15. Physician use of updated anti-virus software in a tertiary Nigerian ...

    African Journals Online (AJOL)

    Busy schedule, 40(33.9%) and lack of credit card 39(33.1%) were perceived barriers to updating antivirus software. The use of regularly updated anti-virus software is sub-optimal among physicians implying vulnerability to computer viruses. Physicians should be careful with flash drives and should avoid being victims of the ...

  16. Living on the edge: physiological and behavioural plasticity of African antelopes along a climatic gradient

    NARCIS (Netherlands)

    Shrestha, A.K.

    2012-01-01

    Climate change, habitat loss and fragmentation individually or synergistically force species to
    live in a sub-optimal condition in terms of climate and resource posing threat to fitness and
    survival of the species. Hence, a very pressing issue for biodiversity conservation at present

  17. An anterior left ventricular lead position is associated with increased mortality and non-response in cardiac resynchronization therapy

    DEFF Research Database (Denmark)

    Kronborg, Mads Brix; Johansen, Jens Brock; Riahi, Sam

    2016-01-01

    BACKGROUND: Non-response to cardiac resynchronization therapy (CRT) might be due to insufficient resynchronization as a result of a sub-optimal left ventricular lead positon (LV-LP). OBJECTIVE: To evaluate the impact of different LV-LPs on mortality and symptomatic improvement in a large cohort...

  18. Daclatasvir plasma level and resistance selection in HIV patients with hepatitis C virus cirrhosis treated with daclatasvir, sofosbuvir, and ribavirin

    Directory of Open Access Journals (Sweden)

    Saverio G. Parisi

    2016-08-01

    Conclusions: Sub-optimal DCV drug levels allow the selection of resistance-associated variants and fail to contribute to antiviral activity. No definite reason for the low DCV level was found. Quantifying the drug is suggested in difficult-to-treat patients.

  19. Determination of optimal levels of Resource Use in Clonal Robusta ...

    African Journals Online (AJOL)

    In spite of the current decline in World Market Prices, coffee remains Uganda's major export crop. However, coffee yield in Uganda remains sub optimal. One of the contributing factors could be an imbalance in the use of the factors of production. Optimal combinations of factors of production for clonal coffee production in ...

  20. Clinically applied procedures for human ovarian tissue cryopreservation result in different levels of efficacy and efficiency

    NARCIS (Netherlands)

    Bastings, L.; Westphal, J.R.; Beerendonk, C.C.M.; Bekkers, R.L.M.; Zusterzeel, P.L.M.; Hendriks, J.C.M.; Braat, D.D.M.; Peek, R.

    2016-01-01

    PURPOSE: Different protocols are being used worldwide for the cryopreservation of human ovarian tissue for fertility preservation purposes. The efficiency and efficacy of the majority of these protocols has not been extensively evaluated, possibly resulting in sub-optimally cryopreserved ovarian

  1. Drug use indicators at a secondary health care facility in Lagos ...

    African Journals Online (AJOL)

    Antibiotics were prescribed largely for presumed infections. Conclusion: These indicators show that the level of drug use at the hospital is sub-optimal and need to be improved upon. Key Words: Drug-use; Indicators; Secondary health facilities; Lagos Journal of Community Medicine & Primary Health Care Vol.16(1) 2004: ...

  2. Modelling field scale water partitioning using on-site observations in sub-Saharan rainfed agriculture

    NARCIS (Netherlands)

    Uhlenbrook, S.; Savenije, H.H.G.; Makurira, H.

    2010-01-01

    Smallholder rainfed farming systems generally realise sub-optimal crop yields which are largely attributed to dry spell occurrences during crop growth stages. However, through the introduction of appropriate farming practices, it is possible to substantially increase yield levels even with little

  3. Reducing non-allocative costs on Danish dairy farms

    DEFF Research Database (Denmark)

    Lund, Mogens; Jacobsen, Brian H.; Hansen, Lars C.E.

    1993-01-01

    inefficiencies are far more important for dairy farms than inefficiencies due to sub-optimal farm size. Non-proportional reductions are shown to be as important as reductions due to scale economies. The paper closes with a discussion of the implications for farm policy and management practice....

  4. Assessment of electricity demand-supply in health facilities in resource-constrained settings : optimization and evaluation of energy systems for a case in Rwanda

    NARCIS (Netherlands)

    Palacios, S.G.

    2015-01-01

    In health facilities in resource-constrained settings, a lack of access to sustainable and reliable electricity can result on a sub-optimal delivery of healthcare services, as they do not have lighting for medical procedures and power to run essential equipment and devices to treat their patients.

  5. State estimation of nonlinear stochastic systems using a novel meta-heuristic particle filter

    DEFF Research Database (Denmark)

    Ahmadi, Mohamadreza; Mojallali, Hamed; Izadi-Zamanabadi, Roozbeh

    2012-01-01

    This paper proposes a new version of the particle filtering (PF) algorithm based on the invasive weed optimization (IWO) method. The sub-optimality of the sampling step in the PF algorithm is prone to estimation errors. In order to avert such approximation errors, this paper suggests applying the...

  6. A branch-and-price algorithm to solve the integrated berth allocation and yard assignment problem in bulk ports

    DEFF Research Database (Denmark)

    Robenek, Tomáš; Umang, Nitish; Bierlaire, Michel

    2014-01-01

    the integrated problem. In the proposed model, the master problem is formulated as a set-partitioning problem, and subproblems to identify columns with negative reduced costs are solved using mixed integer programming. To obtain sub-optimal solutions quickly, a metaheuristic approach based on critical...

  7. Using psychological theory to understand the clinical management of type 2 diabetes in Primary Care: a comparison across two European countries.

    NARCIS (Netherlands)

    Hrisos, S.; Eccles, M.P.; Francis, J.J.; Bosch, M.C.; Dijkstra, R.F.; Johnston, M.; Grol, R.P.T.M.; Kaner, E.F.; Steen, I.N.

    2009-01-01

    BACKGROUND: Long term management of patients with Type 2 diabetes is well established within Primary Care. However, despite extensive efforts to implement high quality care both service provision and patient health outcomes remain sub-optimal. Several recent studies suggest that psychological

  8. A reliable genetic technique for sex determination of giant panda (Ailuropoda melanoleuca) from non-invasively collected hair samples

    NARCIS (Netherlands)

    Durnin, Matthew E.; Palsboll, Per J.; Ryder, Oliver A.; McCullough, Dale R.

    Extractions from non-invasive hair samples usually yield low amounts of highly degraded DNA. Previously developed mammal molecular sexing methods were not designed with such sub-optimal conditions in mind. We developed a simple and reliable PCR-based sexing method aimed at degraded, low yield DNA

  9. THE DYNAMICS OF REINTRODUCING, SUPPLEMENTING AND CONTROLLING ENDANGERED PREDATOR POPULATIONS

    OpenAIRE

    Rondeau, Daniel

    1998-01-01

    A dynamic model is developed to analyze the reintroduction of endangered predators. Non-convexities and the conditions under which reintroduction is sub-optimal are studied. Following reintroduction, costly population control should be initiated before marginal animals impose net costs, providing an economic interpretation to changes in the sign of the shadow price.

  10. Download this PDF file

    African Journals Online (AJOL)

    De Don

    Introduction. It is well known that, if auto correlated errors in time series regression equations are ignored, problems arises involving inefficient parameter estimates, invalid significance tests and sub-optimal results when the fitted equations are used to derive forecasts,. Newbold and Davies (1978). Spurious regression have ...

  11. Low Complexity Iterative Joint Channel Estimation and Multiuser Detection for DS-CDMA

    DEFF Research Database (Denmark)

    Christensen, Søren Skovgård; Kocian, Alexander; Fleury, Bernard Henri

    2004-01-01

    Previously the SAGE algorithm was applied to sub-optimal yet efficient Joint data Detection and channel Estimation (JDE) for DS-CDMA of moderate time complexity. Modifying the expectation and maximization steps of the SAGE-JDE scheme, it is possible to obtain an efficient receiver architecture...

  12. Nazareth House, Church Hill, Sligo Town, Sligo.

    LENUS (Irish Health Repository)

    Rohde, Daniela

    2017-12-08

    While medication adherence is essential for the secondary prevention of stroke, it is often sub-optimal, and can be compromised by cognitive impairment. This study aimed to systematically review and meta-analyse the association between cognitive impairment and medication non-adherence in stroke.

  13. A telepsychiatry model to support psychiatric outreach in the public ...

    African Journals Online (AJOL)

    A telepsychiatry model to support psychiatric outreach in the public sector in South Africa. J Chipps, S Ramlall, M Mars. Abstract. The access of rural Mental Health Care Users in South Africa to specialist psychiatrists and quality mental health care is currently sub-optimal. Health professionals and planners working in ...

  14. Referral letters to the psychiatrist in Nigeria: is communication ...

    African Journals Online (AJOL)

    Objective: Over half of patients with psychiatric disorders are first seen by primary care physicians before referral to the psychiatrist. An efficient referral system is, therefore, important to offering quality care to such patients. Communication between physicians is often sub-optimal and referral letters to specialists sometimes ...

  15. Referral letters to the psychiatrist in Nigeria: is communication ...

    African Journals Online (AJOL)

    Abstract. Objective: Over half of patients with psychiatric disorders are first seen by primary care physicians before referral to the psychi- atrist. An efficient referral system is, therefore, important to offering quality care to such patients. Communication between phy- sicians is often sub-optimal and referral letters to specialists ...

  16. Mobile Right Atrial Thrombi in a Patient with the Hemoglobin SC Disease

    Directory of Open Access Journals (Sweden)

    H. O. Savage

    2011-01-01

    Full Text Available The formation of Intracardiac thrombi is rare in the absence of structural heart disease or atrial fibrillation. We describe a case of spontaneous right atrial thrombus formation that occurred in a patient with a hypercoagulable condition who had been sub optimally anticoagulated.

  17. Biofilm growth on polyvinylchloride surface incubated in suboptimal microbial warm water and effect of sanitizers on biofilm removal post biofilm formation

    Science.gov (United States)

    An in vitro experiment was conducted to understand the nature of biofilm growth on polyvinyl chloride (PVC) surface when exposed to sub optimal quality microbial water (> 4 log10 cfu/ml) obtained from poultry drinking water source mimicking water in waterlines during the first week of poultry broodi...

  18. Perioperative dilutional coagulopathy treated with fresh frozen plasma and fibrinogen concentrate: a prospective randomized intervention trial.

    NARCIS (Netherlands)

    Lance, M.D.; Ninivaggi, M.; Schols, S.E.; Feijge, M.A.; Oehrl, S.K.; Kuiper, G.J.; Nikiforou, M.; Marcus, M.A.; Hamulyak, K.; Pampus, E.C.M. van; Cate, H. ten; Heemskerk, J.W.M.

    2012-01-01

    BACKGROUND AND OBJECTIVES: Treatment of dilutional coagulopathy by transfusing fresh frozen plasma (FFP) remains sub-optimal. We hypothesized that partial replacement of transfused FFP by fibrinogen concentrate results in improved coagulant activity and haemostasis. This was tested in a controlled

  19. Factors Influencing Adherence to ARVs among Patients Attending ...

    African Journals Online (AJOL)

    However, there was no significant relationship between adherence and age, marital status, education, employment status or time taken to travel to the clinic. Conclusion: This study concluded that, the observed level of sub-optimal adherence to ART (19%) is of public health concern. These patients are vulnerable to ...

  20. Optimal spectral tracking - with application to speed dependent neural modulation of tibialis anterior during human treadmill walking

    DEFF Research Database (Denmark)

    Brittain, John-Stuart; Catton, Celia; Conway, Bernard A.

    2009-01-01

    include speed-modulated components at 7-12Hz (early swing) and 15-20Hz (pre-stance). Speed invariant components were identified at 8-15 and 15-20Hz during early and late swing, in agreement with previous studies. Modification to the method permits a sub-optimal alternative, encouraging the exploration...

  1. Instructional control of reinforcement learning: A behavioral and neurocomputational investigation

    NARCIS (Netherlands)

    Doll, B.B.; Jacobs, W.J.; Sanfey, A.G.; Frank, M.J.

    2009-01-01

    Humans learn how to behave directly through environmental experience and indirectly through rules and instructions. Behavior analytic research has shown that instructions can control behavior, even when such behavior leads to sub-optimal outcomes (Hayes, S (Ed) 1989. Rule-governed behavior:

  2. Multi-period mean–variance portfolio optimization based on Monte-Carlo simulation

    NARCIS (Netherlands)

    F. Cong (Fei); C.W. Oosterlee (Cornelis)

    2016-01-01

    htmlabstractWe propose a simulation-based approach for solving the constrained dynamic mean– variance portfolio managemen tproblem. For this dynamic optimization problem, we first consider a sub-optimal strategy, called the multi-stage strategy, which can be utilized in a forward fashion. Then,

  3. Self Rating of Oral Health Status by Students Dental Surgeon ...

    African Journals Online (AJOL)

    Background: Individuals, generally, in this environment are known to rate their oral health status favourably despite the presence of oral diseases and conditions, probably due to sub optimal awareness level about oral health, however it is not known if this is the case with members of the dental team especially those who ...

  4. Improved variance estimation along sample eigenvectors

    NARCIS (Netherlands)

    Hendrikse, A.J.; Veldhuis, Raymond N.J.; Spreeuwers, Lieuwe Jan

    Second order statistics estimates in the form of sample eigenvalues and sample eigenvectors give a sub optimal description of the population density. So far only attempts have been made to reduce the bias in the sample eigenvalues. However, because the sample eigenvectors differ from the population

  5. COllective INtelligence with sequences of actions

    NARCIS (Netherlands)

    P.J. 't Hoen (Pieter Jan); S.M. Bohte (Sander)

    2003-01-01

    textabstractThe design of a Multi-Agent System (MAS) to perform well on a collective task is non-trivial. Straightforward application of learning in a MAS can lead to sub optimal solutions as agents compete or interfere. The COllective INtelligence (COIN) framework of Wolpert et al. proposes an

  6. Understanding the productivity of cassava in West Africa

    NARCIS (Netherlands)

    Ezui, Kodjovi Senam

    2017-01-01

    Drought stress and sub-optimal soil fertility management are major constraints to crop production in general and to cassava (Manihot esculenta Crantz) in particular in the rain-fed cropping systems in West Africa. Cassava is an important source of calories for millions of smallholder households in

  7. Construct validation of judgement-based assessments of medical trainees' competency in the workplace using a "Kanesian" approach to validation

    NARCIS (Netherlands)

    McGill, D.A.; Vleuten, C.P.M. van der; Clarke, M.J.

    2015-01-01

    BACKGROUND: Evaluations of clinical assessments that use judgement-based methods have frequently shown them to have sub-optimal reliability and internal validity evidence for their interpretation and intended use. The aim of this study was to enhance that validity evidence by an evaluation of the

  8. Effects of heterogeneity on bank efficiency scores

    NARCIS (Netherlands)

    Bos, J. W. B.; Koetter, M.; Kolari, J. W.; Kool, C. J. M.

    2009-01-01

    Bank efficiency estimates often serve as a proxy of managerial skill since they quantify sub-optimal production choices. But such deviations can also be due to omitted systematic differences among banks. In this study, we examine the effects of heterogeneity on bank efficiency scores. We compare

  9. Potential of a registry in evaluation of treatment of patients with essential hypertension in primary care (using the example of polyclinic located in Saratov region

    Directory of Open Access Journals (Sweden)

    Gerasimov S.N.

    2015-12-01

    Conclusion ― Using the Htn, CAD and CHF Registry in primary care unit allows objective evaluation of clinical guidelines performance among Htn patients. It was revealed that combined antihypertensive treatment and separated recommended drugs in case of associated clinical conditions (statins in CAD, anticoagulants in atrial fibrillation was administered sub optimally. Only half of patients with essential hypertension had their blood pressure controlled.

  10. Relating past and present diet to phenotypic and transcriptomic variation in the fruit fly

    NARCIS (Netherlands)

    May, Christina M.; Zwaan, Bas J.

    2017-01-01

    Background: Sub-optimal developmental diets often have adverse effects on long-term fitness and health. One hypothesis is that such effects are caused by mismatches between the developmental and adult environment, and may be mediated by persistent changes in gene expression. However, there are few

  11. Amino acid metabolism and whole-body protein turnover in lambs ...

    African Journals Online (AJOL)

    in lambs fed roughage diets supplemented with various levels of protein. and to compare these amino acids as tracers of whole-body ... further protein supplementation, the efficiency of protein synthesis was still sub-optimal, possibly as a result of an ..... production of acetic, propionic and butyric acids in the rumen of sheep.

  12. Yaw-Misalignment and its Impact on Wind Turbine Loads and Wind Farm Power Output

    NARCIS (Netherlands)

    van Dijk, M.T.; van Wingerden, J.W.; Ashuri, T.; Li, Y.; Rotea, M.A.; Bossanyi, E.; Chaviaropoulos, T.; Cheng, P.W.

    2016-01-01

    To make wind energy cost competitive with traditional resources, wind turbines are commonly placed in groups. Aerodynamic interaction between the turbines causes sub-optimal energy production. A control strategy to mitigate these losses is by redirecting the wake by yaw misalignment. This paper aims

  13. Effect of climate variability on sugarcane breeding in Nigeria | Ishaq ...

    African Journals Online (AJOL)

    Effect of climate variability on sugarcane breeding in Nigeria. ... Flowering in sugarcane (Saccharum species) is poor and variable at many tropical locations due to sub-optimal photoperiod. The situation is often compounded by ... sugar production in Nigeria. Keywords: Climate Change, Variability and Sugarcane Breeding ...

  14. Fixing Dataset Search

    Science.gov (United States)

    Lynnes, Chris

    2014-01-01

    Three current search engines are queried for ozone data at the GES DISC. The results range from sub-optimal to counter-intuitive. We propose a method to fix dataset search by implementing a robust relevancy ranking scheme. The relevancy ranking scheme is based on several heuristics culled from more than 20 years of helping users select datasets.

  15. The effect of text messaging on hospital visits and blood pressure ...

    African Journals Online (AJOL)

    Background: Non-attendance to hospital appointment and non-adherence to blood pressure lowering medication are major factors in sub-optimal control of high blood pressure. The aim of the study was to assess the effect of text messaging on improving hospital visits and blood pressure control in adult hypertensives in ...

  16. Use of theory to plan or evaluate guideline implementation among physicians: A scoping review

    NARCIS (Netherlands)

    Liang, L.; Bernhardsson, S.; Vernooij, R.W.M.; Armstrong, M.J.; Bussières, A.; Brouwers, M.C.; Gagliardi, A.R.; Alhabib, S.; Fleuren, M.; Fortino, M.; Mazza, D.; O'Rourke, N.; Willson, M.

    2017-01-01

    Background: Guidelines support health care decision-making and high quality care and outcomes. However, their implementation is sub-optimal. Theory-informed, tailored implementation is associated with guideline use. Few guideline implementation studies published up to 1998 employed theory. This

  17. Barriers to ambulatory EHR: who are 'imminent adopters' and how do they differ from other physicians?

    Directory of Open Access Journals (Sweden)

    Nir Menachemi

    2006-06-01

    Conclusion Policy and decision makers interested in promoting the adoption of EHR among physicians should focus on the needs and barriers of those most likely to adopt EHR. Given that imminent adopters differ considerably from their peers, current EHR incentive programmes that focus on financial barriers only might prove sub-optimal in achieving immediate widespread EHR adoption.

  18. Web-based computer-tailoring for practice nurses aimed to improve smoking cessation guideline adherence: A study protocol for a randomized controlled effectiveness trial

    NARCIS (Netherlands)

    de Ruijter, D.; Smit, E. S.; de Vries, H.; Hoving, C.

    Background Dutch practice nurses sub-optimally adhere to evidence-based smoking cessation guidelines. Web-based computer-tailoring could be effective in improving their guideline adherence. Therefore, this paper aims to describe the development of a web-based computer-tailored program and the design

  19. Representative sampling of animal feed and mixtures in the Danish agricultural sector

    DEFF Research Database (Denmark)

    Petersen, Lars; Esbensen, Kim Harry

    2005-01-01

    Sampling of grain, animal feeds (solid & liquid) including important mineral mixtures in the Danish agricultural sector is subject to an ongoing investigation with the objective of improving existing (sub-optimal) sampling procedures. Results from the first 6 months are presented here; the projec...

  20. A Combinatorial Allocation Mechanism for Banner Advertisement with Penalties

    NARCIS (Netherlands)

    U. Feige; N.S. Immorlica (Nicole Simone); V. Mirrokni; H. Nazerzadeh

    2008-01-01

    htmlabstractMost current banner advertising is sold through negotiation thereby incurring large transaction costs and possibly sub-optimal allocations. We propose a new automated system for selling banner advertising. In this system, each advertiser specifies a collection of host webpages which are

  1. The consequences of early life adversity: neurobiological, behavioural and epigenetic adaptations

    NARCIS (Netherlands)

    Maccari, S.; Krugers, H.J.; Morley-Fletcher, S.; Szyf, M.; Brunton, P.J.

    2014-01-01

    During the perinatal period, the brain is particularly sensitive to remodelling by environmental factors. Adverse early life experiences, such as stress exposure or sub-optimal maternal care can have long-lasting detrimental consequences for an individual. This phenomenon is often referred to as

  2. Homocysteine and coronary heart disease : the role of polymorphic genes and hemostasis

    NARCIS (Netherlands)

    Klerk, M.

    2002-01-01

    Background Homocysteine is a sulfur-containing amino acid formed during catabolism of the essential amino acid methionine. Defects in genes encoding enzymes or sub-optimal intake of B-vitamins (e.g. folate) involved in homocysteine

  3. Does cognitive impairment impact adherence? A systematic review and meta-analysis of the association between cognitive impairment and medication non-adherence in stroke.

    LENUS (Irish Health Repository)

    Rohde, Daniela

    2017-12-08

    While medication adherence is essential for the secondary prevention of stroke, it is often sub-optimal, and can be compromised by cognitive impairment. This study aimed to systematically review and meta-analyse the association between cognitive impairment and medication non-adherence in stroke.

  4. Self-Organization for Collective Action

    DEFF Research Database (Denmark)

    Markussen, Thomas; Putterman, Louis; Tyran, Jean-Robert

    Entrusting the power to punish to a central authority is a hallmark of civilization. We study a collective action dilemma in which self-interest should produce a sub-optimal outcome absent sanctions for non-cooperation. We then test experimentally whether subjects make the theoretically optimal...

  5. Functionality specific excipients influencing manufacturability and/or processing of pharmaceutical dosage forms: a wish list

    Directory of Open Access Journals (Sweden)

    Shireesh Apte

    2013-06-01

    Full Text Available The non-availability of suitable excipients that perform specific functions in manufacturing unit operations or during storage leads to suboptimal processes and formulations. A ‘wish list’ of excipients that may alleviate selected sub-optimal processes and formulations is presented.

  6. Using rapidly-exploring random tree-based algorithms to find smooth and optimal trajectories

    CSIR Research Space (South Africa)

    Matebese, B

    2012-10-01

    Full Text Available feasible solution faster than other algorithms. The drawback of using RRT is that, as the number of samples increases, the probability that the algorithm converges to a sub-optimal solution increases. Furthermore, the path generated by this algorithm...

  7. Psychosocial Issues Affecting Surgical Care of HIVAIDS Patients in ...

    African Journals Online (AJOL)

    The paper discloses that patients with HIVAIDS receive sub-optimal surgical care in the University College Hospital Ibadan, Nigeria. Reasons adduced are, in the majority, of a psychosocial hue and these are explained under subheadings of the rigid mindset of the surgical care-givers themselves, the stigma attached to ...

  8. 1979-IJBCS-Article-Agbor Enow

    African Journals Online (AJOL)

    hp

    Malaria in pregnancy remains a significant threat in sub-Saharan Africa as it is associated with sub- optimal pregnancy outcomes. Due to the fact that the current standard diagnostic method is cumbersome, we assessed the diagnostic performance of an alternate method-fluorescent microscopy, compared to optical.

  9. Modelling the landscape of palliative care for people with dementia: a European mixed methods study

    NARCIS (Netherlands)

    Iliffe, S.; Davies, N.; Vernooij-Dassen, M.; Riet Paap, J.C. van; Sommerbakk, R.; Mariani, E.; Jaspers, B.; Radbruch, L.; Manthorpe, J.; Maio, L.; Haugen, D.; Engels, Y.M.P.; et al.,

    2013-01-01

    BACKGROUND: Palliative care for people with dementia is often sub-optimal. This is partly because of the challenging nature of dementia itself, and partly because of system failings that are particularly salient in primary care and community services. There is a need to systematize palliative care

  10. A new revenue sharing mechanism for coordinating multi-echelon supply chains

    NARCIS (Netherlands)

    Rhee, van der B.; Venugopal, V.; Veen, van der J.A.A.; Nalla, V.R.

    2009-01-01

    One of the key issues in Supply Chain Management is to prevent sub-optimization caused by the distribution of decision power over the various entities. Over the last decade, various contract mechanisms such as Revenue Sharing (RS) have been used to overcome such difficulties. Typically, a contract

  11. The cost-effectiveness of exenatide twice daily (BID) vs insulin lispro three times daily (TID) as add-on therapy to titrated insulin glargine in patients with type 2 diabetes

    NARCIS (Netherlands)

    Gordon, J.; McEwan, P.; Sabale, U.; Kartman, B.; Wolffenbuttel, B. H. R.

    2016-01-01

    Objective: To evaluate the cost-effectiveness of exenatide twice daily (BID) vs bolus insulin lispro three times daily (TID) as add-on therapy when glycemic control is sub-optimal with titrated basal insulin glargine and metformin. Methods: The analysis was based on the recent 4B Study, which

  12. The influence of maternal protein nutrition on offspring development and metabolism: the role of glucocorticoids

    NARCIS (Netherlands)

    Almond, K.; Bikker, P.; Lomax, M.E.; Mostyn, A.

    2012-01-01

    The consequences of sub-optimal nutrition through alterations in the macronutrient content of the maternal diet will not simply be reflected in altered neonatal body composition and increased mortality, but are likely to continue into adulthood and confer greater risk of metabolic disease. One

  13. Parental Perceptions about Pain and Pain Management Practices in ...

    African Journals Online (AJOL)

    Background: Pain management in neonates remains sub-optimal in sub-Saharan countries like Kenya due to lack of resources to procure pharmacological analgesics. There, however, exist low-cost, mother-driven pain management strategies such as breastfeeding and kangaroo care that can be used for pain relief in ...

  14. Code Flows : Visualizing Structural Evolution of Source Code

    NARCIS (Netherlands)

    Telea, Alexandru; Auber, David

    2008-01-01

    Understanding detailed changes done to source code is of great importance in software maintenance. We present Code Flows, a method to visualize the evolution of source code geared to the understanding of fine and mid-level scale changes across several file versions. We enhance an existing visual

  15. Practical Financial Management : a handbook for the Defense Department Financial Manager / 12th ed. / 2013

    OpenAIRE

    Potvin, Lisa

    2013-01-01

    The 12th edition to Practical Financial Management: A Handbook for the Defense Department Financial Manager continues in the tradition of its predecessors. Recognizing the strategic importance of the Navy's financial managers, this text attempts to support the mid-level financial manager with aspirations for increasingly significant leadership positions.

  16. Practical Financial Management : a handbook for the Defense Department Financial Manager / 7th ed. / 2007

    OpenAIRE

    Potvin, Lisa

    2007-01-01

    The 7th edition to Practical Financial Management: A Handbook for the Defense Department Financial Manager continues in the tradition of its predecessors. Recognizing the strategic importance of the Navy's financial managers, this text attempts to support the mid-level financial manager with aspirations for increasingly significant leadership positions.

  17. Practical Financial Management : a handbook for the Defense Department Financial Manager / 9th ed. / 2010

    OpenAIRE

    Potvin, Lisa

    2010-01-01

    The 9th edition to Practical Financial Management: A Handbook for the Defense Department Financial Manager continues in the tradition of its predecessors. Recognizing the strategic importance of the Navy's financial managers, this text attempts to support the mid-level financial manager with aspirations for increasingly significant leadership positions.

  18. Practical Financial Management : a handbook for the Defense Department Financial Manager / 10th ed. / 2011

    OpenAIRE

    Potvin, Lisa

    2011-01-01

    The 10th edition to Practical Financial Management: A Handbook for the Defense Department Financial Manager continues in the tradition of its predecessors. Recognizing the strategic importance of the Navy's financial managers, this text attempts to support the mid-level financial manager with aspirations for increasingly significant leadership positions.

  19. CTC Sentinel. Volume 7, Issue 2, February 2014

    Science.gov (United States)

    2014-02-01

    have fought alongside the al-Qa`ida-l inked Jabhat al-Nusra, 38 as well as the more radical f ighters of the Islamic State of Iraq and the...Ansaru are permeable , which will allow mid-level militants to operate with Boko Haram, Ansaru and MUJAO as long as they do not run afoul of

  20. 75 FR 39947 - Proposed Data Collections Submitted for Public Comment and Recommendations

    Science.gov (United States)

    2010-07-13

    ... days of this notice. Proposed Project National Ambulatory Medical Care Survey (NAMCS), (OMB No. 0920... meet the needs and demands for statistical information about the provision of ambulatory medical care... care. In 2006, physicians and mid-level providers (i.e., nurse practitioners, physician assistants, and...

  1. Helping Competencies of Student Affairs Professionals: A Delphi Study

    Science.gov (United States)

    Reynolds, Amy L.

    2011-01-01

    The purpose of this study was to gather student affairs professionals' perceptions of the knowledge and skills needed to effectively help students. Using the Delphi method, 159 entry-level and mid-level student affairs administrators from institutions across the United States were surveyed regarding their perceptions of the helping skills they use…

  2. From Commercial Schools to Corporate Universities: Explaining the Shift in Proprietary Business Education in the U.S., 1970-1990

    Science.gov (United States)

    Bañuelos, Nidia I.

    2016-01-01

    This study used archival sources to examine the factors that encouraged for-profit business education to shift during the 1970s from small, certificate programs for bookkeepers and secretaries to large, multisite universities for mid-level managers. Using data from the Occupational Outlook Handbook, as well as trend data from the Bureau of Labor…

  3. A Behavioral Treatment for Traumatic Brain Injury-Associated Visual Dysfunction Based on Adult Cortical Plasticity

    Science.gov (United States)

    2014-12-01

    Zomet, Lev, Yehezkel, Sterkin & Levi, 2012b) and developmental object and face agnosia (Lev, Gilaie-Dotan, Gotthilf-Nezri, Yehezkel, Brooks, Perry...followed by mid-level perceptual improvements in developmental object and face agnosia . Dev Sci, Lev, M., Ludwig, K., Gilaie-Dotan, S., Voss, S

  4. Modeling Universal Design for Learning Techniques to Support Multicultural Education for Pre-Service Secondary Educators

    Science.gov (United States)

    Pearson, Mary

    2015-01-01

    As with all levels of education, secondary level classrooms, typically from grades fifth or sixth to grade twelve, are increasingly becoming more diverse as the population of students changes in the Unites States. Pre-service mid-level or secondary level educators need increased training on how they can best teach in a multicultural setting to…

  5. A Correlational Study between IT Governance and the Effect on Strategic Management Functioning among Senior & Middle Management in Medium Scale Software Organizations

    Science.gov (United States)

    Kurien, Sam

    2013-01-01

    The purpose of the study was to explore whether there are relationships between elements of information technology (IT) governance, strategic planning, and strategic functions among senior and mid-level management at medium-scaled software development firms. Several topics and models of IT governance literature were discussed and the gap in…

  6. Health priorities and the new dawn in South Sudan

    African Journals Online (AJOL)

    2011-05-02

    May 2, 2011 ... Although the planned programme is primarily hospital based, it will also support the development of Mid-level Training programmes. Already the St Mary's-Juba Hospitals link has, together with other partners, assisted technically in the establishment of the Juba College of Nursing and Midwifery and this will ...

  7. 76 FR 21415 - Submission for OMB Review; Comment Request

    Science.gov (United States)

    2011-04-15

    ... and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213... compensation plans, certain tax-deferred employee benefit plans, certain transactions involving small business... executive, such as the fund's chief compliance officer, will spend an average of 62 hours and a mid-level...

  8. Relationship between Staff-Reported Culture Change and Occupancy Rate and Organizational Commitment among Nursing Homes in South Korea

    Science.gov (United States)

    Lee, Minhong; Choi, Jae-Sung; Lim, Jinseop; Kim, Young Sun

    2013-01-01

    Purpose: This study aims to examine culture change in nursing homes in South Korea and to identify the outcomes of culture change implementation. Design and Methods: Data were taken from survey responses from 223 top- or mid-level staff among nursing homes in South Korea that were selected through a proportionate random-stratified sampling method…

  9. Students' Alternative Conceptions about the Lotus Effect: To Confront or to Ignore?

    Science.gov (United States)

    Kubisch, Franziska; Heyne, Thomas

    2016-01-01

    At the botanical garden of the University of Würzburg, we conducted practical lessons on bionics, focused on the lotus effect, with 260 students. Those approx. 14 years old, 8th-grade mid-level students were divided into two groups. During an instructional discussion about the topic, one group was confronted with their alternative conceptions…

  10. Publications | Page 163 | IDRC - International Development ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Pelatihan seperti apa yang dapat mendukung implementasi kebijakan : perspektif peserta - evaluasi training manajer mid level untuk imunisasi di kota Banda Aceh (restricted access). Background: Training is an effort to develop knowledge and skills and change attitudes through learning experiences to achieve effective ...

  11. Publications | Page 168 | IDRC - International Development ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Pelatihan seperti apa yang dapat mendukung implementasi kebijakan : perspektif peserta - evaluasi training manajer mid level untuk imunisasi di kota Banda Aceh (restricted access). Background: Training is an effort to develop knowledge and skills and change attitudes through learning experiences to achieve effective ...

  12. Examining the Impact of Fit on the Job Satisfaction of Midlevel Managers in Student Affairs

    Science.gov (United States)

    Lombardi, Ryan Timothy

    2013-01-01

    The purpose of this study was to identify the relationship of personal characteristics, job characteristics, and fit on the job satisfaction of mid-level managers in student affairs. The study was quantitative in nature and used the Job Satisfaction Survey (Spector, 1997) and several additional instruments to assess the impact of these variables…

  13. Study of Female Junior Officer Retention and Promotion in the U.S. Navy

    Science.gov (United States)

    2016-03-01

    14 4. JOB PERFORMANCE ...............................................................15 III. LITERATURE REVIEW... representation in the military. Further, once commissioned in the military, the retention rates of mid-level female officers tend to be lower than those of...III reviews selected literature on the topic of gender integration in the military. Chapter IV describes the variables used in the study. Chapter IV

  14. Visual Search in ASD: Instructed versus Spontaneous Local and Global Processing

    Science.gov (United States)

    Van der Hallen, Ruth; Evers, Kris; Boets, Bart; Steyaert, Jean; Noens, Ilse; Wagemans, Johan

    2016-01-01

    Visual search has been used extensively to investigate differences in mid-level visual processing between individuals with ASD and TD individuals. The current study employed two visual search paradigms with Gaborized stimuli to assess the impact of task distractors (Experiment 1) and task instruction (Experiment 2) on local-global visual…

  15. Hail to the Chief: A Survivor's Guide to Presidential Egos

    Science.gov (United States)

    Riehl, Richard J.

    2010-01-01

    The author once was a student in a graduate seminar taught by the president of the university where he was a mid-level administrator. The course focused on what it takes to be the chief executive of a university. The university president was the only one of the ten presidents under whom the author served who embraced the role of a college…

  16. Code flows : Visualizing structural evolution of source code

    NARCIS (Netherlands)

    Telea, Alexandru; Auber, David

    Understanding detailed changes done to source code is of great importance in software maintenance. We present Code Flows, a method to visualize the evolution of source code geared to the understanding of fine and mid-level scale changes across several file versions. We enhance an existing visual

  17. The Role of Reinforcement Sensitivity in the Development of Childhood Personality

    Science.gov (United States)

    Slobodskaya, Helena R.; Kuznetsova, Valeriya B.

    2013-01-01

    The study examined the contribution of reinforcement sensitivity to childhood personality at three levels of the hierarchical structure, mid-level traits, the Big Five and two higher-order factors, and the moderating role of sex and age in a sample of 3-18-year-olds. The canonical correlation analyses indicated that reinforcement sensitivity and…

  18. The Theory of Practice and the Practice of Theory

    Science.gov (United States)

    McIntyre, Michael L.; Murphy, Steven A.

    2016-01-01

    As academics who interact with senior and mid-level business managers on a regular basis, both informally and as consultants, the authors often note that ideas of theory and practice are not well developed among people outside of academia. It is posited that this deficit offers the prospect of less than optimal approaches to matters such as…

  19. Publications | Page 5 | IDRC - International Development Research ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Results 41 - 50 of 6375 ... The project consisted of three components; research, capacity building and dissemination. The research component consisted of conducting systematic reviews (SRs) on topics related to development. The capacity-building component was aimed at training a select group of mid-level and senior ...

  20. Risk factoRs foR death in hiV-infected adult afRican patients ...

    African Journals Online (AJOL)

    2010-11-11

    Nov 11, 2010 ... officer (mid-level clinician; equivalent to a physician assistant). all patients with cd4 cell counts <200/ mm3 are given co-trimoxazole to reduce the risk of pneumocystis pneumonia. patients with documented allergy to sulfa drugs are given dapsone. all patients without signs and symptoms of tuberculosis ...

  1. Before Alpha-Go: interpretation though improvisation and LISP

    OpenAIRE

    Whalley, J. Harry

    2016-01-01

    This poster outlines the process undertaken to write Go/Koan, a composition which uses a ½ point win Game between a mid-level Dan Go player and Zen19, a Go computer, which at the time (2013) was one of the strongest of its kind. Since then, Google’s Alpha-GO has radically changed this landscape with wide reaching implications.

  2. Understanding Behaviors in Videos through Behavior-Specific Dictionaries

    DEFF Research Database (Denmark)

    Ren, Huamin; Liu, Weifeng; Olsen, Søren Ingvor

    2018-01-01

    Understanding behaviors is the core of video content analysis, which is highly related to two important applications: abnormal event detection and action recognition. Dictionary learning, as one of the mid-level representations, is an important step to process a video. It has achieved state...

  3. Understanding behaviors in videos through behavior-specific dictionaries

    DEFF Research Database (Denmark)

    Ren, Huamin; Liu, Weifeng; Olsen, Søren Ingvor

    2018-01-01

    Understanding behaviors is the core of video content analysis, which is highly related to two important applications: abnormal event detection and action recognition. Dictionary learning, as one of the mid-level representations, is an important step to process a video. It has achieved state...

  4. Enacting the Common Script: Management Ideas at Finnish Universities of Applied Sciences

    Science.gov (United States)

    Vuori, Johanna

    2015-01-01

    This article discusses the work of mid-level management at Finnish universities of applied sciences. Based on in-depth interviews with 15 line managers, this study investigates how the standardized management ideas of rational management and employee empowerment are used in the leadership of lecturers at these institutions. The findings indicate…

  5. Radio Refractivity Gradient over Nigeria using CM-SAF Satellite ...

    African Journals Online (AJOL)

    Variations of radio refractivity gradients at the low level, mid-level and upper level of the atmosphere are presented for 26 stations in Nigeria using NOAA 15, 16 and 18 satellite data retrieved from the Department of Satellite Application Facilities on Climate Monitoring (CM-SAF), DWD, Germany. The selected stations were ...

  6. United States Air Force Health Care Provider Practices: Skin Testing for Mycobacterium Tuberculosis

    Science.gov (United States)

    1997-04-03

    Infection Control Manager Nurse Manager, Family Practice Clinic Infection Control Assistant Manager Clinical Nurse, Obstetrical Ward Clinical...172 Air Force health care providers at a mid- level medical treatment facility including: medical doctors (MD), doctors of osteopathy (DO...of osteopathy , physician assistants, nurse practitioners and independent duty medical technicians. Knowledge of tuberculosis skin testing: shall be

  7. The Baccalaureate in the California Community College: Current Challenges & Future Prospects

    Science.gov (United States)

    Gándara, Patricia; Cuellar, Marcela

    2016-01-01

    Concerns over the United States' global standing have spurred a national focus on improving postsecondary attainment. At the same time, many sectors of the economy find they have difficulty recruiting highly trained individuals to fill the good jobs that exist; jobs like nursing, respiratory care, dental hygiene, and various mid-level management…

  8. Development of Digital-SLR Camera, Nikon D90

    Science.gov (United States)

    Matsushima, Shigeo; Higaki, Riichi

    The Nikon D90 is a mid-level digital-SLR camera developed primarily for amateur photo hobbyists. It incorporates excellent image quality, support for high sensitivities, and quick response in a compact body. The primary features of the D90 are introduced in this article.

  9. Integrating conventional classifiers with a GIS expert system to increase the accuracy of invasive species mapping

    NARCIS (Netherlands)

    Masocha, M.; Skidmore, A.K.

    2011-01-01

    Mapping the cover of invasive species using remotely sensed data alone is challenging, because many invaders occur as mid-level canopy species or as subtle understorey species and therefore contribute little to the spectral signatures captured by passive remote sensing devices. In this study, two

  10. Are further education opportunities for emergency care technicians ...

    African Journals Online (AJOL)

    Background. A recent review of emergency care education and training in South Africa resulted in the creation of a new 2-year, 240-credit National Qualifications Framework (NQF) level 6 Emergency Care Technician (ECT) qualification. The National Department of Health (NDoH) view ECTs as 'mid-level workers' in the ...

  11. Blended Families: The Influence of Organizational and Managerial Culture in Mergers of Career-Oriented Colleges

    Science.gov (United States)

    Wambach, Michael W.

    2009-01-01

    This qualitative case study is constructed to offer insight on the infrequently investigated influence of organizational culture before and after a merger between higher education institutions. Respondents were selected from volunteers to form three strata of employees; staff, mid-level management which included some faculty members, and upper…

  12. Lions or lambs? How deans lead and manage their faculties at Indonesian universities

    NARCIS (Netherlands)

    Ngo, Jenny

    2013-01-01

    Leadership is a mysterious phenomenon often perceived as a critical factor in an organisation’s success. While mid-level leadership and management is fundamental to any organisation, this group of leaders and their management style remain under-researched. This study is one of the few that focuses

  13. Decision Level Fusion of Domain Specific Regions for Facial Action Recognition

    NARCIS (Netherlands)

    Jiang, Bihan; Martinez, Brais; Valstar, Michel F.; Pantic, Maja

    In this paper we propose a new method for the detection of action units that relies on a novel region-based face representation and a mid-level decision layer that combines region-specific information. Different from other approaches, we do not represent the face as a regular grid based on the face

  14. Envisioning Oneself as a Leader: Comparisons of Women and Men in Spain and the United States

    Science.gov (United States)

    Killeen, Lauren A.; Lopez-Zafra, Esther; Eagly, Alice H.

    2006-01-01

    In an examination of aspirations for leadership in the United States and Spain, male and female students envisioned themselves as a chief executive officer, vice president, or mid-level manager in an industry with a feminine image (clothing manufacturing) or a masculine image (auto manufacturing). Although men and women perceived these roles as…

  15. Financial Accountant | IDRC - International Development Research ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Job Summary. The Financial Accountant is a mid-level professional whose responsibilities focus on the preparation of quarterly and annual financial statements. These tasks involve financial analyses, the review of working papers done by others, the preparation of estimates and the preparation of working papers to ensure ...

  16. Effects of Training Leaders in Needs-Based Methods of Running Meetings

    Science.gov (United States)

    Douglass, Emily M.; Malouff, John M.; Rangan, Julie A.

    2015-01-01

    This study evaluated the effects of brief training in how to lead organizational meetings. The training was based on an attendee-needs-based model of running meetings. Twelve mid-level managers completed the training. The study showed a significant pre to post increase in the number of needs-based behaviors displayed by meeting leaders and in…

  17. Exploration and Planning in a Three-Level Cognitive Architecture

    DEFF Research Database (Denmark)

    Kraft, Dirk; Baseski, Emre; Popovic, Mila

    2008-01-01

    We describe an embodied cognitive system based on a three-level architecture that includes a sensorimotor layer, a mid-level layer that stores and reasons about object-action episodes, and a high-level symbolic planner that creates abstract action plans to be realised and possibly further specified...

  18. Alternative oxidase pathway optimizes photosynthesis during osmotic and temperature stress by regulating cellular ROS, malate valve and antioxidative systems

    Directory of Open Access Journals (Sweden)

    DINAKAR eCHALLABATHULA

    2016-02-01

    Full Text Available The present study reveals the importance of alternative oxidase (AOX pathway in optimizing photosynthesis under osmotic and temperature stress conditions in the mesophyll protoplasts of Pisum sativum. The responses of photosynthesis and respiration were monitored at saturating light intensity of 1000 µmoles m-2 s-1 at 25 oC under a range of sorbitol concentrations from 0.4 M to 1.0M to induce hyper-osmotic stress and by varying the temperature of the thermo-jacketed pre-incubation chamber from 25 oC to 10 oC to impose sub-optimal temperature stress. Compared to controls (0.4 M sorbitol and 25 OC, the mesophyll protoplasts showed remarkable decrease in NaHCO3-dependent O2 evolution (indicator of photosynthetic carbon assimilation, under both hyper-osmotic (1.0 M sorbitol and sub-optimal temperature stress conditions (10 OC, while the decrease in rates of respiratory O2 uptake were marginal. The capacity of AOX pathway increased significantly in parallel to increase in intracellular pyruvate and reactive oxygen species (ROS levels under both hyper-osmotic stress and sub-optimal temperature stress under the background of saturating light. The ratio of redox couple (Malate/OAA related to malate valve increased in contrast to the ratio of redox couple (GSH/GSSG related to antioxidative system during hyper-osmotic stress. Nevertheless, the ratio of GSH/GSSG decreased in the presence of sub-optimal temperature, while the ratio of Malate/OAA showed no visible changes. Also, the redox ratios of pyridine nucleotides increased under hyper-osmotic (NADH/NAD and sub-optimal temperature (NADPH/NADP stresses, respectively. However, upon restriction of AOX pathway by using salicylhydroxamic acid (SHAM, the observed changes in NaHCO3 dependent O2 evolution, cellular ROS, redox ratios of Malate/OAA, NAD(PH/NAD(P and GSH/GSSG were further aggravated under stress conditions with concomitant modulations in NADP-MDH and antioxidant enzymes. Taken together, the

  19. Use of virtual reality for treating burned children: case reports

    Directory of Open Access Journals (Sweden)

    Soliane Quitolina Scapin

    Full Text Available ABSTRACT Objective: To report the use of virtual reality (VR in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC in Southern Brazil. Method: Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR, and after the use of VR. Results: The use of goggles was easy to apply and well-accepted by the children, and also had a relevant effect reducing pain. Conclusion: VR can become an important nonpharmacological method for treating pain in burned children.

  20. Secure Path Selection under Random Fading

    Directory of Open Access Journals (Sweden)

    Furqan Jameel

    2017-05-01

    Full Text Available Application-oriented Wireless Sensor Networks (WSNs promises to be one of the most useful technologies of this century. However, secure communication between nodes in WSNs is still an unresolved issue. In this context, we propose two protocols (i.e. Optimal Secure Path (OSP and Sub-optimal Secure Path (SSP to minimize the outage probability of secrecy capacity in the presence of multiple eavesdroppers. We consider dissimilar fading at the main and wiretap link and provide detailed evaluation of the impact of Nakagami-m and Rician-K factors on the secrecy performance of WSNs. Extensive simulations are performed to validate our findings. Although the optimal scheme ensures more security, yet the sub-optimal scheme proves to be a more practical approach to secure wireless links.

  1. Hearing without listening: attending to a quiet audiobook.

    Science.gov (United States)

    Roebuck, Hettie; Guo, Kun; Bourke, Patrick

    2017-06-25

    Careful systematic tests of hearing ability may miss the cognitive consequences of sub-optimal hearing when listening in the real world. In Experiment One, sub-optimal hearing is simulated by presenting an audiobook at a quiet but discriminable level over 50 minutes. Recall of facts, words and inferences are assessed and performance compared to another group at a comfortable listening volume. At the quiet intensity, participants are able to detect, discriminate and identify spoken words but do so at a cost to sequential accuracy and fact recall when attention must be sustained over time. To exclude other interpretations, the effects are studied in Experiment Two by comparing recall to the same sentences presented in isolation. Here, the differences disappear. The results demonstrate that the cognitive consequences of listening at low volume arise when sustained attention is demanded over time.

  2. Relationship between literacy skills and self-reported health in the Nordic countries.

    Science.gov (United States)

    Lundetræ, Kjersti; Gabrielsen, Egil

    2016-12-01

    This study investigated the association between literacy skills and self-reported health among Danish ( n = 7284), Finnish ( n = 5454), Norwegian ( n = 4942) and Swedish ( n = 4555) participants aged 16-65 years. Logistic regression models were used to assess the association between literacy skills and self-reported health after adjusting for sex, age and educational level. Nordic participants aged 16-65 years with literacy skills at the lowest level reported sub-optimal health more often (28-37%) than those with literacy skills at the highest level (7-9%). After adjusting for sex, age and educational level, the likelihood of reporting sub-optimal health was 1.99-3.24 times as high for those with literacy skills at the lowest level as for those with literacy skills at the highest level. These results suggest that poor literacy skills increase the likelihood of experiencing poor health in the Nordic countries, even after controlling for educational level.

  3. APPETITE PREDICTS INTAKE AND NUTRITIONAL STATUS IN PATIENTS RECEIVING PERITONEAL DIALYSIS.

    Science.gov (United States)

    Young, Valerie; Balaam, Sarah; Orazio, Linda; Bates, Annerley; Badve, Sunil V; Johnson, David W; Campbell, Katrina L

    2016-06-01

    Sub-optimal nutrition status is common amongst patients receiving peritoneal dialysis (PD) and leads to poor clinical outcome. This population experiences multi-factorial challenges to achieving optimal nutritional status, particularly driven by inadequate intake. The aim of this investigation was to identify factors associated with inadequate protein intake and sub-optimal nutritional status in patients undergoing PD. This was a cross-sectional study of 67 adult patients receiving PD (mean age 59 ± 14 years; 57% male) within a single centre. Participants were consecutively recruited and interviewed by renal dietitians, collecting: Subjective Global Assessment (SGA); quality of life (using EQ-5D); dietary intake (via dietary interview); and appetite (using Appetite and Diet Assessment Tool). Participant demographics were obtained via survey or medical charts. Main outcome measures were inadequate dietary protein intake (Renal Care Association.

  4. Nitric oxide and changes of iron metabolism in exercise.

    Science.gov (United States)

    Qian, Zhong Ming

    2002-11-01

    Accumulated data imply that exercise itself might not lead to a true iron deficiency or 'sport anaemia' in a healthy athlete who has adequate iron intake. The higher prevalence of iron deficiency anaemia in younger female athletes might be not due to exercise itself, but probably results from dietary choices, inadequate iron intake and menstruation. These factors can also induce iron deficiency or anaemia in the general population. However, exercise does affect iron metabolism, leading to low or sub-optimal iron status. The underlying mechanism is unknown. In this review, recent advances in the study of the effect of exercise on iron metabolism and nitric oxide, and the relationship between nitric oxide and iron status in exercise are discussed. A hypothesis that increased production of nitric oxide might contribute to sub-optimal iron status in exercise is proposed.

  5. Optimal Energy Efficiency Fairness of Nodes in Wireless Powered Communication Networks.

    Science.gov (United States)

    Zhang, Jing; Zhou, Qingjie; Ng, Derrick Wing Kwan; Jo, Minho

    2017-09-15

    In wireless powered communication networks (WPCNs), it is essential to research energy efficiency fairness in order to evaluate the balance of nodes for receiving information and harvesting energy. In this paper, we propose an efficient iterative algorithm for optimal energy efficiency proportional fairness in WPCN. The main idea is to use stochastic geometry to derive the mean proportionally fairness utility function with respect to user association probability and receive threshold. Subsequently, we prove that the relaxed proportionally fairness utility function is a concave function for user association probability and receive threshold, respectively. At the same time, a sub-optimal algorithm by exploiting alternating optimization approach is proposed. Through numerical simulations, we demonstrate that our sub-optimal algorithm can obtain a result close to optimal energy efficiency proportional fairness with significant reduction of computational complexity.

  6. Characterising cloud regimes associated with the Southern Ocean shortwave radiation bias

    Science.gov (United States)

    Mason, S.; Jakob, C.; Protat, A.

    2013-12-01

    The high-latitude Southern Ocean is the site of persistent cloud biases in GCMs. A deficit of shortwave cloud radiative effect especially between 50-65S causes an excess of absorbed shortwave radiation, which has been associated with other biases in the global circulation. Recent model evaluation studies have found that the shortwave radiation bias is potentially associated with low- and mid-level clouds in the cold-air part of extratropical cyclones and ahead of transient ridges. However a coherent description of the cloud properties and cloud processes most associated with the bias has not yet emerged. This study focuses on three cloud regimes that are most frequent in the area of the shortwave radiation bias during the austral summer. They are selected from the cloud regimes derived for the Southern Ocean from International Satellite Cloud Climatology Project (ISCCP) cloud observations. We characterise the selected cloud regimes in terms of their meteorological conditions using the ECMWF Interim reanalysis. We also study their vertical macrophysical structure and microphysical properties based on active satellite observations using the DARDAR (raDAR/liDAR) combined CloudSat and CALIPSO data product. We find that two cloud regimes identified as mid-topped in the ISCCP based data set are associated with distinct meteorological processes. An optically thin mid-level top cloud regime is related to cold mid-levels, cold-air advection and moderate subsidence, while an optically thicker cloud regime is associated with a broader range of conditions resembling weak to moderate frontal events, with warm and moist mid-levels, moderate ascent and warm-air advection. The vertical cloud structure derived from DARDAR profiles show that both these regimes contain mostly low clouds, but both also include frequent occurrences of mid-level cloud. We use a clustering method to quantify the differences in microphysical properties between the regimes. We find that the optically

  7. Solid rocket technology advancement for Space Tug and IUS applications. [Interim Upper Stage

    Science.gov (United States)

    Ascher, W.; Bailey, R. L.; Behm, J. W.; Gin, W.

    1975-01-01

    Two-burn restartable solid propellant rocket motors for the kick stage (auxiliary stage) of the Shuttle Tug, or Interim Upper Stage, are described, with details on features and test results of the ignition and quench (thrust termination) systems and procedures, fabrication of propellant and insulation, explosion hazards of propellants, and comparative data on present and future motor design. These rocket motor systems are designed for upper stage augmentation of launch vehicles and possible service in Shuttle-launched outer planet spacecraft.

  8. Application of humanistic theory concepts at a burn unit

    OpenAIRE

    Ana Kelve Castro Damasceno; Lorita Marlena Freitag Pagliuca; Maria Grasiela Teixeira Barroso

    2011-01-01

    By using a Theory Analysis model in care for burn patients, this study aimed to analyze the concepts and sub-concepts of the Humanistic Theory. An exploratory-descriptive research was carried out between February and July 2004 at a Burn Treatment Centre in Fortaleza, Brazil. The sample consisted of two nurses and two burn victims. Health, human being and nursing were selected as concepts, while dialogue, encounter, presence, call, response and communion as sub-concepts. The application of the...

  9. Quality of life after burns in childhood (5-15 years): children experience substantial problems.

    Science.gov (United States)

    van Baar, M E; Polinder, S; Essink-Bot, M L; van Loey, N E E; Oen, I M M H; Dokter, J; Boxma, H; van Beeck, E F

    2011-09-01

    The aim of our study was to assess prevalence and correlates related to sub optimal outcome after pediatric burns and to make a comparison with pediatric injuries not related to burns. We conducted a cross-sectional study on quality of life (QOL) after burns in a sample (n=138; median 24 months post-burn) of Dutch and Flemish children (5-15 years) with an admission to a burn center. QOL was assessed with the Burn Outcomes Questionnaire (BOQ). The generic EuroQol-5D was used to allow for a comparison with children after injuries not related to burns. More than half of the children had long-term limitations. According to the BOQ, children frequently (>50%) experienced sub optimal functioning on 5 out of 12 dimensions, concerning 'appearance', 'parental concern', 'itch', 'emotional health' and 'satisfaction with current state'. Children with a high total burned surface area (TBSA ≥10%) showed significantly more sub optimal functioning on 'upper extremity function' (OR=5.3; ≥20% TBSA), 'appearance' (OR=5.5; ≥10-20% TBSA), 'satisfaction with current state' (OR=3.4; ≥10-20% TBSA) and 'parental concern' (OR=3.4; ≥10-20% TBSA), compared to children with less than 10% TBSA. Burn victims at 9 months post-injury appeared to be worse off at several health dimensions. After 24 months generic quality of life of in pediatric burns was more comparable to pediatric injuries not related to burns. Children after burns experience substantial problems, mainly on itch and appearance and several psychosocial dimensions. More extensive burns are related to sub optimal functioning. These problems are in part specific for burns and not picked up by generic measures. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  10. Less is more: Restructuring decisions to improve agent search

    OpenAIRE

    Sarne, David; Geva, Moti; Grosz, Barbara J.; Elmalech, Avshalom

    2011-01-01

    In many settings and for various reasons, people fail to make optimal decisions. These factors also influence the agents people design to act on their behalf in such virtual environments as eCommerce and distributed operating systems, so that the agents also act sub-optimally despite their greater computational capabilities. In some decision-making situations it is theoretically possible to supply the optimal strategy to people or their agents, but this optimal strategy may be non-intuitive, ...

  11. Effects of limited irrigation on root yield and quality of sugar beet ...

    African Journals Online (AJOL)

    STORAGESEVER

    2008-12-17

    Dec 17, 2008 ... irrigation in a semi-arid climate. Agric. Water Manage. 59: 155-167. Groves SJ, Bailey RJ (1997). For The influence of sub-optimal irrigation and drought on crop yield, N uptake and risk of N leaching from sugar beet. Soil Use Manage. 13(4): 190-195. Gale D, lee GS, Schmehi WR (1990). Effect of planting ...

  12. Spatial Attention Enhances Perceptual Processing of Single-Element Displays

    Science.gov (United States)

    Bacon, William; Johnston, James C.; Remington, Roger W.; Null, Cynthia H. (Technical Monitor)

    1994-01-01

    Shiu and Pashler (1993) reported that precueing masked, single-element displays had negligible effects on identification accuracy. They argued that spatial attention does not actually enhance stimulus perceptibility, but only reduces decision noise. Alternatively, such negative results may arise if cues are sub-optimal, or if masks place an insufficient premium on timely deployment of attention. We report results showing that valid cueing enhances processing of even single-element displays. Spatial attention does indeed enhance perceptual processes.

  13. Proposing Inventory Management Framework for Make-to-Stock (MTS) Products

    OpenAIRE

    Zhang, Jing

    2017-01-01

    This thesis focuses on a holistic approach to inventory management for the case company, which aims to balance the needs of reducing inventory and increasing service level. As approaches focus purely on reducing inventory come with trade-offs and result in sub-optimization. Keeping inventory as low as possible without sacrificing customer service is one key business challenge not limited to the case company. The study adopted the case study research approach. The study on the case company...

  14. The application of a low-cost 3D depth camera for patient set-up and respiratory motion management in radiotherapy.

    OpenAIRE

    Tahavori, F

    2017-01-01

    Respiratory motion induces uncertainty in External Beam Radiotherapy (EBRT), which can result in sub-optimal dose delivery to the target tissue and unwanted dose to normal tissue. The conventional approach to managing patient respiratory motion for EBRT within the area of abdominal-thoracic cancer is through the use of internal radiological imaging methods (e.g. Megavoltage imaging or Cone-Beam Computed Tomography) or via surrogate estimates of tumour position using external markers placed...

  15. Adaptive Leadership in Digital Transformation

    DEFF Research Database (Denmark)

    Hansen, Anne Mette; Kræmmergaard, Pernille; Mathiassen, Lars

    2012-01-01

    within the organization result in business leaders being inattentive to digital transformation issues and in IS leaders playing sub-optimal roles within the organization. Since IS and business leaders are often unaware of these assumptions, they may find it difficult—or even controversial—to discuss them......), this chapter discusses the important role of a facilitator in helping IS and business leaders uncover their underlying assumptions to quickly respond to challenges in digital transformation....

  16. Encounters with immigrant customers

    DEFF Research Database (Denmark)

    Mygind, Anna; Espersen, Sacha; Nørgaard, Lotte Stig

    2013-01-01

    OBJECTIVES: To explore the challenges that Danish community pharmacy staff encounter when serving non-Western immigrant customers. Special attention was paid to similarities and differences between the perceptions of pharmacists and pharmacy assistants. METHODS: A questionnaire was distributed...... companies. CONCLUSIONS: Community pharmacy staff report poorer quality in their encounters with immigrant customers, including sub-optimal counselling and frequent use of under-aged children as interpreters. Our study also reveals certain differences across personnel groups, which may be explained...

  17. Pilot study of an interactive voice response system to improve medication refill compliance

    OpenAIRE

    Reidel, Kristen; Tamblyn, Robyn; Patel, Vaishali; Huang, Allen

    2008-01-01

    Abstract Background Sub-optimal adherence to prescribed medications is well documented. Barriers to medication adherence include medication side effects, cost, and forgetting to take or refill medications. Interactive Voice Response (IVR) systems show promise as a tool for reminding individuals to take or refill medications. This pilot study evaluated the feasibility and acceptability of using an IVR system for prescription refill and daily medication reminders. We tested two novel features: ...

  18. Che cosa impariamo dalla crisi argentina

    OpenAIRE

    Bianchi Patrizio

    2002-01-01

    This article explores the industrial roots of the present Argentina's crisis. Since the mid of 19th century, Argentina developed a model of social modernization without industrialization, based on export of primary commodity to Western developed countries. This model was exhausted during the 1930s; crisis, because of the ring of protectionism in the Western countries and replaced by an import-substitution approach, which promoted a wide range of small sub-optimal plants. In the mid-1970s, the...

  19. SAVINGS and economic growth: a historical analysis of the relationship between savings and economic growth in the CAPE Colony economy, 1850-1909.

    OpenAIRE

    Verhoef, Grietjie; Greyling, Lorraine; Mwamba, John

    2013-01-01

    Abstract The sub-optimal savings propensity in South Africa the past three decades causes concern for the ability of the country to support its economic development. An historical analysis of the development of the savings’ trends in South Africa may assist in understanding the historical roots of the phenomenon. Apart from general descriptions of the nature of economic activity in the Cape Colony very little is known about the role financial sector development and savings played in the gr...

  20. 16. The fraction of cancer attributable to lifestyle and environmental factors in the UK in 2010

    OpenAIRE

    Parkin, D M; Boyd, L; Walker, L C

    2011-01-01

    This chapter summarises the results of the preceding sections, which estimate the fraction of cancers occurring in the UK in 2010 that can be attributed to sub-optimal, past exposures of 14 lifestyle and environmental risk factors. For each of 18 cancer types, we present the percentage of cases attributable to one or all of the risk factors considered (tobacco, alcohol, four elements of diet (consumption of meat, fruit and vegetables, fibre, and salt), overweight, lack of physical exercise, o...

  1. An Approach for Integrating Valuable Flexibility During Conceptual Design of Networks

    OpenAIRE

    Melese, Y.G.; Heijnen, P.W.; Stikkelman, R.M.; Herder, P.M.

    2016-01-01

    Energy and industrial networks such as pipeline-based carbon capture and storage infrastructures and (bio)gas infrastructures are designed and developed in the presence of major uncertainties. Conventional design methods are based on deterministic forecasts of most likely scenarios and produce networks that are optimal under those scenarios. However, future design requirements and operational environments are uncertain and networks designed based on deterministic forecasts provide sub-optimal...

  2. Salesforce Competence Development and Marketing Performance of Industrial and Domestic Products Firms in Nigeria

    OpenAIRE

    Asiegbu Ikechukwu Francis; Awa H. Okorie; Akpotu Christopher; Ogbonna U. Benson

    2011-01-01

    Many organizations, including industrial and domestic products firms, no doubt, experience sub-optimal or even poor marketing performance. With the notion that sales force performance positively correlates with marketing performance, organizations view salesforce ineffectiveness and incompetence with grave seriousness and concern. The effect of poor sales force performance is not limited to firms alone but also to the economy by extension. This study surveyed the effects of sales force compet...

  3. Information Engineering.

    Science.gov (United States)

    1982-01-01

    34 continuously over time " through a division of labor and responsibility " integrated by INFORMATION-BASED decision process * in an environment of stress...responsibilities for learning in a particular field. This division of labor is especially true for staff members who must develop expertise in particular...likely founa a commano clima e with: - Multiple layering - Sub optimization Policy of no surprises - Lip service to feedback - Over centralization and non

  4. Improving Precision in Navigating Laparoscopic Surgery Instruments toward a Planar Target Using Haptic and Visual Feedback

    OpenAIRE

    Howard, Thomas; Szewczyk, Jérôme

    2016-01-01

    The poor ergonomics of laparoscopic surgery is a widely recognized source of difficulty for surgeons, leading to sub-optimal performance on their part and sometimes injury to the patient. The main recognized causes for such degraded performance are lost and distorted perception of interaction forces and degraded instrument navigation capabilities. The latter, due mainly to losses in visual and kinesthetic depth perception and modified hand-eye coordination, can prevent precise navigation of i...

  5. Interactive simulation of technology management foresight

    DEFF Research Database (Denmark)

    Hansen, Mette Sanne; Rasmussen, Lauge Baungaard; Jacobsen, Peter

    2013-01-01

    Two of the main foresight challenges are how to handle complexity and uncertainty of evolving technology tracks, which may merge and create new challenges for the management of a company in order to avoid sub- optimization. Complexity refers to the difficulty of identifying and quantifying causal...... about the use of a combined narrative and numerical simulation with the main purpose to provide more consistency between the strategic, tactical and operational plans and activities occurring in a company with special focus on technology management....

  6. Proceedings of the 2010 Antenna Applications Symposium Held in Monticello, Illinois on 21-23 September 2010. Volume 1

    Science.gov (United States)

    2010-12-01

    other antennas, as shown in Figure 3. 80 Fig 2. Stacked Biconical Dipoles with sub-optimal Feed Fig 3. Proposed Stacked Antenna with Central...layer on its own can cover a 40% 2:1 VSWR bandwidth and is only λ/10 tall at the low end of the band, a significantly lower profile than the biconical ...Compared to the common practice of stacking biconical antennas, this novel antenna concept affords significant height reduction while improving feed

  7. Symptom characteristics and prevalence of qi deficiency syndrome in people of varied health status and ages: A multicenter cross-sectional study

    Directory of Open Access Journals (Sweden)

    Yin Zhang

    2015-07-01

    Conclusions: Qi deficiency may be a contributing factor for sub-health (sub-optimal health and chronic diseases rather than aging. It may play a crucial role in chronic disease pathogenesis of young and middle-aged people, and in sub-health pathogenesis of older adults. Recognition of the warning signs and symptoms of QDS may lead to early intervention and prevention of sub-health, and chronic diseases.

  8. Heuristics: The good, the bad, and the biased. What value can bias have for decision makers?

    OpenAIRE

    Curley, Lee J.; Murray, Jennifer.; MacLean, Rory.

    2017-01-01

    This discussion paper will look at heuristics (rule of thumb techniques for decision making), (Tversky & Kahneman, 1974) and their potential value. Typically, heuristics have been viewed negatively (Gigerenzer & Goldstein, 1996), with research suggesting that heuristics bias how individuals think, which may create sub-optimal performance (Tversky & Kahneman, 1974). However, researchers, such as Gigerenzer and Goldstein (1996), have highlighted that a bias in decision making may not necessaril...

  9. How to Organize Electricity Savings in a Liberalized Electricity Market

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    1998-01-01

    The basic idea of Integrated Ressource Planning is described and it is demonstrated how this is in conflict with the sub-optimizing necessary in a liberalized market. Afterwards are outlined how the measuring of savings energy consumption constitutes a fundamental problem. Finally are dicussed...... the future actors in the electricity sector and their roles in implementing electricity savings, followed by some proposals for an energy policy....

  10. Hybrid Therapy in the Management of Atrial Fibrillation

    OpenAIRE

    St?rek, Zden?k; Lehar, Franti?ek; Je?, Ji??; Wolf, Ji??; Nov?k, Miroslav

    2015-01-01

    Atrial fibrillation is the most common sustained arrhythmia. Because of the sub-optimal outcomes and associated risks of medical therapy as well as the recent advances in non-pharmacologic strategies, a multitude of combined (hybrid) algorithms have been introduced that improve efficacy of standalone therapies while maintaining a high safety profile. Antiarrhythmic administration enhances success rate of electrical cardioversion. Catheter ablation of antiarrhythmic drug-induced typical atrial...

  11. Supervisory Control of Remote Manipulators, Vehicles and Dynamic Processes: Experiments in Command and Display Aiding

    Science.gov (United States)

    1983-03-01

    oil, chemical, fossil and nuclear power plants), discrete product processes (manufacturing, construction, farming),Irobotic./teleoperator devices...sub-optimal behavior was attributable to some non-linear utility for the reward, presumably because of some misconception about costs or rewards. i In...System (FDLS) is designed to aidI the uperator to detect and locate failures in real-time in systems such an: power plants (either fossil or nuclear

  12. Exploring the acceptability and feasibility of a preconception and diabetes information app for women with pregestational diabetes: a mixed methods study protocol

    OpenAIRE

    Chidiebere, Hope Nwolise; Carey, Nicola; Shawe, Jill

    2017-01-01

    Background Women with diabetes are at increased risk of adverse maternal and fetal outcomes. Preconception care can improve pregnancy outcomes and is paramount to minimise complications, but, current provision is sub-optimal. Mobile technology, particularly smartphones and apps have the potential to improve preconception care provision but research is lacking in this area. The need to use modern technologies to improve preconception care knowledge and awareness led to the development of a ...

  13. Analysis of Johne?s disease ELISA status and associated performance parameters in Irish dairy cows

    OpenAIRE

    Kennedy, A. E.; Byrne, N; Garcia, A. B.; O'Mahony, J.; Sayers, R. G.

    2016-01-01

    Background Infection with Mycobacterium avium subspecies paratuberculosis (MAP) has been associated with reductions in milk production in dairy cows and sub optimal fertility. The aim of this study was to highlight the production losses associated with testing MAP ELISA positive in Irish dairy cows. Secondary objectives included investigation of risk factors associated with testing MAP ELISA positive. A survey of management practices on study farms was also conducted, with examination of asso...

  14. Improving the performance of a wind energy system

    OpenAIRE

    Echenique Subiabre, Estanislao Juan Pablo

    2015-01-01

    Small and Medium size Wind Turbines (SMWTs) can be used for the production of electricity in residential areas, or integrated into hybrid systems, which makes them more attractive in remote areas with difficult access to electricity from the grid. However, many of the SMWTs are installed in locations with low wind speeds, reducing remarkably their annual energy output. Furthermore, SMWTs are typically operated in sub-optimal conditions because they are not completely understood...

  15. A randomized trial to assess the impact of opinion leader endorsed evidence summaries on the use of secondary prevention strategies in patients with coronary artery disease: the ESP-CAD trial protocol [NCT00175240

    OpenAIRE

    Ghali William A; Majumdar Sumit R; Graham Michelle; Fradette Miriam; McAlister Finlay A; Williams Randall; Tsuyuki Ross T; McMeekin James; Grimshaw Jeremy; Knudtson Merril L

    2006-01-01

    Abstract Background Although numerous therapies have been shown to be beneficial in the prevention of myocardial infarction and/or death in patients with coronary disease, these therapies are under-used and this gap contributes to sub-optimal patient outcomes. To increase the uptake of proven efficacious therapies in patients with coronary disease, we designed a multifaceted quality improvement intervention employing patient-specific reminders delivered at the point-of-care, with one-page tre...

  16. FLUID BALANCE DURING TRAINING IN ELITE YOUNG ATHLETES OF DIFFERENT SPORTS

    OpenAIRE

    Arnaoutis, Giannis; Kavouras, Stavros A.; Angelopoulou, Athanasia; Skoulariki, Chara; Bismpikou, Stefani; Mourtakos, Stamatis; Sidossis, Labros S.

    2015-01-01

    Although there are many studies demonstrating a high percentage of adult athletes which start exercise in sub-optimal hydration state, limited data concerning hydration levels in athletic youth exists. The purpose of this study was to identify the hydration status of elite young athletes of different sports, during a typical day of training. Fifty-nine young elite men athletes from different sports (basketball, gymnastics, swimming, running, canoeing) participated in the study (age: 15.2±1.3 ...

  17. Probabilistic Analysis of Combinatorial Optimization Problems on Hypergraph Matchings

    Science.gov (United States)

    2012-02-01

    Introduction The assignment, or matching, problems, such as the Linear Assignment Problem (LAP) and the Quadratic Assignment Problem ( QAP ), are of...the QAP is known to be NP-complete and non- approximable (Sahni and Gonzales, 1976) and thus very difficult to solve exactly (currently, instances of...the QAP of sizes up to n D 30 can be solved rotinely, see Anstreicher, 2003; Loiola et al., 2007), it was noticed that good quality sub-optimal

  18. Potential sources of variability in mesocosm experiments on the response of phytoplankton to ocean acidification

    OpenAIRE

    M. Moreno de Castro; Schartau, M; Wirtz, K.

    2017-01-01

    Mesocosm experiments on phytoplankton dynamics under high CO2 concentrations mimic the response of marine primary producers to future ocean acidification. However, potential acidification effects can be hindered by the high standard deviation typically found in the replicates of the same CO2 treatment level. In experiments with multiple unresolved factors and a sub-optimal number of replicates, post-processing statistical inference tools might fail to detect an effect that i...

  19. NITRIC OXIDE IMPLICATION IN THE CONTROL OF SEED DORMANCY AND GERMINATION

    OpenAIRE

    Erwann eArc; Marc eGalland; Béatrice eGodin; Gwendal eCueff; Loïc eRAJJOU

    2013-01-01

    Germination ability is regulated by a combination of environmental and endogenous signals with both synergistic and antagonistic effects. Nitric oxide (NO) is a potent dormancy-releasing agent in many species, including Arabidopsis, and has been suggested to behave as an endogenous regulator of this physiological blockage. Distinct reports have also highlighted a positive impact of NO on seed germination under sub-optimal conditions. However, its molecular mode of action in the context of see...

  20. High self-reported non-adherence to antiretroviral therapy amongst adolescents living with HIV in Malawi: barriers and associated factors

    Directory of Open Access Journals (Sweden)

    Maria H Kim

    2017-01-01

    Conclusions: In our study, nearly half of all ALHIV reported non-adherence to ART in the past month. Violence in the home or alcohol use in the past year as well as poor treatment self-efficacy were associated with worse adherence. Sub-optimal adherence is a major issue for ALHIV and compromise treatment outcomes. Programmes specifically tailored to address those challenges most pertinent to ALHIV may help improve adherence to ART.

  1. Sleep Duration and Quality among Different Occupations--China National Study

    OpenAIRE

    Wenjie Sun; Yaqin Yu; Jingqin Yuan; Changwei Li; Tingting Liu; Dongdong Lin; Abby Lau; Chongke Zhong; Tan Xu; GuangLiang Shan

    2015-01-01

    Objective To examine the associations between occupation, sleep duration and sleep quality. Methods The data for this study was extracted from data collected from the 2008 Chinese Sub-optimal Health Study. Our study sample consisted of 18,316 Chinese subjects aged 18-65. Occupation and other relevant characteristics to sleep were collected. We used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and multiple logistic regression models to examine the association of occupatio...

  2. Fast architecture-level synthesis of fault-tolerant flow-based microfluidic biochips

    DEFF Research Database (Denmark)

    Huang, Wei Lun; Gupta, Ankur; Roy, Sudip

    2017-01-01

    -simplified model that usually derive sub-optimal results. Thus, we propose a progressive optimization procedure for the synthesis of fault-tolerant flow-based microfluidic biochips. Simulation results demonstrate that proposed method is efficient compared to the state-of-the-art techniques and can provide...... effective solutions in 88% (on average) less CPU time compared to state-of-the-art technique over three benchmark bioprotocols....

  3. Financial Literacy and the Demand for Financial Advice

    OpenAIRE

    Riccardo Calcagno; Chiara Monticone

    2011-01-01

    The low level of financial literacy in many countries suggests that households are at risk of sub-optimal financial decisions. In this paper we assess to what extent financial advisors can substitute for such a lack of knowledge, by analyzing the effect of investors’ financial literacy on their decision about how much to rely on financial advisors. We model the strategic interaction between poorly informed investors and perfectly informed advisors facing conflicts of interest. We find that mo...

  4. Evaluating educational initiatives to improve palliative care for people with dementia: A narrative review.

    OpenAIRE

    Raymond, M.; Warner, A.; Davies, N.; Baishnab, E.; Manthorpe, J.; Iliffe, S.

    2014-01-01

    Dementia accounts for one in three deaths among people aged 65 and over, but end-of-life care for people with dementia is often sub-optimal. Palliative care for people with dementia poses particular challenges to those providing services, and current policy initiatives recommend education and training in palliative care for those working with patients with dementia. However, there are few evaluations of the effectiveness of dementia education and training. This paper presents a narrative revi...

  5. Modelling the landscape of palliative care for people with dementia: a European mixed methods study

    OpenAIRE

    Iliffe, Steve; Davies, Nathan; Vernooij-Dassen, Myrra; van Riet Paap, Jasper; Sommerbakk, Ragni; Mariani, Elena; Jaspers, Birgit; Radbruch, Lukas; Manthorpe, Jill; Maio, Laura; Haugen, Dagny; Engels, Yvonne

    2013-01-01

    BACKGROUND: Palliative care for people with dementia is often sub-optimal. This is partly because of the challenging nature of dementia itself, and partly because of system failings that are particularly salient in primary care and community services. There is a need to systematize palliative care for people with dementia, to clarify where changes in practice could be made.To develop a model of palliative care for people with dementia that captures commonalities and differences across Europe,...

  6. DEFINING THE ABATEMENT COST IN PRESENCE OF LEARNING-BY-DOING: APPLICATION TO THE FUEL CELL ELECTRIC VEHICLE

    OpenAIRE

    Creti, Anna; Kotelnikova, Alena; Meunier, Guy; Ponssard, Jean-Pierre

    2015-01-01

    The transition of a sector from a pollutant state to a clean one is studied. A green technology, subject to learning-by-doing, progressively replaces an old one. The notion of abatement cost in this dynamic context is fully characterized. The theoretical, dynamic optimization, perspective is linked to simple implementation rules. The practical “deployment” perspective allows to study sub-optimal trajectories. Moreover, the analysis of the launching date provides a definition of a dynamic abat...

  7. CAMS as a tool for human factors research in spaceflight

    Science.gov (United States)

    Sauer, Juergen

    2004-01-01

    The paper reviews a number of research studies that were carried out with a PC-based task environment called Cabin Air Management System (CAMS) simulating the operation of a spacecraft's life support system. As CAMS was a multiple task environment, it allowed the measurement of performance at different levels. Four task components of different priority were embedded in the task environment: diagnosis and repair of system faults, maintaining atmospheric parameters in a safe state, acknowledgement of system alarms (reaction time), and keeping a record of critical system resources (prospective memory). Furthermore, the task environment permitted the examination of different task management strategies and changes in crew member state (fatigue, anxiety, mental effort). A major goal of the research programme was to examine how crew members adapted to various forms of sub-optimal working conditions, such as isolation and confinement, sleep deprivation and noise. None of the studies provided evidence for decrements in primary task performance. However, the results showed a number of adaptive responses of crew members to adjust to the different sub-optimal working conditions. There was evidence for adjustments in information sampling strategies (usually reductions in sampling frequency) as a result of unfavourable working conditions. The results also showed selected decrements in secondary task performance. Prospective memory seemed to be somewhat more vulnerable to sub-optimal working conditions than performance on the reaction time task. Finally, suggestions are made for future research with the CAMS environment.

  8. The Organizational Improvements of Catering in the Case of the Radisson Blu Resort Restaurant in Split

    Directory of Open Access Journals (Sweden)

    Mario Bogdanović

    2017-05-01

    Full Text Available The essence of the catering industry is providing food and beverages services. The food and beverages department provides the food and beverages in the hotel industry, with its restaurant being the most visible part where the food and beverages supply and demand takes place. The researching of this organizational segment is important because it contributes to the understanding and improvement of the organizational efficacy of the food and beverage department, in particular the restaurant units of the catering organizations. The aim of this paper is to explore the organization of work within the food and beverage department in the Hotel Radisson Blu Resort in Split. The proposed research evolves around the problems of the organization of work of a specific restaurant Fig & Leaf located in the Radisson Blue Resort Split Hotel. The research was conducted by means of questionnaire that included all the employees of the restaurant (N=20. Certain problem areas have been identified in the restaurant’s organization of work: a a sub-optimal number of employees; b multiple chain of commands; c problems of sub-optimal organizational structures in the work of the restaurant; d problems regarding certain aspects of the organizational culture of the restaurant relating to team work, participatory decision-making, inter-personal trust. For the diagnosed problems in the organization of the restaurant organizational solutions were offered aimed at improving management. This way of solving the organizational sub-optimality can be generally applied within the restaurant business.

  9. Creativity for teaching mathematics. A diagnosis of secondary school professionals

    Directory of Open Access Journals (Sweden)

    Lapa, Zenobia

    2013-01-01

    Full Text Available This paper presents the results of a research completed at junior high school in Lima, Peru, involving teachers of mathematics during 2010. The objective was to assess the level of creativity of teachers of mathematics for the sake of enlarging it. Theoretical methods were used to construct a general framework; likewise interviews and observation were used and processed statistically. Motivation, originality and flexibility were considered as dimensions of creativity. The results show that 80 % of interviewed teachers self-evaluate their level of creativity as high. However, according to observations only 40 % of teacher creativity reaches a mid-level, and only a fifth of those assessed by their own pupils attained such mid-levels and show potentials for team work and initiative to elaborate or look for material aids generating a pleasant learning atmosphere.

  10. Determining success factors for effective strategic change: Role of middle managers' strategic involvement

    Directory of Open Access Journals (Sweden)

    Minhajul Islam Ukil

    2017-05-01

    Full Text Available Middle managers are believed to play most crucial part in strategic change that in consequence leads to organizational success. The present study seeks to identify the underlying success factors for effective strategic change and, to investigate the relationship between middle management strategic involvement and effective strategic change. Data were collected following a survey administered among a group of mid-level managers (N=144 serving in twenty different private commercial banks in Bangladesh, and analyzed using various statistical tests including descriptive analysis, Pearson correlation, and simple and multiple regressions in STATA. Results uncovers that factors like relation with top management, strategy, role and skills are essential for effective strategic change. This study also reveals significant relationship between middle management strategic involvement and effective strategic change. Findings of this research suggest that organizations shall involve mid-level managers to formulate and implement strategy since middle mangers work as a bridge between top management and ground level workers.

  11. Data-fusion for multiplatform characterization of an italian craft beer aimed at its authentication

    Energy Technology Data Exchange (ETDEWEB)

    Biancolillo, Alessandra; Bucci, Remo; Magrì, Antonio L.; Magrì, Andrea D.; Marini, Federico, E-mail: fmmonet@hotmail.com

    2014-04-01

    Highlights: • Characterization of beer samples by five different fingerprinting techniques. • Chemometric discriminant and class-modeling techniques used for their authentication. • Mid-level data fusion allowed correct classification of all samples. - Abstract: Five different instrumental techniques: thermogravimetry, mid-infrared, near-infrared, ultra-violet and visible spectroscopies, have been used to characterize a high quality beer (Reale) from an Italian craft brewery (Birra del Borgo) and to differentiate it from other competing and lower quality products. Chemometric classification models were built on the separate blocks using soft independent modeling of class analogies (SIMCA) and partial least squares-discriminant analysis (PLS-DA) obtaining good predictive ability on an external test set (75% or higher depending on the technique). The use of data fusion strategies – in particular, the mid-level one – to integrate the data from the different platforms allowed the correct classification of all the training and validation samples.

  12. Chinese Cyber Espionage: A Complementary Method to Aid PLA Modernization

    Science.gov (United States)

    2015-12-01

    Strategic and International Studies DDOS distributed denial of service DGI Defense Group Inc. DOD Department of Defense DOJ Department of Justice...disruption—distributed denial of service ( DDOS ) or spearphishing—are mid-level cyber warfare operations.126 CNA— like the Stuxnet computer virus—is on...because INEW relies on user-friendly, cost-effective, quick-result methods—like DDOS and spearphishing.340 The principles outlined under China’s CNO

  13. Observations on reproductive health programs in the Baltic States

    DEFF Research Database (Denmark)

    Lazarus, Jeff; Nadisauskiene, R J; Liljestrand, J

    2004-01-01

    of reproductive health articulated in Cairo 10 years ago. Reproductive health and rights have improved in these states in spite of recent reforms often acting to oppose improvement. Reforms such as the introduction of family medicine need continued adjustment, especially regarding antenatal care. One special...... challenge is the retention of essential mid-level providers, such as midwives, as the mode of HIV transmission becomes increasingly sexual....

  14. The Effect of Toxic Leadership

    Science.gov (United States)

    2012-03-15

    leaders are a product of their environment, unlike corporations that hire mid-level and senior level managers to guide their organizations; the...01674544. 5 Tomas Giberson and others, "Leadership and Organizational Culture: Linking Ceo Characteristics to Cultural Values," Journal of Business...Craig; Lim. 23 David Lease, "From Great to Ghastly: How Toxic Organizational Cultures Poison Companies the Rise and Fall of Enron , Worldcom, Healthsouth

  15. A Change Management Approach to Enhance Facility Maintenance Programs

    Science.gov (United States)

    2014-03-27

    the lower levels of the pyramid is Building Information Modeling ( BIM ). BIM is commonly used in large complex facilities such as high-rise...change recipients]” (Lüscher & Lewis, 2008:221), and it is this constant interaction with the front line that is important. Mid-level change agents...organization as compared to the other. For example, organizations in Japan may find it easy and advantageous to implement lean procedures, yet the

  16. Aspirin prescribing patterns for primary prevention of cardiovascular disease in geriatric patients with diabetes: Survey of prescribers based on experience

    OpenAIRE

    Lianne Kokoska, PharmD; Dana El Masri, BS; Helen Berlie, PharmD, CDE; Candice Garwood, PharmD, FCCP, BCPS

    2016-01-01

    Evidence and guidelines provide conflicting recommendations regarding the use of aspirin for primary prevention of cardiovascular disease, particularly in geriatric patients with diabetes. The objective of this study is to identify aspirin-prescribing patterns and determine if it is consistent with the 2013 American Diabetes Association and American Geriatrics Association guidelines. A survey was distributed to attending physicians, fellow physicians, and mid-level practitioners in internal m...

  17. Kualitas Umbi Beberapa Klon Kentang (Solanum Tuberosum L.) Dataran Medium Untuk Keripik* [Tuber Quality of Some Potato (Solanum Tuberosum L.) Clones of Medium Altitude Area for Chips Making

    OpenAIRE

    Asgar, Ali

    2013-01-01

    Quality testing of several potato clones (Solanum tuberosum L.) planted at mid level area for potato chips. Objective of the research is to test the quality of clones/cultivars resulted from selection. Quality test of 8 selective clones was conducted from November 2010 to February 2011 in post-harvest laboratory of Research Institute for Vegetables Lembang. Research was arranged in randomized complete block design with 4 replications. Treatments consisted of 1) klon 395195.7, 2) klon 397073.7...

  18. Linking Man and Machine Through Adaptive Sensory Processing

    Science.gov (United States)

    2014-06-02

    and in single unit recordings in non- human primates . In the second year of our grant, we finished data collection and developed a computational...Stephanie C Wissig, Carlyn A Patterson, Adam Kohn. Adaptation improves performance on a visual search task, (submitted) Jounal of Vision (08 2012) Ruben...Coen-Cagli, Odelia Schwartz. The impact on mid-level vision of statistically optimal divisive normalization in V1., PLoS Computational Biology (09

  19. Expanding a digital content management system for the growing digital media enterprise

    CERN Document Server

    Arthur, Magan H

    2013-01-01

    Building large integrated content management systems is a daunting task and there is little guidance for the implementation process for the mid-level manager. There are thousands of home grown or old standalone systems in need of upgrading and expanding to keep up with the growing challenge of digital media. This book allows the non-technical executive to understand the key concepts and issues. It covers the technical process and business aspects of expanding a system.

  20. Compilation of Abstracts of Theses Submitted by Candidates for Degrees.

    Science.gov (United States)

    1984-06-01

    system, which implements functions of the Stock Point Logistics Inte- grated Communication Environment (SPLICE). First, today’s LAN technologies and...features will be further examined as to the extent to which they support the utilization of Ada as a program design language ( PDL ). Master of Science in...conclusions provide managers with an evaluation of the strengths and weaknesses of arbitration in the federal sector and provide mid-level managers with a

  1. Lions or lambs? How deans lead and manage their faculties at Indonesian universities

    OpenAIRE

    Ngo, Jenny

    2013-01-01

    Leadership is a mysterious phenomenon often perceived as a critical factor in an organisation’s success. While mid-level leadership and management is fundamental to any organisation, this group of leaders and their management style remain under-researched. This study is one of the few that focuses on midlevel leadership in a particular kind of organisation, namely universities. The study investigates the managerial leadership styles of deans at Indonesian universities and aims to better under...

  2. O centro profissional Dom Bosco (CPDB: do Ensino Profissionalizante para o Ensino Técnico de Nível Médio

    Directory of Open Access Journals (Sweden)

    Rodrigo Tarcha Amaral de Souza

    2016-07-01

    Full Text Available This article is the result of a master's thesis in education developed in 2013 that investigated the incidence of Salesian principles in practice of teacher’s educators in the Professional Center Don Bosco (CPDB Campinas - SP. The objective of this paper is to present the process of transition from vocational education to mid-level technical education, allowing inquire about the Salesian Education in teaching and professional aspects.

  3. Retaking the Lead from Behind: A New Role for America in Libya

    Science.gov (United States)

    2013-04-01

    Libyan officials with guidance they need at both a senior leader and working level. The Secretary of Defense’s Ministry of Defense Advisory ( MoDA ...Libyans, this MoDA capacity needs to develop along two lines, both working and senior level. After decades of dictatorship, Libyan society and the...any particular activity. Although a mid-level MoDA approach is needed for the implementation of bureaucratic reform, the United States cannot expect

  4. Effect of marine protected areas (MPAs) on consumer diet: MPA fish feed higher in the food chain.

    Science.gov (United States)

    Dell, Claire; Montoya, Joseph; Hay, Mark

    2015-11-26

    Marine Protected Areas (MPAs) are often established to mitigate the effects of overfishing and other human disturbances. In Fiji these are locally managed and, where enforced, have significantly higher coral cover, higher fish biomass, and lower seaweed cover than in the adjacent, unprotected reefs (non-MPAs). We investigated how the isotopic signatures of a common, mid-level consumer, Epinephelus merra, differed among three small (0.5- 0.8km2) MPAs versus adjacent, unprotected reefs. Isotopic ratios suggested that the fish in the MPAs fed higher in the food chain than those in the adjacent non-MPAs, despite being slightly smaller in size. Calculations using a brown alga as representative of the basal level of the food chain estimate this difference to be about half a trophic level. Thus, the isotopic ratio of a mid-level consumer can be noticeably altered over scales of only a few hundred meters. This may result from more complete food webs and hence greater prey choice and availability in the MPAs and implies that MPAs affect not only species' abundance and diversity, but also diet composition and trophic biology of member individuals. Our findings suggest E. merra exhibits considerable site fidelity in its feeding biology and thus provides a localized isotopic signal of its reef of residence. If the isotopic signal of this mid-level carnivore is reflective of the composition of the food web beneath it, the signal might provide an easily obtained indication of reef conditions in that area.

  5. The impact of mindfulness on leadership effectiveness in a health care setting: a pilot study.

    Science.gov (United States)

    Wasylkiw, Louise; Holton, Judith; Azar, Rima; Cook, William

    2015-01-01

    The purpose of this paper is to examine the impact of mindfulness awareness practice (MAP) on mid-level health-care managers' leadership. In total, 11 mid-level health-care managers in eastern Canada took part in an intensive weekend retreat and a follow-up webinar on mindfulness awareness. Perceived stress and leadership effectiveness were assessed pre- and post-intervention (i.e. four and eight weeks). A control group (n=10) also completed the same measures twice. Additionally, informants (n=28) provided assessments of participants' leadership pre- and post-intervention. Follow-up interviews were carried out with eight participants 12-16 weeks post-intervention. In comparison to controls, retreat participants showed significant increases in mindfulness and corresponding decreases in stress that were sustained across eight weeks post-retreat; retreat participants reported significant positive changes in their leadership effectiveness that were corroborated by informants. Qualitative data, however, suggest that sustaining a mindfulness practice presents significant challenges to middle managers in a health care setting. The findings are useful to management working in health services that are plagued by increasing demands and changes. Despite the small sample and lack of random assignment, the pilot data support the efficacy of MAP in improving leadership. Little empirical research supports the claim that MAP enhances leadership. The present study employed a mixed methods approach to address this gap and demonstrates the potential benefits of MAP among mid-level managers.

  6. Water budget and rapidly intensifying tropical cyclones over the western North Pacific

    Science.gov (United States)

    Gao, S.; Zhai, S.; Chen, B.; Li, T.

    2016-12-01

    Atmospheric Infrared Sounder (AIRS) relative humidity, Tropical Rainfall Measurement Mission (TRMM) 3B42 precipitation, Institut Français pour la Recherche et l'Exploitation de la Mer (IFREMER) evaporation, National Centers for Environmental Prediction (NCEP) FNL reanalysis and Joint Typhoon Warning Center (JTWC) tropical cyclone (TC) best track data are used to examine azimuthal mean and shear-relative water budget components associated with western North Pacific TCs of five intensity change categories: weakening, neutral, slowly intensifying, rapidly intensifying (initial) and rapid intensifying (continuing). The results show that: 1) In terms of azimuthal mean, evaporation plays an important role in both of the onset and continuation of storm rapid intensification (RI) and mid-level environmental relative humidity (ERH) within 600 km plays an important role in continuing RI. 2) Downshear left mid-level ERH and downshear right and upshear right evaporation are crucial for the onset of storm RI. 3) Upshear mid-level ERH, evaporation at all quadrants, upshear inner-core moisture flux convergence (MFC) and precipitation at all quadrants except for downshear left are important for continuing RI. 4) Storms undergoing continuing RI have more symmetric distributions of all the water budget components (i.e., ERH, precipitation, evaporation and MFC) than other storms. Our results suggest that different portions of water budget components play different roles in storm RI.

  7. A numerical study of the role of the vertical structure of vorticity during tropical cyclone genesis

    Energy Technology Data Exchange (ETDEWEB)

    Venkatesh, T N [Flosolver Unit, National Aerospace Laboratories, PO Box 1779, Bangalore 560017 (India); Mathew, Joseph, E-mail: tnv@flosolver.nal.res.i, E-mail: joseph@aero.iisc.ernet.i [Department of Aerospace Engineering, Indian Institute of Science, Bangalore 560012 (India)

    2010-08-15

    An eight-level axisymmetric model with simple parameterizations for clouds and the atmospheric boundary layer was developed to examine the evolution of vortices that are precursors to tropical cyclones. The effect of vertical distributions of vorticity, especially that arising from a merger of mid-level vortices, was studied by us to provide support for a new vortex-merger theory of tropical cyclone genesis. The basic model was validated with the analytical results available for the spin-down of axisymmetric vortices. With the inclusion of the cloud and boundary layer parameterizations, the evolution of deep vortices into hurricanes and the subsequent decay are simulated quite well. The effects of several parameters such as the initial vortex strength, radius of maximum winds, sea-surface temperature and latitude (Coriolis parameter) on the evolution were examined. A new finding is the manner in which mid-level vortices of the same strength decay and how, on simulated merger of these mid-level vortices, the resulting vortex amplifies to hurricane strength in a realistic time frame. The importance of sea-surface temperature on the evolution of full vortices was studied and explained. Also it was found that the strength of the surface vortex determines the time taken by the deep vortex to amplify to hurricane strength.

  8. Evaluation of the impact of interactivity on student performance and attitudes in engineering

    Science.gov (United States)

    Kotys-Schwartz, Daria Andrea

    This study explores the proposition that the adoption of more active/interactive techniques will result in heightened student performance and attitudes in engineering. A unique comparative research design was implemented to study the effectiveness of active/interactive learning methods. Two evenly-sized sections were concurrently taught by the same instructor each semester for three years. The students were exposed to identical technical content, but with different instructional techniques used in class to deliver the course material. The parallel research model---with an experimental and comparison group formed from a single cohort---mitigated the environmental, course assessment and instructor effects. This dissertation also reviews a proposal to re-classify active learning into three levels of interactivity. Active learning was categorized by defining the interactions that take place in the classroom: learner-teacher, learner-content and learner-learner. These three types of interaction were used to form low-level interactivity (LLI), mid-level interactivity (MLI), and high-level interactivity (HLI) classifications. During the first two years of the study, high-level and mid-level interactivity approaches were utilized in the classroom. In the third year, low-level and mid-level interactivity were employed. The results indicate that for the class overall and for male students, the level of interactivity does not affect course performance. However, mid-level and high-level interactivity benefits the female constituent. Women's course performance was enhanced the most in the MLI class. Additionally, mid-level and high-level interactivity increases the course performance of lower achieving (GPAfemale students' technical confidence is improved the most with MLI techniques. Data also suggest that a well-delivered LLI course is not as effective as the MLI or HLI approaches. With increasing interactivity, more students find their most effective means for learning

  9. An examination of two pathways to tropical cyclogenesis occurring in idealized simulations with a cloud-resolving numerical model

    Directory of Open Access Journals (Sweden)

    M. E. Nicholls

    2013-06-01

    Full Text Available Simulations are conducted with a cloud-resolving numerical model to examine the transformation of a weak incipient mid-level cyclonic vortex into a tropical cyclone. Results demonstrate that two distinct pathways are possible and that development along a particular pathway is sensitive to model physics and initial conditions. One pathway involves a steady increase of the surface winds to tropical cyclone strength as the radius of maximum winds gradually decreases. A notable feature of this evolution is the creation of small-scale lower tropospheric cyclonic vorticity anomalies by deep convective towers and subsequent merger and convergence by the low-level secondary circulation. The second pathway also begins with a strengthening low-level circulation, but eventually a significantly stronger mid-level circulation develops. Cyclogenesis occurs subsequently when a small-scale surface concentrated vortex forms abruptly near the center of the larger-scale circulation. The small-scale vortex is warm core throughout the troposphere and results in a fall in local surface pressure of a few millibars. It usually develops rapidly, undergoing a modest growth to form a small tropical cyclone. Many of the simulated systems approach or reach tropical cyclone strength prior to development of a prominent mid-level vortex so that the subsequent formation of a strong small-scale surface concentrated vortex in these cases could be considered intensification rather than genesis. Experiments are performed to investigate the dependence on the inclusion of the ice phase, radiation, the size and strength of the incipient mid-level vortex, the amount of moisture present in the initial vortex, and the sea surface temperature. Notably, as the sea surface temperature is raised, the likelihood of development along the second pathway is increased. This appears to be related to an increased production of ice. The sensitivity of the pathway taken to model physics and initial

  10. Inadequate doses of hemodialysis. Predisposing factors, causes and prevention

    Directory of Open Access Journals (Sweden)

    Pehuén Fernández

    2017-04-01

    Full Text Available Patients receiving sub-optimal dose of hemodialysis have increased morbidity and mortality. The objectives of this study were to identify predisposing factors and causes of inadequate dialysis, and to design a practical algorithm for the management of these patients. A cross-sectional study was conducted. Ninety patients in chronic hemodialysis at Hospital Privado Universitario de Córdoba were included, during September 2015. Twenty two received sub-optimal dose of hemodialysis. Those with urea distribution volume (V greater than 40 l (72 kg body weight approximately are 11 times more likely (OR = 11.6; CI 95% = 3.2 to 51.7, p < 0.0001 to receive an inadequate dose of hemodialysis, than those with a smaller V. This situation is more frequent in men (OR = 3.5; 95% CI 1.01-15.8; p = 0.0292. V greater than 40 l was the only independent predictor of sub-dialysis in the multivariate analysis (OR = 10.3; 95% CI 2.8-37; p < 0.0004. The main cause of suboptimal dialysis was receiving a lower blood flow (Qb than the prescribed (336.4 ± 45.8 ml/min vs. 402.3 ± 28.8 ml/min respectively, p < 0.0001 (n = 18. Other causes were identified: shorter duration of the session (n = 2, vascular access recirculation (n = 1, and error in the samples (n = 1. In conclusion, the only independent predisposing factor found in this study for sub-optimal dialysis is V greater than 40 l. The main cause was receiving a slower Qb than prescribed. From these findings, an algorithm for the management of these patients was developed

  11. Plant and Animal Reproductive Strategies: Lessons from Offspring Size and Number Tradeoffs

    Directory of Open Access Journals (Sweden)

    K. G. Srikanta Dani

    2017-05-01

    Full Text Available The tradeoff between offspring size and number is ubiquitous and manifestly similar in plants and animals despite fundamental differences between the evolutionary histories of these two major life forms. Fecundity (offspring number primarily affects parental fitness, while offspring size underpins the fitness of parents and offspring. We provide an overview of theoretical models dealing with offspring size and fitness relationships. We follow that with a detailed examination of life-history constraints and environmental effects on offspring size and number, separately in plants and animals. The emphasis is on seed plants, but we endeavor to also summarize information from distinct animal groups—insects, fishes, reptiles, birds, and mammals. Furthermore, we analyse genetic controls on offspring size and number in two model organisms—Arabidopsis and Drosophila. Despite the deep evolutionary divergence between plants and animals, we find four trends in reproductive strategy that are common to both lineages: (i offspring size is generally less variable than offspring number, (ii offspring size increases with increasing parent body size, (iii maternal genes restrict offspring size and increase offspring numbers, while zygotic genes act to increase offspring size; such parent-offspring conflicts are enhanced when there is sibling rivalry, and (iv variation in offspring size increases under sub-optimal (harsh environmental conditions. The most salient difference between plants and animals is that the latter tend to produce larger (fewer offspring under sub-optimal conditions while seed plants invest in smaller (many seeds, suggesting that maternal genetic control over offspring size increases in plants but decreases in animals with parental care. The time is ripe for greater experimental exploration of genetic controls on reproductive allocation and parent-offspring conflicts in plants and animals under sub-optimal (harsh environments.

  12. Alternating temperature combined with darkness resets base temperature for germination (Tb ) in photoblastic seeds of Lippia and Aloysia (Verbenaceae).

    Science.gov (United States)

    Galíndez, G; Seal, C E; Daws, M I; Lindow, L; Ortega-Baes, P; Pritchard, H W

    2017-01-01

    Thermal time models for seed germination assume a continuum of rate responses in the sub-optimal temperature range. Generally, the models describe germination performance in non-dormant seeds at constant temperatures, yet alternating temperature (AT) is a feature of many natural environments. We studied the possible interacting effects of AT on germination progress in photoblastic seeds of three aromatic-medicinal Verbenaceae species in the genera Lippia and Aloysia. For Lippia turbinata f. turbinata and L. turbinata f. magnifolia seed, germination only occurred in light conditions, while for L. integrifolia and Aloysia citriodora it was significantly higher in the light than in darkness. Although relative light germination (RLG) was not different between constant and AT in the sub-optimal range, AT raised the base temperature for germination progress (Tb ) from ca. 3-6 °C in constant temperature to 7-12 °C in AT. Among the species, thermal time for 50% seed germination [θT(50) ] was 55-100 °Cd at constant temperature. Although AT resulted in slight modifications to θT(50) , the germination rate at comparable average temperatures in the sub-optimal range was slower than under constant temperatures. For all species, the proportion of germinated seeds was similar for constant and AT. Our results suggest that an interaction between cool temperature and darkness during AT treatment limits the temperature range permissive for germination in these positively photoblastic seed, reflecting both close adaptation to the natural ecology and niche requirements of the species. © 2016 German Botanical Society and The Royal Botanical Society of the Netherlands.

  13. Light history modulates antioxidant and photosynthetic responses of biofilms to both natural (light) and chemical (herbicides) stressors.

    Science.gov (United States)

    Bonnineau, Chloé; Sague, Irene Gallardo; Urrea, Gemma; Guasch, Helena

    2012-05-01

    In multiple stress situations, the co-occurrence of environmental and chemical factors can influence organisms' ability to cope with toxicity. In this context, the influence of light adaptation on the response of freshwater biofilms to sudden light changes or to herbicides exposure was investigated by determining various parameters: diatom community composition, photosynthetic parameters, chlorophyll a content, antioxidant enzyme activities. Biofilms were grown in microcosms under sub-optimal, saturating, and high light intensities and showed already described characteristics of shade/light adaptation (community structure, photosynthetic adaptation, etc.). Light history modulated antioxidant and photosynthetic responses of biofilms to the stress caused by short-term exposure to sudden light changes or to herbicides. First biofilms adapted to sub-optimal light intensity (shade-adapted) were found to be more sensitive to an increase in light intensity than high-light adapted ones to a reduction in light intensity. Second, while light history influenced biofilms' response to glyphosate, it had little influence on biofilms' response to copper and none on its response to oxyfluorfen. Indeed glyphosate exposure led to a stronger decrease in photosynthetic efficiency of shade-adapted biofilms (EC(50) = 11.7 mg L(-1)) than of high-light adapted communities (EC(50) = 35.6 mg L(-1)). Copper exposure led to an activation of ascorbate peroxidase (APX) in biofilms adapted to sub-optimal and saturating light intensity while the protein content decreased in all biofilms exposed to copper. Oxyfluorfen toxicity was independent of light history provoking an increase in APX activity. In conclusion this study showed that both previous exposure to contaminants and physical habitat characteristics might influence community tolerance to disturbances strongly.

  14. Making of a burn unit: SOA burn center

    Directory of Open Access Journals (Sweden)

    Jayant Kumar Dash

    2016-01-01

    Full Text Available Each year in India, burn injuries account for more than 6 million hospital emergency department visits; of which many require hospitalization and are referred to specialized burn centers. There are few burn surgeons and very few burn centers in India. In our state, Odisha, there are only two burn centers to cater to more than 5000 burn victims per year. This article is an attempt to share the knowledge that I acquired while setting up a new burn unit in a private medical college of Odisha.

  15. Closed-Loop and Decision-Assist Resuscitation of Burn Patients

    Science.gov (United States)

    2008-04-01

    occurs. A measure- ment “on” the hour or half-hour is an artificial constraint. UO calculated as running averages for 30-minute blocks or, per- Fig. 4...admission) and after admission to the ICU . Graphs suggest great variability in UOs before and after arrival at the two burn centers. The Journal of TRAUMA...1060– 1070. 27. Brunner JX. Principles and history of closed-loop controlled ventilation. Respir Care Clin N Am. 2001;7:341–362, vii. 28. Wysocki M

  16. Three Orbital Burns to Molniya Orbit Via Shuttle_Centaur G Upper Stage

    Science.gov (United States)

    Williams, Craig H.

    2015-01-01

    An unclassified analytical trajectory design, performance, and mission study was done for the 1982 to 1986 joint National Aeronautics and Space Administration (NASA)-United States Air Force (USAF) Shuttle/Centaur G upper stage development program to send performance-demanding payloads to high orbits such as Molniya using an unconventional orbit transfer. This optimized three orbital burn transfer to Molniya orbit was compared to the then-baselined two burn transfer. The results of the three dimensional trajectory optimization performed include powered phase steering data and coast phase orbital element data. Time derivatives of the orbital elements as functions of thrust components were evaluated and used to explain the optimization's solution. Vehicle performance as a function of parking orbit inclination was given. Performance and orbital element data was provided for launch windows as functions of launch time. Ground track data was given for all burns and coasts including variation within the launch window. It was found that a Centaur with fully loaded propellant tanks could be flown from a 37 deg inclination low Earth parking orbit and achieve Molniya orbit with comparable performance to the baselined transfer which started from a 57 deg inclined orbit: 9,545 versus 9,552 lb of separated spacecraft weight, respectively. There was a significant reduction in the need for propellant launch time reserve for a 1 hr window: only 78 lb for the three burn transfer versus 320 lb for the two burn transfer. Conversely, this also meant that longer launch windows over more orbital revolutions could be done for the same amount of propellant reserve. There was no practical difference in ground tracking station or airborne assets needed to secure telemetric data, even though the geometric locations of the burns varied considerably. There was a significant adverse increase in total mission elapsed time for the three versus two burn transfer (12 vs. 1-1/4 hr), but could be

  17. Three Orbital Burns to Molniya Orbit via Shuttle Centaur G Upper Stage

    Science.gov (United States)

    Williams, Craig H.

    2014-01-01

    An unclassified analytical trajectory design, performance, and mission study was done for the 1982-86 joint NASA-USAF Shuttle/Centaur G upper stage development program to send performance-demanding payloads to high orbits such as Molniya using an unconventional orbit transfer. This optimized three orbital burn transfer to Molniya orbit was compared to the then-baselined two burn transfer. The results of the three dimensional trajectory optimization performed include powered phase steering data and coast phase orbital element data. Time derivatives of the orbital elements as functions of thrust components were evaluated and used to explain the optimization's solution. Vehicle performance as a function of parking orbit inclination was given. Performance and orbital element data was provided for launch windows as functions of launch time. Ground track data was given for all burns and coasts including variation within the launch window. It was found that a Centaur with fully loaded propellant tanks could be flown from a 37deg inclination low Earth parking orbit and achieve Molniya orbit with comparable performance to the baselined transfer which started from a 57deg inclined orbit: 9,545 lb vs. 9,552 lb of separated spacecraft weight respectively. There was a significant reduction in the need for propellant launch time reserve for a one hour window: only 78 lb for the three burn transfer vs. 320 lb for the two burn transfer. Conversely, this also meant that longer launch windows over more orbital revolutions could be done for the same amount of propellant reserve. There was no practical difference in ground tracking station or airborne assets needed to secure telemetric data, even though the geometric locations of the burns varied considerably. There was a significant adverse increase in total mission elapsed time for the three vs. two burn transfer (12 vs. 11/4 hrs), but could be accommodated by modest modifications to Centaur systems. Future applications were

  18. New Predicted Spiral Search Block Matching Algorithm - PSSBMA

    Directory of Open Access Journals (Sweden)

    J. Pika

    2002-04-01

    Full Text Available This article describes the modification of the full search algorithmESBMA (Exhaustive Search Block Matching Algorithm, which leads up to40% speed increase. The modification is based on the ESBMA motion fieldanalysis results. The major modifications to the ESBMA are: -Introduction of sub-optimality by thresholding the matching criterion(MAEthr; - Respecting constraints on motion vectors resulting from"head and shoulder" scenes by changing the position of the searchstart; - Respecting the dependence of motion vectors (MV by predictionintroduction.

  19. Inverse Modelling to Obtain Head Movement Controller Signal

    Science.gov (United States)

    Kim, W. S.; Lee, S. H.; Hannaford, B.; Stark, L.

    1984-01-01

    Experimentally obtained dynamics of time-optimal, horizontal head rotations have previously been simulated by a sixth order, nonlinear model driven by rectangular control signals. Electromyography (EMG) recordings have spects which differ in detail from the theoretical rectangular pulsed control signal. Control signals for time-optimal as well as sub-optimal horizontal head rotations were obtained by means of an inverse modelling procedures. With experimentally measured dynamical data serving as the input, this procedure inverts the model to produce the neurological control signals driving muscles and plant. The relationships between these controller signals, and EMG records should contribute to the understanding of the neurological control of movements.

  20. Energy Management of Dual-Source Propelled Electric Vehicle using Fuzzy Controller Optimized via Genetic Algorithm

    DEFF Research Database (Denmark)

    Khoobi, Saeed; Halvaei, Abolfazl; Hajizadeh, Amin

    2016-01-01

    Energy and power distribution between multiple energy sources of electric vehicles (EVs) is the main challenge to achieve optimum performance from EV. Fuzzy inference systems are powerful tools due to nonlinearity and uncertainties of EV system. Design of fuzzy controllers for energy management...... of EV relies too much on the expert experience and it may lead to sub-optimal performance. This paper develops an optimized fuzzy controller using genetic algorithm (GA) for an electric vehicle equipped with two power bank including battery and super-capacitor. The model of EV and optimized fuzzy...

  1. Neuroeconomics and Public Health

    DEFF Research Database (Denmark)

    Larsen, Torben

    2010-01-01

    capacity curve. Hemispheric dominance (C>1) during insecurity is evidenced to be associated with sub-optimal decision-making7 while Csecured risk-taking (i.e. including a worst-case-alternative) as determined by:           C = Rc2/L......-depth-relaxation-procedures8 and visualization. Conclusion: Four parameters of C are experimentally evidenced. Formula C predicts improved rehabilitation of large groups with chronic conditions by integrated home care which has a comparative advantage in learning due to a relaxation effect (BP↓~L↓→C↑). Further, Formula C...

  2. The development of the EU-Rotate_N and its use to test strategies for N use across Europe

    DEFF Research Database (Denmark)

    Rahn, C.R.; Zhang, K.; Lillywhite, R.

    2010-01-01

    , the mineralization and release of N from soil organic matter and crop residues, the effect of freezing conditions, and water movement. New routines have also been added to estimate the effects of sub-optimal rates of N and spacing on the marketable outputs and gross margins. Model performance was tested against...... of scenarios has demonstrated that nitrogen management in field vegetable rotations can be improved in Europe by following at least Good Agricultural Practice. The model also provides the potential for suggesting improvements which have a minimal effect on gross margin whilst reducing nitrogen losses....

  3. The quality of asthma treatment in Denmark. How far are we and how far are our patients?

    DEFF Research Database (Denmark)

    Ulrik, C.S.; Plaschke, P.P.; Backer, V.

    2008-01-01

    INTRODUCTION: Despite the availability of safe and effective therapies for asthma, many patients have sub-optimal asthma control. AIM: To assess the current status with regard to the treatment and monitoring of adult asthmatics and to identify factors of importance for compliance with controller...... therapy. MATERIALS AND METHODS: Based on information from focus group interviews, we developed a questionnaire focusing on knowledge of asthma, compliance and therapy. The participants (n = 509) answered the questionnaire over the Internet. RESULTS: Approximately 70% of patients were treated with inhaled...

  4. Kvaliteten af astmabehandling i Danmark

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli; Lange, Peter; Plaschke, Peter Paludan

    2008-01-01

    INTRODUCTION: Despite the availability of safe and effective therapies for asthma, many patients have sub-optimal asthma control. AIM: To assess the current status with regard to the treatment and monitoring of adult asthmatics and to identify factors of importance for compliance with controller...... therapy. MATERIALS AND METHODS: Based on information from focus group interviews, we developed a questionnaire focusing on knowledge of asthma, compliance and therapy. The participants (n = 509) answered the questionnaire over the Internet. RESULTS: Approximately 70% of patients were treated with inhaled...

  5. Parental 'affectionless control' in adolescent depressive disorder.

    Science.gov (United States)

    Patton, G C; Coffey, C; Posterino, M; Carlin, J B; Wolfe, R

    2001-10-01

    Adults with depressive disorder report high rates of sub-optimal maternal care in childhood. Despite the greater salience of relationships with parents earlier in life, associations with parenting style have not yet been systematically studied in adolescent onset disorder. A six-wave, 3-year study of adolescent health in 2032 Australian secondary school students provided an opportunity to undertake a two-phase study of early onset depression. Between waves 2 to 6, a self-administered computerised form of the revised Clinical Interview Schedule (CIS-R) was used to generate a first phase diagnosis of ICD-10 depressive episode. Each subject with a CIS-R-defined depressive episode was selected for second phase assessment together with two subjects from the CIS-R non-cases in each school. Second phase assessment included a second diagnostic assessment using the depression and hypomania modules of the Composite International Diagnostic Interview (CIDI) and assessment of paternal and maternal style using the Parental Bonding Instrument. A total of 1947 out of 2032 subjects in the sampling frame (95.8%) participated in the cohort study (phase 1) at least once; 406 (94%) of the 435 selected subjects completed second phase assessment. One hundred and nineteen subjects fulfilled criteria for depressive episode on the CIS-R at one or more waves. Over the 30-month study period, 69 subjects (10 male, 59 female) fulfilled both CIS-R and CIDI definitions of depression at the same wave and were classified as 'definite depressive disorder'. Low maternal and paternal care held independent associations with both definitions of depression, with the effects clearest in those in the lowest quartile of reported care. After adjusting for low parental care, the associations between high parental control and depression were small. Sub-optimal parenting is associated with depressive disorder in adolescents. Low maternal and paternal care are each associated with a two- to three-fold higher

  6. Genetic Analysis of Ca2+ Priming in Arabidopsis Guard Cell Stomatal Closure in Response to the Drought Hormone Abscisic Acid

    Energy Technology Data Exchange (ETDEWEB)

    Stephan, Aaron B. [Life Sciences Research Foundation, Baltimore, MD (United States)

    2014-11-01

    A primary objective of modern agriculture and biofuel production is to utilize arable land to its fullest potential. However, sub-optimal growing conditions—arising from abiotic stresses such as drought, soil salinity, low humidity, cold, and heat—reduce crop yield and quality. Optimal yield under both stressed and non-stressed conditions requires the plant to activate coping mechanisms at a level commensurate with the severity of the drought stress. The osmotic sensors and associated regulatory mechanisms that initiate drought- and salt-tolerance responses in plants are largely unknown. This research aimed to identify and characterize these initial sensory components.

  7. Savings and economic growth: A historical analysis of the relationship between savings and economic growth in the Cape Colony economy, 1850 - 1909

    OpenAIRE

    Grietjie Verhoef, Lorraine Greyling and John Mwamba

    2014-01-01

    The sub-optimal savings propensity in South Africa the past three decades causes concern for the ability of the country to support its economic development. An historical analysis of the development of the savings’ trends in South Africa may assist in understanding the historical roots of the phenomenon. Apart from general descriptions of the nature of economic activity in the Cape Colony very little is known about the role financial sector development and savings played in the growing colo...

  8. Robustness in laying hens

    OpenAIRE

    Star, L.

    2008-01-01

    The aim of the project ‘The genetics of robustness in laying hens’ was to investigate nature and regulation of robustness in laying hens under sub-optimal conditions and the possibility to increase robustness by using animal breeding without loss of production. At the start of the project, a robust animal was defined as ‘an animal under a normal physical condition that has the potential to keep functioning and take short periods to recover under varying environmental conditions’. Next, parame...

  9. Why Migrate: For Study or for Work?

    Directory of Open Access Journals (Sweden)

    Elise S. Brezis

    2016-08-01

    Full Text Available Over the past decades, globalization has led to a huge increase in the migration of workers, as well as students. This paper develops a simple two-step model that describes the decisions of an individual vis-à-vis education and migration, and presents a unified model, wherein the two migration decisions are combined into a single, unique model. This paper shows that under the plausible assumption that costs of migration differ over the human life cycle, the usual brain drain strategy is sub-optimal. With an increase in globalization, the brain drain strategy will be replaced by the strategy of migration of students.

  10. Mental accounting in the housing market

    OpenAIRE

    Almenberg, Johan; Karapetyan, Artashes

    2009-01-01

    We use a survey to identify a consumer bias with regard to different sources of debt-financing. Less salient debt may generate psychological benefits. This should be weighed against the possible economic costs of a sub-optimal capital structure; but low levels of financial literacy make it unlikely that all households perceive the full economic costs. As a result there is a bias in favour of less salient debt. In a market with limited scope for arbitrage this consumer bias is likely to genera...

  11. Impact of professionalism in nursing on in-hospital bedside monitoring practice

    DEFF Research Database (Denmark)

    Bunkenborg, Gitte; Samuelson, Karin; Akeson, Jonas

    2013-01-01

    AIM: This article reports a study exploring nursing practice of monitoring in-hospital patients including intra- and interprofessional communication and collaboration. BACKGROUND: Sub-optimal care in general in-hospital wards may lead to admission for intensive care, cardiac arrest, or sudden death...... practice) and two sub-themes (Knowledge and skills and Involvement in clinical practice through reflections) were identified. Three categories (Decision-making, Sharing of knowledge, and Intra- and interprofessional interaction) were found to be associated with the theme, the sub-themes, and with each...

  12. Conservation tillage, optimal water and organic nutrient supply enhance soil microbial activities during wheat (Triticum Aestivum L.) cultivation

    Science.gov (United States)

    Sharma, Pankaj; Singh, Geeta; Singh, Rana P.

    2011-01-01

    The field experiments were conducted on sandy loam soil at New Delhi, during 2007 and 2008 to investigate the effect of conservation tillage, irrigation regimes (sub-optimal, optimal and supra-optimal water regimes), and integrated nutrient management (INM) practices on soil biological parameters in wheat cultivation. The conservation tillage soils has shown significant (pbiofertilizer+25% Green Manure) has been used in combination with the conservation tillage and the optimum water supply. Study demonstrated that microbial activity could be regulated by tillage, water and nitrogen management in the soil in a sustainable manner. PMID:24031665

  13. Partial demyelination of cat spinal cord after x-irradiation and surgical interference

    Energy Technology Data Exchange (ETDEWEB)

    Blakemore, W.F.

    1978-09-01

    Following 4000 rad of x-irradiation and transplantation of sciatic nerve over the dorsal columns, extensive partial demyelination occurred in some animals. This dose of radiation inhibits remyelination so this phenomenon could be studied knowing that remyelination was absent. Partial demyelination was characterized by translocation of myelin to form large myelin ovoids which remained associated with the remaining thinned myelin sheath; nodal widening, involvement of one paranode only, transition from thin to thick myelin along an internode, enlargement and disorientated oligodendrocyte tongues were also features of this change. It is concluded that partial demyelination results when oligodendrocytes have to function in a sub-optimal environment.

  14. Commentary: Effects of Age and Initial Risk Perception on Balloon Analog Risk Task: The Mediating Role of Processing Speed and Need for Cognitive Closure

    OpenAIRE

    Walasek, Lukasz

    2016-01-01

    A commentary on Effects of Age and Initial Risk Perception on Balloon Analog Risk Task: The Mediating Role of Processing Speed and Need for Cognitive Closure by Koscielniak, M., Rydzewska, K., and Sedek, G. (2016). Front. Psychol. 7:659. doi: 10.3389/fpsyg.2016.00659\\ud \\ud Existing research strongly suggests that age-related changes in the cognitive system influence preferential choice. While the reduction of fluid cognitive ability can lead to sub-optimal decision outcomes (Finucane et al.,...

  15. Fault Recoverability Analysis via Cross-Gramian

    DEFF Research Database (Denmark)

    Shaker, Hamid Reza

    2016-01-01

    with feedback control. Fault recoverability provides important and useful information which could be used in analysis and design. However, computing fault recoverability is numerically expensive. In this paper, a new approach for computation of fault recoverability for bilinear systems is proposed......Engineering systems are vulnerable to different kinds of faults. Faults may compromise safety, cause sub-optimal operation and decline in performance if not preventing the whole system from functioning. Fault tolerant control (FTC) methods ensure that the system performance maintains within...

  16. Susceptibility to email fraud:a review of psychological perspectives, data-collection methods, and ethical considerations

    OpenAIRE

    Jones, Helen; Towse, John; Race, Nicholas

    2015-01-01

    We review the existing literature on the psychology of email fraud, and attempt to integrate the small but burgeoning set of research findings. We show that research has adopted a variety of methodologies and taken a number of conceptual positions in the attempt to throw light on decisions about emails that may be in best-case scenarios, sub-optimal, or in the worst-case scenarios, catastrophic. We point to the potential from cognitive science and social psychology to inform the field, and we...

  17. A Distributed Model Predictive Control approach for the integration of flexible loads, storage and renewables

    DEFF Research Database (Denmark)

    Ferrarini, Luca; Mantovani, Giancarlo; Costanzo, Giuseppe Tommaso

    2014-01-01

    This paper presents an innovative solution based on distributed model predictive controllers to integrate the control and management of energy consumption, energy storage, PV and wind generation at customer side. The overall goal is to enable an advanced prosumer to autoproduce part of the energy...... he needs with renewable sources and, at the same time, to optimally exploit the thermal and electrical storages, to trade off its comfort requirements with different pricing schemes (including real-time pricing), and apply optimal control techniques rather than sub-optimal heuristics....

  18. HIV-associated sub-acute sclerosing panencephalitis - an emerging threat?

    Science.gov (United States)

    Manesh, Abi; Moorthy, Mahesh; Bandopadhyay, Rini; Rupali, Priscilla

    2017-08-01

    Earlier age of measles virus infection predisposes to development of sub-acute sclerosing panencephalitis (SSPE) and this risk is heightened in HIV-infected children. We describe a HIV-infected young adult on antiretroviral therapy, presenting with a non-classical, fulminant form of SSPE to highlight the unpredictable nature of measles presentation. The recent spate of measles outbreaks due to virus introduction in populations with sub-optimal vaccine coverage or waning immunity and co-existing paediatric HIV cohorts is a cause for concern.

  19. Debunking Health IT Usability Myths

    Science.gov (United States)

    Staggers, N.; Xiao, Y.; Chapman, L.

    2013-01-01

    Poor usability is a threat to patient safety and linked to productivity loss, workflow disruption, user frustration, sub-optimal product use and system de-installations. Although usability is receiving more attention nationally and internationally, myths about usability persist. This editorial debunks five common myths about usability (1) usability only concerns the look and feel of a product and is, therefore, only a minor concern, (2) usability is not measurable, (3) usability stifles innovation, (4) vendors are solely responsible for product usability, and (5) usability methods are not practical for use in healthcare. PMID:23874361

  20. Clinical Space Medicine Products as Developed by the Medical Operations Support Team (MOST)

    Science.gov (United States)

    Polk, James D.; Doerr, Harold K.; Hurst, Victor W., IV; Schmid, Josef

    2007-01-01

    Medical Operations Support Team (MOST) is introducing/integrating teaching practices associated with high fidelity human patient simulation into the NASA culture, in particular, into medical training sessions and medical procedure evaluations. Current/Future Products iclude: a) Development of Sub-optimal Airway Protocols for the International Space Station (ISS) using the ILMA; b) Clinical Core Competency Training for NASA Flight Surgeons (FS); c) Post-Soyuz Landing Clinical Training for NASA FS; d) Experimental Integrated Training for Astronaut Crew Medical Officers and NASA FS; and e) Private Clinical Refresher Training.

  1. Molecular ecology of anaerobic reactor systems

    DEFF Research Database (Denmark)

    Hofman-Bang, H. Jacob Peider; Zheng, D.; Westermann, Peter

    2003-01-01

    to the abundance of each microbe in anaerobic reactor systems by rRNA probing. This chapter focuses on various molecular techniques employed and problems encountered when elucidating the microbial ecology of anaerobic reactor systems. Methods such as quantitative dot blot/fluorescence in-situ probing using various...... and malfunctions of anaerobic digesters occasionally experienced, leading to sub-optimal methane production and wastewater treatment. Using a variety of molecular techniques, we are able to determine which microorganisms are active, where they are active, and when they are active, but we still need to determine...

  2. Sampling Criterion for EMC Near Field Measurements

    DEFF Research Database (Denmark)

    Franek, Ondrej; Sørensen, Morten; Ebert, Hans

    2012-01-01

    An alternative, quasi-empirical sampling criterion for EMC near field measurements intended for close coupling investigations is proposed. The criterion is based on maximum error caused by sub-optimal sampling of near fields in the vicinity of an elementary dipole, which is suggested as a worst......-case representative of a signal trace on a typical printed circuit board. It has been found that the sampling density derived in this way is in fact very similar to that given by the antenna near field sampling theorem, if an error less than 1 dB is required. The principal advantage of the proposed formulation is its...

  3. Robotic surgery is ready for prime time in India: Against the motion

    Directory of Open Access Journals (Sweden)

    Tehemton E Udwadia

    2015-01-01

    Full Text Available The use of Robotic Surgery as a purported adjunct and aid to Minimal Access Surgery (MAS is growing in several areas. The acknowledged advantages as also the obvious and hidden disadvantages of Robotic Surgery are highlighted. Survey of literature shows that while Robotic Surgery is "feasible" and the results are "comparable" there is no convincing evidence that it is any better than MAS or even open surgery in most areas. To move "Robotic Surgery is ready for prime time in India" with no less than two dozen robots, many sub-optimally utilized for a population of 1.2 billion seems untenable.

  4. A novel adaptive needle insertion sequencing for robotic, single needle MR-guided high-dose-rate prostate brachytherapy

    Science.gov (United States)

    Borot de Battisti, M.; de Senneville, B. Denis; Hautvast, G.; Binnekamp, D.; Lagendijk, J. J. W.; Maenhout, M.; Moerland, M. A.

    2017-05-01

    MR-guided high-dose-rate (HDR) brachytherapy has gained increasing interest as a treatment for patients with localized prostate cancer because of the superior value of MRI for tumor and surrounding tissues localization. To enable needle insertion into the prostate with the patient in the MR bore, a single needle MR-compatible robotic system involving needle-by-needle dose delivery has been developed at our institution. Throughout the intervention, dose delivery may be impaired by: (1) sub-optimal needle positioning caused by e.g. needle bending, (2) intra-operative internal organ motion such as prostate rotations or swelling, or intra-procedural rectum or bladder filling. This may result in failure to reach clinical constraints. To assess the first aforementioned challenge, a recent study from our research group demonstrated that the deposited dose may be greatly improved by real-time adaptive planning with feedback on the actual needle positioning. However, the needle insertion sequence is left to the doctor and therefore, this may result in sub-optimal dose delivery. In this manuscript, a new method is proposed to determine and update automatically the needle insertion sequence. This strategy is based on the determination of the most sensitive needle track. The sensitivity of a needle track is defined as its impact on the dose distribution in case of sub-optimal positioning. A stochastic criterion is thus presented to determine each needle track sensitivity based on needle insertion simulations. To assess the proposed sequencing strategy, HDR prostate brachytherapy was simulated on 11 patients with varying number of needle insertions. Sub-optimal needle positioning was simulated at each insertion (modeled by typical random angulation errors). In 91% of the scenarios, the dose distribution improved when the needle was inserted into the most compared to the least sensitive needle track. The computation time for sequencing was less than 6 s per needle track. The

  5. An Integrated approach to the Space Situational Awareness Problem

    Science.gov (United States)

    2016-12-15

    multiple in a tractable but sub-optimal fashion such that we can form consistent estimates of the monitored field, this is important, for instance...proprietary information. SF298 Form Please attach your SF298 form. A blank SF298 can be found here. Please do not password protect or secure the PDF ...The maximum file size for an SF298 is 50MB. C13-00419+SF298+Chakravorty.pdf Upload the Report Document. File must be a PDF . Please do not password

  6. On the Role of Design Activities in the Development of Complex Industrial Systems

    DEFF Research Database (Denmark)

    Englyst, Linda

    dissatisfaction in terms of op-erational problems is to reinterpret current practices in terms of different system boundaries than nor-mally considered. When the perception or definition of system boundaries is extended, a call for integra-tion is likely to arise. Sub-optimal solutions become apparent and set...... when focus may be shifted from design for authorization to design for operation, which have been identified as separate stages with different characteristics. The research is based on a case study of developing downstream logistics systems from the point of view of a divisionalised manufacturing...

  7. Radiologic procedures, policies and protocols for pediatric emergency medicine

    Energy Technology Data Exchange (ETDEWEB)

    Woodward, George A. [University of Washington School of Medicine, Department of Pediatrics, Seattle, WA (United States); Children' s Hospital and Regional Medical Center, Division of Emergency Medicine, Seattle, WA (United States)

    2008-11-15

    Protocol development between radiology and pediatric emergency medicine requires a multidisciplinary approach to manage straightforward as well as complex and time-sensitive needs for emergency department patients. Imaging evaluation requires coordination of radiologic technologists, radiologists, transporters, nurses and coordinators, among others, and might require accelerated routines or occur at sub-optimal times. Standardized protocol development enables providers to design a best practice in all of these situations and should be predicated on evidence, mission, and service expectations. As in any new process, constructive feedback channels are imperative for evaluation and modification. (orig.)

  8. Game theoretic approaches for spectrum redistribution

    CERN Document Server

    Wu, Fan

    2014-01-01

    This brief examines issues of spectrum allocation for the limited resources of radio spectrum. It uses a game-theoretic perspective, in which the nodes in the wireless network are rational and always pursue their own objectives. It provides a systematic study of the approaches that can guarantee the system's convergence at an equilibrium state, in which the system performance is optimal or sub-optimal. The author provides a short tutorial on game theory, explains game-theoretic channel allocation in clique and in multi-hop wireless networks and explores challenges in designing game-theoretic m

  9. Decision Making with Imperfect Decision Makers

    CERN Document Server

    Guy, Tatiana Valentine; Wolpert, David H

    2012-01-01

    Prescriptive Bayesian decision making has reached a high level of maturity and is well-supported algorithmically. However, experimental data shows that real decision makers choose such Bayes-optimal decisions surprisingly infrequently, often making decisions that are badly sub-optimal. So prevalent is such imperfect decision-making that it should be accepted as an inherent feature of real decision makers living within interacting societies. To date such societies have been investigated from an economic and gametheoretic perspective, and even to a degree from a physics perspective. However, lit

  10. Colloquium: Large scale simulations on GPU clusters

    Science.gov (United States)

    Bernaschi, Massimo; Bisson, Mauro; Fatica, Massimiliano

    2015-06-01

    Graphics processing units (GPU) are currently used as a cost-effective platform for computer simulations and big-data processing. Large scale applications require that multiple GPUs work together but the efficiency obtained with cluster of GPUs is, at times, sub-optimal because the GPU features are not exploited at their best. We describe how it is possible to achieve an excellent efficiency for applications in statistical mechanics, particle dynamics and networks analysis by using suitable memory access patterns and mechanisms like CUDA streams, profiling tools, etc. Similar concepts and techniques may be applied also to other problems like the solution of Partial Differential Equations.

  11. Fully automatic and self-learning process optimisation to increase efficiency of large-scale power plants by correlation of data from the process control system with optical and acoustic information; Vollautomatische und selbstlernende Prozessoptimierung zur Wirkungsgradsteigerung von Grosskraftwerken. Softwaregestuetzte Korrelation der Prozessdaten mit optischen und akustischen Informationen

    Energy Technology Data Exchange (ETDEWEB)

    Hanf, Alexander Carl [Powitec Intelligent Technologies GmbH, Essen (Germany)

    2009-07-01

    Economic necessities have led to new challenges for the operation of coal steam generators in large power plants. The strongly fluctuating quality, in particular of imported coal, design and coal-dependent uneven distribution of pulverised coal results in a sub-optimal combustion air distribution if classical control concepts are used. This has a direct negative impact on efficiency. By using a system package consisting of intelligent software and optical sensors for flame analysis and acoustic sensors for milling degree analysis, the fuel-/air-ratio for each burner and over the burner levels is optimised. (orig.)

  12. Inserción Laboral de Nuevos Investigadores con Grado de Doctor en Chile

    Directory of Open Access Journals (Sweden)

    Horacio Gonzalez

    2014-09-01

    Full Text Available The formation of new highly trained human resources is considered a key factor for social, cultural and economic development. During the last years, Chile has made a significant effort to increase the amount of Ph.D researchers. Nevertheless, there is no evidence from the National Innovation System (NIS regarding the insertion capacity for this duplicated population of new researchers in the local labor market. Under such point of view, public investment is eventually under risk, due to the sub-optimal conditions to absorb and employ these professionals in activities related to science research and technological development in Chile.

  13. The role of environmental factors in the New Economic Geography framework

    Directory of Open Access Journals (Sweden)

    Diego Azqueta Oyarzun

    2004-01-01

    Full Text Available This paper analyses a number of outcomes that the increase in the social demand for a higher environmental quality may have on the patterns of spatial specialization, irrespective of the scale of analysis. This paper aims at exploring how, together with new possibilities for backward regions, some sub-optimal solutions can also be found from a social viewpoint. On the other hand, we reflect on how an efficient allocation of resources (internalising environmental considerations, could well be incompatible with the dismantling of protectionism within the agricultural sectors of developed countries. The impact on biological diversity is specifically studied.

  14. The secret life of decisions how unconscious bias subverts your judgement

    CERN Document Server

    Thuraisingham, Meena

    2013-01-01

    The Secret Life of Decisions exposes the unchallenged myths and distortions that impact our reasoning ability, raising our awareness of the many traps we can fall into. The authors have drawn from decades of work with leaders showing that even the most talented leaders and teams can end up making sub-optimal decisions. This is rarely because they had poor critical thinking faculties but rather because they did not pay enough attention to the often invisible traps hardwired into our thinking processes, letting through only information that conforms with our current beliefs, mental models and ex

  15. Beyond Negative Affectivity: A Hierarchical Model of Global and Transdiagnostic Vulnerabilities for Emotional Disorders.

    Science.gov (United States)

    Paulus, Daniel J; Talkovsky, Alexander M; Heggeness, Luke F; Norton, Peter J

    2015-01-01

    Negative affectivity (NA) has been linked to anxiety and depression (DEP). Identifying the common factors between anxiety and DEP is important when explaining their overlap and comorbidity. However, general factors such as NA tend to have differential relationships with different disorders, suggesting the need to identify mediators in order to explicate these relationships. The current study tests a theoretically and empirically derived hierarchical model of emotional disorders including both a general factor (NA) and transdiagnostic risk factors [anxiety sensitivity (AS) and intolerance of uncertainty (IoU)] using structural equation modeling. AS was tested as a mid-level factor between NA and panic disorder/agoraphobia, while IoU was tested as a mid-level factor between NA and social phobia, generalized anxiety disorder, obsessive-compulsive disorder, and DEP. Data from 642 clinical outpatients with a heterogeneous presentation of emotional disorders were available for analysis. The hierarchical model fits the data adequately. Moreover, while a simplified model removing AS and IoU fits the data well, it resulted in a significant loss of information for all latent disorder constructs. Data were unavailable to estimate post-traumatic stress disorder or specific phobias. Future work will need to extend to other emotional disorders. This study demonstrates the importance of both general factors that link disorders together and semi-specific transdiagnostic factors partially explaining their heterogeneity. Including these mid-level factors in hierarchical models of psychopathology can help account for additional variance and help to clarify the relationship between disorder constructs and NA.

  16. Thermodynamic Aspects of Tropical Cyclone Formation

    Science.gov (United States)

    Wang, Z.

    2012-12-01

    The thermodynamic aspects of tropical cyclone (TC) formation near the center of the wave pouch, a region of approximately closed Lagrangian circulation within the wave critical layer, are examined through diagnoses of a high-resolution numerical simulation and dropsonde data from a recent field campaign. It is found that the meso-β area near the pouch center is characterized by high saturation fraction, small difference in equivalent potential temperature (θe) between the surface and the middle troposphere, and a short incubation time scale. Updrafts tend to be more vigorous in this region, presumably due to reduced dry air entrainment, while downdrafts are not suppressed. The thermodynamic conditions near the pouch center are thus critically important for TC formation. The balanced responses to convective and stratiform heating at the pre-genesis stage are examined using the Sawyer-Eliassen equation. Deep convection is concentrated near the pouch center. The strong radial and vertical gradients of latent heat release effectively force the transverse circulation and spin up a surface proto-vortex near the pouch center. Stratiform heating induces modest mid-level inflow and very weak low-level outflow, which contributes to the mid-level spin-up without substantially spinning down the low-level circulation. The analysis of dropsonde data shows that the mid-level θe increases significantly near the pouch center one to two days prior to genesis but changes little away from the pouch center. This may indicate convective organization and the impending TC genesis. It also suggests that the critical information of TC genesis near the pouch center may be masked out if a spatial average is taken over the pouch scale. Time-radius plots of (a) saturation fraction (SF; units: %), (b) θe difference between 950 mb and 700 mb (950 mb "minus" 700 hPa; units: K), and (c) χm in the numerical model simulation of Felix.

  17. The critical role of supervision in retaining staff in obstetric services: a three country study.

    Directory of Open Access Journals (Sweden)

    Eilish McAuliffe

    Full Text Available Millennium Development Goal (MDG 5 commits us to reducing maternal mortality rates by three quarters and MDG 4 commits us to reducing child mortality by two-thirds between 1990 and 2015. In order to reach these goals, greater access to basic emergency obstetric care (EmOC as well as comprehensive EmOC which includes safe Caesarean section, is needed.. The limited capacity of health systems to meet demand for obstetric services has led several countries to utilize mid-level cadres as a substitute to more extensively trained and more internationally mobile healthcare workers. Although this does provide greater capacity for service delivery, concern about the performance and motivation of these workers is emerging. We propose that poor leadership characterized by inadequate and unstructured supervision underlies much of the dissatisfaction and turnover that has been shown to exist amongst these mid-level healthcare workers and indeed health workers more generally. To investigate this, we conducted a large-scale survey of 1,561 mid-level cadre healthcare workers (health workers trained for shorter periods to perform specific tasks e.g. clinical officers delivering obstetric care in Malawi, Tanzania, and Mozambique. Participants indicated the primary supervision method used in their facility and we assessed their job satisfaction and intentions to leave their current workplace. In all three countries we found robust evidence indicating that a formal supervision process predicted high levels of job satisfaction and low intentions to leave. We find no evidence that facility level factors modify the link between supervisory methods and key outcomes. We interpret this evidence as strongly supporting the need to strengthen leadership and implement a framework and mechanism for systematic supportive supervision. This will promote better job satisfaction and improve the retention and performance of obstetric care workers, something which has the potential

  18. The critical role of supervision in retaining staff in obstetric services: a three country study.

    Science.gov (United States)

    McAuliffe, Eilish; Daly, Michael; Kamwendo, Francis; Masanja, Honorati; Sidat, Mohsin; de Pinho, Helen

    2013-01-01

    Millennium Development Goal (MDG) 5 commits us to reducing maternal mortality rates by three quarters and MDG 4 commits us to reducing child mortality by two-thirds between 1990 and 2015. In order to reach these goals, greater access to basic emergency obstetric care (EmOC) as well as comprehensive EmOC which includes safe Caesarean section, is needed.. The limited capacity of health systems to meet demand for obstetric services has led several countries to utilize mid-level cadres as a substitute to more extensively trained and more internationally mobile healthcare workers. Although this does provide greater capacity for service delivery, concern about the performance and motivation of these workers is emerging. We propose that poor leadership characterized by inadequate and unstructured supervision underlies much of the dissatisfaction and turnover that has been shown to exist amongst these mid-level healthcare workers and indeed health workers more generally. To investigate this, we conducted a large-scale survey of 1,561 mid-level cadre healthcare workers (health workers trained for shorter periods to perform specific tasks e.g. clinical officers) delivering obstetric care in Malawi, Tanzania, and Mozambique. Participants indicated the primary supervision method used in their facility and we assessed their job satisfaction and intentions to leave their current workplace. In all three countries we found robust evidence indicating that a formal supervision process predicted high levels of job satisfaction and low intentions to leave. We find no evidence that facility level factors modify the link between supervisory methods and key outcomes. We interpret this evidence as strongly supporting the need to strengthen leadership and implement a framework and mechanism for systematic supportive supervision. This will promote better job satisfaction and improve the retention and performance of obstetric care workers, something which has the potential to improve

  19. Assessment of behavioral risk factors of medical workers at multidisciplinary hospital

    Directory of Open Access Journals (Sweden)

    E.V. Dubel

    2016-06-01

    Full Text Available The prevalence of behavioural risk factors among health professionals at the multidisciplinary hospital was the aim of the present research. The study included a questionnaire of the WHO International Programme of Integrated Prevention of Noncommunicable Diseases “Countrywide Integrated Noncommunicable Disease Intervention Programme” (CINDI. The survey involved 333 health professionals: doctors – 14.1 %, mid-level and junior medical personnel – 62.2 % and 23.7 %, respectively. The average age of the respondents was 42.5 years. The proportion of males and females was 8.4 % and 91.6 %, respectively. It was found that a significant proportion of respondents has overweight (34.4 % and obesity (17.5 %, hypertension (31.1 %. The prevailing part of the hospital medical staff has an average and a high level of physical activity. The eating behaviour of 80 % of health workers is characterized by low consumption of fruit and vegetables. Doctors tend to drink alcohol more frequently than the mid-level and junior medical personnel, at that the consumption of alcohol for the vast majority of persons who participated in the study is moderate. Tobacco consumption is typical for a significant proportion of the respondents (32 %, more common among nurses than among doctors and mid-level medical staff. Health workers of 40–60 years have a high individual risk of coronary heart disease associated with smoking (1.3•10 –4 – 1.6•10 –3 . Persons older than 50 years revealed an unacceptable risk of lung cancer pathology (4.7•10 –4 , stomach (1.4•10 –4 , bladder (1.5•10 –4 , cerebrovascular disease (2.5•10 –4 at the effects of smoking.

  20. Distribution of hypophysiotropic thyrotropin-releasing hormone (TRH)-synthesizing neurons in the hypothalamic paraventricular nucleus of the mouse.

    Science.gov (United States)

    Kádár, Andrea; Sánchez, Edith; Wittmann, Gábor; Singru, Praful S; Füzesi, Tamás; Marsili, Alessandro; Larsen, P Reed; Liposits, Zsolt; Lechan, Ronald M; Fekete, Csaba

    2010-10-01

    Hypophysiotropic thyrotropin-releasing hormone (TRH) neurons, the central regulators of the hypothalamic-pituitary-thyroid axis, are located in the hypothalamic paraventricular nucleus (PVN) in a partly overlapping distribution with non-hypophysiotropic TRH neurons. The distribution of hypophysiotropic TRH neurons in the rat PVN is well understood, but the localization of these neurons is unknown in mice. To determine the distribution and phenotype of hypophysiotropic TRH neurons in mice, double- and triple-labeling experiments were performed on sections of intact mice, and mice treated intravenously and intraperitoneally with the retrograde tracer Fluoro-Gold. TRH neurons were located in all parts of the PVN except the periventricular zone. Hypophysiotropic TRH neurons were observed only at the mid-level of the PVN, primarily in the compact part. In this part of the PVN, TRH neurons were intermingled with oxytocin and vasopressin neurons, but based on their size, the TRH neurons were parvocellular and did not contain magnocellular neuropeptides. Co-localization of TRH and cocaine- and amphetamine-regulated transcript (CART) were observed only in areas where hypophysiotropic TRH neurons were located. In accordance with the morphological observations, hypothyroidism increased TRH mRNA content of neurons only at the mid-level of the PVN. These data demonstrate that the distribution of hypophysiotropic TRH neurons in mice is vastly different from the pattern in rats, with a dominant occurrence of these neurosecretory cells in the compact part and adjacent regions at the mid-level of the PVN. Furthermore, our data demonstrate that the organization of the PVN is markedly different in mice and rats.

  1. The spiritual history in outpatient practice: attitudes and practices of health professionals in the Adventist Health System.

    Science.gov (United States)

    Koenig, Harold G; Perno, Kathleen; Hamilton, Ted

    2017-06-12

    A screening spiritual history (SSH) is how health professionals (HP) identify patients' spiritual values, beliefs and preferences (VBPs) in the outpatient setting. We report on attitudes and practices of HPs in the largest Protestant health system in the U.S., the Adventist Health System (AHS). Physicians or mid-level practitioners (N = 1082) in AHS-affiliated practices were approached and 513 (47%) agreed to participate. Participants were asked to identify a "spiritual care coordinator" (nurse/staff) and complete a questionnaire that assessed demographics, practice characteristics, religious involvement, and attitudes/practices concerning the SSH. Prevalence and predictors of attitudes/practices were identified. Questionnaires were completed by 427 physicians, 86 mid-level practitioners, and 224 nurses/staff (i.e., spiritual care coordinators). Among physicians, 45% agreed that HPs should take a SSH; of mid-level practitioners, 56% agreed; and of nurses/staff, 54% agreed. A significant proportion (range 31-54%) agreed that physicians should take the SSH. Participants indicated a SSH is appropriate for all outpatients (46-57%), well-visit exams (50-60%), the chronically ill (71-75%) and terminally ill (79-82%). A majority agreed the SSH should be documented in the medical record (67-80%). Few (11-17%) currently took a SSH, although most were at least sometimes willing to take a SSH (87-94%) or review the results thereof (86-98%). Self-rated importance of religion was the strongest predictor of SSH attitudes/practices. Many in the AHS say a SSH should be done, are willing to do it, and are willing to review the results, although few currently do so. Education, training, and support may help HPs identify and address patients' spiritual VBPs.

  2. Meeting report:Iraq oil ministry needs assessment workshop.3-5 Septemner 2006

    Energy Technology Data Exchange (ETDEWEB)

    Littlefield, Adriane C.; Pregenzer, Arian Leigh

    2006-11-01

    Representatives from the U.S. Department of Energy, the National Nuclear Security Administration, and Sandia National Laboratories met with mid-level representatives from Iraq's oil and gas companies and with former employees and senior managers of Iraq's Ministry of Oil September 3-5 in Amman, Jordan. The goals of the workshop were to assess the needs of the Iraqi Oil Ministry and industry, to provide information about capabilities at DOE and the national laboratories relevant to Iraq, and to develop ideas for potential projects.

  3. Dynamic Programming and Graph Algorithms in Computer Vision*

    Science.gov (United States)

    Felzenszwalb, Pedro F.; Zabih, Ramin

    2013-01-01

    Optimization is a powerful paradigm for expressing and solving problems in a wide range of areas, and has been successfully applied to many vision problems. Discrete optimization techniques are especially interesting, since by carefully exploiting problem structure they often provide non-trivial guarantees concerning solution quality. In this paper we briefly review dynamic programming and graph algorithms, and discuss representative examples of how these discrete optimization techniques have been applied to some classical vision problems. We focus on the low-level vision problem of stereo; the mid-level problem of interactive object segmentation; and the high-level problem of model-based recognition. PMID:20660950

  4. Thai lexical tone perception in native speakers of Thai, English and Mandarin Chinese: an event-related potentials training study.

    Science.gov (United States)

    Kaan, Edith; Barkley, Christopher M; Bao, Mingzhen; Wayland, Ratree

    2008-06-23

    Tone languages such as Thai and Mandarin Chinese use differences in fundamental frequency (F0, pitch) to distinguish lexical meaning. Previous behavioral studies have shown that native speakers of a non-tone language have difficulty discriminating among tone contrasts and are sensitive to different F0 dimensions than speakers of a tone language. The aim of the present ERP study was to investigate the effect of language background and training on the non-attentive processing of lexical tones. EEG was recorded from 12 adult native speakers of Mandarin Chinese, 12 native speakers of American English, and 11 Thai speakers while they were watching a movie and were presented with multiple tokens of low-falling, mid-level and high-rising Thai lexical tones. High-rising or low-falling tokens were presented as deviants among mid-level standard tokens, and vice versa. EEG data and data from a behavioral discrimination task were collected before and after a two-day perceptual categorization training task. Behavioral discrimination improved after training in both the Chinese and the English groups. Low-falling tone deviants versus standards elicited a mismatch negativity (MMN) in all language groups. Before, but not after training, the English speakers showed a larger MMN compared to the Chinese, even though English speakers performed worst in the behavioral tasks. The MMN was followed by a late negativity, which became smaller with improved discrimination. The High-rising deviants versus standards elicited a late negativity, which was left-lateralized only in the English and Chinese groups. Results showed that native speakers of English, Chinese and Thai recruited largely similar mechanisms when non-attentively processing Thai lexical tones. However, native Thai speakers differed from the Chinese and English speakers with respect to the processing of late F0 contour differences (high-rising versus mid-level tones). In addition, native speakers of a non-tone language (English

  5. Thai lexical tone perception in native speakers of Thai, English and Mandarin Chinese: An event-related potentials training study

    Directory of Open Access Journals (Sweden)

    Bao Mingzhen

    2008-06-01

    Full Text Available Abstract Background Tone languages such as Thai and Mandarin Chinese use differences in fundamental frequency (F0, pitch to distinguish lexical meaning. Previous behavioral studies have shown that native speakers of a non-tone language have difficulty discriminating among tone contrasts and are sensitive to different F0 dimensions than speakers of a tone language. The aim of the present ERP study was to investigate the effect of language background and training on the non-attentive processing of lexical tones. EEG was recorded from 12 adult native speakers of Mandarin Chinese, 12 native speakers of American English, and 11 Thai speakers while they were watching a movie and were presented with multiple tokens of low-falling, mid-level and high-rising Thai lexical tones. High-rising or low-falling tokens were presented as deviants among mid-level standard tokens, and vice versa. EEG data and data from a behavioral discrimination task were collected before and after a two-day perceptual categorization training task. Results Behavioral discrimination improved after training in both the Chinese and the English groups. Low-falling tone deviants versus standards elicited a mismatch negativity (MMN in all language groups. Before, but not after training, the English speakers showed a larger MMN compared to the Chinese, even though English speakers performed worst in the behavioral tasks. The MMN was followed by a late negativity, which became smaller with improved discrimination. The High-rising deviants versus standards elicited a late negativity, which was left-lateralized only in the English and Chinese groups. Conclusion Results showed that native speakers of English, Chinese and Thai recruited largely similar mechanisms when non-attentively processing Thai lexical tones. However, native Thai speakers differed from the Chinese and English speakers with respect to the processing of late F0 contour differences (high-rising versus mid-level tones. In

  6. Social networks and power in the Brazilian State: learning from urban policies

    Directory of Open Access Journals (Sweden)

    Eduardo Marques

    2007-01-01

    Full Text Available This article presents results of two researches on urban policies in different Brazilian metropolises using network analysis. Policy network studies have explored the consequences of networks over policies, but have underestimated the consequences of the structure of the network itself. The institutional and personal networks that structure state organizations internally and insert them in broader political scenarios organize a mid-level structure I call State fabric. This introduces more stability and predictability than usually considered and gives access to a specific power resource, which I call positional power, associated with the positions political actors occupy in the State fabric, influencing politics inside and around the State.

  7. PRMS Data Warehousing Prototype

    Science.gov (United States)

    Guruvadoo, Eranna K.

    2002-01-01

    Project and Resource Management System (PRMS) is a web-based, mid-level management tool developed at KSC to provide a unified enterprise framework for Project and Mission management. The addition of a data warehouse as a strategic component to the PRMS is investigated through the analysis, design and implementation processes of a data warehouse prototype. As a proof of concept, a demonstration of the prototype with its OLAP's technology for multidimensional data analysis is made. The results of the data analysis and the design constraints are discussed. The prototype can be used to motivate interest and support for an operational data warehouse.

  8. Visual cognition

    OpenAIRE

    Cavanagh, Patrick

    2011-01-01

    Visual cognition, high-level vision, mid-level vision and top-down processing all refer to decision-based scene analyses that combine prior knowledge with retinal input to generate representations. The label “visual cognition” is little used at present, but research and experiments on mid- and high-level, inference-based vision have flourished, becoming in the 21st century a significant, if often understated part, of current vision research. How does visual cognition work? What are its moving...

  9. Principles of statistics

    CERN Document Server

    Bulmer, M G

    1979-01-01

    There are many textbooks which describe current methods of statistical analysis, while neglecting related theory. There are equally many advanced textbooks which delve into the far reaches of statistical theory, while bypassing practical applications. But between these two approaches is an unfilled gap, in which theory and practice merge at an intermediate level. Professor M. G. Bulmer's Principles of Statistics, originally published in 1965, was created to fill that need. The new, corrected Dover edition of Principles of Statistics makes this invaluable mid-level text available once again fo

  10. İçsel ve Dışsal İş Doyum Düzeyleri ile Genel İş Doyum Düzeyi Arasındaki İlişkinin Belirlenmesi: Turist Rehberleri Üzerinde Bir Araştırma = Determination of the Relationship between the Levels of Intrinsic and Extrinsic Job Satisfaction with Level of General Job Satisfaction: An Investigation on Tour Guides

    Directory of Open Access Journals (Sweden)

    Özlem KÖROĞLU

    2012-11-01

    Full Text Available An investigation conducted on tour guides using the questionnaire technique will be presented. This study aims to determine the relationship between the levels of intrinsic and extrinsic job satisfaction with level of general job satisfaction. The collected data were analyzed by using factor analysis, reliability analysis, arithmetic means, correlation and regression analysis. At the end of the study a high levels of intrinsic satisfaction and a mid-level extrinsic and general job satisfaction of the respondents were found. The most affecting variable of the general job satisfaction was intrinsic satisfaction and it is found that the tour guides enjoyed the most satisfaction from company policies, responsibility and social service.

  11. A two-level real-time vision machine combining coarse and fine grained parallelism

    DEFF Research Database (Denmark)

    Jensen, Lars Baunegaard With; Kjær-Nielsen, Anders; Pauwels, Karl

    2010-01-01

    In this paper, we describe a real-time vision machine having a stereo camera as input generating visual information on two different levels of abstraction. The system provides visual low-level and mid-level information in terms of dense stereo and optical flow, egomotion, indicating areas...... a factor 90 and a reduction of latency of a factor 26 compared to processing on a single CPU--core. Since the vision machine provides generic visual information it can be used in many contexts. Currently it is used in a driver assistance context as well as in two robotic applications....

  12. Microsoft Dynamics NAV 7 programming cookbook

    CERN Document Server

    Raul, Rakesh

    2013-01-01

    Written in the style of a cookbook. Microsoft Dynamics NAV 7 Programming Cookbook is full of recipes to help you get the job done.If you are a junior / entry-level NAV developer then the first half of the book is designed primarily for you. You may or may not have any experience programming. It focuses on the basics of NAV programming.If you are a mid-level NAV developer, you will find these chapters explain how to think outside of the NAV box when building solutions. There are also recipes that senior developers will find useful.

  13. Determination of Relationship Between Strategic Human Resources Applications and Non-Financial Organizations Performance of Hotel Enterprises

    Directory of Open Access Journals (Sweden)

    Ece KONAKLIOĞLU

    2017-08-01

    Full Text Available Strategic human resource management takes attention even corporate organizations hardly in the emerging economies like Turkey. In this study in terms of hotel enterprises, we evaluate the strategic human resource practices and the relationship between non-financial performances. We collect the data through 209 mid- level and senior managers of hotels which selected as sample of this study. In the analysis of the study data was analyzed with descriptive techniques and hypotheses of the research were tested by using multiple regression analysis. With this study, it is understood that organization performance is positively effected by strategic human resources practices (r=0,447.

  14. Phonological sketch and classification of Lawu, an undocumented Ngwi language of Yunnan

    Directory of Open Access Journals (Sweden)

    Cathryn Yang

    2012-01-01

    Full Text Available Lawu is a severely endangered, undocumented Ngwi (Loloish language spoken in Yunnan, China. This paper presents a preliminary sketch of Lawu phonology based on lexico-phonetic data recorded from two speakers in 2008, with special attention to the tone splits and mergers that distinguish Lawu from other Ngwi languages. All tone categories except Proto-Ngwi Tone *3, a mid level pitch, have split, conditioned by the voicing of the initial segment. In the conditioning and effect of these tone splits, Lawu shows affinity with other Central Ngwi languages such as Lisu and Lahu and is provisionally classified as a Central Ngwi language.

  15. Energy-Efficient Power Allocation for Cognitive MIMO Channels

    KAUST Repository

    Sboui, Lokman

    2017-03-20

    Due to the massive data traffic in wireless networks, energy consumption has become a crucial concern, especially with the limited power supply of the mobile terminals and the increasing CO2 emission of the cellular industry. In this context, we study the energy efficiency (EE) of MIMO spectrum sharing cognitive radio (CR) systems under power and interference constraints. We present an energy-efficient power allocation framework based on maximizing the average EE per parallel channel resulting from the singular value decomposition (SVD) eigenmode transmission. We also present a sub-optimal low-complexity power allocation scheme based on the water-filling power allocation. In the numerical results, we show that the sub-optimal power allocation achieves at least 95% of the optimal performance. In addition, we show that adopting more antennas is more energy efficient for a given power budget. Finally, we show that the interference threshold has a significant effect on both the EE and the spectral efficiency at high-power regime.

  16. Precoding Design and Power Allocation in Two-User MU-MIMO Wireless Ad Hoc Networks

    Directory of Open Access Journals (Sweden)

    Haole Chen

    2017-10-01

    Full Text Available In this paper, we consider the precoding design and power allocation problem for multi-user multiple-input multiple-output (MU-MIMO wireless ad hoc networks. In the first timeslot, the source node (SN transmits energy and information to a relay node (RN simultaneously within the simultaneous wireless information and power transfer (SWIPT framework. Then, in the second timeslot, based on the decoder and the forwarding (DF protocol, after reassembling the received signal and its own signal, the RN forwards the information to the main user (U1 and simultaneously sends its own information to the secondary user (U2. In this paper, when the transmission rate of the U1 is restricted, the precoding, beamforming, and power splitting (PS transmission ratio are jointly considered to maximize the transmission rate of U2. To maximize the system rate, we design an optimal beamforming matrix and solve the optimization problem by semi-definite relaxation (SDR, considering the high complexity of implementing the optimal solution. Two sub-optimal precoding programs are also discussed: singular value decomposition and block diagonalization. Finally, the performance of the optimization and sub-optimization schemes are compared using a simulation.

  17. The combination of IL-21 and IFN-alpha boosts STAT3 activation, cytotoxicity and experimental tumor therapy

    DEFF Research Database (Denmark)

    Eriksen, Karsten W; Søndergaard, Henrik; Woetmann, Anders

    2008-01-01

    such as IFN-alpha and IL-2 have multiple and severe side effects. Accordingly, they are generally used at sub-optimal doses, which limit their clinical efficacy. Here we hypothesized that a combination of IFN-alpha and IL-21, a novel cytokine of the IL-2 family with anti-cancer effects, will increase the anti-cancer...... efficacy at sub-optimal cytokine doses. We show that the combined stimulation of target-cells with IFN-alpha and IL-21 triggers an increased STAT3 activation whereas the activation of other STATs including STAT1/2 is unaffected. In parallel, the combined stimulation with IFN-alpha and IL-21 triggers...... a selective increase in MHC class I expression and NK- and CD8(+) T-cell-mediated cytotoxicity. In an experimental in vivo model of renal carcinoma, the combined treatment of IFN-alpha and IL-21 also produces a significant anti-cancer effect as judged by an inhibition of tumor growth and an increased survival...

  18. Food and nutrient intake of Irish community-dwelling elderly subjects: who is at nutritional risk?

    Science.gov (United States)

    Power, S E; Jeffery, I B; Ross, R P; Stanton, C; O'Toole, P W; O'Connor, E M; Fitzgerald, G F

    2014-01-01

    To assess the dietary intakes of Irish community-dwelling elderly individuals, participating in the ELDERMET project. Cross-sectional study. Cork city and county region of southern Ireland. Two hundred and eight (94 males, 114 females) community-dwelling subjects aged 64-93 yrs. Dietary intake was assessed using a validated semi-quantitative food frequency questionnaire (FFQ). Anthropometric data were recorded. Nutritional status was assessed using the Mini Nutritional Assessment (MNA). A high rate of overweight/obesity was observed in this population group. Consumption of energy-dense, low-nutrient foods was excessive among this population group. Older elderly subjects (≥75 yrs) consumed significantly (Pelderly (64-74 yrs). Intakes of dietary fat and saturated fat were high while dairy food consumption was inadequate in both males and females. Elderly females typically had a more nutrient-dense diet than males. A considerable proportion of subjects, particularly males, had inadequate intakes of calcium, magnesium, vitamin D, folate, zinc and vitamin C. The data indicate that the diet of Irish community-dwelling elderly individuals is sub-optimal with respect to nutrient intake, and excessive in terms of fat intake, with implications for the health status of this population group. Reductions in dietary fat and increased low fat dairy food intakes are recommended for the prevention of diet-related disease in older persons. In addition, strategies to improve a number of sub-optimal micronutrient intakes need to be developed and implemented, particularly among elderly males.

  19. Dietary nitrogen and fish welfare.

    Science.gov (United States)

    Conceição, Luis E C; Aragão, Cláudia; Dias, Jorge; Costas, Benjamín; Terova, Genciana; Martins, Catarina; Tort, Lluis

    2012-02-01

    Little research has been done in optimizing the nitrogenous fraction of the fish diets in order to minimize welfare problems. The purpose of this review is to give an overview on how amino acid (AA) metabolism may be affected when fish are under stress and the possible effects on fish welfare when sub-optimal dietary nitrogen formulations are used to feed fish. In addition, it intends to evaluate the current possibilities, and future prospects, of using improved dietary nitrogen formulations to help fish coping with predictable stressful periods. Both metabolomic and genomic evidence show that stressful husbandry conditions affect AA metabolism in fish and may bring an increase in the requirement of indispensable AA. Supplementation in arginine and leucine, but also eventually in lysine, methionine, threonine and glutamine, may have an important role in enhancing the innate immune system. Tryptophan, as precursor for serotonin, modulates aggressive behaviour and feed intake in fish. Bioactive peptides may bring important advances in immunocompetence, disease control and other aspects of welfare of cultured fish. Fishmeal replacement may reduce immune competence, and the full nutritional potential of plant-protein ingredients is attained only after the removal or inactivation of some antinutritional factors. This review shows that AA metabolism is affected when fish are under stress, and this together with sub-optimal dietary nitrogen formulations may affect fish welfare. Furthermore, improved dietary nitrogen formulations may help fish coping with predictable stressful events.

  20. Responses of rubber leaf phenology to climatic variations in Southwest China

    Science.gov (United States)

    Zhai, De-Li; Yu, Haiying; Chen, Si-Chong; Ranjitkar, Sailesh; Xu, Jianchu

    2017-11-01

    The phenology of rubber trees (Hevea brasiliensis) could be influenced by meteorological factors and exhibits significant changes under different geoclimates. In the sub-optimal environment in Xishuangbanna, rubber trees undergo lengthy periods of defoliation and refoliation. The timing of refoliation from budburst to leaf aging could be affected by powdery mildew disease (Oidium heveae), which negatively impacts seed and latex production. Rubber trees are most susceptible to powdery mildew disease at the copper and leaf changing stages. Understanding and predicting leaf phenology of rubber trees are helpful to develop effective means of controlling the disease. This research investigated the effect of several meteorological factors on different leaf phenological stages in a sub-optimal environment for rubber cultivation in Jinghong, Yunnan in Southwest China. Partial least square regression was used to quantify the relationship between meteorological factors and recorded rubber phenologies from 2003 to 2011. Minimum temperature in December was found to be the critical factor for the leaf phenology development of rubber trees. Comparing the delayed effects of minimum temperature, the maximum temperature, diurnal temperature range, and sunshine hours were found to advancing leaf phenologies. A comparatively lower minimum temperature in December would facilitate the advancing of leaf phenologies of rubber trees. Higher levels of precipitation in February delayed the light green and the entire process of leaf aging. Delayed leaf phenology was found to be related to severe rubber powdery mildew disease. These results were used to build predictive models that could be applied to early warning systems of rubber powdery mildew disease.

  1. Unbiased contaminant removal for 3D galaxy power spectrum measurements

    Science.gov (United States)

    Kalus, B.; Percival, W. J.; Bacon, D. J.; Samushia, L.

    2016-11-01

    We assess and develop techniques to remove contaminants when calculating the 3D galaxy power spectrum. We separate the process into three separate stages: (I) removing the contaminant signal, (II) estimating the uncontaminated cosmological power spectrum and (III) debiasing the resulting estimates. For (I), we show that removing the best-fitting contaminant (mode subtraction) and setting the contaminated components of the covariance to be infinite (mode deprojection) are mathematically equivalent. For (II), performing a quadratic maximum likelihood (QML) estimate after mode deprojection gives an optimal unbiased solution, although it requires the manipulation of large N_mode^2 matrices (Nmode being the total number of modes), which is unfeasible for recent 3D galaxy surveys. Measuring a binned average of the modes for (II) as proposed by Feldman, Kaiser & Peacock (FKP) is faster and simpler, but is sub-optimal and gives rise to a biased solution. We present a method to debias the resulting FKP measurements that does not require any large matrix calculations. We argue that the sub-optimality of the FKP estimator compared with the QML estimator, caused by contaminants, is less severe than that commonly ignored due to the survey window.

  2. Social stigma in diabetes : a framework to understand a growing problem for an increasing epidemic.

    Science.gov (United States)

    Schabert, Jasmin; Browne, Jessica L; Mosely, Kylie; Speight, Jane

    2013-01-01

    A comprehensive understanding of the social and psychological impact of diabetes mellitus is important for informing policy and practice. One potentially significant, yet under-researched, issue is the social stigma surrounding diabetes. This narrative review draws on literature about health-related stigma in diabetes and other chronic conditions in order to develop a framework for understanding diabetes-related stigma. Our review of the literature found that people who do not have diabetes assume that diabetes is not a stigmatized condition. In contrast, people with diabetes report that stigma is a significant concern to them, experienced across many life domains, e.g., in the workplace, in relationships. The experience of diabetes-related stigma has a significant negative impact on many aspects of psychological well-being and may also result in sub-optimal clinical outcomes for people with diabetes. We propose a framework that highlights the causes (attitudes of blame, feelings of fear and disgust, and the felt need to enforce social norms and avoid disease), experiences (being judged, rejected, and discriminated against), and consequences (e.g., distress, poorer psychological well-being, and sub-optimal self-care) of diabetes-related stigma and also identifies potential mitigating strategies to reduce diabetes-related stigma and/or enhance coping and resilience amongst people with diabetes. The systematic investigation of the experiences, causes, and consequences of diabetes-related stigma is an urgent research priority.

  3. Distortion outage minimization in Nakagami fading using limited feedback

    Directory of Open Access Journals (Sweden)

    Wang Chih-Hong

    2011-01-01

    Full Text Available Abstract We focus on a decentralized estimation problem via a clustered wireless sensor network measuring a random Gaussian source where the clusterheads amplify and forward their received signals (from the intra-cluster sensors over orthogonal independent stationary Nakagami fading channels to a remote fusion center that reconstructs an estimate of the original source. The objective of this paper is to design clusterhead transmit power allocation policies to minimize the distortion outage probability at the fusion center, subject to an expected sum transmit power constraint. In the case when full channel state information (CSI is available at the clusterhead transmitters, the optimization problem can be shown to be convex and is solved exactly. When only rate-limited channel feedback is available, we design a number of computationally efficient sub-optimal power allocation algorithms to solve the associated non-convex optimization problem. We also derive an approximation for the diversity order of the distortion outage probability in the limit when the average transmission power goes to infinity. Numerical results illustrate that the sub-optimal power allocation algorithms perform very well and can close the outage probability gap between the constant power allocation (no CSI and full CSI-based optimal power allocation with only 3-4 bits of channel feedback.

  4. AAV genome loss from dystrophic mouse muscles during AAV-U7 snRNA-mediated exon-skipping therapy.

    Science.gov (United States)

    Le Hir, Maëva; Goyenvalle, Aurélie; Peccate, Cécile; Précigout, Guillaume; Davies, Kay E; Voit, Thomas; Garcia, Luis; Lorain, Stéphanie

    2013-08-01

    In the context of future adeno-associated viral (AAV)-based clinical trials for Duchenne myopathy, AAV genome fate in dystrophic muscles is of importance considering the viral capsid immunogenicity that prohibits recurring treatments. We showed that AAV genomes encoding non-therapeutic U7 were lost from mdx dystrophic muscles within 3 weeks after intramuscular injection. In contrast, AAV genomes encoding U7ex23 restoring expression of a slightly shortened dystrophin were maintained endorsing that the arrest of the dystrophic process is crucial for maintaining viral genomes in transduced fibers. Indeed, muscles treated with low doses of AAV-U7ex23, resulting in sub-optimal exon skipping, displayed much lower titers of viral genomes, showing that sub-optimal dystrophin restoration does not prevent AAV genome loss. We also followed therapeutic viral genomes in severe dystrophic dKO mice over time after systemic treatment with scAAV9-U7ex23. Dystrophin restoration decreased significantly between 3 and 12 months in various skeletal muscles, which was correlated with important viral genome loss, except in the heart. Altogether, these data show that the success of future AAV-U7 therapy for Duchenne patients would require optimal doses of AAV-U7 to induce substantial levels of dystrophin to stabilize the treated fibers and maintain the long lasting effect of the treatment.

  5. Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing.

    Science.gov (United States)

    Broom, Alex; Broom, Jennifer; Kirby, Emma

    2014-06-01

    The prospect of an 'antimicrobial perfect storm' in the coming decades through the emergence and proliferation of multi-resistant organisms has become an urgent public health concern. With limited drug discovery solutions foreseeable in the immediate future, and with evidence that resistance can be ameliorated by optimisation of prescribing, focus currently centres on antibiotic use. In hospitals, this is manifest in the development of stewardship programs that aim to alter doctors' prescribing behaviour. Yet, in many clinical contexts, doctors' antibiotic prescribing continues to elude best practice. In this paper, drawing on qualitative interviews with 30 Australian hospital-based doctors in mid-2013, we draw on Bourdieu's theory of practice to illustrate that 'sub-optimal' antibiotic prescribing is a logical choice within the habitus of the social world of the hospital. That is, the rules of the game within the field are heavily weighted in favour of the management of immediate clinical risks, reputation and concordance with peer practice vis-à-vis longer-term population consequences. Antimicrobial resistance is thus a principal of limited significance in the hospital. We conclude that understanding the habitus of the hospital and the logics underpinning practice is a critical step toward developing governance practices that can respond to clinically 'sub-optimal' antibiotic use. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Randomized study of zinc supplementation during pregnancy

    Energy Technology Data Exchange (ETDEWEB)

    Hambidge, K.M.; Oliva-Rasbach, J.; Jacobs, M.; Purcell, S.; Statland, C.; Poirier, J.

    1986-03-05

    The hypothesis underlying this study was that a daily dietary Zn supplement during pregnancy would be associated with higher values for selected indices of Zn nutriture than corresponding values for non-Zn-supplemented subjects, if, and only if, Zn status of the unsupplemented control group was sub-optimal. The 12 test and 17 control subjects were healthy, apparently well-nourished anglos who were enrolled before the 12th week of gestation. Mean age=29 yrs, mean parity=0.8. Test subjects received a daily supplement of 15 mg Zn (mean compliance=90%) from the time of enrollment until 3 months post-partum. The supplement was taken at bedtime while other vitamin/mineral preparations were taken before breakfast. Blood samples were obtained at 4 week intervals from enrollment. Selected preliminary results: plasma Zn declined progressively with length of gestation to a nadir of 53 +/- 6 ..mu..g/dl at 10 months. (Non-pregnant mean 77 +/- 7). As in a previous, non-randomized, study the rate of decline for the test group did not differ from that of the control group. Mean monthly neutrophil Zn ranged from 43 +/- 8 - 50 +/- 14 ..mu..g/10/sup 10/ cells; there was not consistent pattern across gestation. Serum alkaline phosphatase activity and pre-albumin of the test group did not differ from the control group. These data did not give any indication of sub-optimal Zn nutriture in this pregnant population.

  7. Resource allocation via sum-rate maximization in the uplink of multi-cell OFDMA networks

    KAUST Repository

    Tabassum, Hina

    2012-10-03

    In this paper, we consider maximizing the sum rate in the uplink of a multi-cell orthogonal frequency-division multiple access network. The problem has a non-convex combinatorial structure and is known to be NP-hard. Because of the inherent complexity of implementing the optimal solution, firstly, we derive an upper bound (UB) and a lower bound (LB) to the optimal average network throughput. Moreover, we investigate the performance of a near-optimal single cell resource allocation scheme in the presence of inter-cell interference, which leads to another easily computable LB. We then develop a centralized sub-optimal scheme that is composed of a geometric programming-based power control phase in conjunction with an iterative subcarrier allocation phase. Although the scheme is computationally complex, it provides an effective benchmark for low complexity schemes even without the power control phase. Finally, we propose less complex centralized and distributed schemes that are well suited for practical scenarios. The computational complexity of all schemes is analyzed, and the performance is compared through simulations. Simulation results demonstrate that the proposed low complexity schemes can achieve comparable performance with that of the centralized sub-optimal scheme in various scenarios. Moreover, comparisons with the UB and LB provide insight on the performance gap between the proposed schemes and the optimal solution. Copyright © 2011 John Wiley & Sons, Ltd.

  8. On a triadic neurocognitive approach of decision-making to addiction

    Directory of Open Access Journals (Sweden)

    Xavier Noël

    2015-04-01

    Full Text Available Paradoxical behaviours characterizing an addiction could be understood as the result of a combination between an attempt to cope with dominant painful feelings (e.g., anxiety with low self-esteem and sub-optimal decision-making prioritizing short-term over long-term consequences. This article focused on decision-making and emphasized that addicts’ decisions are determined by immediate outcomes because of abnormal interactions between key neural and cognitive systems: (1 an automatic, habitual and salient information processing mediated by amygdala-striatum dependent system; (2 an intention self-regulatory system forecasting the future consequences of a choice; (3 a interoceptive signals processing system which generates feeling states and in turn plays a strong influential role in decision-making and impulse control processes related to uncertainty, risk, and reward. As a whole, sub-optimal interactions such as a too strong automatic stimulus-driven actions associated with poor intentional control and a state of stress or craving are thought to result in prioritizing short-term consequences at the detriment of the necessary forecast of delayed consequences.

  9. Neutralizing antibodies explain the poor clinical response to Interferon beta in a small proportion of patients with Multiple Sclerosis: a retrospective study

    Directory of Open Access Journals (Sweden)

    Cefaro Luca

    2009-10-01

    Full Text Available Abstract Background Neutralizing antibodies (NAbs against Interferon beta (IFNβ are reported to be associated with poor clinical response to therapy in multiple sclerosis (MS patients. We aimed to quantify the contribution of NAbs to the sub-optimal response of IFNβ treatment. Methods We studied the prevalence of NAbs in MS patients grouped according to their clinical response to IFNβ during the treatment period. Patients were classified as: group A, developing ≥ 1 relapse after the first 6 months of therapy; group B, exhibiting confirmed disability progression after the first 6 months of therapy, with or without superimposed relapses; group C, presenting a stable disease course during therapy. A cytopathic effect assay tested the presence of NAbs in a cohort of ambulatory MS patients treated with one of the available IFNβ formulations for at least one year. NAbs positivity was defined as NAbs titre ≥ 20 TRU. Results Seventeen patients (12.1% were NAbs positive. NAbs positivity correlated with poorer clinical response (p Conclusion The majority of patients with poor clinical response are NAbs negative suggesting that NAbs explains only partially the sub-optimal response to IFNβ.

  10. Assessment of portal venous system patency in the liver transplant candidate: A prospective study comparing ultrasound, microbubble-enhanced colour Doppler ultrasound, with arteriography and surgery

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, M.M.; Beese, R.C.; Muiesan, P.; Sarma, D.I.; O' Grady, J.; Sidhu, P.S

    2002-05-01

    AIM: To determine the role of microbubble-enhanced colour Doppler ultrasound (CDUS) in assessing portal venous patency prior to liver transplantation. MATERIALS AND METHODS: Over a 2-year period, all patients with chronic liver disease undergoing routine pre-transplant CDUS examination in whom the portal venous system was inadequately demonstrated were recruited to the study. CDUS was performed in 368 patients and 33 patients (9%) were recruited. A repeat CDUS examination following an intravenous bolus injection of the microbubble contrast agent Levovist[reg] (Schering Healthcare AG, Berlin, Germany) was performed. Diagnostic confidence was recorded on a free linear analogue scale for both examinations. Findings were compared with indirect portography and surgery. RESULTS: Of the 33 patients with sub-optimal baseline examinations, improvement in portal vein visualization was achieved in 31 patients (94%). Median diagnostic confidence increased from 50% (interquartile range 30-60) to 90% (interquartile range 75-98) (P < 0.001) following administration of Levovist[reg]. Overall accuracy of portal vein assessment using microbubble-enhanced CDUS in 15 patients in whom a definitive diagnosis was made within 2 months was 87%. CONCLUSION: Microbubble-enhanced CDUS is a simple, inexpensive adjunct to standard pre liver transplant screening of the portal vein. It is particularly helpful in patients with end-stage cirrhosis who are at high risk of portal vein thrombosis and in whom the conventional examination is sub-optimal.Marshall, M.M. et al. (2002)

  11. Energy Efficient Resource Allocation for Cognitive Radios: A Generalized Sensing Analysis

    KAUST Repository

    Alabbasi, Abdulrahman

    2014-12-31

    In this paper, two resource allocation schemes for energy efficient cognitive radio systems are proposed. Our design considers resource allocation approaches that adopt spectrum sharing combined with soft-sensing information, adaptive sensing thresholds, and adaptive power to achieve an energy efficient system. An energy per good-bit metric is considered as an energy efficient objective function. A multi-carrier system, such as, orthogonal frequency division multiplexing, is considered in the framework. The proposed resource allocation schemes, using different approaches, are designated as sub-optimal and optimal. The sub-optimal approach is attained by optimizing over a channel inversion power policy. The optimal approach utilizes the calculus of variation theory to optimize a problem of instantaneous objective function subject to average and instantaneous constraints with respect to functional optimization variables. In addition to the analytical results, selected numerical results are provided to quantify the impact of soft-sensing information and the optimal adaptive sensing threshold on the system performance.

  12. APPLICATION OF GENETIC ALGORITHMS FOR ROBUST PARAMETER OPTIMIZATION

    Directory of Open Access Journals (Sweden)

    N. Belavendram

    2010-12-01

    Full Text Available Parameter optimization can be achieved by many methods such as Monte-Carlo, full, and fractional factorial designs. Genetic algorithms (GA are fairly recent in this respect but afford a novel method of parameter optimization. In GA, there is an initial pool of individuals each with its own specific phenotypic trait expressed as a ‘genetic chromosome’. Different genes enable individuals with different fitness levels to reproduce according to natural reproductive gene theory. This reproduction is established in terms of selection, crossover and mutation of reproducing genes. The resulting child generation of individuals has a better fitness level akin to natural selection, namely evolution. Populations evolve towards the fittest individuals. Such a mechanism has a parallel application in parameter optimization. Factors in a parameter design can be expressed as a genetic analogue in a pool of sub-optimal random solutions. Allowing this pool of sub-optimal solutions to evolve over several generations produces fitter generations converging to a pre-defined engineering optimum. In this paper, a genetic algorithm is used to study a seven factor non-linear equation for a Wheatstone bridge as the equation to be optimized. A comparison of the full factorial design against a GA method shows that the GA method is about 1200 times faster in finding a comparable solution.

  13. What is the Effect of Interannual Hydroclimatic Variability on Water Supply Reservoir Operations?

    Science.gov (United States)

    Galelli, S.; Turner, S. W. D.

    2015-12-01

    Rather than deriving from a single distribution and uniform persistence structure, hydroclimatic data exhibit significant trends and shifts in their mean, variance, and lagged correlation through time. Consequentially, observed and reconstructed streamflow records are often characterized by features of interannual variability, including long-term persistence and prolonged droughts. This study examines the effect of these features on the operating performance of water supply reservoirs. We develop a Stochastic Dynamic Programming (SDP) model that can incorporate a regime-shifting climate variable. We then compare the performance of operating policies—designed with and without climate variable—to quantify the contribution of interannual variability to standard policy sub-optimality. The approach uses a discrete-time Markov chain to partition the reservoir inflow time series into small number of 'hidden' climate states. Each state defines a distinct set of inflow transition probability matrices, which are used by the SDP model to condition the release decisions on the reservoir storage, current-period inflow and hidden climate state. The experimental analysis is carried out on 99 hypothetical water supply reservoirs fed from pristine catchments in Australia—all impacted by the Millennium drought. Results show that interannual hydroclimatic variability is a major cause of sub-optimal hedging decisions. The practical import is that conventional optimization methods may misguide operators, particularly in regions susceptible to multi-year droughts.

  14. Selection of Component Codes for Turbo Coding Based on Convergence properties

    DEFF Research Database (Denmark)

    Andersen, Jakob Dahl

    1999-01-01

    The turbo decoding is a sub-optimal decoding, i.e. it is not a maximum likelihood decoding. It is important to be aware of this fact when the parameters for the scheme are chosen. This goes especially for the selection of component codes, where the selection often has been based solely on the per......The turbo decoding is a sub-optimal decoding, i.e. it is not a maximum likelihood decoding. It is important to be aware of this fact when the parameters for the scheme are chosen. This goes especially for the selection of component codes, where the selection often has been based solely...... on the performance at high SNR's. We will show that it is important to base the choice on the performance at low SNR's, i.e. the convergence properties, as well. Further, the study of the performance with different component codes may lead to an understanding of the convergence process in the turbo codes....

  15. The Applications of Decision-Level Data Fusion Techniques in the Field of Multiuser Detection for DS-UWB Systems

    Directory of Open Access Journals (Sweden)

    Yebo Gu

    2015-09-01

    Full Text Available In this paper, the decision-level data fusion techniques are extended to the multiuser detection (MUD field. Then two novel MUD algorithms, that is the chairman arbitrating decision-level fusion criterion (CA-DFC based MUD algorithm and the veto logic decision-level fusion criterion (VL-DFC based MUD algorithm, are proposed for DS-UWB communication systems. In CA-DFC based method, the chairman can make his arbitration among the preliminary decisions from sub-optimal detectors by his own rule. In the VL-DFC based method, the undetermined bits in these preliminary decisions are considered to construct a simplified solution space, and then the chairman can make his final decision within this space. Simulation results demonstrate that the performances of CA-DFC and VL-DFC based MUD algorithms are superior to those of other sub-optimal MUD algorithms, and even close to that of OMD. Moreover, both of these proposed algorithms have lower computational complexity than OMD, which reveals their efficiency. Compared with CA-DFC, VL-DFC based algorithm achieves a little improvement in its performance, at the cost of the increment in its computational complexity. Thus, they can be applied to different practical situations.

  16. Optimal Control and Optimization of Stochastic Supply Chain Systems

    CERN Document Server

    Song, Dong-Ping

    2013-01-01

    Optimal Control and Optimization of Stochastic Supply Chain Systems examines its subject in the context of the presence of a variety of uncertainties. Numerous examples with intuitive illustrations and tables are provided, to demonstrate the structural characteristics of the optimal control policies in various stochastic supply chains and to show how to make use of these characteristics to construct easy-to-operate sub-optimal policies.                 In Part I, a general introduction to stochastic supply chain systems is provided. Analytical models for various stochastic supply chain systems are formulated and analysed in Part II. In Part III the structural knowledge of the optimal control policies obtained in Part II is utilized to construct easy-to-operate sub-optimal control policies for various stochastic supply chain systems accordingly. Finally, Part IV discusses the optimisation of threshold-type control policies and their robustness. A key feature of the book is its tying together of ...

  17. Joint Resource Allocation of Spectrum Sensing and Energy Harvesting in an Energy-Harvesting-Based Cognitive Sensor Network.

    Science.gov (United States)

    Liu, Xin; Lu, Weidang; Ye, Liang; Li, Feng; Zou, Deyue

    2017-03-16

    The cognitive sensor (CS) can transmit data to the control center in the same spectrum that is licensed to the primary user (PU) when the absence of the PU is detected by spectrum sensing. However, the battery energy of the CS is limited due to its small size, deployment in atrocious environments and long-term working. In this paper, an energy-harvesting-based CS is described, which senses the PU together with collecting the radio frequency energy to supply data transmission. In order to improve the transmission performance of the CS, we have proposed the joint resource allocation of spectrum sensing and energy harvesting in the cases of a single energy-harvesting-based CS and an energy-harvesting-based cognitive sensor network (CSN), respectively. Based on the proposed frame structure, we have formulated the resource allocation as a class of joint optimization problems, which seek to maximize the transmission rate of the CS by jointly optimizing sensing time, harvesting time and the numbers of sensing nodes and harvesting nodes. Using the half searching method and the alternating direction optimization, we have achieved the sub-optimal solution by converting the joint optimization problem into several convex sub-optimization problems. The simulation results have indicated the predominance of the proposed energy-harvesting-based CS and CSN models.

  18. Understanding sideline jet noise using input-output analysis

    Science.gov (United States)

    Jeun, Jinah; Nichols, Joseph W.; Jovanovic, Mihailo R.

    2016-11-01

    We apply input-output analysis to high-speed turbulent jets to obtain the far-field acoustic response at different radiation angles. We consider both axisymmetric and higher azimuthal modes over a range of different frequencies to investigate the resulting noise spectra. At each frequency, singular value decomposition of the resolvent operator distinguishes between the optimal mode and several sub-optimal input-output modes by the magnitude of corresponding singular value. While both types of modes resemble wavepackets, the optimal mode associated with the largest singular value is superdirective in the peak noise radiation angle. Sub-optimal modes, in contrast, appear increasingly omnidirectional, rotating progressively to the sideline direction. Our analysis also recovers a broadening of the far-field acoustic spectra as the radiation angle increases. We show that a significant amount of the entire acoustic field can be captured by a superposition of a small number of coherent input-output modes. The LES data was produced as part of a Cascade Technologies STTR project sponsored by NAVAIR, under the supervision of Dr. John T. Spyropoulos. The LES calculations were performed at the ERDC supercomputer center.

  19. Teledentistry-assisted, affiliated practice for dental hygienists: an innovative oral health workforce model.

    Science.gov (United States)

    Summerfelt, Fred F

    2011-06-01

    The 2010 U.S. Patient Protection and Affordable Care Act (PPACA) calls for training programs to develop mid-level dental health care providers to work in areas with underserved populations. In 2004, legislation was passed in Arizona allowing qualified dental hygienists to enter into an affiliated practice relationship with a dentist to provide oral health care services for underserved populations without general or direct supervision in public health settings. In response, the Northern Arizona University (NAU) Dental Hygiene Department developed a teledentistry-assisted, affiliated practice dental hygiene model that places a dental hygienist in the role of the mid-level practitioner as part of a digitally linked oral health care team. Utilizing current technologies, affiliated practice dental hygienists can digitally acquire and transmit diagnostic data to a distant dentist for triage, diagnosis, and patient referral in addition to providing preventive services permitted within the dental hygiene scope of practice. This article provides information about the PPACA and the Arizona affiliated practice dental hygiene model, defines teledentistry, identifies the digital equipment used in NAU's teledentistry model, give an overview of NAU's teledentistry training, describes NAU's first teledentistry clinical experience, presents statistical analyses and evaluation of NAU students' ability to acquire diagnostically efficacious digital data from remote locations, and summarizes details of remote applications of teledentistry-assisted, affiliated practice dental hygiene workforce model successes.

  20. A 1,000 Frames/s Programmable Vision Chip with Variable Resolution and Row-Pixel-Mixed Parallel Image Processors.

    Science.gov (United States)

    Lin, Qingyu; Miao, Wei; Zhang, Wancheng; Fu, Qiuyu; Wu, Nanjian

    2009-01-01

    A programmable vision chip with variable resolution and row-pixel-mixed parallel image processors is presented. The chip consists of a CMOS sensor array, with row-parallel 6-bit Algorithmic ADCs, row-parallel gray-scale image processors, pixel-parallel SIMD Processing Element (PE) array, and instruction controller. The resolution of the image in the chip is variable: high resolution for a focused area and low resolution for general view. It implements gray-scale and binary mathematical morphology algorithms in series to carry out low-level and mid-level image processing and sends out features of the image for various applications. It can perform image processing at over 1,000 frames/s (fps). A prototype chip with 64 × 64 pixels resolution and 6-bit gray-scale image is fabricated in 0.18 μm Standard CMOS process. The area size of chip is 1.5 mm × 3.5 mm. Each pixel size is 9.5 μm × 9.5 μm and each processing element size is 23 μm × 29 μm. The experiment results demonstrate that the chip can perform low-level and mid-level image processing and it can be applied in the real-time vision applications, such as high speed target tracking.

  1. Probabilistic Social Behavior Analysis by Exploring Body Motion-Based Patterns.

    Science.gov (United States)

    Roudposhti, Kamrad Khoshhal; Nunes, Urbano; Dias, Jorge

    2016-08-01

    Understanding human behavior through nonverbal-based features, is interesting in several applications such as surveillance, ambient assisted living and human-robot interaction. In this article in order to analyze human behaviors in social context, we propose a new approach which explores interrelations between body part motions in scenarios with people doing a conversation. The novelty of this method is that we analyze body motion-based features in frequency domain to estimate different human social patterns: Interpersonal Behaviors (IBs) and a Social Role (SR). To analyze the dynamics and interrelations of people's body motions, a human movement descriptor is used to extract discriminative features, and a multi-layer Dynamic Bayesian Network (DBN) technique is proposed to model the existent dependencies. Laban Movement Analysis (LMA) is a well-known human movement descriptor, which provides efficient mid-level information of human body motions. The mid-level information is useful to extract the complex interdependencies. The DBN technique is tested in different scenarios to model the mentioned complex dependencies. The study is applied for obtaining four IBs (Interest, Indicator, Empathy and Emphasis) to estimate one SR (Leading).The obtained results give a good indication of the capabilities of the proposed approach for people interaction analysis with potential applications in human-robot interaction.

  2. Evidence of Convective Redistribution of Carbon Monoxide in Aura Tropospheric Emission Sounder (TES) and Microwave Limb Sounder (MLS) Observations

    Science.gov (United States)

    Manyin, Michael; Douglass, Anne; Schoeberl, Mark

    2010-01-01

    Vertical convective transport is a key element of the tropospheric circulation. Convection lofts air from the boundary layer into the free troposphere, allowing surface emissions to travel much further, and altering the rate of chemical processes such as ozone production. This study uses satellite observations to focus on the convective transport of CO from the boundary layer to the mid and upper troposphere. Our hypothesis is that strong convection associated with high rain rate regions leads to a correlation between mid level and upper level CO amounts. We first test this hypothesis using the Global Modeling Initiative (GMI) chemistry and transport model. We find the correlation is robust and increases as the precipitation rate (the strength of convection) increases. We next examine three years of CO profiles from the Tropospheric Emission Sounder (TES) and Microwave Limb Sounder (MLS) instruments aboard EOS Aura. Rain rates are taken from the Tropical Rainfall Measuring Mission (TRMM) 3B-42 multi-satellite product. Again we find a correlation between mid-level and upper tropospheric CO, which increases with rain rate. Our result shows the critical importance of tropical convection in coupling vertical levels of the troposphere in the transport of trace gases. The effect is seen most clearly in strong convective regions such as the Inter-tropical Convergence Zone.

  3. Intermediate Alcohol-Gasoline Blends, Fuels for Enabling Increased Engine Efficiency and Powertrain Possibilities

    Energy Technology Data Exchange (ETDEWEB)

    Splitter, Derek A [ORNL; Szybist, James P [ORNL

    2014-01-01

    The present study experimentally investigates spark-ignited combustion with 87 AKI E0 gasoline in its neat form and in mid-level alcohol-gasoline blends with 24% vol./vol. iso-butanol-gasoline (IB24) and 30% vol./vol. ethanol-gasoline (E30). A single-cylinder research engine is used with a low and high compression ratio of 9.2:1 and 11.85:1 respectively. The engine is equipped with hydraulically actuated valves, laboratory intake air, and is capable of external exhaust gas recirculation (EGR). All fuels are operated to full-load conditions with =1, using both 0% and 15% external cooled EGR. The results demonstrate that higher octane number bio-fuels better utilize higher compression ratios with high stoichiometric torque capability. Specifically, the unique properties of ethanol enabled a doubling of the stoichiometric torque capability with the 11.85:1 compression ratio using E30 as compared to 87 AKI, up to 20 bar IMEPg at =1 (with 15% EGR, 18.5 bar with 0% EGR). EGR was shown to provide thermodynamic advantages with all fuels. The results demonstrate that E30 may further the downsizing and downspeeding of engines by achieving increased low speed torque, even with high compression ratios. The results suggest that at mid-level alcohol-gasoline blends, engine and vehicle optimization can offset the reduced fuel energy content of alcohol-gasoline blends, and likely reduce vehicle fuel consumption and tailpipe CO2 emissions.

  4. Two cold-season derechoes in Europe

    Science.gov (United States)

    Gatzen, Christoph; Púčik, Tomas; Ryva, David

    2011-06-01

    In this study, we apply for the first time the definition of a derecho (Johns and Hirt, 1987) to European cold-season convective storm systems. These occurred on 18 January 2007 and 1 March 2008, respectively, and they are shown to fulfill the criteria of a derecho. Damaging winds were reported over a distance of 1500 km and locally reached F3 intensity. Synoptic analysis for the events reveal strongly forced situations that have been described for cold-season derechoes in the United States. A comparison of swaths of damaging winds, radar structures, detected lightning, cold pool development, and cloud-top temperatures indicates that both derechoes formed along cold fronts that were affected by strong quasi-geostrophic forcing. It seems that the overlap of the cold front position with the strong differential cyclonic vorticity advection at the cyclonic flank of mid-level jet streaks favoured intense convection and high winds. The movement and path width of the two derechoes seemed to be related to this overlap. The wind gust intensity that was also different for both events is discussed and could be related to the component of the mid-level winds perpendicular to the gust fronts.

  5. Four-dimensional CT analysis of vocal cords mobility for highly focused single vocal cord irradiation.

    Science.gov (United States)

    Osman, Sarah O S; de Boer, Hans C J; Heijmen, Ben J M; Levendag, Peter C

    2008-10-01

    To quantify respiratory motion of the vocal cords during normal respiration using 4D-CT. The final goal is to develop a technique for single vocal cord irradiation (SVCI) in early glottic carcinoma. Sparing the non-involved cord and surrounding structures has the potential to preserve voice quality and allow re-irradiation of recurrent and second primary tumors. Four-dimensional CTs of 1mm slice thickness from 10 early glottic carcinoma patients were acquired. The lateral dimensions of the air gap separating the vocal cords were measured anteriorly, at mid-level and posteriorly at each phase of the 4D-CTs. The corresponding anterior-posterior gaps were similarly measured. Cranio-caudal vocal cords movements during breathing were derived from the shifts of the arythenoids. The population-averaged mean gap size+/-the corresponding standard deviation due to breathing (SD(B)) for the lateral gaps was 5.8+/-0.7mm anteriorly, 8.7+/-0.9mm at mid-level, and 11.0+/-1.3mm posteriorly. Anterior-posterior gap values were 21.7+/-0.7mm, while cranio-caudal shift SD(B) was 0.8mm. Vocal cords breathing motions were found to be small relative to their separation. Hence, breathing motion does not seem to be a limiting factor for SVCI.

  6. Midtropospheric frontogenesis associated with antecedent indirect precipitation ahead of tropical cyclones over the Korean Peninsula

    Directory of Open Access Journals (Sweden)

    Eun-Hyuk Baek

    2015-07-01

    Full Text Available On the Korean Peninsula (KP, heavy rainfall often precedes the landfall of a tropical cyclone (TC. This rainfall is called antecedent indirect precipitation (AIP, because it occurs well beyond the effective radius of the TC. The present study examines the statistical characteristics and physical mechanism of the AIP produced by TCs that influenced the KP during the period 1993–2004. Composite analyses demonstrate that the AIP events were accompanied by midtropospheric frontogenesis due to the TC-mid-latitude environment interaction. When an approaching TC encountered an approaching mid-latitude upper-level trough, this encounter resulted in confluent and deformed flows at the mid-level by the combination of westerlies from the trough and southerlies from the TC. The delicate balance of horizontal winds related to the two systems at the mid-level led to the midtropospheric frontogenesis to the north of the KP. The frontogenetic feature related to the AIP was in marked contrast to those of the remote rainfall event over the KP and the predecessor rainfall event over the United States suggested by previous studies. Quasi-geostrophic analysis demonstrates that the midtropospheric front induced thermally direct circulation, which led to ascending motion over the KP. Consequently, the midtropospheric front helped to intensify the AIP, together with the convective instability that was amplified by the transport of warm and moist air along the conduit between the TC and subtropical high.

  7. Comparing the Measured and Latent Dark Triad: Are Three Measures Better than One?

    Directory of Open Access Journals (Sweden)

    Peter K. Jonason

    2011-10-01

    Full Text Available Could measurement level be a factor worth considering when studying the Dark Triad (i.e., narcissism, psychopathy, and Machiavellianism? In two studies (N  = 465, we compared the relative fit of two Dark Triad models: one that treats the three measures as separate-yet-related personality traits and another that treats the measures as tapping a single, latent construct. Mid-level personality traits, such as mate-retention strategies (Study 1 were best explained by a three-measure model, whereas the higher-order trait of sociosexuality (Study 2, were best explained by a single, latent-factor model. When considering mid-level measurement in personality, the three traits may provide independent effects for interpersonal relationships, whereas at the higher-order level, the three traits may function as a single entity relating to other higher-order traits. We suggest one should consider level of measurement between the predictor and criterion variables to better predict correlations among variables such as the Dark Triad. DOI: 10.2458/azu_jmmss.v2i1.12363

  8. CPMC: Automatic Object Segmentation Using Constrained Parametric Min-Cuts.

    Science.gov (United States)

    Carreira, João; Sminchisescu, Cristian

    2012-07-01

    We present a novel framework to generate and rank plausible hypotheses for the spatial extent of objects in images using bottom-up computational processes and mid-level selection cues. The object hypotheses are represented as figure-ground segmentations, and are extracted automatically, without prior knowledge of the properties of individual object classes, by solving a sequence of Constrained Parametric Min-Cut problems (CPMC) on a regular image grid. In a subsequent step, we learn to rank the corresponding segments by training a continuous model to predict how likely they are to exhibit real-world regularities (expressed as putative overlap with ground truth) based on their mid-level region properties, then diversify the estimated overlap score using maximum marginal relevance measures. We show that this algorithm significantly outperforms the state of the art for low-level segmentation in the VOC 2009 and 2010 data sets. In our companion papers [1], [2], we show that the algorithm can be used, successfully, in a segmentation-based visual object category recognition pipeline. This architecture ranked first in the VOC2009 and VOC2010 image segmentation and labeling challenges.

  9. Hopeless, burned out, and questioning: achieving personal resilience in the midst of organizational turmoil.

    Science.gov (United States)

    Tillery, Abbey-Robin

    2013-01-01

    There are not many personal reflection pieces about professional resilience published as health care professionals are still among the least likely to raise their own personal problems--especially in the field of emergency health care. Writing afirst person piece about the journey to finally finding professional resilience, I describe factors faced by many new and mid-level professionals that are not written about in academic journals yet contribute to: premature career termination, poor customer service/patient care, and lack of motivation. I conclude with a way forward that could be a map for others currently struggling with their career choice. As a mid level psychologist, I can now look back on the past 8 years of my development and see the obstacles I was faced with. The irony is that at the time I knew they were challenging times, but I lacked a context for them, and did not know what normal was. Now that I am a relatively safe distance away from those hard years, I can appreciate more fully what resilience means to me, and respect the years I spent secretly in crisis. This article is a blend of academic information about professional resilience and compassion fatigue, contrasted by those very concepts playing out in my own life. The recommendations I provide for leaders and those in the thick of a professional burn out are concepts I know would have made a difference to me, even in survival mode.

  10. Balanced thermal structure of an intensifying tropical cyclone

    Directory of Open Access Journals (Sweden)

    David J. Raymond

    2012-12-01

    Full Text Available This study tests the hypothesis that the formation of a virtual potential temperature dipole in a developing tropical cyclone is a balanced response to the growth of an associated mid-level vortex. The dipole is collocated with the vortex and consists of a warm anomaly in the upper troposphere and a cool anomaly in the lower troposphere. An axisymmetric approximation to the observed potential vorticity distribution is inverted subject to non-linear balance for two successive days during the formation of typhoon Nuri in 2008. Good agreement is found between the area-averaged actual and balanced virtual temperature dipoles in these two cases. Furthermore, a strong correlation exists between the degree of bottom-heaviness of convective mass flux profiles and the strength of the balanced virtual potential temperature dipole. Since the dipole is balanced, it cannot be an immediate artefact of the existing convection, but rather is an inherent feature of the developing cyclone. Cloud resolving numerical modelling suggests that the dipole temperature anomaly actually promotes more bottom-heavy convective mass flux profiles, as observed. Such profiles are associated with low-level mass and vorticity convergence via mass continuity and the circulation theorem, resulting in low-level spin-up. The present work thus supports the hypothesis that the low-level spin-up associated with tropical cyclogenesis is made possible by the thermodynamic environment created by a strong mid-level vortex.

  11. Neuro-imaging in Patients Referred to a Neuro-ophthalmology Service: The Rates of Appropriateness and Concordance in Interpretation

    Science.gov (United States)

    McClelland, Collin; Van Stavern, Gregory P.; Shepherd, J. Banks; Gordon, Mae; Huecker, Julia

    2012-01-01

    Objective Neuro-imaging studies are frequently ordered to investigate neuro-ophthalmic symptoms. When misused these studies are expensive and time-consuming. This study aimed to describe the type and frequency of neuro-imaging errors in patients referred to an academic neuro-ophthalmology service and to measure how frequently these neuro-imaging studies were re-interpreted. Design Prospective cohort study Participants 84 consecutive patients referred to an academic neuro-ophthalmology practice Methods From November 2009 through July 2010 we prospectively enrolled 84 consecutive new patients who had received a neuro-imaging study in the last 12 months specifically in evaluation of their presenting neuro-ophthalmic symptoms. Participants then underwent a complete neuro-ophthalmic evaluation followed by a review of prior neuro-imaging. Questions regarding appropriateness of the most recent imaging, concordance of radiological interpretation, and re-evaluation of referring diagnoses were answered by the attending physician. Main Outcome Measures 1. The frequency and types of errors committed in the utilization of neuro-imaging. 2. The frequency of re-interpretation of pre-referral neuro-imaging studies following neuro-ophthalmic history and examination. Results Most study participants (84.5%; 71/84) underwent magnetic resonance imaging (MRI) prior to referral; 15.5% (13/84) underwent only computed tomography (CT). The rate of sub-optimal neuro-imaging studies was 38.1% (32/84). The three most common reasons for sub-optimal studies were incomplete area of imaging (34.4%; 11/32), wrong study type (28.1%; 9/32), and poor image quality (21.9%; 7/32). 24 of 84 subjects (28.6%) required additional neuro-imaging. We agreed with the radiology interpretation of the prior neuro-imaging studies in the majority (77.4%; 65/84) of patients. The most common anatomic locations for discordance in interpretation were the intraorbital optic nerve (35%; 7/20) and the brainstem (20%; 4

  12. Health systems readiness and management of febrile outpatients under low malaria transmission in Vanuatu.

    Science.gov (United States)

    Zurovac, Dejan; Guintran, Jean-Olivier; Donald, Wesley; Naket, Esau; Malinga, Josephine; Taleo, George

    2015-12-02

    Vanuatu, an archipelago country in Western Pacific harbouring low Plasmodium falciparum and Plasmodium vivax malaria transmission, has been implementing a malaria case management policy, recommending parasitological testing of patients with fever and anti-malarial treatment for test-positive only patients. A health facility survey to evaluate the health systems readiness to implement the policy and the quality of outpatient management for patients with fever was undertaken. A cross-sectional, cluster sample survey, using a range of quality-of-care methods, included all health centres and hospitals in Vanuatu. The main outcome measures were coverage of health facilities and health workers with commodities and support interventions, adherence to test and treatment recommendations, and factors influencing malaria testing. The survey was undertaken in 2014 during the low malaria season and included 41 health facilities, 67 health workers and 226 outpatient consultations for patients with fever. All facilities had capacity for parasitological diagnosis, 95.1 % stocked artemether-lumefantrine and 63.6 % primaquine. The coverage of health workers with support interventions ranged from 50 to 70 %. Health workers' knowledge was high only regarding treatment policy for uncomplicated P. falciparum malaria (83.4 %). History taking and clinical examination practices were sub-optimal. Some 35.0 % (95 % CI 23.4-48.6) of patients with fever were tested for malaria, of which all results were negative and only one patient received anti-malarial treatment. Testing was significantly higher for patients age 5 years and older (OR = 2.33; 95 % CI 1.48-5.02), seen by less qualified health workers (OR = 2.73; 95 % CI 1.48-5.02), health workers who received malaria case management training (OR = 2.39; 95 % CI 1.28-4.47) and patients with increased temperature (OR = 2.56; 95 % CI 1.17-5.57), main complaint of fever (OR = 5.82; 95 % CI 1.26-26.87) and without runny nose (OR = 3.75; 95 % CI 1

  13. Solución de un problema Job Shop con un agente inteligente Job Shop problem solution with an intelligent agent

    Directory of Open Access Journals (Sweden)

    Omar Danilo Castrillón

    2009-12-01

    Full Text Available En el presente trabajo se define una nueva y efectiva metodología, basada en agentes inteligentes, para la secuenciación de la producción en ambientes Job Shop; especialmente, para pequeñas y medianas empresas del sector metalmecánico, donde estas técnicas no han sido muy empleadas; debido a la alta resistencia al cambio. Este trabajo se desarrolla en dos fases. En la primera, se definen las diferentes técnicas utilizadas. En la segunda, se ejecutan las pruebas estadísticas con el fin de determinar el porcentaje de aproximación de estas soluciones a la solución óptima o subóptima. El resultado de este trabajo muestra que las técnicas basadas en agentes inteligentes, no siempre producen un resultado óptimo; pero en unos pocos segundos, estas técnicas pueden encontrar una solución subóptima con una aproximación del 97,81% y 90,43% a la solución óptima o subóptima, en las variables tiempo total de proceso y tiempo total muerto, respectivamente. Esto contrasta con la poca efectividad encontrada en las técnicas tradicionales.In this paper, is defines a new and effective methodology based on intelligent agents for production sequencing Job Shop Environments; especially for small and medium enterprises in the metal mechanics sector, where these techniques have not been employed , due to the high resistance to change. This work is developed in two phases. In the first one, the different techniques used are defined. In the second step, statistical tests are executed in order to determine the approximation percentage solutions’ to the optimal or sub optimal solution. This work’s results show that the intelligent agents techniques don’t produce an optimal result every single time; but in few seconds, these techniques, can find sub optimal solutions with an approximation of 97.81% and 90.43%, to the optimal or sub optimal solution, in the variables total time process and total idle time, respectively. This contrasts with the

  14. Solid rocket technology advancements for space tug and IUS applications

    Science.gov (United States)

    Ascher, W.; Bailey, R. L.; Behm, J. W.; Gin, W.

    1975-01-01

    In order for the shuttle tug or interim upper stage (IUS) to capture all the missions in the current mission model for the tug and the IUS, an auxiliary or kick stage, using a solid propellant rocket motor, is required. Two solid propellant rocket motor technology concepts are described. One concept, called the 'advanced propulsion module' motor, is an 1800-kg, high-mass-fraction motor, which is single-burn and contains Class 2 propellent. The other concept, called the high energy upper stage restartable solid, is a two-burn (stop-restartable on command) motor which at present contains 1400 kg of Class 7 propellant. The details and status of the motor design and component and motor test results to date are presented, along with the schedule for future work.

  15. Brief cognitive interventions for burn pain.

    Science.gov (United States)

    Haythronthwaite, J A; Lawrence, J W; Fauerbach, J A

    2001-01-01

    This study tested the efficacy of 2 brief cognitive interventions in supplementing regular medical treatment for pain during burn dressing change. Forty-two burn inpatients were randomly assigned to 3 groups: sensory focusing, music distraction, and usual care. Patients reported pain, pain relief satisfaction with pain control, and pain coping strategies. The sensory focusing group reported greater pain relief compared to the music distraction group and a reduction in remembered pain compared to the usual care group, although group differences were not observed on serial pain ratings. In addition, after controlling for burn size and relevant covariates, regression analyses indicated that catastrophizing predicted pain, memory for pain, and satisfaction with pain control. Refinement of the sensory focusing intervention is warranted to reduce catastrophic thinking and improve pain relief

  16. Arthroscopic knee surgery does not modify hyperalgesic responses to heat injury

    DEFF Research Database (Denmark)

    Werner, Mads U; Duun, Preben; Kraemer, Otto

    2003-01-01

    BACKGROUND: Experimental studies suggest that surgical injury may up- or down-regulate nociceptive function. Therefore, the aim of this clinical study was to evaluate the effect of elective arthroscopically assisted knee surgery on nociceptive responses to a heat injury. METHODS: Seventeen patients...... contralateral to the surgical side. Ibuprofen and acetaminophen were given for 2 days before the first burn injury and again from the time of surgery. In the controls, the two burn injuries were separated by 7 days. Sensory variables included cumulated pain score during induction of the burn (visual analog...... scale), secondary hyperalgesia area, and mechanical and thermal pain perception and pain thresholds assessed before and 1 h after the burn injury. RESULTS: The heat injuries induced significant increases in pain perception (P heat pain...

  17. Decreasing burned children's pain behavior: impacting the trauma of hydrotherapy.

    Science.gov (United States)

    Kelley, M L; Jarvie, G J; Middlebrook, J L; McNeer, M F; Drabman, R S

    1984-01-01

    We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (p less than .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed. PMID:6735948

  18. Mars Surface Mobility Leading to Sustainable Exploration

    Science.gov (United States)

    Linne, Diane L.; Barsi, Stephen J.; Sjauw En Wa, Waldy K.; Landis, Geoffrey A.

    2012-01-01

    A Mars rocket-propelled hopper concept was evaluated for feasibility through analysis and experiments. The approach set forth in this paper is to combine the use of in-situ resources in a new Mars mobility concept that will greatly enhance the science return while providing the first opportunity towards reducing the risk of incorporating ISRU into the critical path for the highly coveted, but currently unaffordable, sample return mission. Experimental tests were performed on a high-pressure, self-throttling gaseous oxygen/methane propulsion system to simulate a two-burn-with-coast hop profile. Analysis of the trajectory, production plant requirements, and vehicle mass indicates that a small hopper vehicle could hop 2 km every 30 days with an initial mass of less than 60 kg. A larger vehicle can hop 15 km every 30 to 60 days with an initial mass of 300 to 430 kg.

  19. The Role of Flight Experiments in the Development of Cryogenic Fluid Management Technologies

    Science.gov (United States)

    Chato, David J.

    2006-01-01

    This paper reviews the history of cryogenic fluid management technology development and infusion into both the Saturn and Centaur vehicles. Ground testing and analysis proved inadequate to demonstrate full scale performance. As a consequence flight demonstration with a full scale vehicle was required by both the Saturn and Centaur programs to build confidence that problems were addressed. However; the flight vehicles were highly limited on flight instrumentation and the flight demonstration locked-in the design without challenging the function of design elements. Projects reviewed include: the Aerobee Sounding Rocket Cryogenic Fluid Management (CFM) tests which served as a valuable stepping stone to flight demonstration and built confidence in the ability to handle hydrogen in low gravity; the Saturn IVB Fluid Management Qualification flight test; the Atlas Centaur demonstration flights to develop two burn capability; and finally the Titan Centaur two post mission flight tests.

  20. Further studies on the iodine concentration of conventional, organic and UHT semi-skimmed milk at retail in the UK.

    Science.gov (United States)

    Stevenson, Melissa C; Drake, Chris; Givens, D Ian

    2018-01-15

    Milk is the largest source of iodine in UK diets and earlier studies showed organic summer and winter milk to be significantly lower in iodine than conventional milk. One study also showed UHT milk to have lower iodine concentration. The study on winter and UHT milk was small and accordingly a new study is reported here involving conventional, organic and UHT semi-skimmed milk from four supermarkets over a six-month period in summer and winter in two regions of the UK. The results showed organic milk to be 44% lower in iodine than conventional milk (427 vs. 241µg/L, PUHT milk was 27% lower in iodine than conventional milk (427 vs. 314µg/L, Pmilk by organic or UHT milk will increase the risk of sub-optimal iodine status especially for pregnant/lactating women. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  1. Effect of milk type and processing on iodine concentration of organic and conventional winter milk at retail: implications for nutrition.

    Science.gov (United States)

    Payling, Laura M; Juniper, Darren T; Drake, Chris; Rymer, Caroline; Givens, D Ian

    2015-07-01

    Milk is the largest source of iodine in UK diets and an earlier study showed that organic summer milk had significantly lower iodine concentration than conventional milk. There are no comparable studies with winter milk or the effect of milk fat class or heat processing method. Two retail studies with winter milk are reported. Study 1 showed no effect of fat class but organic milk was 32.2% lower in iodine than conventional milk (404 vs. 595 μg/L; Pmilk but organic milk contained 35.5% less iodine than conventional milk (474 vs. 306 μg/L; PUHT and branded organic milk also had lower iodine concentrations than conventional milk (331 μg/L; Pmilk by organic or UHT milk will increase the risk of sub-optimal iodine status especially for pregnant/lactating women. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Advancing pharmaceuticals and patient safety in Saudi Arabia: A 2030 vision initiative

    Directory of Open Access Journals (Sweden)

    Tariq M. Alhawassi

    2018-01-01

    Full Text Available Low-quality medicines deliver sub-optimal clinical outcomes and waste precious health resources. It is important to ensure that public funds are spent on healthcare technologies that meet national regulatory bodies such as the Saudi Food and Drug Authority (SFDA, quality standards for safety, efficacy, and quality. Medicines quality is a complicated combination of pre-market regulatory specifications, appropriate sourcing of ingredients (active pharmaceutical ingredient (API, excipients, etc., manufacturing processes, healthcare ecosystem communications, and regular and robust pharmacovigilance practices. A recent conference in Riyadh, sponsored by King Saud University, sought to discuss these issues and develop specific policy recommendations for the Saudi 2030 Vision plan. This and other efforts will require more and more creative educational programs for physicians, pharmacists, hospitals, and patients, and, most importantly evolving regulations on quality standards and oversight by Saudi health authorities.

  3. Path Planning Using Concatenated Analytically-Defined Trajectories for Quadrotor UAVs

    Directory of Open Access Journals (Sweden)

    Jonathan Jamieson

    2015-04-01

    Full Text Available This paper presents a semi-analytical trajectory planning method for quadrotor UAVs. These trajectories are analytically defined, are constant in speed and sub-optimal with respect to a weighted quadratic cost function of the translational and angular velocities. A technique for concatenating the trajectories into multi-segment paths is demonstrated. These paths are smooth to the first derivative of the translational position and pass through defined waypoints. A method for detecting potential collisions by discretizing the path into a coarse mesh before using a numerical optimiser to determine the point of the path closest to the obstacle is presented. This hybrid method reduces the computation time when compared to discretizing the trajectory into a fine mesh and calculating the minimum distance. A tracking controller is defined and used to show that the paths are dynamically feasible and the typical magnitudes of the controller inputs required to fly them.

  4. Low-temperature transverse magnetic domains in nominally uniaxial La0.67Sr0.33MnO3 films on NdGaO3 (0 0 1)

    Science.gov (United States)

    Phillips, L. C.; Ghidini, M.; Moya, X.; Maccherozzi, F.; Dhesi, S. S.; Mathur, N. D.

    2013-01-01

    Epitaxial La0.67Sr0.33MnO3 films grown on orthorhombic NdGaO3 (0 0 1) substrates show predominantly uniaxial magnetic anisotropy. On cooling, we observe the growth of a biaxial contribution, which we quantify by fitting magnetometry data to a coherent rotation model. A film grown under deliberately sub-optimal conditions shows a relatively stronger biaxial contribution that results in a significant population of transverse magnetic domains below ˜200 K, as revealed by photoemission electron microscopy with x-ray magnetic circular dichroism contrast. Care should be taken to avoid these transverse domains in spintronic devices designed to exploit the high low-temperature spin-polarization of La0.67Sr0.33MnO3.

  5. Tuning La0.67Sr0.33MnO3 surface magnetism using LaMnO3 and SrTiO3 caps

    Science.gov (United States)

    Phillips, L. C.; Maccherozzi, F.; Moya, X.; Ghidini, M.; Yan, W.; Soussi, J.; Dhesi, S. S.; Mathur, N. D.

    2014-04-01

    We have investigated how the surface magnetism of epitaxial La0.67Sr0.33MnO3 films on NdGaO3 substrates is modified by 2 nm-thick caps of the undoped manganite LaMnO3 and the band insulator SrTiO3. Low-temperature photoemission electron microscopy images with x-ray magnetic circular dichroism contrast reveal large ferromagnetic domains, and a reduction of surface Curie temperature by 40 K (LaMnO3 cap) and 70 K (SrTiO3 cap). We use these negative results to argue that capped films of sub-optimally doped La1-xSrxMnO3 (x≠0.33) should improve the operating temperature of all-oxide and other spintronic devices.

  6. Learning from Bees: An Approach for Influence Maximization on Viral Campaigns.

    Directory of Open Access Journals (Sweden)

    C Prem Sankar

    Full Text Available Maximisation of influence propagation is a key ingredient to any viral marketing or socio-political campaigns. However, it is an NP-hard problem, and various approximate algorithms have been suggested to address the issue, though not largely successful. In this paper, we propose a bio-inspired approach to select the initial set of nodes which is significant in rapid convergence towards a sub-optimal solution in minimal runtime. The performance of the algorithm is evaluated using the re-tweet network of the hashtag #KissofLove on Twitter associated with the non-violent protest against the moral policing spread to many parts of India. Comparison with existing centrality based node ranking process the proposed method significant improvement on influence propagation. The proposed algorithm is one of the hardly few bio-inspired algorithms in network theory. We also report the results of the exploratory analysis of the network kiss of love campaign.

  7. PG490-88, a derivative of triptolide, attenuates obliterative airway disease in a mouse heterotopic tracheal allograft model.

    Science.gov (United States)

    Leonard, Colm T; Soccal, Paola M; Berry, Gerald J; Doyle, Ramona L; Theodore, James; Duncan, Steven R; Rosen, Glenn D

    2002-12-01

    The current treatment of obliterative bronchiolitis in lung transplant recipients is sub-optimal. Triptolide is a novel immunosuppressant that has a mechanism of action distinct from currently available immunosuppressants, including induction of T-cell apoptosis, blockade of fibroblast proliferation/maturation and inhibition of transforming growth factor-beta (TGF-beta) mRNA production. We hypothesized that triptolide may be helpful in blocking obliterative airway disease in lung transplant recipients. We investigated the effect of PG490-88, a water-soluble derivative of triptolide, in a mouse heterotopic tracheal allograft model of obliterative airway disease. We show that PG490-88 attenuates airway obliteration in this model and inhibits accumulation of inflammatory cells, and therefore may have preventive or therapeutic benefits for patients with obliterative airway disease (OAD) following lung transplantation.

  8. Energy efficient scheme for cognitive radios utilizing soft sensing

    KAUST Repository

    Alabbasi, Abdulrahman

    2014-04-06

    In this paper we propose an energy efficient cognitive radio system. Our design considers an underlaying resource allocation combined with soft sensing information to achieve a sub-optimum energy efficient system. The sub-optimality is achieved by optimizing over a channel inversion power policy instead of considering a water-filling power policy. We consider an Energy per Goodbit (EPG) metric to express the energy efficient objective function of the system and as an evaluation metric to our system performance. Since our optimization problem is not a known convex problem, we prove its convexity to guarantee its feasibility. We evaluate the proposed scheme comparing to a benchmark system through both analytical and numerical results.

  9. Learning from Bees: An Approach for Influence Maximization on Viral Campaigns.

    Science.gov (United States)

    Sankar, C Prem; S, Asharaf; Kumar, K Satheesh

    2016-01-01

    Maximisation of influence propagation is a key ingredient to any viral marketing or socio-political campaigns. However, it is an NP-hard problem, and various approximate algorithms have been suggested to address the issue, though not largely successful. In this paper, we propose a bio-inspired approach to select the initial set of nodes which is significant in rapid convergence towards a sub-optimal solution in minimal runtime. The performance of the algorithm is evaluated using the re-tweet network of the hashtag #KissofLove on Twitter associated with the non-violent protest against the moral policing spread to many parts of India. Comparison with existing centrality based node ranking process the proposed method significant improvement on influence propagation. The proposed algorithm is one of the hardly few bio-inspired algorithms in network theory. We also report the results of the exploratory analysis of the network kiss of love campaign.

  10. Knowledge Capture and Management for Space Flight Systems

    Science.gov (United States)

    Goodman, John L.

    2005-01-01

    The incorporation of knowledge capture and knowledge management strategies early in the development phase of an exploration program is necessary for safe and successful missions of human and robotic exploration vehicles over the life of a program. Following the transition from the development to the flight phase, loss of underlying theory and rationale governing design and requirements occur through a number of mechanisms. This degrades the quality of engineering work resulting in increased life cycle costs and risk to mission success and safety of flight. Due to budget constraints, concerned personnel in legacy programs often have to improvise methods for knowledge capture and management using existing, but often sub-optimal, information technology and archival resources. Application of advanced information technology to perform knowledge capture and management would be most effective if program wide requirements are defined at the beginning of a program.

  11. Simultaneous source localization and polarization estimation via non-orthogonal joint diagonalization with vector-sensors.

    Science.gov (United States)

    Gong, Xiao-Feng; Wang, Ke; Lin, Qiu-Hua; Liu, Zhi-Wen; Xu, You-Gen

    2012-01-01

    Joint estimation of direction-of-arrival (DOA) and polarization with electromagnetic vector-sensors (EMVS) is considered in the framework of complex-valued non-orthogonal joint diagonalization (CNJD). Two new CNJD algorithms are presented, which propose to tackle the high dimensional optimization problem in CNJD via a sequence of simple sub-optimization problems, by using LU or LQ decompositions of the target matrices as well as the Jacobi-type scheme. Furthermore, based on the above CNJD algorithms we present a novel strategy to exploit the multi-dimensional structure present in the second-order statistics of EMVS outputs for simultaneous DOA and polarization estimation. Simulations are provided to compare the proposed strategy with existing tensorial or joint diagonalization based methods.

  12. Short-term wind power forecasting: probabilistic and space-time aspects

    DEFF Research Database (Denmark)

    Tastu, Julija

    a statistical model which would improve the quality of state-of-the-art prediction methods by accounting for the fact that forecasts errors made by such locally-optimized forecasting methods propagate in space and in time under the influence of prevailing weather conditions. Subsequently, the extension from......Optimal integration of wind energy into power systems calls for high quality wind power predictions. State-of-the-art forecasting systems typically provide forecasts for every location individually, without taking into account information coming from the neighbouring territories. It is however...... intuitively expected that owing to the inertia in meteorological systems such local approach to power forecasting is sub-optimal. Indeed, errors in meteorological forecasts might translate to fronts of imbalances, i.e. taking the form of a band of forecast errors propagating across entire regions. My research...

  13. A clinical distance measure for evaluating treatment plan quality difference with Pareto fronts in radiotherapy

    Directory of Open Access Journals (Sweden)

    Kristoffer Petersson

    2017-07-01

    Full Text Available We present a clinical distance measure for Pareto front evaluation studies in radiotherapy, which we show strongly correlates (r = 0.74 and 0.90 with clinical plan quality evaluation. For five prostate cases, sub-optimal treatment plans located at a clinical distance value of >0.32 (0.28–0.35 from fronts of Pareto optimal plans, were assessed to be of lower plan quality by our (12 observers (p < .05. In conclusion, the clinical distance measure can be used to determine if the difference between a front and a given plan (or between different fronts corresponds to a clinically significant plan quality difference.

  14. Inter-laboratory evaluation of instrument platforms and experimental workflows for quantitative accuracy and reproducibility assessment

    Directory of Open Access Journals (Sweden)

    Andrew J. Percy

    2015-09-01

    Full Text Available The reproducibility of plasma protein quantitation between laboratories and between instrument types was examined in a large-scale international study involving 16 laboratories and 19 LC–MS/MS platforms, using two kits designed to evaluate instrument performance and one kit designed to evaluate the entire bottom-up workflow. There was little effect of instrument type on the quality of the results, demonstrating the robustness of LC/MRM-MS with isotopically labeled standards. Technician skill was a factor, as errors in sample preparation and sub-optimal LC–MS performance were evident. This highlights the importance of proper training and routine quality control before quantitation is done on patient samples.

  15. Risk of docetaxel-induced peripheral neuropathy among 1,725 Danish patients with early stage breast cancer

    DEFF Research Database (Denmark)

    Eckhoff, L; Knoop, A S; Jensen, M-B

    2013-01-01

    ,725 patients with early stage breast cancer who randomly were assigned to three cycles of epirubicin and cyclophosphamide followed by three cycles docetaxel (D100) or six cycles of cyclophosphamide and docetaxel (D75). Eligible patients completed chemotherapy, received docetaxel, and provided information......Docetaxel-induced peripheral neuropathy (PN) can lead to sub-optimal treatment in women with early breast cancer. Here, we compare the frequency of dose reduction as a result of PN in two different adjuvant regimens. From the Danish Breast Cancer Cooperative Group READ trial we included 1...... on patient-reported outcome (secondary outcome of trial) including PN. Associations between PN and risk factors were analyzed by multivariate logistic regression. Overall 597 patients (34 %) reported PN, grades 2-4, during treatment, 194 (11 %) after the first cycle [early onset peripheral neuropathy (EPN...

  16. Implementing the cost-optimal methodology in EU countries

    DEFF Research Database (Denmark)

    Atanasiu, Bogdan; Kouloumpi, Ilektra; Thomsen, Kirsten Engelund

    This study presents three cost-optimal calculations. The overall aim is to provide a deeper analysis and to provide additional guidance on how to properly implement the cost-optimality methodology in Member States. Without proper guidance and lessons from exemplary case studies using realistic...... input data (reflecting the likely future development), there is a risk that the cost-optimal methodology may be implemented at sub-optimal levels. This could lead to a misalignment between the defined cost-optimal levels and the long-term goals, leaving a significant energy saving potential unexploited....... Therefore, this study provides more evidence on the implementation of the cost-optimal methodology and highlights the implications of choosing different values for key factors (e.g. discount rates, simulation variants/packages, costs, energy prices) at national levels. The study demonstrates how existing...

  17. Improving the effectiveness of psychotherapy in two public hospitals in Nairobi

    Science.gov (United States)

    Falkenström, Fredrik; Gee, Matthew David; Kuria, Mary Wangari; Othieno, Caleb Joseph; Kumar, Manasi

    2017-01-01

    This paper is the first in a planned series of papers studying the effectiveness of psychotherapy and counselling in Nairobi. It describes a method for checking the effectiveness of psychotherapy and improving service quality in a Kenyan context. Rather than prematurely imposing psychotherapy protocols developed in Western countries in another cultural context, we believe that first studying psychological interventions as they are practised may generate understanding of which psychological problems are common, what interventions therapists use, and what seems to be effective in reducing psychiatric problems. The initial step is to assess outcome of psychological treatments as they are conducted. This is followed by statistical analyses aimed at identifying patient groups who are not improving at acceptable rates. Therapists will then be trained in a ‘best practice’ approach, and controlled trials are used in a final step, testing new interventions specifically targeted at patient groups with sub-optimal outcomes. PMID:29093948

  18. Pharmacological Bypass of Cockayne Syndrome B Function in Neuronal Differentiation

    Directory of Open Access Journals (Sweden)

    Yuming Wang

    2016-03-01

    Full Text Available Cockayne syndrome (CS is a severe neurodevelopmental disorder characterized by growth abnormalities, premature aging, and photosensitivity. Mutation of Cockayne syndrome B (CSB affects neuronal gene expression and differentiation, so we attempted to bypass its function by expressing downstream target genes. Intriguingly, ectopic expression of Synaptotagmin 9 (SYT9, a key component of the machinery controlling neurotrophin release, bypasses the need for CSB in neuritogenesis. Importantly, brain-derived neurotrophic factor (BDNF, a neurotrophin implicated in neuronal differentiation and synaptic modulation, and pharmacological mimics such as 7,8-dihydroxyflavone and amitriptyline can compensate for CSB deficiency in cell models of neuronal differentiation as well. SYT9 and BDNF are downregulated in CS patient brain tissue, further indicating that sub-optimal neurotrophin signaling underlies neurological defects in CS. In addition to shedding light on cellular mechanisms underlying CS and pointing to future avenues for pharmacological intervention, these data suggest an important role for SYT9 in neuronal differentiation.

  19. A systematic approach for wellbore drilling and placement of SAGD well pairs and infill wells

    Energy Technology Data Exchange (ETDEWEB)

    Illfelder, H.; Forbes, E.; McElhinney, G.; Rennie, A. [PathFinder, A Schlumberger Company (Canada); Schaepsmeyer, H.; Krawchuk, A. [Cenovus Energy Incorporated (Canada)

    2011-07-01

    In Alberta, Canada, steam assisted gravity drainage (SAGD) is used to enhance oil recovery in heavy oil reservoirs. This process requires the drilling of producer and injector wells which is usually done using standard techniques. These techniques lead to sub-optimal well-placement and thus this paper aims to define a systematic approach for the drilling process. Several methods to improve the drilling process are demonstrated including careful control of the directional drilling process, borehole tortuosity minimization and producer and injector wellbore placement. The paper also presents the real-time analysis of the drilling and advanced ranging (RADAR) system, a service brand and platform developed for implementing the improved methods while drilling is in progress. This paper develops a systematic approach to placing SAGD wells in an improved manner and presents the RADAR system which allows the application of these methods.

  20. A Systematic Review of Recent Advances in Equine Influenza Vaccination

    Science.gov (United States)

    Paillot, Romain

    2014-01-01

    Equine influenza (EI) is a major respiratory disease of horses, which is still causing substantial outbreaks worldwide despite several decades of surveillance and prevention. Alongside quarantine procedures, vaccination is widely used to prevent or limit spread of the disease. The panel of EI vaccines commercially available is probably one of the most varied, including whole inactivated virus vaccines, Immuno-Stimulating Complex adjuvanted vaccines (ISCOM and ISCOM-Matrix), a live attenuated equine influenza virus (EIV) vaccine and a recombinant poxvirus-vectored vaccine. Several other strategies of vaccination are also evaluated. This systematic review reports the advances of EI vaccines during the last few years as well as some of the mechanisms behind the inefficient or sub-optimal response of horses to vaccination. PMID:26344892

  1. Robust receding horizon control for networked and distributed nonlinear systems

    CERN Document Server

    Li, Huiping

    2017-01-01

    This book offers a comprehensive, easy-to-understand overview of receding-horizon control for nonlinear networks. It presents novel general strategies that can simultaneously handle general nonlinear dynamics, system constraints, and disturbances arising in networked and large-scale systems and which can be widely applied. These receding-horizon-control-based strategies can achieve sub-optimal control performance while ensuring closed-loop stability: a feature attractive to engineers. The authors address the problems of networked and distributed control step-by-step, gradually increasing the level of challenge presented. The book first introduces the state-feedback control problems of nonlinear networked systems and then studies output feedback control problems. For large-scale nonlinear systems, disturbance is considered first, then communication delay separately, and lastly the simultaneous combination of delays and disturbances. Each chapter of this easy-to-follow book not only proposes and analyzes novel ...

  2. Lithography-driven layout of logic cells for 65-nm node

    Science.gov (United States)

    Pramanik, Dipankar; Cote, Michel L.

    2003-07-01

    The ITRS roadmap for the 65nm technology node, targets poly gate lengths of 65nm and poly pitches between 140-180nm. In addition, contact overlaps and spacing to diffusion contacts will need to be scaled down. It is very likely that the poly layer will be printed using 193nm high NA steppers and Strong Phase Shift Technologies. Attempts to capture the effect of RET on layout by adding more constraints to the desing rules make it difficult to lay out cells using manual tools and can also lead to sub optimal designs. In this paper we describe a methodology that couples automatic cell generation with Phase shifter insertion and image simulation to allow the design space to be explored more fully.

  3. Adaptive Leadership in Digital Transformation

    DEFF Research Database (Denmark)

    Hansen, Anne Mette; Kræmmergaard, Pernille; Mathiassen, Lars

    2012-01-01

    Leaders’ ability to quickly adapt IT practices is especially critical in today’s increasingly turbulent environment with frequent changes in the competitive and technological landscape. However, developing such adaptive leadership is a difficult and complex process. Often, underlying assumptions...... within the organization result in business leaders being inattentive to digital transformation issues and in IS leaders playing sub-optimal roles within the organization. Since IS and business leaders are often unaware of these assumptions, they may find it difficult—or even controversial—to discuss them......), this chapter discusses the important role of a facilitator in helping IS and business leaders uncover their underlying assumptions to quickly respond to challenges in digital transformation....

  4. Association of low educational status with microvascular complications in type 2 diabetes: Jaipur diabetes registry-1

    Directory of Open Access Journals (Sweden)

    Niharikaa Sharma

    2015-01-01

    Full Text Available Objective: To determine the association of educational status (ES, as a marker of socioeconomic status, with the prevalence of microvascular complications in diabetes. Methods: Successive patients (n = 1214 presenting to our centre were evaluated for sociodemographic, anthropometric, clinical, and therapeutic variables. Subjects were classified according to ES into Group 1 (illiterate, 216; Group 2 (8.0% was significantly greater in illiterate (38.0%, low (46.0% and middle (41.0% compared to high (31.5% ES subjects (P < 0.05. Conclusions: There is a greater prevalence of the microvascular disease in illiterate and low ES diabetes patients in India. This is associated with the higher prevalence of smoking/tobacco use, poor quality diet and sub-optimal diabetes control.

  5. Evaluation of energy and cost savings in mobile Cloud RAN

    DEFF Research Database (Denmark)

    Checko, Aleksandra; Christiansen, Henrik Lehrmann; Berger, Michael Stübert

    2013-01-01

    The load in mobile networks is subject to variations during the day, due to user mobility and varying network average usage. Therefore, the traditional or Distributed Radio Access Network (D-RAN) architecture, where the BaseBand processing Units (BBUs) are assigned statically to a number of cells...... using OPNET Modeler. A real case scenario is built upon the mobile traffic forecast for year 2017, a number of recommendations on traffic models and a proposed C-RAN implementation. The results achieved show that the maximum statistical multiplexing gain for user plane traffic in C-RAN architecture is 4......, is sub optimal, comparing to a novel, cloud based architecture called Cloud Radio Access Network (C-RAN). In C-RAN a group of cells shares processing resources, and hence benefit from statistical multiplexing gain is expected. In this paper, the energy and cost savings in C-RAN are evaluated numerically...

  6. The anticommons and the environment.

    Science.gov (United States)

    Kosnik, Lea

    2012-06-30

    Augustin Cournot's original concept of "complementary oligopoly" has recently had a rebirth of interest after being relabeled "the tragedy of the anticommons" and finding fresh applications in the legal and economics literatures. The tragedy of the anticommons (the mirror image of the more well-known tragedy of the commons) occurs when too many rights holders to a good lead to sub-optimal usage. Inefficient outcomes are only overcome when rights holders are reduced or consolidated. Despite its renewed interest in other spheres, the theory of the anticommons has yet to garner noticeable attention in environmental resource applications. This paper attempts to show how the theory of the anticommons appears relevant to the environmental sphere, in particular, with an application to river-basin water regulation in the U.S. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Robust H(∞) positional control of 2-DOF robotic arm driven by electro-hydraulic servo system.

    Science.gov (United States)

    Guo, Qing; Yu, Tian; Jiang, Dan

    2015-11-01

    In this paper an H∞ positional feedback controller is developed to improve the robust performance under structural and parametric uncertainty disturbance in electro-hydraulic servo system (EHSS). The robust control model is described as the linear state-space equation by upper linear fractional transformation. According to the solution of H∞ sub-optimal control problem, the robust controller is designed and simplified to lower order linear model which is easily realized in EHSS. The simulation and experimental results can validate the robustness of this proposed method. The comparison result with PI control shows that the robust controller is suitable for this EHSS under the critical condition where the desired system bandwidth is higher and the external load of the hydraulic actuator is closed to its limited capability. Copyright © 2015 ISA. Published by Elsevier Ltd. All rights reserved.

  8. Lift, drag and flow-field measurements around a small ornithopter

    Energy Technology Data Exchange (ETDEWEB)

    Balakumar, B J [Los Alamos National Laboratory; Chavez - Alarcon, Ramiro [NMSU; Shu, Fangjun [NMSU

    2011-01-12

    The aerodynamics of a flight-worthy, radio controlled ornithopter is investigated using a combination of Particle-Image Velocimetry (PIV), load cell measurements, and high-speed photography of smoke visualizations. The lift and thrust forces of the ornithopter are measured at various flow speeds, flapping frequencies and angles of attack to characterize the flight performance. These direct force measurements are then compared with forces estimated using control volume analysis on PIV data. High-speed photography of smoke streaks is used to visualize the evolution of leading edge vortices, and to qualitatively infer the effect of wing deformation on the net downwash. Vortical structures in the wake are compared to previous studies on root flapping, and direct measurements of flapping efficiency are used to argue that the current ornithopter operates sub-optimally in converting the input energy into propulsive work.

  9. Models of Energy Saving Systems

    DEFF Research Database (Denmark)

    Nørgård, Jørgen Stig

    1999-01-01

    The paper first describes the concepts and methods around energy saving, such as energy chain, energy services, end-use technologies, secondary energy, etc. Next are discussed the problems of defining and adding energy services and hence end-use energy efficiency or intensity. A section is devoted...... to what is termed lifestyle efficiency, including the cultural values and the ability of the economy to provide the services wanted. As explained, integrated resource planning with its optimizing the whole energy chain cannot be combined with sub-optimizing part of it, for instance the supply technology...... only. The need for including also the economic policy in the energy planning is illustrated with what is termed the efficiency pittfall. This points towards difficulties in imaging an integrated resource planning combined with a liberalized market. The three variable parameters, population, energy...

  10. How to assess sustainability in automated manufacturing

    DEFF Research Database (Denmark)

    Dijkman, Teunis Johannes; Rödger, Jan-Markus; Bey, Niki

    2015-01-01

    The aim of this paper is to describe how sustainability in automation can be assessed. The assessment method is illustrated using a case study of a robot. Three aspects of sustainability assessment in automation are identified. Firstly, we consider automation as part of a larger system...... that fulfills the market demand for a given functionality. Secondly, three aspects of sustainability have to be assessed: environment, economy, and society. Thirdly, automation is part of a system with many levels, with different actors on each level, resulting in meeting the market demand. In this system......, (sustainability) specifications move top-down, which helps avoiding sub-optimization and problem shifting. From these three aspects, sustainable automation is defined as automation that contributes to products that fulfill a market demand in a more sustainable way. The case study presents the carbon footprints...

  11. Capacity shortfalls hinder the performance of marine protected areas globally

    Science.gov (United States)

    Gill, David A.; Mascia, Michael B.; Ahmadia, Gabby N.; Glew, Louise; Lester, Sarah E.; Barnes, Megan; Craigie, Ian; Darling, Emily S.; Free, Christopher M.; Geldmann, Jonas; Holst, Susie; Jensen, Olaf P.; White, Alan T.; Basurto, Xavier; Coad, Lauren; Gates, Ruth D.; Guannel, Greg; Mumby, Peter J.; Thomas, Hannah; Whitmee, Sarah; Woodley, Stephen; Fox, Helen E.

    2017-03-01

    Marine protected areas (MPAs) are increasingly being used globally to conserve marine resources. However, whether many MPAs are being effectively and equitably managed, and how MPA management influences substantive outcomes remain unknown. We developed a global database of management and fish population data (433 and 218 MPAs, respectively) to assess: MPA management processes; the effects of MPAs on fish populations; and relationships between management processes and ecological effects. Here we report that many MPAs failed to meet thresholds for effective and equitable management processes, with widespread shortfalls in staff and financial resources. Although 71% of MPAs positively influenced fish populations, these conservation impacts were highly variable. Staff and budget capacity were the strongest predictors of conservation impact: MPAs with adequate staff capacity had ecological effects 2.9 times greater than MPAs with inadequate capacity. Thus, continued global expansion of MPAs without adequate investment in human and financial capacity is likely to lead to sub-optimal conservation outcomes.

  12. Health professionals in Kenya: strategies to expand reach and reduce brain drain of psychiatric nurses and psychiatrists.

    Science.gov (United States)

    Brownie, Sharon; Oywer, Elizabeth

    2016-08-01

    This paper highlights the extent of the brain drain in relation to human resources for health (HRH) that is currently challenging Kenya, and suggests strategies that have the potential to change current working environments and improve HRH retention rates. Governments in partnership with health professional bodies and regulators could improve the working conditions for psychiatrists and mental health nurses: by promoting career choices in mental health; by providing accessible professional development opportunities; and by easing workload pressures by expanding service reach through thoughtfully planned and delivered task-shifting to primary care. While these strategies have the potential to make a significant difference, the evidence suggests a brain drain will continue as long as working conditions remain sub-optimal and global HRH shortages persist.

  13. Heuristic Optimization for the Discrete Virtual Power Plant Dispatch Problem

    DEFF Research Database (Denmark)

    Petersen, Mette Kirschmeyer; Hansen, Lars Henrik; Bendtsen, Jan Dimon

    2014-01-01

    of the optimal algorithms we have tested. In particular, GRASP Sorted shows the most promising performance, as it is able to find solutions that are both agile (sorted) and well balanced, and consistently yields the best numerical performance among the developed algorithms....... Problem. First NP-completeness of the Discrete Virtual Power Plant Dispatch Problem is proved formally. We then proceed to develop tailored versions of the meta-heuristic algorithms Hill Climber and Greedy Randomized Adaptive Search Procedure (GRASP). The algorithms are tuned and tested on portfolios...... of varying sizes. We find that all the tailored algorithms perform satisfactorily in the sense that they are able to find sub-optimal, but usable, solutions to very large problems (on the order of 10 5 units) at computation times on the scale of just 10 seconds, which is far beyond the capabilities...

  14. Optimal multisensory decision-making in a reaction-time task.

    Science.gov (United States)

    Drugowitsch, Jan; DeAngelis, Gregory C; Klier, Eliana M; Angelaki, Dora E; Pouget, Alexandre

    2014-06-14

    Humans and animals can integrate sensory evidence from various sources to make decisions in a statistically near-optimal manner, provided that the stimulus presentation time is fixed across trials. Little is known about whether optimality is preserved when subjects can choose when to make a decision (reaction-time task), nor when sensory inputs have time-varying reliability. Using a reaction-time version of a visual/vestibular heading discrimination task, we show that behavior is clearly sub-optimal when quantified with traditional optimality metrics that ignore reaction times. We created a computational model that accumulates evidence optimally across both cues and time, and trades off accuracy with decision speed. This model quantitatively explains subjects's choices and reaction times, supporting the hypothesis that subjects do, in fact, accumulate evidence optimally over time and across sensory modalities, even when the reaction time is under the subject's control.

  15. Messages from the Malaysian Diabetes Registries on Diabetes Care in Malaysian public healthcare facilities.

    Science.gov (United States)

    Chew, Boon-How; Lee, Ping-Yein; Cheong, Ai-Theng; Ismail, Mastura; Shariff-Ghazali, Sazlina; Goh, Pik-Pin

    2016-10-01

    A persistent and increasing prevalence of diagnosed and undiagnosed diabetes mellitus has recently been reported in the National Health and Morbidity Survey 2015. This commentary recapitulates the relevant and valuable lessons in the Malaysian national diabetes registries to inform the healthcare stakeholders and policy makers on potential areas of clinical practice improvement and future researches. Under performance of the process measures and sub-optimal control of HbA1c, blood pressure and lipids profile were prevalent (diabetes co-morbidities (hypertension and dyslipidaemia) and complications had also increased. Prevalence of insulin use had doubled, and lipid lowering agent use had increased about 50% in 2012 compared to 2009. We identified six clinical areas for urgent attention and improvement, and three potential areas for future research. Copyright © 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

  16. Consumption Factor Optimization for Multihop Relaying over Nakagami-m Fading channels

    KAUST Repository

    Randrianantenaina, Itsikiantsoa

    2015-10-06

    In this paper, the energy efficiency of multihop relaying over Nakagami-m fading channels is investigated. The “consumption factor”, adopted as a metric to evaluate the energy efficiency, is derived for both amplify-and-forward and decodeand- forward relaying strategies. Then, based on the obtained expressions, we propose a power allocation strategy maximizing the consumption factor. In addition, a sub-optimal, low complexity, power allocation algorithm is proposed and analyzed, and the obtained power allocation scheme is compared in terms of energy efficiency to other power allocation schemes from the literature. Analytical and simulation results confirm the accuracy of our derivations, and assess the performance gains of the proposed approach.

  17. On Outage Performance of Spectrum-Sharing Communication over M-Block Fading

    KAUST Repository

    Alabbasi, AbdulRahman

    2015-12-06

    In this paper, we consider a cognitive radio system in which a block-fading channel is assumed. Each transmission frame consists of M blocks and each block undergoes a different channel gain. Instantaneous channel state information about the interference links remains unknown to the primary and secondary users. We minimize the secondary user\\'s targeted outage probability over the block-fading channels. To protect the primary user, a statistical constraint on its targeted outage probability is enforced. The secondary user\\'s targeted outage region and the corresponding optimal power are derived. We also propose two sub-optimal power strategies and derive compact expressions for the corresponding outage probabilities. These probabilities are shown to be asymptotic lower and upper bounds on the outage probability. Utilizing these bounds, we derive the exact diversity order of the secondary user outage probability. Selected numerical results are presented to characterize the system\\'s behavior.

  18. Integrating ergonomics knowledge into business-driven design projects: The shaping of resource constraints in engineering consultancy

    DEFF Research Database (Denmark)

    Hall-Andersen, Lene Bjerg; Neumann, W. Patrick; Broberg, Ole

    2016-01-01

    BACKGROUND: The integration of ergonomics knowledge into engineering projects leads to both healthier and more efficient workplaces. There is a lack of knowledge about integrating ergonomic knowledge into the design practice in engineering consultancies. OBJECTIVES: This study explores how...... organizational resources can pose constraints for the integration of ergonomics knowledge into engineering design projects in a business-driven setting, and how ergonomists cope with these resource constraints. PARTICIPANTS: An exploratory case study in an engineering consultancy was conducted. A total of 27......) maximizing project revenue, 2) payment for ergonomics services, 3) value of ergonomic services, 4) role of the client, and 5) coping strategies to overcome resource constraints. CONCLUSION: We hypothesize that resource constraints were shaped due to sub-optimization of costs in design projects...

  19. Functional Factor Analysis In Sesame Under Water - Limiting Stress: New Concept On An Old Method

    Directory of Open Access Journals (Sweden)

    Mansouri Sadollah

    2014-12-01

    Full Text Available Multivariate statistical analysis, through their ability to extract hidden relationship between various traits, has a wide application in breeding programs. Having physiological concept on the multivariate analysis, factor analysis was used to extract differential relationships between different components involving in assimilate partitioning in sesame under regular irrigation regime and limited irrigation. The analysis revealed that under regular irrigation regime, the stored and/or currently produced assimilates are allocated to the filling seeds. However, incidence of water shortage in the beginning of flowering time make shifts in assimilate partitioning from formation of new seeds or capsules to the not-matured pre-formed seeds, which results in seeds with more nutrient storage. This indicates the requirement for change in breeding strategies under sub-optimal condition. The possible common language between factor concept in multivariate analysis, QTLs in genetics, and transcription factors in molecular biology is indicated.

  20. Assessment of the cardiovascular and gastrointestinal autonomic complications of diabetes

    DEFF Research Database (Denmark)

    Brock, Christina; Brock, Birgitte; Pedersen, Anne Grave

    2016-01-01

    The global prevalence of diabetes mellitus is increasing; arguably as a consequence of changes in diet, lifestyle and the trend towards urbanization. Unsurprisingly, the incidence of both micro and macrovascular complications of diabetes mirrors this increasing prevalence. Amongst the complications...... with the highest symptom burden, yet frequently under-diagnosed and sub-optimally treated, is diabetic autonomic neuropathy, itself potentially resulting in cardiovascular autonomic neuropathy and gastrointestinal (GI) tract dysmotility. The aims of this review are fourfold. Firstly to provide an overview...... of the pathophysiological processes that cause diabetic autonomic neuropathy. Secondly, to discuss both the established and emerging cardiometric methods for evaluating autonomic nervous system function in vivo. Thirdly, to examine the tools for assessing pan-GI and segmental motility and finally, we will provide...