Boarding ICU patients: Are our rounding practices subpar?

Science.gov (United States)

Nunn, Andrew M; Hatchimonji, Justin S; Holena, Daniel N; Seamon, Mark J; Smith, Brian P; Kaplan, Lewis J; Martin, Niels D; Reilly, Patrick M; Schwab, C William; Pascual, Jose L

2018-04-01

Surgical Intensive Care Unit (SICU) patients "boarding" in ICUs other than the designated home unit have been shown to suffer increased rates of complications. We hypothesized that ICU rounding practices are different when SICU patients are housed in home vs. boarding ICUs. SICU rounds were observed at an academic quaternary medical center. Individual patient rounding time and order seen on rounds along with patient data and demographics were recorded. Multivariable regression analysis was used for comparison between patients. Non-boarders were older, observed on a later post ICU admission day and were more likely to be mechanically ventilated. Boarded patients were often seen at the end of rounds and for less time. Not being a boarder, age, APACHE II score on admission, vasopressor use, and positive pressure ventilation all predicted increased rounding time. Surgical ICU patients boarding in non-preferred units are often seen at the end of rounds, result in a greater reliance upon telephone communication, and receive less bedside attention from ICU provider teams. Copyright © 2017 Elsevier Inc. All rights reserved.

Round Ligament Varicosities During Pregnancy: Case Report

International Nuclear Information System (INIS)

Baek, Chang Kyu; Oh, Young Taik; Jung, Dae Chul

2011-01-01

There are various causes of a painful palpable mass in the groin during pregnancy. The differential diagnoses of an inguinal mass include hernia, lymphadenopathy, mesothelial cyst, cystic lymphangioma, neoplasms (lipoma, leiomyoma and sarcoma), endometriosis, embryonic remnants and round ligament varicosities. Among them, round ligament varicosities can be easily misdiagnosed as an inguinal hernia in a pregnant woman. These lesions should be managed conservatively because they resolve spontaneously during the postpartum period. Ultrasonography can help make the diagnosis of round ligament varicosities and so prevent unnecessary surgical intervention and the associated morbidity. Herein we report on a case of round ligament varicosities that presented during pregnancy and this condition was readily diagnosed via Doppler sonography

Round Ligament Varicosities During Pregnancy: Case Report

Energy Technology Data Exchange (ETDEWEB)

Baek, Chang Kyu; Oh, Young Taik; Jung, Dae Chul [Yonsei University Health System, Seoul (Korea, Republic of)

2011-12-15

There are various causes of a painful palpable mass in the groin during pregnancy. The differential diagnoses of an inguinal mass include hernia, lymphadenopathy, mesothelial cyst, cystic lymphangioma, neoplasms (lipoma, leiomyoma and sarcoma), endometriosis, embryonic remnants and round ligament varicosities. Among them, round ligament varicosities can be easily misdiagnosed as an inguinal hernia in a pregnant woman. These lesions should be managed conservatively because they resolve spontaneously during the postpartum period. Ultrasonography can help make the diagnosis of round ligament varicosities and so prevent unnecessary surgical intervention and the associated morbidity. Herein we report on a case of round ligament varicosities that presented during pregnancy and this condition was readily diagnosed via Doppler sonography

Impact of near-peer teaching rounds on student satisfaction in the basic surgical clerkship.

Science.gov (United States)

Lin, Joseph A; Farrow, Norma; Lindeman, Brenessa M; Lidor, Anne O

2017-06-01

Teaching rounds are rarely featured in the surgery clerkship. Senior students interested in surgery are suited to precept teaching rounds. Near-peer teaching can provide benefits to both learners and preceptors. Near-peer teaching rounds consisted of senior student-precetors leading groups of 3 clerkship students on teaching rounds once during the clerkship. We prospectively surveyed student satisfaction before and after instituting near-peer teaching rounds. We retrospectively gathered qualitative narratives from student-preceptors. The survey response rate was 93% before near-peer teaching rounds were instituted and 85% after. Satisfaction with the learning environment and the quality and amount of small-group teaching were significantly higher after the institution of near-peer teaching rounds (P ≤ .001 for all 3). Satisfaction with the overall clerkship and baseline interest in surgery were not significantly different. Student-preceptors reported gaining valuable experience for future roles in academia as residents and attending surgeons. Student satisfaction with small-group teaching and the learning environment increased after the institution of near-peer teaching rounds in the surgery clerkship. Student-preceptors gained early experience for careers in academic surgery. Copyright © 2016 Elsevier Inc. All rights reserved.

Speaker Introductions at Internal Medicine Grand Rounds: Forms of Address Reveal Gender Bias.

Science.gov (United States)

Files, Julia A; Mayer, Anita P; Ko, Marcia G; Friedrich, Patricia; Jenkins, Marjorie; Bryan, Michael J; Vegunta, Suneela; Wittich, Christopher M; Lyle, Melissa A; Melikian, Ryan; Duston, Trevor; Chang, Yu-Hui H; Hayes, Sharonne N

2017-05-01

Gender bias has been identified as one of the drivers of gender disparity in academic medicine. Bias may be reinforced by gender subordinating language or differential use of formality in forms of address. Professional titles may influence the perceived expertise and authority of the referenced individual. The objective of this study is to examine how professional titles were used in the same and mixed-gender speaker introductions at Internal Medicine Grand Rounds (IMGR). A retrospective observational study of video-archived speaker introductions at consecutive IMGR was conducted at two different locations (Arizona, Minnesota) of an academic medical center. Introducers and speakers at IMGR were physician and scientist peers holding MD, PhD, or MD/PhD degrees. The primary outcome was whether or not a speaker's professional title was used during the first form of address during speaker introductions at IMGR. As secondary outcomes, we evaluated whether or not the speakers professional title was used in any form of address during the introduction. Three hundred twenty-one forms of address were analyzed. Female introducers were more likely to use professional titles when introducing any speaker during the first form of address compared with male introducers (96.2% [102/106] vs. 65.6% [141/215]; p form of address 97.8% (45/46) compared with male dyads who utilized a formal title 72.4% (110/152) of the time (p = 0.007). In mixed-gender dyads, where the introducer was female and speaker male, formal titles were used 95.0% (57/60) of the time. Male introducers of female speakers utilized professional titles 49.2% (31/63) of the time (p addressed by professional title than were men introduced by men. Differential formality in speaker introductions may amplify isolation, marginalization, and professional discomfiture expressed by women faculty in academic medicine.

Evolving practices in augmentation operative technique with Sientra HSC round implants.

Science.gov (United States)

Calobrace, M Bradley; Kaufman, David L; Gordon, Ashley E; Reid, Dustin L

2014-07-01

As of 2012, breast augmentation surgery continues to be the most commonly performed aesthetic surgical procedure in the United States. Surgeons consider a multitude of factors when choosing the type and style of breast implant for a patient. With the continuous evolution of breast implant designs, there are a variety of breast implant options for plastic surgeons to choose from; however, round implants remain the implant of choice for breast augmentation. This article discusses preoperative planning, implant selection, surgical techniques, and postoperative management using Sientra's Silimed brand smooth and textured round implants.

The Effect of Round Window vs Cochleostomy Surgical Approaches on Cochlear Implant Electrode Position: A Flat-Panel Computed Tomography Study.

Science.gov (United States)

Jiam, Nicole T; Jiradejvong, Patpong; Pearl, Monica S; Limb, Charles J

2016-09-01

The round window insertion (RWI) and cochleostomy approaches are the 2 most common surgical techniques used in cochlear implantation (CI). However, there is no consensus on which approach is ideal for electrode array insertion, in part because visualization of intracochlear electrode position is challenging, so postoperative assessment of intracochlear electrode contact is lacking. To measure and compare electrode array position between RWI and cochleostomy approaches for CI insertion. Retrospective case-comparison study of 17 CI users with Med-El standard-length electrode arrays who underwent flat-panel computed tomography scans after CI surgery at a tertiary referral center. The data was analyzed in October 2015. Flat-panel computed tomography scans were collected between January 1 and August 31, 2013, for 22 electrode arrays. The surgical technique was identified by a combination of operative notes and imaging. Eight cochleae underwent RWI and 14 cochleae underwent cochleostomy approaches anterior and inferior to the round window. Interscalar electrode position and electrode centroid distance to the osseous spiral lamina, lateral bony wall, and central axis of the modiolus. Nine participants were men, and 8, women; the mean age was 54.4 (range, 21-64) years. Electrode position was significantly closer to cochlear neural elements with RWI than cochleostomy approaches. Between the 2 surgical approaches, the RWI technique produced shorter distances between the electrode and the modiolus (mean difference, -0.33 [95% CI, -0.29 to -0.39] mm in the apical electrode; -1.42 [95% CI, -1.24 to -1.57] mm in the basal electrode). This difference, which was most prominent in the first third and latter third of the basal turn, decreased after the basal turn. The RWI approach was associated with an increased likelihood of perimodiolar placement. Opting to use RWI over cochleostomy approaches in CI candidates may position electrodes closer to cochlear neural substrates and

Improving surgical weekend handover.

Science.gov (United States)

Culwick, Caroline; Devine, Chris; Coombs, Catherine

2014-01-01

Effective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. We recognised a need to reduce time searching for patients, jobs and reviews, and to streamline weekend ward rounds. A unified weekend list ordering all surgical patients by ward and bed number was introduced. Discrepancies in the layout of each team's weekday list necessitated the design of a new weekday list to match the weekend list to facilitate the easy transfer of information between the two lists. A colour coding system was also used to highlight specific jobs. Prior to this improvement project only 7.1% of those polled were satisfied with the existing system, after a series of interventions satisfaction increased to 85.7%. The significant increase in overall satisfaction with surgical handover following the introduction of the unified weekend list is promising. Locating patients and identifying jobs is easier and weekend ward rounds can conducted in a more logical and timely fashion. It has also helped facilitate the transition to consultant ward rounds of all surgical inpatients at the weekends with promising feedback from a recent consultants meeting.

A Survey of Rounding Practices in Canadian Adult Intensive Care Units.

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Jessalyn K Holodinsky

Full Text Available To describe rounding practices in Canadian adult Intensive Care Units (ICU and identify opportunities for improvement.Mixed methods design. Cross sectional survey of Canadian Adult ICUs (n = 180 with purposefully sampled follow-up interviews (n = 7.Medical directors representing 111 ICUs (62% participated in the survey. Rounding practices varied across ICUs with the majority reporting the use of interprofessional rounds (81% that employed an open (94% and collaborative (86% approach, occurred at the patient's bedside (82%, and started at a standard time (79% and standard location (56%. Most participants reported that patients (83% and family members (67% were welcome to attend rounds. Approximately half of ICUs (48% used tools to facilitate rounds. Interruptions during rounds were reported to be common (i.e., ≥ 1 interruption for ≥ 50% of patients in 46% of ICUs. Four themes were identified from qualitative analysis of participant responses to open-ended survey questions and interviews: multidisciplinarity, patient and family involvement, factors influencing productivity, and teaching and learning.There is considerable variation in current rounding practices in Canadian medical/surgical ICUs. Opportunities exist to improve ICU rounds including ensuring the engagement of essential participants, clearly defining participant roles, establishing a standardized approach to the rounding process, minimizing interruptions, modifying the role of teaching, utilizing a structured rounding tool, and developing a metric for measuring rounding quality.

Congenital oval or round window anomaly with or without abnormal facial nerve course: surgical results for 15 ears.

Science.gov (United States)

Thomeer, Henricus; Kunst, Henricus; Verbist, Berit; Cremers, Cor

2012-07-01

To describe the audiometric results in a consecutive series of patients with congenital ossicular aplasia (Class 4a) or dysplasia of the oval and/or round window (Class 4b), which might include a possible anomalous course of the facial nerve. Retrospective chart study. Tertiary referral center. A tertiary referral center study with a total of 14 patients with congenital minor ear anomalies as part of a consecutive series (n = 89) who underwent exploratory tympanotomies (15 ears). Audiometric results. In 8 of 15 ears, ossicular reconstruction was attempted. In the short term (1 mo), there was a serviceable hearing outcome (air-bone gap closure to within 25 dB) in 4 ears. However, the long-term results showed deterioration because of an increased air-bone gap in all but 1 ear. No facial nerve lesion was observed postoperatively. Congenital dysplasia or aplasia of the oval and/or round window is an uncommon congenital minor ear anomaly. Classical microsurgical opportunities are rare in this group of anomalies. Newer options for hearing rehabilitation, such as the osseointegrated passive bone conduction devices, have become viable alternatives for conventional air conduction hearing devices. In the near future, upcoming active bone conduction devices might become the most preferred surgical option. In cases in which the facial nerve is only partially overlying the oval window, a type of malleostapedotomy procedure might result in a serviceable postoperative hearing level.

Association Between ICU Admission During Morning Rounds and Mortality

Science.gov (United States)

Gajic, Ognjen; Morales, Ian J.; Keegan, Mark T.; Peters, Steve G.; Hubmayr, Rolf D.

2009-01-01

Background: No previous study has evaluated the association between admission to ICUs during round time and patient outcome. The objective of this study was to determine the association between round-time ICU admission and patient outcome. Methods: This retrospective study included 49,844 patients admitted from October 1994 to December 2007 to four ICUs (two surgical, one medical, and one multispecialty) of an academic medical center. Of these patients, 3,580 were admitted to the ICU during round time (8:00 am to 10:59 am) and 46,264 were admitted during nonround time (from 1:00 pm to 6:00 am). The medical ICU had 24-h/7-day per week intensivist coverage during the last 2 years of the study. We compared the baseline characteristics and outcome of patients admitted to the ICU between the two groups. Data were abstracted from the acute physiology and chronic health evaluation (APACHE) III database. Results: The round-time and non-round-groups were similar in gender, ethnicity, and age. The predicted hospital mortality rate of the round time group was higher (17.4% vs 12.3% predicted, respectively; p < 0.001). The hospital length of stay was similar between the two groups. The round-time group had a higher hospital mortality rate (16.2% vs 8.8%, respectively; p < 0.001). Most of the round-time ICU admissions and deaths occurred in the medical ICU. Round-time admission was an independent risk factor for hospital death (odds ratio, 1.321; 95% CI, 1.178 to 1.481). This independent association was present for the whole study period except for the last 2 years. Conclusions: Patients admitted to the ICU during morning rounds have higher severity of illness and mortality rates. PMID:19505985

Retained surgical sponge

International Nuclear Information System (INIS)

Koyama, Masashi; Kurono, Kenji; Iida, Akihiko; Suzuki, Hirochika; Hara, Masaki; Mizutani, Hirokazu; Ohba, Satoru; Mizutani, Masaru; Nakajima, Yoichiro.

1993-01-01

The CT, US, and MRI findings of confirmed retained surgical sponges were reviewed. The CT examinations in eight lesions demonstrated round or oval masses with heterogeneous internal structures. The US examinations in 5 lesions demonstrated low echogenic masses with high echogenic internal structures, which suggested retained surgical sponges. MR imagings in three lesions showed slightly high intensity comparable to that of muscles on T1-weighted images and high signal intensity on T2-weighted images, suggesting fluid collections of high protein concentration. (author)

Simulation for ward processes of surgical care.

Science.gov (United States)

Pucher, Philip H; Darzi, Ara; Aggarwal, Rajesh

2013-07-01

The role of simulation in surgical education, initially confined to technical skills and procedural tasks, increasingly includes training nontechnical skills including communication, crisis management, and teamwork. Research suggests that many preventable adverse events can be attributed to nontechnical error occurring within a ward context. Ward rounds represent the primary point of interaction between patient and physician but take place without formalized training or assessment. The simulated ward should provide an environment in which processes of perioperative care can be performed safely and realistically, allowing multidisciplinary assessment and training of full ward rounds. We review existing literature and describe our experience in setting up our ward simulator. We examine the facilities, equipment, cost, and personnel required for establishing a surgical ward simulator and consider the scenario development, assessment, and feedback tools necessary to integrate it into a surgical curriculum. Copyright © 2013 Elsevier Inc. All rights reserved.

Round window stimulation for conductive and mixed hearing loss.

Science.gov (United States)

Dillon, Margaret T; Tubbs, Rhonda S; Adunka, Marcia C; King, English R; Hillman, Todd A; Adunka, Oliver F; Chen, Douglas A; Buchman, Craig A

2014-10-01

Assess surgical complications, postoperative residual hearing, and speech perception outcomes of placement of a middle ear implant on the round window in conductive and mixed hearing loss cases. Single-subject, repeated-measures design where each subject served as his or her own control. Tertiary referral medical systems. Eighteen subjects with either conductive or mixed hearing loss who could not benefit from conventional amplification were enrolled in a clinical trial investigating vibratory stimulation of the round window. The floating mass transducer (FMT) was positioned in the round window niche. Unaided residual hearing, and aided sound field thresholds and speech perception abilities were evaluated preoperatively, and at 1, 3, 6, and 10 months post-activation of the external speech processor. Six subjects experienced complications that either required further medical management or resolved on their own. There was no difference in residual bone conduction thresholds or unaided word discrimination over time. All subjects experienced a significant improvement in aided speech perception abilities as compared to preoperative performance. Subjects with conductive and mixed hearing loss with placement of the FMT in the round window niche experienced improved sound field thresholds and speech perception, without compromising residual hearing thresholds. Vibratory stimulation of the round window via a middle ear implant may be an appropriate treatment option for patients with conductive and mixed hearing loss. Additional research is needed on the preferred placement of the FMT, improvement of functional gain, and methods to limit postoperative complications and need for revision surgery.

Multicenter surgical experience evaluation on the Mid-Scala electrode and insertion tools.

Science.gov (United States)

Gazibegovic, Dzemal; Bero, Eva M

2017-02-01

The HiFocus Mid-Scala electrode is intended to improve hearing for individuals with severe-to-profound hearing loss by providing extended electrical coverage of the cochlea while minimizing trauma related to insertion. The electrode is appropriate for use with a wide range of surgical techniques, including either a cochleostomy or round window insertion, and the use of either a free-hand or tool-assisted approach. The objective of this survey was to evaluate how the HiFocus Mid-Scala electrode and insertion tools was used across a population of cochlear implant recipients of differing ages, audiologic profiles, and anatomical characteristics. The intent was to understand the type and frequency of surgical techniques applicable with the electrode, and to provide guidelines for clinical practice. Two questionnaires were completed by surgeons at implant centres located in the United States, Europe, and Asia. Before any surgeries were conducted, surgeons completed a questionnaire that assessed their overall cochlear implant surgical practice and preferences. Following each HiFocus Mid-Scala electrode insertion, surgeons completed a questionnaire that summarized their experience during that surgical procedure. Questionnaires were completed by 32 surgeons from 16 centres for a total of 143 surgeries (112 adults, 31 children). Most surgeons (62 %) preferred to insert the electrode via the round window or an extended round window compared with a cochleostomy (16 %), whereas the remaining 22 % indicated that they made an insertion choice based on presenting anatomy. Sixty-nine percent preferred a free-hand approach over using insertion tools. In 32 procedures, surgeons elected to deviate from an intended round window insertion to either an extended round window or cochleostomy approach.

Round atrophic holes in lattice degeneration--an important cause of phakic retinal detachment.

Science.gov (United States)

Tillery, W V; Lucier, A C

1976-01-01

Round atrophic holes in lattice degeneration are an important cause of phakic retinal detachment. Detachments due solely to round holes in lattice accounted for almost 2.8% of all retinal detachments treated at Wills Eye Hospital from January 1970 to August 1973. These detachments had the following important characteristics: 1. One of the patients were under the age of 30 years. 2. Over 75% of the patients had refractive errors more myopic than -3 D spherical equivalent. 3. Inferior detachments were slightly more common than superior detachments. When located inferiorly, there was a tendency for slow progression as indicated by the frequent presence of pigmented demarcation lines. 4. Surgical repair with standard scleral buckling techniques was successful in 98% of these detachments. Young, moderate to highly myopic patients with round holes in areas of lattice degeneration seem to have a greater risk of developing this type of detachment. Patients with the triad of youth, myopia, and round holes in lattice degeneration deserve close observation.

Impact of floating mass transducer coupling and positioning in round window vibroplasty.

Science.gov (United States)

Rajan, Gunesh P; Lampacher, Peter; Ambett, Ranjeeta; Dittrich, Gregor; Kuthubutheen, Jafri; Wood, Bradley; McArthur, Anne; Marino, Roberta

2011-02-01

The round window application of the Vibrant Sound bridge, the so-called round window vibroplasty, is gaining increasing popularity for hearing rehabilitation of patients with mixed hearing loss or conductive hearing loss. In these patients, conventional hearing amplification and/or surgical restoration is either not possible or has failed because of chronic ear disease, extensive otosclerosis, or malformations. The exact mechanisms of direct cochlear stimulation via the round window membrane are not yet completely understood. It is unclear what kind and what degree of contact is required between the floating mass transducer (FMT) and the round window membrane (RWM) to elicit a functional hearing perception with the implant. We investigated the coupling efficiency between the FMT and the RWM and how the efficiency is altered by the FMT position, the degree of FMT-RWM contact, and the use of a soft tissue coupler. Prospective cohort study. Tertiary referral center in Western Australia. Patients undergoing round window vibroplasty for a mixed or conductive hearing loss otherwise not aidable. Patients underwent round window vibroplasty and received audiological and coupling analysis in the follow-up. These data were then correlated with FMT positioning and the extent of FMT-RWM interface as determined by postoperative high-resolution temporal bone computed tomography. Coupling and hearing levels in relation to FMT positioning and degree of FMT-RWM contact. Of 10 patients, 8 were available for vibroplasty behavioral threshold testing. In 2 patients, testing could not be done because of wound breakdown requiring device explantation in 1 case, and in the other case, the bone conduction thresholds dropped 2 months after implantation, thus falling out of the performance range of the device. Postoperative FMT migration occurred in 50% of the patients (3/6) with recurrent chronic ear disease and status after multiple previous ear operations. All patients, including the 3

The Wheels of Stress Go 'Round and 'Round

Science.gov (United States)

Brey, Rebecca A.; Clark, Susan E.

2012-01-01

"The Wheels of Stress Go Round and Round" teaching idea uses three activity wheels to reinforce stress-related content and concepts. After presenting a definition of stress, the instructor assists students in identifying stressors, and aids in formulating a list of negative, reactive behaviors and a list of positive coping mechanisms. Using…

Round atelectases

International Nuclear Information System (INIS)

Hanke, R.; Kretzschmar, R.

1983-01-01

a) For several reasons Sinner's paper calls for critical remarks: His term ''Pleuroma'' for a neither pleural nor tumorous but intrapulmonary and atelectatic mass lesion lacks any anatomical and histological basis and is misleading at that because it pretends a tumor of the pleura; his statement in the summary that atelectatic pseudotumors of the lung show a tumorcell-like cytoarchitecture is surprising without being further discussed by the author; he encourages risky invasive diagnostical procedures even in cases where the radiological diagnosis of round atelectasis is unmistakable; already known radiologic features of round atelectases are presented by him as hitherto undescribed; his conceptions of the formal development of round atelectases and of their most characteristic features can not be agreed with. b) The different forms of round atelectases and their residuals are presented with tomograms and with diagrams of their formal development from our point of view. (orig.) [de

Syndrome of round shadow

International Nuclear Information System (INIS)

Ginzburg, M.A.; Kinoshenko, Yu.T.

1987-01-01

Syndrome of round shadow is a traditional determination for a group of spherical, ovoid and similar volumetric formations of more than 1 cm. Differential roentgenodiagnosis of most typical diseases presented by a round shadow as well as dynamics of X-ray pattern of some round formations are presented. Radiological signs of the lung formations and similar ones in diaphragm and mediastinum thoracic wall are given. Ethiology, pathogenesis and pathomorphology of round formations, their clinical picture and investigation methods are discussed

Pediatric Round Pneumonia

OpenAIRE

Liu, Yen-Lin; Wu, Ping-Sheng; Tsai, Li-Ping; Tsai, Wen-Hsin

2014-01-01

“Round pneumonia” or “spherical pneumonia” is a well-characterized clinical entity that seems to be less addressed by pediatricians in Taiwan. We herein report the case of a 7-year-old boy who presented with prolonged fever, cough, and chest X-rays showing a well-demarcated round mass measuring 5.9 × 5.6 × 4.3 cm in the left lower lung field, findings which were typical for round pneumonia. The urinary pneumococcal antigen test was positive, and serum anti-Mycoplasma pneumoniae antibody titer...

Improving surgical weekend handover

OpenAIRE

Culwick, Caroline; Devine, Chris; Coombs, Catherine

2014-01-01

Effective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. We recognised a need to reduce time searching for patients, jobs and reviews, and to streamline weekend ward rounds. A unif...

Impact of surgical case order on perioperative outcomes for robotic-assisted radical prostatectomy

Directory of Open Access Journals (Sweden)

Anil A Thomas

2014-01-01

Conclusions: Surgical case order may influence perioperative outcomes for RARP with decreased operative times and increased length of hospital stay associated with later cases. These findings indicate that select perioperative factors may improve with ascending case order as the surgical team "warms up" during the day. In addition, 3 rd round cases can increase hospital costs associated with increased lengths of hospital stay. Knowledge of these differences may assist in surgical planning to improve outcomes and limit costs.

Impact of regular nursing rounds on patient satisfaction with nursing care.

Science.gov (United States)

Negarandeh, Reza; Hooshmand Bahabadi, Abbas; Aliheydari Mamaghani, Jafar

2014-12-01

The purpose of the study was to determine the impact of regular nursing rounds on patient satisfaction with nursing care. This was a controlled clinical trial in which 100 hospitalized patients in a medical surgical ward were allocated to control and experimental groups through convenience sampling. The experimental group received regular nursing rounds every 1-2 hours. Routine care was performed for the control group. Patient satisfaction with the quality of nursing care was assessed on the second and fifth days of hospitalization in both groups using Patient Satisfaction with Nursing Care Quality Questionnaire. On the second day, patient satisfaction scores of the two groups had no significant difference (p = .499). However, the intervention was associated with statistically significant increased patient satisfaction in the experimental group compared to the control group (p patient satisfaction. This method may hence improve patient-nurse interactions and promote the quality of nursing care and patient satisfaction. Copyright © 2014. Published by Elsevier B.V.

Technology round and management of technology

International Nuclear Information System (INIS)

Park, Yong Tae

1994-04-01

This book deals with beginning of technology round with background of it, change of scientific technique paradigm with economy, management and policy, change of international political environment globalization of technical and economic environment, formation of strategic alliance, intensifying regionalism, new GATT system, UR and technology round, new international technique regulation and technology round of OECD, feature and meaning of technology round, assignment and scientific technique of Korea, past and present of scientific technology in Korea, correspondence for technology round.

Plutonium Round Robin Test

International Nuclear Information System (INIS)

Dudder, G.B.; Herbillon, G.H.

2001-01-01

Full text: The goal of nuclear forensics is to develop a preferred approach to illicit trafficking investigations. This approach must be widely understood and acceptable as credible. The principle objectives of the Round Robin Test are to prioritize the forensic techniques and methods, evaluate attribution capabilities, and examine the utility of database. The Plutonium Round Robin has made a tremendous contribution to fulfilling these goals through a collaborative learning experience that resulted from the outstanding efforts of the six participating international laboratories. A prioritize list of techniques and methods has been developed based on this exercise. Future work will focus on a Highly Enriched Round Robin and extent to which the techniques and methods can be generalized. The Plutonium Round Robin demonstrated a rather high level of capability to determine the important characteristics of the materials and processes using analytical methods. When this capability to was combined with the appropriate knowledge and database, it resulted in a demonstrated capability to attribute the source of the materials to a specific nuclear fuel, reactor, and reprocessing facility. A number of shortfalls were also identified in our current capabilities. These included alternative dating techniques. Light Water Reactor discrimination techniques, and the lack of a comprehensive network of data/knowledge bases. The result of the Round Robin will be used to develop guidelines or a 'recommended protocol' to be made available to the interested authorities and countries to use in real cases. The poster will present a summary of the results of the Plutonium Round Robin and describe the plans the subsequent Highly Enriched Uranium Round Robin Test. (author)

Role of immunohistochemistry and fluorescence in-situ hybridization (FISH in the diagnosis of spindle and round cell tumors of the kidney

Directory of Open Access Journals (Sweden)

M. Abbas

2015-09-01

Conclusion: In summary we advise an immunohistochemical panel for round/spindle cell tumors of the kidney and for unclear cases we advise to add (FISH to get the correct diagnosis, as they are completely different regarding surgical approach and post-operative adjuvant therapy.

Solitary Fibrous Tumor in the Round Ligament of the Liver: A Fortunate Intraoperative Discovery

Directory of Open Access Journals (Sweden)

Laura Beyer

2012-04-01

Full Text Available Solitary fibrous tumors (SFTs are mesenchymal neoplasms of fibroblastic origin, most commonly found in the pleura. Numerous extrathoracic locations have been reported during the last 2 decades. Herein, we report the first case of an SFT in the round ligament of the liver. A 46-year-old Caucasian man presented with a 12-month history of abdominal pain. An ultrasonography-guided microbiopsy first revealed a desmoid tumor. After failure of first- and second-line medical treatments (celecoxib and tamoxifen, then imatinib, histological reexamination was suspicious for a low-grade sarcoma. MRI was also suspicious for a malignant process. Hence, surgery was decided. Laparotomy found a huge and well-limited tumor that, unexpectedly, was appended to the round ligament of the liver and free from any other intra-abdominal contact. The tumor was easily removed. Excision was monobloc and macroscopically complete. Histological analysis diagnosed an SFT arising from the round ligament of the liver. No adjuvant treatment was given. Ten months after surgery, the patient is alive without any signs or symptoms of relapse. This is the first report of SFT arising from the round ligament of the liver. It illustrates the difficulty in diagnosing such tumors. Whilst diagnosis of SFT is rare, it should be kept in mind to allow early diagnosis and complete surgical resection, which provide the best chance for recovery.

Solitary fibrous tumor in the round ligament of the liver: a fortunate intraoperative discovery.

Science.gov (United States)

Beyer, Laura; Delpero, Jean-Robert; Chetaille, Bruno; Sarran, Anthony; Perrot, Delphine; Moureau-Zabotto, Laurence; Guiramand, Jérôme; Bertucci, François

2012-01-01

Solitary fibrous tumors (SFTs) are mesenchymal neoplasms of fibroblastic origin, most commonly found in the pleura. Numerous extrathoracic locations have been reported during the last 2 decades. Herein, we report the first case of an SFT in the round ligament of the liver. A 46-year-old Caucasian man presented with a 12-month history of abdominal pain. An ultrasonography-guided microbiopsy first revealed a desmoid tumor. After failure of first- and second-line medical treatments (celecoxib and tamoxifen, then imatinib), histological reexamination was suspicious for a low-grade sarcoma. MRI was also suspicious for a malignant process. Hence, surgery was decided. Laparotomy found a huge and well-limited tumor that, unexpectedly, was appended to the round ligament of the liver and free from any other intra-abdominal contact. The tumor was easily removed. Excision was monobloc and macroscopically complete. Histological analysis diagnosed an SFT arising from the round ligament of the liver. No adjuvant treatment was given. Ten months after surgery, the patient is alive without any signs or symptoms of relapse. This is the first report of SFT arising from the round ligament of the liver. It illustrates the difficulty in diagnosing such tumors. Whilst diagnosis of SFT is rare, it should be kept in mind to allow early diagnosis and complete surgical resection, which provide the best chance for recovery.

Anatomy of the ward round.

LENUS (Irish Health Repository)

O'Hare, James A

2008-07-01

The ward round has been a central activity of hospital life for hundreds of years. It is hardly mentioned in textbooks. The ward round is a parade through the hospital of professionals where most decision making concerning patient care is made. However the traditional format may be intimidating for patients and inadequate for communication. The round provides an opportunity for the multi-disciplinary team to listen to the patient\\'s narrative and jointly interpret his concerns. From this unfolds diagnosis, management plans, prognosis formation and the opportunity to explore social, psychological, rehabilitation and placement issues. Physical examination of the patient at the bedside still remains important. It has been a tradition to discuss the patient at the bedside but sensitive matters especially of uncertainty may better be discussed elsewhere. The senior doctor as round leader must seek the input of nursing whose observations may be under-appreciated due to traditional professional hierarchy. Reductions in the working hours of junior doctors and shortened length of stay have reduced continuity of patient care. This increases the importance of senior staff in ensuring continuity of care and the need for the joint round as the focus of optimal decision making. The traditional round incorporates teaching but patient\\'s right to privacy and their preferences must be respected. The quality and form of the clinical note is underreported but the electronic record is slow to being accepted. The traditional multi-disciplinary round is disappearing in some centres. This may be regrettable. The anatomy and optimal functioning of the ward round deserves scientific scrutiny and experimentation.

Surgical Technology Integration with Tools for Cognitive Human Factors (STITCH)

Science.gov (United States)

2010-10-01

Measurement Tool We conducted another round of data collection using the daVinci Surgical System at the University of Kentucky Hospital in May. In this...9 3. Tools and Display Technology...considering cognitive and environmental factors such as mental workload, stress, situation awareness, and level of comfort with complex tools . To

Unconventional fixation Thoracolumbar fractures using round hole boneplates and transpedicular screws

International Nuclear Information System (INIS)

Behairy, Yaser M.

2001-01-01

. It iseffective in the surgical treatment of unstable fractures around thethoracolumbar junction. Because of their low cost and ease of insertion,round hole bone plates are an excellent choice for short arthrodesis andinstrumentation of such fractures. (author)

Family participation during intensive care unit rounds: attitudes and experiences of parents and healthcare providers in a tertiary pediatric intensive care unit.

Science.gov (United States)

Stickney, Carolyn A; Ziniel, Sonja I; Brett, Molly S; Truog, Robert D

2014-02-01

To compare the experiences and attitudes of healthcare providers and parents regarding parental participation in morning rounds, in particular to evaluate for differences in perception of parental comprehension of rounds content and parental comfort with attendance, and to identify subgroups of parents who are more likely to report comfort with attending rounds. Cross-sectional survey of 100 parents and 131 healthcare providers in a tertiary care pediatric medical/surgical intensive care unit. Descriptive statistics were used to analyze survey responses; univariate and multivariate analyses were performed to compare parent and healthcare provider responses. Of parents, 92% reported a desire to attend rounds, and 54% of healthcare providers reported a preference for parental presence. There were significant discrepancies in perception of understanding between the 2 groups, with healthcare providers much less likely to perceive that parents understood both the format (30% vs 73%, P parents. Analysis of parent surveys did not reveal characteristics correlated with increased comfort or desire to attend rounds. A majority of parents wish to participate in morning rounds, whereas healthcare provider opinions are mixed. Important discrepancies exist between parent and healthcare provider perceptions of parental comfort and comprehension on rounds, which may be important in facilitating parental presence. Copyright © 2014 Mosby, Inc. All rights reserved.

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

Science.gov (United States)

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

2011-12-01

A national needs assessment of radiology program directors was performed to characterize grand rounds (GR) programs, assess the perceived educational value of GR programs, and determine the impact of the recent economic downturn on GR. A 28-question survey was developed querying the organizational logistics of GR programs, types of speakers, content of talks, honoraria, types of speakers invited, response to the economic downturn, types of speaker interaction with residents, and perceived educational value of GR. Questions were in multiple-choice, yes-or-no, and five-point Likert-type formats. The survey was distributed to the program directors of all radiology residencies within the United States. Fifty-seven of 163 programs responded, resulting in a response rate of 36%. Thirty-eight programs (67%) were university residencies and 10 (18%) were university affiliated. Eighty-two percent of university and 60% of university-affiliated residencies had their own GR programs, while only 14% of community and no military residencies held GR. GR were held weekly in 18% of programs, biweekly in 8%, monthly in 42%, bimonthly in 16%, and less frequently than every 2 months in 16%. All 38 programs hosting GR reported a broad spectrum of presentations, including talks on medical education (66%), clinical and evidence-based medicine (55%), professionalism (45%), ethics (45%), quality assurance (34%), global health (26%), and resident presentations (26%). All programs invited speakers from outside the institution, but there was variability with regard to the frequency of visits and whether invited speakers were from out of town. As a result of recent economic events, one radiology residency (3%) completely canceled its GR program. Others decreased the number of speakers from outside their cities (40%) or decreased the number of speakers from within their own cities (16%). Honoraria were paid to speakers by 95% of responding programs. Most program directors (79%) who had their own

A time-motion study of inpatient rounds using a family-centered rounds model

NARCIS (Netherlands)

Bhansali, P.; Birch, S.; Campbell, J.K.; Agrawal, D.; Hoffner, W.; Manicone, P.; Shah, K.; Krieger, E.; Ottolini, M.

2013-01-01

OBJECTIVE: Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model. METHODS: We conducted a prospective observational study at

Effect of music on surgical skill during simulated intraocular surgery.

Science.gov (United States)

Kyrillos, Ralph; Caissie, Mathieu

2017-12-01

To evaluate the effect of Mozart music compared to silence on anterior segment surgical skill in the context of simulated intraocular surgery. Prospective stratified and randomized noninferiority trial. Fourteen ophthalmologists and 12 residents in ophthalmology. All participants were asked to perform 4 sets of predetermined tasks on the EyeSI surgical simulator (VRmagic, Mannheim, Germany). The participants completed 1 Capsulorhexis task and 1 Anti-Tremor task during 3 separate visits. The first 2 sets determined the basic level on day 1. Then, the participants were stratified by surgical experience and randomized to be exposed to music (Mozart sonata for 2 pianos in D-K448) during either the third or the fourth set of tasks (day 2 or 3). Surgical skill was evaluated using the parameters recorded by the simulator such as "Total score" and "Time" for both tasks and task-specific parameters such as "Out of tolerance percentage" for the Anti-Tremor task and "Deviation of rhexis radius from 2.5 mm," "Roundness," and "Centering" for the Capsulorhexis task. The data were analyzed using the Wilcoxon signed-rank test. No statistically significant differences were noted between exposure and nonexposure for all the Anti-Tremor task parameters as well as most parameters for the Capsulorhexis task. Two parameters for the Capsulorhexis task showed a strong trend for improvement with exposure to music ("Total score" +23.3%, p = 0.025; "Roundness" +33.0%, p = 0.037). Exposure to music did not negatively impact surgical skills. Moreover, a trend for improvement was shown while listening to Mozart music. Copyright © 2017 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

Reconstruction of Bile Duct Injury and Defect with the Round Ligament.

Science.gov (United States)

Dokmak, Safi; Aussilhou, Béatrice; Ragot, Emilia; Tantardini, Camille; Cauchy, François; Ponsot, Philippe; Belghiti, Jacques; Sauvanet, Alain; Soubrane, Olivier

2017-09-01

Lateral injury of the bile duct can occur after cholecystectomy, bile duct dissection, or exploration. If direct repair is not possible, conversion to bilioenteric anastomosis can be needed with the risk of long-term bile duct infections and associated complications. We developed a new surgical technique which consist of reconstructing the bile duct with the round ligament. The vascularized round ligament is completely mobilized until its origin and used for lateral reconstruction of the bile duct to cover the defect. T tube was inserted and removed after few months. Patency of the bile duct was assessed by cholangiography, the liver function test and magnetic resonance imaging (MRI). Two patients aged 33 and 59 years old underwent lateral reconstruction of the bile duct for defects secondary to choledocotomy for stone extraction or during dissection for Mirizzi syndrome. The defects measured 2 and 3 cm and occupied half of the bile duct circumference. The postoperative course was marked by low output biliary fistula resolved spontaneously. In one patient, the T tube was removed at 3 months after surgery and MRI at 9 months showed strictly normal aspect of the bile duct with normal liver function test. The second patient is going very well 2 months after surgery and the T tube is closed. Lateral reconstruction of the bile duct can be safely achieved with the vascularized round ligament. We will extend our indications to tubular reconstruction.

Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosis Codes.

Science.gov (United States)

Mull, Hillary J; Graham, Laura A; Morris, Melanie S; Rosen, Amy K; Richman, Joshua S; Whittle, Jeffery; Burns, Edith; Wagner, Todd H; Copeland, Laurel A; Wahl, Tyler; Jones, Caroline; Hollis, Robert H; Itani, Kamal M F; Hawn, Mary T

2018-04-18

Postoperative readmission data are used to measure hospital performance, yet the extent to which these readmissions reflect surgical quality is unknown. To establish expert consensus on whether reasons for postoperative readmission are associated with the quality of surgery in the index admission. In a modified Delphi process, a panel of 14 experts in medical and surgical readmissions comprising physicians and nonphysicians from Veterans Affairs (VA) and private-sector institutions reviewed 30-day postoperative readmissions from fiscal years 2008 through 2014 associated with inpatient surgical procedures performed at a VA medical center between October 1, 2007, and September 30, 2014. The consensus process was conducted from January through May 2017. Reasons for readmission were grouped into categories based on International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes. Panelists were given the proportion of readmissions coded by each reason and median (interquartile range) days to readmission. They answered the question, "Does the readmission reason reflect possible surgical quality of care problems in the index admission?" on a scale of 1 (never related) to 5 (directly related) in 3 rounds of consensus building. The consensus process was completed in May 2017 and data were analyzed in June 2017. Consensus on proportion of ICD-9-coded readmission reasons that reflected quality of surgical procedure. In 3 Delphi rounds, the 14 panelists achieved consensus on 50 reasons for readmission; 12 panelists also completed group telephone calls between rounds 1 and 2. Readmissions with diagnoses of infection, sepsis, pneumonia, hemorrhage/hematoma, anemia, ostomy complications, acute renal failure, fluid/electrolyte disorders, or venous thromboembolism were considered associated with surgical quality and accounted for 25 521 of 39 664 readmissions (64% of readmissions; 7.5% of 340 858 index surgical procedures). The proportion of readmissions

The Dual Rounding Model: Forging Therapeutic Alliances 
in Oncology and Palliative Care.

Science.gov (United States)

Baxley, Carey E

2016-04-01

Inpatients with solid tumors at Duke University Hospital in Durham, NC, are cared for in a dynamic integrated care model that incorporates medical oncology and palliative care. This has profound implications for patients, their loved ones, medical and surgical staff, and oncology nurses. As a nurse with less than three years of experience, my participation in a setting that uses the Dual Rounding Model has accelerated my professional and personal development. During a typical shift, I am an oncology nurse, a palliative care nurse, and a hospice nurse.
.

Round Earthen Towers in Zhangzhou

Institute of Scientific and Technical Information of China (English)

1992-01-01

The round earthen towers inZhangzhou,Fujifan Province,have long been famous a-round the world.Built of rammedearth,each tower consists uf four tofive stories and Is nearly 100 metersin diameter and 17 to 18meters high.Scatteredaround the mountains,valleys and plains insouthwestern Fujian,thetowers look very muchlike round castles.SomeChinese and foreign ar-chitercts,historians andfolk-custom researcherscall them“flyng sau-cers”from outer spaceor“mushrooms”fromearth.They represent,indeed,a unique archi-tectural style in theworld.

Differences by Ending Rounds and Other Rounds in Time-Motion Analysis of Mixed Martial Arts: Implications for Assessment and Training.

Science.gov (United States)

Miarka, Bianca; Brito, Ciro J; Moreira, Danilo G; Amtmann, John

2018-02-01

Miarka, B, Brito, CJ, Moreira, DG, and Amtmann, J. Differences by ending rounds and other rounds in time-motion analysis of mixed martial arts: implications for assessment and training. J Strength Cond Res 32(2): 534-544, 2018-This study aimed to support training program development through the comparison of performance analysis of professionals mixed martial art (MMA) athletes in the bouts that were not finished by points. Using digital recordings of each bout, we analyzed 1,564 rounds (678 bouts) which were separated by ending and other rounds. Our results indicated that knockout/technical knockout is the main outcome that defines the ending round (≈60%); however, there is a higher frequency of ending by submission on the first and second rounds (>30%). Bouts ending during the first or second rounds had shorter total time and standing combat with low intensity than ending in the third round (91.5 ± 71.4, 93.4 ± 67.5, and 143.2 ± 87.4; for low intensity in the first, second, and third rounds, respectively; p ≤ 0.05), whereas standing combat time with high intensity was longer in the last round in comparison to bouts that finished in the first or second rounds (7.4 ± 9.2, 9.7 ± 18.0, and 17.7 ± 29.1 for high intensity in the first, second, and third rounds, respectively; p ≤ 0.05). The lower time dedicated to low-intensity stand-up combat actions, regardless of round, and forcefulness of the actions in groundwork in the first and second rounds seem to be elements that increase the probability of success in professional MMA bouts; these factors have essential implications related to training program design.

Anatomic measurements of the posterior tympanum related to the round window vibroplasty in congenital aural atresia and stenosis patients.

Science.gov (United States)

Chen, Keguang; Yin, Dongming; Lyu, Huiying; Yang, Lin; Zhang, Tianyu; Dai, Peidong

2016-01-01

With the aggravation of the external auditory canal malformation, the size of extra-niche fossa became smaller, providing concrete data and valuable information for the better design, selecting and safer implantation of the transducer in the area of round window niche. Three-dimensional measurements and assessments before surgery might be helpful for a safer surgical approach and implantation of a vibrant soundbridge. The aim of this study was to investigate whether differences exist in the morphology of the posterior tympanum related to the round window vibroplasty among congenital aural atresia (CAA), congenital aural stenosis (CAS), and a normal control group, and to analyze its effect on the round window implantation of vibrant soundbridge. CT images of 10 normal subjects (20 ears), 27 CAS patients (30 ears), and 25 CAA patients (30 ears) were analyzed. The depth and the size of outside fossa of round window niche related to the round window vibroplasty (extra-niche fossa)and the distances between the center of round window niche and extra-niche fossa were calculated based on three-dimensional reconstruction using mimics software. Finally, the data were analyzed statistically. The size of extra-niche fossa in the atresia group was smaller than in the stenosis group (p < 0.05); furthermore, the size of extra-niche fossa in the stenosis group was smaller than that of the control group (p < 0.05). There was no statistically significant difference of the depth of extra-niche fossa among different groups.

Developing non-technical ward-round skills.

Science.gov (United States)

Harvey, Rachel; Mellanby, Edward; Dearden, Effie; Medjoub, Karima; Edgar, Simon

2015-10-01

Conducting clinical 'rounds' is one of the most onerous and important duties that every junior doctor is expected to perform. There is evidence that newly qualified doctors are not adequately prepared by their undergraduate experiences for this task. The aim of this study was to analyse the challenges pertaining to non-technical skills that students would face during ward rounds, and to create a model that facilitates the transition from medical student to doctor. A total of 217 final-year medical students completed a simulated ward round. Free-text responses were analysed using template analysis applying an a priori template developed from the literature by the research team. This drew on the generic categories of non-technical skills suggested by Flin et al. Ninety-seven per cent of students agreed or strongly agreed that the simulated ward round improved their insight into the challenges of ward rounds and their perceived ability to work efficiently as an active member of the ward round. The responding students (206) submitted written feedback describing the learning that they planned to use: 800 learning points were recorded, and all could be categorised into one of seven non-technical skills. Conducting clinical 'rounds' is one of the most onerous and important duties that every junior doctor is expected to perform We believe that improved task efficiency and insight into the challenges of the ward round gained by medical students will lead to an enhancement in performance during clinical rounds, and will have a positive impact on patient safety. We would suggest that undergraduate medical schools consider this model in the preparation for the clinical practice element of the curriculum. © 2015 John Wiley & Sons Ltd.

Congenital oval or round window anomaly with or without abnormal facial nerve course: surgical results for 15 ears.

NARCIS (Netherlands)

Thomeer, H.G.; Kunst, H.P.; Verbist, B.M.; Cremers, C.W.R.J.

2012-01-01

OBJECTIVES: To describe the audiometric results in a consecutive series of patients with congenital ossicular aplasia (Class 4a) or dysplasia of the oval and/or round window (Class 4b), which might include a possible anomalous course of the facial nerve. STUDY DESIGN: Retrospective chart study.

Implementing iRound: A Computer-Based Auditing Tool.

Science.gov (United States)

Brady, Darcie

Many hospitals use rounding or auditing as a tool to help identify gaps and needs in quality and process performance. Some hospitals are also using rounding to help improve patient experience. It is known that purposeful rounding helps improve Hospital Consumer Assessment of Healthcare Providers and Systems scores by helping manage patient expectations, provide service recovery, and recognize quality caregivers. Rounding works when a standard method is used across the facility, where data are comparable and trustworthy. This facility had a pen-and-paper process in place that made data reporting difficult, created a silo culture between departments, and most audits and rounds were completed differently on each unit. It was recognized that this facility needed to standardize the rounding and auditing process. The tool created by the Advisory Board called iRound was chosen as the tool this facility would use for patient experience rounds as well as process and quality rounding. The success of the iRound tool in this facility depended on several factors that started many months before implementation to current everyday usage.

Grand Rounds in Pediatric Nephrology

African Journals Online (AJOL)

Centre for Kidney Research, The Children's Hospital at Westmead, Locked Bag 4001, ... Keywords nephrotic syndrome; infection; prednisolone; ... (urine protein on dipstick zero or trace) and cease. .... upper respiratory tract infection reduced the risk for relapse ... the most important predictor for kidney survival in SSNS is.

Choroidal Round Hyporeflectivities in Geographic Atrophy.

Directory of Open Access Journals (Sweden)

Eleonora Corbelli

Full Text Available In geographic atrophy (GA, choroidal vessels typically appear on structural optical coherence tomography (OCT as hyperreflective round areas with highly reflective borders. We observed that some GA eyes show choroidal round hyporeflectivities with highly reflective borders beneath the atrophy, and futher investigated the charcteristcs by comparing structural OCT, indocyanine green angiography (ICGA and OCT angiography (OCT-A.Round hyporeflectivities were individuated from a pool of patients with GA secondary to non-neovascular age-related macular degeneration consecutively presenting between October 2015 and March 2016 at the Medical Retina & Imaging Unit of the University Vita-Salute San Raffaele. Patients underwent a complete ophthalmologic examination including ICGA, structural OCT and OCT-A. The correspondence between choroidal round hyporeflectivities beneath GA on structural OCT and ICGA and OCT-A imaging were analyzed.Fifty eyes of 26 consecutive patients (17 females and 9 males; mean age 76.8±6.2 years with GA were included. Twenty-nine round hyporeflectivities have been found by OCT in choroidal layers in 21 eyes of 21 patients (42.0%; estimated prevalence of 57.7%. All 29 round hyporeflectivities showed constantly a hyperreflective border and a backscattering on structural OCT, and appeared as hypofluorescent in late phase ICGA and as dark foci with non detectable flow in the choroidal segmentation of OCT-A. Interestingly, the GA area was greater in eyes with compared to eyes without round hyporeflectivities (9.30±5.74 and 5.57±4.48mm2, respectively; p = 0.01.Our results suggest that most round hyporeflectivities beneath GA may represent non-perfused or hypo-perfused choroidal vessels with non-detectable flow.

Choroidal Round Hyporeflectivities in Geographic Atrophy.

Science.gov (United States)

Corbelli, Eleonora; Sacconi, Riccardo; De Vitis, Luigi Antonio; Carnevali, Adriano; Rabiolo, Alessandro; Querques, Lea; Bandello, Francesco; Querques, Giuseppe

2016-01-01

In geographic atrophy (GA), choroidal vessels typically appear on structural optical coherence tomography (OCT) as hyperreflective round areas with highly reflective borders. We observed that some GA eyes show choroidal round hyporeflectivities with highly reflective borders beneath the atrophy, and futher investigated the charcteristcs by comparing structural OCT, indocyanine green angiography (ICGA) and OCT angiography (OCT-A). Round hyporeflectivities were individuated from a pool of patients with GA secondary to non-neovascular age-related macular degeneration consecutively presenting between October 2015 and March 2016 at the Medical Retina & Imaging Unit of the University Vita-Salute San Raffaele. Patients underwent a complete ophthalmologic examination including ICGA, structural OCT and OCT-A. The correspondence between choroidal round hyporeflectivities beneath GA on structural OCT and ICGA and OCT-A imaging were analyzed. Fifty eyes of 26 consecutive patients (17 females and 9 males; mean age 76.8±6.2 years) with GA were included. Twenty-nine round hyporeflectivities have been found by OCT in choroidal layers in 21 eyes of 21 patients (42.0%; estimated prevalence of 57.7%). All 29 round hyporeflectivities showed constantly a hyperreflective border and a backscattering on structural OCT, and appeared as hypofluorescent in late phase ICGA and as dark foci with non detectable flow in the choroidal segmentation of OCT-A. Interestingly, the GA area was greater in eyes with compared to eyes without round hyporeflectivities (9.30±5.74 and 5.57±4.48mm2, respectively; p = 0.01). Our results suggest that most round hyporeflectivities beneath GA may represent non-perfused or hypo-perfused choroidal vessels with non-detectable flow.

Positioning a thin-wall round wrapper within a heavy wall out-of-round shell of a heat exchanger

International Nuclear Information System (INIS)

Hargrove, H.G.; Thompson, E.G.; Bayless, J.R.

1983-01-01

A thin-wall, generally round wrapper is installed within a heavy wall, rolled heat exchanger shell which has greater out-of-round tolerances than the wrapper and the wrapper is maintained in its round state by utilizing a plurality of jacks disposed adjacent spaced tube support plates within the wrapper. (author)

Virtual radiology rounds: adding value in the digital era

International Nuclear Information System (INIS)

Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P.

2016-01-01

To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

Virtual radiology rounds: adding value in the digital era

Energy Technology Data Exchange (ETDEWEB)

Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P. [New York University School of Medicine, Department of Radiology, New York, NY (United States)

2016-11-15

To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

In the Round: Supporting Teachers' Authentic Professional Learning

Science.gov (United States)

Strand, Matt

2013-01-01

This is a study of teachers' authentic professional learning at a public school in Poudre School District in northern Colorado. At Polaris Expeditionary Learning School, teachers and administrators have developed a form of school-based instructional rounds referred to herein as PLC rounds (professional learning community rounds). In PLC rounds,…

Algeria schedules onshore licensing round

International Nuclear Information System (INIS)

Anon.

1992-01-01

This paper reports that Algeria's Sonatrach will conduct its first international onshore exploration licensing round in a move designed to triple drilling activity in the country. A second round will follow next April. Sonatrach plans to drill 200 wells during 1991-95, which will require the current level of 37/year to be almost trebled toward the end of the period. To this end foreign operators are being courted in an open exploration bidding round. Deadline for bid submittal in Nov. 30. Companies may enter singly or in groups to form partnerships with Sonatrach. Foreign licensees will be able to take a maximum 49% of production under Algerian law

Ethics rounds: An appreciated form of ethics support.

Science.gov (United States)

Silén, Marit; Ramklint, Mia; Hansson, Mats G; Haglund, Kristina

2016-03-01

Ethics rounds are one way to support healthcare personnel in handling ethically difficult situations. A previous study in the present project showed that ethics rounds did not result in significant changes in perceptions of how ethical issues were handled, that is, in the ethical climate. However, there was anecdotal evidence that the ethics rounds were viewed as a positive experience and that they stimulated ethical reflection. The aim of this study was to gain a deeper understanding of how the ethics rounds were experienced and why the intervention in the form of ethics rounds did not succeed in improving the ethical climate for the staff. An exploratory and descriptive design with a qualitative approach was adopted, using individual interviews. A total of 11 healthcare personnel, working in two different psychiatry outpatient clinics and with experience of participating in ethics rounds, were interviewed. The study was based on informed consent and was approved by one of the Swedish Regional Ethical Review Boards. The participants were generally positive about the ethics rounds. They had experienced changes by participating in the ethics rounds in the form of being able to see things from different perspectives as well as by gaining insight into ethical issues. However, these changes had not affected daily work. A crucial question is whether or not increased reflection ability among the participants is a good enough outcome of ethics rounds and whether this result could have been measured in patient-related outcomes. Ethics rounds might foster cooperation among the staff and this, in turn, could influence patient care. By listening to others during ethics rounds, a person can learn to see things from a new angle. Participation in ethics rounds can also lead to better insight concerning ethical issues. © The Author(s) 2014.

Why Might the Doha Round Fail?

OpenAIRE

Gifford, Michael N.; McCalla, Alex F.

2008-01-01

There are a number of factors working against a successful Doha Round conclusion. Several of these affect the linkages and trade-offs between the main elements of the Doha Round negotiating agenda, particularly agriculture, non-agricultural market access (NAMA), services, and rules. For most of the past six years, the negotiating difficulties in agriculture were regarded as the main constraint to concluding the Doha Round. However, in recent months, as the shape of the agricultural package be...

16 CFR 460.11 - Rounding off R-values.

Science.gov (United States)

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Rounding off R-values. 460.11 Section 460.11... INSULATION § 460.11 Rounding off R-values. R-values shown in labels, fact sheets, ads, or other promotional materials must be rounded to the nearest tenth. However, R-values of 10 or more may be rounded to the...

Anesthesiology leadership rounding: identifying opportunities for improvement.

Science.gov (United States)

Gravenstein, Dietrich; Ford, Susan; Enneking, F Kayser

2012-01-01

Rounding that includes participation of individuals with authority to implement changes has been advocated as important to the transformation of an institution into a high-quality and safe organization. We describe a Department of Anesthesiology's experience with leadership rounding. The Department Chair or other senior faculty designate, a quality coordinator, up to four residents, the ward charge nurse, and patient nurses participated in rounds at bedsides. During a 23-month period, 14 significant opportunities to improve care were identified. Nurses identified 5 of these opportunities, primary team physicians 2, the rounding team 4, and patients or their family members another 3. The anesthesiology service had sole or shared responsibility for 10 improvements. A variety of organizations track specific measures across all phases of the patient experience to gauge quality of care. Chart auditing tools for detecting threats to safety are often used. These measures and tools missed opportunities for improvement that were discovered only through rounding. We conclude that the introduction of leadership rounding by an anesthesiology service can identify opportunities for improving quality that are not captured by conventional efforts.

Ball mounting fixture for a roundness gage

Science.gov (United States)

Gauler, Allen L.; Pasieka, Donald F.

1983-01-01

A ball mounting fixture for a roundness gage is disclosed. The fixture includes a pair of chuck assemblies oriented substantially transversely with respect to one another and mounted on a common base. Each chuck assembly preferably includes a rotary stage and a wobble plate affixed thereto. A ball chuck affixed to each wobble plate is operable to selectively support a ball to be measured for roundness, with the wobble plate permitting the ball chuck to be tilted to center the ball on the axis of rotation of the rotary stage. In a preferred embodiment, each chuck assembly includes a vacuum chuck operable to selectively support the ball to be measured for roundness. The mounting fixture enables a series of roundness measurements to be taken with a conventional rotating gagehead roundness instrument, which measurements can be utilized to determine the sphericity of the ball.

Planetary Taxonomy: Label Round Bodies "Worlds"

Science.gov (United States)

Margot, Jean-Luc; Levison, H. F.

2009-05-01

The classification of planetary bodies is as important to Astronomy as taxonomy is to other sciences. The etymological, historical, and IAU definitions of planet rely on a dynamical criterion, but some authors prefer a geophysical criterion based on "roundness". Although the former criterion is superior when it comes to classifying newly discovered objects, the conflict need not exist if we agree to identify the subset of "round" planetary objects as "worlds". This addition to the taxonomy would conveniently recognize that "round" objects such as Earth, Europa, Titan, Triton, and Pluto share some common planetary-type processes regardless of their distance from the host star. Some of these worlds are planets, others are not. Defining how round is round and handling the inevitable transition objects are non-trivial tasks. Because images at sufficient resolution are not available for the overwhelming majority of newly discovered objects, the degree of roundness is not a directly observable property and is inherently problematic as a basis for classification. We can tolerate some uncertainty in establishing the "world" status of a newly discovered object, and still establish its planet or satellite status with existing dynamical criteria. Because orbital parameters are directly observable, and because mass can often be measured either from orbital perturbations or from the presence of companions, the dynamics provide a robust and practical planet classification scheme. It may also be possible to determine which bodies are dynamically dominant from observations of the population magnitude/size distribution.

40 CFR 73.12 - Rounding Procedures.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Rounding Procedures. 73.12 Section 73.12 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) SULFUR DIOXIDE ALLOWANCE SYSTEM Allowance Allocations § 73.12 Rounding Procedures. (a) Calculation...

Improving nurse-physician teamwork through interprofessional bedside rounding.

Science.gov (United States)

Henkin, Stanislav; Chon, Tony Y; Christopherson, Marie L; Halvorsen, Andrew J; Worden, Lindsey M; Ratelle, John T

2016-01-01

Teamwork between physicians and nurses has a positive association with patient satisfaction and outcomes, but perceptions of physician-nurse teamwork are often suboptimal. To improve nurse-physician teamwork in a general medicine inpatient teaching unit by increasing face-to-face communication through interprofessional bedside rounds. From July 2013 through October 2013, physicians (attendings and residents) and nurses from four general medicine teams in a single nursing unit participated in bedside rounding, which involved the inclusion of nurses in morning rounds with the medicine teams at the patients' bedside. Based on stakeholder analysis and feedback, a checklist for key patient care issues was created and utilized during bedside rounds. To assess the effect of bedside rounding on nurse-physician teamwork, a survey of selected items from the Safety Attitudes Questionnaire (SAQ) was administered to participants before and after the implementation of bedside rounds. The number of pages to the general medicine teams was also measured as a marker of physician-nurse communication. Participation rate in bedside rounds across the four medicine teams was 58%. SAQ response rates for attendings, residents, and nurses were 36/36 (100%), 73/73 (100%), and 32/73 (44%) prior to implementation of bedside rounding and 36 attendings (100%), 72 residents (100%), and 14 (19%) nurses after the implementation of bedside rounding, respectively. Prior to bedside rounding, nurses provided lower teamwork ratings (percent agree) than residents and attendings on all SAQ items; but after the intervention, the difference remained significant only on SAQ item 2 ("In this clinical area, it is not difficult to speak up if I perceive a problem with patient care", 64% for nurses vs 79% for residents vs 94% for attendings, P=0.02). Also, resident responses improved on SAQ item 1 ("Nurse input is well received in this area", 62% vs 82%, P=0.01). Increasing face-to-face communication through

Rounded atelectasis of the lung: A pictorial review

International Nuclear Information System (INIS)

Sobocińska, Magdalena; Sobociński, Bartosz; Jarzemska, Agnieszka; Serafin, Zbigniew

2014-01-01

Rounded atelectasis of the lung is well described in medical literature, but still difficult to diagnose. Since lesions give no clinical symptoms in patients, radiologists are often the first to recognize the round lesion in an X-ray picture or a CT scan. Rounded atelectasis is an atypical form of lung collapse that usually occurs adjacent to scarred pleura and can be mistaken for lung cancer. Patients with rounded atelectasis have a history of asbestos exposure or pleural effusion due to various causes. When characteristic imaging findings are present, the diagnosis is rarely dubious and no further investigation is necessary. However, differential diagnosis of rounded atelectasis poses a challenge to pulmonary specialists and radiologists

Rounded atelectasis of the lung: A pictorial review.

Science.gov (United States)

Sobocińska, Magdalena; Sobociński, Bartosz; Jarzemska, Agnieszka; Serafin, Zbigniew

2014-01-01

Rounded atelectasis of the lung is well described in medical literature, but still difficult to diagnose. Since lesions give no clinical symptoms in patients, radiologists are often the first to recognize the round lesion in an X-ray picture or a CT scan. Rounded atelectasis is an atypical form of lung collapse that usually occurs adjacent to scarred pleura and can be mistaken for lung cancer. Patients with rounded atelectasis have a history of asbestos exposure or pleural effusion due to various causes. When characteristic imaging findings are present, the diagnosis is rarely dubious and no further investigation is necessary. However, differential diagnosis of rounded atelectasis poses a challenge to pulmonary specialists and radiologists.

Comparison of student learning in the out-patient clinic and ward round.

Science.gov (United States)

Davis, M H; Dent, J A

1994-05-01

In undergraduate medical education there is a trend away from ward-based teaching towards out-patient and community-based teaching. To study the potential effects of this altered emphasis on student learning, a pilot group of final-year medical students at the University of Dundee was asked to keep individual structured log-books. These contained details of patients seen during their 3-week orthopaedic attachment in both a ward and out-patient setting. A comparison of perceived learning in the two settings showed that students learned more from attending an out-patient clinic than a ward round, but did not make full use of the learning potential of either. The setting did not particularly influence the balance of learning as categorized here but only the ward round supplied experience of surgical complications. The amount of learning taking place in an out-patient clinic was influenced by student ability, measured by examination performance, but not by clinic work-load. The implications of increased use of out-patient clinics and the advantages and disadvantages of the approach employed are discussed. It is concluded that in the situation studied student learning in the outpatient setting is as good as or superior to the ward setting but should not totally replace it.

Round Ligament of Uterus Leiomyoma: An Unusual Cause of Dyspareunia

Directory of Open Access Journals (Sweden)

Ozer Birge

2015-01-01

Full Text Available Round ligament of uterus leiomyoma is a rare, benign tumor of the vulva. Its incidence is not known exactly, and the mean age ranges from 13 to 70. Although clinical properties of benign and malignant diseases in the vulvar area are frequently similar, early diagnosis and treatment are essential. Local excision is recommended as definitive therapy. We present an 28-year-old female without any birth with a mass in anterior vaginal wall diagnosed as vulvar leiomyoma. In conclusion, a brief review of relevant literature emphasizes that leiomyomas are quite rare outside of the uterus but they might occur in any tissue or organ containing smooth muscle, spontaneously or parasitically after the spreading effect of an accident or surgical trauma. Clinicians should be alert especially for the diagnosis in a tissue with smooth muscle content.

Seasonal alterations in park visitation, amenity use, and physical activity--Grand Forks, North Dakota, 2012-2013.

Science.gov (United States)

Roemmich, James N; Johnson, LuAnn

2014-09-11

Park amenities promote visitation and physical activity during summer. Physical activity declines during winter. Identifying park amenities that promote visitation during winter would increase year-round activity. The purpose of this study was to determine how park visitation, amenity choice, and physical activity intensity change across seasons. Physical activity intensity of children and adults was assessed at 16 parks in Grand Forks, North Dakota, during summer and fall of 2012, and winter and spring of 2013. Park visitation was highest in spring and lowest in winter. Amenity use varied by season. Parks with water splash pads were visited more during summer, and playgrounds and open spaces were visited more during spring. Ice rinks were visited most in winter. Physical activity intensity was lowest in summer and highest in winter for each age group. The activity intensity observed for all young age groups ranged from 2.7 to 2.9 metabolic equivalents in summer and greater than 3 metabolic equivalents in all other seasons. Adults' mean activity intensity was greater than 3 metabolic equivalents in winter. Information on park visitation, amenity use, and activity intensity across seasons is valuable; it can be used when designing or redesigning parks in order to promote year-round physical activity. Redesigning parks in cold climates to include ice rinks, sledding hills, cross-country skiing, and indoor areas for physical activity would increase winter visitation and allow the park to serve as a year-round resource for physical activity.

Grandes remolques

Directory of Open Access Journals (Sweden)

Editorial, Equipo

1961-07-01

Full Text Available El empleo creciente del material pesado auxiliar en la construcción de obras de ingeniería civil ha motivado la fabricación de grandes plataformas, capaces de transportar toda clase de maquinaria auxiliar. En general, este tipo de maquinaria requiere medios de transporte, pues su circulación por carreteras es lenta, obstructiva y cara, siempre que se trate de grandes distancias, caso presente en la mayoría de ocasiones en que se exige un traslado de esta maquinaria de una a otra obra.

U-value measurements on ISO round Robin window

DEFF Research Database (Denmark)

Duer, Karsten

1997-01-01

9 laboratories in 6 european and 2 north american countries have participated in a round robin U-value test of a standard facade window. The objective of the round robin test was to verify that the ISO/CEN proposals for U-value measurement standard is robust.......9 laboratories in 6 european and 2 north american countries have participated in a round robin U-value test of a standard facade window. The objective of the round robin test was to verify that the ISO/CEN proposals for U-value measurement standard is robust....

Assessment of teamwork during structured interdisciplinary rounds on medical units.

Science.gov (United States)

O'Leary, Kevin J; Boudreau, Yvonne N; Creden, Amanda J; Slade, Maureen E; Williams, Mark V

2012-01-01

Interdisciplinary rounds (IDR) provide a means to assemble hospital team members and improve collaboration. Little is known about teamwork during IDR. To evaluate and characterize teamwork during IDR. Cross-sectional observational study. Six medical units which had implemented structured interdisciplinary rounds (SIDR). We adapted the Observational Teamwork Assessment for Surgery (OTAS) tool, a behaviorally anchored rating scale shown to be reliable and valid in surgical settings. OTAS provides scores ranging from 0 to 6 (0 = problematic behavior; 6 = exemplary behavior) across 5 domains (communication, coordination, cooperation/backup behavior, leadership, and monitoring/situational awareness) and for prespecified subteams. Two researchers conducted direct observations using the adapted OTAS tool. We conducted 7-8 independent observations for each unit (total = 44) and 20 joint observations. Inter-rater reliability was excellent at the unit level (Spearman's rho = 0.75), and good across domains (rho = 0.53-0.68) and subteams (rho = 0.53-0.76) with the exception of the physician subteam, for which it was poor (rho = 0.35). Though teamwork scores were generally high, we found differences across units, with a median (interquartile range [IQR]) 4.5 (3.9-4.9) for the lowest and 5.4 (5.3-5.5) for the highest performing unit (P teamwork during SIDR across units, domains, and most subteams. Variation in performance suggests a need to improve consistency of teamwork and emphasizes the importance of leadership. Copyright © 2012 Society of Hospital Medicine.

Facial sculpting: Comprehensive approach for aesthetic correction of round face

Directory of Open Access Journals (Sweden)

M K Thomas

2012-01-01

Full Text Available Context: Standards for an aesthetic face are dynamic. The current trend is towards a leaner looking face with preservation of the inverted triangle of youth. Procedures that have been reported to be employed for correction of a chubby face include buccal fat pad excision, facial liposuction and injection lipolysis. In addition to giving the face an aesthetic triangular cut, chin and malar augmentation may be performed. The rounded appearance at the angles may further be reduced by injection of Botulinum toxin into the masseter. Materials and Methods: Forty patients who presented to us for correction of chubby (round faces were analysed and treated by facial sculpting surgery, which included at least two of the procedures in combination. The procedures included facial liposuction, buccal fat pad excision, chin augmentation, malar augmentation and injection lipolysis. All cases were followed-up for a minimum of 6 months after surgery. Results: Aesthetic expectations of the patients were met in 39 cases, one patient complained of facial asymmetry following facial liposuction and was subjected to a touch-up injection lipolysis. Conclusions: A combination of procedures is necessary to give the face an attractive contour. All the individual procedures have stood the test of time and are safe, proven and are put in mainstream. However, a thorough analysis of the face preoperatively and then subjecting the patient to a combination of these procedures in a single surgical sitting has yielded good results as seen in this study.

Evidence for predatory control of the invasive round goby

Science.gov (United States)

Madenjian, C.P.; Stapanian, M.A.; Witzel, L.D.; Einhouse, D.W.; Pothoven, S.A.; Whitford, H.L.

2011-01-01

We coupled bioenergetics modeling with bottom trawl survey results to evaluate the capacity of piscivorous fish in eastern Lake Erie to exert predatory control of the invading population of round goby Neogobius melanostomus. In the offshore (>20 m deep) waters of eastern Lake Erie, burbot Lota lota is a native top predator, feeding on a suite of prey fishes. The round goby invaded eastern Lake Erie during the late 1990s, and round goby population size increased dramatically during 1999–2004. According to annual bottom trawl survey results, round goby abundance in offshore waters peaked in 2004, but then declined during 2004–2008. Coincidentally, round goby became an important component of burbot diet beginning in 2003. Using bottom trawling and gill netting, we estimated adult burbot abundance and age structure in eastern Lake Erie during 2007. Diet composition and energy density of eastern Lake Erie burbot were also determined during 2007. This information, along with estimates of burbot growth, burbot mortality, burbot water temperature regime, and energy densities of prey fish from the literature, were incorporated into a bioenergetics model application to estimate annual consumption of round goby by the adult burbot population. Results indicated that the adult burbot population in eastern Lake Erie annually consumed 1,361 metric tons of round goby. Based on the results of bottom trawling, we estimated the biomass of yearling and older round goby in offshore waters eastern Lake Erie during 2007–2008 to be 2,232 metric tons. Thus, the adult burbot population was feeding on round goby at an annual rate equal to 61% of the estimated round goby standing stock. We concluded that the burbot population had high potential to exert predatory control on round goby in offshore waters of eastern Lake Erie.

CDC Grand Rounds: global tobacco control.

Science.gov (United States)

Asma, Samira; Song, Yang; Cohen, Joanna; Eriksen, Michael; Pechacek, Terry; Cohen, Nicole; Iskander, John

2014-04-04

During the 20th century, use of tobacco products contributed to the deaths of 100 million persons worldwide. In 2011, approximately 6 million additional deaths were linked to tobacco use, the world's leading underlying cause of death, responsible for more deaths each year than human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), tuberculosis, and malaria combined. One third to one half of lifetime users die from tobacco products, and smokers die an average of 14 years earlier than nonsmokers. Manufactured cigarettes account for 96% of all tobacco sales worldwide. From 1880 to 2009, annual global consumption of cigarettes increased from an estimated 10 billion cigarettes to approximately 5.9 trillion cigarettes, with five countries accounting for 58% of the total consumption: China (38%), Russia (7%), the United States (5%), Indonesia (4%), and Japan (4%). Among the estimated 1 billion smokers worldwide, men outnumber women by four to one. In 14 countries, at least 50% of men smoke, whereas in more than half of these same countries, fewer than 10% of women smoke. If current trends persist, an estimated 500 million persons alive today will die from use of tobacco products. By 2030, tobacco use will result in the deaths of approximately 8 million persons worldwide each year. Yet, every death from tobacco products is preventable.

Improved meet-in-the-middle attacks on reduced-round Piccolo

DEFF Research Database (Denmark)

Liu, Ya; Cheng, Liang; Liu, Zhiqiang

2018-01-01

Piccolo is a lightweight block cipher that adopts a generalized Feistel network structure with 4 branches, each of which is 16 bit long. The key length is 80 or 128 bit, denoted by Piccolo-80 and Piccolo-128, respectively. In this paper, we mounted meet-in-the-middle attacks on 14-round Piccolo-80...... and at the end, respectively. Based on this structure, we mounted an attack on 14-round Piccolo-80 from the 5th round to the 18th round. The data, time, and memory complexities were 252 chosen plaintexts, 267.44 encryptions, and 264.91 blocks, respectively. For Piccolo-128, we built a 7-round distinguisher...... to attack 18-round Piccolo-128 from the 4th round to the 21st round. The data, time, and memory complexities were 252 chosen plaintexts, 2126.63 encryptions, and 2125.29 blocks, respectively. If not considering results on biclique cryptanalysis, these are currently the best public results on this reduced...

Rounding, work intensification and new public management.

Science.gov (United States)

Willis, Eileen; Toffoli, Luisa; Henderson, Julie; Couzner, Leah; Hamilton, Patricia; Verrall, Claire; Blackman, Ian

2016-06-01

In this study, we argue that contemporary nursing care has been overtaken by new public management strategies aimed at curtailing budgets in the public hospital sector in Australia. Drawing on qualitative interviews with 15 nurses from one public acute hospital with supporting documentary evidence, we demonstrate what happens to nursing work when management imposes rounding as a risk reduction strategy. In the case study outlined rounding was introduced across all wards in response to missed care, which in turn arose as a result of work intensification produced by efficiency, productivity, effectiveness and accountability demands. Rounding is a commercially sponsored practice consistent with new public management. Our study illustrates the impact that new public management strategies such as rounding have on how nurses work, both in terms of work intensity and in who controls their labour. © 2015 John Wiley & Sons Ltd.

Development and validation of surgical training tool: cystectomy assessment and surgical evaluation (CASE) for robot-assisted radical cystectomy for men.

Science.gov (United States)

Hussein, Ahmed A; Sexton, Kevin J; May, Paul R; Meng, Maxwell V; Hosseini, Abolfazl; Eun, Daniel D; Daneshmand, Siamak; Bochner, Bernard H; Peabody, James O; Abaza, Ronney; Skinner, Eila C; Hautmann, Richard E; Guru, Khurshid A

2018-04-13

We aimed to develop a structured scoring tool: cystectomy assessment and surgical evaluation (CASE) that objectively measures and quantifies performance during robot-assisted radical cystectomy (RARC) for men. A multinational 10-surgeon expert panel collaborated towards development and validation of CASE. The critical steps of RARC in men were deconstructed into nine key domains, each assessed by five anchors. Content validation was done utilizing the Delphi methodology. Each anchor was assessed in terms of context, score concordance, and clarity. The content validity index (CVI) was calculated for each aspect. A CVI ≥ 0.75 represented consensus, and this statement was removed from the next round. This process was repeated until consensus was achieved for all statements. CASE was used to assess de-identified videos of RARC to determine reliability and construct validity. Linearly weighted percent agreement was used to assess inter-rater reliability (IRR). A logit model for odds ratio (OR) was used to assess construct validation. The expert panel reached consensus on CASE after four rounds. The final eight domains of the CASE included: pelvic lymph node dissection, development of the peri-ureteral space, lateral pelvic space, anterior rectal space, control of the vascular pedicle, anterior vesical space, control of the dorsal venous complex, and apical dissection. IRR > 0.6 was achieved for all eight domains. Experts outperformed trainees across all domains. We developed and validated a reliable structured, procedure-specific tool for objective evaluation of surgical performance during RARC. CASE may help differentiate novice from expert performances.

On Round-off Error for Adaptive Finite Element Methods

KAUST Repository

Alvarez-Aramberri, J.

2012-06-02

Round-off error analysis has been historically studied by analyzing the condition number of the associated matrix. By controlling the size of the condition number, it is possible to guarantee a prescribed round-off error tolerance. However, the opposite is not true, since it is possible to have a system of linear equations with an arbitrarily large condition number that still delivers a small round-off error. In this paper, we perform a round-off error analysis in context of 1D and 2D hp-adaptive Finite Element simulations for the case of Poisson equation. We conclude that boundary conditions play a fundamental role on the round-off error analysis, specially for the so-called ‘radical meshes’. Moreover, we illustrate the importance of the right-hand side when analyzing the round-off error, which is independent of the condition number of the matrix.

On Round-off Error for Adaptive Finite Element Methods

KAUST Repository

Alvarez-Aramberri, J.; Pardo, David; Paszynski, Maciej; Collier, Nathan; Dalcin, Lisandro; Calo, Victor M.

2012-01-01

Round-off error analysis has been historically studied by analyzing the condition number of the associated matrix. By controlling the size of the condition number, it is possible to guarantee a prescribed round-off error tolerance. However, the opposite is not true, since it is possible to have a system of linear equations with an arbitrarily large condition number that still delivers a small round-off error. In this paper, we perform a round-off error analysis in context of 1D and 2D hp-adaptive Finite Element simulations for the case of Poisson equation. We conclude that boundary conditions play a fundamental role on the round-off error analysis, specially for the so-called ‘radical meshes’. Moreover, we illustrate the importance of the right-hand side when analyzing the round-off error, which is independent of the condition number of the matrix.

Proposed Grand Challenges in Geoscience Education Research: Articulating a Community Research Agenda

Science.gov (United States)

Semken, S. C.; St John, K. K.; Teasdale, R.; Ryker, K.; Riggs, E. M.; Pyle, E. J.; Petcovic, H. L.; McNeal, K.; McDaris, J. R.; Macdonald, H.; Kastens, K.; Cervato, C.

2017-12-01

Fourteen ago the Wingspread Project helped establish geoscience education research (GER) as an important research field and highlighted major research questions for GER at the time. More recently, the growth and interest in GER is evident from the increase in geoscience education research articles, the establishment of the NAGT GER Division, the creation of the GER Toolbox, an increase in GER graduate programs, and the growth of tenure-eligible GER faculty positions. As an emerging STEM education research field, the GER community is examining the current state of their research and considering the best course forward so that it can have the greatest collective impact on advancing teaching and learning in the geosciences. As part of an NSF-funded effort to meet this need, 45 researchers drafted priority research questions, or "Grand Challenges", that span 10 geoscience education research themes. These include research on: students' conceptual understanding of the solid and the fluid Earth, K-12 teacher preparation, teaching about Earth in the context of societal problems, access and success of underrepresented groups in the geosciences, spatial and temporal reasoning, quantitative reasoning and use of models, instructional strategies to improve geoscience learning, students' self-regulated learning, and faculty professional development and institutional change. For each theme, several Grand Challenges have been proposed; these have undergone one round of peer-review and are now ready for the AGU community to critically examine the proposed Grand Challenges and make suggestions on strategies for addressing them: http://nagt.org/nagt/geoedresearch/grand_challenges/feedback.html. We seek perspectives from geoscience education researchers, scholars, and reflective educators. It is our vision that the final outcomes of this community-grounded process will be a published guiding framework to (1) focus future GER on questions of high interest to the geoscience education

India and the Tokyo round

OpenAIRE

André Sapir; Robert Baldwin

1983-01-01

The paper attempts to quantify the gains and the losses for India from the changes in import tariffs decided during the Tokyo Round of Multilateral Trade Negotiations. The study focuses on exports to the ECCC, Japan, and the US. It is conducted at the tariff line level and uses the actual tariffs resulting from the Tokyo Round. The evaluation is in terms of the static effect of the tariff changes. The results indicate that the gains for India from most-favoured nation tariff cuts far outweigh...

Rounding errors in weighing

International Nuclear Information System (INIS)

Jeach, J.L.

1976-01-01

When rounding error is large relative to weighing error, it cannot be ignored when estimating scale precision and bias from calibration data. Further, if the data grouping is coarse, rounding error is correlated with weighing error and may also have a mean quite different from zero. These facts are taken into account in a moment estimation method. A copy of the program listing for the MERDA program that provides moment estimates is available from the author. Experience suggests that if the data fall into four or more cells or groups, it is not necessary to apply the moment estimation method. Rather, the estimate given by equation (3) is valid in this instance. 5 tables

Removal of an intra-abdominal desmoplastic small round cell tumor by repetitive debulking surgery: A case report and literature review

OpenAIRE

SHIMAZAKI, JIRO; MOTOHASHI, GYO; NISHIDA, KIYOTAKA; TABUCHI, TAKANOBU; UBUKATA, HIDEYUKI; TABUCHI, TAKAFUMI

2014-01-01

In the current study, a case of recurrent desmoplastic small round cell tumor (DSRCT) is presented, which was successfully treated by repetitive debulking surgery. In May 2010, a 39-year-old male, with a history of surgical resection of intra-abdominal DSRCT, visited the Ibaraki Medical Center, Tokyo Medical University Hospital (Ami, Japan) with severe lower abdominal discomfort. Abdominal computed tomography revealed a large tumor in the pouch of Douglas with a small number of nodules in the...

Leadership rounds to reduce health care-associated infections.

Science.gov (United States)

Knobloch, Mary Jo; Chewning, Betty; Musuuza, Jackson; Rees, Susan; Green, Christopher; Patterson, Erin; Safdar, Nasia

2018-03-01

Evidence-based guidelines exist to reduce health care-associated infections (HAIs). Leadership rounds are one tool leaders can use to ensure compliance with guidelines, but have not been studied specifically for the reduction of HAIs. This study examines HAI leadership rounds at one facility. We explored unit-based HAI leadership rounds led by 2 hospital leaders at a large academic hospital. Leadership rounds were observed on 19 units, recorded, and coded to identify themes. Themes were linked to the Consolidated Framework for Implementation Research and used to guide interviews with frontline staff members. Staff members disclosed unit-specific problems and readily engaged in problem-solving with top hospital leaders. These themes appeared over 350 times within 22 rounds. Findings revealed that leaders used words that demonstrated fallibility and modeled curiosity, 2 factors associated with learning climate and psychologic safety. These 2 themes appeared 115 and 142 times, respectively. The flexible nature of the rounds appeared to be conducive for reflection and evaluation, which was coded 161 times. Each interaction between leaders and frontline staff can foster psychologic safety, which can lead to open problem-solving to reduce barriers to implementation. Discovering specific communication and structural factors that contribute to psychologic safety may be powerful in reducing HAIs. Published by Elsevier Inc.

Experimental Evaluation of Multi-Round Matrix Multiplication on MapReduce

DEFF Research Database (Denmark)

Ceccarello, Matteo; Silvestri, Francesco

2015-01-01

required by reduce functions. Then, we present an extensive study of this library on an in-house cluster and on Amazon Web Services aiming at showing its performance and at comparing monolithic and multi-round approaches. The experiments show that, even without a low level optimization, it is possible...... not be the best approach in cloud systems. Indeed, multi-round algorithms may exploit some features of cloud platforms by suitably setting the round number according to the execution context. In this paper we carry out an experimental study of multi-round MapReduce algorithms aiming at investigating...... the performance of the multi-round approach. We use matrix multiplication as a case study. We first propose a scalable Hadoop library, named M3, for matrix multiplication in the dense and sparse cases which allows to tradeoff round number with the amount of data shuffled in each round and the amount of memory...

Team Ward Rounds for Quality Improvement in Patient-Centred ...

African Journals Online (AJOL)

In this paper we describe a clinical practice change for evaluation and continuous quality improvement of in-patient services in our ACE unit, such as daily geriatrics (multi disciplinary) team ward rounds preceding traditional ward rounds by other managing teams. The geriatrics team rounds enabled the identification of ...

Discretization vs. Rounding Error in Euler's Method

Science.gov (United States)

Borges, Carlos F.

2011-01-01

Euler's method for solving initial value problems is an excellent vehicle for observing the relationship between discretization error and rounding error in numerical computation. Reductions in stepsize, in order to decrease discretization error, necessarily increase the number of steps and so introduce additional rounding error. The problem is…

Imaging of round pneumonia and mimics in children

Energy Technology Data Exchange (ETDEWEB)

Restrepo, Ricardo; Palani, Rajaneeshankar; Matapathi, Uma M.; Wu, Yen-Ying [Miami Children' s Hospital, Department of Radiology, Miami, FL (United States)

2010-12-15

Various diseases in the pediatric age group can present as an intrathoracic rounded opacity on a chest radiograph. The purpose of this pictorial essay is to emphasize the imaging appearance of round pneumonia, an entity that occurs especially in the pediatric population. Additional pathologies with similar chest radiographic appearances are also presented. The diagnosis of round pneumonia should be made in children who have the typical clinical presentation along with chest radiographs demonstrating the characteristic findings. (orig.)

International Technical Working Group Round Robin Tests

International Nuclear Information System (INIS)

Dudder, Gordon B.; Hanlen, Richard C.; Herbillion, Georges M.

2003-01-01

The goal of nuclear forensics is to develop a preferred approach to support illicit trafficking investigations. This approach must be widely understood and accepted as credible. The principal objectives of the Round Robin Tests are to prioritize forensic techniques and methods, evaluate attribution capabilities, and examine the utility of database. The HEU (Highly Enriched Uranium) Round Robin, and previous Plutonium Round Robin, have made tremendous contributions to fulfilling these goals through a collaborative learning experience that resulted from the outstanding efforts of the nine participating internal laboratories. A prioritized list of techniques and methods has been developed based on this exercise. Current work is focused on the extent to which the techniques and methods can be generalized. The HEU Round Robin demonstrated a rather high level of capability to determine the important characteristics of the materials and processes using analytical methods. When this capability is combined with the appropriate knowledge/database, it results in a significant capability to attribute the source of the materials to a specific process or facility. A number of shortfalls were also identified in the current capabilities including procedures for non-nuclear forensics and the lack of a comprehensive network of data/knowledge bases. The results of the Round Robin will be used to develop guidelines or a ''recommended protocol'' to be made available to the interested authorities and countries to use in real cases

Strategies for improving family engagement during family-centered rounds.

Science.gov (United States)

Kelly, Michelle M; Xie, Anping; Carayon, Pascale; DuBenske, Lori L; Ehlenbach, Mary L; Cox, Elizabeth D

2013-04-01

Family-centered rounds (FCR) are recommended as standard practice in the pediatric inpatient setting; however, limited data exist on best practices promoting family engagement during rounds. To identify strategies to enhance family engagement during FCR using a recognized systems engineering approach. In this qualitative study, stimulated recall interviews using video-recorded rounding sessions were conducted with participants representing the various stakeholders on rounds (15 parents/children and 22 healthcare team [HCT] members) from 4 inpatient services at a children's hospital in Wisconsin. On video review, participants were asked to provide strategies that would increase family engagement on FCR. Qualitative content analysis of interview transcripts was performed in an iterative process. We identified 21 categories of strategies corresponding to 2 themes related to the structure and process of FCR. Strategies related to the structure of FCR were associated with all five recognized work system elements: people (HCT composition), tasks (HCT roles), organization (scheduling of rounds and HCT training), environment (location of rounds and HCT positioning), and tools and technologies (computer use). Strategies related to the FCR process were associated with three rounding phases: before (HCT and family preparation), during (eg, introductions, presentation content, communication style), and after (follow-up) FCR. We identified a range of strategies to enhance family engagement during FCR. These strategies both confirm prior work on the importance of the content and style of communication on rounds and highlight other factors within the hospital work system, like scheduling and computer use, which may affect family engagement in care. Copyright © 2013 Society of Hospital Medicine.

Use of electrical barriers to deter movement of round goby

Science.gov (United States)

Savino, Jacqueline F.; Jude, David J.; Kostich, Melissa J.; Coutant, Charles C.

2001-01-01

An electrical barrier was chosen as a possible means to deter movement of round goby Neogobius melanostomus. Feasibility studies in a 2.1-m donut-shaped tank determined the electrical parameters necessary to inhibit round goby from crossing the 1-m stretch of the benthic, electrical barrier. Increasing electrical pulse duration and voltage increased effectiveness of the barrier in deterring round goby movement through the barrier. Differences in activity of round goby during daytime and nocturnal tests did not change the effectiveness of the barrier. In field verification studies, an electrical barrier was placed between two blocking nets in the Shiawassee River, Michigan. The barrier consisted of a 6-m wide canvas on which were laid four cables carrying the electrical current. Seven experiments were conducted, wherein 25 latex paint-marked round goby were introduced upstream of the electrical barrier and recovered 24 h later upstream, on, and downstream of the barrier. During control studies, round goby moved across the barrier within 20 min from release upstream. With the barrier on and using the prescribed electrical settings shown to inhibit passage in the laboratory, the only marked round goby found below the barrier were dead. At reduced pulse durations, a few round goby (mean one/test) were found alive, but debilitated, below the barrier. The electrical barrier could be incorporated as part of a program in reducing movement of adult round goby through artificial connections between watersheds.

Stabilization of flow past a rounded cylinder

Science.gov (United States)

Samtaney, Ravi; Zhang, Wei

2016-11-01

We perform global linear stability analysis on low-Re flow past a rounded cylinder. The cylinder corners are rounded with a radius R, normalized as R+ = R / D where D is the cylinder diameter, and its effect on the flow stability characteristics is investigated. We compute the critical Reynolds number (Recr) for the onset of first instability, and quantify the perturbation growth rate for the super-critical flows. It is found that the flow can be stabilized by partially rounding the cylinder. Compared with the square and circular cylinders, the partially rounded cylinder has a higher Recr , attaining a maximum at around R+ = 0 . 30 , and the perturbation growth rate of the super-critical flows is reduced for Re R+ -> 0 . 00), while only the near-wake backflow is crucial for circular-like cylinders (R+ -> 0 . 50). The stability analysis results are also verified with those of the direct simulations and very good agreement is achieved. Supported by the KAUST Office of Competitive Research Funds under Award No. URF/1/1394-01. The supercomputer Shaheen at KAUST was utilized for the simulations.

The Effect of Family Presence on Rounding Duration in the PICU.

Science.gov (United States)

Gupta, Priya R; Perkins, R Serene; Hascall, Rebecca L; Shelak, Carolyn F; Demirel, Shaban; Buchholz, Mark T

2017-02-01

The incorporation of family-centered rounds has become standard in PICUs across the United States. We compared rounding times in our institution, with and without family members present, to determine the effect on total rounding time and work flow. This observational study of a convenience sample was conducted over a 17-month period (May 2014-October 2015), accounting for typical seasonal variation in the PICU. The individual patient rounding times for 2657 encounters were recorded. The presence of family members, intubation status, physician assistant participation, interruptions during rounds, attending physician's full- or part-time status, and patient census were documented. The effect of family presence on per-patient rounding time was analyzed, while controlling for influential variables. Family members were present during 1743 of 2657 (66%) rounding encounters. The average per-patient rounding time with and without family members present was 8.6 minutes and 7.3 minutes, respectively, a difference of 1.3 minutes per patient. In statistical models that accounted for other influential variables, the presence of family members was associated with a highly significant (20.4%, P family members increases per-patient rounding times in the PICU. Family presence on rounds may have benefits that outweigh the additional time required to complete each patient interaction. Copyright © 2017 by the American Academy of Pediatrics.

19 CFR 159.3 - Rounding of fractions.

Science.gov (United States)

2010-04-01

... 19 Customs Duties 2 2010-04-01 2010-04-01 false Rounding of fractions. 159.3 Section 159.3 Customs... (CONTINUED) LIQUIDATION OF DUTIES General Provisions § 159.3 Rounding of fractions. (a) Value. In the... cents or more, the lower fractions shall be dropped, and if it is necessary to take up as whole dollars...

International Technical Working Group Round Robin Tests

Energy Technology Data Exchange (ETDEWEB)

Dudder, Gordon B.; Hanlen, Richard C.; Herbillion, Georges M.

2003-02-01

The goal of nuclear forensics is to develop a preferred approach to support illicit trafficking investigations. This approach must be widely understood and accepted as credible. The principal objectives of the Round Robin Tests are to prioritize forensic techniques and methods, evaluate attribution capabilities, and examine the utility of database. The HEU (Highly Enriched Uranium) Round Robin, and previous Plutonium Round Robin, have made tremendous contributions to fulfilling these goals through a collaborative learning experience that resulted from the outstanding efforts of the nine participating internal laboratories. A prioritized list of techniques and methods has been developed based on this exercise. Current work is focused on the extent to which the techniques and methods can be generalized. The HEU Round Robin demonstrated a rather high level of capability to determine the important characteristics of the materials and processes using analytical methods. When this capability is combined with the appropriate knowledge/database, it results in a significant capability to attribute the source of the materials to a specific process or facility. A number of shortfalls were also identified in the current capabilities including procedures for non-nuclear forensics and the lack of a comprehensive network of data/knowledge bases. The results of the Round Robin will be used to develop guidelines or a ''recommended protocol'' to be made available to the interested authorities and countries to use in real cases.

Statistical grand rounds: understanding the mechanism: mediation analysis in randomized and nonrandomized studies.

Science.gov (United States)

Mascha, Edward J; Dalton, Jarrod E; Kurz, Andrea; Saager, Leif

2013-10-01

In comparative clinical studies, a common goal is to assess whether an exposure, or intervention, affects the outcome of interest. However, just as important is to understand the mechanism(s) for how the intervention affects outcome. For example, if preoperative anemia was shown to increase the risk of postoperative complications by 15%, it would be important to quantify how much of that effect was due to patients receiving intraoperative transfusions. Mediation analysis attempts to quantify how much, if any, of the effect of an intervention on outcome goes though prespecified mediator, or "mechanism" variable(s), that is, variables sitting on the causal pathway between exposure and outcome. Effects of an exposure on outcome can thus be divided into direct and indirect, or mediated, effects. Mediation is claimed when 2 conditions are true: the exposure affects the mediator and the mediator (adjusting for the exposure) affects the outcome. Understanding how an intervention affects outcome can validate or invalidate one's original hypothesis and also facilitate further research to modify the responsible factors, and thus improve patient outcome. We discuss the proper design and analysis of studies investigating mediation, including the importance of distinguishing mediator variables from confounding variables, the challenge of identifying potential mediators when the exposure is chronic versus acute, and the requirements for claiming mediation. Simple designs are considered, as well as those containing multiple mediators, multiple outcomes, and mixed data types. Methods are illustrated with data collected by the National Surgical Quality Improvement Project (NSQIP) and utilized in a companion paper which assessed the effects of preoperative anemic status on postoperative outcomes.

Reprogramming of round spermatids by the germinal vesicle cytoplasm in mice.

Directory of Open Access Journals (Sweden)

Peng-Cheng Kong

Full Text Available The birthrate following round spermatid injection (ROSI remains low in current and evidence suggests that factors in the germinal vesicle (GV cytoplasm and certain substances in the GV such as the nucleolus might be responsible for genomic reprogramming and embryonic development. However, little is known whether the reprogramming factors in GV oocyte cytoplasm and/or nucleolus in GV are beneficial to the reprogramming of round spermatids and development of ROSI embryos. Here, round spermatids were treated with GV cytolysates and injected this round spermatid alone or co-injected with GV oocyte nucleolus into mature metaphase II oocytes. Subsequent embryonic development was assessed morphologically and by Oct4 expression in blastocysts. There was no significant difference between experimental groups at the zygote to four-cell development stages. Blastocysts derived from oocytes which were injected with cytolysate treated-round spermatid alone or co-injected with nucleoli injection yielded 63.6% and 70.3% high quality embryos, respectively; comparable to blastocysts derived by intracytoplasmic sperm injection (ICSI, but higher than these oocytes which were co-injected with lysis buffer-treated round spermatids and nucleoli or injected with the lysis buffer-treated round spermatids alone. Furthermore, the proportion of live offspring resulting from oocytes which were co-injected with cytolysate treated-round spermatids and nucleoli or injected with cytolysate treated-round spermatids alone was higher than those were injected with lysis buffer treated-round spermaids, but comparable with the ICSI group. Our results demonstrate that factors from the GV cytoplasm improve round spermatid reprogramming, and while injection of the extra nucleolus does not obviously improve reprogramming its potential contribution, although which cannot be definitively excluded. Thus, some reprogramming factors are evidently present in GV oocyte cytoplasm and could

The Crista Fenestra and Its Impact on the Surgical Approach to the Scala Tympani during Cochlear Implantation.

Science.gov (United States)

Angeli, Roberto D; Lavinsky, Joel; Setogutti, Enio T; Lavinsky, Luiz

2017-01-01

The aim of this work was to describe the dimensions of the crista fenestra and determine its presence by means of high-resolution computed tomography (CT) for the purpose of cochlear implantation via the round window approach. A series of 10 adult human temporal bones underwent high-resolution CT scanning and were further dissected for microscopic study of the round window niche. In all of the specimens, the round window membrane was fully visualized after the complete removal of bony overhangs. The crista fenestra was identified as a sharp bony crest located in the anterior and inferior borders of the niche; its area ranged from 0.28 to 0.80 mm2 (mean 0.51 ± 0.18). The proportion of the area occupied by the crista fenestra in the whole circumference of the round window ranged from 23 to 50% (mean 36%). We found a moderate positive correlation between the area of the niche and the dimensions of the crista fenestra (Spearman rho: 0.491). In every case, high-resolution CT scanning was unable to determine the presence of the crista fenestra. The crista fenestra occupies a variable but expressive area within the bony round window niche. Narrower round window niches tended to house smaller crests. The presence of the crista fenestra is an important obstacle to adequate access to the scala tympani. Nevertheless, a high-resolution CT scan provides no additional preoperative information with regard to its presence for the purpose of surgical access to the scala tympani via the round window niche. © 2017 S. Karger AG, Basel.

La importancia de ser grande

OpenAIRE

Baisre, J. A.

2007-01-01

Se responde a las preguntas ¿por qué los mamíferos marinos son los animales más grandes del planeta?, ¿Por qué los peces no pueden ser más grandes?. Éstas y otras interrogantes son respondidas de forma sencilla y clara.

Round pneumonia: imaging findings in a large series of children

Energy Technology Data Exchange (ETDEWEB)

Kim, Yong-Woo; Donnelly, Lane F. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

2007-12-15

Although round pneumonia is a well-known clinical entity, there have been no large case reviews, with most knowledge based on case reports and small series from the 1960s and 1970s. To review the imaging findings of a large series of children with round pneumonia. A retrospective review of radiographic and CT findings in all children reported to have round pneumonia at a large children's hospital from 2000 to 2006 was performed. Children with underlying medical conditions were excluded. Epidemiologic characteristics, radiographic and CT findings, and follow-up imaging were reviewed. The review identified 109 children (mean age 5 years, range 4 months to 19 years). Round pneumonias tended to be solitary 98% (107/109), have well-defined borders 70% (77/109), and be posteriorly located 83% (91/109), with the following lobar distribution: left lower lobe (36), right lower lobe (33), right upper lobe (28), left upper lobe (7), right middle lobe (4), and lingula (2). Round pneumonia tended to resolve on follow-up imaging (95%, 41/43) as compared to progression to lobar pneumonia (4.6%, 2/43). Three patients (2.6%, 3/112) originally suspected to have round pneumonia were later shown to have other diagnoses: cavitary necrosis in pneumonia (two) or pleural pseudocyst (one). Round pneumonia occurs in young children (mean age 5 years), tends to be a solitary lesion, and is most commonly posteriorly located. Misdiagnosis of other pathology as round pneumonia is uncommon. (orig.)

Round pneumonia: imaging findings in a large series of children

International Nuclear Information System (INIS)

Kim, Yong-Woo; Donnelly, Lane F.

2007-01-01

Although round pneumonia is a well-known clinical entity, there have been no large case reviews, with most knowledge based on case reports and small series from the 1960s and 1970s. To review the imaging findings of a large series of children with round pneumonia. A retrospective review of radiographic and CT findings in all children reported to have round pneumonia at a large children's hospital from 2000 to 2006 was performed. Children with underlying medical conditions were excluded. Epidemiologic characteristics, radiographic and CT findings, and follow-up imaging were reviewed. The review identified 109 children (mean age 5 years, range 4 months to 19 years). Round pneumonias tended to be solitary 98% (107/109), have well-defined borders 70% (77/109), and be posteriorly located 83% (91/109), with the following lobar distribution: left lower lobe (36), right lower lobe (33), right upper lobe (28), left upper lobe (7), right middle lobe (4), and lingula (2). Round pneumonia tended to resolve on follow-up imaging (95%, 41/43) as compared to progression to lobar pneumonia (4.6%, 2/43). Three patients (2.6%, 3/112) originally suspected to have round pneumonia were later shown to have other diagnoses: cavitary necrosis in pneumonia (two) or pleural pseudocyst (one). Round pneumonia occurs in young children (mean age 5 years), tends to be a solitary lesion, and is most commonly posteriorly located. Misdiagnosis of other pathology as round pneumonia is uncommon. (orig.)

Is the Doha Round Dead? What is the Way Forward?

OpenAIRE

Faizel Ismail

2012-01-01

The WTO Doha Round of negotiations has been at an impasse since December 2008. Several academics and opinion makers have argued recently that the Doha Round is ‘dead’. This paper discusses the US narrative on the reasons for the impasse in the Doha Round and the way forward. It contrasts this narrative with that of the major developing country alliances in the WTO and considers some underlying causes for the current impasse in the Doha Round. The paper concludes that the US narrative that...

Seasonal Alterations in Park Visitation, Amenity Use, and Physical Activity — Grand Forks, North Dakota, 2012–2013

Science.gov (United States)

Johnson, LuAnn

2014-01-01

Introduction Park amenities promote visitation and physical activity during summer. Physical activity declines during winter. Identifying park amenities that promote visitation during winter would increase year-round activity. The purpose of this study was to determine how park visitation, amenity choice, and physical activity intensity change across seasons. Methods Physical activity intensity of children and adults was assessed at 16 parks in Grand Forks, North Dakota, during summer and fall of 2012, and winter and spring of 2013. Results Park visitation was highest in spring and lowest in winter. Amenity use varied by season. Parks with water splash pads were visited more during summer, and playgrounds and open spaces were visited more during spring. Ice rinks were visited most in winter. Physical activity intensity was lowest in summer and highest in winter for each age group. The activity intensity observed for all young age groups ranged from 2.7 to 2.9 metabolic equivalents in summer and greater than 3 metabolic equivalents in all other seasons. Adults’ mean activity intensity was greater than 3 metabolic equivalents in winter. Conclusion Information on park visitation, amenity use, and activity intensity across seasons is valuable; it can be used when designing or redesigning parks in order to promote year-round physical activity. Redesigning parks in cold climates to include ice rinks, sledding hills, cross-country skiing, and indoor areas for physical activity would increase winter visitation and allow the park to serve as a year-round resource for physical activity. PMID:25211503

Lower antibiotic costs attributable to clinical microbiology rounds.

Science.gov (United States)

Huang, Richard S P; Guervil, David J; Hunter, Robert L; Wanger, Audrey

2015-09-01

At our institution, our microbiologist, pharmacist, and infectious disease (ID) team meet to discuss ID patients, and this meeting is referred to as microbiology rounds. We hypothesized that our microbiology rounds reduce antibiotic costs. The study involved a review of 80 patients with an ID consultation order at each of the 3 hospitals: hospital A (HA) (only HA has microbiology rounds), hospital B (HB), and hospital C (HC). Of this population, we included patients with a positive blood culture. Thirty-six patients who met the above criteria were included in the study. The average antibiotic cost/patient/day at HA, HB, and HC were $66.0, $123, and $109, respectively. Also, we found that change in antibiotics was appropriate when compared to the final microbiology results in 90%, 44%, and 40% of the time at HA, HB, and HC, respectively. Herein, we found an association between conducting microbiology rounds and reduction of antibiotic cost. Copyright © 2015 Elsevier Inc. All rights reserved.

Trade Issues in the Doha Round; Dispelling Some Misconceptions

OpenAIRE

Stephen Tokarick

2006-01-01

The current round of multilateral trade negotiations-the Doha Round-presents an opportunity for countries to reap the benefits of trade liberalization. Unfortunately, a number of misconceptions about the likely impact of trade reforms has, in part, impeded more rapid progress toward completion of the Round. This paper addresses some of the most egregious of these misconceptions and presents results from IMF research that sheds light on these issues. In particular, this paper argues that: (i) ...

Recommended Protocol for Round Robin Studies in Additive Manufacturing

Science.gov (United States)

Moylan, Shawn; Brown, Christopher U.; Slotwinski, John

2016-01-01

One way to improve confidence and encourage proliferation of additive manufacturing (AM) technologies and parts is by generating more high quality data describing the performance of AM processes and parts. Many in the AM community see round robin studies as a way to generate large data sets while distributing the cost among the participants, thereby reducing the cost to individual users. The National Institute of Standards and Technology (NIST) has conducted and participated in several of these AM round robin studies. While the results of these studies are interesting and informative, many of the lessons learned in conducting these studies concern the logistics and methods of the study and unique issues presented by AM. Existing standards for conducting interlaboratory studies of measurement methods, along with NIST’s experience, form the basis for recommended protocols for conducting AM round robin studies. The role of round robin studies in AM qualification, some of the limitations of round robin studies, and the potential benefit of less formal collaborative experiments where multiple factors, AM machine being only one, are varied simultaneously are also discussed. PMID:27274602

Grand unified theories. Pt. 2

International Nuclear Information System (INIS)

Ellis, J.

1982-01-01

The author gives an introduction to the construction of grand unified theories on the base of the SU(3)xSU(2)xU(1) model of the strong, weak, and electromagnetic interactions. Especially he discusses the proton decay, neutrino masses and oscillations, and cosmological implications in connection with grand unified theories. (orig./HSI)

Medical Student Self-Efficacy with Family-Centered Care during Bedside Rounds

Science.gov (United States)

Young, Henry N.; Schumacher, Jayna B.; Moreno, Megan A.; Brown, Roger L.; Sigrest, Ted D.; McIntosh, Gwen K.; Schumacher, Daniel J.; Kelly, Michelle M.; Cox, Elizabeth D.

2012-01-01

Purpose Factors that support self-efficacy must be understood in order to foster family-centered care (FCC) during rounds. Based on social cognitive theory, this study examined (1) how 3 supportive experiences (observing role models, having mastery experiences, and receiving feedback) influence self-efficacy with FCC during rounds and (2) whether the influence of these supportive experiences was mediated by self-efficacy with 3 key FCC tasks (relationship building, exchanging information, and decision making). Method Researchers surveyed 184 students during pediatric clerkship rotations during the 2008–2011 academic years. Surveys assessed supportive experiences and students’ self-efficacy with FCC during rounds and with key FCC tasks. Measurement models were constructed via exploratory and confirmatory factor analyses. Composite indicator structural equation (CISE) models evaluated whether supportive experiences influenced self-efficacy with FCC during rounds and whether self-efficacy with key FCC tasks mediated any such influences. Results Researchers obtained surveys from 172 eligible students who were 76% (130) White and 53% (91) female. Observing role models and having mastery experiences supported self-efficacy with FCC during rounds (each pFCC tasks, relationship building and decision making (each p FCC during rounds. Conclusions Observing role models and having mastery experiences foster students’ self-efficacy with FCC during rounds, operating through self-efficacy with key FCC tasks. Results suggest the importance of helping students gain self-efficacy in key FCC tasks before the rounds experience and helping educators implement supportive experiences during rounds. PMID:22534602

Albuquerque/Middle Rio Grande Urban Waters Viewer

Science.gov (United States)

These data have been compiled in support of the Middle Rio Grande/Albuquerque Urban Waters Partnership for the region including Albuquerque, New Mexico.The Middle Rio Grande/Albuquerque Urban Waters Federal Partnership is co-chaired by the U.S. Dept. of Housing and Urban Development and the U.S. Environmental Protection Agency. There are also a number of other federal agencies engaged in projects with Tribal, State, and local officials, and community stakeholders. Like many western river ecosystems, the Middle Rio Grande faces numerous challenges in balancing competing needs within a finite water supply and other resource constrains. Historical practices by our ancestors and immigrants to the Middle Rio Grande have established the conditions that we have inherited. Long-term drought exacerbated by climate change is changing conditions that affect natural and human communities as we strive to improve our precious Rio Grande.The Middle Rio Grande/Albuquerque Urban Waters Federal Partnership will reconnect our urban communities, particularly those that are overburdened or economically distressed, with the waterway by improving coordination among federal agencies and collaborating with community-led revitalization efforts. Our projects will improve our community water systems and promote their economic, environmental and social benefits. Specifically, the Middle Rio Grande/Albuquerque Urban Waters Federal Partnership will support the development of the Valle de Oro

Piping inspection round robin

International Nuclear Information System (INIS)

Heasler, P.G.; Doctor, S.R.

1996-04-01

The piping inspection round robin was conducted in 1981 at the Pacific Northwest National Laboratory (PNNL) to quantify the capability of ultrasonics for inservice inspection and to address some aspects of reliability for this type of nondestructive evaluation (NDE). The round robin measured the crack detection capabilities of seven field inspection teams who employed procedures that met or exceeded the 1977 edition through the 1978 addenda of the American Society of Mechanical Engineers (ASME) Section 11 Code requirements. Three different types of materials were employed in the study (cast stainless steel, clad ferritic, and wrought stainless steel), and two different types of flaws were implanted into the specimens (intergranular stress corrosion cracks (IGSCCs) and thermal fatigue cracks (TFCs)). When considering near-side inspection, far-side inspection, and false call rate, the overall performance was found to be best in clad ferritic, less effective in wrought stainless steel and the worst in cast stainless steel. Depth sizing performance showed little correlation with the true crack depths

Rounds Today: A Qualitative Study of Internal Medicine and Pediatrics Resident Perceptions.

Science.gov (United States)

Rabinowitz, Raphael; Farnan, Jeanne; Hulland, Oliver; Kearns, Lisa; Long, Michele; Monash, Bradley; Bhansali, Priti; Fromme, H Barrett

2016-10-01

Attending rounds is a key component of patient care and education at teaching hospitals, yet there is an absence of studies addressing trainees' perceptions of rounds. To determine perceptions of pediatrics and internal medicine residents about the current and ideal purposes of inpatient rounds on hospitalist services. In this multi-institutional qualitative study, the authors conducted focus groups with a purposive sample of internal medicine and pediatrics residents at 4 teaching hospitals. The constant comparative method was used to identify themes and codes. The study identified 4 themes: patient care, clinical education, patient/family involvement, and evaluation. Patient care included references to activities on rounds that forwarded care of the patient. Clinical education pertained to teaching/learning on rounds. Patient/family involvement encompassed comments about incorporating patients and families on rounds. Evaluation described residents demonstrating skill for attendings. Resident perceptions of the purposes of rounds aligned with rounding activities described by prior observational studies of rounds. The influence of time pressures and the divergent needs of participants on today's rounds placed these identified purposes in tension, and led to resident dissatisfaction in the achievement of all of them. Suboptimal congruency exists between perceived resident clinical education and specialty-specific milestones. These findings suggest a need for education of multiple stakeholders by (1) enhancing faculty teaching strategies to maximize clinical education while minimizing inefficiencies; (2) informing residents about the value of patient interactions and family-centered rounds; and (3) educating program directors in proper alignment of inpatient rotational objectives to the milestones.

The Doha Round Impasse: A Graphical Account

OpenAIRE

Evenett, Simon J

2013-01-01

Several factors potentially responsible for the failure to conclude the Doha Round of multilateral trade negotiations are analysed. A two-stage negotiation and ratification game between the “North” (industrialised countries) and the “South” (developing countries) is employed and collapses into a single diagram. The choice of negotiating agenda, principles, and currency of the Doha Round interact with domestic political factors in leading WTO members, the fast growth of exports prior to 2007, ...

The value of case-based teaching vignettes in clinical microbiology rounds.

Science.gov (United States)

Spicer, Jennifer O; Kraft, Colleen S; Burd, Eileen M; Armstrong, Wendy S; Guarner, Jeannette

2014-03-01

To describe the implementation and evaluation of a case-based microbiology curriculum during daily microbiology rounds. Vignettes consist of short cases with images and questions that facilitate discussion among microbiologists, pathologists, infectious disease physicians, and trainees (residents and fellows). We performed a survey to assess the value of these vignettes to trainees. Motivation to come to rounds on time increased from 60% to 100%. Trainees attending rounds after implementation of the vignettes perceived the value of microbiology rounds to be significantly higher compared with those who attended rounds before implementation (P = .04). Pathology residents found that vignettes were helpful for retaining knowledge (8.3 of 10 points). The vignettes have enhanced the value of microbiology rounds by serving as a formalized curriculum exposing trainees from multiple specialties to various microbiology topics. Emphasis on interdisciplinary interactions between clinical and laboratory personnel was highlighted with this case-based curriculum.

Kroyeria brasiliense sp. nov. (Copepoda, Kroyeriidaea gill parasite of the shark, Galeorhinus vitaminicus de Buen, in Rio Grande do Sul State, Brazil Kroyeria brasiliense sp. nov. (Copepoda, Kroyeriidae um parasito de guelras do tubarão, Galeorhinus vitaminicus de Buen, no Rio Grande do Sul, Brasil

Directory of Open Access Journals (Sweden)

Vernon E. Thatcher

2006-12-01

Full Text Available Kroyeria brasiliense sp. nov. from the shark, Galeorhinus vitaminicus de Buen, 1950, from Rio Grande do Sul, State, Brazil, is described on the basis of 14 adult females. The new species is superficially similar to Kroyeria deetsi Dippenaar, Benz & Olivier, 2000, but differs from it in the following characters. The maxillipeds of the new species are large and project well beyond the lateral margins of the cephalothorax. Those of K. deetsi are much smaller. The third endopodal segments of K. deetsi are twice as long as the second endopodal segments and are provided with prominent marginal denticles. The second and third endopodal segments of the new species are rounded, of similar length and lack teeth.Kroyeria brasiliense sp. nov. proveniente de guelras de G. vitaminicus de Buen, 1950 do Rio Grande do Sul, é descrita baseada em 14 fêmeas adultas. A nova espécie aproxima-se de Kroyeria deetsi Dippenaar, Benz & Oliver, 2000, mas a nova espécie se distingue por apresentar os maxilípedes grandes e estendendo-se bem além das margens do cefalotorax. Os terceiros segmentos dos endopoditos de K. deetsi são duas vezes mais cumpridos que os segundos e têm dentículos marginais proeminentes. Os segundos e terceiros segmentos dos endopoditos da nova espécie são arredondados, de tamanhos parecidos e carecem de dentículos.

Transient Three-Dimensional Side Load Analysis of Out-of-Round Film Cooled Nozzles

Science.gov (United States)

Wang, Ten-See; Lin, Jeff; Ruf, Joe; Guidos, Mike

2010-01-01

The objective of this study is to investigate the effect of nozzle out-of-roundness on the transient startup side loads at a high altitude, with an anchored computational methodology. The out-of-roundness could be the result of asymmetric loads induced by hardware attached to the nozzle, asymmetric internal stresses induced by previous tests, and deformation, such as creep, from previous tests. The rocket engine studied encompasses a regeneratively cooled thrust chamber and a film cooled nozzle extension with film coolant distributed from a turbine exhaust manifold. The computational methodology is based on an unstructured-grid, pressure-based computational fluid dynamics formulation, and a transient inlet history based on an engine system simulation. Transient startup computations were performed with the out-of-roundness achieved by four different degrees of ovalization: one perfectly round, one slightly out-of-round, one more out-of-round, and one significantly out-of-round. The results show that the separation-line-jump is the peak side load physics for the round, slightly our-of-round, and more out-of-round cases, and the peak side load increases as the degree of out-of-roundness increases. For the significantly out-of-round nozzle, however, the peak side load reduces to comparable to that of the round nozzle and the separation line jump is not the peak side load physics. The counter-intuitive result of the significantly out-of-round case is found to be related to a side force reduction mechanism that splits the effect of the separation-line-jump into two parts, not only in the circumferential direction and most importantly in time.

Flocculent and grand design spiral galaxies in groups: time scales for the persistence of grand design spiral structures

International Nuclear Information System (INIS)

Elmegreen, B.G.; Elmegreen, D.M.

1983-01-01

Spiral arm classifications were made for 261 low-inclination galaxies in groups listed by Huchra and Geller. The fractional occurrence of grand design spiral structure in nonbarred galaxies was found to increase from approx.0.1 to approx.0.6 and then level off as the group crossing rate or galaxy collision rate in a group increases. A simple model is discussed where the random encounters between galaxies of any type and flocculent galaxies induce transient grand design spirals in the flocculent galaxies. If this grand-design stimulation occurs for binary collisions with impact parameters less than αR 25 , were R 25 is the galactic radius at 25 mag arcsec - 2 , and if the induced grand design spirals persist for an average time equal to #betta# galactic rotations, then the quantity α 2 #betta# equals approximately 3 x 10 4 . If binary collisions are responsible for grand design spirals, then this result implies either that the induced spirals last for many galactic rotations (#betta#>15), or that they can be stimulated by very remote encounters (α>45.) Alternatively, grand design spirals may be stimulated by multiple galaxy encounters, which would be the case for such large α, or by interactions with the potential well of the associated group, rather than by simple binary encounters. Weak correlations between the grand design fraction and the galaxy size, or between this fraction and the total number of galaxies in a group, were also found. Spiral structures of barred galaxies show no correlations with group environment

Pioneer round of translation occurs during serum starvation

International Nuclear Information System (INIS)

Oh, Nara; Kim, Kyoung Mi; Cho, Hana; Choe, Junho; Kim, Yoon Ki

2007-01-01

The pioneer round of translation plays a role in translation initiation of newly spliced and exon junction complex (EJC)-bound mRNAs. Nuclear cap-binding protein complex CBP80/20 binds to those mRNAs at the 5'-end, recruiting translation initiation complex. As a consequence of the pioneer round of translation, the bound EJCs are dissociated from mRNAs and CBP80/20 is replaced by the cytoplasmic cap-binding protein eIF4E. Steady-state translation directed by eIF4E allows for an immediate and rapid response to changes in physiological conditions. Here, we show that nonsense-mediated mRNA decay (NMD), which restricts only to the pioneer round of translation but not to steady-state translation, efficiently occurs even during serum starvation, in which steady-state translation is drastically abolished. Accordingly, CBP80 remains in the nucleus and processing bodies are unaffected in their abundance and number in serum-starved conditions. These results suggest that mRNAs enter the pioneer round of translation during serum starvation and are targeted for NMD if they contain premature termination codons

The ward round--patient experiences and barriers to participation.

Science.gov (United States)

Swenne, Christine Leo; Skytt, Bernice

2014-06-01

Patients' participation is essential to their well-being and sense of coherence, as well as to their understanding of and adherence to prescribed treatments. Ward rounds serve as a forum for sharing information between patient and caregiver. The purpose of the ward round is to obtain information and plan medical and nursing care through staff-patient communication. The aim and objective of this study was to investigate patients' experiences during the ward round and their ability to participate in their care. The study was qualitative and descriptive in design. Fourteen inpatients at a cardiovascular ward were interviewed. Qualitative content analysis was used for the analysis. The ethics of scientific work were adhered to. Each study participant gave his/her informed consent based on verbal and written information. The study was approved by the Research Ethics Committee at Uppsala University. The analysis revealed one theme and three subthemes related to patients' experiences of ward rounds. The main theme was handling of information from the daily ward round while waiting for private consultation. The subthemes were making the best of the short time spent on ward rounds; encountering traditional roles and taking comfort in staff competency; and being able to choose the degree to which one participates in the decision-making process. Several aspects of traditional ward round routines could be improved in regard to the two-way information exchange process between caregivers and patient. Patients' and caregivers' ability to communicate their goals and the environment in which the communication occurs are of great importance. The information provided by nurses is easier to understand than that provided by physicians. The atmosphere must be open; the patient should be treated with empathy by staff; and patients' right to participate must be acknowledged by all healthcare professionals involved. © 2013 Nordic College of Caring Science.

Palliative medicine Death Rounds: small group learning on a vital subject.

Science.gov (United States)

Kitzes, Judith A; Kalishman, Summers; Kingsley, Darra D; Mines, Jan; Lawrence, Elizabeth

The medical student's experience with patients' dying and death has profound impact on personal and professional development. Death Rounds at the University of New Mexico School of Medicine is a small group educational model that promotes student self-reflection, metacognition, professional growth, and collegial support. To describe the implementation and evaluation activities of a third year clerkship Death Rounds which are a structured, institutionally supported resource for helping students to understand the clinical, ethical, legal, professional, cultural, and spiritual aspects of death. Medical students attend 2 to 3 small group palliative medicine Death Rounds sessions, facilitated by the attending clerkship director, chief residents, and a palliative care physician. The students' assessment of their palliative medicine knowledge and skills in 5 categories before and after participation in Death Rounds rated their skills after Death Rounds higher with effect sizes ranging from 0.9 to 1.9. Evidence from both the Death Rounds Questionnaire and Facilitators' Logs demonstrates that multiple issues and topics were addressed and all associated with the School of Medicine's 6 core competencies. Death Rounds minimally affect on clerkship time and faculty resources.

Bittersweet Findings: Round Cups Fail to Induce Sweeter Taste

Directory of Open Access Journals (Sweden)

Casparus J. A. Machiels

2018-02-01

Full Text Available An increasing body of literature demonstrates that consumers associate visual information with specific gustatory elements. This phenomenon is better known as cross-modal correspondence. A specific correspondence that has received attention of late is the one between round forms and sweet taste. Research indicates that roundness (as opposed to angularity is consistently associated with an increased sweetness perception. Focusing on two different cup forms (round versus angular, two studies tested this association for a butter milk drink and a mate-based soft drink. Results, however, were not able to corroborate the frequently suggested correspondence effect, but a correspondence was found between the angular cup and a more bitter taste for the soft drink. These results are discussed in light of previous findings matching sweetness with roundness and bitterness with angularity, hopefully aiding researchers in this field in conducting future experiments.

Agreement on Agriculture in the Uruguay Round of GATT, The

OpenAIRE

Zuhair A. Hassan

1994-01-01

The Uruguay Round is the eighth round of multilateral trade negotiations (MTN) under the General Agreement on Tariffs and Trade (GATT). The previous seven rounds produced significant reductions in tariffs on manufactured goods, but little or no progress was made in opening international markets for agricultural trade (see Appendix A0. However, the distortions in international agricultural trade and domestic agricultural production and the increasing budgetary outlays prompted trade ministers ...

Round table discussion during session 2

International Nuclear Information System (INIS)

Mays, C.

2004-01-01

The round table discussions of the second session of the FSC Belgium Workshop addressed the following questions: - Do local stakeholders have, internally or externally, all the expertise they need in order to address the issues raised by radioactive waste management projects? - Do institutional stakeholders have all the expertise they need to take local impacts into account? - What kinds of expert input are sought and attained by the different stakeholders? - Were any formal methods used to aid local partnerships perform technology assessments? Or other types of assessment? - How to maintain the knowledge and expertise achieved by the stakeholders? Discussion took place after the plenary presentations, at tables grouping Belgian stakeholders and FSC delegates. As in Session I, most of the round table discussion focussed specifically on the experience of the local partnerships. Many insights were shared about the nature and role of expertise in complex decision making. They are summarised below, on the basis of the feedback provided to the plenary by each round table. Some of these insights can be generalised to other contexts. All in all, a profile emerged of the local partnerships as a unique and effective tool to deal with knowledge issues in managing risk. (author)

Grand unified theories

International Nuclear Information System (INIS)

Langacker, P.

1981-01-01

In this talk I discuss the present status of these theories and of their observational and experimental implications. In section II, I briefly review the standard SU 3 sup(c) x SU 2 x U 1 model of the strong and electroweak interactions. Although phenomenologically successful, the standard model leaves many questions unanswered. Some of these questions are addressed by grand unified theories, which are defined and discussed in Section III. The Georgi-Glashow SU 5 model is described, as are theories based on larger groups such as SO 10 , E 6 , or SO 16 . It is emphasized that there are many possible grand unified theories and that it is an experimental problem not only to test the basic ideas but to discriminate between models. (orig./HSI)

Round Gating for Low Energy Block Ciphers

DEFF Research Database (Denmark)

Banik, Subhadeep; Bogdanov, Andrey; Regazzoni, Francesco

2016-01-01

design techniques for implementing block ciphers in a low energy fashion. We concentrate on round based implementation and we discuss how gating, applied at round level can affect and improve the energy consumption of the most common lightweight block cipher currently used in the internet of things....... Additionally, we discuss how to needed gating wave can be generated. Experimental results show that our technique is able to reduce the energy consumption in most block ciphers by over 60% while incurring only a minimal overhead in hardware....

Examination of the program to avoid round-off error

International Nuclear Information System (INIS)

Shiota, Y.; Kusunoki, T.; Tabushi, K.; Shimomura, K.; Kitou, S.

2005-01-01

The MACRO programs which express a simple shape such as PLANE, SPHERE, CYLINDER and CONE, are used to the formation of the geometry in EGS4. Each MACRO calculates the important value for the main code to recognize the configured geometry. This calculation process may generate the calculation error due to the effect of a round-off error. SPHERE, CYLINDER and CONE MACRO include the function to avoid the effect, but PLANE MACRO dose not include. The effect of the round-off error is small usually in case of PLANE MACRO, however a slant plane may cause the expansion of the effect. Therefore, we have configured the DELPLANE program with the function to avoid the effect of the round-off error. In this study, we examine the DELPLANE program using the simply geometry with slant plane. As a result, the normal PLANE MACRO generates the round-off error, however DELPLANE program dose not generates one. (author)

2010 Panel on the Biomaterials Grand Challenges

Science.gov (United States)

Reichert, William “Monty”; Ratner, Buddy D.; Anderson, James; Coury, Art; Hoffman, Allan S.; Laurencin, Cato T.; Tirrell, David

2014-01-01

In 2009, the National Academy for Engineering issued the Grand Challenges for Engineering in the 21st Century comprised of 14 technical challenges that must be addressed to build a healthy, profitable, sustainable, and secure global community (http://www.engineeringchallenges.org). Although crucial, none of the NEA Grand Challenges adequately addressed the challenges that face the biomaterials community. In response to the NAE Grand Challenges, Monty Reichert of Duke University organized a panel entitled Grand Challenges in Biomaterials at the at the 2010 Society for Biomaterials Annual Meeting in Seattle. Six members of the National Academies—Buddy Ratner, James Anderson, Allan Hoffman, Art Coury, Cato Laurencin, and David Tirrell—were asked to propose a grand challenge to the audience that, if met, would significantly impact the future of biomaterials and medical devices. Successfully meeting these challenges will speed the 60-plus year transition from commodity, off-the-shelf biomaterials to bioengineered chemistries, and biomaterial devices that will significantly advance our ability to address patient needs and also to create new market opportunities. PMID:21171147

The impact of a lean rounding process in a pediatric intensive care unit.

Science.gov (United States)

Vats, Atul; Goin, Kristin H; Villarreal, Monica C; Yilmaz, Tuba; Fortenberry, James D; Keskinocak, Pinar

2012-02-01

Poor workflow associated with physician rounding can produce inefficiencies that decrease time for essential activities, delay clinical decisions, and reduce staff and patient satisfaction. Workflow and provider resources were not optimized when a pediatric intensive care unit increased by 22,000 square feet (to 33,000) and by nine beds (to 30). Lean methods (focusing on essential processes) and scenario analysis were used to develop and implement a patient-centric standardized rounding process, which we hypothesize would lead to improved rounding efficiency, decrease required physician resources, improve satisfaction, and enhance throughput. Human factors techniques and statistical tools were used to collect and analyze observational data for 11 rounding events before and 12 rounding events after process redesign. Actions included: 1) recording rounding events, times, and patient interactions and classifying them as essential, nonessential, or nonvalue added; 2) comparing rounding duration and time per patient to determine the impact on efficiency; 3) analyzing discharge orders for timeliness; 4) conducting staff surveys to assess improvements in communication and care coordination; and 5) analyzing customer satisfaction data to evaluate impact on patient experience. Thirty-bed pediatric intensive care unit in a children's hospital with academic affiliation. Eight attending pediatric intensivists and their physician rounding teams. Eight attending physician-led teams were observed for 11 rounding events before and 12 rounding events after implementation of a standardized lean rounding process focusing on essential processes. Total rounding time decreased significantly (157 ± 35 mins before vs. 121 ± 20 mins after), through a reduction in time spent on nonessential (53 ± 30 vs. 9 ± 6 mins) activities. The previous process required three attending physicians for an average of 157 mins (7.55 attending physician man-hours), while the new process required two

Round-Robin Test of Paraffin Phase-Change Material

Science.gov (United States)

Vidi, S.; Mehling, H.; Hemberger, F.; Haussmann, Th.; Laube, A.

2015-11-01

A round-robin test between three institutes was performed on a paraffin phase-change material (PCM) in the context of the German quality association for phase-change materials. The aim of the quality association is to define quality and test specifications for PCMs and to award certificates for successfully tested materials. To ensure the reproducibility and comparability of the measurements performed at different institutes using different measuring methods, a round-robin test was performed. The sample was unknown. The four methods used by the three participating institutes in the round-robin test were differential scanning calorimetry, Calvet calorimetry and three-layer calorimetry. Additionally, T-history measurements were made. The aim of the measurements was the determination of the enthalpy as a function of temperature. The results achieved following defined test specifications are in excellent agreement.

Does Negative Type Characterize the Round Sphere?

DEFF Research Database (Denmark)

Kokkendorff, Simon Lyngby

2007-01-01

We discuss the measure theoretic metric invariants extent, mean distance and symmetry ratio and their relation to the concept of negative type of a metric space. A conjecture stating that a compact Riemannian manifold with symmetry ratio 1 must be a round sphere, was put forward in a previous paper....... We resolve this conjecture in the class of Riemannian symmetric spaces by showing, that a Riemannian manifold with symmetry ratio 1 must be of negative type and that the only compact Riemannian symmetric spaces of negative type are the round spheres....

Venezuela slates second oil field revival round

International Nuclear Information System (INIS)

Anon.

1992-01-01

This paper reports that Venezuela will accept bids under a second round next year from private foreign and domestic companies for production contracts to operate marginal active as well as inactive oil fields. The first such round came earlier this year, involving about 55 other marginal, inactive fields. It resulted in two contractors signed with domestic and foreign companies. It represented the first time since nationalization of the petroleum industry in Venezuela in 1976 that private companies were allowed to produce oil in the country. A public bid tender was expected at presstime last week

Round beams generated by vertical dispersion

International Nuclear Information System (INIS)

Bagley, P.

1990-01-01

Simulations suggest that in e + e - storage rings collisions of round beams (equal emittances and equal β*) can produce very large tune shifts and luminosities. We understand how to make equal β*s, but generating equal emittances is more difficult. We describe an equal emittance scheme that uses several skew quads to couple horizontal dispersion into vertical dispersion. These skew quads also produce a coupling bump. At the interaction point and at other points outside the coupling bump, the motion is not coupled, so that the 'A' normal mode corresponds to horizontal motion and the 'B' normal mode corresponds to vertical motion. We present a round beam lattice for CESR that incorporates this scheme

Creating a Cycle of Continuous Improvement through Instructional Rounds

Science.gov (United States)

Meyer-Looze, Catherine L.

2015-01-01

Instructional Rounds is a continuous improvement strategy that focuses on the technical core of educational systems as well as educators collaborating side-by-side. Concentrating on collective learning, this process only makes sense within an overall strategy of improvement. This case study examined the Instructional Rounds process in a northern…

Constructing post-surgical discharge instructions through a Delphi consensus methodology.

Science.gov (United States)

Scott, Aaron R; Sanderson, Cody J; Rush, Augustus J; Alore, Elizabeth A; Naik, Aanand D; Berger, David H; Suliburk, James W

2018-05-01

Patient education materials are a crucial part of physician-patient communication. We hypothesize that available discharge instructions are difficult to read and fail to address necessary topics. Our objective is to evaluate readability and content of surgical discharge instructions using thyroidectomy to develop standardized discharge materials. Thyroidectomy discharge materials were analyzed for readability and assessed for content. Fifteen endocrine surgeons participated in a modified Delphi consensus panel to select necessary topics. Using readability best practices, we created standardized discharge instructions which included all selected topics. The panel evaluated 40 topics, selected 23, deemed 4 inappropriate, consolidated 5, and did not reach consensus on 8 topics after 4 rounds. The evaluated instructions' reading levels ranged from grade 6.5 to 13.2; none contained all consensus topics. Current post surgical thyroidectomy discharge instructions are more difficult to read than recommended by literacy standards and omit consensus warning signs of major complications. Our easy-to-read discharge instructions cover pertinent topics and may enhance patient education. Delphi methodology is useful for developing post-surgical instructions. Patient education materials need appropriate readability levels and content. We recommend the Delphi method to select content using consensus expert opinion whenever higher level data is lacking. Copyright © 2017 Elsevier B.V. All rights reserved.

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Science.gov (United States)

Katz-Sidlow, Rachel J; Ludwig, Allison; Miller, Scott; Sidlow, Robert

2012-10-01

While there are numerous benefits of smartphone use for physicians, little is known about the negative effects of using these devices in the context of patient care. To assess resident and faculty smartphone use during inpatient attending rounds and its potential as a source of distraction during transfer of clinical information. Cross-sectional survey. University-affiliated public teaching hospital. All housestaff and inpatient faculty in the departments of Medicine and Pediatrics. Participants were asked about smartphone ownership, usage patterns during attending rounds, and whether team members had ever missed important data during rounds due to distraction from smartphones. Attendings were asked whether policies should be established for smartphone use during rounds. The overall response rate was 73%. Device ownership was prevalent (89% residents, 98% faculty), as was use of smartphones during inpatient rounds (57% residents, 28% attendings). According to self-reports, smartphones were used during rounds for patient care (85% residents, 48% faculty), reading/responding to personal texts/e-mails (37% residents, 12% faculty), and other non-patient care uses (15% residents, 0% faculty). Nineteen percent of residents and 12% of attendings believed they had missed important information because of distraction from smartphones. Residents and faculty agreed that smartphones "can be a serious distraction during attending rounds," and nearly 80% of faculty believed that smartphone policies should be established. Smartphone use during attending rounds is prevalent and can distract users during important information transfer. Attendings strongly favored the institution of formal policies governing appropriate smartphone use during inpatient rounds. Copyright © 2012 Society of Hospital Medicine.

The corner rounding modeling technique in SPICE simulations for deeply scaled MOSFETs

International Nuclear Information System (INIS)

Sun Wei; Yang Dake

2013-01-01

This paper presents a novel poly (PC) and active (RX) corner rounding modeling approach to SPICE simulations. A set of specially designed structures was used for measurement data collection. PC and RX corner rounding equations have been derived based on an assumption that the corner rounding area is a fragment of a circle. The equations were modified to reflect the gouging effect of physical silicon wafers. The modified general equations were implemented in the SPICE model to enable the model to describe the corner rounding effect. The good fittings between the SPICE model simulation results and the silicon data demonstrated in this paper proved that the designed corner rounding model is practical and accurate. (semiconductor devices)

Grand Mal Seizure

Science.gov (United States)

... grand mal seizures include: A family history of seizure disorders Any injury to the brain from trauma, a ... the risk of birth defects. If you have epilepsy and plan to become pregnant, work with your ...

Constant round group key agreement protocols: A comparative study

NARCIS (Netherlands)

Makri, E.; Konstantinou, Elisavet

2011-01-01

The scope of this paper is to review and evaluate all constant round Group Key Agreement (GKA) protocols proposed so far in the literature. We have gathered all GKA protocols that require 1,2,3,4 and 5 rounds and examined their efficiency. In particular, we calculated each protocol’s computation and

Optical properties of the human round window membrane

Science.gov (United States)

Höhl, Martin; DeTemple, Daphne; Lyutenski, Stefan; Leuteritz, Georg; Varkentin, Arthur; Schmitt, Heike Andrea; Lenarz, Thomas; Roth, Bernhard; Meinhardt-Wollweber, Merve; Morgner, Uwe

2017-10-01

Optical techniques are effective tools for diagnostic applications in medicine and are particularly attractive for the noninvasive analysis of biological tissues and fluids in vivo. Noninvasive examinations of substances via a fiber optic probe need to consider the optical properties of biological tissues obstructing the optical path. This applies to the analysis of the human perilymph, which is located behind the round window membrane. The composition of this inner ear liquid is directly correlated to inner ear hearing loss. In this work, experimental methods for studying the optical properties of the human round window membrane ex vivo are presented. For the first time, a comprehensive investigation of this tissue is performed, including optical transmission, forward scattering, and Raman scattering. The results obtained suggest the application of visible wavelengths (>400 nm) for investigating the perilymph behind the round window membrane in future.

Grand-Bassam

African Journals Online (AJOL)

Geo

l'estuaire du fleuve Comoé (Grand-Bassam, Côte d'Ivoire). Kouassi Laurent ADOPO1*, Apie Colette AKOBE1, Etche Mireille AMANI2,. Sylvain MONDE3 et Kouamé AKA3. (1)Laboratoire de Géologie Marine, Sédimentologie et Environnement, Centre de Recherche en Ecologie,. Université Felix Houphouet Boigny Abidjan, ...

Round-the-table teaching: a novel approach to resuscitation education.

Science.gov (United States)

McGarvey, Kathryn; Scott, Karen; O'Leary, Fenton

2014-10-01

Effective cardiopulmonary resuscitation saves lives. Health professionals who care for acutely unwell children need to be prepared to care for a child in arrest. Hospitals must ensure that their staff have the knowledge, confidence and ability to respond to a child in cardiac arrest. RESUS4KIDS is a programme designed to teach paediatric resuscitation to health care professionals who care for acutely unwell children. The programme is delivered in two components: an e-learning component for pre-learning, followed by a short, practical, face-to-face course that is taught using the round-the-table teaching approach. Round-the-table teaching is a novel, evidence-based small group teaching approach designed to teach paediatric resuscitation skills and knowledge. Round-the-table teaching uses a structured approach to managing a collapsed child, and ensures that each participant has the opportunity to practise the essential resuscitation skills of airway manoeuvres, bag mask ventilation and cardiac compressions. Round-the-table teaching is an engaging, non-threatening approach to delivering interdisciplinary paediatric resuscitation education. The methodology ensures that all participants have the opportunity to practise each of the different essential skills associated with the Danger, Response, Send for help, Airway, Breathing, Circulation, Defibrillation or rhythm recognition (DRSABCD) approach to the collapsed child. Round-the-table teaching is based on evidence-based small group teaching methods. The methodology of round-the-table teaching can be applied to any topic where participants must demonstrate an understanding of a sequential approach to a clinical skill. Round-the-table teaching uses a structured approach to managing a collapsed child. © 2014 The Authors. The Clinical Teacher published by Association for the Study of Medical Education and John Wiley & Sons Ltd.

Reproductive biology of round sardinella (Sardinella aurita in north-eastern Mediterranean

Directory of Open Access Journals (Sweden)

Athanassios C. Tsikliras

2006-06-01

Full Text Available The reproductive biology of round sardinella, Sardinella aurita Valenciennes, 1847, was studied for the first time in the north-eastern Mediterranean Sea. Round sardinella has gained much attention lately because of its biomass increase, which might be the result of climatic changes occurring across the Mediterranean Sea. Monthly samples were collected on board commercial purse-seiners for two complete year cycles (September 2000 to August 2002. Round sardinella is a gonochoristic fish. The overall female to male ratio was not statistically different (P=0.34 from unity, although it varied monthly and with the length of the fish. The seasonal changes in the gonadosomatic index and the macroscopic characteristics of gonads showed that round sardinella in the northern Aegean spawns between May and July. Male round sardinella reach first sexual maturity at a smaller total length than females (155.0 and 168.3 mm respectively. Mean absolute fecundity (FA increased exponentially with body length (FA=0.0949xL4.22 and weight (FA=511.19xW1.02, with an average of ~21,000 oocytes produced per spawning female. Relative fecundity (FR ranged between 242 and 681 oocytes/g of body weight (average: 445 oocytes/g. The frequency distribution of oocytes showed that round sardinella produces a single batch of oocytes. In general, the reproductive characteristics of round sardinella in the north-eastern Mediterranean Sea differed when compared to stocks from other areas of its distribution.

A Grande Reportagem no contexto informativo SIC

OpenAIRE

Colaço, Vanessa Alexandra Francisco

2014-01-01

Os telespectadores querem ver grandes reportagens? Como evoluíram as audiências da Grande Reportagem SIC? É este o produto premium da estação? Terá este formato um investimento e continuidade garantidas? Estas são algumas das questões formuladas e às quais se procurou dar resposta neste Relatório de Estágio. Neste trabalho traça-se o perfil do programa Grande Reportagem SIC, clarificando a linha editorial que lhe serviu de base, procurando perceber as suas dinâmicas e passando em revista mome...

Supersymmetry and supergravity: Phenomenology and grand unification

International Nuclear Information System (INIS)

Arnowitt, R.; Nath, P.

1993-01-01

A survey is given of supersymmetry and supergravity and their phenomenology. Some of the topics discussed are the basic ideas of global supersymmetry, the minimal supersymmetric Standard Model (MSSM) and its phenomenology, the basic ideas of local supersymmetry (supergravity), grand unification, supersymmetry breaking in supergravity grand unified models, radiative breaking of SU(2) x U(1), proton decay, cosmological constraints, and predictions of supergravity grand unified models. While the number of detailed derivations are necessarily limited, a sufficient number of results are given so that a reader can get a working knowledge of this field

On security arguments of the second round SHA-3 candidates

DEFF Research Database (Denmark)

Andreeva, Elena; Bogdanov, Andrey; Mennink, Bart

2012-01-01

of which got accepted to the first round. 14 candidates were left in the second round, out of which five candidates have been recently chosen for the final round. An important criterion in the selection process is the SHA-3 hash function security. We identify two important classes of security arguments...... for the new designs: (1) the possible reductions of the hash function security to the security of its underlying building blocks and (2) arguments against differential attack on building blocks. In this paper, we compare the state of the art provable security reductions for the second round candidates...... and review arguments and bounds against classes of differential attacks.We discuss all the SHA-3 candidates at a high functional level, analyze, and summarize the security reduction results and bounds against differential attacks. Additionally, we generalize the well-known proof of collision resistance...

Medieval Round Churches and the Shape of the Earth.

Science.gov (United States)

Haagensen, Erling; Lind, Niels C

2015-12-01

There is a unique cluster of four medieval round churches, linked by a simple geometry, on Bornholm Island in the Baltic Sea. Why so many and why so close together? Immediate simple answers are "Just by chance" and "For no reason." Why are the churches round? "Defense." This essay proposes another hypothesis for this unique situation: the churches are astronomical observatories, meant to solve a scientific problem (Is the Earth really spherical?) and a practical problem (How far is it to sail west to the Orient?). The capacity and desire to find answers, together with other practical needs related to astronomy, can better explain these round churches' special architecture. The geometry that connects them fits the ideal pattern with an angular accuracy of 1 minute of a degree. The round churches may be the earliest astronomical observatories in Christian Europe; other hypotheses have been shown to be untenable. Their location provides for a good method to estimate the Earth's extent in the east-west direction, seemingly the earliest such measurements.

Analysis of a yearly multi-round, multi-period, multi-product transmission rights auction

International Nuclear Information System (INIS)

Ziogos, N.P.; Bakirtzis, A.G.

2008-01-01

A yearly multi-round, multi-period, multi-product transmission rights (TR) auction issuing both point-to-point Financial Transmission Rights (FTRs) and Flow-Gate Rights (FGRs) is studied in this paper. In each round the TR market participants (buyers or sellers) submit their bid or offer prices based on past energy market performance. A Locational Marginal Pricing (LMP) based energy market is assumed. The TR market participants' bid or offer prices reflect their expectation of the average annual LMP differences between withdrawal and injections points for FTRs and of the transmission link capacity prices for FGRs. The TR auction is performed in four rounds; in each round 25% of the entire system capability is awarded. TRs that are awarded in one round are modeled as fixed injections in subsequent rounds. Market participants that have acquired TRs in one round can sell them in subsequent rounds. A market participant can submit bids or offers for on-peak, off-peak or 24-h TRs. A three-area, nine-bus test system with six TR market participants is used for the analysis of the TR auction. (author)

Efficacy of ONC201 in Desmoplastic Small Round Cell Tumor.

Science.gov (United States)

Hayes-Jordan, Andrea A; Ma, Xiao; Menegaz, Brian A; Lamhamedi-Cherradi, Salah-Eddine; Kingsley, Charles V; Benson, Jalen A; Camacho, Pamela E; Ludwig, Joseph A; Lockworth, Cynthia R; Garcia, Gloria E; Craig, Suzanne L

2018-05-01

Desmoplastic Small Round Cell Tumor (DSRCT) is a rare sarcoma tumor of adolescence and young adulthood, which harbors a recurrent chromosomal translocation between the Ewing's sarcoma gene (EWSR1) and the Wilms' tumor suppressor gene (WT1). Patients usually develop multiple abdominal tumors with liver and lymph node metastasis developing later. Survival is poor using a multimodal therapy that includes chemotherapy, radiation and surgical resection, new therapies are needed for better management of DSRCT. Triggering cell apoptosis is the scientific rationale of many cancer therapies. Here, we characterized for the first time the expression of pro-apoptotic receptors, tumor necrosis-related apoptosis-inducing ligand receptors (TRAILR1-4) within an established human DSRCT cell line and clinical samples. The molecular induction of TRAIL-mediated apoptosis using agonistic small molecule, ONC201 in vitro cell-based proliferation assay and in vivo novel orthotopic xenograft animal models of DSRCT, was able to inhibit cell proliferation that was associated with caspase activation, and tumor growth, indicating that a cell-based delivery of an apoptosis-inducing factor could be relevant therapeutic agent to control DSRCT. Copyright © 2018. Published by Elsevier Inc.

Efficacy of ONC201 in Desmoplastic Small Round Cell Tumor

Directory of Open Access Journals (Sweden)

Andrea A. Hayes-Jordan

2018-05-01

Full Text Available Desmoplastic Small Round Cell Tumor (DSRCT is a rare sarcoma tumor of adolescence and young adulthood, which harbors a recurrent chromosomal translocation between the Ewing’s sarcoma gene (EWSR1 and the Wilms’ tumor suppressor gene (WT1. Patients usually develop multiple abdominal tumors with liver and lymph node metastasis developing later. Survival is poor using a multimodal therapy that includes chemotherapy, radiation and surgical resection, new therapies are needed for better management of DSRCT. Triggering cell apoptosis is the scientific rationale of many cancer therapies. Here, we characterized for the first time the expression of pro-apoptotic receptors, tumor necrosis-related apoptosis-inducing ligand receptors (TRAILR1-4 within an established human DSRCT cell line and clinical samples. The molecular induction of TRAIL-mediated apoptosis using agonistic small molecule, ONC201 in vitro cell-based proliferation assay and in vivo novel orthotopic xenograft animal models of DSRCT, was able to inhibit cell proliferation that was associated with caspase activation, and tumor growth, indicating that a cell-based delivery of an apoptosis-inducing factor could be relevant therapeutic agent to control DSRCT.

From Twin Towers to Fawlty Towers: The story of the Doha Round

OpenAIRE

Erixon, Fredrik

2008-01-01

The Doha Round has yet again collapsed. The July 2008 attempt to negotiate a broad headline deal between the main member countries of the WTO failed. The Round is already way beyond bedtime and members now need to ask themselves: Is it at all meaningful to continue the Round - or should it be put at sleep permanently? This paper aims at examining the structural problems of the Doha Round and, by extension, the WTO and its current institutional setup. It offers a broad stock take of the curren...

Proton hexality in local grand unification

Energy Technology Data Exchange (ETDEWEB)

Foerste, Stefan; Nilles, Hans Peter [Bonn Univ. (Germany). Bethe Center for Theoretical Physics and Physikalisches Institut; Ramos-Sanchez, Saul [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Vaudrevange, Patrick K.S. [Muenchen Univ. (Germany). Arnold Sommerfeld Center for Theoretical Physics

2010-07-15

Proton hexality is a discrete symmetry that avoids the problem of too fast proton decay in the supersymmetric extension of the standard model. Unfortunately it is inconsistent with conventional grand unification. We show that proton hexality can be incorporated in the scheme of ''Local Grand Unification'' discussed in the framework of model building in (heterotic) string theory. (orig.)

Las cinco grandes dimensiones de la personalidad

Directory of Open Access Journals (Sweden)

Jan ter Laak

1996-12-01

Full Text Available Este artículo revisa las distintas posiciones teóricas sobre las cinco grandes dimensiones de la personalidad, mostrando las semejanzas y diferencias entre las posturas teóricas. Esta contribución presenta lo siguiente: (a la génesis del contenido y la estructura de las cinco dimensiones; (b la fortaleza de las cinco dimensiones; (e la relación de las cinco grandes dimensiones con otros constructos de personalidad; (d discute el valor predictivo de las puntuaciones del perfil de las cinco dimensiones para criterios pertinentes; (e analiza el estatus teórico de las cinco dimensiones; (f discute críticas históricas sobre las cinco grandes dimensiones y se formulan respuestas a estas críticas; (g hace conjeturas para el futuro de las cinco grandes dimensiones; y (h concluye con algunas conclusiones y comentarios.

New developments in iterated rounding

NARCIS (Netherlands)

Bansal, N.; Raman, V.; Suresh, S.P.

2014-01-01

Iterated rounding is a relatively recent technique in algorithm design, that despite its simplicity has led to several remarkable new results and also simpler proofs of many previous results. We will briefly survey some applications of the method, including some recent developments and giving a high

Round robin scheduling - a survey

DEFF Research Database (Denmark)

Rasmussen, Rasmus Vinther; Trick, Michael A.

2008-01-01

This paper presents a comprehensive survey on the literature considering round robin tournaments. The terminology used within the area has been modified over time and today it is highly inconsistent. By presenting a coherent explanation of the various notions we hope that this paper will help to ...

The usefulness of the surgical knowledge and skills acquired via the university curriculum for doctors' medical practice several years after graduation.

Science.gov (United States)

Zyluk, Andrzej; Puchalski, Piotr; Szlosser, Zbigniew

2015-01-01

Teaching surgery during university curriculum comprises transferring theoretical knowledge traditionally and simultaneously acquiring manual skills, i.e., suturing, stitch removal, limb immobilization, catheterization, and assisting operations. Observations of doctors several years after graduation led to the reflection that teachers' ideas about surgical knowledge and skills that are useful in daily practice frequently fail to meet the facts of the case. The objective of this study was to determine which part of the surgical knowledge and skills taught via the university surgical curriculum proved to be useful in the daily practice of young doctors. A custom-made questionnaire was designed and mailed to 200 randomly chosen doctors who had graduated from the medical faculty at the authors' university 5 to 6 years previously. The questionnaire comprised 9 items concerning the knowledge and skills that proved to be the most useful in participants' daily practice, regardless of their specialty. A total of 64 completed questionnaires were returned (32% of 200 sent) and were the subject of analysis. The most useful knowledge in daily practice was that acquired from general surgery, followed by oncological and vascular surgery. The most useful was knowledge about the rational interpretation of clinical symptoms and signs acquired from examination of the patient, followed by arriving at an accurate diagnosis through logical analysis, and next developing "oncological sensitivity" to diagnosing neoplasms. The most effective teaching model was specialized outpatient clinic rounds, followed by training manual skills on a model and classical ward-round teaching. The most frequently learned (acquired) manual skills were removal of stitches, rectal examination, and examination of the abdomen. Of these skills, the most useful in daily practice appeared to be removal of stitches, catheterization of the urinary bladder, and wound suturing. Learning and practicing manual skills

Grand Canyon Monitoring and Research Center

Science.gov (United States)

Hamill, John F.

2009-01-01

The Grand Canyon of the Colorado River, one of the world's most spectacular gorges, is a premier U.S. National Park and a World Heritage Site. The canyon supports a diverse array of distinctive plants and animals and contains cultural resources significant to the region's Native Americans. About 15 miles upstream of Grand Canyon National Park sits Glen Canyon Dam, completed in 1963, which created Lake Powell. The dam provides hydroelectric power for 200 wholesale customers in six western States, but it has also altered the Colorado River's flow, temperature, and sediment-carrying capacity. Over time this has resulted in beach erosion, invasion and expansion of nonnative species, and losses of native fish. Public concern about the effects of Glen Canyon Dam operations prompted the passage of the Grand Canyon Protection Act of 1992, which directs the Secretary of the Interior to operate the dam 'to protect, mitigate adverse impacts to, and improve values for which Grand Canyon National Park and Glen Canyon National Recreation Area were established...' This legislation also required the creation of a long-term monitoring and research program to provide information that could inform decisions related to dam operations and protection of downstream resources.

Next Generation Innovation Policy and Grand Challenges

NARCIS (Netherlands)

Kuhlmann, Stefan; Rip, Arie

2018-01-01

The paper explores transformative ways to address Grand Challenges, while locating them in a broader diagnosis of ongoing changes. Coping with Grand Challenges is a challenge in its own right, for policy as well as for science, technology, and innovation actors. The paper presents building blocks

Views of pharmacists on involvement in ward rounds in selected ...

African Journals Online (AJOL)

Background: Pharmacist participation in ward rounds is of increasing interest for better pharmaceutical care, yet most pharmacists do not engage in this activity. Objective: The objective was to obtain public sector pharmacistsf views and perceptions on their involvement in ward rounds. Method: A rapid assessment was ...

All-Round Marketing Increases Hospital Popularity.

Science.gov (United States)

Ziqi, Tao

2015-06-01

Xuzhou Center Hospital is in a competing medical market in Xuzhou city. This hospital has been dedicating to improve the medical skills and provide professional and individualized service to the patients in order to improve the patient's experience and increase the patient's satisfaction. On the other side, this hospital has provided an all-round marketing campaign to build up the social influence and public reputation through public-praise marketing, web marketing, media marketing, and scholar marketing. Besides, this hospital has been cooperating with foreign medical institutions and inviting foreign medical specialists to academic communication. With the combined effects of improving medical service and all-round marketing, the hospital's economic performance has been enhanced significantly and laid a solid foundation for its ambition to become the first-class hospital in Huaihai Economic Zone.

["Round back" in children and adolescents].

Science.gov (United States)

Garoflid, N; Fragnière, B; Dutoit, M

2000-10-01

The hyper-kyphosis or "the postural round back" is one of the most common complaints in orthopedic practice. In the majority of cases, the thoracic kyphosis are painless and flexible. The vertebral bodies are normal on radiograms. This is "the kyphotic attitude" or postural round-back. A medical treatment is not the necessary rule. Life hygiene, sports and simple supervision are needed. Nevertheless, there are still pathological fixed kyphosis, induced in the majority of cases by Scheuermann's disease. The other possible etiologies (congenital, paralytic, post-traumatic, Pott's disease, postradiation, or metabolic origin) are a lot rare ones and will be excluded by clinical examination and imaging studies. The structural hyper-kyphosis require treatment. We will approach successively steps of the diagnosis and treatment of the hyper-kyphosis of the adolescent.

28 milliards d’euros, c’est grand comment ?

OpenAIRE

Ozer, Pierre; Salmon, Marc; Theunissen, Yannick

2009-01-01

J’ouvre mon quotidien. Fortis : 28 milliards d’euros de pertes en 2008. Ma fille de sept ans qui commence à lire et pose sans cesse des questions sur tout me lance : « Dis-moi, papa : 28 milliards d’euros, c’est grand comment ? ». Grande question… Je réfléchis et tente de trouver une parade parlante pour un enfant qui, in fine, se pose les mêmes questions que les grandes personnes.

Vigilando la Calidad del Agua de los Grandes Rios de la Nacion: El Programa NASQAN del Rio Grande (Rio Bravo del Norte)

Science.gov (United States)

Lurry, Dee L.; Reutter, David C.; Wells, Frank C.; Rivera, M.C.; Munoz, A.

1998-01-01

La Oficina del Estudio Geologico de los Estados Unidos (U.S. Geological Survey, 0 USGS) ha monitoreado la calidad del agua de la cuenca del Rio Grande (Rio Bravo del Norte) desde 1995 como parte de la rediseiiada Red Nacional para Contabilizar la Calidad del Agua de los Rios (National Stream Quality Accounting Network, o NASOAN) (Hooper and others, 1997). EI programa NASOAN fue diseiiado para caracterizar las concentraciones y el transporte de sedimento y constituyentes quimicos seleccionados, encontrados en los grandes rios de los Estados Unidos - incluyendo el Misisipi, el Colorado y el Columbia, ademas del Rio Grande. En estas cuatro cuencas, el USGS opera actualmente (1998) una red de 40 puntos de muestreo pertenecientes a NASOAN, con un enfasis en cuantificar el flujo en masa (la cantidad de material que pasa por la estacion, expresado en toneladas por dial para cada constituyente. Aplicacando un enfoque consistente, basado en la cuantificacion de flujos en la cuenca del Rio Grande, el programa NASOAN esta generando la informacion necesaria para identificar fuentes regionales de diversos contaminantes, incluyendo sustancias qui micas agricolas y trazas elementos en la cuenca. EI efecto de las grandes reservas en el Rio Grande se puede observar segun los flujos de constituyentes discurren a 10 largo del rio. EI analisis de los flujos de constituyentes a escala de la cuenca proveera los medios para evaluar la influencia de la actividad humana sobre las condiciones de calidad del agua del Rio Grande.

Transient Side Load Analysis of Out-of-Round Film-Cooled Nozzle Extensions

Science.gov (United States)

Wang, Ten-See; Lin, Jeff; Ruf, Joe; Guidos, Mike

2012-01-01

There was interest in understanding the impact of out-of-round nozzle extension on the nozzle side load during transient startup operations. The out-of-round nozzle extension could be the result of asymmetric internal stresses, deformation induced by previous tests, and asymmetric loads induced by hardware attached to the nozzle. The objective of this study was therefore to computationally investigate the effect of out-of-round nozzle extension on the nozzle side loads during an engine startup transient. The rocket engine studied encompasses a regeneratively cooled chamber and nozzle, along with a film cooled nozzle extension. The computational methodology is based on an unstructured-grid, pressure-based computational fluid dynamics formulation, and transient inlet boundary flow properties derived from an engine system simulation. Six three-dimensional cases were performed with the out-of-roundness achieved by three different degrees of ovalization, elongated on lateral y and z axes: one slightly out-of-round, one more out-of-round, and one significantly out-of-round. The results show that the separation line jump was the primary source of the peak side loads. Comparing to the peak side load of the perfectly round nozzle, the peak side loads increased for the slightly and more ovalized nozzle extensions, and either increased or decreased for the two significantly ovalized nozzle extensions. A theory based on the counteraction of the flow destabilizing effect of an exacerbated asymmetrical flow caused by a lower degree of ovalization, and the flow stabilizing effect of a more symmetrical flow, created also by ovalization, is presented to explain the observations obtained in this effort.

Grandes cocinas

Directory of Open Access Journals (Sweden)

García de Castro, Emilio

1957-11-01

Full Text Available Se describen en este artículo una serie de aparatos para grandes cocinas, vistos por los autores durante un rápido viaje por Alemania. Aprovechando los datos obtenidos se analizan brevemente las necesidades de una gran cocina moderna, comentando los planos de las instalaciones en varios hoteles o instituciones de todo el mundo. La mayoría de la información.

Grand unification theory and technicolor

International Nuclear Information System (INIS)

Rubakov, V.A.; Shaposhnikov, M.E.

1983-01-01

The lecture course can be considered as introduction to the problems concerning grand unification models. The course is incomplete. Such problems as CP-violations in strong interactions and the problem of gravitational interaction inclusion in the scheme of grand unification theory are not touched upon. Models of early unification, in which strong, weak and electromagnetic interactions are compared according to the ''strength'' at energies of about 10 5 -10 6 GeV, are not discussed. Models with horizontal symmetry, considering different generations of quarks and leptons from one viewpoint, are not analyzed. Cosmological applications of supersymmetric unified theories are not considered. Certain problems of standard elementary particle theory, philosophy of the great unification, general properties of the grand unification models and the main principles of the construction of models: the SU(5) model, models on the SO(10) groups, have been considered. The problem of supersymmetric unification hierarchies, supersymmetric generalization of the minimum SU(5) model, supersymmetry violation and the problem of hierarchies, phenomenology of the o.rand unification models, cosmological application and technicolour, are discussed

Improved targeted immunization strategies based on two rounds of selection

Science.gov (United States)

Xia, Ling-Ling; Song, Yu-Rong; Li, Chan-Chan; Jiang, Guo-Ping

2018-04-01

In the case of high degree targeted immunization where the number of vaccine is limited, when more than one node associated with the same degree meets the requirement of high degree centrality, how can we choose a certain number of nodes from those nodes, so that the number of immunized nodes will not exceed the limit? In this paper, we introduce a new idea derived from the selection process of second-round exam to solve this problem and then propose three improved targeted immunization strategies. In these proposed strategies, the immunized nodes are selected through two rounds of selection, where we increase the quotas of first-round selection according the evaluation criterion of degree centrality and then consider another characteristic parameter of node, such as node's clustering coefficient, betweenness and closeness, to help choose targeted nodes in the second-round selection. To validate the effectiveness of the proposed strategies, we compare them with the degree immunizations including the high degree targeted and the high degree adaptive immunizations using two metrics: the size of the largest connected component of immunized network and the number of infected nodes. Simulation results demonstrate that the proposed strategies based on two rounds of sorting are effective for heterogeneous networks and their immunization effects are better than that of the degree immunizations.

Sulforaphane Treatment of Children with Autism Spectrum Disorder

Science.gov (United States)

2017-07-01

the results disseminated to communities of interest? Preliminary report of progress in the study was presented at Pediatric Grand Rounds at UMass on...Publications, conference papers, and presentations A progress report of the study was presented at Pediatric Grand Rounds at UMass on May 26, 2017...Instructor in Pediatrics Researcher Identifier: None Nearest person month worked: Contribution to Project: Dr. Singh assists the PI in the planning

Results from KASCADE–Grande

International Nuclear Information System (INIS)

Bertaina, M.; Apel, W.D.; Arteaga-Velázquez, J.C.; Bekk, K.; Blümer, J.; Bozdog, H.; Brancus, I.M.; Buchholz, P.; Cantoni, E.; Chiavassa, A.; Cossavella, F.

2012-01-01

The KASCADE–Grande experiment, located at Karlsruhe Institute of Technology (Germany) is a multi-component extensive air-shower experiment devoted to the study of cosmic rays and their interactions at primary energies 10 14 –10 18 eV. Main goals of the experiment are the measurement of the all-particle energy spectrum and mass composition in the 10 16 –10 18 eV range by sampling charged (N ch ) and muon (N μ ) components of the air shower. The method to derive the energy spectrum and its uncertainties, as well as the implications of the obtained result, is discussed. An overview of the analyses performed by KASCADE–Grande to derive the mass composition of the measured high-energy comic rays is presented as well.

Removal of an intra-abdominal desmoplastic small round cell tumor by repetitive debulking surgery: A case report and literature review.

Science.gov (United States)

Shimazaki, Jiro; Motohashi, Gyo; Nishida, Kiyotaka; Tabuchi, Takanobu; Ubukata, Hideyuki; Tabuchi, Takafumi

2014-05-01

In the current study, a case of recurrent desmoplastic small round cell tumor (DSRCT) is presented, which was successfully treated by repetitive debulking surgery. In May 2010, a 39-year-old male, with a history of surgical resection of intra-abdominal DSRCT, visited the Ibaraki Medical Center, Tokyo Medical University Hospital (Ami, Japan) with severe lower abdominal discomfort. Abdominal computed tomography revealed a large tumor in the pouch of Douglas with a small number of nodules in the abdominal cavity. The recurrent DSRCT was diagnosed and removed via lower anterior resection; however, complete resection was impossible due to multiple peritoneal metastases. One year later, the patient developed pain in the right groin due to the growth of metastasized tumor cells in the groin lymph nodes. The affected lymph nodes were removed utilizing an extra-peritoneal approach. At the time of writing, the patient continues to survive without any symptoms 60 months since the initial surgery. In conclusion, surgical debulking is a significant procedure for relieving patient symptoms as well as improving the survival time of patients with metastatic and recurrent DSRCT.

Grand Hotel prijutil hudozhnikov

Index Scriptorium Estoniae

2004-01-01

Raadioajakirjanik Lea Veelmaa lindistas "Kunstikanali" 2004. a. esimese saate Grand Hotel Viljandis. Saatekülaliseks oli maalikunstnik Andres Tolts. Toltsi kaheksa akrüülmaali on eksponeeritud hotelli fuajees ja restoranis

The GRANDE detector

International Nuclear Information System (INIS)

Adams, A.; Bond, R.; Coleman, L.; Rollefson, A.; Wold, D.; Bratton, C.B.; Gurr, H.; Kropp, W.; Nelson, M.; Price, L.R.; Reines, F.; Schultz, J.; Sobel, H.; Svoboda, R.; Yodh, G.; Burnett, T.; Chaloupka, V.; Wilkes, R.J.; Cherry, M.; Ellison, S.B.; Guzik, T.G.; Wefel, J.; Gaidos, J.; Loeffler, F.; Sembroski, G.; Wilson, C.; Goodman, J.; Haines, T.J.; Kielczewska, D.; Lane, C.; Steinberg, R.; Lieber, M.; Nagle, D.; Potter, M.; Tripp, R.

1990-01-01

In this paper we present a detector facility which meets the requirements outlined above for a next-generation instrument. GRANDE (Gamma Ray and Neutrino DEtector) is an imaging, water Cerenkov detector, which combines in one facility an extensive air shower array and a high-energy neutrino detector. (orig.)

Grand Fir Nutrient Management in the Inland Northwestern USA

Directory of Open Access Journals (Sweden)

Dennis R. Parent

2016-11-01

Full Text Available Grand fir (Abies grandis (Douglas ex D. Don Lindley is widely distributed in the moist forests of the Inland Northwest. It has high potential productivity, its growth being nearly equal to western white pine, the most productive species in the region. There are large standing volumes of grand fir in the region. Nutritionally, the species has higher foliage cation concentrations than associated conifers, especially potassium (K and calcium (Ca. In contrast, it has lower nitrogen (N foliage concentrations, which creates favorable nutrient balance on N-limited sites. Despite concentration differences, grand fir stores proportionally more nutrients per tree than associated species because of greater crown biomass. Although few fertilization trials have examined grand fir specifically, its response is inferred from its occurrence in many monitored mixed conifer stands. Fertilization trials including grand fir either as a major or minor component show that it has a strong diameter and height growth response ranging from 15% to 50% depending in part on site moisture availability and soil geology. Grand fir tends to have a longer response duration than other inland conifers. When executed concurrently with thinning, fertilization often increases the total response. Late rotation application of N provides solid investment returns in carefully selected stands. Although there are still challenges with the post-fertilization effects on tree mortality, grand fir will continue to be an important species with good economic values and beneficial responses to fertilization and nutrient management.

[A Case of an Abdominal Desmoplastic Small Round Cell Tumor with Metastasis in the Medulla Oblongata].

Science.gov (United States)

Azami, Ayaka; Takano, Yoshinao; Honda, Michitaka; Todate, Yukitoshi; Tada, Takeshi; Waragai, Mitsuru; Fukushima, Daizo; Suzuki, Nobuyasu; Sato, Atai; Abe, Tsuyoshi; Teranishi, Yasushi; Sakuma, Hideo

2016-11-01

A desmoplastic small round cell tumor(DSRCT)is a very rare malignant tumor that mainly occurs in the intra-abdominal cavity in young adults.This neoplasm has an extremely poor prognosis, with a clinical course characterized by rapid progression and metastasis.We present a 31-year-old man who presented with chief complaints of dysphagia, ataxic gait, and hoarseness.He first underwent surgical resection of a tumor in the medulla oblongata; however, the lesion was suspected to be a metastatic neoplasm.Following a thorough medical examination, the patient was diagnosed with retroperitoneal DSRCT with multiple metastatic lesions.He received multidisciplinary treatment including debulking surgery for the primary lesion; radiotherapy for metastatic lesions in the brain, abdomen, and cervical lymph nodes; hepatic artery embolization for liver metastasis; and systemic chemotherapy.The patient died of progressive disease 17 months after the initial diagnosis.

Storing biomass in round bales

Energy Technology Data Exchange (ETDEWEB)

Summer, H.R.; Hellwig, R.E.; Monroe, G.E.

1984-09-01

Biomass fuels, in the form of crop residues, were stored outside in large round bales. The influence of rainfall on bale mass and the change in apparent average moisture content (A.A.M.C) was studied. Covering the bales with large sheets of polyethylene was found to be the most effective way of reducing moisture penetration.

Grand unification and gravity - selected topics

International Nuclear Information System (INIS)

Zee, A.

1981-09-01

The material given here was presented in lectures delivered at the 4th Kyoto Summer Institute on Grand Unification and Related Topics. It consists of six sections. The sections are: the family problem, fermion mass hierarchy, maximal local symmetry, operator analysis of new physics, dynamically generated gravity, and Kaluza theory and grand unification. The last section contains a (hopefully) pedagogical introduction to Kaluza theory. For pedagogical completeness, several appendices reviewing some elementary notions of differential geometry have been added

Quantum dots for a high-throughput Pfu polymerase based multi-round polymerase chain reaction (PCR).

Science.gov (United States)

Sang, Fuming; Zhang, Zhizhou; Yuan, Lin; Liu, Deli

2018-02-26

Multi-round PCR is an important technique for obtaining enough target DNA from rare DNA resources, and is commonly used in many fields including forensic science, ancient DNA analysis and cancer research. However, multi-round PCR is often aborted, largely due to the accumulation of non-specific amplification during repeated amplifications. Here, we developed a Pfu polymerase based multi-round PCR technique assisted by quantum dots (QDs). Different PCR assays, DNA polymerases (Pfu and Taq), DNA sizes and GC amounts were compared in this study. In the presence of QDs, PCR specificity could be retained even in the ninth-round amplification. Moreover, the longer and more complex the targets were, the earlier the abortion happened in multi-round PCR. However, no obvious enhancement of specificity was found in multi-round PCR using Taq DNA polymerase. Significantly, the fidelity of Pfu polymerase based multi-round PCR was not sacrificed in the presence of QDs. Besides, pre-incubation at 50 °C for an hour had no impact on multi-round PCR performance, which further authenticated the hot start effect of QDs modulated in multi-round PCR. The findings of this study demonstrated that a cost-effective and promising multi-round PCR technique for large-scale and high-throughput sample analysis could be established with high specificity, sensibility and accuracy.

Gamma ray and neutrino detector facility (GRANDE), Task C

International Nuclear Information System (INIS)

Sobel, H.W.; Yodh, G.B.

1991-08-01

GRANDE is an imaging, water Cerenkov detector, which combines in one facility an extensive air shower array and a high-energy neutrino detector. We proposed that the detector be constructed in phases, beginning with an active detector area of 31,000 m 2 (GRANDE-I) 2 and expanding to a final size of 100,000--150,00 m 2 . Some of the characteristics of GRANDE-I are discussed in this paper

Quality assurance in a radiation oncology unit: the chart round experience

International Nuclear Information System (INIS)

Fogarty, G.B.; Peters, L.J.; Hornby, C.; Ferguson, H.M.

2001-01-01

Quality assurance ensures that planned treatments eventuate. Programmes must include feedback loops to promptly correct any shortfall in predetermined standards. In March 1999, a weekly Chart Round was introduced to verify that certain items relevant to quality care were being completed for patients of the Head and Neck Radiotherapy Unit at the Peter MacCallum Cancer Institute. The experience was reviewed after 1 year and it was found that the initiation of Chart Rounds has assisted in raising the level of item completion from 80% to 99% in similar groups of patients treated before and after the initiation of the Chart Round. Initiation of the Chart Round has also provided a useful forum for in-house peer-review, education and effective real-time communication between medical and allied health personnel, all of which has further added to the quality of patient care. Copyright (2001) Blackwell Science Pty Ltd

Results from KASCADE-Grande

Energy Technology Data Exchange (ETDEWEB)

Bertaina, M., E-mail: bertaina@to.infn.it [Dipartimento di Fisica Generale dell' Universita, Torino (Italy); Apel, W.D. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Arteaga-Velazquez, J.C. [Universidad Michoacana, Instituto de Fisica y Matematicas, Morelia (Mexico); Bekk, K. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Bluemer, J. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Institut fuer Experimentelle Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Bozdog, H. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Brancus, I.M. [National Institute of Physics and Nuclear Engineering, Bucharest (Romania); Buchholz, P. [Fachbereich Physik, Universitaet Siegen (Germany); Cantoni, E. [Dipartimento di Fisica Generale dell' Universita, Torino (Italy); Istituto di Fisica dello Spazio Interplanetario, INAF Torino (Italy); Chiavassa, A. [Dipartimento di Fisica Generale dell' Universita, Torino (Italy); Cossavella, F. [Institut fuer Experimentelle Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); and others

2012-11-11

The KASCADE-Grande experiment, located at Karlsruhe Institute of Technology (Germany) is a multi-component extensive air-shower experiment devoted to the study of cosmic rays and their interactions at primary energies 10{sup 14}-10{sup 18} eV. Main goals of the experiment are the measurement of the all-particle energy spectrum and mass composition in the 10{sup 16}-10{sup 18} eV range by sampling charged (N{sub ch}) and muon (N{sub {mu}}) components of the air shower. The method to derive the energy spectrum and its uncertainties, as well as the implications of the obtained result, is discussed. An overview of the analyses performed by KASCADE-Grande to derive the mass composition of the measured high-energy comic rays is presented as well.

The Role Of The «Grand Schools» And The «Grand Corps» As Recruitment Channels For French Ministers

Directory of Open Access Journals (Sweden)

I. A. Zarankin

2017-01-01

Full Text Available The recruitment of ministers among high-ranking officials, who studied in the «grand schools» and worked in the «grand corps», is one of the typical traits of the Fifth republic. This is a consequence of the traditional interpenetration of French administrative and political elites. However, there is no common view on the actual role of these institutions in the ministers’ recruitment. So, the objective of this paper is to clarify this issue. For this purpose we analyze career trajectories of French ministers from 1981 till 2016. The data on each government include shares of ministers, who passed through the «grand schools» and the «grand corps». The article shows that nowadays the number of ministers with such an experience has decreased. Most government members are professional politicians, who have significant electoral experience and occupy high-ranking party positions. Today there are political parties, not the «grand schools» and the «grand corps», that are the main channels of the ministers’ recruitment. The professionalization of politics and reinforcement of the role of parties in the French political system are the most crucial factors of this tendency. The transformation of gaullists into liberals and conduction of the liberal economic policy, instead of the dirigist one, also contributed to replacement of officials by representatives of the private sector. Despite the fact that political parties serve as a main channel of the ministers’ recruitment, they face internal problems. The future role of political parties in the recruitment will depend on their ability to deal with these challenges.

Rounding behavior in the reporting of headache frequency complicates headache chronification research.

Science.gov (United States)

Houle, Timothy T; Turner, Dana P; Houle, Thomas A; Smitherman, Todd A; Martin, Vincent; Penzien, Donald B; Lipton, Richard B

2013-06-01

To characterize the extent of measurement error arising from rounding in headache frequency reporting (days per month) in a population sample of headache sufferers. When reporting numerical health information, individuals tend to round their estimates. The tendency to round to the nearest 5 days when reporting headache frequency can distort distributions and engender unreliability in frequency estimates in both clinical and research contexts. This secondary analysis of the 2005 American Migraine Prevalence and Prevention study survey characterized the population distribution of 30-day headache frequency among community headache sufferers and determined the extent of numerical rounding ("heaping") in self-reported data. Headache frequency distributions (days per month) were examined using a simplified version of Wang and Heitjan's approach to heaping to estimate the probability that headache sufferers round to a multiple of 5 when providing frequency reports. Multiple imputation was used to estimate a theoretical "true" headache frequency. Of the 24,000 surveys, headache frequency data were available for 15,976 respondents diagnosed with migraine (68.6%), probable migraine (8.3%), or episodic tension-type headache (10.0%); the remainder had other headache types. The mean number of headaches days/month was 3.7 (standard deviation = 5.6). Examination of the distribution of headache frequency reports revealed a disproportionate number of responses centered on multiples of 5 days. The odds that headache frequency was rounded to 5 increased by 24% with each 1-day increase in headache frequency (odds ratio: 1.24, 95% confidence interval: 1.23 to 1.25), indicating that heaping occurs most commonly at higher headache frequencies. Women were more likely to round than men, and rounding decreased with increasing age and increased with symptoms of depression. Because of the coarsening induced by rounding, caution should be used when distinguishing between episodic and chronic

A calculational round robin in elastic-plastic fracture mechanics

International Nuclear Information System (INIS)

Larsson, L.H.

Eighteen organizations participated in this round robin which treated the same three-point bend problem as an ASTM round robin four years earlier. Overall deformation, J, CTOD and crack profile were the main results required using plane strain elastic-plastic finite element analysis for a monotonically increasing load up to a maximum deformation which was far beyond the elastic regime. All elastic solutions were accurate to within a few percent. In the elastic-plastic regime, however, there was a large scatter of the results, increasing with increasing plastic deformation and roughly of the same order as in the ASTM round robin which contained ten solutions. Apparently no significant progress has taken place in the state of the art of numerical EPFM analysis in four years time. The paper discusses the reasons for this scatter and draws tentative conclusions on the most suitable numerical analysis methods in EPFM. (Auth.)

Environmental Audit of the Grand Junction Projects Office

Energy Technology Data Exchange (ETDEWEB)

1991-08-01

The Grand Junction Projects Office (GJPO) is located in Mesa County, Colorado, immediately south and west of the Grand Junction city limits. The US Atomic Energy Commission (AEC) established the Colorado Raw Materials Office at the present-day Grand Junction Projects Office in 1947, to aid in the development of a viable domestic uranium industry. Activities at the site included sampling uranium concentrate; pilot-plant milling research, including testing and processing of uranium ores; and operation of a uranium mill pilot plant from 1954 to 1958. The last shipment of uranium concentrate was sent from GJPO in January, 1975. Since that time the site has been utilized to support various DOE programs, such as the former National Uranium Resource Evaluation (NURE) Program, the Uranium Mill Tailings Remedial Action Project (UMTRAP), the Surplus Facilities Management Program (SFMP), and the Technical Measurements Center (TMC). All known contamination at GJPO is believed to be the result of the past uranium milling, analyses, and storage activities. Hazards associated with the wastes impounded at GJPO include surface and ground-water contamination and potential radon and gamma-radiation exposure. This report documents the results of the Baseline Environmental Audit conducted at Grand Junction Projects Office (GJPO) located in Grand Junction, Colorado. The Grand Junction Baseline Environmental Audit was conducted from May 28 to June 12, 1991, by the Office of Environmental Audit (EH-24). This Audit evaluated environmental programs and activities at GJPO, as well as GJPO activities at the State-Owned Temporary Repository. 4 figs., 12 tabs.

Environmental Audit of the Grand Junction Projects Office

International Nuclear Information System (INIS)

1991-08-01

The Grand Junction Projects Office (GJPO) is located in Mesa County, Colorado, immediately south and west of the Grand Junction city limits. The US Atomic Energy Commission (AEC) established the Colorado Raw Materials Office at the present-day Grand Junction Projects Office in 1947, to aid in the development of a viable domestic uranium industry. Activities at the site included sampling uranium concentrate; pilot-plant milling research, including testing and processing of uranium ores; and operation of a uranium mill pilot plant from 1954 to 1958. The last shipment of uranium concentrate was sent from GJPO in January, 1975. Since that time the site has been utilized to support various DOE programs, such as the former National Uranium Resource Evaluation (NURE) Program, the Uranium Mill Tailings Remedial Action Project (UMTRAP), the Surplus Facilities Management Program (SFMP), and the Technical Measurements Center (TMC). All known contamination at GJPO is believed to be the result of the past uranium milling, analyses, and storage activities. Hazards associated with the wastes impounded at GJPO include surface and ground-water contamination and potential radon and gamma-radiation exposure. This report documents the results of the Baseline Environmental Audit conducted at Grand Junction Projects Office (GJPO) located in Grand Junction, Colorado. The Grand Junction Baseline Environmental Audit was conducted from May 28 to June 12, 1991, by the Office of Environmental Audit (EH-24). This Audit evaluated environmental programs and activities at GJPO, as well as GJPO activities at the State-Owned Temporary Repository. 4 figs., 12 tabs

IMPACTS OF DOHA ROUND ON THE AGRIBUSINESS OF BRAZIL, CHINA AND INDIA

OpenAIRE

Pereira, Matheus Wemerson Gomes; Teixeira, Erly Cardoso; Razap-Skorbiansky, Sharon

2008-01-01

The central themes to be addressed during the Doha Round of world trade negotiations are the reduction of the agricultural production and export subsidies, and improved market access for agricultural and non-agricultural goods. The G-20 group wields enough power to press negotiations at the Doha Round toward lower agricultural trade barriers and production and exports subsidies. The objective of this study is to determine the impacts of four possible Doha Round scenarios on the economies of B...

Why Are So Many Things in the Solar System Round?

Science.gov (United States)

Heilig, Steven J.

2010-01-01

Several years ago a student asked why so many things in the solar system were round. He noted that many objects in the solar system, although not all, are round. The standard answer, which he knew, is that the mutual gravitational attraction of the molecules pulls them into the shape that gets them as close to each other as possible: a sphere.…

Round-trip boat on hydrogen

International Nuclear Information System (INIS)

Berends, A.M.; Van der Laag, P.C.

2005-08-01

The results of a feasibility study on a PEM (polymer-electrolyte membrane) fuel cell (FC) driven electric round-trip boat are presented and discussed. The study concerns the specification of a PEMFC system design, including a list of components. Also technical and environmental aspects are dealt with and compared with traditional battery-driven electric boats and diesel-driven boats [nl

Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record.

Science.gov (United States)

Artis, Kathryn A; Dyer, Edward; Mohan, Vishnu; Gold, Jeffrey A

2017-02-01

Accurately communicating patient data during daily ICU rounds is critically important since data provide the basis for clinical decision making. Despite its importance, high fidelity data communication during interprofessional ICU rounds is assumed, yet unproven. We created a robust but simple methodology to measure the prevalence of inaccurately communicated (misrepresented) data and to characterize data communication failures by type. We also assessed how commonly the rounding team detected data misrepresentation and whether data communication was impacted by environmental, human, and workflow factors. Direct observation of verbalized laboratory data during daily ICU rounds compared with data within the electronic health record and on presenters' paper prerounding notes. Twenty-six-bed academic medical ICU with a well-established electronic health record. ICU rounds presenter (medical student or resident physician), interprofessional rounding team. None. During 301 observed patient presentations including 4,945 audited laboratory results, presenters used a paper prerounding tool for 94.3% of presentations but tools contained only 78% of available electronic health record laboratory data. Ninty-six percent of patient presentations included at least one laboratory misrepresentation (mean, 6.3 per patient) and 38.9% of all audited laboratory data were inaccurately communicated. Most misrepresentation events were omissions. Only 7.8% of all laboratory misrepresentations were detected. Despite a structured interprofessional rounding script and a well-established electronic health record, clinician laboratory data retrieval and communication during ICU rounds at our institution was poor, prone to omissions and inaccuracies, yet largely unrecognized by the rounding team. This highlights an important patient safety issue that is likely widely prevalent, yet underrecognized.

Internal differential collision attacks on the reduced-round Grøstl-0 hash function

DEFF Research Database (Denmark)

Ideguchi, Kota; Tischhauser, Elmar Wolfgang; Preneel, Bart

2014-01-01

. This results in collision attacks and semi-free-start collision attacks on the Grøstl-0 hash function and compression function with reduced rounds. Specifically, we show collision attacks on the Grøstl-0-256 hash function reduced to 5 and 6 out of 10 rounds with time complexities 248 and 2112 and on the Grøstl......-0-512 hash function reduced to 6 out of 14 rounds with time complexity 2183. Furthermore, we demonstrate semi-free-start collision attacks on the Grøstl-0-256 compression function reduced to 8 rounds and the Grøstl-0-512 compression function reduced to 9 rounds. Finally, we show improved...

Attacking 44 Rounds of the SHACAL-2 Block Cipher Using Related-Key Rectangle Cryptanalysis

Science.gov (United States)

Lu, Jiqiang; Kim, Jongsung

SHACAL-2 is a 64-round block cipher with a 256-bit block size and a variable length key of up to 512 bits. It is a NESSIE selected block cipher algorithm. In this paper, we observe that, when checking whether a candidate quartet is useful in a (related-key) rectangle attack, we can check the two pairs from the quartet one after the other, instead of checking them simultaneously; if the first pair does not meet the expected conditions, we can discard the quartet immediately. We next exploit a 35-round related-key rectangle distinguisher with probability 2-460 for the first 35 rounds of SHACAL-2, which is built on an existing 24-round related-key differential and a new 10-round differential. Finally, taking advantage of the above observation, we use the distinguisher to mount a related-key rectangle attack on the first 44 rounds of SHACAL-2. The attack requires 2233 related-key chosen plaintexts, and has a time complexity of 2497.2 computations. This is better than any previously published cryptanalytic results on SHACAL-2 in terms of the numbers of attacked rounds.

Fetal Outcomes among Grand Multiparous and Multiparous Women ...

African Journals Online (AJOL)

Objective: To compare fetal outcomes among grand multiparous (para 5-9) and multiparous (para 2-4) delivering in Mulago hospital, Uganda. Design: Prospective cohort study. Setting: Mulago hospital, Uganda. Subjects: One hundred and fifty six grand multiparous and multiparous women were recruited on admission in ...

The Doha Round: "death-defying agenda" or "don't do it again"?

OpenAIRE

Harbinson, Stuart

2009-01-01

Almost eight years after the launch of the Doha Round, the WTO negotiations remain mired in a swamp of detail, with many participants unwilling or unable to make the hard decisions which would bring the Round to a conclusion. Meanwhile, the world has changed dramatically with the onset of a global economic crisis of proportions seldom, if ever, seen before. This has radically changed the context within which the Round is placed and may lead to fundamental rethinking of its future. This paper ...

Design of roundness measurement model with multi-systematic error for cylindrical components with large radius.

Science.gov (United States)

Sun, Chuanzhi; Wang, Lei; Tan, Jiubin; Zhao, Bo; Tang, Yangchao

2016-02-01

The paper designs a roundness measurement model with multi-systematic error, which takes eccentricity, probe offset, radius of tip head of probe, and tilt error into account for roundness measurement of cylindrical components. The effects of the systematic errors and radius of components are analysed in the roundness measurement. The proposed method is built on the instrument with a high precision rotating spindle. The effectiveness of the proposed method is verified by experiment with the standard cylindrical component, which is measured on a roundness measuring machine. Compared to the traditional limacon measurement model, the accuracy of roundness measurement can be increased by about 2.2 μm using the proposed roundness measurement model for the object with a large radius of around 37 mm. The proposed method can improve the accuracy of roundness measurement and can be used for error separation, calibration, and comparison, especially for cylindrical components with a large radius.

Asymptotically safe grand unification

Energy Technology Data Exchange (ETDEWEB)

Bajc, Borut [J. Stefan Institute,1000 Ljubljana (Slovenia); Sannino, Francesco [CP-Origins & the Danish IAS, University of Southern Denmark,Campusvej 55, DK-5230 Odense M (Denmark); Université de Lyon, France, Université Lyon 1, CNRS/IN2P3, UMR5822 IPNL,F-69622 Villeurbanne Cedex (France)

2016-12-28

Phenomenologically appealing supersymmetric grand unified theories have large gauge representations and thus are not asymptotically free. Their ultraviolet validity is limited by the appearance of a Landau pole well before the Planck scale. One could hope that these theories save themselves, before the inclusion of gravity, by generating an interacting ultraviolet fixed point, similar to the one recently discovered in non-supersymmetric gauge-Yukawa theories. Employing a-maximization, a-theorem, unitarity bounds, as well as positivity of other central charges we nonperturbatively rule out this possibility for a broad class of prime candidates of phenomenologically relevant supersymmetric grand unified theories. We also uncover candidates passing these tests, which have either exotic matter or contain one field decoupled from the superpotential. The latter class of theories contains a model with the minimal matter content required by phenomenology.

The EWGRD Round Robin Measurement Exercise

Science.gov (United States)

Thornton, D. A.; Wagemans, J.; Fernandes, A. C.; Girard, J. M.; Kis, D. P.; Klupák, V.; Mutnuru, R.; Philibert, H.; Rousseau, G.; Santos, J. P.; Serén, T.; Zsolnay, E. M.

2016-02-01

This paper presents the results of a round robin exercise carried out to compare specific activity measurements performed by eight European organisations on a set of ten neutron activation detectors containing the radio-nuclides 110mAg, 60Co, 54Mn, 46Sc and 94Nb. The purpose of the exercise was to demonstrate the level of consistency between the participating organisations in blind tests of measurements relevant to reactor metrology. The samples used were selected from a stock of pre-existing irradiated material held at SCK•CEN. Taking turns over a period of approximately 9 months, the participating organisations received the samples, measured them and provided their results to an independent referee who collated and compared the data. The inter-comparison has demonstrated good agreement between the participants with standard deviations for each dosimeter varying between 1.6% and 3.1%. The paper provides results of the EWGRD Round Robin in an anonymised form together with discussion and conclusions which may be drawn from the exercise.

Performances of One-Round Walks in Linear Congestion Games

Science.gov (United States)

Bilò, Vittorio; Fanelli, Angelo; Flammini, Michele; Moscardelli, Luca

We investigate the approximation ratio of the solutions achieved after a one-round walk in linear congestion games. We consider the social functions {Stextsc{um}}, defined as the sum of the players’ costs, and {Mtextsc{ax}}, defined as the maximum cost per player, as a measure of the quality of a given solution. For the social function {Stextsc{um}} and one-round walks starting from the empty strategy profile, we close the gap between the upper bound of 2+sqrt{5}≈ 4.24 given in [8] and the lower bound of 4 derived in [4] by providing a matching lower bound whose construction and analysis require non-trivial arguments. For the social function {Mtextsc{ax}}, for which, to the best of our knowledge, no results were known prior to this work, we show an approximation ratio of Θ(sqrt[4]{n^3}) (resp. Θ(nsqrt{n})), where n is the number of players, for one-round walks starting from the empty (resp. an arbitrary) strategy profile.

A calculational round robin in elastic-plastic fracture mechanics

International Nuclear Information System (INIS)

Larsson, L.H.

1983-01-01

Eighteen organisations participated in this elastic-plastic fracture mechanics (EPFM) numerical analysis round robin which treated the same three-point bend problem as a similar round robin conducted by ASTM four years earlier. The work involved the calculation of overall deformation, J, CTOD and crack profile using plane strain elastic-plastic finite element analysis for a monotonically increasing load up to a maximum deformation which was far beyond the elastic regime. It was found that all of the elastic solutions were accurate to within a few per cent. In the elastic-plastic regime, however, there was a large scatter of the results, increasing with increasing plastic deformation and roughly of the same order as in the ASTM round robin which contained ten solutions. No significant progress has taken place in the state of the art of numerical EPFM analysis over the four-year interval. The reasons for this scatter and tentative conclusions on the most suitable numerical analysis methods in EPFM are discussed. (author)

How river rocks round: resolving the shape-size paradox.

Directory of Open Access Journals (Sweden)

Gabor Domokos

Full Text Available River-bed sediments display two universal downstream trends: fining, in which particle size decreases; and rounding, where pebble shapes evolve toward ellipsoids. Rounding is known to result from transport-induced abrasion; however many researchers argue that the contribution of abrasion to downstream fining is negligible. This presents a paradox: downstream shape change indicates substantial abrasion, while size change apparently rules it out. Here we use laboratory experiments and numerical modeling to show quantitatively that pebble abrasion is a curvature-driven flow problem. As a consequence, abrasion occurs in two well-separated phases: first, pebble edges rapidly round without any change in axis dimensions until the shape becomes entirely convex; and second, axis dimensions are then slowly reduced while the particle remains convex. Explicit study of pebble shape evolution helps resolve the shape-size paradox by reconciling discrepancies between laboratory and field studies, and enhances our ability to decipher the transport history of a river rock.

Low-Re flow past an isolated cylinder with rounded corners

KAUST Repository

Zhang, Wei

2016-06-29

Direct numerical simulation is performed for flow past an isolated cylinder at Re=1,000. The corners of the cylinder are rounded at different radii, with the non-dimensional radius of curvature varying from R+=R/D=0.000 (square cylinder with sharp corners) to 0.500 (circular cylinder), in which R is the corner radius and D is the cylinder diameter. Our objective is to investigate the effect of the rounded corners on the development of the separated and transitional flow past the cylinder in terms of time-averaged statistics, time-dependent behavior, turbulent statistics and three-dimensional flow patterns. Numerical results reveal that the rounding of the corners significantly reduces the time-averaged drag and the force fluctuations. The wake flow downstream of the square cylinder recovers the slowest and has the largest wake width. However, the statistical quantities do not monotonically vary with the corner radius, but exhibit drastic variations between the cases of square cylinder and partially rounded cylinders, and between the latter and the circular cylinder. The free shear layer separated from the R+=0.125 cylinder is the most stable in which the first roll up of the wake vortex occurs furthest from the cylinder and results in the largest recirculation bubble, whose size reduces as R+ further increases. The coherent and incoherent Reynolds stresses are most pronounced in the near-wake close to the reattachment point, while also being noticeable in the shear layer for the square and R+=0.125 cylinders. The wake vortices translate in the streamwise direction with a convection velocity that is almost constant at approximately 80% of the incoming flow velocity. These vortices exhibit nearly the same trajectory for the rounded cylinders and are furthest away from the wake centerline for the square one. The flow past the square cylinder is strongly three-dimensional as indicated by the significant primary and secondary enstrophy, while it is dominated by the

Mechanical properties of two-way grid shells optimized considering roundness and elastic stiffness

International Nuclear Information System (INIS)

Ogawa, Toshiyuki; Yuta, Nishikawa; Rie, Tateishi; Ohsaki, Makoto

2002-01-01

A single-layer two-way grid shell defined by Bezier surface is optimized by coordinates of the control points as design variables. The purpose of this paper is to find optimal shapes considering roundness and elastic stiffness, and to investigate their mechanical properties. The distance of the center of curvature from the specified point is used for formulating the objective function for generating a round shape. Consider next a problem of minimizing the compliance as mechanical performance measure. The compliance is defined by the external work against the static loads applied to the nodes. The mechanically optimal shape is different from the round shape. Therefore, the multi objective optimization problem is formulated for optimizing the two objectives, which are roundness and the elastic stiffness defined by using the compliance. The constraint method is used for obtaining Pareto optimal solutions between the two objectives. We optimize single-layer two-way grid shells with square and rectangle plans. Mechanical properties of the optimal shapes are investigated by compliance and the distributions of axial force and bending moment. The round shape is significantly dominated by the bending moment and its compliance is large. The bending moment of the mechanically optimal shape is not very large, and the latticed shell has large stiffness through axial deformation. A trade-off shape is round enough, and the influence of the bending moment is smaller than that of the optimal round shape and the elastic stiffness is moderately large

Equine Nasal rhinosporidiosis in the Southern Rio Grande do Sul, Brazil - Case Report

Directory of Open Access Journals (Sweden)

Fábio Darlan Bernardo

2016-06-01

Full Text Available ABSTRACT. Bernardo F.D., Pazinato F.M., Alves C.E.F., Bueno V.L.C, Franciscato C. & Elias F. [Equine Nasal rhinosporidiosis in the Southern Rio Grande do Sul, Brazil - Case Report.] Rinosporidiose nasal em eqüino do Sul do Rio Grande do Sul, Brasil - Relato de caso. Revista Brasileira de Medicina Veternária, 38(2:175-180, 2016. Universidade Federal da Fronteira Sul, Campus Realeza, Av. Edmundo Gaievski 1000, Realeza, PR 85770-000, Brasil. E-mail: fabiobernardo104@gmail.com Rhinosporidiosis is a chronic infection characterized by the growth of polypoid structures in mucous membranes. The etiologic agent is Rinosporidium seeberi currently recognized as a protist parasite. It is suspected to be a water saprophyte which allows transmission through contact with contaminated water or even through inhalation, and this means mainly associated with human infection. Considering few cases described in Brazil and the need to better understand the epidemiology The aim of this study is to report a case of rhinosporidiosis on a horse two years. The animal, from the city of Pelotas, was treated at the Veterinary Clinical Hospital of the Universidade Federal de Pelotas, Rio Grande do Sul, where demonstrated sneezing and serous bilateral nasal discharge. Medial septal region in the left nostril there was the presence of granulomatous nodules polypoid with about three cm in diameter. The same friable consistency and reddish with small whitish granules. Since clinical parameters and blood counts were within the reference values for the species; and changes in airway endoscopy not were observed. Carried out surgical excision of the tumor mass by injecting local anesthesia and general anesthesia, dorsal buccal branch of the facial nerve. The procedure was performed with Allis clamp and scalpel aid and subsequent cauterization of the implantation base with liquid nitrogen. Mass of the fragments were immersed in 10% formalin for histopathology. Approximately 15 days

Efficient, Robust and Constant-Round Distributed RSA Key Generation

DEFF Research Database (Denmark)

Damgård, Ivan Bjerre; Mikkelsen, Gert Læssøe

2010-01-01

We present the first protocol for distributed RSA key generation which is constant round, secure against malicious adversaries and has a negligibly small bound on the error probability, even using only one iteration of the underlying primality test on each candidate number.......We present the first protocol for distributed RSA key generation which is constant round, secure against malicious adversaries and has a negligibly small bound on the error probability, even using only one iteration of the underlying primality test on each candidate number....

Using dissolved carbon dioxide to alter the behavior of invasive round goby

Science.gov (United States)

Cupp, Aaron R.; Tix, John; Smerud, Justin R.; Erickson, Richard A.; Fredricks, Kim; Amberg, Jon J.; Suski, Cory D.; Wakeman, Robert

2017-01-01

Fisheries managers need effective methods to limit the spread of invasive round goby Neogobius melanostomus in North America. Elevating carbon dioxide (CO2) in water at pinch points of rivers (e.g., inside locks) is one approach showing potential to deter the passage of invasive fishes, such as bigheaded carps Hypophthalmichthys spp., but the effectiveness of this method to alter round goby behavior has not been determined. The goal for this study was to determine CO2 concentrations that alter round goby behavior across a range of water temperatures. Free-swimming avoidance (voluntary response) and loss of equilibrium (involuntary response) were quantified by exposing round goby to increasing CO2 concentrations at 5, 15, and 25 °C using a shuttle box choice arena and static tank. Water chemistry was measured concurrent with behavioral endpoints and showed that round goby avoided a threshold of 99–169 mg/L CO2(79,000–178,000 µatm) and lost equilibrium at 197–280 mg/L CO2 (163,000–303,000 µatm). Approximately 50% lower CO2 concentrations were found to modify behavior at 5 °C relative to 25 °C, suggesting greater effectiveness at lower water temperatures. We conclude that CO2 modified round goby behavior and concentrations determined in this study are intended to guide field testing of CO2 as an invasive fish deterrent.

SECOT-GEDOS consensus on pre-surgical pain management in knee and hip arthrosis.

Science.gov (United States)

Ruiz Ibán, M A; Maculé, F; Torner, P; Gil Garay, E; Oteo-Álvaro, A; López Millán, J M; Díaz Heredia, J; Loza, E

2015-01-01

To develop recommendations, based on best evidence and experience, on pain management in patients undertaking total knee or hip replacement. Nominal group methodology was followed. A group of experts was selected (5 orthopedics, 1 anesthesiologist), who defined the scope, users, topics, preliminary recommendations, and 3 systematic reviews: efficacy and safety of pre-surgical analgesia regarding to post-surgical pain, efficacy and safety of pre-emptive analgesia and pre-operative factors of post-operative pain. The level of evidence and grade of recommendation was established using the Oxford Centre for Evidence Based Medicine, and the level of agreement with the Delphi technique (2 rounds). The Delphi was extended to 39 orthopedics and anesthesiologists. The whole document was reviewed by all the experts. A total of 21 recommendations were produced. They include specific pharmacological treatment, as well as the evaluation and monitoring of patients on this treatment, and post-operative pre-emptive treatment. Agreement above 70% was reached in 19 recommendations. In patients undergoing total knee or hip replacement, a proper evaluation, follow-up, pharmacological and non-pharmacological treatment of predictors of poor surgical outcomes should be performed, especially those related to pre-operative pain. This can improve post-operative pain and surgery outcomes. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

Measurement Rounding Errors in an Assessment Model of Project Led Engineering Education

Directory of Open Access Journals (Sweden)

Francisco Moreira

2009-11-01

Full Text Available This paper analyzes the rounding errors that occur in the assessment of an interdisciplinary Project-Led Education (PLE process implemented in the Integrated Master degree on Industrial Management and Engineering (IME at University of Minho. PLE is an innovative educational methodology which makes use of active learning, promoting higher levels of motivation and students’ autonomy. The assessment model is based on multiple evaluation components with different weights. Each component can be evaluated by several teachers involved in different Project Supporting Courses (PSC. This model can be affected by different types of errors, namely: (1 rounding errors, and (2 non-uniform criteria of rounding the grades. A rigorous analysis of the assessment model was made and the rounding errors involved on each project component were characterized and measured. This resulted in a global maximum error of 0.308 on the individual student project grade, in a 0 to 100 scale. This analysis intended to improve not only the reliability of the assessment results, but also teachers’ awareness of this problem. Recommendations are also made in order to improve the assessment model and reduce the rounding errors as much as possible.

Validation of a checklist to assess ward round performance in internal medicine

DEFF Research Database (Denmark)

Nørgaard, Kirsten; Ringsted, Charlotte; Dolmans, Diana

2004-01-01

and construct validity of the task-specific checklist. METHODS: To determine content validity, a questionnaire was mailed to 295 internists. They were requested to give their opinion on the relevance of each item included on the checklist and to indicate the comprehensiveness of the checklist. To determine...... construct validity, an observer assessed 4 groups of doctors during performance of a complete ward round (n = 32). The nurse who accompanied the doctor on rounds made a global assessment of the performance. RESULTS: The response rate to the questionnaire was 80.7%. The respondents found that all 10 items......BACKGROUND: Ward rounds are an essential responsibility for doctors in hospital settings. Tools for guiding and assessing trainees' performance of ward rounds are needed. A checklist was developed for that purpose for use with trainees in internal medicine. OBJECTIVE: To assess the content...

Bundling the value of discharge telephone calls and leader rounding.

Science.gov (United States)

Setia, Nina; Meade, Christine

2009-03-01

Discharge telephone calls made by hospital staff provide invaluable opportunities to prevent adverse events, improve quality of care, and increase patient satisfaction. Similarly, the effect of rounding on patients can improve clinical quality and improve both patient and staff satisfaction. The author discusses how the combination of implementing both nurse leader rounding and discharge telephone calls simultaneously produced powerful positive outcomes in satisfaction and patient quality of care.

A proposed standard round compact specimen for plane strain fracture toughness testing

Science.gov (United States)

Underwood, J. H.; Newman, J. C., Jr.; Seeley, R. R.

1980-01-01

A round, disk-shaped specimen is proposed as a standard test specimen for addition to ASTM Test for Plane-Strain Fracture Toughness of Metallic Materials (E 399-78A). The specimen is diametrically cracked, and loaded in the same way as the existing standard compact specimen. Tests and analyses were performed to verify that the proposed round compact specimen and associated stress intensity factor K solution are appropriate for a standard plane strain fracture toughness test. The use of the round compact specimen for other fracture tests is described.

VLSI IMPLEMENTATION OF NOVEL ROUND KEYS GENERATION SCHEME FOR CRYPTOGRAPHY APPLICATIONS BY ERROR CONTROL ALGORITHM

Directory of Open Access Journals (Sweden)

B. SENTHILKUMAR

2015-05-01

Full Text Available A novel implementation of code based cryptography (Cryptocoding technique for multi-layer key distribution scheme is presented. VLSI chip is designed for storing information on generation of round keys. New algorithm is developed for reduced key size with optimal performance. Error Control Algorithm is employed for both generation of round keys and diffusion of non-linearity among them. Two new functions for bit inversion and its reversal are developed for cryptocoding. Probability of retrieving original key from any other round keys is reduced by diffusing nonlinear selective bit inversions on round keys. Randomized selective bit inversions are done on equal length of key bits by Round Constant Feedback Shift Register within the error correction limits of chosen code. Complexity of retrieving the original key from any other round keys is increased by optimal hardware usage. Proposed design is simulated and synthesized using VHDL coding for Spartan3E FPGA and results are shown. Comparative analysis is done between 128 bit Advanced Encryption Standard round keys and proposed round keys for showing security strength of proposed algorithm. This paper concludes that chip based multi-layer key distribution of proposed algorithm is an enhanced solution to the existing threats on cryptography algorithms.

Research of the Rio Grande Ecosystem Management Program

Science.gov (United States)

Deborah M. Finch

2000-01-01

This paper describes the mission, objectives, and preliminary results of the Middle Rio Grande Ecosystem Management Research Program managed at the Rocky Mountain Research Station's Albuquerque laboratory. This program was initiated in 1994 to address growing pressures to effectively manage the limited resources of the middle Rio Grande Basin. The program is...

Grand Prix Eurovision: Eine Fankultur im Medienzeitalter

Directory of Open Access Journals (Sweden)

Heinz Moser

2017-06-01

Full Text Available Der Grand Prix Eurovision ist seit Jahrzehnten eine der bekanntesten Unterhaltungssendungen im europäischen Raum. Dennoch erregte es Verwunderung, wenn der Schreibende Bekannten darüber berichtete, daß dies ein Forschungsgegenstand sei. Wurde von Interviews mit Grand Prix-Fans erzählt, so fielen schnell Aussagen wie: „Wie kann man sich nur für so etwas Abseitiges und Triviales wie den Grand Prix interessieren“. Dennoch bin ich der Meinung, daß Fankulturen für die entstehende Mediengesellschaft ein nicht unwichtiges Forschungsthema darstellen. Zwar geht es nicht um eine medienpädagogische Fragestellung im engeren Sinne; die Fans des Grand Prix Eurovision sind dem Jugendalter längst entwachsen. Dennoch handelt es sich bei Fangemeinschaften um Phänomene, die im Rahmen von Jugend- und Kinderkulturen von besonderer Relevanz sind. So meint Winter (1997, daß jugendliche Fanwelten eine bedeutende Rolle als Kristallisationspunkte kultureller Differenzierung spielen: ,Die Zugehörigkeit zu einer Fan weit ist Teil der jugendlichen Lebensbewältigung in der Postmoderne, denn in der Gemeinschaft der Fans können Jugendliche emotionale Allianzen eingehen, außeralltäglichen Beschäftigungen nachgehen, expressive Identitätsmuster gemeinschaftlich realisieren und sich mit ihrer Lebenssituation als Heranwachsende auseinandersetzen“ (Winter 1997, S. 51f..

Scheduling double round-robin tournaments with divisional play using constraint programming

Energy Technology Data Exchange (ETDEWEB)

Carlsson, Mats; Johansson, Mikael; Larson, Jeffrey

2017-06-01

We study a tournament format that extends a traditional double round-robin format with divisional single round-robin tournaments. Elitserien, the top Swedish handball league, uses such a format for its league schedule. We present a constraint programming model that characterizes the general double round-robin plus divisional single round-robin format. This integrated model allows scheduling to be performed in a single step, as opposed to common multistep approaches that decompose scheduling into smaller problems and possibly miss optimal solutions. In addition to general constraints, we introduce Elitserien-specific requirements for its tournament. These general and league-specific constraints allow us to identify implicit and symmetry-breaking properties that reduce the time to solution from hours to seconds. A scalability study of the number of teams shows that our approach is reasonably fast for even larger league sizes. The experimental evaluation of the integrated approach takes considerably less computational effort to schedule Elitserien than does the previous decomposed approach. (C) 2016 Elsevier B.V. All rights reserved

Perfluoroalkyl substances in waters along the Grand Canal, China.

Science.gov (United States)

Piao, H T; Jiao, X C; Gai, N; Chen, S; Lu, G H; Yin, X C; Yamazaki, E; Yamashita, N; Tan, K Y; Yang, Y L; Pan, J

2017-07-01

The Grand Canal, also known as the Beijing-Hangzhou Grand Canal, is a UNESCO World Heritage Site and the longest canal in the world. It is an important trunk line of the South-to-North Water Diversion Project in China. The contamination status and spatial distributions of perfluoroalky substances (PFASs) in waters of the Grand Canal were investigated. The total concentrations of PFASs (∑PFASs) range from 7.8 ng/L to 218.0 ng/L, with high ∑PFASs occurring in the southern part of the Grand Canal which is located in a highly urbanized and economically developed region. The dominance of PFOA showed a decreasing trend toward north while shorter chain homologue proportions increased in the northern part of the Canal which mainly traverses underdeveloped and rural areas in Eastern China. Positive correlations were observed between ∑PFASs and the population density as well as GDP per capita. Intersection with large rivers may affect the contamination levels and composition of PFASs in the water of the Grand Canal near the intersection sites. Copyright © 2017 Elsevier Ltd. All rights reserved.

Summary of results from the IPIRG-2 round-robin analyses

International Nuclear Information System (INIS)

Rahman, S.; Olson, R.; Rosenfield, A.; Wilkowski, G.

1996-02-01

This report presents a summary of the results from three one-day international round-robin workshops which were organized by Battelle in conjunction with the Second International Piping Integrity Research Group (IPIRG-2) Program. The objective of these workshops was to develop a consensus in handling difficult analytical problems in leak-before-break and pipe flaw evaluations. The workshops, which were held August 5, 1993, March 4, 1994, and October 21, 1994 at Columbus, Ohio, involved various technical presentations on the related research efforts by the IPIRG-2 member organizations and solutions to several round-robin problems. Following review by the IPIRG-2 members, four sets of round-robin problems were developed. They involved: (1) evaluations of fracture properties and pipe loads, (2) crack-opening and leak-rate evaluations, (3) dynamic analysis of cracked pipes, and (4) evaluations of elbows. A total of 18 organizations from the United States, Japan, Korea, and Europe solved these round-robin problems. The analysis techniques employed by the participants included both finite element and engineering methods. Based on the results from these analyses, several important observations were made concerning the predictive capability of the current fracture-mechanics and thermal-hydraulics models for their applications in nuclear piping and piping welds

Evaluation of interlaboratory round robin study (2000-2003) in Japan

Energy Technology Data Exchange (ETDEWEB)

Shiozaki, T. [Japan Environmental Sanitation Center, Kawasaki, Kanagawa (Japan); Takasuga, T. [Shimadzu Techno Research (Japan); Iwaki, K. [Ebara Research (Japan); Mochizuki, T. [Kokan Keisoku (Japan); Miyazaki, T. [Nittech Research (Japan); Tanaka, K. [Toray Research Center (Japan)

2004-09-15

Inter-laboratory round robin is available for maintaining dioxin analytical quality/skills by testing or certified laboratories. There are over 150 dioxin testing laboratories available in Japan consequently, Ministry of Environment (MOE) and Ministry of Economy Trade and Industry (METI) have began to investigate quality of dioxin testing laboratory and to upgrade their skills with in 4 years. On the other hands, Research Group for Dioxin Analysis which have technical experts from 33 private dioxin testing laboratories had carried out inter-laboratory round robin 4 times since 1998. These studies has been transferred to new research group namely, Research Group on Ultra trace Analyses (UTA) which is accompanied organization of Japan Environmental Measurement and Chemical Analysis Association (JEMCA) in 2003. The UTA consists 83 private dioxin testing laboratories and has been subjected to grow up the technical potential for not only dioxins but other trace level analysis of well known persistent organic pollutants (POPs), endocrine disrupting chemicals (EDCs) and ubiquitous contaminants in the environment. Former research group had run final round (4{sup th}) and new UTA carried out first round studies in 2001 And 2003, respectively. Percentage relative standard deviations (RSD) for each polychlorinated dibenzo-pdioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and dioxin-like polychlorinated biphenyls (DL-PCBs) have become smaller than past studies.

Proton decay in grand unified theories

International Nuclear Information System (INIS)

Lucha, W.

1984-01-01

Interactions which violate the conservation of baryon and lepton number represent an intrinsic part of all grand unified theories (GUTs) of strong and electroweak interactions. These new interactions - predicted within the framework of GUTs - generate B and L violating four-fermion interactions via the exchange of superheavy particles which cannot be ascribed a well-defined baryon or lepton number. The effective coupling constant of these four-fermion interactions might be large enough to make the proton decay detectable by the present generation of experiments. In this review the basic concepts of conventional as well as supersymmetric GUTs relevant for proton decay are sketched. The baryon number violating sector of grand unified theories is discussed in more detail. Special emphasis is laid on the various selection rules arising as consequences of low-energy gauge invariance and supersymmetry for proton decay. These selection rules already determine the coarse pattern of the resulting decay modes and branching ratios without any reference to or detailed knowledge of the underlying grand unified theory. Finally the numerous theoretical predictions are summarized and confronted with experiment. (Author)

Ethics rounds do not improve the handling of ethical issues by psychiatric staff.

Science.gov (United States)

Silén, Marit; Haglund, Kristina; Hansson, Mats G; Ramklint, Mia

2015-08-01

One way to support healthcare staff in handling ethically difficult situations is through ethics rounds that consist of discussions based on clinical cases and are moderated by an ethicist. Previous research indicates that the handling of ethically difficult situations in the workplace might have changed after ethics rounds. This, in turn, would mean that the "ethical climate", i.e. perceptions of how ethical issues are handled, would have changed. To investigate whether ethics rounds could improve the ethical climate perceived by staff working in psychiatry outpatient clinics. In this quasi-experimental study, six inter-professional ethics rounds led by a philosopher/ethicist were conducted at two psychiatry outpatient clinics. Changes in ethical climate were measured at these clinics as well as at two control clinics at baseline and after the intervention period using the instrument Hospital Ethical Climate Survey. Within-groups comparisons of median sum scores of ethical climate showed that no statistically significant differences were found in the intervention group before or after the intervention period. The median sum scores for ethical climate were significantly higher, both at baseline and after the intervention period (P ≤ 0.001; P = 0.046), in the intervention group. Ethics rounds in psychiatric outpatient clinics did not result in significant changes in ethical climate. Outcomes of ethics rounds might, to a higher degree, be directed towards patient-related outcomes rather than towards the staff's working environment, as the questions brought up for discussion during the ethics rounds concerned patient-related issues.

Cryptanalysis of the 10-Round Hash and Full Compression Function of SHAvite-3-512

DEFF Research Database (Denmark)

Gauravaram, Praveen; Leurent, Gaëtan; Mendel, Florian

2010-01-01

In this paper, we analyze SHAvite-3-512 hash function, as proposed for round 2 of the SHA-3 competition. We present cryptanalytic results on 10 out of 14 rounds of the hash function SHAvite-3-512, and on the full 14 round compression function of SHAvite-3-512. We show a second preimage attack on ...

Internal medicine rounding practices and the Accreditation Council for Graduate Medical Education core competencies.

Science.gov (United States)

Shoeb, Marwa; Khanna, Raman; Fang, Margaret; Sharpe, Brad; Finn, Kathleen; Ranji, Sumant; Monash, Brad

2014-04-01

The Accreditation Council for Graduate Medical Education (ACGME) has established the requirement for residency programs to assess trainees' competencies in 6 core domains (patient care, medical knowledge, practice-based learning, interpersonal skills, professionalism, and systems-based practice). As attending rounds serve as a primary means for educating trainees at academic medical centers, our study aimed to identify current rounding practices and attending physician perceived capacity of different rounding models to promote teaching within the ACGME core competencies. We disseminated a 24-question survey electronically using educational and hospital medicine leadership mailing lists. We assessed attending physician demographics and the frequency with which they used various rounding models, as defined by the location of the discussion of the patient and care plan: bedside rounds (BR), hallway rounds (HR), and card-flipping rounds (CFR). Using the ACGME framework, we assessed the perceived educational value of each model. We received 153 completed surveys from attending physicians representing 34 institutions. HR was used most frequently for both new and established patients (61% and 43%), followed by CFR for established patients (36%) and BR for new patients (22%). Most attending physicians indicated that BR and HR were superior to CFR in promoting the following ACGME competencies: patient care, systems-based practice, professionalism, and interpersonal skills. HR is the most commonly employed rounding model. BR and HR are perceived to be valuable for teaching patient care, systems-based practice, professionalism, and interpersonal skills. CFR remains prevalent despite its perceived inferiority in promoting teaching across most of the ACGME core competencies. © 2014 Society of Hospital Medicine.

Effects of Year-Round Education on Texas Middle School Student Performance

Science.gov (United States)

Coopersmith, Michael

2011-01-01

This study was designed to investigate the effects of the year-round calendar on student performance in Texas middle schools as measured by achievement on the Texas Assessment of Knowledge and Skills (TAKS) test. In the State of Texas, 15 schools served students in grades six through eight using the year-round calendar in 2009-2010. The 15…

Occurrence and food habits of the round goby in the profundal zone of southwestern Lake Ontario

Science.gov (United States)

Walsh, M.G.; Dittman, D.E.; O'Gorman, R.

2007-01-01

Little is known about the ecology of round goby (Neogobius melanostomus), an invasive benthic fish, in the profundal zone of the Great Lakes. In April 2002–2005 we caught increasing numbers of round gobies with a bottom trawl in the 45–150 m depth range of southwestern Lake Ontario. In 2005, we examined gut contents of 30 round gobies from each of three depths, 55, 95, and 130 m, and qualitatively compared gut contents with density of benthic invertebrates determined by Ponar grabs. Round goby guts contained mostly Dreissena spp. and opposum shrimp, Mysis relicta (Mysis); the frequency of occurrence of dreissenids in guts decreased with depth, whereas the frequency of occurrence of Mysis in guts increased with depth. Abundance of these invertebrates in the environment followed the same pattern, although dreissenids of optimum edible size (3–12 mm) were still abundant (1,373/m2) at 130 m, where round gobies primarily consumed Mysis, suggesting that round gobies may switch from dreissenids to more profitable prey when it is available. Other food items were ostracods and fish, with ostracods generally eaten by smaller round gobies and fish eaten by larger round gobies. Occurrence and increasing abundance of round gobies in the profundal zone and predation on Mysis by round goby could have far-reaching consequences for the Lake Ontario fish community.

Democracy and "Grand" Corruption.

Science.gov (United States)

Rose-Ackerman, Susan

1996-01-01

Defines "grand" corruption as that occurring at the higher levels of a political system and involving large sums of money. Discusses the impact and incentives for this level of corruption as well as various government responses. Identifies multinational corporations as the major malefactors. (MJP)

Using Social Media to Increase Accessibility to Online Teaching Resources.

Science.gov (United States)

O'Kelly, B; McHugh, S; McHugh, T; Fady, N; Boyle, E; Hill, A D K

2015-09-01

The key learning points of Surgical Grand Rounds (SGR) are often not accessible at times of exam revision for students. We sought to use Twitter as an online teaching repository. A SGR Twitter profile was created. 23 SGR presentations were made accessible on Twitter over a 3 month period. 93 students were invited to complete a questionnaire assessing usage of the repository. 84 (90%) in total responded, of these, 25 (80.6%) felt that the online provision of SGR through twitter was "useful". The majority (71%) felt that the online content was easily accessible. The novel use of social media is a useful adjunctive educational tool in accessing an online repository of SGR presentations.

MYOMA OF THE ROUND LIGAMENT MIMICKING THE CLINICAL APPEARANCE OF THE INGUINAL HERNIA – A CASE REPORT

Directory of Open Access Journals (Sweden)

Aleš Pišek

2004-12-01

Full Text Available Background. Myomas are the most frequent gynecological tumors. They first occur during puberty; however, they are most frequent among aged between 35 and 50. In this age group their incidence is 15–20%. They are rare after menopause. The majority of myomas arise in the uterus, but they may arise from other extrauterine sites such as the fallopian tubes, ovaries, round ligament, ligamentum latum, sacrouterine ligament, vagina and even the urethra. Most authors agree that there are numerous causes for the occurrence of myomas; however, they have not yet been clearly proven. They however agree that the myomas appear most frequently in the reproductive age, when the ovarian hormone levels are high and they diminish after menopause. They equally agree that the risk factors for the clinically significant myomas are nulliparity, obesity, a positive family history of myomas and African racial origin.Patients and methods. A 43-year-old patient was referred to our institution for operative treatment by her personal gynaecologist who clinically and sonografically verified a solid tumor situated to the right side of the uterus. The size of the tumor was that of a newborn’s head. The patient, however, had been observing a reponible inguinal hernia the size of a female fist for a period of four years. A solid tumor (22×6×7 cm arising from the right round ligament, was remowed during surgery. Half of its size was situated in the inguinal canal thus mimicking the clinical appearance of the inguinal hernia. After the tumor was removed the inner door of the inguinal canal closed by itself, no surgical repair was necessary. On histological examination the tumor was classified as a leiomyoma.Conclusions. Although the leiomyoma of the round ligament is the most frequent tumor of that region it is a rare gynecological tumor. The described case is especially interesting due to the unusual position of the tumor. It was situated partly intraabdominally and partly

The Periodic Round Table (by Gary Katz)

Science.gov (United States)

Rodgers, Reviewed By Glen E.

2000-02-01

Unwrapping and lifting the Periodic Round Table out of its colorful box is an exciting experience for a professional chemist or a chemistry student. Touted as a "new way of looking at the elements", it is certainly thatat least at first blush. The "table" consists of four sets of two finely finished hardwood discs each with the following elemental symbols and their corresponding atomic numbers pleasingly and symmetrically wood-burned into their faces. The four sets of two discs are 1 1/2, 3, 4 1/2, and 6 in. in diameter, each disc is 3/4 in. thick, and therefore the entire "round table" stands 6 in. high and is 6 in. in diameter at its base. The eight beautifully polished discs (represented below) are held together by center dowels that allow each to be rotated separately.

The Impact of the Uruguay Round on World Agriculture

Directory of Open Access Journals (Sweden)

Chung-Sil Kim

2002-12-01

Full Text Available This paper focuses on the impact of the Uruguay Round (UR implementation on world agriculture using a multi-regional general equilibrium model and the mapping function of the Geographic Information System (GIS. The results of this study show that the Uruguay Round has had a negative impact on world agriculture in the light of total food production and food distribution. For commodities such as grains, while grain production rises in exporting countries, the effect is not sufficient to cover the fall in production in importing countries. In particular, the impact is serious on food security in importing countries of agricultural products. The negative impact is almost concentrated in importing countries, particularly Japan, the European Union (EU and South Korea. As is clearly visible on the maps produced by the GIS function, the real state of world agriculture as well as the results evaluated by this Computable General Equilibrium (CGE model has changed negatively in major importing countries and particularly the Least Developed Countries (LDCs, Sub-Saharan Africa following the Uruguay Round.

Assessment of parental presence during bedside pediatric intensive care unit rounds: effect on duration, teaching, and privacy.

Science.gov (United States)

Phipps, Lorri M; Bartke, Cheryl N; Spear, Debra A; Jones, Linda F; Foerster, Carolyn P; Killian, Marie E; Hughes, Jennifer R; Hess, Joseph C; Johnson, David R; Thomas, Neal J

2007-05-01

There is a paucity of literature evaluating the effects of family member presence during bedside medical rounds in the pediatric intensive care unit. We hypothesized that, when compared with rounds without family members, parental presence during morning medical rounds would increase time spent on rounds, decrease medical team teaching/education, increase staff dissatisfaction, create more stress in family members, and violate patient privacy in our open unit. Prospective, blinded, observational study. Academic pediatric intensive care unit with 12 beds. A total of 105 admissions were studied, 81 family members completed a survey, and 187 medical team staff surveys were completed. Investigators documented parental presence and time allocated for presentation, teaching, and answering questions. Surveys related to perception of goals, teaching, and privacy of rounds were distributed to participants. Time spent on rounds, time spent teaching on rounds, and medical staff and family perception of the effects of parental presence on rounds. There was no significant difference between time spent on rounds in the presence or absence of family members (p = NS). There is no significant difference between the time spent teaching by the attending physician in the presence or absence of family members (p = NS). Overall, parents reported that the medical team spent an appropriate amount of time discussing their child and were not upset by this discussion. Parents did not perceive that their own or their child's privacy was violated during rounds. The majority of medical team members reported that the presence of family on rounds was beneficial. Parental presence on rounds does not seem to interfere with the educational and communication process. Parents report satisfaction with participation in rounds, and privacy violations do not seem to be a concern from their perspective.

Description of Alaeuris stehlini n. sp. and Alaeuris numidica canariensis n. ssp. (Nematoda, Pharyngodonidae), parasite of Gallotia stehlini, lacertid of Grand Canary Island (Spain).

Science.gov (United States)

Zapatero, C; Castaño, C; Zapatero, L M

1999-03-01

Pharyngodonid nematodes (Oxyuroidea) belonging to the genus Alaeuris Thapar, 1925, were collected from the posterior gut of Gallotia stehlini (Lacertidae) from Grand Canary Island. Two species Alaeuris stehlini n. sp. and Alaeuris numidica canariensis n. ssp. were identified. The new species is described in which the long thin males are characterized by narrow caudal alae, a rounded first pair of adanal papillae non pedunculate, the second pair attached and elongate, the three pair teated; a short narrow V plate and a relatively long caudal appendage. The females are also long and thin with a slightly salient vulva, a conical pointed caudal appendage, oesophageal length approximately one third of body, excretory pore below the oesophageal bulb. The new subspecies most closely resembles Alaeuris numidica numidica. (Seurat, 1918) Petter, 1966 and Alaeuris numidica madagascariensis Petter, 1966.

Triggering the GRANDE array

International Nuclear Information System (INIS)

Wilson, C.L.; Bratton, C.B.; Gurr, J.; Kropp, W.; Nelson, M.; Sobel, H.; Svoboda, R.; Yodh, G.; Burnett, T.; Chaloupka, V.; Wilkes, R.J.; Cherry, M.; Ellison, S.B.; Guzik, T.G.; Wefel, J.; Gaidos, J.; Loeffler, F.; Sembroski, G.; Goodman, J.; Haines, T.J.; Kielczewska, D.; Lane, C.; Steinberg, R.; Lieber, M.; Nagle, D.; Potter, M.; Tripp, R.

1990-01-01

A brief description of the Gamma Ray And Neutrino Detector Experiment (GRANDE) is presented. The detector elements and electronics are described. The trigger logic for the array is then examined. The triggers for the Gamma Ray and the Neutrino portions of the array are treated separately. (orig.)

LA GRANDE DESCENTE

CERN Multimedia

The first endcap disc of CMS being lowered slowly and carefully 100 m underground into the experimental cavern. The disc is one of 15 large pieces to make the grand descent.  The uniquely shaped slice, 16 m high, about 50 cm thick weighs 400 tonnes. The two HF that were lowered earlier in November can also be seen in the foreground and background.  

A WORLD-SYSTEMS PERSPECTIVE OF THE WTO DOHA DEVELOPMENT ROUND

OpenAIRE

Panagakou Georgopoulou, Ilia

2013-01-01

The following study is an historical analysis of the WTO Doha Round negotiations using a world-systems perspective. The thesis tries to answer the following research question: why is the Doha Development Round not producing the desired and expected results? To answer this question, this study has used primary material from the WTO online archives, especially from the biennial sessions of the Ministerial Conference, in order to assess WTO member states’ positions on the topics discussed, as we...

What if the Doha Round Fails? Implications for Canadian Agriculture

OpenAIRE

Gifford, Michael N.; McCalla, Alex F.; Meilke, Karl D.

2008-01-01

Many commentators assume that the WTO Doha Round negotiations have already failed and that this failure will not matter for Canadian agriculture. Neither view is correct. Most countries appear willing to make the effort needed to bring the negotiations to a make or break point in early 2008. If the Doha Round does eventually fail, an important opportunity to make the agricultural trading system significantly less distorted, more open and fair will have been lost. For Canadian agriculture, the...

Epidemiological Aspects and Differential Diagnosis of the Cutaneous Round Cell Tumors in Dogs

Directory of Open Access Journals (Sweden)

Roxana CORA

2017-05-01

Full Text Available Round cell neoplasms (RCNs are frequent cutaneous lesions in dogs, with high percentages among skin tumors. In this category are included histiocytoma, mast cell tumor, plasmacytoma, lymphoma and transmissible venereal tumor. The aim of the study was to perform an epidemiological study with reference to the cutaneous round cell tumors in a period of 10 years in the Department of Pathology (Faculty of Veterinary Medicine, Cluj-Napoca, Romania. Additionally, in the recorded cases with round cell tumors (mast cell tumor, histiocytoma and lymphoma we described the main histological and cytological features. The epidemiological data were collected from the records of Pathology Department between 2005-2014. The investigation included dogs diagnosed with cutaneous round cell neoplasms, following necropsy analysis or assessment of biopsies or cytological samples. All collected specimens were analyzed by histopathological and/or cytological techniques. The staining used for histological investigation were Hematoxylin-eosin, Masson’s trichrome and Toluidine blue, whereas Diff Quik and Wright methods were utilized in cytological specimens. The distribution of the cutaneous round cell tumors in relation to age, breed and sex was also assessed. The most frequent round cell tumor type was the mast cell tumor (19.54% followed by histiocytoma (11.33% and lymphoma (1.98%. The round cell tumors recorded were equally distributed in both males and females. Concerning the distribution of cutaneous RCNs by age (average age, histiocytoma occurred in 5 years old subjects, mast cell tumor in 11.9 years old subjects, and lymphoma in 6 years old subjects. Mast cell tumor was more frequent in stray dogs and Boxer breed, while histiocytoma occurred more commonly in stray dogs. Histological and cytological analysis was mandatory to perform the differential diagnosis between RCNs. Microscopic details concerning cytoplasm and nucleus of tumoral cells, together with the

Flocculent and grand design spiral arm structure in cluster galaxies

International Nuclear Information System (INIS)

Elmegreen, D.M.

1982-01-01

A total of 829 spiral galaxies in 22 clusters having redshifts between z = 0.02 and 0.06 were classified according to the appearance of their spiral arm structures. The fraction of galaxies that have a grand design spiral structure was found to be higher among barred galaxies than among non-barred galaxies (at z = 0.02, 95 per cent of strongly barred galaxies have a grand design, compared with 67 per cent of non-barred or weakly barred galaxies). Cluster galaxies and distant non-cluster galaxies have the same fraction of grand design galaxies when resolution effects are considered. The grand design fraction among cluster galaxies is also similar to the fraction observed among nearby galaxies in binary systems and in groups. (author)

Conservation genetics of the critically endangered Round Island bottle palm, Hyophorbe lagenicaulis (Arecaceae)

DEFF Research Database (Denmark)

Lange, Conny Bruun Asmussen; Maunder, Michael; Fay, Michael F.

2011-01-01

The amplified fragment length polymorphism (AFLP) technique was used to examine genetic variation among old and newly emerged individuals of Hyophorbe lagenicaulis (the Round Island bottle palm) on Round Island to assess surviving levels of diversity in the wild population and to evaluate...... monomorphic bands. Analysis of molecular variance (AMOVA) and Shannon’s indices showed a high level of genetic variation within the wild population on Round Island and a smaller amount of genetic variation among cultivated individuals. A neighbor joining analysis resulted in an unrooted network of genetic...... distances in which the five Hyophorbe spp. were separated and much variation within H. lagenicaulis was recovered. The Round Island populations of H. lagenicaulis contain representatives of the genetic variation found within the species as a whole. However, a few individuals, both wild and cultivated...

Quality improvement of interdisciplinary rounds by leadership training based on essential quality indicators of the Interdisciplinary Rounds Assessment Scale

NARCIS (Netherlands)

Ten Have, Elsbeth C. M.; Nap, Raoul E.; Tulleken, Jaap E.

2013-01-01

The implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. Daily interdisciplinary rounds (IDRs) in ICUs integrate leadership behavior and interdisciplinary teamwork. The purpose of this intervention study was to measure the effect of

A tabu-search for minimising the carry-over effects value of a round-robin tournament

Directory of Open Access Journals (Sweden)

MP Kidd

2010-12-01

Full Text Available A player b in a round-robin sports tournament receives a carry-over effect from another player a if some third player opposes a in round i and b in round i+1. Let γ(ab denote the number of times player b receives a carry-over effect from player a during a tournament. Then the carry-over effects value of the entire tournament T on n players is given by Γ(T=ΣΣγ(ij^2. Furthermore, let Γ(n denote the minimum carry-over effects value over all round-robin tournaments on n players. A strict lower bound on Γ(n is n(n-1 (in which case there exists a round-robin tournament of order n such that each player receives a carry-over effect from each other player exactly once, and it is known that this bound is attained for n=2^r or n=20,22. It is also known that round-robin tournaments can be constructed from so-called starters; round-robin tournaments constructed in this way are called cyclic. It has previously been shown that cyclic round-robin tournaments have the potential of admitting small values for Γ(T, and in this paper a tabu-search is used to find starters which produce cyclic tournaments with small carry-over effects values. The best solutions in the literature are matched for n<=22, and new upper bounds are established on Γ(n for 24<=n<=40.

Cassini's Grand Finale Science Highlights

Science.gov (United States)

Spilker, Linda

2017-10-01

After 13 years in orbit, the Cassini-Huygens Mission to Saturn ended in a science-rich blaze of glory. Cassini returned its final bits of unique science data on September 15, 2017, as it plunged into Saturn's atmosphere satisfying planetary protection requirements. Cassini's Grand Finale covered a period of roughly five months and ended with the first time exploration of the region between the rings and planet.The final close flyby of Titan in late April 2017 propelled Cassini across Saturn’s main rings and into its Grand Finale orbits; 22 orbits that repeatedly dove between Saturn’s innermost rings and upper atmosphere making Cassini the first spacecraft to explore this region. The last orbit turned the spacecraft into the first Saturn upper atmospheric probe.The Grand Finale orbits provided highest resolution observations of both the rings and Saturn, and in-situ sampling of the ring particle composition, Saturn's atmosphere, plasma, and innermost radiation belts. The gravitational field was measured to unprecedented accuracy, providing information on the interior structure of the planet, winds in the deeper atmosphere, and mass of the rings. The magnetic field provided insight into the physical nature of the magnetic dynamo and structure of the internal magnetic field. The ion and neutral mass spectrometer sampled the upper atmosphere for molecules that escape the atmosphere in addition to molecules originating from the rings. The cosmic dust analyzer directly sampled the composition from different parts of the main rings for the first time. Fields and particles instruments directly measured the plasma environment between the rings and planet.Science highlights and new mysteries gleaned to date from the Grand Finale orbits will be discussed.The research described in this paper was carried out in part at the Jet Propulsion Laboratory, California Institute of Technology, under a contract with the National Aeronautics and Space Administration. Copyright 2017

On the Computation of Correctly Rounded Sums

DEFF Research Database (Denmark)

Kornerup, Peter; Lefevre, Vincent; Louvet, Nicolas

2012-01-01

This paper presents a study of some basic blocks needed in the design of floating-point summation algorithms. In particular, in radix-2 floating-point arithmetic, we show that among the set of the algorithms with no comparisons performing only floating-point additions/subtractions, the 2Sum...... algorithm introduced by Knuth is minimal, both in terms of number of operations and depth of the dependency graph. We investigate the possible use of another algorithm, Dekker's Fast2Sum algorithm, in radix-10 arithmetic. We give methods for computing, in radix 10, the floating-point number nearest...... the average value of two floating-point numbers. We also prove that under reasonable conditions, an algorithm performing only round-to-nearest additions/subtractions cannot compute the round-to-nearest sum of at least three floating-point numbers. Starting from an algorithm due to Boldo and Melquiond, we also...

Introducing the nurse practitioner into the surgical ward: an ethnographic study of interprofessional teamwork practice.

Science.gov (United States)

Kvarnström, Susanne; Jangland, Eva; Abrandt Dahlgren, Madeleine

2017-08-22

The first nurse practitioners in surgical care were introduced into Swedish surgical wards in 2014. Internationally, organisations that have adopted nurse practitioners into care teams are reported to have maintained or improved the quality of care. However, close qualitative descriptions of teamwork practice may add to existing knowledge of interprofessional collaboration when introducing nurse practitioners into new clinical areas. The aim was to report on an empirical study describing how interprofessional teamwork practice was enacted by nurse practitioners when introduced into surgical ward teams. The study had a qualitative, ethnographic research design, drawing on a sociomaterial conceptual framework. The study was based on 170 hours of ward-based participant observations of interprofessional teamwork practice that included nurse practitioners. Data were gathered from 2014 to 2015 across four surgical sites in Sweden, including 60 interprofessional rounds. The data were analysed with an iterative reflexive procedure involving inductive and theory-led approaches. The study was approved by a Swedish regional ethics committee (Ref. No.: 2014/229-31). The interprofessional teamwork practice enacted by the nurse practitioners that emerged from the analysis comprised a combination of the following characteristic role components: clinical leader, bridging team colleague and ever-present tutor. These role components were enacted at all the sites and were prominent during interprofessional teamwork practice. The participant nurse practitioners utilised the interprofessional teamwork practice arrangements to enact a role that may be described in terms of a quality guarantee, thereby contributing to the overall quality and care flow offered by the entire surgical ward team. © 2017 Nordic College of Caring Science.

Meliponiculture in Rio Grande do Norte

Directory of Open Access Journals (Sweden)

Ulysses Madureira Maia

2015-12-01

Full Text Available ABSTRACT. Maia U.M., Jaffe R., Carvalho A.T. & Imperatriz-Fonseca V.L. [Meliponiculture in Rio Grande do Norte.] Meliponicultura no Rio Grande do Norte. Revista Brasileira de Medicina Veterinária, 37(4:327-333, 2015. Departamento de Biologia, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Avenida Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP 14040-901, Brasil. E-mail: ummaia@usp.br This study aimed to assess the current status of stingless bee beekeeping (meliponiculture in the State of Rio Grande do Norte, Brazil, with the aid of structured questionnaires made during visits to beekeepers. The results were compared with a previous census made in the state and with a similar study from Australia. Meliponiculture in Rio Grande do Norte is still informal and little standardized. The activity has grown in recent years considering the mean number of nests per beekeeper. Most apiaries are formed of up to 50 colonies, usually distributed in the backyards of homes. Twelve species of stingless bees were reared in the state, and the most common was the “Jandaíra” bee (Melipona subnitida, whose honey is considered medicinal. While many beekeepers already know the importance of bees as pollinators, stingless bees are still not used for crop pollination. Compared to a recent analysis of beekeeping in Australia, meliponiculture in Brazil is more traditional, honey is the main product and the number of colonies per beekeeper is much higher. Our results highlight the need to reinforce knowledge about bees and promote specific training aimed at improving and standardizing management practices.

Populating a Control Point Database: A cooperative effort between the USGS, Grand Canyon Monitoring and Research Center and the Grand Canyon Youth Organization

Science.gov (United States)

Brown, K. M.; Fritzinger, C.; Wharton, E.

2004-12-01

The Grand Canyon Monitoring and Research Center measures the effects of Glen Canyon Dam operations on the resources along the Colorado River from Glen Canyon Dam to Lake Mead in support of the Grand Canyon Adaptive Management Program. Control points are integral for geo-referencing the myriad of data collected in the Grand Canyon including aerial photography, topographic and bathymetric data used for classification and change-detection analysis of physical, biologic and cultural resources. The survey department has compiled a list of 870 control points installed by various organizations needing to establish a consistent reference for data collected at field sites along the 240 mile stretch of Colorado River in the Grand Canyon. This list is the foundation for the Control Point Database established primarily for researchers, to locate control points and independently geo-reference collected field data. The database has the potential to be a valuable mapping tool for assisting researchers to easily locate a control point and reduce the occurrance of unknowingly installing new control points within close proximity of an existing control point. The database is missing photographs and accurate site description information. Current site descriptions do not accurately define the location of the point but refer to the project that used the point, or some other interesting fact associated with the point. The Grand Canyon Monitoring and Research Center (GCMRC) resolved this problem by turning the data collection effort into an educational exercise for the participants of the Grand Canyon Youth organization. Grand Canyon Youth is a non-profit organization providing experiential education for middle and high school aged youth. GCMRC and the Grand Canyon Youth formed a partnership where GCMRC provided the logistical support, equipment, and training to conduct the field work, and the Grand Canyon Youth provided the time and personnel to complete the field work. Two data

[Grand Banks activity : updates and opportunities

International Nuclear Information System (INIS)

Bruce, G.

1998-01-01

An overview of the exploration and on-going activities by the petroleum industry on the Grand Banks of Newfoundland was presented. The two offshore oil developments underway are Hibernia and Terra Nova, both located in the Jeanne d'Arc Basin. Current production from Hibernia is 68,000 bopd, expected to rise to 130,000 bopd in 1999. The Terra Nova Field is still under development. Total recoverable reserves from the 17 discoveries made in the Jeanne d'Arc Basin are estimated at 1.6 billion barrels of oil and 4 trillion cubic feet of gas. Industry participants in the area include Amoco, Petro-Canada, Mobil, Chevron, Husky and Norsk Hydro. Petro-Canada believes the Grand Banks represent one of the best opportunities for oil anywhere in the world. There are currently 21 exploration licenses held on the Grand Banks. Major attractions of the area include the large reserve potential, the relatively low finding costs, the size of the pools being discovered, improvements in offshore technology that have substantially lowered development costs, and a profit-sensitive generic royalty regime that ensures reasonable rates of return for investors. figs

Results from Second Round of Remediated Nitrate Salt Surrogate Formulation and Testing

Energy Technology Data Exchange (ETDEWEB)

Brown, Geoffrey Wayne [Los Alamos National Laboratory; Leonard, Philip [Los Alamos National Laboratory; Hartline, Ernest Leon [Los Alamos National Laboratory; Tian, Hongzhao [Los Alamos National Laboratory

2016-04-04

High Explosives and Technology (M-7) completed the second round of formulation and testing of Remediated Nitrate Salt (RNS) surrogates on March 17, 2016. This report summarizes the results of the work and also includes additional documentation required under test plan PLAN-TA9-2443 Rev B, "Remediated Nitrate Salt (RNS) Surrogate Formulation and Testing Standard Procedure", released February 16, 2016. All formulation and testing was carried out according to PLAN-TA9-2443 Rev B. Results from the first round of formulation and testing were documented in memorandum M7-16-6042, "Results from First Round of Remediated Nitrate Salt Surrogate Formulation and Testing."

Tympanotomy and sealing of the round window for treatment of sudden deafness

DEFF Research Database (Denmark)

Ul-Mulk, Jamshaid; Friis, Søren; Hahn, Christoffer Holst

2011-01-01

The objective of this study was to evaluate the effectiveness of explorative tympanotomy and sealing of the round window in patients diagnosed with sudden deafness.......The objective of this study was to evaluate the effectiveness of explorative tympanotomy and sealing of the round window in patients diagnosed with sudden deafness....

[Ethic rounds in intensive care. Possible instrument for a clinical-ethical assessment in intensive care units].

Science.gov (United States)

Scheffold, N; Paoli, A; Gross, J; Riemann, U; Hennersdorf, M

2012-10-01

Ethical problems, such as medical end-of-life decisions or withdrawing life-sustaining treatment are viewed as an essential task in intensive care units. This article presents the ethics rounds as an instrument for evaluation of ethical problems in intensive care medicine units. The benchmarks of ethical reflection during the ethics rounds are considerations of ethical theory of principle-oriented medical ethics. Besides organizational aspects and the institutional framework, the role of the ethicist is described. The essential evaluation steps, as a basis of the ethics rounds are presented. In contrast to the clinical ethics consultation, the ethicist in the ethics rounds model is integrated as a member of the ward round team. Therefore ethical problems may be identified and analyzed very early before the conflict escalates. This preventive strategy makes the ethics rounds a helpful instrument in intensive care units.

Myanmar exploration hitting stride on 1989-90 licensing round blocks

International Nuclear Information System (INIS)

Khin, J.A.; Johnston, D.

1992-01-01

This paper reports that following licensing efforts in 1989-90, Myanmar has been gearing up with activity both onshore and offshore. The industry gave a strong response to the first round of exploration licensing. The license awards in the first round carried fairly aggressive work commitments in terms of both dollars and timing. Work commitments on each of the first nine blocks ranged from $12 million to $70 million for each block. Most companies committed to spudding their first wells within the first 12-14 months. The drilling results are starting to come in. Although no significant oil discovery has been made yet, the country expects to speed up its exploration activities in the next few years. Following the first round of licensing onshore, Myanmar Oil and Gas Enterprise (MOGE), the national oil company, is negotiating terms for offshore blocks as well as additional onshore blocks for improved oil recovery (IOR) and rehabilitation/redevelopment rights for existing fields

Nordic numerical round robin for a side-grooved ct-specimen

International Nuclear Information System (INIS)

Talja, H.

1989-11-01

The reliability of fracture mechanics assessments based on finite element method calculations has to be confirmed before making safety assessments for critical components like nuclear pressure vessels. Calculations for simulation of fracture mechanics tests and numerical round robin programmes are useful methods in such verification. In this report the results of Nordic finite element round robin calculations for a side-grooved CT-specimen are presented and compared with experimental results. The round robin consisted of two parts. In the first part two-dimensional calculations assuming plane strain and plane stress behaviour were made. In the second part extensive three-dimensional calculations were performed for best-estimate analysis of the specimen behaviour. The differences between the solutions were comparatively small. Only one two-dimensional solution, where lower order finite elements were used, deviated clearly from the other ones. A good agreement was seen between two-dimensional plane strain results and experimental results. Three-dimensional calculations corresponded very accurately with each others and the experiment

Auditor recommendations resulting from three clinical audit rounds in Finnish radiology units.

Science.gov (United States)

Miettunen, Kirsi; Metsälä, Eija

2017-06-01

Background The purpose of clinical audits performed in radiology units is to reduce the radiation dose of patients and staff and to implement evidence-based best practices. Purpose To describe auditor recommendations in three Finnish clinical audit rounds performed in 2002-2014, and to determine if auditor recommendations have had any impact on improving medical imaging practice. Material and Methods The retrospective observational study was performed in radiology units holding a radiation safety license issued by the Finnish Radiation and Nuclear Safety Authority. The data comprised a systematic sample (n = 120) of auditor reports produced in three auditing rounds in these units during the years 2002-2014. The data were analyzed by descriptive methods and by using the Friedman two-way ANOVA test. Results The number of auditor recommendations given varied between clinical audit rounds and according to the type of imaging unit, as well as according to calculation method. Proportionally, the most recommendations in all three clinical audit rounds were given about defining and using quality assurance functions and about guidelines and practices for carrying out procedures involving radiation exposure. Demanding radiology units improved their practices more than basic imaging units towards the third round. Conclusion Auditor recommendations help to address the deficiencies in imaging practices. There is a need to develop uniform guidelines and to provide tutoring for clinical auditors in order to produce comparable clinical audit results.

Regional economic impacts of Grand Canyon river runners.

Science.gov (United States)

Hjerpe, Evan E; Kim, Yeon-Su

2007-10-01

Economic impact analysis (EIA) of outdoor recreation can provide critical social information concerning the utilization of natural resources. Outdoor recreation and other non-consumptive uses of resources are viewed as environmentally friendly alternatives to extractive-type industries. While outdoor recreation can be an appropriate use of resources, it generates both beneficial and adverse socioeconomic impacts on rural communities. The authors used EIA to assess the regional economic impacts of rafting in Grand Canyon National Park. The Grand Canyon region of northern Arizona represents a rural US economy that is highly dependent upon tourism and recreational expenditures. The purpose of this research is twofold. The first is to ascertain the previously unknown regional economic impacts of Grand Canyon river runners. The second purpose is to examine attributes of these economic impacts in terms of regional multipliers, leakage, and types of employment created. Most of the literature on economic impacts of outdoor recreation has focused strictly on the positive economic impacts, failing to illuminate the coinciding adverse and constraining economic impacts. Examining the attributes of economic impacts can highlight deficiencies and constraints that limit the economic benefits of recreation and tourism. Regional expenditure information was obtained by surveying non-commercial boaters and commercial outfitters. The authors used IMPLAN input-output modeling to assess direct, indirect, and induced effects of Grand Canyon river runners. Multipliers were calculated for output, employment, and income. Over 22,000 people rafted on the Colorado River through Grand Canyon National Park in 2001, resulting in an estimated $21,100,000 of regional expenditures to the greater Grand Canyon economy. However, over 50% of all rafting-related expenditures were not captured by the regional economy and many of the jobs created by the rafting industry are lower-wage and seasonal. Policy

Abortion - surgical

Science.gov (United States)

Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

[Surgical treatment of secondary peritonitis: A continuing problem. German version].

Science.gov (United States)

van Ruler, O; Boermeester, M A

2016-01-01

Secondary peritonitis remains associated with high mortality and morbidity rates. Treatment of secondary peritonitis is still challenging even in the era of modern medicine. Surgical intervention for source control remains the cornerstone of treatment besides adequate antimicrobial therapy and when necessary intensive medical care measures and resuscitation. A randomized clinical trial showed that relaparotomy on demand (ROD) after initial emergency surgery was the preferred treatment strategy, irrespective of the severity and extent of peritonitis. The effective and safe use of ROD requires intensive monitoring of the patient in a setting where diagnostic tests and decision making about relaparotomy are guaranteed round the clock. The lack of knowledge on timely and adequate patient selection, together with the lack of use of easy but reliable monitoring tools seem to hamper full implementation of ROD. The accuracy of the relaparotomy decision tool is reasonable for prediction of the formation of peritonitis and necessary selection of patients for computed tomography (CT). The value of CT in the early postoperative phase is unclear. Future research and innovative technologies should focus on the additive value of CT after surgical treatment for secondary peritonitis and on the further optimization of bedside prediction tools to enhance adequate patient selection for interventions in a multidisciplinary setting.

A Unified Grand Tour of Theoretical Physics

CERN Document Server

Lawrie, Ian D

2002-01-01

A unified account of the principles of theoretical physics, A Unified Grand Tour of Theoretical Physics, Second Edition stresses the inter-relationships between areas that are usually treated as independent. The profound unifying influence of geometrical ideas, the powerful formal similarities between statistical mechanics and quantum field theory, and the ubiquitous role of symmetries in determining the essential structure of physical theories are emphasized throughout.This second edition conducts a grand tour of the fundamental theories that shape our modern understanding of the physical wor

Effective Higgs theories in supersymmetric grand unification

Energy Technology Data Exchange (ETDEWEB)

Zheng, Sibo [Chongqing University, Department of Physics, Chongqing (China)

2017-09-15

The effective Higgs theories at the TeV scale in supersymmetric SU(5) grand unification models are systematically derived. Restricted to extensions on 5{sub H} containing the Higgs sector we show that only two types of real (vector-like) models and one type of chiral model are found to be consistent with perturbative grand unification. While the chiral model has been excluded by the LHC data, the fate of perturbative unification will be uniquely determined by the two classes of vector-like models. (orig.)

Imaging in gynecological disease. 10: Clinical and ultrasound characteristics of decidualized endometriomas surgically removed during pregnancy.

Science.gov (United States)

Mascilini, F; Moruzzi, C; Giansiracusa, C; Guastafierro, F; Savelli, L; De Meis, L; Epstein, E; Timor-Tritsch, I E; Mailath-Pokorny, M; Ercoli, A; Exacoustos, C; Benacerraf, B R; Valentin, L; Testa, A C

2014-09-01

To describe the clinical history and ultrasound findings in women with decidualized endometriomas surgically removed during pregnancy. In this retrospective study, women with a histological diagnosis of decidualized endometrioma during pregnancy who had undergone preoperative ultrasound examination were identified from the databases of seven ultrasound centers. The ultrasound appearance of the tumors was described on the basis of ultrasound images, ultrasound reports and research protocols (when applicable) by one author from each center using the terms and definitions of the International Ovarian Tumor Analysis (IOTA) group. In addition, two authors reviewed together available digital ultrasound images and used pattern recognition to describe the typical ultrasound appearance of decidualized endometriomas. Eighteen eligible women were identified. Median age was 34 (range, 20-43) years. Median gestational age at surgical removal of the decidualized endometrioma was 18 (range, 11-41) weeks. Seventeen women (94%) were asymptomatic and one presented with pelvic pain. In three of the 18 women an ultrasound diagnosis of endometrioma had been made before pregnancy. The original ultrasound examiner was uncertain whether the mass was benign or malignant in 10 (56%) women and suggested a diagnosis of benignity in nine (50%) women, borderline in eight women (44%), and invasive malignancy in one (6%) woman. Seventeen decidualized endometriomas contained a papillary projection, and in 16 of these at least one of the papillary projections was vascularized at power or color Doppler examination. The number of cyst locules varied between one (n = 11) and four. No woman had ascites. When using pattern recognition, most decidualized endometriomas (14/17, 82%) were described as manifesting vascularized rounded papillary projections with a smooth contour in an ovarian cyst with one or a few cyst locules and ground-glass or low-level echogenicity of the cyst fluid. Rounded vascularized

Commercial lumber, round timbers, and ties

Science.gov (United States)

David E. Kretschmann

2010-01-01

When sawn, a log yields round timber, ties, or lumber of varying quality. This chapter presents a general discussion of grading, standards, and specifications for these commercial products. In a broad sense, commercial lumber is any lumber that is bought or sold in the normal channels of commerce. Commercial lumber may be found in a variety of forms, species, and types...

Post surgical complications from students' large animal surgical ...

African Journals Online (AJOL)

A retrospective study of post surgical complications was conducted on records of students' Large Animal Surgical Laboratories in the Faculty of Veterinary Medicine (F.V.M.), Ahmadu Bello University (A.B.U), Zaria from 1989 to 1993. Three hundred and eleven surgical complications were recorded from five surgical ...

7 CFR 1405.7 - Uruguay Round Agreements Act.

Science.gov (United States)

2010-01-01

... Uruguay Round Agreements Act. In the event the outlays by the United States for domestic support measures... level of domestic support provided by the United States complies with the commitments of the United...

The Nature of Grand Minima and Maxima from Fully Nonlinear Flux Transport Dynamos

Energy Technology Data Exchange (ETDEWEB)

Inceoglu, Fadil; Arlt, Rainer [Leibniz-Institute for Astrophysics Potsdam, An der Sternwarte 16, D-14482, Potsdam (Germany); Rempel, Matthias, E-mail: finceoglu@aip.de [High Altitude Observatory, National Center for Atmospheric Research, P.O. Box 3000, Boulder, CO 80307 (United States)

2017-10-20

We aim to investigate the nature and occurrence characteristics of grand solar minimum and maximum periods, which are observed in the solar proxy records such as {sup 10}Be and {sup 14}C, using a fully nonlinear Babcock–Leighton type flux transport dynamo including momentum and entropy equations. The differential rotation and meridional circulation are generated from the effect of turbulent Reynolds stress and are subjected to back-reaction from the magnetic field. To generate grand minimum- and maximum-like periods in our simulations, we used random fluctuations in the angular momentum transport process, namely the Λ-mechanism, and in the Babcock–Leighton mechanism. To characterize the nature and occurrences of the identified grand minima and maxima in our simulations, we used the waiting time distribution analyses, which reflect whether the underlying distribution arises from a random or a memory-bearing process. The results show that, in the majority of the cases, the distributions of grand minima and maxima reveal that the nature of these events originates from memoryless processes. We also found that in our simulations the meridional circulation speed tends to be smaller during grand maximum, while it is faster during grand minimum periods. The radial differential rotation tends to be larger during grand maxima, while it is smaller during grand minima. The latitudinal differential rotation, on the other hand, is found to be larger during grand minima.

Integration of Mobile Devices to Facilitate Patient Care and Teaching During Family-Centered Rounds.

Science.gov (United States)

Byrd, Angela S; McMahon, Pamela M; Vath, Richard J; Bolton, Michael; Roy, Melissa

2018-01-01

The increasing prevalence of mobile devices in clinical settings has the potential to improve both patient care and education. The benefits are particularly promising in the context of family-centered rounds in inpatient pediatric settings. We aimed to increase mobile device usage by inpatient rounding teams by 50% in 6 months. We hoped to demonstrate that use of mobile devices would improve access to patient care and educational information and to determine if use would improve efficiency and perceptions of clinical teaching. We designed a mixed-methods study involving pre- and post-implementation surveys to residents, families, and faculty as well as direct observations of family-centered rounds. We conducted rapid cycles of continual quality improvement by using the Plan-Do-Study-Act framework involving 3 interventions. Pre-intervention, the mobile computing cart was used for resident education on average 3.3 times per rounding session. After cycle 3, teaching through the use of mobile devices increased by ∼79% to 5.9 times per rounding session. On the basis of survey data, we determined there was a statistically significant increase in residents' perception of feeling prepared for rounds, receiving teaching on clinical care, and ability to teach families. Additionally, average time spent per patient on rounds decreased after implementation of mobile devices. Integration of mobile devices into a pediatric hospital medicine teaching service can facilitate patient care and perception of resident teaching by extending the utility of electronic medical records in care decisions and by improving access to knowledge resources. Copyright © 2018 by the American Academy of Pediatrics.

Prevalence of graduated compression stocking-associated pressure injuries in surgical intensive care units.

Science.gov (United States)

Hobson, Deborah B; Chang, Tracy Y; Aboagye, Jonathan K; Lau, Brandyn D; Shihab, Hasan M; Fisher, Betsy; Young, Samantha; Sujeta, Nancy; Shaffer, Dauryne L; Popoola, Victor O; Kraus, Peggy S; Knorr, Gina; Farrow, Norma E; Streiff, Michael B; Haut, Elliott R

2017-08-01

This study aimed to determine the prevalence of static graduated compression stocking (sGCS)-associated pressure injury among patients in surgical intensive care units (ICUs). We retrospectively reviewed data from wound care rounds between April 2011 and June 2012 at 3 surgical ICUs at an urban, tertiary care hospital. Patients with sGCS-associated pressure injury were identified and descriptive analysis was performed on their demographic, perioperative, and postoperative characteristics. We examined 1787 individual patients during 2391 patient encounters. A total of 129 (7.2%) of patients developed pressure injuries. Forty patients (2.2%) developed sGCS-associated pressure injury. Static GCS-associated pressure injury accounted for 31% (40/129) of all pressure injuries and 74% (40/54) of all medical device-related pressure injury. Eighteen (45%) and 6 (15%) developed stage 1 and 2 pressure injury, respectively, and 16 (40%) developed deep tissue injuries. The mean age of our patients was 64.7 years, about half (47.5%) were male, and their mean Acute Physiology and Chronic Health Evaluation II score was 18.8. Many had comorbid conditions, including obesity (44.5%) and diabetes (42.5%), and required mechanical ventilation (45%). Pressure injuries are a notable complication of sGCS in surgical ICU patients. Appropriate measures are required to help avoid this potentially preventable harm. Copyright © 2017 Elsevier Inc. All rights reserved.

International Round-Robin Testing of Bulk Thermoelectrics

Energy Technology Data Exchange (ETDEWEB)

Wang, Hsin [ORNL; Porter, Wallace D [ORNL; Bottner, Harold [Fraunhofer-Institute, Freiburg, Germany; Konig, Jan [Fraunhofer-Institute, Freiburg, Germany; Chen, Lidong [Chinese Academy of Sciences; Bai, Shengqiang [Chinese Academy of Sciences; Tritt, Terry M. [Clemson University; Mayolett, Alex [Corning, Inc; Smith, Charlene [Corning, Inc; Harris, Fred [ZT-Plus; Sharp, Jeff [Marlow Industries, Inc; Lo, Jason [CANMET - Materials Technology Laboratory, Natural Resources of Canada; Keinke, Holger [University of Waterloo, Canada; Kiss, Laszlo I. [University of Quebec at Chicoutimi

2011-11-01

Two international round-robin studies were conducted on transport properties measurements of bulk thermoelectric materials. The study discovered current measurement problems. In order to get ZT of a material four separate transport measurements must be taken. The round-robin study showed that among the four properties Seebeck coefficient is the one can be measured consistently. Electrical resistivity has +4-9% scatter. Thermal diffusivity has similar +5-10% scatter. The reliability of the above three properties can be improved by standardizing test procedures and enforcing system calibrations. The worst problem was found in specific heat measurements using DSC. The probability of making measurement error is great due to the fact three separate runs must be taken to determine Cp and the baseline shift is always an issue for commercial DSC. It is suggest the Dulong Petit limit be always used as a guide line for Cp. Procedures have been developed to eliminate operator and system errors. The IEA-AMT annex is developing standard procedures for transport properties testing.

Security Analysis of 7-Round MISTY1 against Higher Order Differential Attacks

Science.gov (United States)

Tsunoo, Yukiyasu; Saito, Teruo; Shigeri, Maki; Kawabata, Takeshi

MISTY1 is a 64-bit block cipher that has provable security against differential and linear cryptanalysis. MISTY1 is one of the algorithms selected in the European NESSIE project, and it has been recommended for Japanese e-Government ciphers by the CRYPTREC project. This paper shows that higher order differential attacks can be successful against 7-round versions of MISTY1 with FL functions. The attack on 7-round MISTY1 can recover a partial subkey with a data complexity of 254.1 and a computational complexity of 2120.8, which signifies the first successful attack on 7-round MISTY1 with no limitation such as a weak key. This paper also evaluates the complexity of this higher order differential attack on MISTY1 in which the key schedule is replaced by a pseudorandom function. It is shown that resistance to the higher order differential attack is not substantially improved even in 7-round MISTY1 in which the key schedule is replaced by a pseudorandom function.

Fatores associados ao atraso no desenvolvimento em crianças, Rio Grande, Rio Grande do Sul, Brasil Factores asociados con retraso en el desarrollo de los niños, Rio Grande, Rio Grande do Sul, Brasil Factors associated with delay in development in children, Rio Grande, Rio Grande do Sul, Brazil

Directory of Open Access Journals (Sweden)

Aline Alves Veleda

2011-03-01

Full Text Available Estudo analítico com o objetivo de avaliar os fatores associados ao atraso no desenvolvimento em crianças entre 8 a 12 meses de idade indicadas como de risco ao nascer no município do Rio Grande, Rio Grande do Sul, Brasil. Foram utilizados como instrumentos o Teste de Triagem de Desenvolvimento de Denver II (TTDD II, a avaliação antropométrica e questionários estruturados. Participaram 220 crianças consideradas de risco ou não ao nascer. Foi encontrada uma prevalência de 20,5% de suspeita de atraso no desenvolvimento neuropsicomotor. As crianças que apresentaram risco de um TTDD II suspeito faziam parte de famílias de mais baixa renda; eram filhos de mães que haviam realizado menos de seis consultas de pré-natal e apresentavam índice peso-idade inadequado. Os dados sugerem a necessidade de um replanejamento das políticas de saúde infantil, visto que outros critérios poderiam ser incluídos nas condições de risco para a criança ao nascer.Estudio analítico con el objetivo de evaluar los factores asociados al atraso en el desarrollo en niños de 8 a 12 meses de edad indicados como riesgo al nacer en el municipio de Rio Grande, RS, Brasil. Fueron utilizadas como herramientas la Prueba de Tamizaje del Desarrollo de Denver II, la evaluación antropométrica y cuestionarios estructurados. Participaron 220 niños considerados de riesgo o no al nacer. Fue encontrada una prevalencia del 20,5% de sospecha de atraso en el desarrollo neuropsicomotor. Los niños que presentaron riesgo de un DDST II sospechoso formaban parte de familias de más baja renta; eran hijos de madres que habían realizado menos de seis consultas de prenatal y presentaban índice peso-edad inadecuado. Los datos sugieren la necesidad de un replanteamiento de las políticas de salud infantil, así como otros criterios podrían ser inclusos en las condiciones de riesgo para el niño al nacer.This analytical study aims to evaluate the factors associated to

Grand Tour: immaginario, territorio e culture digitali

Directory of Open Access Journals (Sweden)

Emiliano Ilardi

2016-12-01

Full Text Available Il Grand Tour può essere recuperato come asset narrativo utile per un intervento strategico di re-branding del viaggio in Italia? Il contributo analizza il contesto e le condizioni per una progettazione di questo livello nell’ambiente culturale dell’epoca digitale. Considerando gli archetipi moderni della mediazione dei luoghi come una grande riserva di senso, da riattivare sia nelle pratiche basate sui format seriali e transmediali che valorizzano i territori nella produzione creativa, sia nella costruzione di infrastrutture digitali e  transluoghi per la valorizzazione degli attrattori culturali.

Constructing 5d orbifold grand unified theories from heterotic strings

International Nuclear Information System (INIS)

Kobayashi, Tatsuo; Raby, Stuart; Zhang Renjie

2004-01-01

A three-generation Pati-Salam model is constructed by compactifying the heterotic string on a particular T 6 /Z 6 Abelian symmetric orbifold with two discrete Wilson lines. The compactified space is taken to be the Lie algebra lattice G 2 -bar SU(3)-bar SO(4). When one dimension of the SO(4) lattice is large compared to the string scale, this model reproduces many features of a 5d SO(10) grand unified theory compactified on an S 1 /Z 2 orbifold. (Of course, with two large extra dimensions we can obtain a 6d SO(10) grand unified theory.) We identify the orbifold parities and other ingredients of the orbifold grand unified theories in the string model. Our construction provides a UV completion of orbifold grand unified theories, and gives new insights into both field theoretical and string theoretical constructions

Micetomas actinomicóticos no Rio Grande do Sul: relato de quatro casos Actinomycotic mycetomas in Rio Grande do Sul: report of 4 cases

Directory of Open Access Journals (Sweden)

Alberto T. Londero

1986-03-01

Full Text Available São relatados quatro casos de micetoma causados por Nocardia brasiliensis, ocorridos no Rio Grande do Sul. É revista a literatura rio-grandense-do-sul.Four cases of mycetoma caused by N. brasiliensis, occurring in Rio Grande do Sul (Brazil, are reported.

Optimizing adherence to advice from antimicrobial stewardship audit and feedback rounds.

Science.gov (United States)

Rawlins, Matthew D M; Sanfilippo, Frank M; Ingram, Paul R; McLellan, Duncan G J; Crawford, Colin; D'Orsogna, Luca; Dyer, John

2018-02-01

We examined adherence to antimicrobial stewardship prospective audit and feedback rounds in a rehabilitation service compared with the remainder of the acute hospital, and explored the reasons for this. Between October 2014 and December 2015, we retrospectively assessed the rate of non-adherence to advice from antimicrobial stewardship prospective audit and feedback rounds between the rehabilitation service and the acute hospital, along with the source of the patient referral. Compared with the rehabilitation service, acute hospital medical staff were almost twice as likely to not adhere to advice provided on antimicrobial stewardship prospective audit and feedback rounds (13.8% vs. 7.6%, p risk 1.8 [95% confidence interval 1.3, 2.5]). In the rehabilitation service, referrals were more likely to come from medical staff (61.9% vs. 16.3%, p model potentially applicable to other settings.

Enhanced round robin CPU scheduling with burst time based time quantum

Science.gov (United States)

Indusree, J. R.; Prabadevi, B.

2017-11-01

Process scheduling is a very important functionality of Operating system. The main-known process-scheduling algorithms are First Come First Serve (FCFS) algorithm, Round Robin (RR) algorithm, Priority scheduling algorithm and Shortest Job First (SJF) algorithm. Compared to its peers, Round Robin (RR) algorithm has the advantage that it gives fair share of CPU to the processes which are already in the ready-queue. The effectiveness of the RR algorithm greatly depends on chosen time quantum value. Through this research paper, we are proposing an enhanced algorithm called Enhanced Round Robin with Burst-time based Time Quantum (ERRBTQ) process scheduling algorithm which calculates time quantum as per the burst-time of processes already in ready queue. The experimental results and analysis of ERRBTQ algorithm clearly indicates the improved performance when compared with conventional RR and its variants.

Saturn's Internal Magnetic Field Revealed by Cassini Grand Finale

Science.gov (United States)

Cao, H.; Dougherty, M. K.; Khurana, K. K.; Hunt, G. J.; Provan, G.; Kellock, S.; Burton, M. E.; Burk, T. A.

2017-12-01

Saturn's internal magnetic field has been puzzling since the first in-situ measurements during the Pioneer 11 Saturn flyby. Cassini magnetometer measurements prior to the Grand Finale phase established 1) the highly axisymmetric nature of Saturn's internal magnetic field with a dipole tilt smaller than 0.06 degrees, 2) at least an order of magnitude slower secular variation rate compared to that of the current geomagnetic field, and 3) expulsion of magnetic fluxes from the equatorial region towards high latitude. The highly axisymmetric nature of Saturn's intrinsic magnetic field not only challenges dynamo theory but also makes an accurate determination of the interior rotation rate of Saturn extremely difficult. The Cassini spacecraft entered the Grand Finale phase in April 2017, during which time the spacecraft dived through the gap between Saturn's atmosphere and the inner edge of the D-ring 22 times before descending into the deep atmosphere of Saturn. The unprecedented proximity to Saturn (reaching 2500 km above the cloud deck) and the highly inclined nature of the Grand Finale orbits provided an ideal opportunity to decode Saturn's internal magnetic field. The fluxgate magnetometer onboard Cassini made precise vector measurements during the Grand Finale phase. Magnetic signals from the interior of the planet, the magnetospheric ring current, the high-latitude field-aligned current (FAC) modulated by the 10.7 hour planetary period oscillation, and low-latitude FACs were observed during the Grand Finale phase. Here we report the magnetometer measurements during the Cassini Grand Finale phase, new features of Saturn's internal magnetic field revealed by these measurements (e.g., the high degree magnetic moments of Saturn, the level of axisymmetry beyond dipole), and implications for the deep interior of Saturn.

Round Two for Three ALICE Industrial Awards

CERN Multimedia

2004-01-01

Excellency in industrial collaboration with the LHC experimental teams is one important contribution to the successful development and realization of the experiments. A few weeks ago the ALICE collaboration presented a second round of awards to industrial collaborators for their novel and remarkable contributions to major detector systems.

Rounding of the hippocampus in Alzheimer's disease. A study by routine coronal magnetic resonance imaging

International Nuclear Information System (INIS)

Adachi, Michito; Ohshima, Fumi; Kawanami, Toru; Kawakatsu, Shinobu; Shibata, Akiko

2007-01-01

On routine coronal images, we have recognized atrophied hippocampi that appear round in patients with Alzheimer's disease (AD). The purpose of this study was to evaluate rounding of the hippocampus in patients with AD and to elucidate whether this change is a useful radiological marker of atrophy of the hippocampus. We enrolled 14 patients with moderate AD (Mini-Mental State Examination score 16.2±3.3) and 15 patients without dementia or neurological deficits as the control group. For measurement of the hippocampus, we used T2-weighted coronal images parallel to the floor of the fourth ventricle. Two observers measured the dimensions of the long and short axes of the hippocampal body of 28 hippocampi from 14 patients with AD and 30 hippocampi from 15 controls. As a marker of rounding of the hippocampal body, we calculated the ratio of the short axis length to the long axis length (the rounding ratio) of the hippocampus. We observed apparent atrophy of the long axis of the hippocampus in patients with AD. An unpaired t-test indicated significant differences in the long axis length and the rounding ratio between the control and AD groups (P<0.01) in the measurements of both observers. However, there was no significant difference in the short axis length. With a threshold of 0.7 in the rounding ratio, the sensitivity was 85.7% and the specificity was 66.7%. The hippocampus appears round on coronal images in the presence of moderate AD. The rounding ratio of the hippocampus is a useful and facile indicator of hippocampal atrophy. (author)

In-situ roundness measurement and correction for pin journals in oscillating grinding machines

Science.gov (United States)

Yu, Hongxiang; Xu, Mengchen; Zhao, Jie

2015-01-01

In the mass production of vehicle-engine crankshafts, pin chasing grinding using oscillating grinding machines is a widely accepted method to achieve flexible and efficient performance. However, the eccentric movement of pin journals makes it difficult to develop an in-process roundness measurement scheme for the improvement of contour precision. Here, a new in-situ roundness measurement strategy is proposed with high scanning speed. The measuring mechanism is composed of a V-block and an adaptive telescopic support. The swing pattern of the telescopic support and the V-block is analysed for an equal angle-interval signal sampling. Hence roundness error signal is extracted in frequency domain using a small-signal model of the V-block roundness measurement method and the Fast Fourier Transformation. To implement the roundness data in the CNC coordinate system of an oscillating grinding machine, a transformation function is derived according to the motion model of pin chasing grinding methodology. Computer simulation reveals the relationship between the rotational position of the crankshaft component and the scanning angle of the displacement probe on the V-block, as well as the influence introduced by the rotation centre drift. Prototype investigation indicates the validity of the theoretical analysis and the feasibility of the new strategy.

Use of an autologous liver round ligament flap zeros postoperative bile leak after curative resection of hilar cholangiocarcinoma.

Science.gov (United States)

Sun, Da-Xin; Tan, Xiao-Dong; Gao, Feng; Xu, Jin; Cui, Dong-Xu; Dai, Xian-Wei

2015-01-01

Postoperative bile leak is a major surgical morbidity after curative resection with hepaticojejunostomy for hilar cholangiocarcinoma, especially in Bismuth-Corlette types III and IV. This retrospective study assessed the effectiveness and safety of an autologous hepatic round ligament flap (AHRLF) for reducing bile leak after hilar hepaticojejunostomy. Nine type III and IV hilar cholangiocarcinoma patients were consecutively hospitalized for elective perihilar partial hepatectomy with hilar hepaticojejunostomy using an AHRLF between October 2009 and September 2013. The AHRLF was harvested to reinforce the perihilar hepaticojejunostomy. Main outcome measures included operative time, blood loss, postoperative recovery times, morbidity, bile leak, R0 resection rate, and overall survival. All patients underwent uneventful R0 resection with hilar hepaticojejunostomy. No patient experienced postoperative bile leak. The AHRLF was associated with lack of bile leak after curative perihilar hepatectomy with hepaticojejunostomy for hilar cholangiocarcinoma, without compromising oncologic safety, and is recommended in selected patients.

Trade liberalization in the Doha development Round

NARCIS (Netherlands)

Francois, J.; Meijl, van H.; Tongeren, van F.W.

2005-01-01

The Doha Round faced a long series of launch-delays and a spectacular launch-failure in Seattle in 1999. While the talks did take off in 2001, the negotiating agenda is still ambiguous in a number of crucial areas. This paper argues that these ambiguities matter greatly. Such ambiguities include the

Doha Round: the endless beginning

OpenAIRE

Popa, Diana

2011-01-01

This paper aims to research existing literature on the collapse of the Doha Round and its causes. The first part is a review of significant paper in the vast literature on the history of international trade from the end of the Second World War until the present, focusing especially, on the beginning of the Doha Ministerial Conference as part of World Trade Organization, but also, the results of the negotiations that followed it. The second part illustrated, briefly, some of the causes that le...

75 FR 21343 - Notice of Availability of the Final Environmental Impact Statement for the Round Mountain...

Science.gov (United States)

2010-04-23

... INFORMATION: The Round Mountain Gold Corporation, which is a joint venture of Kinross Gold Corporation and Barrick Gold Corporation, proposes to expand its Round Mountain Mine, an existing open-pit gold mining and... about 66.2 acres between the Round Mountain area and the Gold Hill area. The primary method of...

Assessing Grand Strategies: How the EU and NATO Rock the Strategic Boat

Science.gov (United States)

2015-05-01

part to constitute the embryos of the European Union and NATO grand strategies briefly illustrated in the extracts presented in the epigraph. These... embryos gestated over time becoming de facto grand strategies for these institutions. Applying the characterization of grand strategy elaborated in...6. Michio Kaku, Physics of the Future: How Science Will Shape Human Destiny and Our Daily

Surgical lighting

NARCIS (Netherlands)

Knulst, A.J.

2017-01-01

The surgical light is an important tool for surgeons to create and maintain good visibility on the surgical task. Chapter 1 gives background to the field of (surgical) lighting and related terminology. Although the surgical light has been developed strongly since its introduction a long time ago,

Surgical smoke.

Science.gov (United States)

Fan, Joe King-Man; Chan, Fion Siu-Yin; Chu, Kent-Man

2009-10-01

Surgical smoke is the gaseous by-product formed during surgical procedures. Most surgeons, operating theatre staff and administrators are unaware of its potential health risks. Surgical smoke is produced by various surgical instruments including those used in electrocautery, lasers, ultrasonic scalpels, high speed drills, burrs and saws. The potential risks include carbon monoxide toxicity to the patient undergoing a laparoscopic operation, pulmonary fibrosis induced by non-viable particles, and transmission of infectious diseases like human papilloma virus. Cytotoxicity and mutagenicity are other concerns. Minimisation of the production of surgical smoke and modification of any evacuation systems are possible solutions. In general, a surgical mask can provide more than 90% protection to exposure to surgical smoke; however, in most circumstances it cannot provide air-tight protection to the user. An at least N95 grade or equivalent respirator offers the best protection against surgical smoke, but whether such protection is necessary is currently unknown.

Critical-temperature inhomogeneities and resistivity rounding in copper oxide superconductors

International Nuclear Information System (INIS)

Maza, J.; Vidal, F.

1991-01-01

By using effective-medium approaches, we obtain the onset of the electrical-resistivity rounding, above the normal-superconducting transition, associated with inhomogeneities of the mean-field critical temperature T c0 at scales larger than the superconducting correlation length. These results are compared with available data in single-crystal and single-phase (to within 4%) polycrystalline YBa 2 Cu 3 O 7-δ samples. This comparison shows that the measured resistivity rounding cannot be explained by these types of local T c0 inhomogeneities. Complementarily, our calculations allow us to check some proposals on T c0 inhomogeneities associated with local sample strains or oxygen-content variations. The interplay between T c0 inhomogeneities and superconducting order-parameter fluctuations (SCOPF) leads to the conclusion that in the mean-field-like region (MFR) above the superconducting transition, the T c0 inhomogeneity contribution to the measured resistivity rounding in high-quality (single-phase) cuprate oxide superconductors is negligible. In contrast, our analysis confirms that in the MFR these effects may be explained quantitatively on the grounds of the Lawrence-Doniach theory for SCOPF

Grand Challenges for Environmental Magnetism

Science.gov (United States)

Verosub, K. L.

2009-05-01

The development of new, inexpensive, and rapid geochemical methods for determining the ages of geologic materials, their elemental composition, and their isotopic ratios over a broad array of elements puts into sharp focus the question: What information can environmental magnetic methods provide that can't be obtained using these other methods? Because iron is ubiquitous in the Earth's crust and because it exists in so many different forms, a discipline that looks in detail at iron-bearing minerals does have the potential to make significant contributions to the study of surficial processes. However, to reach that potential requires the development of new environmental magnetic methods. I would like to put forward three Grand Challenges for environmental magnetism that have the potential to move the field forward to a new level of scientific sophistication and that will allow environmental magnetists to compete successfully in a world increasingly dominated by geochemists. The first Grand Challenge is the development of new techniques that lead to the direct and unambiguous identification of the full suite of magnetic minerals. For many environmental magnetic applications, the key magnetic minerals are not just magnetite and hematite but also iron oxy-hydroxides (goethite, lepidocrocite, akaganeite, ferrihydrite), carbonates (siderite) and sulfides (pyrrhotite and greigite) as well as compounds involving iron and other transition metals (cobalt and nickel). The second Grand Challenge is the development of new analytical methods that provide specific quantitative values for the amount of each magnetic mineral present in a sample. One promising approach to this problem is the application of two- or three-component multivariate analysis to arrays of downcore environmental magnetic parameters. The third Grand Challenge is the development of new ways of determining, not just the average values, but the actual distributions of grain sizes and coercivities of each mineral

Adaptation of a hospital electronic referral system for antimicrobial stewardship prospective audit and feedback rounds.

Science.gov (United States)

Rawlins, Matthew D M; Raby, Edward; Sanfilippo, Frank M; Douglass, Rae; Chambers, Jonathan; McLellan, Duncan; Dyer, John R

2018-05-04

To evaluate the impact of the adaptation of an existing electronic referral application for use in antimicrobial stewardship prospective audit and feedback rounds (antimicrobial rounds). Retrospective, single-centre observational study between March 2015 and February 2016. A new quaternary referral centre. Adults referred for antimicrobial rounds outside of the intensive care and haematology units. Adaptation of an electronic referral application used by medical and allied health staff. A questionnaire-style referral form was designed to capture patient clinical details using a combination of free text and dropdown menus. Clinical pharmacists were educated and granted access to the system. The proportion of completed electronic referrals of total round reviews by month for the 12 months after implementation. The time from request to completion of reviews. The impact on adherence to advice provided on rounds. The impact on the institutional usage of broad-spectrum antibiotics: glycopeptides, carbapenems, third and fourth generation cephalosporins, fluoroquinolones and piperacillin/tazobactam. Over the study period, the proportion of electronic referrals of completed antimicrobial round reviews increased from 59% to 88% (P < 0.001); 75.7% of accepted electronic referrals were seen within 48 h of request. The proportion of advice ignored fell from 18% to 8.5% (P < 0.001). Piperacillin/tazobactam, fluoroquinolone and glycopeptide usage decreased. The adaptation of an electronic referral application for antimicrobial rounds was associated with increased adherence to advice and reduction in use in target antibiotics. Our model is now used at other institutions.

Selected topics in grand unification

International Nuclear Information System (INIS)

Seckel, D.

1983-01-01

This dissertation is a collection of four pieces of research dealing with grand unification. The topics are neutron oscillation, CP violation, magnetic monopole abundance and distribution in neutron stars, and a proposal for an inflationary cosmology driven by stress-energy in domain walls

Coordinated Exploration for Grand Challenges

DEFF Research Database (Denmark)

Ørding Olsen, Anders; Sofka, Wolfgang; Grimpe, Christoph

2016-01-01

Grand challenges are among the most complex problems for modern societies. Many governments and foundations provide substantial resources to encourage the search for solutions. Due to the significance of these problems, organizations often form partnerships in what we call search consortia to eng...

Water Environment Evolution along the China Grand Canal

International Nuclear Information System (INIS)

Mao, F; Wu, Y X; Yang, B F; Li, X J

2014-01-01

The China Grand Canal is one of the earliest canals in the world, having lasted for nearly 3000 years. Even its section canals have a rich history, such as the North-South Grand Canal that was established during the Sui Dynasty, whereas the Beijing-Hangzhou Canal was excavated during the Yuan Dynasty and the east line of the South-to-North Water Diversion. As one of the longest in the world, the China Grand Canal's total length is over 3500 kilometers. This length includes the navigable, unnavigable, and underground sections. Making the best use of situations and according to local conditions, the Chinese people harmoniously constructed the Beijing-Hangzhou Canal with nature. Tens of millions of workers took nearly 3000 years to complete the great shipping system. Navigable sections still exist for up to 900 kilometers and the volume of freight traffic is approximately 300 million tons. The canal remains the main logistical channel of the North-to-South Coal Transportation, South-to-North Water Diversion, and resources circulation. To date, China is promoting the success of heritage application. Part of these efforts is the declaration of the China Grand Canal as a World Cultural Heritage by 2014. In addition, the east route of the South-to-North Water Transfer project is planned to be navigable by 2016. The ancient Beijing-Hangzhou Grand Canal will usher in the new ecological civilization and cultural revival along the canal. This paper presents technical methods of water environment evolution research on the river system, river, and water quality along the Beijing-Hangzhou Canal through the integration of historical literature and modern remote sensing image data. The study carried out water environment investigation and analysis along the Beijing-Hangzhou canal by using ETM, SPOT image data, and GPS measurement data. Spatial and temporal evolution characteristics and regulations of the Beijing-Hangzhou Grand Canal regional water environment in the span of

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.

Science.gov (United States)

Lown, Beth A; Manning, Colleen F

2010-06-01

To assess the impact of Schwartz Center Rounds, an interdisciplinary forum where attendees discuss psychosocial and emotional aspects of patient care. The authors investigated changes in attendees' self-reported behaviors and beliefs about patient care, sense of teamwork, stress, and personal support. In 2006-2007, researchers conducted retrospective surveys of attendees at six sites offering Schwartz Center Rounds ("the Rounds") for > or =3 years and prospective surveys of attendees at 10 new Rounds sites that have held > or =7 Rounds. Most of the retrospective survey respondents indicated that attending Rounds enhanced their likelihood of attending to psychosocial and emotional aspects of care and enhanced their beliefs about the importance of empathy. Respondents reported better teamwork, including heightened appreciation of the roles and contributions of colleagues. There were significant decreases in perceived stress (P teamwork (both: P communication, teamwork, and provider support. The impact on measured outcomes increased with the number of Rounds attended. The Rounds represent an effective strategy for providing support to health care professionals and for enhancing relationships among them and with their patients.

Grand Narrative Pemberantasan Korupsi dalam Wacana Konflik Sepak Bola di Media Cetak

Directory of Open Access Journals (Sweden)

Afdal Makkuraga Putra

2017-05-01

Full Text Available Eradication of corruption has been a grand narrative since the early of reformation era. Mass media became part of the preservation of the grand narrative. Grand narrative is the main narration which becomes basis and universal character since it can be used as standard to measure and assess other narratives. This study analyzes grand narrative of corruption eradication in Indonesia soccer conflict in print media by using critical discourse by Norman Fairclough as research method. The result shows that media preserved grand narrative of corruption eradication through image projection of corruptors as common enemy. The spread of anti-corruption information through mass media carried out continuously and sustainably is a manifestation of the commitment to fight corruption. Information provided by media does not only explains the state’s loss but up to the development of its completion.

Impact of Quality Assurance Rounds in a Canadian Radiation Therapy Department

International Nuclear Information System (INIS)

Lefresne, Shilo; Olivotto, Ivo A.; Joe, Howard; Blood, Paul A.; Olson, Robert A.

2013-01-01

Purpose: Quality assurance (QA) programs aim to identify inconsistencies that may compromise patient care. Radiation treatment planning is a well-documented source of variation in radiation oncology, leading many organizations to recommend the implementation of QA rounds in which radiation therapy plans are peer reviewed. This study evaluates the outcome of QA rounds that have been conducted by a radiation therapy department since 2004. Methods and Materials: Prospectively documented records of QA rounds, from 2004 to 2010, were obtained. During rounds, randomly selected radiation therapy plans were peer reviewed and assigned a grade of A (adequate), B (minor suggestions of change to a plan for a future patient), or C (significant change required before the next fraction). The proportion of plans that received each recommendation was calculated, and the relationship between recommendations for each plan, tumor site, and mean years of experience of the radiation oncologist (RO) were explored. Chart reviews were performed for each plan that received a C. Results: During the study period, 1247 plans were evaluated; 6% received a B and 1% received a C. The mean RO years of experience were lower for plans graded C versus those graded A (P=.02). The tumor sites with the highest proportion of plans graded B or C were gastrointestinal (14%), lung (13%), and lymphoma (8%). The most common reasons for plans to receive a grade of C were inadequate target volume coverage (36%), suboptimal dose or fractionation (27%), errors in patient setup (27%), and overtreatment of normal tissue (9%). Conclusions: This study demonstrated that QA rounds are feasible and an important element of a radiation therapy department's QA program. Through peer review, plans that deviate from a department's expected standard can be identified and corrected. Additional benefits include identifying patterns of practice that may contribute to inconsistencies in treatment planning and the continuing

Developing emotional intelligence ability in oncology nurses: a clinical rounds approach.

Science.gov (United States)

Codier, Estelle; Freitas, Beth; Muneno, Lynn

2013-01-01

To explore the feasibility and impact of an emotional intelligence ability development program on staff and patient care. A mixed method, pre/post-test design. A tertiary care hospital in urban Honolulu, HI. Rounds took place on a 24-bed inpatient oncology unit. 33 RNs in an oncology unit. After collection of baseline data, the emotional intelligence rounds were conducted in an inpatient oncology nursing unit on all shifts during a 10-month period. Demographic information, emotional intelligence scores, data from rounds, chart reviews of emotional care documentation, and unit-wide satisfaction and safety data. The ability to identify emotions in self and others was demonstrated less frequently than expected in this population. The low test response rate prevented comparison of scores pre- and postintervention. The staff's 94% participation in rounds, the positive (100%) evaluation of rounds, and poststudy improvements in emotional care documentation and emotional care planning suggest a positive effect from the intervention. Additional research is recommended over a longer period of time to evaluate the impact emotional intelligence specifically has on the staff's identification of emotions. Because the intervention involved minimal time and resources, feasibility for continuation of the intervention poststudy was rated "high" by the research team. Research in other disciplines suggests that improvement in emotional intelligence ability in clinical staff nurses may improve retention, performance, and teamwork in nursing, which would be of particular significance in high-risk clinical practice environments. Few research studies have explored development of emotional intelligence abilities in clinical staff nurses. Evidence from this study suggests that interventions in the clinical environment may be used to develop emotional intelligence ability. Impact from such development may be used in the future to not only improve the quality of nursing care, but also

Phase transitions at finite chemical potential in grand unified theories

International Nuclear Information System (INIS)

Bailin, D.; Love, A.

1984-01-01

We discuss the circumstances in which non-zero chemical potentials might prevent symmetry restoration in phase transitions in the early universe at grand unification or partial unification scales. The general arguments are illustrated by consideration of SO(10) and SU(5) grand unified theories. (orig.)

Trial manufacture of round mask for TV fluoroscopic unit

International Nuclear Information System (INIS)

Matsuoka, Shoji; Matsumoto, Yukio

1977-01-01

Demands for revision of existing medical law were described together with an introduction of TV fluoroscopic unit. Round mask, which does not always press out the bottom face of used x-ray beam from the effective primary fluorescent face of photomultiplier inspite of shifting of a spot in time of TV fluoroscopy, was manufactured for trial, and it was furnished with already established fluoroscopic stand. It is used in daily examination without any trouble. Round mask was divided into two parts, and opened upward and downward quickly by lod motor in time of photographing. Multiple iris was operated in order to fit to film size, and round mask was closed at the same time of the finishment of photographing and fluoroscopy was performed again. Item 3 of Para 2 of Art 30 of the existing medical low states that it is good not to press out, the distance between x-ray focus and fluorescent screen, and used x-ray beam from fluorescent screen. However, a regulation, which states that x-ray beam should not be pressed out from effective primary fluorescent face in x-ray fluoroscopy using photomultiplier, must be added. Improvement of the existing unit is expected, and decrease of unnecessary exposure even in small amount is proposed. (Tsunoda, M.)

Improving the Quality of Ward-based Surgical Care With a Human Factors Intervention Bundle.

Science.gov (United States)

Johnston, Maximilian J; Arora, Sonal; King, Dominic; Darzi, Ara

2018-01-01

This study aimed to explore the impact of a human factors intervention bundle on the quality of ward-based surgical care in a UK hospital. Improving the culture of a surgical team is a difficult task. Engagement with stakeholders before intervention is key. Studies have shown that appropriate supervision can enhance surgical ward safety. A pre-post intervention study was conducted. The intervention bundle consisted of twice-daily attending ward rounds, a "chief resident of the week" available at all times on the ward, an escalation of care protocol and team contact cards. Twenty-seven junior and senior surgeons completed validated questionnaires assessing supervision, escalation of care, and safety culture pre and post-intervention along with interviews to further explore the impact of the intervention. Patient outcomes pre and postintervention were also analyzed. Questionnaires revealed significant improvements in supervision postintervention (senior median pre 5 vs post 7, P = 0.002 and junior 4 vs 6, P = 0.039) and senior surgeon approachability (junior 5 vs 6, P = 0.047). Both groups agreed that they would feel safer as a patient in their hospital postintervention (senior 3 vs 4.5, P = 0.021 and junior 3 vs 4, P = 0.034). The interviews confirmed that the safety culture of the department had improved. There were no differences in inpatient mortality, cardiac arrest, reoperation, or readmission rates pre and postintervention. Improving supervision and introducing clear protocols can improve safety culture on the surgical ward. Future work should evaluate the effect these measures have on patient outcomes in multiple institutions.

Supply and demand: application of Lean Six Sigma methods to improve drug round efficiency and release nursing time.

Science.gov (United States)

Kieran, Maríosa; Cleary, Mary; De Brún, Aoife; Igoe, Aileen

2017-10-01

To improve efficiency, reduce interruptions and reduce the time taken to complete oral drug rounds. Lean Six Sigma methods were applied to improve drug round efficiency using a pre- and post-intervention design. A 20-bed orthopaedic ward in a large teaching hospital in Ireland. Pharmacy, nursing and quality improvement staff. A multifaceted intervention was designed which included changes in processes related to drug trolley organization and drug supply planning. A communications campaign aimed at reducing interruptions during nurse-led during rounds was also developed and implemented. Average number of interruptions, average drug round time and variation in time taken to complete drug round. At baseline, the oral drug round took an average of 125 min. Following application of Lean Six Sigma methods, the average drug round time decreased by 51 min. The average number of interruptions per drug round reduced from an average of 12 at baseline to 11 following intervention, with a 75% reduction in drug supply interruptions. Lean Six Sigma methodology was successfully employed to reduce interruptions and to reduce time taken to complete the oral drug round. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

A Grande Reportagem em Televisão

OpenAIRE

Teixeira, Clara Manuela Araújo

2009-01-01

Monografia apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Ciências da Comunicação Este projecto de graduação é dedicado ao estudo da elaboração de uma grande reportagem em televisão. As próximas páginas procuram dar a conhecer ao leitor as diferentes fases do processo de realização de uma grande reportagem audiovisual: desde a preparação à investigação feita pelo jornalista, passando pela recolha de informação no terr...

Agricultural Liberalization in the Doha Round

OpenAIRE

Messerlin , Patrick

2005-01-01

The analysis of agricultural liberalization reveals very large potential gains for both developed and developing countries that will come especially from own-country liberalization as well as from inter-country trade, significant benefits that may be realized by the poorest developing countries, and limited benefits from existing preferential agricultural arrangements. An ideal program for agricultural liberalization in the Doha Round would involve substantial reductions in the high tariffs t...

Numerical modeling of the late Cenozoic geomorphic evolution of Grand Canyon, Arizona

Science.gov (United States)

Pelletier, J. D.

2008-12-01

The late Cenozoic geomorphic evolution of Grand Canyon has been influenced by three primary tectonic and drainage adjustment events. First, incision into the Paleozoic strata of the southwestern margin of the Colorado Plateau began at 16 Ma in response to relief production along the Grand Wash Fault. Second, the ancestral Upper Colorado River reversed drainage and became integrated with the Lower Colorado River basin through Grand Canyon between 5.5 and 6 Ma. Third, the Colorado River was influenced by Plio- Quaternary normal faulting along the Hurricane and Toroweap Faults. Despite the relatively firm constraints available on the timing of these events, the geomorphic evolution of Grand Canyon is still not well constrained and many questions remain. For example, was there a deeply-incised gorge in western Grand Canyon before Colorado River integration? How and where was the Colorado River integrated? How have incision rates varied in space and time? In this paper, I describe the results of a numerical modeling study designed to address these questions. The model integrates the stream power model for bedrock channel erosion with cliff retreat and the flexural-isostatic response to erosion. The model honors the structural geology of the Grand Canyon region, including the variable erodibility of rocks in the Colorado Plateau and the occurrence of Plio-Quaternary normal faulting along the Hurricane-Toroweap Fault system. We present the results of two models designed to bracket the possible drainage architectures of the southwestern margin of the Colorado Plateau in Miocene time. In the first model, we assume a 13,000 km2 drainage basin primarily sourced from the Hualapai and Coconino Plateaux. The results of this model indicate that relief production along the Grand Wash fault initiated the formation of a large (700 m) knickpoint that migrated headward at a rate of 15 km/Myr prior to drainage integration at 6 Ma to form a deep gorge in western Grand Canyon. This model

The geology of Piz Pian Grand

International Nuclear Information System (INIS)

Huber, M.; Staeuble, J.

1987-01-01

Nagra has identified four potential sites for a repository for low- and intermediate-level waste. Exploration work is already underway at Oberbauenstock (UR) and Piz Pian Grand (GR). As part of the investigations in the Piz Pian Grand area, geological surface mapping was carried out between 1984 and 1987. Since the data obtained is still being evaluated, it would be premature to draw any interpretative conclusions at this stage. On the other hand, some of the most significant observations of this work can be summarised here. As a first step, the geological framework in which these investigations are to be seen should be defined. Observations will then be made on the rock content (lithology) and geometric structure (structural geology) of the area. (author) 6 figs

Cosmological implications of grand unified theories

International Nuclear Information System (INIS)

Nanopoulos, D.V.

1982-01-01

These lectures, mainly devoted to the cosmological implications of GUTs, also include the essential ingredients of GUTs and some of their important applications to particle physics. Section 1 contains some basic points concerning the structure of the standard strong and electroweak interactions prior to grand unification. A detailed expose of GUTs is attempted in sect. 2, including their basci principles and their consequences for particle physics. The minimal, simplest GUT, SU 5 is analysed in some detail and it will be used throughout these lectures as the GUT prototype. Finally, sect. 3 contains the most important cosmological implications of GUTs, including baryon number generation in the early Universe (in rather lengthy detail), dissipative processes in the very early Universe, grand unified monopoles, etc. (orig./HSI)

Histomorphological and immunohistochemical characterization of 172 cutaneous round cell tumours in dogs

Directory of Open Access Journals (Sweden)

Marina Rios Araújo

2012-08-01

Full Text Available This paper describes the use of a panel of antibodies (CD117, CD3, CD79a, CD45, cytokeratin, vimentin and E-cadherin on formalin-fixed, paraffin-embedded sections of canine cutaneous round cell tumours. Neoplastic tumours were diagnosed by histology and histochemical stains and included 107 mast cell tumours, 31 cutaneous histiocytomas, two localized histiocytic sarcomas, 21 cutaneous lymphomas, three plasma cell tumours, one transmissible venereal tumour and seven unclassified round cell tumours. The histologic diagnosis was modified in 39.5% of the total 172 neoplasms. The staining for CD45 and Ecadherin were variable, and therefore, the final diagnoses of cutaneous histiocytoma and localized histiocytic sarcoma were made based on histology in association with negative results for CD3, CD79a, CD117 and cytokeratin. The cellular origin of unclassified round cell tumours was defined in all cases. Cutaneous B-cell lymphoma and plasma cell tumours were CD79a-positive and could be distinguished from each other by the morphological characteristics. Mast cell tumours and T cell lymphoma were CD117 and CD3 positive, respectively. The positive staining for vimentin and the negative staining for CD3, CD79a, CD117 and cytokeratin favoured the diagnosis of transmissible venereal tumours. Thus, the final diagnosis of cutaneous round cell tumours should be based on the interpretation of immunohistochemical results together with the cellular morphology observed by histology. Therefore, more studies to optimize the specific markers in formalin-fixed, paraffinembedded tissues (especially for histiocytes are required for definitive diagnosis of round cell tumours in dogs.

Grandes números primos

OpenAIRE

Bang, Thöger

2012-01-01

En las escuelas danesas la teoría de los números se ha ido restringiendo gradualmente hasta no incluir sino la demostración de la descomposición univoca de los números enteros en números primos y la demostración del teorema clásico de EUCLIDES sobre la existencia de un número primo arbitrariamente grande.

Round robin performance testing of organic photovoltaic devices

DEFF Research Database (Denmark)

Gevorgyan, Suren; Zubillaga, Oihana; de Seoane, José María Vega

2014-01-01

This study addresses the issue of poor intercomparability of measurements of organic photovoltaic (OPV) devices among different laboratories. We present a round robin performance testing of novel OPV devices among 16 laboratories, organized within the framework of European Research Infrastructure...

Roundness and straightness measurement of ceramic beam ducts for the 3 GeV-synchrotron

Energy Technology Data Exchange (ETDEWEB)

Nishizawa, Daiji; Kinsho, Michikazu; Kanazawa, Kenichiro [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Kubo, Tomio; Sato, Yoshihiro; Saito, Yoshio [High Energy Accelerator Research Organization, Tsukuba, Ibaraki (Japan)

2001-12-01

Large aperture ({phi}200 - {phi}250) cylindrical beam ducts consisting of alumina ceramics will be used in the 3 GeV-synchrotron of High Intensity Proton Accelerator Facility. In particular, bending magnet sections require the large length ({approx}3500 mm) ceramic beam duct connecting several unit ducts whose length is around 500-1000 mm by metallizing and glazing. Therefore it is very important to evaluate roundness and straightness of ceramic ducts because we have to compensate contact area large and have to minimize misalignment of ducts connected. We developed an apparatus for measuring roundness and straightness, and we completed data analysis method using general application software Excel as well as measuring method. Then we have taken data, and have evaluated value of roundness and straightness for the first time about 7 pieces (3 kinds) of ceramic beam duct. At last we have found out that unit ceramic ducts can be made after sintering without polishing with roundness several hundred micron ({mu}m) and straightness around 0.2-1 mm, and that straightness has a tendency to become large as duct length increases as well as roundness increases directly proportional to the maximum oblateness. (author)

Os grandes consumidores de consultas medicas: um estudo de familia

Directory of Open Access Journals (Sweden)

M. Pereira Graça

2002-01-01

Full Text Available Este artículo describe un estudio sobre algunas características familiares de sujetos grandes consumidores de servicios de salud. Por un lado, se compara un grupo de grandes consumidores de servicios de salud, a nivel de número de consultas, con un grupo control en términos de funcionamiento familiar y actitudes hacia los médicos y la Medicina; por otro lado, se estudia la relación entre la dinámica familiar y las actitudes hacia la Medicina y los médicos en el grupo de los grandes consumidores. Los resultados muestran que los dos grupos de usuarios son significativamente diferentes; además, en el grupo de grandes consumidores el funcionamiento familiar problemático parece ser un factor intermediario en el desarrollo de actitudes menos negativas hacia los médicos y la Medicina. Se discuten las implicaciones que los resultados tienen a nivel de intervención terapéutica.

Lung cancer detection with digital chest tomosynthesis: first round results from the SOS observational study.

Science.gov (United States)

Bertolaccini, Luca; Viti, Andrea; Tavella, Chiara; Priotto, Roberto; Ghirardo, Donatella; Grosso, Maurizio; Terzi, Alberto

2015-04-01

Baseline results of the Studio OSservazionale (SOS), observational study, a single-arm observational study of digital chest tomosynthesis for lung cancer detection in an at-risk population demonstrated a detection rate of lung cancer comparable to that of studies that used low dose CT scan (LDCT). We present the results of the first round. Totally 1,703 out of 1,843 (92%) subjects who had a baseline digital chest tomosynthesis underwent a first round reevaluation after 1 year. At first round chest digital tomosynthesis, 13 (0.7%) subjects had an indeterminate nodule larger than 5 mm and underwent low-dose CT scan for nodule confirmation. PET/CT study was obtained in 10 (0.5%) subjects and 2 subjects had a low-dose CT follow up. Surgery, either video-assisted thoracoscopic or open surgery for indeterminate pulmonary nodules was performed in 10 (0.2%) subjects. A lung cancer was diagnosed and resected in five patients. The lung cancer detection rate at first round was 0.3% (5/1,703). The detection rate of lung cancer at first round for tomosynthesis is comparable to rates reported for CT. In addition, results of first round digital chest tomosynthesis confirm chest tomosynthesis as a possible first-line lung cancer-screening tool.

Round-Table Meeting on China and Uzbekistan Strategic Partnership

Institute of Scientific and Technical Information of China (English)

Wen; Guangmei

2013-01-01

<正>Round-table meeting—"Strategic Partnership between China and Uzbekistan:experience,present condition and future"—jointly sponsored by the CPAFFC,China Foundation for International Studies(CFIS),the Center

Distinguishing attack on five-round Feistel networks

DEFF Research Database (Denmark)

Knudsen, Lars Ramkilde; Raddum, H

2003-01-01

Recently it was shown (by J. Patarin) how to distinguish a general five-round Feistel network from a random permutation using O(2/sup 3n/2/) chosen plaintexts or O(2/sup 7n/4/) known plaintexts. The present authors report improvement of these results and a distinguisher is presented which uses ro...

Surgical Assisting

Science.gov (United States)

... instruction, including: Microbiology Pathophysiology Pharmacology Anatomy and physiology Medical terminology Curriculum . Course content includes: Advanced surgical anatomy Surgical microbiology Surgical pharmacology Anesthesia methods and agents Bioscience Ethical ...

Paediatric Abdominal Surgical Emergencies in a General Surgical ...

African Journals Online (AJOL)

... organized for general surgeons undertaking paediatric surgical emergencies. More paediatric surgeons should be trained and more paediatric surgical units should established in the country. Key Words: Paediatric Abdominal Surgical Emergencies; Paediatric Surgeons, General Surgeons. Journal of College of Medicine ...

Round robin 'Impurities in uranium matrix': a success for CETAMA and IAEA

International Nuclear Information System (INIS)

Granier, Guy; Roudil, Daniele; Balsley, Steven Devry; Bulyha, Siarhei; Aregbe, Yetunde

2012-01-01

The safeguard of nuclear material is of paramount importance to the IAEA which increasingly uses this information for characterization purposes in order to strengthen the verification of declared nuclear material and to identify the origin of samples from mines. IAEA tasked CETAMA to conduct a round robin with objective to evaluate the capability of laboratories to measure impurities in uranium with concentration levels between 1 and 500 ppm relative to uranium. This round robin was attended by 17 international laboratories from the nuclear industry and safeguards community. The results are mainly obtained by ICP-MS and ICP-AES. The synthesis of this round robin were helpful in identifying anomalies and will allow the IAEA to better set realistic measurement performance targets for ICP-MS and ICP-AES. (authors)

Tickling a high speed round jet

Science.gov (United States)

Arakeri, Vijay; Krothapalli, Anjaneyulu; Siddavaram, Vikram; Alkislar, Mehmet

2001-11-01

We have experimentally studied the effect of tickling a Mach 0.9 round jet with a set of microjets.Two dimensional velocity field measurements with PIV show a significant reduction in the turbulent intensities in the developing region of the jet with the activation of the microjets.Quantitatively,the axial and normal turbulence intensities are reduced by about 15respectively;even a larger effect is found on the magnitude of the correlation of axial and normal fluctuation intensities with a reduction of almost 40possible with a mass flow rate of the microjets being only about one percent of the main jet mass flow rate and hence justifying the use of the term `tickling`.The above findings are difficult to explain on the basis of stability considerations since there is very little change in the mean profile.Physically,the observed effect could be due to the alteration of the large eddy structures,which are so natural to a round jet,by the presence of the microjets.Exact nature of this interaction may be clarified with three dimensional PIV studies.It is expected that the tickling of the jet done as presently could have a favourable reflection in the aeroacoustics characteristics of the main jet.

Restrictions on SU(5) as a grand unified theory

International Nuclear Information System (INIS)

Shellard, R.C.

1984-01-01

Some restrictions imposed upon Grand Unified Theories by dynamical symetry breakdown are examined. They are shown that, in particular, theories SU(5) as symmetry group, with 3 or more fermion families undergo dynamical symmetry breakdown, and some of the fermions will acquire mass at the Grand Unified scale. On the other hand, the SO(10) group, with 3 families is free from this problem. (Author) [pt

Mesothelial cell proliferation in the scala tympani: a reaction to the rupture of the round window membrane.

Science.gov (United States)

Sone, M

1998-10-01

The inner layer of the round window membrane is composed of mesothelial cells and this mesothelial cell layer extends to the scala tympani. This study describes the histopathologic findings of temporal bone analysis from a patient with bilateral perilymphatic fistula of the round window membrane. The left ear showed proliferation of mesothelial cells in the scala tympani of the basal turn adjoining the round window membrane. This cell proliferation is thought to be a reaction to the rupture of the round window membrane.

Higher Order Differential Attack on 6-Round MISTY1

Science.gov (United States)

Tsunoo, Yukiyasu; Saito, Teruo; Nakashima, Hiroki; Shigeri, Maki

MISTY1 is a 64-bit block cipher that has provable security against differential and linear cryptanalysis. MISTY1 is one of the algorithms selected in the European NESSIE project, and it has been recommended for Japanese e-Government ciphers by the CRYPTREC project. This paper reports a previously unknown higher order differential characteristic of 4-round MISTY1 with the FL functions. It also shows that a higher order differential attack that utilizes this newly discovered characteristic is successful against 6-round MISTY1 with the FL functions. This attack can recover a partial subkey with a data complexity of 253.7 and a computational complexity of 264.4, which is better than any previous cryptanalysis of MISTY1.

Reactor Pressure Vessel P-T Limit Curve Round Robin

Energy Technology Data Exchange (ETDEWEB)

Jang, C.H.; Moon, H.R.; Jeong, I.S. [Korea Electric Power Research Institute, Taejon (Korea)

2002-07-01

This report is the summary of the analysis results for the P-T Limit Curve construction which have been subjected to the round robin analysis. The purpose of the round robin is to compare the procedure and method used in various organizations to construct P-T limit curve to prevent brittle fracture of reactor pressure vessel of nuclear power plants. Each Participant used its own approach to construct the P-T limit curve and submitted the results, By analyzing the results, the reference procedure for the P-T limit curve could be established. This report include the results of the comparison of the procedure and method used by the participants, and sensitivity study of the key parameters. (author) 23 refs, 88 figs, 17 tabs.

The role of student surgical interest groups and surgical Olympiads in anatomical and surgical undergraduate training in Russia.

Science.gov (United States)

Dydykin, Sergey; Kapitonova, Marina

2015-01-01

Traditional department-based surgical interest groups in Russian medical schools are useful tools for student-based selection of specialty training. They also form a nucleus for initiating research activities among undergraduate students. In Russia, the Departments of Topographical Anatomy and Operative Surgery play an important role in initiating student-led research and providing learners with advanced, practical surgical skills. In tandem with department-led activities, student surgical interest groups prepare learners through surgical competitions, known as "Surgical Olympiads," which have been conducted in many Russian centers on a regular basis since 1988. Surgical Olympiads stimulate student interest in the development of surgical skills before graduation and encourage students to choose surgery as their postgraduate specialty. Many of the participants in these surgical Olympiads have become highly qualified specialists in general surgery, orthopedic surgery, neurosurgery, urology, gynecology, and emergency medicine. The present article emphasizes the role of student interest groups and surgical Olympiads in clinical anatomical and surgical undergraduate training in Russia. © 2015 American Association of Anatomists.

Plants, arthropods, and birds of the Rio Grande [chapter 7

Science.gov (United States)

Deborah M. Finch; Gale L. Wolters; Wang Yong; Mary Jean Mund

1995-01-01

Human populations have increased dramatically along the Rio Grande since European settlement. Human use of water for irrigation and consumption, and human use of land for agriculture, urban centers, livestock grazing, and recreation have changed Rio Grande ecosystems by altering flood cycles, channel geomorphology, upslope processes, and water quality and quantity....

Promise Zone Round 2 Applicant Geography and Goal Data

Data.gov (United States)

Department of Housing and Urban Development — This dataset includes Promise Zone initiative round II applicant project data from 111 urban, rural, and tribal communities who consented to share their application...

Forum, Round Table and Vinegar: Managing the Cellulose Acetate Microfilm Challenge

OpenAIRE

Clive Field

2005-01-01

This final paper from CAMF 2005 is intended to provide some kind of synthesis and commentary on the Forum, plus an update on the third International Round Table on Preservation Microfilm (hereafter referred to simply as the Round Table) which took place, and which I chaired, the day before. In offering these concluding reflections on the Forum, I hope to give a sense of the ways in which the agenda for tackling the cellulose acetate microfilm challenge around the world can be, and is being, t...

Descriptive summary of the Grande Ronde Basalt type section, Columbia River Basalt Group

International Nuclear Information System (INIS)

Camp, V.E.; Price, S.M.; Reidel, S.P.

1978-10-01

The Grande Ronde Basalt type section, located in extreme southeastern Washington, was measured, sampled, and characterized. The section is 800 meters thick and is comprised of 35 Grande Ronde Basalt flows. These flows are divisible into 3 magnetostratiographic units termed, in ascending order, the R 1 , the N 1 , and the R 2 . The R 1 unit is represented by 13 reversely polarized flows; the N 1 unit, by 13 normally polarized flows; and the R 2 , by 9 reversely polarized flows. Chemically, the Grande Ronde Basalt flows are divided into 2 major groups, termed A and B. The compositions of the lower 9 flows, members of Group A, are similar to either the high-Mg Grande Ronde chemical type, the high-Ti Grande Ronde chemical type, or the Pomona chemical type. The compositions of the upper 25 flows, members of Group B, are predominantly similar to the low-Mg Grande Ronde chemical type. Petrographically, the Grande Ronde Basalt flows are generally fine grained and aphyric, and have a intergranular or intersertal micro-texture. Major mineral phases include plagioclase (An/sub 40-60/) and augite; minor mineral phases include pigeonite, orthopyroxene, ilmenite, titanomagnetite, and olivine. Group A flows generally contain more olivine and less pigeonite than do Group B flows. 6 figures, 6 tables

Pequena monografia sobre o Rio Grande do Sul

Directory of Open Access Journals (Sweden)

Ana Maria Pinho

2014-05-01

Full Text Available Pequena monografia desenvolvida por membros do Colégio Sevigne, que versa sobre diversos assuntos a respeito do Rio Grande do Sul, divididos em histórico, fronteiras, organização política administrativa, características geográficas, formação geomorfológica, economia, aspectos históricos e geográficos da capital do Estado, generalidades étnicas, e sobre o gaúcho em si. Grande quantidade de ilustrações e poemas enriquecem o artigo.

Chemical stratigraphy of Grande Ronde Basalt, Pasco Basin, south-central Washington

International Nuclear Information System (INIS)

Long, P.E.; Ledgerwood, R.K.; Myers, C.W.; Reidel, S.P.; Landon, R.D.; Hooper, P.R.

1980-02-01

Grande Ronde Basalt in the Pasco Basin, south-central Washington, can be subdivided into three chemical types and two chemical subtypes based on x-ray fluorescence major element analysis of samples from seven deep core holes and three surface sections. These chemical types are: (1) high-Mg Grande Ronde chemical type; (2) low-Mg Grande Ronde chemical type; (3) low-K (very high-Mg.) Grande Ronde chemical type; and (4) Umtanum Grande Ronde chemical subtype. A possible fifth subdivision is the McCoy Canyon Grande Ronde chemical subtype. The Umtanum and the McCoy Canyon subtypes are both single flows which belong to the low Mg and high-Mg chemical types, respectively. These subdivisions are all distinguished on a plot of MgO versus TiO 2 and/or MgO versus P 2 O 5 , but other major and minor elements, as well as trace elements, also reflect consistent chemical differences between the chemical types. Identification of these chemical types in the Pasco Basin subsurface shows that the high-Mg and low-Mg chemical types are ubiquitous, but the low-K chemical type is limited to the central, southern, and eastern parts of the basin. The Umtanum chemical subtype is present throughout the Pasco Basin subsurface, although it thins in the northeastern part of the basin and is apparently absent from surface exposures 40 kilometers (25 miles) north of the basin. The McCoy Canyon chemical subtype is also present throughout the basin

First-Year Students' Attitudes towards the Grand Challenges and Nanotechnology

Science.gov (United States)

Lakin, Joni M.; Han, Yi; Davis, Edward

2016-01-01

The "Grand Challenges" for Engineering are an effort to portray engineering as a field that has profound impacts on society. This study explores the level of interest first-year engineering students had in various "Grand Challenges" and in nanotechnology topics. We administered a survey to a large sample of students enrolled in…

First report of Phytophthora ramorum infecting grand fir in California

Science.gov (United States)

K.L. Riley; G.A. Chastagner

2011-01-01

Phytophthora ramorum was detected on grand fir in 2003 and 2005 in a Christmas tree plantation near Los Gatos, CA, in association with infected California bay laurel. Isolates derived from stem lesions were used to inoculate grand fir seedlings in two tests. Isolations from lesions on inoculated plants were positive for P. ramorum...

Attempting to Predict Success in the Qualifying Round of the International Chemistry Olympiad

Science.gov (United States)

Urhahne, Detlef; Ho, Lok Hang; Parchmann, Ilka; Nick, Sabine

2012-01-01

The aim of this study was trying to predict success in the qualifying round for the International Chemistry Olympiad (IChO) on the basis of the expectancy-value model of achievement motivation by Eccles et al. The investigation with 52 participants, including 14 females, was conducted during the third of four qualifying rounds of the IChO in…

Generation of high-titer viral preparations by concentration using successive rounds of ultracentrifugation

Directory of Open Access Journals (Sweden)

Ichim Christine V

2011-08-01

Full Text Available Abstract Background Viral vectors provide a method of stably introducing exogenous DNA into cells that are not easily transfectable allowing for the ectopic expression or silencing of genes for therapeutic or experimental purposes. However, some cell types, in particular bone marrow cells, dendritic cells and neurons are difficult to transduce with viral vectors. Successful transduction of such cells requires preparation of highly concentrated viral stocks, which permit a high virus concentration and multiplicity of infection (MOI during transduction. Pseudotyping with the vesicular stomatitis virus G (VSV-G envelope protein is common practice for both lentiviral and retroviral vectors. The VSV-G glycoprotein adds physical stability to retroviral particles, allowing concentration of virus by high-speed ultracentrifugation. Here we describe a method report for concentration of virus from large volumes of culture supernatant by means of successive rounds of ultracentrifugation into the same ultracentrifuge tube. Method Stable retrovirus producer cell lines were generated and large volumes of virus-containing supernatant were produced. We then tested the transduction ability of virus following varying rounds of concentration by ultra-centrifugation. In a second series of experiments lentivirus-containing supernatant was produced by transient transfection of 297T/17 cells and again we tested the transduction ability of virus following multiple rounds of ultra-centrifugation. Results We report being able to centrifuge VSV-G coated retrovirus for as many as four rounds of ultracentrifugation while observing an additive increase in viral titer. Even after four rounds of ultracentrifugation we did not reach a plateau in viral titer relative to viral supernatant concentrated to indicate that we had reached the maximum tolerated centrifugation time, implying that it may be possible to centrifuge VSV-G coated retrovirus even further should it be necessary

Desmoplastic small round cell tumour: Cytological and immunocytochemical features

Directory of Open Access Journals (Sweden)

Filho Adhemar

2005-01-01

Full Text Available Abstract Background Desmoplastic small round cell tumor (DSRCT is a rare and highly aggressive neoplasm. The cytological diagnosis of these tumors can be difficult because they show morphological features quite similar to other small round blue cells tumors. We described four cases of DSRCT with cytological sampling: one obtained by fine needle aspiration biopsy (FNAB and three from serous effusions. The corresponding immunocytochemical panel was also reviewed. Methods Papanicolaou stained samples from FNAB and effusions were morphologically described. Immunoreaction with WT1 antibody was performed in all cytological samples. An immunohistochemical panel including the following antibodies was performed in the corresponding biopsies: 34BE12, AE1/AE3, Chromogranin A, CK20, CK7, CK8, Desmin, EMA, NSE, Vimentin and WT1. Results The smears showed high cellularity with minor size alteration. Nuclei were round to oval, some of them with inconspicuous nucleoli. Tumor cells are clustered, showing rosette-like feature. Tumor cells in effusions and FNA were positive to WT1 in 3 of 4 cytology specimens (2 out 3 effusions and one FNA. Immunohistochemical reactions for vimentin, NSE, AE1/AE3 and WT1 were positive in all cases in tissue sections. Conclusion The use of an adjunct immunocytochemical panel coupled with the cytomorphological characteristics allows the diagnosis of DSRCT in cytological specimens.

Size limits for rounding of volcanic ash particles heated by lightning

Science.gov (United States)

Wadsworth, Fabian B.; Vasseur, Jérémie; Llewellin, Edward W.; Genareau, Kimberly; Cimarelli, Corrado; Dingwell, Donald B.

2017-03-01

Volcanic ash particles can be remelted by the high temperatures induced in volcanic lightning discharges. The molten particles can round under surface tension then quench to produce glass spheres. Melting and rounding timescales for volcanic materials are strongly dependent on heating duration and peak temperature and are shorter for small particles than for large particles. Therefore, the size distribution of glass spheres recovered from ash deposits potentially record the short duration, high-temperature conditions of volcanic lightning discharges, which are hard to measure directly. We use a 1-D numerical solution to the heat equation to determine the timescales of heating and cooling of volcanic particles during and after rapid heating and compare these with the capillary timescale for rounding an angular particle. We define dimensionless parameters—capillary, Fourier, Stark, Biot, and Peclet numbers—to characterize the competition between heat transfer within the particle, heat transfer at the particle rim, and capillary motion, for particles of different sizes. We apply this framework to the lightning case and constrain a maximum size for ash particles susceptible to surface tension-driven rounding, as a function of lightning temperature and duration, and ash properties. The size limit agrees well with maximum sizes of glass spheres found in volcanic ash that has been subjected to lightning or experimental discharges, demonstrating that the approach that we develop can be used to obtain a first-order estimate of lightning conditions in volcanic plumes.

Using Grand Challenges to Teach Science: A Biology-Geology Collaboration

Science.gov (United States)

Lyford, M.; Myers, J. D.

2012-12-01

Three science courses at the University of Wyoming explore the inextricable connections between science and society by centering on grand challenges. Two of these courses are introductory integrated science courses for non-majors while the third is an upper level course for majors and non-majors. Through collaboration, the authors have developed these courses to explore the grand challenges of energy, water and climate. Each course focuses on the fundamental STEM principles required for a citizen to understand each grand challenge. However, the courses also emphasize the non-STEM perspectives (e.g., economics, politics, human well-being, externalities) that underlie each grand challenge and argue that creating equitable, sustainable and just solutions to the grand challenges hinges on an understanding of STEM and non-STEM perspectives. Moreover, the authors also consider the multitude of personal perspectives individuals bring to the classroom (e.g., values, beliefs, empathy misconceptions) that influence any stakeholder's ability to engage in fruitful discussions about grand challenge solutions. Discovering Science (LIFE 1002) focuses on the grand challenges of energy and climate. Students attend three one-hour lectures, one two-hour lab and a one-hour discussion each week. Lectures emphasize the STEM and non-STEM principles underlying each grand challenge. Laboratory activities are designed to be interdisciplinary and engage students in inquiry-driven activities to reinforce concepts from lecture and to model how science is conducted. Labs also expose students to the difficulties often associated with scientific studies, the limits of science, and the inherent uncertainties associated with scientific findings. Discussion sessions provide an opportunity for students to explore the complexity of the grand challenges from STEM and non-STEM perspectives, and expose the multitude of personal perspectives an individual might harbor related to each grand challenge

Analysis of the Mean Absolute Error (MAE) and the Root Mean Square Error (RMSE) in Assessing Rounding Model

Science.gov (United States)

Wang, Weijie; Lu, Yanmin

2018-03-01

Most existing Collaborative Filtering (CF) algorithms predict a rating as the preference of an active user toward a given item, which is always a decimal fraction. Meanwhile, the actual ratings in most data sets are integers. In this paper, we discuss and demonstrate why rounding can bring different influences to these two metrics; prove that rounding is necessary in post-processing of the predicted ratings, eliminate of model prediction bias, improving the accuracy of the prediction. In addition, we also propose two new rounding approaches based on the predicted rating probability distribution, which can be used to round the predicted rating to an optimal integer rating, and get better prediction accuracy compared to the Basic Rounding approach. Extensive experiments on different data sets validate the correctness of our analysis and the effectiveness of our proposed rounding approaches.

Forum, Round Table and Vinegar: Managing the Cellulose Acetate Microfilm Challenge

Directory of Open Access Journals (Sweden)

Clive Field

2005-08-01

Full Text Available This final paper from CAMF 2005 is intended to provide some kind of synthesis and commentary on the Forum, plus an update on the third International Round Table on Preservation Microfilm (hereafter referred to simply as the Round Table which took place, and which I chaired, the day before. In offering these concluding reflections on the Forum, I hope to give a sense of the ways in which the agenda for tackling the cellulose acetate microfilm challenge around the world can be, and is being, taken forward.

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study

NARCIS (Netherlands)

Verweij, Lotte; Smeulers, Marian; Maaskant, Jolanda M.; Vermeulen, Hester

2014-01-01

The use of drug round tabards is a widespread intervention that is implemented to reduce the number of interruptions and medication administration errors (MAEs) by nurses; however, evidence for their effectiveness is scarce. Evaluation of the effect of drug round tabards on the frequency and type of

Small round structured viruses (SRSVs) and transmission electron ...

African Journals Online (AJOL)

Administrator

immune-electron microscopy (IEM) from patients' feces. They reported this virus particle as the causative agent of winter vomiting outbreaks in Norwalk (Kapikian et al.,. 1972). This is the remarkable landmark study of non- bacterial gastroenteritis viruses, especially for small round structured viruses (SRSVs). After that, many.

Competitors' Perceptions of Questions in Individual Events Rounds.

Science.gov (United States)

Mills, Daniel; Pettus, Ann Burnett

A study investigated student competitors' opinions of the practice of judges asking questions of competitors at the conclusion of speeches in the individual events competiton at forensic tournaments. Surveys were completed by 52 final round student competitors at a large midwestern university individual events invitational tournament. Results…

Simple and reliable identification of the human round spermatid by inverted phase-contrast microscopy.

Science.gov (United States)

Verheyen, G; Crabbé, E; Joris, H; Van Steirteghem, A

1998-06-01

Based on the results of animal studies, round spermatid injection (ROSI) has been introduced into the clinical practice of several in-vitro fertilization (IVF) centres. The efficiency of this procedure in terms of fertilization rates and pregnancy rates, however, remains very poor. An essential aspect which does not receive enough attention is the correct identification of this type of round cell within a heterogeneous population of testicular cells. A Nikon inverted microscope equipped with phase-contrast optics (DLL) provided a clear image which allowed reliable recognition of round spermatids in cell suspensions smeared at the glass bottom of the dish. Fluorescent in-situ hybridization confirmed the haploid status of the selected cells. However, exploration of several biopsies from patients with non-obstructive azoospermia showing no spermatozoa after extensive search did not reveal any round spermatids. This observation questions whether enough effort is spent on searching for mature spermatozoa or late spermatids. Experimental investigations should precede the introduction of ROSI into the clinical practice of any IVF centre.

Impact of Quality Assurance Rounds in a Canadian Radiation Therapy Department

Energy Technology Data Exchange (ETDEWEB)

Lefresne, Shilo; Olivotto, Ivo A.; Joe, Howard; Blood, Paul A. [Radiotherapy Department, BC Cancer Agency, Vancouver Island Centre, Vancouver, British Columbia (Canada); Radiotherapy Department, University of British Columbia, Vancouver, British Columbia (Canada); Olson, Robert A., E-mail: rolson2@bccancer.bc.ca [Radiotherapy Department, University of British Columbia, Vancouver, British Columbia (Canada); Radiotherapy Department, BC Cancer Agency, Centre for the North, Prince George, British Columbia (Canada)

2013-03-01

Purpose: Quality assurance (QA) programs aim to identify inconsistencies that may compromise patient care. Radiation treatment planning is a well-documented source of variation in radiation oncology, leading many organizations to recommend the implementation of QA rounds in which radiation therapy plans are peer reviewed. This study evaluates the outcome of QA rounds that have been conducted by a radiation therapy department since 2004. Methods and Materials: Prospectively documented records of QA rounds, from 2004 to 2010, were obtained. During rounds, randomly selected radiation therapy plans were peer reviewed and assigned a grade of A (adequate), B (minor suggestions of change to a plan for a future patient), or C (significant change required before the next fraction). The proportion of plans that received each recommendation was calculated, and the relationship between recommendations for each plan, tumor site, and mean years of experience of the radiation oncologist (RO) were explored. Chart reviews were performed for each plan that received a C. Results: During the study period, 1247 plans were evaluated; 6% received a B and 1% received a C. The mean RO years of experience were lower for plans graded C versus those graded A (P=.02). The tumor sites with the highest proportion of plans graded B or C were gastrointestinal (14%), lung (13%), and lymphoma (8%). The most common reasons for plans to receive a grade of C were inadequate target volume coverage (36%), suboptimal dose or fractionation (27%), errors in patient setup (27%), and overtreatment of normal tissue (9%). Conclusions: This study demonstrated that QA rounds are feasible and an important element of a radiation therapy department's QA program. Through peer review, plans that deviate from a department's expected standard can be identified and corrected. Additional benefits include identifying patterns of practice that may contribute to inconsistencies in treatment planning and the

Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events.

Science.gov (United States)

Hempel, Susanne; Maggard-Gibbons, Melinda; Nguyen, David K; Dawes, Aaron J; Miake-Lye, Isomi; Beroes, Jessica M; Booth, Marika J; Miles, Jeremy N V; Shanman, Roberta; Shekelle, Paul G

2015-08-01

Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts. To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004. We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts. Two independent reviewers identified relevant publications in June 2014. One reviewer used a standardized form to extract data and a second reviewer checked the data. Strength of evidence was established by the review team. Data extraction was completed in January 2015. Incidence of wrong-site surgery, retained surgical items, and surgical fires. We found 138 empirical studies that met our inclusion criteria. Incidence estimates for wrong-site surgery in US settings varied by data source and procedure (median estimate, 0.09 events per 10,000 surgical procedures). The median estimate for retained surgical items was 1.32 events per 10,000 procedures, but estimates varied by item and procedure. The per-procedure surgical fire incidence is unknown. A frequently reported root cause was inadequate communication. Methodologic challenges associated with investigating changes in rare events limit the conclusions of 78 intervention evaluations. Limited evidence supported the Universal Protocol (5 studies), education (4 studies), and team training (4 studies) interventions to prevent wrong-site surgery. Limited evidence exists to prevent retained surgical items by using data-matrix-coded sponge-counting systems (5 pertinent studies). Evidence for preventing surgical fires was insufficient, and intervention effects were not estimable. Current estimates for wrong-site surgery and retained surgical items are 1 event per 100,000 and 1 event per 10,000 procedures, respectively, but the precision is uncertain, and the per

Liberating methodological thinking in human sciences from grand theories

DEFF Research Database (Denmark)

Kharlamov, Nikita; Baldursson, Einar Baldvin

2016-01-01

focus on the necessity of a “grand unified theory” at the expense of any and all alternative perspectives. Properties of grand theories are discussed on the examples of Giddens and Bourdieu. It is argued that grand theories hamper a more productive focus on concrete phenomena. Robert Merton’s focus......Many humanistic and social disciplines are naturally inclined to seek for human-, person-, self- centered focus, and develop a holistic theory of such. Such disciplines continually engage with philosophical, metaphysical and meta-theoretical perspectives. This engagement often leads to a singular...... on “middle range” theories is revisited and its continuing relevance is highlighted. The level of abstraction characteristic of such theories, as well as the way they engage with the empirical social reality, are discussed. The article concludes by considering the paradoxical reductionism that can...

Levantamento etnobotânico de espécies arbóreas no assentamento Tabuleiro Grande, Apodi, Rio Grande do Norte

Directory of Open Access Journals (Sweden)

Mônica Costa Cordeiro

2017-02-01

Full Text Available Objetivou-se realizar um levantamento etnobotânico no Projeto de Assentamento Tabuleiro Grande, localizado em Apodi, Rio Grande do Norte, contribuindo para o resgate do conhecimento popular discutindo as implicações do uso da vegetação arbórea na conservação dos recursos florestais. A condução do estudo foi por meio da observação direta e entrevistas semiestruturadas (21 entrevistas. Para análise dos dados foram feitas abordagens qualitativas (acesso a informações subjetivas e quantitativas (Valor de Uso; índices de diversidade de Shannon e de equabilidade de Pielou. Foram mencionadas no levantamento 57 espécies arbóreas, entre nativas e exóticas, distribuídas em 26 famílias e enquadradas nas seguintes categorias de uso: Madeira (móveis e construção, Medicina/Higiene, Apicultura, Lenha, Veterinária Popular, Forragem, Alimentação Humana e Outros. Com os resultados obtidos, conclui-se que a comunidade estudada possui conhecimento sobre um grande número de espécies arbóreas. No entanto, no que diz respeito a “uso”, poucas espécies são, de fato, utilizadas. De forma geral, o conhecimento popular na comunidade está mantido com uma pequena parcela dos entrevistados e não é repassado, tendendo a tornar-se cada vez mais escasso.Ethnobotanical survey of tree species in the Tabuleiro Grande settlement, Apodi, Rio Grande do NorteAbstract: The aim this study was to realize ethnobotanical survey in Settlement Tabuleiro Grande Project, located in Apodi - RN, to contribute to the rescue of popular knowledge and discuss the implications of the use of trees in the conservation of forest resources. The conduct of the study was through direct observation and semi-structured interviews (21 interviews. Data analysis were made qualitative approaches (access to subjective information and quantitative (use value -VU, Shannon diversity and Pielou evenness indexes. Were mentioned in the survey 57 tree species native and exotic

A t (11; 22 (p13; q12 EWS-WT 1 positive desmoplastic small round cell tumor of the maxilla: An unusual case indicating the role of molecular diagnosis in round cell sarcomas

Directory of Open Access Journals (Sweden)

Rekhi B

2010-01-01

Full Text Available A desmoplastic small round cell tumor (DSRCT is an uncommon tumor characterized by polyphenotypic expression and a specific reciprocal translocation t (11; 22 (p13; q12. It has been rarely identified in the head and neck region. Herein, we describe a DSRCT in the maxilla of a young man, who was initially diagnosed with a primitive neuroectodermal tumor (PNET, based on histopathological appearance of a round cell tumor, with MIC2 and -FLI-1 positivity, on immunohistochemistry (IHC. Diagnosis of a DSRCT was confirmed on molecular analysis with positive -RT-PCR and sequencing results for EWS-WT1 transcript and negativity for EWS-FL1. The case is presented to highlight the value of molecular diagnosis in round cell sarcomas at uncommon sites, especially when similar IHC markers can be expressed in a PNET and a DSRCT. An exact diagnosis of a round cell sarcoma has a therapeutic relevance.

Whole abdominopelvic radiotherapy for desmoplastic small round-cell tumor

International Nuclear Information System (INIS)

Goodman, Karyn A.; Wolden, Suzanne L.; La Quaglia, Michael P.; Kushner, Brian H.

2002-01-01

Purpose: Desmoplastic small round-cell tumor (DSRCT) is a rare, recently described intraperitoneal malignancy occurring predominantly in adolescent boys. Our objective was to evaluate the feasibility and outcome of whole abdominopelvic irradiation (WAPI) as part of a combined modality protocol for patients with DSRCT. Methods and Materials: The records of all 21 patients treated with WAPI for DSRCT at our institution from 1992 to 2001 were retrospectively reviewed. Patients were treated on an institutional protocol with 7 cycles of an alkylator-based chemotherapy. After maximal surgical debulking, patients were treated with external beam radiotherapy to the whole abdomen and pelvis to a dose of 30 Gy. Results: All 21 patients completed the prescribed treatment. The median follow-up was 28 months. The overall survival and relapse-free survival rate at 3 years was 48% and 19%, respectively. The median survival was 32 months, and the median time to relapse was 19 months. Most relapses were intraperitoneal and/or hepatic. Acute toxicities included Radiation Therapy Oncology Group Grade 2 upper and lower gastrointestinal toxicity in 81% and 71% of patients, respectively. All patients experienced acute hematologic toxicity, with Grade 4 thrombocytopenia, leukopenia, and anemia in 76%, 29%, and 33%, respectively. The major long-term toxicity was small bowel obstruction, which occurred in 7 patients (33%) after surgery and WAPI. Conclusion: DSRCT is a rare and highly lethal disease, requiring aggressive multimodality therapy. WAPI is feasible in conjunction with intensive chemotherapy and surgery. Hematologic and gastrointestinal toxicities are expected but manageable with diligent supportive care. The long-term efficacy of this therapy remains disappointing, thus novel approaches are being investigated

Landscape Evolution Comparison between Sacra Mensa, Mars and the Grand Mesa, Colorado, USA

Science.gov (United States)

Chesnutt, J. M.; Wegmann, K. W.; Cole, R. D.; Byrne, P. K.

2017-12-01

The Grand Mesa in Colorado is one of the largest and highest flat-topped mountains on Earth, and as such provides a compelling analog for Mars' Sacra Mensa. Both basalt-capped landforms are morphologically similar, enabling a landscape evolution comparison between the two that considers key differences in locale, composition, and environmental conditions. Sacra Mensa is nearly 50 times the area of Grand Mesa and towers 3 km above the surrounding area. The 1,300 km2 Grand Mesa rises 2 km above Grand Valley, and is bracketed by the Colorado and Gunnison Rivers in much the same way as Sacra Mensa is bounded by braided channels of Kasei Valles. The sustained incision by the Gunnison and Colorado was a key erosive force in the creation of the Grand Mesa, whereas punctuated but voluminous Hesperian glacio-fluvial floods are thought to have carved the Sacra Mensa. The Grand Mesa is undergoing extensive mass wasting, ranging from deadly landslides like the 2014 West Salt Creek rock avalanche to hundreds of slower-moving retrogressive slump blocks calving off the Miocene basalt cap. The genesis and modification of both landforms includes volcanic and fluvial activity, albeit in an inverted sequence. The Grand Mesa basalt cap has preserved the landform during the incision around its sides, whereas Sacra Mensa was likely carved by floods, with those flood channels later modified by lava flows. Recent (2015-2017) LiDAR surveys revealed massive and possible ancient landslides in many stream valleys and extensive earthflows on all sides of the Grand Mesa. In the case of the Grand Mesa, the large landslides are mainly occurring in one stratigraphic unit. In comparison, the western half of Sacra Mensa contains substantial slumping accompanied by landslides and debris flows, whereas the eastern half has relatively few such phenomena. Here, we report on the first Mesa-Mensa landscape evolution analog study. The surficial and bedrock mapping and 14C dating of key features of the

Surgical Instrument Sets for Special Operations Expeditionary Surgical Teams.

Science.gov (United States)

Hale, Diane F; Sexton, Justin C; Benavides, Linda C; Benavides, Jerry M; Lundy, Jonathan B

The deployment of surgical assets has been driven by mission demands throughout years of military operations in Iraq and Afghanistan. The transition to the highly expeditious Golden Hour Offset Surgical Transport Team (GHOST- T) now offers highly mobile surgical assets in nontraditional operating rooms; the content of the surgical instrument sets has also transformed to accommodate this change. The 102nd Forward Surgical Team (FST) was attached to Special Operations assigned to southern Afghanistan from June 2015 to March 2016. The focus was to decrease overall size and weight of FST instrument sets without decreasing surgical capability of the GHOST-T. Each instrument set was evaluated and modified to include essential instruments to perform damage control surgery. The overall number of main instrument sets was decreased from eight to four; simplified augmentation sets have been added, which expand the capabilities of any main set. The overall size was decreased by 40% and overall weight decreased by 58%. The cardiothoracic, thoracotomy, and emergency thoracotomy trays were condensed to thoracic set. The orthopedic and amputation sets were replaced with an augmentation set of a prepackaged orthopedic external fixator set). An augmentation set to the major or minor basic sets, specifically for vascular injuries, was created. Through the reorganization of conventional FST surgical instrument sets to maintain damage control capabilities and mobility, the 102nd GHOST-T reduced surgical equipment volume and weight, providing a lesson learned for future surgical teams operating in austere environments. 2017.

Improving Communication During Cardiac ICU Multidisciplinary Rounds Through Visual Display of Patient Daily Goals.

Science.gov (United States)

Justice, Lindsey B; Cooper, David S; Henderson, Carla; Brown, James; Simon, Katherine; Clark, Lindsey; Fleckenstein, Elizabeth; Benscoter, Alexis; Nelson, David P

2016-07-01

To improve communication during daily cardiac ICU multidisciplinary rounds. Quality improvement methodology. Twenty-five-bed cardiac ICUs in an academic free-standing pediatric hospital. All patients admitted to the cardiac ICU. Implementation of visual display of patient daily goals through a write-down and read-back process. The Rounds Effectiveness Assessment and Communication Tool was developed based on the previously validated Patient Knowledge Assessment Tool to evaluate comprehension of patient daily goals. Rounds were assessed for each patient by the bedside nurse, nurse practitioner or fellow, and attending physician, and answers were compared to determine percent agreement per day. At baseline, percent agreement for patient goals was only 62%. After initial implementation of the daily goal write-down/read-back process, which was written on paper by the bedside nurse, the Rounds Effectiveness Assessment and Communication Tool survey revealed no improvement. With adaptation of the intervention so goals were written on whiteboards for visual display during rounds, the percent agreement improved to 85%. Families were also asked to complete a survey (1-6 Likert scale) of their satisfaction with rounds and understanding of daily goals before and after the intervention. Family survey results improved from a mean of 4.6-5.7. Parent selection of the best possible score for each question was 19% at baseline and 75% after the intervention. Visual display of patient daily goals via a write-down/read-back process improves comprehension of goals by all team members and improves parent satisfaction. The daily goal whiteboard facilitates consistent development of a comprehensive plan of care for each patient, fosters goal-directed care, and provides a checklist for providers and parents to review throughout the day.

DOE-Grand Junction logging model data synopsis

International Nuclear Information System (INIS)

Mathews, M.A.; Koizumi, C.J.; Evans, H.B.

1978-05-01

This synopsis provides the available data concerning the logging models at the DoE-Grand Junction facility, to date (1976). Because gamma-ray logs are used in uranium exploration to estimate the grade (percent U 3 O 8 ) and the thickness of uranium ore zones in exploration drill holes, logging models are required to calibrate the gamma-ray logging equipment in order to obtain accuracy, uniformity, standardization, and repeatability during logging. This quality control is essential for accurate ore reserve calculations and for estimates of ore potential. The logging models at the DoE-Grand Junction facility are available for use by private industry in calibrating their gamma-ray logging equipment. 21 figures, 26 tables

Cnooc's fourth bidding round offers first tracts in East China Sea

International Nuclear Information System (INIS)

Ganapathy, V.

1992-01-01

This paper reports that China National Offshore Oil Corp. (Cnooc) has unveiled details of China's fourth offshore bidding round. It features the first offering of acreage in the East China Sea. Cnooc, China's state agency for offshore oil cooperation with foreign firms, has sweetened fiscal and tax terms for operators in the fourth round, announced June 30 (OGJ, July 6, Newsletter). Cnooc put up for bids two groups of acreage in the East China Sea that cover a total area of almost 73,000 sq km. The northern acreage, consisting of four blocks, covers 18,800 sq km and is 230 km east of Shanghai. The southern acreage, consisting of 16 blocks, covers 54,000 sq km and is 110 km east of Wenzhou, Zhejiang province. The area waters are 50-100 m deep and relatively calm year round. Chines explorationists have conducted 60,000 line km of seismic surveys and drilled five wildcats in the two areas, Data indicate the two areas have thick sediments, good source rocks, and strong conditions for oil traps

1. round table. Information and knowledge sharing

International Nuclear Information System (INIS)

2005-01-01

The law from December 30, 1991, precisely defines 3 axes of researches for the management of high level and long-lived radioactive wastes: separation/transmutation, surface storage and underground disposal. A global evaluation report about these researches is to be supplied in 2006 by the French government to the Parliament. A first synthesis of the knowledge gained after 14 years of research has led the national commission of the public debate (CNDP) to organize a national debate about the general options of management of high-level and long-lived radioactive wastes before the 2006 date line. The debate comprises 4 public hearings (September 2005: Bar-le-Duc, Saint-Dizier, Pont-du-Gard, Cherbourg), 12 round-tables (October and November 2005: Paris, Joinville, Caen, Nancy, Marseille), a synthesis meeting (December 2005, Dunkerque) and a closing meeting (January 2006, Lyon). This document is the synthesis of the first round table debates about the information dissemination and the sharing of knowledge which took place at Caen. The main discussions of this session concerns the political decisions and the information of the public, and the transparency of this information as it should be in a western democracy. (J.S.)

Inguinal endometriosis attaching to the round ligament

International Nuclear Information System (INIS)

Hagiwara, Y.; Hatori, M.; Kokubun, S.; Moriya, T.; Terada, Y.; Yaegashi, N.; Ehara, S.

2007-01-01

We report a case of endometriosis in the right inguinal region, attached to the right round ligament in a 28-year-old woman. At the age of 20, laparoscopic left ovarian cystectomy and pelvic adhesiolysis for endometriosis was carried out. She noticed a right tender groin mass 7 months previously, and the tumour size fluctuated with the menstrual cycle. A poorly circumscribed elastic hard mass, measuring 3 cm in diameter, was palpated in her right inguinal region. Magnetic resonance imaging showed a 2.5 cm x 2.5 cm mass in the right inguinal canal and a 5.4 cm x 6.8 cm mass was seen in the left ovary. The mass enlarged during menstruation. The groin mass was removed, in addition to carrying out laparoscopic ovarian cystectomy. At operation, the groin mass was found to be in continuity with the round ligament of extraperitoneal portion. Histological diagnosis of endometriosis was made in both ovarian and inguinal tumours. After surgery, the pain disappeared completely. Worth mentioning is that MRI clearly showed the change of tumour size depending on the menstrual cycle, which aided in arriving at the correct diagnosis of endometriosis in an unusual location

Surgical orthodontics.

Science.gov (United States)

Strohl, Alexis M; Vitkus, Lauren

2017-08-01

The article reviews some commonly used orthodontic treatments as well as new strategies to assist in the correction of malocclusion. Many techniques are used in conjunction with surgical intervention and are a necessary compliment to orthognathic surgery. Basic knowledge of these practices will aid in the surgeon's ability to adequately treat the patient. Many orthodontists and surgeons are eliminating presurgical orthodontics to adopt a strategy of 'surgery first' orthodontics in orthognathic surgery. This has the benefit of immediate improvement in facial aesthetics and shorter treatment times. The advent of virtual surgical planning has helped facilitate the development of this new paradigm by making surgical planning faster and easier. Furthermore, using intraoperative surgical navigation is improving overall precision and outcomes. A variety of surgical and nonsurgical treatments may be employed in the treatment of malocclusion. It is important to be familiar with all options available and tailor the patient's treatment plan accordingly. Surgery-first orthodontics, intraoperative surgical navigation, virtual surgical planning, and 3D printing are evolving new techniques that are producing shorter treatment times and subsequently improving patient satisfaction without sacrificing long-term stability.

Blaise Cendrars et ses 'Grands Fétiches'

DEFF Research Database (Denmark)

Doubinsky, Sebastien

2016-01-01

Quand l’écrivain Blaise Cendrars fait paraître sa série de poèmes réunis sous le titre Les Grands Fétiches dans la revue bruxelloise Le Disque vert en 1922, il semble participer de la grande mode « Nègre » qui secoue la France en cette période. Co-découvreur des arts dits « primitives » dès 1916...... avec Guillaume Apollinaire, l’écrivain va les insérer dans son travail poétique comme miroirs inversés de la modernité occidentale. Cependant, même s'il utilise certains des clichés racistes de son époque, il se place lui-même dans le camp des « mélanophiles », et va se servir de cet Art Nègre pour...... repousser à l'extrême les frontières de la modernité. La série des Grands Fétiches participe directement de ce désir, et nous tenterons de montrer dans cet article comment ces objets dits primitifs deviennent des objets « instables » qui remettent en question la définition même du poétique....

Biomechanical analysis technique choreographic movements (for example, "grand battman jete"

Directory of Open Access Journals (Sweden)

Batieieva N.P.

2015-04-01

Full Text Available Purpose : biomechanical analysis of the execution of choreographic movement "grand battman jete". Material : the study involved students (n = 7 of the department of classical choreography faculty of choreography. Results : biomechanical analysis of choreographic movement "grand battman jete" (classic exercise, obtained kinematic characteristics (path, velocity, acceleration, force of the center of mass (CM bio parts of the body artist (foot, shin, thigh. Built bio kinematic model (phase. The energy characteristics - mechanical work and kinetic energy units legs when performing choreographic movement "grand battman jete". Conclusions : It was found that the ability of an athlete and coach-choreographer analyze the biomechanics of movement has a positive effect on the improvement of choreographic training of qualified athletes in gymnastics (sport, art, figure skating and dance sports.

"Teine" võitis Prantsusmaal Grand Prix'

Index Scriptorium Estoniae

2006-01-01

Prantsusmaal Essonne'is toimuval 8. Euroopa filmifestivalil Cinessonne sai üliõpilaste žürii grand prix rahvusvahelises ühistöös valminud tantsufilm "Teine" ("Another") : režissöör Rene Vilbre. Ka teistest festivalidest, kus film osalenud

Pay for Performance Proposals in Race to the Top Round II Applications. Briefing Memo

Science.gov (United States)

Rose, Stephanie

2010-01-01

The Education Commission of the States reviewed all 36 Race to the Top (RttT) round II applications. Each of the 36 states that applied for round II funding referenced pay for performance under the heading of "Improving teacher and principal effectiveness based on performance." The majority of states outlined pay for performance…

Administrative Problems in the Single-Track Year-Round High Schools: Research Findings and Guidelines.

Science.gov (United States)

Holt, Laura L.; Karr-Kidwell, PJ

An analysis of the problems pertaining to the adoption of a year-round calendar for high schools, along with the advantages of year-round education (YRE), are examined. It provides a literary review (including historical contexts), types of calendars, benefits, administrative problems, and societal benefits. For the study, 28 schools responded to…

The Collapse of the Doha Round and a Possible Completion of Negotiations

OpenAIRE

Diana Popa

2012-01-01

The purpose of this article is to capture as much as possible, the defining of past and present Doha Round, seen as a unique opportunity to strengthen the multilateral trading system based on non-discriminatory rules and its preparation for the challenges of XXI century. Basing on an inductive reasoning, the article summarizes the stages preceding the current collapse, its impact on the world, and researchers opinion on the conclusion of successful negotiations in the Doha Round, in late 2011...

Mesohabitats, fish assemblage composition, and mesohabitat use of the Rio Grande silvery minnow over a range of seasonal flow regimes in the Rio Grande/Rio Bravo del Norte, in and near Big Bend National Park, Texas, 2010-11

Science.gov (United States)

Moring, J. Bruce; Braun, Christopher L.; Pearson, Daniel K.

2014-01-01

In 2010–11, the U.S. Geological Survey (USGS), in cooperation with the U.S. Fish and Wildlife Service, evaluated the physical characteristics and fish assemblage composition of mapped river mesohabitats at four sites on the Rio Grande/Rio Bravo del Norte (hereinafter Rio Grande) in and near Big Bend National Park, Texas. The four sites used for the river habitat study were colocated with sites where the U.S. Fish and Wildlife Service has implemented an experimental reintroduction of the Rio Grande silvery minnow (Hybognathus amarus), a federally listed endangered species, into part of the historical range of this species. The four sites from upstream to downstream are USGS station 08374340 Rio Grande at Contrabando Canyon near Lajitas, Tex. (hereinafter the Contrabando site), USGS station 290956103363600 Rio Grande at Santa Elena Canyon, Big Bend National Park, Tex. (hereinafter the Santa Elena site), USGS station 291046102573900 Rio Grande near Ranger Station at Rio Grande Village, Tex. (hereinafter the Rio Grande Village site), and USGS station 292354102491100 Rio Grande above Stillwell Crossing near Big Bend National Park, Tex. (hereinafter the Stillwell Crossing site).

Finding and applying evidence during clinical rounds: the "evidence cart".

Science.gov (United States)

Sackett, D L; Straus, S E

1998-10-21

Physicians need easy access to evidence for clinical decisions while they care for patients but, to our knowledge, no investigators have assessed use of evidence during rounds with house staff. To determine if it was feasible to find and apply evidence during clinical rounds, using an "evidence cart" that contains multiple sources of evidence and the means for projecting and printing them. Descriptive feasibility study of use of evidence during 1 month (April 1997) and anonymous questionnaire (May 1997). General medicine inpatient service. Medical students, house staff, fellows, and attending consultant. Evidence cart that included 2 secondary sources developed by the department (critically appraised topics [CATs] and Redbook), Best Evidence, JAMA Rational Clinical Examination series, the Cochrane Library, MEDLINE, a physical examination textbook, a radiology anatomy textbook, and a Simulscope, which allows several people to listen simultaneously to the same signs on physical examination. Number of times sources were used, type of sources searched and success of searches, time needed to search, and whether the search affected patient care. The evidence cart was used 98 times, but could not be taken on bedside rounds because of its bulk; hard copies of several sources were taken instead. When the evidence cart was used during team rounds and student rounds, some sources could be accessed quickly enough (10.2-25.4 seconds) to be practical on our service. Of 98 searches, 79 (81%) sought evidence that could affect diagnostic and/or treatment decisions. Seventy-one (90%) of 79 searches regarding patient management were successful, and when assessed from the perspective of the most junior team members responsible for each patient's evaluation and management, 37 (52%) of the 71 successful searches confirmed their current or tentative diagnostic or treatment plans, 18 (25%) led to a new diagnostic skill, an additional test, or a new management decision, and 16 (23

Studies of turbulent round jets through experimentation, simulation, and modeling

Science.gov (United States)

Keedy, Ryan

This thesis studies the physics of the turbulent round jet. In particular, it focuses on three different problems that have the turbulent round jet as their base flow. The first part of this thesis examines a compressible turbulent round jet at its sonic condition. We investigate the shearing effect such a jet has when impinging on a solid surface that is perpendicular to the flow direction. We report on experiments to evaluate the jet's ability to remove different types of explosive particles from a glass surface. Theoretical analysis revealed trends and enabled modeling to improve the predictability of particle removal for various jet conditions. The second part of thesis aims at developing a non-intrusive measurement technique for free-shear turbulent flows in nature. Most turbulent jet investigations in the literature, both in the laboratory and in the field, required specialized intrusive instrumentation and/or complex optical setups. There are many situations in naturally-occurring flows where the environment may prove too hostile or remote for existing instrumentation. We have developed a methodology for analyzing video of the exterior of a naturally-occurring flow and calculating the flow velocity. We found that the presence of viscosity gradients affects the velocity analysis. While these effects produce consistent, predictable changes, we became interested in the mechanism by which the viscosity gradients affect the mixing and development of the turbulent round jet. We conducted a stability analysis of the axisymmetric jet when a viscosity gradient is present. Finally, the third problem addressed in this thesis is the growth of liquid droplets by condensation in a turbulent round jet. A vapor-saturated turbulent jet issues into a cold, dry environment. The resulting mixing produces highly inhomogeneous regions of supersaturation, where droplets grow and evaporate. Non-linear interactions between the droplet growth rate and the supersaturation field make

Measuring of roundness after turning of composite material with natural fibers

Directory of Open Access Journals (Sweden)

D. Mital

2016-12-01

Full Text Available The article is based on practical requirements from the reason of unequally removed material during the turning of the wood plastic composite (WPC. This results in geometrical deviations of the WPC bar diameter. WPC represents a relatively new group of materials that has been at the market for almost 30 years. In 1983 Lear Corporation in Wisconsine, USA made for the first time the interior panels of cars from composite materials – PP matrix with organic filler – 50 % wood flour. WPCs displace traditional materials such as wood, steel and cement materials in the marina industry. Designers are not limited technology of production from construction aspect, because different shapes and profiles can be produced by injection (resp. process of extrusion, but in the process of machining were monitored problems with tolerances. Mixed colors can be achieved by using of different pigments and one feels that this is real wood. Technologists begin to use convention technologies – drilling, milling and turning, as tendency of application of WPC increased. Knowledges about machining of WPC are not elaborate as deep as machining of metals or plastics. And this is a reason for orientation in this direction too. Commercial wood plastic composite MEGAWOOD (70 % wood flour, 30 % HDPE was a sample material in current investigation of roundness after turning of WPC. HSS EN ISO HS6-5-2 cutting tool was used. The geometry of the cutting tool was γ0 = 20°, α0 = 8°, κr = 45°, rε = 0,5 mm, εr = 90°. Cutting conditions during turning were as follows: cutting speed n = 900 m/min (constant, feed f = 0,1 to 0,61 mm, depth of cut ap = 0,5 mm for turning of final diameter d = 36 mm. It was dry turning. Roundness/cylindricity measuring system RA – 120 was used for measuring of roundness deviation. It was found that the roundness deviation increases with feed increasing. Popped heat was not used during the turning to final diameter – 36 mm. Using of popped heat

Workshop and conference on Grand Challenges applications and software technology

Energy Technology Data Exchange (ETDEWEB)

1993-12-31

On May 4--7, 1993, nine federal agencies sponsored a four-day meeting on Grand Challenge applications and software technology. The objective was to bring High-Performance Computing and Communications (HPCC) Grand Challenge applications research groups supported under the federal HPCC program together with HPCC software technologists to: discuss multidisciplinary computational science research issues and approaches, identify major technology challenges facing users and providers, and refine software technology requirements for Grand Challenge applications research. The first day and a half focused on applications. Presentations were given by speakers from universities, national laboratories, and government agencies actively involved in Grand Challenge research. Five areas of research were covered: environmental and earth sciences; computational physics; computational biology, chemistry, and materials sciences; computational fluid and plasma dynamics; and applications of artificial intelligence. The next day and a half was spent in working groups in which the applications researchers were joined by software technologists. Nine breakout sessions took place: I/0, Data, and File Systems; Parallel Programming Paradigms; Performance Characterization and Evaluation of Massively Parallel Processing Applications; Program Development Tools; Building Multidisciplinary Applications; Algorithm and Libraries I; Algorithms and Libraries II; Graphics and Visualization; and National HPCC Infrastructure.

Surgical Treatment of the Giant Leiyomyoma of the Esophagus After Fifteen Years

Directory of Open Access Journals (Sweden)

Mehmet Bilgin

2015-11-01

Full Text Available Leiyomyomas are benign intramural tumors of esophagus which are rarely seen. Nearly half of the patients are asymptomatic because leiyomyomas grow slowly and intramural. Dysphagia and retrosternal pain are the most common symptoms.Osephagus leiyomyomas may appear as mediastinal mass in chest radiography and may be recognised by coincidence. It is known that they are solitary, round or oval, and their diameter may reach 15-17cm size. When it grows up to the giant diamaters, surgery is the choice of treatment. Because tumors covering distal part of esophagus and cardia are ulcerated and adhesive to mucosa resection, esophagogastric anasthomosis may be required. We are presenting the clinical and radiologic findings of this giant leiyoma case who did not accept surgical treatment fifteen years ago, and whose leiomyoma reached up to a big diamater.

A report upon the Grand Coulee Fish Maintenance Project 1939-1947

Science.gov (United States)

Fish, F.F.; Hanavan, Mitchell G.

1948-01-01

The construction or Grand Coulee Dam, on the upper Columbia River, involved the loss of 1,140 lineal miles of spawning and rearing stream to the production of anadromous fishes. The fact that the annual value of these fish runs to the nation was estimated at $250,000 justified reasonable expenditures to assure their perpetuation. It was found economically infeasible to safely collect and pass adult fish upstream and fingerling fish downstream at the dam because of the tremendous flow of the river and the 320 foot vertical difference in elevation between forebay and tailrace.The Grand Coulee Fish-Maintenance Project, undertaken by the United States Fish and Wildlife Service in 1939, consisted in relocating the anadroumous runs of the upper Columbia River to four major tributaries entering below the Grand Coulee damsite. These streams were believed capable of supporting several times their existing, badly depleted, run. The plan was predicated upon the assumption that the relocated runs, in conformity with their "homing tendency", would return to the lower tributaries rather than attempt to reach their ancestral spawning grounds above Grand Coulee Dam. This interim report covers the history and accomplishments of the Grand Coulee Fish-Maintenance Project through the initial period of relocating the rune as well as the first four years of the permanent program. Results obtained to date indicate conclusive success in diverting the upper Columbia fish runs into the accessible lower tributaries. The results also indicate, less conclusively, that - in spite of many existing handicaps - the upper Columbia salmon and steelhead runs may be rehabilitated through the integrated program of natural and artificial propagation incorporated in the Grand Coulee Fish-Maintenance Project.

Introduction to grand unification theories

International Nuclear Information System (INIS)

Kang, Kyungsik

1980-01-01

We introduce the Georgi-Glashow model based on the minimal gauge group SU(5) as a prototype grand unification theory of the electroweak and strong interactions. Simple estimation of sin 2 thetasub(W) in the symmetry limit and the renormalization corrections at the energy scale of Msub(W) are given along wich other successes of the SU(5) model

The Grand Duchy on the Grand Tour: A Historical Study of Student Migration in Luxembourg

Science.gov (United States)

Rohstock, Anne; Schreiber, Catherina

2013-01-01

Since Luxembourg became independent in 1839, practically the entire political, economic and intellectual elite of the country has been socialised abroad. It was only in 2003 that the Grand Duchy set up its own university; before then, young Luxembourgers had to study in foreign countries. Over the past 150 years, Luxembourg has thus experienced…

Development of a consensus taxonomy of sedentary behaviors (SIT: report of Delphi Round 1.

Directory of Open Access Journals (Sweden)

Sebastien Francois Martin Chastin

Full Text Available BACKGROUND: Over the last decade, sedentary behaviors have emerged as a distinctive behavioral paradigm with deleterious effects on health independent of physical activity. The next phase of research is to establish dose response between sedentary behaviors and health outcomes and improve understanding of context and determinants of these behaviors. Establishing a common taxonomy of these behaviors is a necessary step in this process. AIM: The Sedentary behavior International Taxonomy project was developed to establish a classification of sedentary behaviors by use of a formal consensus process. METHODS: The study follows a Delphi process in three Rounds. A preparatory stage informed the development of terms of reference documents. In Round 1, experts were asked to make statements about the taxonomy; 1 its purpose and use ; 2 the domains, categories or facets that should be consider and include; 3 the structure/architecture to arrange and link these domains and facets. In Round 2 experts will be presented with a draft taxonomy emerging from Round 1 and invited to comment and propose alterations. The taxonomy will then be finalised at the outset of this stage. RESULTS: Results of Round 1 are reported here. There is a general consensus that a taxonomy will help advances in research by facilitating systematic and standardised: 1 investigation and analysis; 2 reporting and communication; 3 data pooling, comparison and meta-analysis; 4 development of measurement tools; 4 data descriptions, leading to higher quality in data querying and facilitate discoveries. There is also a consensus that such a taxonomy should be flexible to accommodate diverse purposes of use, and future advances in the field and yet provide a cross-disciplinary common language. A consensual taxonomy structure emerged with nine primary facets (Purpose, Environment, Posture, Social, Measurement, Associated behavior, Status, Time, Type and the draft structure presented here for

Round robin test for zirconium alloys in 400 deg C steam: results from EDF

International Nuclear Information System (INIS)

Blat, M.

1994-01-01

The EDF Material Studies Branch has participated in the Round Robin program of uniform corrosion on zirconium alloys. The objectives of these Round Robin corrosion tests are to generate new uniform corrosion weight gain date utilizing modern zirconium alloy products and to improve the International and ASTM standards. (author). 2 tabs., 7 appendix., 2 refs

Beef customer satisfaction: cooking method and degree of doneness effects on the top round steak.

Science.gov (United States)

Neely, T R; Lorenzen, C L; Miller, R K; Tatum, J D; Wise, J W; Taylor, J F; Buyck, M J; Reagan, J O; Savell, J W

1999-03-01

The objective of this research was to evaluate the consumer-controlled factors of cooking method and degree of doneness on Top Choice, Low Choice, High Select, and Low Select top round steaks. The in-home product test was conducted in Chicago, Houston, Philadelphia, and San Francisco. Consumers (n = 2,212) evaluated each top round steak for overall like (OLIKE), tenderness (TEND), juiciness (JUIC), flavor desirability (DFLAV), and flavor intensity (IFLAV) using 23-point hedonic scales. Stir-frying, braising, and simmering and stewing consistently produced higher consumer attribute ratings. There were clear OLIKE rating differences (P = .0001) for top round steaks among the four cities. The highest ratings were given by consumers in Houston, and the lowest ratings were given by consumers in Philadelphia (P Customer satisfaction with the top round steak is very dependent on how it is cooked and by whom it is consumed.

Parental responses to involvement in rounds on a pediatric inpatient unit at a teaching hospital: a qualitative study.

Science.gov (United States)

Latta, Linda C; Dick, Ronald; Parry, Carol; Tamura, Glen S

2008-03-01

In pediatric teaching hospitals, medical decisions are traditionally made by the attending and resident physicians during rounds that do not include parents. This structure limits the ability of the medical team to provide "family-centered care" and the attending physician to model communication skills. The authors thus set out to identify how parents responded to participation in interdisciplinary teaching rounds conducted in a large tertiary care children's teaching hospital. A qualitative descriptive study was conducted using data from semistructured interviews of parents who had participated in rounds on the inpatient medical unit of a large academic children's hospital. From December 2004 to April 2005, 18 parents were interviewed after their participation in rounds. Questions assessed their experiences, expectations, preferred communication styles, and suggestions for improvement. Transcripts of the interviews were analyzed using qualitative content analysis. Being able to communicate, understand the plan, and participate with the team in decision making about their child's care were the most frequently cited outcomes of importance to parents. All 18 participants described the overall experience as positive, and 17 of 18 described themselves as "comfortable" with inclusion in rounds. Use of lay terminology and inclusion of nurses in rounds were preferred. Including parents on ward rounds at a teaching hospital was viewed positively by parents. Specific themes of particular importance to parents were identified. Further study is needed to assess the impact of inclusion of parents on rounds on patient outcomes and the resident experience.

Management of a large radicular cyst: A non-surgical endodontic approach

Directory of Open Access Journals (Sweden)

Shweta Dwivedi

2014-01-01

Full Text Available A radicular cyst arises from epithelial remnants stimulated to proliferate by an inflammatory process originating from pulpal necrosis of a non-vital tooth. Radiographically, the classical description of the lesion is a round or oval, well-circumscribed radiolucent image involving the apex of the tooth. A radicular cyst is usually sterile unless it is secondarily infected. This paper presents a case report of conservative non-surgical management of a radicular cyst associated with permanent maxillary right central incisor, right lateral incisor and right canine in a 24-year-old female patient. Root canal treatment was done together with cystic aspiration of the lesion. The lesion was periodically followed up and significant bone formation was seen at the periapical region of affected teeth and at the palate at about 9 months. Thus, nonsurgical healing of a large radicular cyst with palatal swelling provided favorable clinical and radiographic response.

Study the effect of elevated dies temperature on aluminium and steel round deep drawing

International Nuclear Information System (INIS)

Lean, Yeong Wei; Azuddin, M.

2016-01-01

Round deep drawing operation can only be realized by expensive multi-step production processes. To reduce the cost of processes while expecting an acceptable result, round deep drawing can be done at elevated temperature. There are 3 common problems which are fracture, wrinkling and earing of deep drawing a round cup. The main objective is to investigate the effect of dies temperature on aluminium and steel round deep drawing; with a sub-objective of eliminate fracture and reducing wrinkling effect. Experimental method is conducted with 3 different techniques on heating the die. The techniques are heating both upper and lower dies, heating only the upper dies, and heating only the lower dies. 4 different temperatures has been chosen throughout the experiment. The experimental result then will be compared with finite element analysis software. There is a positive result from steel material on heating both upper and lower dies, where the simulation result shows comparable as experimental result. Heating both upper and lower dies will be the best among 3 types of heating techniques. (paper)

Psychiatry Morbidity and Mortality Rounds: Implementation and Impact

Science.gov (United States)

Goldman, Stuart; Demaso, David R.; Kemler, Beth

2009-01-01

Objective: This study assessed the implementation of psychiatry morbidity and mortality rounds (M&Ms) on the clinical and educational practice in a children's hospital. Methods: Attendees to monthly M&Ms between July 2005 and May 2007 included staff and trainees from psychiatry, psychology, nursing, and social work. Cases were selected based on a…

Eating Disorders in Young Athletes. A Round Table.

Science.gov (United States)

Physician and Sportsmedicine, 1985

1985-01-01

A round table discussion by a physician, a psychiatrist, a dietitian, and 3 college coaches reviewed the problem of anorexia nervosa and bulimia in young athletes who are compulsive overachievers. Coaches need to know the symptoms and potential consequences of these illnesses in order to detect them and to counsel athletes properly. (MT)

Il Canal Grande a Venezia in scansione 3D da natante

Directory of Open Access Journals (Sweden)

Caterina Balletti

2012-04-01

Full Text Available L’Università Iuav di Venezia ha testato sul Canal Grande le più innovative tecniche di rilevamento, in collaborazione con Riegl e Microgeo, realizzando la scansione di tutti i prospetti attraverso un sistema di acquisizione integrato da natante. The Grand Canal in Venice by boat 3d laser scanningThe  Iuav  University  in  Venice  realized  a  test  on  the  Canal Grande with the most advanced detection techniques, in col-laboration with Riegl and Microgeo, making the laser scanning of all the elevation  through an acquisition system integrated on a ship.

Il Canal Grande a Venezia in scansione 3D da natante

Directory of Open Access Journals (Sweden)

Caterina Balletti

2012-04-01

Full Text Available L’Università Iuav di Venezia ha testato sul Canal Grande le più innovative tecniche di rilevamento, in collaborazione con Riegl e Microgeo, realizzando la scansione di tutti i prospetti attraverso un sistema di acquisizione integrato da natante.   The Grand Canal in Venice by boat 3d laser scanning The  Iuav  University  in  Venice  realized  a  test  on  the  Canal Grande with the most advanced detection techniques, in col-laboration with Riegl and Microgeo, making the laser scanning of all the elevation  through an acquisition system integrated on a ship.

Cassini ISS Observation of Saturn from Grand Finale Orbits

Science.gov (United States)

Blalock, J. J.; Sayanagi, K. M.; Ingersoll, A. P.; Dyudina, U.; Ewald, S. P.; McCabe, R. M.; Garland, J.; Gunnarson, J.; Gallego, A.

2017-12-01

We present images captured during Cassini's Grand Finale orbits, and their preliminary analyses. During the final 22 orbits of the mission, the spacecraft is in orbits that have 6.5 day period at an inclination of 62 degrees, apoapsis altitude of about 1,272,000 km, and periapsis altitudes of about 2,500 km. Images captured during periapsis passes show Saturn's atmosphere at unprecedented spatial resolution. We present preliminary analyses of these images, including the final images captured before the end of the mission when the spacecraft enters Saturn's atmosphere on September 15th, 2017. Prominent features captured during the final orbits include the north polar vortex and other vortices as well as very detailed views of the "popcorn clouds" that reside between the Hexagon and the north pole. In the cloud field between zonal jets, clouds either resemble linear streaks suggestive of cirrus-like clouds or round shapes suggestive of vortices or cumulus anvil. The presence of linear streaks that follow lines of constant latitudes suggests that meridional mixing is inhibited at those latitudes. The size of vortices may reflect latitudinal variation in the atmospheric deformation radius. We also compare the new images to those captured earlier in the Cassini mission to characterize the temporal evolution such as changes in the zonal jet speeds, and prevalence and colors of vortices. A particular focus of our interest is the long-term change in the color of the hexagon, the evolution of the wind speeds in the jetstream that blows eastward at the boundary of the hexagon, and the morphology of the north polar vortex. Our work has been supported by NASA PATM NNX14AK07G, NSF AAG 1212216, and NASA NESSF NNX15AQ70H.

Cassini's Grand Finale Overview

Science.gov (United States)

Spilker, L. J.

2017-12-01

After 13 years in orbit, the Cassini-Huygens Mission to Saturn ended in a science-rich blaze of glory. Cassini sent back its final bits of unique science data on September 15, 2017, as it plunged into Saturn's atmosphere, vaporizing and satisfying planetary protection requirements. Cassini's final phase covered roughly ten months and ended with the first time exploration of the region between the rings and planet. In late 2016 Cassini transitioned to a series of 20 Ring Grazing orbits with peripases just outside Saturn's F ring, providing close flybys of tiny ring moons, including Pan, Daphnis and Atlas, and high-resolution views of Saturn's A and F rings. A final Titan flyby in late April 2017 propelled Cassini across Saturn's main rings and into its Grand Finale orbits. Comprised of 22 orbits, Cassini repeatedly dove between Saturn's innermost rings and upper atmosphere to answer fundamental questions unattainable earlier in the mission. The last orbit turned the spacecraft into the first Saturn atmosphere probe. The Grand Finale orbits provided highest resolution observations of both the rings and Saturn, and in-situ sampling of the ring particle composition, Saturn's atmosphere, plasma, and innermost radiation belts. The gravitational field was measured to unprecedented accuracy, providing information on the interior structure of the planet, winds in the deeper atmosphere, and mass of the rings. The magnetic field provided insight into the physical nature of the magnetic dynamo and structure of the internal magnetic field. The ion and neutral mass spectrometer sampled the upper atmosphere for molecules that escape the atmosphere in addition to molecules originating from the rings. The cosmic dust analyzer directly sampled the composition from different parts of the main rings for the first time. Fields and particles instruments directly measured the plasma environment between the rings and planet. Science highlights and new mysteries collected in the Grand

Albuquerque/Middle Rio Grande Urban Waters Viewer

Data.gov (United States)

U.S. Environmental Protection Agency — These data have been compiled in support of the Middle Rio Grande/Albuquerque Urban Waters Partnership for the region including Albuquerque, New Mexico.The Middle...

[Audit of general hospitals and private surgical clinics in Israel].

Science.gov (United States)

Freund, Ruth; Dor, Michael; Lotan, Yoram; Haver, Eitan

2007-12-01

Supervision and inspection of medical facilities are among the responsibilities of the Ministry of Health (MOH) anchored in the "Public Health Act 1940". In order to implement the law, the General Medical Division of the MOH began the process of auditing hospitals and private surgical clinics prior to considering the reissue of their license. The audit aimed to implement the law, activate supervision on general hospitals and private surgical clinics, provide feed-back to the audited institution and upgrade quality assurance, regulate medical activities according to the activities elaborated in the license and recommend the license renewal. Prior to the audits, 20 areas of activity were chosen for inspection. For each activity a check list was developed as a tool for inspection. Each area was inspected during a 4-5 hour visit by a MOH expert, accompanied by the local service manager in the institution under inspection. A comprehensive report, summarizing the findings was sent to the medical institute, requesting correction in those areas where improvements were needed. Recommendation for license renewal was sent to the Director of Licensing Division Ministry of Health. Between June 2003 and July 2006, 91 structured audits took place. A total of 47 general hospitals and 24 private surgical clinics were visited at least once. Most general hospitals were found abiding, functioning according to the required standards and eligible for license renewal. Licenses of institutions that complied with the standards determined by the audit teams, were renewed. Two private hospitals in central Israel, that were given an overall poor evaluation, were issued with a temporary license and subsequently re-audited 4 times over the next two years. Generally, the standards in private surgical clinics were lower than those found in general public hospitals. In one clinic the license was not renewed, and in another an order was issued to cease surgical procedures requiring general

Micro-surgical endodontics.

Science.gov (United States)

Eliyas, S; Vere, J; Ali, Z; Harris, I

2014-02-01

Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis, appropriate case selection, the quality of the surgical skills, and the application of the most appropriate haemostatic agents and biomaterials. This article describes the armamentarium and technical procedures involved in performing micro-surgical endodontics to a high standard.

A simple derivation for the skin effect in a round wire

Science.gov (United States)

Smith, Glenn S.

2014-03-01

The skin effect in a round wire is an important electromagnetic phenomenon with practical consequences; however, it is usually not presented in any detail at the undergraduate level but reserved for graduate study. The purpose of this paper is to remedy this situation by providing a simple derivation for the skin effect in a round wire that only requires background usually familiar to these students: Maxwell’s equations in integral form, integral calculus (specifically integration of a power) and some elementary properties of series. Graphical results are used to clearly show the current concentrating near the surface as the frequency increases and the accompanying increase in the resistance and decrease in the inductance of the wire. A brief review of the history of the subject shows that several of the scientists familiar to students made contributions to our understanding of the skin effect in a round wire; they include J C Maxwell, Lord Rayleigh, Lord Kelvin, O Heaviside and J J Thomson. The validity of the theory is demonstrated by comparing results from the theory with resistances and inductances measured by some of the early pioneers of wireless communication.

A simple derivation for the skin effect in a round wire

International Nuclear Information System (INIS)

Smith, Glenn S

2014-01-01

The skin effect in a round wire is an important electromagnetic phenomenon with practical consequences; however, it is usually not presented in any detail at the undergraduate level but reserved for graduate study. The purpose of this paper is to remedy this situation by providing a simple derivation for the skin effect in a round wire that only requires background usually familiar to these students: Maxwell’s equations in integral form, integral calculus (specifically integration of a power) and some elementary properties of series. Graphical results are used to clearly show the current concentrating near the surface as the frequency increases and the accompanying increase in the resistance and decrease in the inductance of the wire. A brief review of the history of the subject shows that several of the scientists familiar to students made contributions to our understanding of the skin effect in a round wire; they include J C Maxwell, Lord Rayleigh, Lord Kelvin, O Heaviside and J J Thomson. The validity of the theory is demonstrated by comparing results from the theory with resistances and inductances measured by some of the early pioneers of wireless communication. (paper)

Invasion strategies in round goby (Neogobius melanostomus: Is bigger really better?

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Joerg Brandner

Full Text Available Few studies have systematically investigated mid- or long-term temporal changes of biological characteristics in invasive alien species considering the different phases of an invasion. We studied the invasion performance of one of the most invasive species worldwide, the round goby Neogobius melanostomus, from total absence over first occurrence until establishment from 2010 to 2015 in the upper Danube River. After an upstream movement of the invasion front of about 30 river km within four years, the pattern that round goby pioneering populations significantly differ from longer established ones has been confirmed: Pioneering populations at the invasion front comprised more females than males, and adult specimens with a larger body size compared to those at longer inhabited areas. On the population-level, the proportion of juveniles increased with time since invasion. The results of this study provide support for the previously postulated ´bigger is better´ and ´individual trait utility´ hypotheses explaining invasion success in round goby. Pioneering invaders with their greater exploratory behavior, highly adaptive phenotypic plasticity and increased competitive ability seem to act as prime emperors of new habitats, strongly following and benefiting from man-made river-bank structures.

Response of round gobies, Neogobius melanostomus, to conspecific sounds

Science.gov (United States)

Isabella-Valenzi, Lisa

A useful model group to examine reproductive plasticity in acoustic responsiveness is the family Gobiidae. Male round gobies Neogobius melanostomus emit calls and females respond to these calls with high specificity. The current study investigates differential attraction between reproductive morphologies of the goby to conspecific calls and explores the use of calls to develop a bioacoustic trap. Behavioural responsiveness to conspecific calls was tested using playback experiments in the lab and field. Females showed a strong attraction to the grunt call in both the lab and field, while nonreproductive and sneaker males preferred the drum call in the lab, but favoured the grunt call in the field. By determining the relationship between reproductive state and auditory responsiveness to conspecific calls, I am further elucidating the function of acoustic communication in the round goby and may be essential when creating control strategies to prevent the spread of the invasive species.

Raptor Use of the Rio Grande Gorge

Energy Technology Data Exchange (ETDEWEB)

Ponton, David A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2015-03-20

The Rio Grande Gorge is a 115 km long river canyon located in Southern Colorado (15 km) and Northern New Mexico (100 km). The majority of the canyon is under the administration of the Bureau of Land Management {BLM), and 77 km of the canyon south of the Colorado/New Mexico border are designated Wild River under the National Wild and Scenic Rivers Act of 1968. Visits I have made to the Rio Grande Gorge over the past 15 .years disclosed some raptor utilization. As the Snake River Birds of Prey Natural Area gained publicity, its similarity to the Rio Grande Gorge became obvious, and I was intrigued by the possibility of a high raptor nesting density in the Gorge. A survey in 1979 of 20 km of the northern end of the canyon revealed a moderately high density of red-tailed hawks and prairie falcons. With the encouragement of that partial survey, and a need to assess the impact of river-running on nesting birds of prey, I made a more comprehensive survey in 1980. The results of my surveys, along with those of a 1978 helicopter survey by the BLM, are presented in this report, as well as general characterization of the area, winter use by raptors, and an assessment of factors influencing the raptor population.

Special Agricultural Safeguards; Virtual Benefits and Real Costs—Lessons for the Doha Round

OpenAIRE

Jean-Jacques Hallaert

2005-01-01

In the Doha Round, negotiators are discussing the elimination or continuation of the special agricultural safeguards introduced by the Uruguay Round as well as the creation of special safeguard mechanism for use by developing countries. This paper argues that, in violation of the spirit of the WTO Agreement in Agriculture, the special agricultural safeguards have often been used as a prolonged protectionist device. It then draws lessons for the design of the special safeguard mechanism.

Doha Round Baggage: Implications for Economic Reforms in Pakistan and other Southern Countries

OpenAIRE

Naheed Zia Khan

2007-01-01

This study is based on the premisethat agriculture remains the key issue in all reform efforts of Pakistanand the Doha Round of trade talks has strategic significance for the second round of the country’s farm sector reforms. It is argued that although there are differences among the individual developing countries, the majority have a comparative advantage in agricultural production and removing farmsector export subsidies and trade-distorting, domestic subsidies is their common concern. Evi...

Grand Minima: Is The Sun Going To Sleep?

Science.gov (United States)

Mcintosh, S. W.; Leamon, R. J.

2014-12-01

We explore recent observational work which indicate that the energetics of the sun's outer atmosphere have been on a steady decline for the past decade and perhaps longer. Futher, we show that new investigations into evolution of the Sun's global magnetic activity appear to demonstrate a path through which the Sun can go into, and exit from, a grand activity minimum without great difficulty while retaining an activity cycle - only losing sunspots. Are we at the begining of a new grand(-ish) minimum? Naturally, only time will tell, but the observational evidence hint that one may not be far off to what impact on the Sun-Earth Connection.

Guidebook to Rio Grande rift in New Mexico

Science.gov (United States)

Hawley, J.W.

1978-01-01

Discusses the details of geologic features along the rift zone. Included are short papers on topics relative to the overall region. These papers and the road logs are of special interest to any one pursuing further study of the rift. This book is a comprehensive guide to the middle and late Cenozoic geology of the Rio Grande region of Colorado and New Mexico. Though initially used on field trips for the International Symposium on Tectonics and Magmatism of the Rio Grande rift, the guidebook will be useful to anyone interested in the Cenozoic history of the 600-mi-long area extending from central Colorado to El Paso, Texas.

iPad use at the bedside: a tool for engaging patients in care processes during ward rounds?

Science.gov (United States)

Baysari, M T; Adams, K; Lehnbom, E C; Westbrook, J I; Day, R O

2014-10-01

Previous work has examined the impact of technology on information sharing and communication between doctors and patients in general practice consultations, but very few studies have explored this in hospital settings. To assess if, and how, senior clinicians use an iPad to share information (e.g. patient test results) with patients during ward rounds and to explore patients' and doctors' experiences of information sharing events. Ten senior doctors were shadowed on ward rounds on general wards during interactions with 525 patients over 77.3 h, seven senior doctors were interviewed and 180 patients completed a short survey. Doctors reported that information sharing with patients is critical to the delivery of high-quality healthcare, but were not seen to use the iPad to share information with patients on ward rounds. Patients did not think the iPad had impacted on their engagement with doctors on rounds. Ward rounds were observed to follow set routines and patient interactions were brief. Although the iPad potentially creates new opportunities for information sharing and patient engagement, the ward round may not present the most appropriate context for this to be done. © 2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.

Clinical features and surgical treatment of cauda equina schwannoma

Directory of Open Access Journals (Sweden)

Jun-jun HUANG

2011-03-01

Full Text Available Objective To investigate the clinical features and surgical treatment method of cauda equina schwannoma.Methods Clinical symptoms,imaging characteristics and functional outcomes after surgical treatment of 32 patients with cauda equina schwannoma from June 2007 to March 2009 were retrospectively reviewed.Results Most patients(30 cases suffered lower extremity numbness/pain before operations and 18 of them suffered in both lower extremities.Physical examination showed bilateral nerve damage or unilateral multiple nerve damage in 25 cases.The initial symptom of 12 cases was simple lumbago.Ten cases were misdiagnosed as lumbar disc herniation.Six patients were scanned by computed tomography but none of them was diagnosed correctly.All the patients were definitely diagnosed by magnetic resonance imaging(MRI,the typical appearance of the schwannoma was a round or ovoid mass with isointense or slightly hyperintense on T1-weighted images,while on T2-weighted images with heterogeneous hyperintense in 25 cases,slightly hyperintense in 2,and homogeneous hyperintense in 5.Gadolinium-enhanced MRI was performed in 13 patients,of whom 10 cases showed heterogeneous or annular enhancing.In all patients,the tumor was resected completely,the functional outcomes were satisfactory except one with a giant tumor,in whom the neurological symptom was aggravated,and no recurrence was found during a short-term follow-up.Conclusions The characteristic features of cauda equina schwannoma were lower extremities numbness/pain and bi-or unilateral polyradiculopathy in physical examination.MRI is helpful for early diagnosis and recommended as the first choice.Functional outcomes are satisfactory in patients with tumor completely resected.

Organized colorectal cancer screening in Serbia - the first round within 2013-2014.

Science.gov (United States)

Banković Lazarević, Dušica; Krivokapić, Zoran; Barišić, Goran; Jovanović, Verica; Ilić, Dragan; Veljković, Marko

2016-04-01

The National Organized Colorectal Cancer Screening Program was conducted in the Republic of Serbia during 2013-2014 covering the population of both genders, aged 50 to 74 years, in 28 municipalities out of 180, with the target population of 651,445 people. This organized colorectal cancer screening aims to reduce mortality from colorectal cancer in the target population. The aim of this study was to show the results of organized screening for colorectal cancer during the first biannual round in Serbia. General practitioners from the primary health centers, invited target population by letters and by phone to perform immunochemical fecal occult blood test. Persons with a positive test results were referred to the colonoscopy. The database of health insurance and other citizens of the target population was used for invitation for screening in primary health centers. Descriptive statistical analysis of the results in organized colorectal cancer screening in the first round was performed for the key screening indicators. In the first round, a total of 99,592 persons were invited. The participation rate was 62.5%. Colonoscopy was performed in 1,554 persons. Adenomas were found in 586 persons (0.9% of all the tested), e.g. 37.7 % of all colonoscopied. In 129 persons colorectal cancer was diagnosed (0.2% of all the tested), e.g. 8.3% of all the colonoscopied. In the left half of the colon (rectum, sigmoid and descending colon) there were 70.4% diagnosed polyps and 77.3% carcinomas, while 29.6% of polyps and 22.7% carcinomas were found in the proximal parts of the colon. In the first round of the organized colorectal cancer screening in Serbia the participation rate of the targeted population was high and gave encouraging result. It was expected that in the forthcoming rounds even higher coverage of the target population would be accomplished. A positive predictive value of the completed colonoscopies showed that further work on observing the stages of diagnosed adenomas

Carbonaceous aerosol particles from common vegetation in the Grand Canyon

International Nuclear Information System (INIS)

Hallock, K.A.; Mazurek, M.A.; Cass, G.R.

1992-05-01

The problem of visibility reduction in the Grand Canyon due to fine organic aerosol particles in the atmosphere has become an area of increased environmental concern. Aerosol particles can be derived from many emission sources. In this report, we focus on identifying organic aerosols derived from common vegetation in the Grand Canyon. These aerosols are expected to be significant contributors to the total atmospheric organic aerosol content. Aerosol samples from living vegetation were collected by resuspension of surface wax and resin components liberated from the leaves of vegetation common to areas of the Grand Canyon. The samples were analyzed using high-resolution gas chromatography/mass spectrometry (GC/MS). Probable identification of compounds was made by comparison of sample spectra with National Institute of Standards and Technology (NIST) mass spectral references and positive identification of compounds was made when possible by comparison with authentic standards as well as NIST references. Using these references, we have been able to positively identify the presence of n-alkane and n-alkanoic acid homolog series in the surface waxes of the vegetation sampled. Several monoterpenes, sesquiterpenes, and diterpenes were identified also as possible biogenic aerosols which may contribute to the total organic aerosol abundance leading to visibility reduction in the Grand Canyon

Views of parents and health-care providers regarding parental presence at bedside rounds in a neonatal intensive care unit.

Science.gov (United States)

Grzyb, M J; Coo, H; Rühland, L; Dow, K

2014-02-01

To examine the views of parents and health-care providers regarding parental presence during neonatal intensive care rounds. Cross-sectional survey of parents whose children were admitted to a tertiary-care neonatal intensive care unit (n=81). Medical trainees (n=67) and nurses (n=28) were also surveyed. The majority of parents reported that attending rounds reduced their anxiety and increased their confidence in the health-care team. Nurses were more likely than medical trainees to support parental presence at rounds (P=0.02). About three-quarters of medical trainees and nurses thought discussion is inhibited and 69% of trainees felt teaching is decreased when parents attend rounds. Most parents who attended rounds found the experience beneficial, but medical trainees' views were mixed. The positive impact on parents, and the learning opportunities created in family-centered care and communication when parents are present on rounds, should be highlighted for trainees and other neonatal intensive care personnel.

Grande do Sul, Brasil

Directory of Open Access Journals (Sweden)

Denis Alcides-Rezende

2008-01-01

Full Text Available The objective of this work is to analyse the integration of information systems and information technology resources in the municipal planning of 14 small cities of Rio Grande do Sul (Brazil. The research methodology consisted of a multiple case study together with a convenient non-probabilistic sample chosen through a research protocol. The results demonstrate the difficulties of these cities to organise the municipal data as well as their struggle for accessibility of information and planning for management and control.

Mitigation measures for the La Grande 1 hydroelectric development

International Nuclear Information System (INIS)

Faucher, O.; Gagnon, R.

1992-01-01

Measures to mitigate environmental impacts of the La Grande 1 hydroelectric development are described. An overview is presented of the La Grande 1 project, its surrounding environment, and the principle environmental repercussions of the reservoir, hydrological changes between the dam and river mouth, construction activities and permanent and temporary structures, and presence of workers. Mitigation measures including compensation, corrective measures (deforestation, selective cutting, fish populations, wildlife populations, land rehabilitation, access roads, fisheries, and erosion control), protective measures, enhancement measures, and contract and employment opportunities for the Cree population are described. 10 refs., 2 figs

A robust and high-performance queue management controller for large round trip time networks

Science.gov (United States)

Khoshnevisan, Ladan; Salmasi, Farzad R.

2016-05-01

Congestion management for transmission control protocol is of utmost importance to prevent packet loss within a network. This necessitates strategies for active queue management. The most applied active queue management strategies have their inherent disadvantages which lead to suboptimal performance and even instability in the case of large round trip time and/or external disturbance. This paper presents an internal model control robust queue management scheme with two degrees of freedom in order to restrict the undesired effects of large and small round trip time and parameter variations in the queue management. Conventional approaches such as proportional integral and random early detection procedures lead to unstable behaviour due to large delay. Moreover, internal model control-Smith scheme suffers from large oscillations due to the large round trip time. On the other hand, other schemes such as internal model control-proportional integral and derivative show excessive sluggish performance for small round trip time values. To overcome these shortcomings, we introduce a system entailing two individual controllers for queue management and disturbance rejection, simultaneously. Simulation results based on Matlab/Simulink and also Network Simulator 2 (NS2) demonstrate the effectiveness of the procedure and verify the analytical approach.

31 CFR 593.510 - Transactions related to the importation of any round log or timber product originating in Liberia...

Science.gov (United States)

2010-07-01

... importation of any round log or timber product originating in Liberia authorized. 593.510 Section 593.510... importation of any round log or timber product originating in Liberia authorized. Except as otherwise... into the United States of any round log or timber product originating in Liberia are authorized. ...

Assessing the Doha Round: Market Access, Transactions Costs and Aid for Trade Facilitation

OpenAIRE

Hoekman, Bernard; Nicita, Alessandro

2010-01-01

This paper compares the predicted trade impacts of a successful Doha Round with the trade effects of actions aimed at reducing domestic trade costs for traders in developing countries and the world as a whole. We show that a relatively small reduction in trade costs will generate trade impacts that are larger than what is likely to emerge even from a relatively ambitious Doha Round market access outcome. This illustrates the importance of complementing market access commitments with measures ...

Agricultural trade liberalization in the Uruguay Round : one step forward, one step back?

OpenAIRE

Ingco, Merlinda D.

1995-01-01

After evaluating the Uruguay Round's impact on agriculture and border protection in the next decade, the author concludes that while there was significant reform of the rules - particularly the conversion of nontariff barriers into tariffs and the reduction and binding of all tariffs - in practice, trade will probably be liberalized less than expected. The objective of the Round was to reverse protectionism and remove trade distortions. This may not be achieved in practice, at least not until...

Comprehensive District Reform: Philadelphia's Grand Experiment.

Science.gov (United States)

Useem, Elizabeth; Balfanz, Robert

2002-01-01

This report describes "Philadelphia's Grand Experiment" in comprehensive school district reform, from its conception through its initial months of implementation. In 2001, as part of the remedy for low student performance, the governor ordered the state to take over governance of the Philadelphia School District, with a substantial…

The use of laser technology to investigate the effect of railway ballast roundness on shear strength

CSIR Research Space (South Africa)

Mvelase, GM

2017-06-01

Full Text Available of roundness. Triaxial tests were conducted to determine the effect of the roundness on the shear strength properties of the materials. A Mohr-Coulomb failure model was successfully developed from the results to represent individual materials tested...

Information and communication technologies - A new round of household electrification

DEFF Research Database (Denmark)

Røpke, Inge; Christensen, Toke Haunstrup; Jensen, Jesper Ole

2010-01-01

Information and communication technologies (ICTs) increasingly permeate everyday life in industrialized societies. The aim of this paper is to explore ICT-related transformations of everyday practices and discuss the implications, particularly for residential electricity consumption. The present...... socio-technical changes are seen in a historical perspective, and it is argued that the integration of ICT into everyday practices can be seen as a new round of household electrification, comparable to earlier rounds that also led to higher electricity consumption. A case study carried out in Denmark...... in 2007–2008 explores the present changes in everyday life. Based on qualitative interviews, the study focuses on people’s ways of integrating ICTs into their everyday practices, on any significant changes in these practices, and on the influence of the changed practices on electricity consumption...

Mobile surgical skills education unit: a new concept in surgical training.

Science.gov (United States)

Shaikh, Faisal M; Hseino, Hazem; Hill, Arnold D K; Kavanagh, Eamon; Traynor, Oscar

2011-08-01

Basic surgical skills are an integral part of surgical training. Simulation-based surgical training offers an opportunity both to trainees and trainers to learn and teach surgical skills outside the operating room in a nonpatient, nonstressed environment. However, widespread adoption of simulation technology especially in medical education is prohibited by its inherent higher cost, limited space, and interruptions to clinical duties. Mobile skills laboratory has been proposed as a means to address some of these limitations. A new program is designed by the Royal College of Surgeons in Ireland (RCSI), in an approach to teach its postgraduate basic surgical trainees the necessary surgical skills, by making the use of mobile innovative simulation technology in their own hospital settings. In this article, authors describe the program and students response to the mobile surgical skills being delivered in the region of their training hospitals and by their own regional consultant trainers.

Evaluating the Promise of Single-Track Year-Round Schools.

Science.gov (United States)

Haenn, Joseph F.

1996-01-01

Describes two single-track year-round elementary schools in Durham, North Carolina, established in discrete attendance zones. Remediation and enrichment activities were provided during intersession. Low-SES students were overrepresented in remediation sessions. Student outcomes data (end-of-grade reading and math test scores) suggest that…

Ward Round - Late Presentation of Acute Compartment Syndrome in ...

African Journals Online (AJOL)

following the course of ibuprofen mentioned. Twelve days after admission he started to complain of increasing pain and tightness in his left thigh. Sensation and motor function. Ward Round - Late Presentation of Acute. Compartment Syndrome in the Thigh. University of Malawi, College of Medicine, Department of Surgery,.

Environmental assessment of facility operations at the U.S. Department of Energy Grand Junction Projects Office, Grand Junction, Colorado

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-06-01

The US Department of Energy (DOE) has prepared a sitewide environmental assessment (EA) of the proposed action to continue and expand present-day activities on the DOE Grand Junction Projects Office (GJPO) facility in Grand Junction, Colorado. Because DOE-GJPO regularly proposes and conducts many different on-site activities, DOE decided to evaluate these activities in one sitewide EA rather than in multiple, activity-specific documents. On the basis of the information and analyses presented in the EA, DOE has determined that the proposed action does not constitute a major Federal action significantly affecting the quality of the human environment, as defined by the National Environmental Policy Act (NEPA) of 1969. Therefore, preparation of an environmental impact statement is not required for facility operations, and DOE is issuing this Finding of No Significant Impact (FONSI).

Environmental assessment of facility operations at the U.S. Department of Energy Grand Junction Projects Office, Grand Junction, Colorado

International Nuclear Information System (INIS)

1996-06-01

The US Department of Energy (DOE) has prepared a sitewide environmental assessment (EA) of the proposed action to continue and expand present-day activities on the DOE Grand Junction Projects Office (GJPO) facility in Grand Junction, Colorado. Because DOE-GJPO regularly proposes and conducts many different on-site activities, DOE decided to evaluate these activities in one sitewide EA rather than in multiple, activity-specific documents. On the basis of the information and analyses presented in the EA, DOE has determined that the proposed action does not constitute a major Federal action significantly affecting the quality of the human environment, as defined by the National Environmental Policy Act (NEPA) of 1969. Therefore, preparation of an environmental impact statement is not required for facility operations, and DOE is issuing this Finding of No Significant Impact (FONSI)

Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles.

Science.gov (United States)

Lee, Soo-Hoon; Khanuja, Harpal S; Blanding, Renee J; Sedgwick, Jeanne; Pressimone, Kathleen; Ficke, James R; Jones, Lynne C

2017-10-30

Teamwork training improves short-term teamwork behaviors. However, improvements are often not sustained. The purpose of this study was to explore the extent to which teamwork reinforcement activities for orthopedic surgery teams lead to sustained teamwork behaviors. Seven months after 104 staff from an orthopedic surgical unit were trained in Team Strategies and Tools to Enhance Performance and Patient Safety principles, 4 reinforcement activities were implemented regarding leadership and communication: lectures with videos on leadership skills for nursing staff; an online self-paced learning program on communication skills for nursing staff; a 1-page summary on leadership skills e-mailed to surgical staff; and a 1-hour perioperative grand rounds on Team Strategies and Tools to Enhance Performance and Patient Safety principles for anesthesia staff and new staff. Twenty-four orthopedic surgical teams were evaluated on teamwork behaviors during surgery by 2 observers before and after the reinforcement period using the Observational Teamwork Assessment for Surgery tool. After reinforcement, leadership (P = 0.022) and communication (P = 0.044) behaviors improved compared with prereinforcement levels. Specifically, nursing staff improved in leadership (P = 0.016) and communication (P = 0.028) behaviors, surgical staff improved in leadership behaviors (P = 0.009), but anesthesia staff did not improve in any teamwork behaviors. Sustained improvement in teamwork behaviors requires reinforcement. Level III, prospective pre-post cohort study.

A retrospective audit of the first screening round of the Maltese breast screening programme

International Nuclear Information System (INIS)

Mizzi, D.; Zarb, F.; Dennis, A.

2017-01-01

Purpose: To analyse whether the screening performance parameters of the Maltese National Breast Screening Programme first screening round met requirements set by European standards. The association between screening age and results of screening performance parameters was also investigated. Method: Quantitative methodology was used to review examinations of women who were recalled for a technical recall or further assessment rates. All accessible members of the population recalled during the first round were retrospectively reviewed resulting in a sample of 2300 recalled examinations. Results: Malta's first screening round met the European Guidelines recommendations for technical repeat rate (0.26%), early recall rate (0.45%), breast cancer detection rate (13.77 per 1000 women) and Positive Predictive Value of screening test (7.58%). However, local recall rate (18.53%) and further assessment rate (18.27%) were higher than recommended. The Chi square test showed a statistically significant difference (p ≤ 0.05) in recall rates between the compared age groups, as younger women (51–55 years) were more likely to have a negative diagnosis after the initial mammogram whereas older women (56–60 years) were more likely to be recalled. There was no age discrepancy (p ≥ 0.05) in local breast cancer detection rate and positive predictive value of screening test. Conclusion: Although the Maltese first screening round performed well, this study found deficiencies in recall and further assessment rates, which according to literature may result in psychological morbidity and inefficient use of screening resources. This study also concluded that when a cohort is analysed, age is not as significant as the screening round itself (first/subsequent). - Highlights: • The Maltese technical and early recall rates complied with European guidelines. • Breast cancer detection rate and positive predictive value conformed to guidelines. • The recall and further

In-Person Communication Between Radiologists and Acute Care Surgeons Leads to Significant Alterations in Surgical Decision Making.

Science.gov (United States)

Dickerson, Elliot C; Alam, Hasan B; Brown, Richard K J; Stojanovska, Jadranka; Davenport, Matthew S

2016-08-01

The aim of this study was to determine if direct in-person communication between an acute care surgical team and radiologists alters surgical decision making. Informed consent was waived for this institutional review board-exempt, HIPAA-compliant, prospective quality improvement study. From January 29, 2015 to December 10, 2015, semiweekly rounds lasting approximately 60 min were held between the on-call acute care surgery team (attending surgeon, chief resident, and residents) and one of three expert abdominal radiologists. A comprehensive imaging review was performed of recent and comparison examinations for cases selected by the surgeons in which medical and/or surgical decision making was pending. All reviewed examinations had available finalized reports known to the surgical team. RADPEER interradiologist concordance scores were assigned to all reviewed examinations. The impression and plan of the attending surgeon were recorded before and after each in-person review. One hundred patients were reviewed with 11 attending surgeons. The in-person meetings led to changes in surgeons' diagnostic impressions in 43% (43 of 100) and changes in medical and/or surgical planning in 43% (43 of 100; 20 acute changes, 23 nonacute changes, 19 changes in operative management) of cases. There were major discrepancies (RADPEER score ≥3) between the impression of the reviewing radiologist and the written report in 11% of cases (11 of 100). Targeted in-person collaboration between radiologists and acute care surgeons is associated with substantial and frequent changes in patient management, even when the original written report contains all necessary data. The primary mechanism seems to be promotion of a shared mental model that facilitates the exchange of complex information. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Baseline and annual repeat rounds of screening. Implications for optimal regimens of screening

Energy Technology Data Exchange (ETDEWEB)

Henschke, Claudia I.; Salvatore, Mary; Cham, Matthew; Eber, Corey; Yip, Rowena; Yankelevitz, David F. [Icahn School of Medicine at Mount Sinai, Department of Radiology, New York, NY (United States); Powell, Charles A.; DiFabrizio, Larry [Icahn School of Medicine at Mount Sinai, Department of Medicine, New York, NY (United States); Flores, Raja; Kaufman, Andrew [Icahn School of Medicine at Mount Sinai, Department of Thoracic Surgery, New York, NY (United States); Collaboration: International Early Lung Cancer Action Program Investigators

2018-03-15

Differences in results of baseline and subsequent annual repeat rounds provide important information for optimising the regimen of screening. A prospective cohort study of 65,374 was reviewed to examine the frequency/percentages of the largest noncalcified nodule (NCN), lung cancer cell types and Kaplan-Meier (K-M) survival rates, separately for baseline and annual rounds. Of 65,374 baseline screenings, NCNs were identified in 28,279 (43.3%); lung cancer in 737 (1.1%). Of 74,482 annual repeat screenings, new NCNs were identified in 4959 (7%); lung cancer in 179 (0.24%). Only adenocarcinoma was diagnosed in subsolid NCNs. Percentages of lung cancers by cell type were significantly different (p < 0.0001) in the baseline round compared with annual rounds, reflecting length bias, as were the ratios, reflecting lead times. Long-term K-M survival rate was 100% for typical carcinoids and for adenocarcinomas manifesting as subsolid NCNs; 85% (95% CI 81-89%) for adenocarcinoma, 74% (95% CI 63-85%) for squamous cell, 48% (95% CI 34-62%) for small cell. The rank ordering by lead time was the same as the rank ordering by survival rates. The significant differences in the frequency of NCNs and frequency and aggressiveness of diagnosed cancers in baseline and annual repeat need to be recognised for an optimal regimen of screening. (orig.)

[Impact of corrective measures on fluoroquinolones prescriptions for urinary tract infections during a 2-round relevance study].

Science.gov (United States)

Gendrin, V; Letranchant, L; Hénard, S; Frentiu, E; Demore, B; Burty, C; May, T; Doco-Lecompte, T

2012-01-01

Evaluating the impact of corrective measures on fluoroquinolones (FQ) prescriptions for urinary tract infections (UTI) during a 2-round relevance study on a regional scale. FQ prescriptions of voluntary hospitals were checked by an infectious diseases physician and a pharmacist according to regional guidelines. A first round (R1) took place in January 2008, with feedback and proposal for personalized corrective measures in January 2009. A second round (R2) was organized in June 2009. UTI data were extracted and the results of the two rounds were compared. Four hundred and thirty-five and 302 FQ prescriptions for UTI, coming from 28 and 24 different hospitals, were analyzed at R1 and R2, respectively. Thirty-six percent and 55% of these prescriptions were entirely in accordance with regional guidelines, at respectively R1 and R2 (PUTI through better adhesion to the regional guidelines between the two rounds. This is probably due to first turn results feedback, and corrective measures suggestion. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

GrandBase: generating actionable knowledge from Big Data

Directory of Open Access Journals (Sweden)

Xiu Susie Fang

2017-08-01

Full Text Available Purpose – This paper aims to propose a system for generating actionable knowledge from Big Data and use this system to construct a comprehensive knowledge base (KB, called GrandBase. Design/methodology/approach – In particular, this study extracts new predicates from four types of data sources, namely, Web texts, Document Object Model (DOM trees, existing KBs and query stream to augment the ontology of the existing KB (i.e. Freebase. In addition, a graph-based approach to conduct better truth discovery for multi-valued predicates is also proposed. Findings – Empirical studies demonstrate the effectiveness of the approaches presented in this study and the potential of GrandBase. The future research directions regarding GrandBase construction and extension has also been discussed. Originality/value – To revolutionize our modern society by using the wisdom of Big Data, considerable KBs have been constructed to feed the massive knowledge-driven applications with Resource Description Framework triples. The important challenges for KB construction include extracting information from large-scale, possibly conflicting and different-structured data sources (i.e. the knowledge extraction problem and reconciling the conflicts that reside in the sources (i.e. the truth discovery problem. Tremendous research efforts have been contributed on both problems. However, the existing KBs are far from being comprehensive and accurate: first, existing knowledge extraction systems retrieve data from limited types of Web sources; second, existing truth discovery approaches commonly assume each predicate has only one true value. In this paper, the focus is on the problem of generating actionable knowledge from Big Data. A system is proposed, which consists of two phases, namely, knowledge extraction and truth discovery, to construct a broader KB, called GrandBase.

Contribution of cobalt 57 labelled bleomycin in the diagnosis of pulmonary round intraparenchymatous lesions

International Nuclear Information System (INIS)

Vaillant, G.; Bertrand, A.; Robert, J.; Hocquart, C.; Zuck, P.; Anthoine, D.; Lamy, P.

1975-01-01

One hundred and eleven patients with a round lesion within the lung parenchyma were submitted to a lung scan using cobalt 57 labelled bleomycin. In all cases, the diagnosis of benign or malignant disease was made definitely by bronchoscopy, fiber endoscopy, transparietal needle biopsy or thoracotomy. Out of 89 neoplasic foci, 87 took up labelled bleomycin with a fixation ratio greater than 13. On the other hand, the 22 benign round foci, except for the large silico-tuberculous nodule, remained silent on radio-isotope scanning. The great value of scanning using cobalt 57 labelled bleomycin in the detection of the malignant or benign nature of round images within the lung is emphasized, the clinical and radiological pre-operative diagnosis remains one of the most difficult in lung disease problems [fr

Ankle Sprains. A Round Table.

Science.gov (United States)

Physician and Sportsmedicine, 1986

1986-01-01

Types of ankle sprains, surgical versus nonsurgical treatment, tape versus brace for support, rehabilitation, exercise, and prevention of ankle sprains are discussed by a panel of experts. An acute ankle taping technique is illustrated. (MT)

Output control of da Vinci surgical system's surgical graspers.

Science.gov (United States)

Johnson, Paul J; Schmidt, David E; Duvvuri, Umamaheswar

2014-01-01

The number of robot-assisted surgeries performed with the da Vinci surgical system has increased significantly over the past decade. The articulating movements of the robotic surgical grasper are controlled by grip controls at the master console. The user interface has been implicated as one contributing factor in surgical grasping errors. The goal of our study was to characterize and evaluate the user interface of the da Vinci surgical system in controlling surgical graspers. An angular manipulator with force sensors was used to increment the grip control angle as grasper output angles were measured. Input force at the grip control was simultaneously measured throughout the range of motion. Pressure film was used to assess the maximum grasping force achievable with the endoscopic grasping tool. The da Vinci robot's grip control angular input has a nonproportional relationship with the grasper instrument output. The grip control mechanism presents an intrinsic resistant force to the surgeon's fingertips and provides no haptic feedback. The da Vinci Maryland graspers are capable of applying up to 5.1 MPa of local pressure. The angular and force input at the grip control of the da Vinci robot's surgical graspers is nonproportional to the grasper instrument's output. Understanding the true relationship of the grip control input to grasper instrument output may help surgeons understand how to better control the surgical graspers and promote fewer grasping errors. Copyright © 2014 Elsevier Inc. All rights reserved.

Lower Grande Ronde smolt trap monitoring. Annual report 1996

International Nuclear Information System (INIS)

Setter, A.; Carmichael, R.W.

1998-01-01

The authors sampled downstream migrating salmonids at Boggan's Oasis in the Grande Ronde River with a screw trap during 1995 and a scoop trap during 1996. Sampling began in March and terminated early in June. Wild spring chinook and wild/hatchery steelhead were collected and marked to assess migration patterns and timing. Fish were marked with tags in order to obtain downstream migration data with minimal fish handling. Observations were recorded when a fish swam through an interrogation monitor at hydroelectric facilities downstream. The second year for monitoring smolts leaving the Grande Ronde River was completed in 1995. The authors continued to pursue moving to a permanent location downstream for 1997 because of the limitations for trapping smolts at Boggan's Oasis. This involved reconnaissance surveys of several potential sites near the mouth of the river from 1994--1996. During February of 1996, a water velocity and bottom topography assessment was completed. Results of the assessment were used for siting the anchoring tower structure upstream approximately 1.2 miles from the mouth of the Grande Ronde River

Do VCs use inside rounds to dilute founders? Some evidence from Silicon Valley

OpenAIRE

Fried, Jesse M.; Broughman, Brian J.

2012-01-01

In the bank-borrower setting, a firm’s existing lender may exploit its positional advantage to extract rents from the firm in subsequent financings. Analogously, a startup’s existing venture capital investors (VCs) may dilute the founder through a follow-on financing from these same VCs (an “inside” round) at an artificially low valuation. Using a hand-collected dataset of Silicon Valley startup firms, we find little evidence that VCs use inside rounds to dilute founders. Instead, our finding...

Simulations of Precipitation Variability over the Upper Rio Grande Basin

International Nuclear Information System (INIS)

Costigan, Keeley R.; Bossert, James E.; Langley, David L.

1997-10-01

In this research, we study Albuquerque's water and how it may be affected by changes in the regional climate, as manifested by variations in Rio Grande water levels. To do this, we rely on the use of coupled atmospheric, runoff, and ground water models. Preliminary work on the project has focused on uncoupled simulations of the aquifer beneath Albuquerque and winter precipitation simulations of the upper Rio Grande Basin. The latter is discussed in this paper

Utility of the electronic information resource UpToDate for clinical decision-making at bedside rounds.

Science.gov (United States)

Phua, J; See, K C; Khalizah, H J; Low, S P; Lim, T K

2012-02-01

Clinical questions often arise at daily hospital bedside rounds. Yet, little information exists on how the search for answers may be facilitated. The aim of this prospective study was, therefore, to evaluate the overall utility, including the feasibility and usefulness of incorporating searches of UpToDate, a popular online information resource, into rounds. Doctors searched UpToDate for any unresolved clinical questions during rounds for patients in general medicine and respiratory wards, and in the medical intensive care unit of a tertiary teaching hospital. The nature of the questions and the results of the searches were recorded. Searches were deemed feasible if they were completed during the rounds and useful if they provided a satisfactory answer. A total of 157 UpToDate searches were performed during the study period. Questions were raised by all ranks of clinicians from junior doctors to consultants. The searches were feasible and performed immediately during rounds 44% of the time. Each search took a median of three minutes (first quartile: two minutes, third quartile: five minutes). UpToDate provided a useful and satisfactory answer 75% of the time, a partial answer 17% of the time and no answer 9% of the time. It led to a change in investigations, diagnosis or management 37% of the time, confirmed what was originally known or planned 38% of the time and had no effect 25% of the time. Incorporating UpToDate searches into daily bedside rounds was feasible and useful in clinical decision-making.

Security proof for round robin differential phase shift QKD

NARCIS (Netherlands)

Leermakers, D.; Skoric, B.

2017-01-01

We give the first information-theoretic security proof of the `Round Robin Differential Phase Shift' Quantum Key Distribution scheme. Our proof consists of the following steps. We construct an EPR variant of the scheme. We identify Eve's optimal way of coupling an ancilla to an EPR qudit pair under

Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.

Science.gov (United States)

Smaggus, Andrew; Mrkobrada, Marko; Marson, Alanna; Appleton, Andrew

2018-01-01

The quality and safety movement has reinvigorated interest in optimising morbidity and mortality (M&M) rounds. We performed a systematic review to identify effective means of updating M&M rounds to (1) identify and address quality and safety issues, and (2) address contemporary educational goals. Relevant databases (Medline, Embase, PubMed, Education Resource Information Centre, Cumulative Index to Nursing and Allied Health Literature, Healthstar, and Global Health) were searched to identify primary sources. Studies were included if they (1) investigated an intervention applied to M&M rounds, (2) reported outcomes relevant to the identification of quality and safety issues, or educational outcomes relevant to quality improvement (QI), patient safety or general medical education and (3) included a control group. Study quality was assessed using the Medical Education Research Study Quality Instrument and Newcastle-Ottawa Scale-Education instruments. Given the heterogeneity of interventions and outcome measures, results were analysed thematically. The final analysis included 19 studies. We identified multiple effective strategies (updating objectives, standardising elements of rounds and attaching rounds to a formal quality committee) to optimise M&M rounds for a QI/safety purpose. These efforts were associated with successful integration of quality and safety content into rounds, and increased implementation of QI interventions. Consistent effects on educational outcomes were difficult to identify, likely due to the use of methodologies ill-fitted for educational research. These results are encouraging for those seeking to optimise the quality and safety mission of M&M rounds. However, the inability to identify consistent educational effects suggests the investigation of M&M rounds could benefit from additional methodologies (qualitative, mixed methods) in order to understand the complex mechanisms driving learning at M&M rounds. © Article author(s) (or their

Light grand unified theory triplets and Yukawa splitting

International Nuclear Information System (INIS)

Rakshit, Subhendu; Shadmi, Yael; Raz, Guy; Roy, Sourov

2004-01-01

Triplet-mediated proton decay in grand unified theories (GUTs) is usually suppressed by arranging a large triplet mass. Here we explore instead a mechanism for suppressing the couplings of the triplets to the first and second generations compared to the Yukawa couplings, so that the triplets can be light. This mechanism is based on a 'triplet symmetry' in the context of product-group GUTs. We study two possibilities. The first possibility, which requires the top Yukawa coupling to arise from a nonrenormalizable operator at the GUT scale, is that all triplet couplings to matter are negligible, so that the triplets can be at the weak scale, giving new evidence for grand unification. The second possibility is that some triplet couplings, and in particular Ttb and Tt-barl-bar, are equal to the corresponding Yukawa couplings. This would give a distinct signature of grand unification if the triplets were sufficiently light. However, we derive a model-independent bound on the triplet mass in this case, which is at least 10 6 GeV. Finally, we construct an explicit viable GUT model based on Yukawa splitting, with the triplets at 10 14 GeV, as required for coupling unification to work. This model requires no additional thresholds below the GUT scale

Grand canonical electronic density-functional theory: Algorithms and applications to electrochemistry

International Nuclear Information System (INIS)

Sundararaman, Ravishankar; Goddard, William A. III; Arias, Tomas A.

2017-01-01

First-principles calculations combining density-functional theory and continuum solvation models enable realistic theoretical modeling and design of electrochemical systems. When a reaction proceeds in such systems, the number of electrons in the portion of the system treated quantum mechanically changes continuously, with a balancing charge appearing in the continuum electrolyte. A grand-canonical ensemble of electrons at a chemical potential set by the electrode potential is therefore the ideal description of such systems that directly mimics the experimental condition. We present two distinct algorithms: a self-consistent field method and a direct variational free energy minimization method using auxiliary Hamiltonians (GC-AuxH), to solve the Kohn-Sham equations of electronic density-functional theory directly in the grand canonical ensemble at fixed potential. Both methods substantially improve performance compared to a sequence of conventional fixed-number calculations targeting the desired potential, with the GC-AuxH method additionally exhibiting reliable and smooth exponential convergence of the grand free energy. Lastly, we apply grand-canonical density-functional theory to the under-potential deposition of copper on platinum from chloride-containing electrolytes and show that chloride desorption, not partial copper monolayer formation, is responsible for the second voltammetric peak.

Grand canonical electronic density-functional theory: Algorithms and applications to electrochemistry

Science.gov (United States)

Sundararaman, Ravishankar; Goddard, William A.; Arias, Tomas A.

2017-03-01

First-principles calculations combining density-functional theory and continuum solvation models enable realistic theoretical modeling and design of electrochemical systems. When a reaction proceeds in such systems, the number of electrons in the portion of the system treated quantum mechanically changes continuously, with a balancing charge appearing in the continuum electrolyte. A grand-canonical ensemble of electrons at a chemical potential set by the electrode potential is therefore the ideal description of such systems that directly mimics the experimental condition. We present two distinct algorithms: a self-consistent field method and a direct variational free energy minimization method using auxiliary Hamiltonians (GC-AuxH), to solve the Kohn-Sham equations of electronic density-functional theory directly in the grand canonical ensemble at fixed potential. Both methods substantially improve performance compared to a sequence of conventional fixed-number calculations targeting the desired potential, with the GC-AuxH method additionally exhibiting reliable and smooth exponential convergence of the grand free energy. Finally, we apply grand-canonical density-functional theory to the under-potential deposition of copper on platinum from chloride-containing electrolytes and show that chloride desorption, not partial copper monolayer formation, is responsible for the second voltammetric peak.

Does it actually feel right? A replication attempt of the rounded price effect.

Science.gov (United States)

Harms, Christopher; Genau, Hanna A; Meschede, Carolin; Beauducel, André

2018-04-01

How does the roundedness of prices affect product evaluations? The 'rounded price effect' postulates that depending on the context, rounded or non-rounded prices increase the purchase likelihood of consumers. The study presented here is a replication attempt of these findings and the proposed mediation of the effect through a sense of 'feeling right' when evaluating the product. p -Curve analysis and the R-Index are used to assess the robustness of the originally reported statistics since original data were not available. A pre-registered replication of study 5 from the original article was conducted in a sample of N =588 participants. For both the original product and one alternative product neither an interaction between price roundedness and context, nor a mediation through 'a sense of feeling right' was found. Our results suggest that the effect is either smaller than originally reported or contingent on other, not investigated factors. Further studies might investigate contingencies in larger samples.

B.C. Round Table on the Environment and the Economy: an update on sustainable development and reclamation

Energy Technology Data Exchange (ETDEWEB)

Hansen, P [Highland Valley Copper, Vancouver, BC (Canada)

1991-06-01

The purpose is to describe the B.C. Round Table on the Environment and the Economy. The Round Table is an independent advisory group of 31 individuals representing different parts of society, including environmental groups, industry, labour, indigenous peoples groups, universities, and the public service. The Round Table was established in January 1990 by the British Columbia government, with a mandate to develop a sustainable development strategy for British Columbia. The mining industry, including coal producers, have been active participants in Round Table workshops and public consultations. The mining industry`s main concern is to maintain access to opportunities for exploration and development of mineral deposits. The mining industry is required to undertake and has developed intensive reclamation of disturbed lands and reestablishment of land productivity to not less than that prior to mining.

Birds of the Reserva Biológica do Mato Grande and surroundings, Rio Grande do Sul, Brazil

DEFF Research Database (Denmark)

Vizentin-Bugoni, Jeferson; Jacobs, Fernando; Coimbra, Marco Antônio Afonso

2015-01-01

The Reserva Biológica do Mato Grande encompasses 5,161 hectares of wetlands, restinga forests and grasslands in southern Brazil. Aiming to assemble a list of bird species occurring in the reserve, we carried out 21 monthly expeditions from July 2007 to March 2009 and an additional visit on October...

Oncoplastic round block technique has comparable operative parameters as standard wide local excision: a matched case-control study.

Science.gov (United States)

Lim, Geok-Hoon; Allen, John Carson; Ng, Ruey Pyng

2017-08-01

Although oncoplastic breast surgery is used to resect larger tumors with lower re-excision rates compared to standard wide local excision (sWLE), criticisms of oncoplastic surgery include a longer-albeit, well concealed-scar, longer operating time and hospital stay, and increased risk of complications. Round block technique has been reported to be very suitable for patients with relatively smaller breasts and minimal ptosis. We aim to determine if round block technique will result in operative parameters comparable with sWLE. Breast cancer patients who underwent a round block procedure from 1st May 2014 to 31st January 2016 were included in the study. These patients were then matched for the type of axillary procedure, on a one to one basis, with breast cancer patients who had undergone sWLE from 1st August 2011 to 31st January 2016. The operative parameters between the 2 groups were compared. 22 patients were included in the study. Patient demographics and histologic parameters were similar in the 2 groups. No complications were reported in either group. The mean operating time was 122 and 114 minutes in the round block and sWLE groups, respectively (P=0.64). Length of stay was similar in the 2 groups (P=0.11). Round block patients had better cosmesis and lower re-excision rates. A higher rate of recurrence was observed in the sWLE group. The round block technique has comparable operative parameters to sWLE with no evidence of increased complications. Lower re-excision rate and better cosmesis were observed in the round block patients suggesting that the round block technique is not only comparable in general, but may have advantages to sWLE in selected cases.

Japanese round robin analysis for probabilistic fracture mechanics

International Nuclear Information System (INIS)

Yagawa, G.; Yoshimura, S.; Handa, N.

1991-01-01

Recently attention is focused on the probabilistic fracture mechanics, a branch of fracture mechanics with probability theory for a rational mean to assess the strength of components and structures. In particular, the probabilistic fracture mechanics is recognized as the powerful means for quantitative investigation of significance of factors and rational evaluation of life on problems involving a number of uncertainties, such as degradation of material strength, accuracy and frequency of inspection. Comparison with reference experiments are generally employed to assure the analytical accuracy. However, accuracy and reliability of analytical methods in the probabilistic fracture mechanics are hardly verified by experiments. Therefore, it is strongly needed to verify the probabilistic fracture mechanics through the round robin analysis. This paper describes results from the round robin analysis of flat plate with semi-elliptic cracks on the surface, conducted by the PFM Working Group of LE Subcommittee of the Japan Welding Society under the contract of the Japan Atomic Energy Research Institute and participated by Tokyo University, Yokohama National University, the Power Reactor and Nuclear Fuel Corporation, Tokyo Electric Power Co. Central Research Institute of Electric Power Industry, Toshiba Corporation, Kawasaki Heavy Industry Co. and Mitsubishi Heavy Industry Co. (author)

Reisipakkumine - Grand Tour Itaalias / Mai Levin

Index Scriptorium Estoniae

Levin, Mai, 1942-

2009-01-01

Tiina Abeli koostatud ja Urmas Viigi kujundatud näitus "Grand Tour. Eesti kunstnikud Itaalias" Kumu Kunstimuuseumis 05. aprillini. Loetletud eksponeeritud tööde autoreid. Näitus annab ülevaate, kes siinsetest kunstnikest 19. sajandi algusest kuni 1930ndate aastateni Itaalias käisid ja kuidas see nende loomingut mõjutas

Surgical implications of perimodiolar cochlear implant electrode design: avoiding intracochlear damage and scala vestibuli insertion.

Science.gov (United States)

Briggs, R J; Tykocinski, M; Saunders, E; Hellier, W; Dahm, M; Pyman, B; Clark, G M

2001-09-01

To review the mechanisms and nature of intracochlear damage associated with cochlear implant electrode array insertion, in particular, the various perimodiolar electrode designs. Make recommendations regarding surgical techniques for the Nucleus Contour electrode to ensure correct position and minimal insertion trauma. The potential advantages of increased modiolar proximity of intracochlear multichannel electrode arrays are a reduction in stimulation thresholds, an increase in dynamic range and more localized neural excitation. This may improve speech perception and reduce power consumption. These advantages may be negated if increased intracochlear damage results from the method used to position the electrodes close to the modiolus. A review of the University of Melbourne Department of Otolaryngology experience with temporal bone safety studies using the Nucleus standard straight electrode array and a variety of perimodiolar electrode array designs; comparison with temporal bone insertion studies from other centres and postmortem histopathology studies reported in the literature. Review of our initial clinical experience using the Nucleus Contour electrode array. The nature of intracochlear damage resulting from electrode insertion trauma ranges from minor, localized, spiral ligament tear to diffuse organ of Corti disruption and osseous spiral lamina fracture. The type of damage depends on the mechanical characteristics of the electrode array, the stiffness, curvature and size of the electrode in relation to the scala, and the surgical technique. The narrow, flexible, straight arrays are the least traumatic. Pre-curved or stiffer arrays are associated with an incidence of basilar membrane perforation. The cochleostomy must be correctly sited in relation to the round window to ensure scala tympani insertion. A cochleostomy anterior to the round window rather than inferior may lead to scala media or scala vestibuli insertion. Proximity of electrodes to the modiolus

Surgical treatment of secondary peritonitis : A continuing problem.

Science.gov (United States)

van Ruler, O; Boermeester, M A

2017-01-01

Secondary peritonitis remains associated with high mortality and morbidity rates. Treatment of secondary peritonitis is challenging even in modern medicine. Surgical intervention for source control remains the cornerstone of treatment, beside adequate antimicrobial therapy and resuscitation. A randomized clinical trial showed that relaparotomy on demand (ROD) after initial emergency surgery is the preferred treatment strategy, irrespective of the severity and extent of peritonitis. The effective and safe use of ROD requires intensive monitoring of the patient in a setting where diagnostic tests and decision making about relaparotomy are guaranteed round the clock. The lack of knowledge on timely and adequate patient selection, together with the lack of use of easy but reliable monitoring tools, seems to hamper full implementation of ROD. The accuracy of the relap decision tool is reasonable for prediction of ongoing peritonitis and selection for computer tomography (CT). The value of CT in an early postoperative phase is unclear. Future research and innovative technologies should focus on the additive value of CT in cases of operated secondary peritonitis and on the further optimization of bedside prediction tools to enhance adequate patient selection for intervention in a multidisciplinary setting.

Falares: a oralidade como elemento construtor da grande-reportagem

OpenAIRE

Alex Criado

2006-01-01

Esta tese discute a incorporação da oralidade de falantes excluídos social e culturalmente na grande-reportagem. O foco desta pesquisa é refletir como a grande-reportagem no Brasil, em sua missão de desvendamento do real, tem lidado com a questão da oralidade. Discute os desafios para a incorporação dos registros orais de pessoas com baixa escolaridade, tendo em vista o preconceito que existe na sociedade em relação aos falantes que se utilizam de modalidades diferentes da língua padrão. Prop...

Information and communication technologies - A new round of household electrification

International Nuclear Information System (INIS)

Ropke, Inge; Haunstrup Christensen, Toke; Ole Jensen, Jesper

2010-01-01

Information and communication technologies (ICTs) increasingly permeate everyday life in industrialized societies. The aim of this paper is to explore ICT-related transformations of everyday practices and discuss the implications, particularly for residential electricity consumption. The present socio-technical changes are seen in a historical perspective, and it is argued that the integration of ICT into everyday practices can be seen as a new round of household electrification, comparable to earlier rounds that also led to higher electricity consumption. A case study carried out in Denmark in 2007-2008 explores the present changes in everyday life. Based on qualitative interviews, the study focuses on people's ways of integrating ICTs into their everyday practices, on any significant changes in these practices, and on the influence of the changed practices on electricity consumption. The paper concludes with a discussion on the implications for energy policy.

Impact of rounded electrode corners on breakdown characteristics of AlGaN/GaN high-electron mobility transistors

Science.gov (United States)

Yamazaki, Taisei; Asubar, Joel T.; Tokuda, Hirokuni; Kuzuhara, Masaaki

2018-05-01

We investigated the impact of rounded electrode corners on the breakdown characteristics of AlGaN/GaN high-electron mobility transistors. For standard reference devices, catastrophic breakdown occurred predominantly near the sharp electrode corners. By introducing a rounded-electrode architecture, premature breakdown at the corners was mitigated. Moreover, the rate of breakdown voltage (V BR) degradation with an increasing gate width (W G) was significantly lower for devices with rounded corners. When W G was increased from 100 µm to 10 mm, the V BR of the reference device dropped drastically, from 1,200 to 300 V, whereas that of the rounded-electrode device only decreased to a respectable value of 730 V.

Sudden transitions and grand variations in the solar dynamo, past and future☆

Directory of Open Access Journals (Sweden)

De Jager Cornelis

2012-06-01

Full Text Available The solar dynamo is the exotic dance of the sun’s two major magnetic field components, the poloidal and the toroidal, interacting in anti-phase. On the basis of new data on the geomagnetic aa index, we improve our previous forecast of the properties of the current Schwabe cycle #24. Its maximum will occur in 2013.5 and the maximum sunspot number Rmax will then be 62 ± 12, which is within the bounds of our earlier forecasts. The subsequent analysis, based on a phase diagram, which is a diagram showing the relation between maximum sunspot numbers and minimum geomagnetic aa index values leads to the conclusion that a new Grand Episode in solar activity has started in 2008. From the study of the natural oscillations in the sunspot number time series, as found by an analysis based on suitable wavelet base functions, we predict that this Grand Episode will be of the Regular Oscillations type, which is the kind of oscillations that also occurred between 1724 and 1924. Previous expectations of a Grand (Maunder-type Minimum of solar activity cannot be supported. We stress the significance of the Hallstatt periodicity for determining the character of the forthcoming Grand Episodes. No Grand Minimum is expected to occur during the millennium that has just started.

Dedifferentiated giant-cell tumor of bone with an undifferentiated round cell mesenchymal component

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Eréndira G. Estrada-Villaseñor

2014-08-01

Full Text Available The dedifferentiated giant-cell tumor of the bone is a very rare variant of the giant-cell tumor (GCT. We report the clinical, radiographic and histological findings of a dedifferentiated GCT in which the dedifferentiated component consisted of small round cells. We also comment on previously reported cases of dedifferentiated GCT, discuss the clinical implications of this dual histology, and analyze the information published about the coexistence of similar genetic abnormalities in GCT and small round cell tumors of the bone.

Nalisis Kinerja Keuangan pada PT. Grand Victoria Hotel di Samarinda

OpenAIRE

-, Atmajaya -

2013-01-01

Based on the results of analysis show that the performance of PT. Hotel Grand Victorian is measured using liquidity ratios and profitability ratios decreased from 2010-2012. Performance PT. Grand Victorian is measured using the liquidity ratio has decreased from year 2010-2012 consists of current ratio has decreased, and this is because the total current assets has increased and decreased. Meanwhile, the cash ratio from year 2010-2012 has increased, this is because the total cash and cash equ...

The effect of elevated die temperature on deformation of deep drawn round metal cup

Science.gov (United States)

Basril, M. A. M.; Hafsyam, Y. M.; Azuddin, M.; Choudhury, I. A.

2017-06-01

One of the major considerations in the current deep drawing practice is the product quality. In this research, the effect of heating temperature on the drawability of the round metal cup has been investigated. Firstly, round metal cups of aluminium and mild steel were drawn from the blank diameters of 60 mm, 65 mm and 70 mm. The experiment conducted at room temperature first, then at 50°C and 100°C. The elongation of the major and minor strains along the cup profile after the process is measured and analysed. On the other hand, the defects from the experiment output and ABAQUS/CAE simulation are compared. The result from experiment shows that the highest major elongation is 11.64 mm and it is happened to a deep drawn aluminium round cup with LDR of 1.69 at temperature of 100°C. On the other hand, for deep drawn mild steel round cup, shows highest major elongation of 12.44 mm for a cup with LDR of 1.56 at 100°C. Both of these statements indicates that the higher temperature could improve the formability of the deep drawn parts besides reducing the probability of the defect to be happened.

INVASION OF ROUND GOBY NEOGOBIUS MELANOSTOMUS (PALLAS, 1814 – ECO-THREAT OR ENVIROMENTAL ENRICHMENT?

Directory of Open Access Journals (Sweden)

Katarzyna Stepanowska

2014-10-01

Full Text Available Round goby Neogobius melanostomus (Pallas, 1814 is a fish species of Ponto-Caspian basin origin. However, since the second part of the 80’s of the last century has observed spreading of this species in European waters, including in Polish waters. In the last two decades, from 1990 when it was first caught of round goby near the fishing port in Hel, takes a massive and rapid spread of this fish throughout the Gulf of Gdańsk, Vistula Lagoon, along the southern Baltic coastal zone and the Pomeranian Bay and also the River Odra estuary. In 2009, first round goby in commercial catches conducted in Lake Dąbie was recorded. In this situation the question is that invasion can be a eco-threat or even enrichment of the environment to the human being?

Test of hadronic interaction models with the KASCADE-Grande muon data

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Schieler H.

2013-06-01

Full Text Available KASCADE-Grande is an air-shower observatory devoted for the detection of cosmic rays with energies in the interval of 1014 – 1018 eV, where the Grande array is responsible for the higher energy range. The experiment comprises different detection systems which allow precise measurements of the charged, electron and muon numbers of extensive air-showers (EAS. These data is employed not only to reconstruct the properties of the primary cosmic-ray particle but also to test hadronic interaction models at high energies. In this contribution, predictions of the muon content of EAS from QGSJET II-2, SIBYLL 2.1 and EPOS 1.99 are confronted with the experimental measurements performed with the KASCADE-Grande experiment in order to test the validity of these hadronic models commonly used in EAS simulations.

LEP constraints on grand unified theories

International Nuclear Information System (INIS)

Sarkar, Utpal

1993-01-01

Recent developments on grand unified theories (GUTs) in the context of the LEP measurements of the coupling constants are reviewed. The three coupling constants at the electroweak scale have been measured at LEP quite precisely. One can allow these couplings to evolve with energy following the renormalization group equations for the various groups and find out whether all the coupling constants meet at any energy. It was pointed out that the minimal SU(5) grand unified theory fails to satisfy this test. However, various extensions of the theory are still allowed. These extensions include (i) supersymmetric SU(5) GUT, with some arbitrariness in the susy breaking scale arising from the threshold corrections, (ii) non-susy SU(5) GUTs with additional fermions as well as Higgs multiplets, which has masses of the order of TeV, and (iii) non-renormalizable effect of gravity with a fine tuned relation among the coupling constants at the unification energy. The LEP results also constrain GUTs with an intermediate symmetry breaking scale. By adjusting the intermediate symmetry breaking scale, one usually can have unification, but these theories get constrained. For example, the left-right symmetric theories coming from GUTs can be broken only at energies higher than about ∼10 10 GeV. This implies that if right handed gauge bosons are found at energies lower than this scale, then that will rule out the possibility of grand unification. Another recent interesting development on the subject, namely, low energy unification, is discussed in this context. All the coupling constants are unified at energies of the order of ∼10 8 GeV when they are embedded in an SU(15)GUT, with some particular symmetry breaking pattern. But even in this case the results of the intermediate symmetry breaking scale remain unchanged. (author). 16 refs., 3 figs

China Textile Round Table Forum Fabrics:International Trend and Marketing

Institute of Scientific and Technical Information of China (English)

2007-01-01

On April 8,2007,China Textile Round Table Forum: Profesional Market Forum (Guangzhou 2007) was held in China Fabrics & Accessories Center.Representatives from many countries and regions,leaderships from Chinese textile and garment industry,as well as experts and corporated

Microfilament Contraction Promotes Rounding of Tunic Slices: An Integumentary Defense System in the Colonial Ascidian Aplidium yamazii.

Science.gov (United States)

Hirose, E; Ishii, T

1995-08-01

In Aplidium yamazii, when a slice of a live colony (approximately 0.5 mm thick) was incubated in seawater for 12 h, the slice became a round tunic fragment. This tunic rounding was inhibited by freezing of the slices, incubation with Ca2+-Mg2+ -free seawater, or addition of cytochalasin B. Staining of microfilaments in the slices with phalloidin-FITC showed the existence of a cellular network in the tunic. Contraction of this cellular network probably promotes rounding of the tunic slice. In electron microscopic observations, a new tunic cuticle regenerated at the surface of the round tunic fragments; the tunic cuticle did not regenerate in newly sliced specimens nor in specimens in which rounding was experimentally inhibited. Based on these results, an integumentary defense system is proposed in this species as follows. (1) When the colony is wounded externally, contraction of the cellular network promotes tunic contraction around the wound. (2) The wound is almost closed by tunic contraction. (3) Tunic contraction increases the density of the filamentous components of the tunic at the wound, and it may accelerate the regeneration of tunic cuticle there.

Patient safety ward round checklist via an electronic app: implications for harm prevention.

Science.gov (United States)

Keller, C; Arsenault, S; Lamothe, M; Bostan, S R; O'Donnell, R; Harbison, J; Doherty, C P

2017-11-06

Patient safety is a value at the core of modern healthcare. Though awareness in the medical community is growing, implementing systematic approaches similar to those used in other high reliability industries is proving difficult. The aim of this research was twofold, to establish a baseline for patient safety practices on routine ward rounds and to test the feasibility of implementing an electronic patient safety checklist application. Two research teams were formed; one auditing a medical team to establish a procedural baseline of "usual care" practice and an intervention team concurrently was enforcing the implementation of the checklist. The checklist was comprised of eight standard clinical practice items. The program was conducted over a 2-week period and 1 month later, a retrospective analysis of patient charts was conducted using a global trigger tool to determine variance between the experimental groups. Finally, feedback from the physician participants was considered. The results demonstrated a statistically significant difference on five variables of a total of 16. The auditing team observed low adherence to patient identification (0.0%), hand decontamination (5.5%), and presence of nurse on ward rounds (6.8%). Physician feedback was generally positive. The baseline audit demonstrated significant practice bias on daily ward rounds which tended to omit several key-proven patient safety practices such as prompting hand decontamination and obtaining up to date reports from nursing staff. Results of the intervention arm demonstrate the feasibility of using the Checklist App on daily ward rounds.

Organized colorectal cancer screening in Serbia - the first round within 2013-2014

Directory of Open Access Journals (Sweden)

Banković-Lazarević Dušica

2016-01-01

Full Text Available Background/Aim. The National Organized Colorectal Cancer Screening Program was conducted in the Republic of Serbia during 2013-2014 covering the population of both genders, aged 50 to 74 years, in 28 municipalities out of 180, with the target population of 651,445 people. This organized colorectal cancer screening aims to reduce mortality from colorectal cancer in the target population. The aim of this study was to show the results of organized screening for colorectal cancer during the first biannual round in Serbia. Methods. General practitioners from the primary health centers, invited target population by letters and by phone to perform immunochemical fecal occult blood test. Persons with a positive test results were referred to the colonoscopy. The database of health insurance and other citizens of the target population was used for invitation for screening in primary health centers. Descriptive statistical analysis of the results in organized colorectal cancer screening in the first round was performed for the key screening indicators. Results. In the first round, a total of 99,592 persons were invited. The participation rate was 62.5%. Colonoscopy was performed in 1,554 persons. Adenomas were found in 586 persons (0.9% of all the tested, e.g. 37.7 % of all colonoscopied. In 129 persons colorectal cancer was diagnosed (0.2% of all the tested, e.g. 8.3% of all the colonoscopied. In the left half of the colon (rectum, sigmoid and descending colon there were 70.4% diagnosed polyps and 77.3% carcinomas, while 29.6% of polyps and 22.7% carcinomas were found in the proximal parts of the colon. Conclusion. In the first round of the organized colorectal cancer screening in Serbia the participation rate of the targeted population was high and gave encouraging result. It was expected that in the forthcoming rounds even higher coverage of the target population would be accomplished. A positive predictive value of the completed colonoscopies showed

Residents′ perceptions of work environment during their postgraduate medical training in Pakistan

Directory of Open Access Journals (Sweden)

Avan B

2006-01-01

Full Text Available Background: In Pakistan, there is a lack of information about the work environment of residency programs. This lack is a major impediment in their improvement. One of the approaches for improvement in these programs can be directed through the residents′ own perception of their working conditions. Therefore, we collected data which would reflect working conditions of residents. Aim: To assess the perceived status of "work environment" in different specialities Materials and Methods: A cross-sectional survey was conducted in four teaching hospitals of Karachi from July 1999 to January 2000. Residents from selected programs were grouped into four broad groups: specialist, medical, surgical, and multidisciplinary. Responses of residents were obtained on a Likert scale of 0 to 4. Indices were formed for two components of work environment: academic and mistreatment. Statistical Analysis: Differences between residents′ groups were assessed through analysis of variance (ANOVA at 5% significance. Results: A total of 341 registered residents responded (response rate: 75%. Surgical residents were working more than 80 h/week and this was more than the other three groups. Medical residents were spending the highest actual time on research and teaching activities (10% and 14%, respectively. Academic index score was highest for surgical group (15.81, SD = 4.69 and lowest for multidisciplinary group (11.82, SD = 4.80. Medical group had the highest perceived mistreatment index score (5.56, SD = 4.57. Conclusions: In a study of work environment of residency programs, differential impact was found for the four groups on work environment perceptions. Most of the residents recognized undergraduate teaching, grand rounds, patient rounds, and seminars or workshops as contributing to their academic learning. Reporting of sexual harassment was low, indicating either underreporting or cultural dynamics of our setting.

Development and application of α-hull and Voronoi diagrams in the assessment of roundness error

International Nuclear Information System (INIS)

Li, Xiuming; Liu, Hongqi; Li, Wei

2011-01-01

Computational geometry has been used to select effective data points from the measured data points for evaluating the roundness error to improve the computational complexity. However, for precision parts most of the measured points are on the vertices of the convex hull; it cannot have any effect on improving the computational complexity with the Voronoi diagrams. In this paper the roundness error is evaluated with α-hull and the Voronoi diagram instead of convex hull. An approach for constructing α-hull with the minimum radius separation is presented to determine the vertices of the Voronoi diagram. The experimental results showed that the roundness error of the minimum zone circle could be solved efficiently with α-hull and the Voronoi diagram

US DOE Grand Challenge in Computational Accelerator Physics

International Nuclear Information System (INIS)

Ryne, R.; Habib, S.; Qiang, J.; Ko, K.; Li, Z.; McCandless, B.; Mi, W.; Ng, C.; Saparov, M.; Srinivas, V.; Sun, Y.; Zhan, X.; Decyk, V.; Golub, G.

1998-01-01

Particle accelerators are playing an increasingly important role in basic and applied science, and are enabling new accelerator-driven technologies. But the design of next-generation accelerators, such as linear colliders and high intensity linacs, will require a major advance in numerical modeling capability due to extremely stringent beam control and beam loss requirements, and the presence of highly complex three-dimensional accelerator components. To address this situation, the U.S. Department of Energy has approved a ''Grand Challenge'' in Computational Accelerator Physics, whose primary goal is to develop a parallel modeling capability that will enable high performance, large scale simulations for the design, optimization, and numerical validation of next-generation accelerators. In this paper we report on the status of the Grand Challenge

Progress report on a NDT round robin on austenitic circumferential pipe welds

International Nuclear Information System (INIS)

Brast, G.; Maier, H.J.; Knoch, P.; Mletzko, U.

1998-01-01

The objective of the project is establish on the basis of Round Robin tests the current state of efficiency of various, defined testing methods, so that required or achievable optimizations can be defined and made. The project work up to date encompasses mon-destructive examinations of 15 austenitic welds with nominal widths DN 150/200/250 and wall thicknesses from 8 to 18 mm. Except for one test piece, (elbow/elbow), the joining welds are straight pipe to elbow welds. The results of the Round Robin tests show that the NDE detection limits for the fault examined (intercrystalline stress corrosion cracking) are in the range assumed so far, i.e. from about 20 to 25% of the wall thickness to be examined. The defect detection rates of the ultrasonic test methods applied are approx. 70% and thus are about equal in achievement with comparable international Round Robin tests (PISC; ASME/PDI, ENIQ, etc.). Clearly better are the fault detection rates of radiography. Evaluation of the individual results indicates the detection limits can be improved, by 1. reducing the misalignment of edges, 2. grinding of welds, 3. avoiding sharp notches at the root, 4. producing coaxial surfaces. (orig./CB) [de

On the dynamic rounding-off in analogue and RF optimal circuit sizing

Science.gov (United States)

Kotti, Mouna; Fakhfakh, Mourad; Fino, Maria Helena

2014-04-01

Frequently used approaches to solve discrete multivariable optimisation problems consist of computing solutions using a continuous optimisation technique. Then, using heuristics, the variables are rounded-off to their nearest available discrete values to obtain a discrete solution. Indeed, in many engineering problems, and particularly in analogue circuit design, component values, such as the geometric dimensions of the transistors, the number of fingers in an integrated capacitor or the number of turns in an integrated inductor, cannot be chosen arbitrarily since they have to obey to some technology sizing constraints. However, rounding-off the variables values a posteriori and can lead to infeasible solutions (solutions that are located too close to the feasible solution frontier) or degradation of the obtained results (expulsion from the neighbourhood of a 'sharp' optimum) depending on how the added perturbation affects the solution. Discrete optimisation techniques, such as the dynamic rounding-off technique (DRO) are, therefore, needed to overcome the previously mentioned situation. In this paper, we deal with an improvement of the DRO technique. We propose a particle swarm optimisation (PSO)-based DRO technique, and we show, via some analog and RF-examples, the necessity to implement such a routine into continuous optimisation algorithms.

Grande Ronde Basin Spring Chinook Salmon Captive Broodstock Program, 1995-2002 Summary Report.

Energy Technology Data Exchange (ETDEWEB)

Hoffnagle, Timothy; Carmichael, Richard; Noll, William

2003-12-01

The Grande Ronde Basin once supported large runs of chinook salmon Oncorhynchus tshawytscha and estimated peak escapements in excess of 10,000 occurred as recently as the late 1950's (U.S. Army Corps of Engineers 1975). Natural escapement declines in the Grande Ronde Basin have been severe and parallel those of other Snake River populations. Reduced productivity has primarily been attributed to increased mortality associated with downstream and upstream migration past eight dams and reservoirs in the Snake and Columbia rivers. Reduced spawner numbers, combined with human manipulation of previously important spawning and rearing habitat in the Grande Ronde Basin, have resulted in decreased spawning distribution and population fragmentation of chinook salmon in the Grande Ronde Basin (Figure 1; Table 1). Escapement of spring/summer chinook salmon in the Snake River basin included 1,799 adults in 1995, less than half of the previous record low of 3,913 adults in 1994. Catherine Creek, Grande Ronde River and Lostine River were historically three of the most productive populations in the Grande Ronde Basin (Carmichael and Boyce 1986). However, productivity of these populations has been poor for recent brood years. Escapement (based on total redd counts) in Catherine Creek and Grande Ronde and Lostine rivers dropped to alarmingly low levels in 1994 and 1995. A total of 11, 3 and 16 redds were observed in 1994 in Catherine Creek, upper Grande Ronde River and Lostine River, respectively, and 14, 6 and 11 redds were observed in those same streams in 1995. In contrast, the maximum number of redds observed in the past was 505 in Catherine Creek (1971), 304 in the Grande Ronde River (1968) and 261 in 1956 in the Lostine River (Tranquilli et al 2003). Redd counts for index count areas (a standardized portion of the total stream) have also decreased dramatically for most Grande Ronde Basin streams from 1964-2002, dropping to as low as 37 redds in the 119.5 km in the index

Open surgical simulation--a review.

Science.gov (United States)

Davies, Jennifer; Khatib, Manaf; Bello, Fernando

2013-01-01

Surgical simulation has benefited from a surge in interest over the last decade as a result of the increasing need for a change in the traditional apprentice model of teaching surgery. However, despite the recent interest in surgical simulation as an adjunct to surgical training, most of the literature focuses on laparoscopic, endovascular, and endoscopic surgical simulation with very few studies scrutinizing open surgical simulation and its benefit to surgical trainees. The aim of this review is to summarize the current standard of available open surgical simulators and to review the literature on the benefits of open surgical simulation. Open surgical simulators currently used include live animals, cadavers, bench models, virtual reality, and software-based computer simulators. In the current literature, there are 18 different studies (including 6 randomized controlled trials and 12 cohort studies) investigating the efficacy of open surgical simulation using live animal, bench, and cadaveric models in many surgical specialties including general, cardiac, trauma, vascular, urologic, and gynecologic surgery. The current open surgical simulation studies show, in general, a significant benefit of open surgical simulation in developing the surgical skills of surgical trainees. However, these studies have their limitations including a low number of participants, variable assessment standards, and a focus on short-term results often with no follow-up assessment. The skills needed for open surgical procedures are the essential basis that a surgical trainee needs to grasp before attempting more technical procedures such as laparoscopic procedures. In this current climate of medical practice with reduced hours of surgical exposure for trainees and where the patient's safety and outcome is key, open surgical simulation is a promising adjunct to modern surgical training, filling the void between surgeons being trained in a technique and a surgeon achieving fluency in that

Effects of ageing time on the mechanical and conductivity properties for various round bar diameters of AA 2219 Al alloy

Directory of Open Access Journals (Sweden)

T. Ram Prabhu

2017-02-01

Full Text Available In the present study, AA 2219 alloys of 120 mm round bar are forged into various round bars (25, 50, 75 mm and subjected to T6 temper heat treatment to identify the peak ageing time for various round bars. The electrical conductivity of the round bars is also measured and correlated with the mechanical properties. It is found that the peak ageing time is 23 h and does not vary up to 75 mm round bar. It increases to 25 h for the 120 mm round bar. The yield and tensile strength of the alloy are found to be in the range of 288–304 MPa and 410–428 MPa for the peak ageing condition. The hardness and conductivity vary in the range of 121–128 BHN and 30–30.96% IACS respectively for the peak ageing condition. Although a near linear relation is found to exist between the strength/hardness and the electrical conductivity values for the selected heat treatment parameters (solution temperature: 535 °C, ageing temperature: 191 °C and the peak ageing time: 23 h, the slope of the curve is different for different round bars. Microstructure characterization studies show the precipitate coarsening with increasing ageing time. Further, precipitate segregation is not found in the microstructure for any cases of round bar diameter and ageing time combinations.

Anxiety in veterinary surgical students

DEFF Research Database (Denmark)

Langebæk, Rikke; Eika, Berit; Jensen, Asger Lundorff

2012-01-01

The surgical educational environment is potentially stressful and this can negatively affect students' learning. The aim of this study was to investigate whether veterinary students' level of anxiety is higher in a surgical course than in a non-surgical course and if pre-surgical training...... in a Surgical Skills Lab (SSL) has an anxiety reducing effect. Investigations were carried out as a comparative study and a parallel group study. Potential participants were fourth-year veterinary students who attended a surgical course (Basic Surgical Skills) and a non-surgical course (Clinical Examination...... and 28 students from 2010). Our results show that anxiety levels in veterinary students are significantly higher in a surgical course than in a non-surgical course (p...

Severe accident sequences simulated at the Grand Gulf Nuclear Station

International Nuclear Information System (INIS)

Carbajo, J.J.

1999-01-01

Different severe accident sequences employing the MELCOR code, version 1.8.4 QK, have been simulated at the Grand Gulf Nuclear Station (Grand Gulf). The postulated severe accidents simulated are two low-pressure, short-term, station blackouts; two unmitigated small-break (SB) loss-of-coolant accidents (LOCAs) (SBLOCAs); and one unmitigated large LOCA (LLOCA). The purpose of this study was to calculate best-estimate timings of events and source terms for a wide range of severe accidents and to compare the plant response to these accidents

The Virtual Surgical Pelvis : Anatomy Visualization for Education and Surgical Planning

NARCIS (Netherlands)

Smit, N.N.

2016-01-01

This thesis deals with visualizing anatomical data for medical education and surgical planning purposes. To this end, we have developed a detailed virtual atlas, the Virtual Surgical Pelvis (VSP),which unifies surgically relevant knowledge on pelvic anatomy. We provide methods to share the knowledge

Two-Round Password-Only Authenticated Key Exchange in the Three-Party Setting

Directory of Open Access Journals (Sweden)

Junghyun Nam

2015-01-01

Full Text Available We present the first provably-secure three-party password-only authenticated key exchange (PAKE protocol that can run in only two communication rounds. Our protocol is generic in the sense that it can be constructed from any two-party PAKE protocol. The protocol is proven secure in a variant of the widely-accepted model of Bellare, Pointcheval and Rogaway (2000 without any idealized assumptions on the cryptographic primitives used. We also investigate the security of the two-round, three-party PAKE protocol of Wang, Hu and Li (2010 and demonstrate that this protocol cannot achieve implicit key authentication in the presence of an active adversary.

Panel - Rio Grande restoration: Future directions

Science.gov (United States)

Deborah M. Finch; Pete V. Domenici; Jeffrey. C. Whitney; Steve Harris; Brian Shields; Clifford S. Crawford

1996-01-01

The purpose of this panel was to discuss historical and current changes to the Rio Grande system, focusing on the middle Basin, and to present and review different individual, organizational, and political perspectives on the future of the system. Invitations were made to panelists based on their past and current interests and activities pertaining to restoration of...

When thinking is beneficial and when it is not : The effects of thin and round advertising models

NARCIS (Netherlands)

Häfner, M.; Trampe, D.

2009-01-01

This study addresses the advertising effectiveness of round and thin models. Integrating previous findings and theories, the authors predict and find that impulsive and reflective product evaluations as responses to thin and round advertisement models diverge. Specifically, four experiments indicate

Impacts of the Doha Round framework agreements on dairy policies.

Science.gov (United States)

Suzuki, N; Kaiser, H M

2005-05-01

Dairy is highly regulated in many countries for several reasons. Perishability, seasonal imbalances, and inelastic supply and demand for milk can cause inherent market instability. Milk buyers typically have had more market power than dairy farmers. Comparative production advantages in some countries have led to regulations and policies to protect local dairy farmers by maintaining domestic prices higher than world prices. A worldwide consensus on reduction of border measures for protecting dairy products is unlikely, and dairy will probably be an exception in ongoing World Trade Organization (WTO) negotiations. Under the Doha Round framework agreements, countries may name some products such as dairy as "sensitive," thereby excluding them from further reforms. However, new Doha Round framework agreements depart from the current WTO rule and call for product-specific spending caps. Such caps will greatly affect the dairy sector because dairy accounts for much of the aggregate measure of support (AMS) in several countries, including the United States and Canada. Also, the amounts of dairy AMS in several countries may be recalculated relative to an international reference price. In addition, all export subsidies are targeted for elimination in the Doha Round, including export credit programs and state trading enterprises, which will limit options for disposing of surplus dairy products in foreign markets. Currently, with higher domestic prices, measures for cutting or disposing of surpluses have been used in many countries. Supply control, which is not regulated by WTO rules, remains as an option. Although explicit export subsidies are restricted by WTO rules, many countries use esoteric measures to promote dairy exports. If countries agree to eliminate "consumer financed" export subsidies using a theoretical definition and measurements proposed herein as Export Subsidy Equivalents (ESE), dairy exports in many countries may be affected. Although domestic supports and

Engineering assessment of inactive uranium mill tailings, Grand Junction site, Grand Junction, Colorado. Phase II, Title I

Energy Technology Data Exchange (ETDEWEB)

None

1977-10-01

Ford, Bacon and Davis Utah Inc. has performed an engineering assessment of the problems resulting from the existence of radioactive uranium mill tailings at Grand Junction, Colorado. The Phase II, Title I services include the preparation of topographic maps, the performance of core drillings and radiometric measurements sufficient to determine areas and volumes of tailings and radiation exposures of individuals and nearby populations, the investigation of site hydrology and meteorology and the evaluation and costing of alternative corrective actions. Radon gas release from the 1.9 million tons of tailings at the Grand Junction site constitutes the most significant environmental impact, although windblown tailings and external gamma radiation are also factors. The eight alternative actions presented range from millsite decontamination (Option I), to adding various depths of stabilization cover material (Options II and III), to removal of the tailings to long-term storage sites and decontamination of the present site (Options IV through VIII). Cost estimates for the eight options range from $470,000 to $18,130,000. Reprocessing the tailings for uranium recovery does not appear to be economically attractive at present.

Engineering assessment of inactive uranium mill tailings, Grand Junction site, Grand Junction, Colorado. Phase II, Title I

International Nuclear Information System (INIS)

1977-10-01

Ford, Bacon and Davis Utah Inc. has performed an engineering assessment of the problems resulting from the existence of radioactive uranium mill tailings at Grand Junction, Colorado. The Phase II, Title I services include the preparation of topographic maps, the performance of core drillings and radiometric measurements sufficient to determine areas and volumes of tailings and radiation exposures of individuals and nearby populations, the investigation of site hydrology and meteorology and the evaluation and costing of alternative corrective actions. Radon gas release from the 1.9 million tons of tailings at the Grand Junction site constitutes the most significant environmental impact, although windblown tailings and external gamma radiation are also factors. The eight alternative actions presented range from millsite decontamination (Option I), to adding various depths of stabilization cover material (Options II and III), to removal of the tailings to long-term storage sites and decontamination of the present site (Options IV through VIII). Cost estimates for the eight options range from $470,000 to $18,130,000. Reprocessing the tailings for uranium recovery does not appear to be economically attractive at present

Deriving DICOM surgical extensions from surgical workflows

Science.gov (United States)

Burgert, O.; Neumuth, T.; Gessat, M.; Jacobs, S.; Lemke, H. U.

2007-03-01

The generation, storage, transfer, and representation of image data in radiology are standardized by DICOM. To cover the needs of image guided surgery or computer assisted surgery in general one needs to handle patient information besides image data. A large number of objects must be defined in DICOM to address the needs of surgery. We propose an analysis process based on Surgical Workflows that helps to identify these objects together with use cases and requirements motivating for their specification. As the first result we confirmed the need for the specification of representation and transfer of geometric models. The analysis of Surgical Workflows has shown that geometric models are widely used to represent planned procedure steps, surgical tools, anatomical structures, or prosthesis in the context of surgical planning, image guided surgery, augmented reality, and simulation. By now, the models are stored and transferred in several file formats bare of contextual information. The standardization of data types including contextual information and specifications for handling of geometric models allows a broader usage of such models. This paper explains the specification process leading to Geometry Mesh Service Object Pair classes. This process can be a template for the definition of further DICOM classes.

Microbial contamination and chemical toxicity of the Rio Grande

Directory of Open Access Journals (Sweden)

Valles Adrian

2004-04-01

Full Text Available Abstract Background The Rio Grande River is the natural boundary between U.S. and Mexico from El Paso, TX to Brownsville, TX. and is one of the major water resources of the area. Agriculture, farming, maquiladora industry, domestic activities, as well as differences in disposal regulations and enforcement increase the contamination potential of water supplies along the border region. Therefore, continuous and accurate assessment of the quality of water supplies is of paramount importance. The objectives of this study were to monitor water quality of the Rio Grande and to determine if any correlations exist between fecal coliforms, E. coli, chemical toxicity as determined by Botsford's assay, H. pylori presence, and environmental parameters. Seven sites along a 112-Km segment of the Rio Grande from Sunland Park, NM to Fort Hancock, TX were sampled on a monthly basis between January 2000 and December 2002. Results The results showed great variability in the number of fecal coliforms, and E. coli on a month-to-month basis. Fecal coliforms ranged between 0–106 CFU/100 ml while E. coli ranged between 6 to > 2419 MPN. H. pylori showed positive detection for all the sites at different times. Toxicity ranged between 0 to 94% of inhibition capacity (IC. Since values above 50% are considered to be toxic, most of the sites displayed significant chemical toxicity at different times of the year. No significant correlations were observed between microbial indicators and chemical toxicity. Conclusion The results of the present study indicate that the 112-Km segment of the Rio Grande river from Sunland Park, NM to Fort Hancock, TX exceeds the standards for contact recreation water on a continuous basis. In addition, the presence of chemical toxicity in most sites along the 112-Km segment indicates that water quality is an area of concern for the bi-national region. The presence of H. pylori adds to the potential health hazards of the Rio Grande. Since no

Ultrastructure and pathology of desmoplastic small round cell tumor

International Nuclear Information System (INIS)

Xu Bin; Wang Bo; Gu Junlian; Li Xin; Li Yang

2010-01-01

Objective: To observe the change of ultrastructure and pathology of desmoplastic small round cell tumor (DSRCT) and recognize the characteristics of DSRCT and improve the standard of diagnosis. Methods: One case of primary DSRCT in right leg was observed by light microscope, immunohistochemical method and electron microscope and analyzed with review of the literatures. Results: The size of tumor was 3.2 cm x 2.4 cm x 1.3 cm with gray-yellow on cross-section. Foci of hemorrhage and necrosis were noted. Under light microscope, the tumor was composed of sharply demarcated nests of small rounded or oval cells. The cellular aggregates were surrounded and separated by abundant fibrous connective tissue. The tumor cells were uniform in size and shape, and showed small to moderate amounts of pale cytoplasm with indistinct cell borders. The nuclei were round to oval, with clumped chromatin and marked hyperchromasia. Some cells had one or two indistinct nucleoli. Numerous mitotic figures and areas of necrosis were dentified. The immunohistochemical results showed that the tumor cells were strongly positive for CK, EMA and NSE. There was focal positive staining for desmin with a perinuclear dot-like pattern. However, the tumor cells were negative for CgA, Myogenin, Syn, LCA, SMA, S-100, NF, GFAP, HMB45, HHF-35, CD3, CD10, Actin, CD99, and CD20. Under electron microscope, the tumor cells showed paranuclear cytoplasmic intermediate filaments arranging in globular or whorl array. Conclusion: DSRCT occurs both in the abdomen and at other sites. The patients with DSRCT range widely in age. DSRCT has distinctive histopathologic and ultrastructural features. This tumor shows immunohistochemical feature of epithelial, mesenchymal as well as neural multidirectional differentiation. RT-PCR may be served as an important diagnostic adjunct for DSRAT. The prognosis of the patients with DSRCT is very poor. (authors)

Recovery from Maunder-like Grand Minima in a Babcock–Leighton Solar Dynamo Model

Science.gov (United States)

Karak, Bidya Binay; Miesch, Mark

2018-06-01

The Sun occasionally goes through Maunder-like extended grand minima when its magnetic activity drops considerably from the normal activity level for several decades. Many possible theories have been proposed to explain the origin of these minima. However, how the Sun managed to recover from such inactive phases every time is even more enigmatic. The Babcock–Leighton type dynamos, which are successful in explaining many features of the solar cycle remarkably well, are not expected to operate during grand minima due to the lack of a sufficient number of sunspots. In this Letter, we explore the question of how the Sun could recover from grand minima through the Babcock–Leighton dynamo. In our three-dimensional dynamo model, grand minima are produced spontaneously as a result of random variations in the tilt angle of emerging active regions. We find that the Babcock–Leighton process can still operate during grand minima with only a minimal number of sunspots, and that the model can emerge from such phases without the need for an additional generation mechanism for the poloidal field. The essential ingredient in our model is a downward magnetic pumping, which inhibits the diffusion of the magnetic flux across the solar surface.

Solar Cycle Variability and Grand Minima Induced by Joy's Law Scatter

Science.gov (United States)

Karak, Bidya Binay; Miesch, Mark S.

2017-08-01

The strength of the solar cycle varies from one cycle to another in an irregular manner and the extreme example of this irregularity is the Maunder minimum when Sun produced only a few spots for several years. We explore the cause of these variabilities using a 3D Babcock--Leighton dynamo. In this model, based on the toroidal flux at the base of the convection zone, bipolar magnetic regions (BMRs) are produced with flux, tilt angle, and time of emergence all obtain from their observed distributions. The dynamo growth is limited by a tilt quenching.The randomnesses in the BMR emergences make the poloidal field unequal and eventually cause an unequal solar cycle. When observed fluctuations of BMR tilts around Joy's law, i.e., a standard deviation of 15 degrees, are considered, our model produces a variation in the solar cycle comparable to the observed solar cycle variability. Tilt scatter also causes occasional Maunder-like grand minima, although the observed scatter does not reproduce correct statistics of grand minima. However, when we double the tilt scatter, we find grand minima consistent with observations. Importantly, our dynamo model can operate even during grand minima with only a few BMRs, without requiring any additional alpha effect.

A model for correlating burnout in round tubes

International Nuclear Information System (INIS)

Kirby, G.J.

1966-09-01

A model is presented which represents the film flow rate in the climbing film regime of boiling two phase flow. By calculating the dryout point burnout heat fluxes for round tubes both uniformly and non-uniformly heated axially have been predicted with accuracies as good as the best empirical correlations. The model is used to investigate the effect of varying flux profile as well as the other system describing parameters. (author)

submitter Electromagnetic Study of a Round Coil Superferric Magnet

CERN Document Server

Volpini, Giovanni; Statera, Marco

2016-01-01

A novel type of superferric magnets suitable to arbitrary multipole orders was proposed by I. F. Malyshev and later by V. Kashikhin. This new topology, which we refer to as round coil superferric magnets (RCSM), allows a great simplification of the superconducting part, which in the simplest case may be composed by a single round coil, which has intrinsically a rather large bending radius allowing the use of strain-sensitive superconductors. INFN is designing and building a prototype of a multipolar corrector magnet based on this geometry and using MgB2 tapes. In this paper, we investigate a number of issues pertaining to the electromagnetic characteristics of RCSM. The RCSM magnetic has inherently even harmonics, in addition to usual odd ones and a solenoidal component. Either (but not both) disappears when integrated using a one-coil or a two-coil specular design. We investigate the effect of saturation on the multipolar components and on the load line, since in RCSM, saturation plays a role that differs bo...

Medical academia clinical experiences of Ward Round Teaching curriculum.

Science.gov (United States)

Haghani, Fariba; Arabshahi, Seyed Kamran Soltani; Bigdeli, Shoaleh; Alavi, Mousa; Omid, Athar

2014-01-01

Medical students spend most of their time in hospital wards and it is necessary to study clinical educational opportunities. This study was aimed to explore faculty members' experience on Ward Round Teaching content. This qualitative study was conducted by purposive sampling with the maximum variation of major clinical departments faculty members in Isfahan University of Medical Sciences (n = 9). Data gathering was based on deep and semi-structured interviews. Data gathering continued till data saturation. Data was analyzed through the Collaizzi method and validated. Strategies to ensure trustworthiness of data (credibility, dependability, conformability, transferability) were employed (Guba and Lincoln). Basic codes extracted from the analyzed data were categorized into two main themes and related subthemes, including (1) tangible teachings (analytic intelligence, technical intelligence, legal duties) and (2) implied teachings (professionalism, professional discipline, professional difficulties). Ward round teaching is a valuable opportunity for learners to learn not only patient care aspects but also ethical values. By appropriate planning, opportunities can be used to teach capabilities that are expected of general practitioners.

Medical academia clinical experiences of Ward Round Teaching curriculum

Directory of Open Access Journals (Sweden)

Fariba Haghani

2014-01-01

Full Text Available Background: Medical students spend most of their time in hospital wards and it is necessary to study clinical educational opportunities. This study was aimed to explore faculty members′ experience on Ward Round Teaching content. Methods and Materials: This qualitative study was conducted by purposive sampling with the maximum variation of major clinical departments faculty members in Isfahan University of Medical Sciences (n = 9. Data gathering was based on deep and semi-structured interviews. Data gathering continued till data saturation.Data was analyzed through the Collaizzi method and validated. Strategies to ensure trustworthiness of data (credibility, dependability, conformability, transferability were employed (Guba and Lincoln. Results: Basic codes extracted from the analyzed data were categorized into two main themes and related subthemes, including (1 tangible teachings (analytic intelligence, technical intelligence, legal duties and (2 implied teachings (professionalism, professional discipline, professional difficulties. Conclusion: Ward round teaching is a valuable opportunity for learners to learn not only patient care aspects but also ethical values. By appropriate planning, opportunities can be used to teach capabilities that are expected of general practitioners.

Il regionalismo commerciale dopo l'Uruguay Round (Commercial regionalism after the Uruguay Round

Directory of Open Access Journals (Sweden)

E. GRILLI

2013-10-01

Full Text Available The attempts by a number of countries to partially or totally liberalise their trade on a discriminatory basis have long been documented. Despite the wide spread of the GATT in both geographical and temporal terms, regionalism has never easily co-existed with commercial multilateralism. The Uruguay Round has taken place in a period in which several key countries have radically changed trade policies. In this light, the search for a new balance between the multilateralism de jure and the regionalism de facto practiced by many members of the GATT took on importance as a test of their intentions to continue or not with the existing multilateral order or rather to modify it in a regional sense. This paper reviews the problems of coexistence between regionalism and multilateralism in the international trade order and demonstrates how few concrete conclusions can be drawn from an examination of both the theory and the empirical evidence.JEL: F13

Medical ward round competence in internal medicine - an interview study towards an interprofessional development of an Entrustable Professional Activity (EPA).

Science.gov (United States)

Wölfel, Teresa; Beltermann, Esther; Lottspeich, Christian; Vietz, Elisa; Fischer, Martin R; Schmidmaier, Ralf

2016-07-11

The medical ward round is a central but complex activity that is of relevance from the first day of work. However, difficulties for young doctors have been reported. Instruction of ward round competence in medical curricula is hampered by the lack of a standardized description of the procedure. This paper aims to identify and describe physicians' tasks and relevant competences for conducting a medical ward round on the first day of professional work. A review of recent literature revealed known important aspects of medical ward rounds. These were used for the development of a semi-structured interview schedule. Medical ward round experts working at different hospitals were interviewed. The sample consisted of 14 ward physicians (M = 8.82 years of work experience) and 12 nurses (M = 14.55 years of work experience) working in different specializations of internal medicine. All interviews were audiotaped, fully transcribed, and analyzed using an inductive-deductive coding scheme. Nine fields of competences with 18 related sub-competences and 62 observable tasks were identified as relevant for conducting a medical ward round. Over 70 % of the experts named communication, collaborative clinical reasoning and organization as essential competences. Deeper analysis further unveiled the importance of self-management, management of difficult situations, error management and teamwork. The study is the first to picture ward round competences and related tasks in detail and to define an EPA "Conducting an internal medicine ward round" based on systematic interprofessional expert interviews. It thus provides a basis for integration of ward round competences in the medical curricula in an evidence based manner and gives a framework for the development of instructional intervention studies and comparative studies in other medical fields.

Disposable surgical face masks for preventing surgical wound infection in clean surgery