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Sample records for surrounding assessment provide

  1. Stability assessment of rock surrounding an I-beam supported retreating roadway

    Institute of Scientific and Technical Information of China (English)

    严红; 张吉雄; 李林玥; 冯锐敏

    2015-01-01

    The installation of a back-wall guard-board is the key to successfully supporting underground retreating roadways in coal mines. Based on the coordinate support principle, and using an I-shaped steel support for the surrounding rock, a mechanical model was developed for the stability of the roadway support and surrounding rock. Analysis of the bearing capacity of the roof back-wall guard-board and modelling of the equations for the maximum deflection and the maximum compressive stress of the top and side beams of the I-shaped steel support were undertaken. Simultaneously, the model was used to calculate and analyse the stability of the top and side beams of the I-shaped steel support structure and analyse the criteria for their stability. The results provide a reliable theoretical basis for the judgment of the stability of the surrounding rock and support structure. The theoretical evaluation results are consistent with field data. Finally, the key support parameters of the top and side beams of the I-shaped steel support structure and the variation of the maximum deflection and the maximum compressive stress as affected by the influence of the guard-board length were investigated. It is concluded that, as the back-board length increases, the maximum compressive stress in the top beam of the I-shaped steel support increases while the compressive stress in the side beam decreases. The results show that the accuracy of judgment of the stability of a supported retreating roadway is improved, providing guidance for the design of such typical I-shaped steel support and back-board structures.

  2. Measuring stigma among abortion providers: assessing the Abortion Provider Stigma Survey instrument.

    Science.gov (United States)

    Martin, Lisa A; Debbink, Michelle; Hassinger, Jane; Youatt, Emily; Eagen-Torkko, Meghan; Harris, Lisa H

    2014-01-01

    We explored the psychometric properties of 15 survey questions that assessed abortion providers' perceptions of stigma and its impact on providers' professional and personal lives referred to as the Abortion Provider Stigma Survey (APSS). We administered the survey to a sample of abortion providers recruited for the Providers' Share Workshop (N = 55). We then completed analyses using Stata SE/12.0. Exploratory factor analysis, which resulted in 13 retained items and identified three subscales: disclosure management, resistance and resilience, and discrimination. Stigma was salient in abortion provider's lives: they identified difficulties surrounding disclosure (66%) and felt unappreciated by society (89%). Simultaneously, workers felt they made a positive contribution to society (92%) and took pride in their work (98%). Paired t-test analyses of the pre- and post-Workshop APSS scores showed no changes in the total score. However, the Disclosure Management subscale scores were significantly lower (indicating decreased stigma) for two subgroups of participants: those over the age of 30 and those with children. This analysis is a promising first step in the development of a quantitative tool for capturing abortion providers' experiences of and responses to pervasive abortion stigma.

  3. An Assessment of Air Quality in the Surrounding Holy Places of Mecca, Saudi Arabia during Hajj

    Science.gov (United States)

    Khwaja, H. A.; Aburizaiza, O. S.; Siddique, A.; Hussain, M. M.; Khatib, F.; Zeb, J.; Blake, D. R.

    2014-12-01

    The associations of exposure to air pollution and adverse human health effects have been demonstrated in many epidemiologic studies. Hajj, an annual pilgrimage of Islam, draws millions of pilgrims from more than 200 countries for religious rituals in Mecca, Saudi Arabia. The city is surrounded by mountains with a population of 1.7 million, which gets doubles or even more during Hajj. The city centers on the Grand Mosque (Masjid Al-haram), connected with the network of tunnels. Main Hajj pilgrimage route for five days extends 20 km to the east and includes "Mina", "Arafat", and "Muzdalifah". A detailed study was conducted in Mecca, its tunnels, and surrounding holy places during Hajj (October 13-17, 2013). Spatial and temporal variations in total suspended particulate (TSP), PM10 , PM7 , PM2.5 , PM1 , ozone (O3), and black carbon (BC) levels along the route were recorded using portable monitors and GPS to assess the status of air quality. This is the first study to elucidate the exposure to air pollutants among pilgrims. Extremely high levels of all pollutants were observed during the intensive measuring periods. For example, the PM7 , PM2.5 , O3, and BC concentrations of up to 9,433 µg/m3, 484 µg/m3, 444 ppb, and 468 µg/m3, respectively, were observed. Results of this investigation revealed that most routes had on average exceeded the World Health Organization (WHO) standards for PM10 and PM2.5 . The reasons for the high air pollutants concentrations are most probably high volume of traffic, construction work, re-suspension of particles, and geographical conditions (arid regions). The pilgrim's longer trip duration lead to their highest whole trip exposure to air pollutants, which indicate that they are possibly subject to higher health risk. Better understanding of air pollution exposure and their determinants in the environments will contribute to the development of more appropriate exposure reductive strategies and have significant public health meanings.

  4. Assessing Tourist Resorts Surrounding Metropolitans Applying SWOT- AHP Models Case study: Malaga Resort

    Directory of Open Access Journals (Sweden)

    A. Movahed

    2013-01-01

    2 shows there is a 200 km distance between Ahvaz and Malagha; thus, it can be a suitable place to attract tourists in Ahvaz city. In the previous issue of the metropolitan area of the walkway in Ahwaz based on Robert, it was found to be 39 km. It seems that the proposed index for the city of Ahvaz is not generalizable to all seasons. So that, in the longest period of tourism (summer, according to the climate characteristics of the region, the index reaches to more than 100 km. To determine the influence of travel distance, the standard model of distance is used to determine the pattern of metropolitan Ahvaz. For this purpose, a moderate center in the metropolitan area is selected.4– ConclusionWe aimed to examine three patterns: the final level pattern walkway areas of major cities, Robert pattern and standard distance pattern. Results show that, because of the long distance between Ahvaz and Malaga, the above-mentioned models could not determine Ahvaz walkway field.Because of four-season climate of Iran, more recreational and tourism travel is based on climatic differences between regions of the country. The positive point regarding Malaqa region tourism attractions is that citizens are not forced to leave the province because Malaqa is the most proper place in the province.Ahvaz region's climate is different from Malaga; Ahvaz is a desert region and many citizens like mountain regions; so, they choose Malaqa for tourism. The far distance (186 km is accountable. Statistical analysis show that Ahvaz citizens welcome this region and they spend part of their time in Malaqa. Tourism infrastructure is undesirable in Malaqa but this recreation place can be enough for citizens if infrastructures are provided in this region.Key words: Tourism, Rural tourism, nearby resorts, Malaqa, AhvazReferencesEsmaeilisar, A. Pour kavian, K, (2001, Economic Valuation (outing Sysngan Forest Park, Environmental Science and Technology, 7 and 8 Brzekar, G. and Hussaini, SM (2003, reviewing

  5. Assessment of epilepsy using noninvasive visual psychophysics tests of surround suppression.

    Science.gov (United States)

    Yazdani, Partow; Read, Jenny C A; Whittaker, Roger G; Trevelyan, Andrew J

    2017-03-01

    Powerful endogenous inhibitory mechanisms are thought to restrict the spread of epileptic discharges in cortical networks. Similar inhibitory mechanisms also influence physiological processing. We reasoned, therefore, that useful information about the quality of inhibitory restraint in individuals with epilepsy may be gleaned from psychophysical assays of these physiological processes. We derived a psychophysical measure of cortical inhibition, the motion surround suppression index (SSI), in 54 patients with epilepsy and 146 control subjects. Multivariate regression analyses showed that SSI was predicted strongly by age and seizure type, but not by seizure frequency. Specifically, we found that patients with exclusively focal epilepsy, and no history of generalization, showed significantly stronger cortical inhibition as measured by the SSI compared to all other groups, including controls. In contrast, patients with focal seizures evolving into generalized seizures, and patients with generalized genetic epilepsy, showed similar levels of cortical inhibition to controls. The presumptive focus, when one could be identified, was rarely found in visual cortex, meaning that the relationship with the epilepsy subtype is likely to reflect some global difference in inhibition in these subjects. This is the first reported instance of raised SSI in any patient cohort, and appears to differentiate between patients with respect to the likelihood of their experiencing generalization of their seizures. These results suggest that such simple psychophysical assays may provide useful aids to clinical management, particularly at the time of diagnosis. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

  6. Bioidentical hormone therapy: An assessment of provider knowledge.

    Science.gov (United States)

    Files, Julia A; Kransdorf, Lisa N; Ko, Marcia; Kling, Juliana M; David, Paru S; Pruthi, Sandhya; Sood, Richa; Creedon, Douglas; Chang, Yu-Hui H; Mayer, Anita P

    2016-12-01

    Bioidentical hormone therapy (BHT) is available in the United States in formulations that have been approved by the Food and Drug Administration (FDA) but also in formulations that have not been so approved. The aim of this study was to evaluate the knowledge, beliefs, and prescribing practices of BHT among healthcare providers. A cross-sectional self-selected responder survey was conducted of health care providers attending primary care Continuing Medical Education (CME) conferences in the United States from May 2012 to April 2013. The questionnaire consisted of 26 items assessing knowledge, beliefs, and current practice around BHT. A total of 366 survey responses were analyzed. Though 69.8% of respondents accurately identified the definition of BHT, only 45.3% were aware that BHT is available in FDA-approved products and 34.2% of respondents incorrectly identified that BHT is available only in custom-compounded formulations. Of those who had prescribed CC-BHT, less than half agreed with the statement "I am comfortable prescribing BHT" (45.4%). Our study showed that many practitioners are unaware that bioidentical hormones are available in FDA-approved products. Knowledge gaps identified by this survey highlight the need for and importance of education to further dispel misinformation surrounding the topic. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  7. A probabilistic seismic hazard assessment for Greece and the surrounding region including site-specific considerations

    Directory of Open Access Journals (Sweden)

    P. Mäntyniemi

    2004-06-01

    Full Text Available A probabilistic approach was applied to map the seismic hazard in Greece and the surrounding region. The procedure does not require any specification of seismic sources or/and seismic zones and allows for the use of the whole seismological record, comprising both historical and instrumental data, available for the region of interest. The new seismic hazard map prepared for Greece and its vicinity specifies a 10% probability of exceedance of the given Peak Ground Acceleration (PGA values for shallow seismicity and intermediate soil conditions for an exposure time of 50 years. When preparing the map, the new PGA attenuation relation given by Margaris et al. (2001 was employed. The new map shows a spatial distribution of the seismic hazard that corresponds well with the features of shallow seismicity within the examined region. It depicts the level of seismic hazard in which the exceedance of the PGA value of 0.25 g may be expected to occur within limited areas. The highest estimated levels of seismic hazard inside the territory of Greece are found in the Northern Sporades Islands, where PGA values in excess of 0.50 g are reached at individual sites, and in the Zante Island in Western Greece, where PGA values in the range of 0.35 g to 0.40 g are obtained at more numerous localities. High values are also observed in the sea between the Karpathos and Rhodes islands, near the Island of Amorgos (Cyclades Archipelago and in the Southwestern Peloponnesus. The levels of seismic hazard at the sites of seven Greek cities (Athens, Jannena, Kalamata, Kozani, Larisa, Rhodes and Thessaloniki were also estimated in terms of probabilities that a given PGA value will be exceeded at least once during a time interval of 1, 50 and 100 years at those sites. These probabilities were based on the maximum horizontal PGA values obtained by applying the design earthquake procedure, and the respective median values obtained were 0.24 g for Athens, 0.28 g

  8. The Challenge of Differing Perspectives Surrounding Grades in the Assessment Education of Pre-Service Teachers

    Science.gov (United States)

    Mitton-Kukner, Jennifer; Munroe, Elizabeth; Graham, Deborah

    2015-01-01

    In this paper we describe the challenges we experience teaching an assessment course to pre-service teachers, as part of their studies in a bachelor of education program. As we teach the course, our intent is to explicitly model assessment practices that reflect a philosophy of "success for all," rather than "sort and rank."…

  9. Sampling and analysis plan for assessment of beryllium in soils surrounding TA-40 building 15

    Energy Technology Data Exchange (ETDEWEB)

    Ruedig, Elizabeth [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-12-19

    Technical Area (TA) 40 Building 15 (40-15) is an active firing site at Los Alamos National Laboratory. The weapons facility operations (WFO) group plans to build an enclosure over the site in 2017, so that test shots may be conducted year-round. The enclosure project is described in PRID 16P-0209. 40-15 is listed on LANL OSH-ISH’s beryllium inventory, which reflects the potential for beryllium in/on soils and building surfaces at 40-15. Some areas in and around 40-15 have previously been sampled for beryllium, but past sampling efforts did not achieve complete spatial coverage of the area. This Sampling and Analysis Plan (SAP) investigates the area surrounding 40-15 via 9 deep (≥1-ft.) soil samples and 11 shallow (6-in.) soil samples. These samples will fill the spatial data gaps for beryllium at 40-15, and will be used to support OSH-ISH’s final determination of 40-15’s beryllium registry status. This SAP has been prepared by the Environmental Health Physics program in consultation with the Industrial Hygiene program. Industrial Hygiene is the owner of LANL’s beryllium program, and will make a final determination with regard to the regulatory status of beryllium at 40-15.

  10. Ecological risk assessment of heavy metals in soils surrounding oil waste disposal areas.

    Science.gov (United States)

    Xu, Jianling; Wang, Hanxi; Liu, Yuanyuan; Ma, Mengchao; Zhang, Tian; Zheng, Xiaoxue; Zong, Meihan

    2016-02-01

    More attention is being devoted to heavy metal pollution because heavy metals can concentrate in higher animals through the food chain, harm human health and threaten the stability of the ecological environment. In this study, the effects of heavy metals (Cu, Cr, Zn, Pb, Cd, Ni and Hg) emanating from oil waste disposal on surrounding soil in Jilin Province, China, were investigated. A potential ecological risk index was used to evaluate the damage of heavy metals and concluded that the degree of potential ecological damage of heavy metals can be ranked as follows: Hg > Cd > Pb > Cu > Ni > Cr > Zn. The average value of the potential ecological harm index (Ri) is 71.93, thereby indicating light pollution. In addition, this study researched the spatial distribution of soil heavy metals by means of ArcGIS (geographic information system) spatial analysis software. The results showed that the potential ecological risk index (R) of the large value was close to the distance from the oil waste disposal area; it is relatively between the degree of heavy metals in soil and the distance from the waste disposal area.

  11. Stress and Anxiety Surrounding Forthcoming Standard Assessment Tests in English Schoolchildren

    Science.gov (United States)

    Putwain, Dave W.; Connors, Liz; Woods, Kevin; Nicholson, Laura J.

    2012-01-01

    The Standard Assessment Tests (SATs) taken by pupils in their final year of primary schooling in England have been widely criticised for placing children under too pressure and contributing to an increase in test-related stress and anxiety. In this exploratory study we set out to explore the experiences of forthcoming SATs in a small sample of…

  12. Assessing Local and Surrounding Threats to the Protected Area Network in a Biodiversity Hotspot: The Hengduan Mountains of Southwest China.

    Science.gov (United States)

    Ye, Xin; Liu, Guohua; Li, Zongshan; Wang, Hao; Zeng, Yuan

    2015-01-01

    Protected areas (PAs) not only serve as refuges of biodiversity conservation but are also part of large ecosystems and are vulnerable to change caused by human activity from surrounding lands, especially in biodiversity hotspots. Assessing threats to PAs and surrounding areas is therefore a critical step in effective conservation planning. We apply a threat framework as a means of quantitatively assessing local and surrounding threats to different types of PAs with gradient buffers, and to main ecoregions in the Hengduan Mountain Hotspot of southwest China. Our findings show that national protected areas (NPAs) have lower and significantly lower threat values (pareas (PPAs) and other protected areas (OPAs), respectively, which indicates that NPAs are lands with a lower threat level and higher levels of protection and management. PAs have clear edge effects, as the proportion of areas with low threat levels decline dramatically in the 5-kilometer buffers just outside the PAs. However, NPAs suffered greater declines (58.3%) than PPAs (34.8%) and OPAs (33.4%) in the 5-kilometer buffers. Moreover, a significant positive correlation was found between the size of PAs and the proportion of areas with low threat levels that they contained in both PAs and PA buffers (p<0.01). To control or mitigate current threats at the regional scale, PA managers often require quantitative information related to threat intensities and spatial distribution. The threat assessment in the Hengduan Mountain Hotspot will be useful to policy makers and managers in their efforts to establish effective plans and target-oriented management strategies.

  13. Environmental assessment survey of the vegetation surrounding a Lower Wilcox Group coal gas well site

    Science.gov (United States)

    McCoy, John W.

    2004-01-01

    This environmental assessment was conducted to examine the impacts on vegetation of the drilling and operation of a coal gas well located along Hwy 134 about 5 miles (8 km) east of Fairbanks, La. The drill site is 85 meters north of Hwy 134 and operations at the well were performed by EnerVest Operating LLC. The site (privately owned) was formerly a mixed hardwood/pine forest that was clear-cut in 1998 and planted with loblolly pine. Once completed, the well site, with its associated pipeline covered about 1,560 m2 (11.5 percent of the survey area). This survey was conducted in coordination with Peter D. Warwick, Research Geologist, U.S. Geological Survey, and Jim York, contract geologist for EnerVest Operating, LLC.

  14. Non-invasive MR assessment of macroscopic and microscopic vascular abnormalities in the rectal tumour-surrounding mesorectum

    Energy Technology Data Exchange (ETDEWEB)

    Kluza, Ewelina; Kleijnen, Jean-Paul J.E.; Maas, Monique; Jeukens, Cecile R.L.P.N.; Beets-Tan, Regina G.H. [Maastricht University Medical Center, Department of Radiology, GROW School for Oncology and Developmental Biology, Maastricht (Netherlands); Martens, Milou H. [Maastricht University Medical Center, Department of Radiology, GROW School for Oncology and Developmental Biology, Maastricht (Netherlands); Maastricht University Medical Center, Department of Surgery, GROW School for Oncology and Developmental Biology, Maastricht (Netherlands); Rennspiess, Dorit; Riedl, Robert G.; Hausen, Axel zur [Maastricht University Medical Center, Department of Pathology, Maastricht (Netherlands); Beets, Geerard L. [Maastricht University Medical Center, Department of Surgery, GROW School for Oncology and Developmental Biology, Maastricht (Netherlands)

    2016-05-15

    To evaluate the MRI macroscopic and microscopic parameters of mesorectal vasculature in rectal cancer patients. Thirteen patients with rectal adenocarcinoma underwent a dynamic contrast-enhanced MRI at 1.5 T using a blood pool agent at the primary staging. Mesorectal macrovascular features, i.e., the number of vascular branches, average diameter and length, were assessed from baseline-subtracted post-contrast images by two independent readers. Mesorectal microvascular function was investigated by means of area under the enhancement-time curve (AUC). Histopathology served as reference standard of the tumour response to CRT. The average vessel branching in the mesorectum around the tumour and normal rectal wall was 8.2 ± 3.8 and 1.7 ± 1.3, respectively (reader1: p = 0.001, reader2: p = 0.002). Similarly, the tumour-surrounding mesorectum displayed circa tenfold elevated AUC (p = 0.01). Interestingly, patients with primary node involvement had a twofold higher number of macrovascular branches compared to those with healthy nodes (reader1: p = 0.005 and reader2: p = 0.03). A similar difference was observed between good and poor responders to CRT, whose tumour-surrounding mesorectum displayed 10.7 ± 3.4 and 5.6 ± 1.5 vessels, respectively (reader1/reader2: p = 0.02). We showed at baseline MRI of rectal tumours a significantly enhanced macrovascular structure and microvascular function in rectal tumour-surrounding mesorectum, and the association of primary mesorectal macrovascular parameters with node involvement and therapy response. (orig.)

  15. Assessment of Potential Abatement provided by Annona Muricata ...

    African Journals Online (AJOL)

    MICHAEL HORSFALL

    www.bioline.org.br/ja. Assessment of Potential Abatement provided by Annona Muricata (Prickly Custard ... the solid waste in the landfill, and may pose public and environmental health risks ... plants of the Annonaceae family. It is a deciduous,.

  16. ENVIRONMENTAL ASSESSMENT FOR THE PROPOSED WITHDRAWAL OF PUBLIC LANDS WITHIN AND SURROUNDING THE CALIENTE RAIL CORRIDOR, NEVADA

    Energy Technology Data Exchange (ETDEWEB)

    DOE

    2005-12-01

    The purpose for agency action is to preclude surface entry and the location of new mining claims, subject to valid existing rights, within and surrounding the Caliente rail corridor as described in the Yucca Mountain FEIS (DOE 2002). This protective measure is needed to enhance the safe, efficient, and uninterrupted evaluation of land areas for potential rail alignments within the Caliente rail corridor. The evaluation will assist the DOE in determining, through the Rail Alignment environmental impact statement (EIS) process, whether to construct a branch rail line, and to provide support to the BLM in deciding whether or not to reserve a ROW for the rail line under the Federal Land Policy and Management Act (FLPMA). The BLM participated as a cooperating agency in preparing this EA because it is the responsible land manager and BLM staff could contribute resource specific expertise.

  17. 454 Pyrosequencing-based assessment of bacterial diversity and community structure in termite guts, mounds and surrounding soils.

    Science.gov (United States)

    Makonde, Huxley M; Mwirichia, Romano; Osiemo, Zipporah; Boga, Hamadi I; Klenk, Hans-Peter

    2015-01-01

    Termites constitute part of diverse and economically important termite fauna in Africa, but information on gut microbiota and their associated soil microbiome is still inadequate. In this study, we assessed and compared the bacterial diversity and community structure between termites' gut, their mounds and surrounding soil using the 454 pyrosequencing-based analysis of 16S rRNA gene sequences. A wood-feeder termite (Microcerotermes sp.), three fungus-cultivating termites (Macrotermes michaelseni, Odontotermes sp. and Microtermes sp.), their associated mounds and corresponding savannah soil samples were analyzed. The pH of the gut homogenates and soil physico-chemical properties were determined. The results indicated significant difference in bacterial community composition and structure between the gut and corresponding soil samples. Soil samples (Chao1 index ranged from 1359 to 2619) had higher species richness than gut samples (Chao1 index ranged from 461 to 1527). The bacterial composition and community structure in the gut of Macrotermes michaelseni and Odontotermes sp. were almost identical but different from that of Microtermes and Microcerotermes species, which had unique community structures. The most predominant bacterial phyla in the gut were Bacteroidetes (40-58 %), Spirochaetes (10-70 %), Firmicutes (17-27 %) and Fibrobacteres (13 %) while in the soil samples were Acidobacteria (28-45 %), Actinobacteria (20-40 %) and Proteobacteria (18-24 %). Some termite gut-specific bacterial lineages belonging to the genera Dysgonomonas, Parabacteroides, Paludibacter, Tannerella, Alistipes, BCf9-17 termite group and Termite Treponema cluster were observed. The results not only demonstrated a high level of bacterial diversity in the gut and surrounding soil environments, but also presence of distinct bacterial communities that are yet to be cultivated. Therefore, combined efforts using both culture and culture-independent methods are suggested to

  18. Assessment of the Extent of Land Deformation Associated with Salt Domes within the Jazan City and Surroundings, Saudi Arabia

    Science.gov (United States)

    Pankratz, H. G.; Sultan, M.; Fathy, K.; AlMogren, S. M.; Harbi, H.; Sefry, S.; Emil, M.; Elkadiri, R.; Ahmed, M.; Othman, A.; Chouinard, K.

    2016-12-01

    The Jazan city in the Jazan Province of the Kingdom of Saudi Arabia is a vibrant and rapidly growing economic center and port. The old city of Jazan is centered over a salt dome (diaper) that crops out over an area, 3-4 km wide and 20 to 40 m above surroundings. The intrusion of the diaper into the overlying cap rock causes uneven surfaces, compromises building foundations, and causes infrastructural problems. Our study is aimed at the assessment of the salt dome-related land deformation. Using observations acquired over known locations of salt domes in Jazan and neighboring Farsan Islands, we identified criteria by which previously unidentified, near-surface salt domes, could be mapped. The selected criteria and/or applied methodologies included: (1) deformation over potential salt dome locations detected from Envisat, ERS-2, and Sentinel-1 scenes using the Stanford Method for Persistent Scatterers [StaMPs] and SARscape software. Uplift rates of about 3 mm/yr were observed over the salt dome outcrop in Jazan with increasing rates towards the center, indicating continuous rise of the salt diaper. (2) Local elevation highs over potential, near surface, salt dome intrusions observed in high spatial resolution (12.5 m), PALSAR digital elevation model (DEM). The elevation the Jazan dome is 45m high, whereas its surroundings are 15-30m high. (3) Negative Bouguer gravity anomalies over potential salt dome locations (Bouguer maps generated from 714 m interval airborne gravity data). Negative Bouguer anomalies were observed over the salt domes in Jazan (-3 mGal) and in Farsan (-30 mGal). (4) Boundaries of the potential salt domes extracted from zero tilt contour values on tilt derivative maps. (5) Shallow (GIS platform) of observations extracted from remote sensing, geophysical, GPS, and DEM datasets (items 1 through 5). Eight previously unidentified locations of potential near-surface salt domes were identified along the Red Sea coastline within the scene extent, five of

  19. A Hepatitis C Educational Needs Assessment of Canadian Healthcare Providers.

    Science.gov (United States)

    Naghdi, Reza; Seto, Karen; Klassen, Carolyn; Emokpare, Didi; Conway, Brian; Kelley, Melissa; Yoshida, Eric; Shah, Hemant A

    2017-01-01

    Background and Aim. Despite advances in the treatment of chronic hepatitis C infection (CHC), it remains a major public health problem in Canada and globally. The knowledge of healthcare providers (HCPs) is critical to improve the care of CHC in Canada. To assess the current knowledge and educational needs of healthcare providers (HCPs) in the area of CHC management a national online survey was conducted. Method. An interprofessional steering committee designed a 29-question survey distributed through various direct and electronic routes. The survey assessed several domains (e.g., participant and practice demographics, access to resources, knowledge of new treatments, and educational preferences). Results. A total of 163 HCPs responded to the survey. All hepatologists and 8% of primary care providers (PCPs) reported involvement in treatment of CHC. Physicians most frequently screened patients who had abnormal liver enzymes, while nurses tended to screen based on lifestyle factors. More than 70% of PCPs were not aware of new medications and their mechanisms. Conclusion. Overall, the needs assessment demonstrated that there was a need for further education, particularly for primary care physicians, to maximize the role that they can play in screening, testing, and treatment of hepatitis C in Canada.

  20. ENVIRONMENTAL IMPACTS ASSESSMENT OF INDUSTRIAL ESTATE PROVIDING WITH MANAGERIAL PROCESS

    Directory of Open Access Journals (Sweden)

    J. Nouri, A. H. Mahvi, M. Younesian, R. Nabizadeh, I. Hashemi

    2007-04-01

    Full Text Available At this study, an environmental impact assessment establishment of Shahzand Industrial Estate in Arak at the central part of Iran was investigated. After collection of data and analysis of the findings, the positive and negative impacts resulted from establishment of the industrial estate were investigated, using the Leopold Matrix and Scaling checklist methods providing the managerial solutions in order to minimize the environmental harmful impacts. The existing environmental situation was investigated and then environmental impact alternatives were determined. This was done regarding to the amount and kind of predicted pollutions for industrial estate at the construction and operational phases. The environmental impact assessment of the investigated estate was studied at the three terms of immediate, direct and indirect impacts at the short, medium and long term. By expanding of Leopold Matrix to four parted matrix, in addition to amount, importance and extend of the impacts, the remaining duration of impact in the environment were assessed as a separate factor in environmental impact assessment. The results of the study with two alternatives, such as; No (performance of the project with no concern for environmental issue and as yes (performance of the project with application of the environmental harmful impacts were studied in construction and operation phases. The impact assessment of "NO" property resulted (-1065, therefore the execution of project was rejected, but after reducing the harmful impact performance which were resulted (+1095 has been accepted. Therefore, method of reducing harmful environmental impacts along with environmental management programs introduced and accepted in this study.

  1. Assessment of potential migration of radionuclides and trace elements from the White Mesa uranium mill to the Ute Mountain Ute Reservation and surrounding areas, southeastern Utah

    Science.gov (United States)

    Naftz, David L.; Ranalli, Anthony J.; Rowland, Ryan C.; Marston, Thomas M.

    2011-01-01

    collected from Entrance Spring also contained elevated concentrations of selenium and vanadium. Sediment samples collected from three ephemeral drainages east of the uranium mill site (including Entrance Spring) contained uranium concentrations exceeding background values downwind of the predominant wind directions at the site. Sediment samples collected from ephemeral drainages on the south and west boundaries of the uranium mill site generally did not exceed background-uranium concentrations. Elevated concentrations of uranium and vanadium, indicating offsite transport, were found in plant tissue samples collected north-northeast, east, and south of the mill site, downwind of 2 Assessment of potential migration of radionuclides and trace elements from the White Mesa uranium mill the predominant wind directions at the site. The uranium and vanadium concentrations in plant tissue samples collected west of the uranium mill site were low. On the basis of the study results, consideration should be given to future monitoring programs in areas surrounding the uranium mill site to address current and future environmental concerns. These potential monitoring programs should consider (1) quarterly monitoring of major- and trace-element concentrations in selected springs and wells; (2) annual monitoring of Entrance Spring for uranium isotopes, delta sulfur-34sulfate, delta oxygen-18, and delta deuterium; (3) annual monitoring of background water quality at selected spring and monitoring well sites; (4) periodic sampling and chemical analyses of sagebrush in areas east of the uranium mill site coupled with off-site fugitive dust monitoring; (5) installation of a new monitoring well upgradient from the East and West wells; (6) the addition of non-routine chemical constituents to ongoing monitoring programs within the uranium mill site that could provide additional insight(s) into potential contaminant sources and processes; and (7) archiving future monitoring data into a maintained

  2. Environmental impacts assessment of industrial estate providing with managerial process

    Energy Technology Data Exchange (ETDEWEB)

    Nouri, J.; Mahvi, A.H.; Younesian, M.; Nabizadeh, R.; Hashemi, I. [Univ. of Tehran (Iran)

    2007-07-01

    The existence of balance, coordination and required order among natural elements is one of the key factors in the ecosystem. If this balance is disturbed under certain circumstances, it will damage the structure of living existences and more specifically human beings. Since a half century ago, factors such as important economical and industrial activites, advanced technologies together with growing population and lack of concordance among different couhntries to take optimal advantage of the existing natural resources have distrubed the balance in the ecosystem. As a result, man has caused many problems such as high death tolls and arduous diseases due to the different pollutions in water, air, land, sound, temperature, etc and factors such as erosion, desert, expansion, floods, extinction of plant and animal species, ozone layer destruction, global warming, sea level rise and greenhouse gases increase. Environmental Impact Assessment (EIA) is to recognize and assess systematic consequences of projects and programs on elements like physicochemical, biological, cultural, economical and social phenomena in th environment; in other words it is a way or method to determine the direction of predication and assessment of environmental impacts of activities on the environmental health of the ecosystem affecting human lives. In this study, and environmental impact assessment of the establishment of the Shahzand Industrial Estate in Arak at the central part of Iran was investigated. After collection of data and analysis of the findings, the positive and negative impacts resulting from establishment of the indutrial estate were investigated using the Leopold Matrix and Scaling checklist methods providing the managerial solutions in order to minimize the harmful environmental impacts. The existing environmental situation was investigated and then environmental impact alternatives were determined. This was done in regard to the amount and kind of predicted pollution for the

  3. AN ASSESSMENT OF THE ECOLOGICAL CONDITION OF COASTAL WATERS SURROUNDING THE GULF OF MEXICO IAPSO INTERNATIONAL ASSOCIATION FOR BIOLOGICAL OCEANOGRAPHY MEETING, LA PLATA, ARGENTINA, OCTOBER 2001

    Science.gov (United States)

    Assessment of the Ecological Condition of Coastal Waters Surrounding the Gulf of Mexico (Abstract). To be presented at the Joint IAPSO/IABO Assembly: 2001 An Ocean Odyssey, 21-26 October 2001, Mar del Plata, Argentina. 1 p. (ERL,GB R844).The purpose of the Environmental ...

  4. Providing rapid climate risk assessments to support cities (Invited)

    Science.gov (United States)

    Rosenzweig, C.; Solecki, W.; Horton, R. M.; Bader, D.; Ali, S.

    2013-12-01

    Hurricane Sandy struck the East Coast of the United States on October 29, 2012 and brought the issue of urban resilience to the forefront of public discussion not only in New York City, but in cities around the world. While Hurricane Sandy as an individual extreme climate event cannot be attributed to climate change, it can serve as a warning for cities regarding disaster risks, focus attention on the importance of reducing climate vulnerability, and the need to include increasing climate risks and resilience into rebuilding programs. As severe as Sandy was, the the storm could have been much worse. The science behind potential impacts was ';in place' and ';in time,' i.e., climate risks were well understood before the storm, due to work by scientists in the region starting in the late 1990s. In the wake of this transformative storm, the rebuilding process in New York is being informed by the potential for a changing climate. The $20 billion Special Initiative for Rebuilding and Resiliency (SIRR) Plan for New York is grounded upon climate risk information provided by the New York City Panel on Climate Change (NPCC). This expert panel, tasked with advising on the City on climate-related issues, completed a 'rapid response' climate assessment with updated climate projections and coastal flood maps. Cities are emerging as the ';first responders' to climate change in both adaptation and mitigation. Their efforts are playing a role in catalyzing national and international responses as well. New York City's actions in the wake of Hurricane Sandy are an example of a positive tipping-point response. The Urban Climate Change Research Network, a consortium of over 450 scholars and practitioners in developing and developed country cities around the world, was established in 2007 to enhance science-based decision-making on climate and other sustainability related issues in urban areas around the world. The UCCRN's first major publication is the First UCCRN Assessment Report on

  5. Assessment of electromagnetic field levels from surrounding high-tension overhead power lines for proposed land use.

    Science.gov (United States)

    Al-Bassam, E; Elumalai, A; Khan, A; Al-Awadi, L

    2016-05-01

    The surrounding outdoor environment for new development has a big effect on the indoor quality of life. The main aim of this work was to determine the suitability of the area for building new schools with reference to electromagnetic field (EMF) effects. The specific objective of this study was to detect the safe distance from the EMF posed by the high-tension overhead power lines in the vicinity of the specified area. The measurements were taken for both the electric and magnetic fields in different months in order to detect the highest EMF levels during the peak power load season. EMDEX II with E-probe and EMDEX II with Linda were used for the measurements. These instruments were all calibrated by ENERTECH Company in USA. The EMF associated with high tension transmission lines that surrounded the proposed site has to be below 0.2 μT (Italian EMF regulations are the most suitable regulations for the establishment of schools in Kuwait). The safety clearance distance from the existing 300-kV high-tension power line has been assigned as 200 m and from other existing 132-kV high-tension power line was 50 m. The proposed site with its predefined boundaries has a magnetic field below the Italian EMF regulations for the establishment of new schools.

  6. Joint Assessment Mission provides road-map for peace

    OpenAIRE

    Jon Bennett

    2005-01-01

    The Joint Assessment Mission (JAM) for Sudan has broken new ground in post-conflict planning by working with key local and international actors to develop a strategic vision for reconstruction and recovery.

  7. Lithological and land-use based assessment of heavy metal pollution in soils surrounding a cement plant in SW Europe.

    Science.gov (United States)

    Cutillas-Barreiro, Laura; Pérez-Rodríguez, Paula; Gómez-Armesto, Antía; Fernández-Sanjurjo, María José; Álvarez-Rodríguez, Esperanza; Núñez-Delgado, Avelino; Arias-Estévez, Manuel; Nóvoa-Muñoz, Juan Carlos

    2016-08-15

    We study the influence of phasing out a cement plant on the heavy metal (Hg, Pb and Cr) content in the surrounding soils, taking into account factors often neglected, such as contributions due to local lithology or land use. The range of total Hg was 10-144µg kg(-1), reaching up to 41 and 145mgkg(-1) for total contents of Pb and Cr, respectively. Forest soils showed higher concentration of Hg than prairie soils, indicating the importance of land use on the accumulation of volatile heavy metals in soils. In forest soils, total Hg showed a trend to decrease with soil depth, whereas in prairie soils the vertical pattern of heavy metal concentrations was quite homogeneous. In most cases, the distance to the cement plant was not a factor of influence in the soils content of the analyzed heavy metals. Total Pb and Cr contents in soils nearby the cement plant were quite similar to those found in the local lithology, resulting in enrichment factor values (EF's) below 2. This suggests that soil parent material is the main source of these heavy metals in the studied soils, while the contribution of the cement plant to Pb and Cr soil pollution was almost negligible. On the contrary, the soils surrounding the cement plant accumulate a significant amount of Hg, compared to the underlying lithology. This was especially noticeable in forest soils, where Hg EF achieved values up to 36. These results are of relevance, bearing in mind that Hg accumulation in soils may be an issue of environmental concern, particularly in prairie soils, where temporal flooding can favor Hg transformation to highly toxic methyl-Hg. In addition, the concurrence of acid soils and total-Cr concentrations in the range of those considered phytotoxic should be also stressed.

  8. Assessment-Based Instructional Coaching Provided to Reading Intervention Teachers

    Science.gov (United States)

    Denton, Carolyn A.; Swanson, Elizabeth A.; Mathes, Patricia G.

    2007-01-01

    The use of student assessment data is a key component of a model of instructional coaching, Student-Focused Coaching (Hasbrouck & Denton, 2005), designed to support student achievement by engaging reading teachers in a collaborative problem-solving process to modify instructional strategies with the goal of enhanced student outcomes. In this…

  9. Toxicological assessment of concentrations of volatile organic compounds found in the ambient air of Seabrook, Texas and surrounding areas

    Science.gov (United States)

    Babin, Latrice Bundage

    Seabrook, Texas, a residential community located in the southeast fringes of Houston, Texas, the fourth largest metropolis in the United States, is adjacent to a major industrial complex of petrochemical plants, chemical plants, refineries, hazardous materials storage facilities, and the intertwining of pipelines. The close proximity of residential communities to industrial complexes and their emission sources creates concern of the potential adverse health effects that could be a result of long-term exposure to Hazardous Air Pollutants (HAPs) even at low concentration. The purpose of this study is to assess the potential adverse health affects of low-level exposure of benzene, styrene, and 1, 1-dichloroethene that residents may experience. The case study utilized the screening data performed in a previous study conducted by the TSU NASA URC Laboratory. The sample results were compared to Texas Commission on Environmental Quality (TCEQ) guideline standards known as Effects Screening Levels (ESLs) to determine whether the ambient concentration levels were aligned with the TCEQ's pre-determined health cut off values. Special interest in the probable affects on lung epithelial cells and hepatic cells by the inhalation of benzene, styrene and 1,1-dichloroethene was examined by low level exposure (0.100ppm to 4ppm) of these chemicals for 4- and 6-hour exposure periods to determine whether the cells metabolic activity is adversely affected. Cytotoxicity of test chemicals was investigated utilizing MTT [3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide] assay protocol. Validation of the presence of benzene, styrene and 1,1-dichloroethene was performed by incubating a known dilution of the respective chemical for 4- and 6-hours to determine the approximate remaining concentration that should remain in the test media after the given exposure in the 37° incubator. Results of the study show little difference in the viability of the cells at the concentrations

  10. Assessment of the Quality of Drinking water of Thari Mirwah Town and Surrounding villages, District Khairpur, Sindh, Pakistan

    Directory of Open Access Journals (Sweden)

    Abdul Raheem Shar

    2014-12-01

    Full Text Available The ground water of Thari Mirwah town, Sindh, Pakistan and its surrounding villages was studied to check the chemical and physical suitability for drinking purpose. We measured several physico-chemical parameters; such as total dissolved salts (TDS, electrical conductivity (EC, chlorides, sulfate, phosphorus, nitrate-nitrogen, total hardness, alkalinity and total organic matter. The obtained results were in the range of: pH 6.9-8.1, temperature 25-30 0C, electrical conductivity 540-3140 µS/cm, total dissolved solids 362-2104 mg/L, chlorides 14.8-1657 mg/L, sulfate 69-308 mg/L, phosphate-phosphorus 0.003-0.56 mg/L, nitrate-nitrogen 0.00-9.9 mg/L, total hardness 58-760 mg/L, alkalinity 383-950 mg/L and total organic matter 0.022-0.89 mg/L. All these samples were analyzed using the standard methods of American Public Health Association (APHA by atomic absorption spectrometer (AAS. The concentration of analyzed metals was found in the range of: sodium (Na 2.57-1066.74 mg/L, calcium (Ca 8.35-329.33 mg/L, manganese (Mn 0.003-0.401 mg/L, nickel (Ni 0.006-0.154 mg/L, zinc (Zn 0.002-0.533 mg/L, copper (Cu 0.004-0.169 mg/L, cobalt (Co 0.00-0.040 mg/L, chromium (Cr 0.0054-0.0322 mg/L, iron (Fe 0.002-0.499 mg/L and cadmium (Cd 0.00-0.014 mg/L. Study reveals that above parameters are not within safe limits of WHO/EPA/EU guidelines and all ground water samples were not fit for drinking and irrigation purposes.

  11. Credibility assessment of testimonies provided by victims with intellectual disabilities

    Directory of Open Access Journals (Sweden)

    Antonio L. MANZANERO

    2017-09-01

    Full Text Available One of the main obstacles in the way of access to justice for the victims with intellectual disability comes from the stereotypes referred to their ability to produce a statement at police legal procedures, with the consequence that some consider their statements less reliable than the rest of the victims, and others considerate their statements more reliable given their inability to create complex lies. This article reviews three of the most recent studies done by the UCM group of Psychology of Testimony, with the objective of analyzing the role of experience and intuition in the evaluation of credibility in people with intellectual disability (ID, and also it aims to prove whether the credibility analysis procedures such as Reality Monitoring (RM and Statement Validity Assessment (SVA would be valid procedures to discriminate between real and false statements within these collectives. From the results of these studies, it can be deducted that experience may not seem to be enough in order to discriminate between real and simulated victims, but analyzing the characteristics of the statements as the only indicator doesn’t seem to be enough either. As an alternative, the general procedure HELPT is proposed for the evaluation of credibility of people with ID.

  12. Assessing the risk of dengue virus transmission in a non-endemic city surrounded by endemic and hyperendemic areas

    Directory of Open Access Journals (Sweden)

    Tsz Ho Kwan

    2017-02-01

    Conclusions: The cumulative exposure of Hong Kong residents to dengue has so far been low. Coupled with the lack of a spatial relationship between exposed cases and vector intensities, a high risk of local transmission of DENV is not supported. The apparently higher exposure likelihood of females could be explained by past infection in workers from dengue endemic countries, while frequent travel could have exposed older adults to DENV. Continued surveillance, risk assessment, and intensive vector control remain essential to prevent the transformation of a non-endemic to an endemic city.

  13. Educational Success and Surrounding Culture

    Science.gov (United States)

    Walters, Garrison

    2016-01-01

    The curriculum, instruction, and services we provide in schools, colleges, and universities matter a lot, but if we continue to ignore our students' "surrounding culture," progress toward a more educated nation will continue to be disappointing.

  14. Educational Success and Surrounding Culture

    Science.gov (United States)

    Walters, Garrison

    2016-01-01

    The curriculum, instruction, and services we provide in schools, colleges, and universities matter a lot, but if we continue to ignore our students' "surrounding culture," progress toward a more educated nation will continue to be disappointing.

  15. Assessing the risk of dengue virus transmission in a non-endemic city surrounded by endemic and hyperendemic areas.

    Science.gov (United States)

    Kwan, Tsz Ho; Lee, Shui Shan; Chan, Denise Pui Chung; Cheung, Manton; Kam, Kai Man

    2017-02-01

    To assess the potential risk of dengue transmission in a non-endemic city using a spatial epidemiological approach. Past dengue exposure of the general population was examined by dengue virus (DENV) IgG testing of archived samples from voluntary blood donors. Vector intensities were determined by local ovitrap index (OI). Analyses were made in the context of population statistics at both the district and sub-district level. The overall prevalence of DENV IgG was low at 2.25%. Positive donors were more likely to be older, non-Chinese, and female. Neither the OI nor the location of residence was associated with DENV serology. The sub-district level OI was clustered, but no correlation could be confirmed with the location of residence of positive blood donors. The cumulative exposure of Hong Kong residents to dengue has so far been low. Coupled with the lack of a spatial relationship between exposed cases and vector intensities, a high risk of local transmission of DENV is not supported. The apparently higher exposure likelihood of females could be explained by past infection in workers from dengue endemic countries, while frequent travel could have exposed older adults to DENV. Continued surveillance, risk assessment, and intensive vector control remain essential to prevent the transformation of a non-endemic to an endemic city. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  16. ASSESSING THE IMPACTS OF CLIMATE CHANGE ON TERRESTRIAL ECOSYSTEMS IN BHAVANISAGAR RESERVOIR AND ITS SURROUNDINGS, USING MULTITEMPORAL SATELLITE DATA AND GIS TECHNIQUES

    Directory of Open Access Journals (Sweden)

    G. Balamurugan

    2012-09-01

    Full Text Available Despite the warnings against climate change since the early century, recent human activities are still geared towards enhancing them. Because of climate change coupled by other human activities, natural ecosystems are facing difficulties in coping with the impacts of climate change. The evaluation of the impact of climate change on ecosystems implies studying a multi-component system in which the complexity of links is high enough to present doing it as a whole. Because of this, it is a reasonable approach to study separately the behavior of each element, to be afterwards linked into a general conceptual model for ecosystems behavior. Moreover, in the case of largely regulated region, the main impacts of climatic change will be fluvial-related since those related to the catchment areas will be severely damped by river regulation and management policies. This fact implies that Terrestrial fringes may become the main frontier between the ecosystems and climatic change effects. This paper describes the potential impacts of warming temperatures and changing precipitation on vegetation, wildlife, land use/ land covers, and agricultural ecosystems across the Bhavanisagar Reservoir region centered on Coimbatore district, Tamilnadu. We examine a geographic area that captures much of Reservoir, including a complex mosaic of urbanization and agriculture surrounding the Bhavanisagar Reservoir. The comparative study of land cover and soil status are provided using space images with middle resolution. Multitemporal satellite data provide the capability for mapping and monitoring land cover and land use change, but require the development of accurate and repeatable techniques that can be extended to a broad range of environments and conditions. The Landsat TM and ETM+ and SRTM-DEM images are included in analysis. The unsupervised and supervised classifications are applied for determination of different types of land cover. The research present here has focus

  17. The First Temporal and Spatial Assessment of Vibrio Diversity of the Surrounding Seawater of Coral Reefs in Ishigaki, Japan

    Science.gov (United States)

    Amin, A.K. M. R.; Feng, Gao; Al-saari, Nurhidayu; Meirelles, Pedro M.; Yamazaki, Yohei; Mino, Sayaka; Thompson, Fabiano L.; Sawabe, Toko; Sawabe, Tomoo

    2016-01-01

    Coral reefs perform a major role in regulating marine biodiversity and serve as hotspot for highly dynamic and diverse microbiomes as holobionts. Corals around Ishigaki, however, are at risk due to tremendous stressors including elevation of seawater temperature, eutrophication and so on. However, no information is currently available on how Vibrio diversity fluctuates spatially and temporally due to environmental determinants in Ishigaki coral reef ecosystems. The aim of this study is to elucidate spatiotemporal Vibrio diversity dynamic at both community and population levels and to assess the environmental drivers correlated to Vibrio abundance and diversity. The Vibrio community identified based on pyrH gene phylogeny of 685 isolates from seawater directly connecting to Ishigaki coral holobionts consisted of 22 known and 12 potential novel Vibrionaceae species. The most prominent species were V. hyugaensis, V. owensii and V. harveyi followed by V. maritimus/V. variabillis, V. campbellii, V. coralliilyticus, and Photobacterium rosenbergii. The Vibrio community fluctuations, assessed by PCoA with UniFrac distance and clustering with Euclidiean distance were varied less not only by year but also by site. Interestingly, significant positive correlation was observed between rising seawater temperature and the abundance of V. campbellii (r = 0.62; P < 0.05) whereas the opposite was observed for V. owensii (r = -0.58; P < 0.05) and the C6 group of V. hyugaensis (r = -0.62; P < 0.05). AdaptML-based microhabitat differentiation revealed that V. harveyi, V. campbellii, P. rosenbergii, and V. coralliilyticus populations were less-ecologically distinctive whereas V. astriarenae and V. ishigakensis were ecologically diverse. This knowledge could be important clue for the future actions of coral conservation. PMID:27551278

  18. Assessing the surroundings for effects of ionising radiation on the granting of permits, DOVIS A. Emissions to air and water

    CERN Document Server

    Blaauboer, R O

    2002-01-01

    In the Netherlands, as in most other countries, one generally needs a permit to produce (including the manufacture, processing, control and storage), to apply or to dispose of radioactive materials, or to use equipment that produces ionising radiation. This permit must be in accordance with the Nuclear Energy Act. Limits that are set for radioactive material can be found in the Decree on radiation protection ('Besluit stralings-bescherming') which has been in force since March 1, 2002. Along with the application for a permit, calculation results have to be submitted on the radiation dose that members of the public receive as a consequence of (possible) emissions of radioactive material (into the atmosphere or surface water) or as a consequence of external irradiation. Fairly rough estimates, based on simple rules, will often be satisfactory. These rules can be found in an annex of a Ministerial Order on the assessment of consequences of ionising radiation (mr-AGIS). However, in some cases this will not be ade...

  19. Assessment of wind energy potential and cost estimation of wind-generated electricity at hilltops surrounding the city of Maroua in Cameroon

    Science.gov (United States)

    Kaoga, Dieudonné Kidmo; Bogno, Bachirou; Aillerie, Michel; Raidandi, Danwe; Yamigno, Serge Doka; Hamandjoda, Oumarou; Tibi, Beda

    2016-07-01

    In this work, 28 years of wind data, measured at 10m above ground level (AGL), from Maroua meteorological station is utilized to assess the potential of wind energy at exposed ridges tops of mountains surrounding the city of Maroua. The aim of this study is to estimate the cost of wind-generated electricity using six types of wind turbines (50 to 2000 kW). The Weibull distribution function is employed to estimate Weibull shape and scale parameters using the energy pattern factor method. The considered wind shear model to extrapolate Weibull parameters and wind profiles is the empirical power law correlation. The results show that hilltops in the range of 150-350m AGL in increments of 50, fall under Class 3 or greater of the international system of wind classification and are deemed suitable to outstanding for wind turbine applications. A performance of the selected wind turbines is examined as well as the costs of wind-generated electricity at the considered hilltops. The results establish that the lowest costs per kWh are obtained using YDF-1500-87 (1500 kW) turbine while the highest costs are delivered by P-25-100 (90 kW). The lowest costs (US) per kWh of electricity generated are found to vary between a minimum of 0.0294 at hilltops 350m AGL and a maximum of 0.0366 at hilltops 150m AGL, with corresponding energy outputs that are 6,125 and 4,932 MWh, respectively. Additionally, the matching capacity factors values are 38.05% at hilltops 150m AGL and 47.26% at hilltops 350m AGL. Furthermore, YDF-1500-87 followed by Enercon E82-2000 (2000 kW) wind turbines provide the lowest cost of wind generated electricity and are recommended for use for large communities. Medium wind turbine P-15-50 (50 kW), despite showing the best coefficients factors (39.29% and 48.85% at hilltops 150 and 350m AGL, in that order), generates electricity at an average higher cost/kWh of US0.0547 and 0.0440 at hilltops 150 and 350m AGL, respectively. P-15-50 is deemed a more advantageous option

  20. Application of ecological risk assessment based on a novel TRIAD-tiered approach to contaminated soil surrounding a closed non-sealed landfill.

    Science.gov (United States)

    Gutiérrez, Laura; Garbisu, Carlos; Ciprián, Estela; Becerril, José M; Soto, Manu; Etxebarria, Javier; Madariaga, Juan M; Antigüedad, Iñaki; Epelde, Lur

    2015-05-01

    The Ecological Risk Assessment (ERA) is a reliable tool for communicating risk to decision makers in a comprehensive and scientific evidence-based way. In this work, a site-specific ERA methodology based on the TRIAD approach was applied to contaminated soil surrounding a closed non-sealed landfill, as a case study to implement and validate such ERA methodology in the Basque Country (northern Spain). Initially, the procedure consisted of the application of a Parameter Selection Module aimed at selecting the most suitable parameters for the specific characteristics of the landfill contaminated soil, taking into consideration the envisioned land use, intended ecosystem services and nature of contaminants. Afterwards, the selected parameters were determined in soil samples collected from two sampling points located downstream of the abovementioned landfill. The results from these tests were normalized to make them comparable and integrable in a risk index. Then, risk assessment criteria were developed and applied to the two landfill contaminated soil samples. Although the lack of a proper control soil was evidenced, a natural land use was approved by the ERA (at Tier 2) for the two landfill contaminated soils. However, the existence of a potential future risk resulting from a hypothetical soil acidification must be considered.

  1. Satellite assessment of particulate matter and phytoplankton variations in the Santa Barbara Channel and its surrounding waters: Role of surface waves

    Science.gov (United States)

    Henderikx Freitas, Fernanda; Siegel, David A.; Maritorena, Stéphane; Fields, Erik

    2017-01-01

    Satellite observations of chlorophyll in coastal waters are often described in terms of changes in productivity in response to regional upwelling processes while optical backscattering coefficients are more often linked to episodic inputs of suspended sediments from storm runoff. Here we show that the surface gravity wave resuspension of sediments has a larger role in controlling backscatter than previously considered. Almost 18 years of SeaWiFS, MODIS, MERIS, and VIIRS satellite imagery of the Santa Barbara Channel, California and its surrounding waters spectrally merged with the Garver-Siegel-Maritorena bio-optical model were used to assess the controls on suspended particle distributions. Analysis revealed that chlorophyll blooms in the warmer portions of the domain occur in phase with SST minima, usually in early spring, while blooms in the cooler regions lag SST minima and occur simultaneously to the strongest equatorward winds every year, often in the summer. Tight coupling between the optical variables was seen in offshore areas, as expected for productive waters. However, values of backscatter near the coast were primarily modulated by surface waves. This relationship holds throughout all seasons and is stronger within the 100 m isobath, but often extends tens of kilometers offshore. This forcing of particle resuspension by surface waves is likely a feature ubiquitous in all coastal oceans characterized by fine sediments. The implication of surface wave processes determining suspended particle loads far beyond the surf zone has large consequences for the interpretation of satellite ocean color signals in coastal waters and potentially redefines the extent of the littoral zone.

  2. Utilising an LC-MS/MS-based multi-biomarker approach to assess mycotoxin exposure in the Bangkok metropolitan area and surrounding provinces.

    Science.gov (United States)

    Warth, Benedikt; Petchkongkaew, Awanwee; Sulyok, Michael; Krska, Rudolf

    2014-01-01

    Human exposures to mycotoxins through dietary intake are a major health hazard and may result in various pathophysiological effects. Although Thailand is a country at increased risk due to its climatic conditions, no comprehensive dataset is available to perform proper exposure assessment of its population with regard to mycotoxins. Therefore, this pilot study was conducted to investigate and evaluate the exposure levels of major mycotoxins (aflatoxin B₁, ochratoxin A, fumonisins, zearalenone and trichothecenes). Sixty first-morning urine samples were collected from healthy volunteers who live in the Bangkok metropolitan area and surrounding provinces (Pathumthani, Nonthaburi, Samutprakarn and Samutsakorn). Urine samples were analysed by a LC-MS/MS-based multi-biomarker method following a so-called 'dilute and shoot' approach. Results generally indicated low mycotoxin exposures in most individuals through the determination of the four biomarkers that were detected in urine samples, i.e. aflatoxin M₁, ochratoxin A (OTA), as well as the deoxynivalenol (DON) metabolites DON-3-glucuronide and DON-15-glucuronide in 10 of 60 individuals. The maximum concentrations were used to estimate the daily intake confirming that none of the individuals exceeded the tolerable daily intake (TDI) of DON (maximum 26% of TDI) or OTA (maximum 22% of TDI). However, the maximum exposure of aflatoxin B₁, estimated to be 0.91 µg (kg bw)⁻¹ day⁻¹, should raise some concerns and suggests further studies utilising a more sensitive method. Low exposure to Fusarium toxins was also confirmed by the absence of zearalenone, α-zearalanol, β-zearalanol and zearalenone-14-glucuronide as well as T-2 toxin, HT-2 toxin, nivalenol and free DON. This is the first multi-mycotoxin biomarker study performed in Southeast Asia.

  3. Practices Surrounding Event Photos

    NARCIS (Netherlands)

    Vyas, Dhaval; Nijholt, Antinus; van der Veer, Gerrit C.; Kotzé, P.; Marsden, G.; Lindgaard, G.; Wesson, J.; Winckler, M.

    Sharing photos through mobile devices has a great potential for creating shared experiences of social events between co-located as well as remote participants. In order to design novel event sharing tools, we need to develop indepth understanding of current practices surrounding these so called

  4. Team Objective Structured Bedside Assessment (TOSBA): a novel and feasible way of providing formative teaching and assessment.

    Science.gov (United States)

    Miller, S D W; Butler, M W; Meagher, F; Costello, R W; McElvaney, N G

    2007-03-01

    It can be challenging to teach and assess medical students successfully in the setting of a hospital ward using real patients. We describe a novel method of providing weekly formative clinical assessment and teaching to final year students on an acute medical ward: The Team Objective Structured Bedside Assessment (TOSBA). The TOSBA involves three groups of five students rotating through three ward-based stations (each station consists of an inpatient and facilitator). Each group spends 25 minutes at a bedside station where the facilitator asks consecutive students to perform one of five clinical tasks. Every student receives a standardised grade and is provided with educational feedback at each of the three stations. We report our 15-month experience using the TOSBA format to assess and teach a large number of medical students on a weekly basis. We discuss the advantages and potential drawbacks of our approach.

  5. Scope of practice review: providers for triage and assessment of spine-related disorders

    Science.gov (United States)

    Boakye, Omenaa; Birney, Arden; Suter, Esther; Phillips, Leah Adeline; Suen, Victoria YM

    2016-01-01

    Purpose This study explored which health care providers could be involved in centralized intake for patients with nonspecific low back pain to enhance access, continuity, and appropriateness of care. Methods We reviewed the scope of practice regulations for a range of health care providers. We also conducted telephone interviews with 17 individuals representing ten provincial colleges and regulatory bodies to further understand providers’ legislated scopes of practice. Activities relevant to triaging and assessing patients with low back pain were mapped against professionals’ scope of practice. Results Family physicians and nurse practitioners have the most comprehensive scopes and can complete all restricted activities for spine assessment and triage, while the scope of registered nurses and licensed practical nurses are progressively narrower. Chiropractors, occupational therapists, physiotherapists, and athletic therapists are considered experts in musculoskeletal assessments and appear best suited for musculoskeletal specific assessment and triage. Other providers may play a complementary role depending on the individual patient needs. Conclusion These findings indicate that an interprofessional assessment and triage team that includes allied health professionals would be a feasible option to create a centralized intake model. Implementation of such teams would require removing barriers that currently prevent providers from delivering on their full scope of practice. PMID:27274267

  6. A preliminary assessment of legged mobility provided by a lower limb exoskeleton for persons with paraplegia.

    Science.gov (United States)

    Farris, Ryan J; Quintero, Hugo A; Murray, Spencer A; Ha, Kevin H; Hartigan, Clare; Goldfarb, Michael

    2014-05-01

    This paper presents an assessment of a lower limb exoskeleton for providing legged mobility to people with paraplegia. In particular, the paper presents a single-subject case study comparing legged locomotion using the exoskeleton to locomotion using knee-ankle-foot orthoses (KAFOs) on a subject with a T10 motor and sensory complete injury. The assessment utilizes three assessment instruments to characterize legged mobility, which are the timed up-and-go test, the Ten-Meter Walk Test (10 MWT), and the Six-Minute Walk Test (6 MWT), which collectively assess the subject's ability to stand, walk, turn, and sit. The exertion associated with each assessment instrument was assessed using the Physiological Cost Index. Results indicate that the subject was able to perform the respective assessment instruments 25%, 70%, and 80% faster with the exoskeleton relative to the KAFOs for the timed up-and-go test, the 10 MWT, and the 6 MWT, respectively. Measurements of exertion indicate that the exoskeleton requires 1.6, 5.2, and 3.2 times less exertion than the KAFOs for each respective assessment instrument. The results indicate that the enhancement in speed and reduction in exertion are more significant during walking than during gait transitions.

  7. A Preliminary Assessment of Legged Mobility Provided by a Lower Limb Exoskeleton for Persons With Paraplegia

    Science.gov (United States)

    Farris, Ryan J.; Quintero, Hugo A.; Murray, Spencer A.; Ha, Kevin H.; Hartigan, Clare; Goldfarb, Michael

    2015-01-01

    This paper presents an assessment of a lower limb exoskeleton for providing legged mobility to people with paraplegia. In particular, the paper presents a single-subject case study comparing legged locomotion using the exoskeleton to locomotion using knee–ankle–foot orthoses (KAFOs) on a subject with a T10 motor and sensory complete injury. The assessment utilizes three assessment instruments to characterize legged mobility, which are the timed up-and-go test, the Ten-Meter Walk Test (10 MWT), and the Six-Minute Walk Test (6 MWT), which collectively assess the subject’s ability to stand, walk, turn, and sit. The exertion associated with each assessment instrument was assessed using the Physiological Cost Index. Results indicate that the subject was able to perform the respective assessment instruments 25%, 70%, and 80% faster with the exoskeleton relative to the KAFOs for the timed up-and-go test, the 10 MWT, and the 6 MWT, respectively. Measurements of exertion indicate that the exoskeleton requires 1.6, 5.2, and 3.2 times less exertion than the KAFOs for each respective assessment instrument. The results indicate that the enhancement in speed and reduction in exertion are more significant during walking than during gait transitions. PMID:23797285

  8. Attention Paid to Feedback Provided by a Computer-Based Assessment for Learning on Information Literacy

    Science.gov (United States)

    Timmers, Caroline; Veldkamp, Bernard

    2011-01-01

    Three studies are presented on attention paid to feedback provided by a computer-based assessment for learning on information literacy. Results show that the attention paid to feedback varies greatly. In general the attention focuses on feedback of incorrectly answered questions. In each study approximately fifty percent of the respondents paid…

  9. Attention Paid to Feedback Provided by a Computer-Based Assessment for Learning on Information Literacy

    Science.gov (United States)

    Timmers, Caroline; Veldkamp, Bernard

    2011-01-01

    Three studies are presented on attention paid to feedback provided by a computer-based assessment for learning on information literacy. Results show that the attention paid to feedback varies greatly. In general the attention focuses on feedback of incorrectly answered questions. In each study approximately fifty percent of the respondents paid…

  10. Combined Student Ratings and Self-Assessment Provide Useful Feedback for Clinical Teachers

    Science.gov (United States)

    Stalmeijer, Renee E.; Dolmans, Diana H. J. M.; Wolfhagen, Ineke H. A. P.; Peters, Wim G.; van Coppenolle, Lieve; Scherpbier, Albert J. J. A.

    2010-01-01

    Many evaluation instruments have been developed to provide feedback to physicians on their clinical teaching but written feedback alone is not always effective. We explored whether feedback effectiveness improved when teachers' self-assessment was added to written feedback based on student ratings. 37 physicians (10 residents, 27 attending…

  11. Human evolutionary history and contemporary evolutionary theory provide insight when assessing cultural group selection.

    Science.gov (United States)

    Fuentes, Agustin; Kissel, Marc

    2016-01-01

    Richerson et al. provide a much needed roadmap for assessing cultural group selection (CGS) theory and for applying it to understanding variation between contemporary human groups. However, the current proposal lacks connection to relevant evidence from the human evolutionary record and requires a better integration with contemporary evolutionary theory. The article also misapplies the F st statistic.

  12. Scope of practice review: providers for triage and assessment of spine-related disorders

    Directory of Open Access Journals (Sweden)

    Boakye O

    2016-05-01

    Full Text Available Omenaa Boakye,1 Arden Birney,1 Esther Suter,1 Leah Adeline Phillips,2 Victoria YM Suen3 1Workforce Research and Evaluation, Alberta Health Services, Calgary, 2College of Licensed Practical Nurses of Alberta, Edmonton, 3Addiction and Mental Health SCN, Alberta Health Services, Edmonton, AB, Canada Purpose: This study explored which health care providers could be involved in centralized intake for patients with nonspecific low back pain to enhance access, continuity, and appropriateness of care. Methods: We reviewed the scope of practice regulations for a range of health care providers. We also conducted telephone interviews with 17 individuals representing ten provincial colleges and regulatory bodies to further understand providers' legislated scopes of practice. Activities relevant to triaging and assessing patients with low back pain were mapped against professionals' scope of practice. Results: Family physicians and nurse practitioners have the most comprehensive scopes and can complete all restricted activities for spine assessment and triage, while the scope of registered nurses and licensed practical nurses are progressively narrower. Chiropractors, occupational therapists, physiotherapists, and athletic therapists are considered experts in musculoskeletal assessments and appear best suited for musculoskeletal specific assessment and triage. Other providers may play a complementary role depending on the individual patient needs. Conclusion: These findings indicate that an interprofessional assessment and triage team that includes allied health professionals would be a feasible option to create a centralized intake model. Implementation of such teams would require removing barriers that currently prevent providers from delivering on their full scope of practice. Keywords: scope of practice review, low back pain, integrated service model, centralized intake, interprofessional team

  13. Assessing the ecosystem services provided by urban green spaces along urban center-edge gradients.

    Science.gov (United States)

    Chang, Jie; Qu, Zelong; Xu, Ronghua; Pan, Kaixuan; Xu, Bin; Min, Yong; Ren, Yuan; Yang, Guofu; Ge, Ying

    2017-09-11

    Urban green spaces provide various ecosystem services, especially cultural services. Previous assessment methods depend either on hypothetic payments for ecosystems or real payments not directly related to ecosystems. In this paper, we established a method for assessing the cultural ecosystem services in any location in urban area using only two variables, green space (ecosystem) and land rent (real payment). We integrated the cultural and the regulating services into the total ecosystem services because urban green spaces provide almost no provisioning services. Results showed that the same area of green spaces near the center provided much higher cultural services than that near the urban edge; the regulating services accounted for 5% to 40% of the total ecosystem services from the center to the edge of urban area; along the center-edge gradient, there was a threshold out which the ecosystem services were lower than the maintenance cost of green spaces.

  14. Assessment of land use and land cover changes during the last 50 years in oases and surrounding rangelands of Xinjiang, NW China

    Directory of Open Access Journals (Sweden)

    Katja Brinkmann

    2010-10-01

    Full Text Available An analysis of historical Corona images, Landsat images, recent radar and Google Earth® images was conducted to determine land use and land cover changes of oases settlements and surrounding rangelands at the fringe of the Altay Mountains from 1964 to 2008. For the Landsat datasets supervised classification methods were used to test the suitability of the Maximum Likelihood Classifier with subsequent smoothing and the Sequential Maximum A Posteriori Classifier (SMAPC. The results show a trend typical for the steppe and desert regions of northern China. From 1964 to 2008 farmland strongly increased (+ 61%, while the area of grassland and forest in the floodplains decreased (- 43%. The urban areas increased threefold and 400 ha of former agricultural land were abandoned. Farmland apparently affected by soil salinity decreased in size from 1990 (1180 ha to 2008 (630 ha. The vegetated areas of the surrounding rangelands decreased, mainly as a result of overgrazing and drought events.The SMAPC with subsequent post processing revealed the highest classification accuracy. However, the specific landscape characteristics of mountain oasis systems required labour intensive post processing. Further research is needed to test the use of ancillary information for an automated classification of the examined landscape features.

  15. Social Validity Assessment of Training Methods to Improve Treatment Integrity of Special Education Service Providers.

    Science.gov (United States)

    Strohmeier, Craig; Mulé, Christina; Luiselli, James K

    2014-05-01

    We report the results of a social validity assessment that was administered to special education service providers (N = 44) to document the acceptability and effectiveness ratings of several treatment integrity training methods. The participants judged performance feedback as the most likely method to improve their treatment integrity, followed by avoidance (negative reinforcement) of supervision meetings, online training, and financial incentive. Performance feedback was also rank-ordered as most effective among the four training methods. We discuss the merits of social validity assessment in designing programs for enhancing treatment integrity among practitioners within educational and clinical settings.

  16. Patient and referring health care provider satisfaction with a physiotherapy spinal triage assessment service.

    Science.gov (United States)

    Bath, Brenna; Janzen, Bonnie

    2012-01-01

    To evaluate participant and referring care provider satisfaction associated with a spinal triage assessment service delivered by physiotherapists in collaboration with orthopedic surgeons. People with low back-related complaints were recruited from those referred to a spinal triage assessment program delivered by physiotherapists. Measures of patient and provider satisfaction were completed at approximately 4 weeks after the assessment. The satisfaction surveys were analyzed quantitatively with descriptive statistics and qualitatively with an inductive thematic approach of open and axial coding. A total of 108/115 participants completed the posttest satisfaction survey. Sixty-six percent of participants were "very satisfied" with the service and 55% were "very satisfied" with the recommendations that were made. Only 18% of referring care providers completed the satisfaction survey and 90.5% of those were "very satisfied" with the recommendations. Sixty-one participants and 14 care providers provided comments which revealed a diverse range of themes which were coded into positive (ie, understanding the problem, communication, customer service, efficiency, and management direction), negative (ie, lack of detail, time to follow-up, cost) and neutral related to the triage service, and an "other" category unrelated to the service (ie, chronic symptoms, comorbidities, and limited access to health care.) The quantitative results of the participant survey demonstrated very high levels of satisfaction with the service and slightly less satisfaction with the recommendations that were made. Satisfaction of referring care providers with the recommendations and report was also high, but given the low response rate, these results should be interpreted with caution. Qualitative analysis of participant and provider comments revealed a diverse range of themes. These other issues may be important contextual factors that have the potential to impact patient relevant outcomes.

  17. Transparency, consultation and conflict: Assessing the micro-level risks surrounding the drive to develop Peru's Amazonian oil and gas resources

    DEFF Research Database (Denmark)

    Haselip, James Arthur

    2011-01-01

    Since the 1990s, successive Governments in Peru have sought to expand the exploration and production of the country's oil and gas resources. This economic agenda poses significant opportunities and risks which are usually considered at the macro-level and framed by debates regarding the so......-called “natural resource curse”. While risks such as “Dutch disease” are important to consider, a worrying set of short-term issues surrounds the impacts of rapid changes brought on by oil and gas industrial development at the micro-level, namely, those that affect local communities and the environment....... In the case of Peru, this is especially relevant to the vast areas of ecologically sensitive and previously under-developed Amazonia that are now under concession to oil and gas companies. Low levels of industry transparency combined with a lack of uniform free, prior and informed consent are exacerbating...

  18. Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers

    Directory of Open Access Journals (Sweden)

    Murtomaa Heikki

    2011-05-01

    Full Text Available Abstract Background Tobacco use adversely affects oral health. Clinical guidelines recommend that dental providers promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented, however. To improve guideline adherence and to develop effective interventions, it is essential to understand provider behaviour and challenges to implementation. This study aimed to develop a theoretically informed measure for assessing among dental providers implementation difficulties related to tobacco use prevention and cessation (TUPAC counselling guidelines, to evaluate those difficulties among a sample of dental providers, and to investigate a possible underlying structure of applied theoretical domains. Methods A 35-item questionnaire was developed based on key theoretical domains relevant to the implementation behaviours of healthcare providers. Specific items were drawn mostly from the literature on TUPAC counselling studies of healthcare providers. The data were collected from dentists (n = 73 and dental hygienists (n = 22 in 36 dental clinics in Finland using a web-based survey. Of 95 providers, 73 participated (76.8%. We used Cronbach's alpha to ascertain the internal consistency of the questionnaire. Mean domain scores were calculated to assess different aspects of implementation difficulties and exploratory factor analysis to assess the theoretical domain structure. The authors agreed on the labels assigned to the factors on the basis of their component domains and the broader behavioural and theoretical literature. Results Internal consistency values for theoretical domains varied from 0.50 ('emotion' to 0.71 ('environmental context and resources'. The domain environmental context and resources had the lowest mean score (21.3%; 95% confidence interval [CI], 17.2 to 25.4 and was identified as a potential implementation difficulty. The domain emotion

  19. Assessment of Man-made and Natural Hazards in the Surroundings of Hydropower Projects under Construction in the Beas Valley of Northwestern Himalaya

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Mountain ecosystem, on the earth, has plenty of natural resources. In Himachal Pradesh all the rivers are snowfed and therefore rich in water resources. These resources have been supporting enough for the generation of electricity through introducing hydropower projects since the last decade.However, every developmental activity has its own negative impacts on the surrounding environment.Due to the fragile nature of topography and delicacy of ecology of the Himalaya, it results in lot of disturbances because of high degree of human interferences like construction of major hydropower projects. The increased extent of geological hazards,such as landslides, rock fall and soil erosion, have mainly due to alike developmental interventions in the natural ecosystem. So understanding and analysing such impacts of the hydropower projects have mainly been on the environment in various forms but natural hazards have been frequent ones.The present study, therefore, focuses mainly on the Parbati Stage Ⅱ (800 MW) and the Parbati Stage Ⅲ (520 MW) hydropower projects; both of which fall within the Kullu district of Himachal Pradesh. Based on the perception survey of the local communities, the existing land use pattern, status of total acquired land of the residents by hydropower projects, frequent natural hazards and resultant loss to the local communities due to upcoming construction of hydropower projects surrounding to the Parbati Stage Ⅱ and Ⅲ have been analysed in the paper. Also, the preventive measures to mitigate these adverse impacts have been suggested to strengthen these projects in eco-friendly manner in the mountain context.

  20. Developmental Screening and Referrals: Assessing the Influence of Provider Specialty, Training, and Interagency Communication.

    Science.gov (United States)

    Moore, Christopher; Zamora, Irina; Patel Gera, Mona; Williams, Marian E

    2017-10-01

    Previous studies have shown that different provider approaches, amount of familiarity with the referral and screening process, and level of interagency communication can increase or decrease the likelihood of caregivers completing a recommended referral to early intervention (EI). We surveyed 60 family practitioners and pediatricians at 2 primary care clinics to assess these factors. Pediatricians were more likely than family practitioners to report using, evaluating, and discussing the results of developmental screens. Providers with more experience and recent training expressed more confidence in their ability to describe the EI system to families. Most providers expressed a lack of confidence in their own agency to complete referrals or EI to provide follow-up. The knowledge gaps and communication problems identified in this study could serve as a basis for future interventional work.

  1. Assessing capacity for providing culturally competent services to LGBT older adults.

    Science.gov (United States)

    Portz, Jennifer Dickman; Retrum, Jessica H; Wright, Leslie A; Boggs, Jennifer M; Wilkins, Shari; Grimm, Cathy; Gilchrist, Kay; Gozansky, Wendolyn S

    2014-01-01

    This qualitative, interview-based study assessed the cultural competence of health and social service providers to meet the needs of LGBT older adults in an urban neighborhood in Denver, Colorado, known to have a large LGBT community. Only 4 of the agencies were categorized as "high competency"; 12 were felt to be "seeking improvement" and 8 were considered "not aware." These results indicate significant gaps in cultural competency for the majority of service providers. Social workers are well-suited to lead efforts directed at improving service provision and care competencies for the older LGBT community.

  2. Assessing Capacity for Providing Culturally Competent Services to LGBT Older Adults

    Science.gov (United States)

    Portz, Jennifer Dickman; Retrum, Jessica H.; Wright, Leslie A.; Boggs, Jennifer M.; Wilkins, Shari; Grimm, Cathy; Gilchrist, Kay; Gozansky, Wendolyn S.

    2014-01-01

    This qualitative, interview-based study assessed the cultural competence of health and social service providers to meet the needs of LGBT older adults in an urban neighborhood in Denver, Colorado, known to have a large LGBT community. Only 4 of the agencies were categorized as “high competency” while 12 were felt to be “seeking improvement” and 8 were considered “not aware.” These results indicate significant gaps in cultural competency for the majority of service providers. Social workers are well-suited to lead efforts directed at improving service provision and care competencies for the older LGBT community. PMID:24798180

  3. Limitations of toxicity characterization in life cycle assessment: Can adverse outcome pathways provide a new foundation?

    Science.gov (United States)

    Gust, Kurt A; Collier, Zachary A; Mayo, Michael L; Stanley, Jacob K; Gong, Ping; Chappell, Mark A

    2016-07-01

    Life cycle assessment (LCA) has considerable merit for holistic evaluation of product planning, development, production, and disposal, with the inherent benefit of providing a forecast of potential health and environmental impacts. However, a technical review of current life cycle impact assessment (LCIA) methods revealed limitations within the biological effects assessment protocols, including: simplistic assessment approaches and models; an inability to integrate emerging types of toxicity data; a reliance on linear impact assessment models; a lack of methods to mitigate uncertainty; and no explicit consideration of effects in species of concern. The purpose of the current study is to demonstrate that a new concept in toxicological and regulatory assessment, the adverse outcome pathway (AOP), has many useful attributes of potential use to ameliorate many of these problems, to expand data utility and model robustness, and to enable more accurate and defensible biological effects assessments within LCIA. Background, context, and examples have been provided to demonstrate these potential benefits. We additionally propose that these benefits can be most effectively realized through development of quantitative AOPs (qAOPs) crafted to meet the needs of the LCIA framework. As a means to stimulate qAOP research and development in support of LCIA, we propose 3 conceptual classes of qAOP, each with unique inherent attributes for supporting LCIA: 1) mechanistic, including computational toxicology models; 2) probabilistic, including Bayesian networks and supervised machine learning models; and 3) weight of evidence, including models built using decision-analytic methods. Overall, we have highlighted a number of potential applications of qAOPs that can refine and add value to LCIA. As the AOP concept and support framework matures, we see the potential for qAOPs to serve a foundational role for next-generation effects characterization within LCIA. Integr Environ Assess Manag

  4. Assessment of patient safety culture among healthcare providers at a teaching hospital in Cairo, Egypt.

    Science.gov (United States)

    Aboul-Fotouh, A M; Ismail, N A; Ez Elarab, H S; Wassif, G O

    2012-04-01

    A previous study in Cairo, Egypt highlighted the need to improve the patient safety culture among health-care providers at Ain Shams University hospitals. This descriptive cross-sectional study assessed healthcare providers' perceptions of patient safety culture within the organization and determined factors that played a role in patient safety culture. A representative sample of 510 physicians, nurses, pharmacists, technicians and labourers in different departments answered an Arabic version of the Agency of Healthcare Research and Quality hospital survey for patient safety culture. The highest mean composite positive score among the 12 dimensions was for the organizational learning for continuous improvement (78.2%), followed by teamwork (58.1%). The lowest mean score was for the dimension of non-punitive response to error (19.5%). Patient safety culture still has many areas for improvement that need continuous evaluation and monitoring to attain a safe environment both for patients and health-care providers.

  5. A Generalized Assessment of the Impact of Regionalization and Provider Learning on Patient Outcomes.

    Science.gov (United States)

    Zhang, Yun; Lee, Shoou-Yih D; Gilleskie, Donna B; Sun, Yepeng; Padakandla, Arun; Jacobs, Bruce L; Montgomery, Jeffery S; Montie, James E; Wei, John T; Hollenbeck, Brent K

    2016-11-01

    We present a generalized model to assess the impact of regionalization on patient care outcomes in the presence of heterogeneity in provider learning. The model characterizes best regionalization policies as optimal allocations of patients across providers with heterogeneous learning abilities. We explore issues that arise when solving for best regionalization, which depends on statistically estimated provider learning curves. We explain how to maintain the problem's tractability and reformulate it into a binary integer program problem to improve solvability. Using our model, best regionalization solutions can be computed within reasonable time using current-day computers. We apply the model to minimally invasive radical prostatectomy and estimate that, in comparison to current care delivery, within-state regionalization can shorten length of stay by at least 40.8%.

  6. Development and Psychometric Assessment of the Healthcare Provider Cultural Competence Instrument

    Directory of Open Access Journals (Sweden)

    Joshua L. Schwarz PhD

    2015-04-01

    Full Text Available This study presents the measurement properties of 5 scales used in the Healthcare Provider Cultural Competence Instrument (HPCCI. The HPCCI measures a health care provider’s cultural competence along 5 primary dimensions: (1 awareness/sensitivity, (2 behaviors, (3 patient-centered communication, (4 practice orientation, and (5 self-assessment. Exploratory factor analysis demonstrated that the 5 scales were distinct, and within each scale items loaded as expected. Reliability statistics indicated a high level of internal consistency within each scale. The results indicate that the HPCCI effectively measures the cultural competence of health care providers and can provide useful professional feedback for practitioners and organizations seeking to increase a practitioner’s cultural competence.

  7. Landscapes‘ Capacities to Provide Ecosystem Services – a Concept for Land-Cover Based Assessments

    Directory of Open Access Journals (Sweden)

    Benjamin Burkhard

    2009-12-01

    Full Text Available Landscapes differ in their capacities to provide ecosystem goods and services, which are the benefits humans obtain from nature. Structures and functions of ecosystems needed to sustain the provision of ecosystem services are altered by various human activities. In this paper, a concept for the assessment of multiple ecosystem services is proposed as a basis for discussion and further development of a respective evaluation instrument. Using quantitative and qualitative assessment data in combination with land cover and land use information originated from remote sensing and GIS, impacts of human activities can be evaluated. The results reveal typical patterns of different ecosystems‘ capacities to provide ecosystem services. The proposed approach thus delivers useful integrative information for environmental management and landscape planning, aiming at a sustainable use of services provided by nature. The research concept and methodological framework presented here for discussion have initially been applied in different case studies and shall be developed further to provide a useful tool for the quantification and spatial modelling of multiple ecosystem services in different landscapes. An exemplary application of the approach dealing with food provision in the Halle-Leipzig region in Germany is presented. It shows typical patterns of ecosystem service distribution around urban areas. As the approach is new and still rather general, there is great potential for improvement, especially with regard to a data-based quantification of the numerous hypotheses, which were formulated as base for the assessment. Moreover, the integration of more detailed landscape information on different scales will be needed in future in order to take the heterogeneous distribution of landscape properties and values into account. Therefore, the purpose of this paper is to foster critical discussions on the methodological development presented here.

  8. Assessment of the impact of petroleum and petrochemical industries to the surrounding areas in Malaysia using mosses as bioindicator supported by multivariate analysis.

    Science.gov (United States)

    Abdullah, Mohd Zahari Bin; Saat, Ahmad Bin; Hamzah, Zaini Bin

    2012-06-01

    Biomonitoring of multi-element atmospheric deposition using terrestrial moss is a well-established technique in Europe. Although the technique is widely known, there were very limited records of using this technique to study atmospheric air pollution in Malaysia. In this present study, the deposition of 11 trace metals surrounding the main petroleum refinery plant in Kerteh Terengganu (eastern part of peninsular Malaysia) has been evaluated using two local moss species, namely Hypnum plumaeforme and Taxithelium instratum as bioindicators. The study was also done by means of observing whether these metals are attributed to work related to oil exploration in this area. The moss samples have been collected at 30 sampling stations in the vicinity of the petrochemical industrial area covering up to 15 km to the south, north, and west in radius. The contents of heavy metal in moss samples were analyzed by energy dispersive x-ray fluorescence technique. Distribution of heavy metal content in all mosses is portrayed using Surfer software. Areas of the highest level of contaminations are highlighted. The results obtained using the principal components analysis revealed that the elements can be grouped into three different components that indirectly reflected three different sources namely anthropogenic factor, vegetation factor, and natural sources (soil dust or substrate) factor. Heavy metals deposited mostly in the distance after 9 km onward to the western part (the average direction of wind blow). V, Cr, Cu, and Hg are believed to have originated from local petrochemical-based industries operated around petroleum industrial area.

  9. Providing sexually transmitted disease education and risk assessment to disengaged young men through community outreach.

    Science.gov (United States)

    Johnson, David; Harrison, Patricia; Sidebottom, Abbey

    2010-12-01

    This study describes a community outreach project designed to increase access to reproductive health services to young African American men living in low-income urban neighborhoods. The project examined the effectiveness of providing community-based outreach and health education on increasing sexually transmitted disease (STD) screening. Outreach workers provided STD education and risk assessment in community settings, including street corners, parks, schools, and community centers. Data were recorded on outreach contacts, including client demographics, health education topics covered, and risk assessment results. Outreach workers conducted 9,701 contacts in a 176-week period. Most contacts (89%) were with African Americans, and most (84%) were with young men between 15 and 20 years old. Outreach workers discussed each health education item in their protocol at least 85% of the time and each risk assessment item at least 90% of the time. The majority of contacts (94%) reported being sexually active. Compared with the year prior to the project, actual STD testing of the target population doubled at the project clinics. This study suggests that going beyond traditional clinic-based testing to reach young, disenfranchised males constitutes a promising approach to reducing racial disparities in STD infections.

  10. Patient and referring health care provider satisfaction with a physiotherapy spinal triage assessment service

    Directory of Open Access Journals (Sweden)

    Bath B

    2011-12-01

    Full Text Available Brenna Bath1, Bonnie Janzen21School of Physical Therapy, College of Medicine, University of Saskatchewan, 2Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaPurpose: To evaluate participant and referring care provider satisfaction associated with a spinal triage assessment service delivered by physiotherapists in collaboration with orthopedic surgeons.Methods: People with low back-related complaints were recruited from those referred to a spinal triage assessment program delivered by physiotherapists. Measures of patient and provider satisfaction were completed at approximately 4 weeks after the assessment. The satisfaction surveys were analyzed quantitatively with descriptive statistics and qualitatively with an inductive thematic approach of open and axial coding.Results: A total of 108/115 participants completed the posttest satisfaction survey. Sixty-six percent of participants were “very satisfied” with the service and 55% were “very satisfied” with the recommendations that were made. Only 18% of referring care providers completed the satisfaction survey and 90.5% of those were “very satisfied” with the recommendations. Sixty-one participants and 14 care providers provided comments which revealed a diverse range of themes which were coded into positive (ie, understanding the problem, communication, customer service, efficiency, and management direction, negative (ie, lack of detail, time to follow-up, cost and neutral related to the triage service, and an “other” category unrelated to the service (ie, chronic symptoms, comorbidities, and limited access to health care.Conclusion: The quantitative results of the participant survey demonstrated very high levels of satisfaction with the service and slightly less satisfaction with the recommendations that were made. Satisfaction of referring care providers with the recommendations and report was also high, but given

  11. Ecological mechanisms linking protected areas to surrounding lands.

    Science.gov (United States)

    Hansen, Andrew J; DeFries, Ruth

    2007-06-01

    Land use is expanding and intensifying in the unprotected lands surrounding many of the world's protected areas. The influence of this land use change on ecological processes is poorly understood. The goal of this paper is to draw on ecological theory to provide a synthetic framework for understanding how land use change around protected areas may alter ecological processes and biodiversity within protected areas and to provide a basis for identifying scientifically based management alternatives. We first present a conceptual model of protected areas embedded within larger ecosystems that often include surrounding human land use. Drawing on case studies in this Invited Feature, we then explore a comprehensive set of ecological mechanisms by which land use on surrounding lands may influence ecological processes and biodiversity within reserves. These mechanisms involve changes in ecosystem size, with implications for minimum dynamic area, species-area effect, and trophic structure; altered flows of materials and disturbances into and out of reserves; effects on crucial habitats for seasonal and migration movements and population source/sink dynamics; and exposure to humans through hunting, poaching, exotics species, and disease. These ecological mechanisms provide a basis for assessing the vulnerability of protected areas to land use. They also suggest criteria for designing regional management to sustain protected areas in the context of surrounding human land use. These design criteria include maximizing the area of functional habitats, identifying and maintaining ecological process zones, maintaining key migration and source habitats, and managing human proximity and edge effects.

  12. Where are the Behavioral Sleep Medicine Providers and Where are They Needed? A Geographic Assessment.

    Science.gov (United States)

    Thomas, Arthur; Grandner, Michael; Nowakowski, Sara; Nesom, Genevieve; Corbitt, Charles; Perlis, Michael L

    2016-01-01

    Although it is widely acknowledged that there are not enough clinicians trained in either Behavioral Sleep Medicine (BSM) in general or in Cognitive Behavioral Therapy for Insomnia (CBT-I) in specific, what is unclear is whether this problem is more acute in some regions relative to others. Accordingly, a geographic approach was taken to assess this issue. Using national directories as well as e-mail listservs (Behavioral Sleep Medicine group and Behavioral Treatment for Insomnia Roster), the present study evaluated geographic patterning of CBSM and BSM providers by city, state, and country. Overall, 88% of 752 BSM providers worldwide live in the United States (n = 659). Of these, 58% reside in 12 states with ≥ 20 providers (CA, NY, PA, IL, MA, TX, FL, OH, MI, MN, WA, and CO), and 19% reside in just 2 states (NY and CA). There were 4 states with no BSM providers (NH, HI, SD, and WY). Of the 167 U.S. cities with a population of > 150,000, 105 cities have no BSM providers. These results clearly suggest that a targeted effort is needed to train individuals in both the unserved and underserved areas.

  13. Landslide susceptibility assessment in ash-fall pyroclastic deposits surrounding Mount Somma-Vesuvius: Application of geophysical surveys for soil thickness mapping

    Science.gov (United States)

    De Vita, P.; Agrello, D.; Ambrosino, F.

    2006-06-01

    Along the steep slopes of the carbonate mountains that surround the Campanian Plain and Mount Somma-Vesuvius, rainfall-triggered debris slides occur in unconsolidated ash-fall pyroclastic deposits. The initial debris slides evolve into debris flows that often cause significant property damage and loss of human life in the towns located at the foot of the slopes. In this particular geological situation, the pyroclastic soil thickness, the slope angle, and the morphological variations of the slope profile are the most important factors that contribute to landslide susceptibility. In this paper, the results of an experimental application of shallow resistivity and refraction seismic soundings in mapping the thickness of pyroclastic soils are presented. These geophysical methods are proposed as low-cost and versatile methods to be used in the difficult morphological conditions of the steep slopes in which debris-slides initiate. The methods have been used experimentally in a sample area located on the upper slope of Mount Pizzo d'Alvano, from which debris flows initiated that dramatically hit the town of Sarno on 5-6 May 1998. The inversion of geoelectrical soundings has been calibrated with resistivity values measured directly on pyroclastic outcrops and with soil thickness estimations derived from refraction seismic soundings and from the application of a mobile dynamic penetrometer. The results of the field experimentation can be summarised as follows: (i) unconsolidated ash-fall pyroclastic deposits, ranging in particle size from fine ash to lapilli, can be differentiated from fractured carbonate bedrock by means of electrical resistivity and velocity values of longitudinal seismic waves; (ii) thickness of ash-fall pyroclastic soils can be empirically related to the slope angle using an inverse relationship; and (iii) the empirical model has been applied to Digital Elevation Model data, allowing pyroclastic soil thickness mapping in the sample area.

  14. Children's safety initiative: a national assessment of pediatric educational needs among emergency medical services providers.

    Science.gov (United States)

    Hansen, Matthew; Meckler, Garth; Dickinson, Caitlyn; Dickenson, Kathryn; Jui, Jonathan; Lambert, William; Guise, Jeanne-Marie

    2015-01-01

    Emergency medical services (EMS) providers may have critical knowledge gaps in pediatric care due to lack of exposure and training. There is currently little evidence to guide educators to the knowledge gaps that most need to be addressed to improve patient safety. The objective of this study was to identify educational needs of EMS providers related to pediatric care in various domains in order to inform development of curricula. The Children's Safety Initiative-EMS performed a three-phase Delphi survey on patient safety in pediatric emergencies among providers and content experts in pediatric emergency care, including physicians, nurses, and prehospital providers of all levels. Each round included questions related to educational needs of providers or the effect of training on patient safety events. We identified knowledge gaps in the following domains: case exposure, competency and knowledge, assessment and decision making, and critical thinking and proficiency. Individual knowledge gaps were ranked by portion of respondents who ranked them "highly likely" (Likert-type score 7-10 out of 10) to contribute to safety events. There were 737 respondents who were included in analysis of the first phase of the survey. Paramedics were 50.8% of respondents, EMT-basics/first responders were 22%, and physicians 11.4%. The top educational priorities identified in the final round of the survey include pediatric airway management, responder anxiety when working with children, and general pediatric skills among providers. The top three needs in decision-making include knowing when to alter plans mid-course, knowing when to perform an advanced airway, and assessing pain in children. The top 3 technical or procedural skills needs were pediatric advanced airway, neonatal resuscitation, and intravenous/intraosseous access. For neonates, specific educational needs identified included knowing appropriate vital signs and preventing hypothermia. This is the first large-scale Delphi

  15. Assessment of providers' referral decisions in Rural Burkina Faso: a retrospective analysis of medical records

    Directory of Open Access Journals (Sweden)

    Ilboudo Tegawende

    2012-03-01

    Full Text Available Abstract Background A well-functioning referral system is fundamental to primary health care delivery. Understanding the providers' referral decision-making process becomes critical. This study's aim was to assess the correctness of diagnoses and appropriateness of the providers' referral decisions from health centers (HCs to district hospitals (DHs among patients with severe malaria and pneumonia. Methods A record review of twelve months of consultations was conducted covering eight randomly selected HCs to identify severe malaria (SM cases among children under five and pneumonia cases among adults. The correctness of the diagnosis and appropriateness of providers' referral decisions were determined using the National Clinical Guidebook as a 'gold standard'. Results Among the 457 SM cases affecting children under five, only 66 cases (14.4% were correctly diagnosed and of those 66 correctly diagnosed cases, 40 cases (60.6% received an appropriate referral decision from their providers. Within these 66 correctly diagnosed SM cases, only 60.6% were appropriately referred. Among the adult pneumonia cases, 5.9% (79/1331 of the diagnoses were correctly diagnosed; however, the appropriateness rate of the provider's referral decision was 98.7% (78/79. There was only one case that should not have been referred but was referred. Conclusions The adherence to the National Guidelines among the health center providers when making a diagnosis was low for both severe malaria cases and pneumonia cases. The appropriateness of the referral decisions was particularly poor for children with severe malaria. Health center providers need to be better trained in the diagnostic process and in disease management in order to improve the performance of the referral system in rural Burkina Faso.

  16. Assessing endothelial function and providing calibrated UFMD data using a blood pressure cuff

    Energy Technology Data Exchange (ETDEWEB)

    Maltz, Jonathan S.

    2017-08-22

    Methods and apparatus are provided for assessing endothelial function in a mammal. In certain embodiments the methods involve using a cuff to apply pressure to an artery in a subject to determine a plurality of baseline values for a parameter related to endothelial function as a function of applied pressure (P.sub.m); b) applying a stimulus to the subject; and applying external pressure P.sub.m to the artery to determine a plurality of stimulus-effected values for the parameter related to endothelial function as a function of applied pressure (P.sub.m); where the baseline values are determined from measurements made when said mammal is not substantially effected by said stimulus and differences in said baseline values and said stimulus-effected values provide a measure of endothelial function in said mammal.

  17. "The Grade Alone Provides No Learning": Investigating Assessment Literacy among Norwegian Physical Education Teachers

    Science.gov (United States)

    Leirhaug, Petter E.; MacPhail, Ann; Annerstedt, Claes

    2016-01-01

    This paper explores the four inter-dependent elements of assessment literacy proposed by Hay and Penney [(2013). "Assessment in Physical Education: A Sociocultural Perspective." New York: Routledge]--assessment comprehension, assessment application, assessment interpretation and critical engagement with assessment. More specific, the…

  18. Prominent medical journals often provide insufficient information to assess the validity of studies with negative results

    Directory of Open Access Journals (Sweden)

    Dittus Robert S

    2002-09-01

    Full Text Available Abstract Background Physicians reading the medical literature attempt to determine whether research studies are valid. However, articles with negative results may not provide sufficient information to allow physicians to properly assess validity. Methods We analyzed all original research articles with negative results published in 1997 in the weekly journals BMJ, JAMA, Lancet, and New England Journal of Medicine as well as those published in the 1997 and 1998 issues of the bimonthly Annals of Internal Medicine (N = 234. Our primary objective was to quantify the proportion of studies with negative results that comment on power and present confidence intervals. Secondary outcomes were to quantify the proportion of these studies with a specified effect size and a defined primary outcome. Stratified analyses by study design were also performed. Results Only 30% of the articles with negative results comment on power. The reporting of power (range: 15%-52% and confidence intervals (range: 55–81% varied significantly among journals. Observational studies of etiology/risk factors addressed power less frequently (15%, 95% CI, 8–21% than did clinical trials (56%, 95% CI, 46–67%, p Conclusion Prominent medical journals often provide insufficient information to assess the validity of studies with negative results.

  19. Assessing quality of care provided by Indonesian village midwives with a confidential enquiry.

    Science.gov (United States)

    D'Ambruoso, Lucia; Achadi, Endang; Adisasmita, Asri; Izati, Yulia; Makowiecka, Krystyna; Hussein, Julia

    2009-10-01

    to conduct a confidential enquiry to assess the quality of care provided by Indonesian village midwives and to identify opportunities for improvement. local health-care practitioners assessed village-based care in obstetric emergencies in 13 cases of maternal death and near-miss from rural villages in West Java. The study focused on clinical quality of care, but also investigated the influence of the health system and social factors. The reviews were based on transcripts of interviews with health-care providers, family and community members involved in the cases. Both favourable and adverse factors were identified in order to recognise positive contributions, where they occurred. At the end of a series of case reviews, recommendations for practice were generated and disseminated. in the cases reviewed, midwives facilitated referral effectively, reducing delays in reaching health facilities. Midwives' emergency diagnostic skills were accurate but they were less capable in the clinical management of complications. Coverage was poor; in some locations, midwives were responsible for up to five villages. Village midwives were also perceived as unacceptable to women and their families. Families and communities did not prepare for emergencies with finances or transport, partly due to a poorly understood health insurance system. The enquiry had learning effects for those involved. village midwives should: receive appropriate support for the management of obstetric emergencies; engage with communities to promote birth preparedness; and work in partnership with formal and informal providers in the community. The enquiry was a diagnostic tool to identify opportunities for improving care. Practitioners had a unique insight into factors that contribute to quality care and how feasible interventions might be made.

  20. Cultural Competence of Healthcare Providers: A Systematic Review of Assessment Instruments.

    Science.gov (United States)

    Lin, Chia-Jung; Lee, Chia-Kuei; Huang, Mei-Chih

    2017-06-01

    Few articles in the literature identify and describe the instruments that are regularly used by scholars to measure cultural competence in healthcare providers. This study reviews the psychometric properties of the several instruments that are used regularly to assess the cultural competence of healthcare providers. Researchers conducted a systematic review of the relevant articles that were published between 1983 and 2013 and listed on academic and government Web sites or on one or more of the following databases: CINAHL, MEDLINE, ERIC, PsycINFO, Psyc ARTICLES, PubMed, Cochrane, Pro Quest, Google Scholar, CNKI (China), and the National Digital Library of Theses and Dissertations (Taiwan). This study included 57 articles. Ten instruments from these articles were identified and analyzed. These instruments included five that were presented in English and five that were presented in Chinese. All were self-administered and based on respondent perceptions. Five of the 10 instruments were designed to measure cultural competence, two were designed to measure cultural sensitivity, two were designed to measure transcultural self-efficacy, and one was designed to measure cultural awareness. The six cultural dimensions addressed by these instruments were attitudes, knowledge, skills, behaviors, desires, and encounters. An expert panel validated the content of the 10 instruments. The subscales explained 33%-90% of the variance in scores for eight of the instruments. The reliability of the 10 instruments was estimated based on the internal consistency, which ranged from .57 to .97. This systematic review may assist researchers to choose appropriate instruments to assess the cultural competence of healthcare providers. The findings of this review indicate that no single instrument is adequate to evaluate cultural competence in all contexts.

  1. Assessment of community healthcare providers ability and willingness to respond to emergencies resulting from bioterrorist attacks

    Directory of Open Access Journals (Sweden)

    Crane Jeffery

    2010-01-01

    Full Text Available Introduction: Previous findings have demonstrated that preparedness and planning within the public health system are inadequately developed to respond to an act of biological or chemical terrorism. Methods:This investigation used Internet-based surveys to assess the level of preparedness (PL and willingness to respond (WTR to a bioterrorism attack, and identify factors that predict PL and WTR among Florida community healthcare providers. Invitations were sent to 22,800 healthcare providers in Florida, which resulted in 2,279 respondents. Results: Respondents included physicians (n=604, nurses (n=1,152, and pharmacists (n=486. The results indicated that only 32% of Florida healthcare providers were competent and willing to respond to a bioterrorism attack, 82.7% of providers were willing to respond in their local community, and 53.6% within the State. Respondents were more competent in administrative skills than clinical knowledge (62.8% vs. 45%. Areas in which respondents had the highest competency were the initiation of treatment and recognition of their clinical and administrative roles. Areas in which respondents showed the lowest competency were the ability to identify cases and the ability to communicate risk to others. About 55% of the subjects had previous bioterrorism training and 31.5% had conducted emergency drills. Gender, race, previous training and drills, perceived threats of bioterrorism attack, perceived benefits of training and drills, and feeling prepared were all predictors of overall preparedness. Conclusions: The findings suggest that only one-third of Florida community healthcare providers were prepared for a bioterrorism attack, which is an insufficient response rate to effectively respond to a bioterrorism incident.

  2. Hospital Consumer Assessment of Healthcare Providers and Systems: An Ethical Leadership Dilemma to Satisfy Patients.

    Science.gov (United States)

    Piper, Llewellyn E; Tallman, Erin

    2016-01-01

    This article examines the parameters and the dynamics of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) that create an ethical leadership dilemma to satisfy patients in the hospital setting while still ensuring appropriate care for quality clinical outcomes. Under the Affordable Care Act, hospitals and health care systems are in a high-stakes struggle of winners and losers based on HCAHPS scores. This high-stakes struggle creates unintended consequences of an ethical dilemma of doing what is right for the patient versus doing whatever it takes to please the patient in order to achieve high scores of satisfaction that are tied to better reimbursements. This article also reports the results of a national survey of 500 chief executive officers by the authors about the attitudes and frustrations of chief executive officers confronting the wild unrest caused by HCAHPS.

  3. Web-based instrument to assess skills in visual inspection of the cervix among healthcare providers.

    Science.gov (United States)

    Negulescu, Raluca-Anca; Catarino, Rosa; De Vuyst, Hugo; Undurraga-Malinverno, Manuela; Meyer-Hamme, Ulrike; Alec, Milena; Campana, Aldo; Vassilakos, Pierre; Petignat, Patrick

    2016-07-01

    To validate a web-based instrument for assessing healthcare providers' skills in visual inspection with acetic acid or Lugol iodine (VIA/VILI) for the diagnosis and management of cervical intraepithelial neoplasia. An observational cross-sectional study enrolled healthcare providers in a web-based assessment of VIA/VILI skills between August and November 2014. Participants participated in a four-module training course, followed by a multiple-choice test with 70 questions based on cervical photographs of HPV-positive women participating in cervical screening. Logistic regression was used to identify relationships between independent variables and success on the test. Overall, 255 participants completed the test and 99 (38.8%) passed. No correlation was found between age or sex and test performance. Compared with other healthcare workers, physicians (odds ratio [OR] 1.91, 95% confidence interval [CI] 1.01-3.63; P=0.048), and participants with more colposcopy experience (OR 3.62, 95% CI 1.91-6.85; P<0.001) and postgraduate VIA/VILI training (OR 1.95, 95% CI 1.16-3.29; P=0.012) were more likely to pass the test. Participants who repeated the test (31/255 [12.2%]) were five times more likely to succeed on their second repeat (OR 5.89, 95% CI 1.46-23.73; P=0.013). Web-based training for VIA/VILI is feasible and can identify healthcare workers who are proficient in this technique. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  4. Heavy metal contamination and ecological risk assessment in the surface sediments of the coastal area surrounding the industrial complex of Gabes city, Gulf of Gabes, SE Tunisia.

    Science.gov (United States)

    El Zrelli, Radhouan; Courjault-Radé, Pierre; Rabaoui, Lotfi; Castet, Sylvie; Michel, Sylvain; Bejaoui, Nejla

    2015-12-30

    In the present study, the concentrations of 6 trace metals (Hg, Cd, Cu, Pb, Cr and Zn) were assessed in the surface sediments of the central coastal area of Gabes Gulf to determine their contamination status, source, spatial distribution and ecological risks. The ranking of metal contents was found to be Zn>Cd>Cr>Pb>Cu>Hg. Correlation analysis indicated that Cd and Zn derived mainly from the Tunisian Chemical Group phosphogypsum. The other pollutants may originate from other industrial wastes. Metallic contamination was detected in the south of chemical complex, especially in the inter-harbor zone, where the ecological risk of surface sediments is the highest, implying potential negative impacts of industrial pollutants. The spatial distribution of pollutants seems to be due to the effect of harbor installations and coastal currents. The metallic pollution status of surface sediments of Gabes Gulf is obvious, very worrying and requires rapid intervention.

  5. Thermal, Mechanical and Thermo-Mechanical Assessment of the Rock Mass Surrounding SKB's Prototype Repository at Äspö HRL

    Science.gov (United States)

    Lönnqvist, Margareta; Hökmark, Harald

    2016-04-01

    The Prototype Repository (PR) was a field test of six, electrically heated, full-scale waste containers resembling the key component of a KBS-3 nuclear waste repository. The design and heat load was similar to the proposed repository at Forsmark, Sweden. In this paper, the thermal, mechanical and thermo-mechanical response of the PR host rock to excavation and to the subsequent heating is assessed. The assessment is carried out using three-dimensional models (numerical and analytical) in combination with monitoring data and visual observations from the excavations. Certain measurements and observations agree well with results from the models. These include temperature measurements during the heating phase. Additional measurements include patterns of low-magnitude acoustic emission events around the deposition holes tracked during the excavation. The spatial distribution of these events coincide with regions of modelled high compressive stresses. Models with a simple fracture network, consisting of planar disks with laboratory-scale properties, appear to give upper bound estimates of the stress disturbances caused by a real fracture network. The magnitude of the modelled stresses around the deposition hole is typically below the spalling strength. The lack of any significant or systematic occurrence of spalling in the deposition hole walls supports the modelling results. Several instruments installed at different positions to monitor stress change, strain and deformation malfunctioned during the nearly 8-year-long monitoring period. Despite this, there is ample evidence to support the overall conclusion that the modelling results and observations are in sufficient agreement to strengthen the confidence in the modelling approach.

  6. Improvement in 8h-sampling rate assessment considering meteorological parameters variability for biogas VOC passive measurements in the surroundings of a French landfill.

    Science.gov (United States)

    Verriele, Marie; Allam, Nadine; Depelchin, Laurence; Le Coq, Laurence; Locoge, Nadine

    2015-11-01

    Passive sampling technology has been extensively used for long-term VOC atmospheric concentrations' monitoring. Its performances regarding the short-term measurements and related to VOC from biogas were evaluated in this work: laboratory scale experiments have been conducted in order to check the suitability of Radiello® diffusive samplers for the assessment of 8 h-VOC levels in highly changeable meteorological conditions; in a second step a short pilot field campaign was implemented in the vicinity of a West-French landfill. First of all, it was assessed that amongst a diversified list of 16 characteristic compounds from biogas, mercaptans, some halogenated, oxygenated compounds and terpenes could not be measured accurately by this passive technique either because they are not captured by the sorbent or they are not quantitatively desorbed in the chosen mediated analytical conditions. Moreover, it has been confirmed that sampling rates (SR) related to isopentane, THF, cyclohexane, toluene, p-xylene and n-decane are influenced by environmental factors: the main influence concerns the wind speed. From 2 m s(-1), when the velocity increases by 1 m s(-1), the SR increases from 12 to 32% depending on the COV (considering a linear dependence between 2 and 7 m s(-1)). Humidity has no effect on SR, and temperature influence is rather limited to less than 3% per degree. A comprehensive uncertainty estimation, including uncertainties linked to meteorological changes, has led to global relative uncertainties comprising between 18% and 54% from one VOC to another: a quite high value comparatively to those obtained without considering meteorological condition influences. To illustrate our results, targeted VOC were quantified in the field, on a single day: concentrations range between LD to 3 µg m(-3): relatively very low concentrations compared to those usually reported by literature.

  7. Clinical Application of Surrounding Puncture

    Institute of Scientific and Technical Information of China (English)

    GUO Yao-jie; HAN Chou-ping

    2003-01-01

    Surrounding puncture can stop pathogenic qi from spreading, consolidate the connection between local meridians and enrich local qi and blood, which can eventually supplement anti-pathogenic qi and remove pathogenic qi, and consequently remedy diseases. The author of this article summrized and analyzed the clinical application of surrounding puncture for the purpose of studying this technique and improving the therapeutic effect.

  8. Utility of providing a concussion definition in the assessment of concussion history in former NFL players.

    Science.gov (United States)

    Alosco, Michael L; Jarnagin, Johnny; Tripodis, Yorghos; Martin, Brett; Chaisson, Christine; Baugh, Christine M; Torres, Alcy; Nowinski, Christopher J; Cantu, Robert C; Stern, Robert A

    2017-01-01

    Former National Football League (NFL) players' working knowledge of concussion has not yet been evaluated, despite this population being a major clinical research target due to the association between repetitive head impacts (RHI) and long-term clinical impairments. This study examined former NFL players' understanding of the current concussion definition, and the association between number of concussions with clinical function. 95 former NFL players (mean age = 55.29; mean NFL year = 8.10) self-reported number of concussions before being provided with a concussion definition and after being read a modern definition of concussion. Subjects reported number of concussions with loss of consciousness (LOC). Principal Component Analysis of a battery of tests generated behaviour/mood, psychomotor speed/executive function, and verbal and visual memory factor scores. Post-definition number of concussions (median = 50) was five times the pre-definition (median = 10; p < 0.001). Greater pre- (p = 0.019) and post-definition concussions (p = 0.036) correlated with worse behaviour/mood scores, after controlling for years of football played, with specific effects for depressive symptoms and impulsivity. LOC did not account for variance beyond number of concussions. Practitioners and clinical researchers should provide a definition of concussion in the assessment of concussion history in former football players to facilitate accuracy and standardization.

  9. Utilization of the Premature Birth Knowledge Scale to Assess Pediatric Provider Knowledge of Neurodevelopmental Outcomes.

    Science.gov (United States)

    Kelly, Michelle M; Dean, Spencer

    Prematurity affects a significant portion (10-12%) of children in the Unites States, with potential for physical, psychological, neurodevelopmental, and behavioral impairments continuing long past the neonatal period. The specific aim of this research was to evaluate pediatric primary and specialty care providers' knowledge and understanding of neurodevelopmental outcomes of children born prematurely. Pediatric nurse practitioner (PNP) members of the National Association of Pediatric Nurse Practitioners participated in an online survey using the 33-item Premature Birth Knowledge Scale (PB-KS) to assess their knowledge of current neurodevelopmental outcomes of children born prematurely. Neither years of practice as a registered nurse nor as a PNP predicted performance on the PB-KS. The mean score on the PB-KS in the PNP sample was 17.8 (possible score = 0-33), with a mean accuracy of 53.9%. Higher scores on the PB-KS were correlated with higher perceived level of preparation to care for children born prematurely. To our knowledge, this is the first study to use the PB-KS with pediatric primary and specialty providers. PNPs are uniquely situated to educate and support families facing the long-term consequences of premature birth; to do so they must maintain accurate understanding of current outcomes. Copyright © 2017 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

  10. Assessment of Stirling Technology Has Provided Critical Data Leading Toward Flight Readiness of the Stirling Converter

    Science.gov (United States)

    Thieme, Lanny G.

    2001-01-01

    The NASA Glenn Research Center is supporting the development of a Stirling converter with the Department of Energy (DOE, Germantown, Maryland) for an advanced Stirling Radioisotope Power System (SRPS) to provide spacecraft onboard electric power for NASA space science missions. A key technology assessment completed by Glenn and DOE has led to the SRPS being identified as a high-efficiency power source for such deep space missions as the Europa Orbiter and the Solar Probe. In addition, the Stirling system is now being considered for unmanned Mars rovers, especially where mission profiles may exclude the use of photovoltaic power systems, such as exploration at high Martian latitudes or for missions of long duration. The SRPS efficiency of over 20 percent will reduce the required amount of radioisotope by more than a factor of 3 in comparison to current radioisotope thermoelectric generators. This significantly reduces radioisotope cost, radiological inventory, and system cost, and it provides efficient use of scarce radioisotope resources. In support of this technology assessment, Glenn conducted a series of independent evaluations and tests to determine the technology readiness of a 55-We Stirling converter developed by Stirling Technology Company (Kennewick, Washington) and DOE. Key areas evaluated by Glenn included: 1) Radiation tolerance of materials; 2) Random vibration testing of the Stirling converter in Glenn's Structural Dynamics Lab to simulate operation in the launch environment; 3) Electromagnetic interference and compatibility (EMI/EMC) of the converter operating in Glenn's EMI lab; Independent failure modes, effects, and criticality analysis, and life and reliability 4. Independent failure modes, effects, and criticality analysis, and life and reliability assessment; and 5) SRPS cost estimate. The data from these evaluations were presented to NASA Headquarters and the Jet Propulsion Laboratory mission office by a joint industry/Government team

  11. The Assessment of Romanian Customers’ Level of Satisfaction with Pharmaceutical Providers

    Directory of Open Access Journals (Sweden)

    Călin Cherecheş Marius

    2015-12-01

    Full Text Available The aim of the current study is to assess the level of satisfaction towards pharmaceutical services among Romanian customers. Moreover, we were interested in building the socio-demographical profile of a Romanian satisfied customer. The study has a transversal design and uses a quantitative approach. Data was collected at the national level in June 2012 by using Computer Assisted Telephone Interviews (CATI and resulted in 1,478 valid questionnaires. Descriptive statistics were performed in order to properly present the sample of interest according to socio-demographic characteristics, as well as general attitudes towards pharmaceutical market. According to our analysis, only half of the respondents have a favorite pharmacy (50,4%. Regarding their level of satisfaction, the majority of respondents (53% declared themselves as being quite satisfied with the pharmacy that they usually collaborate with, whereas 42% of respondents are very satisfied with their favorite pharmacies. According to our analysis, the most satisfied customer has the following socio-demographic characteristics: female (N=351, aged between 56 and 70 years old (N=259, having high school as the highest level of education (N=184, living in an urban area (N=343, having a monthly income of 501-1000 RON (N=217, married (N=396, having no chronic disease (N=312, having a family composed of two members (N=185. Customer’s satisfaction represents a personal evaluation on the pharmaceutical services and providers and is an essential part of the quality of health care. Therefore, it is vital to assess the customer’s expectation and satisfaction in order to ensure the success of the pharmaceutical company.

  12. A structured assessment of emergency and acute care providers in Afghanistan during the current conflict.

    Science.gov (United States)

    Rashid, Leeda; Afzali, Edris; Donaldson, Ross; Lazar, Paul; Bundesmann, Raghnild; Rashid, Samra

    2015-01-01

    Afghanistan has struggled with several decades of well-documented conflict, increasing the importance of providing emergency services to its citizens. However, little is known about the country's capacity to provide such care. Three native-speaking Afghan-American physicians performed an assessment of emergency care via combined quantitative and qualitative survey tools. Hospitals in Kabul, Afghanistan were selected based on probability proportional to size methodology, in which size was derived from prior work in the country and permission granted by the administering agency and the Ministry of Health. A written survey was given to physicians and nurses, followed by structured focus groups, and multiple days of observation per facility. A descriptive analysis was performed and data analyzed through a combination of variables in eight overarching categories relevant to emergency care. One hundred twenty-five surveys were completed from 9 hospitals. One third of respondents (32.8 %) worked full time in the emergency departments, with another 28.8 % working there at least three quarters of the time. Over 63 % of providers believed that the greatest delay for care in emergencies was in the prehospital setting. Differences were noted among the various types of facilities when looking at specific components of emergency care such as skill level of workers, frequencies of assaults in the hospitals, and other domains of service provision. Sum of squares between the different facility types were highest for areas of skill (SS = 210.3; p = .001), confidence in the system (SS = 156.5; p < .005), assault (SS = 487.6; p < .005), and feeling safe in the emergency departments (SS = 193.1, p < .005). Confidence negatively correlated to frequency of assaults (Pearson r = -.33; p < .005) but positively correlated with feeling safe (Pearson r = .51; p < .005) and reliability of equipment (Pearson r = .48; p < .005). The only correlation for access to services was prehospital care

  13. In silico assessment of primers for eDNA studies using PrimerTree and application to characterize the biodiversity surrounding the Cuyahoga River

    Science.gov (United States)

    Cannon, M. V.; Hester, J.; Shalkhauser, A.; Chan, E. R.; Logue, K.; Small, S. T.; Serre, D.

    2016-03-01

    Analysis of environmental DNA (eDNA) enables the detection of species of interest from water and soil samples, typically using species-specific PCR. Here, we describe a method to characterize the biodiversity of a given environment by amplifying eDNA using primer pairs targeting a wide range of taxa and high-throughput sequencing for species identification. We tested this approach on 91 water samples of 40 mL collected along the Cuyahoga River (Ohio, USA). We amplified eDNA using 12 primer pairs targeting mammals, fish, amphibians, birds, bryophytes, arthropods, copepods, plants and several microorganism taxa and sequenced all PCR products simultaneously by high-throughput sequencing. Overall, we identified DNA sequences from 15 species of fish, 17 species of mammals, 8 species of birds, 15 species of arthropods, one turtle and one salamander. Interestingly, in addition to aquatic and semi-aquatic animals, we identified DNA from terrestrial species that live near the Cuyahoga River. We also identified DNA from one Asian carp species invasive to the Great Lakes but that had not been previously reported in the Cuyahoga River. Our study shows that analysis of eDNA extracted from small water samples using wide-range PCR amplification combined with high-throughput sequencing can provide a broad perspective on biological diversity.

  14. Getting satisfaction: drivers of surgical Hospital Consumer Assessment of Health care Providers and Systems survey scores.

    Science.gov (United States)

    Iannuzzi, James C; Kahn, Steven A; Zhang, Linlin; Gestring, Mark L; Noyes, Katia; Monson, John R T

    2015-07-01

    Hospital consumer assessment of health care providers and systems (HCAHPS) survey scores formally recognize that patients are central to health care, shifting quality metrics from the physician to patient perspective. This study describes clinical predictors of patient satisfaction in surgical patients. Analysis of a single institution's Surgical Department HCAHPS responses was performed from March 2011-October 2012. The end points were top box satisfaction on two global domains. Multivariable regression was used to determine satisfaction predictors including HCAHPS domains, demographics, and clinical variables such as comorbidities, intensive care unit stay, emergency case, discharge day, floor transfers, complications, and ancillary procedures. In total, 978 surveys were evaluated representing admissions to Acute care and/or Trauma (n = 177, 18.1%), Thoracic (n = 169, 17.3%), Colorectal (n = 107, 10.9%), Transplant (n = 95, 9.7%), Vascular (n = 92, 9.4%), Oncology (n = 88, 9.0%), Plastic (n = 49, 5.0%), and Cardiac (n = 201, 20.6%) divisions. Overall, 658 patients (67.3%) had high satisfaction and 733 (74.9%) gave definite hospital recommendations. Hospital satisfaction was positively associated with an intensive care unit admission (odds ratio [OR] = 1.64, confidence interval [CI]: 1.20-2.23, P = 0.002) and satisfaction with provider and pain domains. Factors associated with decreased satisfaction were race (non-black minority compared with whites; OR = 0.41, CI: 0.21-0.83, P = 0.012), self-reported poor health (OR = 0.43, CI: 0.27-0.68, P nurse-patient interactions. These results help inform future quality improvement and resource allocation. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Small cages with insect couples provide a simple method for a preliminary assessment of mating disruption.

    Science.gov (United States)

    Briand, Françoise; Guerin, Patrick M; Charmillot, Pierre-Joseph; Kehrli, Patrik

    2012-01-01

    Mating disruption by sex pheromones is a sustainable, effective and widely used pest management scheme. A drawback of this technique is its challenging assessment of effectiveness in the field (e.g., spatial scale, pest density). The aim of this work was to facilitate the evaluation of field-deployed pheromone dispensers. We tested the suitability of small insect field cages for a pre-evaluation of the impact of sex pheromones on mating using the grape moths Eupoecilia ambiguella and Lobesia botrana, two major pests in vineyards. Cages consisted of a cubic metal frame of 35 cm sides, which was covered with a mosquito net of 1500 μm mesh size. Cages were installed in the centre of pheromone-treated and untreated vineyards. In several trials, 1 to 20 couples of grape moths per cage were released for one to three nights. The proportion of mated females was between 15 to 70% lower in pheromone-treated compared to untreated vineyards. Overall, the exposure of eight couples for one night was adequate for comparing different control schemes. Small cages may therefore provide a fast and cheap method to compare the effectiveness of pheromone dispensers under standardised semi-field conditions and may help predict the value of setting-up large-scale field trials.

  16. Small Cages with Insect Couples Provide a Simple Method for a Preliminary Assessment of Mating Disruption

    Directory of Open Access Journals (Sweden)

    Françoise Briand

    2012-01-01

    Full Text Available Mating disruption by sex pheromones is a sustainable, effective and widely used pest management scheme. A drawback of this technique is its challenging assessment of effectiveness in the field (e.g., spatial scale, pest density. The aim of this work was to facilitate the evaluation of field-deployed pheromone dispensers. We tested the suitability of small insect field cages for a pre-evaluation of the impact of sex pheromones on mating using the grape moths Eupoecilia ambiguella and Lobesia botrana, two major pests in vineyards. Cages consisted of a cubic metal frame of 35 cm sides, which was covered with a mosquito net of 1500 μm mesh size. Cages were installed in the centre of pheromone-treated and untreated vineyards. In several trials, 1 to 20 couples of grape moths per cage were released for one to three nights. The proportion of mated females was between 15 to 70% lower in pheromone-treated compared to untreated vineyards. Overall, the exposure of eight couples for one night was adequate for comparing different control schemes. Small cages may therefore provide a fast and cheap method to compare the effectiveness of pheromone dispensers under standardised semi-field conditions and may help predict the value of setting-up large-scale field trials.

  17. Assessment of the quality of service provided by a national regulatory institution

    Directory of Open Access Journals (Sweden)

    Adetunji, O.

    2013-05-01

    Full Text Available Government institutions need to assess how well they meet the needs of their customers, and what their customers think about the quality of the services they provide. This is aligned with the Batho Pele principle of the South African government. The SERVQUAL scale, augmented with a qualitative survey, was used to determine how the National Home Builders Registration Council (NHBRC is perceived by its clients, which key factors drive such perceptions, and whether the perceptions are consistent across the different client groups of this regulatory institution. The complementary role of qualitative data in illuminating issues driving quantitative results is highlighted. Service quality scores are computed for the NHBRC. The convergence of opinions of different customer groups was studied using correlation analysis. The significance of service quality perception gaps was tested using the multivariate analysis of variance, and the reliability of the SERVQUAL scale was examined using exploratory factor analysis. It was observed that by improving the feedback mechanism of the NHBRC, their clients customer service quality perceptions could be enhanced.

  18. Use of a multiple choice questionnaire to assess UK prescribing channels' knowledge of helminthology and best practice surrounding anthelmintic use in livestock and horses.

    Science.gov (United States)

    Easton, Stephanie; Bartley, David J; Hotchkiss, Emily; Hodgkinson, Jane E; Pinchbeck, Gina L; Matthews, Jacqueline B

    2016-06-01

    Grazing livestock and equines are at risk of infection from a variety of helminths, for which the primary method of control has long been the use of anthelmintics. Anthelmintic resistance is now widespread in a number of helminth species across the globe so it is imperative that best practice control principles be adopted to delay the further spread of resistance. It is the responsibility of all who prescribe anthelmintics (in the UK, this being veterinarians, suitably qualified persons (SQPs) and pharmacists) to provide adequate information on best practice approaches to parasite control at the point of purchase. Poor uptake of best practice guidelines at farm level has been documented; this could be due to a lack of, or inappropriate, advice at the point of anthelmintics purchase. Therefore, the aim here was to evaluate levels of basic knowledge of helminthology, best practice guidelines and dispensing legislation among veterinarians and SQPs in the UK, through a Multiple Choice Question (MCQ) test, that was distributed online via targeted emails and social media sites. For each respondent, the percentage correct was determined (for the MCQ test overall and for subsections) and the results analysed initially using parametric and non-parametric statistics to compare differences between prescribing channels. The results showed that channels generally performed well; veterinarians achieved a mean total percentage correct of 79.7% (range 34.0-100%) and SQPs, a mean total percentage correct of 75.8% (range 38.5-100%) (p=0.051). The analysis indicated that veterinarians performed better in terms of knowledge of basic helminthology (p=0.001), whilst the SQP group performed better on legislation type questions (p=0.032). There was no significant difference in knowledge levels of best practice between the two channels. Multivariable linear regression analysis showed that veterinarians and those answering equine questions only performed significantly better than those

  19. Assessing adaptation to the health risks of climate change: what guidance can existing frameworks provide?

    Science.gov (United States)

    Füssel, Hans-Martin

    2008-02-01

    Climate change adaptation assessments aim at assisting policy-makers in reducing the health risks associated with climate change and variability. This paper identifies key characteristics of the climate-health relationship and of the adaptation decision problem that require consideration in climate change adaptation assessments. It then analyzes whether these characteristics are appropriately considered in existing guidelines for climate impact and adaptation assessment and in pertinent conceptual models from environmental epidemiology. The review finds three assessment guidelines based on a generalized risk management framework to be most useful for guiding adaptation assessments of human health. Since none of them adequately addresses all key challenges of the adaptation decision problem, actual adaptation assessments need to combine elements from different guidelines. Established conceptual models from environmental epidemiology are found to be of limited relevance for assessing and planning adaptation to climate change since the prevailing toxicological model of environmental health is not applicable to many climate-sensitive health risks.

  20. Visual surround suppression in schizophrenia

    Directory of Open Access Journals (Sweden)

    Marc Samuel Tibber

    2013-02-01

    Full Text Available Compared to unaffected observers patients with schizophrenia show characteristic differences in visual perception, including a reduced susceptibility to the influence of context on judgements of contrast - a manifestation of weaker surround suppression. To examine the generality of this phenomenon we measured the ability of 24 individuals with schizophrenia to judge the luminance, contrast, orientation and size of targets embedded in contextual surrounds that would typically influence the target’s appearance. Individuals with schizophrenia demonstrated weaker surround suppression compared to matched controls for stimuli defined by contrast or size, but not for those defined by luminance or orientation. As perceived luminance is thought to be regulated at the earliest stages of visual processing our findings are consistent with a suppression deficit that is predominantly cortical in origin. In addition, we propose that preserved orientation surround suppression in schizophrenia may reflect the sparing of broadly tuned mechanisms of suppression. We attempt to reconcile these data with findings from previous studies.

  1. Educational Needs Assessment of Family Health Providers in Tabriz Health Care Centers in 2015

    Directory of Open Access Journals (Sweden)

    Faranak Ghoreyshyzadeh

    2017-06-01

    at the same period, staff performance were not desirable in some processes and/or sub-processes. Conclusion: This study demonstrated the educational needs of family health providers in 6 task processes and prioritized them according to their views. Regular and comprehensive educational needs assessments are required to revise staff training programs, in order to give quality services to general population.

  2. Smart Chips for Smart Surroundings - 4S

    NARCIS (Netherlands)

    Schuler, Eberhard; König, Ralf; Becker, Jürgen; Rauwerda, Gerard; Burgwal, van de Marcel; Smit, Gerard J.M.; Cardoso, João M.P.; Hübner, Michael

    2011-01-01

    The overall mission of the 4S project (Smart Chips for Smart Surroundings) was to define and develop efficient flexible, reconfigurable core building blocks, including the supporting tools, for future Ambient System Devices. Reconfigurability offers the needed flexibility and adaptability, it provid

  3. Multichannel spatial surround sound system

    Institute of Scientific and Technical Information of China (English)

    RAO Dan; XIE Bosun

    2004-01-01

    Based on the consideration of being compatible with 5.1 channel horizontal surround sound system, a spatial surround sound system is proposed. Theoretical and experimental results show that the system has a wide listening area. It can not only recreate stable image in the front and rear direction, but also eliminate the defect of poor lateral image of 5.1 channel system. The system can be used to reproduce special 3D sound effect and the spaciousness of hall.

  4. ENVIRONMENTAL IMPACT ASSESSMENT TAXONOMY PROVIDING COMPREHENSIVE COVERAGE OF MIDPOINTS, ENDPOINTS, DAMAGES, AND AREAS OF PROTECTION

    Science.gov (United States)

    Prior to conducting a comprehensive impact assessment, such as a Life Cycle Impact Assessment (LCIA), there is a need to discuss the range of impacts which could and should be included. Up to this point in time, there has not been available a comprehensive list of impacts for po...

  5. Project ADAPT: A Program to Assess Depression and Provide Proactive Treatment in Rural Areas

    Science.gov (United States)

    Luptak, Marilyn; Kaas, Merrie J.; Artz, Margaret; McCarthy, Teresa

    2008-01-01

    Purpose: We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT--Assuring Depression Assessment and Proactive Treatment--utilized existing primary care resources to overcome barriers to sustainability…

  6. Assessment of Abilities of Gastroenterology Fellows to Provide Information to Patients With Liver Disease.

    Science.gov (United States)

    Chaudhary, Noami; Lucero, Catherine; Villanueva, Gerald; Poles, Michael; Gillespie, Colleen; Zabar, Sondra; Weinshel, Elizabeth

    2017-07-01

    Patient education is critical in ensuring patient compliance and good health outcomes. Fellows must be able to effectively communicate with their patients, delivering enough information for the patient to understand their medical problem and maximize patient compliance. We created an objective structured clinical examination (OSCE) with 4 liver disease cases to assess fellows' knowledge and ability to inform standardized patients (SPs) about their clinical condition. We developed 4 cases highlighting different aspects of liver disease and created a 4-station OSCE: hepatitis B, acute hepatitis C, new diagnosis of cirrhosis, and an end-stage cirrhotic nontransplant candidate. The SP with hepatitis B was minimizing the fact that she could not read English. The acute hepatitis C SP was a nursing student who is afraid that having hepatitis C might jeopardize her career. The SP with the new diagnosis of alcoholic cirrhosis needed to stop drinking, and the end-stage liver disease patient had to grapple with his advanced directives. Twelve fellows from 4 GI training programs participated. Our focus was to assess the fellows' knowledge about liver diseases and the Accreditation Council for Graduate Medical Education competencies of health literacy, shared decision making, advanced directives, and goals of care. The goal for the fellows was to communicate effectively with the SPs, and acknowledge that each patient had an emotionally charged issue to overcome. The SPs used a checklist to rate fellows' performance. Faculty and the SPs observed the cases and provided feedback. The fellows were surveyed on their performance regarding the case. The majority of fellows were able to successfully summarize findings and discuss a plan with the patient in the new diagnosis of cirrhosis (76.92%) and hepatitis C case (100%), but were less successful in the hepatitis B case (30.77%) and the end-of-life case (41.67%). Overall, a small percentage of fellows reflected that they did a good

  7. Issues surrounding record keeping in district nursing practice.

    Science.gov (United States)

    Anderson, E E

    2000-07-01

    This article examines some aspects of nursing documentation following the publication of the document 'Guidelines for Records and Record Keeping' (UKCC, 1998). The importance of nursing documentation in patient care, in guiding practice and in providing information for members of the interprofessional healthcare team is highlighted. Record keeping forms an important part of the clinical governance initiative in terms of quality improvement and risk management. The issues surrounding the legal requirements of record keeping in district nursing practice are discussed. Suggestions are made for assessing the quality of nursing documentation by audit and research, in order to establish the suitability of using the present systems in the community setting.

  8. STEMs: A Proposal for Calibrated Classroom Assessments That Increase Student Motivation and Provide Authentic Evaluation of Student Learning

    Science.gov (United States)

    Murrieta, Hector; Amerson, Gordon

    2011-01-01

    The purpose of this study was to validate the development and proposal of what the authors call STEMs (Standards Tests to Evaluate Mastery) and have defined them as calibrated classroom assessments that increase student motivation and provide authentic evaluation of student learning. Theoretical and empirical research on classroom assessment and…

  9. Do Clinical Clerks Provide Candidates with Adequate Formative Assessment during Objective Structured Clinical Examinations?

    Science.gov (United States)

    Reiter, Harold I.; Rosenfeld, Jack; Nandagopal, Kiruthiga; Eva, Kevin W.

    2004-01-01

    Context: Various research studies have examined the question of whether expert or non-expert raters, faculty or students, evaluators or standardized patients, give more reliable and valid summative assessments of performance on Objective Structured Clinical Examinations (OSCEs). Less studied has been the question of whether or not non-faculty…

  10. Assessing the effects of USDA conservation programs on ecosystem services provided by wetlands

    Science.gov (United States)

    The Conservation Effects Assessment Project (CEAP) is led by the U.S. Department of Agriculture (USDA) in an effort to quantify the environmental effects of conservation programs and practices on privately owned agricultural landscapes across the United States. CEAP’s approach includes application ...

  11. Perceived Preparedness of Health Care Students for Providing Cardiovascular Disease Risk Assessment and Management

    Directory of Open Access Journals (Sweden)

    Monica Zolezzi

    2017-02-01

    Full Text Available Early assessment and management of risk factors is known to have significant impact in preventing cardiovascular disease (CVD and its associated burden. Cardiovascular disease risk assessment and management (CVDRAM is best approached by teamwork across health care professionals. This study aimed at assessing health care students’ (HCSs knowledge about the parameters needed for estimating CVD risk, their self-assessed preparedness/confidence and perceived barriers for the provision of CVDRAM services through a survey administered to third and fourth year pharmacy, medical, and nursing students in Qatar. Although all student cohorst achieved similar knowledge scores, less than half (n = 38, 47% were able to identify all of the six main risk factors necessary to estimate absolute CVD risk, and a third (32% were unable to identify total cholesterol as an independent risk factor necessary to estimate CVD risk. Training on the use of CVD risk assessment tools differed among the three student cohorts. All student cohorts also perceived similar levels of preparedness in CVDRAM. However, pharmacy students reported the highest preparedness/confidence with the use of the latest CVDRAM guidelines. The majority of statements listed under the barriers scale were perceived by the students as being moderate (median score = 3. Poor public acceptance or unawareness of importance of estimating CVD risk was the only barrier perceived as major by nursing students. Future integration of interprofessional educational (IPE activities in the CVDRAM curricula of HCSs may be a suitable strategy to minimize barriers and foster collaborative practice for the provision of CVDRAM services in Qatar.

  12. An Assessment of Ecosystem Services Provided by Street Trees in Bangkok, Thailand

    OpenAIRE

    SOONSAWAD, NATTHANIJ

    2014-01-01

    This study focuses on the analysis of ecosystem services provided by green spaces in Bangkok, Thailand, as a potential tool to address urban and environmental problems there. The analyses are divided into two parts for achieving two objectives, 1) estimating the magnitude of ecosystem services provided by public street trees, and 2) examining the relationship between stable isotopic data of tree leaves and the environmental quality of Bangkok's streets. The findings could be used to identify ...

  13. Early childhood feeding: assessing knowledge, attitude, and practices of multi-ethnic child-care providers.

    Science.gov (United States)

    Freedman, Marjorie R; Alvarez, Karina P

    2010-03-01

    Early childhood is a critical period for shaping and influencing feeding and lifestyle behaviors that have implications for future weight and health. With more women in the workforce, families have become reliant on child care. Thus, the child-feeding relationship has become a shared responsibility between the parent and child-care provider. Little is known about the impact of child-care providers on development of early childhood feeding behaviors and subsequent risk for obesity, especially in the Hispanic ethnic group. This research examined child-feeding attitudes, practices, and knowledge of multi-ethnic home-based and center-based child-care providers. Questionnaires were completed by a convenience sample of 72 providers, 50 of whom completed a pre- and post-test on child-feeding knowledge after receiving a 90-minute class based on Satter's division of responsibility feeding model during the spring of 2008. Results indicate many providers had practices consistent with this model. However, substantial differences were reported by Hispanic providers, who were statistically more likely to encourage children to finish meals before dessert, prepare foods they perceived as well-liked by children, coach children to eat foods perceived as appropriate, and not eat with children during meals. A substantial increase in knowledge from 73% correct at pretest to 82% at post-test was noted, with a substantial increase in knowledge on five of 13 questions. However, knowledge was not always congruent with behavior. This study points to differences among providers based on ethnicity, and strongly recommends recruiting Hispanic child-care providers to participate in educational programs and community efforts to prevent obesity.

  14. Deficiencies in culturally competent asthma care for ethnic minority children: a qualitative assessment among care providers

    Directory of Open Access Journals (Sweden)

    Seeleman Conny

    2012-07-01

    Full Text Available Abstract Background Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in paediatric asthma care for ethnic minority patients that lead to deficiencies in the care process. Methods We conducted semi-structured interviews on care for ethnic minority children with asthma (aged 4-10 years with paediatricians (n = 13 and nurses (n = 3 in three hospitals. Interviews were analysed qualitatively with a framework method, using a cultural competence model. Results Respondents mentioned patient non-adherence as the central problem in asthma care. They related non-adherence in children from ethnic minority backgrounds to social context factors, difficulties in understanding the chronic nature of asthma, and parents’ language barriers. Reactions reported by respondents to patients’ non-adherence included retrieving additional information, providing biomedical information, occasionally providing referrals for social context issues, and using informal interpreters. Conclusions This study provides keys to improve the quality of specialist paediatric asthma care to ethnic minority children, mainly related to non-adherence. Care providers do not consciously recognise all the mechanisms that lead to deficiencies in culturally competent asthma care they provide to ethnic minority children (e.g. communicating mainly from a biomedical perspective and using mostly informal interpreters. Therefore, the learning objectives of cultural competence training should reflect issues that care providers are aware of as well as issues they are unaware of.

  15. THE CLASSIFICATION OF THE SURROUNDINGS OF COAL MINING ROADWAYS

    Institute of Scientific and Technical Information of China (English)

    邹喜正; 侯朝炯; 李华祥

    1996-01-01

    This introduces the calculation of opaper the deformationg .the Surroundings of coaowaysand the divisi of surroundings into 5 levels by means or !fuzzy integral assess mairrx, wnlcnserves-asthe scientific basis for selecting supporting pattern of roadways and determining the, pa-rameters of support.

  16. Using e-Coaching to Support an Early Intervention Provider's Implementation of a Functional Assessment-Based Intervention

    Science.gov (United States)

    Fettig, Angel; Barton, Erin E.; Carter, Alice S.; Eisenhower, Abbey S.

    2016-01-01

    This study examined the effects of e-coaching on the implementation of a functional assessment-based intervention delivered by an early intervention provider in reducing challenging behaviors during home visits. A multiple baseline design across behavior support plan components was used with a provider-child dyad. The e-coaching intervention…

  17. An Assessment to Inform Pediatric Cancer Provider Development and Delivery of Survivor Care Plans.

    Science.gov (United States)

    Warner, Echo L; Wu, Yelena P; Hacking, Claire C; Wright, Jennifer; Spraker-Perlman, Holly L; Gardner, Emmie; Kirchhoff, Anne C

    2015-12-01

    Current guidelines recommend all pediatric cancer survivors receive a survivor care plan (SCP) for optimal health management, yet clinical delivery of SCPs varies. We evaluated oncology providers' familiarity with and preferences for delivering SCPs to inform the implementation of a future SCP program at our institution. From November 2013 to April 2014, oncology providers from the Primary Children's Hospital in Salt Lake City, UT, completed a survey (n=41) and a 45-min focus group (n=18). Participants reported their familiarity with and training in SCP guidelines, opinions on SCPs, and barriers to delivering SCPs. As a secondary analysis, we examined differences in survey responses between physicians and nurses with Fisher's exact tests. Focus group transcripts and open-ended survey responses were content analyzed. Participants reported high familiarity with late effects of cancer treatment (87.8%) and follow-up care that cancer survivors should receive (82.5%). Few providers had delivered an SCP (oncologists 35.3% and nurses 5.0%; p=0.03). Barriers to providing SCPs included lack of knowledge (66.7%), SCP delivery is not expected in their clinic (53.9%), and no champion (48.7%). In qualitative comments, providers expressed that patient age variation complicated SCP delivery. Participants supported testing an SCP intervention program (95.1%) and felt this should be a team-based approach. Strategies for optimal delivery of SCPs are needed. Participants supported testing an SCP program to improve the quality of patient care. Team-based approaches, including nurses and physicians, that incorporate provider training on and support for SCP delivery are needed to improve pediatric cancer care.

  18. Assessing the efficacy of LGBT cultural competency training for aging services providers in California's central valley.

    Science.gov (United States)

    Leyva, Valerie L; Breshears, Elizabeth M; Ringstad, Robin

    2014-01-01

    This study reviews the outcomes of a cultural competency training for aging services providers regarding lesbian, gay, bisexual, and transgender (LGBT) older adults. Results indicate that participants significantly increased their knowledge, skills, and positive attitudes about working with LGBT older adults, with men and non-LGBT individuals reporting the most gain. Recommendations for future research include determining which factors influence the enduring effects of this type of training and developing a standardized instrument for measuring such success. Legislative and policy changes targeted at requiring this type of cultural competency training for all direct service providers are considered.

  19. Objective Structured Clinical Examinations Provide Valid Clinical Skills Assessment in Emergency Medicine Education

    Directory of Open Access Journals (Sweden)

    Wallenstein, Joshua

    2014-12-01

    Full Text Available Introduction: Evaluation of emergency medicine (EM learners based on observed performance in the emergency department (ED is limited by factors such as reproducibility and patient safety. EM educators depend on standardized and reproducible assessments such as the objective structured clinical examination (OSCE. The validity of the OSCE as an evaluation tool in EM education has not been previously studied. The objective was to assess the validity of a novel management-focused OSCE as an evaluation instrument in EM education through demonstration of performance correlation with established assessment methods and case item analysis. Methods: We conducted a prospective cohort study of fourth-year medical students enrolled in a required EM clerkship. Students enrolled in the clerkship completed a five-station EM OSCE. We used Pearson’s coefficient to correlate OSCE performance with performance in the ED based on completed faculty evaluations. Indices of difficulty and discrimination were computed for each scoring item. Results: We found a moderate and statistically-significant correlation between OSCE score and ED performance score [r(239 =0.40, p<0.001]. Of the 34 OSCE testing items the mean index of difficulty was 63.0 (SD =23.0 and the mean index of discrimination was 0.52 (SD =0.21. Conclusion: Student performance on the OSCE correlated with their observed performance in the ED, and indices of difficulty and differentiation demonstrated alignment with published best-practice testing standards. This evidence, along with other attributes of the OSCE, attest to its validity. Our OSCE can be further improved by modifying testing items that performed poorly and by examining and maximizing the inter-rater reliability of our evaluation instrument. [West J Emerg Med. 2015;16(1:121–126.

  20. The economic burden of visceral leishmaniasis in Sudan: an assessment of provider and household costs

    NARCIS (Netherlands)

    Meheus, F.; Abuzaid, A.A.; Baltussen, R.M.; Younis, B.M.; Balasegaram, M.; Khalil, E.A.; Boelaert, M.; Musa, A.M.

    2013-01-01

    Abstract. Visceral leishmaniasis (VL) is a neglected parasitic disease that is fatal if left untreated and is endemic in eastern Sudan. We estimated the direct and indirect costs of treatment of VL from the perspective of the provider and the household at three public hospitals in Gedaref State. The

  1. Email Between Patient and Provider: Assessing the Attitudes and Perspectives of 624 Primary Health Care Patients.

    Science.gov (United States)

    Seth, Puneet; Abu-Abed, Mohamed Ismail; Kapoor, Vikram; Nicholson, Kathryn; Agarwal, Gina

    2016-12-22

    Email between patients and their health care providers can serve as a continuous and collaborative forum to improve access to care, enhance convenience of communication, reduce administrative costs and missed appointments, and improve satisfaction with the patient-provider relationship. The main objective of this study was to investigate the attitudes of patients aged 16 years and older toward receiving email communication for health-related purposes from an academic inner-city family health team in Southern Ontario. In addition to exploring the proportion of patients with a functioning email address and interest in email communication with their health care provider, we also examined patient-level predictors of interest in email communication. A cross-sectional study was conducted using a self-administered, 1-page survey of attitudes toward electronic communication for health purposes. Participants were recruited from attending patients at the McMaster Family Practice in Hamilton, Ontario, Canada. These patients were aged 16 years and older and were approached consecutively to complete the self-administered survey (N=624). Descriptive analyses were conducted using the Pearson chi-square test to examine correlations between variables. A logistic regression analysis was conducted to determine statistically significant predictors of interest in email communication (yes or no). The majority of respondents (73.2%, 457/624) reported that they would be willing to have their health care provider (from the McMaster Family Practice) contact them via email to communicate health-related information. Those respondents who checked their personal email more frequently were less likely to want to engage in this electronic communication. Among respondents who check their email less frequently (fewer than every 3 days), 46% (37/81) preferred to communicate with the McMaster Family Practice via email. Online applications, including email, are emerging as a viable avenue for patient

  2. Microbiota and Particulate Matter Assessment in Portuguese Optical Shops Providing Contact Lens Services.

    Science.gov (United States)

    Viegas, Carla; Faria, Tiago; Pacífico, Cátia; Dos Santos, Mateus; Monteiro, Ana; Lança, Carla; Carolino, Elisabete; Viegas, Susana; Cabo Verde, Sandra

    2017-05-15

    The aim of this work was to assess the microbiota (fungi and bacteria) and particulate matter in optical shops, contributing to a specific protocol to ensure a proper assessment. Air samples were collected through an impaction method. Surface and equipment swab samples were also collected side-by-side. Measurements of particulate matter were performed using portable direct-reading equipment. A walkthrough survey and checklist was also applied in each shop. Regarding air sampling, eight of the 13 shops analysed were above the legal requirement and 10 from the 26 surfaces samples were overloaded. In three out of the 13 shops fungal contamination in the analysed equipment was not detected. The bacteria air load was above the threshold in one of the 13 analysed shops. However, bacterial counts were detected in all sampled equipment. Fungi and bacteria air load suggested to be influencing all of the other surface and equipment samples. These results reinforce the need to improve air quality, not only to comply with the legal requirements, but also to ensure proper hygienic conditions. Public health intervention is needed to assure the quality and safety of the rooms and equipment in optical shops that perform health interventions in patients.

  3. Citation analysis did not provide a reliable assessment of core outcome set uptake.

    Science.gov (United States)

    Barnes, Karen L; Kirkham, Jamie J; Clarke, Mike; Williamson, Paula R

    2017-06-01

    The aim of the study was to evaluate citation analysis as an approach to measuring core outcome set (COS) uptake, by assessing whether the number of citations for a COS report could be used as a surrogate measure of uptake of the COS by clinical trialists. Citation data were obtained for COS reports published before 2010 in five disease areas (systemic sclerosis, rheumatoid arthritis, eczema, sepsis and critical care, and female sexual dysfunction). Those publications identified as a report of a clinical trial were examined to identify whether or not all outcomes in the COS were measured in the trial. Clinical trials measuring the relevant COS made up a small proportion of the total number of citations for COS reports. Not all trials citing a COS report measured all the recommended outcomes. Some trials cited the COS reports for other reasons, including the definition of a condition or other trial design issues addressed by the COS report. Although citation data can be readily accessed, it should not be assumed that the citing of a COS report indicates that a trial has measured the recommended COS. Alternative methods for assessing COS uptake are needed. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  4. Visual Surround Suppression in Schizophrenia

    Science.gov (United States)

    Tibber, Marc S.; Anderson, Elaine J.; Bobin, Tracy; Antonova, Elena; Seabright, Alice; Wright, Bernice; Carlin, Patricia; Shergill, Sukhwinder S.; Dakin, Steven C.

    2013-01-01

    Compared to unaffected observers patients with schizophrenia (SZ) show characteristic differences in visual perception, including a reduced susceptibility to the influence of context on judgments of contrast – a manifestation of weaker surround suppression (SS). To examine the generality of this phenomenon we measured the ability of 24 individuals with SZ to judge the luminance, contrast, orientation, and size of targets embedded in contextual surrounds that would typically influence the target’s appearance. Individuals with SZ demonstrated weaker SS compared to matched controls for stimuli defined by contrast or size, but not for those defined by luminance or orientation. As perceived luminance is thought to be regulated at the earliest stages of visual processing our findings are consistent with a suppression deficit that is predominantly cortical in origin. In addition, we propose that preserved orientation SS in SZ may reflect the sparing of broadly tuned mechanisms of suppression. We attempt to reconcile these data with findings from previous studies. PMID:23450069

  5. Processing and Analyzing Assessment Test Logs provided by Digital Pen and Paper

    OpenAIRE

    Barhoumi, Zaara; Tort, Françoise

    2011-01-01

    In an educational context, the use of new technologies can influence and change teaching practices. Digital pen and paper, as man-machine interface, appears familiar and do not require any specific training. Analyzing logs recorded by this technology, especially time, seems interesting in order to provide new indicators for evaluation or observation. As far as we know, time stamped logs recorded by digital pen is barely studied in an educational context by researchers. We explore the use of d...

  6. Assessing the support provided by a toolkit for rapid prototyping of multimodal systems

    OpenAIRE

    CUENCA LUCERO, Fredy; Vanacken, Davy; Coninx, Karin; Luyten, Kris

    2013-01-01

    Choosing an appropriate toolkit for creating a multimodal interface is a cumbersome task. Several specialized toolkits include fusion and fission engines that allow developers to combine and decompose modalities to capture multimodal input and provide multimodal output. Unfortunately, the extent to which these toolkits can facilitate the creation of a multimodal interface is hard or impossible to estimate, due to the absence of a scale where the toolkit's capabilities can be measured on. In t...

  7. Response distortion in personality measurement: born to deceive, yet capable of providing valid self-assessments?

    Directory of Open Access Journals (Sweden)

    STEPHAN DILCHERT

    2006-09-01

    Full Text Available This introductory article to the special issue of Psychology Science devoted to the subject of “Considering Response Distortion in Personality Measurement for Industrial, Work and Organizational Psychology Research and Practice” presents an overview of the issues of response distortion in personality measurement. It also provides a summary of the other articles published as part of this special issue addressing social desirability, impression management, self-presentation, response distortion, and faking in personality measurement in industrial, work, and organizational settings.

  8. Assessing the need for a medical respite: perceptions of service providers and homeless persons.

    Science.gov (United States)

    Biederman, Donna J; Gamble, Julia; Manson, Marigny; Taylor, Destry

    2014-01-01

    For homeless persons, posthospitalization care is increasingly provided in formal medical respite programs, and their success is now reported in the literature. However, there is a dearth of literature on posthospitalization transitional care for homeless persons in the absence of a respite program. Through this formative study, we sought to understand the process of securing posthospitalization care in the absence of a formal homeless medical respite. Results demonstrated a de facto patchwork respite process that has emerged. We describe both human and monetary costs associated with patchwork respite and demonstrate opportunities for improvement in homeless health care transitions.

  9. Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge

    Science.gov (United States)

    Wong, Carolyn; Hogan, David B.

    2016-01-01

    Background A common scenario that may pose challenges to primary care providers is when an older patient has been discharged from hospital. The aim of this pilot project is to examine the experiences of patients’ admission to hospital through to discharge back home, using analysis of patient narratives to inform the strengths and weaknesses of the process. Methods For this qualitative study, we interviewed eight subjects from the Sheldon M. Chumir Central Teaching Clinic (CTC). Interviews were analyzed for recurring themes and phenomena. Two physicians and two resident learners employed at the CTC were recruited as a focus group to review the narrative transcripts. Results Narratives generally demonstrated moderate satisfaction among interviewees with respect to their hospitalization and follow-up care in the community. However, the residual effects of their hospitalization surprised five patients, and five were uncertain about their post-discharge management plan. Conclusion Both secondary and primary care providers can improve on communicating the likely course of recovery and follow-up plans to patients at the time of hospital discharge. Our findings add to the growing body of research advocating for the implementation of quality improvement measures to standardize the discharge process. PMID:27729948

  10. Qualitative assessment of the dental health services provided at a dental school in Kerman, Iran.

    Science.gov (United States)

    Rad, Maryam; Haghani, Jahangir; Shahravan, Arash; Khosravifar, Ali

    2009-01-01

    Increasing the quality of the services provided in a Dental School can raise the satisfaction level of patients and consequently increase the level of their oral health. This study was conducted to evaluate the quality of dental care and services provided to patients referred to a Dental School in Kerman, Iran. In this qualitative study, face-to-face, in-depth interviews were conducted with 41 participants [25 patients (P), 5 nurses (N), 6 dental academic staff (AS), and 5 dental students (S)]. Then, the interviews were transcribed and analyzed, using content analysis of data. Data analysis in qualitative research involves breaking down the data and searching for codes and categories that are then reassembled to form themes. Both positive and negative themes emerged. Positive themes included: good infection control, service accessibility, patient appointments and visits were not assigned on merit, precise examinations, and comprehensive treatment plans. Negative themes included: long wait time, lack of options to pass waiting time, such as newspapers and television, an insufficient number of nurses, and not enough professors for supervision. In addition, the results of this study show that the patients and dental staff have high expectations in relation to dental services, and that implementation of these expectations would increase the overall satisfaction with and the quality of the level of services. Finally, some recommendations for improving services in the Kerman Dental School were given to the managing team of the Dental School.

  11. Assessing the economic potential of electric vehicles to provide ancillary services. The case of Germany

    Energy Technology Data Exchange (ETDEWEB)

    Schuller, Alexander; Rieger, Fabian [Karlsruhe Institute of Technology, Karlsruhe (Germany)

    2013-09-15

    The Vehicle-to-Grid (V2G) concept is a promising possibility for the integration of electric vehicles (EVs) into the power grid. This article presents an economic evaluation of EVs participating in the ancillary service market (primary, secondary and tertiary regulation) for the case of Germany, based on a price data set from 2011 and 2012. We examine the economic potential of nine general options to participate in the regulation market based on real-life EV specifications, connection powers and regulation energy prices. Results show that in the most profitable case a maximum average yearly profit of 730.31 Euro per vehicle is possible for negative regulation with payment direction TSO to provider in the secondary regulation market. Furthermore a sensitivity analysis is performed for all of the analyzed participation scenarios in order to identify crucial parameters for a possible V2G implementation. Major parameters for the successful implementation of V2G are the provided power per vehicle, the time an EV is available to the grid and the variable energy storage costs it incurs.

  12. Standardized Clinical Assessment And Management Plans (SCAMPs) Provide A Better Alternative To Clinical Practice Guidelines

    Science.gov (United States)

    Farias, Michael; Jenkins, Kathy; Lock, James; Rathod, Rahul; Newburger, Jane; Bates, David W.; Safran, Dana G.; Friedman, Kevin; Greenberg, Josh

    2014-01-01

    Variability in medical practice in the United States leads to higher costs without achieving better patient outcomes. Clinical practice guidelines, which are intended to reduce variation and improve care, have several drawbacks that limit the extent of buy-in by clinicians. In contrast, standardized clinical assessment and management plans (SCAMPs) offer a clinician-designed approach to promoting care standardization that accommodates patients’ individual differences, respects providers’ clinical acumen, and keeps pace with the rapid growth of medical knowledge. Since early 2009 more than 12,000 patients have been enrolled in forty-nine SCAMPs in nine states and Washington, D.C. In one example, a SCAMP was credited with increasing clinicians’ rate of compliance with a recommended specialist referral for children from 19.6 percent to 75 percent. In another example, SCAMPs were associated with an 11–51 percent decrease in total medical expenses for six conditions when compared with a historical cohort. Innovative tools such as SCAMPs should be carefully examined by policy makers searching for methods to promote the delivery of high-quality, cost-effective care. PMID:23650325

  13. Direct Measurement of Tree Height Provides Different Results on the Assessment of LiDAR Accuracy

    Directory of Open Access Journals (Sweden)

    Emanuele Sibona

    2016-12-01

    Full Text Available In this study, airborne laser scanning-based and traditional field-based survey methods for tree heights estimation are assessed by using one hundred felled trees as a reference dataset. Comparisons between remote sensing and field-based methods were applied to four circular permanent plots located in the western Italian Alps and established within the Alpine Space project NewFor. Remote sensing (Airborne Laser Scanning, ALS, traditional field-based (indirect measurement, IND, and direct measurement of felled trees (DIR methods were compared by using summary statistics, linear regression models, and variation partitioning. Our results show that tree height estimates by Airborne Laser Scanning (ALS approximated to real heights (DIR of felled trees. Considering the species separately, Larix decidua was the species that showed the smaller mean absolute difference (0.95 m between remote sensing (ALS and direct field (DIR data, followed by Picea abies and Pinus sylvestris (1.13 m and 1.04 m, respectively. Our results cannot be generalized to ALS surveys with low pulses density (<5/m2 and with view angles far from zero (nadir. We observed that the tree heights estimation by laser scanner is closer to actual tree heights (DIR than traditional field-based survey, and this was particularly valid for tall trees with conical shape crowns.

  14. Rooftop farming on urban wastes: a first assessment of ecosystem services provided by constructed technosols

    Science.gov (United States)

    Grard, Baptiste; Chenu, Claire; Frascaria-Lacoste, Nathalie; Aubry, Christine

    2017-04-01

    Urban farming, especially on rooftops, is a popular and a growing topic in media as well as in the scientific literature. It is a great opportunity to meet some of the challenges linked to urban areas development worldwide. However, little attention has been paid so far to the growing media of green roofs, i.e. technosols. A better understanding of the influence of technosol choice and component links with ecosystem services is required in order to maximize environmental benefits from rooftop urban farming. Between March 2013 and 2015, a pilot project called T4P (Parisian Productive rooftoP, Pilot Experiment) took place on the rooftop of the technical University AgroParisTech. Two different units based on the use of two contrasted urban organic wastes were compared to a commercial potting soil through yield measurements, substrates characterization and leaching quantification. We performed a first assessment of several ecosystem services expected from these technosols, i.e. provisioning of food (food production), regulation of water runoff (quantity and quality of runoff), recycling of organic wastes. We identified indicators of the ecosystem services (e.g. yield, annual mass loss of mineral nitrogen) and compared their measured values to reference situations (asphalt roof, green roof or cropland). Our analysis shows the multifunctional character of technosols made from organic wastes located on urban rooftops and the ecosystem services approach appears as a fertile one to evaluate and devise constructed technosols as a component of green infrastructures.

  15. Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective

    OpenAIRE

    Courtney Ryan J; Paul Christine L; Sanson-Fisher Robert W; Macrae Finlay A; Carey Mariko L; Attia John; McEvoy Mark

    2012-01-01

    Abstract Background Family history is a common risk factor for colorectal cancer (CRC), yet it is often underused to guide risk assessment and the provision of risk-appropriate CRC screening recommendation. The aim of this study was to identify from a patient perspective health care providers' current practice relating to: (i) assessment of family history of CRC; (ii) notification of "increased risk" to patients at "moderately/potentially high" familial risk; and (iii) recommendation that pat...

  16. Quality assessment of websites providing educational content for patients with rheumatoid arthritis.

    Science.gov (United States)

    Siddhanamatha, Harish Rajashekarappa; Heung, Eric; Lopez-Olivo, Maria de Los Angeles; Abdel-Wahab, Noha; Ojeda-Prias, Ana; Willcockson, Irmgard; Leong, Amye; Suarez-Almazor, Maria Eugenia

    2017-06-01

    We performed an environmental scan of currently available websites providing educational information about rheumatoid arthritis (RA) and evaluated the quality of these websites. We searched three separate search engines, Google, Bing, and Ask.com, on August 27, 2015, using two search terms, "arthritis" and "rheumatoid." Only patient education websites were included. Two independent investigators evaluated the accuracy, completeness, technical elements, design and esthetics, readability, usability, and accessibility of the websites. The navigation experience was also evaluated by an adult training expert. We identified 46 websites. Nearly all websites (98%) provided accurate information. However, no website covered all essential RA topics. Common essential topics not covered included epidemiology, pathogenesis, treatment and disease monitoring, complications, self-management, risks and benefits of treatment, prognosis, treatment adherence, questions for patients to ask their doctors, and costs. For the technical elements, all websites disclosed their ownership, but the date that the content was last updated was mentioned in only 10 websites, ranging from 2007 to 2015. The mean reading level was grade 12.1 (standard deviation ±2.3). Most websites (78%) were easy to navigate but only 33% were friendly for people with visual and/or hearing impairments. The navigation experience was rated fair or poor in 41% of the websites. Current patient information on the Internet does not comprehensively address all educational needs of patients with RA, and is often outdated. The findings from our study highlight potential areas for improvement in online education materials for patients with RA. Copyright © 2017. Published by Elsevier Inc.

  17. 气候变化背景下我国周边海域热带气旋灾害风险评估与区划%RISK ASSESSMENT AND REGIONALIZATION OF TROPICAL CYCLONE DISASTER OVER CHINA'S SURROUNDING SEA

    Institute of Scientific and Technical Information of China (English)

    李倩; 张韧; 姚雪峰; 葛珊珊; 邹恒琬

    2013-01-01

    In order to understand the variation trends and disaster risk of tropical cyclone in the background of climate change, we investigated the the characteristics of intensity and frequency of tropical cyclones over China's surrounding sea. From the point of view of risk analysis, we considered a conceptual framework of tropical cyclone disaster risk and developed an index system and assessment model. The risk regionalization of tropical cyclone disaster in China's surrounding sea is carried out through GIS technology. The results show that the frequency and the extreme peak wind-speed of tropical cyclones were slightly declined during the last 60 years when the typhoon and strong wind were rising significantly in the recent 10 years. The most risky areas caused by tropical cyclone disaster include the north part of South China Sea and the eastern Philippine Sea.%针对气候变化背景下热带气旋的演变趋势与灾害风险,探讨了我国周边海域热带气旋强度及频数的气候变化特征,从风险分析的角度提出了热带气旋灾害风险概念框架,基于风险评价指数法初步构建了风险评估的指标体系和数学模型,应用GIS技术实现了我国周边海域热带气旋灾害风险的等级区划.结果显示,在气候变化背景下,我国周边海域热带气旋频数和平均强度在近60年来呈现弱的下降趋势,但近10年来,台风及以上级别热带气旋频数和强度极值明显增加;热带气旋灾害高风险区位于南海北部和菲律宾海东部洋面.

  18. Assessing implicit mate preferences among Chinese and Japanese women by providing love, sex, or money cues.

    Science.gov (United States)

    Jin, Zheng; Shiomura, Kimihiro; Jiang, Lizhu

    2015-02-01

    Love, sex, and money are the most direct cues involved in the fundamental forms of mate preferences. These fundamental forms are not mutually exclusive but are interrelated. As a result, humans base their mate choices on multiple cues. In this study, 62 undergraduate women (M age = 20.4 yr., SD = 1.4) from China and Japan served as the participants. They performed a variation of the semantic priming task, in which they were instructed to decide by means of a key-press whether the target was human or non-human. The primes were images that portrayed potent evolutionary factors for mate preference (i.e., love, sex, and money), and the manipulation was based on whether the prime and target matched regarding gender, independent of the target decision task (human vs non-human). Participants gave faster responses to male targets than to female targets under priming. The results generally supported the evolutionary premises that assume mate preference is determined by fundamental forms of providing emotional (love), material (money), and fertility support (sex). The money priming effect was stronger in the Chinese women than in the Japanese women, suggesting that social context may influence mate preferences.

  19. QUANTITATIVE ASSESSMENT OF SOME PREVENTIVE HEALTH SERVICES PROVIDED FOR ADOLESCENT INDIVIDUALS IN DUBAI.

    Science.gov (United States)

    Khansaheb, Hamda; Hussein, Ayman; Hamidi, Samer; Brown, David; Younis, Mustafa Z

    2016-01-01

    The United Arab Emirate (UAE) of Dubai, faces significant adolescent health problems. In 2009, evidence based clinical guidelines were developed for primary health care professionals in Dubai to help reduce adolescent health problems. This research study explores adolescents' self-reports about health education services received between 2008 and 2010. The sample consisted of 730 public high school students in grades 10 through 12 between the ages of 15 and 19. 357 (48.9%) of the sample were males and 373 (51.1%) were female. The major language spoken in the home was Arabic (77.4%). All students completed a 27-item survey in Arabic that was adapted from the Young Adult Health Care Survey (YAHCS). The YAHCS is a 56-item research instrument traditionally administered in English and Spanish. The sample reported they had received little or no health education from their health care providers. 94.2% reported receiving no information about using a helmet for bicycle and motorbike safety; 88.2% reported receiving no information about drug use; and 81.9% reported that they received no information about smoking. The instrument also explored the health education material students received within the last 12 months. 65.5% of the sample reported seeing and/or hearing safety tips; 84.9% reported hearing and/or seeing health information about healthy diet, physical activity and exercise; and 79.2% reported seeing and/or hearing information about the risks of smoking and substance abuse.

  20. Research Needs Assessment in the Health Insurance Organization: Level of Health Care Provider

    Directory of Open Access Journals (Sweden)

    Mohammadkarim Bahadori

    2011-12-01

    Full Text Available Objective: Setting research priorities in the research management cycle is a key. It is important to set the research priorities to make optimal use of scarce resources. The aim of this research was to determine the research needs of Health Insurance Organization based on its health care centers research needs.Methods: This is a qualitative, descriptive and cross-sectional study that was conducted in 2011. A purposeful sample of 60 participants from 14 hospitals, seven dispensaries, five dental clinics, two rehabilitation centers, four radiology centers, six medical diagnostic laboratories, 12 pharmacies, and 20 medical offices that were contracted with the Health Insurance Organization in Iran was interviewed. The framework analysis method (a qualitative research method was used for analysis of interviews. Atlas-Ti software was used to analyze quantitative data, respectively. The topics were prioritized using the Analytical Hierarchy Process (AHP method through Expert Choice software.Results: Based on the problems extracted in our qualitative study, 12 research topics were proposed by the experts. Among these “Design of standard treatment protocols,” “Designing model of ranking the health care centers under contract,” and “Pathology of payment system” took the priority ranks of 1 to 3, earning the scores of 0.44, 0.42, and 0.37, respectively.Conclusion: Considering limited resources and unlimited needs and to prevent research resource wasting, conducting research related to health care providers in the Health Insurance Organization can help it achieve its goals.

  1. Which form of assessment provides the best information about student performance in chemistry examinations?

    Science.gov (United States)

    Hudson, Ross D.; Treagust, David F.

    2013-04-01

    Background . This study developed from observations of apparent achievement differences between male and female chemistry performances in a state university entrance examination. Male students performed more strongly than female students, especially in higher scores. Apart from the gender of the students, two other important factors that might influence student performance were format of questions (short-answer or multiple-choice) and type of questions (recall or application). Purpose The research question addressed in this study was: Is there a relationship between performance in state university entrance examinations in chemistry and school chemistry examinations and student gender, format of questions - multiple-choice or short-answer, and conceptual level - recall or application? Sample The two sources of data were: (1) secondary analyses of five consecutive years' data published by the examining authority of chemistry examinations, and (2) tests conducted with 192 students which provided information about all aspects of the three variables (question format, question type and gender) under consideration. Design and methods Both sources of data were analysed using ANOVA to compare means for the variables under consideration and the statistical significance of any differences. The data from the tests were also analysed using Rasch analysis to determine differences in gender performance. Results When overall mean data are considered, both male and female students performed better on multiple-choice questions and recall questions than on short-answer questions and application questions, respectively. When overall mean data are considered, male students outperformed female students in both the university entrance and school tests, particularly in the higher scores. When data were analysed with Rasch, there was no statistically significant difference in performance between males and females of equal ability. Conclusions Both male and female students generally perform

  2. 42 CFR 495.364 - Review and assessment of administrative activities and expenses of Medicaid provider health...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Review and assessment of administrative activities... administrative activities and expenses of Medicaid provider health information technology adoption and operation... its approved HIT planning advance planning document and health information technology...

  3. Why We Need Reliable, Valid, and Appropriate Learning Disability Assessments: The Perspective of a Postsecondary Disability Service Provider

    Science.gov (United States)

    Wolforth, Joan

    2012-01-01

    This paper discusses issues regarding the validity and reliability of psychoeducational assessments provided to Disability Services Offices at Canadian Universities. Several vignettes illustrate some current issues and the potential consequences when university students are given less than thorough disability evaluations and ascribed diagnoses.…

  4. Patient Experience Assessment is a Requisite for Quality Evaluation: A Discussion of the In-Center Hemodialysis Consumer Assessment of Health Care Providers and Systems (ICH CAHPS) Survey.

    Science.gov (United States)

    Cavanaugh, Kerri L

    2016-01-01

    Patient experience surveys provide a critical and unique perspective on the quality of patient-centered healthcare delivery. These surveys provide a mechanism to systematically express patients' voice on topics valued by patients to make decisions about choices in care. They also provide an assessment to healthcare organizations about their service that cannot be obtained from any other source. Regulatory agencies have mandated the assessment of patients' experience as part of healthcare value based purchasing programs and weighted the results to account for up to 30% of the total scoring. This is a testimony to the accepted importance of this metric as a fundamental assessment of quality. After more than a decade of rigorous research, there is a significant body of growing evidence supporting specifically the validity and use of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, including a version specific to in-center hemodialysis (ICH CAHPS). This review will focus on the ICH CAHPS survey including a review of its development, content, administration, and also a discussion of common criticisms. Although it is suggested that the survey assesses activities and experiences that are not modifiable by the healthcare organization (or the dialysis facility in our case) emerging evidence suggests otherwise. Dialysis providers have an exclusive opportunity to lead the advancement of understanding the implications and serviceability of the evaluation of the patient experience in health care. © 2016 Wiley Periodicals, Inc.

  5. Development and field testing of a self-assessment guide for computer-based provider order entry.

    Science.gov (United States)

    Vartian, Carl V; Singh, Hardeep; Russo, Elise; Sittig, Dean F

    2014-01-01

    Despite the benefits of computerized provider order entry (CPOE), numerous reports of unexpected CPOE-related safety concerns have surfaced. As part of a larger project to improve the safety of electronic health records (EHRs), we developed and field tested a CPOE "safety self-assessment" guide through literature searches, expert opinion, and site visits. We then conducted a field test of this guide with nine hospital chief medical informatics officers (CMIOs), who were identified through the Association of Medical Directors of Information Systems. The CPOE safety self-assessment guide was sent electronically to the CMIOs. Once the assessments were returned, we conducted structured telephone interviews for further comments about the guide's format and content. The CMIOs in our study found the CPOE safety guide useful and relatively easy to complete, taking no more than 30 minutes. Analysis of responses to the guide suggest that most recommended practices were implemented inconsistently across facilities. Despite consensus for certain CPOE best practices in the medical literature and among experts, there appeared to be considerable variation among CMIOs' opinions of best practices. Interview data suggested this inconsistency was mostly due to system limitations and/or differing opinions about the necessity of certain EHR-related safety measures. Despite the absence of consensus on best practices, a self-assessment safety guide provides a practical starting point for organizations to assess and improve safety and the effectiveness of their CPOE system.

  6. iTRAQ analysis of hepatic proteins in free-living Mus spretus mice to assess the contamination status of areas surrounding Doñana National Park (SW Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Abril, Nieves; Chicano-Gálvez, Eduardo; Michán, Carmen; Pueyo, Carmen; López-Barea, Juan, E-mail: bb1lobaj@uco.es

    2015-08-01

    This work aims to develop and integrate new -omics tools that would be applicable to different ecosystem types for a technological updating of environmental evaluations. We used a 2nd-generation (iTRAQ-8plex) proteomic approach to identify/quantify proteins differentially expressed in the liver of free-living Mus spretus mice from Doñana National Park or its proximities. Mass spectrometry was performed in an LTQ Orbitrap system for iTRAQ reporter ion quantitation and protein identification using a Mus musculus database as reference. A prior IEF step improved the separation of the complex peptide mixture. Over 2000 identified proteins were altered, of which 118 changed by ≥ 2.5-fold in mice from at least two problem sites. Part of the results obtained with the iTRAQ analysis was confirmed by Western blot. Over 75% of the 118 proteins were upregulated in animals captured at polluted sites and only 16 proteins were downregulated. Upregulated proteins were involved in stress response; cell proliferation and apoptosis; signal transduction; metastasis or tumour suppression; xenobiotic export or vesicular trafficking; and metabolism. The downregulated proteins, all potentially harmful, were classified as oncoproteins and proteins favouring genome instability. The iTRAQ results presented here demonstrated that the survival of hepatic cells is compromised in animals living at polluted sites, which showed deep alterations in metabolism and the signalling pathways. The identified proteins may be useful as biomarkers of environmental pollution and provide insight about the metabolic pathways and/or physiological processes affected by pollutants in DNP and its surrounding areas. - Highlights: • iTRAQ quantitation was used for the first time to monitor a wildlife reserve • Over 2,000 proteins with altered expression were identified in problem Doñana sites • Of them, 118 changed over 2.5-fold in, at least, two problem sites • Upregulation of protective proteins

  7. AN OVERVIEW AT MACROECONOMIC LEVEL THROUGH ACCOUNTING FIGURES PROVIDED BY THE ECB ASSESSMENT ON EUROZONE BANKING SYSTEM

    Directory of Open Access Journals (Sweden)

    Olivera Ecaterina OROS

    2014-05-01

    Full Text Available Along with the main macroeconomic indicators, the credit risk indicators became an important leverage in monitoring and evaluating the standard of living at a national level and the country’s economic evolution. These two types of indicators show a strong interconnection, and the correct assessment of the credit risk indicators becomes a must. As a consequence, the central banks and the main regulators in the Europe aria provided for a strict monitoring of such indicators and further on, for constant update of the banking supervisory regulations. In October 2013, the European Central bank (ECB issued the Note of Comprehensive Assessment that will be carried out during 2014, on the Euro-zone1 banking system. The outcome of the assessment will impact not only the accounting figures of the banking system, but also might change the macroeconomic overview of Euro-zone and the IASB's Conceptual Framework for Financial Reporting.

  8. Assessment of the contents related to screening on Portuguese language websites providing information on breast and prostate cancer

    Directory of Open Access Journals (Sweden)

    Daniel Ferreira

    2013-11-01

    Full Text Available The objective of this study was to assess the quality of the contents related to screening in a sample of websites providing information on breast and prostate cancer in the Portuguese language. The first 200 results of each cancer-specific Google search were considered. The accuracy of the screening contents was defined in accordance with the state of the art, and its readability was assessed. Most websites mentioned mammography as a method for breast cancer screening (80%, although only 28% referred to it as the only recommended method. Almost all websites mentioned PSA evaluation as a possible screening test, but correct information regarding its effectiveness was given in less than 10%. For both breast and prostate cancer screening contents, the potential for overdiagnosis and false positive results was seldom addressed, and the median readability index was approximately 70. There is ample margin for improving the quality of websites providing information on breast and prostate cancer in Portuguese.

  9. Assessment of the contents related to screening on Portuguese language websites providing information on breast and prostate cancer.

    Science.gov (United States)

    Ferreira, Daniel; Carreira, Helena; Silva, Susana; Lunet, Nuno

    2013-11-01

    The objective of this study was to assess the quality of the contents related to screening in a sample of websites providing information on breast and prostate cancer in the Portuguese language. The first 200 results of each cancer-specific Google search were considered. The accuracy of the screening contents was defined in accordance with the state of the art, and its readability was assessed. Most websites mentioned mammography as a method for breast cancer screening (80%), although only 28% referred to it as the only recommended method. Almost all websites mentioned PSA evaluation as a possible screening test, but correct information regarding its effectiveness was given in less than 10%. For both breast and prostate cancer screening contents, the potential for overdiagnosis and false positive results was seldom addressed, and the median readability index was approximately 70. There is ample margin for improving the quality of websites providing information on breast and prostate cancer in Portuguese.

  10. Developing a tool to assess motivation among health service providers working with public health system in India.

    Science.gov (United States)

    Purohit, Bhaskar; Maneskar, Abhishek; Saxena, Deepak

    2016-04-14

    Addressing the shortage of health service providers (doctors and nurses) in rural health centres remains a huge challenge. The lack of motivation of health service providers to serve in rural areas is one of the major reasons for such shortage. While many studies have aimed at analysing the reasons for low motivation, hardly any studies in India have focused on developing valid and reliable tools to measure motivation among health service providers. Hence, the objective of the study was to test and develop a valid and reliable instrument to assess the motivation of health service providers working with the public health system in India and the extent to which the motivation factors included in the study motivate health service providers to perform better at work. The present study adapted an already developed tool on motivation. The reliability and validity of the tool were established using different methods. The first stage of the tool development involved content development and assessment where, after a detailed literature review, a predeveloped tool with 19 items was adapted. However, in light of the literature review and pilot test, the same tool was modified to suit the local context by adding 7 additional items so that the final modified tool comprised of 26 items. A correlation matrix was applied to check the pattern of relationships among the items. The total sample size for the study was 154 health service providers from one Western state in India. To understand the sampling adequacy, the Kaiser-Meyer-Olkin measure of sampling adequacy and Bartlett's test of sphericity were applied and finally factor analysis was carried out to calculate the eigenvalues and to understand the relative impact of factors affecting motivation. A correlation matrix value of 0.017 was obtained narrating multi-co-linearity among the observations. Based on initial factor analysis, 8 out of 26 study factors were excluded from the study components with a cutoff range of less than

  11. A qualitative assessment of factors influencing acceptance of a new rotavirus vaccine among health care providers and consumers

    Energy Technology Data Exchange (ETDEWEB)

    Manish M Patel, Alan P Janssen, Richard Tardif, Mark Herring, Umesh Parashar

    2007-10-18

    In 2006, a new rotavirus vaccine (RotaTeq) was licensed in the US and recommended for routine immunization of all US infants. Because a previously licensed vaccine (Rotashield) was withdrawn from the US for safety concerns, identifying barriers to uptake of RotaTeq will help develop strategies to broaden vaccine coverage. Our qualitative assessment provides complementary data to recent quantitative surveys and suggests that physicians and parents are likely to adopt the newly licensed rotavirus vaccine. Increasing parental awareness of the rotavirus disease burden and providing physicians with timely post-marketing surveillance data will be integral to a successful vaccination program.

  12. Practice Patterns Among Eye Care Providers at US Teaching Hospitals With Regard to Assessing and Educating Patients About Smoking.

    Science.gov (United States)

    Landis, Zachary C; Rolius, Ramunas; Scott, Ingrid U

    2017-08-01

    To investigate practice patterns of eye care providers at academic medical centers in the United States (US) with regard to assessing patients' smoking status and exposure, educating patients regarding ocular risks of smoking, and counseling patients about smoking cessation. Cross-sectional survey. An anonymous survey including multiple choice and Likert-style questions was constructed on http://www.surveymonkey.com and emailed to the coordinators of all 113 US ophthalmology residency programs, with a request to forward to all faculty, fellows, residents, and optometrists at their institution. Main outcome measures include proportion of eye care providers who assess patients' smoking status, educate patients regarding ocular risks of smoking, and discuss with patients smoking cessation options. Of the 292 respondents, 229 (78%) "always" or "periodically" ask patients about their smoking status, 251 (86%) "seldom" or "never" ask patients about secondhand smoke exposure, 245 (84%) "always" or "periodically" educate patients about ocular diseases associated with smoking, 142 (49%) "seldom" or "never" ask patients who smoke about their willingness to quit smoking, and 249 (85%) "seldom" or "never" discuss potential methods and resources to assist with smoking cessation. Most eye care providers assess patients' smoking status and educate patients regarding ocular risks of smoking. However, approximately half do not ask, or seldom ask, about patients' willingness to quit smoking, and most do not discuss smoking cessation options. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Evaluation of selected ergonomic assessment tools for use in providing job accommodation for people with inflammatory arthritis.

    Science.gov (United States)

    Village, Judy; Backman, Catherine L; Lacaille, Diane

    2008-01-01

    Inflammatory arthritis (IA) is a leading cause of work disability, especially for those with jobs involving repetitive, hand-intensive or manual work. Ergonomic interventions may mediate against job loss. Our objective was to identify desirable features of an ergonomic tool for use in providing job accommodation for people with IA, and to evaluate a selection of ergonomic and rehabilitation tools against these features. Eight desirable features were compared across 16 assessment tools. None of the tools met all the pre-determined features. Ergonomic assessment tools should incorporate objective assessment of risk factors together with subjective perceptions of symptom aggravation, and identify risk factors that may not currently be causing problems, but may increase risk of aggravation or injury in the future. To accommodate the needs of people with IA, the tool should allow for evaluation of risks and generation of solutions without a worksite visit in situations where the client does not want to disclose their illness. Finally, an assessment tool needs to be applicable to a wide range of worksites, easy to use, valid, and reliable. Against these criteria, it appears that there is a lack of appropriate ergonomic assessment tools for use in people with IA.

  14. [Interview instrument provides no reliable assessment of suicide risk. Scientific support is lacking according to report from the Swedish Council on Health Technology Assessment (SBU)].

    Science.gov (United States)

    Runeson, Bo

    2015-12-08

    Identifying individuals at risk of future suicide or suicide attempts is of clinical importance. Instruments have been developed to facilitate the assessment of the risk of future suicidal acts. A systematic review was conducted using the standard methods of the Swedish Council on Health Technology Assessment (SBU). The ability of the instrument to predict risk for future suicide/suicide attempt was assessed at follow up. The methodological quality of eligible studies was assessed; studies with moderate or low risk of bias were analysed in accordance with GRADE. None of the included studies provided scientific evidence to support that any instrument had sufficient accuracy to predict future suicidal behaviour. There is strong evidence to support that the SAD PERSONS Scale has very low sensitivity; most persons who make future suicidal acts are not identified.

  15. Binaural Rendering in MPEG Surround

    Directory of Open Access Journals (Sweden)

    Kristofer Kjörling

    2008-04-01

    Full Text Available This paper describes novel methods for evoking a multichannel audio experience over stereo headphones. In contrast to the conventional convolution-based approach where, for example, five input channels are filtered using ten head-related transfer functions, the current approach is based on a parametric representation of the multichannel signal, along with either a parametric representation of the head-related transfer functions or a reduced set of head-related transfer functions. An audio scene with multiple virtual sound sources is represented by a mono or a stereo downmix signal of all sound source signals, accompanied by certain statistical (spatial properties. These statistical properties of the sound sources are either combined with statistical properties of head-related transfer functions to estimate “binaural parameters” that represent the perceptually relevant aspects of the auditory scene or used to create a limited set of combined head-related transfer functions that can be applied directly on the downmix signal. Subsequently, a binaural rendering stage reinstates the statistical properties of the sound sources by applying the estimated binaural parameters or the reduced set of combined head-related transfer functions directly on the downmix. If combined with parametric multichannel audio coders such as MPEG Surround, the proposed methods are advantageous over conventional methods in terms of perceived quality and computational complexity.

  16. Reduced surround inhibition in musicians.

    Science.gov (United States)

    Shin, Hae-Won; Kang, Suk Y; Hallett, Mark; Sohn, Young H

    2012-06-01

    To investigate whether surround inhibition (SI) in the motor system is altered in professional musicians, we performed a transcranial magnetic stimulation (TMS) study in 10 professional musicians and 15 age-matched healthy non-musicians. TMS was set to be triggered by self-initiated flexion of the index finger at different intervals ranging from 3 to 1,000 ms. Average motor evoked potential (MEP) amplitudes obtained from self-triggered TMS were normalized to average MEPs of the control TMS at rest and expressed as a percentage. Normalized MEP amplitudes of the abductor digiti minimi (ADM) muscles were compared between the musicians and non-musicians with the primary analysis being the intervals between 3 and 80 ms (during the movement). A mixed-design ANOVA revealed a significant difference in normalized ADM MEPs during the index finger flexion between groups, with less SI in the musicians. This study demonstrated that the functional operation of SI is less strong in musicians than non-musicians, perhaps due to practice of movement synergies involving both muscles. Reduced SI, however, could lead susceptible musicians to be prone to develop task-specific dystonia.

  17. Binaural Rendering in MPEG Surround

    Science.gov (United States)

    Breebaart, Jeroen; Villemoes, Lars; Kjörling, Kristofer

    2008-12-01

    This paper describes novel methods for evoking a multichannel audio experience over stereo headphones. In contrast to the conventional convolution-based approach where, for example, five input channels are filtered using ten head-related transfer functions, the current approach is based on a parametric representation of the multichannel signal, along with either a parametric representation of the head-related transfer functions or a reduced set of head-related transfer functions. An audio scene with multiple virtual sound sources is represented by a mono or a stereo downmix signal of all sound source signals, accompanied by certain statistical (spatial) properties. These statistical properties of the sound sources are either combined with statistical properties of head-related transfer functions to estimate "binaural parameters" that represent the perceptually relevant aspects of the auditory scene or used to create a limited set of combined head-related transfer functions that can be applied directly on the downmix signal. Subsequently, a binaural rendering stage reinstates the statistical properties of the sound sources by applying the estimated binaural parameters or the reduced set of combined head-related transfer functions directly on the downmix. If combined with parametric multichannel audio coders such as MPEG Surround, the proposed methods are advantageous over conventional methods in terms of perceived quality and computational complexity.

  18. Online medical books: their availability and an assessment of how health sciences libraries provide access on their public Websites.

    Science.gov (United States)

    MacCall, Steven L

    2006-01-01

    The objective of this study was to determine the number and topical range of available online medical books and to assess how health sciences libraries were providing access to these resources on their public Websites. The collection-based evaluative technique of list checking was used to assess the number and topical range of online medical books of the six largest publishers. Publisher inventory lists were downloaded over a two-day period (May 16-17, 2004). Titles were counted and compared with the 2003 Brandon/Hill list. A sample of health sciences libraries was subsequently derived by consulting the 2004 "Top Medical Schools-Research" in U.S. News & World Report. Bibliographic and bibliothecal access methods were evaluated based on an inspection of the publicly available Websites of the sample libraries. Of 318 currently published online medical books, 151 (47%) were Brandon/Hill titles covering 42 of 59 Brandon/Hill topics (71%). These 151 titles represented 22% (N = 672) of the Brandon/Hill list, which further broke down as 52 minimal core, 41 initial purchase, and 58 other recommended Brandon/Hill titles. These numbers represented 50%, 28%, and 12%, respectively, of all Brandon/Hill titles corresponding to those categories. In terms of bibliographic access, 20 of 21 of sampled libraries created catalog records for their online medical books, 1 of which also provided analytical access at the chapter level, and none provided access at the chapter section level. Of the 21 libraries, 19 had library Website search engines that provided title-level access and 4 provided access at the chapter level and none that at the chapter section level. For bibliothecal access, 19 of 21 libraries provided title-level access to medical books, 8 of which provided classified and alphabetic arrangements, 1 provided a classified arrangement only, and 10 provided an alphabetic arrangement only. No library provided a bibliothecal arrangement for medical book chapters or chapter

  19. Lack of patient risk counselling and a broader provider training affect malaria control in remote Somalia Kenya border: Qualitative assessment.

    Science.gov (United States)

    Asgary, Ramin; Grigoryan, Zoya; Naderi, Ramesh; Allan, Richard

    2012-01-01

    Effectiveness of providing health education solely via mass media and the providers' targeted training in malaria control needs further exploration. During pre-epidemic season, we conducted a qualitative study of 40 providers and community leaders using focus groups, comprehensive semi-structured interviews and consultation observations. Interviews were transcribed, coded and analysed for major themes. Community leaders believe that they can acquire malaria from contaminated water, animal products, air or garbage. Consequently, they under-utilise bed nets and other protective measures due to perceived continued exposure to other potential malaria sources. Practitioners do not provide individualised health counselling and risk assessment to patients during sick visits, leading to a range of misconceptions about malaria based on limited knowledge from rumours and mass media, and a strong belief in the curative power of traditional medicine. Providers overdiagnose malaria clinically and underutilise available tests due to time constraints, and the lack of training and resources to correctly diagnose other illnesses. Subsequently, misdiagnoses lead them to question the efficacy of recommended treatments. Promoting counselling during clinical encounters to address patient misconception and change risky behaviour is warranted. Wider-ranging ongoing training could enable providers to properly diagnose and manage differential diagnoses to manage malaria better.

  20. Cultural adaptation of a survey to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania.

    Directory of Open Access Journals (Sweden)

    Shane D Morrison

    Full Text Available Though the HIV/AIDS epidemic in Southeastern Europe is one of low reported prevalence, numerous studies have described the pervasiveness of medical providers' lack of knowledge of HIV/AIDS in the Balkans. This study sought to culturally adapt an instrument to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania. Cultural adaptation was completed through development of a survey from previously validated instruments, translation of the survey into Albanian, blinded back translation, expert committee review of the draft instrument, focus group pre-testing with community- and University Hospital Center of Tirana-based physicians and nurses, and test-retest reliability testing. Blinded back translation of the instrument supported the initial translation with slight changes to the idiomatic and conceptual equivalences. Focus group pre-testing generally supported the instrument, yet some experiential and idiomatic changes were implemented. Based on unweighted kappa and/or prevalence adjusted bias adjusted kappa (PABAK, 20 of the 43 questions were deemed statistically significant at kappa and/or PABAK ≥0.5, while 12 others did not cross zero on the 95% confidence interval for kappa, indicating their probable significance. Subsequently, an instrument to assess medical providers' knowledge of and attitudes toward HIV/AIDS for an Albanian population was developed which can be expanded within Albania and potentially to other countries within the Balkans, which have an Albanian-speaking population.

  1. Testosterone replacement therapy and the internet: an assessment of providers' health-related web site information content.

    Science.gov (United States)

    Oberlin, Daniel T; Masson, Puneet; Brannigan, Robert E

    2015-04-01

    To compare how providers of testosterone replacement therapy (TRT) in large metropolitan cities promote androgen replacement on their patient-oriented Web sites. TRT provider Web sites were identified using Google search and the terms "Testosterone replacement" and the name of the 5 most populous US cities. These Web sites were assessed for (1) type or specialty of medical provider, (2) discussion of the benefits and risks of TRT, and (3) industry affiliations. In total, 75 Web sites were evaluated. Twenty-seven of the 75 clinics (36%) were directed by nonphysicians, 35 (47%) were overseen by nonurology or nonendocrine physicians, and only 13 (17%) were specialist managed. Fourteen of 75 (18.6%) Web sites disclosed industry relationships. Ninety-five percent of Web sites promoted the benefits of TRT including improved sex drive, cognitive improvement, increased muscle strength, and/or improved energy. Only 20 of 75 Web sites (26.6%) described any side effect of TRT. Web sites directed by specialists were twice as likely to discuss risks of TRT compared with nonspecialist providers (41% vs 20%; odds ratio = 2.77; P <.01). Nine of 75 (12%) of all Web sites actually refuted that TRT was associated with significant side effects. Urologists and endocrinologists are in the minority of providers promoting TRT on the Internet. Specialists are more likely to discuss risks associated with TRT although the majority of surveyed Web sites that promote TRT do not mention treatment risks. There is substantial variability in quality and quantity of information on provider Web sites, which may contribute to misinformation regarding this prevalent health issue. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Key findings: a qualitative assessment of provider and patient perceptions of HIV/AIDS in South Africa.

    Science.gov (United States)

    Ransom, James; Johnson, Anton F

    2009-01-01

    In 1997, at the Davos International Economic Forum, Nelson Mandela stated that "the poor, the vulnerable, the unschooled, the socially marginalized, the women, and the children, those who bear the burden of colonial legacy-these are the sectors of society which bear the burden of AIDS" (Richter, 2001). Nearly a decade later, that statement still holds true, especially in Mr. Mandela's home country. South Africa continues to have one of the world's highest prevalence ratios of HIV infection (UNAIDS, 2002). This paper explores the significance of perceptions, knowledge, practices, and attitudes toward HIV/AIDS in two important groups in South Africa: health care providers based in public health clinics and their patients. This paper will assess the provider-patient interaction from the perspective of members of the South African HIV/AIDS treatment and prevention community. The analysis will examine the results of in-depth interviews and focus group discussions with providers and patients, respectively, in two of South Africa's nine provinces. Between December 2002 and April 2003 in Guateng and KwaZulu-Natal provinces, we conducted (1) in-depth interviews of a spectrum of health care providers at five local public health clinics and (2) focus groups of patients who patronize those clinics. The results show that there are gaps in the HIV/AIDS knowledge of some of the health care providers and that the participants' health beliefs and practices are embedded in the social conditions in which they live and work, which has a ripple effect on their risk behaviors and trumps any intervention messages from their health care providers and larger public health intervention messages.

  3. Effect of a Neonatal Resuscitation Course on Healthcare Providers' Performances Assessed by Video Recording in a Low-Resource Setting.

    Directory of Open Access Journals (Sweden)

    Daniele Trevisanuto

    Full Text Available We assessed the effect of an adapted neonatal resuscitation program (NRP course on healthcare providers' performances in a low-resource setting through the use of video recording.A video recorder, mounted to the radiant warmers in the delivery rooms at Beira Central Hospital, Mozambique, was used to record all resuscitations. One-hundred resuscitations (50 before and 50 after participation in an adapted NRP course were collected and assessed based on a previously published score.All 100 neonates received initial steps; from these, 77 and 32 needed bag-mask ventilation (BMV and chest compressions (CC, respectively. There was a significant improvement in resuscitation scores in all levels of resuscitation from before to after the course: for "initial steps", the score increased from 33% (IQR 28-39 to 44% (IQR 39-56, p<0.0001; for BMV, from 20% (20-40 to 40% (40-60, p = 0.001; and for CC, from 0% (0-10 to 20% (0-50, p = 0.01. Times of resuscitative interventions after the course were improved in comparison to those obtained before the course, but remained non-compliant with the recommended algorithm.Although resuscitations remained below the recommended standards in terms of quality and time of execution, clinical practice of healthcare providers improved after participation in an adapted NRP course. Video recording was well-accepted by the staff, useful for objective assessment of performance during resuscitation, and can be used as an educational tool in a low-resource setting.

  4. A qualitative assessment of factors influencing acceptance of a new rotavirus vaccine among health care providers and consumers

    Directory of Open Access Journals (Sweden)

    Herring Mark

    2007-10-01

    Full Text Available Abstract Background In 2006, a new rotavirus vaccine (RotaTeq was licensed in the US and recommended for routine immunization of all US infants. Because a previously licensed vaccine (Rotashield was withdrawn from the US for safety concerns, identifying barriers to uptake of RotaTeq will help develop strategies to broaden vaccine coverage. Methods We explored beliefs and attitudes of parents (n = 57 and providers (n = 10 towards rotavirus disease and vaccines through a qualitative assessment using focus groups and in-depth interviews. Results All physicians were familiar with safety concerns about rotavirus vaccines, but felt reassured by RotaTeq's safety profile. When asked about likelihood of using RotaTeq on a scale of one to seven (1 = "absolutely not;" 7 = "absolutely yes" the mean score was 5 (range = 3–6. Physicians expressed a high likelihood of adopting RotaTeq, particularly if recommended by their professional organizations and expressed specific interest in post-marketing safety data. Similarly, consumers found the RotaTeq safety profile to be favorable and would rely on their physician's recommendation for vaccination. However, when asked to rank likelihood of having their child vaccinated against rotavirus (1 = "definitely not get;" 7 = "definitely get", 29% ranked 1 or 2, 36% 3 or 4, and 35% 5 to 7. Conclusion Our qualitative assessment provides complementary data to recent quantitative surveys and suggests that physicians and parents are likely to adopt the newly licensed rotavirus vaccine. Increasing parental awareness of the rotavirus disease burden and providing physicians with timely post-marketing surveillance data will be integral to a successful vaccination program.

  5. Tailored stakeholder products help provide a vulnerability and adaptation assessment of Greek forests due to climate change

    Science.gov (United States)

    Giannakopoulos, Christos; Karali, Anna; Roussos, Anargyros

    2014-05-01

    Greece, being part of the eastern Mediterranean basin, is an area particularly vulnerable to climate change and associated forest fire risk. The aim of this study is to assess the vulnerability of Greek forests to fire risk occurrence and identify potential adaptation options within the context of climate change through continuous interaction with local stakeholders. To address their needs, the following tools for the provision of climate information services were developed: 1. An application providing fire risk forecasts for the following 3 days (http://cirrus.meteo.noa.gr/forecast/bolam/index.htm) was developed from NOA to address the needs of short term fire planners. 2. A web-based application providing long term fire risk and other fire related indices changes due to climate change (time horizon up to 2050 and 2100) was developed in collaboration with the WWF Greece office to address the needs of long term fire policy makers (http://www.oikoskopio.gr/map/). 3. An educational tool was built in order to complement the two web-based tools and to further expand knowledge in fire risk modeling to address the needs for in-depth training. In particular, the second product provided the necessary information to assess the exposure to forest fires. To this aim, maps depicting the days with elevated fire risk (FWI>30) both for the control (1961-1990) and the near future period (2021-2050) were created by the web-application. FWI is a daily index that provides numerical ratings of relative fire potential based solely on weather observations. The meteorological inputs to the FWI System are daily noon values of temperature, air relative humidity, 10m wind speed and precipitation during the previous 24 hours. It was found that eastern lowlands are more exposed to fire risk followed by eastern high elevation areas, for both the control and near future period. The next step towards vulnerability assessment was to address sensitivity, ie the human-environmental conditions that

  6. An exploratory qualitative assessment of factors influencing childhood vaccine providers' intention to recommend immunization in the Netherlands

    Directory of Open Access Journals (Sweden)

    Mollema Liesbeth

    2012-02-01

    Full Text Available Abstract Background Under the Dutch national immunization program (NIP, childhood vaccination is not mandatory, but its recommendation by childhood vaccine providers (CVP is important for maintaining high vaccination coverage. We therefore examined factors related to providers' intentions to recommend vaccinations to parents of young children. Methods We conducted four focus group discussions with nurses and physicians who provide vaccines to children 0-4 years old in diverse regions of the Netherlands. Three groups represented CVPs at child welfare centers (CWCs serving the general population, with the fourth representing anthroposophical CWCs. Elements of the Theory of Planned Behaviour (TPB were used to design the groups; thematic analysis was used to structure and analyze the dataset. Results Four main themes emerged, including 1 perceived responsibility: to promote vaccines and discuss pros and cons with parents (although this was usually not done if parents readily accepted the vaccination; 2 attitudes toward the NIP: mainly positive, but doubts as to NIP plans to vaccinate against diseases with a low perceived burden; 3 organizational factors: limited time and information can hamper discussions with parents; 4 relationship with parents: crucial and based mainly on communication to establish trust. Compared to CVPs at standard CWCs, the anthroposophical CWCs spent more time communicating and were more willing to adapt the NIP to individual cases. Conclusions Our qualitative assessment provides an overview of beliefs associated with providers' intention to recommend vaccinations. They were motivated to support the NIP, but their intentions to recommend vaccinations were affected by the perceived relevance of the vaccines, practical issues like limited time and by certain types of resistant parents. These results will inform future studies to test the magnitude and relative impact of these factors.

  7. The use of a family history risk assessment tool within a community health care system: views of primary care providers.

    Science.gov (United States)

    Christianson, Carol A; Powell, Karen Potter; Hahn, Susan Estabrooks; Blanton, Susan H; Bogacik, Jessica; Henrich, Vincent C

    2012-10-01

    Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and "just-in-time" educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up.

  8. ASSESSMENT AND EVALUATION OF DRUG INFORMATION SERVICE PROVIDED BY PHARMACY PRACTICE DEPARTMENT BASED ON ENQUIRER’S PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Jeevangi V M

    2012-10-01

    Full Text Available Drug information service refers to activities carried out by pharmacists in providing any drug related information to healthcare professionals to provide better patient care. Providing drug information is a clinical pharmacy service and delivered as part of the multidisciplinary approach to patient care. Accurate information about safety of drugs is very essential for health care professionals in identifying, preventing and managing Adverse Drug Reactions (ADRs, thereby ensuring safe use of medications. The aim of the study was to assess and evaluate the drug information service from enquirer’s perspective. The data was collected from drug information centre through drug information request forms and feedback questionnaires form. A nine months hospital based prospective study was carried out at Basaveshwar Teaching and General Hospital (BTGH, Gulbarga. A total number of 122 queries were received during the study period. Most of the queries were received from general medicine department 82(67.21% and least were from general surgery 2(1.64%. Most of the queries were for update of knowledge 69 (56.56% and time frame for reply was within a day 83 (68.03%, answers were given in printed format 77(63.11%. The majority of queries were regarding dose and administration of drug 49 (36.03% and most preferred resource was Micromedex 75 (52.45%. The quality of the services provided by the centre was appreciated by majority of its users. However there is a need to bring greater awareness about the service in the hospital and to encourage the healthcare professionals to utilize the services for better patient care.

  9. An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme

    Directory of Open Access Journals (Sweden)

    Sibanda Euphemia L

    2012-05-01

    Full Text Available Abstract Background Provider-initiated HIV testing and counselling (PITC is widely recommended to ensure timely treatment of HIV. The Zimbabwe Ministry of Health introduced PITC in 2007. We aimed to evaluate institutional capacity to implement PITC and investigate patient and health care worker (HCW perceptions of the PITC programme. Methods Purposive selection of health care institutions was conducted among those providing PITC. Study procedures included 1 assessment of implementation procedures and institutional capacity using a semi-structured questionnaire; 2 in-depth interviews with patients who had been offered HIV testing to explore perceptions of PITC, 3 Focus group discussions with HCW to explore views on PITC. Qualitative data was analysed according to Framework Analysis. Results Sixteen health care institutions were selected (two central, two provincial, six district hospitals; and six primary care clinics. All institutions at least offered PITC in part. The main challenges which prevented optimum implementation were shortages of staff trained in PITC, HIV rapid testing and counselling; shortages of appropriate counselling space, and, at the time of assessment, shortages of HIV test kits. Both health care workers and patients embraced PITC because they had noticed that it had saved lives through early detection and treatment of HIV. Although health care workers reported an increase in workload as a result of PITC, they felt this was offset by the reduced number of HIV-related admissions and satisfaction of working with healthier clients. Conclusion PITC has been embraced by patients and health care workers as a life-saving intervention. There is need to address shortages in material, human and structural resources to ensure optimum implementation.

  10. Obstetric care providers are able to assess psychosocial risks, identify and refer high-risk pregnant women: validation of a short assessment tool - the KINDEX Greek version.

    Science.gov (United States)

    Spyridou, Andria; Schauer, Maggie; Ruf-Leuschner, Martina

    2015-02-21

    Prenatal assessment for psychosocial risk factors and prevention and intervention is scarce and, in most cases, nonexistent in obstetrical care. In this study we aimed to evaluate if the KINDEX, a short instrument developed in Germany, is a useful tool in the hands of non-trained medical staff, in order to identify and refer women in psychosocial risk to the adequate mental health and social services. We also examined the criterion-related concurrent validity of the tool through a validation interview carried out by an expert clinical psychologist. Our final objective was to achieve the cultural adaptation of the KINDEX Greek Version and to offer a valid tool for the psychosocial risk assessment to the obstetric care providers. Two obstetricians and five midwives carried out 93 KINDEX interviews (duration 20 minutes) with pregnant women to assess psychosocial risk factors present during pregnancy. Afterwards they referred women who they identified having two or more psychosocial risk factors to the mental health attention unit of the hospital. During the validation procedure an expert clinical psychologist carried out diagnostic interviews with a randomized subsample of 50 pregnant women based on established diagnostic instruments for stress and psychopathology, like the PSS-14, ESI, PDS, HSCL-25. Significant correlations between the results obtained through the assessment using the KINDEX and the risk areas of stress, psychopathology and trauma load assessed in the validation interview demonstrate the criterion-related concurrent validity of the KINDEX. The referral accuracy of the medical staff is confirmed through comparisons between pregnant women who have and have not been referred to the mental health attention unit. Prenatal screenings for psychosocial risks like the KINDEX are feasible in public health settings in Greece. In addition, validity was confirmed in high correlations between the KINDEX results and the results of the validation interviews. The

  11. Survey of HIV care providers on management of HIV serodiscordant couples - assessment of attitudes, knowledge, and practices.

    Science.gov (United States)

    Scherer, Matthew L; Douglas, Nataki C; Churnet, Bethlehem H; Grossman, Lisa C; Kline, Melissa; Yin, Michael T; Sauer, Mark V; Olender, Susan A

    2014-01-01

    Human immunodeficiency virus (HIV) serodiscordant couples are at risk of sexual transmission of HIV between the infected and uninfected partner. We assessed New York area care providers for people living with HIV regarding attitudes, knowledge, and practice patterns toward fertility and conception in serodiscordant couples. Data were collected via a survey distributed in October 2013. Seventeen percent of respondents reported prescribing antiretroviral preexposure prophylaxis (PrEP) for a woman in a serodiscordant couple, and 38% percent of respondents reported having counseled serodiscordant couples on timed, unprotected intercourse without PrEP. Respondents who reported being "very" familiar with the data on HIV transmission in serodiscordant couples were more likely to report counseling their patients in timed, unprotected intercourse compared with those who reported less familiarity with the data (41% vs. 8%, p = 0.001). Although only 20% reported being "very" or "somewhat" familiar with the data on the safety of sperm washing with intrauterine insemination, those who did were more likely to have reported referring a patient for assisted reproductive technology (61% vs. 32%, p = 0.006). Effective patient counseling and referral for appropriate reproductive options were associated with knowledge of the literature pertaining to these options. This emphasizes the need for further provider education on reproductive options and appropriate counseling for serodiscordant couples.

  12. Evaluation of hybrid fusion 2+ approach for providing air-to-air situational awareness and threat assessment

    Science.gov (United States)

    Lee, Kangjin David; Wiesenfeld, Eric; Colony, Mike

    2006-05-01

    Modern combat aircraft pilots increasingly rely on high-level fusion models (JDL Levels 2/3) to provide real-time engagement support in hostile situations. These models provide both Situational Awareness (SA) and Threat Assessment (TA) based on data and the relationships between the data. This information represents two distinct classes of uncertainty: vagueness and ambiguity. To address the needs associated with modeling both of these types of data uncertainty, an innovative hybrid approach was recently introduced, combining probability theory and possibility theory into a unified computational framework. The goal of this research is to qualitatively and quantitatively address the advantages and disadvantages of adopting this hybrid framework as well as identifying instances in which the combined model outperforms or is more appropriate than more classical inference approaches. To accomplish this task, domain specific models will be developed using different theoretical approaches and conventions, and then evaluated in comparison to situational ground truth to determine their accuracy and fidelity. Additionally, the performance tradeoff between accuracy and complexity will be examined in terms of computational cost to determine both the advantages and disadvantages of each approach.

  13. The sensitivity of QBA assessments of sheep behavioural expression to variations in visual or verbal information provided to observers.

    Science.gov (United States)

    Fleming, P A; Wickham, S L; Stockman, C A; Verbeek, E; Matthews, L; Wemelsfelder, F

    2015-05-01

    Qualitative behavioural assessment (QBA) is based on observers' ability to capture the dynamic complexity of an animal's demeanour as it interacts with the environment, in terms such as tense, anxious or relaxed. Sensitivity to context is part of QBA's integrative capacity and discriminatory power; however, when not properly managed it can also be a source of undesirable variability and bias. This study investigated the sensitivity of QBA to variations in the visual or verbal information provided to observers, using free-choice profiling (FCP) methodology. FCP allows observers to generate their own descriptive terms for animal demeanour, against which each animal's expressions are quantified on a visual analogue scale. The resulting scores were analysed with Generalised Procrustes Analysis (GPA), generating two or more multi-variate dimensions of animal expression. Study 1 examined how 63 observers rated the same video clips of individual sheep during land transport, when these clips were interspersed with two different sets of video footage. Scores attributed to the sheep in the two viewing sessions correlated significantly (GPA dimension 1: r s =0.95, Pobservers assessing footage of 22 individual sheep in a behavioural demand facility. One group was given no contextual information regarding this facility, whereas the second group was told that animals were moving towards and away from a feeder (in view) to access feed. Scores attributed to individual sheep by the two observer groups correlated significantly (Dim1: r s =0.92, Pobserver groups and used in similar ways, other terms were unique to each group. The group given additional information about the experimental facility scored the sheep's behaviour as more 'directed' and 'focused' than observers who had not been told. Thus, in neither of the two studies did experimentally imposed variations in context alter the characterisations of animals relative to each other, but in Study 1 this did affect the mean

  14. Strategies for the quality assessment of the health care service providers in the treatment of Gastric Cancer in Colombia.

    Science.gov (United States)

    Villamil, María Del Pilar; Barrera, David; Velasco, Nubia; Bernal, Oscar; Fajardo, Esteban; Urango, Carlos; Buitrago, Sebastian

    2017-09-15

    While, at its inception in 1993, the health care system in Colombia was publicized as a paradigm to be copied across the developing world, numerous problems in its implementation have led to, what is now, an inefficient and crisis-ridden health system. Furthermore, as a result of inappropriate tools to measure the quality of the health service providers, several corruption scandals have arisen in the country. This study attempts to tackle this situation by proposing a strategy for the quality assessment of the health service providers (Entidades Promotoras de Salud, EPS) in the Colombian health system. In particular, as a case study, the quality of the treatment of stomach cancer is analyzed. The study uses two complementary techniques to address the problem. These techniques are applied based on data of the treatment of gastric cancer collected on a nation-wide scale by the Colombian Ministry of Health and Welfare. First, Data Envelopment Analysis (DEA) and the Malmquist Index (MI) are used to establish the most efficient EPS's within the system, according to indicators such as opportunity indicators. Second, sequential clustering algorithm, related to process mining a field of data mining, is used to determine the medical history of all patients and to construct typical care pathways of the patients belonging to efficient and inefficient EPS's. Lastly, efforts are made to identify traits and differences between efficient and inefficient EPS's. Efficient and inefficient EPS were identified for the years 2010 and 2011. Additionally, a Malmquist Index was used to calculate the relative changes in the efficiency of the health providers. Using these efficiency rates, the typical treatment path of patients with gastric cancer was found for two EPSs: one efficient and another inefficient. Finally, the typical traits of the care pathways were established. Combining DEA and process mining proved to be a powerful approach understanding the problem and gaining valuable

  15. Contour detection by surround suppression of texture

    NARCIS (Netherlands)

    Petkov, Nicolai; Tavares, JMRS; Jorge, RMN

    2007-01-01

    Based on a keynote lecture at Complmage 2006, Coimbra, Oct. 20-21, 2006, an overview is given of our activities in modelling and using surround inhibition for contour detection. The effect of suppression of a line or edge stimulus by similar surrounding stimuli is known from visual perception studie

  16. Assessing capacity and disease burden in a virtual network of New York City primary care providers following Hurricane Sandy.

    Science.gov (United States)

    Sebek, Kimberly; Jacobson, Laura; Wang, Jason; Newton-Dame, Remle; Singer, Jesse

    2014-08-01

    Urban contexts introduce unique challenges that must be addressed to ensure that areas of high population density can function when disasters occur. The ability to generate useful data to guide decision-making is critical in this context. Widespread adoption of electronic health record (EHR) systems in recent years has created electronic data sources and networks that may play an important role in public health surveillance efforts, including in post-disaster situations. The Primary Care Information Project (PCIP) at the New York City Department of Health and Mental Hygiene has partnered with local clinicians to establish an electronic data system, and this network provides infrastructure to support primary care surveillance activities in New York City. After Hurricane Sandy, PCIP generated several sets of data to contribute to the city's efforts to assess the impact of the storm, including daily connectivity data to establish practice operations, data to examine patterns of primary care utilization in severely affected and less affected areas, and data on the frequency of respiratory infection diagnosis in the primary care setting. Daily patient visit data from three heavily affected neighborhoods showed the health department where primary care capacity was most affected in the weeks following Sandy. Overall transmission data showed that practices in less affected areas were quicker to return to normal reporting patterns, while those in more affected areas did not resume normal data transmissions for a few months. Rates of bronchitis increased after Sandy compared to the two prior years; while this was most likely attributable to a more severe flu season, it demonstrates the capacity of primary care networks to pick up on these types of post-emergency trends. Hurricane Sandy was the first disaster situation where PCIP was asked to assess public health impact, generating information that could contribute to aid and recovery efforts. This experience allowed us to

  17. Ventricular kinetic energy may provide a novel noninvasive way to assess ventricular performance in patients with repaired tetralogy of Fallot.

    Science.gov (United States)

    Jeong, Daniel; Anagnostopoulos, Petros V; Roldan-Alzate, Alejandro; Srinivasan, Shardha; Schiebler, Mark L; Wieben, Oliver; François, Christopher J

    2015-05-01

    Ventricular kinetic energy measurements may provide a novel imaging biomarker of declining ventricular efficiency in patients with repaired tetralogy of Fallot. Our purpose was to assess differences in ventricular kinetic energy with 4-dimensional flow magnetic resonance imaging between patients with repaired tetralogy of Fallot and healthy volunteers. Cardiac magnetic resonance, including 4-dimensional flow magnetic resonance imaging, was performed at rest in 10 subjects with repaired tetralogy of Fallot and 9 healthy volunteers using clinical 1.5T and 3T magnetic resonance imaging scanners. Right and left ventricular kinetic energy (KERV and KELV), main pulmonary artery flow (QMPA), and aortic flow (QAO) were quantified using 4-dimensional flow magnetic resonance imaging data. Right and left ventricular size and function were measured using standard cardiac magnetic resonance techniques. Differences in peak systolic KERV and KELV in addition to the QMPA/KERV and QAO/KELV ratios between groups were assessed. Kinetic energy indices were compared with conventional cardiac magnetic resonance parameters. Peak systolic KERV and KELV were higher in patients with repaired tetralogy of Fallot (6.06 ± 2.27 mJ and 3.55 ± 2.12 mJ, respectively) than in healthy volunteers (5.47 ± 2.52 mJ and 2.48 ± 0.75 mJ, respectively), but were not statistically significant (P = .65 and P = .47, respectively). The QMPA/KERV and QAO/KELV ratios were lower in patients with repaired tetralogy of Fallot (7.53 ± 5.37 mL/[cycle mJ] and 9.65 ± 6.61 mL/[cycle mJ], respectively) than in healthy volunteers (19.33 ± 18.52 mL/[cycle mJ] and 35.98 ± 7.66 mL/[cycle mJ], respectively; P kinetic energy is necessary to generate flow in the pulmonary and aortic circulations in repaired tetralogy of Fallot. Quantification of ventricular kinetic energy in patients with repaired tetralogy of Fallot is a new observation. Future studies are needed to determine whether changes in ventricular kinetic

  18. Dynamic time warping assessment of high-resolution melt curves provides a robust metric for fungal identification

    Science.gov (United States)

    Phatak, Sayali S.; Li, Dongmei; Luka, Janos; Calderone, Richard A.

    2017-01-01

    Fungal infections are a global problem imposing considerable disease burden. One of the unmet needs in addressing these infections is rapid, sensitive diagnostics. A promising molecular diagnostic approach is high-resolution melt analysis (HRM). However, there has been little effort in leveraging HRM data for automated, objective identification of fungal species. The purpose of these studies was to assess the utility of distance methods developed for comparison of time series data to classify HRM curves as a means of fungal species identification. Dynamic time warping (DTW), first introduced in the context of speech recognition to identify temporal distortion of similar sounds, is an elastic distance measure that has been successfully applied to a wide range of time series data. Comparison of HRM curves of the rDNA internal transcribed spacer (ITS) region from 51 strains of 18 fungal species using DTW distances allowed accurate classification and clustering of all 51 strains. The utility of DTW distances for species identification was demonstrated by matching HRM curves from 243 previously identified clinical isolates against a database of curves from standard reference strains. The results revealed a number of prior misclassifications, discriminated species that are not resolved by routine phenotypic tests, and accurately identified all 243 test strains. In addition to DTW, several other distance functions, Edit Distance on Real sequence (EDR) and Shape-based Distance (SBD), showed promise. It is concluded that DTW-based distances provide a useful metric for the automated identification of fungi based on HRM curves of the ITS region and that this provides the foundation for a robust and automatable method applicable to the clinical setting. PMID:28264030

  19. Statement on a refined dietary exposure assessment of erythritol (E 968 taking into account additional data provided

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Food Additives and Nutrient Sources added to Food (ANS

    2013-03-01

    Full Text Available Following a request by the European Commission, the Scientific Panel on Food Additives and Nutrient Sources added to Foods (ANS carried out an assessment of the dietary exposure to erythritol and concluded on the safety of the proposed use in beverages at a maximum use level of 2.5 %, taking into account additional exposure data provided to the Panel. Anticipated exposure to erythritol from its use as food additive including soft-drinks containing a mean concentration of 2.5 % erythritol would be in the range of 0.004-0.04 g/kg bw/day for toddlers, 0-0.05 g/kg bw/day for children, 0-0.08 g/kg bw/day for adolescents, 0-0.14 g/kg bw/day for adults, and 0-0.01 g/kg bw/day for the elderly. At high level, exposure estimates would be in the range of 0.29-0.48 g/kg bw/day (toddlers, 0.13-0.76 g/kg bw/day (children, 0.04-0.50 g/kg bw/day (adolescents, 0.05-0.43 g/kg bw/day (adults, and 0.01-0.25 g/kg bw/day (the elderly. The main categories contributing to the exposure to erythritol were table-top sweeteners and soft drinks for all age groups except toddlers where soft drinks were the only main contributor. The Panel concluded that based on the new data provided on use levels of erythritol in foods and on the basis of the extension of the authorisation for the use of erythritol to soft drinks at a use level of 2.5 % the Margin of Safety of 1.54 is too low to protect children adequately.

  20. A new model for providing cell-free DNA and risk assessment for chromosome abnormalities in a public hospital setting.

    Science.gov (United States)

    Wallerstein, Robert; Jelks, Andrea; Garabedian, Matthew J

    2014-01-01

    Cell-free DNA (cfDNA) offers highly accurate noninvasive screening for Down syndrome. Incorporating it into routine care is complicated. We present our experience implementing a novel program for cfDNA screening, emphasizing patient education, genetic counseling, and resource management. Beginning in January 2013, we initiated a new patient care model in which high-risk patients for aneuploidy received genetic counseling at 12 weeks of gestation. Patients were presented with four pathways for aneuploidy risk assessment and diagnosis: (1) cfDNA; (2) integrated screening; (3) direct-to-invasive testing (chorionic villus sampling or amniocentesis); or (4) no first trimester diagnostic testing/screening. Patients underwent follow-up genetic counseling and detailed ultrasound at 18-20 weeks to review first trimester testing and finalize decision for amniocentesis. Counseling and second trimester detailed ultrasound were provided to 163 women. Most selected cfDNA screening (69%) over integrated screening (0.6%), direct-to-invasive testing (14.1%), or no screening (16.6%). Amniocentesis rates decreased following implementation of cfDNA screening (19.0% versus 13.0%, P < 0.05). When counseled about screening options, women often chose cfDNA over integrated screening. This program is a model for patient-directed, efficient delivery of a newly available high-level technology in a public health setting. Genetic counseling is an integral part of patient education and determination of plan of care.

  1. Ecosystem Services Provided by Agroecosystems: A Qualitative and Quantitative Assessment of this Relationship in the Pampa Region, Argentina

    Science.gov (United States)

    Rositano, Florencia; Ferraro, Diego Omar

    2014-03-01

    The development of an analytical framework relating agricultural conditions and ecosystem services (ES) provision could be very useful for developing land-use systems which sustain natural resources for future use. According to this, a conceptual network was developed, based on literature review and expert knowledge, about the functional relationships between agricultural management and ES provision in the Pampa region (Argentina). We selected eight ES to develop this conceptual network: (1) carbon (C) balance, (2) nitrogen (N) balance, (3) groundwater contamination control, (4) soil water balance, (5) soil structural maintenance, (6) N2O emission control, (7) regulation of biotic adversities, and (8) biodiversity maintenance. This conceptual network revealed a high degree of interdependence among ES provided by Pampean agroecosystems, finding two trade-offs, and two synergies among them. Then, we analyzed the conceptual network structure, and found that both environmental and management variables influenced ES provision. Finally, we selected four ES to parameterize and quantify along 10 growing seasons (2000/2001-2009/2010) through a probabilistic methodology called Bayesian Networks. Only N balance was negatively impacted by agricultural management; while C balance, groundwater contamination control, and N2O emission control were not. Outcomes of our work emphasize the idea that qualitative and quantitative methodologies should be implemented together to assess ES provision in Pampean agroecosystems, as well as in other agricultural systems.

  2. A new method of providing pulsatile flow in a centrifugal pump: assessment of pulsatility using a mock circulatory system.

    Science.gov (United States)

    Herreros, Jesús; Berjano, Enrique J; Sales-Nebot, Laura; Más, Pedro; Calvo, Irene; Mastrobuoni, Stefano; Mercé, Salvador

    2008-06-01

    Previous studies have demonstrated the potential advantages of pulsatile flow as compared with continuous flow. However, to date, physiologic pumps have been technically complex and their application has therefore remained in the experimental field. We have developed a new type of centrifugal pump, which can provide pulsatile as well as continuous flow. The inner wall of a centrifugal pump is pulsed by means of a flexible membrane, which can be accurately controlled by means of either a hydraulic or pneumatic driver. The aim of this study was to assess the hydraulic behavior of the new pump in terms of surplus hemodynamic energy (SHE). We conducted experiments using a mock circulatory system including a membrane oxygenator. No differences were found in the pressure-flow characteristics between the new pump and a conventional centrifugal pump, suggesting that the inclusion of the flexible membrane does not alter hydraulic performance. The value of SHE rose when systolic volume was increased. However, SHE dropped when the percentage of ejection time was reduced and also when the continuous flow (programmed by the centrifugal console) increased. Mean flow matched well with the continuous flow set by the centrifugal console, that is, the pulsatile component of the flow was exclusively controlled by the pulsatile console, and was therefore independent of the continuous flow programmed by the centrifugal console. The pulsatility of the new pump was approximately 25% of that created with a truly pulsatile pump.

  3. A New Model for Providing Cell-Free DNA and Risk Assessment for Chromosome Abnormalities in a Public Hospital Setting

    Directory of Open Access Journals (Sweden)

    Robert Wallerstein

    2014-01-01

    Full Text Available Objective. Cell-free DNA (cfDNA offers highly accurate noninvasive screening for Down syndrome. Incorporating it into routine care is complicated. We present our experience implementing a novel program for cfDNA screening, emphasizing patient education, genetic counseling, and resource management. Study Design. Beginning in January 2013, we initiated a new patient care model in which high-risk patients for aneuploidy received genetic counseling at 12 weeks of gestation. Patients were presented with four pathways for aneuploidy risk assessment and diagnosis: (1 cfDNA; (2 integrated screening; (3 direct-to-invasive testing (chorionic villus sampling or amniocentesis; or (4 no first trimester diagnostic testing/screening. Patients underwent follow-up genetic counseling and detailed ultrasound at 18–20 weeks to review first trimester testing and finalize decision for amniocentesis. Results. Counseling and second trimester detailed ultrasound were provided to 163 women. Most selected cfDNA screening (69% over integrated screening (0.6%, direct-to-invasive testing (14.1%, or no screening (16.6%. Amniocentesis rates decreased following implementation of cfDNA screening (19.0% versus 13.0%, P<0.05. Conclusion. When counseled about screening options, women often chose cfDNA over integrated screening. This program is a model for patient-directed, efficient delivery of a newly available high-level technology in a public health setting. Genetic counseling is an integral part of patient education and determination of plan of care.

  4. Assessment of knowledge and practices on injection safety among service providers in east Godavari district of Andhra Pradesh

    Directory of Open Access Journals (Sweden)

    Sridevi Garapati

    2014-09-01

    Full Text Available Objectives: To assess the Knowledge and Practices among service providers regarding injection safety and its safe disposal in East Godavari District of Andhra Pradesh. Materials and Methods: Cross-Sectional study conducted in one year from March 2010 to February 2011 among health care providers at all levels that is Primary, Secondary and Tertiary levels of public sector selected randomly in the five revenue divisions of East Godavari District with sample size based on 4PQ/L2 formula found to be 300; Representing 30% doctors (90, 30% staff nurses (90, 30% MPHW (F (90 and 10% Lab-Technicians(30 and data is obtained by semi- structured questionnaire; Analyzed by using SPSS software version16.0.at p<0.05 significance level. Results: In the present study knowledge of various service providers was enquired into and practices were also observed in various aspects of injection safety. Knowledge on washing hands before giving injection was 45.6% but when it comes to practice it was observed only among 18.2%; Similarly knowledge on use of hub-cutter after giving injection was found to be 33.9% but when practice of using hub-cutter was observed, it was only 20.5%; Knowledge on safe disposal of used syringes was 53.8% but the practice was found to be poor (21.7%. Similarly Knowledge on use of color coded bags according to guidelines was 65.8% but when practice was observed it is poor (20.6%. All these differences were statistically significant with p<0.05.  Conclusion: In the present study Patient preference is the main indication for injection; Knowledge of universal precautions, use of needle destroyer after giving injection and correct method for final disposal of sharps was less; whereas Knowledge of complications of unsafe injections, diseases transmitted through needle stick injuries, importance of hepatitis B immunization and Post Exposure Prophylaxis was good. Unsafe practices like not washing hands, not wearing gloves, not cleaning the site of

  5. Adiponectin provides additional information to conventional cardiovascular risk factors for assessing the risk of atherosclerosis in both genders.

    Directory of Open Access Journals (Sweden)

    Jin-Ha Yoon

    Full Text Available BACKGROUND: This study evaluated the relation between adiponectin and atherosclerosis in both genders, and investigated whether adiponectin provides useful additional information for assessing the risk of atherosclerosis. METHODS: We measured serum adiponectin levels and other cardiovascular risk factors in 1033 subjects (454 men, 579 women from the Korean Genomic Rural Cohort study. Carotid intima-media-thickness (CIMT was used as measure of atherosclerosis. Odds ratios (ORs with 95% confidence intervals (95% CI were calculated using multiple logistic regression, and receiver operating characteristic curves (ROC, the category-free net reclassification improvement (NRI and integrated discrimination improvement (IDI were calculated. RESULTS: After adjustment for conventional cardiovascular risk factors, such as age, waist circumference, smoking history, low-density and high-density lipoprotein cholesterol, triglycerides, systolic blood pressure and insulin resistance, the ORs (95%CI of the third tertile adiponectin group were 0.42 (0.25-0.72 in men and 0.47 (0.29-0.75 in women. The area under the curve (AUC on the ROC analysis increased significantly by 0.025 in men and 0.022 in women when adiponectin was added to the logistic model of conventional cardiovascular risk factors (AUC in men: 0.655 to 0.680, p = 0.038; AUC in women: 0.654 to 0.676, p = 0.041. The NRI was 0.32 (95%CI: 0.13-0.50, p<0.001, and the IDI was 0.03 (95%CI: 0.01-0.04, p<0.001 for men. For women, the category-free NRI was 0.18 (95%CI: 0.02-0.34, p = 0.031 and the IDI was 0.003 (95%CI: -0.002-0.008, p = 0.189. CONCLUSION: Adiponectin and atherosclerosis were significantly related in both genders, and these relationships were independent of conventional cardiovascular risk factors. Furthermore, adiponectin provided additional information to conventional cardiovascular risk factors regarding the risk of atherosclerosis.

  6. Blood lead levels, δ-ALAD inhibition, and hemoglobin content in blood of giant toad (Rhinella marina) to assess lead exposure in three areas surrounding an industrial complex in Coatzacoalcos, Veracruz, Mexico.

    Science.gov (United States)

    Ilizaliturri-Hernández, César Arturo; González-Mille, Donaji Josefina; Mejía-Saavedra, Jesús; Espinosa-Reyes, Guillermo; Torres-Dosal, Arturo; Pérez-Maldonado, Iván

    2013-02-01

    The Coatzacoalcos Region in Veracruz, Mexico houses one of the most important industrial complexes in Mexico and Latin America. Lead is an ubiquitous environmental pollutant which represents a great risk to human health and ecosystems. Amphibian populations have been recognized as biomonitors of changes in environmental conditions. The purpose of this research is to measure exposure to lead and evaluate hematological and biochemical effects in specimens of giant toads (Rhinella marina) taken from three areas surrounding an industrial complex in the Coatzacoalcos River downstream. Lead levels in toads' blood are between 10.8 and 70.6 μg/dL and are significantly higher in industrial sites. We have found a significant decrease in the delta-aminolevulinic acid dehydratase (δ-ALAD) activity in blood from 35.3 to 78 % for the urban-industrial and industrial sites, respectively. In addition, we have identified a strong inverse relationship between the δ-ALAD activity and the blood lead levels (r = -0.84, p < 0.001). Hemoglobin and mean corpuscular hemoglobin levels, as well as the condition factor, are found to be lower at industrial sites compared with the reference sites. Our results suggest that the R. marina can be considered a good biomonitor of the δ-ALAD activity inhibition and hematological alterations at low lead concentrations.

  7. Agroforestry practice in villages surrounding Nyamure former ...

    African Journals Online (AJOL)

    cntaganda

    Key words: Agroforestry, fuel wood, tree products, woodlot, forest plantation. INTRODUCTION ... The study area included three administrative cells in the surroundings of Nyamure ..... Table 6: Distance and time spent on firewood collection.

  8. Explaining preferences for home surroundings and locations

    Directory of Open Access Journals (Sweden)

    Hans Skifter Andersen

    2011-01-01

    Full Text Available This article is based on a survey carried out in Denmark that asked a random sample of the population about their preferences for home surroundings and locations. It shows that the characteristics of social surroundings are very important and can be divided into three independent dimensions: avoiding social nuisances, preferring social homogeneity and living close to one’s social network and place of origin. The study shows that most people have many detailed preferences, whereas some have very few. This confirms an earlier theory that some people are very connected to certain places with given characteristics and thus do not have priorities regarding home surroundings and locations. For others, mostly young people and singles, home is just a place to sleep and relax, whereas life is lived elsewhere. For this group, there are only preferences for location and there are few specific preferences for surroundings.

  9. Wells provide a distorted view of life in the aquifer: implications for sampling, monitoring and assessment of groundwater ecosystems

    Science.gov (United States)

    Korbel, Kathryn; Chariton, Anthony; Stephenson, Sarah; Greenfield, Paul; Hose, Grant C.

    2017-01-01

    When compared to surface ecosystems, groundwater sampling has unique constraints, including limited access to ecosystems through wells. In order to monitor groundwater, a detailed understanding of groundwater biota and what biological sampling of wells truly reflects, is paramount. This study aims to address this uncertainty, comparing the composition of biota in groundwater wells prior to and after purging, with samples collected prior to purging reflecting a potentially artificial environment and samples collected after purging representing the surrounding aquifer. This study uses DNA community profiling (metabarcoding) of 16S rDNA and 18S rDNA, combined with traditional stygofauna sampling methods, to characterise groundwater biota from four catchments within eastern Australia. Aquifer waters were dominated by Archaea and bacteria (e.g. Nitrosopumilales) that are often associated with nitrification processes, and contained a greater proportion of bacteria (e.g. Anaerolineales) associated with fermenting processes compared to well waters. In contrast, unpurged wells contained greater proportions of pathogenic bacteria and bacteria often associated with denitrification processes. In terms of eukaryotes, the abundances of copepods, syncarids and oligochaetes and total abundances of stygofauna were greater in wells than aquifers. These findings highlight the need to consider sampling requirements when completing groundwater ecology surveys. PMID:28102290

  10. Surround-Masking Affects Visual Estimation Ability

    Science.gov (United States)

    Jastrzebski, Nicola R.; Hugrass, Laila E.; Crewther, Sheila G.; Crewther, David P.

    2017-01-01

    Visual estimation of numerosity involves the discrimination of magnitude between two distributions or perceptual sets that vary in number of elements. How performance on such estimation depends on peripheral sensory stimulation is unclear, even in typically developing adults. Here, we varied the central and surround contrast of stimuli that comprised a visual estimation task in order to determine whether mechanisms involved with the removal of unessential visual input functionally contributes toward number acuity. The visual estimation judgments of typically developed adults were significantly impaired for high but not low contrast surround stimulus conditions. The center and surround contrasts of the stimuli also differentially affected the accuracy of numerosity estimation depending on whether fewer or more dots were presented. Remarkably, observers demonstrated the highest mean percentage accuracy across stimulus conditions in the discrimination of more elements when the surround contrast was low and the background luminance of the central region containing the elements was dark (black center). Conversely, accuracy was severely impaired during the discrimination of fewer elements when the surround contrast was high and the background luminance of the central region was mid level (gray center). These findings suggest that estimation ability is functionally related to the quality of low-order filtration of unessential visual information. These surround masking results may help understanding of the poor visual estimation ability commonly observed in developmental dyscalculia.

  11. Speciation analysis and pollution risk assessment of heavy metals in the soils surrounding mine area%矿区周边土壤中重金属形态分析及污染风险评价

    Institute of Scientific and Technical Information of China (English)

    龙海洋; 王维生; 韦月越; 应成璋; 黄雪芬; 蒙敏

    2016-01-01

    为了解某矿区周边土壤的重金属污染状况及污染程度,以广西河池市某矿区周边6处矿山和农田土壤为研究对象,采用湿法消解和BCR连续提取法研究了土壤中重金属( Cd、Zn、Pb和Cu)的总量及形态分布,并用次生相与原生相比值法( RSP)评价了土壤中重金属潜在的生态风险。结果表明,样品中重金属呈现一定的富集效应,总量超过当地土壤背景值和土壤环境质量标准值,从总量超标倍数看,其污染程度为Cd>Zn>Pb抑Cu。 BCR结果显示,离矿山较近的5个采样点的可提取态重金属均占总量的50%以上,有较强的生物有效性和毒性,最远的采样点的重金属主要存在于残渣态中(>60%),可提取态低于40%。 RSP结果显示,离矿山较近的两个采样点的重金属污染风险最高( RSP在1.62~3.20),矿山周边3个采样点有轻度或中度的的污染风险(RSP在1.11~2.16),离矿山最远的采样点几乎没有污染风险(RSP在0.42~0.67)。说明该矿区周边土壤重金属活性较大,离矿区越近,污染风险越高。%In order to understand the pollution condition and level of heavy metals in a mining area and surrounding soils, the contents and speciation distribution of heavy metals ( Cd, Zn, Pb and Cu) in six mine/farmland soils surrounding mine area in Hechi city of Guangxi province were stud-ied by the wet digestion method and BCR sequential extraction procedure . The potential ecological risk of heavy metals in the soils was evaluated by the ratio of secondary phase and primary phase ( RSP) . The results showed that the enrichment of heavy metals in the soils was observed, and the contents of heavy metals were higher than the background values of the local soils, and the values of soil environmental quality standard ( SEQS) . According to the total contents of heavy metals in the soil, the sequence of heavy metal pollution level was obtained as Cd>Zn>Pb-Cu. The results of

  12. [Competency to provide cross-cultural nursing care for people with disability: a self-assessment instrument].

    Science.gov (United States)

    Pagliuca, Lorita Marlena Freitag; Maia, Evanira Rodrigues

    2012-01-01

    This study addresses the Cross-Cultural Nursing Theory, which develops foundations for care delivery, as the essence of nursing work, based on anthropology, which supports and explains culture and care aspects. This reflexive study was based on the Theory Analysis method to study the concepts aimed at constructing a Self-Assessment Instrument of Competencies for Cross-Cultural Care to Disabled People. After analyzing the main concepts, Culturally Competent Care and Cultural Communication, were analyzed, as well as the sub-concepts: assessment, values, bio-cultural diversity, skill, knowledge, identity, code and cultural empathy. The analysis cycle of cultural values supporting self-assessment was summarized. The Self-Assessment Instrument of Competencies for Cross-Cultural Nursing Care to Disabled People was constructed, specifically deafness, blindness or low sight, physical impairment and mental impairment, regarding greeting, accepting, helping, knowing and advocating. It is concluded that the theory joins characteristics for care delivery to disabled people.

  13. Final environmental assessment : Using livestock grazing as a management tool to provide quality wildlife habitat : Silver Dollar Habitat Unit

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This final environmental assessment is for the use of livestock grazing to improve the quality of wildlife habitats within the Silver Dollar Habitat Unit on Charles...

  14. Migraine increases centre-surround suppression for drifting visual stimuli.

    Directory of Open Access Journals (Sweden)

    Josephine Battista

    Full Text Available BACKGROUND: The pathophysiology of migraine is incompletely understood, but evidence points to hyper-responsivity of cortical neurons being a key feature. The basis of hyper-responsiveness is not clear, with an excitability imbalance potentially arising from either reduced inhibition or increased excitation. In this study, we measure centre-surround contrast suppression in people with migraine as a perceptual analogue of the interplay between inhibition and excitation in cortical areas responsible for vision. We predicted that reduced inhibitory function in migraine would reduce perceptual surround suppression. Recent models of neuronal surround suppression incorporate excitatory feedback that drives surround inhibition. Consequently, an increase in excitation predicts an increase in perceptual surround suppression. METHODS AND FINDINGS: Twenty-six people with migraine and twenty approximately age- and gender-matched non-headache controls participated. The perceived contrast of a central sinusoidal grating patch (4 c/deg stationary grating, or 2 c/deg drifting at 2 deg/sec, 40% contrast was measured in the presence and absence of a 95% contrast annular grating (same orientation, spatial frequency, and drift rate. For the static grating, similar surround suppression strength was present in control and migraine groups with the presence of the surround resulting in the central patch appearing to be 72% and 65% of its true contrast for control and migraine groups respectively (t(44 = 0.81, p = 0.42. For the drifting stimulus, the migraine group showed significantly increased surround suppression (t(44 = 2.86, p<0.01, with perceived contrast being on average 53% of actual contrast for the migraine group and 68% for non-headache controls. CONCLUSIONS: In between migraines, when asymptomatic, visual surround suppression for drifting stimuli is greater in individuals with migraine than in controls. The data provides evidence for a

  15. Assessment of the Influence of Demographic and Professional Characteristics on Health Care Providers' Pain Management Decisions Using Virtual Humans.

    Science.gov (United States)

    Boissoneault, Jeff; Mundt, Jennifer M; Bartley, Emily J; Wandner, Laura D; Hirsh, Adam T; Robinson, Michael E

    2016-05-01

    Disparities in health care associated with patients' gender, race, and age are well documented. Previous studies using virtual human (VH) technology have demonstrated that provider characteristics may play an important role in pain management decisions. However, these studies have largely emphasized group differences. The aims of this study were to examine dentists' and physicians' use of VH characteristics when making clinical judgments (i.e., cue use) and to identify provider characteristics associated with the magnitude of the impact of these cues (β-weights). Providers (N=152; 76 physicians, 76 dentists) viewed video vignettes of VH patients varying in gender (male/female), race (white/black), and age (younger/older). Participants rated VH patients' pain intensity and unpleasantness and then rated their own likelihood of administering non-opioid and opioid analgesics. Compared to physicians, dentists had significantly lower β-weights associated with VH age cues for all ratings (p0.69). These effects varied by provider race and gender. For pain intensity, professional differences were present only among non-white providers. White providers had greater β-weights than non-white providers for pain unpleasantness but only among men. Provider differences regarding the use of VH age cues in non-opioid analgesic administration were present among all providers except non-white males. These findings highlight the interaction of patient and provider factors in driving clinical decision making. Although profession was related to use of VH age cues in pain-related clinical judgments, this relationship was modified by providers' personal characteristics. Additional research is needed to understand what aspects of professional training or practice may account for differences between physicians and dentists and what forms of continuing education may help to mitigate the disparities.

  16. Providing Formative Assessment to Students Solving Multipath Engineering Problems with Complex Arrangements of Interacting Parts: An Intelligent Tutor Approach

    Science.gov (United States)

    Steif, Paul S.; Fu, Luoting; Kara, Levent Burak

    2016-01-01

    Problems faced by engineering students involve multiple pathways to solution. Students rarely receive effective formative feedback on handwritten homework. This paper examines the potential for computer-based formative assessment of student solutions to multipath engineering problems. In particular, an intelligent tutor approach is adopted and…

  17. Exploring Ways to Provide Diagnostic Feedback with an ESL Placement Test: Cognitive Diagnostic Assessment of L2 Reading Ability

    Science.gov (United States)

    Kim, Ah-Young

    2015-01-01

    Previous research in cognitive diagnostic assessment (CDA) of L2 reading ability has been frequently conducted using large-scale English proficiency exams (e.g., TOEFL, MELAB). Using CDA, it is possible to analyze individual learners' strengths and weaknesses in multiple attributes (i.e., knowledge, skill, strategy) measured at the item level.…

  18. Inhibition of the dorsal premotor cortex does not repair surround inhibition in writer's cramp patients.

    Science.gov (United States)

    Veugen, Lidwien C; Hoffland, Britt S; Stegeman, Dick F; van de Warrenburg, Bart P

    2013-03-01

    Writer's cramp is a task-specific form of focal dystonia, characterized by abnormal movements and postures of the hand and arm during writing. Two consistent abnormalities in its pathophysiology are a loss of surround inhibition and overactivity of the dorsal premotor cortex (PMd). This study aimed to assess a possible link between these two phenomena by investigating whether PMd inhibition leads to an improvement of surround inhibition, in parallel with previously demonstrated writing improvement. Fifteen writer's cramp patients and ten controls performed a simple motor hand task during which surround inhibition was measured using transcranial magnetic stimulation. Motor cortical excitability was measured of the active and surround muscles at three phases of the task. Surround inhibition and writing performance were assessed before and after PMd inhibitory continuous theta burst stimulation. In contrast to healthy controls, patients did not show inhibition of the abductor digiti minimi muscle during movement initiation of the first dorsal interosseus muscle, confirming the loss of surround inhibition. PMd inhibition led to an improvement of writing speed in writer's cramp patients. However, in both groups, no changes in surround inhibition were observed. The results confirm a role for the PMd in the pathophysiology of writer's cramp. We show that PMd inhibition does not lead to restoration of the surround inhibition defect in writer's cramp, despite the improvement in writing. This questions the involvement of the PMd in the loss of surround inhibition, and perhaps also the direct link between surround inhibition and dystonia.

  19. Assessment of the structural validity of the domestic violence healthcare providers' survey questionnaire using a Nigerian sample.

    Science.gov (United States)

    John, Ime Akpan; Lawoko, Stephen

    2010-06-01

    There has been increased advocacy to involve healthcare providers in the prevention of intimate partner violence (IPV) through screening for it in healthcare. Yet, only one in ten providers screen for IPV, suggesting barriers. Understanding the readiness of healthcare providers to screen for IPV is therefore paramount. The Domestic Violence Healthcare Provider Survey Scales (DVHPSS) is a previously validated, comprehensive scale to study readiness of healthcare providers to screen for IPV. However, an understanding of its usefulness in the Sub-Saharan African context remains elusive. The current study undertook to examine the structural validity of the DVHPSS in Nigeria. Exploratory factor analysis and Cronbach's Alpha were run to reveal the factorial structure and reliability of the instrument/subscales respectively. Established thresholds were used to determine significant factor loadings and alphas coefficient. A six factor model emerged, with 2 factors similar to the original scale, another two differing slightly and a further two factors resulting from a splitting up of the original combination of victim/provider safety to having distinct victim and provider safety subscales. With slight modifications, the DVHPSS can be use to study IPV screening among Nigerian healthcare professionals. Introducing screening protocols could promote better understanding of crucial questions that were lost in the analysis. ‎

  20. Obstetric care providers assessing psychosocial risk factors during pregnancy: validation of a short screening tool - the KINDEX Spanish Version.

    Science.gov (United States)

    Spyridou, Andria; Schauer, Maggie; Ruf-Leuschner, Martina

    2014-01-01

    High levels of stress due to diverse psychosocial factors have a direct impact on the mothers' wellbeing during pregnancy and both direct and indirect effects on the fetus. In most cases, psychosocial risk factors present during pregnancy will not disappear after delivery and might influence the parent-child relationship, affecting the healthy development of the offspring in the long term. We introduce a short innovative prenatal assessment to detect psychosocial risk factors through an easy to use instrument for obstetrical medical staff in the daily clinical practice, the KINDEX Spanish Version. In the present study midwives and gynecologists interviewed one hundred nineteen pregnant women in a public health center using the KINDEX Spanish Version. Sixty-seven women were then randomly selected to participate in an extended standardized validation interview conducted by a clinical psychologist using established questionnaires to assesses current stress (ESI, PSS-14), symptoms of psychopathology (HSCL-25, PDS) and traumatic experiences (PDS, CFV). Ethical approval was granted and informed consent was required for participation in this study. The KINDEX sum score, as assessed by medical staff, correlated significantly with stress, psychopathology and trauma as measured during the clinical expert interview. The KINDEX shows strong concurrent validity. Its use by medical staff in daily clinical practice is feasible for public health contexts. Certain items in the KINDEX are related to the respective scales assessing the same risks (e.g.PSS-4 as the shorter version of the PSS-14 and items from the ESI) used in the validation interview. The KINDEX Spanish Version is a valid tool in the hands of medical staff to identify women with multiple psychosocial risk factors in public health settings. The KINDEX Spanish Version could serve as a base-instrument for the referral of at-risk women to appropriate psychosocial intervention. Such early interventions could prove pivotal

  1. Considerations for Providing Test Translation Accommodations to English Language Learners on Common Core Standards-Based Assessments. Research Report. ETS RR-14-05

    Science.gov (United States)

    Turkan, Sultan; Oliveri, Maria Elena

    2014-01-01

    In this article, we review translation, adaptation policies, and practices in providing test accommodation for English language learners (ELLs) in the United States. We collected documents and conducted interviews with officials in the 12 states that provide translation accommodations to ELLs on content assessments. We then summarized challenges…

  2. Establishing the NeuroRecovery Network: multisite rehabilitation centers that provide activity-based therapies and assessments for neurologic disorders.

    Science.gov (United States)

    Harkema, Susan J; Schmidt-Read, Mary; Behrman, Andrea L; Bratta, Amy; Sisto, Sue Ann; Edgerton, V Reggie

    2012-09-01

    The mission of the NeuroRecovery Network (NRN) is to provide support for the implementation of specialized centers at rehabilitation sites in the United States. Currently, there are 7 NRN centers that provide standardized activity-based interventions designed from scientific and clinical evidence for recovery of mobility, posture, standing, and walking and improvements in health and quality of life in individuals with spinal cord injury. Extensive outcome measures evaluating function, health, and quality of life are used to determine the efficacy of the program. NRN members consist of scientists, clinicians, and administrators who collaborate to achieve the goals and objectives of the network within an organizational structure by designing and implementing a clinical model that provides consistent interventions and evaluations and a general education and training program. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  3. Identifying food proteins with allergenic potential: evolution of approaches to safety assessment and research to provide additional tools.

    Science.gov (United States)

    Ladics, Gregory S; Selgrade, MaryJane K

    2009-08-01

    A safety assessment process exists for genetically engineered crops that includes the evaluation of the expressed protein for allergenic potential. The objectives of this evaluation are twofold: (1) to protect allergic consumers from exposure to known allergenic or cross-reactive proteins, and (2) protect the general population from risks associated with the introduction of genes encoding proteins that are likely to become food allergens. The first systematic approach to address these concerns was formulated by Metcalfe et al. [Metcalfe, D.D., Astwood, J.D., Townsend, R., Sampson, H.A., Taylor, S.L., and Fuchs, R.L. 1996. Assessment of the allergenic potential of foods from genetically engineered crop plants. Crit. Rev. Food Sci. Nutr. 36(5), 165-186.] and subsequently Food and Agriculture Organization of the United Nations/World Health Organization (FAO/WHO) [FAO/WHO, 2001. Evaluation of allergenicity of genetically modified foods. Report of a Joint FAO/WHO Expert Consultation on Allergenicity of Foods Derived from Biotechnology. January 22-25, 2001. Rome, Italy]. More recently, Codex [Codex Alimentarius Commission, 2003. Alinorm 03/34: Joint FAO/WHO Food Standard Programme, Codex Alimentarius Commission, Twenty-Fifth Session, Rome, Italy, 30 June-5 July, 2003. Appendix III, Guideline for the conduct of food safety assessment of foods derived from recombinant-DNA plants, and Appendix IV, Annex on the assessment of possible allergenicity. pp. 47-60], noting that no single factor is recognized as an identifier for protein allergenicity, suggested a weight of evidence approach be conducted that takes into account a variety of factors and approaches for an overall assessment of allergenic potential. These various recommendations are based on what is known about allergens, including the history of exposure and safety of the gene(s) source; amino acid sequence identity to human allergens; stability to pepsin digestion in vitro; protein abundance in the crop and

  4. [Strategies for development, follow-up, and assessment of care provided to women in the pregnancy-postnatal cycle].

    Science.gov (United States)

    Holanda, Cristyanne Samara Miranda de; Alchieri, João Carlos; Morais, Fátima Raquel Rosado; Maranhão, Técia Maria de Oliveira

    2015-06-01

    To describe the development of a questionnaire for assessment of prenatal, birth, and postnatal care (Inventário de Avaliação da Assistência ao Pré-natal, Parto e Puerpério, IAAPPP), which was designed taking into consideration the experience of users of a public obstetric service. This mixed methods research was performed in the city of Caicó, state of Rio Grande do Norte, Brazil. The study consisted of two phases: in phase 1, focal groups were organized with 19 users of the health care system for identification of relevant issues for assessment of the pregnancy-postnatal cycle. The first draft of the questionnaire was also designed and tested for validity with seven of the 19 focal group participants; a second draft was produced and retested. In phase 2, the intra-class correlation coefficient was calculated to determine reproducibility. A pilot test was carried out to determine the applicability of the survey and the final version of the IAAPPP was developed. Based on the focal group discussions, the inventory was organized into four domains: 1) socioeconomic information, 2) obstetric history, 3) description of current obstetric experience and 4) assessment of follow-up. Domains 3 and 4 were subdivided into prenatal care, birthcare, postnatal care, and pregnancy-postnatal cycle. The answers of the women who evaluated the instrument for domain 4 were strongly correlated (>0.8), indicating reproducibility of the IAAPPP. The methodological model allowed us to identify needs and demands of women in the pregnancy-postnatal cycle, and allowed us to design a questionnaire that can be applied to other regions with similar sociocultural characteristics.

  5. Issues surrounding health claims for barley.

    Science.gov (United States)

    Ames, Nancy P; Rhymer, Camille R

    2008-06-01

    Government-approved health claims support dietary intervention as a safe and practical approach to improving consumer health and provide industry with regulatory guidelines for food product labels. Claims already allowed in the United States, United Kingdom, Sweden, and The Netherlands for reducing cholesterol through consumption of oat or barley soluble fiber provide a basis for review, but each country may have different criteria for assessing clinical evidence for a physiological effect. For example, the FDA-approved barley health claim was based on a petition that included 39 animal model studies and 11 human clinical trials. Since then, more studies have been published, but with few exceptions, clinical data continue to demonstrate that the consumption of barley products is effective for lowering total and LDL cholesterol. More research is needed to fully understand the mechanism of cholesterol reduction and the role of beta-glucan molecular weight, viscosity, and solubility. In an assessment of the physiological efficacy of a dietary intervention, consideration should also be given to the potential impact of physical and thermal food-processing treatments and genotypic variation in the barley source. New barley cultivars have been generated specifically for food use, possessing increased beta-glucan, desirable starch composition profiles, and improved milling/processing traits. These advances in barley production, coupled with the establishment of a government-regulated health claim for barley beta-glucan, will stimulate new processing opportunities for barley foods and provide consumers with reliable, healthy food choices.

  6. Patient satisfaction as a predictor of return-to-provider behavior: analysis and assessment of financial implications.

    Science.gov (United States)

    Garman, Andrew N; Garcia, Joanne; Hargreaves, Marcia

    2004-01-01

    Although customer loyalty is frequently cited as a benefit of patient satisfaction, an empirical link between the two has not, to our knowledge, ever been statistically established in a hospital setting. The goal of the present study was to evaluate the relationship between self-reported patient satisfaction measures and subsequent return to the provider for care at a large academic medical center. Data from all adult medical patients responding to a patient satisfaction survey distributed by a large midwestern academic medical center during fiscal year 1997 (n = 1485) were analyzed. Response patterns were examined as they related to whether patients returned to the provider during the subsequent 2-year period. Analyses suggested that return-to-provider was associated with only a minority of the satisfaction items (approx. 11%). All items showing a significant relationship measured perceptions of how well physicians and nurses attended to, and provided information to, patients and their families. Although the size of these relationships was generally small, the estimated financial implications are substantial. Other implications of these findings for planning effective service improvement initiatives as well as improving patient survey design are discussed.

  7. A decade of progress providing safe abortion services in Ethiopia: results of national assessments in 2008 and 2014.

    Science.gov (United States)

    Dibaba, Yohannes; Dijkerman, Sally; Fetters, Tamara; Moore, Ann; Gebreselassie, Hailemichael; Gebrehiwot, Yirgu; Benson, Janie

    2017-03-04

    Ethiopia has one of the highest maternal mortality ratios in the world (420 per 100,000 live births in 2013), and unsafe abortion continues to be one of the major causes. To reduce deaths and disabilities from unsafe abortion, Ethiopia liberalized its abortion law in 2005 to allow safe abortion under certain conditions. This study aimed to measure how availability and utilization of safe abortion services has changed in the last decade in Ethiopia. This paper draws on results from nationally representative health facility studies conducted in Ethiopia in 2008 and 2014. The data come from three sources at two points in time: 1) interviews with 335 health providers in 2008 and 822 health care providers in 2014, 2) review of facility logbooks, and 3) prospective data on 3092 women in 2008 and 5604 women in 2014 seeking treatment for abortion complications or induced abortion over a one month period. The Safe Abortion Care Model was used as a framework of analysis. There has been a rapid expansion of health facilities eligible to provide legal abortion services in Ethiopia since 2008. Between 2008 and 2014, the number of facilities reporting basic and comprehensive signal functions for abortion care increased. In 2014, access to basic abortion care services exceeded the recommended level of available facilities providing the service, increasing from 25 to 117%, with more than half of regions meeting the recommended level. Comprehensive abortion services increased from 20% of the recommended level in 2008 to 38% in 2014. Smaller regions and city administrations achieved or exceeded the recommended level of comprehensive service facilities, yet larger regions fall short. Between 2008 and 2014, the use of appropriate technology for conducting first and second trimester abortion and the provision of post abortion family planning has increased at the same time that abortion-related obstetric complications have decreased. Ten years after the change in abortion law, service

  8. Military installation sequestered more carbon than surrounding areas

    Science.gov (United States)

    Zhao, S.; Liu, S.; Li, Z.; Sohl, T.

    2008-12-01

    Land use activities greatly affect the temporal trends and spatial patterns of regional land-atmospheric exchange of carbon. Military installations generally have drastically different land management strategies from surrounding areas, and the carbon consequences have never been quantified and assessed. Here, we used the General Ensemble Biogeochemical Modeling System (GEMS) to simulate and compare ecosystem carbon dynamics between Fort Benning and surrounding areas from 1992 to 2050. GEMS was driven by unique combinations of spatial and temporal dynamics of major driving forces, such as climate, soil properties, nitrogen deposition, and land use and land cover changes (predicted by FOREcasting SCEnarios of land cover change (FORE-SCE)). Our results indicated that the military installation sequestered more carbon than surrounding areas (0.77 vs. 0.16 Mg C ha-1 y-1 averaged from 1992 to 2007). Differences in land use activities were the primary cause behind the difference in carbon sequestration rates. From 1992 to 2007, no urban/residential expansion occurred at the installation, and transitional barren (primarily caused by forest harvesting) slightly increased from 0 to 0.2%. In contrast, urban land increased from 5.6 to 7.6% and transitional barren increased from 0.1 to 0.7% in the surrounding areas. Live biomass accumulation accounted for most of the carbon sink in both Fort Benning and surrounding areas (0.75 vs. 0.15 Mg C ha-1 y-1), while soil organic carbon accumulation was small (0.02 vs. 0.01 Mg C ha- 1 y-1), suggesting biomass removal caused by urbanization and harvesting resulted in much less carbon sequestration in surrounding areas. Fort Benning is likely to sequester more carbon in the future, although the rate of carbon sequestered per year will gradually reduce. The future carbon source/sink strength in the surrounding areas varied greatly, from a small sink to a strong source, depending on the path of land use change (e.g., increase of clear

  9. Technology assessment and resource allocation for predictive genetic testing: A study of the perspectives of Canadian genetic health care providers

    Directory of Open Access Journals (Sweden)

    Einsiedel Edna

    2009-06-01

    Full Text Available Abstract Background With a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing robust decision rules or guidelines to allocate a finite number of public resources. The objective of this study was to gain Canadian genetic health providers' perspectives on factors and criteria that influence and shape resource allocation decisions for publically funded predictive genetic testing in Canada. Methods The authors conducted semi-structured interviews with 16 senior lab directors and clinicians at publically funded Canadian predictive genetic testing facilities. Participants were drawn from British Columbia, Alberta, Manitoba, Ontario, Quebec and Nova Scotia. Given the community sampled was identified as being relatively small and challenging to access, purposive sampling coupled with snowball sampling methodologies were utilized. Results Surveyed lab directors and clinicians indicated that predictive genetic tests were funded provincially by one of two predominant funding models, but they themselves played a significant role in how these funds were allocated for specific tests and services. They also rated and identified several factors that influenced allocation decisions and patients' decisions regarding testing. Lastly, participants provided recommendations regarding changes to existing allocation models and showed support for a national evaluation process for predictive testing. Conclusion Our findings suggest that largely local and relatively ad hoc decision making processes are being made in relation to resource allocations for predictive genetic tests and that a more coordinated and, potentially, national approach to allocation decisions in this context may be appropriate.

  10. The Interstellar Cloud Surrounding the Solar System

    Science.gov (United States)

    Frisch, P. C.

    Ultraviolet spectral data of nearby stars indicate that the cloud surrounding the solar system has an average neutral density n(HI)~0.1 cm-3, temperature ~6800 K, and turbulence ~1.7 km/s. Comparisons between the anomalous cosmic ray data and ultraviolet data suggest that the electron density is in the range n(e-)~0.22 to 0.44 cm-3. This cloud is flowing past the Sun from a position centered in the Norma-Lupis region. The cloud properties are consistent with interstellar gas which originated as material evaporated from the surfaces of embedded clouds in the Scorpius-Centaurus Association, and which was then displaced towards the Sun by a supernova event about 4 Myrs ago. The Sun and surrounding cloud velocities are nearly perpendicular in space, and this cloud is sweeping past the Sun. The morphology of this cloud can be reconstructed by assuming that the cloud moves in a direction parallel to the surface normal. With this assumption, the Sun entered the surrounding cloud 2000 to 8000 years ago, and is now about 0.05 to 0.16 pc from the cloud surface. Prior to its recent entry into the surrounding cloud complex, the Sun was embedded in a region of space with average density lower than 0.0002 cm-3. If a denser cloud velocity component seen towards alpha Cen A,B is real, it will encounter the solar system within 50,000 yr. The nearby magnetic field seen upwind has a spatial orientation that is parallel to the cloud surface. The nearby star Sirius is viewed through the wake of the solar system, but this direction also samples the hypothetical cloud interface. Comparisons of anomalous cosmic ray and interstellar absorption line data suggest that trace elements in the surrounding cloud are in ionization equilibrium. Data towards nearby white dwarfs indicate partial helium ionization, N(N(HI)(/N(HeI)>~13.7, which is consistent with pickup ion data within the solar system if less than 40% hydrogen ionization occurs in the heliopause region. However, the white dwarfs may

  11. Assessment of Critical Care Provider's Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units.

    Science.gov (United States)

    Bagheri-Nesami, Masoumeh; Amiri-Abchuyeh, Maryam; Gholipour-Baradari, Afshin; Yazdani-Cherati, Jamshid; Nikkhah, Attieh

    2015-08-01

    The implementation of guidelines for the prevention of Ventilator-associated pneumonia has been shown to have a significant effect in reducing the incidence of VAP. The aim of the present study was to evaluate the implementation of the preventive strategies for VAP in ICUs of university hospitals of Sari, Iran. This cross-sectional study was carried out in 600 beds/day in the ICUs of university hospitals of Sari from April to June 2012. Sampling was done by availability technique in patients receiving mechanical ventilation in the ICU. The implementation of the preventive measures was assessed by a standard checklist with previously approved validity and reliability. The percentage of implementing each of the measures was as follows: sterile suction, 88.44%; semi-recumbent position, 76.8%; oral hygiene, 58.45%; using heat and moisture exchanges (HMEs), 58%; controlling cuff pressure, 46.8%; hand hygiene, 32.8%; using anti-coagulants, 26.8% and physiotherapy, 25.5%. Closed suction system, continuous drainage of subglottic secretions and kinetic beds were not used at all. The overall mean percentage of implementing preventive measures was low and required designing integrated guidelines by considering the conditions of the ICUs in each country, as well as educating and encouraging the staffs to use the recommended guidelines.

  12. Impacts of Artificial Reefs on Surrounding Ecosystems

    Science.gov (United States)

    Manoukian, Sarine

    Artificial reefs are becoming a popular biological and management component in shallow water environments characterized by soft seabed, representing both important marine habitats and tools to manage coastal fisheries and resources. An artificial reef in the marine environment acts as an open system with exchange of material and energy, altering the physical and biological characteristics of the surrounding area. Reef stability will depend on the balance of scour, settlement, and burial resulting from ocean conditions over time. Because of the unstable nature of sediments, they require a detailed and systematic investigation. Acoustic systems like high-frequency multibeam sonar are efficient tools in monitoring the environmental evolution around artificial reefs, whereas water turbidity can limit visual dive and ROV inspections. A high-frequency multibeam echo sounder offers the potential of detecting fine-scale distribution of reef units, providing an unprecedented level of resolution, coverage, and spatial definition. How do artificial reefs change over time in relation to the coastal processes? How accurately does multibeam technology map different typologies of artificial modules of known size and shape? How do artificial reefs affect fish school behavior? What are the limitations of multibeam technology for investigating fish school distribution as well as spatial and temporal changes? This study addresses the above questions and presents results of a new approach for artificial reef seafloor mapping over time, based upon an integrated analysis of multibeam swath bathymetry data and geoscientific information (backscatter data analysis, SCUBA observations, physical oceanographic data, and previous findings on the geology and sedimentation processes, integrated with unpublished data) from Senigallia artificial reef, northwestern Adriatic Sea (Italy) and St. Petersburg Beach Reef, west-central Florida continental shelf. A new approach for observation of fish

  13. Providing Limited Local Electric Service During a Major Grid Outage: A First Assessment Based on Customer Willingness to Pay.

    Science.gov (United States)

    Baik, Sunhee; Morgan, M Granger; Davis, Alexander L

    2017-06-29

    While they are rare, widespread blackouts of the bulk power system can result in large costs to individuals and society. If local distribution circuits remain intact, it is possible to use new technologies including smart meters, intelligent switches that can change the topology of distribution circuits, and distributed generation owned by customers and the power company, to provide limited local electric power service. Many utilities are already making investments that would make this possible. We use customers' measured willingness to pay to explore when the incremental investments needed to implement these capabilities would be justified. Under many circumstances, upgrades in advanced distribution systems could be justified for a customer charge of less than a dollar a month (plus the cost of electricity used during outages), and would be less expensive and safer than the proliferation of small portable backup generators. We also discuss issues of social equity, extreme events, and various sources of underlying uncertainty. © 2017 Society for Risk Analysis.

  14. Persistent Confusion and Controversy Surrounding Gene Patents

    Science.gov (United States)

    Guerrini, Christi J.; Majumder, Mary A.; McGuire, Amy L.

    2016-01-01

    There is persistent confusion and controversy surrounding basic issues of patent law relevant to the genomics industry. Uncertainty and conflict can lead to the adoption of inefficient practices and exposure to liability. The development of patent-specific educational resources for industry members, as well as the prompt resolution of patentability rules unsettled by recent U.S. Supreme Court decisions, are therefore urgently needed. PMID:26849516

  15. Assessment of different biomarkers provides valuable diagnostic standards in the evaluation of the risk of acute rejection

    Institute of Scientific and Technical Information of China (English)

    Jin Zheng; Li Ren; Puxun Tian; Wujun Xue; Xiaoming Ding; Xiaohui Tian; Zhankui Jin; Xiaoming Pan; Hang Yan; Xinshun Feng; Jun Hou; Heli Xiang

    2012-01-01

    Acute rejection (AR) is a strong risk factor for chronic rejection in renal transplant recipients.Accurate and timely diagnosis of AR episodes is very important for disease control and prognosis.Therefore,objectively evaluated the immune status of patients is essential in the field of posttransplantation treatment.This longitudinal study investigated the usefulness of five biomarkers,human leukocyte antigen (HLA)-G5 and sCD30 level in sera,intracellular adenosine triphosphate (iATP) release level of CD4+ T cells,and granzyme B/perforin expression in peripheral blood mononuclear cells (PBMCs) and biopsies,to detect AR and the resolution of biomarkers in a total of 84 cases of renal transplantation.The data demonstrated that recipients with clinical or biopsy proven rejection significantly increased iATP release level of CD4+ T cells,and elevated sCD30 but lowered HLA-G5 level in sera compared with individuals with stable graft function.Expression levels of granzyme B and perforin were also elevated in PBMCs and graft biopsies of AR patients.Taken together,we identified that upregulation of sCD30,iATP,granzyme B,perforin,and downregulation of HLA-G5 could provide valuable diagnostic standards to identify those recipients in the risk of AR.And iATP may be a better biomarker than others for predicting the graft rejection episode.

  16. Projection of needs for gamma radiation sources and other radioisotopes and assessment of alternatives for providing radiation sources

    Energy Technology Data Exchange (ETDEWEB)

    Ross, W.A.; Jensen, G.A.; Clark, L.L.; Eakin, D.E.; Jarrett, J.H.; Katayama, Y.B.; McKee, R.W.; Morgan, L.G.; Nealey, S.M.; Platt, A.M.; Tingey, G.L.

    1989-06-01

    Pacific Northwest Laboratory reviewed the projected uses and demands for a variety of nuclear byproducts. Because the major large-scale near-term demand is for gamma irradiation sources, this report concentrates on the needs for gamma sources and evaluates the options for providing the needed material. Projections of possible growth in the irradiation treatment industry indicate that there will be a need for 180 to 320 MCi of /sup 60/Co (including /sup 137/Cs equivalent) in service in the year 2000. The largest current and projected use of gamma irradiation is for the sterilization of medical devices and disposable medical supplies. Currently, 40% of US disposable medical products are treated by irradiation, and within 10 years it is expected that 90% will be treated in this manner. Irradiation treatment of food for destruction of pathogens or parasites, disinfestation, or extension of allowable storage periods is estimated to require an active inventory of 75 MCi of /sup 60/Co-equivalent gamma source in about a decade. 90 refs., 7 figs., 25 tabs.

  17. Use of a Tablet-Based Risk Assessment Program to Improve Health Counseling and Patient-Provider Relationships in a Federally Qualified Health Center.

    Science.gov (United States)

    Diaz, Vanessa A; Mainous, Arch G; Gavin, Jennifer K; Player, Marty S; Wright, Robert U

    2016-09-01

    This study evaluates the impact of an interactive, tablet-based lifestyle behavior questionnaire prior to a patient's primary care visit on counseling for health behaviors and patient-provider relationships. Using a quasi-experimental design at 2 federally qualified health centers, adults aged 18 to 35 years were asked to complete a tablet-based assessment about nutrition, physical activity, weight, smoking status, and alcohol use to identify unhealthy behaviors and their desire to discuss them with their provider. In the intervention group, participants were more likely to trust their providers (83% vs 71%, P = .0427) and feel that their provider cared about their health (80% vs 68%, P = .0468). Overweight/obese individuals were more likely to discuss weight loss with their doctor (59% vs 33%, P = .0088). Integrating information technology into primary care to encourage providers to discuss lifestyle issues and promote a positive patient-provider relationship may help improve the health promotion in primary care practices.

  18. Identification of -SiC surrounded by relatable surrounding diamond medium using weak Raman surface phonons

    Indian Academy of Sciences (India)

    Mohan Kumar Kuntumalla; Harish Ojha; Vadali Venkata Satya Siva Srikanth

    2013-11-01

    It is difficult to detect -SiC using micro-Raman scattering, if it is surrounded by carbon medium. Here, -SiC is identified in the presence of a relatable surrounding diamond medium using subtle, but discernible Raman surface phonons. In this study, diamond/-SiC nanocomposite thin film system is considered in which nanosized -SiC crystallites are surrounded by a relatable nanodiamond medium that leads to the appearance of a weak Raman surface phonon band at about 855 cm-1. Change in the nature of the surrounding material structure and its volume content when relatable, will affect the resultant Raman response of -SiC phase as seen in the present case of diamond/-SiC nanocomposite thin films.

  19. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument

    NARCIS (Netherlands)

    Couet, N.; Desroches, S.; Robitaille, H.; Vaillancourt, H.; Leblanc, A.; Turcotte, S.; Elwyn, G.; Legare, F.

    2015-01-01

    BACKGROUND: We have no clear overview of the extent to which health-care providers involve patients in the decision-making process during consultations. The Observing Patient Involvement in Decision Making instrument (OPTION) was designed to assess this. OBJECTIVE: To systematically review studies t

  20. A dataset to assess providers׳ knowledge and attitudes towards the 2013 American College of Cardiology/American Heart Association Cholesterol Management Guideline.

    Science.gov (United States)

    Pokharel, Yashashwi; Steinberg, Lynne; Chan, Winston; Akeroyd, Julia M; Jones, Peter H; Nambi, Vijay; Nasir, Khurram; Petersen, Laura; Ballantyne, Christie M; Virani, Salim S

    2016-06-01

    We previously examined provider׳s understanding of the 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol management guideline (DOI: http://dx.doi.org/10.1016/j.jacl.2015.11.002)(Virani et al., 2013) [1], and also assessed whether a case-based educational intervention could improve providers׳ knowledge gaps and attitudes towards the guideline (DOI: 10.1016/j.atherosclerosis.2015.12.044) (Pokharel, et al., 2016) [2]. Here we describe the dataset that we used to examine our objectives.

  1. A dataset to assess providers׳ knowledge and attitudes towards the 2013 American College of Cardiology/American Heart Association Cholesterol Management Guideline

    OpenAIRE

    Yashashwi Pokharel; Lynne Steinberg; Winston Chan; Akeroyd, Julia M; Jones, Peter H.; Vijay Nambi; Khurram Nasir; Laura Petersen; Ballantyne, Christie M.; Virani, Salim S.

    2016-01-01

    We previously examined provider׳s understanding of the 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol management guideline (DOI: http://dx.doi.org/10.1016/j.jacl.2015.11.002)(Virani et al., 2013) [1], and also assessed whether a case-based educational intervention could improve providers׳ knowledge gaps and attitudes towards the guideline (DOI: 10.1016/j.atherosclerosis.2015.12.044) (Pokharel, et al., 2016) [2]. Here we describe the dataset that we used t...

  2. Induced radioactivity in a 4 MW target and its surroundings

    CERN Document Server

    Agosteo, Stefano; Otto, Thomas; Silari, Marco

    2003-01-01

    An important aspect of a future CERN Neutrino Factory is the material activation arising from a 2.2 GeV, 4 MW proton beam striking a mercury target. An estimation of the hadronic inelastic interactions and the production of residual nuclei in the target, the magnetic horn, the decay tunnel, the surrounding rock and a downstream dump was performed by the Monte Carlo hadronic cascade code FLUKA. The aim was both to assess the dose equivalent rate to be expected during maintenance work and to evaluate the amount of residual radioactivity, which will have to be disposed of after the facility has ceased operation.

  3. Explaining preferences for home surroundings and locations

    DEFF Research Database (Denmark)

    Andersen, Hans Skifter

    2011-01-01

    : avoiding social nuisances, preferring social homogeneity and living close to one’s social network and place of origin. The study shows that most people have many detailed preferences, whereas some have very few. This confirms an earlier theory that some people are very connected to certain places...... with given characteristics and thus do not have priorities regarding home surroundings and locations. For others, mostly young people and singles, home is just a place to sleep and relax, whereas life is lived elsewhere. For this group, there are only preferences for location and there are few specific...

  4. Medicare Provider Data - Hospice Providers

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Hospice Utilization and Payment Public Use File provides information on services provided to Medicare beneficiaries by hospice providers. The Hospice PUF...

  5. Novel environmental enrichment may provide a tool for rapid assessment of animal personality: a case study with giant pandas (Ailuropoda melanoleuca).

    Science.gov (United States)

    Powell, David M; Svoke, Joseph T

    2008-01-01

    Historically, the assessment of nonhuman animal personality has included a variety of methods--from direct behavioral observations in a variety of test situations to assessments provided by animal caretakers or trainers. Careful observation of how animals in zoos interact with novel enrichment may provide reliable insight into their personality. This study sought to describe a process for evaluating whether different methods of assessing personality result in similar conclusions. The study exposed 4 giant pandas at the Smithsonian National Zoological Park and Zoo Atlanta to 10 novel enrichment items and recorded their behavior. Keepers also rated each panda on 23 behavioral characteristics on a survey. The study obtained individual behavior profiles for each panda. Significant differences across individuals in both the novel enrichment trials and keeper surveys formed the basis for the profiles. These methods also provided some insight into differences between the sexes that--based on the natural history of giant pandas--are qualitatively similar to what would be expected. The study found some consistency between assessment methods. However, there is a need for further study to validate these measures in a larger sample of giant pandas.

  6. Knowledge, attitudes and other factors associated with assessment of tobacco smoking among pregnant Aboriginal women by health care providers: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Passey Megan E

    2012-03-01

    Full Text Available Abstract Background As with many Indigenous peoples, smoking rates among Aboriginal Australians are considerably higher than those of the non-Indigenous population. Approximately 50% of Indigenous women smoke during pregnancy, a time when women are more motivated to quit. Antenatal care providers are potentially important change agents for reducing the harms associated with smoking, yet little is known about their knowledge, attitudes or skills, or the factors associated with providing smoking cessation advice. Methods This paper aimed to explore the knowledge and attitudes of health care providers caring for pregnant Australian Aboriginal women with regard to smoking risks and cessation; and to identify factors associated with self-reported assessment of smoking. A cross-sectional survey was undertaken with 127 staff providing antenatal care to Aboriginal women from two jurisdictions: the Northern Territory and New South Wales, Australia. Measures included respondents' estimate of the prevalence of smoking among pregnant women; optimal and actual assessment of smoking status; knowledge of risks associated with antenatal smoking; knowledge of smoking cessation; attitudes to providing cessation advice to pregnant women; and perceived barriers and motivators for cessation for pregnant women. Results The median provider estimate of the smoking prevalence was 69% (95%CI: 60,70. The majority of respondents considered assessment of smoking status to be integral to antenatal care and a professional responsibility. Most (79% indicated that they assess smoking status in 100% of clients. Knowledge of risks was generally good, but knowledge of cessation was poor. Factors independently associated with assessing smoking status among all women were: employer service type (p = 0.025; cessation knowledge score (p = 0.011; and disagreeing with the statement that giving advice is not worth it given the low level of success (p = 0.011. Conclusions Addressing

  7. Providing Culturally Competent Care for LGBTQ Youth in School-Based Health Centers: A Needs Assessment to Guide Quality of Care Improvements.

    Science.gov (United States)

    Garbers, Samantha; Heck, Craig J; Gold, Melanie A; Santelli, John S; Bersamin, Melina

    2017-01-01

    School-based health centers (SBHCs) can take specific steps to provide culturally competent care for lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth, potentially impacting well-being. A needs assessment survey was conducted among a convenience sample of SBHC administrators and medical directors to assess climates and actions supportive of LGBTQ quality medical care. Half (53%) of the SBHCs surveyed ( N = 66) reviewed print materials for negative LGBTQ stereotypes, and 27.3% conducted exhaustive materials review. Regional differences were detected: 46.2% of Southern SBHCs conducted any materials review compared to 91.3% in the West and all in the East and Midwest (χ(2), p LGBTQ youth. On intake forms, 85.4% included preferred names, but only 23.5% included preferred pronoun. There are significant gaps in the extent to which SBHCs provide culturally competent care. These findings can guide future training and advocacy.

  8. Persian version of frontal assessment battery: Correlations with formal measures of ‎executive functioning and providing normative data for Persian population

    Directory of Open Access Journals (Sweden)

    Sina Asaadi

    2016-01-01

    Full Text Available Background: Cognitive impairment in patients with Parkinson’s disease (PD mainly involves executive function (EF. The frontal assessment battery (FAB is an efficient tool for the assessment of EFs. The aims of this study were to determine the validity and reliability of the psychometric properties of the Persian version of FAB and assess its correlation with formal measures of EFs to provide normative data for the Persian version of FAB in patients with PD.Methods: The study recruited 149 healthy participants and 49 patients with idiopathic PD. In PD patients, FAB results were compared to their performance on EF tests. Reliability analysis involved test-retest reliability and internal consistency, whereas validity analysis involved convergent validity approach. FAB scores compared in normal controls and in PD patients matched for age, education, and Mini-Mental State Examination (MMSE score.Results: In PD patients, FAB scores were significantly decreased compared to normal controls, and correlated with Stroop test and Wisconsin Card Sorting Test (WCST. In healthy subjects, FAB scores varied according to the age, education, and MMSE. In the FAB subtest analysis, the performances of PD patients were worse than the healthy participants on similarities, fluency tasks, and Luria’s motor series.Conclusions: Persian version of FAB could be used as a reliable scale for the assessment of frontal lobe functions in Iranian patients with PD. Furthermore, normative data provided for the Persian version of this test improve the accuracy and confidence in the clinical application of the FAB.

  9. Characterizing the Microenvironment Surrounding Phosphorylated Protein Sites

    Institute of Scientific and Technical Information of China (English)

    Shi-Cai Fan; Xue-Gong Zhang

    2005-01-01

    Protein phosphorylation plays an important role in various cellular processes. Due to its high complexity, the mechanism needs to be further studied. In the last few years, many methods have been contributed to this field, but almost all of them investigated the mechanism based on protein sequences around protein sites. In this study, we implement an exploration by characterizing the microenvironment surrounding phosphorylated protein sites with a modified shell model, and obtain some significant properties by the rank-sum test, such as the lack of some classes of residues, atoms, and secondary structures. Furthermore, we find that the depletion of some properties affects protein phosphorylation remarkably. Our results suggest that it is a meaningful direction to explore the mechanism of protein phosphorylation from microenvironment and we expect further findings along with the increasing size of phosphorylation and protein structure data.

  10. Opportunity's Surroundings After Sol 1820 Drive

    Science.gov (United States)

    2009-01-01

    NASA's Mars Exploration Rover Opportunity used its navigation camera to take the images combined into this full-circle view of the rover's surroundings during the 1,820th to 1,822nd Martian days, or sols, of Opportunity's surface mission (March 7 to 9, 2009). South is at the center; north at both ends. The rover had driven 20.6 meters toward the northwest on Sol 1820 before beginning to take the frames in this view. Tracks from that drive recede southwestward. For scale, the distance between the parallel wheel tracks is about 1 meter (about 40 inches). The terrain in this portion of Mars' Meridiani Planum region includes dark-toned sand ripples and small exposures of lighter-toned bedrock. This view is presented as a cylindrical projection with geometric seam correction.

  11. Exploiting Surrounding Text for Retrieving Web Images

    Directory of Open Access Journals (Sweden)

    S. A. Noah

    2008-01-01

    Full Text Available Web documents contain useful textual information that can be exploited for describing images. Research had been focused on representing images by means of its content (low level description such as color, shape and texture, little research had been directed to exploiting such textual information. The aim of this research was to systematically exploit the textual content of HTML documents for automatically indexing and ranking of images embedded in web documents. A heuristic approach for locating and assigning weight surrounding web images and a modified tf.idf weighting scheme was proposed. Precision-recall measures of evaluation had been conducted for ten queries and promising results had been achieved. The proposed approach showed slightly better precision measure as compared to a popular search engine with an average of 0.63 and 0.55 relative precision measures respectively.

  12. The daily life of patients with dementia: A comparative study between the information provided by the caregiver and direct patient assessment

    Directory of Open Access Journals (Sweden)

    Lucia Aparecida Bressan

    Full Text Available Abstract The functionality concept is very important, as the diagnosis of dementia presupposes the existence of functional impairment. Instruments assessing functional performance present some limitations. In most cases, the assessment is based on the caregiver's report. Some studies in international literature have evaluated this issue and concluded that a difference exists between the caregiver's report and direct patient assessment. American and European caregivers tend to underestimate the patient's functional limitations. However, this issue has hitherto not been investigated in our context. Objective: To compare the caregiver's information with direct assessment of the patient's performance based on the same functional assessment questionnaire. Methods: Seventy-two patients and caregivers were attended by the Occupational Therapy service of the Behavioral Neurology Outpatient Clinic between 1999 and 2001, 25 of whom fulfilled the inclusion criteria: having a confirmed diagnosis of dementia according to the DSM-IV; having attended three or more return appointments, and where the caregiver belonged to the patient's family nucleus. The remaining subjects were excluded because of non-adherence to treatment or refusal to participate in the study. The Functional Activities Questionnaire by Pfeffer et al., 1982 was applied to patients in a laboratory simulation, while another evaluator interviewed the respective caregivers. The data were analyzed based on the weighted Kappa coefficient, and Wilcoxon test. Results: There were significative differences between caregiver's answers and direct observation of the patient's performance. The information provided by the caregivers proved unreliable since caregivers underestimated the patient's functional capacity.

  13. Modelling of the effect of discontinuities on the extent of the fracture zone surrounding deep tunnels

    CSIR Research Space (South Africa)

    Sellers, EJ

    2000-10-01

    Full Text Available A series of physical and numerical model tests were performed to investigate the behaviour of the rock surrounding circular excavations under high confining pressures. The aim was to provide information on the formation of fractures around deep...

  14. Biomedical health assessments of the Florida manatee in Crystal River - providing opportunities for training during the capture, handling, and processing of this endangered aquatic mammal

    Science.gov (United States)

    Bonde, Robert K.; Garrett, Andrew; Belanger, Michael; Askin, Nesime; Tan, Luke; Wittnich, Carin

    2012-01-01

    Federal and state researchers have been involved in manatee (Trichechus manatus) biomedical health assessment programs for a couple of decades. These benchmark studies have provided a foundation for the development of consistent capture, handling, and processing techniques and protocols. Biologists have implemented training and encouraged multi-agency participation whenever possible to ensure reliable data acquisition, recording, sample collection, publication integrity, and meeting rigorous archival standards. Under a U.S. Fish and Wildlife Service wildlife research permit granted to the U.S. Geological Survey (USGS) Sirenia Project, federal biologists and collaborators are allowed to conduct research studies on wild and captive manatees detailing various aspects of their biology. Therefore, researchers with the project have been collaborating on numerous studies over the last several years. One extensive study, initiated in 2006 has focused on health and fitness of the winter manatee population located in Crystal River, Florida. During those health assessments, capture, handling, and work-up training has been afforded to many of the participants. That study has successfully captured and handled 123 manatees. The data gathered have provided baseline information on manatee health, reproductive status, and nutritional condition. This research initiative addresses concerns and priorities outlined in the Florida Manatee Recovery Plan. The assessment teams strive to continue this collaborative effort to help advance our understanding of health-related issues confronting manatees throughout their range and interlacing these findings with surrogate species concepts.

  15. Turbulent Kinetic Energy Assessed by Multipoint 4-Dimensional Flow Magnetic Resonance Imaging Provides Additional Information Relative to Echocardiography for the Determination of Aortic Stenosis Severity.

    Science.gov (United States)

    Binter, Christian; Gotschy, Alexander; Sündermann, Simon H; Frank, Michelle; Tanner, Felix C; Lüscher, Thomas F; Manka, Robert; Kozerke, Sebastian

    2017-06-01

    Turbulent kinetic energy (TKE), assessed by 4-dimensional (4D) flow magnetic resonance imaging, is a measure of energy loss in disturbed flow as it occurs, for instance, in aortic stenosis (AS). This work investigates the additional information provided by quantifying TKE for the assessment of AS severity in comparison to clinical echocardiographic measures. Fifty-one patients with AS (67±15 years, 20 female) and 10 healthy age-matched controls (69±5 years, 5 female) were prospectively enrolled to undergo multipoint 4D flow magnetic resonance imaging. Patients were split into 2 groups (severe and mild/moderate AS) according to their echocardiographic mean pressure gradient. TKE values were integrated over the aortic arch to obtain peak TKE. Integrating over systole yielded total TKEsys and by normalizing for stroke volume, normalized TKEsys was obtained. Mean pressure gradient and TKE correlated only weakly (R(2)=0.26 for peak TKE and R(2)=0.32 for normalized TKEsys) in the entire study population including control subjects, while no significant correlation was observed in the AS patient group. In the patient population with dilated ascending aorta, both peak TKE and total TKEsys were significantly elevated (Penergy losses associated with bicuspid aortic valves and dilated ascending aortic geometries that are not assessable by current echocardiographic measures. These findings indicate that TKE may provide complementary information to echocardiography, helping to distinguish within the heterogeneous population of patients with moderate to severe AS. © 2017 American Heart Association, Inc.

  16. Assessment of the quality of antenatal care services provided by health workers using a mobile phone decision support application in northern Nigeria: a pre/post-intervention study.

    Directory of Open Access Journals (Sweden)

    Marion McNabb

    Full Text Available Given the shortage of skilled healthcare providers in Nigeria, frontline community health extension workers (CHEWs are commonly tasked with providing maternal and child health services at primary health centers. In 2012, we introduced a mobile case management and decision support application in twenty primary health centers in northern Nigeria, and conducted a pre-test/post-test study to assess whether the introduction of the app had an effect on the quality of antenatal care services provided by this lower-level cadre.Using the CommCare mobile platform, the app dynamically guides CHEWs through antenatal care protocols and collects client data in real time. Thirteen health education audio clips are also embedded in the app for improving and standardizing client counseling. To detect changes in quality, we developed an evidence-based quality score consisting of 25 indicators, and conducted a total of 266 client exit interviews. We analyzed baseline and endline data to assess changes in the overall quality score as well as changes in the provision of key elements of antenatal care.Overall, the quality score increased from 13.3 at baseline to 17.2 at endline (p<0.0001, out of a total possible score of 25, with the most significant improvements related to health counseling, technical services provided, and quality of health education.These study results suggest that the introduction of a low-cost mobile case management and decision support application can spur behavior change and improve the quality of services provided by a lower level cadre of healthcare workers. Future research should employ a more rigorous experimental design to explore potential longer-term effects on client health outcomes.

  17. The lithosphere-asthenosphere Italy and surroundings

    CERN Document Server

    Panza, G F; Chimera, G; Pontevivo, A; Raykova, R

    2003-01-01

    The velocity-depth distribution of the lithosphere-asthenosphere in the Italian region and surroundings is imaged, with a lateral resolution of about 100 km, by surface wave velocity tomography and non-linear inversion. Maps of the Moho depth, of the thickness of the lithosphere and of the shear-wave velocities, down to depths of 200 km and more, are constructed. A mantle wedge, identified in the uppermost mantle along the Apennines and the Calabrian Arc, underlies the principal recent volcanoes, and partial melting can be relevant in this part of the uppermost mantle. In Calabria a lithospheric doubling is seen, in connection with the subduction of the Ionian lithosphere. The asthenosphere is shallow in the Southern Tyrrhenian Sea. High velocity bodies, cutting the asthenosphere, outline the Adria-lonian subduction in the Tyrrhenian Sea and the deep-reaching lithospheric root in the Western Alps. Less deep lithospheric roots are seen in the Central Apennines. The lithosphere-asthenosphere properties delineat...

  18. The lithosphere-asthenosphere: Italy and surroundings

    Institute of Scientific and Technical Information of China (English)

    GiulianoF.Panza; AntonellaPontevivo; GiordanoChimera; RenetaRaykova; AbdelkrimAoudia

    2003-01-01

    The velocity-depth distribution of the lithosphere-asthenosphere in the Italian region and surroundings is imaged, with a lateral resolution of about 100 km, by sur-face wave velocity tomography and non-linear inversion.Maps of the Moho depth, of the thickness of the lithos-phere and of the shear-wave velocities, down to depths of 200 km and more, are constructed. A mantle wedge, iden-tified in the uppermost mantle along the Apennines and the Calabrian Arc, underlies the prmctpat recent votca-noes, and partial melting can be relevant in this part of the uppermost mantle. In Calabria, a lithospheric dou-bling is seen, in connection with the subduction of the Ionian lithosphere. The asthenosphere is shallow in the Southern Tyrrhenian Sea. High velocity bodies, cutting the asthenosphere, outline the Adria-lonian subduction in the Tyrrhenian Sea and the deep-reaching lithospheric root in the Western Alps. Less deep lithospheric roots are seen in the Central Apennines. The lithosphere-asthenos-phere properties delineate a differentiation between the northern and the southern sectors of the Adriatic Sea,likely attesting the fragmentation of Adria.

  19. Preliminary design of surrounding heliostat fields

    Energy Technology Data Exchange (ETDEWEB)

    Collado, Francisco J. [Zaragoza University, Dpto. de Ingenieria Mecanica, CPS-B, Maria de Luna 3, 50018 Zaragoza (Spain)

    2009-05-15

    Recently, the author has shown elsewhere a simplified model that allows quick evaluations of the annual overall energy collected by a surrounding heliostat field. This model is the combination of an analytical flux density function produced by a heliostat, developed by the own author, and an optimized mirror density distribution developed by University of Houston for the Solar One Project. As main conclusion of this previous work, it was recognized that such pseudo-continuous simplified model should not substitute much more accurate discrete evaluations, which manage thousands of individual heliostat coordinates. Here in this work, the difficulty of generating a preliminary discrete layout of a large number of heliostats is addressed. The main novelty is the direct definition of thousands of heliostat coordinates through basically two parameters i.e. a simplified blocking factor and an additional security distance. Such procedure, which was formerly theoretically suggested by the author, is put into practice here, showing examples and commenting their problems and advantages. Getting a previous set of thousands of heliostat coordinates would be a major first step in the complex process of designing solar power tower (SPT). (author)

  20. Neural mechanisms of surround attenuation and distractor competition in visual search.

    Science.gov (United States)

    Boehler, Carsten N; Tsotsos, John K; Schoenfeld, Mircea A; Heinze, Hans-Jochen; Hopf, Jens-Max

    2011-04-06

    Visual attention biases relevant processing in the visual system by amplifying relevant or attenuating irrelevant sensory input. A potential signature of the latter operation, referred to as surround attenuation, has recently been identified in the electromagnetic brain response of human observers performing visual search. It was found that a zone of attenuated cortical excitability surrounds the target when the search required increased spatial resolution for item discrimination. Here we address the obvious hypothesis that surround attenuation serves distractor suppression in the vicinity of the target where interference from irrelevant search items is maximal. To test this hypothesis, surround attenuation was assessed under conditions when the target was presented in isolation versus when it was surrounded by distractors. Surprisingly, substantial and indistinguishable surround attenuation was seen under both conditions, indicating that it reflects an attentional operation independent of the presence of distractors. Adding distractors in the target's surround, however, increased the amplitude of the N2pc--an evoked response known to index distractor competition in visual search. Moreover, adding distractors led to a topographical change of source activity underlying the N2pc toward earlier extrastriate areas. In contrast, the topography of reduced source activity due to surround attenuation remained unaltered with and without distractors in the target's surround. We conclude that surround attenuation is not a direct consequence of the attenuation of distractors in visual search and that it dissociates from attentional operations reflected by the N2pc. A theoretical framework is proposed that links both operations in a common model of top-down attentional selection in visual cortex.

  1. Anodal transcranial direct current stimulation reduces psychophysically measured surround suppression in the human visual cortex.

    Directory of Open Access Journals (Sweden)

    Daniel P Spiegel

    Full Text Available Transcranial direct current stimulation (tDCS is a safe, non-invasive technique for transiently modulating the balance of excitation and inhibition within the human brain. It has been reported that anodal tDCS can reduce both GABA mediated inhibition and GABA concentration within the human motor cortex. As GABA mediated inhibition is thought to be a key modulator of plasticity within the adult brain, these findings have broad implications for the future use of tDCS. It is important, therefore, to establish whether tDCS can exert similar effects within non-motor brain areas. The aim of this study was to assess whether anodal tDCS could reduce inhibitory interactions within the human visual cortex. Psychophysical measures of surround suppression were used as an index of inhibition within V1. Overlay suppression, which is thought to originate within the lateral geniculate nucleus (LGN, was also measured as a control. Anodal stimulation of the occipital poles significantly reduced psychophysical surround suppression, but had no effect on overlay suppression. This effect was specific to anodal stimulation as cathodal stimulation had no effect on either measure. These psychophysical results provide the first evidence for tDCS-induced reductions of intracortical inhibition within the human visual cortex.

  2. Availability of limited service food outlets surrounding schools in British Columbia.

    Science.gov (United States)

    Black, Jennifer L; Day, Meghan

    2012-06-05

    The purpose of this study was to provide a descriptive profile of the availability of limited service food outlets surrounding public schools in British Columbia, Canada. Data from the 2010 Canadian Business Data Files were used to identify limited service food outlets including fast food outlets, beverage and snack food stores, delis and convenience stores. The number of food outlets within 800 metres of 1,392 public schools and the distance from schools to the nearest food outlets were assessed. Multivariate regression models examined the associations between food outlet availability and school-level characteristics. In 2010, over half of the public schools in BC (54%) were located within a 10-12 minute walk from at least one limited service food outlet. The median closest distance to a food outlet was just over 1 km (1016 m). Schools comprised of students living in densely populated urban neighbourhoods and neighbourhoods characterized by lower socio-economic status were more likely to have access to limited service food outlets within walking distance. After adjusting for school-level median family income and population density, larger schools had higher odds of exposure to food vendors compared to schools with fewer students. The availability of and proximity to limited service food outlets vary widely across schools in British Columbia and school-level characteristics are significantly associated with food outlet availability. Additional research is needed to understand how food environment exposures inside and surrounding schools impact students' attitudes, food choices and dietary quality.

  3. The dorsal skinfold chamber: window into the dynamic interaction of biomaterials with their surrounding host tissue

    Directory of Open Access Journals (Sweden)

    MW Laschke

    2011-09-01

    Full Text Available The implantation of biomaterials into the human body has become an indispensable part of almost all fields of modern medicine. Accordingly, there is an increasing need for appropriate approaches, which can be used to evaluate the suitability of different biomaterials for distinct clinical indications. The dorsal skinfold chamber is a sophisticated experimental model, which has been proven to be extremely valuable for the systematic in vivo analysis of the dynamic interaction of small biomaterial implants with the surrounding host tissue in rats, hamsters and mice. By means of intravital fluorescence microscopy, this chronic model allows for repeated analyses of various cellular, molecular and microvascular mechanisms, which are involved in the early inflammatory and angiogenic host tissue response to biomaterials during the initial 2-3 weeks after implantation. Therefore, the dorsal skinfold chamber has been broadly used during the last two decades to assess the in vivo performance of prosthetic vascular grafts, metallic implants, surgical meshes, bone substitutes, scaffolds for tissue engineering, as well as for locally or systemically applied drug delivery systems. These studies have contributed to identify basic material properties determining the biocompatibility of the implants and vascular ingrowth into their surface or internal structures. Thus, the dorsal skinfold chamber model does not only provide deep insights into the complex interactions of biomaterials with the surrounding soft tissues of the host but also represents an important tool for the future development of novel biomaterials aiming at an optimisation of their biofunctionality in clinical practice.

  4. Estimation of Specific Effective Energy of Surrounding Organs with Prostate as the Source Organ

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jung Hoon; Lim, Chang Seon; Whang, Joo Ho [Kyunghee Univ., Konyang (Korea, Republic of)

    2008-10-15

    The incidence of prostate cancer has increased rapidly due to such as aging population and western dietary habits and it is the fifth most common cancer among male cancers and the most common cancer in urinary system. Prostate cancer is treated in various ways, but suitable treatments are selected case by case instead of particularly superior treatments chosen. One of them is cancer treatment via irradiation and it is widely available because of its simplicity and outstanding effectiveness; however compromised local selectivity inevitably results in side effects in surrounding tissues like bladder, urethra and rectum. These tough problems have been able to be solved since mid-1980s when radioisotope seeds such as {sup 1}'2{sup 5}I or {sup 103}Pd which could be implanted in the body were produced, and now much less invasive brachytherapy is widely used in the US and Europe. But there is a lack of investigations related to this therapy in Korea. In the present study, we intend to estimate specific effective energy of prostate and surrounding organs using {sup 125}I and {sup 103}Pd and thus provide basic data of radiation exposure assessments during prostate brachytherapy.

  5. Policies to improve end-of-life decisions in Flemish hospitals: communication, training of health care providers and use of quality assessments

    Directory of Open Access Journals (Sweden)

    Noortgate Nele

    2009-12-01

    Full Text Available Abstract Background The prevalence and implementation of institutional end-of-life policies has been comprehensively studied in Flanders, Belgium, a country where euthanasia was legalised in 2002. Developing end-of-life policies in hospitals is a first step towards improving the quality of medical decision-making at the end-of-life. Implementation of policies through quality assessments, communication and the training and education of health care providers is equally important in improving actual end-of-life practice. The aim of the present study is to report on the existence and nature of end-of-life policy implementation activities in Flemish acute hospitals. Methods A cross-sectional mail survey was sent to all acute hospitals (67 main campuses in Flanders (Belgium. The questionnaire asked about hospital characteristics, the prevalence of policies on five types of end-of-life decisions: euthanasia, palliative sedation, alleviation of symptoms with possible life-shortening effect, do-not-resuscitate decision, and withdrawing or withholding of treatment, the internal and external communication of these policies, training and education on aspects of end-of-life care, and quality assessments of end-of-life care on patient and family level. Results The response rate was 55%. Results show that in 2007 written policies on most types of end-of-life decisions were widespread in acute hospitals (euthanasia: 97%, do-not-resuscitate decisions: 98%, palliative sedation: 79%. While standard communication of these policies to health care providers was between 71% and 91%, it was much lower to patients and/or family (between 17% and 50%. More than 60% of institutions trained and educated their caregivers in different aspects on end-of-life care. Assessment of the quality of these different aspects at patient and family level occurred in 25% to 61% of these hospitals. Conclusions Most Flemish acute hospitals have developed a policy on end-of-life practices

  6. Fluoroquinolones and Tetracycline Antibiotics in a Portuguese Aquaculture System and Aquatic Surroundings: Occurrence and Environmental Impact.

    Science.gov (United States)

    Pereira, André M P T; Silva, Liliana J G; Meisel, Leonor M; Pena, Angelina

    2015-01-01

    The growth of aquaculture over the past few years is widely recognized as one of the main sources of antibiotics, mainly fluoroquinolones (FQ) and tetracyclines (TC), in the aquatic environment, consequently, increasing the risk of the emergence of antibiotic bacterial resistance and promoting the spread of resistant genes. This study aimed to (1) develop and validate a multiresidue method for determination and quantification of ciprofloxacin (CIP), difloxacin (DIFL), enrofloxacin (ENR), norfloxacin (NOR), sarafloxacin (SARA), and oxytetracycline (OXY) in aquaculture waters and surrounding water bodies and (2) provide the first Portuguese data to utilize in assessment of risk of adverse effects. In addition, the potential environmental impact posed by these antibiotics to aquatic organisms, belonging to different trophic levels, when exposed to the studied aquaculture waters was also assessed. The analytical strategy comprised of solid-phase extraction (SPE) through Oasis HLB cartridges, and detection and quantification by liquid chromatography with tandem mass spectrometry (LC/MS(n)). Method detection limits (MDL) and method quantification limits (MQL) were in the range of 0.7-3 ng/L and 2.4-10 ng/L, respectively. Recoveries varied between 57.4 and 122.8%. The method was applied to 31 water samples collected from an aquaculture and surrounding water bodies located in north of Portugal. Residues of all antibiotics, except SARA and DIFL, were detected at concentrations ranging from 3 to 75.1 ng/L. Norfloxacin was the antibiotic present at highest frequency and concentration. Regarding the environmental impact assessment (EIA), a risk quotient higher than 1 was observed for NOR.

  7. The RooPfs study to assess whether improved housing provides additional protection against clinical malaria over current best practice in The Gambia

    DEFF Research Database (Denmark)

    Pinder, Margeret; Conteh, Lesong; Jeffries, David

    2016-01-01

    economic and social science studies will undertake a cost-effectiveness analysis and use qualitative and participatory methods to explore the acceptability of the housing modifications and to design strategies for scaling-up housing interventions. Discussion The study is the first of its kind to measure......Background In malaria-endemic areas, residents of modern houses have less malaria than those living in traditional houses. This study will determine if modern housing provides incremental protection against clinical malaria over the current best practice of long-lasting insecticidal nets (LLINs......) and prompt treatment in The Gambia, determine the incremental cost-effectiveness of the interventions, and analyze the housing market in The Gambia. Methods/design A two-armed, household, cluster-randomized, controlled study will be conducted to assess whether improved housing and LLINs combine to provide...

  8. Assessing health-care providers' readiness for reporting quality and patient safety indicators at primary health-care centres in Lebanon: a national cross-sectional survey.

    Science.gov (United States)

    Alameddine, Mohamad; Saleh, Shadi; Natafgi, Nabil

    2015-05-22

    Successful endorsement of quality indicators hinges on the readiness and acceptability of care providers for those measures. This paper aims to assess the readiness of care providers in the primary health-care sector in Lebanon for the implementation of quality and patient safety indicators. A cross-sectional survey methodology was utilized to gather information from 943 clinical care providers working at 123 primary health-care centres in Lebanon. The questionnaire included two sections: the first assessed four readiness dimensions (appropriateness, management support, efficacy, and personal valence) of clinical providers to use quality and safety indicators using the Readiness for Organization Change (ROC) scale, and the second section assessed the safety attitude at the primary care centre utilizing the Agency of Health Research and Quality (AHRQ) Safety Attitude Questionnaire (SAQ)-Ambulatory version. Although two thirds (66%) of respondents indicated readiness for implementation of quality and patient safety indicators in their centres, there appear to be differences by professional group. Physicians displayed the lowest scores on all readiness dimensions except for personal valence which was the lowest among nurses (60%). In contrast, allied health professionals displayed the highest scores across all readiness dimensions. Generally, respondents reflected a positive safety attitude climate in the centres. Yet, there remain a few areas of concern related to punitive culture (only 12.8% agree that staff should not be punished for reported errors/incidents), continuity of care (41.1% believe in the negative consequences of lack in continuity of care process), and resources (48.1% believe that the medical equipment they have are adequate). Providers with the highest SAQ score had 2.7, 1.7, 7 and 2.4 times the odds to report a higher readiness on the appropriateness, efficacy, management and personal valence ROC subscales, respectively (P value quality and patient

  9. Healthcare providers' knowledge of disordered sleep, sleep assessment tools, and nonpharmacological sleep interventions for persons living with dementia: a national survey.

    Science.gov (United States)

    Brown, Cary A; Wielandt, Patricia; Wilson, Donna; Jones, Allyson; Crick, Katelyn

    2014-01-01

    A large proportion of persons with dementia will also experience disordered sleep. Disordered sleep in dementia is a common reason for institutionalization and affects cognition, fall risk, agitation, self-care ability, and overall health and quality of life. This report presents findings of a survey of healthcare providers' awareness of sleep issues, assessment practices, and nonpharmacological sleep interventions for persons with dementia. There were 1846 participants, with the majority being from nursing and rehabilitation. One-third worked in long-term care settings and one-third in acute care. Few reported working in the community. Findings revealed that participants understated the incidence of sleep deficiencies in persons with dementia and generally lacked awareness of the relationship between disordered sleep and dementia. Their knowledge of sleep assessment tools was limited to caregiver reports, self-reports, and sleep diaries, with few using standardized tools or other assessment methods. The relationship between disordered sleep and comorbid conditions was not well understood. The three most common nonpharmacological sleep interventions participants identified using were a regular bedtime routine, increased daytime activity, and restricted caffeine. Awareness of other evidence-based interventions was low. These findings will guide evidence-informed research to develop and test more targeted and contextualized sleep and dementia knowledge translation strategies.

  10. [Implementation and validation in the Italian context of the HSE management standards: a contribution to provide a practical model for the assessment of work-related stress].

    Science.gov (United States)

    Iavicoli, S; Natali, E; Rondinone, B M; Castaldi, T; Persechino, B

    2010-01-01

    Over the last years, stress has been recognized as a potential work-related risk factor. Unfortunately, work-related stress is a very delicate subject, especially because it is difficult to assess it objectively and in broadly acceptable terms. In fact, work-related stress is a subjective personal response to a specific work environment, ad is of a multifactorial origin. In order to provide a practical tool for the assessment of work-related stress, the authors carried out a thorough benchmarking analysis of the various models to manage work stress problems adopted by EU countries. As a result, the authors have chosen to apply and implement the Health and Safety Executive (HSE) Management Standards approach in the Italian context. In compliance with the European Framework Agreement signed on October 8, 2004, HSE Management Standards ask for the coordinated and integrated involvement of workers and safety personnel and represent a valid assessment approach based on principles widely acknowledged in the scientific literature.

  11. The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS): Establishing a New Interdisciplinary Self-Assessment for Health Providers.

    Science.gov (United States)

    Bidell, Markus P

    2017-01-01

    These three studies provide initial evidence for the development, factor structure, reliability, and validity of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS), a new interdisciplinary LGBT clinical self-assessment for health and mental health providers. Research participants were voluntarily recruited in the United States and United Kingdom and included trainees, clinicians, and educators from applied psychology, counseling, psychotherapy, and primary care medicine. Study 1 (N = 602) used exploratory and confirmatory factor analytic techniques, revealing an 18-item three-factor structure (Clinical Preparedness, Attitudinal Awareness, and Basic Knowledge). Study 2 established internal consistency for the overall LGBT-DOCSS (α = .86) and for each of the three subscales (Clinical Preparedness = .88, Attitudinal Awareness = .80, and Basic Knowledge = .83) and 2-week test-retest reliability (.87). In study 3 (N = 564), participant criteria (sexual orientation and education level) and four established scales that measured LGBT prejudice, assessment skills, and social desirability were used to support initial content and discriminant validity. Psychometric properties, limitations, and recommendations are discussed.

  12. Ozone bioindication in Barcelona and surrounding area of Catalonia

    Energy Technology Data Exchange (ETDEWEB)

    Ribas, A.; Penuelas, J. [Univ. Autonoma de Barcelona, Barcelona (Spain). Ecophysiology Unit of CSIC

    2002-07-01

    A field study was conducted from July to September 2000 to assess ozone (O{sub 3}) phytotoxicity in Barcelona and surrounding areas of Catalonia (NE Spain) by using tobacco plants Bel-W3 and Populus nigra 'Brandaris' as bioindicators. The study was conducted simultaneously at eight sites where ozone concentrations and meteorological variables were continuously monitored. The ozone levels correlated well with ozone injury on the Bel-W3 cultivar, especially at stations established in the urban area of Barcelona, and in the first months of summer. In the second half of summer plants showed a decreasing efficiency in its biomonitoring capacity. The behaviour of Populus as bioindicator or biomonitor was less satisfactory. For both species it is necessary to improve cultivation conditions since water deficits seem to play an important role in bioindication in the Mediterranean region. (orig.)

  13. Uncertainty and extreme events in future climate and hydrologic projections for the Pacific Northwest: providing a basis for vulnerability and core/corridor assessments

    Science.gov (United States)

    Littell, Jeremy S.; Mauger, Guillaume S.; Salathe, Eric P.; Hamlet, Alan F.; Lee, Se-Yeun; Stumbaugh, Matt R.; Elsner, Marketa; Norheim, Robert; Lutz, Eric R.; Mantua, Nathan J.

    2014-01-01

    The purpose of this project was to (1) provide an internally-consistent set of downscaled projections across the Western U.S., (2) include information about projection uncertainty, and (3) assess projected changes of hydrologic extremes. These objectives were designed to address decision support needs for climate adaptation and resource management actions. Specifically, understanding of uncertainty in climate projections – in particular for extreme events – is currently a key scientific and management barrier to adaptation planning and vulnerability assessment. The new dataset fills in the Northwest domain to cover a key gap in the previous dataset, adds additional projections (both from other global climate models and a comparison with dynamical downscaling) and includes an assessment of changes to flow and soil moisture extremes. This new information can be used to assess variations in impacts across the landscape, uncertainty in projections, and how these differ as a function of region, variable, and time period. In this project, existing University of Washington Climate Impacts Group (UW CIG) products were extended to develop a comprehensive data archive that accounts (in a reigorous and physically based way) for climate model uncertainty in future climate and hydrologic scenarios. These products can be used to determine likely impacts on vegetation and aquatic habitat in the Pacific Northwest (PNW) region, including WA, OR, ID, northwest MT to the continental divide, northern CA, NV, UT, and the Columbia Basin portion of western WY New data series and summaries produced for this project include: 1) extreme statistics for surface hydrology (e.g. frequency of soil moisture and summer water deficit) and streamflow (e.g. the 100-year flood, extreme 7-day low flows with a 10-year recurrence interval); 2) snowpack vulnerability as indicated by the ratio of April 1 snow water to cool-season precipitation; and, 3) uncertainty analyses for multiple climate

  14. Radio observations of Supernova Remnants and the surrounding molecular gas

    CERN Document Server

    Dubner, G

    2011-01-01

    Supernova Remnants (SNRs) are believed to be the main source of Galactic cosmic rays (CR). The strong SNR shocks provide ideal acceleration sites for particles of at least 10^14 eV/nucleon. Radio continuum studies of SNRs carried out with good sensitivity and high angular resolution convey information about three main aspects of the SNRs: morphology, polarization and spectrum. Based on this information it is possible to localize sites of higher compression and particle acceleration as well as the orientation and degree of order of the magnetic fields, and in some cases even its intensity. All this information, when complemented with the study of the distribution and kinematics of the surrounding interstellar gas, results in a very useful dataset to investigate the role of SNRs as cosmic ray accelerators. In this presentation, I analyze the radio observations of SNRs and surrounding molecular clouds, showing the contribution of these studies to the understanding of the role of SNRs as factories of CRs.

  15. The challenges of developing an instrument to assess health provider motivation at primary care level in rural Burkina Faso, Ghana and Tanzania

    Science.gov (United States)

    Prytherch, Helen; Leshabari, Melkidezek T.; Wiskow, Christiane; Aninanya, Gifty A.; Kakoko, Deodatus C.V.; Kagoné, Moubassira; Burghardt, Juliane; Kynast-Wolf, Gisela; Marx, Michael; Sauerborn, Rainer

    2012-01-01

    Background The quality of health care depends on the competence and motivation of the health workers that provide it. In the West, several tools exist to measure worker motivation, and some have been applied to the health sector. However, none have been validated for use in sub-Saharan Africa. The complexity of such tools has also led to concerns about their application at primary care level. Objective To develop a common instrument to monitor any changes in maternal and neonatal health (MNH) care provider motivation resulting from the introduction of pilot interventions in rural, primary level facilities in Ghana, Burkina Faso, and Tanzania. Design Initially, a conceptual framework was developed. Based upon this, a literature review and preliminary qualitative research, an English-language instrument was developed and validated in an iterative process with experts from the three countries involved. The instrument was then piloted in Ghana. Reliability testing and exploratory factor analysis were used to produce a final, parsimonious version. Results and discussion This paper describes the actual process of developing the instrument. Consequently, the concepts and items that did not perform well psychometrically at pre-test are first presented and discussed. The final version of the instrument, which comprises 42 items for self-assessment and eight for peer-assessment, is then shown. This is followed by a presentation and discussion of the findings from first use of the instrument with MNH providers from 12 rural, primary level facilities in each of the three countries. Conclusions It is possible to undertake work of this nature at primary health care level, particularly if the instruments are kept as straightforward as possible and well introduced. However, their development requires very lengthy preparatory periods. The effort needed to adapt such instruments for use in different countries within the region of sub-Saharan Africa should not be underestimated. PMID

  16. Home-care programmes for older adults with disabilities in Canada: how can we assess the adequacy of services provided compared with the needs of users?

    Science.gov (United States)

    Tousignant, M; Dubuc, N; Hébert, R; Coulombe, C

    2007-01-01

    The need for home care will probably continue to increase over the next decade as one response to innovative health practices designed to help people receive services at home instead of in institutions. However, there are no data for determining whether home-care programmes can meet user needs. The objectives of the present study were to describe the functional autonomy profile of the users of public home-care programmes in Québec, Canada, and to compare the level of adequacy between required and provided services in public home-care programmes for older adults with disabilities. This study was based on a cross-sectional design from September to December 2002. The population studied consisted of all users of public home-care services in one administrative region in the province of Québec over this 3-month period. Each user was assessed with the Functional Autonomy Measurement System (SMAF) and then classified into one of the 14 Iso-SMAF profiles. The total number of hours of care required was determined using the median number of hours of nursing care, personal care and support services associated with each profile. For the sake of comparison with the services required, the services provided were calculated from an administrative databank that included statistics of the time spent by health professionals on caring for home-care users. The ratio of hours of services provided to the number of hours of services required by home-care users highlights a discrepancy between the services provided and user needs. The results of this study show the feasibility of describing users of public home-care programmes and the adequacy of services provided in relation to user needs. Based on these results, public home-care programmes in the province of Québec appear to be under-funded.

  17. Stresses and Shear Fracture Zone of Jinshazhou Tunnel Surrounding Rock in Rich Water Region

    Institute of Scientific and Technical Information of China (English)

    ZHENG Jun-jie; LOU Xiao-ming

    2008-01-01

    Field evidence has shown that large-scale and unstable discontinuous planes in the rock mass surrounding tunnels in rich water region are probably generated after excavation. The tunnel surrounding rock was divided into three zones, including elastic zone, plastic damage zone and shear fracture zone fof assessing the stability of the tunnel surrounding rock. By local hydrogeology, the stresses of surrounding rock of Jinshazhou circular tunnel was analyzed and the stress solutions on the elastic and plastic damage zones were obtained by applying the theories of fluid-solid coupling and elasto-plastic damage mechanics. The shear fracture zone generated by joints was studied and its range was determined by using Mohr-Coulomb strength criterion. Finally, the correctness of the theoretical results was validated by comparing the scopes of shear fracture zones calculated in this paper with those from literature.

  18. Computational toxicology as implemented by the U.S. EPA: providing high throughput decision support tools for screening and assessing chemical exposure, hazard and risk.

    Science.gov (United States)

    Kavlock, Robert; Dix, David

    2010-02-01

    Computational toxicology is the application of mathematical and computer models to help assess chemical hazards and risks to human health and the environment. Supported by advances in informatics, high-throughput screening (HTS) technologies, and systems biology, the U.S. Environmental Protection Agency EPA is developing robust and flexible computational tools that can be applied to the thousands of chemicals in commerce, and contaminant mixtures found in air, water, and hazardous-waste sites. The Office of Research and Development (ORD) Computational Toxicology Research Program (CTRP) is composed of three main elements. The largest component is the National Center for Computational Toxicology (NCCT), which was established in 2005 to coordinate research on chemical screening and prioritization, informatics, and systems modeling. The second element consists of related activities in the National Health and Environmental Effects Research Laboratory (NHEERL) and the National Exposure Research Laboratory (NERL). The third and final component consists of academic centers working on various aspects of computational toxicology and funded by the U.S. EPA Science to Achieve Results (STAR) program. Together these elements form the key components in the implementation of both the initial strategy, A Framework for a Computational Toxicology Research Program (U.S. EPA, 2003), and the newly released The U.S. Environmental Protection Agency's Strategic Plan for Evaluating the Toxicity of Chemicals (U.S. EPA, 2009a). Key intramural projects of the CTRP include digitizing legacy toxicity testing information toxicity reference database (ToxRefDB), predicting toxicity (ToxCast) and exposure (ExpoCast), and creating virtual liver (v-Liver) and virtual embryo (v-Embryo) systems models. U.S. EPA-funded STAR centers are also providing bioinformatics, computational toxicology data and models, and developmental toxicity data and models. The models and underlying data are being made publicly

  19. Assessing the Prevalence of Latent Tuberculosis among Health Care Providers in Zagazig City, Egypt Using Tuberculin Skin Test and QuantiFERON-TB Gold In-Tube Test.

    Science.gov (United States)

    El-Sokkary, Rehab H; Abu-Taleb, Ashwak M; El-Seifi, Omnia S; Zidan, Haidy E; Mortada, Eman M; El-Hossary, Dalia; Farag, Salama E

    2015-12-01

    Early detection of latent tuberculosis infection (LTBI) will prevent development of active TB among health care providers. The aim of the study was to assess the prevalence of LTBI among health care providers and compare the QuantiFERON-TB Gold In-Tube Test (QFT-GIT) and Tuberculin skin test in efforts to detect LTBI and to investigate possible associated risk factors of infection. A cross sectional study was carried out during the period of 6 months in the Chest Hospital in Zagazig city and the Nephrology Unit at Zagazig University Hospitals in 132 randomly selected health care providers who were examined for LTBI by QFT-GIT and Tuberculin skin test and for the associated risk factors as well. The prevalence of LTBI identified by QFT-GIT and by Tuberculin skin test was 28.8% and 59.1%, respectively. Poor agreement was observed between the two tests (kappa=0.10). Working more than 10 years, being nurse, diabetic and smoker were risk factors significantly associated with LTBI (p<0.05). QFT-GIT is considered a useful tool in detecting LTBI cases, especially in a country where BCG vaccination is a national policy (as in Egypt). Duration of work, profession, diabetes and smoking are the risk factors for LTBI. Active surveillance and infection control measures are recommended to reduce the risk of LTBI. Copyright© by the National Institute of Public Health, Prague 2015.

  20. TO ASSESS EFFECTIVENESS OF PLAN TEACHING PROGRAMME ON NATIONAL ACCREDITATION BOARD FOR HOSPITALS AND HEALTH CARE PROVIDERS (NABH GUIDELINES AMONG NEWLY RECRUITED STAFF NURSES AT KRISHNA HOSPITAL, KARAD

    Directory of Open Access Journals (Sweden)

    Kavita Sanjay

    2015-12-01

    Full Text Available The continual improvement of service quality in healthcare units has become a prime consideration to ensure patient satisfaction across the world in the modern economic scenario. In India, health sector is one of the largest and fastest growing sector in which both the private and government care providers and hospitals put much emphasis on quality improvement and patient satisfaction. National Accreditation Board of Hospitals and Healthcare Providers (NABH along with Quality Council of India provided the criteria based on which quality standard of hospitals is determined. The study was conducted on 51 newly recruited staff nurses at Krishna Hospital, Karad. An evaluator survey approach was considered. Study design was used one group pre-test, post-test design. Purposive sampling technique was used. RESULTS The study was conducted on 51 newly recruited staff nurses at Krishna Hospital, Karad. An evaluator survey approach was considered. Study design was used one group pre-test, post-test design. Purposive sampling technique was used. CONCLUSION Study concludes majority of newly recruited nursing staff having 19.38% average knowledge and 17.85% having average practice towards NABH guidelines. Knowledge and practice score of newly recruited nursing staff between the pre-test and post-test was highly significant. OBJECTIVES 1 To assess newly recruited staff nurses knowledge and practice towards NABH guidelines. 2 To find an association of knowledge and practice between pre-test and post-test of PTP programme on NABH guidelines.

  1. Assessing the ability of sequence-based methods to provide functional insight within membrane integral proteins: a case study analyzing the neurotransmitter/Na+ symporter family

    Directory of Open Access Journals (Sweden)

    Eskandari Sepehr

    2007-10-01

    Full Text Available Abstract Background Efforts to predict functional sites from globular proteins is increasingly common; however, the most successful of these methods generally require structural insight. Unfortunately, despite several recent technological advances, structural coverage of membrane integral proteins continues to be sparse. ConSequently, sequence-based methods represent an important alternative to illuminate functional roles. In this report, we critically examine the ability of several computational methods to provide functional insight within two specific areas. First, can phylogenomic methods accurately describe the functional diversity across a membrane integral protein family? And second, can sequence-based strategies accurately predict key functional sites? Due to the presence of a recently solved structure and a vast amount of experimental mutagenesis data, the neurotransmitter/Na+ symporter (NSS family is an ideal model system to assess the quality of our predictions. Results The raw NSS sequence dataset contains 181 sequences, which have been aligned by various methods. The resultant phylogenetic trees always contain six major subfamilies are consistent with the functional diversity across the family. Moreover, in well-represented subfamilies, phylogenetic clustering recapitulates several nuanced functional distinctions. Functional sites are predicted using six different methods (phylogenetic motifs, two methods that identify subfamily-specific positions, and three different conservation scores. A canonical set of 34 functional sites identified by Yamashita et al. within the recently solved LeuTAa structure is used to assess the quality of the predictions, most of which are predicted by the bioinformatic methods. Remarkably, the importance of these sites is largely confirmed by experimental mutagenesis. Furthermore, the collective set of functional site predictions qualitatively clusters along the proposed transport pathway, further

  2. Lost opportunities to identify and treat HIV-positive patients: results from a baseline assessment of provider-initiated HIV testing and counselling (PITC) in Malawi.

    Science.gov (United States)

    Ahmed, Saeed; Schwarz, Monica; Flick, Robert J; Rees, Chris A; Harawa, Mwelura; Simon, Katie; Robison, Jeff A; Kazembe, Peter N; Kim, Maria H

    2016-04-01

    To assess implementation of provider-initiated testing and counselling (PITC) for HIV in Malawi. A review of PITC practices within 118 departments in 12 Ministry of Health (MoH) facilities across Malawi was conducted. Information on PITC practices was collected via a health facility survey. Data describing patient visits and HIV tests were abstracted from routinely collected programme data. Reported PITC practices were highly variable. Most providers practiced symptom-based PITC. Antenatal clinics and maternity wards reported widespread use of routine opt-out PITC. In 2014, there was approximately 1 HIV test for every 15 clinic visits. HIV status was ascertained in 94.3% (5293/5615) of patients at tuberculosis clinics, 92.6% (30,675/33,142) of patients at antenatal clinics and 49.4% (6871/13,914) of patients at sexually transmitted infection clinics. Reported challenges to delivering PITC included test kit shortages (71/71 providers), insufficient physical space (58/71) and inadequate number of HIV counsellors (32/71) while providers from inpatient units cited the inability to test on weekends. Various models of PITC currently exist at MoH facilities in Malawi. Only antenatal and maternity clinics demonstrated high rates of routine opt-out PITC. The low ratio of facility visits to HIV tests suggests missed opportunities for HIV testing. However, the high proportion of patients at TB and antenatal clinics with known HIV status suggests that routine PITC is feasible. These results underscore the need to develop clear, standardised PITC policy and protocols, and to address obstacles of limited health commodities, infrastructure and human resources. © 2016 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  3. An analysis of amino acid sequences surrounding archaeal glycoprotein sequons.

    Science.gov (United States)

    Abu-Qarn, Mehtap; Eichler, Jerry

    2007-05-01

    Despite having provided the first example of a prokaryal glycoprotein, little is known of the rules governing the N-glycosylation process in Archaea. As in Eukarya and Bacteria, archaeal N-glycosylation takes place at the Asn residues of Asn-X-Ser/Thr sequons. Since not all sequons are utilized, it is clear that other factors, including the context in which a sequon exists, affect glycosylation efficiency. As yet, the contribution to N-glycosylation made by sequon-bordering residues and other related factors in Archaea remains unaddressed. In the following, the surroundings of Asn residues confirmed by experiment as modified were analyzed in an attempt to define sequence rules and requirements for archaeal N-glycosylation.

  4. An analysis of amino acid sequences surrounding archaeal glycoprotein sequons

    Directory of Open Access Journals (Sweden)

    Mehtap Abu-Qarn

    2006-01-01

    Full Text Available Despite having provided the first example of a prokaryal glycoprotein, little is known of the rules governing the N-glycosylation process in Archaea. As in Eukarya and Bacteria, archaeal N-glycosylation takes place at the Asn residues of Asn-X-Ser/Thr sequons. Since not all sequons are utilized, it is clear that other factors, including the context in which a sequon exists, affect glycosylation efficiency. As yet, the contribution to N-glycosylation made by sequon-bordering residues and other related factors in Archaea remains unaddressed. In the following, the surroundings of Asn residues confirmed by experiment as modified were analyzed in an attempt to define sequence rules and requirements for archaeal N-glycosylation.

  5. Precipitation Depth-Duration-Frequency Analysis for the Nevada National Security Site and Surrounding Areas

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Li [Desert Research Inst. (DRI), Las Vegas, NV (United States). Division of Hydrologic Sciences; Miller, Julianne J. [Desert Research Inst. (DRI), Las Vegas, NV (United States). Division of Hydrologic Sciences

    2016-08-01

    Accurate precipitation frequency data are important for Environmental Management Soils Activities on the Nevada National Security Site (NNSS). These data are important for environmental assessments performed for regulatory closure of Soils Corrective Action Unit (CAU) Sites, as well as engineering mitigation designs and post-closure monitoring strategies to assess and minimize potential contaminant migration from Soils CAU Sites. Although the National Oceanic and Atmospheric Administration (NOAA) Atlas 14 (Bonnin et al., 2011) provides precipitation frequency data for the NNSS area, the NNSS-specific observed precipitation data were not consistent with the NOAA Atlas 14 predicted data. This is primarily due to the NOAA Atlas 14 products being produced from analyses without including the approximately 30 NNSS precipitation gage records, several of which approach or exceed 50 year of record. Therefore, a study of precipitation frequency that incorporated the NNSS precipitation gage records into the NOAA Atlas 14 dataset, was performed specifically for the NNSS to derive more accurate site-specific precipitation data products. Precipitation frequency information, such as the depth-duration-frequency (DDF) relationships, are required to generate synthetic standard design storm hydrographs and assess actual precipitation events. In this study, the actual long-term NNSS precipitation gage records, some of which are the longest gage records in southern and central Nevada, were analyzed to allow for more accurate precipitation DDF estimates to be developed for the NNSS. Gridded maps of precipitation frequency for the NNSS and surrounding areas were then produced.

  6. Contamination assessment and spatial distribution of heavy metals in dust surrounding the Changqing town lead-zinc smelting plant in Baoji%宝鸡长青镇铅锌冶炼厂周围灰尘中重金属的空间分布及污染评价

    Institute of Scientific and Technical Information of China (English)

    任春辉; 卢新卫; 陈灿灿; 杨林娜; 杨光

    2012-01-01

    The concentrations of heavy metals in dust samples surrounding the Changqing town lead-zinc smelting plant in Baoji city were measured by X- Ray fluorescence spectrometry. The contamination levels of heavy metals in dust were assessed based on the geo-accumulation index and the enrichment factor. The results show that the average concentrations of Cu, Pb, Zn, Cr, Ni and V in dust were 123.1, 1449.1, 2082.1, 1085.0, 40.8 and 81.8 mg. kg -~ , respectively, which were higher than the corresponding background values of Shaanxi topsoil. The average concentrations of Cu, Pb, Zn, Cr, ~Ni and V in dust were respectively 5.8, 67.7, 30.0, 17.4, 1.4 and 1.2 times the corresponding background values of Shaanxi topsoil. The content of Cu, Pb, Zn, Cr and Ni in dust was the highest within 500 m of lead-zinc smelting plant. The assessment results showed that Cu, Pb, Zn and Cr had different contamination levels in dust around the lead-zinc smelting plant and the contaminated areas were mainly distributed in the northwest and southwest and southeast of lead-zlnc smelting plant. The dust surrounding the Changqing lead-zinc smelting plant were not polluted by Ni and V.%利用X-Ray荧光光谱仪对宝鸡市长青镇铅锌冶炼厂周围灰尘中重金属含量进行了分析,并采用地积累指数和富集因子评价方法评价了灰尘中重金属的污染状况.结果表明,该铅锌厂周围灰尘中Cu、Pb、Zn、Cr、Ni和V的几何平均含量分别为123.1、1449.1、2082.1、1085.0、840.和81.8mg·kg-1,均明显高于陕西省表层土壤背景值,分别为陕西省表层土壤背景值的5.8、67.7、30.0、17.4、1.4和1.2倍.距离铅锌厂500m范围的灰尘中Cu、Pb、Zn、Cr、Ni的含量最高.污染评价结果表明,长青镇铅锌厂周围灰尘中Cu、Pb、Zn、Cr都存在着不同程度的污染,污染区域主要集中在铅锌厂的西北、西南和东南方向,而Ni和V则基本无污染.

  7. Numerical Analysis of Advanced Displacement in Construction Progress of Tunnel Excavation with Weak Surrounding Rock

    Directory of Open Access Journals (Sweden)

    Qian Zhang

    2013-07-01

    Full Text Available Analysis of advanced displacement in construction progress of tunnel excavation with weak surrounding rock is carried out by numerical method and comparison of model test result. In allusion to the problems of regional landslides and extruded large-deformation seriously impacting the stability of rock mass in construction process of large-section tunnel with weak surrounding rock, the elastic-plastic numerical simulation relying on Liangshui tunnel of Lan-Yu railroad is conducted on mechanical behaviors and deformation steric effect of tunnel construction and the calculation results are compared with the modeling data. The research results show that: the steric effect of excavation face is the dominant factor in the incidence of working face and the stress of surrounding rocks gradually releases from excavation face; the range of 0.5~1 times the cave diameter around rock mass in front of working face is the disturbance range and the key area of stabilization and reinforcement for wake surrounding rock. According to the analysis and construction practice, the supporting structure of large-section tunnel with weak surrounding rock should be established as soon as possible to control the displacement change of surrounding rock in the range of load-bearing ring, reduce disturbance and improve the self-bearing capability of surrounding rock. Because of the distinct excavation steric effect of weak surrounding rock, the secondary lining structure must be established in time to bear the later pressure and restrict the large displacement of surrounding rock. The research results can provide reliable basis for engineering stability control of analogous tunnels.

  8. Competence of birth attendants at providing emergency obstetric care under India's JSY conditional cash transfer program for institutional delivery: an assessment using case vignettes in Madhya Pradesh province.

    Science.gov (United States)

    Chaturvedi, Sarika; Upadhyay, Sourabh; De Costa, Ayesha

    2014-05-24

    Access to emergency obstetric care by competent staff can reduce maternal mortality. India has launched the Janani Suraksha Yojana (JSY) conditional cash transfer program to promote institutional births. During implementation of the JSY, India witnessed a steep increase in the proportion of institutional deliveries-from 40% in 2004 to 73% in 2012. However, maternal mortality reduction follows a secular trend. Competent management of complications, when women deliver in facilities under the JSY, is essential for reduction in maternal mortality and therefore to a successful program outcome. We investigate, using clinical vignettes, whether birth attendants at institutions under the program are competent at providing appropriate care for obstetric complications. A facility based cross-sectional study was conducted in three districts of Madhya Pradesh (MP) province. Written case vignettes for two obstetric complications, hemorrhage and eclampsia, were administered to 233 birth attendant nurses at 73 JSY facilities. Their competence at (a) initial assessment, (b) diagnosis, and (c) making decisions on appropriate first-line care for these complications was scored. The mean emergency obstetric care (EmOC) competence score was 5.4 (median = 5) on a total score of 20, and 75% of participants scored below 35% of the maximum score. The overall score, although poor, was marginally higher in respondents with Skilled Birth Attendant (SBA) training, those with general nursing and midwifery qualifications, those at higher facility levels, and those conducting >30 deliveries a month. In all, 14% of respondents were competent at assessment, 58% were competent at making a correct clinical diagnosis, and 20% were competent at providing first-line care. Birth attendants in the JSY facilities have low competence at EmOC provision. Hence, births in the JSY program cannot be considered to have access to competent EmOC. Urgent efforts are required to effectively increase the

  9. Marine Resource Survey in waters surrounding Guam and the Commonwealth of the Northern Mariana Islands (SE1002, EK60)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The goals of the cruise were to collect a variety of data to assess the status of marine resources in waters surrounding Guam and CNMI. Marine resource habitats were...

  10. Measuring satisfaction: factors that drive hospital consumer assessment of healthcare providers and systems survey responses in a trauma and acute care surgery population.

    Science.gov (United States)

    Kahn, Steven A; Iannuzzi, James C; Stassen, Nicole A; Bankey, Paul E; Gestring, Mark

    2015-05-01

    Hospital quality metrics now reflect patient satisfaction and are measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Understanding these metrics and drivers will be integral in providing quality care as this process evolves. This study identifies factors associated with patient satisfaction as determined by HCAHPS survey responses in trauma and acute care surgery patients. HCAHPS survey responses from acute care surgery and trauma patients at a single institution between 3/11 and 10/12 were analyzed. Logistic regression determined which responses to individual HCAHPS questions predicted highest hospital score (a rating of 9-10/10). Demographic and clinical variables were also analyzed as predictors of satisfaction. Subgroup analysis for trauma patients was performed. In 70.3 per cent of 182 total survey responses, a 9-10/10 score was given. The strongest predictors of highest hospital ranking were respect from doctors (odds ratio [OR] = 24.5, confidence interval [CI]: 5.44-110.4), doctors listening (OR: 9.33, CI: 3.7-23.5), nurses' listening (OR = 8.65, CI: 3.62-20.64), doctors' explanations (OR = 8.21, CI: 3.5-19.2), and attempts to control pain (OR = 7.71, CI: 3.22-18.46). Clinical factors and outcomes (complications, intensive care unit/hospital length of stay, mechanism of injury, and having an operation) were nonsignificant variables. For trauma patients, Injury Severity Score was inversely related to score (OR = 0.93, CI: 0.87-0.98). Insurance, education, and disposition were also tied to satisfaction, whereas age, gender, and ethnicity were nonsignificant. In conclusion, patient perception of interactions with the healthcare team was most strongly associated with satisfaction. Complications did not negatively influence satisfaction. Insurance status might potentially identify patients at risk of dissatisfaction. Listening to patients, treating them with respect, and explaining the care plan are integral to a

  11. Combined magnetic resonance and diffusion tensor imaging analyses provide a powerful tool for in vivo assessment of deformation along human muscle fibers.

    Science.gov (United States)

    Pamuk, Uluç; Karakuzu, Agah; Ozturk, Cengizhan; Acar, Burak; Yucesoy, Can A

    2016-10-01

    Muscle fiber direction strain provides invaluable information for characterizing muscle function. However, methods to study this for human muscles in vivo are lacking. Using magnetic resonance (MR) imaging based deformation analyses and diffusion tensor (DT) imaging based tractography combined, we aimed to assess muscle fiber direction local tissue deformations within the human medial gastrocnemius (GM) muscle. Healthy female subjects (n=5, age=27±1 years) were positioned prone within the MR scanner in a relaxed state with the ankle angle fixed at 90°. The knee was brought to flexion (140.8±3.0°) (undeformed state). Sets of 3D high resolution MR, and DT images were acquired. This protocol was repeated at extended knee joint position (177.0±1.0°) (deformed state). Tractography and Demons nonrigid registration algorithm was utilized to calculate local deformations along muscle fascicles. Undeformed state images were also transformed by a synthetic rigid body motion to calculate strain errors. Mean strain errors were significantly smaller then mean fiber direction strains (lengthening: 0.2±0.1% vs. 8.7±8.5%; shortening: 3.3±0.9% vs. 7.5±4.6%). Shortening and lengthening (up to 23.3% and 116.7%, respectively) occurs simultaneously along individual fascicles despite imposed GM lengthening. Along-fiber shear strains confirm the presence of much shearing between fascicles. Mean fiber direction strains of different tracts also show non-uniform distribution. Inhomogeneity of fiber strain indicates epimuscular myofascial force transmission. We conclude that MR and DT imaging analyses combined provide a powerful tool for quantifying deformation along human muscle fibers in vivo. This can help substantially achieving a better understanding of normal and pathological muscle function and mechanisms of treatment techniques.

  12. Optical coherence tomography provides an ability to assess mechanical property of cardiac wall of developing outflow tract in embryonic heart in vivo

    Science.gov (United States)

    Li, Peng; Wang, Ruikang K.

    2012-12-01

    Knowledge of the biomechanical/elastic property of the cardiac wall is of fundamental importance in improving our understanding of cardiac development, particularly the interaction between the wall dynamics and hemodynamics in the developing outflow tract (OFT). We describe a method that employs optical coherence tomography (OCT) as a means to noninvasively measure the local elastic property of the cardiac wall in vivo. The method uses a time-lapse sequence of OCT images that represent the dynamic behavior of the OFT longitudinal section to calculate the regional wall pulse wave velocity (PWV), upon which the Young's modulus of the cardiac wall is deduced by the use of the Moens-Korteweg equation. The experimental results show that the foot-to-foot PWV ranges from 3.2 to 6.6 mm/s with a mean of 4.7 mm/s, and the averaged Young's modulus is 0.36 Pa, both of which are comparable to the documented values of stage HH17 atrioventricular canal tissue. The proposed method that provides the quantitative mechanical assessment may play a significant role in the understanding of the cardiac development.

  13. [Standardization of measurement of catalytic activity concentration of enzymes--current situation regarding the external quality assessment program provided by the Japan Medical Association].

    Science.gov (United States)

    Maekawa, Masato

    2010-01-01

    Measurement of the catalytic activity concentration of enzymes has been standardized using a traceability chain, consisting a reference measurement system for enzyme catalytic activity and reference standard-JSCC enzyme. The Japan Medical Association (JMA) has provided an external quality assessment (EQA) survey program for clinical laboratory testing. More than 3,100 clinical laboratories participated in 2008. The EQA program indicated that standardization of the measurement of the catalytic activity concentration of enzymes has been completed for AST, ALT, LD, ALP, gammaGT, and CK in more than 90% laboratories, and for Amy and ChE in nearly 80% of laboratories. Because such a large survey program must use artificial specimens, a matrix effect cannot be avoided, especially in dry chemistry. However, the bias produced by a matrix effect usually has a predictable tendency: it can be corrected. Next, after standardization of the measurement of the catalytic activity concentration of enzymes, we should develop and use common reference intervals. On completing the standardization, we can make standard medical decisions using reference measurement systems and rules.

  14. An assessment of the quality of advice provided by patent medicine vendors to users of oral contraceptive pills in urban Nigeria

    Directory of Open Access Journals (Sweden)

    Ujuju C

    2014-04-01

    Full Text Available Chinazo Ujuju,1 Samson B Adebayo,2 Jennifer Anyanti,3 Obi Oluigbo,3 Fatima Muhammad,4 Augustine Ankomah5 1Research and Evaluation Division, Society for Family Health, Abuja, Nigeria; 2Planning, Research and Statistics Directorate, National Agency for Food and Drug Administration and Control, Abuja, Nigeria; 3Technical Services Directorate, Society for Family Health, Abuja, Nigeria; 4Family Planning Directorate, Society for Family Health, Abuja, Nigeria; 5Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Legon, Accra, Ghana Introduction: In Nigeria about 50% of oral contraceptive pill users obtain their products from proprietary patent medicine vendors (PPMVs. This group of service providers are poorly trained and have very limited knowledge about contraception. This paper investigated the nature of the advice offered to simulated current and potential users of oral contraceptive pills. The main objective was to assess the nature and quality of advice provided by PPMVs to pill users. Method: This study is based on findings from a 'mystery client' approach in which three scenarios related to contraceptive pill use were simulated. Each of the 12 mystery clients simulated one of the following three scenarios: new pill users (new to family planning or switching from condom to pills; user seeking a resupply of pills; and dissatisfied pill users intending to discontinue use. Simple random sampling was used to select 410 PPMVs from a total of 1,826 in four states in Nigeria. Qualitative study using in-depth interviews was also conducted. Results: A majority of the PPMVs had pills in stock on the day of the survey and resupplied pills to the clients. PPMVs also understood the reason and importance of referring clients who were new adopters of oral contraceptive methods to a health facility; 30% of the PPMVs referred new adopters to a health facility. However, demand from clients who do not want to go

  15. Numerous dilemmas surrounding the 1917 nickel coins

    Directory of Open Access Journals (Sweden)

    Pantelić Svetlana

    2017-01-01

    Full Text Available The Law on Extraordinary Loans Amounting to 200 Million Dinars and the Minting of Silver and Nickel Coins in 1916 was the legal basis for minting the 5-, 10-, and 20-para nickel coins of the Kingdom of Serbia featuring the year 1917 as their minting year. Some authors believe that these coins were minted in the Minting House in Paris, whereas the others agree that they were certainly minted in France, but in a still unidentified minting house. There are authors who in recent reference literature underline the possibility of their minting in the USA Gorham Company, in Providence, Rhode Island. These coins had all the characteristics of the nickel coins of the Kingdom of Serbia from 1883, 1884, 1904 and 1912. Although, according to the Law, the Minister of Finance was authorized to mint 10 million dinars of these nickel coins, only 5 million pieces in each denomination were actually minted, in the total nominal value of just 1,750,000 dinars. The general opinion is that after the war only a small amount of these nickel coins reached Serbia, because the ships transporting the Serbian coins from the minting house sank on their way. The only varying aspect in this explanation is the location from which the ships were sailing towards Corfu, i.e. from the USA or from France. These coins stopped being legal tender as of 30 November 1931.

  16. Impact of surrounding tissue on conductance measurement of coronary and peripheral lumen area.

    Science.gov (United States)

    Won Choi, Hyo; Jansen, Benjamin; Zhang, Zhen-Du; Kassab, Ghassan S

    2012-11-07

    Parallel conductance (electric current flow through surrounding tissue) is an important determinant of accurate measurements of arterial lumen diameter, using the conductance method. The present study is focused on the role of non-uniform geometrical/electrical configurations of surrounding tissue, which are a primary source of electric current leakage. Computational models were constructed to simulate the conductance catheter measurement with two different excitation electrodes spacings (i.e. 12 and 20 mm for coronary and peripheral sizing, respectively) for different vessel-tissue configurations: (i) blood vessel fully embedded in muscle tissue, (ii) blood vessel superficially embedded in muscle tissue, and (iii) blood vessel superficially embedded in muscle tissue with fat covering half of the arterial vessel (anterior portion). The simulations suggest that the parallel conductance and accuracy of measurement is dependent on the inhomogeneous/anisotropic configuration of surrounding tissue, including the asymmetric dimension and anisotropy in electrical conductivity of surrounding tissue. Specifically, the measurement was shown to be accurate as long as the vessel was superficial, regardless of the considerable total surrounding tissue dimension for coronary or peripheral arteries. Moreover, it was shown that the unfavourable impact of parallel conductance on the accuracy of conductance catheter measurement is decreased by the combination of a lower transverse electrical conductivity of surrounding muscle tissue, a smaller electrode spacing and a larger lumen diameter. The present findings confirm that the conductance catheter technique provides an accurate platform for sizing of clinically relevant (i.e. superficial and diseased) arteries.

  17. A Stellar Stream Surrounds the Whale Galaxy

    Science.gov (United States)

    Kohler, Susanna

    2015-10-01

    The -cold dark matter cosmological model predicts that galaxies are assembled through the disruption and absorption of small satellite dwarf galaxies by their larger hosts. A recent study argues that NGC 4631, otherwise known as the Whale galaxy, shows evidence of such a recent merger in the form of an enormous stellar stream extending from it.Stream SignaturesAccording to the -CDM model, stellar tidal streams should be a ubiquitous feature among galaxies. When satellite dwarf galaxies are torn apart, they spread out into such streams before ultimately feeding the host galaxy. Unfortunately, these streams are very faint, so were only recently starting to detect these features.Stellar tidal streams have been discovered around the Milky Way and Andromeda, providing evidence of these galaxies growth via recent (within the last 8 Gyr) mergers. But discovering stellar streams around other Milky Way-like galaxies would help us to determine if the model of hierarchical galaxy assembly applies generally.To this end, the Stellar Tidal Stream Survey, led by PI David Martnez-Delgado (Center for Astronomy of Heidelberg University), is carrying out the first systematic survey of stellar tidal streams. In a recent study, Martnez-Delgado and collaborators present their detection of a giant (85 kpc long!) stellar tidal stream extending into the halo of NGC 4631, the Whale galaxy.Modeling a SatelliteThe top image is a snapshot from an N-body simulation of a single dwarf satellite, 3.5 Gyr after it started interacting with the Whale galaxy. The satellite has been torn apart and spread into a stream that reproduces observations, which are shown in the lower image (scale is not the same). [Martnez-Delgado et al. 2015]The Whale galaxy is a nearby edge-on spiral galaxy interacting with a second spiral, NGC 4656. But the authors dont believe that the Whale galaxys giant tidal stellar stream is caused by its interactions with NGC 4656. Instead, based on their observations, they believe

  18. Magnetic resonance-derived circumferential strain provides a superior and incremental assessment of improvement in contractile function in patients early after ST-segment elevation myocardial infarction

    Energy Technology Data Exchange (ETDEWEB)

    Wong, Dennis T.L.; Psaltis, Peter J. [University of Adelaide, Discipline of Medicine, Adelaide (Australia); South Australian Health and Medical Research Institute (SAHMRI), Adelaide (Australia); Monash Cardiovascular Research Centre, Department of Medicine (Monash Medical Centre)Monash University and Monash Heart, Clayton, VIC (Australia); Leong, Darryl P.; Weightman, Michael J.; Richardson, James D.; Worthley, Matthew I.; Worthley, Stephen G. [University of Adelaide, Discipline of Medicine, Adelaide (Australia); Dundon, Benjamin K.; Leung, Michael C.H.; Meredith, Ian T. [Monash Cardiovascular Research Centre, Department of Medicine (Monash Medical Centre)Monash University and Monash Heart, Clayton, VIC (Australia)

    2014-06-15

    We evaluate whether circumferential strain derived from grid-tagged CMR is a better method for assessing improvement in segmental contractile function after STEMI compared to late gadolinium enhancement (LGE). STEMI patients post primary PCI underwent baseline CMR (day 3) and follow-up (day 90). Cine, grid-tagged and LGE images were acquired. Baseline LGE infarct hyperenhancement was categorised as ≤25 %, 26-50 %, 51-75 % and >75 % hyperenhancement. The segmental baseline circumferential strain (CS) and circumferential strain rate (CSR) were calculated from grid-tagged images. Segments demonstrating an improvement in wall motion of ≥1 grade compared to baseline were regarded as having improved segmental contractile-function. Forty-five patients (aged 58 ± 12 years) and 179 infarct segments were analysed. A baseline CS cutoff of -5 % had sensitivity of 89 % and specificity of 70 % for detection of improvement in segmental-contractile-function. On receiver-operating characteristic analysis for predicting improvement in contractile function, AUC for baseline CS (0.82) compared favourably to LGE hyperenhancement (0.68), MVO (0.67) and baseline-CSR (0.74). On comparison of AUCs, baseline CS was superior to LGE hyperenhancement and MVO in predicting improvement in contractile function (P < 0.001). On multivariate-analysis, baseline CS was the independent predictor of improvement in segmental contractile function (P < 0.001). Grid-tagged CMR-derived baseline CS is a superior predictor of improvement in segmental contractile function, providing incremental value when added to LGE hyperenhancement and MVO following STEMI. (orig.)

  19. Assessing the long-term hydrological services provided by wetlands under changing climate conditions: A case study approach of a Canadian watershed

    Science.gov (United States)

    Fossey, M.; Rousseau, A. N.

    2016-10-01

    The water content of wetlands represents a key driver of their hydrological services and it is highly dependent on short- and long-term weather conditions, which will change, to some extent, under evolving climate conditions. The impact on stream flows of this critical dynamic component of wetlands remains poorly studied. While hydrodynamic modelling provide a framework to describe the functioning of individual wetland, hydrological modelling offers the opportunity to assess their services at the watershed scale with respect to their type (i.e., isolated or riparian). This study uses a novel approach combining hydrological modelling and limited field monitoring, to explore the effectiveness of wetlands under changing climate conditions. To achieve this, two isolated wetlands and two riparian wetlands, located in the Becancour River watershed within the St Lawrence Lowlands (Quebec, Canada), were monitored using piezometers and stable water isotopes (δD - δ18O) between October 2013 and October 2014. For the watershed hydrology component of this study, reference (1986-2015) and future meteorological data (2041-2070) were used as inputs to the PHYSITEL/HYDROTEL modelling platform. Results obtained from in-situ data illustrate singular hydrological dynamics for each typology of wetlands (i.e., isolated and riparian) and support the hydrological modelling approach used in this study. Meanwhile, simulation results indicate that climate change could affect differently the hydrological dynamics of wetlands and associated services (e.g., storage and slow release of water), including their seasonal contribution (i.e., flood mitigation and low flow support) according to each wetland typology. The methodological framework proposed in this paper meets the requirements of a functional tool capable of anticipating hydrological changes in wetlands at both the land management scale and the watershed management scale. Accordingly, this framework represents a starting point towards

  20. The Relation between Adolescent Self Assessment of Health and Risk Behaviours: Could a Global Measure of Health Provide Indications of Health Risk Exposures?

    Science.gov (United States)

    Nkansah-Amankra, Stephen; Walker, Ashley Dawn

    2012-01-01

    Objective: Self-rated health (SRH) has become a key organizing construct for assessing multiple dimensions of populations' physical and psychosocial health functioning. However, it is unclear how adolescents' subjective self assessment of health reflects health risk exposures, co-occurring health risks (problem behaviours) and other pre-existing…

  1. The Relation between Adolescent Self Assessment of Health and Risk Behaviours: Could a Global Measure of Health Provide Indications of Health Risk Exposures?

    Science.gov (United States)

    Nkansah-Amankra, Stephen; Walker, Ashley Dawn

    2012-01-01

    Objective: Self-rated health (SRH) has become a key organizing construct for assessing multiple dimensions of populations' physical and psychosocial health functioning. However, it is unclear how adolescents' subjective self assessment of health reflects health risk exposures, co-occurring health risks (problem behaviours) and other pre-existing…

  2. The IC 5146 star forming complex and its surroundings with 2MASS, WISE and Spitzer

    Science.gov (United States)

    Nunes, N. A.; Bonatto, C.; Bica, E.

    2016-02-01

    Throughout the last decade sensitive infrared observations obtained by the Spitzer Space Telescope significantly increased the known population of YSOs associated with nearby molecular clouds. With such a census recent studies have characterized pre-main sequence stars (PMS) and determined parameters from different wavelengths. Given the restricted Spitzer coverage of some of these clouds, relative to their extended regions, these YSO populations may represent a limited view of star formation in these regions. We are taking advantage of mid-infrared observations from the NASA Wide Field Infrared Survey Explorer (WISE), which provides an all sky view and therefore full coverage of the nearby clouds, to assess the degree to which their currently known YSO population may be representative of a more complete population. We extend the well established classification method of the Spitzer Legacy teams to archived WISE observations. We have adopted 2MASS photometry as a "standard catalogue" for comparisons. Besides the massive embedded cluster IC 5146 we provide a multiband view of five new embedded clusters in its surroundings that we discovered with WISE. In short, the analysis involves the following for the presently studied cluster sample: (i) extraction of 2MASS/WISE/Spitzer photometry in a wide circular region; (ii) field-star decontamination to enhance the intrinsic Colour-magnitude diagram (CMD) morphology (essential for a proper derivation of reddening, age, and distance from the Sun); and (iii) construction of Colour-magnitude filters, for more contrasted stellar radial density profiles (RDPs).

  3. Black hole solutions surrounded by perfect fluid in Rastall theory

    Science.gov (United States)

    Heydarzade, Y.; Darabi, F.

    2017-08-01

    In this work, we obtain uncharged∖charged Kiselev-like black holes as a new class of black hole solutions surrounded by perfect fluid in the context of Rastall theory. Then, we study the specific cases of the uncharged∖charged black holes surrounded by regular matter like dust and radiation, or exotic matter like quintessence, cosmological constant and phantom fields. By comparing the Kiselev-like black hole solutions in Rastall theory with the Kiselev black hole solutions in GR, we find an effective perfect fluid behavior for the black hole's surrounding field. It is shown that the corresponding effective perfect fluid has interesting characteristic features depending on the different ranges of the parameters in Rastall theory. For instance, Kiselev-like black holes surrounded by regular matter in Rastall theory may be considered as Kiselev black holes surrounded by exotic matter in GR, or Kiselev-like black holes surrounded by exotic matter in Rastall theory may be considered as Kiselev black holes surrounded by regular matter in GR.

  4. 北京市平谷应急水源地周边农业土壤中重金属分布及风险评价%Distribution and Ecological Risk Assessment of Heavy Metals in Agricultural Soils Surrounding a Contingency Water Source, Beijing

    Institute of Scientific and Technical Information of China (English)

    唐磊; 张会昌; 季宏兵; 冯金国; 姚俊; 闫广新

    2015-01-01

    采用ArcGIS空间分析技术和多元统计方法研究了北京市平谷应急水源地周边农业土壤中重金属空间分布及来源,并基于潜在生态危害指数法进行了生态风险评价。结果表明,土壤中重金属含量均值由大到小为Mn﹥Pb﹥Cr﹥As﹥Hg﹥Cd,所有重金属含量均值都高于北京市土壤背景值。Pb、Cd和As污染较为严重,含量均值分别为96.78、0.25、28.40 mg·kg-1,且主要是人为来源;Mn和Cr元素平均含量稍高于北京市土壤背景值,主要来源为自然源;Hg元素的平均含量也稍高于北京市土壤背景值,是自然源和人为源共同作用的结果。重金属元素单项污染潜在生态风险系数从大到小依次为Cd﹥Hg﹥As﹥Pb﹥Cr﹥Mn,6种重金属综合潜在生态风险指数RI值为169.29,为中等生态危害,东南方向土壤重金属生态危害高于西北方向。综上所述,该水源地的土壤已经受到重金属的潜在威胁,其生态风险不容忽视。%Heavy metals in soils surrounding water source area pose direct risks to the water safety. Here the spatial distribution and sources of heavy metals in agricultural soils around a contingency water source of Pinggu, Beijing, were elucidated by ArcGIS and multivariate anal-ysis. The ecological risk assessment of soil heavy metals was also performed using potential ecological risk index(RI). The mean concentra-tions of heavy metals in soils were in order of [Mn]﹥[Pb]﹥[Cr]﹥[As]﹥[Hg]﹥[Cd], all exceeding the soil background values of Beijing. The soils were seriously polluted by Pb, Cd and As, with the mean concentrations of 96.78, 0.25 and 28.40 mg·kg-1, respectively. These metals mainly came from the human activities via mineral exploitation and transportation. The concentrations of Mn, Cr and Hg were slightly higher than the soil background values. Manganese and Cr were derived from the natural sources by weathering of rock and soil parent materials

  5. Surround suppression and sparse coding in visual and barrel cortices

    Directory of Open Access Journals (Sweden)

    Robert N S Sachdev

    2012-07-01

    Full Text Available During natural vision the entire retina is stimulated. Likewise, during natural tactile behaviors, spatially extensive regions of the somatosensory surface are co-activated. The large spatial extent of naturalistic stimulation means that surround suppression, a phenomenon whose neural mechanisms remain a matter of debate, must arise during natural behavior. To identify common neural motifs that might instantiate surround suppression across modalities, we review models of surround suppression and compare the evidence supporting the competing ideas that surround suppression has either cortical or sub-cortical origins in visual and barrel cortex. In the visual system there is general agreement lateral inhibitory mechanisms contribute to surround suppression, but little direct experimental evidence that intracortical inhibition plays a major role. Two intracellular recording studies of V1, one using naturalistic stimuli (Haider et al., 2010, the other sinusoidal gratings (Ozeki et al., 2009, sought to identify the causes of reduced activity in V1 with increasing stimulus size, a hallmark of surround suppression. The former attributed this effect to increased inhibition, the latter to largely balanced withdrawal of excitation and inhibition. In rodent primary somatosensory barrel cortex, multi-whisker responses are generally weaker than single whisker responses, suggesting multi-whisker stimulation engages similar surround suppressive mechanisms. The origins of suppression in S1 remain elusive: studies have implicated brainstem lateral/internuclear interactions and both thalamic and cortical inhibition. Although the anatomical organization and instantiation of surround suppression in the visual and somatosensory systems differ, we consider the idea that one common function of surround suppression, in both modalities, is to remove the statistical redundancies associated with natural stimuli by increasing the sparseness or selectivity of sensory

  6. Computational Assessment of a 3-Stage Axial Compressor Which Provides Airflow to the NASA 11- by 11-Foot Transonic Wind Tunnel, Including Design Changes for Increased Performance

    Science.gov (United States)

    Kulkarni, Sameer; Beach, Timothy A.; Jorgenson, Philip C.; Veres, Joseph P.

    2017-01-01

    A 24 foot diameter 3-stage axial compressor powered by variable-speed induction motors provides the airflow in the closed-return 11- by 11-Foot Transonic Wind Tunnel (11-Foot TWT) Facility at NASA Ames Research Center at Moffett Field, California. The facility is part of the Unitary Plan Wind Tunnel, which was completed in 1955. Since then, upgrades made to the 11-Foot TWT such as flow conditioning devices and instrumentation have increased blockage and pressure loss in the tunnel, somewhat reducing the peak Mach number capability of the test section. Due to erosion effects on the existing aluminum alloy rotor blades, fabrication of new steel rotor blades is planned. This presents an opportunity to increase the Mach number capability of the tunnel by redesigning the compressor for increased pressure ratio. Challenging design constraints exist for any proposed design, demanding the use of the existing driveline, rotor disks, stator vanes, and hub and casing flow paths, so as to minimize cost and installation time. The current effort was undertaken to characterize the performance of the existing compressor design using available design tools and computational fluid dynamics (CFD) codes and subsequently recommend a new compressor design to achieve higher pressure ratio, which directly correlates with increased test section Mach number. The constant cross-sectional area of the compressor leads to highly diffusion factors, which presents a challenge in simulating the existing design. The CFD code APNASA was used to simulate the aerodynamic performance of the existing compressor. The simulations were compared to performance predictions from the HT0300 turbomachinery design and analysis code, and to compressor performance data taken during a 1997 facility test. It was found that the CFD simulations were sensitive to endwall leakages associated with stator buttons, and to a lesser degree, under-stator-platform flow recirculation at the hub. When stator button leakages were

  7. [Observations and comparison analysis of air pollution in Beijing and nearly surrounding areas during Beijing 2008 Olympic Games].

    Science.gov (United States)

    Sun, Zhi-Qiang; Ji, Dong-Sheng; Song, Tao; Lin, Hong; Wang, Yue-Si; Jiang, Chang-Sheng

    2010-12-01

    In order to study regional air quality, evaluate the interaction of air quality among Beijing and four cities and assess the effects of regional collaborative emission abatement in Beijing and surrounding areas for the Olympic Games period on regional air quality, and seek an effective means of early warning of air pollution, a monitoring network on observation of atmospheric pollutants in Beijing and four nearby cities which were Zhuozhou, Langfang, Xianghe and Yanjiao, was established to measure concentrations of NO(x), O3 and particulate matter in June 2008. The results show that the primary pollutants in Beijing and nearly surrounding areas are particulates during the study periods. The average mass concentrations of PM10 were (114 +/- 66) microg/m3 and (128 +/- 59) microg/m3 in Beijing and nearby cities, respectively, while the average mass concentrations of PM2.5 were (77 +/- 47) microg/m3 and (81 +/- 51) microg/m3, respectively. The average maximum hourly mass concentrations of O3 were (164 +/- 52) microg/m3 and (165 +/- 55) microg/m3, as well as the average mass concentrations of NO(x) were (58 +/- 23) microg/m3 and (25 +/- 14) microg/m3 in Beijing and nearby cities, respectively. Compared to June, concentrations of PM10, PM2.5, O3, NO(x) decreased by 69%, 62%, 18% and 41% during the Olympic period (from August 8 to 24) and 56%, 49%, 17% and 16% during the Paralympic Games period (from September 6 to 17) in Beijing. The mass concentration of PM2.5 was affected by the surrounding areas of Beijing seriously. The relative high concentrations of NO(x) in Beijing implied NO(x) had the potential tendency to be transported to the surrounding areas. Ozone showed regional pollution characteristics in summer. It shows that the monitoring network on observation of atmospheric pollutants in Beijing and nearly surrounding areas is significant in early warning of air pollution, and could provide scientific support for interregional cooperation of air pollution control.

  8. Beliefs and practices surrounding postpartum period among Myanmar women.

    Science.gov (United States)

    Sein, Kyi Kyi

    2013-11-01

    to examine the postpartum beliefs and practices among young women (15-24 years) both quantitative and qualitative approaches were used: a cross-sectional comparative study using a semi-structured questionnaire and focus group discussions (FGDs). Kyimyindaing Township in the western district of Yangon, Myanmar. young women (15-24 years) who had experience of at least one live birth were included. A total of 196 women for a quantitative survey and 31 women for FGDs were recruited. postpartum beliefs and practices at the last childbirth were explored by a pretested semi-structured questionnaire and four FGDs (two in urban and two in rural areas). The survey questionnaire covered socio-demographic data, food and behavioural restrictions and observances during the last postpartum period and underlying reasons for those practices. Majority of participants followed the traditional postpartum practices regardless of the area of residence and education level. Notion of 'dirty lochia' was identified. traditional beliefs and practices surrounding post partum were highly prevalent among young women. Variation in degree and duration of adherence to postpartum taboos was noted. These beliefs and practices were imparted and perpetuated by women's close social network. the findings point out the importance of awareness of postpartum beliefs and practices among health staff for providing culturally sensitive health care and gaining better co-operation and mutual understanding in giving health care. Copyright © 2012 Elsevier Ltd. All rights reserved.

  9. Dead discs, unstable discs and the stars they surround

    Directory of Open Access Journals (Sweden)

    D’Angelo Caroline

    2014-01-01

    Full Text Available Strong stellar magnetic fields significantly alter the behaviour of surrounding accretion discs. Recent work has demonstrated that at low accretion rates a large amount of mass can remain confined in the disc, contrary to the standard assumption that the magnetic field will expel the disc in an outflow (the “propeller regime”. These “dead discs” often become unstable, causing cycles of accretion onto the central star. Here I present the main predictions of this model, and argue that it provides a good explanation for the peculiar behaviour seen in several accreting sources with strong magnetic fields. I will focus in particular on three accreting millisecond X-ray pulsars: SAX J1808.4-3658, NGC 6440 X-2 and IGR J00291+5934. These sources all show low-frequency quasi-periodic oscillations consistent with a variable accretion rate, as well as unusual outburst patterns that suggest gas is confined in the inner disc regions during quiescence.

  10. Representing the egocentric auditory space: relationships of surrounding region concepts.

    Science.gov (United States)

    Campos, Marcella C; Hermann, Thomas; Schack, Thomas; Bläsing, Bettina

    2013-03-01

    We investigated the representation of azimuthal directions of sound sources under two different conditions. In the first experiment, we examined the participants' mental representation of sound source directions via similarity judgments. Auditory stimuli originating from sixteen loudspeakers positioned equidistantly around the participant were presented in pairs, with the first stimulus serving as the anchor, and thereby providing the context for the second stimulus. For each pair of stimuli, participants had to rate the sound source directions as either similar or dissimilar. In the second experiment, the same participants categorized single sound source directions using verbal direction labels (front, back, left, right, and combinations of any two of these). In both experiments, the directions within the front and back regions were more distinctively categorized than those on the sides, and the sides' categories included more directions than those of the front or back. Furthermore, we found evidence that the left-right decision comprises the basic differentiation of the surrounding regions. These findings illustrate what seem to be central features of the representation of directions in auditory space.

  11. Surrounding Moving Obstacle Detection for Autonomous Driving Using Stereo Vision

    Directory of Open Access Journals (Sweden)

    Hao Sun

    2013-06-01

    Full Text Available Detection and tracking surrounding moving obstacles such as vehicles and pedestrians are crucial for the safety of mobile robotics and autonomous vehicles. This is especially the case in urban driving scenarios. This paper presents a novel framework for surrounding moving obstacles detection using binocular stereo vision. The contributions of our work are threefold. Firstly, a multiview feature matching scheme is presented for simultaneous stereo correspondence and motion correspondence searching. Secondly, the multiview geometry constraint derived from the relative camera positions in pairs of consecutive stereo views is exploited for surrounding moving obstacles detection. Thirdly, an adaptive particle filter is proposed for tracking of multiple moving obstacles in surrounding areas. Experimental results from real‐world driving sequences demonstrate the effectiveness and robustness of the proposed framework.

  12. Surrounding Moving Obstacle Detection for Autonomous Driving Using Stereo Vision

    Directory of Open Access Journals (Sweden)

    Hao Sun

    2013-06-01

    Full Text Available Detection and tracking surrounding moving obstacles such as vehicles and pedestrians are crucial for the safety of mobile robotics and autonomous vehicles. This is especially the case in urban driving scenarios. This paper presents a novel framework for surrounding moving obstacles detection using binocular stereo vision. The contributions of our work are threefold. Firstly, a multiview feature matching scheme is presented for simultaneous stereo correspondence and motion correspondence searching. Secondly, the multiview geometry constraint derived from the relative camera positions in pairs of consecutive stereo views is exploited for surrounding moving obstacles detection. Thirdly, an adaptive particle filter is proposed for tracking of multiple moving obstacles in surrounding areas. Experimental results from real-world driving sequences demonstrate the effectiveness and robustness of the proposed framework.

  13. Traditional Indian custOInS surrounding birth

    African Journals Online (AJOL)

    traditional custOIns surrounding birth in Indian culture. ... conception, pregnancy, birth and the early months ofparenthood. .... house attended by a traditional birth attendant of a ..... Spiritual components play a dominant role in traditional.

  14. Glow phenomenon surrounding the vertical stabilizer and OMS pods

    Science.gov (United States)

    1994-01-01

    This 35mm frame, photographed as the Space Shuttle Columbia was orbiting Earth during a 'night' pass, documents the glow phenomenon surrounding the vertical stabilizer and the Orbital Maneuvering System (OMS) pods of the spacecraft.

  15. Usefulness of an ability-based health model in work ability assessments provided by psychiatrists and psychology specialists writing social security certificates.

    Science.gov (United States)

    Solli, Hans Magnus; Barbosa da Silva, António; Egeland, Jens

    2015-01-01

    To investigate whether adding descriptions of the health factors "ability," "environment" and "intentions/goals" to the officially sanctioned biomedical disability model (BDM) would improve assessments of work ability for social security purposes. The study was based on a theoretical design consisting of textual analysis and interpretation. Two further work ability models were defined: the mixed health model (MHM), which describes health factors without assessing a person's abilities in context, and the ability-based health model (AHM), which assesses abilities in a concrete context of environment and intention. Eighty-six social security certificates, written by psychiatrists and psychology specialists in a Norwegian hospital-based mental health clinic, were analysed in relation to the three work ability/disability models. In certificates based on the BDM, a general pattern was found of "gradual work training". The MHM added health factors, but without linking them together in a concrete way. With the AHM, work ability was assessed in terms of a concrete unified evaluation of the claimant's abilities, environments and intentions/goals. Applying the AHM in work ability assessments, in comparison with the BDM and the MHM, is useful because this foregrounds claimants' abilities in a context of concrete goals and work-related opportunities, as a unity. Implications for Rehabilitation A concept of health should include ability, environment and intentions/goals as components. When all three of these components are described in concrete terms in a work ability assessment, an integrated picture of the individual's abilities in the context of his/her particular intentions/goals and work opportunities comes to the fore. This kind of assessment makes it possible to meet the individual's needs for individual follow-up in a work environment.

  16. On the transition to the normal phase for superconductors surrounded by normal conductors

    DEFF Research Database (Denmark)

    Fournais, Søren; Kachmar, Ayman

    2009-01-01

    For a cylindrical superconductor surrounded by a normal material, we discuss transition to the normal phase of stable, locally stable and critical configurations. Associated with those phase transitions, we define critical magnetic fields and we provide a sufficient condition for which those...

  17. The Geomorphology of the surroundings of the Ría de Arosa (Galicia, NW Spain)

    NARCIS (Netherlands)

    Pannekoek, A.J.

    1966-01-01

    This paper is intended to provide a geomorphological introduction to a series of papers on the sedimentology and weathering phenomena of the Ría de Arosa area. The area contains a large mass of coarse-grained porphyritic granite surrounded by other crystalline rocks. The granite is deeply weathered

  18. The Geomorphology of the surroundings of the Ría de Arosa (Galicia, NW Spain)

    NARCIS (Netherlands)

    Pannekoek, A.J.

    1966-01-01

    This paper is intended to provide a geomorphological introduction to a series of papers on the sedimentology and weathering phenomena of the Ría de Arosa area. The area contains a large mass of coarse-grained porphyritic granite surrounded by other crystalline rocks. The granite is deeply weathered

  19. Surrounding Moving Obstacle Detection for Autonomous Driving Using Stereo Vision

    OpenAIRE

    Hao Sun; Huanxin Zou; Shilin Zhou; Cheng Wang; Naser El-Sheimy

    2013-01-01

    Detection and tracking surrounding moving obstacles such as vehicles and pedestrians are crucial for the safety of mobile robotics and autonomous vehicles. This is especially the case in urban driving scenarios. This paper presents a novel framework for surrounding moving obstacles detection using binocular stereo vision. The contributions of our work are threefold. Firstly, a multiview feature matching scheme is presented for simultaneous stereo correspondence and motion correspondence searc...

  20. "Tilt" in color space: Hue changes induced by chromatic surrounds.

    Science.gov (United States)

    Klauke, Susanne; Wachtler, Thomas

    2015-01-01

    The perceived color of a chromatic stimulus is influenced by the chromaticity of its surround. To investigate these influences along the dimension of hue, we measured hue changes induced in stimuli of different hues by isoluminant chromatic surrounds. Generally, induced hue changes were directed in color space away from the hue of the inducing surround and depended on the magnitude on the hue difference between stimulus and surround. With increasing difference in hue between stimulus and surround, induced hue changes increased up to a maximum and then decreased for larger differences. This qualitative pattern was similar for different inducers, but quantitatively, induction was weaker along some directions in cone-opponent color space than along other directions. The strongest induction effects were found along an oblique, blue-yellow axis that corresponds to the daylight axis. The overall pattern of the induction effect shows similarities to the well-known tilt effect, where shifts in perceived angle of oriented stimuli are induced by oriented surrounds. This suggests analogous neural representations and similar mechanisms of contextual processing for different visual features such as orientation and color.

  1. Control of Formation of Lithological Reservoirs by Surrounding Mudstone

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Taking the Jiyang depression as an example, this paper discusses the control of the formation of lithological reservoir by surrounding rocks by integrated application of geological analysis, physical simulation, and the analysis of oil & gas accumulation mechanism. Geological statistical shows that the major burial depth and interval of lithological reservoirs in the Jiyang depression are related to the hydrocarbon generation in and expulsion from the Lower Tertiary source rocks and the time of the formation of most lithological reservoirs coincides with the peak of hydrocarbon generation and expulsion. The lithological traps located in the center of effective source rocks are propitious to high oil saturation than those located on the margin of effective source rocks. The hydrocarbon charge degree of the lithological reservoir has a positive correlation with the intensity of hydrocarbon expulsion from surrounding source rocks.Geological analyses and NMR experiments also show that the oil saturation of surrounding source rocks control the hydrocarbon potential of lithological traps, and a critical value for oil saturation of surrounding mudstone is required, that is, when the oil saturation of surrounding mudstone is lower than this critical value, no oil and gas accumulate in the lithological trap. The control of surrounding mudstone on the oil-bearing properties of lithological reservoirs is also analyzed by the mechanisms of hydrocarbon generation and expulsion as well as accumulation.

  2. Confronting, Confirming, and Dispelling Myths Surrounding ERP-in-the-Cloud

    DEFF Research Database (Denmark)

    Beaulieu, Tanya; C. Martin, Todd; Sarker, Saonee

    2015-01-01

    on the topic, there is substantial uncertainty surrounding the benefits and challenges of ERP cloud computing. Consequently, as often is the case with new technologies, popular myths surrounding the technology are used to make adoption and implementation decisions. As a first step toward providing an informed...... with stakeholders related to an ERP cloud-based solution. Our results dispel some of the myths, while supporting others, and highlight how ERP vendors work around the different types of challenges surrounding this technology. Our study also helps understand the benefits of ERP cloud computing, and informs about how...... cloud-based ERP systems will free organizations from the information system “iron cage” and lead to agile organizations....

  3. Damage Characteristics of Surrounding Rock Subjected to VCR Mining Blasting Shock

    Directory of Open Access Journals (Sweden)

    Nan Jiang

    2015-01-01

    Full Text Available For limiting the damage range caused by explosive shock loads in vertical crater retreat (VCR mining, the blasting damage characteristics of surrounding rock were studied by two methods: numerical simulation and ultrasonic testing. Combined with the mining blasting in Dongguashan Copper Mine of China, the VCR blasting shock characteristics under different conditions are obtained by using LSDYNA. Based on statistical fracture mechanics and damage mechanics theories, a damage constitutive model for rock mass subjected to blasting shock load was established. Then by using the fast Lagrange analysis codes (FLAC3D, the blasting damage characteristics of surrounding rock were analyzed by applying the blasting shock loads obtained from the VCR mining and the damage zone is obtained. At last, the relationship between the amount of explosives and the radius of damaged surrounding rock mass was discussed, and its formula was also derived. The research provides a theoretical basis for rationally controlling stope boundaries and optimizing mining blasting parameters.

  4. Forest Fragments Surrounded by Sugar Cane Are More Inhospitable to Terrestrial Amphibian Abundance Than Fragments Surrounded by Pasture

    Directory of Open Access Journals (Sweden)

    Paula Eveline Ribeiro D’Anunciação

    2013-01-01

    Full Text Available In recent years, there has been increasing interest in matrix-type influence on forest fragments. Terrestrial amphibians are good bioindicators for this kind of research because of low vagility and high philopatry. This study compared richness, abundance, and species composition of terrestrial amphibians through pitfall traps in two sets of semideciduous seasonal forest fragments in southeastern Brazil, according to the predominant surrounding matrix (sugar cane and pasture. There were no differences in richness, but fragments surrounded by sugar cane had the lowest abundance of amphibians, whereas fragments surrounded by pastures had greater abundance. The most abundant species, Rhinella ornata, showed no biometric differences between fragment groups but like many other amphibians sampled showed very low numbers of individuals in fragments dominated by sugar cane fields. Our data indicate that the sugar cane matrix negatively influences the community of amphibians present in fragments surrounded by this type of land use.

  5. The Bayer Facts of Science Education II. Today's Students and Tomorrow's Workplace: An Assessment of What Businesses Will Need and What Schools Can Provide, Executive Summary.

    Science.gov (United States)

    Research Communications, Ltd., Dedham, MA.

    This paper reports on a nationwide, random telephone survey conducted with elementary school principals and human resources directors to measure the levels of competency and preparedness of students today and in the future for entry-level jobs; attitudes toward the importance of science skills in relation to entry-level employment; assessments of…

  6. "I Like the Sound of That"--An Evaluation of Providing Audio Feedback via the Virtual Learning Environment for Summative Assessment

    Science.gov (United States)

    Carruthers, Clare; McCarron, Brenda; Bolan, Peter; Devine, Adrian; McMahon-Beattie, Una; Burns, Amy

    2015-01-01

    This study aims to ascertain student and staff attitudes to and perceptions of audio feedback made available via the virtual learning environment (VLE) for summative assessment. Consistent with action research and reflective practice, this study identifies best practice, highlighting issues in relation to implementation with the intention of…

  7. PROVIDES AN ASSESSMENT OF THE IMPACT OF THE DEVELOPED BREATHER GEAR ON RESOURCE TRACTOR TRANSMISSION, METHODS OF DETERMINATION OF WEAR AND TEAR

    Directory of Open Access Journals (Sweden)

    Spitsin I. A.

    2014-11-01

    Full Text Available The paper presents an assessment of the impact of the developed breather gear the resource tractor transmission and analyzes methods for the determination of wear and tear by spectral analysis of the oil, and the essence of the method of measuring the intensity of X-ray fluorescence emission of iron accumulated in the oil

  8. Assessing treatment-as-usual provided to control groups in adherence trials: Exploring the use of an open-ended questionnaire for identifying behaviour change techniques

    NARCIS (Netherlands)

    Oberjé, E.J.M.; Dima, A.L.; Pijnappel, F.J.; Prins, J.M.; Bruin, M. de

    2015-01-01

    OBJECTIVE: Reporting guidelines call for descriptions of control group support in equal detail as for interventions. However, how to assess the active content (behaviour change techniques (BCTs)) of treatment-as-usual (TAU) delivered to control groups in trials remains unclear. The objective of this

  9. Barriers and facilitators adolescent females living with HIV face in accessing contraceptive services: a qualitative assessment of providers' perceptions in western Kenya.

    Science.gov (United States)

    Hagey, Jill M; Akama, Eliud; Ayieko, James; Bukusi, Elizabeth A; Cohen, Craig R; Patel, Rena C

    2015-01-01

    Avoiding unintended pregnancies is important for the health of adolescents living with HIV and has the additional benefit of preventing potential vertical HIV transmission. Health facility providers represent an untapped resource in understanding the barriers and facilitators adolescents living with HIV face when accessing contraception. By understanding these barriers and facilitators to contraceptive use among adolescent females living with HIV, this study aimed to understand how best to promote contraception within this marginalized population. We conducted structured in-depth interviews with 40 providers at 21 Family AIDS Care & Education Services - supported clinics in Homabay, Kisumu and Migori counties in western Kenya from July to August 2014. Our interview guide explored the providers' perspectives on contraceptive service provision to adolescent females living with HIV with the following specific domains: contraception screening and counselling, service provision, commodity security and clinic structure. Transcripts from the interviews were analyzed using inductive content analysis. According to providers, interpersonal factors dominated the barriers adolescent females living with HIV face in accessing contraception. Providers felt that adolescent females fear disclosing their sexual activity to parents, peers and providers, because of repercussions of perceived promiscuity. Furthermore, providers mentioned that adolescents find seeking contraceptive services without a male partner challenging, because some providers and community members view adolescents unaccompanied by their partners as not being serious about their relationships or having multiple concurrent relationships. On the other hand, providers noted that institutional factors best facilitated contraception for these adolescents. Integration of contraception and HIV care allows easier access to contraceptives by removing the stigma of coming to a clinic solely for contraceptive services. Youth

  10. A national evaluation of workplace-based assessment tools (WPBAs) in foundation dental training: a UK study. Effective and useful but do they provide an equitable training experience?

    Science.gov (United States)

    Kirton, J A; Palmer, N O A; Grieveson, B; Balmer, M C

    2013-03-01

    A questionnaire study was undertaken with trainers and trainees from 12 deaneries in England and Northern Ireland in June 2010 to evaluate workplace-based assessments (WPBAs) in foundation training. From the sample consisting of 741 trainers and 643 foundation trainees, experience of WPBAs was positive overall, playing an important role in trainees' learning during foundation training and building confidence. However, there is a need for comprehensive training in the WPBA tools used to ensure their efficacy.

  11. Can Assessment of Disease Burden Prior to Changes in Initial COPD Maintenance Treatment Provide Insight into Remaining Unmet Needs? A Retrospective Database Study in UK Primary Care.

    Science.gov (United States)

    Landis, Sarah H; Wurst, Keele; Le, Hoa Van; Bonar, Kerina; Punekar, Yogesh S

    2017-02-01

    This retrospective cohort study aimed to assess treatment patterns over 24 months amongst patients with chronic obstructive pulmonary disease (COPD), initiating a new COPD maintenance treatment, and to understand clinical indicators of treatment change. Patients included in the study initiated a long-acting β2-agonist (LABA), a long-acting muscarinic antagonist (LAMA), or a combination of LABA and an inhaled corticosteroid (ICS/LABA) between January 1, 2009, and November 30, 2013, as recorded in the United Kingdom Clinical Practice Research Datalink (UK CPRD). Treatment modifications (switching or adding maintenance treatments) over 24 months were assessed, and patient characteristics, disease burden, medication and healthcare resource use during the 30 days before treatment modification were evaluated. The cohort comprised 17,258 patients [LABA (8%), LAMA (39%) and ICS/LABA (54%)] with similar age, body mass index and dyspnoea distribution. LABA users were more likely than LAMA users to add a maintenance therapy. Distinct patterns of treatment augmentations were noted, whereby LABA users typically received dual therapy before moving to triple therapy, while LAMA users moved to triple therapy by directly adding an ICS/LABA. Exacerbation events immediately prior to treatment change were not frequently recorded; however, the need for rescue short-acting medication and assessment of dyspnoea in the 30 days prior to the treatment change suggest that dyspnoea is a remaining unmet need driving therapy change.

  12. Assessing clinical support and inter-professional interactions among front-line primary care providers in remote communities in northern Canada: a pilot study

    Directory of Open Access Journals (Sweden)

    Stephanie K. Young

    2016-09-01

    Full Text Available Background: Primary care in remote communities in northern Canada is delivered primarily by nurses who receive clinical support from physicians in regional centres and the patient transportation system. To improve continuity, quality and access to care in remote northern communities, it is important to understand the perspectives of front-line providers and the complex challenges they face. Objective: To design and implement a survey of primary care providers to identify issues relating to inter-professional communication, clinical support and patient evacuation. Methods: In collaboration with the territorial government and regional health authority partners, we developed a 21-item self-administered questionnaire survey, which could be completed online. The survey was sent to 218 physicians and nurses who were employed in the Northwest Territories (NWT at the time of the survey and were involved in sending patients out of the community and/or receiving patients. The survey also contained an open-ended question at the end seeking comments regarding primary health care. Results: The overall low response rate of 39% among nurses and 19% among physicians threatens the validity of the quantitative results. The majority of providers were satisfied with their ability to communicate with other providers in a timely manner, their freedom to make clinical decisions and their overall experience practicing in the NWT. The patient transfer system appears to work from both the sender and receiver perspectives. However, a common theme reported by nurses was that physicians providing clinical advice, especially short-term locums, were not familiar with the local situation, whilst physicians at the receiving end remarked that the clinical information provided to them often lacked clarity. Conclusions: Important lessons were learnt from the pilot study, especially in better engagement of providers in planning and dissemination. The questionnaire design and the

  13. 燃煤电厂周边地区积尘重金属污染特征与健康风险评价%Pollution characteristics and health risk assessment of heavy metals in dust surrounding a coal-fired power plant

    Institute of Scientific and Technical Information of China (English)

    陈耿; 刘军; 杨立辉; 柯钊跃

    2016-01-01

    The aim of this work was to measure the concentrations of heavy metals in house dust and soil samples as well as study the characteristics and distribution of heavy metal pollution in the surrounding ar-ea of coal-fired power plant in Guangdong Province.The risk assessment of heavy metals in dust was also carried out using US EPA Health Risk Assessment Model.The results revealed that the order of concen-trations of metals was Zn >Mn >Pb >Cu >Cr >As >Cd >Hg.The heavy metal pollution levels of dust were relatively high,which were higher than those in soil to varying degrees.The pollution of Zn,Pb, Cd and Cu in dust was likely to be anthropogenic,mainly due to industrial and traffic sources.However, the pollution of As,Hg and Mn in dust was not obviously anthropogenic.Spatial distribution of heavy metal in dust was clearly affected by soot emissions of power plant.Nemerow Indexes were significantly correlated with local wind direction and frequency,decreased with incremental distance from the power plant.It is evident that the concentrations of Pb,Zn and Hg also decreased with incremental distance from the power plant.Potential health risk for children was significantly higher than for adults.The non-cancer risk of metals was Pb >Mn >Cr >As >Zn >Cu >Hg >Cd,while the carcinogen risk of metals was As >Cr >Pb >Cd.In particular,the non-cancer risk of Pb for children was high,which required more attention.The non-cancer risks of other metals for children were low.Non-cancer risks for adults were ignorable.Carcinogen risks of metals were in an acceptable range,indicating no carcinogenic hazard to children and adults.%对广东某燃煤电厂周边地区的民宅积尘和土壤中重金属含量进行测定,分析重金属的污染特征和分布规律,并应用美国 EPA 健康风险评价模型对积尘重金属进行健康风险评价。结果表明,研究区域积尘重金属污染较重,含量表现为 Zn >Mn >Pb >Cu >Cr >As >Cd >Hg,均不同

  14. IRIS Observation of a Sunspot and the Surrounding Plage Region

    Science.gov (United States)

    TIAN, H.; DeLuca, E. E.; Mcintosh, S. W.; Reeves, K. K.; McKillop, S.; Weber, M.; Saar, S.; Golub, L.; Testa, P.

    2013-12-01

    NASA's IRIS mission is providing high-cadence and high-resolution observations of the solar transition region and chromosphere. We present preliminary results from IRIS observation of a sunspot and the surrounding plage region. The major findings in this observation can be summarized as following: (1) The slit jaw images in the filters of 1400Å and 1330Å reveal the presence of many rapidly evolving fibril-like structures in the transition region for the first time. These thin and long structures mainly reside in the plage region. They could be strands of low-lying cool transition region loops or the transition region counterpart of chromospheric spicules. (2) The C II and Mg II line profiles are almost Gaussian in the sunspot umbra and clearly exhibit a deep reversal at the line center in the plage region, suggesting a greatly reduced opacity in the sunspot atmosphere. (3) Bidirectional jets are frequently occurring mainly in the plage region immediately outside the sunspot throughout the observation. Triple or double Gaussian fit to the line profiles of Si IV suggests a velocity as high as 100 km/s. These velocity values are of the same order of the Alfven speed in the transition region. (4)Three-minute oscillation is clearly present in the sunspot umbra. The oscillation is identified in not only the slit jaw images of 2796Å, 1400Å and 1330Å, but also in spectra of the bright Mg II, C II and Si IV lines. Strong non-linearity is clearly seen in the intensity and Doppler shift oscillations. Interestingly, the obvious increase of the line width only occurs at the times of largest blue shift. The correlated change of the intensity and Doppler shift suggests an upward propagating magneto-acoustic shock wave.

  15. Rain Simulation for the Test of Automotive Surround Sensors

    Science.gov (United States)

    Hasirlioglu, Sinan; Riener, Andreas; Doric, Igor

    2017-04-01

    The WHO Global Health Observatory data indicates that over 1.25 million people die in traffic accidents annually. To save lives, car manufacturers spend lot of efforts on the development of novel safety systems aiming to avoid or mitigate accidents and provide maximum protection for vehicle occupants as well as vulnerable road users. All the safety features mainly rely on data from surround sensors such as radar, lidar and camera and intelligent vehicles today use these environmental data for instant decision making and vehicle control. As already small errors in sensor data measurements could lead to catastrophes like major injuries or road traffic fatalities, it is of utmost importance to ensure high reliability and accuracy of sensors and safety systems. This work focuses on the influence of environmental factors such as rain conditions, as it is known that rain drops scatter the electromagnetic waves. The result is incorrect measurements with a direct negative impact on environment detection. To identify potential problems of sensors under varying environmental conditions, systems are today tested in real-world settings with two main problems: First, tests are time-consuming and second, environmental conditions are not reproducible. Our approach to test the influence of weather on automotive sensors is to use an indoor rain simulator. Our artificial rain maker, installed at CARISSMA (Center of Automotive Research on Integrated Safety Systems and Measurement Area), is parametrized with rain characteristics measured in the field using a standard disdrometer. System behavior on artificial rain is compared and validated with natural rainfall. With this simulator it is finally possible to test environmental influence at various levels and under reproducible conditions. This saves lot of efforts required for the test process itself and furthermore has a positive impact on the reliability of sensor systems due to the fact that test driven development is enabled.

  16. Cultural competency of health-care providers in a Swiss University Hospital: self-assessed cross-cultural skillfulness in a cross-sectional study.

    Science.gov (United States)

    Casillas, Alejandra; Paroz, Sophie; Green, Alexander R; Wolff, Hans; Weber, Orest; Faucherre, Florence; Ninane, Françoise; Bodenmann, Patrick

    2014-01-30

    As the diversity of the European population evolves, measuring providers' skillfulness in cross-cultural care and understanding what contextual factors may influence this is increasingly necessary. Given limited information about differences in cultural competency by provider role, we compared cross-cultural skillfulness between physicians and nurses working at a Swiss university hospital. A survey on cross-cultural care was mailed in November 2010 to front-line providers in Lausanne, Switzerland. This questionnaire included some questions from the previously validated Cross-Cultural Care Survey. We compared physicians' and nurses' mean composite scores and proportion of "3-good/4-very good" responses, for nine perceived skillfulness items (4-point Likert-scale) using the validated tool. We used linear regression to examine how provider role (physician vs. nurse) was associated with composite skillfulness scores, adjusting for demographics (gender, non-French dominant language), workplace (time at institution, work-unit "sensitized" to cultural-care), reported cultural-competence training, and cross-cultural care problem-awareness. Of 885 questionnaires, 368 (41.2%) returned the survey: 124 (33.6%) physicians and 244 (66.4%) nurses, reflecting institutional distribution of providers. Physicians had better mean composite scores for perceived skillfulness than nurses (2.7 vs. 2.5, p diverse populations (β = 0.11, p = 0.04). In stratified analyses among physicians alone, having French as a dominant language (β = -0.34, p diversity efforts in the work force, particularly among physicians.

  17. Cultural competency of health-care providers in a Swiss University Hospital: self-assessed cross-cultural skillfulness in a cross-sectional study

    Science.gov (United States)

    2014-01-01

    Background As the diversity of the European population evolves, measuring providers’ skillfulness in cross-cultural care and understanding what contextual factors may influence this is increasingly necessary. Given limited information about differences in cultural competency by provider role, we compared cross-cultural skillfulness between physicians and nurses working at a Swiss university hospital. Methods A survey on cross-cultural care was mailed in November 2010 to front-line providers in Lausanne, Switzerland. This questionnaire included some questions from the previously validated Cross-Cultural Care Survey. We compared physicians’ and nurses’ mean composite scores and proportion of “3-good/4-very good” responses, for nine perceived skillfulness items (4-point Likert-scale) using the validated tool. We used linear regression to examine how provider role (physician vs. nurse) was associated with composite skillfulness scores, adjusting for demographics (gender, non-French dominant language), workplace (time at institution, work-unit “sensitized” to cultural-care), reported cultural-competence training, and cross-cultural care problem-awareness. Results Of 885 questionnaires, 368 (41.2%) returned the survey: 124 (33.6%) physicians and 244 (66.4%) nurses, reflecting institutional distribution of providers. Physicians had better mean composite scores for perceived skillfulness than nurses (2.7 vs. 2.5, p cultural training (β = 0.14, p = 0.01) and lack of practical experience caring for diverse populations (β = 0.11, p = 0.04). In stratified analyses among physicians alone, having French as a dominant language (β = −0.34, p cultural competency improvement among providers. These results support the need for cross-cultural skills training with an inter-professional focus on nurses, education that attunes provider awareness to the local issues in cross-cultural care, and increased diversity efforts in the work force

  18. Nutritional implications of patient-provider interactions in hospital settings: evidence from a within-subject assessment of mealtime exchanges and food intake in elderly patients.

    Science.gov (United States)

    Dubé, L; Paquet, C; Ma, Z; McKenzie, D St-Arnaud; Kergoat, M-J; Ferland, G

    2007-05-01

    To examine the nutritional implications of the interactions taking place between patients and care providers during mealtimes in hospital settings. Specifically, we tested research propositions that the amount and nature of interpersonal behaviours exchanged between patients and providers impact patients' food intake. These propositions were derived from prior evidence of social influences on eating behaviour and a well-established framework that identifies two fundamental modalities of human interaction: striving for mastery and power (agency) and efforts to promote union with others (communion). In a within-subject naturalistic study, participants were observed on multiple meals (n=1477, 46.2 meals/participant on average), during which participants' and providers' agency- and communion-related behaviours and patients' protein and energy intake were recorded. Meal-level frequency and complementarity of patients' and providers' behaviours were computed to test research propositions. Dining room of a geriatric rehabilitation unit. Thirty-two elderly patients (21 females, mean age:78.8, 95% CI: 76.4, 81.1). Meal-level frequency of patient-provider exchanges (P=0.016) and patients' agency-related behaviours (P=0.029), as well as mutual reciprocation of patients' and providers' communion-related behaviours (P=0.015) on a given meal were positively linked to protein intake. Higher energy intake was found during meals where patients expressed more agency-related behaviours (P=0.029). Results present evidence that the amount and nature of patient-provider interpersonal exchanges on a given meal influence the nutritional quality of food intake in hospitalized elderly. They provide insights into how to improve the design and delivery of routine care to this malnutrition-prone population. This study was supported by the Canadian Institutes of Health Research (Operating grant to Laurette Dubé, Doctoral Fellowship to Catherine Paquet) the Fonds de la Recherche en santé du Qu

  19. Subtracted dynamic MR perfusion source images (sMRP-SI) provide collateral blood flow assessment in MCA occlusions and predict tissue fate

    Energy Technology Data Exchange (ETDEWEB)

    Villringer, Kersten; Serrano-Sandoval, Rafael; Galinovic, Ivana; Ostwaldt, Ann-Christin; Brunecker, Peter; Fiebach, Jochen B. [Charite-Universitaetsmedizin, Academic Neuroradiology, Center for Stroke Research (CSB), Berlin (Germany); Grittner, Ulrike [Charite, Universitaetsmedizin Berlin, Center for Stroke Research, Berlin (Germany); Charite, Department for Biostatistics and Clinical Epidemiology, Berlin (Germany); Schneider, Alice [Charite, Universitaetsmedizin Berlin, Center for Stroke Research, Berlin (Germany); Rocco, Andrea [Charite, Department of Neurology and Center for Stroke Research, Berlin (Germany)

    2016-05-15

    Collateral blood flow is accepted as a predictive factor of tissue fate in ischemic stroke. Thus, we aimed to evaluate a new method derived from MR perfusion source images to assess collateral flow in patients with ICA/MCA occlusions. A total of 132 patients of the prospective 1000+ study were examined. MR perfusion source images were assessed according to Δimg{sub n} = img{sub n} + 1 - img{sub n} - 1 using the five-grade Higashida collateral flow rating system. Higashida scores were correlated to mismatch (MM) volume, mismatch ratio, day 6 FLAIR lesion volumes and day 90 mRS. Patients with Higashida scores 3 and 4 had significantly lower admission NIHSS, smaller FLAIR day 6 lesion volumes (p < 0.001) and higher rates of better long-term outcome (mRS 0-2, p = 0.002). There was a linear trend for the association of Higashida grade 1 (p = 0.002) and 2 (p = 0.001) with unfavourable outcome (day 90 mRS 3-6), but no significant association was found for MM volume, MM ratio and day 90 mRS. Inter-rater agreement was 0.58 (95 % CI 0.43-0.73) on day 1, 0.70 (95 % CI 0.58-0.81) on day 2. sMRP-SI Higashida score offers a non-invasive collateral vessel and tissue perfusion assessment of ischemic tissue. The predictive value of Higashida rating proved superior to MM with regard to day 90 mRS. (orig.)

  20. Coordination of International Standards with Implementation of the IECRE Conformity Assessment System to Provide Multiple Certification Offerings for PV Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, George; Haring, Adrian; Spooner, Ted; Ball, Greg; Kurtz, Sarah; Heinze, Matthias; Yamamichi, Masaaki; Eguchi, Yoshihito; Ramu, Govind

    2016-11-21

    To help address the industry's needs for assuring the value and reducing the risk of investments in PV power plants; the International Electrotechnical Commission (IEC) has established a new conformity assessment system for renewable energy (IECRE). There are presently important efforts underway to define the requirements for various types of PV system certificates, and publication of the international standards upon which these certifications will be based. This paper presents a detailed analysis of the interrelationship of these activities and the timing for initiation of IECRE PV system certifications.

  1. [Satisfaction of patients with oncological diseases--an assessment of the key sectors in patient care: primary care physicians, specialist physicians, hospitals and health insurance providers].

    Science.gov (United States)

    Degen, C; Möller, D; Schlechter, C

    2014-04-01

    The following study examines the influencing factors on the satisfaction of oncological patients with their primary care physician, specialist physician, hospital and health insurance provider. Individual patient satisfaction with cross-sectoral collaboration is examined based on the satisfaction with these sectors. 12 specialist practices from 8 federal states participated in the patient survey. Altogether, 516 patients took part during the investigation period 2011-2012. The results were evaluated by multiple regression analysis. The results show that patients are content with cross-sectoral collaboration if they are satisfied with their health insurance and the specialist physician. With regard to satisfaction with the primary care physician and the specialist physician, trust is perceived to be the most important influencing factor. For hospitals, the most significant influencing factor is interest in and time for patients. Regarding health insurance, providing the patients with information leads to a greater degree of satisfaction. Psychosocial factors are of key importance for the patient's perceptions of satisfaction with the different sectors. This contains for instance factors like to 'putting confidence in physicians' or 'talking about patients' fears'. The sectors considered in this study should therefore give more consideration to these factors during patient care. A health insurance provider can take on the role of a competent point of contact, providing quality-assured information in the context of oncological diseases. © Georg Thieme Verlag KG Stuttgart · New York.

  2. A Markov model assessing the impact on primary care practice revenues and patient's health when using mid-level providers, lesson learned from the United Kingdom.

    Science.gov (United States)

    Hill, Harry; Macey, Richard; Brocklehurst, Paul

    2017-03-08

    To evaluate the cost-effectiveness of using mid-level providers for dental "check-up" examinations and the treatment of caries in different NHS settings in the United Kingdom. Mid-level providers are a broad category that describes non-dentist members of dental teams. This study focused on the potential use of Dental Hygiene Therapists undertaking dental "check-up" examinations and simple restorative treatment, instead of dentists. A Markov model was used to construct the natural history of caries development in adults that visit a dental practice every six months over a five-year period. Three cost perspectives are taken: those borne to dental healthcare providers in England and Wales, Northern Ireland and Scotland. These represent three separate forms of retrospective payment system that are currently in use in the United Kingdom. The cost outcome was the average amount of retained practice earnings required to provide healthcare per patient visit. The health outcome was the average length of time in a cavity-free state and the cost-effectiveness outcome was incremental cost for six months in a cavity-free state. No statistical difference was found between dentists and mid-level providers in the length of time in a cavity-free state but the use of the latter saved money in all three NHS health system jurisdictions. This ranged from £7.85 (England and Wales) to £9.16 (Northern Ireland) per patient visit ($10.20 to $11.90, respectively) meaning the incremental cost for six month in a cavity-free state ranged from £261.67 ($339.93) in England and Wales to £305.33 ($369.68) in Northern Ireland. Further, changes in baseline assumptions and parameter values did not change mid-level providers being the dominant service intervention. In a time of limited funds for dental services, these results suggest that resources in public funded systems could be saved using mid-level providers in dental practices, without any health risk to patients or capital investment.

  3. Assessing knowledge of the patient bill of rights in central Saudi Arabia: a survey of primary health care providers and recipients.

    Science.gov (United States)

    Alghanim, Saad Abdullah

    2012-01-01

    Little is known about the implementation of the patient bill of rights (PBR) in Saudi Arabia. Therefore, this study was conducted to explore to what extent health care recipients and providers know about the bill and its implementation. A cross-sectional survey conducted on health care professionals and patients at Primary Health Care Centers in Riyadh, Saudi Arabia, during July 2010. The study employed a self-administered questionnaire to collect data from 500 patients (aged 18 years or older) and 500 health care providers (physicians and nurses) in primary health care (PHC) centers in Riyadh. Data was collected on the respondents' knowledge of the existence and contents of the bill, the extent to which the bill is implemented, and the obstacles that may hinder bill implementation. The data was analyzed and presented in a descriptive fashion. More than three quarters of patients and one third of PHC providers did not know about the existence of the bill. Among those who knew about its existence, about three quarters of patients and almost half of PHC providers had little (or very little) knowledge about the bill contents. In general, patients scored lower means of perception than PHC staff about the implementation of the bill's aspects. PHC staff reported several obstacles that may hinder the implementation of the PBR in Saudi Arabia. Patients and health care providers lack necessary knowledge about the PBR. More dissemination of information about the bill, taking into account the particularities of the Saudi population is needed. Future research is required to establish measures that are effective in ensuring that patients rights are ensured.

  4. Combined robotic-aided gait training and 3D gait analysis provide objective treatment and assessment of gait in children and adolescents with Acquired Hemiplegia.

    Science.gov (United States)

    Molteni, Erika; Beretta, Elena; Altomonte, Daniele; Formica, Francesca; Strazzer, Sandra

    2015-08-01

    To evaluate the feasibility of a fully objective rehabilitative and assessment process of the gait abilities in children suffering from Acquired Hemiplegia (AH), we studied the combined employment of robotic-aided gait training (RAGT) and 3D-Gait Analysis (GA). A group of 12 patients with AH underwent 20 sessions of RAGT in addition to traditional manual physical therapy (PT). All the patients were evaluated before and after the training by using the Gross Motor Function Measures (GMFM), the Functional Assessment Questionnaire (FAQ), and the 6 Minutes Walk Test. They also received GA before and after RAGT+PT. Finally, results were compared with those obtained from a control group of 3 AH children who underwent PT only. After the training, the GMFM and FAQ showed significant improvement in patients receiving RAGT+PT. GA highlighted significant improvement in stance symmetry and step length of the affected limb. Moreover, pelvic tilt increased, and hip kinematics on the sagittal plane revealed statistically significant increase in the range of motion during the hip flex-extension. Our data suggest that the combined program RAGT+PT induces improvements in functional activities and gait pattern in children with AH, and it demonstrates that the combined employment of RAGT and 3D-GA ensures a fully objective rehabilitative program.

  5. 6.1 channel general planar surround sound system

    Institute of Scientific and Technical Information of China (English)

    XIE Bosun

    2001-01-01

    A new 6.1 channel surround sound system and its two signal mixing methods are proposed. Theoretical and experimental results show that the system is able to recreate 360°sound image in horizontal plane. Especially, compared with current 5.1 channel system, lateral and rear image of the new system is improved obviously. Therefore it is suitable to be used as a general surround sound system. It is also proved that, the new system is fully compatible with 5.1 channel system, and current methods are available to record 6.1 channel signals.

  6. Linking disadvantaged housing areas to the surrounding city

    DEFF Research Database (Denmark)

    Stender, Marie

    Several disadvantaged social housing areas in Denmark are currently undergo-ing thorough physical refurbishments, aiming to integrate them better with the surrounding city. The ambition is to attract new users and residents by opening up the borders of the area and establish attractive, new...... that especially eve-ryday-route strategies adding new public functions within the area can pave the way for integration with the surroundings. The applicability of such strategies is however highly dependent on the context, location and existing image of the ar-ea. Social distance may sustain though physical...

  7. Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania

    Directory of Open Access Journals (Sweden)

    Hoffman Steven J

    2011-12-01

    Full Text Available Abstract Background Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization of insecticide-treated nets (ITNs. Methods This study compares what is known about ITNs to the related knowledge and practices of healthcare providers in four low- and middle-income countries. A new questionnaire was developed, pilot tested, translated and administered to 497 healthcare providers in Ghana (140, Laos (136, Senegal (100 and Tanzania (121. Ten questions tested participants' knowledge and clinical practice related to malaria prevention. Additional questions addressed their individual characteristics, working context and research-related activities. Ordinal logistic regressions with knowledge and practices as the dependent variable were conducted in addition to descriptive statistics. Results The survey achieved a 75% response rate (372/497 across Ghana (107/140, Laos (136/136, Senegal (51/100 and Tanzania (78/121. Few participating healthcare providers correctly answered all five knowledge questions about ITNs (13% or self-reported performing all five clinical practices according to established evidence (2%. Statistically significant factors associated with higher knowledge within each country included: 1 training in acquiring systematic reviews through the Cochrane Library (OR 2.48, 95% CI 1.30-4.73; and 2 ability to read and write English well or very well (OR 1.69, 95% CI 1.05-2.70. Statistically significant factors associated with better clinical practices within each country include: 1 reading scientific journals from their own country (OR

  8. Testing a rapid climate change adaptation assessment for water and sanitation providers in informal settlements in three cities in sub-Saharan Africa

    OpenAIRE

    Heath, Tom; Parker, Alison; Weatherhead, E. K.

    2012-01-01

    Climate change is expected to affect the poor in low- and middle-income countries most, particularly in the next few decades, through increased flooding and droughts. A very large number of these poor live in informal urban settlements, where they rely on water kiosks and pit latrines and where there is usually inadequate provision for drainage. Despite an abundance of publications on climate change, there is little advice that is specific to those providing water and sanitation services to t...

  9. Rapid assessment of ecosystem services provided by two mineral extraction sites restored for nature conservation in an agricultural landscape in eastern England.

    Directory of Open Access Journals (Sweden)

    Phillip J Blaen

    Full Text Available Despite growing recognition that mineral sites restored for nature conservation can enhance local biodiversity, the wider societal benefits provided by this type of restoration relative to alternative options are not well understood. This study addresses this research gap by quantifying differences in ecosystem services provision under two common mineral site after-uses: nature conservation and agriculture. Using a combination of site-specific primary field data, benefits transfer and modelling, we show that for our sites restoration for nature conservation provides a more diverse array of ecosystem services than would be delivered under an agricultural restoration scenario. We also explore the effects of addressing different conservation targets, which we find alter the provision of ecosystem services on a service-specific basis. Highly species-focused intervention areas are associated with increased carbon storage and livestock grazing provision, whereas non-intervention areas are important for carbon sequestration, fishing, recreation and flood risk mitigation. The results of this study highlight the wider societal importance of restored mineral sites and may help conservation managers and planners to develop future restoration strategies that provide benefits for both biodiversity and human well-being.

  10. Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr).

    Science.gov (United States)

    Wang, Catharine; Sen, Ananda; Plegue, Melissa; Ruffin, Mack T; O'Neill, Suzanne M; Rubinstein, Wendy S; Acheson, Louise S

    2015-08-01

    This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6month follow-up, adjusting for age, site and practice clustering. A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p'sfamily members about family history risk (OR=1.24, p=0.042) and actively collecting family history information at follow-up (OR=2.67, p=0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Pain in patients with multiple sclerosis: a complex assessment including quantitative and qualitative measurements provides for a disease-related biopsychosocial pain model

    Directory of Open Access Journals (Sweden)

    Michalski D

    2011-08-01

    Full Text Available Dominik Michalski1,*, Stefanie Liebig1,*, Eva Thomae1,2, Andreas Hinz3, Florian Then Bergh1,21Department of Neurology, 2Translational Centre for Regenerative Medicine (TRM, 3Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany *These authors contributed equallyBackground: Pain of various causes is a common phenomenon in patients with Multiple Sclerosis (MS. A biopsychosocial perspective has proven a useful theoretical construct in other chronic pain conditions and was also started in MS. To support such an approach, we aimed to investigate pain in MS with special emphasis on separating quantitative and qualitative aspects, and its interrelation to behavioral and physical aspects.Materials and methods: Pain intensity (NRS and quality (SES were measured in 38 consecutive outpatients with MS (mean age, 42.0 ± 11.5 years, 82% women. Pain-related behavior (FSR, health care utilization, bodily complaints (GBB-24 and fatigue (WEIMuS were assessed by questionnaires, and MS-related neurological impairment by a standardized neurological examination (EDSS.Results: Mean pain intensity was 4.0 (range, 0–10 and mean EDSS 3.7 (range, 0–8 in the overall sample. Currently present pain was reported by 81.6% of all patients. Disease duration and EDSS did not differ between patients with and without pain and were not correlated to quality or intensity of pain. Patients with pain had significantly higher scores of musculoskeletal complaints, but equal scores of exhaustion, gastrointestinal and cardiovascular complaints. Pain intensity correlated only with physical aspects, whereas quality of pain was additionally associated with increased avoidance, resignation and cognitive fatigue.Conclusion: As in other conditions, pain in MS must be assessed in a multidimensional way. Further research should be devoted to adapt existing models to a MS-specific model of pain.Keywords: pain intensity, quality of pain, pain

  12. The perceived value of clinical pharmacy service provision by pharmacists and physicians: an initial assessment of family medicine and internal medicine providers.

    Science.gov (United States)

    Wietholter, Jon P; Ponte, Charles D; Long, Dustin M

    2016-10-24

    Few publications have addressed the perceptions of pharmacists and physicians regarding the value of clinical pharmacist services. A survey-based study was conducted to determine whether Internal Medicine (IM) and Family Medicine (FM) pharmacists and physicians differed in their attitudes regarding the benefits of collaboration in an acute care setting. The primary objective was to evaluate perceived differences regarding self-assessment of value between IM and FM pharmacists. The secondary objective was to evaluate perceived differences of clinical pharmacist benefit between IM and FM physicians. An eight-item questionnaire assessed the attitudes and beliefs of pharmacists and physicians regarding the value of clinical pharmacy services. Surveys were emailed and participants marked their responses using a 7-point Likert scale for each item. Demographic data and overall comments were collected from each participant. Overall, 167 surveys were completed. When comparing cumulative physician and pharmacist responses, none of the eight questions showed significant differences. Statistically significant differences were noted when comparing IM and FM clinical pharmacists on five of the eight survey items; for each of these items, FM pharmacists had more favourable perceptions than their IM counterparts. No statistically significant differences were noted when comparing responses of IM and FM physicians. This study found that FM pharmacists perceived a greater benefit regarding participation in inpatient acute care rounds when compared to their IM pharmacist counterparts. Future studies are necessary to determine if other medical specialties' perceptions of clinical pharmacy provision differ from our findings and to evaluate the rationale behind specific attitudes and behaviours. © 2016 Royal Pharmaceutical Society.

  13. Circumstances surrounding dying in the paediatric intensive care unit

    Directory of Open Access Journals (Sweden)

    Plötz Frans B

    2006-08-01

    Full Text Available Abstract Background Death is inevitable in the paediatric intensive care unit (PICU. We aimed to describe the circumstances surrounding dying in a PICU. Method The chart records of all patients less than 18 years of age who died at the PICU between January first 2000 and July first 2005 were retrospectively analyzed. Information regarding sex, age, length of stay, admission, diagnosis, and the way a patient died was registered. Post mortem information regarding natural versus unnatural death, autopsy and donation was obtained. Non-survivors were allocated in five groups: do-not-resuscitate (DNR, withholding and/or withdrawal of therapy (W/W, failed cardiopulmonary resuscitation (failed CPR, brain death (BD, and terminal organ failure (TOF. Results During the study period 87 (4.4% of the 1995 admitted patients died. Non-survivors were more often admitted during the day (54% and the week (68%. W/W was found in 27.6%, TOF in 26.4%, BD in 23.0%, failed CPR in 18.4%, and DNR in 4.6%. Forty-three percent died in the first two days, of which BD (40.5% and failed CPR (37.8% were most common. Seventy-five children (86% died due to a natural cause. Autopsy permission was obtained in 19 of 54 patients (35%. The autopsies confirmed the clinical diagnosis in 11 patients, revealed new information in 5 patients, and in 3 patients the autopsy did not provide additional information. Nine patients were medically suitable for organ donation and 24 patients for tissue donation, whereas consent was only obtained in 2 cases in both groups. Conclusion We observed that 43% of the patients died within the first two days of admission due to BD and failed CPR, whereas after 4 days most patients died after W/W. Autopsy remains an useful tool to confirm clinical diagnoses or to provide new information. Only a small percentage of the deceased children is suitable for organ donation.

  14. Transcranial magnetic stimulation provides means to assess cortical plasticity and excitability in humans with fragile X syndrome and autism spectrum disorder

    Directory of Open Access Journals (Sweden)

    Lindsay M Oberman

    2010-06-01

    Full Text Available Fragile X Syndrome (FXS is the most common heritable cause of intellectual disability. In vitro electrophysiologic data from mouse models of FXS suggest that loss of Fragile X Mental Retardation Protein (FMRP affects intracortical excitability and synaptic plasticity. Specifically, the cortex appears hyperexcitable, and use-dependent long-term potentiation (LTP and long-term depression (LTD of synaptic strength are abnormal. Though animal models provide important information, FXS and other neurodevelopmental disorders are human diseases and as such translational research to evaluate cortical excitability and plasticity must be applied in the human. Transcranial magnetic stimulation (TMS paradigms have recently been developed to noninvasively investigate cortical excitability using paired-pulse stimulation, as well as LTP- and LTD-like synaptic plasticity in response to theta burst stimulation (TBS in vivo in the human. TBS applied on consecutive days can be used to measure metaplasticity (the ability of the synapse to undergo a second plastic change following a recent induction of plasticity. The current study investigated intracortical inhibition, plasticity and metaplasticity in full mutation females with FXS, participants with autism spectrum disorders (ASD, and neurotypical controls. Results suggest that intracortical inhibition is normal in participants with FXS, while plasticity and metaplasticity appear abnormal. ASD participants showed abnormalities in plasticity and metaplasticity, as well as heterogeneity in intracortical inhibition. Our findings highlight the utility of noninvasive neurophysiological measures to translate insights from animal models to humans with neurodevelopmental disorders, and thus provide direct confirmation of cortical dysfunction in patients with FXS and ASD.

  15. Metrizamide demonstration of the subarachnoid space surrounding the Gasserian ganglion

    Energy Technology Data Exchange (ETDEWEB)

    Christmann, D.; Babin, E.

    1980-05-01

    The chance opacification of the subarachnoid space surrounding the Gasserian ganglion, observed during metrizamide basal cisternography, is reported. This is compared to similar demonstrations of the optic subarachnoid space. Such infrequently observed images should be known because they may be related to the occurrence of trigeminal neuralgia.

  16. Orientation-tuned surround suppression in mouse visual cortex

    NARCIS (Netherlands)

    Self, Matthew W; Lorteije, Jeannette A M; Vangeneugden, Joris; van Beest, Enny H; Grigore, Mihaela E; Levelt, Christiaan N; Heimel, J.A.; Roelfsema, Pieter R

    2014-01-01

    The firing rates of neurons in primary visual cortex (V1) are suppressed by large stimuli, an effect known as surround suppression. In cats and monkeys, the strength of suppression is sensitive to orientation; responses to regions containing uniform orientations are more suppressed than those contai

  17. Challenges Surrounding the Education of Children with Chronic Diseases

    Science.gov (United States)

    Gordon, Maria, Ed.

    2016-01-01

    While governing bodies have mandated that all students have the right to an education, with disabled students treated to the same rights and opportunities as non-disabled students, policymakers do not always agree on what all-inclusive education should look like. "Challenges Surrounding the Education of Children with Chronic Diseases"…

  18. Cytological analysis of small branch-duct intraductal papillary mucinous neoplasms provides a more accurate risk assessment of malignancy than symptoms

    Directory of Open Access Journals (Sweden)

    Jill Ono

    2011-01-01

    Full Text Available Objectives: The Sendai guidelines for management of patients with clinically suspected intraductal papillary mucinous neoplasms (IPMN recommend resection of cysts > 30 mm, a dilated main pancreatic duct (MPD > 6 mm, a mural nodule (MN, symptoms or positive cytology. Although sensitive, asymptomatic cysts, nonspecific symptoms, and a high threshold for positive cytology limit the specificity of the guidelines. We have assessed the value of cytology relative to symptom for predicting malignancy in IPMNs without high-risk imaging features. Materials and Methods: We retrospectively reviewed the clinical, radiological, and cytological data of 31 small branch-duct IPMNs without a MN. The cytological presence of high-grade atypical epithelial cells (HGA was considered true positive, with a corresponding histology of high-grade dysplasia or invasive carcinoma. The performance of cytology versus symptoms was evaluated by calculating the sensitivity, specificity, negative predictive value (NPV, positive predictive value (PPV, and accuracy. Results: The sensitivity (0.80, specificity (0.85, and accuracy (0.84 of HGA were higher than the corresponding performance characteristics of symptoms (0.60, 0.45, and 0.48, respectively. The NPV of no HGA on cytology was > 95%. Conclusions: Cytology is a better predictor of malignancy than symptoms, for the conservative management of small branch-duct IPMNs. Cytology contributes to a highly accurate triple negative test for malignancy in small IPMN: No dilated MPD, MN or HGA.

  19. Field assessment of semi-aerobic condition and the methane correction factor for the semi-aerobic landfills provided by IPCC guidelines.

    Science.gov (United States)

    Jeong, Sangjae; Nam, Anwoo; Yi, Seung-Muk; Kim, Jae Young

    2015-02-01

    According to IPCC guidelines, a semi-aerobic landfill site produces one-half of the amount of CH4 produced by an equally-sized anaerobic landfill site. Therefore categorizing the landfill type is important on greenhouse gas inventories. In order to assess semi-aerobic condition in the sites and the MCF value for semi-aerobic landfill, landfill gas has been measured from vent pipes in five semi-aerobically designed landfills in South Korea. All of the five sites satisfied requirements of semi-aerobic landfills in 2006 IPCC guidelines. However, the ends of leachate collection pipes which are main entrance of air in the semi-aerobic landfill were closed in all five sites. The CH4/CO2 ratio in landfill gas, indicator of aerobic and anaerobic decomposition, ranged from 1.08 to 1.46 which is higher than the values (0.3-1.0) reported for semi-aerobic landfill sites and is rather close to those (1.0-2.0) for anaerobic landfill sites. The low CH4+CO2% in landfill gas implied air intrusion into the landfill. However, there was no evidence that air intrusion has caused by semi-aerobic design and operation. Therefore, the landfills investigated in this study are difficult to be classified as semi-aerobic landfills. Also MCF of 0.5 may significantly underestimate methane emissions compared to other researches. According to the carbon mass balance analyses, the higher MCF needs to be proposed for semi-aerobic landfills. Consequently, methane emission estimate should be based on field evaluation for the semi-aerobically designed landfills. Copyright © 2015. Published by Elsevier Ltd.

  20. Center-surround antagonism in spatial vision: retinal or cortical locus?

    Science.gov (United States)

    Westheimer, Gerald

    2004-01-01

    Mach and Hering had early advanced a model of spatial visual processing featuring an antagonistic interaction between adjoining areas in the visual field. Spatial opponency was one of the first findings when single-unit studies of the retina were begun. Not long afterwards psychophysical experiments revealed a center-surround organization closely matching that found in the mammalian retina. It hinged on the demonstration of reduction of sensitivity in a small patch of the visual field when its surround was changed from dark to bright. Because such patterns inevitably produce borders, well-known phenomena of border interaction could be seen as providing alternative explanations, whose substrate would most likely be in the visual cortex. These competing viewpoints are discussed especially as they pertain to the recent demonstration of spatial differences in the center/surround organization between the normal and affected eyes of amblyopes. To the extent that most findings favor a retinal site for the psychophysically measured antagonism, and that evidence is accumulating for a direct effect on the mammalian retina of stimulus manipulation during visual development, the difference in spatial parameters of center/surround antagonism in amblyopia suggests that the dysfunction in amblyopia begins already in the retina.

  1. Behavioural aspects surrounding medicine purchases from pharmacies in Australia

    Directory of Open Access Journals (Sweden)

    Emmerton L

    2008-09-01

    Full Text Available Objective: This study aimed to produce current data regarding behavioural aspects of non-prescription (over-the-counter medicine purchases, in light of changes in the pharmaceutical market and increasing provision of professional services in pharmacies.Methods: Data were collected in 15 community pharmacies in South-East Queensland, Australia, over 540 hours in five days in August, 2006. The method, previously validated, involved documentation of both observational and interview data. Fifteen trained researchers were stationed in a selected pharmacy each to unobtrusively observe all eligible sales of non-prescription medicines, and, where possible, interview the purchasers post-sale. Non-response was supplemented by observational data and recall by the salesperson. The data included details of the purchase and purchasing behaviour, while new questions addressed issues of topical importance, including customers’ privacy concerns. A selection of the analyses is reported here.Results: In total, 3470 purchases were documented (135-479 per pharmacy, with customers of 67.5% of purchases (74.7% excluding an outlier pharmacy participating in the survey. Customers averaged 1.2 non-prescription medicines per transaction. Two-thirds (67.2% of customers were female, and 38.8% of the customers were aged 31-45 years. Analgesics and respiratory medicines accounted for two-thirds of the sales data (33.4% and 32.4%, respectively. Intended-brand purchases comprised 71% of purchases (2004/2824; in-store substitution then occurred in 8.8% of these cases, mainly following recommendations by pharmacy staff. Medicines intended for self-use comprised 62.9% of purchases (1752/2785. First-time purchases (30.8%, 799/2594 were more commonly influenced by pharmacy staff than by advertising.Conclusions: This study used validated methods adapted to a changing marketplace, thus providing data that both confirm and add to knowledge surrounding medicine purchases. Despite the

  2. Field assessment of semi-aerobic condition and the methane correction factor for the semi-aerobic landfills provided by IPCC guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Sangjae [Department of Civil and Environmental Engineering, College of Engineering, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 151-742 (Korea, Republic of); Nam, Anwoo [Korea Environment Corporation, 42 Hwangyeong-ro, Seo-gu, Incheon 404-170 (Korea, Republic of); Yi, Seung-Muk [Department of Environmental Health, School of Public Health, Seoul National University, Seoul 151-742 (Korea, Republic of); Kim, Jae Young, E-mail: jaeykim@snu.ac.kr [Department of Civil and Environmental Engineering, College of Engineering, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 151-742 (Korea, Republic of)

    2015-02-15

    Highlights: • CH{sub 4}/CO{sub 2} and CH{sub 4} + CO{sub 2}% are proposed as indices to evaluate semi-aerobic landfills. • A landfill which CH{sub 4}/CO{sub 2} > 1.0 is difficult to be categorized as semi-aerobic landfill. • Field conditions should be carefully investigated to determine landfill types. • The MCF default value for semi-aerobic landfills underestimates the methane emissions. - Abstract: According to IPCC guidelines, a semi-aerobic landfill site produces one-half of the amount of CH{sub 4} produced by an equally-sized anaerobic landfill site. Therefore categorizing the landfill type is important on greenhouse gas inventories. In order to assess semi-aerobic condition in the sites and the MCF value for semi-aerobic landfill, landfill gas has been measured from vent pipes in five semi-aerobically designed landfills in South Korea. All of the five sites satisfied requirements of semi-aerobic landfills in 2006 IPCC guidelines. However, the ends of leachate collection pipes which are main entrance of air in the semi-aerobic landfill were closed in all five sites. The CH{sub 4}/CO{sub 2} ratio in landfill gas, indicator of aerobic and anaerobic decomposition, ranged from 1.08 to 1.46 which is higher than the values (0.3–1.0) reported for semi-aerobic landfill sites and is rather close to those (1.0–2.0) for anaerobic landfill sites. The low CH{sub 4} + CO{sub 2}% in landfill gas implied air intrusion into the landfill. However, there was no evidence that air intrusion has caused by semi-aerobic design and operation. Therefore, the landfills investigated in this study are difficult to be classified as semi-aerobic landfills. Also MCF of 0.5 may significantly underestimate methane emissions compared to other researches. According to the carbon mass balance analyses, the higher MCF needs to be proposed for semi-aerobic landfills. Consequently, methane emission estimate should be based on field evaluation for the semi-aerobically designed landfills.

  3. TeleWound care – providing remote wound assessment and treatment in the home care setting: current status and future directions

    Directory of Open Access Journals (Sweden)

    Santamaria N

    2013-11-01

    Full Text Available Nick Santamaria,1 Suzanne Kapp2 1University of Melbourne and Melbourne Health, Royal Melbourne Hospital, Melbourne, VIC, Australia; 2Royal District Nursing Service Institute, Melbourne, VIC, Australia Abstract: The use of wound telemedicine systems in the home care environment has been expanding for the last decade. These systems can generally be grouped into two main types: store and forward systems and video conference type systems; additionally, there are also hybrid systems available that include elements of both. Evidence to date suggests that these systems provide significant benefits to patients, clinicians, and to the health care system generally. Reductions in resource use, visit substitution, costs, and high patient and clinician satisfaction have been reported; however, there is a lack of integration with existing health care technology and no clearly defined technical or clinical standards as yet. Similarly, the legalities associated with wound telemedicine and remote consultation remain unclear. As wound telemedicine systems continue to evolve and be deployed in different locations, there remains significant potential to harness their power to benefit patients being treated at home. Keywords: telemedicine, home care, e-health

  4. Quantitative sodium MRI of the human brain at 9.4 T provides assessment of tissue sodium concentration and cell volume fraction during normal aging.

    Science.gov (United States)

    Thulborn, Keith; Lui, Elaine; Guntin, Jonathan; Jamil, Saad; Sun, Ziqi; Claiborne, Theodore C; Atkinson, Ian C

    2016-02-01

    Sodium ion homeostasis is a fundamental property of viable tissue, allowing the tissue sodium concentration to be modeled as the tissue cell volume fraction. The modern neuropathology literature using ex vivo tissue from selected brain regions indicates that human brain cell density remains constant during normal aging and attributes the volume loss that occurs with advancing age to changes in neuronal size and dendritic arborization. Quantitative sodium MRI performed with the enhanced sensitivity of ultrahigh-field 9.4 T has been used to investigate tissue cell volume fraction during normal aging. This cross-sectional study (n = 49; 21-80 years) finds that the in vivo tissue cell volume fraction remains constant in all regions of the brain with advancing age in individuals who remain cognitively normal, extending the ex vivo literature reporting constant neuronal cell density across the normal adult age range. Cell volume fraction, as measured by quantitative sodium MRI, is decreased in diseases of cell loss, such as stroke, on a time scale of minutes to hours, and in response to treatment of brain tumors on a time scale of days to weeks. Neurodegenerative diseases often have prodromal periods of decades in which regional neuronal cell loss occurs prior to clinical presentation. If tissue cell volume fraction can detect such early pathology, this quantitative parameter may permit the objective measurement of preclinical disease progression. This current study in cognitively normal aging individuals provides the basis for the pursuance of investigations directed towards such neurodegenerative diseases.

  5. Child Care Subsidy Policies and Practices: Implications for Child Care Providers. New Federalism: Issues and Options for States, Series A. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    Science.gov (United States)

    Adams, Gina; Snyder, Kathleen; Tout, Kathryn

    This brief summarizes the report "Essential but Often Ignored: Child Care Providers in the Subsidy System," examining child care subsidy policies and practices shaping experiences of providers serving subsidized children, particularly those affecting providers' payments and their overall experience with the subsidy system. Research on the voucher…

  6. Linking student performance in Massachusetts elementary schools with the "greenness" of school surroundings using remote sensing.

    Science.gov (United States)

    Wu, Chih-Da; McNeely, Eileen; Cedeño-Laurent, J G; Pan, Wen-Chi; Adamkiewicz, Gary; Dominici, Francesca; Lung, Shih-Chun Candice; Su, Huey-Jen; Spengler, John D

    2014-01-01

    Various studies have reported the physical and mental health benefits from exposure to "green" neighborhoods, such as proximity to neighborhoods with trees and vegetation. However, no studies have explicitly assessed the association between exposure to "green" surroundings and cognitive function in terms of student academic performance. This study investigated the association between the "greenness" of the area surrounding a Massachusetts public elementary school and the academic achievement of the school's student body based on standardized tests with an ecological setting. Researchers used the composite school-based performance scores generated by the Massachusetts Comprehensive Assessment System (MCAS) to measure the percentage of 3rd-grade students (the first year of standardized testing for 8-9 years-old children in public school), who scored "Above Proficient" (AP) in English and Mathematics tests (Note: Individual student scores are not publically available). The MCAS results are comparable year to year thanks to an equating process. Researchers included test results from 2006 through 2012 in 905 public schools and adjusted for differences between schools in the final analysis according to race, gender, English as a second language (proxy for ethnicity and language facility), parent income, student-teacher ratio, and school attendance. Surrounding greenness of each school was measured using satellite images converted into the Normalized Difference Vegetation Index (NDVI) in March, July and October of each year according to a 250-meter, 500-meter, 1,000-meter, and 2000-meter circular buffer around each school. Spatial Generalized Linear Mixed Models (GLMMs) estimated the impacts of surrounding greenness on school-based performance. Overall the study results supported a relationship between the "greenness" of the school area and the school-wide academic performance. Interestingly, the results showed a consistently positive significant association between the

  7. Bilateral posterior cervical cages provide biomechanical stability: assessment of stand-alone and supplemental fixation for anterior cervical discectomy and fusion

    Directory of Open Access Journals (Sweden)

    Voronov LI

    2016-07-01

    single- and multilevel constructs (P<0.05.Conclusion: The biomechanical effectiveness of bilateral posterior cages in limiting cervical segmental motion is comparable to single-level plated ACDF. Furthermore, supplementation of single- and multilevel ACDF with posterior cervical cages provided a significant increase in stability and therefore may be a potential, minimally disruptive option for supplemental fixation for improving ACDF fusion rates. Keywords: cervical spine, posterior fusion, biomechanics, cervical facets, DTRAX Posterior Cervical Cage

  8. Visual Population Receptive Fields in People with Schizophrenia Have Reduced Inhibitory Surrounds.

    Science.gov (United States)

    Anderson, Elaine J; Tibber, Marc S; Schwarzkopf, D Sam; Shergill, Sukhwinder S; Fernandez-Egea, Emilio; Rees, Geraint; Dakin, Steven C

    2017-02-08

    People with schizophrenia (SZ) experience abnormal visual perception on a range of visual tasks, which have been linked to abnormal synaptic transmission and an imbalance between cortical excitation and inhibition. However, differences in the underlying architecture of visual cortex neurons, which might explain these visual anomalies, have yet to be reported in vivo Here, we probed the neural basis of these deficits using fMRI and population receptive field (pRF) mapping to infer properties of visually responsive neurons in people with SZ. We employed a difference-of-Gaussian model to capture the center-surround configuration of the pRF, providing critical information about the spatial scale of the pRFs inhibitory surround. Our analysis reveals that SZ is associated with reduced pRF size in early retinotopic visual cortex, as well as a reduction in size and depth of the inhibitory surround in V1, V2, and V4. We consider how reduced inhibition might explain the diverse range of visual deficits reported in SZ.SIGNIFICANCE STATEMENT People with schizophrenia (SZ) experience abnormal perception on a range of visual tasks, which has been linked to abnormal synaptic transmission and an imbalance between cortical excitation/inhibition. However, associated differences in the functional architecture of visual cortex neurons have yet to be reported in vivo We used fMRI and population receptive field (pRF) mapping to demonstrate that the fine-grained functional architecture of visual cortex in people with SZ differs from unaffected controls. SZ is associated with reduced pRF size in early retinotopic visual cortex largely due to reduced inhibitory surrounds. An imbalance between cortical excitation and inhibition could drive such a change in the center-surround pRF configuration and ultimately explain the range of visual deficits experienced in SZ.

  9. Dynamics of two-component membranes surrounded by viscoelastic media.

    Science.gov (United States)

    Komura, Shigeyuki; Yasuda, Kento; Okamoto, Ryuichi

    2015-11-01

    We discuss the dynamics of two-component fluid membranes which are surrounded by viscoelastic media. We assume that membrane-embedded proteins can diffuse laterally and induce a local membrane curvature. The mean squared displacement of a tagged membrane segment is obtained as a generalized Einstein relation. When the elasticity of the surrounding media obeys a power-law behavior in frequency, an anomalous diffusion of the membrane segment is predicted. We also consider the situation where the proteins generate active non-equilibrium forces. The generalized Einstein relation is further modified by an effective temperature that depends on the force dipole energy. The obtained generalized Einstein relations are useful for membrane microrheology experiments.

  10. Study on Temperature Fieldof Surrounding Rock with BEM

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The authors analyzed the characteristic of surrounding rock temperature field around a drifting face, setup its mathematic model, and got its numerical result with the boundary element method(BEM). To calculate in-tra-domain integral, it was transformed into boundary integration with the DRM method. Using the similitude the-ory, the dimensionless differential equation was educed. Finally, the authors calculated two drifting faces of San-hejian Coal Mine using the computer software developed by authors based on the above principium, and got the dis-tribution characteristic of surrounding rock temperature field around a drifting face and the periodic variation intemperature with its periodic moving forward. Comparing the calculated heat dissipating-capacity of surroundingrock with the measured data shows that the computer software is proper.

  11. Experimental Study of Deformation of Surrounding Rock with Infrared Radiation

    Institute of Scientific and Technical Information of China (English)

    ZHANG Yong-jun; AN Li-qian; REN Run-hou; FAN Shi-min; MA Nian-jie; LI Jian-hui; JI Yuan-ming

    2005-01-01

    According to the practical conditions of coal roadway in Changcun Coal Mine of Lu'an Mining Group, the deformation of rock surrounding roadway was experimentally studied by means of thermal infrared (TIR) imaging system in the process of confined compressions. It is found that the model surface TIR temperature (TIRT) changes with the increase of load. Furthermore, TIRT changes non-synchronously in different ranges such as the roof, floor, wall, corners and bolted ranges. The TIRT is higher in the location of stress concentration and bolted ranges than that in the location of stress relaxation and broken ranges. The interaction ranges of bolt and rock are determined preliminarily according to the corresponding relationship of TIRT fields and the strain fields of the surrounding rock. The new method of TIR image processing has been proved to be effective for the study of bolt support and observation of roadway stability under mine pressure.

  12. High resolution bathymetry of China seas and their surroundings

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Based on the oceanic lithospheric flexure and the worldwide bathymetric data ETOPO5, the high resolu tion bathymetry of the China seas and their surroundings is computed from altimeter derived gravity anomalies. The new bathymetry obtained by this study is higher resolution and accuracy than the widely used ETOPO5 data, mean while it shows clearly the seafioor, the tectonic characteristics and the geodynamical processes in the China seas.

  13. Thermodynamic stability of black holes surrounded by quintessence

    OpenAIRE

    Ma, Meng-Sen; Zhao, Ren; Ma, Ya-Qin

    2016-01-01

    We study the thermodynamic stabilities of uncharged and charged black holes surrounded by quintessence (BHQ) by means of effective thermodynamic quantities. When the state parameter of quintessence $\\omega_q$ is appropriately chosen, the structures of BHQ are something like that of black holes in de Sitter space. Constructing the effective first law of thermodynamics in two different ways, we can derive the effective thermodynamic quantities of BHQ. Especially, these effective thermodynamic q...

  14. Hidden History: A Mobile Application for Discovering Surrounding Landscapes

    OpenAIRE

    2016-01-01

    This thesis work describes the design, development and evaluation of a mobile application called Hidden History. This application lets users discover and explore three types of landscapes (Historic, Scenic and Cultural) using three different modes of discovery (Route, Explore and Tour). Before designing Hidden History, the feature set of other applications that help users explore surrounding landscapes were identified and analyzed. Hidden History was then designed to implement the best fea...

  15. Treatment of Postherpetic Neuralgia by Surround Needling with Electric Stimulation

    Institute of Scientific and Technical Information of China (English)

    FAN Jin; YANG Qin-hua

    2005-01-01

    运用电针围刺法治疗带状疱疹后遗神经痛29例,获得较好疗效,总有效率为93.1%.%Twenty-nine cases of postherpetic neuralgia of herpes zoster were treated by the surround needling with electric stimulation, and the better therapeutic effect was obtained, the total effective rate was 93.1%.

  16. Belief and Attitudes surrounding Childhood Autism in Ghana

    OpenAIRE

    2012-01-01

    Autism is a life-long invisible impairment with an unknown etiology. Current literature shows an increase in the diagnosis of autism worldwide. This qualitative study explores the attitudes and beliefs which surround childhood autism in Ghana. In-depth interviews were conducted with four (4) parents whose children have autism and three (3) key informants; a Religious Leader, a Health Worker and an Administrator of a Special school in Accra, Ghana. A semi-structured interview guide was used fo...

  17. A permeability barrier surrounds taste buds in lingual epithelia.

    Science.gov (United States)

    Dando, Robin; Pereira, Elizabeth; Kurian, Mani; Barro-Soria, Rene; Chaudhari, Nirupa; Roper, Stephen D

    2015-01-01

    Epithelial tissues are characterized by specialized cell-cell junctions, typically localized to the apical regions of cells. These junctions are formed by interacting membrane proteins and by cytoskeletal and extracellular matrix components. Within the lingual epithelium, tight junctions join the apical tips of the gustatory sensory cells in taste buds. These junctions constitute a selective barrier that limits penetration of chemosensory stimuli into taste buds (Michlig et al. J Comp Neurol 502: 1003-1011, 2007). We tested the ability of chemical compounds to permeate into sensory end organs in the lingual epithelium. Our findings reveal a robust barrier that surrounds the entire body of taste buds, not limited to the apical tight junctions. This barrier prevents penetration of many, but not all, compounds, whether they are applied topically, injected into the parenchyma of the tongue, or circulating in the blood supply, into taste buds. Enzymatic treatments indicate that this barrier likely includes glycosaminoglycans, as it was disrupted by chondroitinase but, less effectively, by proteases. The barrier surrounding taste buds could also be disrupted by brief treatment of lingual tissue samples with DMSO. Brief exposure of lingual slices to DMSO did not affect the ability of taste buds within the slice to respond to chemical stimulation. The existence of a highly impermeable barrier surrounding taste buds and methods to break through this barrier may be relevant to basic research and to clinical treatments of taste.

  18. THE DESIGN OF DYNAMIC SIMULATION SYSTEM ON EARTHQUAKE SURROUNDINGS

    Institute of Scientific and Technical Information of China (English)

    沈毅力; 杨云; 李天石

    2003-01-01

    Objective To design a system that can simulate earthquake surroundings. In the surroundings, people can be familiar with the omen, strong shock and aftershock of earthquake, thus make right choices and get away when the disaster occurs. Methods The system consists of an electro-hydraulic servo system, a whole-information sound system and some lighting device; By using the adaptive inverse control method and LMS algorithms, the inverse model (I.e. The controller) is convergent rapidly; The software based on LabVIEW makes the parameters can be modified easily; There is a double closed-loop structure in the system: an analog closed-loop and a digital closed-loop, and their parameters can be inspected in real time. Results The system is of very high reliability, and the desired vibration signal can be tracked exactly by output. Conclusion Earthquake surroundings is simulated vividly. Through the system, people can be familiar with earthquake phenomena, and know lots of knowledge of earthquake.

  19. Tissue reaction surrounding miniscrews for orthodontic anchorage: An animal experiment

    Directory of Open Access Journals (Sweden)

    Stephanie Shih-Hsuan Chen

    2012-03-01

    Results and conclusions: (1 Tissue surrounding roots damaged by a miniscrew showed a significant inflammatory response. (2 Root resorption was occasionally observed after 3 weeks following insertion of a miniscrew even if the miniscrew was not in direct contact with the root. (3 Root repair was noted with a cementoblast lining along the resorption surface at as early as 3 weeks after miniscrew insertion. Alveolar bone filled in the lesion when the root damage was large so that the contour of the alveolar bone followed that of the damaged root, with the width of the periodontal ligament space being maintained. (4 Stable miniscrews were mainly those which did not contact adjacent roots, and for which the surrounding tissue showed only a small inflammatory response with some extent of direct bone contact around the miniscrew. On the contrary, most of the failed miniscrews were those which had direct contact with adjacent roots, and which exhibited severe tissue inflammation and were covered by thick layers of soft tissue. Failure was detected 3 weeks after insertion. Surprisingly, the epithelial lining surrounding the miniscrews might not have spontaneously resolved 6 weeks after screw removal. Persistent infection in the sinus tract was noted, and this would require attention.

  20. Assessed and Experimentally Provided Social Support.

    Science.gov (United States)

    1983-10-18

    social skills training. In J. D. Wine & M. D. Srnye Sjjj Compatence New York: Guilford Press, 1981, 261-286. Bowlby , John . Attachment &d k , Vol. I...Attachment. New York: Basic Books, 1969. Bowlby , John . Attachmen d A Lass , Vol. 3 Loss: Sadness and Depression. New York, Basic Books, 1980. Friedman, M.J...Developmental and social psychological theories have stimulated much of this work. One of the most 2 influential theorists bas been John Boviby, whose ideas

  1. Stability Evaluation on Surrounding Rocks of Underground Powerhouse Based on Microseismic Monitoring

    Directory of Open Access Journals (Sweden)

    Feng Dai

    2015-01-01

    Full Text Available To study the stability of underground powerhouse at Houziyan hydropower station during excavation, a microseismic monitoring system is adopted. Based on the space-time distribution characteristics of microseismic events during excavation of the main powerhouse, the correlation between microseismic events and blasting construction is established; and the microseismic clustering areas of the underground powerhouse are identified and delineated. The FLAC3D code is used to simulate the deformation of main powerhouse. The simulated deformation characteristics are consistent with that recorded by microseismic monitoring. Finally, the correlation between the macroscopic deformation of surrounding rock mass and microseismic activities is also revealed. The results show that multiple faults between 1# and 3# bus tunnels are activated during excavation of floors V and VI of the main powerhouse. The comprehensive method combining microseismic monitoring with numerical simulation as well as routine monitoring can provide an effective way to evaluate the surrounding rock mass stability of underground caverns.

  2. Investigation of electrostatic performance for a conical surrounding gate MOSFET with linearly modulated work-function

    Science.gov (United States)

    Ramkrishna, B. S.; Jena, B.; Dash, S.; Mishra, G. P.

    2017-01-01

    In this paper, for the first time a continuous variation of work-function based gate metal has been introduced in conical surrounding gate MOSFET. Here, a comparative study of the electrostatic as well as RF characteristics for basic conical surrounding gate MOSFET and the work-function modulated conical MOSFET is carried out using TCAD device simulator. These simulated results reveal that the work-function modulated conical model provides better electrostatic and RF performance in terms of drain current, transconductance, transconductance generation factor, unity gain cut-off frequency and intrinsic delay. An overall performance investigation has been presented for both the aforementioned models and verified using TCAD device simulator from Synopsys.

  3. Confronting, Confirming, and Dispelling Myths Surrounding ERP-in-the-Cloud

    DEFF Research Database (Denmark)

    Beaulieu, Tanya; C. Martin, Todd; Sarker, Saonee;

    2015-01-01

    understanding about the true challenges related to ERP cloud computing, it is important to examine these myths in an effort to dispel or support them. In this paper, we attempt to achieve that. Specifically, we explore eight myths related to cloud-based ERP systems through a study involving in-depth interviews......Although cloud computing is still in its infancy, it is rapidly becoming one of the most used buzzwords in the IS/IT field and ERP-systems are one of the fastest growing SaaS cloud applications. However, given the relative newness of ERP cloud computing, and the lack of empirical research...... on the topic, there is substantial uncertainty surrounding the benefits and challenges of ERP cloud computing. Consequently, as often is the case with new technologies, popular myths surrounding the technology are used to make adoption and implementation decisions. As a first step toward providing an informed...

  4. INTERACTION OF A LONG PILE OF FINITE STIFFNESS WITH SURROUNDING SOIL AND FOUNDATION CAP

    Directory of Open Access Journals (Sweden)

    Ter-Martirosyan Zaven Grigor’evich

    2015-09-01

    Full Text Available The article presents the formulation and analytical solution to a quantification of stress strain state of a two-layer soil cylinder enclosing a long pile, interacting with the cap. The solution of the problem is considered for two cases: with and without account for the settlement of the heel and the underlying soil. In the first case, the article is offering equations for determining the stresses of pile’s body and the surrounding soil according to their hardness and the ratio of radiuses of the pile and the surrounding soil cylinder, as well as formulating for determining equivalent deformation modulus of the system “cap-pile-surrounding soil” (the system. Assessing the carrying capacity of the soil under pile’s heel is of great necessity. In the second case, the article is solving a second-order differential equation. We gave the formulas for determining the stresses of the pile at its top and heel, as well as the variation of stresses along the pile’s body. The article is also formulating for determining the settlement of the foundation cap and equivalent deformation modulus of the system. It is shown that, pushing the pile into underlying layer results in the reducing of equivalent modulus of the system.

  5. Lead identification in soil surrounding a used lead acid battery smelter area in Banten, Indonesia

    Science.gov (United States)

    Adventini, N.; Santoso, M.; Lestiani, D. D.; Syahfitri, W. Y. N.; Rixson, L.

    2017-06-01

    A used lead acid battery smelter generates particulates containing lead that can contaminate the surrounding environment area. Lead is a heavy metal which is harmful to health if it enters the human body through soil, air, or water. An identification of lead in soil samples surrounding formal and informal used lead acid battery smelters area in Banten, Indonesia using EDXRF has been carried out. The EDXRF accuracy and precision evaluated from marine sediment IAEA 457 gave a good agreement to the certified value. A number of 16 soil samples from formal and informal areas and 2 soil samples from control area were taken from surface and subsurface soils. The highest lead concentrations from both lead smelter were approximately 9 folds and 11 folds higher than the reference and control samples. The assessment of lead contamination in soils described in Cf index was in category: moderately and strongly polluted by lead for formal and informal lead smelter. Daily lead intake of children in this study from all sites had exceeded the recommended dietary allowance. The HI values for adults and children living near both lead smelter areas were greater than the value of safety threshold 1. This study finding confirmed that there is a potential health risk for inhabitants surrounding the used lead acid battery smelter areas in Banten, Indonesia.

  6. Mechanical analysis on deformation of surrounding rock with road-in packing of gob-side entry retaining in fully-mechanized sub-level caving face

    Institute of Scientific and Technical Information of China (English)

    ZHU Chuan-qu; MIAO Xie-xing; LIU Ze

    2008-01-01

    Based on the movement regularity of surrounding rock with road-in packing of gob-side entry retaining in fully-mechanized sub-level caving face (RPGERFCF), the me-chanical model of its surrounding rock was established and the calculating formulas of the deformation of the roof, coal wall and filling body were attained. By the mechanical analy-sis to the deformation of the surrounding rock of RPGERFCF, the major factors influencing the deformation of the surrounding rock were found out and the technologic approaches reduced the deformation and enhanced the stability of the surrounding rock were put for-ward. Consequently, the scientific bases were provided for the stability control of the sur-rounding rock of RPGERFCF.

  7. MicroCT Bone Densitometry: Context Sensitivity, Beam Hardening Correction and the Effect of Surrounding Media

    Directory of Open Access Journals (Sweden)

    Philip L. Salmon

    2014-12-01

    Full Text Available The context-sensitivity of microCT bone densitometry due to beam hardening artefacts was assessed. Bones and teeth are scanned with varying thickness of surrounding media (water, alcohol, biological tissue and it is important to understand how this affects reconstructed attenuation (“density” of the mineralized tissue. Aluminium tubes and rods with thickness 0.127mm–5mm were scanned both in air or surrounded by up to 2cm of water. Scans were performed with different energy filters and degrees of software beam hardening correction (BHC. Also tested were the effects of signal-to-noise ratio, magnification and truncation. The thickness of an aluminium tube significantly affected its mean reconstructed attenuation. This effect of thickness could be reduced substantially by BHC for scans in air, but not for scans in water. Varying thickness of surrounding water also changed the mean attenuation of an aluminium tube. This artefact could be almost eliminated by an optimal BHC value. The “cupping” artefact of heterogeneous attenuation (elevated at outer surfaces could be corrected if aluminium was scanned in air, but in water BHC was much less effective. Scan truncation, changes to magnification and signal-to-noise ratio also caused artificial changes to measured attenuation. Measurement of bone mineral density by microCT is highly context sensitive. A surrounding layer of liquid or biological tissue reduces the ability of software BHC to remove bone density artefacts. Sample thickness, truncation, magnification and signal to noise ratio also affect reconstructed attenuation. Thus it is important for densitometry that sample and calibration phantom dimensions and mounting materials are standardised.

  8. Numerical simulation study of the failure evolution process and failure mode of surrounding rock in deep soft rock roadways

    Institute of Scientific and Technical Information of China (English)

    Meng Qingbin; Han Lijun; Xiao Yu; Li Hao; Wen Shengyong; Zhang Jian

    2016-01-01

    Based on the safety coefficient method, which assigns rock failure criteria to calculate the rock mass unit, the safety coefficient contour of surrounding rock is plotted to judge the distribution form of the frac-tured zone in the roadway. This will provide the basis numerical simulation to calculate the surrounding rock fractured zone in a roadway. Using the single factor and multi-factor orthogonal test method, the evolution law of roadway surrounding rock displacements, plastic zone and stress distribution under different conditions is studied. It reveals the roadway surrounding rock burst evolution process, and obtains five kinds of failure modes in deep soft rock roadway. Using the fuzzy mathematics clustering analysis method, the deep soft surrounding rock failure model in Zhujixi mine can be classified and pat-terns recognized. Compared to the identification results and the results detected by geological radar of surrounding rock loose circle, the reliability of the results of the pattern recognition is verified and lays the foundations for the support design of deep soft rock roadways.

  9. INTERACTIONS OF THE INFRARED BUBBLE N4 WITH ITS SURROUNDINGS

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Hong-Li; Li, Jin-Zeng; Yuan, Jing-Hua; Huang, Maohai; Huang, Ya-Fang; Zhang, Si-Ju [National Astronomical Observatories, Chinese Academy of Sciences, 20A Datun Road, Chaoyang District, Beijing 100012 (China); Wu, Yuefang [Department of Astronomy, Peking University, 100871 Beijing (China); Liu, Tie [Korea Astronomy and Space Science Institute 776, Daedeokdae-ro, Yuseong-gu, Daejeon, 305-348 (Korea, Republic of); Dubner, G.; Paron, S.; Ortega, M. E. [1Instituto de Astronomía y Física del Espacio (IAFE, CONICET-UBA), CC 67, Suc. 28, 1428 Buenos Aires (Argentina); Molinari, Sergio [Istituto di Astrofisica e Planetologia Spaziali—IAPS, Istituto Nazionale di Astrofisica—INAF, via Fosso del Cavaliere 100, I-00133 Roma (Italy); Zavagno, Annie; Samal, Manash R., E-mail: hlliu@nao.cas.cn [Aix Marseille Universit, CNRS, LAM (Laboratoire d’Astrophysique de Marseille) UMR 7326, F-13388, Marseille (France)

    2016-02-10

    The physical mechanisms that induce the transformation of a certain mass of gas in new stars are far from being well understood. Infrared bubbles associated with H ii regions have been considered to be good samples for investigating triggered star formation. In this paper we report on the investigation of the dust properties of the infrared bubble N4 around the H ii region G11.898+0.747, analyzing its interaction with its surroundings and star formation histories therein, with the aim of determining the possibility of star formation triggered by the expansion of the bubble. Using Herschel PACS and SPIRE images with a wide wavelength coverage, we reveal the dust properties over the entire bubble. Meanwhile, we are able to identify six dust clumps surrounding the bubble, with a mean size of 0.50 pc, temperature of about 22 K, mean column density of 1.7 × 10{sup 22} cm{sup −2}, mean volume density of about 4.4 × 10{sup 4} cm{sup −3}, and a mean mass of 320 M{sub ⊙}. In addition, from PAH emission seen at 8 μm, free–free emission detected at 20 cm, and a probability density function in special regions, we could identify clear signatures of the influence of the H ii region on the surroundings. There are hints of star formation, though further investigation is required to demonstrate that N4 is the triggering source.

  10. On the environment surrounding close-in exoplanets

    Science.gov (United States)

    Vidotto, A. A.; Fares, R.; Jardine, M.; Moutou, C.; Donati, J.-F.

    2015-06-01

    Exoplanets in extremely close-in orbits are immersed in a local interplanetary medium (i.e. the stellar wind) much denser than the local conditions encountered around the Solar system planets. The environment surrounding these exoplanets also differs in terms of dynamics (slower stellar winds, but higher Keplerian velocities) and ambient magnetic fields (likely higher for host stars more active than the Sun). Here, we quantitatively investigate the nature of the interplanetary media surrounding the hot Jupiters HD 46375b, HD 73256b, HD 102195b, HD 130322b and HD 179949b. We simulate the three-dimensional winds of their host stars, in which we directly incorporate their observed surface magnetic fields. With that, we derive mass-loss rates (1.9-8.0 × 10-13 M⊙ yr-1) and the wind properties at the position of the hot Jupiters' orbits (temperature, velocity, magnetic field intensity and pressure). We show that these exoplanets' orbits are supermagnetosonic, indicating that bow shocks are formed surrounding these planets. Assuming planetary magnetic fields similar to Jupiter's, we estimate planetary magnetospheric sizes of 4.1-5.6 planetary radii. We also derive the exoplanetary radio emission released in the dissipation of the stellar wind energy. We find radio fluxes ranging from 0.02 to 0.13 mJy, which are challenging to be observed with present-day technology, but could be detectable with future higher sensitivity arrays (e.g. Square Kilometre Array). Radio emission from systems having closer hot Jupiters, such as from τ Boo b or HD 189733b, or from nearby planetary systems orbiting young stars, are likely to have higher radio fluxes, presenting better prospects for detecting exoplanetary radio emission.

  11. Mutual seismic interaction between tunnels and the surrounding granular soil

    Directory of Open Access Journals (Sweden)

    Mohamed Ahmed Abdel-Motaal

    2014-12-01

    Study results show that the maximum exerted straining actions in tunnel lining are directly proportional to the relative stiffness between tunnel and surrounding soil (lining thickness and soil shear modulus. Moreover, it is highly affected by the peak ground acceleration and the tunnel location (embedment depth. A comprehensive study is performed to show the effect of tunnel thickness and tunnel diameter on both the induced bending moment and lining deformation. In general, it is concluded that seismic analysis should be considered in regions subjected to peak ground acceleration greater than 0.15g.

  12. Problems Surrounding Probation In The South African Public Service

    Directory of Open Access Journals (Sweden)

    Z. Baloyi

    2006-11-01

    Full Text Available The aim of the study was to investigate problems surrounding probation periods in the South African Public Service. A qualitative study was conducted to determine the views of both probationers and supervisors managing the probation process. Data was gathered by means of focus groups and individual interviews. Nine key areas were identified as being problematic, viz. clarity regarding the purpose of probation, lack of proper guidelines, the duration of probation, rotation during probation, lack of training, poor management of probation, performance management, anxiety and stress, power and authority. Recommendations are made concerning possible interventions.

  13. A study on the assessment model of third-party pharmaceutical logistics service providers%第三方医药物流服务商评价模型的构建

    Institute of Scientific and Technical Information of China (English)

    宿晓

    2012-01-01

    在当前药品集中招标采购的大环境下,第三方医药物流服务商的综合评价和公平选择至关重要.本文在进行问卷调查的基础上,建立了第三方医药物流服务商的综合评价指标体系,采用层次分析法和熵权法相结合的方法确定了各个评价指标的权重,最后运用TOPSIS法计算出各医药物流服务商的综合评价指数并进行优劣排序.%It is very important that integrated assessment and fair selection of third-partypharmaceutical logistics service providers in the bidding procedure of large regional congregate medicine purchases. This paper setup an integrated assessment index system to third-party pharmaceutical logistic service providers based on aquestionnaire investigation. The weight of every assessment index is calculated by AHP and entropy weight. At last, the optimal selection order of every third-partypharmaceutical logistics service pro-vidersis given based on the composite assessment index sys-temcalculated by TOPSIS method.

  14. Interactions of the Infrared bubble N4 with the surroundings

    CERN Document Server

    Liu, Hong-Li; Wu, Yuefang; Yuan, Jing-Hua; Liu, Tie; Dubner, G; Paron, S; Ortega, M E; Molinari, Sergio; Huang, Maohai; Zavagno, Annie; Samal, Manash R; Huang, Ya-Fang; Zhang, Si-Ju

    2016-01-01

    The physical mechanisms that induce the transformation of a certain mass of gas in new stars are far from being well understood. Infrared bubbles associated with HII regions have been considered to be a good sample to investigate triggered star formation. In this paper we report on the investigation of the dust properties of the infrared bubble N4 around the HII region G11.898+0.747, analyzing its interaction with the surroundings and star formation histories therein, aiming at determining the possibility of star formation triggered by the expansion of the bubble. Using Herschel PACS and SPIRE images with a wide wavelength coverage, we reveal the dust properties over the entire bubble. Meanwhile, we are able to identify six dust clumps surrounding the bubble, with a mean size of 0.50 pc, temperature of about 22 K, mean column density of 1.7 $\\times10^{22}$ cm$^{-2}$, mean volume density of about 4.4 $\\times10^{4}$ cm$^{-3}$, and a mean mass of 320 $M_{\\odot}$. In addition, from PAH emission seen at 8 $\\mu$m, ...

  15. Triggered Star Formation Surrounding Wolf-Rayet Star HD 211853

    Science.gov (United States)

    Liu, Tie; Wu, Yuefang; Zhang, Huawei; Qin, Sheng-Li

    2012-05-01

    The environment surrounding Wolf-Rayet (W-R) star HD 211853 is studied in molecular, infrared, as well as radio, and H I emission. The molecular ring consists of well-separated cores, which have a volume density of 103 cm-3 and kinematic temperature ~20 K. Most of the cores are under gravitational collapse due to external pressure from the surrounding ionized gas. From the spectral energy distribution modeling toward the young stellar objects, the sequential star formation is revealed on a large scale in space spreading from the W-R star to the molecular ring. A small-scale sequential star formation is revealed toward core "A," which harbors a very young star cluster. Triggered star formations are thus suggested. The presence of the photodissociation region, the fragmentation of the molecular ring, the collapse of the cores, and the large-scale sequential star formation indicate that the "collect and collapse" process functions in this region. The star-forming activities in core "A" seem to be affected by the "radiation-driven implosion" process.

  16. On the environment surrounding close-in exoplanets

    CERN Document Server

    Vidotto, A A; Jardine, M; Moutou, C; Donati, J -F

    2015-01-01

    Exoplanets in extremely close-in orbits are immersed in a local interplanetary medium (i.e., the stellar wind) much denser than the local conditions encountered around the solar system planets. The environment surrounding these exoplanets also differs in terms of dynamics (slower stellar winds, but higher Keplerian velocities) and ambient magnetic fields (likely higher for host stars more active than the Sun). Here, we quantitatively investigate the nature of the interplanetary media surrounding the hot Jupiters HD46375b, HD73256b, HD102195b, HD130322b, HD179949b. We simulate the three-dimensional winds of their host stars, in which we directly incorporate their observed surface magnetic fields. With that, we derive mass-loss rates (1.9 to 8.0 $\\times 10^{-13} M_{\\odot}$/yr) and the wind properties at the position of the hot-Jupiters' orbits (temperature, velocity, magnetic field intensity and pressure). We show that these exoplanets' orbits are super-magnetosonic, indicating that bow shocks are formed surrou...

  17. Triggered star formation surrounding Wolf-Rayet star HD 211853

    CERN Document Server

    Liu, Tie; Zhang, Huawei; Qin, Sheng-Li

    2012-01-01

    The environment surrounding Wolf-Rayet star HD 211853 is studied in molecular emission, infrared emission, as well as radio and HI emission. The molecular ring consists of well-separated cores, which have a volume density of 10$^{3}$ cm$^{-3}$ and kinematic temperature $\\sim$20 K. Most of the cores are under gravitational collapse due to external pressure from the surrounding ionized gas. From SED modeling towards the young stellar objects (YSOs), sequential star formation is revealed on a large scale in space spreading from the Wolf-Rayet star to the molecular ring. A small scale sequential star formation is revealed towards core A, which harbors a very young star cluster. Triggered star formations is thus suggested. The presence of PDR, the fragmentation of the molecular ring, the collapse of the cores, the large scale sequential star formation indicate the "Collect and Collapse" process functions in this region. The star forming activities in core A seem to be affected by the "Radiation-Driven Implosion" (...

  18. TRIGGERED STAR FORMATION SURROUNDING WOLF-RAYET STAR HD 211853

    Energy Technology Data Exchange (ETDEWEB)

    Liu Tie; Wu Yuefang; Zhang Huawei [Department of Astronomy, Peking University, 100871 Beijing (China); Qin Shengli, E-mail: liutiepku@gmail.com [I. Physikalisches Institut, Universitaet zu Koeln, Zuelpicher Str. 77, 50937 Koeln (Germany)

    2012-05-20

    The environment surrounding Wolf-Rayet (W-R) star HD 211853 is studied in molecular, infrared, as well as radio, and H I emission. The molecular ring consists of well-separated cores, which have a volume density of 10{sup 3} cm{sup -3} and kinematic temperature {approx}20 K. Most of the cores are under gravitational collapse due to external pressure from the surrounding ionized gas. From the spectral energy distribution modeling toward the young stellar objects, the sequential star formation is revealed on a large scale in space spreading from the W-R star to the molecular ring. A small-scale sequential star formation is revealed toward core 'A', which harbors a very young star cluster. Triggered star formations are thus suggested. The presence of the photodissociation region, the fragmentation of the molecular ring, the collapse of the cores, and the large-scale sequential star formation indicate that the 'collect and collapse' process functions in this region. The star-forming activities in core 'A' seem to be affected by the 'radiation-driven implosion' process.

  19. Caving thickness effects of surrounding rocks macro stress shell evolving characteristics

    Energy Technology Data Exchange (ETDEWEB)

    Guang-xiang Xie; Ke Yang [Anhui University of Science and Technology, Huainan (China). Key Laboratory of Coal Mine Safety and Efficiently Caving of Ministry of Education

    2009-06-15

    In order to explore the influence of different caving thicknesses on the macro stress shell, (MSS) distribution and evolving characteristics of surrounding rocks in unsymmetrical disposal and fully mechanized top-coal caving (FMTC), based on unsymmetrical disposal characteristics, the analyses of numerical simulation, material simulation and in-situ observation were synthetically applied according to the geological and technical conditions of the 1151(3) working face in Xieqiao Mine. The results show that the stress peak value of the MSS-base and the ratio of MSS-body height to caving thickness are nonlinear and inversely proportional to the caving thickness. The MSS-base width, the MSS-body height, the MSS-base distance to working face wall and the rise distance of MSS-base beside coal pillar are nonlinear and directly proportional to the caving thickness. The characteristics of MSS distribution and its evolving rules of surrounding rocks and the integrated caving thickness effects are obtained. The investigations will provide theoretic references to the surrounding rocks stability control of the working face and roadway, roadway layout, gas extraction and exploitation, and efficiency of caving, etc. 13 refs., 5 figs., 5 tabs.

  20. Caving thickness effects of surrounding rocks macro stress shell evolving characteristics

    Institute of Scientific and Technical Information of China (English)

    XIE Guang-xiang; YANG Ke

    2009-01-01

    In order to explore the influence of different caving thicknesses on the MSS dis-tribution and evolving characteristics of surrounding rocks in unsymmetrical disposal and fully mechanized top-coal caving (FMTC), based on unsymmetrical disposal characteris-tics, the analyses of numerical simulation, material simulation and in-situ observation were synthetically applied according to the geological and technical conditions of the 1151(3) working face in Xieqiao Mine. The results show that the stress peak value of the MSS-base and the ratio of MSS-body height to caving thickness are nonlinear and inversely proportional to the caving thickness. The MSS-base width, the MSS-body height, the MSS-base distance to working face wall and the rise distance of MSS-base beside coal pillar are nonlinear and directly proportional to the caving thickness. The characteristics of MSS distribution and its evolving rules of surrounding rocks and the integrated caving thickness effects are obtained. The investigations will provide lots of theoretic references to the surrounding rocks' stability control of the working face and roadway, roadway layout, gas extraction and exploitation, and efficiency of caving, etc.

  1. Design and Implementation of Surrounding Transaction Plotting and Management System Based on Google Map API

    Science.gov (United States)

    Cao, Y. B.; Hua, Y. X.; Zhao, J. X.; Guo, S. M.

    2013-11-01

    With China's rapid economic development and comprehensive national strength growing, Border work has become a long-term and important task in China's diplomatic work. How to implement rapid plotting, real-time sharing and mapping surrounding affairs has taken great significance for government policy makers and diplomatic staff. However, at present the already exists Boundary information system are mainly have problems of Geospatial data update is heavily workload, plotting tools are in a state of serious lack of, Geographic events are difficult to share, this phenomenon has seriously hampered the smooth development of the border task. The development and progress of Geographic information system technology especially the development of Web GIS offers the possibility to solve the above problems, this paper adopts four layers of B/S architecture, with the support of Google maps service, uses the free API which is offered by Google maps and its features of openness, ease of use, sharing characteristics, highresolution images to design and implement the surrounding transaction plotting and management system based on the web development technology of ASP.NET, C#, Ajax. The system can provide decision support for government policy makers as well as diplomatic staff's real-time plotting and sharing of surrounding information. The practice has proved that the system has good usability and strong real-time.

  2. Development of a geodatabase for springs within and surrounding outcrops of the Trinity aquifer in northern Bexar County, Texas, 2010-11

    Science.gov (United States)

    Clark, Allan K.; Pedraza, Diane E.

    2013-01-01

    The Trinity aquifer is an important source of groundwater in central Texas, including Bexar County, where population growth has resulted in an increased demand for water (Ashworth, 1983; Mace and others, 2000). Numerous springs issue from rock outcrops within and surrounding the Trinity aquifer in northern Bexar County (fig. 1). The effects of increased groundwater withdrawals from the Trinity aquifer on springflow in the area are not well documented, but because the total amount of water entering, leaving, and being stored in a groundwater system must be conserved, increased groundwater withdrawals will result in decreases in springflow (Alley and others, 1999). Documenting the location, discharge, and basic water-quality information of the springs in northern Bexar County can provide a baseline assessment for comparison to future conditions. Accordingly, the U.S. Geological Survey (USGS), in cooperation with the Trinity Glen Rose Groundwater Conservation District, the Edwards Aquifer Authority, and the San Antonio River Authority, developed a geodatabase populated with data associated with springs within and surrounding outcrops of the Trinity aquifer in northern Bexar County during 2010–11. A geodatabase provides a framework for organizing spatial and tabular data (such as the geographic location and water-quality characteristics, respectively) in a relational database environment, making it easier and more intuitive to evaluate changes over time.

  3. Wave rectification in plasma sheaths surrounding electric field antennas

    Science.gov (United States)

    Boehm, M. H.; Carlson, C. W.; Mcfadden, J. P.; Clemmons, J. H.; Ergun, R. E.; Mozer, F. S.

    1994-01-01

    Combined measurements of Langmuir or broadband whistler wave intensity and lower-frequency electric field waveforms, all at 10-microsecond time resolution, were made on several recent sounding rockets in the auroral ionosphere. It is found that Langmuir and whistler waves are partically rectified in the plasma sheaths surrounding the payload and the spheres used as antennas. This sheath rectification occurs whenever the high frequency (HF) potential across the sheath becomes of the same order as the electron temperature or higher, for wave frequencies near or above the ion plasma frequency. This rectification can introduce false low-frequency waves into measurements of electric field spectra when strong high-frequency waves are present. Second harmonic signals are also generated, although at much lower levels. The effect occurs in many different plasma conditions, primarily producing false waves at frequencies that are low enough for the antenna coupling to the plasma to be resistive.

  4. The nature of plerions surrounding soft gamma-ray repeaters

    CERN Document Server

    Harding, A K

    1995-01-01

    Compact steady sources of X-ray emission have been detected at the positions of at least two soft gamma-ray repeaters (SGRs). These sources have been interpreted as synchrotron nebulae powered by the neutron star that is causing the bursts. We explore a plerion model for the sources surrounding SGRs where the steady observed emission is powered by the SGR bursts rather than by the spin-down of a pulsar. In this case there is no limit on the neutron star magnetic field. We find that the synchrotron lifetime of the particles injected into the plerion around SGR1806-20 is long enough to smear out nebular emission from individual bursts. Transient nebular emission would therefore not be detected following an SGR burst. The combined radio emission from multiple burst injections is expected to have a steeper spectrum than that of a typical plerion.

  5. Casimir Effect in the Kerr Spacetime Surrounded by Quintessence

    CERN Document Server

    Bezerra, V B; Freitas, L F F; Muniz, C R

    2016-01-01

    We calculate the Casimir energy of a massless scalar field in a cavity formed by nearby parallel plates orbiting a rotating spherical body surrounded by quintessence, investigating the influence of the gravitational field on that energy, at zero temperature. This influence includes the effects due to the spacetime dragging caused by the source rotation as well as those ones due to the quintessence. We show that the energy depends on all the involved parameters, as source mass, angular momentum and quintessence state parameter, for any radial coordinate and polar angle. We show that at the north pole the Casimir energy is not influenced by the quintessential matter. At the equatorial plane, when the quintessence is canceled, the result obtained in the literature is recovered. Finally, constraints in the quintessence parameters are obtained from the uncertainty in the current measurements of Casimir effect.

  6. Physical Coupling of Kazarian Galaxies with Surrounding Galaxies

    Science.gov (United States)

    Kazarian, M. A.; Martirosian, J. R.

    2003-04-01

    Results from a statistical study of Kazarian galaxies and the objects surrounding them are presented. It is shown that: (1) the sample of Kazarian galaxies up to 16m.0 is complete. (2) Roughly 35.7% of the Kazarian galaxies are members of clusters, 14.0% of groups, and 13.6% of binary systems, while 36.7% are single galaxies. (3) Of the 580 Kazarian galaxies, roughly 61.2% are infrared, 8.8% radio, and 2.8% x-ray sources. (4) The relative numbers of Kazarian galaxies for complete samples of I, R, and X in the different groups are systematically higher than the corresponding numbers for samples of all Kazarian galaxies.

  7. On radial oscillations in viscous accretion discs surrounding neutron stars

    Science.gov (United States)

    Chen, Xingming; Taam, Ronald E.

    1992-01-01

    Radial oscillations resulting from axisymmetric perturbations in viscous accretion disks surrounding neutron stars in X-ray binary systems have been investigated. Within the framework of the alpha-viscosity model a series of hydrodynamic calculations demonstrates that the oscillations are global for alpha of about 1. On the other hand, for alpha of 0.4 or less, the oscillations are local and confined to the disk boundaries. If viscous stresses acting in the radial direction are included, however, it is found that the disk can be stabilized. The application of such instabilities in accretion disks, without reference to the boundary layer region between the neutron star (or magnetosphere) and the inner edge of the disk, to the phenomenology of quasi-periodic oscillations is brought into question.

  8. Natural convection between a vertical cylinder and a surrounding array

    Energy Technology Data Exchange (ETDEWEB)

    McEligot, D.M.; O`Brien, J.E.; Stoots, C.M.; Larson, T.K.; Christenson, W.A.; Mecham, D.C.; Lussie, W.G.

    1992-09-01

    The generic situation considered is natural convection between a single heated, vertical cylinder and a surrounding array of cooler vertical cylinders in a triangular pattern. The ratio of the test section temperature to the cooling tube temperature was varied up to 2.6 by adjusting the electrical power. The Rayleigh number, based on test section diameter and air properties evaluated at cooling tube temperature, ranged from 2.9 x 10{sup 4} to 4.6 x 10{sup 5}. Results indicate that the convective heat transfer data could be approximated as Nu{sub D} (T{sub ts}/T{sub ct}){sup 0.14} = 0.156 Ra{sub D}{sup 1/3} in the apparent turbulent region for Ra{sub L} > 1.2 x 10{sup 11.}

  9. Natural convection between a vertical cylinder and a surrounding array

    Energy Technology Data Exchange (ETDEWEB)

    McEligot, D.M.; O' Brien, J.E.; Stoots, C.M.; Larson, T.K.; Christenson, W.A.; Mecham, D.C.; Lussie, W.G.

    1992-01-01

    The generic situation considered is natural convection between a single heated, vertical cylinder and a surrounding array of cooler vertical cylinders in a triangular pattern. The ratio of the test section temperature to the cooling tube temperature was varied up to 2.6 by adjusting the electrical power. The Rayleigh number, based on test section diameter and air properties evaluated at cooling tube temperature, ranged from 2.9 x 10{sup 4} to 4.6 x 10{sup 5}. Results indicate that the convective heat transfer data could be approximated as Nu{sub D} (T{sub ts}/T{sub ct}){sup 0.14} = 0.156 Ra{sub D}{sup 1/3} in the apparent turbulent region for Ra{sub L} > 1.2 x 10{sup 11.}

  10. Rotation of the Warm Molecular Gas Surrounding Ultracompact HII Regions

    CERN Document Server

    Klaassen, P D; Keto, E R; Zhang, Q

    2009-01-01

    We present molecular line and 1.4 mm continuum observations towards five massive star forming regions at arcsecond resolution using the Submillimeter Array (SMA). We find that the warm molecular gas surrounding each HII region (as traced by SO_2 and OCS) appears to be undergoing bulk rotation. From the molecular line emission and thermal component of the continuum emission, we independently derived gas masses for each region which are consistent with each other. From the free-free component of the continuum emission we estimate the minimum stellar mass required to power the HII region and find that this mass, when added to the derived gas mass, is a significant fraction of the dynamical mass for that region.

  11. A 500 Parsec Halo Surrounding the Galactic Globular NGC 1851

    CERN Document Server

    Olszewski, Edward W; Knezek, Patricia; Subramaniam, Annapurni; de Boer, Thomas; Seitzer, Patrick

    2009-01-01

    Using imaging that shows four magnitudes of main sequence stars, we have discovered that the Galactic globular cluster NGC 1851 is surrounded by a halo that is visible from the tidal radius of 700 arcsec (41 pc) to more than 4500 arcsec (>250 pc). This halo is symmetric and falls in density as a power law of $r^{-1.24}$. It contains approximately 0.1% of the dynamical mass of NGC 1851. There is no evidence for tidal tails. Current models of globular cluster evolution do not explain this feature, although simulations of tidal influences on dwarf spheroidal galaxies qualitatively mimic these results. Given the state of published models it is not possible to decide between creation of this halo from isolated cluster evaporation, or from tidal or disk shocking, or from destruction of a dwarf galaxy in which this object may have once been embedded.

  12. Thermodynamic stability of black holes surrounded by quintessence

    CERN Document Server

    Ma, Meng-Sen; Ma, Ya-Qin

    2016-01-01

    We study the thermodynamic stabilities of uncharged and charged black holes surrounded by quintessence (BHQ) by means of effective thermodynamic quantities. When the state parameter of quintessence $\\omega_q$ is appropriately chosen, the structures of BHQ are something like that of black holes in de Sitter space. Constructing the effective first law of thermodynamics in two different ways, we can derive the effective thermodynamic quantities of BHQ. Especially, these effective thermodynamic quantities also satisfy Smarr-like formulae. It is found that the uncharged BHQ is always thermodynamically unstable due to negative heat capacity, while for the charged BHQ there are phase transitions of the second order. We also show that there is a great deal of difference on the thermodynamic properties and critical behaviors of BHQ between the two ways we employed.

  13. Thermodynamic stability of black holes surrounded by quintessence

    Science.gov (United States)

    Ma, Meng-Sen; Zhao, Ren; Ma, Ya-Qin

    2017-06-01

    We study the thermodynamic stabilities of uncharged and charged black holes surrounded by quintessence (BHQ) by means of effective thermodynamic quantities. When the state parameter of quintessence ω _q is appropriately chosen, the structures of BHQ are something like that of black holes in de Sitter space. Constructing the effective first law of thermodynamics in two different ways, we can derive the effective thermodynamic quantities of BHQ. Especially, these effective thermodynamic quantities also satisfy Smarr-like formulae. It is found that the uncharged BHQ is always thermodynamically unstable due to negative heat capacity, while for the charged BHQ there are phase transitions of the second order. We also show that there are several differences on the thermodynamic properties and critical behaviors of BHQ between the two ways we employed.

  14. Impact-Generated Dust Clouds Surrounding the Galilean Moons

    CERN Document Server

    Krüger, H; Grün, E; Kr\\"uger, Harald~; Krivov, Alexander V.; Gr\\"un, Eberhard

    2003-01-01

    Tenuous dust clouds of Jupiter's Galilean moons Io, Europa, Ganymede and Callisto have been detected with the in-situ dust detector on board the Galileo spacecraft. The majority of the dust particles have been sensed at altitudes below five radii of these lunar-sized satellites. We identify the particles in the dust clouds surrounding the moons by their impact direction, impact velocity, and mass distribution. Average particle sizes are 0.5 to $\\rm 1 \\mu m$, just above the detector threshold, indicating a size distribution with decreasing numbers towards bigger particles. Our results imply that the particles have been kicked up by hypervelocity impacts of micrometeoroids onto the satellites' surfaces. The measured radial dust density profiles are consistent with predictions by dynamical modeling for satellite ejecta produced by interplanetary impactors (Krivov et al., PSS, 2003, 51, 251--269), assuming yield, mass and velocity distributions of the ejecta from laboratory measurements. The dust clouds of the th...

  15. Conserving Prairie Pothole Region wetlands and surrounding grasslands: evaluating effects on amphibians

    Science.gov (United States)

    Mushet, David M.; Neau, Jordan L.

    2014-01-01

    The maintenance of viable and genetically diverse populations of amphibians in the Prairie Pothole Region of the United States depends on upland as well as wetland over-wintering and landscape level habitat features. Prairie pothole wetlands provide important amphibian breeding habitat while grasslands surrounding these wetlands provide foraging habitat for adults, overwintering habitat for some species, and important connectivity among breeding wetlands. Grasslands surrounding wetlands were found to be especially important for wood frogs and northern leopard frogs, while croplands dominated habitat utilized by Great Plains toads and Woodhouse’s toads. Habitat suitability mapping highlighted (1) the influence of deep-water overwintering wetlands on suitable habitat for four of five anuran species encountered; (2) the lack of overlap between areas of core habitat for both the northern leopard frog and wood frog compared to the core habitat for both toad species; and (3) the importance of conservation programs in providing grassland components of northern leopard frog and wood frog habitat. Currently, there are approximately 7.2 million acres (2.9 million hectares, ha) of habitat in the PPR identified as suitable for amphibians. WRP and CRP wetland and grassland habitats accounted for approximately 1.9 million acres (0.75 million ha) or 26 percent of this total area. Continued loss of amphibian habitat resulting from an ongoing trend of returning PPR conservation lands to crop production, will likely have significant negative effects on the region’s ability to maintain amphibian biodiversity. Conversely, increases in conservation wetlands and surrounding grasslands on the PPR landscape have great potential to positively influence the region’s amphibian populations.

  16. Assessment

    Institute of Scientific and Technical Information of China (English)

    Geoff Brindley

    2005-01-01

    @@ Introduction TERMINOLOGY AND KEY CONCEPTS The term assessment refers to a variety of ways of collecting information on a learner's language ability or achievement. Although testing and assessment are often used interchangeably, the latter is an umbrella term encompassing measurement instruments administered on a ‘one-off’ basis such as tests, as well as qualitative methods of monitoring and recording student learning such as observation, simulations of project work. Assessment is also distinguished from evaluation which is concerned with the overall language programme and not just with what individual students have learnt. Proficiency assessment refers to the assessment of general language abilities acquired by the learner independent of a course of study.This kind of assessment is often done through the administration of standardised commercial language-proficency tests. On the other hand, assessment of achievement aims to establish what a student had learned in relation to a particular course or curriculum (thus frequently carried out by the teacher) .Achievement assesssment may be based either on the specific content of the course or on the course objectives (Hughes 1989).

  17. A checklist of plant and animal species at Los Alamos National Laboratory and surrounding areas

    Energy Technology Data Exchange (ETDEWEB)

    Hinojosa, H. [comp.

    1998-02-01

    Past and current members of the Biology Team (BT) of the Ecology Group have completed biological assessments (BAs) for all of the land that comprises Los Alamos National Laboratory (LANL). Within these assessments are lists of plant and animal species with the potential to exist on LANL lands and the surrounding areas. To compile these lists, BT members examined earlier published and unpublished reports, surveys, and data bases that pertained to the biota of this area or to areas that are similar. The species lists that are contained herein are compilations of the lists from these BAs, other lists that were a part of the initial research for the performance of these BAs, and more recent surveys.

  18. 金川水电站地下厂房裂隙围岩渗控效应数值模拟与评价%Numerical simulation and assessment of seepage control effects on surrounding fractured rocks of underground powerhouse in Jinchuan Hydropower Station

    Institute of Scientific and Technical Information of China (English)

    孙超伟; 柴军瑞; 许增光; 覃源

    2016-01-01

    针对金川水电站工程区复杂的地质条件和渗控措施,分别建立基于排水孔等效模拟的坝基整体模型和基于密集排水孔“弃孔算法”精细模拟的左岸厂区子模型,采用Signorini 型变分不等式和自适应罚函数相结合的稳定渗流分析方法对厂区围岩的长期渗控效应进行论证和敏感性分析。在数值模拟中,为了克服传统分析所采用的均质各向同性渗透系数不能反映裂隙岩体渗透特性的不足,首先根据两岸和坝基岩体优势裂隙组的空间展布情况,基于统计学方法初步确定其渗透系数张量并获得主值及主方向,再根据钻孔压水试验资料确定的等效渗透系数对其进行修正,并通过坝址区的地下水位反分析对该方法进行了验证。结果表明,运行期工况下防渗排水系统对山体地下水位具有控制作用,主变洞和发电机层底板处于自由面之上,厂房和调压室底板稍有承压性。帷幕的渗透特性、辅助排水孔幕以及排水孔间距对渗流场分布影响很小但能显著减小厂房洞室及排水廊道的渗漏量,因此应保证防渗帷幕的施工质量并建议设置辅助排水孔幕,建议中层廊道以下的排水孔间距设为3 m,中层廊道以上的排水孔间距放宽到4.5 m。%A global model of equivalent modeling and a submodel of accurate modeling based on“abandoned hole algorithm”for densely deployed drainage holes are established respectively to simulate the complicated seepage control measures and geological conditions for the underground hydropower cavern area at the left bank of Jinchuan Hydropower Station. The long-term seepage control effects of the surrounding rocks of the underground powerhouse and the sensitivity analysis of seepage control measures for the project design are performed by using the stationary seepage analysis method and combining the variational inequality formulation of Signorini’s type

  19. Distributions of surface sediments surrounding the Antarctic Peninsula and its environmental significance

    Institute of Scientific and Technical Information of China (English)

    WANG Chunjuan; CHEN Zhihua; LI Chunshun; DU Dewen; YAN Shijuan; ZHU Zhiwei

    2014-01-01

    We analyzed grain size composition to provide information on the types and distributions as well as depositional varieties of marine surface sediments from the area surrounding the Antarctic Peninsula. The samples retrieved from the study area contain gravel, sand, silt and clay. As suggested by bathymetry and morphology, the study area is characterized by neritic, hemipelagic and pelagic deposits. The glacial-marine sediments can be divided into two types, residual paratill and compound paratill, which are primarily transported by glaciers and as ice-rafted debris. Ocean current effects on deposition are more obvious, and the deposit types are distributed consistently with terrain variations.

  20. Magnetic Coupling of a Rotating Black Hole with the SurroundingAccretion Disc

    Institute of Scientific and Technical Information of China (English)

    汪定雄; 肖看; 雷卫华

    2001-01-01

    The evolution characteristics and energy extraction of a rotating black hole are investigated by considering the magnetic coupling with the surrounding accretion disc. It is found that both the mass and spin of the black hole might be reduced by the joint effects of disc accretion and magnetic coupling, provided that the latter is stronger than the former. The efficiencies of the two energy mechanisms are calculated and compared to a variety of parameters. In addition, the validity of the laws of black hole thermodynamics is discussed.

  1. General Description of Oak Ridge Site and Surrounding Areas - Hazards Evaluation, Vol. 2

    Energy Technology Data Exchange (ETDEWEB)

    Struxness, E. G. [ORNL

    1962-08-21

    Purposeful or accidental releases of radioactive materials to the immediate environs of ORNL and surrounding areas have been examined. Evaluation of the consequences of releases requires rather detailed knowledge of the atmosphere, the hydrosphere, and the Iithosphere. By various means the vulnerability of the area to concentrated radioactive fallout or to radioactive Iiquids released onto or into the terrain and water courses must be determined. Factual data are provided, and an attempt has been made to relate these to the control of radioactive contamination .

  2. Thoughts in space: the impact of environmental surround on cognitive processing.

    Science.gov (United States)

    Stevens, Jennifer A; Duffie, Vanessa; Vishton, Peter M

    2015-09-01

    The embodied cognition perspective has provided a formalization of the idea that the motor state is a characteristic of being that permeates all of human processing. We review this perspective and experimental evidence supporting its claim. It is further considered that the motor behaving human moves within various spaces, each affording different actions. To this end, it is proposed that the environmental surround is a critical variable in the embodied cognition perspective. Thoughts, inasmuch as they may be grounded in simulation of motor-behavioural responses, require time but also space. We suggest that these time-space considerations occur within a proposed concept of the potentiated state.

  3. Centre-surround organization of fast sensorimotor integration in human motor hand area

    DEFF Research Database (Denmark)

    Dubbioso, Raffaele; Raffin, Estelle; Karabanov, Anke

    2017-01-01

    Using the short-latency afferent inhibition (SAI) paradigm, transcranial magnetic stimulation (TMS) of the primary motor hand area (M1HAND) can probe how sensory input from limbs modulates corticomotor output in humans. Here we applied a novel TMS mapping approach to chart the spatial representat...... in M1HAND. Like homotopic SAI, heterotopic SAF was somatotopically expressed in M1HAND. Together, the results provide first-time evidence that fast sensorimotor integration involves centre-inhibition and surround-facilitation in human M1HAND....

  4. Linking student performance in Massachusetts elementary schools with the "greenness" of school surroundings using remote sensing.

    Directory of Open Access Journals (Sweden)

    Chih-Da Wu

    Full Text Available Various studies have reported the physical and mental health benefits from exposure to "green" neighborhoods, such as proximity to neighborhoods with trees and vegetation. However, no studies have explicitly assessed the association between exposure to "green" surroundings and cognitive function in terms of student academic performance. This study investigated the association between the "greenness" of the area surrounding a Massachusetts public elementary school and the academic achievement of the school's student body based on standardized tests with an ecological setting. Researchers used the composite school-based performance scores generated by the Massachusetts Comprehensive Assessment System (MCAS to measure the percentage of 3rd-grade students (the first year of standardized testing for 8-9 years-old children in public school, who scored "Above Proficient" (AP in English and Mathematics tests (Note: Individual student scores are not publically available. The MCAS results are comparable year to year thanks to an equating process. Researchers included test results from 2006 through 2012 in 905 public schools and adjusted for differences between schools in the final analysis according to race, gender, English as a second language (proxy for ethnicity and language facility, parent income, student-teacher ratio, and school attendance. Surrounding greenness of each school was measured using satellite images converted into the Normalized Difference Vegetation Index (NDVI in March, July and October of each year according to a 250-meter, 500-meter, 1,000-meter, and 2000-meter circular buffer around each school. Spatial Generalized Linear Mixed Models (GLMMs estimated the impacts of surrounding greenness on school-based performance. Overall the study results supported a relationship between the "greenness" of the school area and the school-wide academic performance. Interestingly, the results showed a consistently positive significant association

  5. Perceived spatial positioning of self-footstep sounds in three surround sound speaker setups for immersive virtual reality

    DEFF Research Database (Denmark)

    Sikström, Erik; Nilsson, Niels Christian; Nordahl, Rolf;

    2013-01-01

    Are there differences in how well loudspeaker setups are able to provide a believable illusion of footstep sounds originating from the user of an immersive virtual reality? To investigate this performance in spatial positioning via loudspeakers, a comparison of the three surround sound loudspeake...

  6. Perceived spatial positioning of self-footstep sounds in three surround sound speaker setups for immersive virtual reality

    DEFF Research Database (Denmark)

    Sikström, Erik; Nilsson, Niels Christian; Nordahl, Rolf

    2013-01-01

    Are there differences in how well loudspeaker setups are able to provide a believable illusion of footstep sounds originating from the user of an immersive virtual reality? To investigate this performance in spatial positioning via loudspeakers, a comparison of the three surround sound loudspeaker...

  7. Changing carbonate chemistry in ocean waters surrounding coral reefs in the CMIP5 ensemble

    Science.gov (United States)

    Ricke, K.; Schneider, K.; Cao, L.; Caldeira, K.

    2012-12-01

    Coral reefs comprise some of the most biodiverse ecosystems in the world. Today they are threatened by a number of stressors, including pollution, bleaching from global warming and ocean acidification. In this study, we focus on the implications of ocean acidification for the open ocean chemistry surrounding coral reefs. We use results from 13 Earth System Models included in the Coupled Model Intercomparison Project 5 (CMIP5) to examine the changing aragonite saturations (Ωa) of open ocean waters surrounding approximately 6,000 coral reefs. These 13 Earth System Models participating in CMIP5 each have interactive ocean biogeochemistry models that output state variables including DIC, alkalinity, SST, and salinity. Variation in these values were combined with values from the GLODAP database to calculate aragonite, the form of calcium carbonate that corals use to make their skeletons. We used reef locations from ReefBase that were within one degree (in latitude or longitude) of water masses represented both in the GLODAP database and in the climate models. Carbonate chemistry calculations were performed by Dr. James C. Orr (IPSL) as part of a separate study. We find that in preindustrial times, 99.9 % of coral reefs were located in regions of the ocean with aragonite saturations of 3.5 or more. The saturation threshold for viable reef ecosystems in uncertain, but the pre-industrial distribution of water chemistry surrounding coral reefs may nevertheless provide some indication of viability. We examine the fate of coral reefs in the context of several potential aragonite saturation thresholds, i.e., when Ωa_crit equals 3, 3.25, or 3.5. We show that under a business-as-usual scenario Representative Concentration Pathway (RCP) 8.5, the specific value of Ωa_crit does not affect the long-term fate of coral reefs -- by the end of the 21st century, no coral reef considered is surrounded by water with Ωa> 3. However, under scenarios with significant CO2 emissions

  8. Tomography images of the Alpine roots and surrounding upper mantle

    Science.gov (United States)

    Plomerova, Jaroslava; Babuska, Vladislav

    2017-04-01

    Teleseismic body-wave tomography represents powerful tool to study regional velocity structure of the upper mantle and to image velocity anomalies, such as subducted lithosphere plates in collisional zones. In this contribution, we recapitulate 3D models of the upper mantle beneath the Alps, which developed at a collision zone of the Eurasian and African plates. Seismic tomography studies indicate a leading role of the rigid mantle lithosphere that functioned as a major stress guide during the plate collisions. Interactions of the European lithosphere with several micro-plates in the south resulted in an arcuate shape of this mountain range on the surface and in a complicated geometry of the Alpine subductions in the mantle. Early models with one bended lithosphere root have been replaced with more advanced models showing two separate lithosphere roots beneath the Western and Eastern Alps (Babuska et al., Tectonophysics 1990; Lippitsch et al., JGR 2003). The standard isotropic velocity tomography, based on pre-AlpArray data (the currently performed passive seismic experiment in the Alps and surroundings) images the south-eastward dipping curved slab of the Eurasian lithosphere in the Western Alps. On the contrary, beneath the Eastern Alps the results indicate a very steep northward dipping root that resulted from the collision of the European plate with the Adriatic microplate. Dando et al. (2011) interpret high-velocity heterogeneities at the bottom of their regional tomographic model as a graveyard of old subducted lithospheres. High density of stations, large amount of rays and dense ray-coverage of the volume studied are not the only essential pre-requisites for reliable tomography results. A compromise between the amount of pre-processed data and the high-quality of the tomography input (travel-time residuals) is of the high importance as well. For the first time, the existence of two separate roots beneath the Alps has been revealed from carefully pre

  9. The water exchange between Chinchorro Bank and its surroundings

    Science.gov (United States)

    Candela, Julio; Ochoa, Jose Luis; Sheinbaum, Julio; Lopez, Manuel; Cornado, Cesar

    2015-04-01

    Chinchorro Bank is a relatively large (~500 km^ 2) atoll situated 33 km in front of the Yucatan Peninsula in the Caribbean coast of Mexico. Two years of continuous measurements of the subsurface pressure field inside and around Chinchorro Bank, along with currents and waves observed outside, suggest four major processes governing the water exchange of the Bank with its surroundings: 1) surface wave pumping of water into the Bank through its eastern edge, 2) the large scale circulation in the region that drives the sea level changes through geostrophy, 3) the tidal pumping with imposed cyclic flows into and out of the Bank and 4) the imposed drift by the wind. Waves impinging all along the eastern barrier reef induce water inflows (from overtopping the reef) and generate a pressure gradient that drives a drift from east to west throughout the Bank. This western drift can normally replenish the water over the Bank with a time scale of ~10 days. However, extreme wave events, lasting around 24 hours, can replenish the whole Bank's water in the order of day. The region's large scale circulation is dominated by the zonal Cayman Current impinging on the Yucatan Peninsula becoming the Yucatan Current as it turns northward. Variability in the strength and impacting latitude of this current causes sea level gradients within the Bank, i.e., a Yucatan Current increase of 1 m/s, over a period of a couple of weeks, sets up a zonal sea level gradient within that can replenish the whole Bank's water in a time scale of ~14 days. At such times, the large scale current around the Bank is at a maximum thus ensuring an effective removal and dispersal of the exported waters. The Bank has a micro-tidal regime with a semidiurnal amplitude of ~12 cm during spring tides and a diurnal of ~2 cm, these imply that the Bank is exchanging ~10% of its waters with its surroundings daily. However small, this tidal pumping is effective for the ventilation of the Banks' waters in ~10 days due to the

  10. Therapy Provider Phase Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Therapy Provider Phase Information dataset is a tool for providers to search by their National Provider Identifier (NPI) number to determine their phase for...

  11. Nursing students' preferences of strategies surrounding cinenurducation in a first year child growth and development courses: A mixed methods study.

    Science.gov (United States)

    Oh, Jina; Steefel, Lorraine

    2016-01-01

    Use of film in the classroom (cinenurducation) promotes nursing students' motivation and understanding of concepts about child growth and development; however, consensus has not been reached regarding students' preferred strategies and what they view as effective. To identify nursing students' preferences for pedagogical strategies surrounding film use in a Child Growth and Development course. A mixed methods study encompassing a concurrent triangulation strategy was undertaken. Eighty-three students attending the first year nursing class in the fall semester 2012 at a private University in South Korea participated. Films or film clips were shown either before or after pedagogical strategies including lecture, presentation, personal essay, group report, or group discussion, followed by a questionnaire to assess student preferences and their opinions on the impact of strategies on motivation and learning. A focus group with 10 participants provided their opinions. Although the preference for the time when films were watched showed no significant difference (t=.388, p=.699), participants preferred the following pedagogical methods: watching films with a group, saying this was more effective compared to watching films alone (t=5.488, pChild Growth and Development course. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. To assess whether indoor residual spraying can provide additional protection against clinical malaria over current best practice of long-lasting insecticidal mosquito nets in The Gambia: study protocol for a two-armed cluster-randomised trial

    Directory of Open Access Journals (Sweden)

    Parker David

    2011-06-01

    Full Text Available Abstract Background Recently, there has been mounting interest in scaling-up vector control against malaria in Africa. It needs to be determined if indoor residual spraying (IRS with DDT will provide significant marginal protection against malaria over current best practice of long-lasting insecticidal nets (LLINs and prompt treatment in a controlled trial, given that DDT is currently the most persistent insecticide for IRS. Methods A 2 armed cluster-randomised controlled trial will be conducted to assess whether DDT IRS and LLINs combined provide better protection against clinical malaria in children than LLINs alone in rural Gambia. Each cluster will be a village, or a group of small adjacent villages; all clusters will receive LLINs and half will receive IRS in addition. Study children, aged 6 months to 13 years, will be enrolled from all clusters and followed for clinical malaria using passive case detection to estimate malaria incidence for 2 malaria transmission seasons in 2010 and 2011. This will be the primary endpoint. Exposure to malaria parasites will be assessed using light and exit traps followed by detection of Anopheles gambiae species and sporozoite infection. Study children will be surveyed at the end of each transmission season to estimate the prevalence of Plasmodium falciparum infection and the prevalence of anaemia. Discussion Practical issues concerning intervention implementation, as well as the potential benefits and risks of the study, are discussed. Trial Registration ISRCTN01738840 - Spraying And Nets Towards malaria Elimination (SANTE

  13. The structural feature surrounding glycated lysine residues in human hemoglobin.

    Science.gov (United States)

    Ito, Shigenori; Nakahari, Takashi; Yamamoto, Daisuke

    2011-06-01

    Complications derived from diabetes mellitus are caused by nonenzymatic protein glycation at the specific sites. LC/MS/MS was performed for the identification of the tryptic peptides of glycated hemoglobins using glyceraldehyde. After the identification of the glycation or non-glycation site, computer analysis of the structure surrounding the sites was carried out using PDB data (1BZ0). Five glycated lysine residues (Lys-16(α), -56(α), -8(β), -82(β), and -144(β)) and four non-glycated lysine residues (Lys-7(α), -40(α), -99(α), and -132(β)) were identified. The non-glycated lysine residues, Lys-7(α), -40(α), and -132(β), are most likely to form electrostatic interactions with the β carboxyl group of Asp-74(α), C-terminal His-146(β), and Glu-7(β) by virtue of their proximity, which is 2.67-2.91 Å (N-O). Additionally, there are histidine residues within 4.55-7.38 Å (N-N) around eight sites except for Lys-7(α). We conclude that the following factors seem to be necessary for glycation of lysine residues: (i) the apparent absence of aspartate or glutamate residues to inhibit the glycation reaction by forming an electrostatic interaction, (ii) the presence of histidine residues for acid-base catalysis of the Amadori rearrangement, and (iii) the presence of an amino acid residue capable of stabilizing a phosphate during proton transfer.

  14. Dilemmas surrounding passive euthanasia--a Malaysian perspective.

    Science.gov (United States)

    Talib, Norchaya

    2005-09-01

    In western societies where the principle of autonomy is jealously guarded, perhaps active euthanasia is more often the focus of public concern and debates rather than any other forms of euthanasia. However due to the advance in technology and its corresponding ability in prolonging life, in Malaysia passive euthanasia presents more of a dilemma. For those concerned and involved with end of life decision-making, it is generally agreed that this is an area fraught with not only medical but legal and ethical issues. In Malaysia where the society is not homogenous but is multi-cultural and multi-religious, in addition to medical, legal and ethical issues, religious principles and cultural norms further impact and play significant roles in end of life decision-making. This paper seeks to identify the issues surrounding the practice of passive euthanasia in Malaysia. It will be shown that despite applicable legal provisions, current practice of the medical profession combined with religious and cultural values together affect decision-making which involves the withholding and/or withdrawing of life-saving treatment.

  15. Mercury's interior, surface, and surrounding environment latest discoveries

    CERN Document Server

    Clark, Pamela Elizabeth

    2015-01-01

    This SpringerBrief details the MESSENGER Mission, the findings of which present challenges to widely held conventional views and remaining mysteries surrounding the planet. The work answers the question of why Mercury is so dense, and the implications from geochemical data on its planetary formation. It summarizes imaging and compositional data from the terrestrial planet surface processes and explains the geologic history of Mercury.  It also discusses the lack of southern hemisphere coverage. Our understanding of the planet Mercury has been in a transitional phase over the decades since Mariner 10. The influx of new data from the NASA MESSENGER Mission since it was inserted into the orbit of Mercury in March of 2011 has greatly accelerated that shift. The combined compositional data of relatively high volatiles (S, K), relatively low refractories (Al, Ca), and low crustal iron, combined with an active, partially molten iron rich core, has major implications for Mercury and Solar System formation. From a s...

  16. Zonal disintegration phenomenon in rock mass surrounding deep tunnels

    Institute of Scientific and Technical Information of China (English)

    WU Hao; FANG Qin; GUO Zhi-kun

    2008-01-01

    Zonal disintegration is a typical static phenomenon of deep rock masses. It has been defined as alternating regions of fractured and relatively intact rock mass that appear around or in front of the working stope during excavation of a deep tunnel. Zonal disintegration phenomenon was successfully demonstrated in the laboratory with 3D tests on analogous gypsum models, two circular cracked zones were observed in the test. The linear Mohr-Coulomb yield criterion was used with a constitutive model that showed linear softening and ideal residual plastic to analyze the elasto-plastic field of the enclosing rock mass around a deep tunnel. The results show that tunneling causes a maximum stress zone to appear between an elastic and plastic zone in the surrounding rock. The zonal disintegration phenomenon is analyzed by considering the stress-strain state of the rock mass in the vicinity of the maximum stress zone. Creep instability failure of the rock due to the development of the plastic zone, and transfer of the maximum stress zone into the rock mass, are the cause of zonal disintegration. An analytical criterion for the critical depth at which zonal disintegration can occur is derived. This depth depends mainly on the character and stress concentration coefficient of the rock mass.

  17. Unilateral lung agenesis--detrimental roles of surrounding vessels.

    Science.gov (United States)

    Chou, An-Kou; Huang, Shu-Chien; Chen, Shyh-Jye; Huang, Pei-Ming; Wang, Jou-Kou; Wu, Mei-Hwan; Chen, Yih-Sharng; Chang, Chung-I; Chiu, Ing-Sh; Wu, En-Ting

    2007-03-01

    Unilateral lung agenesis is a rare congenital defect and could be associated with multiple abnormalities. The patients usually have poor long-term outcomes especially in those with right lung agenesis. We reviewed the 10-year experience in our hospital to describe special clinical features and try to delineate the causes of poor outcomes. From 1995 to 2005, 14 patients less than 18 years of age with unilateral lung agenesis (4 with left agenesis, 10 with right agenesis) were enrolled. Medical records reviewed included diagnosis, presentation, chromosome anomalies, cardiovascular anomalies and interventions, outcomes. We found that the mechanisms of severe airway disease in right lung agenesis included (1) trachea compression by the aortic arch, (2) the presence of "pseudo-ring-sling complex," (3) distended pulmonary artery due to left to right shunt which impinged the only bronchus, and finally (4) the persistent LSVC that restricts the growth of trachea. The etiologies of airway complication in left lung agenesis included anomalous aortic arch compression on trachea and the coexisting heart disease with significant left to right shunt, which impinged on the bronchus. In conclusion, unilateral lung agenesis has frequently associated airway problems due to its surrounding vessels. Satisfactory airway intervention remains challenging. This disease still requires great effort to improve patient outcomes.

  18. The interstellar cloud surrounding the Sun -- a new perspective

    CERN Document Server

    Gry, Cecile

    2014-01-01

    Aims: We offer a new, simpler picture of the local interstellar medium around the Sun (LISM) made of a single continuous cloud enveloping the Sun. This new outlook enables the description of a diffuse cloud from within and brings to light some unexpected properties. Methods: We re-examine the kinematics and abundances of the local interstellar medium, as revealed by the published results for the ultraviolet absorption lines of MgII, FeII and HI. Results: In contrast to previous representations, our new picture of the LISM consists of a single, monolithic cloud that surrounds the Sun in all directions and accounts for most of the matter present in the first 50 parsecs around the Sun. The cloud fills the space around us out to about 9 pc in most directions, although its boundary is very irregular with possibly a few extensions up to 20 pc. The cloud does not behave like a rigid body: gas within the cloud is being differentially decelerated in the direction of motion, and the cloud is expanding in directions per...

  19. Dense Ionized and Neutral Gas Surrounding Sgr A*

    CERN Document Server

    Shukla, Hemant; Scoville, N Z

    2004-01-01

    We present high resolution H41a hydrogen recombination line observations of the 1.2' (3 pc) region surrounding Sgr A* at 92 GHz using the OVRO Millimeter Array with an angular resolution of 7" x 3" and velocity resolution of 13 km/s. New observations of H31a, H35a, H41a, and H44a lines were obtained using the NRAO 12-m telescope, and their relative line strengths are interpreted in terms of various emission mechanisms. These are the most extensive and most sensitive observations of recombination line to date. Observations of HCO+ (1 - 0) transition at 89 GHz are also obtained simultaneously with a 40% improved angular resolution and 4-15 times improved sensitivity over previous observations, and the distribution and kinematics of the dense molecular gas in the circumnuclear disk (CND) are mapped and compared with those of the ionized gas. The line brightness ratios of the hydrogen recombination lines are consistent with purely spontaneous emission from 7000 K gas with n_e = 20,000 cm$^{-3}$ near LTE condition...

  20. Instability of Magnetized Ionization Fronts Surrounding H II Regions

    CERN Document Server

    Kim, Jeong-Gyu

    2014-01-01

    An ionization front (IF) surrounding an H II region is a sharp interface where a cold neutral gas makes transition to a warm ionized phase by absorbing UV photons from central stars. We investigate the instability of a plane-parallel D-type IF threaded by parallel magnetic fields, by neglecting the effects of recombination within the ionized gas. We find that weak D-type IFs always have the post-IF magnetosonic Mach number $\\mathcal{M}_{\\rm M2} \\leq 1$. For such fronts, magnetic fields increase the maximum propagation speed of the IFs, while reducing the expansion factor $\\alpha$ by a factor of $1+1/(2\\beta_1)$ compared to the unmagnetized case, with $\\beta_1$ denoting the plasma beta in the pre-IF region. IFs become unstable to distortional perturbations due to gas expansion across the fronts, exactly analogous to the Darrieus-Landau instability of ablation fronts in terrestrial flames. The growth rate of the IF instability is proportional linearly to the perturbation wavenumber as well as the upstream flow ...

  1. An insight in the surroundings of HR4796

    CERN Document Server

    Lagrange, A -M; Boccaletti, A; Lacour, S; Thebault, P; Chauvin, G; Mouillet, D; Augereau, J C; Bonnefoy, M; Ehrenreich, D; Kral, Q

    2012-01-01

    HR4796 is a young, early A-type star harbouring a well structured debris disk, shaped as a ring with sharp inner edges. It forms with the M-type star HR4796B a binary system, with a proj. sep. ~560 AU. Our aim is to explore the surroundings of HR4796A and B, both in terms of extended or point-like structures. Adaptive optics images at L'-band were obtained with NaCo in Angular Differential Mode and with Sparse Aperture Masking (SAM). We analyse the data as well as the artefacts that can be produced by ADI reduction on an extended structure with a shape similar to that of HR4796A dust ring. We determine constraints on the presence of companions using SAM and ADI on HR4796A, and ADI on HR4796B. We also performed dynamical simulations of a disk of planetesimals and dust produced by collisions, perturbed by a planet located close to the disk outer edge. The disk ring around HR4796A is well resolved. We highlight the potential effects of ADI reduction of the observed disk shape and surface brightness distribution,...

  2. Preliminary Analysis of Slope Stability in Kuok and Surrounding Areas

    Directory of Open Access Journals (Sweden)

    Dewandra Bagus Eka Putra

    2016-12-01

    Full Text Available The level of slope influenced by the condition of the rocks beneath the surface. On high level of slopes, amount of surface runoff and water transport energy is also enlarged. This caused by greater gravity, in line with the surface tilt from the horizontal plane. In other words, topsoil eroded more and more. When the slope becomes twice as steep, then the amount of erosion per unit area be 2.0 - 2.5 times more. Kuok and surrounding area is the road access between the West Sumatra and Riau which plays an important role economies of both provinces. The purpose of this study is to map the locations that have fairly steep slopes and potential mode of landslides. Based on SRTM data obtained,  the roads in Kuok area has a minimum elevation of + 33 m and a maximum  + 217.329 m. Rugged road conditions with slope ranging from 24.08 ° to 44.68 ° causing this area having frequent landslides. The result of slope stability analysis in a slope near the Water Power Plant Koto Panjang, indicated that mode of active failure is toppling failure or rock fall and the potential zone of failure is in the center part of the slope.

  3. Expression of zebrafish nos2b surrounds oral cavity.

    Science.gov (United States)

    Poon, Kar-Lai; Richardson, Michael; Korzh, Vladimir

    2008-06-01

    Inducible nitric oxide synthase (NOS2) catalyzes the production of nitric oxide (NO), and is one of the factors establishing innate immunity. In zebrafish, Nos2 is represented by nos2a and nos2b. Here, we report the cloning and expression pattern of the zebrafish nos2b gene, which does not seem to participate in induced immune response. nos2b was mapped to zebrafish linkage group 15. The spatial and temporal expression pattern of nos2b in embryonic zebrafish was analyzed by whole-mount in situ hybridization. nos2b is expressed constitutively in two primordia located along the ventral midline. The first group of cells contributes to the neurohypophysis. Initially at the level of the ventral hindbrain, the second group of cells migrates closely with the thyroid primordium to its final position at the basihyal by 3 dpf. Thus, the analysis of expression pattern of nos2b reveals complex morphogenetic movements resulting in its expression surrounding the oral cavity.

  4. Thermoelectric Performance Enhancement by Surrounding Crystalline Semiconductors with Metallic Nanoparticles

    Science.gov (United States)

    Kim, Hyun-Jung; King, Glen C.; Park, Yeonjoon; Lee, Kunik; Choi, Sang H.

    2011-01-01

    Direct conversion of thermal energy to electricity by thermoelectric (TE) devices may play a key role in future energy production and utilization. However, relatively poor performance of current TE materials has slowed development of new energy conversion applications. Recent reports have shown that the dimensionless Figure of Merit, ZT, for TE devices can be increased beyond the state-of-the-art level by nanoscale structuring of materials to reduce their thermal conductivity. New morphologically designed TE materials have been fabricated at the NASA Langley Research Center, and their characterization is underway. These newly designed materials are based on semiconductor crystal grains whose surfaces are surrounded by metallic nanoparticles. The nanoscale particles are used to tailor the thermal and electrical conduction properties for TE applications by altering the phonon and electron transport pathways. A sample of bismuth telluride decorated with metallic nanoparticles showed less thermal conductivity and twice the electrical conductivity at room temperature as compared to pure Bi2Te3. Apparently, electrons cross easily between semiconductor crystal grains via the intervening metallic nanoparticle bridges, but phonons are scattered at the interfacing gaps. Hence, if the interfacing gap is larger than the mean free path of the phonon, thermal energy transmission from one grain to others is reduced. Here we describe the design and analysis of these new materials that offer substantial improvements in thermoelectric performance.

  5. Democratizing rendering for multiple viewers in surround VR systems

    KAUST Repository

    Schulze, Jürgen P.

    2012-03-01

    We present a new approach for how multiple users\\' views can be rendered in a surround virtual environment without using special multi-view hardware. It is based on the idea that different parts of the screen are often viewed by different users, so that they can be rendered from their own view point, or at least from a point closer to their view point than traditionally expected. The vast majority of 3D virtual reality systems are designed for one head-tracked user, and a number of passive viewers. Only the head tracked user gets to see the correct view of the scene, everybody else sees a distorted image. We reduce this problem by algorithmically democratizing the rendering view point among all tracked users. Researchers have proposed solutions for multiple tracked users, but most of them require major changes to the display hardware of the VR system, such as additional projectors or custom VR glasses. Our approach does not require additional hardware, except the ability to track each participating user. We propose three versions of our multi-viewer algorithm. Each of them balances image distortion and frame rate in different ways, making them more or less suitable for certain application scenarios. Our most sophisticated algorithm renders each pixel from its own, optimized camera perspective, which depends on all tracked users\\' head positions and orientations. © 2012 IEEE.

  6. The human health impact of Nyiragongo and Nyamulagira eruptions on Goma city and its surrounding area

    Science.gov (United States)

    Michellier, C.; Dramaix, M.; Arellano, S. R.; Kervyn, F.; Kahindo, J. B.

    2012-04-01

    of higher health risk for the population living under the plume. Additionally, time series analysis helps us to disregard any seasonal effect of certain pathologies and to derive a 12-year risk trend. For 2004-2010, our results are compared to SO2 gas emission rates and plume location data measured by using Differential Optical Absorption Spectroscopic (DOAS) sensors located around Nyiragongo volcano. Finally, the areas identified as more hazardous are highlighted through a geographical approach (using GIS tools), to generate maps and other relevant information that can be of direct use for risk assessment authorities. Our preliminary analysis suggests that the impact of SO2 emissions doesn't seem to be severe, being its most important effect an increase of ARI in the area surrounding the volcanoes (up to 50km). Our on-going study will help us to better determine the magnitude and geographical extent of the impact of volcanic plumes on the health of the population, as well as locate the areas that are most affected. This will contribute to provide the appropriate sanitation recommendations (water treatment, early warning system, etc.) and lead to a more effective volcanic impact reduction on human health.

  7. Experimental study on stability control technology of surrounding rock of deep roadways in coal mine

    Institute of Scientific and Technical Information of China (English)

    Luo Yong; Yuan Liang; Yang Yang

    2014-01-01

    In order to solve effectively the problems of deep mining with safety and high efficiency,the multi-ple factors influencing the stability of deep rock roadway and technical problems are analyzed in the light of the severe situation of effective mining for deep coal resource,and the stability control methods for deep rock road-way are provided,which are based on the idea of combined support with separated steps and integral control of surrounding rock of deep rock roadway. The suggested methods were applied to a deep rock roadway with-648 m depth in Gubei coal mine of Huainan area. The field test was carried out and the in-situ monitoring was imple-mented,and the support scheme was optimized and adjusted to improve the stability of the surrounding rock of the roadway based on the feedback analysis. The results showed that the stability can be improved greatly by the provided control methods for deep roadway. The present methods for stability control of deep rock roadway can be used to other deep rock roadways with the similar conditions.

  8. The number and type of food retailers surrounding schools and their association with lunchtime eating behaviours in students

    Directory of Open Access Journals (Sweden)

    Seliske Laura

    2013-02-01

    Full Text Available Abstract Background The primary study objective was to examine whether the presence of food retailers surrounding schools was associated with students’ lunchtime eating behaviours. The secondary objective was to determine whether measures of the food retail environment around schools captured using road network or circular buffers were more strongly related to eating behaviours while at school. Methods Grade 9 and 10 students (N=6,971 who participated in the 2009/10 Canadian Health Behaviour in School Aged Children Survey were included in this study. The outcome was determined by students’ self-reports of where they typically ate their lunch during school days. Circular and road network-based buffers were created for a 1 km distance surrounding 158 schools participating in the HBSC. The addresses of fast food restaurants, convenience stores and coffee/donut shops were mapped within the buffers. Multilevel logistic regression was used to determine whether there was a relationship between the presence of food retailers near schools and students regularly eating their lunch at a fast food restaurant, snack-bar or café. The Akaike Information Criteria (AIC value, a measure of goodness-of-fit, was used to determine the optimal buffer type. Results For the 1 km circular buffers, students with 1–2 (OR= 1.10, 95% CI: 0.57-2.11, 3–4 (OR=1.45, 95% CI: 0.75-2.82 and ≥5 nearby food retailers (OR=2.94, 95% CI: 1.71-5.09 were more likely to eat lunch at a food retailer compared to students with no nearby food retailers. The relationships were slightly stronger when assessed via 1 km road network buffers, with a greater likelihood of eating at a food retailer for 1–2 (OR=1.20, 95% CI:0.74-1.95, 3–4 (OR=3.19, 95% CI: 1.66-6.13 and ≥5 nearby food retailers (OR=3.54, 95% CI: 2.08-6.02. Road network buffers appeared to provide a better measure of the food retail environment, as indicated by a lower AIC value (3332 vs. 3346. Conclusions There

  9. New strategy toward dioxin risk reduction for local residents surrounding severe dioxin hotspots in Vietnam

    Science.gov (United States)

    Thi Tran, Tuyet-Hanh; Nguyen, Ngoc-Bich; Le, Vu-Anh

    2013-01-01

    Background A public health intervention program with active involvement of local related stakeholders was piloted in the Bien Hoa dioxin hotspot (2007–2009), and then expanded to the Da Nang dioxin hotspot in Vietnam (2009–2011). It aimed to reduce the risk of dioxin exposure of local residents through foods. This article presents the results of the intervention in Da Nang. Methodology To assess the results of this intervention program, pre- and post-intervention knowledge, attitude, and practice (KAP) surveys were implemented in 400 households, randomly selected from four wards surrounding the Da Nang Airbase in 2009 and 2011, respectively. Results After the intervention, the knowledge on the existence of dioxin in food, dioxin exposure pathways, potential high-risk foods, and preventive measures significantly increased (Pdioxin exposure. Practices to reduce the risk of dioxin exposure also significantly improved (Pdioxin at dioxin hotspots. While greater efforts are needed for remediating dioxin-polluted areas inside airbases, there is also evidence to suggest that, during the past four decades, pollution has expanded to the surrounding areas. For this reason, this model should be quickly expanded to the remaining dioxin hotspots in Vietnam to further reduce the exposure risks in other areas. PMID:23791241

  10. CD163/Hemoglobin Oxygenase-1 Pathway Regulates Inflammation in Hematoma Surrounding Tissues after Intracerebral Hemorrhage.

    Science.gov (United States)

    Liu, BaoHua; Hu, BeiLei; Shao, ShengMin; Wu, Wei; Fan, LiuBo; Bai, GuangHui; Shang, Ping; Wang, XiaoTong

    2015-12-01

    The aim of the present study was to investigate changes in the expression of CD163 and hemoglobin oxygenase-1 (HO-1) in brain tissue surrounding hematomas after intracerebral hemorrhage (ICH), and correlations with other factors. Brain tissues in the close surrounding of ICH hematomas (n = 27, ICH group) were collected at 6 hours or less, 6-24 hours, 24-72 hours, and more than 72 hours after bleeding onset, and more distant tissues (n = 12, control group) were histologically analyzed with hematoxylin and eosin staining and transmission electron microscopy. Interleukin (IL)-1, IL-10, and tumor necrosis factor-alpha, as well as the expression of CD163 and HO-1, were assessed using immunochemistry, Western blotting, and reverse transcription-polymerase chain reaction. Apoptosis rates were determined with terminal deoxynucleotidyl transferase dUTP nick end labeling assays. The expressions of the inflammatory cytokines IL-1 and tumor necrosis factor-alpha were increased at 6-24 hours (P CD163 and HO-1 expressions gradually increased from 6 to 24 hours to peaks at more than 72 hours after ICH onset (P CD163 and HO-1 expressions reached peaks and inflammatory cytokine expressions dropped. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  11. Nociceptive behaviors were induced by electrical stimulation of the dura mater surrounding the superior sagittal sinus in conscious adult rats and reduced by morphine and rizatriptan benzoate.

    Science.gov (United States)

    Dong, Zhao; Jiang, Lei; Wang, Xiaohui; Wang, Xiaolin; Yu, Shengyuan

    2011-01-12

    The trigeminovascular nociception induced by electrical stimulation of the dura mater surrounding the superior sagittal sinus in anesthetized animals has been widely used as a model for investigation of the pathophysiology of vascular headache such as migraine. However, little is known whether pain behaviors can be induced using this model in conscious animals. Thus, to establish a new model of trigeminovascular nociception in conscious animals and to examine the effects of morphine and rizatriptan benzoate on nociceptive behaviors in this new model, we electrically stimulated the dura mater surrounding the superior sagittal sinus. We found that grooming and head-flick activities were altered partially in a frequency-dependent way and that frequencies ranging from 10 to 20 Hz more easily provoked these behaviors. Moreover, we also demonstrated that these behaviors were reduced by morphine and rizatriptan benzoate. Thus, this new model will provide a useful and appropriate tool to directly assess changes in the intensity of pain for further investigation of pathophysiological mechanisms of migraine in conscious animals.

  12. GIANT Hα NEBULA SURROUNDING THE STARBURST MERGER NGC 6240

    Energy Technology Data Exchange (ETDEWEB)

    Yoshida, Michitoshi [Hiroshima Astrophysical Science Center, Hiroshima University, Higashi-Hiroshima, Hiroshima 739-8526 (Japan); Yagi, Masafumi; Komiyama, Yutaka; Kashikawa, Nobunari [Optical and Infrared Astronomy Division, National Astronomical Observatory, Mitaka, Tokyo 181-8588 (Japan); Ohyama, Youichi [Institute of Astronomy and Astrophysics, Academia Sinica, 11F of Astronomy-Mathematics Building, AS/NTU No.1, Sec. 4, Roosevelt Road, Taipei 10617, Taiwan, R.O.C. (China); Tanaka, Hisashi [Department of Physical Science, Hiroshima University, Higashi-Hiroshima, Hiroshima 739-8526 (Japan); Okamura, Sadanori, E-mail: yoshidam@hiroshima-u.ac.jp [Department of Advanced Sciences, Faculty of Science and Engineering, Hosei University, Koganei, Tokyo 184-8584 (Japan)

    2016-03-20

    We revealed the detailed structure of a vastly extended Hα-emitting nebula (“Hα nebula”) surrounding the starburst/merging galaxy NGC 6240 by deep narrow-band imaging observations with the Subaru Suprime-Cam. The extent of the nebula is ∼90 kpc in diameter and the total Hα luminosity amounts to L{sub Hα} ≈ 1.6 × 10{sup 42} erg s{sup −1}. The volume filling factor and the mass of the warm ionized gas are ∼10{sup −4}–10{sup −5} and ∼5 × 10{sup 8} M{sub ⊙}, respectively. The nebula has a complicated structure, which includes numerous filaments, loops, bubbles, and knots. We found that there is a tight spatial correlation between the Hα nebula and the extended soft-X-ray-emitting gas, both in large and small scales. The overall morphology of the nebula is dominated by filamentary structures radially extending from the center of the galaxy. A large-scale bipolar bubble extends along the minor axis of the main stellar disk. The morphology strongly suggests that the nebula was formed by intense outflows—superwinds—driven by starbursts. We also found three bright knots embedded in a looped filament of ionized gas that show head-tail morphologies in both emission-line and continuum, suggesting close interactions between the outflows and star-forming regions. Based on the morphology and surface brightness distribution of the Hα nebula, we propose the scenario that three major episodes of starburst/superwind activities, which were initiated ∼10{sup 2} Myr ago, formed the extended ionized gas nebula of NGC 6240.

  13. Isoperimetric inequalities in surround system and space science

    Directory of Open Access Journals (Sweden)

    JiaJin Wen

    2016-02-01

    Full Text Available Abstract By means of the algebraic, analysis, convex geometry, computer, and inequality theories we establish the following isoperimetric inequality in the centered 2-surround system S ( 2 { P , Γ , l } $S^{(2} \\{P,\\varGamma ,l \\}$ : ( 1 | Γ | ∮ Γ r ¯ P p 1 / p ⩽ | Γ | 4 π sin l π | Γ | [ csc l π | Γ | + cot 2 l π | Γ | ln ( tan l π | Γ | + sec l π | Γ | ] , ∀ p ⩽ − 2 . $$\\begin{aligned}& \\biggl(\\frac{1}{|\\varGamma |} \\oint_{\\varGamma }\\bar{r}_{P}^{p} \\biggr^{1/p}\\leqslant\\frac{|\\varGamma |}{4\\pi}\\sin\\frac{l\\pi}{|\\varGamma |} \\biggl[ \\csc \\frac{l\\pi}{|\\varGamma |}+\\cot^{2} \\frac{l\\pi}{|\\varGamma |} \\ln \\biggl(\\tan \\frac{l\\pi}{|\\varGamma |}+\\sec\\frac{l\\pi}{|\\varGamma |} \\biggr \\biggr], \\\\& \\quad \\forall p\\leqslant -2. \\end{aligned}$$ As an application of the inequality in space science, we obtain the best lower bounds of the mean λ-gravity norm ∥ F λ ( Γ , P ∥ ‾ $\\overline{\\Vert {\\mathbf{F}}_{\\lambda} ( \\varGamma ,P \\Vert }$ as follows: ∥ F λ ( Γ , P ∥ ‾ ≜ 1 | Γ | ∮ Γ 1 ∥ A − P ∥ λ ⩾ ( 2 π | Γ | λ , ∀ λ ⩾ 2 . $$\\overline{\\bigl\\Vert {\\mathbf{F}}_{\\lambda} ( \\varGamma ,P \\bigr\\Vert } \\triangleq\\frac{1}{|\\varGamma |} \\oint_{\\varGamma }\\frac{1}{\\|A-P\\|^{\\lambda }}\\geqslant \\biggl(\\frac{2\\pi}{|\\varGamma |} \\biggr^{\\lambda},\\quad \\forall \\lambda\\geqslant2. $$

  14. The interstellar cloud surrounding the Sun: a new perspective

    Science.gov (United States)

    Gry, Cécile; Jenkins, Edward B.

    2014-07-01

    Aims: We offer a new, simpler picture of the local interstellar medium, made of a single continuous cloud enveloping the Sun. This new outlook enables the description of a diffuse cloud from within and brings to light some unexpected properties. Methods: We re-examine the kinematics and abundances of the local interstellar gas, as revealed by the published results for the ultraviolet absorption lines of Mg II, Fe II, and H I. Results: In contrast to previous representations, our new picture of the local interstellar medium consists of a single, monolithic cloud that surrounds the Sun in all directions and accounts for most of the matter present in the first 50 parsecs around the Sun. The cloud fills the space around us out to about 9 pc in most directions, although its boundary is very irregular with possibly a few extensions up to 20 pc. The cloud does not behave like a rigid body: gas within the cloud is being differentially decelerated in the direction of motion, and the cloud is expanding in directions perpendicular to this flow, much like a squashed balloon. Average H I volume densities inside the cloud vary between 0.03 and 0.1 cm-3 over different directions. Metals appear to be significantly depleted onto grains, and there is a steady increase in depletion from the rear of the cloud to the apex of motion. There is no evidence that changes in the ionizing radiation influence the apparent abundances. Secondary absorption components are detected in 60% of the sight lines. Almost all of them appear to be interior to the volume occupied by the main cloud. Half of the sight lines exhibit a secondary component moving at about -7.2 km s-1 with respect to the main component, which may be the signature of a shock propagating toward the cloud's interior.

  15. DEFORMATION OF MOISTURE FLUX CIRCULATION SURROUNDING THE LANDFALL TYPHOON "BILIS"

    Institute of Scientific and Technical Information of China (English)

    RAN Ling-kun; YANG Wen-xia; HONG Yan-chao

    2009-01-01

    The deformation parameter (DP), which is defined as the product of shear deformation and stretching deformation of moisture flux circulation, is introduced. The tendency equation of DP is derived in pressure coordinates. Furthermore, DP is used to diagnose the deformation character of moisture flux circulation in the periphery of Bilis. The analysis showed that before Bilis landed, DP presented eight abnormal areas, which distributed alternately and closely encircled the low-pressure center. This indicated that the moisture flux circulation in the periphery of Bilis rotated counterclockwise and stretched longitudinally and latitudinally to deform. After Bilis landed, DP weakened gradually and its regular pattern of horizontal distribution loosened. The shear and stretching deformations of moisture flux circulation surrounding Bilis weakened after the typhoon landed. The deformation of moisture flux circulation in the periphery of Bilis mainly appeared in the middle-lower troposphere. There existed 1/2 phase difference between the shear and stretching deformations in the vertical-latitudinal cross section and a π/4 phase difference between them on the horizontal plane. As Bilis landed and further moved inland of China, the intensities of DP, shear and stretching deformations decreased, meanwhile their vertical and horizontal structures became irregular. The chief dynamic factors responsible for the deformation of moisture flux circulation in the periphery of Bilis were the three terms associated with the three-dimensional advection transportation of DP, square difference between shear and stretching deformations coupling with Coriolis parameter, and horizontal gradient of geopotential height before Bilis landed. The last two dynamic factors impacted jointly on the deformation of moisture flux circulation after Bilis landed.

  16. Earthquake hypocenter relocation using double difference method in East Java and surrounding areas

    Science.gov (United States)

    C, Aprilia Puspita; Nugraha, Andri Dian; Puspito, Nanang T.

    2015-04-01

    Determination of precise hypocenter location is very important in order to provide information about subsurface fault plane and for seismic hazard analysis. In this study, we have relocated hypocenter earthquakes in Eastern part of Java and surrounding areas from local earthquake data catalog compiled by Meteorological, Climatological, and Geophysical Agency of Indonesia (MCGA) in time period 2009-2012 by using the double-difference method. The results show that after relocation processes, there are significantly changes in position and orientation of earthquake hypocenter which is correlated with the geological setting in this region. We observed indication of double seismic zone at depths of 70-120 km within the subducting slab in south of eastern part of Java region. Our results will provide useful information for advance seismological studies and seismic hazard analysis in this study.

  17. Earthquake hypocenter relocation using double difference method in East Java and surrounding areas

    Energy Technology Data Exchange (ETDEWEB)

    C, Aprilia Puspita [Geophysical Engineering Program, Faculty of Mining and Petroleum Engineering, Institute of Technology Bandung (Indonesia); Meteorological, Climatological, and Geophysical Agency (MCGA) of Indonesian, Jakarta (Indonesia); Nugraha, Andri Dian, E-mail: nugraha@gf.itb.ac.id [Geophysical Engineering Program, Faculty of Mining and Petroleum Engineering, Institute of Technology Bandung (Indonesia); Puspito, Nanang T [Global Geophysical Research Group, Faculty of Mining and Petroleum Engineering, Institute of Technology Bandung (Indonesia)

    2015-04-24

    Determination of precise hypocenter location is very important in order to provide information about subsurface fault plane and for seismic hazard analysis. In this study, we have relocated hypocenter earthquakes in Eastern part of Java and surrounding areas from local earthquake data catalog compiled by Meteorological, Climatological, and Geophysical Agency of Indonesia (MCGA) in time period 2009-2012 by using the double-difference method. The results show that after relocation processes, there are significantly changes in position and orientation of earthquake hypocenter which is correlated with the geological setting in this region. We observed indication of double seismic zone at depths of 70-120 km within the subducting slab in south of eastern part of Java region. Our results will provide useful information for advance seismological studies and seismic hazard analysis in this study.

  18. Detained and Dying: Ethical Issues Surrounding End-of-Life Care in Prison.

    Science.gov (United States)

    Stensland, Meredith; Sanders, Sara

    2016-01-01

    Prisons are increasingly being called upon to provide end-of-life (EOL) care within the restrictive correctional environment. Several relatively recent phenomena have brought medical ethics to the forefront of prison EOL care-including aging behind bars, a paradigm shift in prison culture, the increasing rate of in-prison deaths, and the corresponding prison hospice movement. This article examines prominent ethical issues that emerge for prison personnel who are tasked with providing care to terminally ill offenders by presenting three offender composite characters that exemplify dying offenders and emergent ethical issues surrounding their care. Identification and critical analysis of these ethical issues demonstrate the need for strong commitment to ethical practice and highlights specific issues for prisons to examine in their own EOL care practice.

  19. Physical geography of the Nete basin and surroundings; Fysische geografie van het Netebekken en omgeving

    Energy Technology Data Exchange (ETDEWEB)

    Beerten, K.

    2011-05-15

    The report briefly describes the main features of the physical geography of the Nete basin (Campine region, Belgium) and its immediate surroundings. First, an integrated overview of the topography, morphology and hydrography is given. This overview serves as the basis for the assessment of the morphological stability of the region and also explains the relationship between the topography and the hydrology. Furthermore, special attention is paid to soil science including a quantitative survey of some soil characteristics data. Another part of this report deals with erosion processes caused by water and wind action, and the (potential) impact on the morphology. Finally, the palaeogeographical evolution during the Quaternary is discussed. This evolution shows that the environment is stable over 10 000 years or more in the current and similar climatic conditions. Altering climatic conditions, notably glacial-interglacial periods, have impacted erosion with periods of strong erosion.

  20. Groundwater quality surrounding Lake Texoma during short-term drought conditions

    Science.gov (United States)

    Kampbell, D.H.; An, Y.-J.; Jewell, K.P.; Masoner, J.R.

    2003-01-01

    Water quality data from 55 monitoring wells during drought conditions surrounding Lake Texoma, located on the border of Oklahoma and Texas, was compared to assess the influence of drought on groundwater quality. During the drought month of October, water table levels were three feet (0.9 m) lower compared with several months earlier under predrought climate conditions. Detection frequencies of nitrate (> 0.1 mg/l), orthophosphates (> 0.1 mg/l), chlorides (> MCL), and sulfates (> MCL) all increased during drought. Orthophosphate level was higher during drought. Largest increases in concentration were nitrate under both agriculture lands and in septic tank areas. An increase in ammonium-nitrogen was only detected in the septic tank area. The study showed that stressors such as nitrate and total salts could potentially become a health or environmental problem during drought.

  1. Impact of mechanical stretch on the cell behaviors of bone and surrounding tissues

    Directory of Open Access Journals (Sweden)

    Hye-Sun Yu

    2016-02-01

    Full Text Available Mechanical loading is recognized to play an important role in regulating the behaviors of cells in bone and surrounding tissues in vivo. Many in vitro studies have been conducted to determine the effects of mechanical loading on individual cell types of the tissues. In this review, we focus specifically on the use of the Flexercell system as a tool for studying cellular responses to mechanical stretch. We assess the literature describing the impact of mechanical stretch on different cell types from bone, muscle, tendon, ligament, and cartilage, describing individual cell phenotype responses. In addition, we review evidence regarding the mechanotransduction pathways that are activated to potentiate these phenotype responses in different cell populations.

  2. Uranium in the Surrounding of San Marcos-Sacramento River Environment (Chihuahua, Mexico)

    Science.gov (United States)

    Rentería-Villalobos, Marusia; Cortés, Manuel Reyes; Mantero, Juan; Manjón, Guillermo; García-Tenorio, Rafael; Herrera, Eduardo; Montero-Cabrera, Maria Elena

    2012-01-01

    The main interest of this study is to assess whether uranium deposits located in the San Marcos outcrops (NW of Chihuahua City, Mexico) could be considered as a source of U-isotopes in its surrounding environment. Uranium activity concentrations were determined in biota, ground, and surface water by either alpha or liquid scintillation spectrometries. Major ions were analyzed by ICP-OES in surface water and its suspended matter. For determining uranium activity in biota, samples were divided in parts. The results have shown a possible lixiviation and infiltration of uranium from geological substrate into the ground and surface water, and consequently, a transfer to biota. Calculated annual effective doses by ingestion suggest that U-isotopes in biota could not negligibly contribute to the neighboring population dose. By all these considerations, it is concluded that in this zone there is natural enhancement of uranium in all environmental samples analyzed in the present work. PMID:22536148

  3. Uranium in the Surrounding of San Marcos-Sacramento River Environment (Chihuahua, Mexico

    Directory of Open Access Journals (Sweden)

    Marusia Rentería-Villalobos

    2012-01-01

    Full Text Available The main interest of this study is to assess whether uranium deposits located in the San Marcos outcrops (NW of Chihuahua City, Mexico could be considered as a source of U-isotopes in its surrounding environment. Uranium activity concentrations were determined in biota, ground, and surface water by either alpha or liquid scintillation spectrometries. Major ions were analyzed by ICP-OES in surface water and its suspended matter. For determining uranium activity in biota, samples were divided in parts. The results have shown a possible lixiviation and infiltration of uranium from geological substrate into the ground and surface water, and consequently, a transfer to biota. Calculated annual effective doses by ingestion suggest that U-isotopes in biota could not negligibly contribute to the neighboring population dose. By all these considerations, it is concluded that in this zone there is natural enhancement of uranium in all environmental samples analyzed in the present work.

  4. Uranium in the surrounding of San Marcos-Sacramento River environment (Chihuahua, Mexico).

    Science.gov (United States)

    Rentería-Villalobos, Marusia; Cortés, Manuel Reyes; Mantero, Juan; Manjón, Guillermo; García-Tenorio, Rafael; Herrera, Eduardo; Montero-Cabrera, Maria Elena

    2012-01-01

    The main interest of this study is to assess whether uranium deposits located in the San Marcos outcrops (NW of Chihuahua City, Mexico) could be considered as a source of U-isotopes in its surrounding environment. Uranium activity concentrations were determined in biota, ground, and surface water by either alpha or liquid scintillation spectrometries. Major ions were analyzed by ICP-OES in surface water and its suspended matter. For determining uranium activity in biota, samples were divided in parts. The results have shown a possible lixiviation and infiltration of uranium from geological substrate into the ground and surface water, and consequently, a transfer to biota. Calculated annual effective doses by ingestion suggest that U-isotopes in biota could not negligibly contribute to the neighboring population dose. By all these considerations, it is concluded that in this zone there is natural enhancement of uranium in all environmental samples analyzed in the present work.

  5. Mercury Content and Pollution Assessment of Soil and Cabbage Surrounding Yangshuo Pb-Zn Mining District in Guangxi%广西阳朔铅锌矿周边土壤和白菜汞含量及污染评价

    Institute of Scientific and Technical Information of China (English)

    莫福金; 钱建平; 王远炜; 张藜

    2016-01-01

    Yangshuo Pb-Zn mine is a relatively large mine in Guangxi. The article tries to understand the mercury pollution in soil and cabbage, as well as the transition and transform rule of mercury in soil-vegetables system. Investigation and research about the mercury content distribution and mercury pollution of soil and cabbage in the sourrouding farming area and residential area of Yangshuo Pb-Zn mine was done, in order to provide a scientific basis for mercury pollution prevention and remediation. In the research, 66 soil samples and 35 cabbage samples were collected in farming area of the downstream of Pb-Zn mine, 38 soil samples and 20 cabbage samples were collected in control farming area; 17 soil samples were collected in residential area. All soil and plant samples were digested by MDS-2003F-type pressure-controlled microwave digestion system and were analyzed with atomic fluorescence mercury analyzer. The result showed that the mercury concentration in the downstream arming area of Pb-Zn mine was (0.5674±0.2683) mg·kg-1, the mercury concentration in control farming area was (0.1471±0.0395) mg·kg-1, the mercury concentration in residential area was (0.1880±0.0972) mg·kg-1, which is 7.99, 2.07, 2.65 times higher compared with the natural content (0.071 mg·kg-1) of soil Mercury in some areas. In the downstream farming area of Pb-Zn mine, the soil mercury levels is decreasing when the distance from the mine is increasing. In the downstream farming area of Pb-Zn mine, the average mercury concentration at cabbage root was 27600 ng·kg-1, the average mercury concentration at Cabbage stem was 7100 ng·kg-1, the average mercury concentration at Cabbage leaf was 19300 ng·kg-1; in the control farming area, the average mercury concentration at cabbage root was 12500 ng·kg-1, the average mercury concentration at Cabbage stem was 4800 ng·kg-1, the average mercury concentration at Cabbage leaf was 10000 ng·kg-1. Cabbage mercury distribution characteristics is

  6. Urban land use in Natura 2000 surrounding areas in Vilnius Region, Lithuania.

    Science.gov (United States)

    Pereira, Paulo; Misiūnė, Ieva; Depellegrin, Daniel

    2015-04-01

    regarding the land use of the Natura 2000 buffer areas is contributing to the degradation of the services provide by these areas. Acknowledgments RECARE (Preventing and Remediating Degradation of Soils in Europe Through Land Care, FP7-ENV-2013-TWO STAGE), funded by the European Commission, for the COST action ES1306 (Connecting European connectivity research) and COST Action IS1204 Tourism, Wellbeing and Ecosystem Services (TObeWELL) References Dasselaar, I.V. (2013) The impact of a buffer zone. The influence of the introduction of buffer zones surrounding Natura 2000 areas on local actors, the case of het Boetelerveld in the Netherlands. Master Thesis Forest and Nature Conservation, Forest and Nature Conservation Policy group, 69 p. Hansen, A.J. (2007) Ecological mechanisms linking protected areas to surrounding lands. Ecological Applications, 17, 974-978. McDonald, R.I., Kareiva, P., Forman, R.T.T. (2008) The implications of current and future urbanization for global protected areas and biodiversity conservation. Biological Conservation, 141, 1695-1703. Pereira, P., Monkevicius, A., Siarova, A. (2014) Public perception of the Environmental, Social and Economic impacts of Urban Sprawl in Vilnius. Societal Studies, 6, 256-290. Salvati, L., Sabbi, A. (2011) Exploring long-term land cover changes in an urban region of southern of Europe. International Journal of Sustainable Development & World Ecology, 18, 273-282.

  7. The Tissue Implant Response Surrounding Subcutaneous TCP, HA, And ALCAP Bioceramics.

    Science.gov (United States)

    Butler, K R; Benghuzzi, Hamed; Tucci, Michelle; Puckett, A D

    2015-01-01

    The objective of this investigation was to quantify and further elucidate the tissue-implant response in the fibrous tissue surrounding tricalcium phosphate (TCP), hydroxyapatite (HA), and aluminum calcium phosphate (ALCAP) implants when implanted subcutaneously. Sixteen animals in four experimental groups (n = 4/group) were implanted with one implant each: Group I (control, TCP), Group II (HA), and Group III (ALCAP). At 90 days post-implantation, the fibrous tissue surrounding the implants was harvested. Sections of stained fibrous tissue were evaluated for the presence of macrophages, fibrocytes, neutrophils, vascularity and thickness for all three groups using semi-automated quantitative methods. The analysis indicated Group III demonstrated a significantly higher number of neutrophils but fewer macrophages and blood vessels per high power field and had a substantially thinner fibrous tissue capsule thickness compared to Groups I and II (alpha=0.05). Group II elicited a greater response of fibroblasts compared to Groups I and III suggesting HA may provide a slightly higher degree of stability to the implant. In total, these findings suggest both TCP and HA behave similarly in vivo when compared to ALCAP and may be better choices for subcutaneous soft-tissue application compared to ALCAP.

  8. Tellurite suspended nanowire surrounded with large holes for single-mode SC and THG generations

    Science.gov (United States)

    Liao, Meisong; Qin, Guanshi; Yan, Xin; Chaudhari, Chitrarekha; Suzuki, Takenobu; Ohishi, Yasutake

    2011-05-01

    For a suspended nanowire, the holes surrounding the core are expected to be as large as possible to propagate the light at wavelengths as long as possible. However, the fabrication of nanowire surrounded with large holes is still a challenge so far. In this paper, a method which involves pumping positive pressure of nitrogen gas in both the cane fabrication and fiber-drawing processes, is proposed. A suspended nanowire, with a core diameter of 480 nm and an unprecedented large diameter ratio of holey region to core (DRHC) of at least 62, is fabricated in the length of several hundred meters. Owing to the large holes, the confinement loss of the suspended nanowire is insignificant when the wavelength of light propagated in it is 1700 nm. Additionally, the tube-shaped glass cladding of the suspended nanowire shifts the singlemode cutoff wavelength to 810 nm, which is much shorter than the cutoff wavelength, 1070 nm, of a naked nanowire with the same diameter. A single-mode supercontinuum (SC) generation covering a wavelength range of 900-1600 nm is obtained under 1064 nm pump pulse with the peak power as low as 24 W. A single-mode third harmonic generation (THG) is observed by this nanowire under the pump of a 1557 nm femtosecond fiber laser. This work indicates that the suspended nanowire with large holes can provide high nonlinearity together with single-mode propagation, which leads to interesting applications in compact nonlinear devices.

  9. Ground-water-quality data for Albany and surrounding areas, Southwest Georgia, 1951-99

    Science.gov (United States)

    Warner, Debbie; Easoz, Jamie A.; Priest, Sherlyn

    2002-01-01

    This report presents ground-water-quality data from the surficial, Upper Floridan, Claiborne, Clayton, and Upper Cretaceous aquifers in the Albany and surrounding areas of southwest Georgia. Water-quality data from about 186 wells in Baker, Calhoun, Dougherty, Lee, Mitchell, Terrell, and Worth Counties are presented for the period from 1951 through 1999. The data include field water-quality parameters collected during 1951-99, volatile and semi-volatile organic compounds collected during 1981-97, inorganic compounds collected during 1951-99, trace metals collected during 1964-99, radiochemicals collected during 1993-95, herbicides and insecticides collected during 1980-97, and recovery data for laboratory surrogate compounds (used for quality control and quality assurance for organic samples) collected during 1993-97. Ground-water quality data are presented in tables by data type and arranged by well number. Illustrations in this report contain information about study area location, well location, stratigraphy, and formation water-bearing properties. Ground-water-quality data are presented in text files and in a data base that includes geographic and tabular data. Data presented in this report provide a base with which to better define and interpret the quality of ground water in Albany, Ga., and surrounding areas. Although some of these data may have been published in previous reports associated with water-resources investigations, water-quality data are compiled as a useful resource.

  10. Regional model simulation of the hydrometeorological effects of the Fucino Lake on the surrounding region

    Directory of Open Access Journals (Sweden)

    B. Tomassetti

    Full Text Available The drainage of the Fucino Lake of central Italy was completed in 1873, and this possibly caused significant climatic changes over the Fucino basin. In this paper we discuss a set of short-term triple-nested regional model simulations of the meteorological effects of the Fucino Lake on the surrounding region. We find that the model simulates realistic lake-breeze circulations and their response to background winds. The simulations indicate that the lake affects the temperature of the surrounding basin in all seasons and precipitation in the cold season, when cyclonic perturbations move across the region. Some effects of the lake also extend over areas quite far from the Fucino basin. Our results support the hypothesis that the drainage of the lake might have significantly affected the climate of the lake basin. However, longer simulations and further development in some aspects of the model are needed, in order to provide a more statistically robust evaluation of the simulated lake-effects.

    Key words. Hydrology (anthropogenic effects – Meteorology and atmospheric dynamics (climatology; mesoscale meteorology

  11. Highly Enriched Uranium Metal Cylinders Surrounded by Various Reflector Materials

    Energy Technology Data Exchange (ETDEWEB)

    Bernard Jones; J. Blair Briggs; Leland Monteirth

    2007-05-01

    A series of experiments was performed at Los Alamos Scientific Laboratory in 1958 to determine critical masses of cylinders of Oralloy (Oy) reflected by a number of materials. The experiments were all performed on the Comet Universal Critical Assembly Machine, and consisted of discs of highly enriched uranium (93.3 wt.% 235U) reflected by half-inch and one-inch-thick cylindrical shells of various reflector materials. The experiments were performed by members of Group N-2, particularly K. W. Gallup, G. E. Hansen, H. C. Paxton, and R. H. White. This experiment was intended to ascertain critical masses for criticality safety purposes, as well as to compare neutron transport cross sections to those obtained from danger coefficient measurements with the Topsy Oralloy-Tuballoy reflected and Godiva unreflected critical assemblies. The reflector materials examined in this series of experiments are as follows: magnesium, titanium, aluminum, graphite, mild steel, nickel, copper, cobalt, molybdenum, natural uranium, tungsten, beryllium, aluminum oxide, molybdenum carbide, and polythene (polyethylene). Also included are two special configurations of composite beryllium and iron reflectors. Analyses were performed in which uncertainty associated with six different parameters was evaluated; namely, extrapolation to the uranium critical mass, uranium density, 235U enrichment, reflector density, reflector thickness, and reflector impurities. In addition to the idealizations made by the experimenters (removal of the platen and diaphragm), two simplifications were also made to the benchmark models that resulted in a small bias and additional uncertainty. First of all, since impurities in core and reflector materials are only estimated, they are not included in the benchmark models. Secondly, the room, support structure, and other possible surrounding equipment were not included in the model. Bias values that result from these two simplifications were determined and associated

  12. Dependent rational providers.

    Science.gov (United States)

    Brothers, Kyle B

    2011-04-01

    Provider claims to conscientious objection have generated a great deal of heated debate in recent years. However, the conflicts that arise when providers make claims to the "conscience" are only a subset of the more fundamental challenges that arise in health care practice when patients and providers come into conflict. In this piece, the author provides an account of patient-provider conflict from within the moral tradition of St. Thomas Aquinas. He argues that the practice of health care providers should be understood as a form of practical reasoning and that this practical reasoning must necessarily incorporate both "moral" and "professional" commitments. In order to understand how the practical reasoning of provider should account for the needs and commitments of the patient and vice versa, he explores the account of dependence provided by Alasdair MacIntyre in his book Dependent Rational Animals. MacIntyre argues that St. Thomas' account of practical reasoning should be extended and adapted to account for the embodied vulnerability of all humans. In light of this insight, providers must view patients not only as the subjects of their moral reflection but also as fellow humans upon whom the provider depends for feedback on the effectiveness and relevance of her practical reasoning. The author argues that this account precludes responsive providers from adopting either moral or professional conclusions on the appropriateness of interventions outside the individual circumstances that arise in particular situations. The adoption of this orientation toward patients will neither eradicate provider-patient conflict nor compel providers to perform interventions to which they object. But this account does require that providers attend meaningfully to the suffering of patients and seek feedback on whether their intervention has effectively addressed that suffering.

  13. Reliability analysis of tunnel surrounding rock stability by Monte-Carlo method

    Institute of Scientific and Technical Information of China (English)

    XI Jia-mi; YANG Geng-she

    2008-01-01

    Discussed advantages of improved Monte-Carlo method and feasibility aboutproposed approach applying in reliability analysis for tunnel surrounding rock stability. Onthe basis of deterministic parsing for tunnel surrounding rock, reliability computing methodof surrounding rock stability was derived from improved Monte-Carlo method. The com-puting method considered random of related parameters, and therefore satisfies relativityamong parameters. The proposed method can reasonably determine reliability of sur-rounding rock stability. Calculation results show that this method is a scientific method indiscriminating and checking surrounding rock stability.

  14. Clinical Observation of Vascular Dementia Treated by Surrounding-acupuncture of the CT-located Area

    Institute of Scientific and Technical Information of China (English)

    LUN Xin; FENG Bi-fang; RONG Li; YANG Wen-hui

    2003-01-01

    Purpose To observe the clinical effect of "Surrounding Needling Technigue through CT Location" in treating vascular dementia. Method Fifty cases of vascular dementia were randomly divided into surrounding Needling Technigue through CT location and routine acupuncture groups, 25 cases in each group,and were given surrounding Needling Technigue through CT location and routine acupuncture respectively. Results The effective rates in surrounding Needling Technigue through CT location and routine acupuncture groups were 88% and 60% respectively, and there was significant difference between the two groups, P < 0.01.Conclusion Therapeutic effect of surrounding Needling Technigue through CT location in treating vascular dementia was satisfactory, and better than that of routine acupuncture.

  15. Assessing Tourist Resorts Surrounding Metropolitans Applying SWOT- AHP Models Case study: Malaga Resort

    OpenAIRE

    A. Movahed; S. Amanpoor; Zarei, R.

    2013-01-01

    Extended abstract1-IntroductionToday, the urban concept is not understandable without resorts in different forms and the results of urban development and environmental problems have made the development ad existence of resorts unavoidable.Ahvaz is one of the metropolitan cities. For the reason of its pollution, oil-dependent industries, hot and humid weather, having a long hot and dusty season, the citizens have been encouraged to travel to other areas with better climate. Therefore, it is ne...

  16. Clinical assessment of demineralization and remineralization surrounding orthodontic brackets with FluoreCam

    Directory of Open Access Journals (Sweden)

    Bora Korkut

    2017-04-01

    Conclusions: This study demonstrated that demineralization is measurable around orthodontic brackets and the demineralization can be completely inhibited and/or reversed by the use of commercially available remineralization products.

  17. Assessing the geologic and climatic forcing of biodiversity and evolution surrounding the Gulf of California

    Science.gov (United States)

    Dolby, Greer; Bennett, Scott E K.; Lira-Noriega, Andres; Wilder, Benjamin T.; Munguia-Vega, Adrian

    2015-01-01

    For almost a century the Baja California peninsula (Peninsula), Gulf of California (Gulf), and broader Sonoran Desert region (figure 1) have drawn geologists and biologists alike to study its unique physical and evolutionary processes (e.g., Wittich 1920; Darton 1921; Nelson 1921; Johnston 1924; Beal 1948; Durham and Allison 1960). The challenge remains to untangle the long, intricate, and at times enigmatic geological and climatological histories that have shaped the high levels of endemism and biodiversity observed in the region today (Van Devender 1990; Grismer 2000; Riddle et al. 2000).

  18. Assessment of some heavy metals in the surrounding soils of an ...

    African Journals Online (AJOL)

    OYELEKE PETER

    Vol. 10(1), pp. 1-8, January, 2016 ... 1Department of Science Laboratory Technology, Federal College of Animal Health and Production Technology, Moor .... maintained at 100°C and allowed to boil for 2 h with intermittently ... and pharmaceutical industrial sites in Suleja and Minna, ..... Heavy Metal Concentrations in Top.

  19. Convenience stores surrounding urban schools: an assessment of healthy food availability, advertising, and product placement.

    Science.gov (United States)

    Gebauer, Hilary; Laska, Melissa Nelson

    2011-08-01

    Adolescent obesity is a national public health problem, particularly among urban populations. Recent evidence has linked neighborhood food environments to health and nutrition status, with easier access to convenience stores being associated with increased risk for obesity. Little is known about the availability of healthy purchasing options within small, urban food stores, or the extent to which these factors are relevant to youth. The objective of this research was to characterize various features of the food environment within small convenience stores located nearby urban junior high and high schools. In-store audits were conducted in 63 stores located within 800 m of 36 urban Minnesota public secondary schools. Results indicated that a limited number of healthier beverages (i.e., water and 100% fruit juice) and snack options (i.e., nuts and pretzels) were available at most stores (≥85%). However, a wide range of healthy snack options were typically not available, with many specific items stocked in less than half of stores (e.g., low-fat yogurt in 27% of stores and low-fat granola bars in 43%). Overall, 51% of stores had fresh fruit and 49% had fresh vegetables. Few stores carried a range of healthier snack alternatives in single-serving packages. All stores had less healthful impulse purchase items available (e.g., candy) while only 46% carried healthier impulse items (e.g., fruit). Most stores (97%) had food/beverage advertising. Overall, convenience stores located in close proximity to secondary schools represent an important and understudied component of the youth food environment.

  20. Provider Health and Wellness.

    Science.gov (United States)

    Nanda, Anil; Wasan, Anita; Sussman, James

    2017-07-19

    Provider health and wellness is a significant issue and can impact patient care, including patient satisfaction, quality of care, medical errors, malpractice risk, as well as provider and office staff turnover and early retirement. Health and wellness encompasses various areas including burnout, depression, divorce, and suicide and affects providers of all specialties and at all levels of training. Providers deal with many everyday stresses, including electronic health records, office politics, insurance and billing issues, dissatisfied patients, and their own personal and family issues. Approximately half of all physicians suffer from burnout, and the rate of burnout among physicians of all specialties is increasing. An important first step in dealing with burnout is recognition and then seeking assistance. Strategies to prevent and treat burnout include increasing provider resiliency as well as implementing practical changes in the everyday practice of medicine. There is currently very little data regarding health and wellness specifically in the field of allergy and immunology, and studies are necessary to determine the prevalence of burnout and related issues in this field. Many medical specialties as well as state and national medical associations have health and wellness committees and other resources, which are essential for providers. Health and wellness programs should be introduced early in a provider's training and continued throughout a provider's career. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  1. ECOLOGY AND BIODIVERSITY STATUS OF SACHIN GIDC AND ITS SURROUNDINGS WITH SPECIAL REFERENCE TO CONSERVATION MEASURES FOR INDIAN PEAFOWL (Pavo cristatus SCHEDULE –I BIRD SPECIES

    Directory of Open Access Journals (Sweden)

    Ashok Kumar

    2014-03-01

    Full Text Available The variety and variability of organisms and ecosystems is referred to as biological diversity or Biodiversity. Biodiversity is a term which has gained enormous importance in the past few years. Technically, it is a contraction of biological diversity. Biological diversity is defined as the variability among living organisms from all sources including, inter alia, terrestrial, marine and other aquatic ecosystems and the ecological complexes of which they are part; this includes diversity within species, between species and of ecosystems. Ecological impact assessment (EcIA is used to predict and evaluate the impacts of development activities on ecosystems and their components, thereby providing the information needed to ensure that ecological issues are given full and proper consideration in project planning stage itself. Environmental impact assessment (EIA has emerged as a key to sustainable development by integrating social, economic and environmental issues in many countries. The baseline study for the evaluation of the floral and faunal biodiversity of the terrestrial environment of the study area was carried out within 10 Km radius of the proposed incineration plant planning to be established in the existing premises of an abandoned industrial unit of Sachin GIDC in Surat district, Gujarat during January, 2nd and 5th, 2014. The study concludes that the study area has diverse flora and fauna but it is becoming progressively worse by industrial development in the surrounding vicinity. Due to the industrial development in Sachin, the surrounding area has been polluted with waste water which can be seen on floral diversity. Some trees have been dried. The rare trees Adansonia digitata represent the rich floral diversity of the area. There is a need of special attention to protect all the rare trees and fauna by the authority.

  2. High-resolution geophysical data from the sea floor surrounding the Western Elizabeth Islands, Massachusetts

    Science.gov (United States)

    Pendleton, Elizabeth A.; Twichell, David C.; Foster, David S.; Worley, Charles R.; Irwin, Barry J.; Danforth, William W.

    2011-01-01

    Geophysical and geospatial data were collected in the nearshore area surrounding the western Elizabeth Islands, Massachusetts on the U.S. Geological Survey research vessel Rafael during September 2010 in a collaborative effort between the U.S. Geological Survey and the Massachusetts, Office of Coastal Zone Management. This report describes the results of the short-term goals of this collaborative effort, which were to map the geology of the inner shelf zone of the western Elizabeth Islands and study the geologic processes that have contributed to its evolution. Data collected during the survey include: Bathymetric and sidescan-sonar data, chirp seismic-reflection data , sound velocity profiles, and navigation data. The long-term goals of this project are to provide high-resolution geophysical data that will support research on the influence of sea-level change and sediment supply on coastal evolution and inventory subtidal marine habitat type and distribution within the coastal zone of Massachusetts.

  3. Anisotropic surroundings effects on photo absorption of partially embedded Au nanospheroids in silica glass substrate

    Energy Technology Data Exchange (ETDEWEB)

    Meng, Xuan; Shibayama, Tamaki, E-mail: shiba@qe.eng.hokudai.ac.jp; Watanabe, Seiichi [Center for Advanced Research of Energy and Materials, Faculty of Engineering, Hokkaido University, Sapporo, Hokkaido 060–8628 (Japan); Yu, Ruixuan; Ishioka, Junya [Graduate School of Engineering, Hokkaido University, Sapporo, Hokkaido 060–8628 (Japan)

    2015-02-15

    The influence of a directly adjacent or an anisotropic surrounding medium alters the plasmonic properties of a nanoparticle because it provides a mechanism for symmetry breaking of the scattering. Given the success of ion irradiation induced embedment of rigid metallic nanospheroids into amorphous substrate, it is possible to examine the effect of the silica glass substrate on the plasmonic properties of these embedded nanospheroids. In this work presented here, discrete dipole approximation (DDA) calculations for the Au nanospheroids’ optical properties were performed based on 3–dimensional (3D) configuration extracted from planar SEM micrographs and cross–sectional TEM micrographs of the Au nanospheroids partially embedded in the silica glass, and the well–matched simulations with respect to the experimental measurements could demonstrate the dielectric constant at the near surface of silica glass decreased after Ar–ion irradiation.

  4. Variations of geoid undulations from satellite data of GRACE for Israel and surrounding countries

    Science.gov (United States)

    Kostelecky, Jan; Klokocnik, Jaroslav; Bezdek, Ales

    2017-04-01

    Since 2002, the US-German GRACE satellite mission (Gravity Recovery and Climate Experiment) has been providing a precise survey of the Earth's time-variable gravity field, with unprecedented temporal and spatial sampling. GRACE time-variable gravity field is a tool for measuring temporal and spatial variations of the mass redistribution within the Earth system. Time variability of the gravity field is presented here as "monthly gravity field models" of the geoid undulations. We show their regional variations in Israel and surrounding countries which have seasonal and secular character, connected with desiccation of underground water in the area. During 13 year interval of the data from GRACE, the secular decrease of the level of the waters in this area became evident. This result supports warnings coming from other data and points to the existence of a great danger not only for this area.

  5. Competence of birth attendants at providing emergency obstetric care under India’s JSY conditional cash transfer program for institutional delivery: an assessment using case vignettes in Madhya Pradesh province

    Science.gov (United States)

    2014-01-01

    Background Access to emergency obstetric care by competent staff can reduce maternal mortality. India has launched the Janani Suraksha Yojana (JSY) conditional cash transfer program to promote institutional births. During implementation of the JSY, India witnessed a steep increase in the proportion of institutional deliveries-from 40% in 2004 to 73% in 2012. However, maternal mortality reduction follows a secular trend. Competent management of complications, when women deliver in facilities under the JSY, is essential for reduction in maternal mortality and therefore to a successful program outcome. We investigate, using clinical vignettes, whether birth attendants at institutions under the program are competent at providing appropriate care for obstetric complications. Methods A facility based cross-sectional study was conducted in three districts of Madhya Pradesh (MP) province. Written case vignettes for two obstetric complications, hemorrhage and eclampsia, were administered to 233 birth attendant nurses at 73 JSY facilities. Their competence at (a) initial assessment, (b) diagnosis, and (c) making decisions on appropriate first-line care for these complications was scored. Results The mean emergency obstetric care (EmOC) competence score was 5.4 (median = 5) on a total score of 20, and 75% of participants scored below 35% of the maximum score. The overall score, although poor, was marginally higher in respondents with Skilled Birth Attendant (SBA) training, those with general nursing and midwifery qualifications, those at higher facility levels, and those conducting >30 deliveries a month. In all, 14% of respondents were competent at assessment, 58% were competent at making a correct clinical diagnosis, and 20% were competent at providing first-line care. Conclusions Birth attendants in the JSY facilities have low competence at EmOC provision. Hence, births in the JSY program cannot be considered to have access to competent EmOC. Urgent efforts are

  6. Chemical Variations in a Granitic Pluton and Its Surrounding Rocks.

    Science.gov (United States)

    Baird, A K; McIntyre, D B; Welday, E E; Madlem, K W

    1964-10-09

    New techniques of x-ray fluorescence spectrography have provided, for the first time, abundant data regarding chemical variability of granitic rocks on different scales. The results suggest that current designs of sampling plans for trend surface analysis should be modified; in particular several specimens, preferably drillcores, may be required at each locality.

  7. An Examination of Issues Surrounding Information Security in California Colleges

    Science.gov (United States)

    Butler, Robert D.

    2013-01-01

    Technological advances have provided increasing opportunities in higher education for delivering instruction and other services. However, exposure to information security attacks has been increasing as more organizations conduct their businesses online. Higher education institutions have one of the highest frequencies of security breaches as…

  8. Highly ionized region surrounding SN Refsdal revealed by MUSE

    NARCIS (Netherlands)

    Karman, W.; Grillo, C.; Balestra, I.; Rosati, P.; Caputi, K. I.; Di Teodoro, E.; Fraternali, F.; Gavazzi, R.; Mercurio, A.; Prochaska, J. X.; Rodney, S.; Treu, T.

    2016-01-01

    Supernova (SN) Refsdal is the first multiply imaged, highly magnified, and spatially resolved SN ever observed. The SN exploded in a highly magnified spiral galaxy at z = 1.49 behind the Frontier Fields cluster MACS1149, and provides a unique opportunity to study the environment of SNe at high z. We

  9. Effectiveness of vegetation buffers surrounding playa wetlands at contaminant and sediment amelioration

    Science.gov (United States)

    Haukos, David A.; Johnson, Lacrecia A.; Smith, Loren M.; McMurry, Scott T.

    2016-01-01

    Playa wetlands, the dominant hydrological feature of the semi-arid U.S. High Plains providing critical ecosystem services, are being lost and degraded due to anthropogenic alterations of the short-grass prairie landscape. The primary process contributing to the loss of playas is filling of the wetland through accumulation of soil eroded and transported by precipitation from surrounding cultivated watersheds. We evaluated effectiveness of vegetative buffers surrounding playas in removing metals, nutrients, and dissolved/suspended sediments from precipitation runoff. Storm water runoff was collected at 10-m intervals in three buffer types (native grass, fallow cropland, and Conservation Reserve Program). Buffer type differed in plant composition, but not in maximum percent removal of contaminants. Within the initial 60 m from a cultivated field, vegetation buffers of all types removed >50% of all measured contaminants, including 83% of total suspended solids (TSS) and 58% of total dissolved solids (TDS). Buffers removed an average of 70% of P and 78% of N to reduce nutrients entering the playa. Mean maximum percent removal for metals ranged from 56% of Na to 87% of Cr. Maximum removal was typically at 50 m of buffer width. Measures of TSS were correlated with all measures of metals and nutrients except for N, which was correlated with TDS. Any buffer type with >80% vegetation cover and 30–60 m in width would maximize contaminant removal from precipitation runoff while ensuring that playas would continue to function hydrologically to provide ecosystem services. Watershed management to minimize erosion and creations of vegetation buffers could be economical and effective conservation tools for playa wetlands.

  10. VESUVIUS PENTALOGUE: Interdisciplinary Science for Disaster Resilience and Sustainability of Populations Surrounding Vesuvius

    Science.gov (United States)

    Dobran, F.

    2015-12-01

    VESUVIUS PENTALOGUE is an elaboration of VESUVIUS 2000 scientific initiative aimed at volcanic risk reduction in the Vesuvius area. Its 5 building blocks are: (1) The current strategy of volcanic risk management (massive deportation of population) is both problematic and unacceptable. (2) A continuing close habitation of the population with the volcano should be the crucial cultural point to be pursued. This can be accomplished through a redefinition of the danger zone around Summa-Vesuvius as follows: (a) An exclusion nucleus should be established that prohibits all future human settlements and discourage the existing ones; (b) A resilience belt, housing most of the current population, should be established; (c) A sustainable area should be established beyond the resilience belt, allowing for both sustainable practices and temporary resettlements of the "resilience belt" citizens. (3) The built environment construction codes for the population of the danger zone should be established by utilizing Plinian eruption scenarios, scenario-based seismic hazard assessment and zonation, (c) dynamic structural analyses, (d) global volcanic simulations modeling of thermo-fluid dynamic eruption processes. (4) The volcanic risk information and education should involve an effective volcanic risk information campaign and active public preparedness strategy. This should be implemented for the exclusion nucleus, resilience belt, and sustainable area regions surrounding Summa-Vesuvius. A Volcanic Risk Education Safety Program should be implemented in all schools located within each of the above areas surrounding the volcano. (5)The political Authorities and the scientific community should produce a "memorandum of understanding" that univocally establishes an effective collaboration, and periodic progress reports that keep the populations informed on the improvements leading to the realization of the above objectives. For further details see www.gvess.org.

  11. New strategy toward dioxin risk reduction for local residents surrounding severe dioxin hotspots in Vietnam

    Directory of Open Access Journals (Sweden)

    Vu-Anh Le

    2013-06-01

    Full Text Available Background: A public health intervention program with active involvement of local related stakeholders was piloted in the Bien Hoa dioxin hotspot (2007–2009, and then expanded to the Da Nang dioxin hotspot in Vietnam (2009–2011. It aimed to reduce the risk of dioxin exposure of local residents through foods. This article presents the results of the intervention in Da Nang. Methodology: To assess the results of this intervention program, pre- and post-intervention knowledge, attitude, and practice (KAP surveys were implemented in 400 households, randomly selected from four wards surrounding the Da Nang Airbase in 2009 and 2011, respectively. Results: After the intervention, the knowledge on the existence of dioxin in food, dioxin exposure pathways, potential high-risk foods, and preventive measures significantly increased (P<0.05. Ninety-eight percent were willing to follow advice on preventing dioxin exposure. Practices to reduce the risk of dioxin exposure also significantly improved (P<0.05. After intervention, 60.4% of households undertook exposure preventive measures, significantly higher than that of the pre-intervention survey (39.6%; χ2=40.15, P<0.001. High-risk foods had quite low rates of daily consumption (from 0 to 2.5% and were significantly reduced (P<0.05. Conclusions: This is seen as an effective intervention strategy toward reducing the risk of human exposure to dioxin at dioxin hotspots. While greater efforts are needed for remediating dioxin-polluted areas inside airbases, there is also evidence to suggest that, during the past four decades, pollution has expanded to the surrounding areas. For this reason, this model should be quickly expanded to the remaining dioxin hotspots in Vietnam to further reduce the exposure risks in other areas.

  12. Fruit and Vegetable Intake and Bone Mineral Density in Residents of Villages Surrounding Tehran

    Directory of Open Access Journals (Sweden)

    S Ebrahimof

    2004-03-01

    Full Text Available Osteoporosis is a major health problem because of the large health care costs associated with its clinical consequences. It is therefore of great importance to identify modifiable risk factors. We investigated association between fruit and vegetables intake and bone mineral density in rural population of Tehran surroundings. Subjects were a subgroup of a large study on prevalence and causes of vitamin D deficiency in rural population surrounding Tehran, capital of Iran. Fruit and vegetable intake of 82 subjects whose bone mineral density (BMD was measured and had a 24 hour food recall, was assessed. Weight and height were measured by standard methods. BMD was measured by Dual X-Ray (DXL (Calscan method at the heels. Osteopenia and osteoporosis rate in women older than 50 years were 55.5% and 33.3% and in men were 69.2% and 7.7%, respectively. Fruit intake was not correlated with BMD. Vegetable intake was positively associated with BMD just in women. According to interquartile range of vegetable intake women were grouped as those consuming less than 1.5 servings of vegetables per day and those consuming more. The women reported consuming more than 1.5 serving of vegetables had significantly higher T-score (-1.1±0.8 compared with -1.9±1.0, P<0.01. Those consumed more vegetables had high intake of some nutrients such as vitamin C, vitamin A, potassium, magnesium, zinc, folate, iron, sodium, calcium and phosphorus but none of them except for vitamin A (r= 0.03, P<0.05 was correlated with BMD. High consumption of vegetables positively affected bone mineral density in rural women and daily intake of at least 1.5 servings of vegetables could positively affect osteoporosis prevention.

  13. Arsenic contamination and speciation in surrounding waters of three old cinnabar mines.

    Science.gov (United States)

    Larios, Raquel; Fernández-Martínez, Rodolfo; Silva, Verónica; Loredo, Jorge; Rucandio, Isabel

    2012-02-01

    The impact of arsenic pollution in waters from the surroundings of three abandoned Hg mines in Northern Spain, as well as reaching the Caudal River, was evaluated. For assessing the factors controlling arsenic release, an extensive study based on the physicochemical characterization and multivariate statistical analysis of waters upstream and downstream each mine site was performed. Waters downstream of the La Soterraña mine present the highest arsenic concentrations, up to 38.8 mg L(-1), coming mainly from the solubilisation of calcium, magnesium and strontium arsenates at a pH close to neutral. Although arsenic concentrations downstream of La Peña are markedly lower, these values remain too high, indicating that the encapsulation carried out in this spoil heap is insufficient. In addition, the high water flow in this point involves an extremely high input of arsenic to the surroundings (0.3 g s(-1)). Waters close to tailings from Los Rueldos suffer from acid mine drainage, provoking an important solubilisation of arsenic and heavy metals, a situation which is rapidly softened with distance. The study of arsenic speciation reveals the omnipresence of As(v) in waters from the three mines, whereas in La Peña low amounts of As(iii) were also detected. Different preservation methods for As speciation were compared, such as the addition of HCl, EDTA and the storage of samples without any additive, and no alteration of samples in any case up to nine months after the collection was observed. A study of seasonal variations of As and the main parameters affecting its concentration and speciation was completed throughout a year, showing no remarkable dependency with rainfall for any studied variable.

  14. An analysis of amino acid sequences surrounding archaeal glycoprotein sequons

    OpenAIRE

    Mehtap Abu-Qarn; Jerry Eichler

    2006-01-01

    Despite having provided the first example of a prokaryal glycoprotein, little is known of the rules governing the N-glycosylation process in Archaea. As in Eukarya and Bacteria, archaeal N-glycosylation takes place at the Asn residues of Asn-X-Ser/Thr sequons. Since not all sequons are utilized, it is clear that other factors, including the context in which a sequon exists, affect glycosylation efficiency. As yet, t...

  15. Identification of the factors that govern the ability of therapeutic antibodies to provide postchallenge protection against botulinum toxin: a model for assessing postchallenge efficacy of medical countermeasures against agents of bioterrorism and biological warfare.

    Science.gov (United States)

    Al-Saleem, Fetweh H; Nasser, Zidoon; Olson, Rebecca M; Cao, Linsen; Simpson, Lance L

    2011-08-01

    Therapeutic antibodies are one of the major classes of medical countermeasures that can provide protection against potential bioweapons such as botulinum toxin. Although a broad array of antibodies are being evaluated for their ability to neutralize the toxin, there is little information that defines the circumstances under which these antibodies can be used. In the present study, an effort was made to quantify the temporal factors that govern therapeutic antibody use in a postchallenge scenario. Experiments were done involving inhalation administration of toxin to mice, intravenous administration to mice, and direct application to murine phrenic nerve-hemidiaphragm preparations. As part of this study, several pharmacokinetic characteristics of botulinum toxin and neutralizing antibodies were measured. The core observation that emerged from the work was that the window of opportunity within which postchallenge administration of antibodies exerted a beneficial effect increased as the challenge dose of toxin decreased. The critical factor in establishing the window of opportunity was the amount of time needed for fractional redistribution of a neuroparalytic quantum of toxin from the extraneuronal space to the intraneuronal space. This redistribution event was a dose-dependent phenomenon. It is likely that the approach used to identify the factors that govern postchallenge efficacy of antibodies against botulinum toxin can be used to assess the factors that govern postchallenge efficacy of medical countermeasures against any agent of bioterrorism or biological warfare.

  16. The physical characteristics of the sediments on and surrounding Dauphin Island, Alabama

    Science.gov (United States)

    Ellis, Alisha M.; Marot, Marci E.; Smith, Christopher G.; Wheaton, Cathryn J.

    2017-06-20

    Scientists from the U.S. Geological Survey, St. Petersburg Coastal and Marine Science Center collected 303 surface sediment samples from Dauphin Island, Alabama, and the surrounding water bodies in August 2015. These sediments were processed to determine physical characteristics such as organic content, bulk density, and grain-size. The environments where the sediments were collected include high and low salt marshes, washover deposits, dunes, beaches, sheltered bays, and open water. Sampling by the USGS was part of a larger study to assess the feasibility and sustainability of proposed restoration efforts for Dauphin Island, Alabama, and assess the island’s resilience to rising sea level and storm events. The data presented in this publication can be used by modelers to attempt validation of hindcast models and create predictive forecast models for both baseline conditions and storms. This study was funded by the National Fish and Wildlife Foundation, via the Gulf Environmental Benefit Fund.This report serves as an archive for sedimentological data derived from surface sediments. Downloadable data are available as Excel spreadsheets, JPEG files, and formal Federal Geographic Data Committee metadata.

  17. P3-23: Center/Surround Motion Interactions Measured Using a Nulling Procedure

    Directory of Open Access Journals (Sweden)

    Soo Hyun Park

    2012-10-01

    Full Text Available Many direction-selective neurons have a receptive field structure that promotes suppressive interactions between center and surround regions. These interactions sculpt the overall pattern of activity among those neurons and, therefore, presumably impact perceived direction of motion. To test this conjecture, we have assessed the effect of motion signals produced by a moving stimulus on perceived motion within a neighboring region. On each trial a vertical bar (inducer appeared at 8 eccentricity in the upper visual field, moving either leftward or rightward, and a circular shaped random dot kinematogram (test appeared at 4 eccentricity. The test dots moved randomly except when the inducer passed nearby the test, at which time a pulse of coherent motion occurred in one of the two directions within the test. Coherence strength was adjusted by QUEST to maintain equal likelihood (point of subjective equality: PSE of leftward and rightward reports of perceived direction during this motion pulse. The inducer caused a substantial shift in PSE: it was necessary for the test to contain 50% coherent motion in the same direction as that of the inducer to nullify the illusory motion within the test caused by the inducer. The effect of the inducer could also be offset by simultaneously presenting a second inducer moving in the opposite direction. This pattern of results implies substantial suppressive interactions between neighboring moving stimuli, interactions whose strength and direction can be assessed psychophysically using nulling procedures.

  18. Natural radionuclides in soil profiles surrounding the largest coal-fired power plant in Serbia

    Directory of Open Access Journals (Sweden)

    Tanić Milan N.

    2016-01-01

    Full Text Available This study evaluates the influence of the largest Serbian coal-fired power plant on radionuclide concentrations in soil profiles up to 50 cm in depth. Thirty soil profiles were sampled from the plant surroundings (up to 10 km distance and analyzed using standard methods for soil physicochemical properties and gamma ray spectrometry for specific activities of natural radionuclides (40K, 226Ra and 232Th. Spatial and vertical distribution of radionuclides was determined and analyzed to show the relations between the specific activities in the soil and soil properties and the most influential factors of natural radionuclide variability were identified. The radiological indices for surface soil were calculated and radiological risk assessment was performed. The measured specific activities were similar to values of background levels for Serbia. The sampling depth did not show any significant influence on specific activities of natural radionuclides. The strongest predictor of specific activities of the investigated radionuclides was soil granulometry. All parameters of radiological risk assessment were below the recommended values and adopted limits. It appears that the coal-fired power plant does not have a significant impact on the spatial and vertical distribution of natural radionuclides in the area of interest, but technologically enhanced natural radioactivity as a consequence of the plant operations was identified within the first 1.5 km from the power plant. [Projekat Ministarstva nauke Republike Srbije br. III43009 i br. III41005

  19. Numerical analysis of tunnel reinforcing influences on failure process of surrounding rock under explosive stress waves

    Institute of Scientific and Technical Information of China (English)

    ZUO Yu-jun; TANG Chun-an; ZHU Wan-cheng; LI Di-yuan; LI Shu-cai

    2008-01-01

    Based on mesoscopic damage mechanics, numerical code RFPA2D (dynamic edition) was developed to analyze the influence of tunnel reinforcing on failure process of surrounding rock under explosive stress waves. The results show that the propagation phenomenon of stress wave in the surrounding rock of tunnel and the failure process of surrounding rock under explosive stress waves are reproduced realistically by using numerical code RFPAED; from the failure process of surrounding rock,the place at which surrounding rock fractures is transferred because of tunnel reinforcing, and the rockfall and collapse caused by failure of surrounding rock are restrained by tunnel reinforcing; furthermore, the absolute values of peak values of major principal stress, and the minimal principal stress and shear stress at center point of tunnel roof are reduced because of tunnel reinforcing, and the displacement at center point of tunnel roof is reduced as well, consequently the stability of tunnel increases.

  20. 等效数值法在围岩稳定性评价中的应用%Evaluation on Stability of Surrounding Rock Mass Based on Equivalent Numerical Method

    Institute of Scientific and Technical Information of China (English)

    高科; 李夕兵

    2009-01-01

    提出了一种新的围岩的稳定性评价方法--等效数值法,建立了基于等效数值方法的围岩稳定性评价新模型.该方法将样本指标值与围岩稳定性各指标分类标准对比来确定权重,客观性强,计算简捷.对5个典型的围岩作为评价样本进行了评价研究,并将得到的评价结果与模糊识别法、可拓方法与模糊可变集合工程方法结果进行比较.研究结果表明,等效数值法成功率高、客观性强,为围岩稳定性的评价研究提供了一条新思路.%In this paper,a new stability evaluation method on surrounding rock mass by using equivalent numerical method is presented.The stability assessment model for the Surrounding Rock Mass based on an equivalent numerical method is established.5 actual samples were used to verify the effectiveness of this method.Compared with Furry Pattern Reeoginition,extension method and engineering method of variable fuzzy set,equivalent numerical method has a practical performance in evaluating the stability of surrounding rock mass.This paper provides a new way for evaluation on stability of surrounding rock mass.

  1. Safety aspects of the bicycle traffic and the needs of cyclists in the City of Zagreb and its surrounding

    Directory of Open Access Journals (Sweden)

    Sindik Joško

    2015-01-01

    Full Text Available The goals of this study were: to determine the possibility of forecasting for the preferences of cycling on the basis of all relevant factors Zagreb cycling (1 and to determine the differences between the participants in all the relevant factors in Zagreb cycling, by gender, in relation to membership in the Association "Trad Union of bicyclists", type of cycling and part of the city where cyclists live (2. Over 3000 members of the Association and cyclists who are not members of the Association ("average" cyclist are tested, using conveniently assembled questionnaire. It turned out that latent dimensions of the sub-questionnaires well represented themes: barriers to cycling, the role of the City in bicycle traffic, the purpose of using bicycle accident during bicycle traffic. People who are more inclined to participate in city traffic riding, often believe that the City should significantly improve conditions for cycling, tend to safer driving and more negative estimate lack of road cycling conditions in Zagreb. Women and members of the Union of cyclists often feel that the City should improve conditions for cycling and negatively evaluate the existing conditions of cycling, more often use the bike for different purposes and had frequent accidents bicycle. In the northern part of the city, Samobor, Zaprešić and Sesvete, Dugo Selo and Ivanja Reka participants were assessed to have the most adverse road conditions for cycling, while the wider center of Zagreb currently has the most favorable conditions for cycling. The results provide the guidance for improving the safety of the cycling in Zagreb and its surrounding, for taking constructive social actions at the state level and on the local-community level, as well as in the broader context of sustainable development.

  2. Provider of Services File

    Data.gov (United States)

    U.S. Department of Health & Human Services — The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it...

  3. What HERA may provide?

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Hannes [DESY, Hamburg (Germany); De Roeck, Albert [CERN, Genf (Switzerland); Bartles, Jochen [Univ. Hamburg (DE). Institut fuer Theoretische Physik II] (and others)

    2008-09-15

    More than 100 people participated in a discussion session at the DIS08 workshop on the topic What HERA may provide. A summary of the discussion with a structured outlook and list of desirable measurements and theory calculations is given. (orig.)

  4. The cross-correlation of signals and spatial impression in surround sound reproduction

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The relationship between the cross-correlation coefficients of feeding signals and auditory spatial impression(ASI) which are created by the left,right,left surround and right surround loudspeakers in 5.1 channel surround sound system is investigated by psychoacoustic experiments.The results show that for reproducing by the front left-right or left-right surround loudspeakers pair,the auditory source width(ASW) can be broadened by controlling the crosscorrelation coefficients of feeding signals to some e...

  5. Cultural aspects and mythologies surrounding menstruation and abnormal uterine bleeding.

    Science.gov (United States)

    Tan, Delfin A; Haththotuwa, Rohana; Fraser, Ian S

    2017-04-01

    The objective of this chapter is to present an overview of how menstruation, a normal bodily function, was and is perceived in various ethnic groups and cultures in the world, from ancient mythology, historical, or traditional practices to contemporary belief systems. Mythical tales about menstruation abound in the legends and prehistory of ancient cultures. These tales characterize menstrual blood variously as sacred, a gift from the gods, or a punishment for sin, but it is almost always magical and powerful. In contrast, most world religions view menstruation, with varying degrees of severity, as a major problem, a sign of impurity and uncleanliness, and therefore, menstruating women are isolated, prohibited from polluting the holy places, and shunned. Many of these myths and cultural misperceptions persist to the present day, reflected in a wide range of negative attitudes toward menstruation, which can have serious and direct implications for reproductive health. In view of the increasingly globalized nature of current clinical practice, it is crucial that health care providers are familiar with existing cultural and social views and attitudes toward the menstrual function. The ultimate goal is to be able to provide women culturally sensitive and medically appropriate therapies for their menstrual disorders. This biocultural approach to menstruation management is desirable in contemporary medical practice.

  6. Issues Surrounding the Evaluation of Teacher Internship Programs

    Science.gov (United States)

    Barrett, D.

    2006-12-01

    Georgia Intern-Fellowships for Teachers (GIFT) is a collaborative effort designed to enhance mathematics and science experiences of Georgia teachers and their students through summer research internships for teachers. By offering business, industry, public science institute and research summer fellowships to teachers, GIFT provides educators with first-hand exposure to the skills and knowledge necessary for the preparation of our future workforce. Since 1991, GIFT has placed middle and high school math, science and technology teachers in over 1100 positions throughout the state. In these fellowships, teachers are involved in cutting edge scientific and engineering research, data analysis, curriculum development and real-world inquiry and problem solving, and create Action Plans to assist them in translating the experience into changed classroom practice. Since 2004, an increasing number of high school students have worked with their teachers in research laboratories. The GIFT program has an advisory board composed of university researchers, business and education leaders. The board members work in various subcommittees assisting the program with areas such as sponsor recruitment, evaluation and long term planning. The evaluation subcommittee has been actively involved in providing direction regarding the evaluation of the GIFT program's impact on teachers and their students. The program recently conducted a survey of its former participants. This presentation will discuss the results of the survey and the challenges associated with program evaluation of teacher internship programs.

  7. The Halo surrounding native English speaker teachers in Indonesia

    Directory of Open Access Journals (Sweden)

    Angga Kramadibrata

    2016-01-01

    Full Text Available The Native Speaker Fallacy, a commonly held belief that Native English Speaker Teachers (NESTs are inherently better than Non-NESTs, has long been questioned by ELT researchers. However, this belief still stands strong in the general public. This research looks to understand how much a teacher’s nativeness affects a student’s attitude towards them, as well as the underlying reasons for their attitudes. Sixty seven respondents in two groups were asked to watch an animated teaching video, after which they completed a questionnaire that used Likert-scales to assess comprehensibility, clarity of explanation, engagement, and preference. The videos for both groups were identical apart from the narrator; one spoke in British English, while the other, Indian English. In addition, they were also visually identified as Caucasian and Asian, respectively. The video was controlled for speed of delivery. The quantitative data were then triangulated using qualitative data collected through open questions in the questionnaire as well as from a semi-structured interview conducted with 10 respondents. The data show that there is a significant implicit preference for NEST teachers in the video, as well as in respondent’s actual classes. However, when asked explicitly, respondents didn’t rank nativeness as a very important quality in English teachers. This discrepancy between implicit and explicit attitudes might be due to a subconscious cognitive bias, namely the Halo Effect, in which humans tend to make unjustified presumptions about a person based on known but irrelevant information.

  8. Mineralogical and microstructural investigations of fractures in Permian z2 potash seam and surrounding salt rocks

    Science.gov (United States)

    Mertineit, Michael; Grewe, Wiebke; Schramm, Michael; Hammer, Jörg; Blanke, Hartmut; Patzschke, Mario

    2017-04-01

    Fractures occur locally in the z2 potash seam (Kaliflöz Staßfurt). Most of them extend several centimeter to meter into the surrounding salt rocks. The fractures are distributed on all levels in an extremely deformed area of the Morsleben salt mine, Northern Germany. The sampling site is located within a NW-SE trending synclinal structure, which was reverse folded (Behlau & Mingerzahn 2001). The samples were taken between the -195 m and - 305 m level at the field of Marie shaft. In this area, more than 200 healed fractures were mapped. Most of them show opening widths of only a few millimeters to rarely 10 cm. The fractures in rock salt are filled with basically polyhalite, halite and carnallite. In the potash seam, the fractures are filled with kainite, halite and minor amounts of carnallite and polyhalite. In some cases the fracture infill changes depending on the type of surrounding rocks. There are two dominant