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Sample records for survey main outcome

  1. FIELD SURVEY, Androscoggin, MAINE USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — Survey data includes spatial datasets and data tables necessary to digitally represent data collected in the survey phase of the study. (Source: FEMA Guidelines and...

  2. Gulf of Maine Cooperative Bottom Longline Survey Database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This database is for a bottom longline (fixed gear) survey executed in the western and central Gulf of Maine targeting complex rocky habitats. The survey is operated...

  3. Maine & the Maritimes: Waterfowl breeding population survey: 2000

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the Waterfowl Breeding Population and Habitat Survey for Maine and the Maritimes during 2000. The primary purpose of the survey is to provide...

  4. Health Outcomes Survey - Limited Data Set

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) limited data sets (LDS) are comprised of the entire national sample for a given 2-year cohort (including both respondents...

  5. Identifiable Data Files - Health Outcomes Survey (HOS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) identifiable data files are comprised of the entire national sample for a given 2-year cohort (including both respondents...

  6. Main Results of the Azerbaijan STEP Employer Survey

    OpenAIRE

    Rutkowski, Jan J.

    2015-01-01

    This note summarizes the main findings of the STEP Employer Skills Survey carried out in Azerbaijan in 2013. The note argues that there is a skills shortage in Azerbaijan. Azeri employers claim that it is difficult to find workers with required skills. The shortage is particularly pronounced in the case of modern, innovative firms, which tend to required more advanced skills. The education...

  7. CRED REA Fish Team Stationary Point Count Surveys at Hawaii, Main Hawaiian Islands, 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Stationary Point Counts at 4 stations at each survey site were surveyed as part of Rapid Ecological Assessments (REA) conducted at 17 sites around Hawaii in the Main...

  8. CRED REA Fish Team Stationary Point Count Surveys at Oahu, Main Hawaiian Islands, 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Stationary Point Counts at 4 stations at each survey site were surveyed as part of Rapid Ecological Assessments (REA) conducted at 2 sites around Oahu in the Main...

  9. CRED REA Fish Team Stationary Point Count Surveys at Molokai, Main Hawaiian Islands, 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Stationary Point Counts at 4 stations at each survey site were surveyed as part of Rapid Ecological Assessments (REA) conducted at 3 sites around Molokai in the Main...

  10. Experimental waterfowl breeding population survey Maine, the Maritime provinces, and Central Quebec: 1997

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the Waterfowl Breeding Population and Habitat Survey for Maine, the Maritime provinces, and Central Quebec during 1997. The primary purpose of...

  11. CRED REA Fish Team Belt Transect Survey at Lanai, Main Hawaiian Islands, 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Belt transects along 3 consecutively-placed, 25m transect lines were surveyed as part of Rapid Ecological Assessments conducted at 6 sites at Lanai in the Main...

  12. CRED REA Fish Team Belt Transect Survey at Kauai, Main Hawaiian Islands, 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Belt transects along 3 consecutively-placed, 25m transect lines were surveyed as part of Rapid Ecological Assessments conducted at 7 sites at Kauai in the Main...

  13. Manchester Triage System: main flowcharts, discriminators and outcomes of a pediatric emergency care

    Directory of Open Access Journals (Sweden)

    Camila Amthauer

    Full Text Available ABSTRACT Objetive: to characterize the care services performed through risk rating by the Manchester Triage System, identifying demographics (age, gender, main flowcharts, discriminators and outcomes in pediatric emergency Method: cross-sectional quantitative study. Data on risk classification were obtained through a search of computerized registration data from medical records of patients treated in the pediatric emergency within one year. Descriptive statistics with absolute and relative frequencies was used for the analysis. Results: 10,921 visits were conducted in the pediatric emergency, mostly male (54.4%, aged between 29 days and two years (44.5%. There was a prevalence of the urgent risk category (43.6%. The main flowchart used in the care was worried parents (22.4% and the most prevalent discriminator was recent event (15.3%. The hospitalization outcome occurred in 10.4% of care performed in the pediatric emergency, however 61.8% of care needed to stay under observation and / or being under the health team care in the pediatric emergency. Conclusion: worried parents was the main flowchart used and recent events the most prevalent discriminator, comprising the hospitalization outcomes and permanency in observation in the pediatric emergency before discharge from the hospital.

  14. Measures of language outcomes using the Aboriginal Children's Survey.

    Science.gov (United States)

    Findlay, Leanne C; Kohen, Dafna E

    2013-01-01

    Speech and language skills are an important developmental milestone for all children, and one of the most prevalent forms of developmental delay among Aboriginal children. However, population-based indicators of Aboriginal children's language outcomes are limited. Data from the Aboriginal Children's Survey (ACS) were used to examine measures of language for Aboriginal children who were 2 to 5 years of age. Responses to ACS questions on ability in any language were examined in exploratory factor analyses to determine possible language indicators. Construct validity was examined by regressing language outcomes onto socio-demographic characteristics known to be associated with children's language. Four language outcomes were identified and labelled: expressive language, mutual understanding, story-telling, and speech and language difficulties. The conceptualization of items from the ACS into separate language indicators can be used by researchers examining young Aboriginal children's language outcomes.

  15. The Timber Resources of Maine. A Report on the Forest Survey made by the U.S. Forest Service

    Science.gov (United States)

    Roland H. Ferguson; Franklin R. Longwood; Franklin R. Longwood

    1960-01-01

    This is a report on the timber resources of Maine. It is based on the findings of a forest survey made in 1954-58 by the Northeastern Forest Experiment Station, U.S. Forest Service. The Maine survey was part of a nationwide survey that is being made to evaluate the extent and condition of the Nation's forest resources.

  16. Prognosis of unprotected left main coronary artery stenting and the factors affecting the outcomes in Chinese

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Background The long term prognosis of unprotected left main coronary artery (LMCA) stenting is controversial This study was conducted to evaluate the immediate and long term outcomes of LMCA stenting in Chinese patients and to determine which factors affect the outcomes. Methods From May 1997 to March 2003,224 patients in 23 hospitals underwent elective unprotected LMCA stenting with bare metal stents. Their clinical records were analysed to ascertain immediate and long term outcomes of LMCA stenting as well as factors influencing the prognosis .Results Stents were implanted into LMCA successfully in 223 cases (99.6 %). One death (0.5%) and one case of non-Q wave nonfatal myocardial infarction (MI) occurred in hospital. The mean follow-up time was (15.6±12.3) months. Cardiac death developed in 10 cases (4.5%), noncardiac death in 2 cases (0.9%), nonfatal MI in 4 cases (1.8%), target lesion revascularization (TLR) of LMCA in 26 cases (11.7%) and TLR of nonLMCA in 37 cases (16.5%). Univariate analysis showed that cardiac death correlated with left ventricular ejection fraction (LVEF < 40%), female gender and LMCA combined with multivessel disease; that major adverse cardiac events (MACE) correlated with LVEF < 40%, bifurcation lesion and incomplete revascularization. Logistic regression analysis revealed that LVEF < 40% and female gender were independent predictors of cardiac death and MACE. Follow-up angiography was performed in 102 cases (45.7%). The restenosis rate was 31.4%. Conclusions Long-term outcomes of stenting for selected patients with unprotected LMCA stenosis is acceptable. It should be performed in inoperable or low risk patients with LVEF ≥ 40% and isolated LMCA disease or LMCA combined with multivessel diseases in whom complete revascularization can be obtained.

  17. Main-belt comets in the Palomar Transient Factory survey: I. The search for extendedness

    CERN Document Server

    Waszczak, Adam; Aharonson, Oded; Kulkarni, Shrinivas; Polishook, David; Bauer, James M; Levitan, David; Sesar, Branimir; Laher, Russ; Surace, Jason

    2013-01-01

    Cometary activity in main-belt asteroids probes the ice content of these objects and provides clues to the history of volatiles in the inner solar system. We search the Palomar Transient Factory (PTF) survey to derive upper limits on the population size of active main-belt comets (MBCs). From data collected March 2009 through July 2012, we extracted 2 million observations of 220 thousand known main-belt objects (40% of the known population, down to 1-km diameter) and discovered 626 new objects in multi-night linked detections. We formally quantify the extendedness of a small-body observation, account for systematic variation in this metric (e.g., due to on-sky motion) and evaluate this method's robustness in identifying cometary activity using observations of 115 comets, including two known candidate MBCs and six newly-discovered non-main-belt comets (two of which were originally designated as asteroids by other surveys). We demonstrate a 66% detection efficiency with respect to the extendedness distribution ...

  18. Information-searching behaviors of main and allied health professionals: a nationwide survey in Taiwan.

    Science.gov (United States)

    Weng, Yi-Hao; Kuo, Ken N; Yang, Chun-Yuh; Lo, Heng-Lien; Shih, Ya-Hui; Chiu, Ya-Wen

    2013-10-01

    There are a variety of resources to obtain health information, but few studies have examined if main and allied health professionals prefer different methods. The current study was to investigate their information-searching behaviours. A constructed questionnaire survey was conducted from January through April 2011 in nationwide regional hospitals of Taiwan. Questionnaires were mailed to main professionals (physicians and nurses) and allied professionals (pharmacists, physical therapists, technicians and others), with 6160 valid returns collected. Among all professional groups, the most commonly used resource for seeking health information was a Web portal, followed by colleague consultations and continuing education. Physicians more often accessed Internet-based professional resources (online databases, electronic journals and electronic books) than the other groups (P < 0.05). In contrast, physical therapists more often accessed printed resources (printed journals and textbooks) than the other specialists (P < 0.05). And nurses, physical therapists and technicians more often asked colleagues and used continuing education than the other groups (P < 0.01). The most commonly used online database was Micromedex for pharmacists and MEDLINE for physicians, technicians and physical therapists. Nurses more often accessed Chinese-language databases rather than English-language databases (P < 0.001). This national survey depicts the information-searching pattern of various health professionals. There were significant differences between and within main and allied health professionals in their information searching. The data provide clinical implications for strategies to promote the accessing of evidence-based information. © 2012 John Wiley & Sons Ltd.

  19. Gaia-ESO Survey: The analysis of pre-main sequence stellar spectra

    CERN Document Server

    Lanzafame, A C; Damiani, F; Franciosini, E; Cottaar, M; Sousa, S G; Tabernero, H M; Klutsch, A; Spina, L; Biazzo, K; Prisinzano, L; Sacco, G G; Randich, S; Brugaletta, E; Mena, E Delgado; Adibekyan, V; Montes, D; Bonito, R; Gameiro, J F; Alcalá, J M; Hernández, J I González; Jeffries, R; Messina, S; Meyer, M; Gilmore, G; Asplund, M; Binney, J; Bonifacio, P; Drew, J E; Feltzing, S; Ferguson, A M N; Micela, G; Negueruela, I; Prusti, T; Rix, H-W; Vallenari, A; Alfaro, E J; Prieto, C Allende; Babusiaux, C; Bensby, T; Blomme, R; Bragaglia, A; Flaccomio, E; Francois, P; Hambly, N; Irwin, M; Koposov, S E; Korn, A J; Smiljanic, R; Van Eck, S; Walton, N; Bayo, A; Bergemann, M; Carraro, G; Costado, M T; Edvardsson, B; Heiter, U; Hill, V; Hourihane, A; Jackson, R J; Jofré, P; Lardo, C; Lewis, J; Lind, K; Magrini, L; Marconi, G; Martayan, C; Masseron, T; Monaco, L; Morbidelli, L; Sbordone, L; Worley, C C; Zaggia, S

    2015-01-01

    This paper describes the analysis of UVES and GIRAFFE spectra acquired by the Gaia-ESO Public Spectroscopic Survey in the fields of young clusters whose population includes pre-main sequence (PMS) stars. Both methods that have been extensively used in the past and new ones developed in the contest of the Gaia-ESO survey enterprise are available and used. The internal precision of these quantities is estimated by inter-comparing the results obtained by such different methods, while the accuracy is estimated by comparison with independent external data, like effective temperature and surface gravity derived from angular diameter measurements, on a sample of benchmarks stars. Specific strategies are implemented to deal with fast rotation, accretion signatures, chromospheric activity, and veiling. The analysis carried out on spectra acquired in young clusters' fields during the first 18 months of observations, up to June 2013, is presented in preparation of the first release of advanced data products. Stellar par...

  20. Long Term Outcome of Unprotected Left Main Stem Percutaneous Coronary Intervention, a Single Centre Experience

    Directory of Open Access Journals (Sweden)

    Egred M

    2014-11-01

    Full Text Available Percutaneous coronary intervention (PCI is increasingly used for unprotected left main coronary artery disease (UPLMS revascularization. Data regarding long-term mortality in this subset of patients remain sparse. We aim to present our outcome data on all comers who had UPLMS PCI. Methods: Retrospective dataset analysis of prospectively collected data evaluating all UPLMS PCI performed in a large tertiary cardiac centre, between September 2003 and December 2012. Long-term mortality data were available over a median duration of 21 months (IQR 10 months to 43 months. Results: In total there were 483 procedures performed. The cohort consisted of 58% with non ST elevation myocardial infarction (NSTEMI, 17% with STEMI and 25% with stable angina (SA. The overall in-hospital and long-term mortality were 7% and 22% respectively. The in-hospital mortality was 23%, 6%, and 1.6% in STEMI, NSTEMI, and SA respectively. Long-term mortality was 31% in STEMI patients, 26% in NSTEMI and 10% in SA. The use of drug eluting stents (DES [adjusted RR 0.40 (95% CI, 0.23-0.69] and Intravascular ultrasound (IVUS [adjusted RR 0.17 (95% CI 0.04-0.72] were independently associated with improved long-term survival. Conclusion: UPLMS PCI is associated with favourable long-term survival. The use of DES and IVUS guided PCI appear to be associated with improved long-term outcome and should be considered in the routine management of this cohort of patients.

  1. Management of Interface between Main Contractor and Subcontractors for Successful Project Outcomes

    Directory of Open Access Journals (Sweden)

    Harry White

    2014-01-01

    Full Text Available There has been increased dependence on subcontracting within the construction industry, the operational relationship between the Main Contractor (MC and Subcontractor (SC plays a significant role in successful delivery of projects. Through the literature review this paper argues that despite SCs bring added value to construction projects, the increased reliance on SCs has strained relationships between the MC and SC. Also MCs are more concerned with risk and price reduction which undermine the relationship heavily. Current practices in the construction industry in managing SCs were evaluated through a case study and semi-structured interviews. A questionnaire survey was used to investigate the ways of facilitating the interface between the MC and SC in general. The study highlighted that prevailing adverse relationships and culture in the industry are influencing the success of construction projects. The lack of trust is a key factor affecting the relationships between MC and SCs. However, the proactive involvement of the MC with SCs in maintaining continuity of the team from procurement to construction stage and transparency in the processes were key success factors for successful completion of the project.

  2. CARMA Large Area Star Formation Survey: Structure and Kinematics of Dense Gas in Serpens Main

    CERN Document Server

    Lee, Katherine I; Storm, Shaye; Looney, Leslie W; Mundy, Lee G; Segura-Cox, Dominique; Teuben, Peter; Rosolowsky, Erik; Arce, Hector G; Ostriker, Eve C; Shirley, Yancy L; Kwon, Woojin; Kauffmann, Jens; Tobin, John J; Plunkett, Adele L; Pound, Marc W; Salter, Demerese M; Volgenau, N H; Chen, Che-Yu; Tassis, Konstantinos; Isella, Andrea; Crutcher, Richard M; Gammie, Charles F; Testi, Leonardo

    2014-01-01

    We present observations of N2H+(1-0), HCO+(1-0), and HCN(1-0) toward the Serpens Main molecular cloud from the CARMA Large Area Star Formation Survey (CLASSy). We mapped 150 square arcminutes of Serpens Main with an angular resolution of 7 arcsecs. The gas emission is concentrated in two subclusters (the NW and SE subclusters). The SE subcluster has more prominent filamentary structures and more complicated kinematics compared to the NW subcluster. The majority of gas in the two subclusters has subsonic to sonic velocity dispersions. We applied a dendrogram technique with N2H+(1-0) to study the gas structures; the SE subcluster has a higher degree of hierarchy than the NW subcluster. Combining the dendrogram and line fitting analyses reveals two distinct relations: a flat relation between nonthermal velocity dispersion and size, and a positive correlation between variation in velocity centroids and size. The two relations imply a characteristic depth of 0.15 pc for the cloud. Furthermore, we have identified s...

  3. Spatially-Resolved Star Formation Main Sequence of Galaxies in the CALIFA Survey

    CERN Document Server

    Cano-Díaz, M; Zibetti, S; Ascasibar, Y; Bland-Hawthorn, J; Ziegler, B; Delgado, R M González; Walcher, C J; García-Benito, R; Mast, D; Mendoza-Pérez, M A; Falcón-Barroso, J; Galbany, L; Husemann, B; Kehrig, C; Marino, R A; Sánchez-Blázquez, P; López-Cobá, C; López-Sánchez, A R; Vilchez, J M

    2016-01-01

    The "main sequence of galaxies" $-$ defined in terms of the total star formation rate $\\psi$ vs. the total stellar mass $M_*$ $-$ is a well-studied tight relation that has been observed at several wavelengths and at different redshifts. All earlier studies have derived this relation from integrated properties of galaxies. We recover the same relation from an analysis of spatially-resolved properties, with integral field spectroscopic (IFS) observations of 306 galaxies from the CALIFA survey. We consider the SFR surface density in units of log(M$_{\\odot}$ yr$^{-1}$ Kpc$^{-2}$) and the stellar mass surface density in units of log(M$_{\\odot}$ Kpc$^{-2}$) in individual spaxels which probe spatial scales of 0.5-1.5 Kpc. This local relation exhibits a high degree of correlation with small scatter ($\\sigma = 0.23$ dex), irrespective of the dominant ionisation source of the host galaxy or its integrated stellar mass. We highlight: $(i)$ the integrated star formation main sequence formed by galaxies whose dominant ion...

  4. The main factors influencing canine demodicosis treatment outcome and determination of optimal therapy.

    Science.gov (United States)

    Arsenović, Milica; Pezo, Lato; Vasić, Nebojša; Ćirić, Rodoljub; Stefanović, Milan

    2015-07-01

    The main idea of this research was to evaluate the efficacy of canine demodicosis conventional treatments using mathematical analyses. All available papers published between 1980 and 2014 were used in this study. One hundred six clinical trials enrolling 3414 cases of generalized demodicosis in dogs are studied. Dogs entered in the analysis were only the ones in which the disease occurred naturally, excluding the studies in which transplantation of Demodex canis mites was done from other animals. In conventional acaricide treatments, sorted according to active substances (moxidectin, amitraz, doramectin, ivermectin, and milbemycin oxime), the way of application (spot-on, dips, orally, or subcutaneous), concentration, and interval of application were used as input parameters in mathematical modeling. Data of interest were the treatment outcome, the number of dogs that went into remission, the number of animals not responding to treatment microscopically, the average duration of therapy, the follow-up period, the number of patients with disease recurrence, the number of adverse effects, and the number of animals with side effects. Dogs lost to follow-up or when the treatment was discontinued, due to various reasons not in connection with the therapy protocol, were not considered. Statistical and mathematical analyses were applied for prediction of the drugs' effectiveness. Developed mathematical models showed satisfactorily r (2), higher than 0.87. Good evidence for recommending the use of milbemycin oxime PO (0.5 mg/kg, daily) and moxidectin spot-on (Advocate®, Bayer) weekly is found. A bit less effective therapies were based on ivermectin PO (0.5 mg/kg, daily), moxidectin PO (0.35 mg/kg, daily), and amitraz dips (0.05 % solution, weekly), respectively. It is important to keep in mind that Advocate® is recommended by the manufacturer for use in milder cases.

  5. Manchester Triage System: main flowcharts, discriminators and outcomes of a pediatric emergency care.

    Science.gov (United States)

    Amthauer, Camila; Cunha, Maria Luzia Chollopetz da

    2016-08-29

    to characterize the care services performed through risk rating by the Manchester Triage System, identifying demographics (age, gender), main flowcharts, discriminators and outcomes in pediatric emergency. cross-sectional quantitative study. Data on risk classification were obtained through a search of computerized registration data from medical records of patients treated in the pediatric emergency within one year. Descriptive statistics with absolute and relative frequencies was used for the analysis. 10,921 visits were conducted in the pediatric emergency, mostly male (54.4%), aged between 29 days and two years (44.5%). There was a prevalence of the urgent risk category (43.6%). The main flowchart used in the care was worried parents (22.4%) and the most prevalent discriminator was recent event (15.3%). The hospitalization outcome occurred in 10.4% of care performed in the pediatric emergency, however 61.8% of care needed to stay under observation and / or being under the health team care in the pediatric emergency. worried parents was the main flowchart used and recent events the most prevalent discriminator, comprising the hospitalization outcomes and permanency in observation in the pediatric emergency before discharge from the hospital. caracterizar os atendimentos realizados por meio da classificação de risco pelo Sistema de Triagem de Manchester, identificando dados demográficos (idade, sexo), principais fluxogramas, discriminadores e desfechos na emergência pediátrica. estudo quantitativo transversal. Os dados referentes à classificação de risco foram obtidos por meio de uma pesquisa ao registro informatizado de dados dos prontuários dos pacientes atendidos na emergência pediátrica no período de um ano. Para análise foi utilizada estatística descritiva com frequências absolutas e relativas. foram realizados 10.921 atendimentos na emergência pediátrica, em sua maioria do sexo masculino (54,4%), com idade entre 29 dias e dois anos (44

  6. CARMA LARGE AREA STAR FORMATION SURVEY: STRUCTURE AND KINEMATICS OF DENSE GAS IN SERPENS MAIN

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Katherine I.; Storm, Shaye; Mundy, Lee G.; Teuben, Peter; Pound, Marc W.; Salter, Demerese M.; Chen, Che-Yu [Department of Astronomy, University of Maryland, College Park, MD 20742 (United States); Fernández-López, Manuel; Looney, Leslie W.; Segura-Cox, Dominique [Department of Astronomy, University of Illinois, Urbana-Champaign, IL 61801 (United States); Rosolowsky, Erik [Departments of Physics and Statistics, University of British Columbia, Okanagan Campus, 3333 University Way, Kelowna BC V1V 1V7 (Canada); Arce, Héctor G.; Plunkett, Adele L. [Department of Astronomy, Yale University, PO Box 208101, New Haven, CT 06520-8101 (United States); Ostriker, Eve C. [Department of Astrophysical Sciences, Princeton University, Princeton, NJ 08544 (United States); Shirley, Yancy L. [Steward Observatory, 933 North Cherry Avenue, Tucson, AZ 85721 (United States); Kwon, Woojin [SRON Netherlands Institute for Space Research, Landleven 12, 9747 AD Groningen (Netherlands); Kauffmann, Jens [Max Planck Institut für Radioastronomie, Auf dem Hügel 69 D-53121, Bonn Germany (Germany); Tobin, John J. [National Radio Astronomy Observatory, Charlottesville, VA 22903 (United States); Volgenau, N. H. [Astronomy Department, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125 (United States); Tassis, Konstantinos, E-mail: ijlee9@astro.umd.edu [Department of Physics and Institute of Theoretical and Computational Physics, University of Crete, PO Box 2208, GR-710 03, Heraklion, Crete (Greece); and others

    2014-12-20

    We present observations of N{sub 2}H{sup +} (J = 1 → 0), HCO{sup +} (J = 1 → 0), and HCN (J = 1 → 0) toward the Serpens Main molecular cloud from the CARMA Large Area Star Formation Survey (CLASSy). We mapped 150 arcmin{sup 2} of Serpens Main with an angular resolution of ∼7''. The gas emission is concentrated in two subclusters (the NW and SE subclusters). The SE subcluster has more prominent filamentary structures and more complicated kinematics compared to the NW subcluster. The majority of gas in the two subclusters has subsonic to sonic velocity dispersions. We applied a dendrogram technique with N{sub 2}H{sup +}(1-0) to study the gas structures; the SE subcluster has a higher degree of hierarchy than the NW subcluster. Combining the dendrogram and line fitting analyses reveals two distinct relations: a flat relation between nonthermal velocity dispersion and size, and a positive correlation between variation in velocity centroids and size. The two relations imply a characteristic depth of 0.15 pc for the cloud. Furthermore, we have identified six filaments in the SE subcluster. These filaments have lengths of ∼0.2 pc and widths of ∼0.03 pc, which is smaller than a characteristic width of 0.1 pc suggested by Herschel observations. The filaments can be classified into two types based on their properties. The first type, located in the northeast of the SE subcluster, has larger velocity gradients, smaller masses, and nearly critical mass-per-unit-length ratios. The other type, located in the southwest of the SE subcluster, has the opposite properties. Several YSOs are formed along two filaments which have supercritical mass per unit length ratios, while filaments with nearly critical mass-per-unit-length ratios are not associated with YSOs, suggesting that stars are formed on gravitationally unstable filaments.

  7. CRED Towed-Diver Fish Biomass Surveys at Niihau Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC)...

  8. CRED Towed-Diver Fish Biomass Surveys at Lehua Rock, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  9. CRED Towed-Diver Fish Biomass Surveys at Maui Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  10. CRED Towed-Diver Fish Biomass Surveys at Kauai Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  11. CRED Towed-Diver Fish Biomass Surveys at Lanai Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  12. CRED Towed-Diver Fish Biomass Surveys at Kaula Rock, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  13. CRED Towed-Diver Fish Biomass Surveys at Oahu Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  14. CRED Towed-Diver Fish Biomass Surveys at Maui Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  15. CRED Towed-Diver Fish Biomass Surveys at Hawaii Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC)...

  16. CRED Towed-Diver Fish Biomass Surveys at Oahu Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  17. CRED Towed-Diver Fish Biomass Surveys at Lanai Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC)...

  18. CRED Towed-Diver Fish Biomass Surveys at Lanai Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  19. CRED Towed-Diver Fish Biomass Surveys at Niihau Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  20. CRED Towed-Diver Fish Biomass Surveys at Kauai Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  1. CRED Towed-Diver Fish Biomass Surveys at Hawaii Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC)...

  2. CRED Towed-Diver Fish Biomass Surveys at Hawaii Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  3. CRED Towed-Diver Fish Biomass Surveys at Maui Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  4. CRED Towed-Diver Fish Biomass Surveys at Niihau Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  5. CRED Towed-Diver Fish Biomass Surveys at Oahu Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  6. CRED Towed-Diver Fish Biomass Surveys at Kauai Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towed-diver surveys (aka. Towboard surveys) are conducted by the Coral Reef Ecosystem Division (CRED) of the NOAA Pacific Islands Fisheries Science Center (PIFSC) as...

  7. Deep near-IR variability survey of pre-main-sequence stars in Rho Ophiuchi

    CERN Document Server

    de Oliveira, Catarina Alves

    2008-01-01

    Variability is a common characteristic of pre-main-sequence stars (PMS). Near-IR variability surveys of young stellar objects (YSOs) can probe stellar and circumstellar environments and provide information about the dynamics of the on going magnetic and accretion processes. Furthermore, variability can be used as a tool to uncover new cluster members in star formation regions. We hope to achieve the deepest near-IR variability study of YSOs targeting the Rho Ophiuchi cluster. Fourteen epochs of observations were obtained with the Wide Field Camera (WFCAM) at the UKIRT telescope scheduled in a manner that allowed the study of variability on timescales of days, months, and years. Statistical tools, such as the multi-band cross correlation index and the reduced chi-square, were used to disentangle signals of variability from noise. Variability characteristics are compared to existing models of YSOs in order to relate them to physical processes, and then used to select new candidate members of this star-forming r...

  8. Framework for a U.S. Geological Survey Hydrologic Climate-Response Program in Maine

    Science.gov (United States)

    Hodgkins, Glenn A.; Lent, Robert M.; Dudley, Robert W.; Schalk, Charles W.

    2009-01-01

    This report presents a framework for a U.S. Geological Survey (USGS) hydrologic climate-response program designed to provide early warning of changes in the seasonal water cycle of Maine. Climate-related hydrologic changes on Maine's rivers and lakes in the winter and spring during the last century are well documented, and several river and lake variables have been shown to be sensitive to air-temperature changes. Monitoring of relevant hydrologic data would provide important baseline information against which future climate change can be measured. The framework of the hydrologic climate-response program presented here consists of four major parts: (1) identifying homogeneous climate-response regions; (2) identifying hydrologic components and key variables of those components that would be included in a hydrologic climate-response data network - as an example, streamflow has been identified as a primary component, with a key variable of streamflow being winter-spring streamflow timing; the data network would be created by maintaining existing USGS data-collection stations and establishing new ones to fill data gaps; (3) regularly updating historical trends of hydrologic data network variables; and (4) establishing basins for process-based studies. Components proposed for inclusion in the hydrologic climate-response data network have at least one key variable for which substantial historical data are available. The proposed components are streamflow, lake ice, river ice, snowpack, and groundwater. The proposed key variables of each component have extensive historical data at multiple sites and are expected to be responsive to climate change in the next few decades. These variables are also important for human water use and (or) ecosystem function. Maine would be divided into seven climate-response regions that follow major river-basin boundaries (basins subdivided to hydrologic units with 8-digit codes or larger) and have relatively homogeneous climates. Key

  9. Angiographic outcomes following stenting or coronary artery bypass surgery of the left main coronary artery: Fifteen-month outcomes from the synergy between PCI with TAXUS express and cardiac surgery left main angiographic substudy (SYNTAX-LE MANS)

    NARCIS (Netherlands)

    M-C. Morice (Marie-Claude); T.E. Feldman (Ted); M. Mack (Michael); E. Stahle (Elisabeth); D.R. Holmes (David); A. Colombo (Antonio); M-A.M. Morel (Marie-Angèle); M.J.B.M. van den Brand (Marcel); P.W.J.C. Serruys (Patrick); F.W. Mohr (Friedrich); D. Carrié (Didier); G. Fournial (Gerard); S.K. James (Stefan); K. Leadly (Katrin); K.D. Dawkins (Keith); A.P. Kappetein (Arie Pieter)

    2011-01-01

    textabstractAims: The SYNTAX-LE MANS substudy prospectively evaluated 15-month angiographic and clinical outcomes in patients with treated left main (LM) disease. Methods and results: In the SYNTAX trial, 1,800 patients with three-vessel and/or LM disease were randomised to either CABG or PCI; of th

  10. CRED Towed-Diver Benthic Characterization Survey at Hawaii, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  11. CRED Towed-Diver Benthic Characterization Surveys at Kaula Rock, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  12. CRED Towed-Diver Fish Biomass Survey at Molokai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  13. CRED Towed-Diver Fish Biomass Survey at Niihau, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys (AKA...

  14. CRED Towed-Diver Benthic Characterization Surveys at Maui Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  15. CRED Towed-Diver Benthic Characterization Surveys at Oahu Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  16. CRED Towed-Diver Benthic Characterization Survey at Niihau, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  17. CRED Towed-Diver Benthic Characterization Survey at Maui, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  18. CRED Towed-Diver Fish Biomass Survey at Hawaii, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys (AKA...

  19. CRED Towed-Diver Benthic Characterization Survey at Oahu, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  20. CRED Towed-Diver Benthic Characterization Surveys at Lehua Rock, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  1. CRED Towed-Diver Fish Biomass Survey at Maui, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys (AKA...

  2. CRED Towed-Diver Fish Biomass Survey at Lanai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys (AKA...

  3. CRED Towed-Diver Benthic Characterization Surveys at Kauai Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  4. CRED Towed-Diver Benthic Characterization Surveys at Lanai Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  5. CRED Towed-Diver Benthic Characterization Survey at Kauai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  6. CRED Towed-Diver Fish Biomass Survey at Kauai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys (AKA...

  7. CRED Towed-Diver Benthic Characterization Survey at Lanai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  8. CRED Towed-Diver Benthic Characterization Surveys at Niihau Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  9. CRED Towed-Diver Benthic Characterization Surveys at Oahu Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  10. CRED Towed-Diver Benthic Characterization Surveys at Kauai Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  11. CRED Towed-Diver Benthic Characterization Survey at Lehua, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  12. CRED Towed-Diver Benthic Characterization Surveys at Molokai Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  13. CRED Towed-Diver Benthic Characterization Surveys at Maui Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  14. CRED Towed-Diver Benthic Characterization Surveys at Niihau Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  15. CRED Towed-Diver Benthic Characterization Surveys at Oahu Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  16. CRED Towed-Diver Fish Biomass Survey at Lehua, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  17. CRED Towed-Diver Benthic Characterization Surveys at Lanai Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  18. CRED Towed-Diver Benthic Characterization Surveys at Kauai Island, Main Hawaiian Islands in 2006

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  19. CRED Towed-Diver Benthic Characterization Surveys at Hawaii Island, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  20. CRED Towed-Diver Benthic Characterization Surveys at Lanai Island, Main Hawaiian Islands in 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  1. CRED Towed-Diver Benthic Characterization Surveys at Lehua Rock, Main Hawaiian Islands in 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — To support NOAA Coral Reef Conservation Program (CRCP) long-term goals for sustainable management and conservation of coral reef ecosystems, towed-diver surveys...

  2. Archaeological Survey and Testing of Areas along Main Ditch and Ditch 9, Pemiscot County, Missouri.

    Science.gov (United States)

    1987-01-15

    These include nine Clovis and Clovis -like points from the Bootheel (Cha:narn .975:93). No intact sites have yet beer - tifiec from this perioc, aria...and J. H. House .982 A Cultura . soeurces OvervLew o± the Ozark-St. 7rancs Nationa7 Forelsts Arkansas. Arkansas Archeological Survey, Fayetteville

  3. The COST 731 Action and the MAP D-PHASE Initiative - Overview on Main Outcomes

    Science.gov (United States)

    Rossa, A. M.

    2010-09-01

    The COST 731 Action, launched in 2005, addresses the problem of forecasting (heavy) precipitation events and the corresponding hydrological processes in connection with the uncertainty inherent in this task. The actual threat to society that potentially occurs from intense (and thus rare) events only becomes effective after the involvement of the hydrosphere. The main focus of the Action is the quantification of forecast uncertainty and its propagation through a meteo-hydrological forecast chain. COST 731 is structured in three working groups, which deal with uncertainty cascading from observation (predominantly from radar) into numerical weather prediction (NWP) models, from observation and NWP into hydrological models, and the use of uncertainty as support in decision making. The groups of scientists involved in the action therefore represent radar meteorology, NWP, hydrological modeling, as well as social scientists who deal with risk communication. MAP D-PHASE (Mesoscale Alpine Programme, Demonstration of Probabilistic Hydrological and Atmospheric Simulation of Flooding Events in the Alps) is the second WMO/WWRP Forecast Demonstration Project and constitutes an important element of COST 731. Its Operations Period (June - November 2007) was centred in the Alpine region and experienced a number of interesting weather cases. Real-time forecast information of 7 limited area ensemble prediction systems, 23 high-resolution limited area numerical weather prediction models, as well as 7 hydrological models coupled to NWP QPF and/or radar QPE input were collected, and synthetically displayed on a visualization platform. In this presentation an overview of the COST 731 main achievements of the action as well as open issues and future opportunities are given. They are put into context with the results and perspectives of D-PHASE, first verification results, end user feedback, lessons learnt. A notable number of operational groups in hydrological modeling are in the

  4. Main Libraries, Branches, and Bookmobiles: FY 2013 Public Libraries Survey (Outlet)

    Data.gov (United States)

    Institute of Museum and Library Services — Find key information on main libraries, branches, and bookmobiles, including FSCS IDs and location.These data include imputed values for libraries that did not...

  5. Main Libraries, Branches, and Bookmobiles: FY 2012 Public Libraries Survey (Outlet)

    Data.gov (United States)

    Institute of Museum and Library Services — Find key information on main libraries, branches, and bookmobiles, including FSCS IDs, square footage, and locale codes.These data include imputed values for...

  6. Main Libraries, Branches, and Bookmobiles: FY 1992-2012 Public Libraries Survey Trends (Outlet)

    Data.gov (United States)

    Institute of Museum and Library Services — Find key information on trends in main libraries, branches, and bookmobiles, including FSCS IDs and location.These data include imputed values for libraries that did...

  7. Main Libraries, Branches, and Bookmobiles: FY 2014 Public Libraries Survey (Outlet Data)

    Data.gov (United States)

    Institute of Museum and Library Services — Find key information on main libraries, branches, and bookmobiles, including FSCS IDs, square footage, locale code, and location. These data include imputed values...

  8. Identification of preliminary core outcome domains for communication about childhood vaccination: An online Delphi survey.

    Science.gov (United States)

    Kaufman, Jessica; Ryan, Rebecca; Lewin, Simon; Bosch-Capblanch, Xavier; Glenton, Claire; Cliff, Julie; Oyo-Ita, Angela; Muloliwa, Artur Manuel; Oku, Afiong; Ames, Heather; Rada, Gabriel; Cartier, Yuri; Hill, Sophie

    2017-08-20

    Communication interventions for childhood vaccination are promising strategies to address vaccine hesitancy, but current research is limited by the outcomes measured. Most studies measure only vaccination-related outcomes, with minimal consideration of vaccine hesitancy-relevant intermediate outcomes. This impedes understanding of which interventions or elements are effective. It is also unknown which outcomes are important to the range of stakeholders affected by vaccine hesitancy. Outcome selection shapes the evidence base, informing future interventions and trials, and should reflect stakeholder priorities. Therefore, our aim was to identify which outcome domains (i.e. broad outcome categories) are most important to different stakeholders, identifying preliminary core outcome domains to inform evaluation of three common vaccination communication types: (i) communication to inform or educate, (ii) remind or recall, and (iii) enhance community ownership. We conducted a two-stage online Delphi survey, involving four stakeholder groups: parents or community members, healthcare providers, researchers, and government or non-governmental organisation representatives. Participants rated the importance of eight outcome domains for each of the three communication types. They also rated specific outcomes within one domain ("attitudes or beliefs") and provided feedback about the survey. Collectively, stakeholder groups prioritised outcome domains differently when considering the effects of different communication types. For communication that aims to (i) inform or educate, the most important outcome domain is "knowledge or understanding"; for (ii) reminder communication, "vaccination status and behaviours"; and for (iii) community engagement communication, "community participation". All stakeholder groups rated most outcome domains as very important or critical. The highest rated specific outcome within the "attitudes or beliefs" domain was "trust". This Delphi survey

  9. 2009 U.S. Geological Survey (USGS) Topographic LiDAR: Androscoggin County, Maine

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — USGS Contract Number: G10PC00026 USGS Task Order: G10PD01737 LiDAR was collected at a 1.0 points per square meter (1.0m GSD) for the county of Androscoggin, Maine...

  10. Treatment of HAE Attacks in the Icatibant Outcome Survey

    DEFF Research Database (Denmark)

    Hernández Fernandez de Rojas, Dolores; Ibañez, Ethel; Longhurst, Hilary;

    2015-01-01

    BACKGROUND: Icatibant, a selective bradykinin B2 receptor antagonist for the treatment of acute hereditary angio-oedema (HAE) attacks in adults, can be administered by health care professionals (HCPs) or self-administered. This analysis compared characteristics and outcomes of acute HAE attacks t...

  11. Development and Psychometric Validation of the Family Outcomes Survey-Revised

    Science.gov (United States)

    Bailey, Donald B., Jr.; Raspa, Melissa; Olmsted, Murrey G.; Novak, Scott P.; Sam, Ann M.; Humphreys, Betsy P.; Nelson, Robin; Robinson, Nyle; Guillen, Chelsea

    2011-01-01

    Few psychometrically valid scales exist to assess family outcomes and the helpfulness of early intervention. This article describes the development and psychometric properties of the Family Outcomes Survey-Revised. The revision was prompted by the need to (a) create a new format that would be easier for parents to understand, (b) revise and expand…

  12. Surgeon Reported Outcome Measure for Spine Trauma an International Expert Survey Identifying Parameters Relevant for The Outcome of Subaxial Cervical Spine Injuries

    NARCIS (Netherlands)

    Sadiqi, Said; Verlaan, Jorrit Jan; Lehr, A. M.; Dvorak, Marcel F.; Kandziora, Frank; Rajasekaran, S.; Schnake, Klaus J.; Vaccaro, Alexander R.; Oner, F. C.

    2016-01-01

    STUDY DESIGN.: International web-based survey OBJECTIVE.: To identify clinical and radiological parameters that spine surgeons consider most relevant when evaluating clinical and functional outcomes of subaxial cervical spine trauma patients. SUMMARY OF BACKGROUND DATA.: While an outcome instrument

  13. Surgeon Reported Outcome Measure for Spine Trauma an International Expert Survey Identifying Parameters Relevant for The Outcome of Subaxial Cervical Spine Injuries

    NARCIS (Netherlands)

    Sadiqi, Said; Verlaan, Jorrit Jan; Lehr, A. M.; Dvorak, Marcel F.; Kandziora, Frank; Rajasekaran, S.; Schnake, Klaus J.; Vaccaro, Alexander R.; Oner, F. C.

    2016-01-01

    STUDY DESIGN.: International web-based survey OBJECTIVE.: To identify clinical and radiological parameters that spine surgeons consider most relevant when evaluating clinical and functional outcomes of subaxial cervical spine trauma patients. SUMMARY OF BACKGROUND DATA.: While an outcome instrument

  14. Polarimetric survey of main-belt asteroids. V. The unusual polarimetric behavior of V-type asteroids

    Science.gov (United States)

    Gil-Hutton, R.; López-Sisterna, C.; Calandra, M. F.

    2017-03-01

    Aims: We present the results of a polarimetric survey of main-belt asteroids at Complejo Astronómico El Leoncito (CASLEO), San Juan, Argentina. The aims of this survey are to increase the database of asteroid polarimetry, to estimate diversity in polarimetric properties of asteroids that belong to different taxonomic classes, and to search for objects that exhibit anomalous polarimetric properties. Methods: The data were obtained using the CASPROF and CASPOL polarimeters at the 2.15 m telescope. The CASPROF polarimeter is a two-hole aperture polarimeter with rapid modulation and CASPOL is a polarimeter based on a CCD detector, which allows us to observe fainter objects with better signal-to-noise ratio. Results: The survey began in 1995 and data on a large sample of asteroids were obtained until 2012. A second period began in 2013 using a polarimeter with a more sensitive detector in order to study small asteroids, families, and special taxonomic groups. We obtained 55 polarimetric measurements for 28 V-type main belt asteroids, all of them polarimetrically observed for the first time. The data obtained in this survey let us find polarimetric parameters for (1459) Magnya and for a group of 11 small V-type objects with similar polarimetric behavior. These polarization curves are unusual since they show a shallow minimum and a small inversion angle in comparison with (4) Vesta, although they have a steeper slope at α0. This polarimetric behavior could be explained by differences in the regoliths of these asteroids. The observations of (2579) Spartacus, and perhaps also (3944) Halliday, indicate a inversion angle larger than 24-25°. Based on observations carried out at the Complejo Astronómico El Leoncito, operated under agreement between the Consejo Nacional de Investigaciones Científicas y Técnicas de la República Argentina and the National Universities of La Plata, Córdoba, and San Juan.

  15. Motivation in Business Survey Response Behavior : Influencing motivation to improve survey outcome

    NARCIS (Netherlands)

    Torres van Grinsven, V.

    2015-01-01

    In this dissertation we show theoretical and empirical insights into the concept of motivation in the context of the business and organizational survey task. The research has led to a number of recommendations on how to improve organizational survey and communication design to enhance motivation and

  16. Motivation in Business Survey Response Behavior : Influencing motivation to improve survey outcome

    NARCIS (Netherlands)

    Torres van Grinsven, V.|info:eu-repo/dai/nl/355608510

    2015-01-01

    In this dissertation we show theoretical and empirical insights into the concept of motivation in the context of the business and organizational survey task. The research has led to a number of recommendations on how to improve organizational survey and communication design to enhance motivation and

  17. Remote-Sensing Survey of the Atchafalaya Basin Main Channel, Atchafalaya Channel Training Project, Sts. Martin and Mary Parishes, Louisiana

    Science.gov (United States)

    1991-11-01

    Oreline, Correo , Mondiana, Banner of Attakapas, Grey Eagle, John 31 Remote-Sensing Survey of the Atchafalaya Basin Main Channel Table 1. Record of...example, was the the steamer Correo built in New Albany, 32 Chapter 2. Natural and Historical Settings Table 2. Examples Of Steamboats Sailing The...Wheeling, Va 1482/95 164 24 3󈧏" Billow 1847 SW Louisville, Ky 206 Bois d’Arc 1843 SB 182 Buckey 1837 SB 170 Cinderalla 1837 SB 125 Correo 1847 SB New

  18. 2008 Key Student Outcomes Indicators for BC Diploma, Associate Degree, and Certificate Programs: Survey Results by Institution

    Science.gov (United States)

    Ministry of Advanced Education and Labour Market Development, 2009

    2009-01-01

    The BC Diploma, Associate Degree, and Certificate Student Outcomes (DACSO) Survey (formerly the BC College and Institute Student Outcomes Survey) collects and disseminates information about former students' post-secondary experiences and their subsequent labour market and further education experiences. The survey is administered annually to former…

  19. 2008 Key Student Outcomes Indicators for BC Diploma, Associate Degree, and Certificate Programs: Survey Results by Institution

    Science.gov (United States)

    Ministry of Advanced Education and Labour Market Development, 2009

    2009-01-01

    The BC Diploma, Associate Degree, and Certificate Student Outcomes (DACSO) Survey (formerly the BC College and Institute Student Outcomes Survey) collects and disseminates information about former students' post-secondary experiences and their subsequent labour market and further education experiences. The survey is administered annually to former…

  20. Radiological survey and decontamination of the former main technical area (TA-1) at Los Alamos, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Ahlquist, A.J.; Stoker, A.K.; Trocki, L.K. (comps.)

    1977-12-01

    A radiological survey was conducted on the undeveloped portions of the site of the former Main Technical Area (TA-1) of the Los Alamos Scientific Laboratory in north-central New Mexico. Between 1943 and 1965, research work on nuclear weapons was carried out in TA-1. The area was decontaminated and demolished in stages, and beginning in 1966 the land was given to Los Alamos County or sold to private interests. The survey disclosed traces of radioactive contamination undetected or considered insignificant during original demolition in the 1950s and 1960s. The remaining contamination was removed in 1975 and 1976 to levels considered to pose no health or safety hazards and, further, to the lowest levels considered practicable. Methods used in the survey included measurement techniques for detecting alpha emitters such as uranium and plutonium, extensive surface and subsurface soil sampling, and use of conventional health physics instrumentation to provide detailed information on approximately 16 hectares (40 acres) of land. As a result of the decontamination efforts, approximately 15,000 m/sup 3/ of contaminated or potentially contaminated material was removed to an approved radioactive waste disposal site on ERDA property. Full details of the methods, findings, decision criteria, and as-left conditions are documented.

  1. The ALMA Redshift 4 Survey (AR4S). I. The massive end of the z = 4 main sequence of galaxies

    Science.gov (United States)

    Schreiber, C.; Pannella, M.; Leiton, R.; Elbaz, D.; Wang, T.; Okumura, K.; Labbé, I.

    2017-03-01

    We introduce the ALMA Redshift 4 Survey (AR4S), a systematic ALMA survey of all the known galaxies with stellar mass (M∗) larger than 5 × 1010M⊙ at 3.5 measurement errors and selection effects: we find a linear relation between SFR and M∗, with a median sSFR = 2.8 ± 0.8 Gyr and a dispersion around that relation of 0.28 ± 0.13 dex. This latter value is consistent with that measured at lower redshifts, which is proof that the main sequence of star-forming galaxies was already in place at z = 4, at least among massive galaxies. These new constraints on the properties of the main sequence are in good agreement with the latest predictions from numerical simulations, and suggest that the bulk of star formation in galaxies is driven by the same mechanism from z = 4 to the present day, that is, over at least 90% of the cosmic history. We also discuss the consequences of our results on the population of early quiescent galaxies. This paper is part of a series that will employ these new ALMA observations to explore the star formation and dust properties of the massive end of the z = 4 galaxy population.

  2. Field survey of earthquake effects from the magnitude 4.0 southern Maine earthquake of October 16, 2012

    Science.gov (United States)

    Amy L. Radakovich,; Alex J. Fergusen,; Boatwright, John

    2016-06-02

    The magnitude 4.0 earthquake that occurred on October 16, 2012, near Hollis Center and Waterboro in southwestern Maine surprised and startled local residents but caused only minor damage. A two-person U.S. Geological Survey (USGS) team was sent to Maine to conduct an intensity survey and document the damage. The only damage we observed was the failure of a chimney and plaster cracks in two buildings in East and North Waterboro, 6 kilometers (km) west of the epicenter. We photographed the damage and interviewed residents to determine the intensity distribution in the epicentral area. The damage and shaking reports are consistent with a maximum Modified Mercalli Intensity (MMI) of 5–6 for an area 1–8 km west of the epicenter, slightly higher than the maximum Community Decimal Intensity (CDI) of 5 determined by the USGS “Did You Feel It?” Web site. The area of strong shaking in East Waterboro corresponds to updip rupture on a fault plane that dips steeply east. 

  3. Reticular dysgenesis: international survey on clinical presentation, transplantation, and outcome.

    Science.gov (United States)

    Hoenig, Manfred; Lagresle-Peyrou, Chantal; Pannicke, Ulrich; Notarangelo, Luigi D; Porta, Fulvio; Gennery, Andrew R; Slatter, Mary; Cowan, Morton J; Stepensky, Polina; Al-Mousa, Hamoud; Al-Zahrani, Daifulah; Pai, Sung-Yun; Al Herz, Waleed; Gaspar, Hubert B; Veys, Paul; Oshima, Koichi; Imai, Kohsuke; Yabe, Hiromasa; Noroski, Lenora M; Wulffraat, Nico M; Sykora, Karl-Walter; Soler-Palacin, Pere; Muramatsu, Hideki; Al Hilali, Mariam; Moshous, Despina; Debatin, Klaus-Michael; Schuetz, Catharina; Jacobsen, Eva-Maria; Schulz, Ansgar S; Schwarz, Klaus; Fischer, Alain; Friedrich, Wilhelm; Cavazzana, Marina

    2017-05-25

    Reticular dysgenesis (RD) is a rare congenital disorder defined clinically by the combination of severe combined immunodeficiency (SCID), agranulocytosis, and sensorineural deafness. Mutations in the gene encoding adenylate kinase 2 were identified to cause the disorder. Hematopoietic stem cell transplantation (HSCT) is the only option to cure this otherwise fatal disease. Retrospective data on clinical presentation, genetics, and outcome of HSCT were collected from centers in Europe, Asia, and North America for a total of 32 patients born between 1982 and 2011. Age at presentation was <4 weeks in 30 of 32 patients (94%). Grafts originated from mismatched family donors in 17 patients (55%), from matched family donors in 6 patients (19%), and from unrelated marrow or umbilical cord blood donors in 8 patients (26%). Thirteen patients received secondary or tertiary transplants. After transplantation, 21 of 31 patients were reported alive at a mean follow-up of 7.9 years (range: 0.6-23.6 years). All patients who died beyond 6 months after HSCT had persistent or recurrent agranulocytosis due to failure of donor myeloid engraftment. In the absence of conditioning, HSCT was ineffective to overcome agranulocytosis, and inclusion of myeloablative components in the conditioning regimens was required to achieve stable lymphomyeloid engraftment. In comparison with other SCID entities, considerable differences were noted regarding age at presentation, onset, and type of infectious complications, as well as the requirement of conditioning prior to HSCT. Although long-term survival is possible in the presence of mixed chimerism, high-level donor myeloid engraftment should be targeted to avoid posttransplant neutropenia. © 2017 by The American Society of Hematology.

  4. Main Sources of Occupational Stress and Symptoms of Burnout, Clinical Distress, and Post-Traumatic Stress Among Distributed Common Ground System Intelligence Exploitation Operators (2011 USAFSAM Survey Results)

    Science.gov (United States)

    2012-09-01

    Washington, DC, 2000. 4. Maslach C, Jackson SE, Leiter MP, Maslach Burnout Inventory Manual, 3rd ed., Consulting Psychologists Press, Palo Alto...5 3.2.1 Maslach Burnout Inventory-General Survey (MBI-GS) ......................... 6 3.2.2 Outcome...assessing sources of stress, as well as standardized instruments assessing occupational burnout ( Maslach Burnout Inventory), clinical distress (Outcome

  5. Clinical outcome after management of unprotected left main in-stent restenosis after bare metal or drug-eluting stents

    Institute of Scientific and Technical Information of China (English)

    CHEN Shao-liang; QIAN Jun; Kwan Tak W; XU Bo; Gary Mintz; YE Fei; ZHANG Jun-jie; KAN Jing; SUN Xue-wen; ZHANG Ai-ping; CHEN Jin-guo

    2010-01-01

    Background Implantation of either bare metal stent (BMS) or drug-eluting stent (DES) has been used in every day practice for patients with unprotected left main stenosis (UPLMS). There are still a lack of data regading the subsequent results of UPLMS in-stent restenosis (ISR). The present study aimed at determing the clinical outcome of UPLMS ISR patients after implantation of either BMS or DES.Methods Patients with UPLMS ISR after stenting were included. The primary endpoint was the cumulative major adverse cardiac events (MACE), including cardiac death, myocardial infarction (Ml), and target vessel revascularization (TVR).Results UPLMS ISR rate was 14.8% (n=73, 15.7% after BMS, 14.5% for DES) after average of (3.89±2.01) years (range from 1 to 10.5 years) follow-up. Angiographic follow-up between 6-8 months was available in 85.3%. Of these,repeat percutaneous coronary intervention (PCI) was used in 62 (84.9%) patients, with medicine only in 9 (12.4%) and coronary artery bypass graft (CABG) in 2 (2.7%). Most repeat PCI patients were with unstable angina (87.0%), and had decreased left ventricular ejection fraction ((42.58±5.12)%), fewer focal/ostial left circumflex branch (LCX) lesions, in relative to medicine only group. After (31.9±23.3) months, the MACE, Ml, TVR and cardiac death were 31.5%, 1.4%, 24.1% and 8.2%, respectively. Definite and possible stent thrombosis occurred in 1 (1.4%) patient.Conclusions Medical therapy for asymptomatic isolated ostial LCX was safe. Repeat PCI for UPLMS ISR was associated with acceptable early and short-term clinical outcome. Further study was needed to elucidate the role of CABG in treating UPLMS ISR.

  6. Implementation and outcomes of commercial disease management programs in the United States: the disease management outcomes consolidation survey.

    Science.gov (United States)

    Fitzner, Karen; Fox, Kathe; Schmidt, Joseph; Roberts, Mark; Rindress, Donna; Hay, Joel

    2005-08-01

    Despite widespread adoption of disease management (DM) programs by US health plans, gaps remain in the evidence for their benefit. The Disease Management Outcomes Consolidation Survey was designed to gather data on DM programs for commercial health plans, to assess program success and DM effectiveness. The questionnaire was mailed to 292 appropriate health plan contacts; 26 plans covering more than 14 million commercial members completed and returned the survey. Respondents reported that DM plays a significant and increasing role in their organizations. Key reasons for adopting DM were improving clinical outcomes, reducing medical costs and utilization, and improving member satisfaction. More respondents were highly satisfied with clinical results than with utilization or cost outcomes of their programs (46%, 17%, and 13%, respectively). Detailed results were analyzed for 57 DM programs with over 230,000 enrollees. Most responding plans offered DM programs for diabetes and asthma, with return on investment (ROI) ranging from 0.16:1 to 4:1. Weighted by number of enrollees per DM program, average ROI was 2.56:1 for asthma (n = 1,136 enrollees) and 1.98:1 for diabetes (n = 25,364). Most (but not all) respondents reported reduced hospital admissions, increasing rates of preventive care, and improved clinical measures. Few respondents provided detailed information about DM programs for other medical conditions, but most that did reported positive outcomes. Lack of standardized methodology was identified as a major barrier to in-house program evaluation. Although low response rate precluded drawing many general conclusions, a clear need emerged for more rigorous evaluation methods and greater standardization of outcomes measurement.

  7. A Wide-Field Survey for Transiting Hot Jupiters and Eclipsing Pre-Main-Sequence Binaries in Young Stellar Associations

    CERN Document Server

    Oelkers, Ryan J; Marshall, Jennifer L; DePoy, Darren L; Lambas, Diego G; Colazo, Carlos; Stringer, Katelyn

    2016-01-01

    The past two decades have seen a significant advancement in the detection, classification and understanding of exoplanets and binaries. This is due, in large part, to the increase in use of small-aperture telescopes (< 20 cm) to survey large areas of the sky to milli-mag precision with rapid cadence. The vast majority of the planetary and binary systems studied to date consist of main-sequence or evolved objects, leading to a dearth of knowledge of properties at early times (< 50 Myr). Only a dozen binaries and one candidate transiting Hot Jupiter are known among pre-main sequence objects, yet these are the systems that can provide the best constraints on stellar formation and planetary migration models. The deficiency in the number of well-characterized systems is driven by the inherent and aperiodic variability found in pre-main-sequence objects, which can mask and mimic eclipse signals. Hence, a dramatic increase in the number of young systems with high-quality observations is highly desirable to gui...

  8. Child Poverty as a Determinant of Life Outcomes: Evidence from Nationwide Surveys in Japan

    Science.gov (United States)

    Oshio, Takashi; Sano, Shinpei; Kobayashi, Miki

    2010-01-01

    We attempt to examine the extent to which poverty in childhood adversely affects success in adulthood, using micro data from nationwide surveys in Japan and taking into account the recursive structure of life outcomes. We use retrospective assessments of income class at the age of 15, because longitudinal data on household income are not…

  9. Barriers to Implementing Treatment Integrity Procedures in School Psychology Research: Survey of Treatment Outcome Researchers

    Science.gov (United States)

    Sanetti, Lisa M. Hagermoser; DiGennaro Reed, Florence D.

    2012-01-01

    Treatment integrity data are essential to drawing valid conclusions in treatment outcome studies. Such data, however, are not always included in peer-reviewed research articles in school psychology or related fields. To gain a better understanding of why treatment integrity data are lacking in the school psychology research, we surveyed the…

  10. Barriers to Implementing Treatment Integrity Procedures in School Psychology Research: Survey of Treatment Outcome Researchers

    Science.gov (United States)

    Sanetti, Lisa M. Hagermoser; DiGennaro Reed, Florence D.

    2012-01-01

    Treatment integrity data are essential to drawing valid conclusions in treatment outcome studies. Such data, however, are not always included in peer-reviewed research articles in school psychology or related fields. To gain a better understanding of why treatment integrity data are lacking in the school psychology research, we surveyed the…

  11. Career Preparedness Survey Outcomes of Food Science Graduates--A Follow-Up Assessment

    Science.gov (United States)

    Bohlscheid, Jeffri; Clark, Stephanie

    2012-01-01

    Fifty-eight recent graduates (1998-2008) from the joint Washington State University (WSU) and University of Idaho (UI) BiState School of Food Science program and 27 of their employers participated in a survey assessing learning outcomes based on the 2001 Institute of Food Technologists (IFT) core competencies for undergraduate food science…

  12. Child Poverty as a Determinant of Life Outcomes: Evidence from Nationwide Surveys in Japan

    Science.gov (United States)

    Oshio, Takashi; Sano, Shinpei; Kobayashi, Miki

    2010-01-01

    We attempt to examine the extent to which poverty in childhood adversely affects success in adulthood, using micro data from nationwide surveys in Japan and taking into account the recursive structure of life outcomes. We use retrospective assessments of income class at the age of 15, because longitudinal data on household income are not…

  13. Polarimetric survey of main-belt asteroids. II. Results for 58 B- and C-type objects

    Science.gov (United States)

    Gil-Hutton, R.; Cañada-Assandri, M.

    2012-03-01

    Aims: We present results of a polarimetric survey of main-belt asteroids at Complejo Astronómico el Leoncito (CASLEO), San Juan, Argentina. The aims of this survey are to increase the database of asteroid polarimetry, to estimate diversity in polarimetric properties of asteroids that belong to different taxonomic classes, and to search for objects that exhibit anomalous polarimetric properties. Methods: The data were obtained with the Torino and CASPROF polarimeters at the 2.15m telescope. The Torino polarimeter is an instrument that allows simultaneous measurement of polarization in five different bands, and the CASPROF polarimeter is a two-hole aperture polarimeter with rapid modulation. Results: The survey began in 2003, and up to 2009 data on a sample of more than 170 asteroids were obtained. In this paper the results for 58 B- and C-type objects are presented, most of them polarimetrically observed for the first time. Using these data we find phase-polarization curves and polarimetric parameters for these taxonomic classes. Based on observations carried out at the Complejo Astronómico El Leoncito, operated under agreement between the Consejo Nacional de Investigaciones Científicas y Técnicas de la República Argentina and the National Universities of La Plata, Córdoba, and San Juan.Tables 1 and 2 are available in electronic form at CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/539/A115

  14. The ALMA Redshift 4 Survey (AR4S): I. The massive end of the z=4 main sequence of galaxies

    CERN Document Server

    Schreiber, C; Leiton, R; Elbaz, D; Wang, T; Okumura, K; Labbé, I

    2016-01-01

    We introduce the ALMA Redshift 4 Survey (AR4S), a systematic ALMA survey of all the known galaxies with stellar mass (M*) larger than 5e10 Msun at 3.5main ...

  15. The use of qualitative methods to inform Delphi surveys in core outcome set development.

    Science.gov (United States)

    Keeley, T; Williamson, P; Callery, P; Jones, L L; Mathers, J; Jones, J; Young, B; Calvert, M

    2016-05-04

    Core outcome sets (COS) help to minimise bias in trials and facilitate evidence synthesis. Delphi surveys are increasingly being used as part of a wider process to reach consensus about what outcomes should be included in a COS. Qualitative research can be used to inform the development of Delphi surveys. This is an advance in the field of COS development and one which is potentially valuable; however, little guidance exists for COS developers on how best to use qualitative methods and what the challenges are. This paper aims to provide early guidance on the potential role and contribution of qualitative research in this area. We hope the ideas we present will be challenged, critiqued and built upon by others exploring the role of qualitative research in COS development. This paper draws upon the experiences of using qualitative methods in the pre-Delphi stage of the development of three different COS. Using these studies as examples, we identify some of the ways that qualitative research might contribute to COS development, the challenges in using such methods and areas where future research is required. Qualitative research can help to identify what outcomes are important to stakeholders; facilitate understanding of why some outcomes may be more important than others, determine the scope of outcomes; identify appropriate language for use in the Delphi survey and inform comparisons between stakeholder data and other sources, such as systematic reviews. Developers need to consider a number of methodological points when using qualitative research: specifically, which stakeholders to involve, how to sample participants, which data collection methods are most appropriate, how to consider outcomes with stakeholders and how to analyse these data. A number of areas for future research are identified. Qualitative research has the potential to increase the research community's confidence in COS, although this will be dependent upon using rigorous and appropriate

  16. Simple neck pain questions used in surveys, evaluated in relation to health outcomes: a cohort study

    OpenAIRE

    2012-01-01

    Abstract Background The high prevalence of pain reported in many epidemiological studies, and the degree to which this prevalence reflects severe pain is under discussion in the literature. The aim of the present study was to evaluate use of the simple neck pain questions commonly included in large epidemiological survey studies with respect to aspects of health. We investigated if and how an increase in number of days with pain is associated with reduction in health outcomes. Methods A cohor...

  17. Risk of Negative Outcomes After Traumatic Brain Injury: A Statewide Population-Based Survey.

    Science.gov (United States)

    Whiteneck, Gale G; Cuthbert, Jeffery P; Corrigan, John D; Bogner, Jennifer A

    2016-01-01

    To investigate the rates of negative outcomes associated with all severities of traumatic brain injury (TBI), treated in all settings or not treated at all, in comparison to the general population. Coloradoans without injury, with injury but no TBI, with mild TBI but no loss of consciousness (LOC), mild TBI with LOC, moderate TBI, or severe TBI. Statewide population-based survey. Computer-assisted, modified Ohio State University TBI Identification Method; Behavioral Risk Factor Surveillance System and National Health Interview Survey questions; Satisfaction with Life Scale; and postconcussive symptoms. Up to 42.5% of participants reported a lifetime history of at least 1 TBI. Multiple negative outcomes were found to increase in prevalence in a stepwise fashion in association with greater TBI severity, with the clearest patterns observed for disability, poor life satisfaction, and impaired memory. Traumatic brain injury was found to be associated with disability and other negative outcomes in a general population survey. This study does not allow us to examine the proximate causes of disability, but it suggests that TBI may serve to both cause disability directly and exacerbate the influence of other etiologies. These relations should be examined in subsequent studies.

  18. Clinical management of patients with hypertension and high cardiovascular risk: main results of an Italian survey on blood pressure control.

    Science.gov (United States)

    Tocci, Giuliano; Borghi, Claudio; Volpe, Massimo

    2014-06-01

    Hypertension management and control still represents a major clinical challenge for physicians, as well as for National Health Care Systems, since high blood pressure (BP) levels in treated uncontrolled outpatients are related to a persistently increased risk of cardiovascular (CV) events. The Italian Society of Hypertension (SIIA) has prompted several educational interventions for improving BP control in Italy. To evaluate clinical attitudes and preferences of large community sample of both specialized physicians and general practitioners, included in an educational program, endorsed by SIIA and aimed at improving interventions for achieving better BP control in Italy. A predefined questionnaire, which included a main body with 17 questions and 15 specific items (3-4 questions for each item), was anonymously administered to a large community sample of physicians who have practice in managing outpatients with hypertension and high CV risk profile. Both specialized physicians and general practitioners, distributed throughout the whole Italian territory, have been included in this educational program. Data were reported into a computerised spreadsheet and centrally analysed. Confidentiality of the data were guaranteed during each phase of the study. From a total of 64 questions, 557 physicians (478 male, mean age 54.2 ± 7.1 years, average age of medical activity 28.0 ± 8.1 years), among which 261 (46.9 %) specialised physicians and 296 (53.1 %) general practitioners, provided 60,713 answers to the survey questionnaire. Physicians devote time and effort for achieving the recommended BP targets (high risk subgroups), yet they reported a very high rate of BP control (about 70 %). Concomitant presence of diabetes, cardiac and renal organ damage (35-50 %), as well as comorbidities (20-35 %), is reported to be high and able to impact on antihypertensive treatment's efficacy. Appropriate BP assessment is also viewed as a key tool for verifying effectiveness of a given

  19. The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting : effects on patient outcomes

    NARCIS (Netherlands)

    Vrijhoef, HJM; Diederiks, JPM; Spreeuwenberg, C; Wolffenbuttel, BHR; van Wilderen, LJGP

    2002-01-01

    A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for pati

  20. Outcome measures in European patients with haemophilia: Survey of implementation in routine clinical practice, perception of relevance and recommendations by European treaters in the EHTSB.

    Science.gov (United States)

    Hermans, C; Klamroth, R; Richards, M; de Moerloose, P; Garrido, R P

    2017-03-01

    This study was conducted to evaluate the current implementation of outcome measures in routine clinical haemophilia practice and to explore and appreciate the perception of the relevance of such measures by treaters. A survey was completed by 19 of the 26 physicians involved in the European Haemophilia Therapy Strategy Board (EHTSB). Employing an extensive inventory of outcome measures used in patients with haemophilia, information was collected about the frequency of data collection and the subjective appreciation of their importance during clinic review. The survey revealed that most treaters currently collect data that are mainly related to the haemostatic treatment (consumption of concentrates) and the bleeding symptoms (number and location of bleeds) in a non-uniform and non-standardized way. By contrast, functional, physical and quality of life scorings are rarely used and show considerable heterogeneity between treaters. Also, many disparities emerged between practice and perception, in particular quality of life data that are perceived as being important but for most of the time are not collected. This survey represents, in our view, the first attempt to evaluate the actual utilization of outcome measures in haemophilia care. While the value of outcome measures is appreciated, they are not assessed regularly. Therefore, there is a need to include appropriate performance indicators (outcome measures) of haemophilia care in routine clinical practice. Consensus recommendations to provide a framework for achieving this aim are provided. © 2016 John Wiley & Sons Ltd.

  1. Survey and online discussion groups to develop a patient-rated outcome measure on acceptability of treatment response in vitiligo.

    Science.gov (United States)

    Tour, Selina K; Thomas, Kim S; Walker, Dawn-Marie; Leighton, Paul; Yong, Adrian Sw; Batchelor, Jonathan M

    2014-06-14

    Vitiligo is a chronic depigmenting skin disorder which affects around 0.5-1% of the world's population. The outcome measures used most commonly in trials to judge treatment success focus on repigmentation. Patient-reported outcome measures of treatment success are rarely used, although recommendations have been made for their inclusion in vitiligo trials. This study aimed to evaluate the face validity of a new patient-reported outcome measure of treatment response, for use in future trials and clinical practice. An online survey to gather initial views on what constitutes treatment success for people with vitiligo or their parents/carers, followed by online discussion groups with patients to reach consensus on what constitutes treatment success for individuals with vitiligo, and how this can be assessed in the context of trials. Participants were recruited from an existing database of vitiligo patients and through posts on the social network sites Facebook and Twitter. A total of 202 survey responses were received, of which 37 were excluded and 165 analysed. Three main themes emerged as important in assessing treatment response: a) the match between vitiligo and normal skin (how well it blends in); b) how noticeable the vitiligo is and c) a reduction in the size of the white patches. The majority of respondents said they would consider 80% or more repigmentation to be a worthwhile treatment response after 9 months of treatment. Three online discussion groups involving 12 participants led to consensus that treatment success is best measured by asking patients how noticeable their vitiligo is after treatment. This was judged to be best answered using a 5-point Likert scale, on which a score of 4 or 5 represents treatment success. This study represents the first step in developing a patient reported measure of treatment success in vitiligo trials. Further work is now needed to assess its construct validity and responsiveness to change.

  2. CONSTRAINING THE EXOZODIACAL LUMINOSITY FUNCTION OF MAIN-SEQUENCE STARS: COMPLETE RESULTS FROM THE KECK NULLER MID-INFRARED SURVEYS

    Energy Technology Data Exchange (ETDEWEB)

    Mennesson, B.; Serabyn, E.; Colavita, M. M.; Bryden, G.; Doré, O.; Traub, W. [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109-8099 (United States); Millan-Gabet, R. [NASA Exoplanet Science Center, California Institute of Technology, 770 South Wilson Avenue, Pasadena, CA 91125 (United States); Absil, O. [Département d' Astrophysique, Géophysique et Océanographie, Université de Liège, 17 Allée du Six Août, 4000 Liège (Belgium); Wyatt, M. [Institute of Astronomy, University of Cambridge, Madingley Road, Cambridge CB3 0HA (United Kingdom); Danchi, W.; Kuchner, M.; Stapelfeldt, K. [NASA Goddard Space Flight Center, Exoplanets and Stellar Astrophysics Laboratory, Code 667, Greenbelt, MD 20771 (United States); Defrère, D.; Hinz, P. [Steward Observatory, Department of Astronomy, University of Arizona, 933 N. Cherry Avenue, Tucson, AZ 85721 (United States); Ragland, S. [Keck Observatory, 65-1120 Mamalahoa Highway, Kamuela, HI 96743 (United States); Scott, N. [Center for High Angular Resolution Astronomy, Georgia State University, Mount Wilson, CA 91023 (United States); Woillez, J., E-mail: Bertrand.Mennesson@jpl.nasa.gov [European Southern Observatory, Karl-Schwarzschild-Strasse 2, D-85748 Garching bei Munchen (Germany)

    2014-12-20

    Forty-seven nearby main-sequence stars were surveyed with the Keck Interferometer mid-infrared Nulling instrument (KIN) between 2008 and 2011, searching for faint resolved emission from exozodiacal dust. Observations of a subset of the sample have already been reported, focusing essentially on stars with no previously known dust. Here we extend this previous analysis to the whole KIN sample, including 22 more stars with known near- and/or far-infrared excesses. In addition to an analysis similar to that of the first paper of this series, which was restricted to the 8-9 μm spectral region, we present measurements obtained in all 10 spectral channels covering the 8-13 μm instrumental bandwidth. Based on the 8-9 μm data alone, which provide the highest signal-to-noise measurements, only one star shows a large excess imputable to dust emission (η Crv), while four more show a significant (>3σ) excess: β Leo, β UMa, ζ Lep, and γ Oph. Overall, excesses detected by KIN are more frequent around A-type stars than later spectral types. A statistical analysis of the measurements further indicates that stars with known far-infrared (λ ≥ 70 μm) excesses have higher exozodiacal emission levels than stars with no previous indication of a cold outer disk. This statistical trend is observed regardless of spectral type and points to a dynamical connection between the inner (zodi-like) and outer (Kuiper-Belt-like) dust populations. The measured levels for such stars are clustering close to the KIN detection limit of a few hundred zodis and are indeed consistent with those expected from a population of dust that migrated in from the outer belt by Poynting-Robertson drag. Conversely, no significant mid-infrared excess is found around sources with previously reported near-infrared resolved excesses, which typically have levels of the order of 1% over the photospheric flux. If dust emission is really at play in these near-infrared detections, the absence of a strong mid

  3. Ranking hospitals for outcomes in total hip replacement - administrative data with or without patient surveys? - Part 2: Patient survey and administrative data

    Directory of Open Access Journals (Sweden)

    Schäfer, Thomas

    2007-03-01

    Full Text Available Background: Many hospital rankings rely on the frequency of adverse outcomes and are based on administrative data. In the study presented here, we tried to find out, to what extent available administrative data of German Sickness Funds allow for an adequate hospital ranking and compared this with rankings based on additional information derived from a patient survey. Total hip replacement was chosen as an example procedure. In part II of the publication, we present the results of the approach based on administrative and patient-derived data. Methods: We used administrative data from a large health insurance (AOK-Lower Saxony of the year 2002 and from a patient survey. The study population comprised mainly beneficiaries, who received primary total hip replacement in the year 2002, were mailed a survey 6 month post-operatively and participated in the survey. Performance indicators used where “Revision”, “Complications” and “Change of functional impairment”. Hospitals were ranked if they performed at least 20 procedures on AOK-beneficiaries. Multivariate modelling (logistic regression and generalized linear models was used to estimate the performance indicators by case-mix variables (a.o. age, sex, co-morbidity, medical history and hospital characteristics (hospital size, surgical volume. The actual ranking was based on these multivariate models, excluding hospital variables and adding dummy-variables for each hospital. Hospitals were ranked by their case-mix adjusted odds ratio or Standardized Difference (SDR with respect to a pre-selected reference hospital. The resulting rankings were compared with each other and with regard to the impact of case-mix variables. Results: 4089 beneficiaries received primary total hip replacement in 2002. 3293 patients participated in the survey (80.5%. The ranking included 60 hospitals. The agreement of rankings based on different performance indicators in the same year was low to high (a correlation

  4. FBSAB Recruit Fish Habitat Use Surveys at Hawaii Island (Big Island), Main Hawaiian Islands, 2009 (NODC Accession 0073870)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Recruit-habitat relations (habitat use by recruits) were surveyed at 1 to ~5 m depths based on all "Encounters" of singletons and "groups" (where a group comprised...

  5. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Molokai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  6. Soil Survey Order 2 of the Umbagog Wildlife Refuge Area Coos County, New Hampshire and Oxford County, Maine

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a soil survey and analysis done at Umbagog National Wildlife Refuge in 2012. It was created using the same methodologies and soil series concepts found in...

  7. FBSAD Reef Fish-Habitat Quadrat Surveys at Hawaii Island (Big Island), Main Hawaiian Islands, 2005 (NODC Accession 0046935)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Habitat quadrats were surveyed at 8-13 m depths using shore-based transects swum at 3 longshore sites on the leeward coast (North and South Kohala districts) of the...

  8. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Lanai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  9. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Oahu, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  10. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Niihau, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  11. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Maui, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  12. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Hawaii, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  13. Mesophotic coral environment monitoring and habitat surveys at the Main Hawaiian Island Chain (SE0807, 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 mesophotic corals in the Auau Channel, off the west coast of Maui. Camera surveys...

  14. CRED Rapid Ecological Assessment Line Point Intercept Survey of Benthic Parameter Assessments at Kauai, Main Hawaiian Islands in 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Line point intercept (LPI) surveys and benthic composition assessments were conducted during Rapid Ecological Assessments (REA) as part of the Pacific Reef...

  15. Outcome survey of early intensive behavioral intervention for young children with autism in a community setting.

    Science.gov (United States)

    Boyd, R D; Corley, M J

    2001-12-01

    This article presents findings from an outcome survey of the effects of early intensive behavioral intervention (EIBI) for young children with autism in a community setting. Results from both individual case reviews and parent questionnaires are presented, with the data failing to support any instances of'recovery' while still yielding a high degree of parental satisfaction with the treatment. Moreover, a follow-up inquiry into the type of services each child was receiving in his or her post-EIBI setting documents continued dependence on extensive educational and related developmental services, suggesting that the promise of future treatment sparing did not materialize. Limitations of the survey in evaluating community-based EIBI services are discussed along with the need for further research designed to document the effectiveness of services provided to young children with ASD in the community.

  16. International Differences in Multiple Sclerosis Health Outcomes and Associated Factors in a Cross-sectional Survey

    Directory of Open Access Journals (Sweden)

    Grace D. Reilly

    2017-05-01

    Full Text Available Multiple sclerosis (MS is a major cause of disability and poor quality of life (QOL. Previous studies have shown differences in MS health outcomes between countries. This study aimed to examine the associations between international regions and health outcomes in people with MS. Self-reported data were taken from the Health Outcomes and Lifestyle In a Sample of people with Multiple Sclerosis online survey collected in 2012. The 2,401 participants from 37 countries were categorized into three regions: Australasia, Europe, and North America. Differences were observed between regions in disability, physical and mental health QOL, fatigue, and depression, but most of these disappeared after adjusting for sociodemographic, disease, and lifestyle factors in multivariable regression models. However, adjusted odds for disability were higher in Europe [odds ratio (OR: 2.17, 95% confidence interval (CI: 1.28 to 3.67] and North America (OR: 1.79, 95% CI: 1.28 to 2.51 compared to Australasia. There may be other unmeasured factors that vary between regions, including differences in access and quality of healthcare services, determining disability in MS. When assessing differences in MS health outcomes, lifestyle factors and medication use should be taken into consideration.

  17. Current practice of glucocorticoid replacement therapy and patient-perceived health outcomes in adrenal insufficiency - a worldwide patient survey

    Directory of Open Access Journals (Sweden)

    Forss M

    2012-06-01

    Full Text Available Abstract Background The aim was to survey current practice in glucocorticoid replacement therapy and self-perceived health outcomes in patients with adrenal insufficiency. Methods Participants were recruited via patient organizations to respond anonymously to a web-based survey developed by clinical experts. Unique entries were set up for each patient organization enabling geographical localization of the entries. Results 1245 participants responded (primary adrenal insufficiency: 84%; secondary adrenal insufficiency: 11%; unsure: 5%. Therapies included hydrocortisone (75%, prednisone/prednisolone (11%, cortisone acetate (6% and dexamethasone (4%. Dosing regimens were once daily (10%, twice daily (42%, thrice daily (32% or other (17%. Compromised subjective health necessitating changes to physical activity or social-, work- or family life was reported by 64% of the participants. 40% of the participants reported absence from work/school in the last 3 months. Irrespective of diagnosis, 76% were concerned about long-term side-effects of therapy, mainly osteoporosis (78%, obesity (64% and cardiovascular morbidity (46%. 38% of the participants had been hospitalized in the last year. Conclusions Glucocorticoid replacement therapy among the respondents consisted primarily of hydrocortisone administered twice or thrice daily. A majority reported impact of their disease or treatment on subjective health requiring alterations in e.g. physical activity or family life. Three quarters reported concerns about long-term side-effects of the treatment. These data demonstrate - from the patients' perspective - a need for improvement in the management of adrenal insufficiency.

  18. Relationship between commuting and health outcomes in a cross-sectional population survey in southern Sweden

    Directory of Open Access Journals (Sweden)

    Hansson Erik

    2011-10-01

    Full Text Available Abstract Background The need for a mobile workforce inevitably means that the length of the total work day (working and traveling time will increase, but the health effects of commuting have been surprisingly little studied apart from perceived stress and the benefits of physically active commuting. Methods We used data from two cross-sectional population-based public health surveys performed in 2004 and 2008 in Scania, Sweden (56% response rate. The final study population was 21, 088 persons aged 18-65, working > 30 h/week. Duration (one-way and mode of commuting were reported. The outcomes studied were perceived poor sleep quality, everyday stress, low vitality, mental health, self-reported health, and absence from work due to sickness during the past 12 months. Covariates indicating socioeconomic status and family situation, overtime, job strain and urban/rural residency were included in multivariate analyses. Subjects walking or cycling to work Results Monotonous relations were found between duration of public transport commuting and the health outcomes. For the category commuting > 60 min odds ratios (ORs ranged from 1.2 - 1.6 for the different outcomes. For car commuting, the relationships were concave downward or flat, with increasing subjective health complaints up to 30-60 min (ORs ranging from 1.2 - 1.4, and lower ORs in the > 60 min category. A similar concave downward relationship was observed for sickness absence, regardless of mode of transport. Conclusions The results of this study are concordant with the few earlier studies in the field, in that associations were found between commutation and negative health outcomes. This further demonstrates the need to consider the negative side-effects of commuting when discussing policies aimed at increasing the mobility of the workforce. Studies identifying population groups with increased susceptibility are warranted.

  19. Impact of SYNTAX score on 1-year clinical outcomes in patients undergoing percutaneous coronary intervention for unprotected left main coronary artery.

    Science.gov (United States)

    Nozue, Tsuyoshi; Kamijima, Ryo; Iwaki, Taku; Michishita, Ichiro

    2012-01-01

    SYNTAX score is an angiographic scoring system that was developed to quantify the number, complexity, and location of lesions in patients undergoing coronary revascularization. Up to now, the impact of SYNTAX score on clinical outcomes in patients undergoing percutaneous coronary intervention (PCI) for unprotected left main coronary artery (LMCA) lesions has not been fully examined. Therefore, we evaluate the usefulness of the SYNTAX score and identify the cutoff value of this score to predict 1-year clinical outcomes in patients undergoing PCI for unprotected LMCA lesions. This was a single-center retrospective study that included 49 consecutive patients undergoing elective PCI for unprotected LMCA lesions. We calculated the SYNTAX score and examined the correlations between this score and 1-year clinical outcomes. Major adverse cardiac events (MACE) occurred in 12 patients (24%): target lesion revascularization in 9 patients (18%), myocardial infarction in 2 (4%), and cardiac death in 1 (2%). The frequency of MACE was significantly higher in the intermediate (47%) or high score group (50%) than in the low score group (4%). Furthermore, the SYNTAX score was significantly higher in the MACE group than in the non-MACE group (31 vs. 22, p = 0.008). Receiver-operating characteristic curve showed that the SYNTAX score exhibited 83% sensitivity and 76% specificity for predicting the development of MACE at a cutoff value 26. These results demonstrate that the SYNTAX score could be a useful tool to predict 1-year clinical outcomes in patients undergoing elective PCI for unprotected LMCA lesions.

  20. The Gaia-ESO Survey: the first abundance determination of the pre-main-sequence cluster Gamma Velorum

    CERN Document Server

    Spina, L; Palla, F; Sacco, G G; Magrini, L; Franciosini, E; Morbidelli, L; Prisinzano, L; Alfaro, E J; Biazzo, K; Frasca, A; Hernandez, J I Gonzalez; Sousa, S G; Adibekyan, V; Delgado-Mena, E; Montes, D; Tabernero, H; Klutsch, A; Gilmore, G; Feltzing, S; Jeffries, R D; Micela, G; Vallenari, A; Bensby, T; Bragaglia, A; Flaccomio, E; Koposov, S; Lanzafame, A C; Pancino, E; Recio-Blanco, A; Smiljanic, R; Costado, M T; Damiani, F; Hill, V; Hourihane, A; Jofre, P; de Laverny, P; Masseron, T; Worley, C

    2014-01-01

    Knowledge of the abundance distribution of star forming regions and young clusters is critical to investigate a variety of issues, from triggered star formation and chemical enrichment by nearby supernova explosions to the ability to form planetary systems.In spite of this, detailed abundance studies are currently available for relatively few regions. In this context, we present the analysis of the metallicity of the Gamma Velorum cluster, based on the products distributed in the first internal release of the Gaia-ESO Survey. The Gamma Velorum candidate members have been observed with FLAMES, using both UVES and Giraffe, depending on the target brightness and spectral type. In order to derive a solid metallicity determination for the cluster, membership of the observed stars must be first assessed. To this aim, we use several membership criteria including radial velocities, surface gravity estimates, and the detection of the photospheric lithium line. Out of the 80 targets observed with UVES, we identify 14 h...

  1. Accuracy estimates for some global analytical models of the Earth's main magnetic field on the basis of data on gradient magnetic surveys at stratospheric balloons

    Science.gov (United States)

    Tsvetkov, Yu. P.; Brekhov, O. M.; Bondar, T. N.; Filippov, S. V.; Petrov, V. G.; Tsvetkova, N. M.; Frunze, A. Kh.

    2014-03-01

    Two global analytical models of the main magnetic field of the Earth (MFE) have been used to determine their potential in deriving an anomalous MFE from balloon magnetic surveys conducted at altitudes of ˜30 km. The daily mean spherical harmonic model (DMSHM) constructed from satellite data on the day of balloon magnetic surveys was analyzed. This model for the day of magnetic surveys was shown to be almost free of errors associated with secular variations and can be recommended for deriving an anomalous MFE. The error of the enhanced magnetic model (EMM) was estimated depending on the number of harmonics used in the model. The model limited by the first 13 harmonics was shown to be able to lead to errors in the main MFE of around 15 nT. The EMM developed to n = m = 720 and constructed on the basis of satellite and ground-based magnetic data fails to adequately simulate the anomalous MFE at altitudes of 30 km. To construct a representative model developed to m = n = 720, ground-based magnetic data should be replaced by data of balloon magnetic surveys for altitudes of ˜30 km. The results of investigations were confirmed by a balloon experiment conducted by Pushkov Institute of Terrestrial Magnetism, Ionosphere, and Radio Wave Propagation of the Russian Academy of Sciences and the Moscow Aviation Institute.

  2. Survey for protozoan parasites in Eastern oysters (Crassostrea virginica) from the Gulf of Maine using PCR-based assays.

    Science.gov (United States)

    Marquis, Nicholas D; Record, Nicholas R; Robledo, José A Fernández

    2015-10-01

    Protozoan pathogens represent a serious threat to oyster aquaculture, since they can lead to significant production loses. Moreover, oysters can concentrate human pathogens through filter feeding, thus putting at risk raw oyster consumers' health. Using PCR-based assays in oysters (Crassostrea virginica) from Maine, we expand the Northeast range in the USA for the protozoans Perkinsus marinus, Perkinsus chesapeaki, and Haplosporidium nelsoni, and report for the first time the detection of the human pathogens Toxoplasma gondii and Cryptosporidium parvum. Oysters hosting both P. marinus and P. chesapeaki were more than three times as likely to be infected by a non-Perkinsus than those free of Perkinsus infections.

  3. Searching for gas giant planets on Solar System scales - A NACO/APP L'-band survey of A- and F-type Main Sequence stars

    CERN Document Server

    Meshkat, T; Reggiani, M; Quanz, S P; Mamajek, E E; Meyer, M R

    2015-01-01

    We report the results of a direct imaging survey of A- and F-type main sequence stars searching for giant planets. A/F stars are often the targets of surveys, as they are thought to have more massive giant planets relative to solar-type stars. However, most imaging is only sensitive to orbital separations $>$30 AU, where it has been demonstrated that giant planets are rare. In this survey, we take advantage of the high-contrast capabilities of the Apodizing Phase Plate coronagraph on NACO at the Very Large Telescope. Combined with optimized principal component analysis post-processing, we are sensitive to planetary-mass companions (2 to 12 $M_{\\rm Jup}$) at Solar System scales ($\\leq$30 AU). We obtained data on 13 stars in L'-band and detected one new companion as part of this survey: an M$6.0\\pm0.5$ dwarf companion around HD 984. We re-detect low-mass companions around HD 12894 and HD 20385, both reported shortly after the completion of this survey. We use Monte Carlo simulations to determine new constraints...

  4. The Gaia-ESO Survey: pre-main-sequence stars in the young open cluster NGC 3293

    Science.gov (United States)

    Delgado, A. J.; Sampedro, L.; Alfaro, E. J.; Costado, M. T.; Yun, J. L.; Frasca, A.; Lanzafame, A. C.; Drew, J. E.; Eislöffel, J.; Blomme, R.; Morel, T.; Lobel, A.; Semaan, T.; Randich, S.; Jeffries, R. D.; Micela, G.; Vallenari, A.; Kalari, V.; Gilmore, G.; Flaccomio, E.; Carraro, G.; Lardo, C.; Monaco, L.; Prisinzano, L.; Sousa, S. G.; Morbidelli, L.; Lewis, J.; Koposov, S.; Hourihane, A.; Worley, C.; Casey, A.; Franciosini, E.; Sacco, G.; Magrini, L.

    2016-08-01

    The young open cluster NGC3293 is included in the observing program of the Gaia-ESO survey (GES). The radial velocity values provided have been used to assign cluster membership probabilities by means of a single-variable parametric analysis. These membership probabilities are compared to the results of the photometric membership assignment of NGC3293, based on UBVRI photometry. The agreement of the photometric and kinematic member samples amounts to 65 per cent, and could increase to 70 per cent as suggested by the analysis of the differences between both samples. A number of photometric PMS candidate members of spectral type F are found, which are confirmed by the results from VPHAS photometry and SED fitting for the stars in common with VPHAS and GES data sets. Excesses at mid- and near-infrared wavelengths, and signs of Hα emission, are investigated for them. Marginal presence of Hα emission or infilling is detected for the candidate members. Several of them exhibit moderate signs of U excess and weak excesses at mid-IR wavelengths. We suggest that these features originate from accretion discs in their last stages of evolution.

  5. Relatives' perception of stressors and psychological outcomes - Results from a survey study.

    Science.gov (United States)

    Matt, Bastian; Schwarzkopf, Daniel; Reinhart, Konrad; König, Christian; Hartog, Christiane S

    2017-06-01

    To identify relevant stressors or resources of relatives of critically ill patients and explore their relationship with psychological outcomes. Prospective mixed-method study performed in 4 multidisciplinary ICUs of an urban academic hospital. Main relatives of consecutive patients with severe sepsis were questioned after 90days by structured interview. Quantitative data included demographic characteristics, ICU experience, Impact-of-Event Scale (posttraumatic stress) and Hospital Anxiety and Depression Scale (HADS); answers to open questions about stressors and resources were transcribed verbatim and analyzed by thematic analysis. 143/205 (70%) relatives participated. Satisfaction with communication and care was high. Experiencing a stressor predicted posttraumatic stress (p=0.014) and anxiety (p=0.019) after 90days. Most common stressors were feelings of helplessness and uncertainty. The perception of being overburdened in the ICU predicted posttraumatic stress, anxiety and depression (all p≤0.001); In addition, patient's death or survival with significant deterioration in quality of life compared to status before admission predicted depression (p=0.016). Our study confirmed a high prevalence of PICS-F among relatives of critically ill patients. Feeling overburdened and experiencing acute stressors may be related to negative psychological outcomes. In future, vulnerable relatives might be identified by a single-item screening tool on feeling overburdened. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. The impact of seizures on epilepsy outcomes: A national, community-based survey.

    Science.gov (United States)

    Josephson, Colin B; Patten, Scott B; Bulloch, Andrew; Williams, Jeanne V A; Lavorato, Dina; Fiest, Kirsten M; Secco, Mary; Jette, Nathalie

    2017-05-01

    The aim of this study was to examine the impact of seizures on persons living with epilepsy in a national, community-based setting. The data source was the Survey of Living with Neurological Conditions in Canada (SLNCC), a cohort derived from a national population-based survey of noninstitutionalized persons aged 15 or more years. Participants had to be on a seizure drug or to have had a seizure in the past 5 years to meet the definition of active epilepsy. The respondents were further stratified by seizure status: the seizure group experienced ≥1 seizure in the past 5 years versus the no seizure group who were seizure-free in the past ≥5 years regardless of medication status. Weighted overall and stratified prevalence estimates and odds ratios were used to estimate associations. The SLNCC included 713 persons with epilepsy with a mean age of 45.4 (standard deviation 18.0) years. Fewer people in the seizure group (42.7%) reported being much better than a year ago versus those in the no seizure group (70.1%). Of those with seizures, 32.1% (95% confidence interval [95% CI] 18.8-45.3) had symptoms suggestive of major depression (as per the Patient Health Questionnaire-9) compared to 7.7% (95% CI 3.4-11.9) of those without seizures. Driving, educational, and work opportunities were also significantly limited, whereas stigma was significantly greater in those with seizures. This community-based study emphasizes the need for seizure freedom to improve clinical and psychosocial outcomes in persons with epilepsy. Seizure freedom has an important influence on overall health, as those with at least one seizure over the prior 5 years had an increased risk of mood disorders, worse quality of life, and faced significantly more stigma. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

  7. Simple neck pain questions used in surveys, evaluated in relation to health outcomes: a cohort study

    Directory of Open Access Journals (Sweden)

    Grimby-Ekman Anna

    2012-10-01

    Full Text Available Abstract Background The high prevalence of pain reported in many epidemiological studies, and the degree to which this prevalence reflects severe pain is under discussion in the literature. The aim of the present study was to evaluate use of the simple neck pain questions commonly included in large epidemiological survey studies with respect to aspects of health. We investigated if and how an increase in number of days with pain is associated with reduction in health outcomes. Methods A cohort of university students (baseline age 19–25 years were recruited in 2002 and followed annually for 4 years. The baseline response rate was 69% which resulted in 1200 respondents (627 women, 573 men. Participants were asked about present and past pain and perceptions of their general health, sleep disturbance, stress and energy levels, and general performance. The data were analyzed using a mixed model for repeated measurements and a random intercept logistic model. Results When reporting present pain, participants also reported lower prevalence of very good health, higher stress and sleep disturbance scores and lower energy score. Among those with current neck pain, additional questions characterizing the pain such as duration (categorized, additional pain sites and decreased general performance were associated with lower probability of very good health and higher amounts of sleep disturbance. Knowing about the presence or not of pain explains more of the variation in health between individuals, than within individuals. Conclusion This study of young university students has demonstrated that simple neck pain survey questions capture features of pain that affect aspects of health such as perceived general health, sleep disturbance, mood in terms of stress and energy. Simple pain questions are more useful for group descriptions than for describing or following pain in an individual.

  8. Labour Market Outcomes of Vocational Education in Europe: Evidence from the European Union Labour Force Survey. Research Paper No 32

    Science.gov (United States)

    Cedefop - European Centre for the Development of Vocational Training, 2013

    2013-01-01

    This report focuses on the outcomes of vocational education and, in particular, on the transition from education to work in the current employment situation for young adults in the European Union. Using anonymised microdata from the EU labour force survey 2009 ad hoc module, this is one of the first studies to undertake a large cross-country…

  9. Validation assessment of the Chinese version of the Snore Outcomes Survey.

    Science.gov (United States)

    Chen, Ning-Hung; Li, Hsueh-Yu; Gliklich, Richard E; Chu, Chia-Chen; Liang, Shu-Cheng; Wang, Pa-Chun

    2002-09-01

    The aim of this study was to use a parallel model to translate the Snore Outcomes Survey (SOS) into Mandarin Chinese language by comparing performing characteristics and statistical properties of the original and Chinese versions SOS. The Chinese version SOS (CSOS) was validated in a prospective, non-randomized manner. A total of 359 patients with sleep-disordered breathing (SDB) aged 18 years and older diagnosed as having SDB participated in the study at entry. Reliability, validity, and longitudinal sensitivity data for CSOS were obtained. CSOS demonstrated good test-retest reliability (Intra-class correlation coefficient = 0.751). The Cronbach's alpha coefficient was 0.86. The item-total correlation coefficients varied from 0.30 to 0.99. The CSOS correlated well with polysomnogram (PSG) parameters including respiratory distress index (RDI), lowest arterial O2 saturation (LAST). CSOS also yielded significant correlations with vitality subscale of Chinese Taiwan version SF-36 (r = 0.4, p = 0.0011). The standard response mean (SRM) for CSOS was 1.33. The validation demonstrated only minor effects of language; the statistical properties of the CSOS were equivalent to the English version. The CSOS is a valid tool to evaluate adults with SDB among Chinese-speaking population.

  10. Outcomes after emergency percutaneous coronary intervention in patients with unprotected left main stem occlusion: the BCIS national audit of percutaneous coronary intervention 6-year experience.

    Science.gov (United States)

    Patel, Niket; De Maria, Giovanni Luigi; Kassimis, George; Rahimi, Kazem; Bennett, Derrick; Ludman, Peter; Banning, Adrian P

    2014-09-01

    This study sought to evaluate in-hospital outcomes and 3-year mortality of patients presenting with unprotected left main stem occlusion (ULMSO) treated with primary percutaneous coronary intervention (PPCI). Limited data exists about management and outcome following presentation with ULMSO. From January 1, 2007 to December 21, 2012, 446,257 PCI cases were recorded in the British Cardiovascular Intervention Society database of all PCI cases in England and Wales. Of those, 568 were patients having emergency PCI for ST-segment elevation infarction (0.6% of all PPCI) who presented with ULMSO (TIMI [Thrombolysis In Myocardial Infarction] flow grade 0/1 and stenosis >75%), and they were compared with 1,045 emergency patients treated with nonocclusive LMS disease. Follow-up was obtained through linkage with the Office of National Statistics. Presentation with ULMSO, compared with nonocclusive LMS disease, was associated with a doubling in the likelihood of periprocedural shock (57.9% vs. 27.9%; p < 0.001) and/or intra-aortic balloon pump support (52.5% vs. 27.2%; p < 0.001). In-hospital (43.3% vs. 20.6%; p < 0.001), 1-year (52.8% vs. 32.4%; p < 0.001), and 3-year mortality (73.9% vs 52.3%, p < 0.001) rates were higher in patients with ULMSO, compared with patients presenting with a patent LMS, and were significantly influenced by the presence of cardiogenic shock. ULMSO and cardiogenic shock were independent predictors of 30-day (hazard ratio [HR]: 1.61 [95% confidence interval (CI): 1.07 to 2.41], p = 0.02, and HR: 5.43 [95% CI: 3.23 to 9.12], p<0.001, respectively) and 3-year all-cause mortality (HR: 1.52 [95% CI: 1.06 to 2.17], p = 0.02, and HR: 2.98 [95% CI: 1.99 to 4.49], p < 0.001, respectively). In patients undergoing PPCI for ULMSO, acute outcomes are poor and additional therapies are required to improve outcome. However, long-term outcomes for survivors of ULMSO are encouraging. Copyright © 2014 American College of Cardiology Foundation. Published by

  11. Survey of main transformer for AC drive locomotives and railcars%交流传动机车和动车主变压器综述

    Institute of Scientific and Technical Information of China (English)

    许荣华

    2001-01-01

    Development of the main transformer for AC drive locomotives and railcars in recent years is surveyed. Also depicted is the selection of winding type,winding arrangement,decoupling,shield as well as structure design in combination with the main transformer for“Blue Arrow”.%概述了近几年交流传动机车和动车主变压器的发展,并结合“蓝箭”号车等主变压器论述了诸如绕组型式的选择、绕组排列、退耦、屏蔽、结构设计等问题。

  12. [Cleaning and disinfection in nursing homes. Data on quality of structure, process and outcome in nursing homes in Frankfurt am Main, Germany, 2011].

    Science.gov (United States)

    Heudorf, U; Gasteyer, S; Samoiski, Y; Voigt, K

    2012-08-01

    Due to the Infectious Disease Prevention Act, public health services in Germany are obliged to check the infection prevention in hospitals and other medical facilities as well as in nursing homes. In Frankfurt/Main, Germany, standardized control visits have been performed for many years. In 2011 focus was laid on cleaning and disinfection of surfaces. All 41 nursing homes were checked according to a standardized checklist covering quality of structure (i.e. staffing, hygiene concept), quality of process (observation of the cleaning processes in the homes) and quality of output, which was monitored by checking the cleaning of fluorescent marks which had been applied some days before and should have been removed via cleaning in the following days before the final check. In more than two thirds of the homes, cleaning personnel were salaried, in one third external personnel were hired. Of the homes 85% provided service clothing and all of them offered protective clothing. All homes had established hygiene and cleaning concepts, however, in 15% of the homes concepts for the handling of Norovirus and in 30% concepts for the handling of Clostridium difficile were missing. Regarding process quality only half of the processes observed, i.e. cleaning of hand contact surfaces, such as handrails, washing areas and bins, were correct. Only 44% of the cleaning controls were correct with enormous differences between the homes (0-100%). The correlation between quality of process and quality of output was significant. There was good quality of structure in the homes but regarding quality of process and outcome there was great need for improvement. This was especially due to faults in communication and coordination between cleaning personnel and nursing personnel. Quality outcome was neither associated with the number of the places for residents nor with staffing. Thus, not only quality of structure but also quality of process and outcome should be checked by the public health

  13. 2D resistivity imaging and magnetic survey for characterization of thermal springs: A case study of Gergedi thermal springs in the northwest of Wonji, Main Ethiopian Rift, Ethiopia

    Science.gov (United States)

    Abdulkadir, Yahya Ali; Eritro, Tigistu Haile

    2017-09-01

    Electrical resistivity imaging and magnetic surveys were carried out at Gergedi thermal springs, located in the Main Ethiopian Rift, to characterize the geothermal condition of the area. The area is geologically characterized by alluvial and lacustrine deposits, basaltic lava, ignimbrites, and rhyolites. The prominent structural feature in this part of the Main Ethiopian Rift, the SW -NE trending structures of the Wonji Fault Belt System, crosse over the study area. Three lines of imaging data and numerous magnetic data, encompassing the active thermal springs, were collected. Analysis of the geophysical data shows that the area is covered by low resistivity response regions at shallow depths which resulted from saline moisturized soil subsurface horizon. Relatively medium and high resistivity responses resulting from the weathered basalt, rhyolites, and ignimbrites are also mapped. Qualitative interpretation of the magnetic data shows the presence of structures that could act as pathways for heat and fluids manifesting as springs and also characterize the degree of thermal alteration of the area. Results from the investigations suggest that the Gergedi thermal springs area is controlled by fault systems oriented parallel and sub-parallel to the main tectonic lines of the Main Ethiopian Rift.

  14. The stellar content of the Hamburg/ESO survey VI. The metallicity distribution of main-sequence turnoff stars in the Galactic halo

    CERN Document Server

    Li, H N; Sch{ö}rck, T; Norris, J E; Bessell, M S; Yong, D; Beers, T C; Lee, Y S; Frebel, A; Zhao, G

    2010-01-01

    To investigate the metallicity distribution function (MDF) of the Galactic halo, a metal-poor main-sequence turnoff-star (MSTO) sample was selected from the Hamburg/ESO objective-prism survey (HES) database. Corresponding follow-up moderate-resolution observations (R ~ 2000) of some 682 stars (among which 617 were accepted program stars) were carried out with the 2.3m telescope at the Siding Spring Observatory (SSO). Corrections for the survey volume covered by the sample stars were quantitatively estimated and applied to the observed MDF. The corrections are quite small, when compared with those for a previously studied sample of metal-poor giants. The corrected observational MDF of the turnoff sample was then compared with that of the giants, as well as with a number of theoretical predictions of Galactic chemical evolution, including the mass-loss modified simple model. We show that, though the survey-volume corrected MDFs of the metal-poor turnoff and the halo giants notably differ in the region of [Fe/H]...

  15. Management of Patient-Reported Outcome (PRO Alerts in Clinical Trials: A Cross Sectional Survey.

    Directory of Open Access Journals (Sweden)

    Derek Kyte

    Full Text Available Assessment of patient-reported outcomes (PROs provides valuable information to inform patient-centered care, but may also reveal 'PRO alerts': psychological distress or physical symptoms that may require an immediate response. Ad-hoc management of PRO alerts in clinical trials may result in suboptimal patient care or potentially bias trial results. To gain greater understanding of current practice in PRO alert management we conducted a national survey of personnel involved in clinical trials with a PRO endpoint.We conducted a national cross-sectional survey of 767 UK-based research nurses, data managers/coordinators, trial managers and chief/principal investigators involved in clinical trials using PROs. Respondents were self-selected volunteers from a non-randomised sample of eligible individuals recruited via 55 UK Clinical Research Collaboration Registered Clinical Trials Units and 19 Comprehensive Local Research Networks. Questions centred on the proportion of trial personnel encountering alerts, how staff responded to PRO alerts and whether current guidance was deemed sufficient to support research personnel. We undertook descriptive analyses of the quantitative data and directed thematic analysis of free-text comments. 20% of research nurses did not view completed PRO questionnaires and were not in a position to discover alerts, 39-50% of the remaining respondent group participants reported encountering PRO alerts. Of these, 83% of research nurses and 54% of data managers/trial coordinators reported taking action to assist the trial participant, but less than half were able to record the intervention in the trial documentation. Research personnel reported current PRO alert guidance/training was insufficient.Research personnel are intermittently exposed to PRO alerts. Some intervene to help trial participants, but are not able to record this intervention in the trial documentation, risking co-intervention bias. Other staff do not check PRO

  16. Questions About Cervical and Breast Cancer Screening Knowledge, Practice, and Outcomes: A Review of Demographic and Health Surveys.

    Science.gov (United States)

    Viens, Laura; Perin, Doug; Senkomago, Virginia; Neri, Antonio; Saraiya, Mona

    2017-05-01

    United Nation's Sustainable Development Goals and the World Health Organization's Global Monitoring Framework support a strong global commitment to reducing the high burden of cervical and breast cancers among low- and middle-income countries. Strategies include vaccination, screening, and early diagnosis. Population-based surveys, such as those conducted by the Demographic and Health Surveys (DHS) Program, can collect the information needed to guide cancer control efforts in a standardized comparable manner. We identified and evaluated the breadth of breast and cervical cancer screening information that was collected by the DHS from 1984 through 2015. Then, we determined if these surveys currently provide the specific and measurable data about both the quantity and quality of cancer screening needed to guide national efforts to reduce the overall effects of cervical and breast cancers. We searched the DHS website to identify surveys conducted between the start of the DHS Program in 1984 and November 2015 that included questions about breast and cervical cancer screening. The relevant questions were extracted from the questionnaire, translated into English, and grouped by themes. Of the 90 countries where DHS surveys have been implemented, cervical cancer screening questions were included in 22 countries (24.4%) and breast cancer screening questions in 18 countries (20.0%). The common themes identified were disease knowledge, screening knowledge, screening practice, and screening outcomes. Most countries with survey questionnaires available for review addressed at least one aspect of screening practice (88.9% of cervical and 87.5% of breast), although few countries queried knowledge and outcomes. Questions that assess varied aspects of breast and cervical cancer screening have been incorporated into relatively few DHS surveys. The themes identified could guide the design of a standard set of questions for use in future population-based surveys and enable evaluation

  17. Outcome measure for stress urinary incontinence treatment (OMIT): results of two society of urodynamics and female urology (SUFU) surveys.

    Science.gov (United States)

    Zimmern, Philippe; Kobashi, Kathleen; Lemack, Gary

    2010-06-01

    To reach some agreement on a minimum set of outcomes measures (OMs) for the post-operative evaluation of stress incontinent women, we applied the concept of "lower common denominator" to study which OM instruments are used amongst SUFU members. With SUFU approval, a short online, 11 items, email-based survey was prepared to assess what OMs current SUFU members are using in daily practice. The first survey administered after the annual SUFU meeting targeted recent SUFU meeting attendees. The same survey was redistributed later on to include all SUFU members. Each survey ran for a 10-day period. Response rate for the first survey was 50 (approximately 30%) and 106 (approximately 25%) for the second. Responders were geographically well distributed, had been in practice for 1-15 years (approximately 75%), performed 5-15 cases/month, and practiced in a university (56%) or group (30%) setting. Great consistency was noted between surveys for preferred questionnaires [UDI-6 (40-52%), UDI-6, and IIQ-7 (30-34%)], office tests [urinalysis and post-void residual (30-35%)], exam [Baden-Walker and/or POP-Q (38-55%), cough stress test (54-51%)], imaging (none), and urodynamics (none, unless complications). The most common "dislikes" in descending order were: 24 hr pad test, Q-tip test, bladder diary, long questionnaires, POP-Q. These two SUFU surveys did not explore what each physician thinks is the best OM but what members use regularly in their practices. Similar findings were noted in both surveys, supporting the concept that a minimum set of OM could be developed for reporting surgical outcomes of incontinence procedures in the future. (c) 2010 Wiley-Liss, Inc.

  18. Incidence and outcome of injury in Ghana: a community-based survey.

    Science.gov (United States)

    Mock, C. N.; Abantanga, F.; Cummings, P.; Koepsell, T. D.

    1999-01-01

    Injury is an increasingly significant health problem in most low-income countries. However, strategies for preventing injury have not been well addressed. The present study was carried out to measure the incidence and outcome of various mechanisms of injury in Ghana in order to provide data for use in developing priorities for injury prevention efforts. For this purpose, using two-stage cluster sampling and household interviews, we surveyed 21,105 persons living in 431 urban and rural sites. During the preceding year, 1609 injuries resulting in one or more days of loss of normal activity were reported. Injury-related mortality was slightly higher in the urban (83 per 100,000) than in the rural area (53 per 100,000). However, the burden of disability from nonfatal injuries, as assessed by disability days, was higher in the rural (4697 disability days per 1000 person-years) than in the urban area (2671 days per 1000 person-years). Based on incidence rates and disability times, the major types of injury in the urban area were transport-related injury and falls. In the rural area, agricultural injuries predominated, followed by falls and transport-related injury. In rural and urban areas combined, 73% of motor vehicle-related injuries involved commercial vehicles. In this and other similar developing-country settings, injury prevention efforts should focus on falls and on transport safety in both urban and rural areas, with special attention being paid to commercial vehicles. In rural areas, agricultural injuries contributed the largest burden of morbidity, and should be a priority for prevention efforts. PMID:10680242

  19. Comparing acquired angioedema with hereditary angioedema (types I/II): findings from the Icatibant Outcome Survey.

    Science.gov (United States)

    Longhurst, H J; Zanichelli, A; Caballero, T; Bouillet, L; Aberer, W; Maurer, M; Fain, O; Fabien, V; Andresen, I

    2017-04-01

    Icatibant is used to treat acute hereditary angioedema with C1 inhibitor deficiency types I/II (C1-INH-HAE types I/II) and has shown promise in angioedema due to acquired C1 inhibitor deficiency (C1-INH-AAE). Data from the Icatibant Outcome Survey (IOS) were analysed to evaluate the effectiveness of icatibant in the treatment of patients with C1-INH-AAE and compare disease characteristics with those with C1-INH-HAE types I/II. Key medical history (including prior occurrence of attacks) was recorded upon IOS enrolment. Thereafter, data were recorded retrospectively at approximately 6-month intervals during patient follow-up visits. In the icatibant-treated population, 16 patients with C1-INH-AAE had 287 attacks and 415 patients with C1-INH-HAE types I/II had 2245 attacks. Patients with C1-INH-AAE versus C1-INH-HAE types I/II were more often male (69 versus 42%; P = 0·035) and had a significantly later mean (95% confidence interval) age of symptom onset [57·9 (51·33-64·53) versus 14·0 (12·70-15·26) years]. Time from symptom onset to diagnosis was significantly shorter in patients with C1-INH-AAE versus C1-INH-HAE types I/II (mean 12·3 months versus 118·1 months; P = 0·006). Patients with C1-INH-AAE showed a trend for higher occurrence of attacks involving the face (35 versus 21% of attacks; P = 0·064). Overall, angioedema attacks were more severe in patients with C1-INH-HAE types I/II versus C1-INH-AAE (61 versus 40% of attacks were classified as severe to very severe; P types I/II, respectively. © 2016 British Society for Immunology.

  20. Outcome of ketogenic diets in GLUT1 deficiency syndrome in Japan: A nationwide survey.

    Science.gov (United States)

    Fujii, Tatsuya; Ito, Yasushi; Takahashi, Satoru; Shimono, Kuriko; Natsume, Jun; Yanagihara, Keiko; Oguni, Hirokazu

    2016-08-01

    To evaluate the outcome of ketogenic diets (KDs) in patients with glucose transport type 1 deficiency syndrome (GLUT1DS) in Japan. A nationwide survey for GLUT1DS was conducted by sending questionnaires to board-certified pediatric neurologists nationwide to obtain clinical and laboratory data. Among 39 patients whose diagnosis was confirmed molecularly or by the 3-O-methylglucose uptake assay, 31 were treated with KDs for longer than 1month. Seventeen patients (55%) were on the modified Atkins diet, 11 (35%) were on the classic KD, and 3 were on the medium-chain triglyceride (MCT) diet. The median values and ranges of serum β-hydroxybutyrate levels in patients on the modified Atkins diet, classic KD and MCT diet were 2.5mM (0.75-4.1), 1.7mM (0.23-3.5) and 2.6mM (1.5-3.0), respectively. The KDs were effective on seizures (80%), aggravation after fasting (80%) and ataxia (79%). Thus, ataxia was as responsive as seizures. Two patients on the classic KD with a ketogenic ratio as low as 1:1 showed improvement in neurological symptoms. The development or intelligence quotient measured using the same psychological scales before and after the KDs in 9 patients did not show a significant improvement; the median quotients before and after the diets were 40 (12-91) and 46 (12-67). The KDs were most effective on seizures, transient aggravation after fasting and ataxia. The efficacy on intellectual development was equivocal. The modified Atkins diet was more commonly used for GLUT1DS in this study, and its ketogenicity was equivalent to the classic KD. Copyright © 2016 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  1. Asthma outcomes in children and adolescents with multiple morbidities: Findings from the National Health Interview Survey.

    Science.gov (United States)

    Patel, Minal R; Leo, Harvey L; Baptist, Alan P; Cao, Yanyun; Brown, Randall W

    2015-06-01

    More Americans are managing multiple chronic conditions (MCCs), and trends are particularly alarming in youth. The purpose of this study was to examine the prevalence and distribution of 9 chronic conditions in children and adolescents with and without asthma, and adverse asthma outcomes associated with having MCCs. Cross-sectional interview data from the National Health Interview Survey were analyzed (N = 66,790) between 2007 and 2012 in youth 0 to 17 years of age. Bivariate analysis methods and multivariate generalized linear regression were used to examine associations. Five percent of children with asthma had 1 or more coexisting health conditions. The prevalence of 1 or more comorbidities was greater among those with asthma than those without (5.07% [95% CI: 4.5-5.6] vs. 2.73% [95% CI: 2.6-2.9]). Those with asthma were twice as likely to have co-occurring hypertension (prevalence ratio [PR] = 2.2 [95% CI: 1.5-3.2]) and arthritis (PR = 2.7 [95% CI: 1.8-4.0]) compared with those without asthma. Every additional chronic condition with asthma was associated with a greater likelihood of an asthma attack (PR = 1.1 [95% CI: 1.0-1.2]), all-cause emergency department visits (PR = 1.3 [95% CI: 1.1-1.5]), and missed school days (PR = 2.3 [95% CI: 1.7-3.2]). Children and adolescents with asthma in the US who suffer from MCCs have increased asthma symptoms, missed school days, and all-cause emergency department visits. Further research on optimal management strategies for this group is needed. Copyright © 2014 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  2. Alberta Post-Secondary Graduate Outcomes Survey: Class of 2005-06

    Science.gov (United States)

    Alberta Advanced Education and Technology, 2008

    2008-01-01

    In November of 2007, Alberta Advanced Education and Technology contracted Insightrix Research, Inc. to conduct a survey of individuals who graduated from post-secondary institutions in Alberta in the fall of 2005 or the spring of 2006 (excluding apprenticeship graduates, who are surveyed through a separate initiative). The purpose of the survey is…

  3. Alberta Post-Secondary Graduate Outcomes Survey: 2005-06 Transfer Graduates

    Science.gov (United States)

    Alberta Advanced Education and Technology, 2008

    2008-01-01

    In November of 2007, Alberta Advanced Education and Technology contracted Insightrix Research, Inc. to conduct a survey of individuals who graduated from post-secondary institutions in Alberta in the fall of 2005 or the spring of 2006 (excluding apprenticeship graduates, who are surveyed through a separate initiative). The purpose of the survey is…

  4. Avatar Web-Based Self-Report Survey System Technology for Public Health Research: Technical Outcome Results and Lessons Learned.

    Science.gov (United States)

    Savel, Craig; Mierzwa, Stan; Gorbach, Pamina M; Souidi, Samir; Lally, Michelle; Zimet, Gregory; Interventions, Aids

    2016-01-01

    This paper reports on a specific Web-based self-report data collection system that was developed for a public health research study in the United States. Our focus is on technical outcome results and lessons learned that may be useful to other projects requiring such a solution. The system was accessible from any device that had a browser that supported HTML5. Report findings include: which hardware devices, Web browsers, and operating systems were used; the rate of survey completion; and key considerations for employing Web-based surveys in a clinical trial setting.

  5. Avatar Web-Based Self-Report Survey System Technology for Public Health Research: Technical Outcome Results and Lessons Learned

    Science.gov (United States)

    Savel, Craig; Mierzwa, Stan; Gorbach, Pamina M.; Souidi, Samir; Lally, Michelle; Zimet, Gregory; Interventions, AIDS

    2016-01-01

    This paper reports on a specific Web-based self-report data collection system that was developed for a public health research study in the United States. Our focus is on technical outcome results and lessons learned that may be useful to other projects requiring such a solution. The system was accessible from any device that had a browser that supported HTML5. Report findings include: which hardware devices, Web browsers, and operating systems were used; the rate of survey completion; and key considerations for employing Web-based surveys in a clinical trial setting. PMID:28149445

  6. A High-Resolution Multiband Survey of Westerlund 2 With the Hubble Space Telescope. II. Mass accretion in the Pre-Main Sequence Population

    CERN Document Server

    Zeidler, Peter; Nota, Antonella; Sabbi, Elena; Pasquali, Anna; Tosi, Monica; Bonanos, Alceste Z; Christian, Carol

    2016-01-01

    We present a detailed analysis of the pre-main-sequence (PMS) population of the young star cluster Westerlund~2 (Wd2), the central ionizing cluster of the HII region RCW 49, using data from a high resolution multi-band survey with the Hubble Space Telescope. The data were acquired with the Advanced Camera for Surveys in the F555W, F814W, and F658N filters and with the Wide Field Camera 3 in the F125W, F160W, and F128N filters. We find a mean age of the region of 1.04+-0.72 Myr. The combination of dereddened F555W and F814W photometry in combination with F658N photometry allows us to study and identify stars with H_alpha excess emission. With a careful selection of 240 bona-fide PMS H_alpha excess emitters we were able to determine their H_alpha luminosity, which has a mean value L(H_alpha)=1.67 x 10^{-31} erg s^{-1}. Using the PARSEC 1.2S isochrones to obtain the stellar parameters of the PMS stars we determined a mean mass accretion rate \\dot M_acc=4.43 x 10^{-8} M_sun yr^{-1} per star. A careful analysis of...

  7. Do adult men with untreated hypospadias have adverse outcomes? A pilot study using a social media advertised survey.

    Science.gov (United States)

    Schlomer, Bruce; Breyer, Benjamin; Copp, Hillary; Baskin, Laurence; DiSandro, Michael

    2014-08-01

    Hypospadias is usually treated in childhood. Therefore, the natural history of untreated mild hypospadias is unknown. We hypothesized that men with untreated hypospadias, especially mild, do not have adverse outcomes. Facebook was used to advertise an electronic survey to men older than 18 years. Men with untreated hypospadias identified themselves and indicated the severity of hypospadias with a series of questions. Outcomes included: Sexual Health Inventory for Men (SHIM), penile curvature and difficulty with intercourse, International Prostate Symptom Score (IPSS), Penile Perception Score (PPS), psychosexual milestones, paternity, infertility, sitting to urinate, and the CDC HRQOL-4 module. 736 men completed self-anatomy questions and 52 (7.1%) self-identified with untreated hypospadias. Untreated hypospadias participants reported worse SHIM (p < 0.001) and IPSS scores (p = 0.05), more ventral penile curvature (p = 0.003) and resulting difficulty with intercourse (p < 0.001), worse satisfaction with meatus (p = 0.011) and penile curvature (p = 0.048), and more sitting to urinate (p = 0.07). When stratified by mild and severe hypospadias, severe hypospadias was associated with more adverse outcomes than mild hypospadias. Men with untreated hypospadias reported worse outcomes compared with non-hypospadiac men. Mild untreated hypospadias had fewer adverse outcomes than severe hypospadias. Research is needed to determine if treatment of childhood hypospadias improves outcomes in adults, especially for mild hypospadias. Copyright © 2014 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  8. Benchmarking Work Practices and Outcomes in Australian Universities Using an Employee Survey

    Science.gov (United States)

    Langford, Peter H.

    2010-01-01

    The purpose of the current study was to benchmark a broad range of work practices and outcomes in Australian universities against other industries. Past research suggests occupational stress experienced by academic staff is worse than experienced by employees in other industries. However, no other practices or outcomes can be compared confidently.…

  9. Clinical Outcomes After Drug-Eluting Stents Versus Coronary Artery Bypass Surgery in High Surgical Risk Patients With Left Main or Three-Vessel Coronary Artery Disease

    Directory of Open Access Journals (Sweden)

    Tonga Nfor

    2015-08-01

    Full Text Available Purpose: Previous studies comparing percutaneous coronary intervention (PCI with coronary artery bypass graft surgery (CABG in patients with unprotected left main or three-vessel coronary artery disease (LM-3VD have excluded patients at high surgical risk. We compared clinical outcomes after PCI with drug-eluting stents to CABG in high surgical risk patients with LM-3VD. Methods: Patients with symptomatic LM-3VD who had Society of Thoracic Surgeons (STS-predicted operative mortality > 5% and were undergoing either PCI with drug-eluting stents or CABG at a tertiary care center from January 2009 to December 2010 were enrolled in this nonrandomized prospective study. Results: Mean STS score was 14.5 ± 5.8% for PCI (n=83 vs. 13.6 ± 7.1% for CABG (n=187 (P=0.31. After mean follow-up of 37 months, incidence of the composite primary endpoint (death, myocardial infarction or stroke was 42.2% for PCI and 39.6% for CABG (P=0.69, hazard ratio 1.3, 95% confidence interval 0.5-2.8. There were no differences in the individual components of the primary endpoint between PCI and CABG. Repeat revascularization was 30.1% for PCI vs. 9.6% for CABG (P=0.001. Major adverse cardiac and cerebrovascular event rates were similar between PCI and CABG, 50.6% vs. 42.2%, respectively (P=0.23. Patients in the PCI group were less likely than those in the CABG group to be discharged to a nursing home (12.1% vs. 47.1%, P 5%.

  10. Does Pre-Survey Training Impact Knowledge of Survey Administrators and Survey Outcomes in Developing Countries? Evaluation Findings of a Training of Trainers Workshop for National AIDS and Reproductive Health Survey-Plus in Nigeria

    Directory of Open Access Journals (Sweden)

    Solomon Kolawole Oyedeji PhD

    2013-07-01

    Full Text Available Background: Although, Nigeria had conducted various national surveys followed by central and state level trainings for survey administrators, prior pre-survey trainings have not been systematically evaluated to assess their impact on knowledge gain and final outcome of the survey. A central training of trainers’ session was organized for master trainers on the conduct of the 2012 National AIDS and Reproductive Health Survey. Objectives: To evaluate the impact of training on the quality of conduct of a national research survey in the 36 states and the Federal Capital Territory in Nigeria. Method: A total of 185 participants consisting of State AIDS Program Coordinators, Reproductive Health Coordinators, State Laboratory Scientists, Lead Supervisors and Counselor Testers were invited from the 36 states in Nigeria and the FCT for the central training of trainers in Abuja. The training lasted 5 days and the trainees were grouped into two on the basis of behavioral epidemiology and laboratory components. Training tools such as the developed protocol, training power point slides, practical sessions such as role plays, and usage of HIV rapid test kits were utilized during the training. The facilitators were drawn from Federal Ministry of Health (FMoH, universities and research Institutions as well as Non-Governmental Organizations (NGOs. The facilitators prepared and administered 25 structured questions for the behavioral group and 28 questions for the laboratory group at the beginning of the training to assess the participants’ knowledge of HIV and the survey. The same questions answered by Trainees responded to the same questions prior to the commencement and at the end of the trainings. Scores were aggregated to 100 for each test. We conducted paired t-test to determine statistically significant differences between pre-test and post-test results at 0.05 significance level and ANOVA to determine if there were differences in knowledge level among

  11. Targeting improved patient outcomes using innovative product listing agreements: a survey of Canadian and international key opinion leaders

    Science.gov (United States)

    Thompson, Melissa; Henshall, Chris; Garrison, Louis P; Griffin, Adrian D; Coyle, Doug; Long, Stephen; Khayat, Zayna A; Anger, Dana L; Yu, Rebecca

    2016-01-01

    Objectives To address the uncertainty associated with procuring pharmaceutical products, product listing agreements (PLAs) are increasingly being used to support responsible funding decisions in Canada and elsewhere. These agreements typically involve financial-based rebating initiatives or, less frequently, outcome-based contracts. A qualitative survey was conducted to improve the understanding of outcome-based and more innovative PLAs (IPLAs) based on input from Canadian and international key opinion leaders in the areas of drug manufacturing and reimbursement. Methods Results from a structured literature review were used to inform survey development. Potential participants were invited via email to partake in the survey, which was conducted over phone or in person. Responses were compiled anonymously for review and reporting. Results Twenty-one individuals participated in the survey, including health technology assessment (HTA) key opinion leaders (38%), pharmaceutical industry chief executive officers/vice presidents (29%), ex-payers (19%), and current payers/drug plan managers/HTA (14%). The participants suggested that ~80%–95% of Canadian PLAs are financial-based rather than outcomes-based. They indicated that IPLAs offer important benefits to patients, payers, and manufacturers; however, several challenges limit their use (eg, administrative burden, lack of agreed-upon endpoint). They noted that IPLAs are useful in rapidly evolving therapeutic areas and those associated with high unmet need, a quantifiable endpoint, and/or robust data systems. The Canadian Agency for Drugs and Technologies in Health, the pan-Canadian Pharmaceutical Alliance, and other arms-length organizations could play important roles in identifying uncertainty and endpoints and brokering pan-Canadian PLAs. Industry should work collaboratively with payers to identify uncertainty and develop innovative mechanisms to address it. Conclusion The survey results indicated that while

  12. Supplemental Environmental Baseline Survey for Proposed Land Use Permit Modification for Expansion of the Dynamic Explosive Test Site (DETS) 9940 Main Complex Parking Lot

    Energy Technology Data Exchange (ETDEWEB)

    Peek, Dennis W. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-10-01

    The “subject property” is comprised of a parcel of land within the Kirtland Military Reservation, Bernalillo County, New Mexico, as shown on the map in Appendix B of this document. The land requirement for the parking lot addition to the 9940 Main Complex is approximately 2.7 acres. The scope of this Supplemental Environmental Baseline Survey (SEBS) is for the parking lot addition land transfer only. For details on the original 9940 Main Complex see Environmental Baseline Survey, Land Use Permit Request for the 9940 Complex PERM/0-KI-00-0001, August 21, 2003, and for details on the 9940 Complex Expansion see Environmental Baseline Survey, Proposed Land Use Permit Expansion for 9940 DETS Complex, June 24, 2009. The 2.7-acre parcel of land for the new parking lot, which is the subject of this EBS (also referred to as the “subject property”), is adjacent to the southwest boundary of the original 12.3- acre 9940 Main Complex. No testing is known to have taken place on the subject property site. The only activity known to have taken place was the burial of overhead utility lines in 2014. Adjacent to the subject property, the 9940 Main Complex was originally a 12.3-acre site used by the Department of Energy (DOE) under a land use permit from the United States Air Force (USAF). Historical use of the site, dating from 1964, included arming, fusing, and firing of explosives and testing of explosives systems components. In the late 1970s and early 1980s experiments at the 9940 Main Complex shifted toward reactor safety issues. From 1983 to 1988, fuel coolant interaction (FCI) experiments were conducted, as were experiments with conventional high explosives (HE). Today, the land is used for training of the Nuclear Emergency Response community and for research on energetic materials. In 2009, the original complex was expanded to include four additional 20-acre areas: 9940 Training South, 9940 Training East, T-Range 6, and Training West Landing Zone. The proposed use of

  13. Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: findings from the 2009 New York City Youth Risk Behavior Survey

    National Research Council Canada - National Science Library

    Seil, Kacie S; Desai, Mayur M; Smith, Megan V

    2014-01-01

    .... We analyzed data from the 2009 New York City Youth Risk Behavior Survey (n=8910). Outcomes of interest included alcohol use, marijuana use, illicit drug use, depressive symptomatology, suicide ideation, and suicide attempt...

  14. Intersectoral Mobilization in Child Development: An Outcome Assessment of the Survey of the School Readiness of Montreal Children

    Directory of Open Access Journals (Sweden)

    Isabelle Laurin

    2015-12-01

    Full Text Available In 2006, the department of public health in Montreal, Quebec, Canada, conducted the Survey of the School Readiness of Montreal Children. After unveiling the results in February 2008, it launched an appeal for intersectoral mobilization. This article documents the chain of events in the collective decision-making process that fostered ownership of the survey results and involvement in action. It also documents the impacts of those findings on intersectoral action and the organization of early childhood services four years later. The results show that the survey served as a catalyst for intersectoral action as reflected in the increased size and strength of the actor network and the formalization of the highly-anticipated collaboration between school and early childhood networks. Actors have made abundant use of survey results in planning and justifying the continuation of projects or implementation of new ones. A notable outcome, in all territories, has been the development of both transition-to-kindergarten tools and literacy activities. The portrait drawn by the research raises significant issues for public planning while serving as a reminder of the importance of intersectoral mobilization in providing support for multiple trajectories of child preschool development.

  15. Symptoms and Association with Health Outcomes in Relapsing-Remitting Multiple Sclerosis: Results of a US Patient Survey

    Directory of Open Access Journals (Sweden)

    Angela E. Williams

    2014-01-01

    Full Text Available Background. A variety of symptoms have been reported, but the prevalence of specific symptoms in relapsing-remitting multiple sclerosis (RRMS, how they are related to one another, and their impact on patient reported outcomes is not well understood. Objective. To describe how symptoms of RRMS cooccur and their impact on patient-reported outcomes. Methods. Individuals who reported a physician diagnosis of RRMS in a large general health survey in the United States indicated the symptoms they experience because of RRMS and completed validated scales, including the work productivity and activity impairment questionnaire and either the SF-12v2 or SF-36v2. Symptom clusters were identified through hierarchical cluster analysis, and the relationship between clusters and outcomes was assessed through regression. Results. Fatigue, difficulty walking, and numbness were the most commonly reported symptoms. Seven symptom clusters were identified, and several were significantly related to patient reported outcomes. Pain, muscle spasms, and stiffness formed a cluster strongly related to physical quality of life; depression was strongly related to mental quality of life and cognitive difficulty was associated with work impairment. Conclusions. Symptoms in RRMS show a strong relationship with quality of life and should be taken into consideration in treatment decisions and evaluation of treatment success.

  16. Risk factors and outcomes of macrosomia in China: a multicentric survey based on birth data.

    Science.gov (United States)

    Wang, Dan; Hong, Yan; Zhu, Li; Wang, Xiaoli; Lv, Qin; Zhou, Qin; Ruan, Miaohua; Chen, Chao

    2017-03-01

    To investigate the risk factors and outcomes of macrosomia in China. This was a multicenter, retrospective cohort study conducted in China. 178 709 singletons weighing ≥ 2500 g with gestational ages of 37-44 weeks were included. We compared the macrosomia group (with birth weight (BW) ≥ 4000 g) with the nornosomic control group (weighting 2500-3999 g). The total prevalence of macrosomia was 8.70%. The strongest risk factors correlated with macrosomia were maternal obesity and gestational diabetes mellitus (GDM). The risks of obstetric and neonatal complications increased when infants had a BW of ≥4000 g. Obesity and GDM are the most prominent risk factors for macrosomia, and macrosomia is associated with adverse maternal and neonate outcomes. Therefore, monitoring and controlling maternal weight and blood glucose could decrease the prevalence of macrosomia or improve its poor outcomes.

  17. FBSAD Reef Fish-HABITAT Quadrat Surveys at Hawaii Island (Big Island, Main Hawaiian Islands), 2006 and 2007; Kaneohe Bay (Oahu, Main Hawaiian Islands), 2007 only; and Midway Atoll (Northwestern Hawaiian Islands), 2006 and 2007 (NODC Accession 0056602)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Habitat quadrats were surveyed at 1 to 5 m depths using transects conducted at a total seven (7) sites: (1-2) at 2 longshore sites on the leeward coast (South Kohala...

  18. Targeting improved patient outcomes using innovative product listing agreements: a survey of Canadian and international key opinion leaders

    Directory of Open Access Journals (Sweden)

    Thompson M

    2016-08-01

    Full Text Available Melissa Thompson,1 Chris Henshall,2 Louis P Garrison,3 Adrian D Griffin,4 Doug Coyle,2,5 Stephen Long,6 Zayna A Khayat,7 Dana L Anger,1 Rebecca Yu8 1Cornerstone Research Group Inc., Burlington, ON, Canada; 2Health Economics Research Group, Brunel University London, London UK; 3Pharmaceutical Outcomes Research and Policy Program, School of Pharmacy, University of Washington, Seattle, WA, USA; 4Government Affairs & Policy, Johnson & Johnson, High Wycombe, UK; 5School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada; 6Health and Life Sciences, Global Public Affairs, Calgary, AB, 7Health Systems Innovation at MaRS Discovery District, Toronto, ON, Canada; 8Strategic Health Technology Assessment, Government Affairs & Market Access, Janssen Inc., Toronto, ON, Canada Objectives: To address the uncertainty associated with procuring pharmaceutical products, product listing agreements (PLAs are increasingly being used to support responsible funding decisions in Canada and elsewhere. These agreements typically involve financial-based rebating initiatives or, less frequently, outcome-based contracts. A qualitative survey was conducted to improve the understanding of outcome-based and more innovative PLAs (IPLAs based on input from Canadian and international key opinion leaders in the areas of drug manufacturing and reimbursement. Methods: Results from a structured literature review were used to inform survey development. Potential participants were invited via email to partake in the survey, which was conducted over phone or in person. Responses were compiled anonymously for review and reporting. Results: Twenty-one individuals participated in the survey, including health technology ­assessment (HTA key opinion leaders (38%, pharmaceutical industry chief executive officers/vice presidents (29%, ex-payers (19%, and current payers/drug plan managers/HTA (14%. The participants suggested that ~80%–95% of

  19. Seismic structure of the main geological provinces off the SW Iberian margin: first results from the NEAREST-SEIS wide-angle seismic survey

    Science.gov (United States)

    Sallarès, Valentí; Martínez-Loriente, Sara; Gailler, Audrey; Bartolomé, Rafael; Gutscher, Marc-André; Graindorge, David; Lia Grácia, Eulà; Díaz, Jordi

    2010-05-01

    The region offshore the SW Iberian margin hosts the present-day NW-SE plate convergence between the European and African Plates at a rate of 4.5 mm/yr, fact that causes continuous seismic activity of moderate magnitude. In autumn 2008 a Spanish-French team carried out a refraction and wide-angle reflection seismic survey in the area (NEAREST-SEIS cruise), in the framework of the EU, FP6-funded NEAREST project. During the survey two long seismic profiles were acquired using a pool of 36 Ocean Bottom Seismometers (OBS), with the objectives of providing information about the geometry of the crust-mantle boundary and the physical properties of the crust, revealing the deep geometry of the main fault interfaces, and identifying the nature of the basement and the limits of the different geological provinces in the region. A total of 30 OBS were deployed along profile P1, which is 356 km long and trends NW-SE from the Tagus abyssal plain (TAP), crossing the Gorringe bank (GB), the Horseshoe abyssal plain (HAP) and the Coral Patch Ridge (CPR), up to the thrust-and-fold belt of the Seine abyssal plain (SAP). The acquired data were modeled by joint refraction and reflection travel time inversion, following a layer-stripping strategy. The inverted model show four well-differentiated domains in terms of its seismic structure: In the TAP a 3-4 km-thick, low velocity sedimentary layer covers the basement, which shows a remarkably high velocity (>7 km/s), similar to that of the basement outcropping in the Gorringe bank. In the HAP the sedimentary cover is thicker, showing an upper unit with low velocity corresponding to the Horseshoe gravitational unit, on top of a higher velocity lower unit, which may represent the highly consolidated Mesozoic sedimentary sequence. The thickness of the two units together exceeds 5 km. The basement shows the same velocity distribution as in TAP and GB, suggesting a common nature and origin. According to its seismic structure, and considering that

  20. The Psychosis Recent Onset GRoningen Survey (PROGR-S: defining dimensions and improving outcomes in early psychosis.

    Directory of Open Access Journals (Sweden)

    Edith J Liemburg

    Full Text Available Psychotic disorders are among the most complex medical conditions. Longitudinal cohort studies may offer further insight into determinants of functional outcome after a psychotic episode. This paper describes the Psychosis Recent Onset in GRoningen Survey (PROGR-S that currently contains data on 1076 early-episode patients with psychosis, including symptoms, personality, cognition, life events and other outcome determinants. Our goal in this report is to give an overview of PROGR-S, as a point of reference for future publications on the effect of cognition, personality and psychosocial functioning on outcomes. PROGR-S contains an extensive, diagnostic battery including anamnesis, biography, socio-demographic characteristics, clinical status, drug use, neuropsychological assessment, personality questionnaires, and physical status tests. Extensive follow-up data is available on psychopathology, physical condition, medication use, and care consumption. Sample characteristics were determined and related to existing literature. PROGR-S (period 1997-2009, n = 718 included the majority of the expected referrals in the catchment area. The average age was 27 (SD = 8.6 and two-thirds were male. The average IQ was lower than that in the healthy control group. The majority had been diagnosed with a psychotic spectrum disorder. A substantial number of the patients had depressive symptoms (479/718, 78% and current cannabis or alcohol use (465/718, 75%. The level of community functioning was moderate, i.e. most patients were not in a relationship and were unemployed. The PROGR-S database contains a valuable cohort to study a range of aspects related to symptomatic and functional outcomes of recent onset psychosis, which may play a role in the treatment of this complex and disabling disorder. Results reported here show interesting starting points for future research. Thus, we aim to investigate long-term outcomes on the basis of cognition, personality, negative

  1. The luminosity function at the end of the main sequence: Results of a deep, large-area, CCD survey for cool dwarfs

    Science.gov (United States)

    Kirkpatrick, J. Davy; Mcgraw, John T.; Hess, Thomas R.; Liebert, James; Mccarthy, Donald W., Jr.

    1994-01-01

    The luminosity function at the end of the main sequence is determined from V, R, and I data taken by the charge coupled devices (CCD)/Transit Instrument, a dedicated telescope surveying an 8.25 min wide strip of sky centered at delta = +28 deg, thus sampling Galactic latitudes of +90 deg down to -35 deg. A selection of 133 objects chosen via R - I and V - I colors has been observed spectroscopically at the 4.5 m Multiple Mirror Telescope to assess contributions by giants and subdwarfs and to verify that the reddest targets are objects of extremely late spectral class. Eighteen dwarfs of type M6 or later have been discovered, with the latest being of type M8.5. Data used for the determination of the luminosity function cover 27.3 sq. deg down to a completeness limit of R = 19.0. This luminosity function, computed at V, I, and bolometric magnitudes, shows an increase at the lowest luminosities, corresponding to spectral types later than M6- an effect suggested in earlier work by Reid & Gilmore and Legget & Hawkins. When the luminosity function is segregated into north Galactic and south Galactic portions, it is found that the upturn at faint magnitudes exists only in the southern sample. In fact, no dwarfs with M(sub I) is greater than or equal to 12.0 are found within the limiting volume of the 19.4 sq deg northern sample, in stark contrast to the smaller 7.9 sq deg area at southerly latitudes where seven such dwarfs are found. This fact, combined with the fact that the Sun is located approximately 10-40 pc north of the midplane, suggests that the latest dwarfs are part of a young population with a scale height much smaller than the 350 pc value generally adopted for other M dwarfs. These objects comprise a young population either because the lower metallicities prevelant at earlier epochs inhibited the formation of late M dwarfs or because the older counterparts of this population have cooled beyond current detection limits. The latter scenario would hold if these

  2. The Ages and Masses of a Million Galactic-disk Main-sequence Turnoff and Subgiant Stars from the LAMOST Galactic Spectroscopic Surveys

    Science.gov (United States)

    Xiang, Maosheng; Liu, Xiaowei; Shi, Jianrong; Yuan, Haibo; Huang, Yang; Chen, Bingqiu; Wang, Chun; Tian, Zhijia; Wu, Yaqian; Yang, Yong; Zhang, Huawei; Huo, Zhiying; Ren, Juanjuan

    2017-09-01

    We present estimates of stellar age and mass for 0.93 million Galactic-disk main-sequence turnoff and subgiant stars from the LAMOST Galactic Spectroscopic Surveys. The ages and masses are determined by matching with stellar isochrones using a Bayesian algorithm, utilizing effective temperature {T}{eff}, absolute magnitude {M}V, metallicity [Fe/H], and α-element to iron abundance ratio [α/Fe] deduced from the LAMOST spectra. Extensive examinations suggest the age and mass estimates are robust. Overall, the sample stars have a median error of 34% for the age estimates, and half of the stars older than 2 Gyr have age uncertainties of only 20%-30%. The median error for the mass estimates of the whole sample of stars is ˜8%. The huge data set demonstrates good correlations among stellar age, [Fe/H] ([α/H]), and [α/Fe]. Particularly, double-sequence features are revealed in both the age-[α/Fe] and age-[Fe/H]([α/H]) spaces. In the [Fe/H]-[α/Fe] space, stars of 8-10 Gyr exhibit both the thin and thick disk sequences, while younger (older) stars show only the thin (thick) disk sequence, indicating that the thin disk became prominent 8-10 Gyr ago, while the thick disk formed earlier and was almost quenched 8 Gyr ago. Stellar ages exhibit positive vertical and negative radial gradients across the disk, and the outer disk of R ≳ 9 kpc exhibits a strong flare in stellar age distribution.

  3. Racism, health status, and birth outcomes: results of a participatory community-based intervention and health survey.

    Science.gov (United States)

    Carty, Denise C; Kruger, Daniel J; Turner, Tonya M; Campbell, Bettina; DeLoney, E Hill; Lewis, E Yvonne

    2011-02-01

    Many community-based participatory research (CBPR) partnerships address social determinants of health as a central consideration. However, research studies that explicitly address racism are scarce in the CBPR literature, and there is a dearth of available community-generated data to empirically examine how racism influences health disparities at the local level. In this paper, we provide results of a cross-sectional, population-based health survey conducted in the urban areas of Genesee and Saginaw Counties in Michigan to assess how a sustained community intervention to reduce racism and infant mortality influenced knowledge, beliefs, and experiences of racism and to explore how perceived racism is associated with self-rated health and birth outcomes. We used ANOVA and regression models to compare the responses of intervention participants and non-participants as well as African Americans and European Americans (N = 629). We found that intervention participants reported greater acknowledgment of the enduring and differential impact of racism in comparison to the non-intervention participants. Moreover, survey analyses revealed that racism was associated with health in the following ways: (1) experiences of racial discrimination predicted self-rated physical health, mental health, and smoking status; (2) perceived racism against one's racial group predicted lower self-rated physical health; and (3) emotional responses to racism-related experiences were marginally associated with lower birth-weight births in the study sample. Our study bolsters the published findings on perceived racism and health outcomes and highlights the usefulness of CBPR and community surveys to empirically investigate racism as a social determinant of health.

  4. A systematic survey on reporting and methods for handling missing participant data for continuous outcomes in randomized controlled trials.

    Science.gov (United States)

    Zhang, Yuqing; Flórez, Ivan D; Colunga Lozano, Luis E; Aloweni, Fazila Abu Bakar; Kennedy, Sean Alexander; Li, Aihua; Craigie, Samantha; Zhang, Shiyuan; Agarwal, Arnav; Lopes, Luciane C; Devji, Tahira; Wiercioch, Wojtek; Riva, John J; Wang, Mengxiao; Jin, Xuejing; Fei, Yutong; Alexander, Paul; Morgano, Gian Paolo; Zhang, Yuan; Carrasco-Labra, Alonso; Kahale, Lara A; Akl, Elie A; Schünemann, Holger J; Thabane, Lehana; Guyatt, Gordon H

    2017-08-01

    To assess analytic approaches randomized controlled trial (RCT) authors use to address missing participant data (MPD) for patient-important continuous outcomes. We conducted a systematic survey of RCTs published in 2014 in the core clinical journals that reported at least one patient-important outcome analyzed as a continuous variable. Among 200 studies, 187 (93.5%) trials explicitly reported whether MPD occurred. In the 163 (81.5%) trials that reported the occurrence of MPD, the median and interquartile ranges of the percentage of participants with MPD were 11.4% (2.5%-22.6%).Among the 147 trials in which authors made clear their analytical approach to MPD, the approaches chosen included available data only (109, 67%); mixed-effect models (10, 6.1%); multiple imputation (9, 4.5%); and last observation carried forward (9, 4.5). Of the 163 studies reporting MPD, 16 (9.8%) conducted sensitivity analyses examining the impact of the MPD and (18, 11.1%) discussed the risk of bias associated with MPD. RCTs reporting continuous outcomes typically have over 10% of participant data missing. Most RCTs failed to use optimal analytic methods, and very few conducted sensitivity analyses addressing the possible impact of MPD or commented on how MPD might influence risk of bias. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Education and severe maternal outcomes in developing countries: a multicountry cross-sectional survey.

    Science.gov (United States)

    Tunçalp, Ö; Souza, J P; Hindin, M J; Santos, C A; Oliveira, T H; Vogel, J P; Togoobaatar, G; Ha, D Q; Say, L; Gülmezoglu, A M

    2014-03-01

    To assess the relationship between education and severe maternal outcomes among women delivering in healthcare facilities. Cross-sectional study. Twenty-nine countries in Africa, Asia, Latin America, and the Middle East. Pregnant women admitted to 359 facilities during a period of 2-4 months of data collection between 2010 and 2011. Data were obtained from hospital records. Stratification was based on the Human Development Index (HDI) values of the participating countries. Multivariable logistic regression analyses were conducted to assess the association between maternal morbidity and education, categorised in quartiles based on the years of formal education by country. Coverage of key interventions was assessed. Severe maternal outcomes (near misses and death). A significant association between low education and severe maternal outcomes (adjusted odds ratio, aOR, 2.07; 95% confidence interval, 95% CI, 1.46-2.95), maternal near miss (aOR 1.80; 95% CI 1.25-2.57), and maternal death (aOR 5.62; 95% CI 3.45-9.16) was observed. This relationship persisted in countries with medium HDIs (aOR 2.36; 95% CI 1.33-4.17) and low HDIs (aOR 2.65; 95% CI 1.54-2.57). Less educated women also had increased odds of presenting to the hospital in a severe condition (i.e. with organ dysfunction on arrival or within 24 hours: aOR 2.06; 95% CI 1.36-3.10). The probability that a woman received magnesium sulphate for eclampsia or had a caesarean section significantly increased as education level increased (P education are at greater risk for severe maternal outcomes, even after adjustment for key confounding factors. This is particularly true for women in countries that have poorer markers of social and economic development. © 2014 RCOG The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

  6. The development of a clinical outcomes survey research application: Assessment CenterSM

    Science.gov (United States)

    Rothrock, Nan E.; Hanrahan, Rachel T.; Jansky, Liz J.; Harniss, Mark; Riley, William

    2013-01-01

    Introduction The National Institutes of Health sponsored Patient-Reported Outcome Measurement Information System (PROMIS) aimed to create item banks and computerized adaptive tests (CATs) across multiple domains for individuals with a range of chronic diseases. Purpose Web-based software was created to enable a researcher to create study-specific Websites that could administer PROMIS CATs and other instruments to research participants or clinical samples. This paper outlines the process used to develop a user-friendly, free, Web-based resource (Assessment CenterSM) for storage, retrieval, organization, sharing, and administration of patient-reported outcomes (PRO) instruments. Methods Joint Application Design (JAD) sessions were conducted with representatives from numerous institutions in order to supply a general wish list of features. Use Cases were then written to ensure that end user expectations matched programmer specifications. Program development included daily programmer “scrum” sessions, weekly Usability Acceptability Testing (UAT) and continuous Quality Assurance (QA) activities pre- and post-release. Results Assessment Center includes features that promote instrument development including item histories, data management, and storage of statistical analysis results. Conclusions This case study of software development highlights the collection and incorporation of user input throughout the development process. Potential future applications of Assessment Center in clinical research are discussed. PMID:20306332

  7. The development of a clinical outcomes survey research application: Assessment Center.

    Science.gov (United States)

    Gershon, Richard; Rothrock, Nan E; Hanrahan, Rachel T; Jansky, Liz J; Harniss, Mark; Riley, William

    2010-06-01

    The National Institutes of Health sponsored Patient-Reported Outcome Measurement Information System (PROMIS) aimed to create item banks and computerized adaptive tests (CATs) across multiple domains for individuals with a range of chronic diseases. Web-based software was created to enable a researcher to create study-specific Websites that could administer PROMIS CATs and other instruments to research participants or clinical samples. This paper outlines the process used to develop a user-friendly, free, Web-based resource (Assessment Center) for storage, retrieval, organization, sharing, and administration of patient-reported outcomes (PRO) instruments. Joint Application Design (JAD) sessions were conducted with representatives from numerous institutions in order to supply a general wish list of features. Use Cases were then written to ensure that end user expectations matched programmer specifications. Program development included daily programmer "scrum" sessions, weekly Usability Acceptability Testing (UAT) and continuous Quality Assurance (QA) activities pre- and post-release. Assessment Center includes features that promote instrument development including item histories, data management, and storage of statistical analysis results. This case study of software development highlights the collection and incorporation of user input throughout the development process. Potential future applications of Assessment Center in clinical research are discussed.

  8. The VLT-FLAMES Tarantula Survey. XVII. Physical and wind properties of massive stars at the top of the main sequence

    Science.gov (United States)

    Bestenlehner, J. M.; Gräfener, G.; Vink, J. S.; Najarro, F.; de Koter, A.; Sana, H.; Evans, C. J.; Crowther, P. A.; Hénault-Brunet, V.; Herrero, A.; Langer, N.; Schneider, F. R. N.; Simón-Díaz, S.; Taylor, W. D.; Walborn, N. R.

    2014-10-01

    The evolution and fate of very massive stars (VMS) is tightly connected to their mass-loss properties. Their initial and final masses differ significantly as a result of mass loss. VMS have strong stellar winds and extremely high ionising fluxes, which are thought to be critical sources of both mechanical and radiative feedback in giant H ii regions. However, how VMS mass-loss properties change during stellar evolution is poorly understood. In the framework of the VLT-Flames Tarantula Survey (VFTS), we explore the mass-loss transition region from optically thin O star winds to denser WNh Wolf-Rayet star winds, thereby testing theoretical predictions. To this purpose we select 62 O, Of, Of/WN, and WNh stars, an unprecedented sample of stars with the highest masses and luminosities known. We perform a spectral analysis of optical VFTS as well as near-infrared VLT/SINFONI data using the non-LTE radiative transfer code CMFGEN to obtain both stellar and wind parameters. For the first time, we observationally resolve the transition between optically thin O star winds and optically thick hydrogen-rich WNh Wolf-Rayet winds. Our results suggest the existence of a "kink" between both mass-loss regimes, in agreement with recent Monte Carlo simulations. For the optically thick regime, we confirm the steep dependence on the classical Eddington factor Γe from previous theoretical and observational studies. The transition occurs on the main sequence near a luminosity of 106.1L⊙, or a mass of 80 ... 90 M⊙. Above this limit, we find that - even when accounting for moderate wind clumping (with fv = 0.1) - wind mass-loss rates are enhanced with respect to standard prescriptions currently adopted in stellar evolution calculations. We also show that this results in substantial helium surface enrichment. Finally, based on our spectroscopic analyses, we are able to provide the most accurate ionising fluxes for VMS known to date, confirming the pivotal role of VMS in ionising and

  9. The 7 Ms Chandra Deep Field-South Survey: Cosmic Black-Hole Growth is Mainly Linked to Host-Galaxy Stellar Mass

    Science.gov (United States)

    Brandt, W. Niel; Yang, Guang; Chen, Chien-Ting; Vito, Fabio

    2017-08-01

    The Chandra exposure on the Chandra Deep Field-South (CDF-S) has recently been increased to 7 Ms, allowing unmatched X-ray and multiwavelength characterization of cosmic black-hole growth in active galactic nuclei (AGNs). We have used these data to investigate the dependence of black-hole accretion rate (BHAR) on host-galaxy star formation rate (SFR) and stellar mass (M*) at z = 0.5-2. Our sample consists of 18,000 galaxies with SFR and M* measurements, and we use sample-mean BHAR for these galaxies to approximate their long-term average BHAR. Our sample-mean BHARs are derived from the CDF-S observations via both direct spectral analysis and stacking. The average BHAR is correlated positively with both SFR and M*, and the BHAR-SFR and BHAR-M* relations can both be described acceptably by linear models with a slope of unity. However, according to partial-correlation analyses, BHAR is correlated more strongly with M* than SFR. This result indicates that M* is the primary host-galaxy property related to black-hole growth, and the well-known BHAR-SFR relation is largely a secondary effect due to the "star-forming main sequence". Among our sources, massive galaxies have significantly higher BHAR/SFR ratios than less-massive galaxies, indicating the former have higher black-hole fueling efficiency and/or higher SMBH occupation fraction than the latter; e.g., the deeper potential wells in higher mass galaxies may promote black-hole accretion and counteract AGN/supernova feedback. Our results can naturally explain the observed proportionality between MBH and M* for local giant ellipticals, and suggest their MBH/M* ratios are higher than those of local star-forming galaxies. Finally, prospects for extending this work will be discussed; e.g., by further investigating the redshift evolution of the primary BHAR-M* relation and measuring this relation for even higher values of M*, above ~ 1011 solar masses, using wide-field X-ray surveys.

  10. Main Memory

    NARCIS (Netherlands)

    P.A. Boncz (Peter); L. Liu (Lei); M. Tamer Özsu

    2008-01-01

    htmlabstractPrimary storage, presently known as main memory, is the largest memory directly accessible to the CPU in the prevalent Von Neumann model and stores both data and instructions (program code). The CPU continuously reads instructions stored there and executes them. It is also called Random

  11. A Randomized Controlled Trial to Compare 2 Scalable Interventions for Lower Urinary Tract Symptom Prevention: Main Outcomes of the TULIP Study.

    Science.gov (United States)

    Sampselle, Carolyn M; Newman, Diane K; Miller, Janis M; Kirk, Keri; DiCamillo, Mary Ann; Wagner, Todd H; Raghunathan, Trivellor E; Diokno, Ananias C

    2017-06-01

    We compared 2-year urinary incontinence and urgency scores of older women who attended a 2-hour bladder health class vs those who viewed a 20-minute abbreviated class video for the purpose of urinary incontinence prevention. A randomized, 2-arm, parallel design study was done to test the superiority of the 20-minute video over the 2-hour class. Outcomes at baseline, and 3, 12 and 24 months were the scores on questions 1 to 3 of ICIQ-SF (International Consultation on Incontinence Short Form) as the primary outcome and on IUSS (Indevus Urgency Severity Scale). Intent to treat analysis was done to compare the change from baseline in each intervention group across time and also with each other. Multiple imputation was used for missing data. A total of 647 women participated in the study. Mean age was 63 years and approximately 28% of the participants were African American, primarily from an urban setting. The 2 arms were balanced on body mass index at baseline, age, race/ethnicity, education, employment status, income and marital status. No differences in primary or secondary outcomes were demonstrated between the 2 groups from baseline to the 3, 12 or 24-month visits. The absence of significant differences in the outcome measures of ICIQ-SF and IUSS between the 2-hour class and the 20-minute video groups demonstrates that the 2 interventions were comparable. As urinary incontinence and urgency tend to rise annually in older women, instruction in bladder health self-care provided through either the 2-hour class or the 20-minute video format is a useful intervention to prevent urinary incontinence in older women. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  12. [Serological survey of feline leukemia virus infection and the outcome of antibody-positive cats].

    Science.gov (United States)

    Higashihara, T; Tajima, M; Ishiguro, T; Tamura, H; Maejima, K

    1988-04-01

    A serological survey was carried out to examine the presence of antibodies against feline leukemia virus (FeLV) and feline oncornavirus-associated cell membrane antigen (FOCMA) in 208 cat sera collected at Teikyo University School of Medicine. Seven cats (3.4%) were positive for FeLV antibodies by enzyme-linked immunosorbent assay whereas no cat was positive for FOCMA antibody by indirect membrane immunofluorescent test. Anemia, leukemia and/or lymphoma formation were not observed in these FeLV antibody-positive cats. But among these seven cats, three were positive for toxoplasma antibodies. One of them was also positive for Chlamydia psittaci antibody and it died in pneumonia. Among the four toxoplasma antibody negative cats, one was died in eosinophilic granuloma. Furthermore, two of three cats, which were used for experiments, had cold and took therapy.

  13. Information literacy skills of occupational therapy graduates: a survey of learning outcomes

    Science.gov (United States)

    Powell, Carol A.; Case-Smith, Jane

    2003-01-01

    Objectives: The purpose of this study is to assess whether recent graduates of the Ohio State University's Occupational Therapy division are applying information-seeking skills they learned as undergraduates, and to seek their advice on ways to improve information-literacy instruction for current and future occupational therapy students. Method: A survey was sent to a sample of graduates from 1995–2000. The results were entered into an SPSS database, and descriptive and inferential results were calculated to determine the information-seeking patterns of these recent graduates. Results: A majority of the occupational therapy graduates who responded to the survey prefer to use information resources that are readily available to them, such as advice from their colleagues or supervisors (79%) and the Internet (69%), rather than the evidence available in the journal literature. Twenty-six percent (26%) of the graduates have searched MEDLINE or CINAHL at least once since they graduated. Formal library instruction sessions were considered useful by 42% of the graduates, and 22% of the graduates found informal contacts with librarians to be useful. Conclusions: Librarians and occupational therapy faculty must intensify their efforts to convey the importance of applying research information to patient care and inform students of ways to access this information after they graduate. In addition to teaching searching skills for MEDLINE and CINAHL, they must provide instruction on how to assess the quality of information they find on the Internet. Other findings suggest that occupational therapy practitioners need access to information systems in the clinical setting that synthesize the research in a way that is readily applicable to patient-care issues. PMID:14566378

  14. Main Memory

    OpenAIRE

    Boncz, Peter; Liu, Lei; Özsu, Tamer, M.

    2008-01-01

    Primary storage, presently known as main memory, is the largest memory directly accessible to the CPU in the prevalent Von Neumann model and stores both data and instructions (program code). The CPU continuously reads instructions stored there and executes them. It is also called Random Access Memory (RAM), to indicate that load/store instructions can access data at any location at the same cost, is usually implemented using DRAM chips, which are connected to the CPU and other peripherals (di...

  15. Towards Horizon 2020: challenges and advances for clinical mental health research – outcome of an expert survey

    Science.gov (United States)

    van der Feltz-Cornelis, Christina M; van Os, Jim; Knappe, Susanne; Schumann, Gunter; Vieta, Eduard; Wittchen, Hans-Ulrich; Lewis, Shôn W; Elfeddali, Iman; Wahlbeck, Kristian; Linszen, Donald; Obradors-Tarragó, Carla; Haro, Josep Maria

    2014-01-01

    Background The size and increasing burden of disease due to mental disorders in Europe poses substantial challenges to its population and to the health policy of the European Union. This warrants a specific research agenda concerning clinical mental health research as one of the cornerstones of sustainable mental health research and health policy in Europe. The aim of this research was to identify the top priorities needed to address the main challenges in clinical research for mental disorders. Methods The research was conducted as an expert survey and expert panel discussion during a scientific workshop. Results Eighty-nine experts in clinical research and representing most European countries participated in this survey. Identified top priorities were the need for new intervention studies, understanding the diagnostic and therapeutic implications of mechanisms of disease, and research in the field of somatic-psychiatric comorbidity. The “subjectivity gap” between basic neuroscience research and clinical reality for patients with mental disorders is considered the main challenge in psychiatric research, suggesting that a shift in research paradigms is required. Conclusion Innovations in clinical mental health research should bridge the gap between mechanisms underlying novel therapeutic interventions and the patient experience of mental disorder and, if present, somatic comorbidity. Clinical mental health research is relatively underfunded and should receive specific attention in Horizon 2020 funding programs. PMID:25061300

  16. Likely health outcomes for untreated acute febrile illness in the tropics in decision and economic models; a Delphi survey.

    Directory of Open Access Journals (Sweden)

    Yoel Lubell

    Full Text Available BACKGROUND: Modelling is widely used to inform decisions about management of malaria and acute febrile illnesses. Most models depend on estimates of the probability that untreated patients with malaria or bacterial illnesses will progress to severe disease or death. However, data on these key parameters are lacking and assumptions are frequently made based on expert opinion. Widely diverse opinions can lead to conflicting outcomes in models they inform. METHODS AND FINDINGS: A Delphi survey was conducted with malaria experts aiming to reach consensus on key parameters for public health and economic models, relating to the outcome of untreated febrile illnesses. Survey questions were stratified by malaria transmission intensity, patient age, and HIV prevalence. The impact of the variability in opinion on decision models is illustrated with a model previously used to assess the cost-effectiveness of malaria rapid diagnostic tests. Some consensus was reached around the probability that patients from higher transmission settings with untreated malaria would progress to severe disease (median 3%, inter-quartile range (IQR 1-5%, and the probability that a non-malaria illness required antibiotics in areas of low HIV prevalence (median 20%. Children living in low transmission areas were considered to be at higher risk of progressing to severe malaria (median 30%, IQR 10-58% than those from higher transmission areas (median 13%, IQR 7-30%. Estimates of the probability of dying from severe malaria were high in all settings (medians 60-73%. However, opinions varied widely for most parameters, and did not converge on resurveying. CONCLUSIONS: This study highlights the uncertainty around potential consequences of untreated malaria and bacterial illnesses. The lack of consensus on most parameters, the wide range of estimates, and the impact of variability in estimates on model outputs, demonstrate the importance of sensitivity analysis for decision models

  17. SURVEY

    DEFF Research Database (Denmark)

    SURVEY er en udbredt metode og benyttes inden for bl.a. samfundsvidenskab, humaniora, psykologi og sundhedsforskning. Også uden for forskningsverdenen er der mange organisationer som f.eks. konsulentfirmaer og offentlige institutioner samt marketingsafdelinger i private virksomheder, der arbejder...... med surveys. Denne bog gennemgår alle surveyarbejdets faser og giver en praktisk indføring i: • design af undersøgelsen og udvælgelse af stikprøver, • formulering af spørgeskemaer samt indsamling og kodning af data, • metoder til at analysere resultaterne...

  18. Musical preferences and learning outcome of medical students in cadaver dissection laboratory: A Nigerian survey.

    Science.gov (United States)

    Anyanwu, G E; Nto, J N; Agu, A U; Ekezie, J; Esom, E A

    2016-11-01

    Background music has been reported to enhance learning in the cadaver dissection laboratory. This study was designed to determine the impact of various forms of musical genre and some of their characteristics on students' learning outcome in the dissection laboratory. Some selected musical genre in vocal and non-vocal forms and at different tempi and volume were played as background music (BM) to 253 Medical and Dental students during various sessions of cadaver dissection. Psychological Stress assessment was done using Psychological stress measure-9. Participants love for music, preferred musical genre and other musical characteristics were assessed. The impact of the various musical genre and their characteristics on learning was done via written examination on the region dissected during each musical session. A positive relationship was noted between students' preference for musical genre during leisure with their preference for BM during private study time (Pmusical genre on some selected learning factors. Country and Classical music gave the highest positive impact on the various learning factors in CDL followed by R&B. No significant difference was noted between the cognitive values of vocal and non-vocal music. Classical music most effectively reduced the stress induced by dissection in the CDL while Reggae and High life musical genre created a more stressful environment than regular background noise (Pmusical genre and their various characteristics. The inability to isolate the particular musical genre with these desired properties could account for the controversies in the reports of the role of music in academic environment. Copyright © 2016 Elsevier GmbH. All rights reserved.

  19. Process and outcomes of euthanasia requests under the belgian act on euthanasia: a nationwide survey.

    Science.gov (United States)

    Van Wesemael, Yanna; Cohen, Joachim; Bilsen, Johan; Smets, Tinne; Onwuteaka-Philipsen, Bregje; Deliens, Luc

    2011-11-01

    Since 2002, the administration of a lethal drug by a physician at the explicit request of the patient has been legal in Belgium. The incidence of euthanasia in Belgium has been studied, but the process and outcomes of euthanasia requests have not been investigated. To describe which euthanasia requests were granted, withdrawn, and rejected since the enactment of the euthanasia law in terms of the characteristics of the patient, treating physician, and aspects of the consultation with a second physician. A representative sample of 3006 Belgian physicians received a questionnaire investigating their most recent euthanasia request. The response rate was 34%. Since 2002, 39% of respondents had received a euthanasia request. Forty-eight percent of requests had been carried out, 5% had been refused, 10% had been withdrawn, and in 23%, the patient had died before euthanasia could be performed. Physicians' characteristics associated with receiving a request were not being religious, caring for a high number of terminally ill patients, and having experience in palliative care. Patient characteristics associated with granting a request were age, having cancer, loss of dignity, having no depression, and suffering without prospect of improvement as a reason for requesting euthanasia. A positive initial position toward the request from the attending physician and positive advice from the second physician also contributed to having a request granted. Under the Belgian Act on Euthanasia, about half of the requests are granted. Factors related to the reason for the request, position of the attending physician toward the request, and advice from the second physician influence whether a request is granted or not. Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  20. Cross-cultural adaptation and validation of the Portuguese version of the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS)

    OpenAIRE

    Gonçalves, Rui Soles; Cabri, Jan; Pinheiro, João Páscoa

    2008-01-01

    Abstract The objective of this study was to cross-culturally adapt and validate the Portuguese version of the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS). This version was obtained with forward/backward translations, consensus panels and pre-testing. The Portuguese KOS-ADLS and Medical Outcomes Study, 36-item Short Form (SF-36) questionnaires, visual analogue scales (VAS) of pain, disability and discomfort, and a form for patient’s characteristics were administered to 168...

  1. Evaluating Depression Care Management in a Community Setting: Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities

    Directory of Open Access Journals (Sweden)

    Jeanette A. Waxmonsky

    2012-01-01

    Full Text Available The authors describe the implementation of a depression care management (DCM program at Colorado Access, a public sector health plan, and describe the program’s clinical and system outcomes for members with chronic medical conditions. High medical risk, high cost Medicaid health plan members were identified and systematically screened for depression. A total of 370 members enrolled in the DCM program. Longitudinal analyses revealed significantly reduced depression severity scores at 3, 6, and 12 months after intervention as compared to baseline depression scores. At 12 months, 56% of enrollees in the DCM program had either a 50% reduction in PHQ-9 scores or a PHQ-9 score < 10. Longitudinal economic analyses comparing 12 months before and after intervention revealed a significant but modest increase in ER visits, outpatient office visits, and overall medical and pharmacy costs when adjusted for months enrolled in DCM. Limitations and recommendations for the integrated depression care management are discussed.

  2. MAIN CONTENTS

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    The Key to Agricultural Science and Technology Innovation should be placed on the FiveMajor Changes Based on analysis and forecasting on grain consumption influencing factors, production influencing factors and import influencing factors, the supply and demand of main sorts of grain in China is forecas- ted respectively, including paddy, wheat, corn and soybean. In 2020, grain consumption quantity, grain production quantity and grain import quantity of China is 693 million tons, 644 million tons and 49 million tons respectively. For grain security in future, new stratagem on food security should be im- plemented, grain import circumstance and global grain security. Father mechanism should be im- proved, and early warning and regulation on grain production capacity should be paid attention to sys- temically.

  3. FBSAD Reef Fish-HABITAT Quadrat Surveys at Hawaii Island (Big Island, Main Hawaiian Islands), 2008; and Midway Atoll (Northwestern Hawaiian Islands), 2008 (NODC Accession 0067519)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Habitat quadrats were surveyed at 1 to ~5 m depths using transects conducted at a total four (4) sites: (1-2) at 2 longshore sites on the leeward coast (South Kohala...

  4. Do associations between employee self-reported organizational assessments and attitudinal outcomes change over time? An analysis of four Veterans Health Administration surveys using structural equation modelling.

    Science.gov (United States)

    Das, Sonali; Chen, Ming-Hui; Warren, Nicholas; Hodgson, Michael

    2011-12-01

    This paper evaluates relationships between healthcare employees' perceptions of three hospital organizational constructs (Leadership, Support and Resources), and their assessment of two employee-related outcomes (employee satisfaction and retention) and two patient-related outcomes (patient satisfaction and quality of care). Using four all-employee surveys conducted by the Veterans Health Administration in the United States between 1997 and 2006, we examine the strength of these relationships and their changes over time. Exposure and outcome measures are employee-assessed in all the surveys. Because it can accommodate both latent and measured variables into the model, Structural Equation Modelling (SEM) is used to capture and quantify the relationship structure. The aim of the project is to identify possible intervention foci. The analyses revealed that employee-related outcomes are improved by increases in Leadership and Support, and, not surprisingly, the outcome variable of employee satisfaction reduced turnover intention. The employee assessed patient-related outcomes of satisfaction and quality of care were most improved by increases in Resources. Results also indicate that the three organizational constructs and the web of associations characterized by SEM underwent changes over the study period, perhaps in relation to changes in VHA policy emphases, changes in survey wording and other possible unmeasured factors.

  5. Global priorities for research and the relative importance of different research outcomes: an international Delphi survey of malaria research experts.

    Science.gov (United States)

    Mulligan, Jo-Ann; Conteh, Lesong

    2016-12-06

    As global research investment increases, attention inevitably turns to assessing and measuring the outcomes and impact from research programmes. Research can have many different outcomes such as producing advances in scientific knowledge, building research capacity and, ultimately, health and broader societal benefits. The aim of this study was to test the use of a Delphi methodology as a way of gathering views from malaria research experts on research priorities and eliciting relative valuations of the different types of health research impact. An international Delphi survey of 60 malaria research experts was used to understand views on research outcomes and priorities within malaria and across global health more widely. The study demonstrated the application of the Delphi technique to eliciting views on malaria specific research priorities, wider global health research priorities and the values assigned to different types of research impact. In terms of the most important past research successes, the development of new anti-malarial drugs and insecticide-treated bed nets were rated as the most important. When asked about research priorities for future funding, respondents ranked tackling emerging drug and insecticide resistance the highest. With respect to research impact, the panel valued research that focuses on health and health sector benefits and informing policy and product development. Contributions to scientific knowledge, although highly valued, came lower down the ranking, suggesting that efforts to move research discoveries to health products and services are valued more highly than pure advances in scientific knowledge. Although the Delphi technique has been used to elicit views on research questions in global health this was the first time it has been used to assess how a group of research experts value or rank different types of research impact. The results suggest it is feasible to inject the views of a key stakeholder group into the research

  6. A 12-month prospective survey of perinatal outcome of liveborn neonates in Julu County, China

    Institute of Scientific and Technical Information of China (English)

    MA Li; SUN Bo; LIU Cui-qing; ZHENG Xiu-ling; XIN Shen-fang; JI Zeng-liang; LI Ya-mei; YAN Guo-ping; TIAN Chao-fang; TANG Long-mei

    2010-01-01

    Background Population based epidemiologic study on the main diseases and birth status of liveborn neonates remains scarce in China, especially in rural areas where a large number of neonates are born. The aim of this study was to establish an epidemiological basis of live births in Julu County, a representative of the northern and mid-western parts of China in terms of demography, disease pattern and women and children's health care infrastructure.Methods The perinatal data of all live births were prospectively collected in three participating county-level hospitals from September 1, 2007 to August 30, 2008.Results There were 5822 live births in these hospitals. Among all live births, 53.7% were male and 4.5% were bornprematurely. Mean (SD) birth weight (BW) was (3348±503) g. The low (<2500 g) and very low BW (<1500 g) infants accounted for 3.8% and 0.5% of the total births, with 6.5% as small for gestational age and 2.8% as multi-births.Cesarean section rate was 30.2%, of which 68.6% were elective. There were 745 infants (12.8% of the live births)admitted to local neonatal wards within 7 days of postnatal life, in which 48.3% and 19.3% were due to perinatal asphyxia and prematurity, respectively. The incidences of perinatal aspiration syndrome, transient tachypnea and respiratory distress syndrome were 4.9%, 0.6% and 0.5%, respectively. Neonatal mortality was 7.6%. (44/5822), with 16 in delivery room and 28 in neonatal ward before discharge.Conclusions This study provided a population-based perinatal data of live births and neonatal mortality in a northern China county with limited resources. Neonatal disorders related to perinatal asphyxia remain a serious clinical problem,which calls for sustained education of advanced neonatal resuscitation and improvement in the quality of perinatal-neonatal care.

  7. Use of and confidence in administering outcome measures among clinical prosthetists: Results from a national survey and mixed-methods training program.

    Science.gov (United States)

    Gaunaurd, Ignacio; Spaulding, Susan E; Amtmann, Dagmar; Salem, Rana; Gailey, Robert; Morgan, Sara J; Hafner, Brian J

    2015-08-01

    Outcome measures can be used in prosthetic practices to evaluate interventions, inform decision making, monitor progress, document outcomes, and justify services. Strategies to enhance prosthetists' ability to use outcome measures are needed to facilitate their adoption in routine practice. To assess prosthetists' use of outcome measures and evaluate the effects of training on their confidence in administering performance-based measures. Cross-sectional and single-group pretest-posttest survey. Seventy-nine certified prosthetists (mean of 16.0 years of clinical experience) were surveyed about their experiences with 20 standardized outcome measures. Prosthetists were formally trained by the investigators to administer the Timed Up and Go and Amputee Mobility Predictor. Prosthetists' confidence in administering the Timed Up and Go and Amputee Mobility Predictor was measured before and after training. The majority of prosthetists (62%) were classified as non-routine outcome measure users. Confidence administering the Timed Up and Go and Amputee Mobility Predictor prior to training was low-to-moderate across the study sample. Training significantly (p confidence in administering both instruments. Prosthetists in this study reported limited use of and confidence with standardized outcome measures. Interactive training resulted in a statistically significant increase of prosthetists' confidence in administering the Timed Up and Go and Amputee Mobility Predictor and may facilitate use of outcome measures in clinical practice. Frequency of outcome measure use in the care of persons with limb loss has not been studied. Study results suggest that prosthetists may not regularly use standardized outcome measures and report limited confidence in administering them. Training enhances confidence and may encourage use of outcome measures in clinical practice. © The International Society for Prosthetics and Orthotics 2014.

  8. The main factors affecting the long-term outcomes in patients after acute cerebrovascular disorder: results of the LIS-2 study

    Directory of Open Access Journals (Sweden)

    S. Yu. Martsevich

    2016-01-01

    Full Text Available Aim. To evaluate the long-term prognosis of life in patients after cerebral stroke (MI and to identify the main factors influencing it.Material and methods. All patients (n=960 who had MI or transient ischemic attack in the period from 01.01.2009 to 31.12.2011, admitted to Lyubertsy district hospital №2, were included into the register of LIS-2. The primary endpoint was total mortality of patients.Results. The average age of patients was 72±9 years, 2/3 were women. 207 patients (21.7% died in the hospital, 753 were discharged from the hospital. Median follow-up was 2.8 (2.1, 3.5 years. 31.5% of the patients died during this period. The main cause of death (36% was re-MI, and 22.4% of patients died from the heart failure. The relative risk (RR of death was significantly increased with the age of patients (RR=1.1. The probability of death increased in the presence of diabetes mellitus (RR=1.4, alcohol abuse (RR=2.3, any signs of consciousness disorders in the acute phase of MI (RR=1.6, heart failure (RR=1.6, atrial fibrillation (RR=1.4. Patients who were treated with calcium channel blockers before admission to the hospital, had a lower risk of death than those who did not receive these drugs (RR=0.4. Prescription of ACE inhibitors at discharge from the hospital reduced significantly the risk of death in the long-term period (RR=0.7.Conclusion. High rate of long-term mortality in the LIS-2 register can be largely explained by the poor quality of primary and secondary prevention of cardiovascular events.

  9. Health hackathons: theatre or substance? A survey assessment of outcomes from healthcare-focused hackathons in three countries

    Science.gov (United States)

    Walsh, Madeline; Garg, Priya; Steel, Alexis; Mehta, Sahil; Data, Santorino; Petersen, Rebecca; Guarino, Anthony J; Bailey, Elizabeth; Bangsberg, David R

    2017-01-01

    Background Healthcare-focused hackathons are 48-hour platforms intended to accelerate novel medical technology. However, debate exists about how much they contribute to medical technology innovation. The Consortium for Affordable Medical Technologies (CAMTech) has developed a three-pronged model to maximise their effectiveness. To gauge the success of this model, we examined follow-up outcomes. Methods Outcomes of 12 hackathons from 2012 to 2015 in India, Uganda and the USA were measured using emailed surveys. To minimise response bias, non-responding teams were coded as having made no progress. Results 331 individuals provided information on 196 of 356 projects (55.1% response rate), with no difference in responses from teams participating in different countries (Cramer's V=0.09, p=0.17). 30.3% of projects had made progress after a mean of 12.2 months. 88 (24.7%) teams had initiated pilot testing, with 42 (11.8%) piloting with care providers and 24 (6.7%) with patients. Overall, 97 teams (8.1 per hackathon) drafted business plans, 22 (1.8 per hackathon) had filed patents on their innovations and 15 (1.3 per hackathon) had formed new companies. Teams raised US$64.08 million in funding (average US$5.34 million per hackathon; median award size of $1800). In addition, 108 teams (30.3%) reported at least one member working on additional technologies with people they met at a hackathon. Individual confidence to address medical technology challenges was significantly increased after attending (t(1282)=192.77, p 0.001). Conclusion CAMTech healthcare hackathons lead to consistent output with respect to medical technology innovation, including clinical trials, business plan development, securing investment capital/funding and new company formation. PMID:28250965

  10. The Desired Learning Outcomes of School-Based Nutrition/Physical Activity Health Education: A Health Literacy Constructed Delphi Survey of Finnish Experts

    Science.gov (United States)

    Ormshaw, Michael James; Kokko, Sami Petteri; Villberg, Jari; Kannas, Lasse

    2016-01-01

    Purpose: The purpose of this paper is to utilise the collective opinion of a group of Finnish experts to identify the most important learning outcomes of secondary-level school-based health education, in the specific domains of physical activity and nutrition. Design/ Methodology/ Approach: The study uses a Delphi survey technique to collect the…

  11. Quality of life assessed with the medical outcomes study short form 36-item health survey of patients on renal replacement therapy: A systematic review and meta-analysis

    NARCIS (Netherlands)

    Y.S. Liem (Ylian Serina); J.L. Bosch (Johanna); L.R. Arends (Lidia); M.H. Heijenbrok-Kal (Majanka); M.G.M. Hunink (Myriam)

    2007-01-01

    textabstractObjectives: The Medical Outcomes Study Short Form 36-Item Health Survey (SF-36) is the most widely used generic instrument to estimate quality of life of patients on renal replacement therapy. Purpose of this study was to summarize and compare the published literature on quality of life

  12. The Desired Learning Outcomes of School-Based Nutrition/Physical Activity Health Education: A Health Literacy Constructed Delphi Survey of Finnish Experts

    Science.gov (United States)

    Ormshaw, Michael James; Kokko, Sami Petteri; Villberg, Jari; Kannas, Lasse

    2016-01-01

    Purpose: The purpose of this paper is to utilise the collective opinion of a group of Finnish experts to identify the most important learning outcomes of secondary-level school-based health education, in the specific domains of physical activity and nutrition. Design/ Methodology/ Approach: The study uses a Delphi survey technique to collect the…

  13. Evaluating Curricular Influence on Preparation for Practice, Career Outcomes, and Job Satisfaction: Results from an Alumni Survey of a 40-Year Rehabilitation and Mental Health Counseling Program

    Science.gov (United States)

    Smith, Tammy Jorgensen; Reid, Joan A.; Henry, Ryan G.; Dixon, Charlotte G.; Wright, Tennyson J.

    2013-01-01

    Alumni of a Council on Rehabilitation Education (CORE)-accredited graduate rehabilitation counselor education (RCE) program were surveyed to evaluate career outcomes, job satisfaction, licensure and certification rates, client populations served, and RCE program satisfaction and effectiveness. Results indicate a high level of satisfaction with the…

  14. Evaluating Curricular Influence on Preparation for Practice, Career Outcomes, and Job Satisfaction: Results from an Alumni Survey of a 40-Year Rehabilitation and Mental Health Counseling Program

    Science.gov (United States)

    Smith, Tammy Jorgensen; Reid, Joan A.; Henry, Ryan G.; Dixon, Charlotte G.; Wright, Tennyson J.

    2013-01-01

    Alumni of a Council on Rehabilitation Education (CORE)-accredited graduate rehabilitation counselor education (RCE) program were surveyed to evaluate career outcomes, job satisfaction, licensure and certification rates, client populations served, and RCE program satisfaction and effectiveness. Results indicate a high level of satisfaction with the…

  15. Quality of life assessed with the medical outcomes study short form 36-item health survey of patients on renal replacement therapy: A systematic review and meta-analysis

    NARCIS (Netherlands)

    Y.S. Liem (Ylian Serina); J.L. Bosch (Johanna); L.R. Arends (Lidia); M.H. Heijenbrok-Kal (Majanka); M.G.M. Hunink (Myriam)

    2007-01-01

    textabstractObjectives: The Medical Outcomes Study Short Form 36-Item Health Survey (SF-36) is the most widely used generic instrument to estimate quality of life of patients on renal replacement therapy. Purpose of this study was to summarize and compare the published literature on quality of

  16. Development and measurement properties of the Orthotics and Prosthetics Users' Survey (OPUS): a comprehensive set of clinical outcome instruments.

    Science.gov (United States)

    Heinemann, A W; Bode, R K; O'Reilly, C

    2003-12-01

    The need to measure and evaluate orthotics and prosthetics (O&P) practice has received growing recognition in the past several years. Reliable and valid self-report instruments are needed that can help facilities evaluate patient outcomes. The objective of this project was to develop a set of self-report instruments that assess functional status, quality of life, and satisfaction with devices and services that can be used in an orthotics and prosthetics clinic. Selecting items from a variety of existing instruments, the authors developed and revised four instruments that differentiate patients with varying levels of lower limb function, quality of life, and satisfaction with devices and services. Evidence of construct validity is provided by hierarchies of item difficulty that are consistent with clinical experience. For example, with the lower limb function instrument, running one block was much more difficult than walking indoors. The instruments demonstrate adequate internal consistency (0.88 for lower limb function, 0.88 for quality of life, 0.74 for service satisfaction, 0.78 for device satisfaction). The next steps in their research programme are to evaluate sensitivity and construct validity. The Orthotics and Prosthetics Users' Survey (OPUS) is a promising self-report instrument which may, with further development, allow orthotic and prosthetic practitioners to evaluate the quality and effectiveness of their services as required by accreditation standards such as those of the American Board for Certification in Orthotics and Prosthetics that mandate quality assessment.

  17. Survey of Pregnancy Outcome in Preterm Premature Rupture of Membranes with Amniotic Fluid Index <5 and ≥5

    Directory of Open Access Journals (Sweden)

    Fatemeh Tavassoli

    2010-04-01

    Full Text Available Objectives: Preterm premature rupture of membranes (PPROM is among the most important causes of perinatal morbidity and mortality. The aim of this study is to survey the pregnancy outcomes in preterm premature rupture of membranes with an amniotic fluid index of 5.Methods: This prospective cohort study was performed on 137 pregnant women complicated by preterm premature rupture of membranes (PPROM with a gestational age of 28-34 weeks during October 2006 to October 2008. The patients were divided in two groups according to their amniotic fluid index; AFI<5 (77cases, AFI≥5 (60cases. The Chi-squared test for qualitative variables and T-student test for quantitative variables were used to analyze the results.Results: The results showed that there was no significant difference in terms of the number of pregnancies, gestational age at rupture of membranes and birthweight between the two groups. However, the results demonstrated that the patients with AFI<5 exhibited a significantly shorter latency period (p=0.049, a higher rate of cesarean due to fetal distress (p=0.008, a lower neonatal Apgar score in the first minute (p=0.0127 and a higher rate of neonatal death during the first week (p=0.045.Conclusion: Overall, PPROM with oligohydroamnios is associated with shorter latency, higher rate of C/S, higher rate of early neonatal death and lower neonatal Apgar.

  18. Survey of the main parameters necessary for the dimensioning of three phase gravitational separators; Levantamento dos principais parametros necessarios ao dimensionamento de separadores gravitacionais trifasicos

    Energy Technology Data Exchange (ETDEWEB)

    Ramalho, Joao Batista Vianey da Silva [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil)

    2000-07-01

    The performance of gravitation separation of water from oil, in water-oil type emulsions depends greatly on the temperature and the time of segregation, as well as on the nature of the oil and on the quality of the demulsifying product used. Based on the methodology developed herein, these two parameters have been lab assessed, by initially defining the temperature range for these tests to be carried out, then obtaining the synthetic emulsions and, finally, carrying out the tests to determine the water-oil separation performance as a function of the temperature and of the test duration. Based on the results obtained, performance curves are surveyed, and said curves are able to predict the behavior of the water-oil gravitation segregation. (author)

  19. The Impact of Maternal Obesity and Excessive Gestational Weight Gain on Maternal and Infant Outcomes in Maine: Analysis of Pregnancy Risk Assessment Monitoring System Results from 2000 to 2010

    Science.gov (United States)

    Sarton, Cheryl; Lichter, Erika

    2016-01-01

    The objective of this study is to understand the relationships between prepregnancy obesity and excessive gestational weight gain (GWG) and adverse maternal and fetal outcomes. Pregnancy risk assessment monitoring system (PRAMS) data from Maine for 2000–2010 were used to determine associations between demographic, socioeconomic, and health behavioral variables and maternal and infant outcomes. Multivariate logistic regression analysis was performed on the independent variables of age, race, smoking, previous live births, marital status, education, BMI, income, rurality, alcohol use, and GWG. Dependent variables included maternal hypertension, premature birth, birth weight, infant admission to the intensive care unit (ICU), and length of hospital stay of the infant. Excessive prepregnancy BMI and excessive GWG independently predicted maternal hypertension. A high prepregnancy BMI increased the risk of the infant being born prematurely, having a longer hospital stay, and having an excessive birth weight. Excessive GWG predicted a longer infant hospital stay and excessive birth weight. A low pregnancy BMI and a lower than recommended GWG were also associated with poor outcomes: prematurity, low birth weight, and an increased risk of the infant admitted to ICU. These findings support the importance of preconception care that promotes achievement of a healthy weight to enhance optimal reproductive outcomes. PMID:27747104

  20. The VLT-FLAMES Tarantula Survey XVII. Physical and wind properties of massive stars at the top of the main sequence

    CERN Document Server

    Bestenlehner, Joachim M; Vink, Jorick S; Najarro, F; de Koter, A; Sana, H; Evans, C J; Crowther, P A; Hénault-Brunet, V; Herrero, A; Langer, N; Schneider, F R N; Simón-Díaz, S; Taylor, W D; Walborn, N R

    2014-01-01

    The evolution and fate of very massive stars (VMS) is tightly connected to their mass-loss properties. Their initial and final masses differ significantly as a result of mass loss. VMS have strong stellar winds and extremely high ionising fluxes, which are thought to be critical sources of both mechanical and radiative feedback in giant Hii regions. However, how VMS mass-loss properties change during stellar evolution is poorly understood. In the framework of the VLT-Flames Tarantula Survey (VFTS), we explore the mass-loss transition region from optically thin O to denser WNh star winds, thereby testing theoretical predictions. To this purpose we select 62 O, Of, Of/WN, and WNh stars, an unprecedented sample of stars with the highest masses and luminosities known. We perform a spectral analysis of optical VFTS as well as near-infrared VLT/SINFONI data using the non-LTE radiative transfer code CMFGEN to obtain stellar and wind parameters. For the first time, we observationally resolve the transition between op...

  1. AVAST Survey 0.4-1.0 {\\mu}m Spectroscopy of Igneous Asteroids in the Inner and Middle Main Belt

    CERN Document Server

    Hammergren, Mark; Gyuk, Geza; Puckett, Andrew

    2012-01-01

    We present the spectra of 60 asteroids, including 47 V-types observed during the first phase of the Adler V-Type Asteroid (AVAST) Survey. SDSS photometry was used to select candidate V-type asteroids for follow up by nature of their very blue i - z color. 47 of the 61 observed candidates were positively classified as V-type asteroids, while an additional six show indications of a 0.9 {\\mu}m feature consistent with V-type spectra, but not sufficient for formal classification. Four asteroids were found to be S-type, all of which had i - z values very near the adopted AVAST selection criteria of i - z \\leq -0.2, including one candidate observed well outside the cut (at a mean i - z of -0.11). Three A-type asteroids were also identified. Six V-type asteroids were identified beyond the 3:1 mean motion resonance with Jupiter, and six more were found with low (< 5 deg) inclination, placing these asteroids outside of the normal dynamical range of classic Vestoids, and are suggestive of a non-Vesta origin for at le...

  2. Ranking hospitals for outcomes in total hip replacement - administrative data with or without additional patient surveys? - Part 1: Administrative data

    Directory of Open Access Journals (Sweden)

    Dörning, Hans

    2007-03-01

    Full Text Available Background: Many hospital rankings rely on the frequency of adverse outcomes and are based on administrative data. In the study presented here, we tried to find out, to what extent available administrative data of German Sickness Funds allow for an adequate hospital ranking and compared this with rankings based on additional information derived from a patient survey. Total hip replacement was chosen as an example procedure. In part I of the publication, we present the results of the approach based on administrative data. Methods: We used administrative data from the AOK-Lower Saxony of the years 2000, 2001 and 2002. The study population comprised all beneficiaries, who received total hip replacement in the years 2000 or 2001. Performance indicators used where “critical incident (Mortality or revision” and “number of revisions” within the first year. Hospitals were ranked if they performed at least 20 procedures on AOK-beneficiaries in each of the two years. Multivariate modelling (logistic and poisson regression was used to estimate the performance indicators by case-mix variables (age, sex, co-diagnoses and hospital characteristics (hospital size, surgical volume. The actual ranking was based on these multivariate models, excluding hospital variables and adding dummy-variables for each hospital. Hospitals were ranked by their case-mix adjusted odds ratio or SMR respectively with respect to a pre-selected reference hospital. The resulting rankings were compared with each other, with regard to temporal stability, and the impact of case-mix variables.Results: About 4500 beneficiaries received total hip replacement in each year (n2000: 4482; n2001: 4579. The ranking included 65 hospitals. Comparing the years 2000 and 2001, the temporal stability of the rankings based on a single performance indicator was low (Spearman rang correlation coefficients 0.158 and 0.191. The agreement of rankings based on different performance indicators in the

  3. Complementary feeding practices and child growth outcomes in Haiti: an analysis of data from Demographic and Health Surveys.

    Science.gov (United States)

    Heidkamp, Rebecca A; Ayoya, Mohamed Ag; Teta, Ismael Ngnie; Stoltzfus, Rebecca J; Marhone, Joseline Pierre

    2015-10-01

    The Haitian National Nutrition Policy identifies the promotion of optimal complementary feeding (CF) practices as a priority action to prevent childhood malnutrition. We analysed data from the nationally representative 2005-2006 Haiti Demographic Health Survey using the World Health Organization 2008 infant and young child feeding indicators to describe feeding practices among children aged 6-23 months and thus inform policy and programme planning. Multivariate regression analyses were used to identify the determinants of CF practices and to examine their association with child growth outcomes. Overall, 87.3% of 6-8-month-olds received soft, solid or semi-solid foods in the previous 24 h. Minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) were achieved in 29.2%, 45.3% and 17.1% of children aged 6-23 months, respectively. Non-breastfed children were more likely to achieve MDD than breastfed children of the same age (37.3% vs. 25.8%; P < 0.001). The proportion of children achieving MMF varied significantly by age (P < 0.001). Children with overweight mothers were more likely to achieve MDD, MMF and MAD [odds ratio (OR) 2.08, P = 0.012; OR 1.81, P = 0.02; and OR 2.4, P = 0.01, respectively] than children of normal weight mothers. Odds of achieving MDD and MMF increased with household wealth. Among mothers with secondary or more education, achieving MDD or MAD was significantly associated with lower mean weight-for-age z-score and height-for-age z-score (P-value <0.05 for infants and young child feeding indicator × maternal education interaction). CF practices were mostly inadequate and contributed to growth faltering among Haitian children 6-23 months old.

  4. Orthopedic manifestations in patients with muco­polysaccharidosis type II (Hunter syndrome enrolled in the Hunter Outcome Survey

    Directory of Open Access Journals (Sweden)

    Bianca Link

    2010-07-01

    Full Text Available Mucopolysaccharidosis type II (MPS II or Hunter syndrome is a rare, inherited disorder caused by deficiency of the lysosomal enzyme iduronate-2-sulfatase. As a result of this deficiency, glycosaminoglycans accumulate in lysosomes in many tissues, leading to progressive multisystemic disease. The cardiopulmonary and neurological problems associated with MPS II have received considerable attention. Orthopedic manifestations are common but not as well characterized. This study aimed to characterize the prevalence and severity of orthopedic manifestations of MPS II and to determine the relationship of these signs and symptoms with cardiovascular, pulmonary and central nervous system involvement. Orthopedic manifestations of MPS II were studied using cross-sectional data from the Hunter Outcome Survey (HOS. The HOS is a global, physician-led, multicenter observational database that collects information on the natural history of MPS II and the long-term safety and effectiveness of enzyme replacement therapy. As of January 2009, the HOS contained baseline data on joint range of motion in 124 males with MPS II. In total, 79% of patients had skeletal manifestations (median onset, 3.5 years and 25% had abnormal gait (median onset, 5.4 years. Joint range of motion was restricted for all joints assessed (elbow, shoulder, hip, knee and ankle. Extension was the most severely affected movement: the exception to this was the shoulder. Surgery for orthopedic problems was rare. The presence of orthopedic manifestations was associated with the presence of central nervous system and pulmonary involvement, but not so clearly with cardiovascular involvement. Orthopedic interventions should be considered on an individual-patient basis. Although some orthopedic manifestations associated with MPS II may be managed routinely, a good knowledge of other concurrent organ system involvement is essential. A multidisciplinary approach is required.

  5. The 2011 survey on hypertensive disorders of pregnancy (HDP in China: prevalence, risk factors, complications, pregnancy and perinatal outcomes.

    Directory of Open Access Journals (Sweden)

    Chun Ye

    Full Text Available Hypertensive disorders of pregnancy (HDP are a group of medical complications in pregnancy and also a risk factor for severe pregnancy outcomes, but it lacks a large-scale epidemiological investigation in recent years. This survey represents a multicenter cross-sectional retrospective study to estimate the prevalence and analyze the risk factors for HDP among the pregnant women who had referred for delivery between January 1st 2011 and December 31st 2011 in China Mainland. A total of 112,386 pregnant women were investigated from 38 secondary and tertiary specialized or general hospitals randomly selected across the country, of which 5,869 had HDP, accounting for 5.22% of all pregnancies. There were significant differences in the prevalence of HDP between geographical regions, in which the North China showed the highest (7.44% and Central China showed the lowest (1.23%. Of six subtypes of HDP, severe preeclampsia accounted for 39.96%, gestational hypertension for 31.40%, mild preeclampsia for 15.13%, chronic hypertension in pregnancy for 6.00%, preeclampsia superimposed on chronic hypertension for 3.68% and eclampsia for 0.89%. A number of risk factors for HDP were identified, including twin pregnancy, age of >35 years, overweight and obesity, primipara, history of hypertension as well as family history of hypertension and diabetes. The prevalence of pre-term birth, placental abruption and postpartum hemorrhage were significantly higher in women with HDP than those without HDP. The possible risk factors confirmed in this study may be useful for the development of early diagnosis and appropriate treatment of HDP.

  6. Towards Horizon 2020: challenges and advances for clinical mental health research – outcome of an expert survey

    Directory of Open Access Journals (Sweden)

    van der Feltz-Cornelis CM

    2014-06-01

    expert survey and expert panel discussion during a scientific workshop.Results: Eighty-nine experts in clinical research and representing most European countries participated in this survey. Identified top priorities were the need for new intervention studies, understanding the diagnostic and therapeutic implications of mechanisms of disease, and research in the field of somatic-psychiatric comorbidity. The “subjectivity gap” between basic neuroscience research and clinical reality for patients with mental disorders is considered the main challenge in psychiatric research, suggesting that a shift in research paradigms is required.Conclusion: Innovations in clinical mental health research should bridge the gap between mechanisms underlying novel therapeutic interventions and the patient experience of mental disorder and, if present, somatic comorbidity. Clinical mental health research is relatively underfunded and should receive specific attention in Horizon 2020 funding programs.Keywords: clinical research, mental health, randomized clinical trials, Horizon 2020, expert survey, challenge, research agenda, Europe

  7. 四川西昌地区雪莲果主要害虫种类调查%The Survey of Main Pests on Smallanthus Sanchifalius in Xichang

    Institute of Scientific and Technical Information of China (English)

    涂勇; 姚昕; 李林; 叶青; 任江平; 肖娜; 曹丹; 李江; 刘佳

    2013-01-01

    The main pests happened in the lifetime of Smallanthus sanchifalius in Xichang were studied through field investigations, specimen collection and indoor identification in this paper. The results showed that the major pests belonged to one class, five different meshes, eight different families, and nine kinds. Trialeurodes vaporariorum (Westwood) happened seriously.%通过田间调查、标本采集、室内鉴定等方法研究西昌地区雪莲果整个生长过程中所发生的主要害虫种类。结果表明,为害西昌地区雪莲果的主要害虫隶属于1个纲、5个目、8个科、9个种,其中尤以温室白粉虱发生最为严重。

  8. Sexual Orientation, Adult Connectedness, Substance Use, and Mental Health Outcomes Among Adolescents: Findings From the 2009 New York City Youth Risk Behavior Survey

    Science.gov (United States)

    Seil, Kacie S.; Desai, Mayur M.

    2014-01-01

    Objectives. We examined associations between identifying as lesbian, gay, or bisexual (LGB) and lacking a connection with an adult at school on adolescent substance use and mental health outcomes including suicidality. Methods. We analyzed data from the 2009 New York City Youth Risk Behavior Survey (n = 8910). Outcomes of interest included alcohol use, marijuana use, illicit drug use, depressive symptomatology, suicide ideation, and suicide attempt. Results. The prevalence of each outcome was significantly higher among LGB adolescents than heterosexual adolescents and among those who lacked an adult connection at school than among those who did have such a connection. Even when LGB adolescents had an adult connection at school, their odds of most outcomes were significantly higher than for heterosexual adolescents. Those LGB adolescents who lacked a school adult connection had the poorest outcomes (about 45% reported suicide ideation; 31% suicide attempt). Conclusions. Adolescents who are LGB, particularly those who lack a connection with school adults, are at high risk for substance use and poorer mental health outcomes. Interventions should focus on boosting social support and improving outcomes for this vulnerable group. PMID:25121812

  9. A deep x-ray survey of the Pleiades cluster and the B6-A3 main sequence stars in Orion

    Science.gov (United States)

    Caillault, Jean-Pierre

    1993-01-01

    We have obtained deep ROSAT images of three regions within the Pleiades open cluster. We have detected 317 X-ray sources in these ROSAT PSPC images, 171 of which we associate with certain probable members of the Pleiades cluster. We detect nearly all Pleiades members with spectral types later than G0 and within 25 arcminutes of our three field centers where our sensitivity is highest. This has allowed us to derive for the first time the luminosity function for the G, K, and M dwarfs of an open cluster without the need to use statistical techniques to account for the presence of upper limits in the data sample. Because of our high X-ray detection frequency down to the faint limit of the optical catalog, we suspect that some of our unidentified X-ray sources are previously unknown, very low-mass members of the Pleiades. A large fraction of the Pleiades members detected with ROSAT have published rotational velocities. Plots of L(sub x)/L(sub bol) versus spectroscopic rotational velocity show tightly correlated 'saturation' type relations for stars with (B - V)(sub O) greater than 0.60. For each of several color ranges, X-ray luminosities rise rapidly with increasing rotation rate until v sin i approximately equals 15 km/s, and then remain essentially flat for rotation rates up to at least v sin i approximately equal to 100 km/s. The dispersion in rotation among low-mass stars in the Pleiades is by far the dominant contributor to the dispersion in L(subx) at a given mass. Only about 35 percent of the B.A. and early F stars in the Pleiades are detected as X-ray sources in our survey. There is no correlation between X-ray flux and rotation for these stars. The X-ray luminosity function for the early-type Pleiades stars appears to be bimodal, with only a few exceptions. We either detect these stars at fluxes in the range found for low-mass stars or we derive X-ray limits below the level found for most Pleiades dwarfs. The X-ray spectra for the early-type Pleiades stars

  10. The Gaia-ESO Survey: lithium depletion in the Gamma Velorum cluster and inflated radii in low-mass pre-main-sequence stars

    Science.gov (United States)

    Jeffries, R. D.; Jackson, R. J.; Franciosini, E.; Randich, S.; Barrado, D.; Frasca, A.; Klutsch, A.; Lanzafame, A. C.; Prisinzano, L.; Sacco, G. G.; Gilmore, G.; Vallenari, A.; Alfaro, E. J.; Koposov, S. E.; Pancino, E.; Bayo, A.; Casey, A. R.; Costado, M. T.; Damiani, F.; Hourihane, A.; Lewis, J.; Jofre, P.; Magrini, L.; Monaco, L.; Morbidelli, L.; Worley, C. C.; Zaggia, S.; Zwitter, T.

    2017-01-01

    We show that non-magnetic models for the evolution of pre-main-sequence (PMS) stars cannot simultaneously describe the colour-magnitude diagram (CMD) and the pattern of lithium depletion seen in the cluster of young, low-mass stars surrounding γ2 Velorum. The age of 7.5 ± 1 Myr inferred from the CMD is much younger than that implied by the strong Li depletion seen in the cluster M-dwarfs, and the Li depletion occurs at much redder colours than predicted. The epoch at which a star of a given mass depletes its Li and the surface temperature of that star are both dependent on its radius. We demonstrate that if the low-mass stars have radii ˜10 per cent larger at a given mass and age, then both the CMD and the Li-depletion pattern of the Gamma Velorum cluster are explained at a common age of ≃18-21 Myr. This radius inflation could be produced by some combination of magnetic suppression of convection and extensive cool starspots. Models that incorporate radius inflation suggest that PMS stars, similar to those in the Gamma Velorum cluster, in the range 0.2 30 per cent) than inferred from conventional, non-magnetic models in the Hertzsprung-Russell diagram. Systematic changes of this size may be of great importance in understanding the evolution of young stars, disc lifetimes and the formation of planetary systems.

  11. The Gaia-ESO Survey: Lithium depletion in the Gamma Velorum cluster and inflated radii in low-mass pre-main-sequence stars

    CERN Document Server

    Jeffries, R D; Franciosini, E; Randich, S; Barrado, D; Frasca, A; Klutsch, A; Lanzafame, A C; Prisinzano, L; Sacco, G G; Gilmore, G; Vallenari, A; Alfaro, E J; Koposov, S E; Pancino, E; Bayo, A; Casey, A R; Costado, M T; Damiani, F; Hourihane, A; Lewis, J; Jofre, P; Magrini, L; Monaco, L; Morbidelli, L; Worley, C C; Zaggia, S; Zwitter, T

    2016-01-01

    We show that non-magnetic models for the evolution of pre-main-sequence (PMS) stars *cannot* simultaneously describe the colour-magnitude diagram (CMD) and the pattern of lithium depletion seen in the cluster of young, low-mass stars surrounding $\\gamma^2$ Velorum. The age of 7.5+/-1 Myr inferred from the CMD is much younger than that implied by the strong Li depletion seen in the cluster M-dwarfs and the Li depletion occurs at much redder colours than predicted. The epoch at which a star of a given mass depletes its Li and the surface temperature of that star are both dependent on its radius. We demonstrate that if the low-mass stars have radii ~10 per cent larger at a given mass and age, then both the CMD and Li depletion pattern of the Gamma Vel cluster are explained at a common age of 18-21 Myr. This radius inflation could be produced by some combination of magnetic suppression of convection and extensive cool starspots. Models that incorporate radius inflation suggest that PMS stars similar to those in t...

  12. Evaluating gyrochronology on the zero-age-main-sequence: rotation periods in the southern open cluster Blanco 1 from the Kelt-South survey

    Energy Technology Data Exchange (ETDEWEB)

    Cargile, P. A.; Pepper, J.; Siverd, R.; Stassun, K. G. [Department of Physics and Astronomy, Vanderbilt University, Nashville, TN 37235 (United States); James, D. J. [Cerro Tololo Inter-American Observatory, La Serena (Chile); Kuhn, R. B., E-mail: p.cargile@vanderbilt.edu [South African Astronomical Observatory, Cape Town (South Africa)

    2014-02-10

    We report periods for 33 members of Blanco 1 as measured from Kilodegree Extremely Little Telescope-South light curves, the first reported rotation periods for this benchmark zero-age-main-sequence open cluster. The distribution of these stars spans from late-A or early-F dwarfs to mid-K with periods ranging from less than a day to ∼8 days. The rotation period distribution has a morphology similar to the coeval Pleiades cluster, suggesting the universal nature of stellar rotation distributions. Employing two different gyrochronology methods, we find an age of 146{sub −14}{sup +13} Myr for the cluster. Using the same techniques, we infer an age of 134{sub −10}{sup +9} Myr for the Pleiades measured from existing literature rotation periods. These rotation-derived ages agree with independently determined cluster ages based on the lithium depletion boundary technique. Additionally, we evaluate different gyrochronology models and quantify levels of agreement between the models and the Blanco 1/Pleiades rotation period distributions, including incorporating the rotation distributions of clusters at ages up to 1.1 Gyr. We find the Skumanich-like spin-down rate sufficiently describes the rotation evolution of stars hotter than the Sun; however, we find cooler stars rotating faster than predicted by a Skumanich law, suggesting a mass dependence in the efficiency of stellar angular momentum loss rate. Finally, we compare the Blanco 1 and Pleiades rotation period distributions to available nonlinear angular momentum evolution models. We find they require a significant mass dependence on the initial rotation rate of solar-type stars to reproduce the observed range of rotation periods at a given stellar mass and are furthermore unable to predict the observed over-density of stars along the upper envelope of the clusters' rotation distributions.

  13. SURVEY OF THE MAIN SOYBEAN POPULATION PESTS IN GOIÂNIA, BRAZIL LEVANTAMENTO POPULACIONAL DAS PRINCIPAIS PRAGAS DA CULTURA DE SOJA EM GOIÂNIA

    Directory of Open Access Journals (Sweden)

    Antônio Lopes da Silva

    2007-09-01

    Full Text Available

    In this work a survey of some of the insect pests which attack the soybean crop in Goiânia, County State Goiás, Brazil, was made to verify the populational fluctuations of the following species: Anticarsia gemmatilis Hueb., 1818; Plusia nu Guen., 1852; Elasmopalpus lignosellus Zeller, 1848; Spodoptera frugiperda Srnith, 1797; Diabrotica speciosa Germ., 1824; Epicauta spp.; Mocis latipes Guen., 1852; Nezara viridula L., 1758. The insects were collected through the use of light traps, of the “Luiz de Queiroz” type, rnodified, with ultraviolet fluorescent lamp bulbs, and use of traps “Malaise” type, by sunlight insect intrabits from 1975 to 1977. The results indicated that Anticarsia gemmatilis and Elasmopalpus lignosellus appeared during the entire year with acme populationals in order; in March and April, Plusia nu appeared from February to June of each year. Spodoptera frugiperda showed acme populational from November to January and Mocis latipes with maximum population in November and February. Diabrotica speciosa and Epicauta spp. both occurred during the soybean crop cycle respectively, with populations peaks from November to March. Nezara viridula which occurred from January to June with larger population from April to May. This information will indicate the best time for control of these insect pests under the condition of this study.

    No presente trabalho, procurou-se por meio de armadilhas luminosas modelo "Luiz de Queiroz" providas de lâmpadas fluorescentes ultravioleta e armadilhas de intercaptação modelo "Malaise", realizar um levantamento de insetos para estudar a flutuação populacional das principais pragas que ocorrem na cultura da soja no município de Goiânia - GO, durante tr

  14. Fabry disease in Spain. Description of Spanish patients and a comparison with other European countries using data from the Fabry Outcome Survey (FOS)

    OpenAIRE

    Barba Romero, Miguel Angel; Rivera Gallego, Alberto; Pintos Morell, Guillem

    2011-01-01

    Abstract Aims: Fabry disease (FD) is an X chromosome-linked transmitted lysosomal storage disorder due to the deficient activity of enzyme ?-galactosidase A. This leads to accumulation of neutral glycosphingolipids associated with organ involvement and premature death. We report the clinical characteristics of Spanish patients enrolled on the Fabry Outcome Survey (FOS; an international multicentre registry for the disease) and also compare these data with those from the rest of Eur...

  15. Clinical outcomes of "complete, partially complete, and incomplete" revascularisation at five-year follow-up after percutaneous intervention of unprotected left main coronary artery disease with drug-eluting stents.

    Science.gov (United States)

    Zhang, Yao-Jun; Iqbal, Javaid; Xu, Bo; Ye, Fei; Zhang, Jun-Jie; Bourantas, Christos V; Pan, Dao-Rong; Tian, Nai-Liang; Kan, Jing; Qian, Xue-Song; Ding, Shi-Qing; Li, Feng; Zhang, Ai-Ping; Liu, Yue-Qiang; Muramatsu, Takashi; Onuma, Yoshinobu; Garcia-Garcia, Hector M; Serruys, Patrick W; Chen, Shao-Liang

    2016-10-10

    The study aimed to examine five-year clinical outcomes of complete (CR), partially complete (PCR), and incomplete revascularisation (ICR) in patients with unprotected left main coronary artery (ULMCA) disease treated with drug-eluting stents (DES). Completeness of revascularisation, defined as revascularisation of all vessels ≥1.5 or 2.5 mm in diameter, has been shown to correlate with outcomes after percutaneous coronary intervention (PCI). There are no data to compare revascularisation strategies on long-term clinical outcomes in patients undergoing PCI of ULMCA disease. This prospective registry enrolled 910 consecutive patients with ULMCA disease undergoing PCI with DES implantation. CR included patients who had a successful revascularisation of all diseased segments with diameter ≥1.5 mm. PCR included patients who had successful revascularisation of all diseased segments with diameter ≥2.5 mm. ICR included patients who did not achieve revascularisation for all diseased segments of diameter ≥2.5 mm. The primary endpoint was the incidence of major adverse cardiac events (MACE: a composite of cardiac death, myocardial infarction and repeat revascularisation) at five-year follow-up. CR was achieved in 386 (42.4%), PCR in 227 (25.0%), and ICR in 297 (32.6%) patients. Patients with ICR had a significantly higher rate of MACE (29.6% vs. 22.5% and 15.5%, pfive-year follow-up. After propensity score matching, patients with CR vs. PCR had similar incidences of MACE (hazard ratio [HR]: 1.16, 95% confidence interval [CI]: 0.78-1.74, p=0.46), mortality (HR: 1.27, 95% CI: 0.61-2.63, p=0.53), and cardiac death (1.8% vs. 4.5%; HR: 2.56, 95% CI: 0.80-8.17, p=0.11). On multivariable logistic regression analysis, ICR appears to be an outcome of poor clinical characteristics, comorbidities and complex coronary anatomy. In the treatment of patients with ULMCA disease, ICR was associated with worse long-term clinical outcomes than CR and PCR. PCR has clinical outcomes

  16. Sex Education, First Sex and Sexual Health Outcomes in Adulthood: Findings from a Nationally Representative Sexual Health Survey

    Science.gov (United States)

    Bourke, Ashling; Boduszek, Daniel; Kelleher, Caroline; McBride, Orla; Morgan, Karen

    2014-01-01

    This study investigated the relationship between school sex education and sexual health behaviours at first sex and later in adulthood, using nationally representative data. Respondents were adults from the 2010 Irish Contraception and Crisis Pregnancy Survey, a cross-sectional survey designed to assess knowledge, attitudes and behaviours relating…

  17. Sex Education, First Sex and Sexual Health Outcomes in Adulthood: Findings from a Nationally Representative Sexual Health Survey

    Science.gov (United States)

    Bourke, Ashling; Boduszek, Daniel; Kelleher, Caroline; McBride, Orla; Morgan, Karen

    2014-01-01

    This study investigated the relationship between school sex education and sexual health behaviours at first sex and later in adulthood, using nationally representative data. Respondents were adults from the 2010 Irish Contraception and Crisis Pregnancy Survey, a cross-sectional survey designed to assess knowledge, attitudes and behaviours relating…

  18. Does Parental Health Mediate the Relationship between Parental Uninsurance and Insured Children's Health Outcomes? Evidence from a U.S. National Survey.

    Science.gov (United States)

    Akobirshoev, Ilhom; Bowser, Diana; Parish, Susan L; Thomas, Cindy; Bachman, Sara S

    2017-05-01

    Although the United States has made great strides in ensuring near universal health care access for children, the health insurance coverage gap between children and their parents remains high. This study analyzed aggregated data from the 2006-2013 National Health Interview Survey to investigate the direct relationships between parental uninsurance and children's health outcomes. Authors explored how parental health mediates the relationship between parents' health and children's health outcomes. Results suggest that insured children of uninsured parents have worse health status and are at higher risk of asthma, attention-deficit/hyperactivity disorder, developmental delays, learning disabilities, and mental disabilities compared with insured children of insured parents. Parental health mediated this relationship. These findings illuminate the pathway between parental uninsurance and child health outcomes and suggest that policies that provide health insurance coverage to both children and their parents may improve both parental health and children's health outcomes. This study fills an important gap in the literature related to how parental uninsurance affects children's health outcomes mediated by the impact of uninsurance on parental health. © 2017 National Association of Social Workers.

  19. Same-Sex and Different-Sex Parent Households and Child Health Outcomes: Findings from the National Survey of Children's Health.

    Science.gov (United States)

    Bos, Henny M W; Knox, Justin R; van Rijn-van Gelderen, Loes; Gartrell, Nanette K

    2016-04-01

    Using the 2011-2012 National Survey of Children's Health data set, we compared spouse/partner relationships and parent-child relationships (family relationships), parenting stress, and children's general health, emotional difficulties, coping behavior, and learning behavior (child outcomes) in households of same-sex (female) versus different-sex continuously coupled parents with biological offspring. We assessed whether associations among family relationships, parenting stress, and child outcomes were different in the 2 household types. Parental and child characteristics were matched for 95 female same-sex parent and 95 different-sex parent households with children 6 to 17 years old. One parent per household was interviewed by telephone. Multivariate analyses of variance and multiple linear regressions were conducted. No differences were observed between household types on family relationships or any child outcomes. Same-sex parent households scored higher on parenting stress (95% confidence interval = 2.03-2.30) than different-sex parent households (95% confidence interval = 1.76-2.03), p = .006. No significant interactions between household type and family relationships or household type and parenting stress were found for any child outcomes. Children with female same-sex parents and different-sex parents demonstrated no differences in outcomes, despite female same-sex parents reporting more parenting stress. Future studies may reveal the sources of this parenting stress.

  20. AcroBel - the Belgian registry on acromegaly : a survey of the 'real-life' outcome in 418 acromegalic subjects

    OpenAIRE

    Bex, Marie; Abs, Roger; T'Sjoen, Guy; Mockel, Lean; Velkeniers, Brigitte; Muermans, Katja; Maiter, Dominique

    2007-01-01

    Objectives: To constitute a registry on acromegaly, AcroBel, to evaluate the epidemiology and quality of care of acromegaly in Belgium and Luxembourg. Design: A nationwide survey from June 2003 till September 2004 aiming to collect data from all patients with acromegaly who had visited the participating endocrine clinics after 1 January 2000. Methods: Retrospective data collection coupled to a visit within the survey period, allowing sampling of metabolic parameters and centralised dete...

  1. Patient-reported Quality of Life and Satisfaction With Cosmetic Outcomes After Breast Conservation and Mastectomy With and Without Reconstruction: Results of a Survey of Breast Cancer Survivors.

    Science.gov (United States)

    Jagsi, Reshma; Li, Yun; Morrow, Monica; Janz, Nancy; Alderman, Amy; Graff, John; Hamilton, Ann; Katz, Steven; Hawley, Sarah

    2015-06-01

    Although breast conservation is therapeutically equivalent to mastectomy for most patients with early-stage breast cancer, an increasing number of patients are pursuing mastectomy, which may be followed by breast reconstruction. We sought to evaluate long-term quality of life and cosmetic outcomes after different locoregional management approaches, as perceived by patients themselves. We surveyed women with a diagnosis of nonmetastatic breast cancer from 2005 to 2007, as reported to the Los Angeles and Detroit population-based Surveillance, Epidemiology, and End Results registries. We received responses from 2290 women approximately 9 months after diagnosis (73% response rate) and from 1536 of these 4 years later. We evaluated quality of life and patterns and correlates of satisfaction with cosmetic outcomes overall and, more specifically, within the subgroup undergoing mastectomy with reconstruction, using multivariable linear regression. Of the 1450 patients who responded to both surveys and experienced no recurrence, 963 underwent breast-conserving surgery, 263 mastectomy without reconstruction, and 222 mastectomy with reconstruction. Cosmetic satisfaction was similar between those receiving breast conservation therapy and those receiving mastectomy with reconstruction. Among patients receiving mastectomy with reconstruction, reconstruction type and radiation receipt were associated with satisfaction (P mastectomy with reconstruction. In patients undergoing postmastectomy radiation, the use of autologous reconstruction may mitigate the deleterious impact of radiation on cosmetic outcomes.

  2. A systematic survey of the methods literature on the reporting quality and optimal methods of handling participants with missing outcome data for continuous outcomes in randomized controlled trials.

    Science.gov (United States)

    Zhang, Yuqing; Alyass, Akram; Vanniyasingam, Thuva; Sadeghirad, Behnam; Flórez, Iván D; Pichika, Sathish Chandra; Kennedy, Sean Alexander; Abdulkarimova, Ulviya; Zhang, Yuan; Iljon, Tzvia; Morgano, Gian Paolo; Colunga Lozano, Luis E; Aloweni, Fazila Abu Bakar; Lopes, Luciane C; Yepes-Nuñez, Juan José; Fei, Yutong; Wang, Li; Kahale, Lara A; Meyre, David; Akl, Elie A; Thabane, Lehana; Guyatt, Gordon H

    2017-08-01

    To conduct (1) a systematic survey of the reporting quality of simulation studies dealing with how to handle missing participant data (MPD) in randomized control trials and (2) summarize the findings of these studies. We included simulation studies comparing statistical methods dealing with continuous MPD in randomized controlled trials addressing bias, precision, coverage, accuracy, power, type-I error, and overall ranking. For the reporting of simulation studies, we adapted previously developed criteria for reporting quality and applied them to eligible studies. Of 16,446 identified citations, the 60 eligible generally had important limitations in reporting, particularly in reporting simulation procedures. Of the 60 studies, 47 addressed ignorable and 32 addressed nonignorable data. For ignorable missing data, mixed model was most frequently the best on overall ranking (9 times best, 34.6% of times tested) and bias (10, 55.6%). Multiple imputation was also performed well. For nonignorable data, mixed model was most frequently the best on overall ranking (7, 46.7%) and bias (8, 57.1%). Mixed model performance varied on other criteria. Last observation carried forward (LOCF) was very seldom the best performing, and for nonignorable MPD frequently the worst. Simulation studies addressing methods to deal with MPD suffered from serious limitations. The mixed model approach was superior to other methods in terms of overall performance and bias. LOCF performed worst. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Comparison of long-term outcome after percutaneous coronary intervention versus coronary artery bypass grafting in patients with unprotected left main coronary artery disease (from the CREDO-Kyoto PCI/CABG Registry Cohort-2).

    Science.gov (United States)

    Shiomi, Hiroki; Morimoto, Takeshi; Hayano, Mamoru; Furukawa, Yutaka; Nakagawa, Yoshihisa; Tazaki, Junichi; Imai, Masao; Yamaji, Kyohei; Tada, Tomohisa; Natsuaki, Masahiro; Saijo, Sayaka; Funakoshi, Shunsuke; Nagao, Kazuya; Hanazawa, Koji; Ehara, Natsuhiko; Kadota, Kazushige; Iwabuchi, Masashi; Shizuta, Satoshi; Abe, Mitsuru; Sakata, Ryuzo; Okabayashi, Hitoshi; Hanyu, Michiya; Yamazaki, Fumio; Shimamoto, Mitsuomi; Nishiwaki, Noboru; Imoto, Yutaka; Komiya, Tatsuhiko; Horie, Minoru; Fujiwara, Hisayoshi; Mitsudo, Kazuaki; Nobuyoshi, Masakiyo; Kita, Toru; Kimura, Takeshi

    2012-10-01

    The long-term outcome of percutaneous coronary intervention (PCI) compared to coronary artery bypass grafting (CABG) for unprotected left main coronary artery disease (ULMCAD) remains to be investigated. We identified 1,005 patients with ULMCAD of 15,939 patients with first coronary revascularization enrolled in the CREDO-Kyoto PCI/CABG Registry Cohort-2. Cumulative 3-year incidence of a composite of death/myocardial infarction (MI)/stroke was significantly higher in the PCI group than in the CABG group (22.7% vs 14.8%, p = 0.0006, log-rank test). However, the adjusted outcome was not different between the PCI and CABG groups (hazard ratio [HR] 1.30, 95% confidence interval [CI] 0.79 to 2.15, p = 0.30). Stratified analysis using the SYNTAX score demonstrated that risk for a composite of death/MI/stroke was not different between the 2 treatment groups in patients with low (<23) and intermediate (23 to 33) SYNTAX scores (adjusted HR 1.70, 95% CI 0.77 to 3.76, p = 0.19; adjusted HR 0.86, 95% CI 0.37 to 1.99, p = 0.72, respectively), whereas in patients with a high SYNTAX score (≥33), it was significantly higher after PCI than after CABG (adjusted HR 2.61, 95% CI 1.32 to 5.16, p = 0.006). In conclusion, risk of PCI for serious adverse events seemed to be comparable to that after CABG in patients with ULMCAD with a low or intermediate SYNTAX score, whereas PCI compared with CABG was associated with a higher risk for serious adverse events in patients with a high SYNTAX score.

  4. A Survey of Environment and Demands Along with a Marketing Communications Plan for WatPutthabucha Market to Promote Agricultural Tourism through Main Media and Online Social Network Media

    Directory of Open Access Journals (Sweden)

    Kuntida Thamwipat

    2013-04-01

    Full Text Available This study was aimed to examine the current environment and the demands and to make a marketing communications plan for WatPuttabucha Market to promote agricultural tourism through main media and online social network media. Moreover, it was aimed to build up working experiences for research with communities near the campus through the integration of course instruction and community service. The data were collected in the second term of academic year 2012 between January and February 2013 in WatPuttabucha Market and nearby communities. There were 2 sampling groups as in King Mongkut’s University of Technology Thonburi students (50 persons and WatPuttabucha Market and nearby community members (50 persons. In total, there were 100 persons for the survey. This collection was based on an accidental basis. According to the data concerning the environment, WatPuttabucha Market had 9 interesting shops for agricultural tourism and 4 major tourist attractions. As for the demands, it was found that 47 students (or 94% would like WatPuttabucha Market to be open as a site for agricultural tourism mainly on Saturday and Sunday. 47 persons from WatPuttabucha Market and nearby communities (or 94% also would like it to be open mainly on Saturday and Sunday. As for the communicative plan, it was found that there were 7 kinds of main media. There were 5 kinds of online social network media for check-in special events. The majority of students (mean score of 4.89 and standard deviation of 0.86 agreed with the integration of research in their Marketing Communication course because it allowed them to get more familiar with communities near the campus and recommended continuing this similar project for the next year.

  5. Relationships between patient activation, disease-specific knowledge and health outcomes among people with diabetes: a survey study

    NARCIS (Netherlands)

    Hendriks, M.; Rademakers, J.

    2014-01-01

    Background: Nowadays, patients are expected to be involved in their health care, well-informed and able to adjust their behavior to maintain a good health. Investigating patient activation and its relationships with patient characteristics and health-related outcomes will provide further insight

  6. Does Combining School and Work Affect School and Post-School Outcomes? Longitudinal Surveys of Australian Youth

    Science.gov (United States)

    Anlezark, Alison; Lim, Patrick

    2011-01-01

    In this report the authors seek to answer the question of whether combining school and work is detrimental or beneficial to a student's school educational performance and labour market outcomes. They find that young people who combine school and work are distributed right across the school population. Results show that individuals can combine…

  7. A core outcome set for neonatal abstinence syndrome: Study protocol for a systematic review, parent interviews and a Delphi survey

    NARCIS (Netherlands)

    Kelly, L.E. (Lauren E.); Jansson, L.M. (Lauren M.); Moulsdale, W. (Wendy); Pereira, J. (Jodi); Simpson, S. (Sarah); Guttman, A. (Astrid); Allegaert, K. (Karel); Askie, L. (Lisa); Roukema, H. (Henry); Lacaze, T. (Thierry); Davis, J.M. (Jonathan M.); Finnegan, L. (Loretta); Williamson, P. (Paula); M. Offringa (Martin)

    2016-01-01

    textabstractBackground: The prevalence of neonatal abstinence syndrome (NAS) is increasing globally resulting in an increased incidence of adverse neonatal outcomes and health system costs. Evidence regarding the effectiveness of NAS prevention and management strategies is very weak and further rese

  8. Racism, Health Status, and Birth Outcomes: Results of a Participatory Community-Based Intervention and Health Survey

    OpenAIRE

    Carty, Denise C.; Kruger, Daniel J.; Turner, Tonya M.; Campbell, Bettina; DeLoney, E. Hill; Lewis, E. Yvonne

    2011-01-01

    Many community-based participatory research (CBPR) partnerships address social determinants of health as a central consideration. However, research studies that explicitly address racism are scarce in the CBPR literature, and there is a dearth of available community-generated data to empirically examine how racism influences health disparities at the local level. In this paper, we provide results of a cross-sectional, population-based health survey conducted in the urban areas of Genesee and ...

  9. The Demographic Assessment for Health Literacy (DAHL): a new tool for estimating associations between health literacy and outcomes in national surveys.

    Science.gov (United States)

    Hanchate, Amresh D; Ash, Arlene S; Gazmararian, Julie A; Wolf, Michael S; Paasche-Orlow, Michael K

    2008-10-01

    To impute limited health literacy from commonly measured socio-demographic data and to compare it to the Short-Test of Functional Health Literacy in Adults (S-TOFHLA) for estimating the influence of limited health literacy on health status in the elderly. The Prudential Medicare Study assesses the S-TOFHLA score, leading to a "reference standard" classification of 25% of people with inadequate literacy; the National Health Interview Survey has no such assessment. We estimated a regression of S-TOFHLA on sex, age, years of schooling, and race/ethnicity in The Prudential Medicare Study data to derive a Demographic Assessment for Health Literacy (DAHL) score, and imputed inadequate literacy to the 25% with the lowest DAHL scores. Using regression, we then examined associations between several health status measures (including hypertension, diabetes, physical and mental SF-12) and inadequate literacy (imputed or test-based). Estimates of association using imputed inadequate literacy closely approximate those obtained using S-TOFHLA-based inadequate literacy for most outcomes examined. As few population surveys measure health literacy, the DAHL, a readily calculated health literacy proxy score, may be useful for expanding the scope of health literacy research in national survey data.

  10. Twitter Social Media is an Effective Tool for Breast Cancer Patient Education and Support: Patient-Reported Outcomes by Survey.

    Science.gov (United States)

    Attai, Deanna J; Cowher, Michael S; Al-Hamadani, Mohammed; Schoger, Jody M; Staley, Alicia C; Landercasper, Jeffrey

    2015-07-30

    Despite reported benefits, many women do not attend breast cancer support groups. Abundant online resources for support exist, but information regarding the effectiveness of participation is lacking. We report the results of a Twitter breast cancer support community participant survey. The aim was to determine the effectiveness of social media as a tool for breast cancer patient education and decreasing anxiety. The Breast Cancer Social Media Twitter support community (#BCSM) began in July 2011. Institutional review board approval with a waiver of informed consent was obtained for a deidentified survey that was posted for 2 weeks on Twitter and on the #BCSM blog and Facebook page. There were 206 respondents to the survey. In all, 92.7% (191/206) were female. Respondents reported increased knowledge about breast cancer in the following domains: overall knowledge (80.9%, 153/189), survivorship (85.7%, 162/189), metastatic breast cancer (79.4%, 150/189), cancer types and biology (70.9%, 134/189), clinical trials and research (66.1%, 125/189), treatment options (55.6%, 105/189), breast imaging (56.6%, 107/189), genetic testing and risk assessment (53.9%, 102/189), and radiotherapy (43.4%, 82/189). Participation led 31.2% (59/189) to seek a second opinion or bring additional information to the attention of their treatment team and 71.9% (136/189) reported plans to increase their outreach and advocacy efforts as a result of participation. Levels of reported anxiety before and after participation were analyzed: 29 of 43 (67%) patients who initially reported "high or extreme" anxiety reported "low or no" anxiety after participation (Psocial media support group.

  11. Breastfeeding practices and child growth outcomes in Haiti: an analysis of data from Demographic and Health Surveys.

    Science.gov (United States)

    Heidkamp, Rebecca; Ayoya, Mohamed Ag; Teta, Ismael Ngnie; Stoltzfus, Rebecca J; Marhone, Joseline Pierre

    2015-10-01

    Haiti's national nutrition policy prioritises breastfeeding, but limited data are available to inform strategy. We examined national trends in early initiation of breastfeeding (ErIBF) and exclusive breastfeeding (EBF) over a 10-year period using data from three Haitian Demographic and Health Surveys (1994-1995, 2000 and 2005-2006). We used multivariate regression methods to identify determinants of ErIBF and EBF in the 2005-2006 data set and to examine relationships to growth. There was no change in ErIBF across surveys [1994-1995: 36.6%, 95% confidence interval (CI) 29.9-43.9; 2000: 49.4%, 95% CI 44.1-54.8; 2005-2006: 43.8%, 95% CI 40.5-47.1]. EBF among 0-5-month-olds increased sharply (1994-18995: 1.1%, 95% CI 0.4-3.2; 2000: 22.4%, 95% CI 16.5-29.5; 2005-2006: 41.2%, 95% CI 35.4-47.2). The proportion of breastfeeding children 0-5 months who received soft, solid or semi-solid foods decreased (1994-1995: 68.5%, 95% CI 57.3-77.9; 2000: 46.3%, 95% CI 39.3-53.4; 2005-2006: 30.9%, 95% CI 25.9-36.5). Child age at time of survey [odds ratio (OR) 1.73; P = 0.027], lower maternal education (OR = 2.14, P = 0.004) and residence in the Artibonite Department (OR 0.31; P = 0.001) were associated with ErIBF among children 0-23 months. Age group and department were significant predictors of EBF among children 0-5 months. ErIBF was associated with higher weight-for-age z-scores [effect size (ES) 0.22; P = 0.033] and height-for-age z-scores (ES 0.20; P = 0.044). There was no statistically significant relationship between EBF and growth. The 10-year ErIBF and EBF trends in Haiti echo global and regional trends. ErIBF and EBF are related practices but with different determinants in the Haitian context. These differences have implications for intervention delivery.

  12. The VLT-FLAMES Tarantula Survey XIX. B-type Supergiants - Atmospheric Parameters and Nitrogen Abundances to Investigate the Role of Binarity and the Width of the Main Sequence

    CERN Document Server

    McEvoy, C M; Evans, C J; Kalari, V M; Markova, N; Simón-Díaz, S; Vink, J S; Walborn, N R; Crowther, P A; de Koter, A; de Mink, S E; Dunstall, P R; Hénault-Brunet, V; Herrero, A; Langer, N; Lennon, D J; Apellániz, J Maíz; Najarro, F; Puls, J; Sana, H; Schneider, F R N; Taylor, W D

    2014-01-01

    TLUSTY non-LTE model atmosphere calculations have been used to determine atmospheric parameters and nitrogen (N) abundances for 34 single and 18 binary B-type supergiants (BSGs). The effects of flux contribution from an unseen secondary were considered for the binary sample. We present the first systematic study of the incidence of binarity for a sample of BSGs across the theoretical terminal age main sequence (TAMS). To account for the distribution of effective temperatures of the BSGs it may be necessary to extend the TAMS to lower temperatures. This is consistent with the derived distribution of mass discrepancies, projected rotational velocities (vsini) and N abundances, provided that stars cooler than this temperature are post RSG objects. For the BSGs in the Tarantula and previous FLAMES surveys, most have small vsini. About 10% have larger vsini (>100 km/s) but surprisingly these show little or no N enhancement. All the cooler BSGs have low vsini of <70km/s and high N abundance estimates, implying t...

  13. A prospective survey of the characteristics, treatments and outcomes of patients with acute coronary syndromes in Europe and the Mediterranean basin; the Euro Heart Survey of Acute Coronary Syndromes (Euro Heart Survey ACS)

    NARCIS (Netherlands)

    D. Hasdai (David); S. Behar (Solomon); L.C. Wallentin (Lars); N. Danchin (Nicolas); A.K. Gitt (Anselm); P.M. Fioretti (Paolo); M.L. Simoons (Maarten); A. Battler (Alexander); H. Boersma (Eric)

    2002-01-01

    textabstractAIMS: To better delineate the characteristics, treatments, and outcomes of patients with acute coronary syndromes (ACS) in representative countries across Europe and the Mediterranean basin, and to examine adherence to current guidelines. METHODS AND RESULTS: We performed a prospective

  14. Co-morbid depression is associated with poor work outcomes in persons with cardiovascular disease (CVD: A large, nationally representative survey in the Australian population

    Directory of Open Access Journals (Sweden)

    O'Neil Adrienne

    2012-01-01

    Full Text Available Abstract Background Co-morbid major depressive disorder (MDD and cardiovascular disease (CVD is associated with poor clinical and psychological outcomes. However, the full extent of the burden of, and interaction between, this co-morbidity on important vocational outcomes remains less clear, particularly at the population level. We examine the association of co-morbid MDD with work outcomes in persons with and without CVD. Methods This study utilised cross-sectional, population-based data from the 2007 Australian National Survey of Mental Health and Wellbeing (n = 8841 to compare work outcomes of individuals with diagnostically-defined MDD and CVD, MDD but not CVD, CVD but not MDD, with a reference group of "healthy" Australians. Workforce participation was defined as being in full- or part-time employment. Work functioning was measured using a WHO Disability Assessment Schedule item. Absenteeism was assessed using the 'days out of role' item. Results Of the four groups, those with co-morbid MDD and CVD were least likely to report workforce participation (adj OR:0.4, 95% CI: 0.3-0.6. Those with MDD only (adj OR:0.8, 95% CI:0.7-0.9 and CVD only (adj OR:0.8, 95% CI: 0.6-0.9 also reported significantly reduced odds of participation. Employed individuals with co-morbid MDD and CVD were 8 times as likely to experience impairments in work functioning (adj OR:8.1, 95% CI: 3.8- 17.3 compared with the reference group. MDD was associated with a four-fold increase in impaired functioning. Further, individuals with co-morbid MDD and CVD reported greatest likelihood of workplace absenteeism (adj. OR:3.0, 95% CI: 1.4-6.6. Simultaneous exposure to MDD and CVD conferred an even greater likelihood of poorer work functioning. Conclusions Co-morbid MDD and CVD is associated with significantly poorer work outcomes. Specifically, the effects of these conditions on work functioning are synergistic. The development of specialised treatment programs for those with co

  15. Self-reported exposure to pesticides and radiation related to pregnancy outcome--results from National Natality and Fetal Mortality Surveys

    Energy Technology Data Exchange (ETDEWEB)

    Savitz, D.A.; Whelan, E.A.; Kleckner, R.C. (Univ. of North Carolina, Chapel Hill (USA))

    1989-09-01

    Although fetal development is known to be sensitive to environmental agents, relatively little epidemiologic research has addressed this concern. Effects on pregnancy outcome of self-reported parental exposure to pesticides and to radiation were examined using data from the National Natality and Fetal Mortality Surveys, large national probability samples of live births and stillbirths occurring in 1980. In case-control analyses, maternal exposure to pesticides at home or work was associated with increased risk of stillbirth (odds ratios (ORs) = 1.5-1.6). Paternal pesticide exposure was associated with stillbirth (ORs = 1.2-1.4) and delivery of small-for-gestational-age infants (ORs = 1.4-2.0). A small increased risk of stillbirth (OR = 1.3) was found in relation to either parent's reported exposure to radiation. In spite of limitations in the quality of exposure data and the possibility of biased recall related to pregnancy outcome, associations of reported pesticide exposure to either parent with risk of stillbirth and small-for-gestational-age infants warrant further evaluation.

  16. Estimated incidence of cardiovascular complications related to type 2 diabetes in Mexico using the UKPDS outcome model and a population-based survey

    Directory of Open Access Journals (Sweden)

    Aguilar-Salinas Carlos A

    2011-01-01

    Full Text Available Abstract Background To estimate the incidence of complications, life expectancy and diabetes related mortality in the Mexican diabetic population over the next two decades using data from a nation-wide, population based survey and the United Kingdom Prospective Diabetes Study (UKPDS outcome model Methods The cohort included all patients with type 2 diabetes evaluated during the National Health and Nutrition Survey (ENSANut 2006. ENSANut is a probabilistic multistage stratified survey whose aim was to measure the prevalence of chronic diseases. A total of 47,152 households were visited. Results are shown stratified by gender, time since diagnosis (> or ≤ to 10 years and age at the time of diagnosis (> or ≤ 40 years. Results The prevalence of diabetes in our cohort was 14.4%. The predicted 20 year-incidence for chronic complications per 1000 individuals are: ischemic heart disease 112, myocardial infarction 260, heart failure 113, stroke 101, and amputation 62. Furthermore, 539 per 1000 patients will have a diabetes-related premature death. The average life expectancy for the diabetic population is 10.9 years (95%CI 10.7-11.2; this decreases to 8.3 years after adjusting for quality of life (CI95% 8.1-8.5. Male sex and cases diagnosed after age 40 have the highest risk for developing at least one major complication during the next 20 years. Conclusions Based on the current clinical profile of Mexican patients with diabetes, the burden of disease related complications will be tremendous over the next two decades.

  17. Patterns and Outcomes of Induction of Labour in Africa and Asia: a secondary analysis of the WHO Global Survey on Maternal and Neonatal Health.

    Directory of Open Access Journals (Sweden)

    Joshua P Vogel

    Full Text Available BACKGROUND: Labour induction should be performed where benefit outweighs potential harm, however epidemiology of induction in lower-income countries is not well described. We used the WHO Global Survey dataset to describe the epidemiology and outcomes of labour induction in 192,538 deliveries in 253 facilities across 16 countries in Africa and Asia. METHODS: Data was analyzed separately for Africa and Asia. Prevalence of indications, methods, success and characteristics associated with labour induction were determined. Multilevel logistic regression was used to determine the relationship between induction (with medical indication and elective and maternal/perinatal outcomes. RESULTS: Induction accounted for 4.4% (Africa and 12.1% (Asia of deliveries. Oxytocin alone was the most common method (45.9% and 37.5% and success rates were generally over 80%. Medically indicated inductions were associated with increased adjusted odds of Apgar <7 at 5 minutes, low birthweight, NICU admission and fresh stillbirth in both regions. The odds of caesarean section in Africa were reduced (Adj OR 0.61, 95%CI 0.42-0.88. Elective induction was associated with increased adjusted odds of NICU (Africa and ICU (Asia admissions. DISCUSSION: Induction was generally less common than in higher-income countries. Prostaglandin use was uncommon despite evidence supporting use. Induction for medical indications may be associated with poorer outcomes due to maternal baseline risks. Despite one-third of elective inductions occurring at <39 weeks, the risk of maternal, fetal and neonatal mortality was not elevated following elective inductions.

  18. Applications and outcomes of periodic epidemiological surveys for schistosomiasis and related economic evaluation in the People's Republic of China.

    Science.gov (United States)

    Li, Yue-Sheng; Zhao, Zheng-Yuan; Ellis, Magda; McManus, Donald P

    2005-01-01

    The great success in schistosomiasis control in China is attributable to a range of factors. Periodic epidemiological surveys (PES) used for monitoring and adapting control interventions over time are an integral feature of the national schistosomiasis control programme. PES have enabled the dynamic trends of schistosomiasis epidemics to be closely pursued and have assisted in analysing subtle changes in endemicity. The results can be summarised mathematically allowing the variation in efficacy of control measures to be readily determined and enabling control strategies to be adjusted and updated. PES have been used in both cross-sectional and longitudinal pilot studies selected by appropriate sampling methods. In the early 1990s, when the World Bank Loan Project for schistosomiasis control commenced, economic evaluations were initiated in parallel. Cost-effectiveness analysis became a necessary tool to identify the most financially feasible yet effective options among a range of alternative control strategies. There was, however, a lack of standardised approaches rendering study comparisons across sites difficult. The global burden of disease study established the disability adjusted life year (DALY) as a measure of population health, combining in a single indicator years lost from premature death and years of life lived with disability. However, a recent meta-analysis reveals that the burden of schistosomiasis is underestimated, and hence, needs to be revised. It is envisaged that after the revision of DALYs lost due to schistosomiasis japonica, they will become an essential measure in future schistosomiasis control assessments in China and in other schistosome-endemic areas of the world.

  19. Outcome of fetuses with short femur length detected at second-trimester anomaly scan: a national survey.

    Science.gov (United States)

    Mathiesen, J M; Aksglaede, L; Skibsted, L; Petersen, O B; Tabor, A

    2014-08-01

    To assess the relationship between the finding of fetal femur diaphysis length (FL) below the 5(th) percentile at the second-trimester scan and pregnancy outcome, in a population in which more than 90% of women attend first-trimester screening. This was a retrospective study of all Danish singleton pregnancies with a 17-22-week anomaly scan between 1 January 2008 and 30 June 2011. Information on FL and gestational age (GA) at anomaly scan, on birth weight and GA at delivery and on chromosomal abnormalities was obtained from the Danish Fetal Medicine Database. Short FL was identified in 2718 (1.8%) of 147,766 fetuses and was present in 11 (16.2%) of the 68 fetuses affected by trisomy 21 (positive likelihood ratio (LR+) 8.8 (95% CI, 5.1-15.2)). Trisomy 13/18 and unbalanced autosomal structural abnormalities were also associated with a short FL in three (12.0%, LR+ 6.5 (95% CI, 2.3-18.9)) and eight (32.0%, LR+ 17.4 (95% CI, 9.8-30.9)) of the cases, respectively. The risk of a fetus having trisomy 21, trisomy 18, trisomy 13 or an unbalanced autosomal structural abnormality was 1 : 123 (95% CI, 79-192), given a short FL. Pregnancies with a fetus with short FL were more often affected by early preterm delivery (before 34 weeks) (5.6%; odds ratio (OR) = 4.2 (95% CI, 3.5-4.9)) and small-for-gestational-age (SGA) infants (13.9%; OR = 4.3 (95% CI, 3.8-4.8)). Short FL at the second-trimester anomaly scan is associated with a significantly higher relative risk of chromosomal abnormalities, and a substantially higher absolute risk for SGA and early preterm delivery. Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.

  20. Quality Markers in Cardiology. Main Markers to Measure Quality of Results (Outcomes) and Quality Measures Related to Better Results in Clinical Practice (Performance Metrics). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): A SEC/SECTCV Consensus Position Paper.

    Science.gov (United States)

    López-Sendón, José; González-Juanatey, José Ramón; Pinto, Fausto; Cuenca Castillo, José; Badimón, Lina; Dalmau, Regina; González Torrecilla, Esteban; López-Mínguez, José Ramón; Maceira, Alicia M; Pascual-Figal, Domingo; Pomar Moya-Prats, José Luis; Sionis, Alessandro; Zamorano, José Luis

    2015-11-01

    Cardiology practice requires complex organization that impacts overall outcomes and may differ substantially among hospitals and communities. The aim of this consensus document is to define quality markers in cardiology, including markers to measure the quality of results (outcomes metrics) and quality measures related to better results in clinical practice (performance metrics). The document is mainly intended for the Spanish health care system and may serve as a basis for similar documents in other countries.

  1. Setting in evidence of the new climatic tendency in Algeria by the analysis of the main variables of the climate : Survey of the chronological sets on more of 50 years.

    Science.gov (United States)

    Zeineddine, N.

    2009-09-01

    Setting in evidence of the new climatic tendency in Algeria by the analysis of the main variables of the climate : Survey of the chronological sets on more of 50 years. In the present conditions of the global climatic changes, North Africa and Maghreb, observe these last years of the distresses without precedent. This new tendency expresses itself by a rise of the temperatures confirmed in several countries. In the same way to this rise, one also notes an intensification of the climatic cycles (more and more humid humid periods, more and more dry dry periods). So, after the long droughts observed in the years four - twenty and ninety, the a lot more humid period bootjack is noted in the whole region. These phases are punctuated however sometimes of stern droughts, that been the case in 2000 to Morocco and in Algeria. The humid phases are as for them more and more frequent and are characterized henceforth by very intense rainy episodes. Repeatedly, serious floodings touched these countries. In 2002 in Algeria, it is the capital that has been touched, the districts of Bab - El Wadi was heavily damaged. In the valley of the Soummam, the town of Bejaïa was the theater of important phenomena of urban flooding in 2007. In the Algerian Sahara, heavy rains provoked the rise in the water level of the wadi M' Zab and the submersion of the city of Ghardaïa. All as Algeria, Tunisia has also been touched by these phenomena. The city of Tunis knew a tragic episode thus in 2007. To the west extreme of North Africa in 2002, Morocco has been hit by important floodings that made 35 deaths.. Progressively, the climatic conditions become unusual. The signs of the changes prove to be even more meaningful with the records of rain for the agricultural year 2008 / 2009 in the under region from the Maghreb (Morocco - Algeria). Qualified of exceptional and historic, rains have generously supplied the watertables, carrying the water security margin to close to two years in drinking water

  2. Wage setting in Hungary: evidence from a firm survey

    OpenAIRE

    2012-01-01

    We document results from a survey of wage setting in Hungarian enterprises. The survey was developed and coordinated by the Eurosystem Wage Dynamics Network, and it was administered in 17 European countries; this allows us to put the Hungarian findings in context. The main conclusion from the survey is that while Hungarian firms operate in a quite flexible institutional environment, their wage setting practices are relatively rigid. In its wage setting outcomes, Hungary shares more similariti...

  3. Revisiting the Surveillance Epidemiology and End Results Cancer Registry and Medicare Health Outcomes Survey (SEER-MHOS) Linked Data Resource for Patient-Reported Outcomes Research in Older Adults with Cancer.

    Science.gov (United States)

    Kent, Erin E; Malinoff, Rochelle; Rozjabek, Heather M; Ambs, Anita; Clauser, Steven B; Topor, Marie A; Yuan, Gigi; Burroughs, James; Rodgers, Anne B; DeMichele, Kimberly

    2016-01-01

    Researchers and clinicians are increasingly recognizing the value of patient-reported outcome (PRO) data to better characterize people's health and experiences with illness and care. Considering the rising prevalence of cancer in adults aged 65 and older, PRO data are particularly relevant for older adults with cancer, who often require complex cancer care and have additional comorbid conditions. A data linkage between the Surveillance Epidemiology and End Results (SEER) cancer registry and the Medicare Health Outcomes Survey (MHOS) was created through a partnership between the National Cancer Institute and the Centers for Medicare and Medicaid Services that created the opportunity to examine PROs in Medicare Advantage enrollees with and without cancer. The December 2013 linkage of SEER-MHOS data included the linked data for 12 cohorts, bringing the number of individuals in the linked data set to 95,723 with cancer and 1,510,127 without. This article reviews the features of the resource and provides information on some descriptive characteristics of the individuals in the data set (health-related quality of life, body mass index, fall risk management, number of unhealthy days in the past month). Individuals without (n=258,108) and with (n=3,440) cancer (1,311 men with prostate cancer, 982 women with breast cancer, 689 with colorectal cancer, 458 with lung cancer) were included in the current descriptive analysis. Given increasing longevity, advances in effective therapies and earlier detection, and population growth, the number of individuals aged 65 and older with cancer is expected to reach more than 12 million by 2020. SEER-MHOS provides population-level, self-reported, cancer registry-linked data for person-centered surveillance research on this growing population.

  4. Genome-wide survey of yeast mutations leading to activation of the yeast cell integrity MAPK pathway: Novel insights into diverse MAPK outcomes

    Directory of Open Access Journals (Sweden)

    Arias Patricia

    2011-08-01

    Full Text Available Abstract Background The yeast cell wall integrity mitogen-activated protein kinase (CWI-MAPK pathway is the main regulator of adaptation responses to cell wall stress in yeast. Here, we adopt a genomic approach to shed light on two aspects that are only partially understood, namely, the characterization of the gene functional catalog associated with CWI pathway activation and the extent to which MAPK activation correlates with transcriptional outcomes. Results A systematic yeast mutant deletion library was screened for constitutive transcriptional activation of the CWI-related reporter gene MLP1. Monitoring phospho-Slt2/Mpk1 levels in the identified mutants revealed sixty-four deletants with high levels of phosphorylation of this MAPK, including mainly genes related to cell wall construction and morphogenesis, signaling, and those with unknown function. Phenotypic analysis of the last group of mutants suggests their involvement in cell wall homeostasis. A good correlation between levels of Slt2 phosphorylation and the magnitude of the transcriptional response was found in most cases. However, the expression of CWI pathway-related genes was enhanced in some mutants in the absence of significant Slt2 phosphorylation, despite the fact that functional MAPK signaling through the pathway was required. CWI pathway activation was associated to increased deposition of chitin in the cell wall - a known survival compensatory mechanism - in about 30% of the mutants identified. Conclusion We provide new insights into yeast genes related to the CWI pathway and into how the state of activation of the Slt2 MAPK leads to different outcomes, discovering the versatility of this kind of signaling pathways. These findings potentially have broad implications for understanding the functioning of other eukaryotic MAPKs.

  5. Lesotho - Enterprise Survey

    Data.gov (United States)

    Millennium Challenge Corporation — The 2011 MCA-Lesotho baseline enterprise survey is a national survey of enterprises. The main objective of the survey was to assess the current status of businesses...

  6. Determining issues of importance for the evaluation of quality of life and patient-reported outcomes in breast cancer: results of a survey of 1072 patients.

    Science.gov (United States)

    Hollen, Patricia J; Msaouel, Pavlos; Gralla, Richard J

    2015-06-01

    Identifying key issues for patients is central to assessing treatment for cancer, especially when evaluating health-related quality of life (QL) and patient-reported outcomes (PROs). This study was conducted to provide enhanced content validity support by incorporating the views of a large number of patients with breast cancer. This methodological study used an anonymous, cross-sectional, electronic web-based survey of 1072 patients with a diagnosis of breast cancer. Patients ranked the importance of 21 issues on a 5-point scale. Issues included general, physical, functional, psychosocial, and summative items. Analysis was also performed by four key factors (age group, time since diagnosis, adjuvant treatment or not, and tumor extent). All of the top five issues rated as either "very important" or "important" were global issues-rather than symptoms-such as maintaining quality of life (ranked in these two highest categories by 99 % of patients), maintaining independence (97 %), and ability to perform normal activities (97 %). The abilities to concentrate and to be able to sleep (97 and 96 %, respectively) were ranked above specific breast cancer symptoms. Specific symptoms included within the top ten highest ranked items were fatigue, depression, anxiety, shortness of breath, and pain. This is the largest analysis of evidence-based data determining support for content validity for QL and PROs provided by patients with breast cancer. While symptoms are important to patients, the survey also demonstrates that PRO measures that only evaluate symptoms are not fully responding to patient-expressed needs. These results provide confidence in the content of quality of life measures for large groups of patients with breast cancer, including the new Breast Cancer Symptom Scale (BCSS) questionnaire.

  7. Impact of different scoring algorithms applied to multiple-mark survey items on outcome assessment: an in-field study on health-related knowledge.

    Science.gov (United States)

    Domnich, A; Panatto, D; Arata, L; Bevilacqua, I; Apprato, L; Gasparini, R; Amicizia, D

    2015-01-01

    Health-related knowledge is often assessed through multiple-choice tests. Among the different types of formats, researchers may opt to use multiple-mark items, i.e. with more than one correct answer. Although multiple-mark items have long been used in the academic setting - sometimes with scant or inconclusive results - little is known about the implementation of this format in research on in-field health education and promotion. A study population of secondary school students completed a survey on nutrition-related knowledge, followed by a single- lecture intervention. Answers were scored by means of eight different scoring algorithms and analyzed from the perspective of classical test theory. The same survey was re-administered to a sample of the students in order to evaluate the short-term change in their knowledge. In all, 286 questionnaires were analyzed. Partial scoring algorithms displayed better psychometric characteristics than the dichotomous rule. In particular, the algorithm proposed by Ripkey and the balanced rule showed greater internal consistency and relative efficiency in scoring multiple-mark items. A penalizing algorithm in which the proportion of marked distracters was subtracted from that of marked correct answers was the only one that highlighted a significant difference in performance between natives and immigrants, probably owing to its slightly better discriminatory ability. This algorithm was also associated with the largest effect size in the pre-/post-intervention score change. The choice of an appropriate rule for scoring multiple- mark items in research on health education and promotion should consider not only the psychometric properties of single algorithms but also the study aims and outcomes, since scoring rules differ in terms of biasness, reliability, difficulty, sensitivity to guessing and discrimination.

  8. The assessment of hull fouling as a mechanism for the introduction and dispersal of alien species in the main Hawaiian Islands through surveys at harbors on Oahu's Southern and Southwestern Coasts during 2003 (NODC Accession 0001455)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Surveys for adult invertebrates that were part of the hull fouling communities were done to determine to what extent marine alien invasive species (AIS) are being...

  9. The assessment of hull fouling as a mechanism for the introduction and dispersal of marine alien species in the main Hawaiian Islands through surveys at harbors on Oahu's southern and southwestern coasts during 2003 (NODC Accession 0001455)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Surveys for adult invertebrates that were part of the hull fouling communities were done to determine to what extent marine alien invasive species (AIS) are being...

  10. A nationwide survey of clinical characteristics, management, and outcomes of acute kidney injury (AKI) - patients with and without preexisting chronic kidney disease have different prognoses.

    Science.gov (United States)

    Pan, Heng-Chih; Wu, Pei-Chen; Wu, Vin-Cent; Yang, Ya-Fei; Huang, Tao-Min; Shiao, Chih-Chung; Chen, Te-Chuan; Tarng, Der-Cherng; Lin, Jui-Hsiang; Yang, Wei-Shun; Sun, Chiao-Yin; Lin, Chan-Yu; Chu, Tzong-Shinn; Wu, Mai-Szu; Wu, Kwan-Dun; Chen, Yung-Chang; Huang, Chiu-Ching

    2016-09-01

    Acute kidney injury (AKI) is a common complication in hospitalized patients. The International Society of Nephrology implemented the "0 by 25" initiative aimed at preventing deaths from treatable AKI worldwide by 2025 and conducted a global snapshot survey in 2014. We joined in the project and conducted this study to compare the epidemiology, risk factors, and prognosis between patients with pure AKI and those with acute-on-chronic kidney disease (ACKD). In this study, we prospectively collected demographic parameters and data on clinical characteristics, baseline comorbidities, management, and outcomes of 201 AKI patients in 18 hospitals in Taiwan from September 2014 to November 2014. The in-hospital mortality rate was 16%. AKI was mostly attributed to sepsis (52%). Multivariate logistic regression indicated that oliguria was a positive independent predictor of in-hospital mortality, whereas preexisting CKD and exposure to nephrotoxic agents were negative independent predictors. The prevalence of vasopressor use, intensive care unit care, and mortality were significantly higher in pure AKI patients than in ACKD patients. Moreover, serum creatinine (SCr) levels significantly increased within 7 days after AKI diagnosis in nonsurvivors but not in survivors in the pure AKI group. By contrast, SCr levels were persistently lower in nonsurvivors than in survivors in the ACKD group during the same period. We thus determined that the prognosis of ACKD patients differed from that of pure AKI patients. Considering the CKD history in the future AKI staging system may improve prognosis prediction.

  11. Previous Adverse Infant Outcomes as Predictors of Preconception Care Use: An Analysis of the 2010 and 2012 Los Angeles Mommy and Baby (LAMB) Surveys.

    Science.gov (United States)

    Batra, Priya; Higgins, Chandra; Chao, Shin M

    2016-06-01

    Objectives This study aimed to understand the impact of a previous adverse infant outcome (AIO) on use of preconception care prior to a subsequent pregnancy. Methods Responses from the 2010 and 2012 Los Angeles Mommy and Baby Surveys were analyzed. Weighted multivariate logistic regression was employed to identify significant associations between having had a previous AIO (preterm delivery, low birth weight infant, stillbirth, or major birth defect) and receipt of preconception care prior to the most recent pregnancy. Select patient-level covariates were included: chronic disease, age, education level, race/ethnicity, country of birth, insurance status prior to pregnancy and pregnancy intent. Adjustment for missing responses was performed using multiple chained imputation. Results After controlling for covariates, having had a previous AIO was associated with an increased odds of having utilized preconception care in the most recent pregnancy (OR 1.237, p = 0.040). Per the final regression model, a woman reporting a previous AIO and an intended subsequent pregnancy had a 42.4 % likelihood of having used preconception care. Of these women, only 28.8 % reported doing so because of concern regarding a previous birth complication. Discussion Women reporting a previous AIO were more likely to have used preconception care in a subsequent pregnancy. The prevalence of preconception care utilization remained low overall. Pregnancy intent emerged as a strong secondary predictor; any concerted strategy to improve access to preconception care must include initiatives to help ensure that pregnancies are planned.

  12. The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2: a population-based validation study from Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Omidvari Sepideh

    2011-03-01

    Full Text Available Abstract Background The SF-12v2 is the improved version of the SF-12v1. This study aimed to validate the SF-12v2 in Iran. Methods A random sample of the general population aged 18 years and over living in Tehran, Iran completed the instrument. Reliability was estimated using internal consistency and validity was assessed using known-groups comparison and convergent validity. In addition the factor structure of the questionnaire was extracted by performing both exploratory and confirmatory factor analyses (EFA and CFA. Results In all, 3685 individuals were studied (1887male and 1798 female. Internal consistency for both summary measures was satisfactory. Cronbach's α for the Physical Component Summary (PCS-12 was 0.87 and for the Mental Component Summary (MCS-12 it was 0.82. Known-groups comparison showed that the SF-12v2 discriminated well between men and women and those who differed in age and educational status (P Conclusion Although the findings could not be generalized to the Iranian population, overall the findings suggest that the SF-12v2 is a reliable and valid measure of health related quality of life among Iranians and now could be used in future health outcome studies. However, further studies are recommended to establish its stability, responsiveness to change, and concurrent validity for this health survey in Iran.

  13. Fire Health Main

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This model combines stand density index (SDI), basal area loss, drought stress, and insect and disease surveys using an equal weight overlay. SDI determines the...

  14. Economic outcomes of percutaneous coronary intervention with drug-eluting stents versus bypass surgery for patients with left main or three-vessel coronary artery disease: One-year results from the SYNTAX trial

    NARCIS (Netherlands)

    D.J. Cohen (David J.); T.A. Lavelle (Tara); B.A. van Hout (Ben); H. Li (Haiying); Y. Lei (Yang); J.L. Robertus; D. Pinto (Duane); E.A. Magnuson (Elizabeth); T.F. McGarry (Thomas); S.K. Lucas (Scott); R.I. Horwitz (Ralph); C.A. Henry (Carl); P.W.J.C. Serruys (Patrick); F.W. Mohr (Friedrich); A.P. Kappetein (Arie Pieter)

    2012-01-01

    textabstractObjectives: To evaluate the cost-effectiveness of alternative approaches to revascularization for patients with three-vessel or left main coronary artery disease (CAD). Background: Previous studies have demonstrated that, despite higher initial costs, long-term costs with bypass surgery

  15. Randomized Comparison of Final Kissing Balloon Dilatation Versus No Final Kissing Balloon Dilatation in Patients With Coronary Bifurcation Lesions Treated With Main Vessel Stenting. Five Year Clinical Outcome in The Nordic-Baltic Bifurcation Study III

    DEFF Research Database (Denmark)

    Niemelä, Matti; Holm, Niels R; Kervinen, Kari

    2015-01-01

    Background- It is unknown whether the preferred 1-stent bifurcation stenting approach with stenting of the main vessel (MV) and optional side branch stenting using drug-eluting stents should be finalized by a kissing balloon dilatation (FKBD). Therefore, we compared strategies of MV stenting with...

  16. The survey and preliminary research on main diseases of stony coral in Xisha Archipelago%西沙群岛造礁石珊瑚主要疾病调查与初步研究

    Institute of Scientific and Technical Information of China (English)

    朱志雄; 周永灿; 柯韶文; 王世锋; 谢珍玉

    2012-01-01

    记录了2010年5-10月及2011年4-8月在西沙群岛海域开展珊瑚疾病调查的结果,发现普哥滨珊瑚(Porites pukoensis)、扁枝滨珊瑚(Porites andrewsi)、蔷薇珊瑚(Montipora spp.)、杯形珊瑚(Pocillopora spp.)、鹿角珊瑚(Acropora spp.)、菊花珊瑚(Goniastrea spp.)、澄黄滨珊瑚(Porites lutea)和滨珊瑚(Porites spp.)等共14种珊瑚主要出现了白化、白斑病、黑化、黄色炎症样病症、粉红颗粒状综合症等9种不同症状的疾病,目前该海域为珊瑚疾病的频发区.其中,普哥滨珊瑚的黄色炎症样病症和扁枝滨珊瑚的白化最为常见.普哥滨珊瑚黄色炎症样病症主要出现在永兴岛附近海区,患病部位存在大量黄色脓样分泌物,患病部位水螅体生长正常、萎缩或缺失,有时骨骼部分缺失,患病部位面积一般为0.02~12.00 cm2;该疾病由机械损伤或其他原因引起,因机械损伤引起的伤口一般在2~3个月可以恢复,其中小面积伤口的黄色物质可在10~20d内消失、伤口基本恢复正常,而其他原因产生的黄色物质需1~3个月才能消失,有的甚至在观察期内无明显变化.扁枝滨珊瑚的白化出现在七连屿一带的扁枝滨珊瑚分布区,该病存在整枝完全白化、局部大面积白化、散布白色斑点3种情况,白化部位水螅体缺失.本文为我国西沙海域珊瑚疾病的首次报道,可为今后开展西沙珊瑚疾病研究提供参考.%The main stony coral diseases in Xisha Archipelago were surveyed from May to October, 2010 and from April to August, 2011. Nine diseases, including coral bleaching, white spot disease, coral black disease,yellow inflammatory like syndrome and pink syndrome, were found in 14 species of stony coral, such as Porites pukoensis , Porites andrewsi,Montipora spp. ,Pocillopora spp. ,Acropora spp. ,Goniastrea spp. ,Porites lutea ,Porites spp. . The yellow inflammatory-like disease of Porites pukoensis and bleaching in Porites andrewsi

  17. Development of a core outcome set for clinical trials in squamous cell carcinoma: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey.

    Science.gov (United States)

    Schlessinger, Daniel I; Iyengar, Sanjana; Yanes, Arianna F; Chiren, Sarah G; Godinez-Puig, Victoria; Chen, Brian R; Kurta, Anastasia O; Schmitt, Jochen; Deckert, Stefanie; Furlan, Karina C; Poon, Emily; Cartee, Todd V; Maher, Ian A; Alam, Murad; Sobanko, Joseph F

    2017-07-12

    Squamous cell carcinoma (SCC) is a common skin cancer that poses a risk of metastasis. Clinical investigations into SCC treatment are common, but the outcomes reported are highly variable, omitted, or clinically irrelevant. The outcome heterogeneity and reporting bias of these studies leave clinicians unable to accurately compare studies. Core outcome sets (COSs) are an agreed minimum set of outcomes recommended to be measured and reported in all clinical trials of a given condition or disease. Although COSs are under development for several dermatologic conditions, work has yet to be done to identify core outcomes specific for SCC. Outcome extraction for COS generation will occur via four methods: (1) systematic literature review; (2) patient interviews; (3) other published sources; and (4) input from stakeholders in medicine, pharmacy, and other relevant industries. The list of outcomes will be revaluated by the Measuring PRiority Outcome Variables via Excellence in Dermatologic surgery (IMPROVED) Steering Committee. Delphi processes will be performed separately by expert clinicians and patients to condense the list of outcomes generated. A consensus meeting with relevant stakeholders will be conducted after the Delphi exercise to further select outcomes, taking into account participant scores. At the end of the meeting, members will vote and decide on a final recommended set of core outcomes. The Core Outcome Measures in Effectiveness Trials (COMET) organization and the Cochrane Skin Group - Core Outcome Set Initiative (CSG-COUSIN) will serve as advisers throughout the COS generation process. Comparison of clinical trials via systematic reviews and meta-analyses is facilitated when investigators study outcomes that are relevant and similar. The aim of this project is to develop a COS to guide use for future clinical trials.

  18. Maine's Employability Skills Program

    Science.gov (United States)

    McMahon, John M.; Wolffe, Karen E.; Wolfe, Judy; Brooker, Carrie

    2013-01-01

    This Practice Report describes the development and implementation of the "Maine Employability Skills Program," a model employment program developed by the Maine Division for the Blind and Visually Impaired (DBVI). The program was designed to support the efforts of the chronically unemployed or underemployed. These consumers were either…

  19. Fisheries Biology and Stock Assessment Division (FBSAD) Recruit and Predator Reef Fish Belt Transect and Habitat Quadrat Surveys at Hawaii Island (Big Island), Main Hawaiian Islands, 2008; and Midway Atoll, Northwestern Hawaiian Islands (NWHI), 2008 (NODC Accession 0067519)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shore-based belt transects were conducted and habitat quadrats were surveyed using transects at 1 to ~ 5 m depths at a total four (4) sites: at (1-2) 2 longshore...

  20. Reporting of loss to follow-up information in randomised controlled trials with time-to-event outcomes: a literature survey

    Directory of Open Access Journals (Sweden)

    Bender Ralf

    2011-09-01

    Full Text Available Abstract Background To assess the reporting of loss to follow-up (LTFU information in articles on randomised controlled trials (RCTs with time-to-event outcomes, and to assess whether discrepancies affect the validity of study results. Methods Literature survey of all issues of the BMJ, Lancet, JAMA, and New England Journal of Medicine published between 2003 and 2005. Eligible articles were reports of RCTs including at least one Kaplan-Meier plot. Articles were classified as "assessable" if sufficient information was available to assess LTFU. In these articles, LTFU information was derived from Kaplan-Meier plots, extracted from the text, and compared. Articles were then classified as "consistent" or "not consistent". Sensitivity analyses were performed to assess the validity of study results. Results 319 eligible articles were identified. 187 (59% were classified as "assessable", as they included sufficient information for evaluation; 140 of 319 (44% presented consistent LTFU information between the Kaplan-Meier plot and text. 47 of 319 (15% were classified as "not consistent". These 47 articles were included in sensitivity analyses. When various imputation methods were used, the results of a chi2-test applied to the corresponding 2 × 2 table changed and hence were not robust in about half of the studies. Conclusions Less than half of the articles on RCTs using Kaplan-Meier plots provide assessable and consistent LTFU information, thus questioning the validity of the results and conclusions of many studies presenting survival analyses. Authors should improve the presentation of both Kaplan-Meier plots and LTFU information, and reviewers of study publications and journal editors should critically appraise the validity of the information provided.

  1. Correlations between Endomyocardial Biopsies and Cardiac Manifestations in Taiwanese Patients with the Chinese Hotspot IVS4+919G>A Mutation: Data from the Fabry Outcome Survey

    Directory of Open Access Journals (Sweden)

    Ting-Rong Hsu

    2017-01-01

    Full Text Available We retrospectively evaluated correlations between cardiac manifestations and globotriaosylceramide (Gb3 accumulation in cardiomyocytes from Taiwanese patients with Fabry disease and the IVS4+919G>A (IVS4 mutation who underwent endomyocardial biopsy (Shire; Fabry Outcome Survey data; extracted January 2015. Of 24 males and six females (median age [Q1; Q3] at biopsy 60.4 [57.4; 64.1] and 61.3 [60.4; 65.1] years, respectively, 13 males (54.2% and five females (83.3% received agalsidase alfa enzyme replacement therapy (ERT before biopsy. Median left ventricular mass indexed to height (LVMI within ±6 months of biopsy was 65.3 (52.7; 93.1 in males and 53.2 (42.0; 55.0 g/m2.7 in females. A moderate, positive, statistically significant correlation was found between the percentage area Gb3 accumulation in cardiomyocytes and LVMI (Spearman’s ρ, 0.45; p = 0.014; a smaller, positive, non-statistically significant correlation was observed between cardiomyocyte diameter and LVMI (Spearman’s ρ 0.16, p = 0.394. Moderate, statistically significant, negative correlations were found between Gb3 accumulation and ERT duration (Spearman’s ρ, −0.49, p = 0.007 and between cardiomyocyte size and ERT duration (Spearman’s ρ, −0.37, p = 0.048. Longer ERT duration was associated with smaller amounts of Gb3 accumulation and smaller cardiomyocyte size. Further follow-up is recommended to confirm these trends in a larger sample size.

  2. Impact of Undertreatment of Cancer Pain With Analgesic Drugs on Patient Outcomes: A Nationwide Survey of Outpatient Cancer Patient Care in Taiwan.

    Science.gov (United States)

    Shen, Wen-Chi; Chen, Jen-Shi; Shao, Yu-Yun; Lee, Kuan-Der; Chiou, Tzeon-Jye; Sung, Yung-Chuan; Rau, Kun-Ming; Yen, Chia-Jui; Liao, Yu-Min; Liu, Ta-Chih; Wu, Ming-Fang; Lee, Ming-Yang; Yu, Ming-Sun; Hwang, Wen-Li; Lai, Pang-Yu; Chang, Cheng-Shyong; Chou, Wen-Chi; Hsieh, Ruey-Kuen

    2017-07-01

    Undertreatment of cancer pain among outpatient cancer patients needs to be addressed to enhance care and improve patients' quality of life (QoL). This prospective, cross-sectional, patient-focused study aimed to explore the prevalence of pain and undertreatment of cancer pain in outpatients in Taiwan. A total of 2652 non-selected outpatients with cancer and aged 20 years or older from 16 medical centers across Taiwan were included in this survey. All patients completed a questionnaire based on the Brief Pain Inventory. Pain management index (PMI) was used to evaluate the adequacy of pain management. Possible clinical variables of patients with positive PMI were examined by univariate and multivariate logistic regressions. A total of 1659 (62.6%) outpatients had experienced some degree of pain; among these, 32.4% had negative PMI. Patients with a negative PMI score had significantly poor outcomes of QoL and a significantly higher tendency toward dissatisfaction with pain control by the physician and with the prescribed analgesic drugs. Female gender, primary tumor from breast, non-cancer-related cause of pain, and hospital locations from north Taiwan were independent variables that predicated patients with undertreatment of cancer pain. Most importantly, a forward trend of undertreatment of pain among patients who presented with lower prevalent rate of pain was observed. One-third of Taiwanese outpatients experienced pain because of undertreatment. Awareness of the prevalence of undertreatment of cancer pain and identification of the vulnerable subjects may assist in enhancing patient care and improving patient's QoL. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  3. Turbine main engines

    CERN Document Server

    Main, John B; Herbert, C W; Bennett, A J S

    1965-01-01

    Turbine Main Engines deals with the principle of operation of turbine main engines. Topics covered include practical considerations that affect turbine design and efficiency; steam turbine rotors, blades, nozzles, and diaphragms; lubricating oil systems; and gas turbines for use with nuclear reactors. Gas turbines for naval boost propulsion, merchant ship propulsion, and naval main propulsion are also considered. This book is divided into three parts and begins with an overview of the basic mode of operation of the steam turbine engine and how it converts the pressure energy of the ingoing ste

  4. Development of a core outcome set for clinical trials in facial aging: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey.

    Science.gov (United States)

    Schlessinger, Daniel I; Iyengar, Sanjana; Yanes, Arianna F; Henley, Jill K; Ashchyan, Hovik J; Kurta, Anastasia O; Patel, Payal M; Sheikh, Umar A; Franklin, Matthew J; Hanna, Courtney C; Chen, Brian R; Chiren, Sarah G; Schmitt, Jochen; Deckert, Stefanie; Furlan, Karina C; Poon, Emily; Maher, Ian A; Cartee, Todd V; Sobanko, Joseph F; Alam, Murad

    2017-08-01

    Facial aging is a concern for many patients. Wrinkles, loss of volume, and discoloration are common physical manifestations of aging skin. Genetic heritage, prior ultraviolet light exposure, and Fitzpatrick skin type may be associated with the rate and type of facial aging. Although many clinical trials assess the correlates of skin aging, there is heterogeneity in the outcomes assessed, which limits the quality of evaluation and comparison of treatment modalities. To address the inconsistency in outcomes, in this project we will develop a core set of outcomes that are to be evaluated in all clinical trials relevant to facial aging. A long list of measureable outcomes will be created from four sources: (1) systematic medical literature review, (2) patient interviews, (3) other published sources, and (4) stakeholder involvement. Two rounds of Delphi processes with homogeneous groups of physicians and patients will be performed to prioritize and condense the list. At a consensus meeting attended by physicians, patients, and stakeholders, outcomes will be further condensed on the basis of participant scores. By the end of the meeting, members will vote and decide on a final recommended set of core outcomes. Subsequent to this, specific measures will be selected or created to assess these outcomes. The aim of this study is to develop a core outcome set and relevant measures for clinical trials relevant to facial aging. We hope to improve the reliability and consistency of outcome reporting of skin aging, thereby enabling improved evaluation of treatment efficacy and patient satisfaction. Core Outcome Measures in Effectiveness Trials (COMET) Initiative, accessible at http://www.comet-initiative.org/studies/details/737 . Core Outcomes Set Initiative, (CSG-COUSIN) accessible at https://www.uniklinikum-dresden.de/de/das-klinikum/universitaetscentren/zegv/cousin/meet-the-teams/project-groups/core-outcome-set-for-the-appearance-of-facial-aging . Protocol version date is 28

  5. Maine Field Station

    Data.gov (United States)

    Federal Laboratory Consortium — In 2000 NOAA's National Marine Fisheries Service established the Maine Field Station in Orono, ME to have more direct involvement in the conservation of the living...

  6. 2004 Maine Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This metadata document describes the collection and processing of Light Detection and Ranging (LIDAR) data over an area along the coast of Maine. Data was collected...

  7. European multicentre pilot survey to assess vitamin D status in rheumatoid arthritis patients and early development of a new Patient Reported Outcome questionnaire (D-PRO).

    Science.gov (United States)

    Vojinovic, Jelena; Tincani, Angela; Sulli, Alberto; Soldano, Stefano; Andreoli, Laura; Dall'Ara, Francesca; Ionescu, Ruxandra; Pasalic, Katarina Simic; Balcune, Inete; Ferraz-Amaro, Ivan; Tlustochowicz, Małgorzata; Butrimiene, Irena; Punceviciene, Egle; Toroptsova, Natalia; Grazio, Simeon; Morovic-Vergles, Jadranka; Masaryk, Pavol; Otsa, Kati; Bernardes, Miguel; Boyadzhieva, Vladimira; Salaffi, Fausto; Cutolo, Maurizio

    2017-05-01

    To collect data on vitamin D (25(OH)D) serum levels in a large number of rheumatoid arthritis (RA) patients from different European countries, to investigate their relation with disease activity, disability, quality of life, and possibly to construct a new Patient Reported Outcome (PRO) questionnaire in order to self-estimate if they are at risk for vitamin D insufficiency/deficiency-related clinical implications (D-PRO). This was a European League Against Rheumatism (EULAR) supported cross-sectional study (project No CLI064) which involved 625 RA patients (mean age 55±11years, mean disease duration 11±9years), 276 age and sex matched healthy subjects, and rheumatologists working in academic institutions or hospital centres, as well as PARE organizations (patient representatives) from 13 European countries. Serum samples for 25(OH)D level measurement were collected during winter time and analyzed in a central laboratory using chemiluminescence immunoassay (DiaSorin). Patient past medical history was recorded. RA patients were provided with three questionnaires: the Rheumatoid Arthritis Impact Diseases score (RAID), the Health Assessment Questionnaire (HAQ), and the new D-PRO questionnaire at the time of 25(OH)D serum sampling. D-PRO questionnaire consisted of three domains, Symptom Risk Score (SRS), Habitus Risk Score (HRS) and Global Risk Score (SRS+HRS=GRS), constructed with items possibly related to vitamin D deficiency. D-PRO was correlated with both clinical and PRO scores. DAS28-CRP was also evaluated. Statistical analysis was performed by non parametric tests. Mean serum concentration of 25(OH)D in RA patients (17.62±9.76ng/ml) was found significantly lower if compared to the levels obtained in matched controls (18.95±9.45ng/ml) (p=0.01), with statistically significant differences among several European countries. Negative correlations were found between 25(OH)D serum levels and DAS28-CRP (pPRO questionnaire. This first multicentre European survey add

  8. Survey of energy efficiency programs for motor systems in the industry and the main results of PROCEL Info; Levantamento dos programas de eficiencia energetica para sistemas motrizes na industria e os principais resultados do PROCEL Info

    Energy Technology Data Exchange (ETDEWEB)

    Naturesa, Jim Silva; Mariotoni, Carlos Alberto [Universidade Estadual de Campinas (GPESE/UNICAMP), SP (Brazil). Dept. de Recursos Hidricos, Energeticos e Ambientais. Grupo de Planejamento Energetico e Sistemas Eletricos; Menezes, Taciana de V.; Perrone, Fernando Pinto Dias; Lepetitgaland, Karla Kwiatkowski [Centrais Eletricas Brasileiras S.A. (ELETROBRAS), Brasilia, DF (Brazil)

    2008-07-01

    This article has as objective to compare the actual energy efficiency programs for the motor driven systems of Brazil, United States and European Community. This comparison will be restricted to the action of each program, considering that the countries present distinct economical, political and social aspects. The main results of PROCEL Info will be presented. (author)

  9. The main cubioid

    Science.gov (United States)

    Blokh, Alexander; Oversteegen, Lex; Ptacek, Ross; Timorin, Vladlen

    2014-08-01

    The connectedness locus in the parameter space of quadratic polynomials is called the Mandelbrot set. A good combinatorial model of this set is due to Thurston. By definition, the principal hyperbolic domain of the Mandelbrot set consists of parameter values, for which the corresponding quadratic polynomials have an attracting fixed point. The closure of the principal hyperbolic domain of the Mandelbrot set is called the main cardioid. Its topology is completely described by Thurston's model. Less is known about the connectedness locus in the parameter space of cubic polynomials. In this paper, we discuss cubic analogues of the main cardioid and establish relationships between them.

  10. Ladybugs of Maine

    Science.gov (United States)

    Color images are presented for the 57 species of Coccinellidae, commonly known as ladybugs, that are documented from Maine. Images are displayed in taxonomic order. Information on each species includes its genus-species name, length, and an actual-size silhouette beside a grid matched to the scale...

  11. Abstracts of Main Essays

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    On Engels'Dialectics of "Theoretical Thinking" Sun Zheng-yu The main significant contribution to Marxist dialectics of Engels is to formulate dialectics on the level of theoretical thinking. This contribution is expressed in three aspects: 1 ) generalizing thoroughly the historical evolution of the way of thinking embodied in science history, philosophy history and human history;

  12. Outcome measures in physiotherapy management of patients with stroke: A survey into self-reported use, and barriers to and facilitators for use

    NARCIS (Netherlands)

    Peppen, R.P.S. van; Maissan, F.J.F.; Genderen, F.R. van; Dolder, R. van; Meeteren, N.L.U. van

    2008-01-01

    Objective. To investigate physiotherapists' self-reported use of outcome measures as recommended in the Dutch Clinical Practice Guideline on Physiotherapy Management of Patients with Stroke (CPGPS) and to assess perceived barriers to and facilitators for the use of outcome measures in everyday pract

  13. Renovating the Main Building

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    CERN's "Main Building" is exactly that. The Organization's central hub, with hundreds of staff and visitors passing through its doors every day, will soon be getting a well-earned facelift. Refurbishment work will proceed in phases, starting with the Salle des Pas Perdus, the concourse between the Council Chamber and the Main Auditorium. By the end of August, informal seating areas will be installed, electronic display panels will provide practical information and improved sound insulation will enhance conditions in the auditoria and surrounding meeting rooms.   In light green the area that will undergo the facelift. Work will start in July. The ground floor is home to the entrance to Restaurant No. 1, the bank, the post office, the travel agent, the Users Office, the Staff Association, the notice boards etc. Step up to the first floor to access CERN's largest lecture theatre, the Council Chamber and its "Pas Perdus" lobby. Everyone who works at or visits CERN i...

  14. Maine coast winds

    Energy Technology Data Exchange (ETDEWEB)

    Avery, Richard

    2000-01-28

    The Maine Coast Winds Project was proposed for four possible turbine locations. Significant progress has been made at the prime location, with a lease-power purchase contract for ten years for the installation of turbine equipment having been obtained. Most of the site planning and permitting have been completed. It is expect that the turbine will be installed in early May. The other three locations are less suitable for the project, and new locations are being considered.

  15. Lodging Update: Portland, Maine

    Directory of Open Access Journals (Sweden)

    Rachel J. Roginsky

    2013-01-01

    Full Text Available Each quarter, Pinnacle Advisory Group prepares an analysis of the New England lodging industry, which provides a regional summary and then focuses in depth on a particular market. These reviews look at recent and proposed supply changes, factors affecting demand and growth rates, and the effects of interactions between such supply and demand trends. In this issue, the authors summarize regional performance for 2012, offer projections for 2013, and spotlight the lodging market in Portland, Maine.

  16. The relationship between interventionists' experience and clinical and radiological outcome in intra-arterial treatment for acute ischemic stroke. A MR CLEAN pretrial survey.

    Science.gov (United States)

    Beumer, Debbie; van Boxtel, Tiemen H; Schipperen, Stefanie; van Zwam, Wim H; Lycklama À Nijeholt, Geert J; Brouwer, Patrick A; Jenniskens, Sjoerd F M; Schonewille, Wouter J; Vos, Jan Albert; van der Lugt, Aad; Roos, Yvo B; Majoie, Charles B; van Oostenbrugge, Robert J; Dippel, Diederik W J

    2017-06-15

    Intra-arterial treatment in acute ischemic stroke is safe and effective as recently shown in several randomized clinical trials. The level of experience of the interventionist performing the IAT procedure has not been studied. The present study investigates effects of interventionists' experience on technical aspects of the procedure and clinical outcome of the patient. In this study of 313 patients with a proximal intracranial arterial anterior circulation occlusion, treated in the Netherlands from 2002 until participation in the Multicenter Randomized Clinical trial of Endovascular treatment for acute ischemic stroke (MR CLEAN), data were collected retrospectively. The association of the senior interventionists' experience with duration of the procedure, adverse events, recanalization, neurological outcome, and functional outcome at discharge was analyzed. Multiple regression models adjusted for age, sex, stroke severity, carotid terminus occlusion, use of a retrievable stent and onset to door time were used. No association between interventionists' experience and recanalization, neurological outcome, or functional outcome was observed in a strict selection of patients. This strict selection include a start of intra-arterial treatment within 6h, no coagulation disturbances, systolic blood pressureexperience and either serious neurologic adverse events or poor outcomes was observed in this study of treatments by interventionists with experience of experience with procedure times, results and patient outcomes. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey.

    Science.gov (United States)

    Van Bogaert, Peter; Timmermans, Olaf; Weeks, Susan Mace; van Heusden, Danny; Wouters, Kristien; Franck, Erik

    2014-08-01

    To investigate the impact of nurse practice environment factors, nurse work characteristics, and burnout on nurse reported job outcomes, quality of care, and patient adverse events variables at the nursing unit level. Nurse practice environment studies show growing insights and knowledge about determining factors for nurse workforce stability, quality of care, and patient safety. Until now, international studies have primarily focused on variability at the hospital level; however, insights at the nursing unit level can reveal key factors in the nurse practice environment. A cross-sectional design with a survey. In a cross-sectional survey, a sample of 1108 nurses assigned to 96 nursing units completed a structured questionnaire composed of various validated instruments measuring nurse practice environment factors, nurse work characteristics, burnout, nurse reported job outcomes, quality of care, and patient adverse events. Associations between the variables were examined using multilevel modelling techniques. Various unit-level associations (simple models) were identified between nurse practice environment factors, nurse work characteristics, burnout dimensions, and nurse reported outcome variables. Multiple multilevel models showed various independent variables such as nursing management at the unit level, social capital, emotional exhaustion, and depersonalization as important predictors of nurse reported outcome variables such job satisfaction, turnover intentions, quality of care (at the unit, the last shift, and in the hospital within the last year), patient and family complaints, patient and family verbal abuse, patient falls, nosocomial infections, and medications errors. Results suggested a stable nurse work force, with the capability to achieve superior quality and patient safety outcomes, is associated with unit-level favourable perceptions of nurse work environment factors, workload, decision latitude, and social capital, as well low levels of burnout

  18. Same-sex and different-sex parent households and child health outcomes : Findings from the national survey of children's health

    NARCIS (Netherlands)

    Bos, H.M.W.; Knox, J.R.; van Rijn-van Gelderen, L.; Gartrell, N.K.

    Objective: Using the 2011–2012 National Survey of Children's Health data set, we compared spouse/partner relationships and parent-child relationships (family relationships), parenting stress, and children's general health, emotional difficulties, coping behavior, and learning behavior (child

  19. Discussion on the Existing Problems and Main Work of Hydrogeology Survey Work%矿区水工环地质勘查主要内容与存在问题探讨

    Institute of Scientific and Technical Information of China (English)

    李福寿; 尤阳阳; 黄恺

    2015-01-01

    通过对矿区矿床充水影响因素调查、矿区岩层构造工程勘查及矿区周围环境影响因素调查,综合评价出地质勘查开发对矿区水文环境、岩层及周边环境可能造成的影响;根据历年水工环地质勘查实践,对目前矿区水工环勘查中存在的误区进行剖析,从转变观念提高认识和科技创新等方面入手,建议创建矿区水工环信息化平台,为矿区地质灾害防治提供依据.%Through the investigation on the impact of deposit water filling factors, prospecting mining strata structure and the influence factors of the surrounding environment, this paper comprehensively evaluates that the geological prospecting effect may affect the development of hydrology, rock mining area and the surrounding environment. According to the hydrogeology survey over the years and existing misunderstanding of hydrological-engineering-environmental investigation, this paper suggest to create hydrological-engineering-environmental informatization platform, providing a basis for geological disaster prevention.

  20. Cannabis use in people with severe mental illness: The association with physical and mental health - a cohort study : A Pharmacotherapy Monitoring and Outcome Survey study

    NARCIS (Netherlands)

    Bruins, Jojanneke; Pijnenborg, Marieke Gh; Bartels-Velthuis, Agna A; Visser, Ellen; van den Heuvel, Edwin R; Bruggeman, Richard; Jörg, Frederike

    2016-01-01

    Objective: In the general population cannabis use is associated with better cardiometabolic outcomes. Patients with severe mental illness frequently use cannabis, but also present increased cardiometabolic risk factors. We explore the association between cannabis use and cardiometabolic risk factors

  1. Consumo de álcool e drogas: principais achados de pesquisa de âmbito nacional, Brasil 2005 Drug and alcohol use: main findings of a national survey, Brazil 2005

    Directory of Open Access Journals (Sweden)

    Francisco I Bastos

    2008-06-01

    Full Text Available OBJETIVO: Analisar os padrões de consumo de álcool e drogas de uma amostra representativa da população urbana brasileira na sua inter-relação com a saúde sexual e reprodutiva. MÉTODOS: Dados de inquérito de base populacional, de abrangência nacional, com plano amostral complexo, realizado em 2005. Foram entrevistados 5.040 indivíduos de ambos os sexos, na faixa etária de 16 a 65 anos. Analisaram-se questões relativas consumo de álcool e drogas e comportamento sexual. Utilizou-se análise bivariada e multivariada. RESULTADOS: O álcool foi a substância mais freqüentemente utilizada, com relato de uso regular, na vida, por 18% dos entrevistados. O consumo de drogas ilícitas foi referido por 9% dos entrevistados, especialmente, maconha e cocaína aspirada, com uso de drogas injetáveis infreqüente. Observou-se declínio do consumo de cocaína aspirada e incremento do uso de maconha (nos últimos 12 meses, comparados a resultados de pesquisa similar realizada em 1998. Histórico de abuso sexual constituiu fator de risco do consumo de drogas e uso regular de álcool. A referência por parte do entrevistado ao papel da religião na sua formação, ser branco e do sexo feminino se mostraram protetores frente ao consumo regular de álcool, particularmente prevalente entre homens mais velhos. As opções de lazer e a ausência de práticas religiosas atuais se mostraram associadas ao consumo de drogas. CONCLUSÕES: O consumo de álcool, regular ou não, é prevalente na população urbana brasileira, enquanto o uso de drogas injetáveis se mostrou raro. Ao longo da última década observou-se declínio no consumo de cocaína. Histórico de abuso sexual se mostrou central ao consumo posterior de drogas e álcool.OBJECTIVE: To assess alcohol and drug use in a representative sample of the urban Brazilian population and their correlation with sexual and reproductive health. METHODS: Data from a national population-based survey with a

  2. Main Oxidizer Valve Design

    Science.gov (United States)

    Addona, Brad; Eddleman, David

    2015-01-01

    A developmental Main Oxidizer Valve (MOV) was designed by NASA-MSFC using additive manufacturing processes. The MOV is a pneumatically actuated poppet valve to control the flow of liquid oxygen to an engine's injector. A compression spring is used to return the valve to the closed state when pneumatic pressure is removed from the valve. The valve internal parts are cylindrical in shape, which lends itself to traditional lathe and milling operations. However, the valve body represents a complicated shape and contains the majority of the mass of the valve. Additive manufacturing techniques were used to produce a part that optimized mass and allowed for design features not practical with traditional machining processes.

  3. Abstracts of Main Essays

    Institute of Scientific and Technical Information of China (English)

    Feng Zi-yi

    2011-01-01

    On Deepening the Research on the Law of the Social Horizontal Development Feng Zi-yi The further development of globalization makes it urgent to deepen the research on the law of social hori- zontal development. Historical development of human society has experienced periods of isolation, multi-cen- ter, and globalization, while the truly horizontal development began from modernity. This kind of development is driven mainly by the logic of capital. The transforming process of capital, from dominating the whole process of economic development toward all aspects of social life, and from dominating nations toward the whole world, is also the logical process of capital pursuing itself and the process of social horizontal and wholly development as well. Horizontal and vertical developments of the society are interacting always. Researching on the law of social horizontal development is important for us to adapt to the historical trend consciously, to grasp the logic of capital rationally and to choose the right road of development.

  4. Main Strategies for Autonomous Robotic Controller Design

    OpenAIRE

    Paterega, I.

    2011-01-01

    This review gives an overall introduction to the artificial evolution mechanism. It presents the main strategies for robotic controller design. It gives a review of the pertinent literature, focusing on approaches that use neural networks, evolutionary computing, and fuzzy logic. Various applications of artificial evolution in robotics are surveyed and classified.

  5. Noise annoyances from wind power: Survey of the population living close to a wind power plant. Final report: Part 3 Main study; Stoerningar fraan vindkraft: undersoekning bland maenniskor boende i naerheten av vindkraftverk. Slutrapport: Del 3 Huvudstudie

    Energy Technology Data Exchange (ETDEWEB)

    Pedersen, Eja [Halmstad Univ., Halmstad (Sweden). School of Business and Engineering; Persson-Waye, K. [Goeteborg Univ., Goeteborg (Sweden). Dept. of Environmental Medicine

    2002-02-01

    To evaluate the occurrence of annoyance from wind turbines, a study was performed in Laholm in May 2000. The aim was to obtain dose response relationships between calculated sound levels and noise annoyance and appropriate sound description as well as analysing the influence of other variables on noise annoyance. A questionnaire survey was performed in 6 areas comprising 16 wind turbines, of which 14 had an effect of 600 kW. The purpose of the study was masked. Among questions on living conditions in the countryside, questions directly related to wind turbines were included. The study population (n=518) comprised one randomly selected subject between the ages of 18 to 75 years in each household living within a calculated wind turbine sound level of 25 to 40 dBA. The response rate was 68.7% (n=356). Calculated distributions of A-weighted sound level were performed for each area and plotted on geographical maps in 2.5 dBA steps. Each dwelling could thus be given a sound level within an interval of 2.5 dBA. The most frequently occurring source of noise annoyance was noise from rotor blades. The proportions of respondents annoyed by noise increased with calculated sound level. Among respondents exposed to sound levels of 35.0-37.5 dBA, 43% responded themselves to be rather or much annoyed. A-weighted sound level was only one variable explaining annoyance. Annoyance was correlated to a larger extent by the intrusiveness of the sound character swishing. Noise annoyance was interrelated to the respondents' opinion of the visual impact of wind turbines, while attitude towards wind power in general had no greater influence. Disturbance of spoilt view was reported to a similar degree as noise disturbance. Further investigations are needed to clarify factors of importance for the disturbance of view. All the wind turbines in the study had constant rotation speed. The greater wind turbines that are now erected often have variable speed, which may lead to a sound

  6. Epicardial Fat: Definition, Measurements and Systematic Review of Main Outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Bertaso, Angela Gallina [Programa de Pós-Graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares - Universidade Federal do Rio Grande do Sul, Porto Alegre (Brazil); Bertol, Daniela [Programa de Pós-Graduação em Epidemiologia - Universidade Federal do Rio Grande do Sul, Porto Alegre (Brazil); Duncan, Bruce Bartholow; Foppa, Murilo, E-mail: mfoppa@cardiol.br [Programa de Pós-Graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares - Universidade Federal do Rio Grande do Sul, Porto Alegre (Brazil); Programa de Pós-Graduação em Epidemiologia - Universidade Federal do Rio Grande do Sul, Porto Alegre (Brazil)

    2013-07-15

    Epicardial fat (EF) is a visceral fat deposit, located between the heart and the pericardium, which shares many of the pathophysiological properties of other visceral fat deposits, It also potentially causes local inflammation and likely has direct effects on coronary atherosclerosis. Echocardiography, computed tomography and magnetic resonance imaging have been used to evaluate EF, but variations between methodologies limit the comparability between these modalities. We performed a systematic review of the literature finding associations of EF with metabolic syndrome and coronary artery disease. The summarization of these associations is limited by the heterogeneity of the methods used and the populations studied, where most of the subjects were at high cardiovascular disease risk. EF is also associated with other known factors, such as obesity, diabetes mellitus, age and hypertension, which makes the interpretation of its role as an independent risk marker intricate. Based on these data, we conclude that EF is a visceral fat deposit with potential implications in coronary artery disease. We describe the reference values of EF for the different imaging modalities, even though these have not yet been validated for clinical use. It is still necessary to better define normal reference values and the risk associated with EF to further evaluate its role in cardiovascular and metabolic risk assessment in relation to other criteria currently used.

  7. Epicardial fat: definition, measurements and systematic review of main outcomes.

    Science.gov (United States)

    Bertaso, Angela Gallina; Bertol, Daniela; Duncan, Bruce Bartholow; Foppa, Murilo

    2013-07-01

    Epicardial fat (EF) is a visceral fat deposit, located between the heart and the pericardium, which shares many of the pathophysiological properties of other visceral fat deposits, It also potentially causes local inflammation and likely has direct effects on coronary atherosclerosis. Echocardiography, computed tomography and magnetic resonance imaging have been used to evaluate EF, but variations between methodologies limit the comparability between these modalities. We performed a systematic review of the literature finding associations of EF with metabolic syndrome and coronary artery disease. The summarization of these associations is limited by the heterogeneity of the methods used and the populations studied, where most of the subjects were at high cardiovascular disease risk. EF is also associated with other known factors, such as obesity, diabetes mellitus, age and hypertension, which makes the interpretation of its role as an independent risk marker intricate. Based on these data, we conclude that EF is a visceral fat deposit with potential implications in coronary artery disease. We describe the reference values of EF for the different imaging modalities, even though these have not yet been validated for clinical use. It is still necessary to better define normal reference values and the risk associated with EF to further evaluate its role in cardiovascular and metabolic risk assessment in relation to other criteria currently used.

  8. The Development Round: Main Outcomes, Challenges and Implementation Prospects

    Directory of Open Access Journals (Sweden)

    Volomymyr Vashchenko

    2004-04-01

    Full Text Available The article touches upon current issues in the development of a WTO-based multilateral trade system and the participation of the broadest possible range of nations in this system, with special attention to the agenda of the Fourth and Fifth Ministerial Conferences of WTO memberstates, progress on negotiations and their current status. Bottlenecks in specific areas of the negotiations that have arisen in the course of the discussions, the positions of groups and individual countries are also identified. The article outlines the possibilities of activating and accelerating efforts towards the completion of the liberalization of world trade as envisaged in the agenda of the Development Round.

  9. Applying Memories of Reinforcement Outcomes Mainly to Pavlovian Conditioning

    Science.gov (United States)

    Capaldi, E. J.; Martins, Ana P. G.

    2010-01-01

    A theory devised initially on the basis of instrumental reward schedule data, such as the PREE, was extended to deal with various Pavlovian findings. These Pavlovian findings include blocking, unblocking, relative validity, positive and negative patterning, renewal, reinstatement, reacquisition, and inhibition. In addition, the sequential model…

  10. Development of a core outcome set for clinical trials in rosacea: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey

    OpenAIRE

    Iyengar, Sanjana; Paula R Williamson; Schmitt, Jochen; Johannsen, Lena; Maher, Ian A.; Sobanko, Joseph F.; Cartee, Todd V.; Schlessinger, Daniel; Poon, Emily; Alam, Murad

    2016-01-01

    Background Rosacea is a chronic inflammatory disorder affecting millions of individuals worldwide. Diagnosis is based on signs and symptoms with management and treatment aimed to suppress inflammatory lesions, erythema, and telangiectasia. While many clinical trials of rosacea exist, the lack of consensus in outcome reporting across all trials poses a concern. Proper evaluation and comparison of treatment modalities is challenging. In order to address the inconsistencies present, this project...

  11. A survey of the outcome of prophylaxis, on-demand treatment or combined treatment in 18-35-year old men with severe haemophilia in six countries

    NARCIS (Netherlands)

    Noone, D.; O'Mahony, B.; van Dijk, J. P.; Prihodova, L.

    2013-01-01

    A number of studies have been published on the benefits of prophylactic treatment in adults with haemophilia. However, in many countries, it is considered as optional due to financial constraints. This survey was carried out to examine the long-term effects of prophylaxis and the continuing benefit

  12. The impact of guideline compliant medical therapy on clinical outcome in patients with stable angina: findings from the Euro Heart Survey of stable angina.

    NARCIS (Netherlands)

    Daly, C.A.; Clemens, F.; Lopez-Sendon, J.L.; Tavazzi, L.; Boersma, E.; Danchin, N.; Delahaye, F.; Gitt, A.; Julian, D.; Mulcahy, D.; Ruzyllo, W.; Thygesen, K.; Verheugt, F.W.A.; Fox, K.M.

    2006-01-01

    AIMS: The European Society of Cardiology published guidelines for the management of stable angina in 1997, with the objective of promoting an evidence-based approach to the condition. This study focuses on the impact of guideline compliant medical treatment on clinical outcome in patients with stabl

  13. Patient-reported outcomes at hospital discharge from Heart Centres, a national cross-sectional survey with a register-based follow-up

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Svanholm, Jette; Lauberg, Astrid

    2014-01-01

    as the time scale will be used to investigate associations between patient reported outcomes at baseline and morbidity/mortality, labour market affiliation and healthcare utilisation after 1 year. Ethics and dissemination: The study complies with the Declaration of Helsinki. The study has been approved...

  14. Examining the Link between Education Related Outcomes and Student Health Risk Behaviours among Canadian Youth: Data from the 2006 National Youth Smoking Survey

    Science.gov (United States)

    Pathammavong, Ratsamy; Leatherdale, Scott T.; Ahmed, Rashid; Griffith, Jane; Nowatzki, Janet; Manske, Steve

    2011-01-01

    This study examined whether student tobacco, alcohol, marijuana use, and sedentary behaviour were associated with the educational outcomes of health-related absenteeism, truancy, and academic motivation in a nationally representative sample of Canadian youth. Descriptive analyses indicate a high proportion of students missed school due to health,…

  15. Reliability and validity of the medical outcomes study, a 36-item short-form health survey, (MOS SF-36 after one-year hospital discharge of hip fracture patient in a public hospital

    Directory of Open Access Journals (Sweden)

    Anan Udombhornprabha

    2012-07-01

    Full Text Available Introduction: There is scarce of data in terms of health-related quality of life for hip fracture patients in Thailand due to the following: (i lack of epidemiological aspects of hip fracture (eg. the relative incidence of osteoporosis, falls fractures and repeat fractures in particular subgroups, (ii lack of health status and quality of life aspects of both illness itself and the availability of different treatment options especially for elderly people. (iii a substantial variation in terms of outcomes of care for patients and service for hip fractures. Objective: Hip fracture is a major healthcare burden in Thailand. This study explores quality of life for hip fracture patients from perspective of (i Reliability of patient-reported outcomes (ii Some clinical and demographic characteristics related to patient-reported outcomes Method: Pre-hospital discharge 201 hip fracture patients were screened and follow-up over one year. Mail survey by a self-rated Medical Outcomes Study, a 36-item Short-Form Health Survey (Thai dispatched for follow-up, other clinical and demographic characteristics were collected through direct interviews from patients or caregivers during recruitment with simultaneous crosschecking from medical records. A descriptive cross-sectional analysis was performed.Result: Mails responder represented by 59.2% (N=119, with 36.1% (N=43 and 63.8% (N=76 for patient and caregiver rated outcomes. Mean(SD, [95% CI] score for physical, mental and global health of patient and care-giver rated outcomes of 36.2(10.6[32.9-39.4], 54.5(10.0[51.4-57.5],43.9(9.3[41.0-46.7], and 34.6(12.3[31.7-37.4], 52.5(12.3[49.6-55.3],42.7(11.1[40.1-45.2] were not statistically difference with p-value at 0.630,0.330 and 0.788 respectively. Respecting Cronbach’s alpha reliability coefficient by patients versus caregivers rated of the MOS SF-36 were 0.90 vs 0.91, 0.78 vs 0.84 and 0.90 vs 0.92. The presence of comorbidity significantly explains differences for

  16. The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey.

    Science.gov (United States)

    Ausserhofer, Dietmar; Schubert, Maria; Desmedt, Mario; Blegen, Mary A; De Geest, Sabina; Schwendimann, René

    2013-02-01

    Patient safety climate (PSC) is an important work environment factor determining patient safety and quality of care in healthcare organizations. Few studies have investigated the relationship between PSC and patient outcomes, considering possible confounding effects of other nurse-related organizational factors. The purpose of this study was to explore the relationship between PSC and patient outcomes in Swiss acute care hospitals, adjusting for major organizational variables. This is a sub-study of the Swiss arm of the multicenter-cross sectional RN4CAST (Nurse Forecasting: Human Resources Planning in Nursing) study. We utilized data from 1630 registered nurses (RNs) working in 132 surgical, medical and mixed surgical-medical units within 35 Swiss acute care hospitals. PSC was measured with the 9-item Safety Organizing Scale. Other organizational variables measured with established instruments included the quality of the nurse practice environment, implicit rationing of nursing care, nurse staffing, and skill mix levels. We performed multilevel multivariate logistic regression to explore relationships between seven patient outcomes (nurse-reported medication errors, pressure ulcers, patient falls, urinary tract infection, bloodstream infection, pneumonia; and patient satisfaction) and PSC. In none of our regression models was PSC a significant predictor for any of the seven patient outcomes. From our nurse-related organizational variables, the most robust predictor was implicit rationing of nursing care. After controlling for major organizational variables and hierarchical data structure, higher levels of implicit rationing of nursing care resulted in significant decrease in the odds of patient satisfaction (OR=0.276, 95%CI=0.113-0.675) and significant increase in the odds of nurse reported medication errors (OR=2.513, 95%CI=1.118-5.653), bloodstream infections (OR=3.011, 95%CI=1.429-6.347), and pneumonia (OR=2.672, 95%CI=1.117-6.395). We failed to confirm our

  17. Dravet syndrome: the main issues.

    Science.gov (United States)

    Guerrini, Renzo

    2012-09-01

    Dravet syndrome (DS) is a severe form of infantile onset epilepsy characterized by multiple seizure types, prolonged convulsive seizures and frequent episodes of status epilepticus. Seizures precipitated by fever are a main characteristic. Affected children exhibit normal early development. Cognitive impairment, behavioral disturbances with hyperactivity and sometimes autistic traits occur after seizure onset. Seizures persist into adulthood but become less frequent. In about 85% of patients, a mutation of the SCN1A gene is present. DS fully illustrates the concept of epileptic encephalopathy. However, it is difficult to determine the causative role of the underlying sodium channel dysfunction and that of the consequent seizures in influencing cognitive outcome. An overwhelmingly high number of SCN1A mutations have been associated with DS. Intragenic or whole gene deletions, duplications and amplifications are additional rare molecular mechanisms. Most mutations are de novo, but familial mutations also occur. Somatic mosaic mutations should be considered when estimating the recurrence. MRI imaging is usually normal, and no neuropathologic signature of the condition seems to exist. In heterozygous Scn1a+/- mice, GABAergic interneurons exhibit substantially reduced sodium current density with reduced ability for sustained action potential firing. GABAergic output is reduced and excitability of downstream synaptic targets increased. Stiripentol was effective in combination with valproate and clobazam in two pivotal phase III trials. Phenytoin, carbamazepine, and lamotrigine can worsen seizures and should be avoided. Prospective studies will clarify to what extent earlier diagnosis and efforts at seizure control with the most appropriate drug combinations will reduce clinical deterioration.

  18. Do associations between employee self-reported organisational assessments and attitudinal outcomes change over time? An analysis of four Veterans Health Administration surveys using structural equation modelling

    CSIR Research Space (South Africa)

    Das, Sonali

    2010-12-01

    Full Text Available maintaining the strongest loading. By contrast, the strongest loadings on the Support construct were related to discrimination in 1997 and 2001, but this loading shifted to relationship- related variables (?respect? and ?teamwork?) in the last 2 survey... discrimination to teamwork and respect, may reflect a changed respondent focus from overall hospital culture to immediate workgroup culture, characterized by this increased primacy of teamwork and respect. . Complementing this interpretation, and suggesting a...

  19. Improved pregnancy outcome in refugees and migrants despite low literacy on the Thai-Burmese border: results of three cross-sectional surveys

    Directory of Open Access Journals (Sweden)

    De Pree Cecilia

    2011-06-01

    Full Text Available Abstract Background Maternal and infant health has been associated with maternal education level, which is highly associated with literacy. We aimed at estimating literacy rates among reproductive age women attending antenatal clinics in camps for refugees and in migrant clinics in Tak province, north-western Thailand, to determine whether illiteracy had an impact on birth outcomes. Methods Three reading assessments were conducted using an identical method each time, in 1995-97, 2003 and 2008. Midwives chose at random one of four pre-set sentences. Each woman was asked to read aloud and scoring was based on a "pass/fail" system. Pregnancy outcomes were compared with maternal literacy rate. Results Overall, 47% (1149/2424 of women were able to read. A significant improvement was observed among migrant (34% in 2003 vs. 46% in 2008, p = 0.01, but not refugee (47% in 1995-97, 49% in 2003, and 51% in 2008 women. Literate women were significantly more likely to be of non-Karen ethnicity, primigravidae, non-smokers, to remain free from malaria during pregnancy and to deliver in a health clinic. Significant improvements in pregnancy outcome (reductions in premature births, low birth weight newborns and neonatal death between 1995-97 and 2003 were unrelated to literacy. Conclusions Significant reductions in poor pregnancy outcome over time have not been driven by changes in literacy rates, which have remained low. Access to early diagnosis and treatment of malaria in this population, and delivery with skilled birth attendants, despite ongoing low literacy, appears to have played a significant role.

  20. The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in Sao Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Patel Vikram

    2007-08-01

    Full Text Available Abstract Background Both violence and depression during pregnancy have been linked to adverse neonatal outcomes, particularly low birth weight. The aim of this study was to investigate the independent and interactive effects of these maternal exposures upon neonatal outcomes among pregnant adolescents in a disadvantaged population from Sao Paulo, Brazil. Methods 930 consecutive pregnant teenagers, admitted for delivery were recruited. Violence was assessed using the Californian Perinatal Assessment. Mental illness was measured using the Composite International Diagnostic Interview (CIDI. Apgar scores of newborns were estimated and their weight measured. Results 21.9% of mothers reported lifetime violence (2% during pregnancy and 24.3% had a common mental disorder in the past 12 months. The exposures were correlated and each was associated with low education. Lifetime violence was strongly associated with Common Mental Disorders. Violence during pregnancy (PR = 2.59(1.05–6.40 and threat of physical violence (PR = 1.86(1.03–3.35 and any common mental disorders (PR = 2.09 (1.21–3.63 (as well as depression, anxiety and PTSD separately were independently associated with low birth weight. Conclusion Efforts to improve neonatal outcomes in low income countries may be neglecting two important independent, but correlated risk factors: maternal experience of violence and common mental disorder.

  1. Quality of life and discriminating power of two questionnaires in fibromyalgia patients: fibromyalgia Impact Questionnaire and Medical Outcomes Study 36-Item Short-Form Health Survey A qualidade de vida e o poder de discriminação de dois questionários em pacientes com fibromialgia: fibromyalgia Impact Questionnaire e Medical Outcomes Study 36-Item Short-Form Health Survey

    Directory of Open Access Journals (Sweden)

    Ana Assumpção

    2010-08-01

    Full Text Available BACKGROUND: Fibromyalgia is a painful syndrome characterized by widespread chronic pain and associated symptoms with a negative impact on quality of life. OBJECTIVES: Considering the subjectivity of quality of life measurements, the aim of this study was to verify the discriminating power of two quality of life questionnaires in patients with fibromyalgia: the generic Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36 and the specific Fibromyalgia Impact Questionnaire (FIQ. METHODS: A cross-sectional study was conducted on 150 participants divided into Fibromyalgia Group (FG and Control Group (CG (n=75 in each group. The participants were evaluated using the SF-36 and the FIQ. The data were analyzed by the Student t-test (α=0.05 and inferential analysis using the Receiver Operating Characteristics (ROC Curve - sensitivity, specificity and area under the curve (AUC. The significance level was 0.05. RESULTS: The sample was similar for age (CG: 47.8±8.1; FG: 47.0±7.7 years. A significant difference was observed in quality of life assessment in all aspects of both questionnaires (pCONTEXTUALIZAÇÃO: A fibromialgia é uma síndrome dolorosa caracterizada por dor espalhada e crônica e sintomas associados com um impacto negativo na qualidade de vida. OBJETIVOS: Considerando a subjetividade da mensuração de qualidade de vida, o objetivo deste estudo foi avaliar o poder de discriminação de dois questionários que avaliam a qualidade de vida de pacientes com fibromialgia: o genérico Medical Short Form Healthy Survey (SF-36 e o específico Questionário do Impacto da Fibromialgia (QIF. MÉTODOS: Foi conduzido um estudo transversal com 150 indivíduos, divididos em dois grupos: grupo fibromialgia (FM e grupo controle (GC (n=75 em ambos. Os pacientes foram avaliados pelo SF-36 e pelo QIF. Na análise dos dados, utilizou-se o teste "t de Student" com α=0,05 e a Curva ROC (Receiver Operating Characteristics Curve. RESULTADOS: As amostras

  2. H08500: NOS Hydrographic Survey , Coast of Maine, Maine, 1955-06-20

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  3. H08510: NOS Hydrographic Survey , Gulf of Maine, Maine, 1959-09-16

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  4. H08181: NOS Hydrographic Survey , Coast of Maine, Maine, 1953-09-11

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  5. H07773: NOS Hydrographic Survey , Maine Coast, Maine, 1950-10-16

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  6. H08482: NOS Hydrographic Survey , Gulf of Maine, Maine, 1959-08-24

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  7. The effect of additional training on motor outcomes at discharge from recovery phase rehabilitation wards: a survey from multi-center stroke data bank in Japan.

    Directory of Open Access Journals (Sweden)

    Nariaki Shiraishi

    Full Text Available The purpose of the present study was to examine the potential benefits of additional training in patients admitted to recovery phase rehabilitation ward using the data bank of post-stroke patient registry.Subjects were 2507 inpatients admitted to recovery phase rehabilitation wards between November 2004 and November 2010. Participants were retrospectively divided into four groups based upon chart review; patients who received no additional rehabilitation, patients who were added with self-initiated off hours training, patients who were added with off hours training by ward staff, patients who received both self-initiated training and training by ward staff. Parameters for assessing outcomes included length of stay, motor/cognitive subscales of functional independent measures (FIM and motor benefit of FIM calculated by subtracting the score at admission from that at discharge.Participants were stratified into three groups depending on the motor FIM at admission (≦28, 29∼56, 57≦ for comparison. Regarding outcome variables, significant inter-group differences were observed in all items examined within the subgroup who scored 28 or less and between 29 and 56. Meanwhile no such trends were observed in the group who scored 57 or more compared with those who scored less. In a decision tree created based upon Exhaustive Chi-squared Automatic Interaction Detection method, variables chosen were the motor FIM at admission (the first node additional training (the second node, the cognitive FIM at admission(the third node.Overall the results suggest that additional training can compensate for the shortage of regular rehabilitation implemented in recovery phase rehabilitation ward, thus may contribute to improved outcomes assessed by motor FIM at discharge.

  8. THE TRANSATLANTIC PRODUCTIVITY GAP : A SURVEY OF THE MAIN CAUSES

    NARCIS (Netherlands)

    Ortega-Argiles, Raquel

    2012-01-01

    During the last 2 decades, Europe's economy experienced a productivity slowdown whereas the United States (US) economy exhibited a marked acceleration. The result is that since the early 1990s the relative productivity levels between the two regions have continuously diverged, leading to a transatla

  9. Loring AFB Water Plant Survey, Loring AFB, Maine.

    Science.gov (United States)

    1986-09-01

    Reviewed By: ,. . ’ARN L. SWEIGAR L-t USAF, 3SC Prepared By: Thief, Environmental Quality Branch, ROBERT D. BINOVI, MaJ, USAF, BSC ’ ARRL ...Ed., New York: John Wiley & Sons, Inc., (1972). 3. Perry, R.H. and C.H. Chilton, Chemical Engineer’s Handbook , New York: McGraw-Hill Book Company

  10. THE TRANSATLANTIC PRODUCTIVITY GAP : A SURVEY OF THE MAIN CAUSES

    NARCIS (Netherlands)

    Ortega-Argiles, Raquel

    During the last 2 decades, Europe's economy experienced a productivity slowdown whereas the United States (US) economy exhibited a marked acceleration. The result is that since the early 1990s the relative productivity levels between the two regions have continuously diverged, leading to a

  11. A survey on the consumption, knowledge and attitude of pregnant women toward the efects of folic acid on pregnancy outcome in Tabriz

    OpenAIRE

    MASHAYEKHI, Simin Ozar; Maryam DILMAGHANIZADEH; Mohammad Reza SATTARI

    2011-01-01

    ObjectiveWhile the effects of folic acid are well established in prevention of Neural Tube Defects (NTDs), these diseases have a high prevalence in Iran. In order to encourage folic acid supplement use in pregnancy, it is important to promote the awareness of women of childbearing age regarding folic acid importance in preventing NTDs. The aim of the present study was to study the knowledge and attitude of pregnant women on the effect of folic acid on pregnancy outcome and its use during preg...

  12. Survey team on

    DEFF Research Database (Denmark)

    Niss, Mogens Allan; Bruder, Regina; Planas, Núria

    2016-01-01

    This paper presents the outcomes of the work of the ICME 13 Survey Team on ‘Conceptualisation and the role of competencies, knowing and knowledge in mathematics education research’. It surveys a variety of historical and contemporary views and conceptualisations of what it means to master...

  13. Course and Outcome of Bacteremia Due to Staphylococcus Aureus: Evaluation of Different Clinical Case Definitions

    NARCIS (Netherlands)

    S. Lautenschlager; C. Herzog; W. Zimmerli

    1993-01-01

    textabstractIn a retrospective survey of patients hospitalized in the University Hospital of Basel, Switzerland, the course and outcome of 281 cases of true bacteremia due to Staphylococcus aureus over a 7-year period were analyzed. The main purpose was to evaluate different case definitions. In 78%

  14. Course and Outcome of Bacteremia Due to Staphylococcus Aureus: Evaluation of Different Clinical Case Definitions

    NARCIS (Netherlands)

    S. Lautenschlager (Stephan); C. Herzog (Christian); W. Zimmerli (Werner)

    1993-01-01

    textabstractIn a retrospective survey of patients hospitalized in the University Hospital of Basel, Switzerland, the course and outcome of 281 cases of true bacteremia due to Staphylococcus aureus over a 7-year period were analyzed. The main purpose was to evaluate different case definitions. In 78%

  15. Legal risk management and injury in the fitness industry: the outcomes of focus group research and a national survey of fitness professionals.

    Science.gov (United States)

    Keyzer, Patrick; Coyle, Ian R; Dietrich, Joachim; Norton, Kevin; Sekendiz, Betul; Jones, Veronica; Finch, Caroline F

    2014-06-01

    The Australian Fitness Industry Risk Management (AFIRM) Project was set up to explore the operation of rules and regulations for the delivery of safe fitness services. This article summarises the results of recent focus group research and a national survey of risk management practices by the AFIRM Project. Our focus group research in four States identified the following most important concerns: (1) the competency of fitness professionals; (2) the effectiveness of pre-exercise screening and the management of de-conditioned clients; (3) poor supervision of fitness service users and incorrect use of equipment; (4) fitness trainers failing to remain within their scope of practice; (5) equipment misuse (as distinct from incorrect use); and (6) poor fitness training environments. This information was then used to develop 45 specific items for a questionnaire that was disseminated throughout the fitness industry. The survey, which is the largest ever conducted in the Australian fitness industry (n = 1,178), identified similar concerns. Our research indicates that efforts to improve risk management in the fitness industry should focus, first and foremost, on the development and monitoring of safety policy, and improvements in the education and training of fitness instructors to ensure that they can incorporate risk management practices.

  16. Reliability of a Retail Food Store Survey and Development of an Accompanying Retail Scoring System to Communicate Survey Findings and Identify Vendors for Healthful Food and Marketing Initiatives

    Science.gov (United States)

    Ghirardelli, Alyssa; Quinn, Valerie; Sugerman, Sharon

    2011-01-01

    Objective: To develop a retail grocery instrument with weighted scoring to be used as an indicator of the food environment. Participants/Setting: Twenty six retail food stores in low-income areas in California. Intervention: Observational. Main Outcome Measure(s): Inter-rater reliability for grocery store survey instrument. Description of store…

  17. Outcome of non-variceal acute upper gastrointestinal bleeding in relation to the time of endoscopy and the experience of the endoscopist: A two-year survey

    Institute of Scientific and Technical Information of China (English)

    Fabrizio Parente; Andrea Anderloni; Stefano Bargiggia; Venerina Imbesi; Emilio Trabucchi; Cinzia Baratti; Silvano Gallus; Gabriele Bianchi Porro

    2005-01-01

    AIM: To prospectively assess the impact of time of endoscopy and endoscopist's experience on the outcome of non-variceal acute upper gastrointestinal (GI) bleeding patients in a large teaching hospital.METHODS: All patients admitted for non-variceal acute upper GI bleeding for over a 2-year period were potentially eligible for this study. They were managed by a team of seven endoscopists on 24-h call whose experience was categorized into two levels (high and low) according to the number of endoscopic hemostatic procedures undertaken before the study. Endoscopic treatment was standardized according to Forrest classification of lesions as well as the subsequent medical therapy. Time of endoscopy was subdivided into two time periods: routine (8 a.m.-5 p.m.) and on-call (5 p.m.-8 a.m.). For each category of experience and time periods rebleeding rate, transfusion requirement, need for surgery, length of hospital stay and mortality we compared. Multivariate analysis was used to discriminate the impact of different variables on the outcomes that were considered.RESULTS: Study population consisted of 272 patients (mean age 67.3 years) with endoscopic stigmata of hemorrhage. The patients were equally distributed among the endoscopists, whereas only 19% of procedures were done out of working hours. Rockall score and Forrest classification at admission did not differ between time periods and degree of experience.Univariate analysis showed that higher endoscopist's experience was associated with significant reduction in rebleeding rate (14% vs 37%), transfusion requirements (1.8±0.6 vs 3.0±1.7 units) as well as surgery (4% vs 10%), but not associated with the length of hospital stay nor mortality. By contrast, outcomes did not significantly differ between the two time periods of endoscopy.On multivariate analysis, endoscopist's experience was independently associated with rebleeding rate and transfusion requirements. Odds ratios for low experienced endoscopist were 4.47 for

  18. Is it time for elective left main percutaneous coronary intervention to become 'main stream'?

    Institute of Scientific and Technical Information of China (English)

    Joshua Cohen; Andrew D.Michaels

    2006-01-01

    @@ Left main (LM) stenting is considered by many to be one of the last frontiers of interventional cardiology. Beginning with the VA cooperative study published in 1976 demonstrating a mortality benefit for patients undergoing coronary artery bypass grafting (CABG), i the standard of care for treatment of left main coronary artery disease has been surgical.The most recent 2005 update of the ACC/AHA/SCAI Practice Guidelines on PCI 2 again notes that "CABG using IMA grafting is the 'gold standard' for treatment of unprotected left main disease and has proven benefit on long-term outcomes."

  19. Outcome of aplastic anemia in adolescence: a survey of the Severe Aplastic Anemia Working Party of the European Group for Blood and Marrow Transplantation.

    Science.gov (United States)

    Dufour, Carlo; Pillon, Marta; Passweg, Jakob; Socié, Gerard; Bacigalupo, Andrea; Franceschetto, Genny; Carraro, Elisa; Oneto, Rosi; Risitano, Antonio Maria; Peffault de Latour, Regis; Tichelli, André; Rovo, Alicia; Peters, Christina; Hoechsmann, Britta; Samarasinghe, Sujith; Kulasekararaj, Austin G; Schrezenmeier, Hubert; Aljurf, Mahmoud; Marsh, Judith

    2014-10-01

    We analyzed the outcome of 537 adolescents (age 12-18 years) with idiopathic aplastic anemia included in the database of the Severe Aplastic Anemia Working Party of the European Group for Blood and Marrow Transplantation comparing: i) matched family donor hematopoietic stem cell transplantation performed as first-line treatment with ii) front-line immunosuppressive therapy not followed by subsequent transplant given for failure and with iii) hematopoietic stem cell transplantation performed after failed front-line immunosuppressive therapy. Overall survival was 86% in the matched family donor hematopoietic stem cell transplantation group, 90% in patients given front-line immunosuppressive alone (those who did not fail this treatment and who did not receive subsequent rescue with hematopoietic stem cell transplantation) and 78% in subjects who underwent hematopoietic stem cell transplantation post failed front-line immunosuppressive therapy (P=0.14). Event-free survival in the same groups was respectively 83%, 64% and 71% (P=0.04). Cumulative incidence of rejection was 8% in matched family donor hematopoietic stem cell transplantation and 9% in transplants post failed front-line immunosuppression (P=0.62). Cumulative incidence of acute graft-versus-host disease was 12% in matched family donor transplants and 18% in transplants post failed immunosuppression (P=0.18). Chronic graft-versus-host disease was higher in matched family donor hematopoietic stem cell transplantation (8%) than in transplants post failed immunosuppressive therapy (20%) (P=0.0009). Cumulative incidence of post-therapy malignancies was 0.7% in matched family donor transplantations, 7% in transplantations post failed immunosuppression and 21% after front-line immunosuppression (P=0.0017). In the whole cohort, under multivariate analysis, the diagnosis to treatment interval of two months or under positively affected overall survival whereas up-front immunosuppression alone (with no subsequent

  20. Teaching with Information and Communication Technologies : Results of a Large Scale Survey

    OpenAIRE

    2009-01-01

    On behalf of the Ministry of Education in Luxembourg (Europe), 821 teachers - from primary school to higher education - were questioned in an online survey at the beginning of 2009 about their use of information and communication technologies (ICT) in education. In this paper, we briefly present the context of the questionnaire and will then focus on its outcomes. The preliminary analysis of the results will mainly focus on the closed questions of the survey and try to answer several fundamen...

  1. Gulf of Maine Contaminated Sediments Database (GOMCSDB shapefile)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Contaminated Sediments Database for the Gulf of Maine provides a compilation and synthesis of existing data to help establish the environmental status of our...

  2. Treatment for Osteoporosis among Women in Japan: Associations with Patient Characteristics and Patient-Reported Outcomes in the 2008–2011 Japan National Health and Wellness Surveys

    Directory of Open Access Journals (Sweden)

    Masayo Sato

    2014-01-01

    Full Text Available This study was conducted to identify characteristics associated with treatment for osteoporosis among women aged 50 years and older in Japan and to explore differences among patients according to treatment regimen. Data were provided by a large annual survey representative of Japanese aged 18 and older; all measures were by self-report. Women aged 50 and older who reported diagnosed osteoporosis (N=900 were compared based on current treatment status using bivariate statistics and logistic regression. Approximately 1 in 3 women in this study reporting diagnosed osteoporosis were currently untreated. Factors associated with current treatment for osteoporosis included having ≥1 physician visit in the prior 6 months (OR = 5.4, P<0.001, self-rated moderate or severe osteoporosis (OR = 2.8, P<0.001, completion of menopause (OR = 1.6, P<0.05, and family history of osteoporosis (OR = 1.5, P<0.05, while longer duration of osteoporosis diagnosis (OR = 0.9, P<0.05 and arthritis (OR = 0.7, P<0.05 were associated with lower odds of treatment. These findings suggest that diagnosed patients are not being actively managed in the longer term, and efforts need to be made to ensure that patients stay engaged with their healthcare providers.

  3. Safety and efficacy of excision and direct closure in acute burns surgery: outcome analysis in a prospective series of 100 patients and a survey of UK burns surgeons' attitudes.

    Science.gov (United States)

    Bain, Charles J; Wang, Tim; McArthur, Gordon; Williams, Greg; Atkins, Joanne; Jones, Isabel

    2014-12-01

    Many burns surgeons avoid excision and direct closure of acute burns owing to concerns over wound dehiscence, scarring and infection. There is no evidence in the literature to support this practice. We present outcomes of a prospective series of 100 patients who underwent excision and direct closure of 138 burns over a 2-year period, along with results from a survey sent to 33 senior burns surgeons to gauge attitudes towards direct closure in burns surgery. 47% of survey respondents never perform direct closure. Dehiscence was cited as the most common concern, followed by hypertrophic scarring (HTS). In our cohort, the superficial dehiscence rate was 12% and the HTS rate was 16%, with no scarring contractures. Patients with healing time greater than 14 days were more likely to develop HTS (p=0.008), as were those with wound dehiscence (p=0.014). Patients undergoing part-grafting in addition to direct closure took significantly longer to heal than those undergoing direct closure alone (p=0.0002), with the donor site or graft delaying healing in the majority. Excision and direct closure of acute burn wounds avoids donor site morbidity and has an acceptable complication rate. It is a safe and effective treatment for full thickness burns in selected cases.

  4. A Hierarchy of Patient-Reported Outcomes for Meta-Analysis of Knee Osteoarthritis Trials: Empirical Evidence from a Survey of High Impact Journals

    Directory of Open Access Journals (Sweden)

    Carsten Juhl

    2012-01-01

    Full Text Available Objectives. To develop a prioritised list based on responsiveness for extracting patient-reported outcomes (PROs measuring pain and disability for performing meta-analyses in knee osteoarthritis (OA. Methods. A systematic search was conducted in 20 highest impact factor general and rheumatology journals chosen a priori. Eligible studies were randomised controlled trials, using two or more PROs measuring pain and/or disability. Results. A literature search identified 402 publications and 38 trials were included, resulting in 54 randomised comparisons. Thirty-five trials had sufficient data on pain and 15 trials on disability. The WOMAC “pain” and “function” subscales were the most responsive composite scores. The following list was developed. Pain: (1 WOMAC “pain” subscale, (2 pain during activity (VAS, (3 pain during walking (VAS, (4 general knee pain (VAS, (5 pain at rest (VAS, (6 other composite pain scales, and (7 other single item measures. Disability: (1 WOMAC “function” subscale, (2 SF-36 “physical function” subscale, (3 SF-36 (Physical composite score, and (4 Other composite disability scores. Conclusions. As choosing the PRO most favourable for the intervention from individual trials can lead to biased estimates, using a prioritised list as developed in this study is recommended to reduce risk of biased selection of PROs in meta-analyses.

  5. The relationship between general practice characteristics and quality of care: a national survey of quality indicators used in the UK Quality and Outcomes Framework, 2004–5

    Directory of Open Access Journals (Sweden)

    Armstrong David

    2006-11-01

    Full Text Available Abstract Background The descriptive information now available for primary care in the UK is unique in international terms. Under the 'Quality and Outcomes Framework' (QOF, data for 147 performance indicators are available for each general practice. We aimed to determine the relationship between the quality of primary care, as judged by the total QOF score, social deprivation and practice characteristics. Methods We obtained QOF data for each practice in England and linked these with census derived data (deprivation indices and proportion of patients born in a developing country. Characteristics of practices were also obtained. QOF and census data were available for 8480 practices. Results The median QOF score was 999.7 out of a possible maximum of 1050 points. Three characteristics were independently associated with higher QOF scores: training practices, group practices and practices in less socially deprived areas. In a regression model, these three factors explained 14.6% of the variation in QOF score. Higher list sizes per GP, turnover of registered patients, chronic disease prevalence, proportions of elderly patients or patients born in a developing country did not contribute to lower QOF scores in the final model. Conclusion Socially deprived areas experience a lower quality of primary care, as judged by QOF scores. Social deprivation itself is an independent predictor of lower quality. Training and group practices are independent predictors of higher quality but these types of practices are less well represented in socially deprived areas.

  6. Are There Differences in the Health Outcomes of Mothers in Europe and East-Asia? A Cross-Cultural Health Survey

    Directory of Open Access Journals (Sweden)

    Eva Mautner

    2014-01-01

    Full Text Available The aim of the current study was to investigate differences in quality of life outcomes and depression of mothers in East-Asia and Central Europe. 170 women in Japan and 226 women in Austria with children between 3 and 5 answered the same cross-culturally validated questionnaires. The Quality of Life Questionnaire from the WHO (WHOQOL-Bref, the Patient Health Questionnaire (PHQ-2, the Sense of Coherence Scale (SOC-13, a Social Support Scale (MSPSS, and questions on gender orientation were used. In all dimensions of QOL (physical, psychological, social, and environmental Japanese women had lower QOL scores compared to Austrian mothers (P<001. Seven percent of women in both countries experienced major depression. In both countries sense of coherence, experienced stress level, satisfaction with income, social support, and gender roles had an influence on QOL and depressive symptoms. Mothers in Japan consider life events less comprehensible, manageable, and meaningful and experience less support. Consequently, creating an environment where fathers could be more involved in child rearing and mothers have more opportunities to choose between life styles and working and social environments would improve QOL not only in Japanese mothers but also in other countries all over the world.

  7. Cannabis use in people with severe mental illness: The association with physical and mental health--a cohort study. A Pharmacotherapy Monitoring and Outcome Survey study.

    Science.gov (United States)

    Bruins, Jojanneke; Pijnenborg, Marieke G H M; Bartels-Velthuis, Agna A; Visser, Ellen; van den Heuvel, Edwin R; Bruggeman, Richard; Jörg, Frederike

    2016-04-01

    In the general population cannabis use is associated with better cardiometabolic outcomes. Patients with severe mental illness frequently use cannabis, but also present increased cardiometabolic risk factors. We explore the association between cannabis use and cardiometabolic risk factors in patients with severe mental illness. A total of 3169 patients with severe mental illness from a Dutch cohort were included in the study. The association of cannabis use with body mass index, waist circumference, blood pressure, cholesterol, triglycerides, glucose, glycated hemoglobin and Positive and Negative Syndrome Scale was examined with separate univariate AN(C)OVA. Changes in metabolic risk factors and Positive and Negative Syndrome Scale were examined after a follow-up interval of 9-24 months, for patients who continued, discontinued, started or were never using cannabis between the two assessments. Cannabis users at baseline had lower body mass index, smaller waist circumference, lower diastolic blood pressure, and more severe psychotic symptoms than non-users. Patients who discontinued their cannabis use after the first assessment had a greater increase in body mass index, waist circumference, diastolic blood pressure and triglyceride concentrations than other patients, and the severity of their psychotic symptoms had decreased more compared to continued users and non-users. Extra attention should be paid to the monitoring and treatment of metabolic parameters in patients who discontinue their cannabis use. © The Author(s) 2016.

  8. Use and outcome of thrombus aspiration in patients with primary PCI for acute ST-elevation myocardial infarction: results from the multinational Euro Heart Survey PCI Registry.

    Science.gov (United States)

    Weipert, Kay F; Bauer, Timm; Nef, Holger M; Möllmann, Helge; Hochadel, Matthias; Marco, Jean; Weidinger, Franz; Zeymer, Uwe; Gitt, Anselm K; Hamm, Christian W

    2016-09-01

    The clinical benefit of thrombus aspiration (TA) in patients presenting with acute ST-elevation myocardial infarction (STEMI) and treated with primary percutaneous coronary intervention (PCI) is not well defined. Furthermore, there is a large variation in the use of TA in real-world registries. Between 2005 and 2008, a total of 7146 consecutive patients with acute STEMI undergoing primary PCI were prospectively enrolled into the PCI Registry of the Euro Heart Survey Programme. For the present analysis, patients treated additionally with TA (n = 897, 12.6 %) were compared with those without TA (n = 6249, 87.4 %). Patients with hemodynamic instability at initial presentation (15.1 vs. 11.0 %; p < 0.001) and resuscitation prior to PCI (10.4 vs. 7.4 %; p = 0.002) were more frequently treated with TA. TIMI flow grade 0/1 before PCI was more often found among those with TA (73.5 vs. 58.6 %; p < 0.001). After adjustment for confounding factors in the propensity score analysis, TA was not associated with improved in-hospital survival (risk difference -1.1 %, 95 % confidence interval -2.7 to 0.6 %). In this European real-world registry, the rate of TA use was low. Hemodynamically unstable patients were more likely to be treated with TA. Consistent with the results of the TASTE study and the TOTAL trial, TA was not associated with a significant reduction in short-term mortality.

  9. Factors Associated with Fatal Outcomes Following Cholera-Like Syndrome in Far North Region of Cameroon: A Community-Based Survey.

    Science.gov (United States)

    Djouma, Fabrice N; Ateudjieu, Jerome; Ram, Malathi; Debes, Amanda K; Sack, David A

    2016-12-07

    This study demonstrates that most cholera deaths in this region of Cameroon occur out of hospital. This is a region which is prone to cholera, and interventions are needed to improve access to emergency medical care, especially during cholera outbreaks. Cameroon has experienced 14 cholera epidemics during the last 20 years, and these have had high case fatality rates. This study attempted to assess the effect of delays in seeking care and the locations of care as possible risk factors for cholera mortality. The study used data from a community-based survey regarding the circumstances of 97 fatal cases and 197 control (nonfatal) cases following a cholera-like syndrome in villages with cholera-like diseases during cholera outbreaks in Cameroon during 2009-2011. Deaths occurred in one of four environments: the community, in a temporary community treatment center (TCTC), in transit to a treatment center, or in a hospital (39%, 32%, 5%, and 24%, respectively). Using a case-control analysis, factors associated with deaths included the nonuse of a cholera treatment center, receiving health care in a TCTC instead of a hospital, and greater than 4 hours delay between the onset of symptoms and the decision to go to a treatment center (odds ratios of 17.1 [confidence interval (CI): 7.0-41.8], 2.5 [CI: 1.2-5.0], and 2.2 [CI: 1.0-4.6], respectively). During cholera epidemics, a higher proportion of deaths are still occurring in communities. The nonuse and delays in deciding to go a treatment center, and treatment at TCTC rather than a hospital were risk factors for death among patients with cholera-like syndrome in Cameroon. Informing people on community management of cholera-like syndrome and improving care in all health facilities are needed to reduce deaths during cholera epidemics.

  10. A survey on the consumption, knowledge and attitude of pregnant women toward the efects of folic acid on pregnancy outcome in Tabriz

    Directory of Open Access Journals (Sweden)

    Simin Ozar MASHAYEKHI

    2011-04-01

    Full Text Available ObjectiveWhile the effects of folic acid are well established in prevention of Neural Tube Defects (NTDs, these diseases have a high prevalence in Iran. In order to encourage folic acid supplement use in pregnancy, it is important to promote the awareness of women of childbearing age regarding folic acid importance in preventing NTDs. The aim of the present study was to study the knowledge and attitude of pregnant women on the effect of folic acid on pregnancy outcome and its use during pregnancy.Materials and MethodsA questionnaire was completed by 400 women from postnatal and prenatal wards/clinics using random sampling. The questionnaire included questions regarding demographic information, folic acid consumption in pregnancy and the attitude and knowledge of the participants on folic acid  supplementation and the source of information on folic acid supplementation.The questions were aimed at subjects' knowledge of folic acid effects on fetal growth and development and prevention of NTDs and not prevention of anemia. Data was analyzed by SPSS software (ver. 13.5.ResultsAbout 89.9% used folic acid supplements at some point of the pregnancy and 53.7% knew it was beneficial for the fetus. Approximately, 25% and 34.8% of those who used folic acid believed that it was most useful when taken preconception and during the first trimester, respectively. Only 15.4% knew itcould prevent NTDs. The most common information sources for folic acid use were physicians.ConclusionAwareness and use of folic acid were most prevalent among Iranian women, especially among educated ones. The results showed areas in which further work could be helpful to improve awareness regarding the benefits of folic acid.Key words: Folic acid;pregnancy; knowledge; neural tube defects (NTDs

  11. A survey on the consumption, knowledge and attitude of pregnant women toward the efects of folic acid on pregnancy outcome in Tabriz

    Directory of Open Access Journals (Sweden)

    Simin Ozar MASHAYEKHI

    2011-01-01

    Full Text Available AbstractObjectiveWhile the effects of folic acid are well established in prevention of Neural Tube Defects (NTDs, these diseases have a high prevalence in Iran. In order to encourage folic acid supplement use in pregnancy, it is important to promote the awareness of women of childbearing age regarding folic acid importance in preventing NTDs. The aim of the present study was to study the knowledge and attitude of pregnant women on the effect of folic acid on pregnancy outcome and its use during pregnancy.Materials and MethodsA questionnaire was completed by 400 women from postnatal and prenatal wards/clinics using random sampling. The questionnaire included questions regarding demographic information, folic acid consumption in pregnancy and the attitude and knowledge of the participants on folic acid supplementation and the source of information on folic acid supplementation.The questions were aimed at subjects' knowledge of folic acid effects on fetal growth and development and prevention of NTDs and not prevention of anemia. Data was analyzed by SPSS software (ver. 13.5.ResultsAbout 89.9% used folic acid supplements at some point of the pregnancy and 53.7% knew it was beneficial for the fetus. Approximately, 25% and 34.8% of those who used folic acid believed that it was most useful when taken preconception and during the first trimester, respectively. Only 15.4% knew itcould prevent NTDs. The most common information sources for folic acid use were physicians.ConclusionAwareness and use of folic acid were most prevalent among Iranian women, especially among educated ones. The results showed areas in which further work could be helpful to improve awareness regarding the benefits of folic acid.

  12. Patient-reported outcomes after discontinuation of long-term topical corticosteroid treatment for atopic dermatitis: a targeted cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Takahashi-Ando N

    2015-04-01

    Full Text Available Naoko Takahashi-Ando,1 Mark A Jones,2 Shigeki Fujisawa,3 Rokuro Hama4 1Department of Applied Chemistry, Faculty of Science and Engineering, Toyo University, Saitama, Japan; 2School of Population Health, The University of Queensland, Herston, Queensland, Australia; 3Fujisawa Dermatology Clinic, Tokyo, Japan; 4Japan Institute of Pharmacovigilance, Osaka, Japan Background: Topical corticosteroid (TCS treatment is widely prescribed for atopic dermatitis (AD. However, TCS treatment is associated with tachyphylaxis, and discontinuation after long-term use may cause exacerbation of symptoms. Some AD patients are reluctant to use TCS. Objective: To evaluate patient-reported short- and long-term outcomes after discontinuation of TCS treatment for AD. Methods: Questionnaires were distributed to adult AD patients (n=1,812 of doctors who did not recommend TCS as first-line therapy for patients who preferred to avoid TCS. Data collected included current TCS use, duration of TCS use, past discontinuation of TCS use, exacerbation of symptoms after discontinuation of TCS use, and limitations to daily activities because of AD. Results: Of 918 respondents, 97.7% had used TCS, of whom 92.3% had experienced discontinuation of TCS use. After discontinuation, 63.9% experienced their most severe AD symptoms ever. The severity of exacerbation of symptoms was significantly correlated with the length of TCS use (P<0.001. Although most respondents who experienced severe exacerbation after TCS discontinuation were not current TCS users, they generally had fewer current limitations to activities than when AD symptoms were at their worst. Conclusion: Adult Japanese AD patients who experience severe exacerbation of symptoms immediately after discontinuation of TCS use generally improve over time. We suggest caution regarding long-term TCS treatment in AD patients.Keywords: adverse effects of corticosteroids, symptom exacerbation, rosacea-like dermatitis 

  13. Survey outcomes of health education at eight public hospitals%8家公立医院实施健康教育情况调查

    Institute of Scientific and Technical Information of China (English)

    李晓琳

    2016-01-01

    目的:了解公立医院实施健康教育现状。方法对北京市8家综合公立医院健康教育工作情况进行问卷调查和专家访谈,发现其中存在的问题。结果目前医院健康教育组织机构基本建立(100.0%),健康教育的形式和内容也在不断丰富,但同时还面临健康教育供给相对不足、管理者和医务人员对医院健康教育的认识和重视程度不足、医院健康教育人力资源及政策保障缺乏、适合医院发展且高效的健康教育模式尚未建立等问题。结论要明确政府职责,加大支持力度;进一步完善人才培养机制,加强医院健康教育队伍建设;建立评估体系,探讨适合医院健康教育可持续发展模式。%Objective To learn the present health education at public hospitals.Methods Questionnaires survey and specialist interview were used at eight public hospitals in Beijing.Results Establishment of hospital health education organizations(100.0%),and greater diversity in the forms and contents of health education.Problems found include short supply of health education,and lack of attention by both management and employees for such education,lack of HR resource and policy support, and that of a health education pattern for hospital to develop an efficient health education.Conclusions Proposals made are as follows:clear definition of government role and greater support;better training mechanism to develop a team for such education;an appraisal system to probe into a model desirable for sustainable development of hospital health education.

  14. The FLAMES Tarantula Survey

    CERN Document Server

    Markova, N; Bastian, N; Beletsky, Y; Bestenlehner, J; Brott, I; Cantiello, M; Carraro, G; Clark, J; Crowther, P; de Koter, A; de Mink, S; Doran, E; Dufton, P; Dunstall, P; Gieles, M; Graefener, G; Henault-Brunet, V; Herrero, A; Howarth, I; Langer, N; Lennon, D; Apellaniz, J Maiz; Najarro, F; Puls, J; Sana, H; Simon-Diaz, S; Smartt, S; Stroud, V; Taylor, W; van Loon, J; Vink, J; Walborn, N

    2011-01-01

    The Tarantula survey is an ESO Large Programme which has obtained multi-epochs spectroscopy of over 800 massive stars in the 30 Dor region in the Large Magelanic Cloud. Here we briefly describe the main drivers of the survey and the observational material derived.

  15. Maine Agricultural Foods. Project SEED.

    Science.gov (United States)

    Beaulieu, Peter; Ossenfort, Pat

    This paper describes an activity-based program that teaches students in grades 4-12 about the importance of Maine agriculture in their lives. Specifically, the goal is to increase student awareness of how the foods they eat are planted, harvested, and processed. The emphasis is on crops grown in Maine such as potatoes, broccoli, peas, blueberries,…

  16. The American Eider in Maine

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The American eider, Maine's only breeding sea duck, is known to have nested on 215 coastal islands of the State in 1976. In Maine, eiders seem to prefer to nest on...

  17. Main Propulsion Test Article (MPTA)

    Science.gov (United States)

    Snoddy, Cynthia

    2010-01-01

    Scope: The Main Propulsion Test Article integrated the main propulsion subsystem with the clustered Space Shuttle Main Engines, the External Tank and associated GSE. The test program consisted of cryogenic tanking tests and short- and long duration static firings including gimbaling and throttling. The test program was conducted on the S1-C test stand (Position B-2) at the National Space Technology Laboratories (NSTL)/Stennis Space Center. 3 tanking tests and 20 hot fire tests conducted between December 21 1 1977 and December 17, 1980 Configuration: The main propulsion test article consisted of the three space shuttle main engines, flightweight external tank, flightweight aft fuselage, interface section and a boilerplate mid/fwd fuselage truss structure.

  18. Leadership = Communication? The Relations of Leaders’ Communication Styles with Leadership Styles, Knowledge Sharing and Leadership Outcomes

    OpenAIRE

    de Vries; Bakker-Pieper, A.; Oostenveld, W.

    2009-01-01

    Purpose The purpose of this study was to investigate the relations between leaders’ communication styles and charismatic leadership, human-oriented leadership (leader’s consideration), task-oriented leadership (leader’s initiating structure), and leadership outcomes. Methodology A survey was conducted among 279 employees of a governmental organization. The following six main communication styles were operationalized: verbal aggressiveness, expressiveness, preciseness, assuredness, supportiven...

  19. Clinical features and treatment outcomes of otitis media with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (OMAAV): A retrospective analysis of 235 patients from a nationwide survey in Japan.

    Science.gov (United States)

    Harabuchi, Yasuaki; Kishibe, Kan; Tateyama, Kaori; Morita, Yuka; Yoshida, Naohiro; Kunimoto, Yasuomi; Matsui, Takamichi; Sakaguchi, Hiroshi; Okada, Masahiro; Watanabe, Takeshi; Inagaki, Akira; Kobayashi, Shigeto; Iino, Yukiko; Murakami, Shingo; Takahashi, Haruo; Tono, Tetsuya

    2017-01-01

    We aimed to analyze clinical features and treatment outcomes of otitis media caused by antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), i.e. otitis media with AAV (OMAAV). This survey was performed between December 2013 and February 2014. The study began with a preliminary survey to 123 otolaryngology institutions in Japan to inquire about their experiences with OMAAV patients during the past 10 years, and was followed by a questionnaire survey to investigate clinical and laboratory findings. OMAAV was defined using the criteria described in the text. Two hundred and thirty-five patients classified as OMAAV were enrolled in this study. They were characterized as follows: (1) disease onset with initial signs/symptoms due to intractable otitis media with effusion or granulation, which did not respond to ordinary treatments such as antibiotics and insertion of tympanic ventilation tubes, followed by progressive hearing loss; (2) predominantly female (73%) and older (median age: 68 years); (3) predominantly myeloperoxidase (MPO)-ANCA-positive (60%), followed by proteinase 3 (PR3)-ANCA-positive (19%) and both ANCAs-negative (16%); (4) frequently observed accompanying facial palsy (36%) and hypertrophic pachymeningitis (28%); and (5) disease often involving lung (35%) and kidney (26%) lesions. Four factors associated with OMAAV were found to be related to an unfavorable clinical course threatening the patient's hearing and/or lives, namely facial palsy, hypertrophic pachymeningitis, both ANCAs-negative phenotype, and disease relapse. The occurrence of hypertrophic pachymeningitis was associated with facial palsy (p < 0.05), both ANCAs-negative phenotype (p < 0.001), and headache (p < 0.001). The administration of corticosteroid together with an immunosuppressant was an independent predicting factor for lack of disease relapse (odds ratio [OR] = 1.90, p = 0.03) and an improvement in hearing loss (OR =2.58, p = 0.0002). Since

  20. Risk factors and adverse perinatal outcomes among term and preterm infants born small-for-gestational-age: secondary analyses of the WHO Multi-Country Survey on Maternal and Newborn Health.

    Directory of Open Access Journals (Sweden)

    Erika Ota

    Full Text Available Small for gestational age (SGA is not only a major indicator of perinatal mortality and morbidity, but also the morbidity risks in later in life. We aim to estimate the association between the birth of SGA infants and the risk factors and adverse perinatal outcomes among twenty-nine countries in Africa, Latin America, the Middle East and Asia in 359 health facilities in 2010-11.We analysed facility-based, cross-sectional data from the WHO Multi-country Survey on Maternal and Newborn Health. We constructed multilevel logistic regression models with random effects for facilities and countries to estimate the risk factors for SGA infants using country-specific birthweight reference standards in preterm and term delivery, and SGA's association with adverse perinatal outcomes. We compared the risks and adverse perinatal outcomes with appropriate for gestational age (AGA infants categorized by preterm and term delivery.A total of 295,829 singleton infants delivered were analysed. The overall prevalence of SGA was highest in Cambodia (18.8%, Nepal (17.9%, the Occupied Palestinian Territory (16.1%, and Japan (16.0%, while the lowest was observed in Afghanistan (4.8%, Uganda (6.6% and Thailand (9.7%. The risk of preterm SGA infants was significantly higher among nulliparous mothers and mothers with chronic hypertension and preeclampsia/eclampsia (aOR: 2.89; 95% CI: 2.55-3.28 compared with AGA infants. Higher risks of term SGA were observed among sociodemographic factors and women with preeclampsia/eclampsia, anaemia and other medical conditions. Multiparity (> = 3 (AOR: 0.88; 95% CI: 0.83-0.92 was a protective factor for term SGA. The risk of perinatal mortality was significantly higher in preterm SGA deliveries in low to high HDI countries.Preterm SGA is associated with medical conditions related to preeclampsia, but not with sociodemographic status. Term SGA is associated with sociodemographic status and various medical conditions.

  1. The APU and the 1978 Mathematics Survey

    Science.gov (United States)

    Bell, Alan

    1977-01-01

    A tentative structure for a survey concerned with assessing the whole range of outcomes of school mathematics education is outlined. The structure provides for surveying content categories, process categories, and attitudes, utilizing practical manipulative problems. (MN)

  2. WHO European Childhood Obesity Surveillance Initiative: Impact of Type of Clothing Worn during Anthropometric Measurements and Timing of the Survey on Weight and Body Mass Index Outcome Measures in 6–9-Year-Old Children

    Directory of Open Access Journals (Sweden)

    Trudy M. A. Wijnhoven

    2016-01-01

    Full Text Available Background. The World Health Organization European Childhood Obesity Surveillance Initiative (COSI conducted examinations in 6–9-year-old children from 16 countries in the first two rounds of data collection. Allowing participating countries to adhere to their local legal requirements or adapt to other circumstances required developing a flexible protocol for anthropometric procedures. Objectives. (1 Review intercountry variation in types of clothing worn by children during weight and height measurements, clothes weight adjustments applied, timing of the survey, and duration of data collection; (2 assess the impact of the observed variation in these practices on the children’s weight or body mass index (BMI outcome measures. Results. The relative difference between countries’ unadjusted and clothes-adjusted prevalence estimates for overweight was 0.3–11.5%; this figure was 1.4–33.3% for BMI-for-age Z-score values. Monthly fluctuations in mean BMI-for-age Z-score values did not show a systematic seasonal effect. The majority of the monthly BMI-for-age Z-score values did not differ statistically within a country; only 1–3 monthly values were statistically different within some countries. Conclusions. The findings of the present study suggest that the built-in flexibility in the COSI protocol concerning the data collection practices addressed in the paper can be kept and thus do not necessitate a revision of the COSI protocol.

  3. Initial nonresponse and survey response mode biases in survey research.

    Science.gov (United States)

    Chi, Donald L; Chen, Chao Ying

    2015-01-01

    We evaluated survey response factors (particularly initial nonresponse and survey mode) that may be associated with bias in survey research. We examined prevention-related beliefs and outcomes for initial mail survey responders (n=209), follow-up mail survey responders (n=78), and follow-up telephone survey responders (n=74). The Pearson chi-square test and analysis of variance identified beliefs and behavioral outcomes associated with survey response mode. Follow-up options to the initial mail survey improved response rates (22.0-38.0 percent). Initial mail survey responders more strongly believed topical fluoride protects teeth from cavities than others (P=0.04). A significantly larger proportion of parents completing a follow-up telephone survey (30.8 percent) refused topical fluoride for their child than those completing mail surveys (10.3-10.4 percent) (Psurveys with follow-up improve response rates. Initial nonresponse and survey response mode may be associated with biases in survey research. © 2015 American Association of Public Health Dentistry.

  4. Individual Target Data-Collection Points for the Main Portion of Prairie Rose Lake, Shelby County, Iowa

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Point coverage of bathymetry target points for the main portion of Prairie Rose Lake in Shelby Co., Iowa. The U.S. Geological Survey conducted a bathymetric survey...

  5. Gulf of Maine intermediate water

    Energy Technology Data Exchange (ETDEWEB)

    Hopkins, T.S. (Brookhaven National Lab., Upton, NY); Garfield, N. III

    1979-01-01

    The thermohaline dynamics of the Gulf of Maine are analyzed from the two year, eight cruise, data set of Colton, Marak, Nickerson, and Stoddard (1968). Six water masses are described: the Maine Surface Water, Maine Intermediate Water, and the Maine Bottom Water as interior water masses; and the Scotian Shelf Water, the Slope Water, and the Georges Bank Water as exterior water masses. Particular attention is given to the formation and disposition of the Maine Intermediate Water. Salt balance, T-S volume, and T-S drift analyses are used to provide transport and mixing estimates for the year 1966. The Slope Water entered at depth through the Northeast Channel at a rate of 2600 km/sup 3//yr; while the Scotian Shelf Water entered the surface and intermediate layers, mostly during winter intrusions, at a rate of 5200 km/sup 3//yr. The surface and intermediate layers exported a total of 7900 km/sup 3//yr in a 3:5 ratio, respectively. The Maine Intermediate Water tends to collect over the Wilkinson Basin during the stratified season, to exit via the Great South Channel during early spring, and to exit via the Northeast Channel during spring and summer. Comparisons are made between the estimated winter heat loss of 280 Ly/d and the observed heat losses of 230 Ly/d (surface layers) and 360 Ly/d (surface and intermediate layers). A limit for the Scotian Shelf Water contribution is about -70 Ly/d. It is concluded that the Maine Intermediate Water is produced locally and that it is exported in significant quantities.

  6. Non-main Stream Plays Main Role in Shipbuilding Market

    Institute of Scientific and Technical Information of China (English)

    Qin Ping

    2009-01-01

    @@ Comparing with both the major shipyards and shipping companies that were facing an market decline and hard time,the non-mainstream ship types,non-mainstream ship manufacturers and non-mainstream ship owners,as main roles,made a wonderful show of living and developing in 2009.

  7. nequalities in Educational Outcomes: How Important is the Family?

    DEFF Research Database (Denmark)

    Smith, Nina; Bredtmann, Julia

    In this paper, we investigate sibling correlations in educational outcomes, which serve as a broad measure of the importance of family and community background. Making use of rich longitudinal survey and register data for Denmark, our main aim is to identify the parental background characteristics...... that are able to explain the resemblance in educational outcomes among siblings. We find sibling correlations in educational outcomes in the range of 15 to 33 percent, suggesting that up to a third of the variation in educational achievement can be explained by family and community background. Our results...... further reveal that parents' socio-economic background can account for a large part of the sibling correlation. Other family characteristics such as family structure, the incidence of social problems, and parents' educational preferences also play a role, though these factors only contribute to explaining...

  8. High resolution survey for topographic surveying

    Science.gov (United States)

    Luh, L. C.; Setan, H.; Majid, Z.; Chong, A. K.; Tan, Z.

    2014-02-01

    In this decade, terrestrial laser scanner (TLS) is getting popular in many fields such as reconstruction, monitoring, surveying, as-built of facilities, archaeology, and topographic surveying. This is due the high speed in data collection which is about 50,000 to 1,000,000 three-dimensional (3D) points per second at high accuracy. The main advantage of 3D representation for the data is that it is more approximate to the real world. Therefore, the aim of this paper is to show the use of High-Definition Surveying (HDS), also known as 3D laser scanning for topographic survey. This research investigates the effectiveness of using terrestrial laser scanning system for topographic survey by carrying out field test in Universiti Teknologi Malaysia (UTM), Skudai, Johor. The 3D laser scanner used in this study is a Leica ScanStation C10. Data acquisition was carried out by applying the traversing method. In this study, the result for the topographic survey is under 1st class survey. At the completion of this study, a standard of procedure was proposed for topographic data acquisition using laser scanning systems. This proposed procedure serves as a guideline for users who wish to utilize laser scanning system in topographic survey fully.

  9. Architectural Portfolio 2001: Main Winners.

    Science.gov (United States)

    American School & University, 2001

    2001-01-01

    Presents descriptions and photographs of the following two American School and University Architectural Portfolio main winners for 2001: Chesterton, Indiana's Chesterton High School and Lied Library at the University of Nevada, Las Vegas. Included are each project's vital statistics, the architectural firm involved, and a list of designers.(GR)

  10. The four main LHC experiments

    CERN Multimedia

    AC Team

    1999-01-01

    This diagram shows the locations of the four main experiments (ALICE, ATLAS, CMS and LHCb) that will take place at the LHC. Located between 50 m and 150 m underground, huge caverns have been excavated to house the giant detectors. The SPS, the final link in the pre-acceleration chain, and its connection tunnels to the LHC are also shown.

  11. Comparison of clinical outcomes of domestic Sirolimus and imported Zotalimus eluting stents for unprotected left main coronary artery disease%国产西罗莫司洗脱支架与进口佐他莫司洗脱支架治疗无保护左主干病变临床疗效的对比分析

    Institute of Scientific and Technical Information of China (English)

    魏敬飞; 鄢华; 宋丹; 彭剑; 郭卉; 汪敏; 苏晞

    2015-01-01

    -Eluting Stents group (Resolute group, n = 34) . We analyzed the baseline characteristics, coronary artery lesion characteristics, stenting strategies and any changes in left ventricular ejection fraction ( LVEF) in both groups and investigated the long-term clinical outcomes. Results There were no significant differences in the baseline characteristics, the SYNTAX scores of the coronary artery lesion and the rate of complete revascularization between the two groups. Compared with that in Firebird group, there were more cases involving the distal left main (79. 4% vs. 45. 2% , P ﹤ 0. 05) and more patients using two stents strategies (29. 4% vs. 7. 1% , P ﹤ 0. 05) in the Resolute group. The change in LVEF post-PCI had no difference between the two groups. The patients were followed up for a mean of (23. 3 ± 10. 7) months. During the follow-up period, the occurrence of MACCE had no significant difference between the two groups. In the Firebird group, there were one sudden cardiac death, one nonfatal myocardial infarction, one stroke and five patients with recurrence of angina pectoris. In the Resolute group there were one sudden cardiac death, one target lesion revascularization and four patients with recurrence of angina pectoris. Conclusions Compared with the imported Zotalimus-Eluting Stents, the domestic Sirolimus-Eluting Stents are safe and effective in the treatment of patients with unprotected left main lesions under the guidance of IVUS. The two kinds of stent showed similar long-term clinical outcomes.

  12. Surveys and Benchmarks

    Science.gov (United States)

    Bers, Trudy

    2012-01-01

    Surveys and benchmarks continue to grow in importance for community colleges in response to several factors. One is the press for accountability, that is, for colleges to report the outcomes of their programs and services to demonstrate their quality and prudent use of resources, primarily to external constituents and governing boards at the state…

  13. Searching for the definition of macrosomia through an outcome-based approach in low- and middle-income countries: a secondary analysis of the WHO Global Survey in Africa, Asia and Latin America.

    Science.gov (United States)

    Ye, Jiangfeng; Torloni, Maria Regina; Ota, Erika; Jayaratne, Kapila; Pileggi-Castro, Cynthia; Ortiz-Panozo, Eduardo; Lumbiganon, Pisake; Morisaki, Naho; Laopaiboon, Malinee; Mori, Rintaro; Tunçalp, Özge; Fang, Fang; Yu, Hongping; Souza, João Paulo; Vogel, Joshua Peter; Zhang, Jun

    2015-12-03

    No consensus definition of macrosomia currently exists among researchers and obstetricians. We aimed to identify a definition of macrosomia that is more predictive of maternal and perinatal mortality and morbidity in low- and middle-income countries. We conducted a secondary data analysis using WHO Global Survey on Maternal and Perinatal Health data on Africa and Latin America from 2004 to 2005 and Asia from 2007 to 2008. We compared adverse outcomes, which were assessed by the composite maternal mortality and morbidity index (MMMI) and perinatal mortality and morbidity index (PMMI) in subgroups with birthweight (3000-3499 g [reference group], 3500-3999 g, 4000-4099 g, 4100-4199 g, 4200-4299 g, 4300-4399 g, 4400-4499 g, 4500-4999 g) or country-specific birthweight percentile for gestational age (50(th)-74(th) percentile [reference group], 75(th)-89(th), 90(th)-94(th), 95(th)-96(th), and ≥97(th) percentile). Two-level logistic regression models were used to estimate odds ratios of MMMI and PMMI. A total of 246,659 singleton term births from 363 facilities in 23 low- and middle-income countries were included. Adjusted odds ratios (aORs) for intrapartum caesarean sections exceeded 2.0 when birthweight was greater than 4000 g (2·00 [95% CI: 1·68, 2·39], 2·42 [95% CI: 2·02, 2·89], 2·01 [95% CI: 1·74, 2·33] in Africa, Asia and Latin America, respectively). aORs of MMMI reached 2.0 when birthweight was greater than 4000 g, 4500 g in Asia and Africa, respectively. aORs of PMMI approached to 2.0 (1·78 [95% CI: 1·16, 2·74]) when birthweight was greater than 4500 g in Latin America. When birthweight was at the 90(th) percentile or higher, aORs of MMMI and PMMI increased, but none exceeded 2.0. The population-specific definition of macrosomia using birthweight cut-off points irrespective of gestational age (4500 g in Africa and Latin America, 4000 g in Asia) is more predictive of maternal and perinatal adverse outcomes, and simpler to apply compared to the

  14. Levantamento dos principais fármacos utilizados no rebanho leiteiro do Estado do Paraná - DOI: 10.4025/actascianimsci.v27i1.1260 Survey on the main veterinary medicines use in dairy cattle in the state of Parana - Brazil - DOI: 10.4025/actascianimsci.v27i1.1260

    Directory of Open Access Journals (Sweden)

    Ivana Lúcia Belmonte

    2005-03-01

    Full Text Available O uso de medicamentos veterinários nos programas de saúde dos rebanhos leiteiros, para prevenção ou tratamento de patologias, pode ocasionar o aparecimento de resíduos no leite e derivados, gerando preocupação dos órgãos de saúde com a presença desses resíduos. Durante o período de setembro a outubro de 2003 estudaram-se 160 estabelecimentos comerciais (cooperativas, distribuidoras e revendedoras de medicamentos veterinários, localizados em 76 municípios, distribuídos em sete Macro Regionais de Saúde da Secretaria de Estado da Saúde do Paraná. Como fase inicial do Programa de Controle de Drogas Veterinárias em Produtos de Origem Animal (PAMvet-PR, realizou-se levantamento sobre os medicamentos veterinários utilizados nas principais patologias do rebanho leiteiro do Estado do Paraná. Os resultados evidenciaram que os antimicrobianos (beta-lactâmicos, aminoglicosídeos e tetraciclinas e os antiparasitários (avermectinas, piretróides e organofosforados foram os grupos de destaque. Os compostos identificados devem ser priorizados no monitoramento de resíduos de medicamentos veterinários em leite no Estado do ParanáThe veterinary medicines use in the dairy cattle's health programs for prevention or treatment of diseases can affect milk and dairy products. The contamination of food by residues of veterinary medicines can be potentially harmful to consumers. One hundred and sixty business organizations (cooperative, delivery and medicine peddlers located in 76 cities of the state of Paraná - Brazil were studied from September to October 2003. As initial phase of the Program of Veterinary Medicines Control in Products of Animal Origin (PAMvet-PR a survey on the use of veterinary medicines in the main diseases of the dairy cattle of the Paraná was carried out. The antibiotics (beta-lactam, aminoglycosides, tetracyclines and the antiparasitics (avermectins, pyrethroids, organophosphates were the main group. The identified

  15. H08339: NOS Hydrographic Survey , Mount Desert Island Wire Drag Survey, Maine, 1956-09-10

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  16. H08338: NOS Hydrographic Survey , Mount Desert Island Wire Drag Survey, Maine, 1956-06-13

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  17. H08337: NOS Hydrographic Survey , Mount Desert Island Wire Drag Survey, Maine, 1956-05-01

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  18. A random walk down Main Street

    Directory of Open Access Journals (Sweden)

    David Matthew Levinson

    2016-08-01

    Full Text Available US suburbs have often been characterized by their relatively low walk accessibility compared to more urban environments, and US urban environments have been char- acterized by low walk accessibility compared to cities in other countries. Lower overall density in the suburbs implies that activities, if spread out, would have a greater distance between them. But why should activities be spread out instead of developed contiguously? This brief research note builds a positive model for the emergence of contiguous development along “Main Street” to illustrate the trade-offs that result in the built environment we observe. It then suggests some policy interventions to place a “thumb on the scale” to choose which parcels will develop in which sequence to achieve socially preferred outcomes.

  19. Euro Heart Survey 2009 Snapshot

    DEFF Research Database (Denmark)

    Puymirat, Etienne; Battler, Alex; Birkhead, John

    2013-01-01

    Detailed data on patients admitted for acute myocardial infarction (AMI) on a European-wide basis are lacking. The Euro Heart Survey 2009 Snapshot was designed to assess characteristics, management, and hospital outcomes of AMI patients throughout European Society of Cardiology (ESC) member...... countries in a contemporary 'real-world' setting, using a methodology designed to improve the representativeness of the survey....

  20. The role of Main Institutions

    DEFF Research Database (Denmark)

    Persson, H. Thomas R.; Rakar, Fredrik

    2017-01-01

    Entrepreneurship”; to identify the “New Generation” of Social Entrepreneurs; to build an “Evolutionary Theory of Social Entrepreneurship”; to provide effective policy advices to stakeholders. In order to pursue and achieve these research objectives, the consortium implemented a complex research design...... groups with stakeholders, together with a survey on social enterprises. As a result, more than 1,500 social entrepreneurs and stakeholders have been involved in the research activities during the three year project. Thanks to the passion, knowledge and experience of social entrepreneurs and stakeholders......; - The third chapter provides an overview of the structural features, enabling (or hindering) factors, biographical traits and survival strategies of the new generation of social entreprises based on 55 in-depth case studies; - The fourth chapter provides an insight into the role of social capital...

  1. Outcomes 'out of africa': the selection and implementation of outcome measures for palliative care in Africa

    Directory of Open Access Journals (Sweden)

    Downing Julia

    2012-01-01

    Full Text Available Abstract Background End-of-life care research across Africa is under-resourced and under-developed. A central issue in research in end-of-life care is the measurement of effects and outcomes of care on patients and families. Little is known about the experiences of health professionals' selection and implementation of outcome measures (OM in clinical care, research, audit, or teaching in Africa. Methods An online survey was undertaken of those using outcome measures across the region, as part of the PRISMA project. A questionnaire addressing the use of OMs was developed for a similar survey in Europe and adapted for Africa. Participants were sampled through the contacts database of APCA. Invitation emails were sent out in January 2010 and reminders in February 2010. Results 168/301 invited contacts (56% from 24 countries responded, with 78 respondents having previously used OM (65% in clinical practice, 12% in research and 23% for both. Main reasons for not using OM were a lack of guidance/training on using and analysing OM, with 49% saying that they would use the tools if this was provided. 40% of those using OM in clinical practice used POS, and 80% used them to assess, evaluate and monitor change. The POS was also the main tool used in research, with the principle criteria for use being validation in Africa, access to the tool and time needed to complete it. Challenges to the use of tools were shortage of time and resources, lack of guidance and training for the professionals, poor health status of patients and complexity of OM. Researchers also have problems analysing OM data. The APCA African POS was the most common version of the POS used, and was reported as a valuable tool for measuring outcomes. Respondents indicated the ideal outcome tool should be short, multi-dimensional and easy to use. Conclusion This was the first survey on professionals' views on OM in Africa. It showed that the APCA African POS was the most frequently OM used

  2. Main Elements for Upscaling Recreation

    DEFF Research Database (Denmark)

    Zandersen, Marianne; Termansen, Mette

    2012-01-01

    This report provides information on the main elements used to scale up modelled local visitor flow data to regional level based on recreational de-mand models. These models are described in Report #1. This report also provides information on data sources such as spatial data (e.g. land cov......-er/land use information), demographic information. The report is accom-pagnied with a spatial database for the regional case of forest recreation in Northern Zealand, Denmark. The spatial database contains forest polygons; forest attribute; estimation of total annual number of visits per site; and es...

  3. Canine mammary tumors - clinical survey

    Directory of Open Access Journals (Sweden)

    Elena Atanaskova Petrov

    2014-10-01

    Full Text Available Mammary tumours are the second most frequent neoplasia in dogs, mainly affecting older female patients. Approximately 50% of the mammary tumours are malignant with high percentage of mortality if not treated in time. The aim of this study was to analyze the data of canine patients with mammary tumours, to evaluate the type of tumours, as well as the relationship between tumour incidence and dogs’ age, reproductive cycle and sterilization. The survey was used to retrieve the information in the period of two years from the patient data base of the University Veterinary Hospital at the Faculty of Veterinary medicine in Skopje. Patients included in this survey were subjected to routine clinical investigation and additional laboratory tests (cytological examination, x-rays imaging, CBC and biochemical profile, histopathology of the tumor samples. Aged female patients (12 – 13 years are the most susceptible category for development of mammary tumours. The reproductive history showed that five of the patients with malignant mammary tumourshave never whelped and were not treated with any exogenous hormones. Malignant tumours (adenocarcinoma were diagnosed in 90% of the patients. Three patients died due to lung metastasis. Late diagnosis is one of the major problems that results in lethal outcome due to lung metastases. Since ovarian steroids play an important role in the aetiology, the most effective prevention of mammary tumoursis elective ovariectomy of the bitch at an early age.

  4. Burden in the main caregiver

    Directory of Open Access Journals (Sweden)

    Fabiola Yonte Huete

    2010-09-01

    Full Text Available Objectives: The main objective is to determine the degree of burden in the main caregivers of dependent patients, to analyse the profile of informal caregivers and dependent patients. Their claims and help received with caring, the influence of mental deteriorate and duration of care giving regarding the burden of caregivers.Methods: Descriptive cross-sectional observational study amongst 50 caregivers and dependents. We used descriptive statistics and correlational studies. Results: 86 % of caregivers were women, middle aged, son/daughter of the dependent, married, with basic studies, no work outside the home, the average time in the role of caregiver was 16,96 hours a day and 2,1 free hours a day. 64 % of them received family support and 68 % wish to receive economic aid. It was found that for 38 % of the caregivers there was no burden at all, 34 % of them had a minimum burden and 28 % a greater burden.Conclusion: There are some caregivers with moderate or great burden. Our caregiver wishes to receive economic help. Our research shows that the decrease of mental health and the years of evolution do not have a significant statistically influence on caregivers. It is necessary prioritize the interventions and its recipients, provide solutions for caregivers with a greater burden, trying to keep away “caregiver syndrome”.

  5. [Patient-reported outcomes: definition and measurement].

    Science.gov (United States)

    Botturi, Davide; Rodella, Stefania

    2014-06-01

    The concept of "patient-reported outcomes" have been proposed by the Food and Drug Administration in the year 2000, in order to describe one of the different and potential sources of information on the drug's safety and effectiveness. It represents an "umbrella" term, which covers a multiplicity of meanings and primarily identifies a conceptual approach and a methodology specifically oriented to the patients' point of view on outcomes, instead of the traditional clinical and professional perspective. The patient-reported outcomes measures are frequently self-completed questionnaires. The measures can be classified in general and specific. The first one, general, relates to the assessment of the quality of life or the health status, in the general population or in subgroups with particular health problems (eg. SF-36 Health Survey, EQ-5D). The second one, specific, mainly relates to the assessment of particular types of symptoms (eg. pain, anxiety, fear, depression) and functions (eg. daily living activities), in population's subgroups with definite health problems, undergoing or not to a healthcare procedure (eg. Adult Asthma Quality of Life Questionnaire, Kidney Disease Quality of Life Instrument, Oxford Hip Score, Oxford Knee Score). For the selection of an instrument a series of criteria needs to be taken into account, among which the psychometric properties, the expert judgement, the interpretability, the acceptability, and the feasibility of the entire process.

  6. Survey on prenatal intake of various nutrients and pregnancy outcomes%孕期营养状况及膳食摄入营养素水平与妊娠结局关系的调查

    Institute of Scientific and Technical Information of China (English)

    王宏; 蔡李倩; 范岩峰

    2009-01-01

    Objective To investigate the maternal nutritional status and its influences on pregnancy outcomes in order to provide evidence for possible prenatal interventions.Methods A survey was conducted in 800 pregnant women,who presented at Xiamen Maternal and Child Healthcare Hospital between January 2006 to April 2008.The information of knowledge,attitude and behavior towards maternal nutrition were collected in 734 women and 571 women were followed up before 20 weeks of gestation,at 26-27 weeks,and 35-36 weeks to analyze the relationship between different nutrients and the pregnant outcomes.Results The questionnaire survey showed that women who had received higher education presented with better knowledge,attitude and behavior on maternal nutrition (P<0.05).Among the 734 women,39.2%(288) had poor knowledge,44.5%(326) were lack of knowledge,and 44.8%(358) with poor behavior.Prenatal diet analysis found that the percentage of these women with milk,fish and beans intake daily was 52.2%,34.3%,and 29.5%,respectively.Before 20 weeks of gestation,significant difference was identified only in the level of triglyceride among different BMI groups,and the higher the BMI,the higher the level of triglyeeride (P<0.01).With the progress of pregnancy,the level of serum ferritin and folic acid was decreasing (P<0.05),while the level of triglyceride and cholesterol was increasing (P<0.01).The newborn's birth weight was positively correlated to maternal BMI before 20 weeks (r=0.23,P<0.05),and higher BMI was a risk factor for abnormal birth weight (OR=4.051,95%CI:1.085~15.117,P<0.05) and also complicated with higher cesarean section rate than those women with lower or normal BMI (60.3%vs 29.4%and 34.7%,P<0.05).The rate of postpartum hemorrhage was increased with the reduced ferritin level (P<0.05).Conclusions The pregnancy outcomes can be improved through the following measures:appropriate control of the maternal weight before and during the pregnancy,increased intake of milk

  7. HRM and its effect on employee, organizational and financial outcomes in health care organizations.

    Science.gov (United States)

    Vermeeren, Brenda; Steijn, Bram; Tummers, Lars; Lankhaar, Marcel; Poerstamper, Robbert-Jan; van Beek, Sandra

    2014-06-17

    One of the main goals of Human Resource Management (HRM) is to increase the performance of organizations. However, few studies have explicitly addressed the multidimensional character of performance and linked HR practices to various outcome dimensions. This study therefore adds to the literature by relating HR practices to three outcome dimensions: financial, organizational and employee (HR) outcomes. Furthermore, we will analyze how HR practices influence these outcome dimensions, focusing on the mediating role of job satisfaction. This study uses a unique dataset, based on the 'ActiZ Benchmark in Healthcare', a benchmark study conducted in Dutch home care, nursing care and care homes. Data from autumn 2010 to autumn 2011 were analyzed. In total, 162 organizations participated during this period (approximately 35% of all Dutch care organizations). Employee data were collected using a questionnaire (61,061 individuals, response rate 42%). Clients were surveyed using the Client Quality Index for long-term care, via stratified sampling. Financial outcomes were collected using annual reports. SEM analyses were conducted to test the hypotheses. It was found that HR practices are - directly or indirectly - linked to all three outcomes. The use of HR practices is related to improved financial outcomes (measure: net margin), organizational outcomes (measure: client satisfaction) and HR outcomes (measure: sickness absence). The impact of HR practices on HR outcomes and organizational outcomes proved substantially larger than their impact on financial outcomes. Furthermore, with respect to HR and organizational outcomes, the hypotheses concerning the full mediating effect of job satisfaction are confirmed. This is in line with the view that employee attitudes are an important element in the 'black box' between HRM and performance. The results underscore the importance of HRM in the health care sector, especially for HR and organizational outcomes. Further analyses of HRM

  8. Physics Survey Overview

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-12-30

    An overview of a series of assignments of the branches of physics carried out by the Board on Physics and Astronomy of the National Research Council. It identifies further theories in physics and makes recommendations on preventive priorities. The Board on Physics and Astronomy (BPA) has conducted a new decadal survey of physics entitled ''Physics in a New Era''. The survey includes assessments of the main branches of physics as well as certain selected emerging areas. The various elements of the survey were prepared by separately-appointed National Research Council (NRC) committees. The BPA formed the Physics Survey Overview Committee (PSOVC) to complete the survey by preparing an overview of the field of physics to summarize and synthesize the results of the various assessments and to address cross-cutting issues that concern physics as a whole.

  9. The worldwide use of computers : a description of main trends

    NARCIS (Netherlands)

    Pelgrum, W.J.; Plomp, T.

    1993-01-01

    This paper examines some of the main findings from the IEA Computers in Education survey. The results show that with respect to the future of computers in education there is reason for optimism as well as for pessimism. The optimistic part of the story is that new technologies in the form of

  10. Sense of place along a scenic byway in Maine

    Science.gov (United States)

    Marilynne Mann; Jessica Leahy

    2008-01-01

    Sense of place defines the value and meaning of location. The Rangeley Lakes area of Maine, an unusual natural environment with cultural and historic significance, was nationally recognized in 2000 by the designation of the Rangeley Lakes National Scenic Byway. A survey during the summer of 2006 sought to identify sense of place in the midst of tourism-related growth...

  11. Water resources of the Penobscot River basin, Maine

    Science.gov (United States)

    Barrows, Harold Kilbrith; Babb, Cyrus Cates

    1912-01-01

    This report on the Penobscot River drainage system, the largest and one of the most important in Maine, has been compiled chiefly from the records, reports, and maps of the United States Geological Survey and from the results of surveys made in cooperation with the Maine State Survey Commission. The report includes all data on precipitation, stream flow, water storage, and water power that were available at the end of the calendar year 1909 and is accompanied by plans and profiles of the principal rivers, lakes, and ponds in the basin (Pis. XIII-XIX, at end of volume). Stream-flow data for 1910 and 1911 will be published in Water-Supply Papers 281 and 301, respectively.

  12. 粮食主产区农地流转行为影响因素分析--基于长江中下游四省的农户调查%Study on Influencing Factors of Rural Land Transfer Behavior in Main Grain Producing Area---Based on Rural Household Survey of Four Provinces of Yangtze River

    Institute of Scientific and Technical Information of China (English)

    张银银; 马志雄

    2013-01-01

    研究我国粮食主产区的农地流转,有助于提高粮食主产区土地资源的配置效率,提高我国粮食安全水平。根据农户调查数据,本文采用因子分析和多元logistic方法对农户实际的农地转入转出影响因素进行研究。研究表明,农户的种植经营实力、综合经济实力、农业人力资本、农业固定资产、农忙时农活工价比、地域差异等对农地转入转出行为产生不同程度的影响,农户的种粮补贴金额、满足口粮程度、土地政策理解程度对农地转入转出行为没有显著影响。因此,应从明晰农地产权、以人为本、以市场为导向等方面采取措施来促进粮食主产区农户农地流转。%Studying rural land transfer in main grain producing area helps to improve the efficiency of land resource allo-cation and improve our food security. Based on household survey data, this paper using factor analysis and multiple Logistic analysis to study influencing factors of household's rolling out and in on rural land transfer. The results show that the house-hold's planting management strength, comprehensive economic strength, agricultural human capital, agricultural fixed assets, busy farm workers bid, geographical differences take different degrees of impact on rolling in and out of rural land transfer. The household's amount of grain subsidy, the grain ration demand degree and the understanding of land policy take no efforts on the rural land transfer. At last, this paper proposed several policies based on the farmers perspective of rural land transfer. Finally, this paper proposed several policies thinking on clear agricultural land property rights, people-oriented to promote ru-ral land transfer, market-oriented to promote rural land transfer and so on.

  13. Improving Standard Poststratification Techniques For Random-Digit-Dialing Telephone Surveys

    Directory of Open Access Journals (Sweden)

    Michael P. Battaglia

    2008-03-01

    Full Text Available Random-digit-dialing surveys in the United States such as the Behavioral Risk Factor Surveillance System (BRFSS typically poststratify on age, gender and race/ethnicity using control totals from an appropriate source such as the 2000 Census, the Current Population Survey, or the American Community Survey. Using logistic regression and interaction detection software we identified key "main effect" socio-demographic variables and important two-factor interactions associated with several health risk factor outcomes measured in the BRFSS, one of the largest annual RDD surveys in the United States. A procedure was developed to construct control totals, which were consistent with estimates of age, gender, and race/ethnicity obtained from a commercial source and distributions of other demographic variables from the Current Population Survey. Raking was used to incorporate main effects and two-factor interaction margins into the weighting of the BRFSS survey data. The resulting risk factor estimates were then compared with those based on the current BRFSS weighting methodology and mean squared error estimates were developed. The research demonstrates that by identifying socio-demographic variables associated with key outcome variables and including these variables in the weighting methodology, nonresponse bias can be substantially reduced.

  14. 重庆市主城区中学生近视相关知识认知水平及行为调查%Survey on middle school students′ cognition level and behavior on myopia related knowledge in Chongqing main urban zone

    Institute of Scientific and Technical Information of China (English)

    代倩; 隆华; 叶瑶; 钟朝晖

    2013-01-01

    Objective To learn about the status quo of the middle school students' cognition level and behavior on myopia related knowledge in Chongqing main urban zone so that to provide the scientific basis for prevention of middle school students' poor eye sight. Methods 1 772 respondents were selected by adopting the stratified multilevel cluster random sampling method. The field survey was performed by the unified homemade questionnaire. The results were analyzed statistically with SAS9. 12 statistic soft ware. Results The awareness rate of myopia related knowledge in the key middle school was higher than that in the ordinary mid die school. The behavior formation rate in the ordinary middle school was higher than that in the key middle school. The awareness rate of myopia preventing knowledge in female students was higher than that in the male students,while the behavior formation rate of myopia preventing hygiene behavior in the female students was lower than that in the male students(P<0. 05). Conclusion The middle school students' myopia related knowledge level in Chongqing main urban zone still needs to be increased. The owning rate of right behavior is seriously low. The school?family and society should make coordination and cooperation to increase the middle school students' awawreness of self care and the abilities on the prevention of myopia.%目的 了解重庆市主城区中学生近视相关知识水平及行为现状,为预防中学生视力不良提供科学依据.方法 采用分层多级整群随机抽样方法选择调查对象1 772名,按统一的自制问卷进行现场调查.结果 重点中学学生的知晓率高于普通中学,普通中学学生的行为形成率高于重点中学,对预防近视的知识而言,女生的知晓率高于男生,预防近视的卫生行为而言,女生的行为形成率低于男生(P<0.05).结论 重庆市主城区中学生的近视相关知识水平仍有待提高,行为正确拥有率严重偏低,学校、家庭和

  15. Main challenges of residential areas

    Directory of Open Access Journals (Sweden)

    Oana Luca

    2017-06-01

    Full Text Available The present article is a position paper aiming to initiate a professional debate related to the aspects related to the urban dysfunctions leading to the wear of the residential areas. The paper proposes a definition of the wear process, identify the main causes leading to its occurrence and propose a number of solutions to neutralise the dysfunctions. The three wearing phases of residential areas components are emphasized, exploring their lifecycle. In order to perform the study of urban wear, the status of the residential areas components can be established and monitored, and also the variables of the function that can mathematically model the specific wear process may be considered. The paper is considered a first step for the model adjustment, to be tested and validated in the following steps. Based on the mathematical method and model, there can be created, in a potential future research, the possibility of determining the precarity degree for residential areas/neighbourhoods and cities, by minimising the subjective component of the analyses preceding the decision for renovation or regeneration.

  16. Unprotected Left Main Disease and Percutaneous Intervention: A Prototype for Precision Medicine.

    Science.gov (United States)

    Chatterjee, Arka; Hillegass, William B

    2017-01-01

    The SYNTAX Score based on angiographic findings is an actionable risk prediction model helping guide treatment for significant unprotected left main disease. Adding the clinical factor based EuroSCORE to SYNTAX improves outcome prediction for percutaneous coronary intervention of unprotected left main disease. Prediction models are an increasingly useful tool permitting cardiologists to optimize patient outcomes through "personalized" or precision medicine.

  17. "Suntelligence" Survey

    Science.gov (United States)

    ... to the American Academy of Dermatology's "Suntelligence" sun-smart survey. Please answer the following questions to measure ... be able to view a ranking of major cities suntelligence based on residents' responses to this survey. ...

  18. Education and Occupational Outcomes

    DEFF Research Database (Denmark)

    Johnes, Geraint; Freguglia, Ricardo; Spricigo, Gisele

    2016-01-01

    Purpose: The purpose of this paper is to examine the dynamic relationship between policies related to educational provision and both educational participation and occupational outcomes in Brazil, using PNAD and RAIS-Migra data. Design/methodology/approach: Outcomes are examined using: static...... multinomial logit analysis, and structural dynamic discrete choice modelling. The latter approach, coupled with the quality of the RAIS-Migra data source, allows the authors to evaluate the education policy impacts over time. Findings: The main results show that the education level raises the propensity...... that the individual will be in formal sector work or still in education, and reduces the probability of the other outcomes. Transition into non-manual formal sector work following education may, however, occur via a spell of manual work. Originality/value: This is the first study of occupational destination...

  19. Impact of methodological "shortcuts" in conducting public health surveys: Results from a vaccination coverage survey

    Directory of Open Access Journals (Sweden)

    Luman Elizabeth T

    2008-03-01

    Full Text Available Abstract Background Lack of methodological rigor can cause survey error, leading to biased results and suboptimal public health response. This study focused on the potential impact of 3 methodological "shortcuts" pertaining to field surveys: relying on a single source for critical data, failing to repeatedly visit households to improve response rates, and excluding remote areas. Methods In a vaccination coverage survey of young children conducted in the Commonwealth of the Northern Mariana Islands in July 2005, 3 sources of vaccination information were used, multiple follow-up visits were made, and all inhabited areas were included in the sampling frame. Results are calculated with and without these strategies. Results Most children had at least 2 sources of data; vaccination coverage estimated from any single source was substantially lower than from all sources combined. Eligibility was ascertained for 79% of households after the initial visit and for 94% of households after follow-up visits; vaccination coverage rates were similar with and without follow-up. Coverage among children on remote islands differed substantially from that of their counterparts on the main island indicating a programmatic need for locality-specific information; excluding remote islands from the survey would have had little effect on overall estimates due to small populations and divergent results. Conclusion Strategies to reduce sources of survey error should be maximized in public health surveys. The impact of the 3 strategies illustrated here will vary depending on the primary outcomes of interest and local situations. Survey limitations such as potential for error should be well-documented, and the likely direction and magnitude of bias should be considered.

  20. Survey Says

    Science.gov (United States)

    McCarthy, Susan K.

    2005-01-01

    Survey Says is a lesson plan designed to teach college students how to access Internet resources for valid data related to the sexual health of young people. Discussion questions based on the most recent available data from two national surveys, the Youth Risk Behavior Surveillance-United States, 2003 (CDC, 2004) and the National Survey of…

  1. Acculturative and Psychosocial Predictors of Academic-Related Outcomes among Cambodian American High School Students

    Directory of Open Access Journals (Sweden)

    Khanh Dinh

    2008-01-01

    Full Text Available This study examined the acculturative and psychosocial predictors of academic-related outcomes among Cambodian American high school students from an urban school district in the State of Massachusetts. Student participants (N = 163 completed an anonymous survey that assessed demographic characteristics, acculturative experiences, intergenerational conflict, depression, and academic-related outcomes. The main results indicated that acculturative and psychosocial variables were significant predictors of academic-related outcomes. Specifically, Cambodian and Anglo/White cultural orientations and depression played significant roles across the four dimensions of academic-related outcomes, including grade point average, educational aspirations, beliefs in the utility of education, and psychological sense of school membership. This study provides important implications for school-based and family-based prevention and intervention programs in addressing the acculturative and academic challenges faced by Cambodian American students.

  2. Acculturative and Psychosocial Predictors of Academic-Related Outcomes among Cambodian American High School Students

    Directory of Open Access Journals (Sweden)

    Khanh Dinh

    2008-01-01

    Full Text Available This study examined the acculturative and psychosocial predictors of academic-related outcomes among Cambodian American high school students from an urban school district in the State of Massachusetts. Student participants (N = 163 completed an anonymous survey that assessed demographic characteristics, acculturative experiences, intergenerational conflict, depression, and academic-related outcomes. The main results indicated that acculturative and psychosocial variables were significant predictors of academic-related outcomes. Specifically, Cambodian and Anglo/White cultural orientations and depression played significant roles across the four dimensions of academic-related outcomes, including grade point average, educational aspirations, beliefs in the utility of education, and psychological sense of school membership. This study provides important implications for school-based and family-based prevention and intervention programs in addressing the acculturative and academic challenges faced by Cambodian American students.

  3. Prevalence of depression and anxiety in patients requesting physicians’ aid in dying: cross sectional survey

    OpenAIRE

    Ganzini, Linda; Goy, Elizabeth R; Dobscha, Steven K.

    2008-01-01

    Objective To determine the prevalence of depression and anxiety in terminally ill patients pursuing aid in dying from physicians. Design Cross sectional survey. Setting State of Oregon, USA. Participants 58 Oregonians, most terminally ill with cancer or amyotrophic lateral sclerosis, who had either requested aid in dying from a physician or contacted an aid in dying advocacy organisation. Main outcome measures Diagnosis of depression or anxiety according to the hospital anxiety and depression...

  4. THINKING SKILL - THE MAIN LEARNING TOOL

    Directory of Open Access Journals (Sweden)

    Daniela Koteková

    2010-06-01

    Full Text Available The method of teaching with help of four elementary skills - reading, speaking, writing and listening is definitely inconceivable to teaching any foreign language. But automatic answers following the exercise and students passive memorising does not make speaking language and its learning very natural. This has forced me to find and create the way how to make learners think and realise the point and meaning of learning itself. My paper is about special skill I have tried to apply –thinking skill. I have chosen it to complement other four which teacher normally uses when teaching foreign language (reading, speaking, listening skills. At the same time I put thinking skill into a role to support and enhance learning process. To find and use some methods how to make students think, make their own opinion and also teach them to apply their own experience to learning process was the main goal of this survey. The methods I have applied were provoking students to think before they learn.

  5. Flood inundation map library, Fort Kent, Maine

    Science.gov (United States)

    Lombard, Pamela J.

    2012-01-01

    Severe flooding occurred in northern Maine from April 28 to May 1, 2008, and damage was extensive in the town of Fort Kent (Lombard, 2010). Aroostook County was declared a Federal disaster area on May 9, 2008. The extent of flooding on both the Fish and St. John Rivers during this event showed that the current Federal Emergency Management Agency (FEMA) Flood Insurance Study (FIS) and Flood Insurance Rate Map (FIRM) (Federal Emergency Management Agency, 1979) were out of date. The U.S. Geological Survey (USGS) conducted a study to develop a flood inundation map library showing the areas and depths for a range of flood stages from bankfull to the flood of record for Fort Kent to complement an updated FIS (Federal Emergency Management Agency, in press). Hydrologic analyses that support the maps include computer models with and without the levee and with various depths of backwater on the Fish River. This fact sheet describes the methods used to develop the maps and describes how the maps can be accessed.

  6. Industry Based Survey (IBS) Cod

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The "Gulf of Maine Atlantic Cod Industry-Based Survey" was a collaboration of the Massachusetts Division of Marine Fisheries and the fishing industry, with support...

  7. FY 2009 Public Libraries Survey

    Data.gov (United States)

    Institute of Museum and Library Services — Dig into FY 2009 data on public library systems (referred to as administrative entities in the Public Libraries Survey) and main libraries, branches, and bookmobiles...

  8. FY 2011 Public Libraries Survey

    Data.gov (United States)

    Institute of Museum and Library Services — Dig into FY 2011 data on public library systems (referred to as administrative entities in the Public Libraries Survey) and main libraries, branches, and bookmobiles...

  9. FY 2010 Public Libraries Survey

    Data.gov (United States)

    Institute of Museum and Library Services — Dig into FY 2010 data on public library systems (referred to as administrative entities in the Public Libraries Survey) and main libraries, branches, and bookmobiles...

  10. FY 2008 Public Libraries Survey

    Data.gov (United States)

    Institute of Museum and Library Services — Dig into FY 2008 data on public library systems (referred to as administrative entities in the Public Libraries Survey) and main libraries, branches, and bookmobiles...

  11. Development of composite outcomes for individual patient data (IPD) meta-analysis on the effects of diet and lifestyle in pregnancy

    DEFF Research Database (Denmark)

    Rogozinska, Ewelina; D'Amico, M. I.; Khan, Khalid S

    2016-01-01

    of intrauterine death, small for gestational age, large for gestational age, and admission to a neonatal intensive care unit (NICU). Conclusions Our work has identified the components of maternal, fetal, and neonatal composite outcomes required for the assessment of diet and lifestyle interventions in pregnancy......Objective To develop maternal, fetal, and neonatal composite outcomes relevant to the evaluation of diet and lifestyle interventions in pregnancy by individual patient data (IPD) meta-analysis. Design Delphi survey. Setting The International Weight Management in Pregnancy (i-WIP) collaborative...... care. The final components of the composite outcomes were identified using pre-specified criteria. Main outcome measures Composite outcomes considered to be important for the evaluation of the effect of diet and lifestyle in pregnancy. Results Of the 36 maternal outcomes, nine were prioritised...

  12. Semi-customizing patient surveys

    DEFF Research Database (Denmark)

    Riiskjær, Erik; Ammentorp, Jette; Nielsen, Jørn Flohr

    2011-01-01

    . Eight public hospitals in a Danish county. Participants. 32 809 inpatients and 1842 nurses on 84 wards. Main Outcome Measure. Optimal organizational level for measuring patient satisfaction and correlations between overall patient satisfaction and organizational context. Results. In all, 71...

  13. Outcomes Assessment in Dental Hygiene Programs.

    Science.gov (United States)

    Grimes, Ellen B.

    1999-01-01

    A survey of 22 dental-hygiene-program directors found that programs routinely and effectively assess student outcomes and use the information for program improvements and to demonstrate accountability. Both policy and faculty/administrative support were deemed important to implementation. Time constraints were a major barrier. Outcomes-assessment…

  14. Oceanographic Time Series Data: Northeast Atlantic Outer Continental Shelf, Gulf of Maine and Georges Bank Marine Sanctuary

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Time-series oceanographic data for the Northeast Atlantic outer continental shelf, Gulf of Maine and Georges Bank collected by the U.S. Geological Survey (USGS) or...

  15. Oceanographic Time Series Data: Northeast Atlantic Outer Continental Shelf, Gulf of Maine and Georges Bank Marine Sanctuary

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Time-series oceanographic data for the Northeast Atlantic outer continental shelf, Gulf of Maine and Georges Bank collected by the U.S. Geological Survey (USGS) or...

  16. 5m Main Belt Asteroid Population Estimation Using Vesta Imagery

    Science.gov (United States)

    Rynders, Michael; Trilling, David E.

    2016-10-01

    The Main Belt is the largest source of Near-Earth asteroids, but objects 2 pixels in diameter that were counted in a 33km 2 region to give a crater density. By knowing the crater density and making some reasonable assumptions about the orbital distribution of asteroids and the age of Vesta's surface, an estimate of the population of small asteroids in the inner main belt was made. It was found that the inner region of the main asteroid belt contains approximately 20 billion asteroids larger than 5 m. These results agree well with the measured inner Main Belt Size distribution derived by the Wide-field Infrared Survey Explorer, WISE (Masiero et al. 2011).

  17. Two new basaltic asteroids in the Outer Main Belt

    CERN Document Server

    Duffard, R

    2007-01-01

    The identification of other basaltic objects in the asteroid belt is mandatory to explain the diversity in the collection of basaltic meteorites. This diversity requires more than one differentiated parent body, a fact that is consistent with the diversity of differentiated parent bodies implied by the iron meteorites. Based on a list of previously identified candidate basaltic (V-type) asteroids, two asteroids in the outer main belt, (7472) Kumakiri and (10537) 1991 RY16, were spectroscopically observed during an observational run in Calar Alto Observatory, Spain. We confirm the V-type character of these two asteroids that, together with (1459) Magnya, become the only known traces of basaltic found in the outer main belt up to now. We also demonstrate that the searching for candidate V-type asteroids using a photometric survey, like the Sloan Digital Sky Survey, produces reliable results.

  18. Spatially Resolved Star Formation Main Sequence of Galaxies

    Science.gov (United States)

    Cano-Díaz, M.; Sánchez, S. F.; Zibetti, S.; Ascaribar, Y.; Bland-Hawthorn, J.; Ziegler, B.; González-Delgado, R. M.; Walcher, C. J.; García-Benito, R.; Mast, D.; Mendoza-Pérez, M. A.; Falcón-Barroso, J.; Galbany, L.; Husemann, B.; Kehring, C.; Marino, R. A.; Sánchez-Blázquez, P.; López-Cobá, C.; López-Sánchez, A. R.; Vilchez, J. M.

    2016-06-01

    The relation known as Star Formation Main Sequence (SFMS) of galaxies is defined in terms of stellar mass and star formation rate. This approximately linear relation has been proven to be tight and holds for several star formation indicators at local and at high redshifts. In this talk I will show recent results about our first attempts to study the Spatially Resolved SFMS, using integral field spectroscopic data, coming primarily from the CALIFA survey. I will present as a main result that a local SFMS is found with a slope and zero point of 0.72 +/ 0.04, and -7.95 +/ 0.29 respectively. I will also discuss the influence of characteristics such as environment and morphology in the relation. Finally I will present some extensions of these results for data com in from the MaNGA survey.

  19. Flood of April 2007 in Southern Maine

    Science.gov (United States)

    Lombard, Pamela J.

    2009-01-01

    Up to 8.5 inches of rain fell from April 15 through 18, 2007, in southern Maine. The rain - in combination with up to an inch of water from snowmelt - resulted in extensive flooding. York County, Maine, was declared a presidential disaster area following the event. The U.S. Geological Survey, in cooperation with the Federal Emergency Management Agency (FEMA), determined peak streamflows and recurrence intervals at 24 locations and peak water-surface elevations at 63 sites following the April 2007 flood. Peak streamflows were determined with data from continuous-record streamflow-gaging stations where available and through hydraulic models where station data were not available. The flood resulted in peak streamflows with recurrence intervals greater than 100 years throughout most of York County, and recurrence intervals up to 50 years in Cumberland County. Peak flows for selected recurrence intervals varied from less than 10 percent to greater than 100 percent different than those in the current FEMA flood-insurance studies due to additional data or newer regression equations. Water-surface elevations observed during the April 2007 flood were bracketed by elevation profiles in FEMA flood-insurance studies with the same recurrence intervals as the recurrence intervals bracketing the observed peak streamflows at seven sites, with higher elevation-profile recurrence intervals than streamflow recurrence intervals at six sites, and with lower elevation-profile recurrence intervals than streamflow recurrence intervals at one site. The April 2007 flood resulted in higher peak flows and water-surface elevations than the flood of May 2006 in coastal locations in York County, and lower peak flows and water-surface elevations than the May 2006 flood further from the coast and in Cumberland County. The Mousam River watershed with over 13 dams and reservoirs was severely impacted by both events. Analyses indicate that the April 2007 peak streamflows in the Mousam River watershed

  20. Economic Impact of Cruise Ship Passengers in Bar Harbor, Maine

    OpenAIRE

    Gabe, Todd; Lynch, Colleen; McConnon, James; Allen, Thomas

    2003-01-01

    This report examines the economic impact of cruise ship passengers in Bar Harbor, Maine. In 2002, 64 cruise ships docked in Bar Harbor carrying about 120,000 passengers and crewmembers. The analysis presented in the report is based on 1,080 passenger surveys conducted between August and October of 2002. Economic impact figures are based on a total of 97,190 passengers, which is the capacity of the 64 cruise ships that were scheduled to visit Bar Harbor in 2002.

  1. Maternal employment and birth outcomes

    DEFF Research Database (Denmark)

    Wüst, Miriam

    I use Danish survey and administrative data to examine the impact of maternal employment during pregnancy on birth outcomes. As healthier mothers are more likely to work and health shocks to mothers may impact employment and birth outcomes, I combine two strategies: First, I control extensively...... for time-varying factors that may correlate with employment and birth outcomes, such as pre-pregnancy family income and maternal occupation, pregnancy-related health shocks, maternal sick listing, and health behaviors (smoking and alcohol consumption). Second, to account for remaining time......-invariant heterogeneity between mothers, I compare outcomes of mothers' consecutive children. Mothers who work during the first pregnancy trimester have a lower risk of preterm birth. I fi nd no eff ect on the probability of having a baby of small size for gestational age (SGA). To rule out the possibility that health...

  2. Engineering surveying

    CERN Document Server

    Schofield, W

    2001-01-01

    The aim of Engineering Surveying has always been to impart and develop a clear understanding of the basic topics of the subject. The author has fully revised the book to make it the most up-to-date and relevant textbook available on the subject.The book also contains the latest information on trigonometric levelling, total stations and one-person measuring systems. A new chapter on satellites ensures a firm grasp of this vitally important topic.The text covers engineering surveying modules for civil engineering students on degree courses and forms a reference for the engineering surveying module in land surveying courses. It will also prove to be a valuable reference for practitioners.* Simple clear introduction to surveying for engineers* Explains key techniques and methods* Details reading systems and satellite position fixing

  3. Field Report - Consumer Survey

    DEFF Research Database (Denmark)

    Nielsen, Kristian S.; Gwozdz, Wencke

    ). The consumer survey was conducted in four countries (Germany, Poland, Sweden, and United States) with approximately 1,000 respondents per country. The purpose of the survey was to explore consumption and psychological differences across markets and cultures. The collected data represents the empirical...... clothing consumption. One of the main results of the descriptive analyses was that the average consumer across all four countries purchased 5.74 clothing items worth €153.79 over a three-month period. Interestingly, country differences were observed in relation to consumption volume, spending, preferred...

  4. Maine Students Learn to Appreciate Diversity.

    Science.gov (United States)

    Flood, Pamela S.

    1994-01-01

    The Maine studies program at a rural Maine middle school begins in the sixth grade and expands through the eighth grade. Students camp out, explore Maine's geography, and learn about themselves, their state's history, and the state's diverse populations. Two multischool programs, Exchanging Maine's Cultures and the Curriculum Integration…

  5. Comparing Predictions and Outcomes : Theory and Application to Income Changes

    NARCIS (Netherlands)

    Das, J.W.M.; Dominitz, J.; van Soest, A.H.O.

    1997-01-01

    Household surveys often elicit respondents' intentions or predictions of future outcomes. The survey questions may ask respondents to choose among a selection of (ordered) response categories. If panel data or repeated cross-sections are available, predictions may be compared with realized outcomes.

  6. Branding Your Post-School Outcomes Data Collection Process

    Science.gov (United States)

    National Post-School Outcomes Center, 2013

    2013-01-01

    The purpose of "Branding your Post-School Outcomes Data Collection Process" is to help state education agencies create brand recognition with youths, families, and school personnel for the post-school outcomes survey. Recognition--paired with information about the survey purpose, who is conducting the interview, and how the information…

  7. Year 2011 Satisfaction Survey in Shanghai Region on After-Sales Service of Main Invasive ventilator Suppliers%2011年度上海地区有创呼吸设备主流厂商售后服务满意度调查及启示

    Institute of Scientific and Technical Information of China (English)

    郑蕴欣; 汪黎君; 李斌; 蔡圣浩

    2013-01-01

    目的:得到上海二级以上医院对有创呼吸机从设备安装、维护到维修等一系列服务满意度的基本信息,进一步了解有关维修服务方面亟待解决的问题.方法:问卷调查上海地区82家二级以上医院的有创呼吸机2011年的售后服务满意度.结果:有创呼吸类设备整体满意度较往年有普遍性的提高.结论:满意度结果的改善表明各家供应商对售后服务工作足够重视并努力改善,这对供应商售后服务管理是一个成功的尝试.%Objective To collect the satisfaction survey data from level 2 above hospitals in Shanghai on invasive ventilator after-sales service including installation,maintenance and repair activities,and understand the key problem from aftersales service aspect.Methods The questionnaire survey was performed on after-sales service satisfaction in 2011 among 82level 2 above hospitals holding invasive ventilators.Results Overall satisfaction of service on invasive ventilator was increased in general.Conclusion Satisfaction survey result proves all suppliers pay enough attention and effort on aftersales service,which is a good trial to manage service quality of supplier.

  8. Integrated geophysical investigations of Main Barton Springs, Austin, Texas, USA

    Science.gov (United States)

    Saribudak, By Mustafa; Hauwert, Nico M.

    2017-03-01

    Barton Springs is a major discharge site for the Barton Springs Segment of the Edwards Aquifer and is located in Zilker Park, Austin, Texas. Barton Springs actually consists of at least four springs. The Main Barton Springs discharges into the Barton Springs pool from the Barton Springs fault and several outlets along a fault, from a cave, several fissures, and gravel-filled solution cavities on the floor of the pool west of the fault. Surface geophysical surveys [resistivity imaging, induced polarization (IP), self-potential (SP), seismic refraction, and ground penetrating radar (GPR)] were performed across the Barton Springs fault and at the vicinity of the Main Barton Springs in south Zilker Park. The purpose of the surveys was two-fold: 1) locate the precise location of submerged conduits (caves, voids) carrying flow to Main Barton Springs; and 2) characterize the geophysical signatures of the fault crossing Barton Springs pool. Geophysical results indicate significant anomalies to the south of the Barton Springs pool. A majority of these anomalies indicate a fault-like pattern, in front of the south entrance to the swimming pool. In addition, resistivity and SP results, in particular, suggest the presence of a large conduit in the southern part of Barton Springs pool. The groundwater flow-path to the Main Barton Springs could follow the locations of those resistivity and SP anomalies along the newly discovered fault, instead of along the Barton Springs fault, as previously thought.

  9. SURVEY AND RESTORATION

    Directory of Open Access Journals (Sweden)

    C. Mileto

    2017-05-01

    Full Text Available In addition to the technological evolution over the last two centuries, survey has experienced two main conceptual leaps: the introduction of photography as a tool for an indiscriminate register for reality, and the shift from autographic to allographic survey, phenomena which can generate a distancing effect within the restoration process. Besides, this text presents the relationship between survey in its numerous forms and technologies (manual and semi-manual to more complex ones like scanner-laser and the restoration of the building, either for establishing a diagnosis, operating or valorizating, illustrating it with examples developed by the authors, as well as the criteria to be applied when documenting a building to be restored, irrespective of the means and technology available in each case.

  10. Surveying Humaness

    DEFF Research Database (Denmark)

    Markussen, Randi; Gad, Christopher

    Christopher Gad. Ph.d. Dept. of Information and Media Studies Randi Markussen. Associate Professor, Dept. of Information and Media Studies. rmark@imv.au.dk   Abstract:   Surveying humanness -politics of care improvement   For various reasons we both were subjected to a specific survey procedure...... and development of a large collection of biological and psychological symptoms and psycho-social problems. However, the surveys say nothing about how the information will be of use to the people who answer the procedure or how this scientific intervention will be put to use more specifically within the public...... carried out in a Danish county in order to improve treatment of people who have suffered from long-term illnesses. The surveys concern not only feed back on how people experience their present and past interaction with the social services and health care system; they also ask people to indicate the state...

  11. Surveying Humaness

    DEFF Research Database (Denmark)

    Markussen, Randi; Gad, Christopher

    Christopher Gad. Ph.d. Dept. of Information and Media Studies Randi Markussen. Associate Professor, Dept. of Information and Media Studies. rmark@imv.au.dk   Abstract:   Surveying humanness -politics of care improvement   For various reasons we both were subjected to a specific survey procedure...... and development of a large collection of biological and psychological symptoms and psycho-social problems. However, the surveys say nothing about how the information will be of use to the people who answer the procedure or how this scientific intervention will be put to use more specifically within the public...... be imagined as a positive end, as ‘making explicit’ (in a popular psychological perspective) is considered to be therapeutic and good in itself? We will discuss those questions from a Foucaultian and ANT perspective, where one does not accept that pre-existing subjects are exposed to survey procedures...

  12. Survey Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Cleaned and QCd data for the Fishing Effort Survey. Questions on fishing and other out are asked on weather and outdoor activity, including fishing trips. Used for...

  13. Integrated surveys of neglected tropical diseases in southern Sudan: how much do they cost and can they be refined?

    Directory of Open Access Journals (Sweden)

    Jan H Kolaczinski

    Full Text Available BACKGROUND: Increasing emphasis on integrated control of neglected tropical diseases (NTDs requires identification of co-endemic areas. Integrated surveys for lymphatic filariasis (LF, schistosomiasis and soil-transmitted helminth (STH infection have been recommended for this purpose. Integrated survey designs inevitably involve balancing the costs of surveys against accuracy of classifying areas for treatment, so-called implementation units (IUs. This requires an understanding of the main cost drivers and of how operating procedures may affect both cost and accuracy of surveys. Here we report a detailed cost analysis of the first round of integrated NTD surveys in Southern Sudan. METHODS AND FINDINGS: Financial and economic costs were estimated from financial expenditure records and interviews with survey staff using an ingredients approach. The main outcome was cost per IU surveyed. Uncertain variables were subjected to univariate sensitivity analysis and the effects of modifying standard operating procedures were explored. The average economic cost per IU surveyed was USD 40,206 or USD 9,573, depending on the size of the IU. The major cost drivers were two key categories of recurrent costs: i survey consumables, and ii personnel. CONCLUSION: The cost of integrated surveys in Southern Sudan could be reduced by surveying larger administrative areas for LF. If this approach was taken, the estimated economic cost of completing LF, schistosomiasis and STH mapping in Southern Sudan would amount to USD 1.6 million. The methodological detail and costing template provided here could be used to generate cost estimates in other settings and readily compare these to the present study, and may help budget for integrated and single NTDs surveys elsewhere.

  14. Los retos del convenio marco para el control del tabaco en México: un diagnóstico a partir de la Encuesta sobre Tabaquismo en Jóvenes Main challenges of the framework convention on tobacco control in Mexico: a surveillance report from the Global Youth Tobacco Survey

    Directory of Open Access Journals (Sweden)

    Raydel Valdés-Salgado

    2006-01-01

    Full Text Available OBJETIVO: Analizar la información de la Encuesta sobre Tabaquismo en Jóvenes (ETJ sobre consumo de cigarrillo y otros indicadores que resulten útiles para una medición inicial de las condiciones en que el país ratificó el Convenio Marco para el Control del Tabaco (CMCT. MATERIAL Y MÉTODOS: La ETJ usa un diseño de muestreo por conglomerado en dos etapas que genera muestras representativas de estudiantes de 12 a 15 años de las escuelas secundarias públicas, privadas y técnicas. Incluye 42 024 estudiantes de 492 escuelas en el periodo 2003-2005. Se aplicó un modelo de regresión logística y se obtuvieron razones de momios crudas y ajustadas. RESULTADOS: La prevalencia de fumadores en el mes anterior a la encuesta fue de 19.96% (IC95% 18.1-21.8. El índice de susceptibilidad de iniciarse en el consumo de cigarrillos fue de 25%. A 60% de los fumadores que compraron cigarrillos no les negaron la venta por ser menores de edad. El 54% de los estudiantes declara que está expuesto al humo de tabaco en lugares públicos y 86% ha visto anuncios de cigarrillos en exteriores en el mes previo a la encuesta. CONCLUSIÓN: Una intervención integral debe orientarse a impedir el acceso de los menores a los cigarrillos; dificultar el acto de fumar y prohibir toda forma de publicidad del tabaco. Asimismo, se deben ofrecer opciones a quienes deseen dejar de fumar y educar a los adolescentes y sus familias sobre los daños a la salud de los fumadores y no fumadores.OBJECTIVE: This study presents findings from the Global Youth Tobacco Survey (GYTS regarding current cigarette smoking and other tobacco epidemic indicators. MATERIAL AND METHODS: The GYTS used a two-stage cluster sample survey to generate representative samples of students aged 12 to 15 years old enrolled in public, private and technical schools. The survey was undertaken at 492 schools in 21 cities. The GYTS surveyed 42 024 students between the years 2003 and 2005. A logistic regression

  15. The Star-Forming Main Sequence at Low Galaxy Mass

    Science.gov (United States)

    Stierwalt, Sabrina; Johnson, Kelsey E.; Patton, David R.; Besla, Gurtina; Kallivayalil, Nitya; Liss, Sandra; Pearson, Sarah; Privon, George C.; Putman, Mary E.

    2017-01-01

    We present an investigation of the star-forming main sequence at the low mass end. The relation between galaxy stellar mass and star formation rate has been well-studied in the recent literature for a range of redshifts and galaxy type, but almost all of these studies are limited to galaxies with stellar masses above the dwarf galaxy range ( 109 Msun ). Our work, based on the panchromatic TiNy Titans survey of interacting dwarf galaxies, shows that dwarf galaxies extend the well-established main sequence at z=0 down to lower masses. Furthermore, like their more massive counterparts, dwarf mergers appear on an elevated main sequence with higher star formation rates for a given stellar mass. Finally we show that star formation is enhanced to a greater extent in low mass galaxy mergers than for higher mass systems.

  16. PEP surveying procedures and equipment

    Energy Technology Data Exchange (ETDEWEB)

    Linker, F.

    1982-06-01

    The PEP Survey and Alignment System, which employs both laser-based and optical survey methods, is described. The laser is operated in conjunction with the Tektronix 4051 computer and surveying instruments such as ARM and SAM, system which is designed to automate data input, reduction, and production of alignment instructions. The laser system is used when surveying ring quadrupoles, main bend magnets, sextupoles, and is optional when surveying RF cavities and insertion quadrupoles. Optical methods usually require that data be manually entered into the computer for alignment, but in some cases, an element can be aligned using nominal values of fiducial locations without use of the computer. Optical surveying is used in the alignment of NIT and SIT, low field bend magnets, wigglers, RF cavities, and insertion quadrupoles.

  17. The Positive Effect of Resilience on Stress and Business Outcomes in Difficult Work Environments.

    Science.gov (United States)

    Shatté, Andrew; Perlman, Adam; Smith, Brad; Lynch, Wendy D

    2017-02-01

    To examine whether resilience has a protective effect in difficult work environments. A survey of 2063 individuals measured individual resilience, stress, burnout, sleep problems, likelihood of depression, job satisfaction, intent to quit, absences, and productivity. It also measured work characteristics: job demands, job influence, and social support. Multivariate and logistic regression models examined the main effects and interactions of resilience and job characteristics. High strain work environments (high demand, low influence, and low support) have an unfavorable effect on all outcomes. Resilience has a protective effect on all outcomes. For stress, burnout, and sleep, higher resilience has a more protective effect under low-strain conditions. For depression, absence and productivity, resilience has a more protective effect when job strain is high. Workers with high resilience have better outcomes in difficult work environments.

  18. Reson 8101ER Multibeam Sonar Data from Cruise AHI0605 - Main Hawaiian Islands

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Reson 8101ER multibeam Data were collected in 19-24 April and 28 April-11 May 2006 aboard NOAA Survey Launch Acoustic Habitat Investigator (AHI) in the Main Hawaiian...

  19. CRED REA Coral Population Parameters at Niihau, Main Hawaiian Islands, 2005

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Belt transects along 2 consecutively-placed, 25m transect lines were surveyed as part of Rapid Ecological Assessments conducted at 9 sites at Niihau in the Main...

  20. Reson 8101ER Multibeam Sonar Data from Cruise AHI1012 - Oahu, Main Hawaiian Islands

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Reson 8101ER multibeam Data were collected on December, 13 and December, 14, 2010 aboard NOAA Survey Launch Acoustic Habitat Investigator (AHI) in the Main Hawaiian...

  1. Reson 8101ER Multibeam Sonar Data from Cruise AHI1502 - Oahu, Main Hawaiian Islands

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Reson 8101ER multibeam Data were collected on April 24, 2015 aboard NOAA Survey Launch Acoustic Habitat Investigator (AHI) in the Main Hawaiian Islands at Oahu...

  2. 30 CFR 57.6160 - Main facilities.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Main facilities. 57.6160 Section 57.6160...-Underground Only § 57.6160 Main facilities. (a) Main facilities used to store explosive material underground... facilities will not prevent escape from the mine, or cause detonation of the contents of another storage...

  3. Ramadan, Fasting and Educational Outcomes

    Science.gov (United States)

    Oosterbeek, Hessel; van der Klaauw, Bas

    2013-01-01

    Using a difference-in-differences framework, we estimate the impact of Ramadan on educational outcomes of Muslim students living in a non-Muslim country. For identification we exploit that the number of Ramadan weeks during the course that we study, varies from year to year, ranging from zero to four. Our main finding is that Ramadan observance…

  4. Ramadan, Fasting and Educational Outcomes

    Science.gov (United States)

    Oosterbeek, Hessel; van der Klaauw, Bas

    2013-01-01

    Using a difference-in-differences framework, we estimate the impact of Ramadan on educational outcomes of Muslim students living in a non-Muslim country. For identification we exploit that the number of Ramadan weeks during the course that we study, varies from year to year, ranging from zero to four. Our main finding is that Ramadan observance…

  5. Korean Clinic Based Outcome Measure Studies

    Directory of Open Access Journals (Sweden)

    Jongbae Park

    2003-02-01

    Full Text Available Background: Evidence based medicine has become main tools for medical practice. However, conducting a highly ranked in the evidence hierarchy pyramid is not easy or feasible at all times and places. There remains a room for descriptive clinical outcome measure studies with admitting the limit of the intepretation. Aims: Presents three Korean clinic based outcome measure studies with a view to encouraging Korean clinicians to conduct similar studies. Methods: Three studies are presented briefly here including 1 Quality of Life of liver cancer patients after 8 Constitutional acupuncture; 2 Developing a Korean version of Measuring yourself Medical Outcome profile (MYMOP; and 3 Survey on 5 Shu points: a pilot In the first study, we have included 4 primary or secondary liver cancer patients collecting their diagnostic X-ray film and clinical data f개m their hospital, and asked them to fill in the European Organization Research and Treatment of Cancer, Quality of Life Questionnaire before the commencement of the treatment. The acupuncture treatment is set up format but not disclosed yet. The translation and developing a Korean version of outcome measures that is Korean clinician friendly has been sought for MYMOP is one of the most appropriate one. The permission was granted, the translation into Korean was done, then back translated into English only based on the Korean translation by the researcher who is bilingual in both languages. The back translation was compared by the original developer of MYMOP and confirmed usable. In order to test the existence of acupoints and meridians through popular forms of Korean acupuncture regimes, we aim at collecting opinions from 101 Korean clinicians that have used those forms. The questions asked include most effective symptoms, 5 Shu points, points those are least likely to use due to either adverse events or the lack of effectiveness, theoretical reasons for the above proposals, proposing outcome measures

  6. 2012 mba.com Prospective Students Survey. Survey Report. The GMAC[R] Survey Series

    Science.gov (United States)

    Schoenfeld, Gregg

    2012-01-01

    This 2012 mba.com Prospective Students Survey Report explores the motivations, behaviors, program choices, and intended career outcomes of individuals who expressed a desire to further their education in a graduate business program. More than 16,000 prospective business school students who registered on mba.com shared their opinions, preferences,…

  7. Maine Offshore Free-air Anomaly Gravity

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The gravity station data (5,363 records) were compiled by the U. S. Geological Survey. This data base was received on February 23, 1993. Principal gravity parameters...

  8. Maine Onshore Complete Bouguer Gravity Anomaly Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The gravity station data (18,461 records) were compiled by the U. S. Geological Survey. This data base was received on February 23, 1993. Principal gravity...

  9. A quick guide to survey research.

    Science.gov (United States)

    Jones, T L; Baxter, M A J; Khanduja, V

    2013-01-01

    Questionnaires are a very useful survey tool that allow large populations to be assessed with relative ease. Despite a widespread perception that surveys are easy to conduct, in order to yield meaningful results, a survey needs extensive planning, time and effort. In this article, we aim to cover the main aspects of designing, implementing and analysing a survey as well as focusing on techniques that would improve response rates.

  10. Engineering surveying

    CERN Document Server

    Schofield, W

    2007-01-01

    Engineering surveying involves determining the position of natural and man-made features on or beneath the Earth's surface and utilizing these features in the planning, design and construction of works. It is a critical part of any engineering project. Without an accurate understanding of the size, shape and nature of the site the project risks expensive and time-consuming errors or even catastrophic failure.Engineering Surveying 6th edition covers all the basic principles and practice of this complex subject and the authors bring expertise and clarity. Previous editions of this classic text have given readers a clear understanding of fundamentals such as vertical control, distance, angles and position right through to the most modern technologies, and this fully updated edition continues that tradition.This sixth edition includes:* An introduction to geodesy to facilitate greater understanding of satellite systems* A fully updated chapter on GPS, GLONASS and GALILEO for satellite positioning in surveying* Al...

  11. Adverse outcomes after colposcopy

    Directory of Open Access Journals (Sweden)

    Damery Sarah L

    2011-01-01

    Full Text Available Abstract Background Colposcopy is an essential part of the National Health Service Cervical Screening Programme (NHSCSP. It is used for both diagnosis and treatment of pre-cancerous cells of the cervix. Despite colposcopy being a commonly performed and relatively invasive procedure, very little research has explored the potential long-term impacts of colposcopic examination upon patient quality of life. The aim of this study is to investigate and quantify any potential reduction in women's quality of life following a colposcopy procedure. More specifically, the degree of female sexual dysfunction and the excess risk of adverse events in those undergoing colposcopy will be explored. If such risks are identified, these can be communicated to women before undergoing colposcopy. It will also assist in identifying whether there are particular sub-groups at greater risk and if so, this may lead to a re-evaluation of current recommendations concerning colposcopically directed treatments. Methods/design Cohort study using postal surveys to assess sexual function and quality of life in women who have attended for colposcopy (cases, compared with those who have not attended colposcopy (controls. The prevalence and excess risk of female sexual dysfunction will be determined. Logistic regression will identify the predictors of adverse outcomes. Discussion There are more than 400,000 colposcopy appointments each year in England, of which 134,000 are new referrals. There is some evidence that there may be long-term implications for women treated under colposcopy with respect to adverse obstetric outcomes, persisting anxiety, increased rates of sexual dysfunction and reduced quality of life. Reliably establishing whether such adverse outcomes exist and the excess risk of adverse events will facilitate informed decision-making and patient choice.

  12. Distribution of the main malaria vectors in Kenya

    Directory of Open Access Journals (Sweden)

    Hay Simon I

    2010-03-01

    Full Text Available Abstract Background A detailed knowledge of the distribution of the main Anopheles malaria vectors in Kenya should guide national vector control strategies. However, contemporary spatial distributions of the locally dominant Anopheles vectors including Anopheles gambiae, Anopheles arabiensis, Anopheles merus, Anopheles funestus, Anopheles pharoensis and Anopheles nili are lacking. The methods and approaches used to assemble contemporary available data on the present distribution of the dominant malaria vectors in Kenya are presented here. Method Primary empirical data from published and unpublished sources were identified for the period 1990 to 2009. Details recorded for each source included the first author, year of publication, report type, survey location name, month and year of survey, the main Anopheles species reported as present and the sampling and identification methods used. Survey locations were geo-positioned using national digital place name archives and on-line geo-referencing resources. The geo-located species-presence data were displayed and described administratively, using first-level administrative units (province, and biologically, based on the predicted spatial margins of Plasmodium falciparum transmission intensity in Kenya for the year 2009. Each geo-located survey site was assigned an urban or rural classification and attributed an altitude value. Results A total of 498 spatially unique descriptions of Anopheles vector species across Kenya sampled between 1990 and 2009 were identified, 53% were obtained from published sources and further communications with authors. More than half (54% of the sites surveyed were investigated since 2005. A total of 174 sites reported the presence of An. gambiae complex without identification of sibling species. Anopheles arabiensis and An. funestus were the most widely reported at 244 and 265 spatially unique sites respectively with the former showing the most ubiquitous distribution

  13. Assessing the Main-Belt Comet Population with Comet Hunters

    Science.gov (United States)

    Schwamb, Megan E.; Hsieh, Henry H.; Zhang, Zhi-Wei; Chen, Ying-Tung; Lintott, Chris; Wang, Shiang-Yu; Mishra, Ishan

    2017-01-01

    Cometary activity in the asteroid belt is a recent discovery. Evidence suggests recent collisions play a role excavating subsurface water ice in these Main Belt Comets (MBCs). MBCs may be an alternative source of Earth’s water. The properties and origins of the MBCs remain elusive. To date ~15 MBCs are known, but only with many tens to 100s of MBCs can we fully explore this new reservoir and its implications for the early Earth.Automated routines identify cometary objects by comparing the point spread functions (PSFs) of moving objects to background stars. This approach may miss cometary activity with low-level dust comae or trails that are too weak or extended to affect an object's near-nucleus PSF profile. Direct visual inspection of moving objects by survey team members can often catch such unusual objects, but such an approach is impractical for the largest surveys to date, and will only become more intractable with the next generation wide-field surveys.With the Internet, tens of thousands of people can be engaged in the scientific process. With this citizen science approach, the combined assessment of many non-experts often equals or rivals that of a trained expert and in many cases outperforms automated algorithms. The Comet Hunters (http://www.comethunters.org) project enlists the public to search for MBCs in data from the Hyper Suprime-Cam (HSC) wide survey. HSC is to date the largest field-of-view camera (covering a 1.5 degree diameter circle on sky) on a 8-10-m class telescope. The HSC wide survey provides the sensitivity to detect cometary activity at lower levels than have been possible for previous surveys.We will give an overview of the Comet Hunters project. We will present the results from the first ~10,000 HSC asteroids searched and provide an estimate on the frequency of cometary activity in the Main Asteroid beltAcknowledgements: This work uses data generated via the Zooniverse.org platform, development of which was supported by a Global

  14. Clinimetrics & determinants of outcome after stroke

    NARCIS (Netherlands)

    Schepers, V.P.M.

    2006-01-01

    This thesis is based on findings of the Functional Prognostication and disability study on stroke, which had two main objectives: (1) to examine which outcome measures are most appropriate, and especially most responsive, for the assessment of functional outcome in stroke patients and (2) to study p

  15. Mapping health outcomes from ecosystem services

    NARCIS (Netherlands)

    Keune, Hans; Oosterbroek, Bram; Derkzen, Marthe; Subramanian, Suneetha; Payyappalimana, Unnikrishnan; Martens, Pim; Huynen, Maud; Burkhard, Benjamin; Maes, Joachim

    The practice of mapping ecosystem services (ES) in relation to health outcomes is only in its early developing phases. Examples are provided of health outcomes, health proxies and related biophysical indicators. This chapter also covers main health mapping challenges, design options and

  16. Happiness Survey

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Are Chinese people happy in today’s fast-paced, modern society? What are the sources of their happiness? In today’s rapidly developing economy, is happiness closely related to wealth or not? A recent happiness survey conducted in China gives some answers.

  17. 2011年度上海地区内窥镜设备主流厂商售后服务满意度调查报告%Year 2011 Satisfaction Survey in Shanghai Region on After-Sales Service of Main Endoscope Suppliers

    Institute of Scientific and Technical Information of China (English)

    徐梓添; 李斌; 汪黎君; 郇蕴欣

    2013-01-01

    为促进相关医疗设备厂家不断完善售后服务,上海地区第5年开展了医疗设备售后服务满意度调查.从此次内窥镜类设备的品牌占有率、厂商整体满意度、分项满意度和5a历史综合满意度等方面入手,统计分析各项数据指标,使各厂商的售后服务现状大体上展示在各医疗单位面前,从而能够积极引导各厂商提高自身售后服务的各项水平和能力,共建一个和谐的售后服务市场.%In order to enhance after-sales service of suppliers,the fifth satisfaction survey on after-sales service is initiated in Shanghai region,which structures from endoscope market share,overall satisfaction,items satisfaction and historical satisfaction in the past 5 years,with all indexes collected and analyzed.The overall pictures of after-sales service from all suppliers are provided to hospitals,which leads suppliers to improve service quality and capability,and to establish a harmonic after-sales service market.[Chinese Medical Equipment Journal,2013,34 (5):104-105,110

  18. Exploring community pharmacists' experiences of surveying patients for drug utilization research purposes

    DEFF Research Database (Denmark)

    Frisk, Pia; Bergman, Ulrika; Kälvemark Sporrong, Sofia

    2015-01-01

    Background Patient self-reported data are important in drug utilization research, but often logistically difficult to collect. During 2006–2012, 72 Swedish community pharmacies regularly collected such data through structured survey interviews at the pharmacy counter, performed by the dispensing...... pharmacists. This study is part of a validation of that data acquisition method. Objectives (1) To explore the experiences of the pharmacists involved, (2) to explore a random or systematic exclusion of eligible patients by the pharmacists, and (3) to find areas of improvement to the applied method...... of the pharmacies. Main outcome measure Proportions of pharmacists reporting positive and negative experiences of structured survey interviews, the nature of their experiences, proportion of pharmacists reporting to avoid survey interviews and reasons for doing so, and suggested areas of improvement. Results...

  19. Survey on Risk Factors for Adverse Pregnancy Outcomes in Patients with Gestational Diabetes Mellitus%妊娠糖尿病患者相关不良妊娠结局危险因素调查

    Institute of Scientific and Technical Information of China (English)

    王霞

    2015-01-01

    Objective To diagnoses the risk factors for adverse pregnancy outcomes in patients with gestational diabetes melitus.Methods 200 patients with gestational diabetes melitus in our hospital from May 2014 to May 2015 were selected , 100 cases were adverse pregnancy among them and another 100 cases were normal labor. Adverse pregnancy outcome risk factors were analysised. Results Adverse pregnancy risk factors including pregnant women over 35 years of age, low education, medication, unexpected pregnancy, etc. after analysis and discovery, among the factors, the greatest risk factor was the history of accidental pregnancy and the history of polution of the environment. Conclusion Influence factors of adverse pregnancy outcome of patients with gestational diabetes melitus were more, it should pay attention to the history of accidents and polution of the environment and the history of the contact population particularly,in order to ensure delivery safety.%目的 对妊娠糖尿病患者相关不良妊娠结局的危险因素进行调查分析.方法 选取我院在2014年5月~2015年5月接收的200例妊娠糖尿病患者,其中100例不良妊娠,另外100例正常分娩.对不良妊娠结局危险因素分析.结果 经过分析发现,不良妊娠危险因素包括:孕妇35岁以上、学历低、用药、意外妊娠等等,其中在多因素分析中,意外妊娠史和污染环境接触史为最大危险因素.结论 妊娠糖尿病患者不良妊娠结局影响因素比较多,尤其要注重意外妊娠史和有污染环境接触史的人群,确保分娩安全.

  20. What Are Probability Surveys?

    Science.gov (United States)

    The National Aquatic Resource Surveys (NARS) use probability-survey designs to assess the condition of the nation’s waters. In probability surveys (also known as sample-surveys or statistical surveys), sampling sites are selected randomly.

  1. Riigikogu maine ja armastus / Aune Past

    Index Scriptorium Estoniae

    Past, Aune, 1954-

    2007-01-01

    Autor arutleb Riigikogu maine üle, toetudes TÜ ajakirjanduse ja kommunikatsiooni osakonna 2007. aastal tehtud uuringu tulemustele. Riigikogu liikmete maine paraneks, kui neil endil oleks selge, mis eesmärgil Toompeale mindi ja sellest siis ka rahvale kõneldaks

  2. Riigikogu maine ja armastus / Aune Past

    Index Scriptorium Estoniae

    Past, Aune, 1954-

    2007-01-01

    Autor arutleb Riigikogu maine üle, toetudes TÜ ajakirjanduse ja kommunikatsiooni osakonna 2007. aastal tehtud uuringu tulemustele. Riigikogu liikmete maine paraneks, kui neil endil oleks selge, mis eesmärgil Toompeale mindi ja sellest siis ka rahvale kõneldaks

  3. 78 FR 34701 - Maine Disaster #ME-00037

    Science.gov (United States)

    2013-06-10

    ... ADMINISTRATION Maine Disaster ME-00037 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Maine dated 05/30/2013. Incident: Commercial and Residential Building Complex Fire. Incident Period: 05/03/2013. Effective Date:...

  4. 78 FR 34701 - Maine Disaster #ME-00036

    Science.gov (United States)

    2013-06-10

    ... ADMINISTRATION Maine Disaster ME-00036 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Maine dated 05/30/2013. Incident: Apartment Complex Fire. Incident Period: 04/29/2013. Effective Date: 05/30/2013. Physical...

  5. Maine's Employability Skills Program

    Science.gov (United States)

    McMahon, John M.; Wolffe, Karen E.; Wolfe, Judy; Brooker, Carrie

    2013-01-01

    This Practice Report describes the development and implementation of the "Maine Employability Skills Program," a model employment program developed by the Maine Division for the Blind and Visually Impaired (DBVI). The program was designed to support the efforts of the chronically unemployed or underemployed. These consumers were either…

  6. A deep space inventory tour of the main asteroid belt

    DEFF Research Database (Denmark)

    Gibbings, Alison; Bowles, Neil; Snodgrass, Colin

    2016-01-01

    A consortium of international scientists and industry partners are proposing the Main Belt Inventory Mission as a candidate in the next forthcoming ESA medium class mission call. The inventory mission will characterise a broad range of statistically significant asteroid samples throughout the Main...... Asteroid Belt (MAB). A 0.5 m aperture space-based telescope will conduct a detailed spectroscopic survey, observing thousands of objects from a range of 0.1-0.5 AU, and perform basic flybys of pre-selected targets. Each flyby will target an asteroid of a different size, taxonomic (sub)classes and orbital...... families, where spatially resolved spectral mapping and spectroscopy will be performed. Smaller and fainter passing targets will also be discovered, through opportunistic science, with dedicated star tracker-like cameras. Examining the compositional diversity across the asteroid population will provide...

  7. Onychomycosis. A Mexican survey.

    Science.gov (United States)

    Arenas, Roberto; Bonifaz, Alexandro; Padilla, Ma Carmen; Arce, Martín; Atoche, Carlos; Barba, José; Campos, Pablo; Fernández, Ramón; Mayorga, Jorge; Nazar, Dulce; Ocampo, Jorge

    2010-01-01

    Onychomycosis is a nail infection caused by dermatophytes, Candida and molds. We aimed to obtain an estimated frequency of onychomycosis in out-patients in private practice through a survey in ten representative cities of Mexico. 12,637 ambulatory patients voluntarily agreed to participate in this National Survey, answering 17 questions on onychomycosis, regardless if they had or did not have any clinical suspicion of onychomycosis. 53% of them were seen for the first time and their main complaint was not onychomycosis. The study was performed in the private offices of 300 physicians in different cities. 48% were clinically diagnosed with onychomycosis. Toenails were affected in 88%, fingernails in 5% and both in 7%. Onychomycosis was diagnosed more frequently in the nails of the first toes and of the thumbs. The main complaint was nail thickening and aesthetic changes. Other associated diseases were diabetes (22%) and arterial hypertension (21%). This survey showed the high frequency of onychomycosis. An intentional search with mycological confirmation is needed in out-patients attending general practice with other complaints, to detect undiagnosed cases.

  8. Survey Expectations

    OpenAIRE

    Martin Weale

    2005-01-01

    This paper focusses on survey expectations and discusses their uses for testing and modeling of expectations. Alternative models of expectations formation are reviewed and the importance of allowing for heterogeneity of expectations is emphasized. A weak form of the rational expectations hypothesis which focusses on average expectations rather than individual expectations is advanced. Other models of expectations formation, such as the adaptive expectations hypothesis, are briefly discussed. ...

  9. Survey Expectations

    OpenAIRE

    Pesaran, M.H.; Weale, M.

    2005-01-01

    This paper focuses on survey expectations and discusses their uses for testing and modeling of expectations. Alternative models of expectations formation are reviewed and the importance of allowing for heterogeneity of expectations is emphasized. A weak form of the rational expectations hypothesis which focuses on average expectations rather than individual expectations is advanced. Other models of expectations formation, such as the adaptive expectations hypothesis, are briefly discussed. Te...

  10. Survey expectations

    OpenAIRE

    Pesaran, Mohammad Hashem; Weale, Martin R.

    2005-01-01

    This paper focuses on survey expectations and discusses their uses for testing and modeling of expectations. Alternative models of expectations formation are reviewed and the importance of allowing for heterogeneity of expectations is emphasized. A weak form of the rational expectations hypothesis which focuses on average expectations rather than individual expectations is advanced. Other models of expectations formation, such as the adaptive expectations hypothesis, are briefly discussed. Te...

  11. Distributions of Quasar Hosts on the Galaxy Main Sequence Plane

    Science.gov (United States)

    Zhang, Zhoujian; Shi, Yong; Rieke, George H.; Xia, Xiaoyang; Wang, Yikang; Sun, Bingqing; Wan, Linfeng

    2016-03-01

    The relation between star formation rates (SFRs) and stellar masses, i.e., the galaxy main sequence, is a useful diagnostic of galaxy evolution. We present the distributions relative to the main sequence of 55 optically selected PG and 12 near-IR-selected Two Micron All Sky Survey (2MASS) quasars at z ≤ 0.5. We estimate the quasar host stellar masses from Hubble Space Telescope or ground-based AO photometry, and the SFRs through the mid-infrared aromatic features and far-IR photometry. We find that PG quasar hosts more or less follow the main sequence defined by normal star-forming galaxies while 2MASS quasar hosts lie systematically above the main sequence. PG and 2MASS quasars with higher nuclear luminosities seem to have higher specific SFRs (sSFRs), although there is a large scatter. No trends are seen between sSFRs and SMBH masses, Eddington ratios, or even morphology types (ellipticals, spirals, and mergers). Our results could be placed in an evolutionary scenario with quasars emerging during the transition from ULIRGs/mergers to ellipticals. However, combined with results at higher redshift, they suggest that quasars can be widely triggered in normal galaxies as long as they contain abundant gas and have ongoing star formation.

  12. Surveying Education

    DEFF Research Database (Denmark)

    Enemark, Stig

    2009-01-01

    In relation to surveying education there is one big question to be asked: Is the role of the surveyors changing? In a global perspective the answer will be "Yes". There is a big swing that could be entitled "From Measurement to Management". This does not imply that measurement is no longer a rele...... on an efficient interaction between education, research, and professional practice.......In relation to surveying education there is one big question to be asked: Is the role of the surveyors changing? In a global perspective the answer will be "Yes". There is a big swing that could be entitled "From Measurement to Management". This does not imply that measurement is no longer....... In surveying education there are a range of other challenges to be faced. These relate to the focus on learning to learn; the need for flexible curriculum to deal with constant change; the move towards introducing virtual academy; the demand for creating a quality culture; and the perspective of lifelong...

  13. The Princeton Variability Survey

    CERN Document Server

    Blake, C

    2002-01-01

    The Princeton Variability Survey (PVS) is a robotic survey which makes use of readily available, ``off-the-shelf'' type hardware products, in conjunction with a powerful set of commercial software products, in order to monitor and discover variable objects in the night sky. The main goal of the PVS has been to devise an automated telescope and data reduction system, requiring only moderate technical and financial resources to assemble, which may be easily replicated by the dedicated amateur, a student group, or a professional and used to study and discover a variety of variable objects, such as stars. This paper describes the hardware and software components of the PVS device, as well as observational results from the initial season of the PVS, including the discovery of a new bright variable star.

  14. Clinical and radiographic outcomes following traumatic Grade 1 and 2 carotid artery injuries: a 10-year retrospective analysis from a Level I trauma center. The Parkland Carotid and Vertebral Artery Injury Survey.

    Science.gov (United States)

    Scott, William W; Sharp, Steven; Figueroa, Stephen A; Eastman, Alexander L; Hatchette, Charles V; Madden, Christopher J; Rickert, Kim L

    2015-05-01

    Proper screening, management, and follow-up of Grade 1 and 2 blunt carotid artery injuries (BCIs) remains controversial. These low-grade BCIs were analyzed to define their natural history and establish a rational management plan based on lesion progression and cerebral infarction. A retrospective review of a prospectively maintained database of all blunt traumatic carotid and vertebral artery injuries treated between August 2003 and April 2013 was performed and Grade 1 and 2 BCIs were identified. Grade 1 injuries are defined as a vessel lumen stenosis of less than 25%, and Grade 2 injuries are defined as a stenosis of the vessel lumen between 25% and 50%. Demographic information, radiographic imaging, number of imaging sessions performed per individual, length of radiographic follow-up, radiographic outcome at end of follow-up, treatment(s) provided, and documentation of ischemic stroke or transient ischemic attack were recorded. One hundred seventeen Grade 1 and 2 BCIs in 100 patients were identified and available for follow-up. The mean follow-up duration was 60 days. Final imaging of Grade 1 and 2 BCIs demonstrated that 64% of cases had resolved, 13% of cases were radiographically stable, and 9% were improved, whereas 14% radiographically worsened. Of the treatments received, 54% of cases were treated with acetylsalicylic acid (ASA), 31% received no treatment, and 15% received various medications and treatments, including endovascular stenting. There was 1 cerebral infarction that was thought to be related to bilateral Grade 2 BCI, which developed soon after hospital admission. The majority of Grade 1 and 2 BCIs remained stable or improved at final follow-up. Despite a 14% rate of radiographic worsening in the Grade 1 and 2 BCIs cohort, there were no adverse clinical outcomes associated with these radiographic changes. The stroke rate was 1% in this low-grade BCIs cohort, which may be an overestimate. The use of ASA or other antiplatelet or anticoagulant

  15. The effect of cigarette and alcohol consumption on birth outcomes

    DEFF Research Database (Denmark)

    Wüst, Miriam

    This paper uses Danish survey and register data to examine the effect of maternal inputs on child health at birth. The paper adds to the literature in several ways: First, while previous studies mainly have focused on maternal smoking, this paper factors in a larger number of maternal health...... by exploiting variation between siblings. The results of the paper confirm and extend earlier findings. Maternal smoking decreases birth weight and fetal growth, with smaller effects in sibling models. The negative alcohol effect on birth outcomes is pronounced and remains intact in sibling models. Both effects...... suggest a dose-response relationship. Robustness checks suggest that the sibling sample represents the population of multiple mothers well and that smoking results are not driven by misclassification of smoking status....

  16. The Distribution of Basaltic Asteroids in the Main Belt

    CERN Document Server

    Moskovitz, Nicholas A; Gaidos, Eric; Willman, Mark; Nesvorny, David; Fevig, Ronald; Ivezic, Zeljko

    2008-01-01

    We present the observational results of a survey designed to target and detect asteroids whose colors are similar to those of Vesta family members and thus may be considered as candidates for having a basaltic composition. Fifty basaltic candidates were selected with orbital elements that lie outside of the Vesta dynamical family. Optical and near-infrared spectra were used to assign a taxonomic type to 11 of the 50 candidates. Ten of these were spectroscopically confirmed as V-type asteroids, suggesting that most of the candidates are basaltic and can be used to constrain the distribution of basaltic material in the Main Belt. Using our catalog of V-type candidates and the success rate of the survey, we calculate unbiased size-frequency and semi-major axis distributions of V-type asteroids. These distributions, in addition to an estimate for the total mass of basaltic material, suggest that Vesta was the predominant contributor to the basaltic asteroid inventory of the Main Belt, however scattered planetesim...

  17. How Important Are High Response Rates for College Surveys?

    Science.gov (United States)

    Fosnacht, Kevin; Sarraf, Shimon; Howe, Elijah; Peck, Leah K.

    2017-01-01

    Surveys play an important role in understanding the higher education landscape. About 60 percent of the published research in major higher education journals utilized survey data (Pike, 2007). Institutions also commonly use surveys to assess student outcomes and evaluate programs, instructors, and even cafeteria food. However, declining survey…

  18. How Important Are High Response Rates for College Surveys?

    Science.gov (United States)

    Fosnacht, Kevin; Sarraf, Shimon; Howe, Elijah; Peck, Leah K.

    2017-01-01

    Surveys play an important role in understanding the higher education landscape. About 60 percent of the published research in major higher education journals utilized survey data (Pike, 2007). Institutions also commonly use surveys to assess student outcomes and evaluate programs, instructors, and even cafeteria food. However, declining survey…

  19. Crowdsourcing Predictors of Behavioral Outcomes

    CERN Document Server

    Bongard, Josh C; Conger, Dylan; Hurd, Peter; Lu, Zhenyu

    2012-01-01

    Generating models from large data sets -- and determining which subsets of data to mine -- is becoming increasingly automated. However choosing what data to collect in the first place requires human intuition or experience, usually supplied by a domain expert. This paper describes a new approach to machine science which demonstrates for the first time that non-domain experts can collectively formulate features, and provide values for those features such that they are predictive of some behavioral outcome of interest. This was accomplished by building a web platform in which human groups interact to both respond to questions likely to help predict a behavioral outcome and pose new questions to their peers. This results in a dynamically-growing online survey, but the result of this cooperative behavior also leads to models that can predict user's outcomes based on their responses to the user-generated survey questions. Here we describe two web-based experiments that instantiate this approach: the first site led...

  20. Outcomes of unrelated cord blood transplantation in patients with multiple myeloma: a survey on behalf of Eurocord, the Cord Blood Committee of Cellular Therapy and Immunobiology Working Party, and the Chronic Leukemia Working Party of the EBMT

    Science.gov (United States)

    Paviglianiti, Annalisa; Xavier, Erick; Ruggeri, Annalisa; Ceballos, Patrice; Deconinck, Eric; Cornelissen, Jan J.; Nguyen-Quoc, Stephanie; Maillard, Natacha; Sanz, Guillermo; Rohrlich, Pierre-Simon; Garderet, Laurent; Volt, Fernanda; Rocha, Vanderson; Kroeger, Nicolaus; Gluckman, Eliane; Fegueux, Nathalie; Mohty, Mohamad

    2016-01-01

    Although allogeneic stem cell transplantation is not a standard therapy for multiple myeloma, some patients can benefit from this intense therapy. There are few reports on outcomes after umbilical cord blood transplantation in multiple myeloma, and investigation of this procedure is warranted. We retrospectively analyzed 95 patients, 85 with multiple myeloma and 10 with plasma cell leukemia, receiving single or double umbilical cord blood transplantation from 2001 to 2013. Median follow up was 41 months. The majority of patients received a reduced intensity conditioning. The cumulative incidence of neutrophil engraftment was 97%±3% at 60 days, and that of 100-day acute graft-versus-host disease grade II-IV was 41%±5%. Chronic graft-versus-host disease at two years was 22%±4%. Relapse and non-relapse mortality was 47%±5% and 29%±5% at three years, respectively. Three-year progression-free survival and overall survival were 24%±5% and 40%±5%, respectively. Anti-thymocyte globulin was associated with decreased incidence of acute graft-versus-host disease, higher non-relapse mortality, decreased overall and progression-free survival. Patients with high cytogenetic risk had higher relapse, and worse overall and progression-free survival. In conclusion, umbilical cord blood transplantation is feasible for multiple myeloma patients. PMID:27229716

  1. Alcid Nesting Habitat on the Maine Coast

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Maine supports an extensive seabird population because of the abundance of relatively inaccessible rocky coastal islands which are ideal nesting grounds for many...

  2. Distributed PV Adoption in Maine Through 2021

    Energy Technology Data Exchange (ETDEWEB)

    Gagnon, Pieter; Sigrin, Ben

    2015-11-06

    NREL has used its dSolar (distributed solar) model to generate low-medium-high estimates of distributed PV adoption in Maine through 2021. This presentation gives a high-level overview of the model and modeling results.

  3. Hillshades for the main 8 Hawaiian Islands

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These hillshade datasets were derived from USGS 7.5' DEM Quads for the main 8 Hawaiian Islands. Individual DEM quads were first converted to a common datum, and...

  4. Libraries in Maine: MedlinePlus

    Science.gov (United States)

    ... 602-2386 http://www.une.edu/library/ Lewiston Bates College Ladd Library 48 Campus Avenue Lewiston, ME 04240-6087 207-786-6471 http://abacus.bates.edu/Library/ Central Maine Medical Center Gerrish-True ...

  5. Superconducting magnets for the LHC main lattice

    CERN Document Server

    Rossi, L

    2004-01-01

    The main lattice of the Large Hadron Collider (LHC) will employ about 1600 main magnets and more than 4000 corrector magnets. All superconducting and working in pressurized superfluid helium bath, these impressive line of magnets will fill more than 20 km of the underground tunnel. With almost 70 main dipoles already delivered and 10 main quadrupoles almost completed, we passed the 5% of the production and now all manufacturers have fully entered into series production. In this paper the most critical issues encountered in the ramping up in such a real large scale fabrication will be addressed: uniformity of the coil size and of prestress, special welding technique, tolerances on curvature (dipoles) or straightness (quadrupoles) and of the cold mass extremities, harmonic content and, most important, the integrated field uniformity among magnets. The actual limits and the solution for improvements will be discussed. Finally a realistic schedule based on actual achievements is presented.

  6. Mercury in bird eggs from coastal Maine

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Maine's coastal islands and beaches provide important nesting habitat for piping plover (Charadrius melodus), least tern (Sterna antillarum), common tern (Sterna...

  7. Station Management Plan Maine Coastal Refuges

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This management plan outlines how four Maine refuges and twelve islands and one peninsula should be managed over the next three to five years. Plan results are...

  8. Investigation of Tidal Power, Cobscook Bay, Maine.

    Science.gov (United States)

    1980-08-01

    240 megawatt project on the Rance River in France and a 400 kilowatt station on the Kislaya Guba Gulf in the Soviet Union. Recently, studies have taken...Tidal Power Project, Maine" October 1979. 44. Ploch, Lousi A. and Nelson L. LeRoy, "Social and Economic Consequen- ces of the Dickey- Lincoln School...Regional Planning Commission," Machias, Maine, 1977. 47. U.S. Department of Energy, Southeast Power Administration, Dickey- Lincoln School Project

  9. Molecular clusters of the main group elements

    CERN Document Server

    Driess, Matthias

    2008-01-01

    ""To summarize, Molecular Clusters of the Main Group Elements is certainly not a popular science book, nor is it a textbook; it is a very good, up-to-date collection of articles for the specialist. Als Fazit bleibt: Molecular Clusters of the Main Group Elements ist sicher kein populissenschaftliches Werk, auch kein Lehrbuch, aber eine gelungene, hoch aktuelle Zusammenstellung fen interessierten Fachmann."" -Michael Ruck, TU Dresden, Angewandte Chemie, 2004 - 116/36 + International Edition 2004 - 43/36

  10. Aneurysm of the left main coronary artery

    Directory of Open Access Journals (Sweden)

    Ênio E. Guérios

    2000-12-01

    Full Text Available Aneurysm of the left main coronary artery is a rare angiographic finding, with few cases described in the international literature. We report the case of a 42-year-old male with a previous history of acute myocardial infarction, whose coronariography indicated triple vessel coronary disease and an aneurysm of the left main coronary artery. A review of the etiology, clinical aspects, and surgical management of coronary arterial aneurysm is presented.

  11. Main Development Targets for CNOOC in 2000

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    @@ In order to obtain stable reserves and create scope economic management, the China National Offshore Oil Corporation (CNOOC) officially put forward the main development target and main sci-tech sector target of the Ninth Five-Year Plan in July, 1995. These targets aim to make CNOOC as an international group corporation,including exploration and development of oil and gas,refining, petrochemicals, chemical fertilizer, power generation, unitizing sales network of up and down stream.

  12. Social Prerequisites and Outcomes of Accountable Curriculum in Higher

    Directory of Open Access Journals (Sweden)

    Mohammadreza Nili

    2010-07-01

    Full Text Available AbstractHigher education system(HES is a social institution that has long been set up to accomplish threemissions education, research and service, but during recent years entrepreneurship has been added to itsmissions. Curriculum is the most important component and subsystem of HES and has been thought of as theheart of higher education (HE, because it is the most fundamental means that provides students withknowledge, experience and skills to supply services to the society. The curriculum which can accomplishideals and missions of universities, organizational (of the university and social (of the employers and thesociety is called accountable curriculum (AC. The main goal of this research was explanation ofprerequisites and social outcomes of higher education accountable curriculum (HEAC. To do the researchdescriptive survey method was used and in order to collect the needed data interview and questionnaireinstruments were utilized.The sample of the study which the questionnaire was distributed in, included faculty members and graduatestudents of university of Isfahan, Technical University of Isfahan, and Medical University of Isfahan andalso employers and administrators of the companies of Isfahan city. The participants of the sample wereal1ocated using stratified random sampling. The questionnaire surveyed the sample's viewpoints aboutprerequisites and outcomes of the AC in the field of social services. The collected data were analyzed atdescriptive and inferential levels using SPSS. The findings of T-test revealed that the mean of the sample'sviewpoints about the explained prerequisites and outcomes had been more than the hypothetical (theoreticalmean of the population (p≤0/001. The multivariate variance analysis( MANOVA of the data showed thatthere hadn't been significant difference among viewpoints of faculties, and employers in respect ofprerequisites of HEAC, but there had been significant difference between their views about expected

  13. Menstrual patterns, fertility and main pregnancy outcomes after allogeneic haematopoietic stem cell transplantation.

    Science.gov (United States)

    Chiodi, Sandra; Spinelli, Simonetta; Bruzzi, Paolo; Anserini, Paola; Di Grazia, Carmen; Bacigalupo, Andrea

    2016-08-01

    Two-hundred and sixty-nine females aged ≤42 and undergoing an allogeneic stem cell transplant were retrospectively studied to assess the effect of age, conditioning regimen and chronic graft-versus-host disease (cGVHD) on resumption of stable menstrual cyclicity. Overall, a stable menstrual cyclicity was observed in 22% of cases. The cumulative probability of menses resumption was significantly age and conditioning regimen related. A statistically significant inverse correlation between cGVHD severity and menses resumption was observed only in univariate analysis. In patients with residual ovarian function, infertility was found in 43% and early menopause in 45%. An increased incidence of prematurity and low birth weight (LBW) was observed among the single spontaneous pregnancies. Follicle-stimulating hormone (FSH) and 17 beta-oestradiol levels were found to be inadequate to detect both early signs of menses resumption and menstrual stability. Our study confirms the crucial role of full dose total body irradiation (TBI) and age on menses recovery and fertility after haematopoietic stem cell transplantation (HSCT). The impact of severe cGVHD remains unclear.

  14. Pulsation Solution to the Equation of Earth's Gravitational Field (Main Outcome)

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Using d'Alembert equation as the approximation of Einstein's equation, a solution is given in this paper to the time-dependent gravitational equation of the Earth in consideration of the Earth's features, which describes the characteristics of pulsation of the Earth and the structures of spherical layers of its interior, thus providing a theoretical basis for establishing the idea of mantle pulsation.

  15. Clinical case reviews and poster sessions in multiple sclerosis spasticity: main outcomes and highlights.

    Science.gov (United States)

    Trojano, Maria; Celius, Elisabeth G; Donzé, Cecile; Izquierdo, Guillermo; Patti, Francesco; Pöhlau, Dieter

    2014-01-01

    Individuals with multiple sclerosis (MS) spasticity present with a range of symptoms and disability levels that are frequently challenging to manage. Summary : Clinical case reviews in treatment-resistant MS spasticity were presented in five country-specific sessions conducted in parallel at the MS Experts Summit. Attendees at the Norwegian session discussed early response to new treatments for severe spasticity and highlighted the importance of titrating THC:CBD oromucosal spray (Sativex®) when adding it to baclofen. The French group focussed on MS symptoms and patient characteristics that interact with spasticity and agreed on a list of minimum ratings for diagnosis of MS spasticity symptoms. Attendees at the Spanish session concurred that THC:CBD oromucosal spray is effective and well tolerated as add-on therapy in treatment-resistant MS spasticity, particularly for pain, spasms and gait disturbances. The Italian group discussed the use of add-on THC:CBD oromucosal spray and other possible combination therapies for treatment-resistant MS spasticity. Attendees at the German session highlighted the need to address trigger factors for MS spasticity to reduce the potential for impact on activities of daily living (ADL) and quality of life (QoL). Three innovative studies of MS spasticity from the poster session were selected for closer review. The MOVE 1 EU epidemiological study indicated that, across western Europe, patients with MS spasticity continue to have unmet management needs. A literature review demonstrated that symptomatic relief of MS spasticity in patients who respond to THC:CBD oromucosal spray translates into sustainable improvements in ADL and QoL. Enriched-design studies of medications targeting the endocannabinoid system require careful interpretation due to possible pharmacodynamic 'priming', i.e. carry-over effects of successful active treatment during the enrichment phase. Key Messages: Sharing experiences of clinical practice, including experience with the use of THC:CBD oromucosal spray, may be useful to overcome some of the challenges in the overall management of patients with moderate to severe treatment-resistant MS spasticity. © 2014 S. Karger AG, Basel.

  16. LAMOST Quasar Survey

    CERN Document Server

    Wu, Xue-Bing

    2011-01-01

    The main objective of the Chinese LAMOST spectroscopic quasar survey is to discover 0.4 million new quasars from 1 million quasar candidates brighter than the magnitude limit i=20.5 in the next 5 years. This will hopefully provide the largest quasar sample for the further studies of AGN physics and cosmology. The improved quasar selection criteria based on the UKIDSS near-IR and SDSS optical colors are presented, and their advantages in uncovering the missing quasars in the quasar 'redshift desert' are demonstrated. In addition, some recent discoveries of new quasars during the LAMOST commissioning phase are presented.

  17. Multiple Surveys of Students and Survey Fatigue

    Science.gov (United States)

    Porter, Stephen R.; Whitcomb, Michael E.; Weitzer, William H.

    2004-01-01

    This chapter reviews the literature on survey fatigue and summarizes a research project that indicates that administering multiple surveys in one academic year can significantly suppress response rates in later surveys. (Contains 4 tables.)

  18. Clinical and radiological outcomes following traumatic Grade 3 and 4 vertebral artery injuries: a 10-year retrospective analysis from a Level I trauma center. The Parkland Carotid and Vertebral Artery Injury Survey.

    Science.gov (United States)

    Scott, William W; Sharp, Steven; Figueroa, Stephen A; Eastman, Alexander L; Hatchette, Charles V; Madden, Christopher J; Rickert, Kim L

    2015-05-01

    Grade 3 and 4 blunt vertebral artery (VA) injuries may carry a different natural course from that of lower-grade blunt VA injuries. Proper screening, management, and follow-up of these injuries remain controversial. Grade 3 and 4 blunt VA injuries were analyzed to define their natural history and establish a rational management plan based on lesion progression and cerebral infarction. A retrospective review of a prospectively maintained database of all blunt traumatic carotid and vertebral artery injuries from August 2003 to April 2013 was performed, and Grade 3 and 4 blunt VA injuries were identified. Grade 3 injuries were defined as stenosis of the vessel greater than 50% or the development of a pseudoaneurysm, and Grade 4 injuries were defined as complete vessel occlusion. Demographic information, radiographic imaging findings, number of imaging sessions performed per individual, length of radiographic follow-up, radiographic outcome at end of follow-up, treatment(s) provided, and documentation of ischemic stroke or transient ischemic attack were recorded. A total of 79 high-grade (Grade 3 and 4) blunt VA injuries in 67 patients were identified. Fifty-nine patients with 66 high-grade blunt VA injuries were available for follow-up. There were 17 patients with 23 Grade 3 injuries and 42 patients with 43 Grade 4 injuries. The mean follow-up duration was 58 days for Grade 3 and 67 days for Grade 4 blunt VA injuries. Repeat imaging of Grade 3 blunt VA injuries showed that 39% of injuries were radiographically stable, 43% resolved, and 13% improved, while 1 injury radiographically worsened. Repeat imaging of the Grade 4 blunt VA injuries showed that 65% of injuries were radiographically stable (persistent occlusion), 30% improved (recanalization of the vessel), and in 2 cases (5%) the injury resolved. All Grade 3 injuries that were treated were managed with aspirin or clopidogrel alone, as were the majority of Grade 4 injuries. There were 3 cerebral infarctions

  19. Clinical and radiographic outcomes following traumatic Grade 3 and 4 carotid artery injuries: a 10-year retrospective analysis from a Level 1 trauma center. The Parkland Carotid and Vertebral Artery Injury Survey.

    Science.gov (United States)

    Scott, William W; Sharp, Steven; Figueroa, Stephen A; Eastman, Alexander L; Hatchette, Charles V; Madden, Christopher J; Rickert, Kim L

    2015-03-01

    Screening, management, and follow-up of Grade 3 and 4 blunt carotid artery injuries (BCAIs) remain controversial. These high-grade BCAIs were analyzed to define their natural history and establish a rational management plan based on lesion progression and cerebral infarction. A retrospective review of a prospectively maintained database of all blunt traumatic carotid and vertebral artery injuries from August 2003 to April 2013 was performed, and Grade 3 and 4 BCAIs were identified. The authors define Grade 3 injuries as stenosis of the vessel greater than 50%, or the development of a pseudoaneurysm, and Grade 4 injuries as complete vessel occlusion. Demographic information, imaging findings, number of images obtained per individual, length of radiographic follow-up examination, radiographic outcome at end of follow-up period, treatment(s), and documentation of ischemic stroke or transient ischemic attack (TIA) were recorded. Fifty-three Grade 3 BCAIs in 44 patients and 5 Grade 4 BCAIs in 5 patients were identified and had available follow-up information. The mean follow-up duration for Grade 3 BCAIs was 113 days, and the mean follow-up for Grade 4 BCAIs was 78 days. Final imaging of Grade 3 BCAIs showed that 53% of cases were radiographically stable, 11% had resolved, and 11% were improved, whereas 25% had radiographically worsened. In terms of treatment, 75% of patients received aspirin (ASA) alone, 5% received various medications, and 2% received no treatment. Eighteen percent of the patients in the Grade 3 BCAI group underwent endovascular intervention, and in all of these cases, treatment with ASA was continued after the procedure. Final imaging of the Grade 4 BCAIs showed that 60% remained stable (with persistent occlusion), whereas the remaining arteries improved (with recanalization of the vessel). All patients in the Grade 4 BCAI follow-up group were treated with ASA, although in 1 patient treatment was transitioned to Coumadin. There were 3 cases of

  20. Ethical challenges in designing and conducting medicine quality surveys

    OpenAIRE

    Tabernero, P; Parker, M.; Ravinetto, R; Phanouvong, S; Yeung, S; Kitutu, FE; Cheah, PY; MAYXAY, M; Guerin, PJ; Newton, PN

    2016-01-01

    ObjectivesIn this paper we discuss the main ethical challenges related to the conduct of medicine quality surveys and make suggestions on how to address them. MethodMost evidence-based information regarding medicine quality derives from surveys. However, existing research ethical guidelines do not provide specific guidance for medicine quality surveys. Hence, those conducting surveys are often left wondering how to judge what counts as best practice. A list of the main ethical challenges in t...